Pt to be taken off Toprol and put on s/l "Mess tall" for palpitations and chest discomfort

I know we shoud sit as ergonomically as possible while transcribing, but I am still having considserable neck and shoulder pain. Does anyone have any suggestions; exercises, changes in equipment, position, etc.? This has gotten progressively worse over the years. I do work long hours - sometimes 12 to 16 at a time. Yesterday I finally threw in the towel and started a course of prednisone. Something has to work better than a constant array of steroids. TIA! ...

Today I had a QA person tell me that HIPAA requires that all transcribed documents need to have a score of 98% or better. She says "it's the law". I can see a MTSO requiring 98%, but seriously doubt this is a HIPAA violation, more likely a Joint Commission requirement when they audit the hospital. If this was the case, why even do an audit of 3-5 transcribed documents and do an average score. They could just keep track of every time you went below 98% and count em up ...

the patient that signs all the privacy statements when entering the hospital only knew his medical information was going to "another country" what are the chances they are going to say, "Sure, go ahead and send it." Hey, isn't that what "privacy is all about?? I don't think all the old steelworkers and other unionized people would go for that. If only they knew!! That is just not what someone sits around and thinks about...Hmmm, wonder where my med recs are toda ...

Ever wonder why you miss words that are misspelled, even when you “carefully” proof every page? If you can read the following, you will learn the answer. From Cambridge University : O lny srmat poelpe can raed tihs. I cdnuolt blveiee taht I cluod aulaclty uesdnatnrd waht I was rdanieg. The phaonmneal pweor of the hmuan mnid, aoccdrnig to a rscheearch at Cmabrigde Uinervtisy, it deosn't mttaer in waht oredr the ltteers in a wrod are, t he olny iprmoatnt tihn ...

Okay. Finished report that original MT was in India. Went to 2 different QA editors, nothing corrected. Came to me. I made over 50 corrections. If this is any indication of their work, our jobs are safe. Ridiculous and diiscouraging at the same time. ...

I'm so tired of trying to get into FIESA to see the account specifics. I'm constantly having to change my password and then it doesn't even work Does anyone else have this problem. ...

I just need to know if I am the only one that cries everyday on this job. I can barely even see through my tears to post this message. First I get a good report, but then I know that I will be barraged with at least 2 or more bad ones after that. It is nothing but a roller coaster and now I can't even find a way to locate and listen to a transcribed report returned to me as bad. It is impossible to focus under this pressure of never knowing when the email is coming o ...

Was just wondering if it interfered with any programs. ...

Here I sit twiddling my thumbs because I can't work my regular schedule. When I signed on today, the audio was so low I could barely hear it. Muddled through the first report, straining. Second report comes up...same thing. Tried everything I could think of to no avail, unplugging speakers, turning off and on, etc, rebooting. Called Tech. They identified no problem. Said to send to QA so perhaps they could??? No reply from CCM (more than likely because she's bombarded with emails from ...

The distal end of the bile duct was oversewn with running, locking 3-0 PDS, and the end-to-side choledochojejunostomy was done to the loop of jejunum with a running 4-0 PDS suture. We placed Evicel around this **s/l "so a ligamentum teres off the shassum posterior** and anchored. Omental pedicle flap was then fashioned **s/l and anterior to anteriorly** to protect the anastomosis. Thanks in advance. ...

I have never wanted to be fired so badly in my life. I have worked in some real feces factories in my day, but this one beats them all. How on earth do they expect any MLS to care about any of these reports if they aren't going to pay us a decent wage? I hope the stock crashes. If the rest of the company is managed as poorly as the transcription division, it's only a matter of time until it does. ...

I have never seen such a disorganized operation. We've been getting forms periodically emailed. Many forms don't have adequate instructions on where they're supposed to be sent. State tax forms haven't been sent to everyone as they should have been. Some employees haven't even gotten news about what they'll be paid next year, and yet they're expected to choose benefits without knowing what they'll be earning. This has been incredibly stressful and unneces ...

Technique: Please note that this protocol is limited designed specifically for evaluation of the lung and s/l Turse disease???? ...

Okay, I really have to ask this and get this out of my system. As an MT, if you work as an IC, and you commit to be available during a rough time period, do you feel that it is okay not to show up when you are supposed to? I find myself very aggravated this evening. I am a QA for a company who has been beaten about on this board several times, but at the same time, if you take a job and commit to something, shouldn't you show up when you say you will? Is it right for ...

The right thoracic cavity ??? a separate chest tube. (was made, sustained -- any ideas for wording that might work? ...

I am so stuck. I have searched and searched, and I cannot find this word. This patient had blunt trauma to his chest. They did a portable chest x-ray and report "Cardiac silhouette appears quite normal. The _________ (s/l viasendly) does appear evident in the left anterior chest." ...

Its my day off and all I do is think about what awful thing they will do to me next. I literally have chest pain. I am scared all the time. I am scared when I am typing that I am making a mistake. I am scared when I am not typing that I won't make enough money to support my family. I am scared every time I spend a penny. There is no rest for the weary. ...

Chest x-ray showed cardiomegaly with s/l perihaligus" disease and possible pulmonary edema.... help, stuck... ...

Five grams of sterile talc mixed with 150 cc of normal saline wsa instilled via the s/l lava of the chest tube. This is an ESL doctor, any suggestions? ...

Dermatology doc says "Pt has a pink papule along the (s/l) nullcline on his right lower chest." I found this word by googling nulkline, but don't know if it is used in anatomical id. ...

Is it PA, lateral, and upright views of the chest or PA lateral and upright views of the chest? Where do the commas actually go? ...

I am really really really (times pi) sickened but I figure if I write it here I can go to work and try to hang in there. I got the quarterly bonus and qualify for most times the weekly ones (depending on OOW situation and or if there are so many ESL a week I can't get the goal lines). Anyway, I have this high QA score on my weekly time sheet which is figured quarterly. Now, for the past 2 weeks, I am informed by TL that my quality is 98.6%, that I have in excess of 50, yes 50 critical error ...

In the exam, the doctor says: Chest exam is without respiratory (s/l) angel-tasias. ...

s/l arrow chest tube for pneumothorax ...

Alone in-house today and need a little help. "There is a vague nodular density overlying the anterior first rib approximately 15 mm which suspect is a bone island. The patient will be recalled for lordotic, reverse lordotic, and infused cone of the apices." Not sure of the bolded part and even less sure about the word apices. Thanks! He repeated himself a little clearer later on in the dictation. He said: "The patient will be recalled for lordotic/reverse lordotic vie ...

Pt to be taken off Toprol and put on s/l "Mess tall" for palpitations and chest discomfort - traci

metoprolol - rc

metoprolol is generic for Toprol, not sure about - substituting one for the other. NM

Sorry, It fits logically but not in my ear :) More info in message. - traci

how about - minoxidil?

Thanks guys! I finally got it. It is "byastolic" Missed the ic at the end :/ - traci

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