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Medical Transcriptionist Week – May 17-23

As today starts the week of Medical Transcriptionist Week 2015, (May 17-23), I proudly wear this below imaged shirt I purchased a few months ago.  People ask me often, what is a medical transcriptionist?  Well most people when I begin to explain to them in laymen’s terms that I IMG_20150517_130546transcribe what the physician dictates (records) regarding your medical health record, they immediately will say, “Oh yeah, I know what you do.  That must pay pretty well.  How can I get a job working at home?”  The majority of the time, they are confusing it with medical billing or medical coding and actually have no clue as to what we do.

As I stated last year in my blog during Medical Transcription Week, there is never a really big ‘hoopla’, no real fireworks or parties where the physicians or hospitals per se (whom we transcribe for) really recognize or celebrate what we provide to them.  Thanks to the many MTSOs (medical transcription service organizations), who, over the years have tried recognizing us by providing gifts, tokens, and continuing educational tips to celebrate what we do, the MTSOs and/or AHDI, the nationally recognized association for medical transcriptionists have decided to greatly diminish the salaries of many MTs over the recent years along with outsourcing to other countries, leaving many MTs feeling as though they work in a ‘sweat shop’ or on a ‘production line’. In my opinion, being a medical transcriptionist is a very highly skilled profession – a profession that determines the life and/or death of a patient in what is accurately documented in their record and should also be recognized as such and treated as such .

Even though we MTs always work “in the background” so to speak, or previously worked in a hospital’s ‘basement floor’ (some still do work in the hospital setting) or currently ‘work at home’, we are the forefront or the main engine for your official medical record (also now known as) clinical documentation. We have a computer, a foot pedal to play, rewind, play forward what the doctor dictates, and we have headphones (to listen to the recorded dictation) along with a keyboard to type, all being used simultaneously to create a patient medical record.  That in itself is not an easy task for lots of people!  In recent years, voice recognition, (i.e., instead of manually typing all of the dictated report, it comes over as voice recognized of spoken words onto the computer what the physician has dictated) has been meant to take the place of a medical transcriptionist, along with pretemplated EMR (electronic medical records).  Supposedly, EMR and voice recognition were created to be a ‘quick fix’, a much easier way of  diminishing so much paperwork, increasing productivity to the transcriptionist . As the world’s population has multiplied in the last 20-30 years, including the ‘baby boomer’s of this country who make up a large percent of the aging population right now, EMR and voice recognition, instead of the traditional transcription was supposed to triple the work that a transcriptionist does by eliminating a backlog of charts we were transcribing.  It also was established to provide electronic medical records at  a national scale – no matter where you lived, any hospital, any clinic will be able to pull up your clinical documentation report.  Maybe later this week in recognition of MT week, I will get into the pros and cons of both voice ‘wreck’ (as we like to call it,) and EMR implementation here at You Empower Your Health.

In the meantime, we will quietly celebrate MT week in our own way with the majority of us loyal MTs  continuing to work diligently – maybe 6 or  16-hour days, researching words and their meanings, researching doctor’s names, and facilities to get the correct spelling, listening at the doctors cough, belch or sneeze in our ears, putting up with the background noises of babies crying, people talking and yelling, physicians walking and dictating via their cell phones, dictating in the elevator, walking outdoors or in their vehicles, nursing their babies at home with dogs barking, music blaring  – all in the name of caring about an accurate patient medical record, a continuously learning knowledge of medical terminology and have a TRUE love of medical transcribing!  Happy Medical Transcriptionist week!!

 

National Minority Health Month

minority healthNational Minority Health Month is just one of many health awareness topics designated for the month of April.  The goal is to continue the quest of empowering, educating and giving awareness to the still many health disparities that invade the minority community today.

The National Minority Health Month organization raises awareness to include all groups in healthcare education, awareness and programs.  According to the organization, Hispanics are greatly affected because they are the largest group without medical insurance.  I encourage you to check your local healthcare communities to see where you can get involved.

I invite you to share my free blog with others so they too can continue to learn about better health practices, how to empower you and make a difference!

MENOPAUSE – living outside yourself

Menopause:  The definition is the cessation of a woman’s reproductive ability, the opposite of menarche.  The time when the blood stops flowing in her body every month.

Well, Marsha’s definition of menopause?  Many!!  First, why is it called “men-o-pause”?  Sounds as if we’re putting ‘men on pause.’!   It should be renamed ‘women-o-pause.  In my opinion, the definition of menopause is the worst hell that a woman can ever go through.  MENOPAUSE

Since I’m older and looking back now at life, menarche (the beginning of a menstrual cycle) is not as bad as menopause.  Being in labor during pregnancy is not as bad as menopause (I’ve been known to be in labor for 24 hours with one of my sons).  A migraine headache, having a toothache or even suffering from sciatica…….well maybe not sciatica, but it’s close to it …..can compare to going through menopause.

Menopause can last for years.  The mood swings, the highs and the lows, the hot flashes, being cold, losing memory, bone loss, terrible high blood pressure and I can go on and on.  It’s not as simple as people make it seem to be.  I really wish I had someone to prepare me for how bad it really is.  Mine began around 2009 – and is still ongoing.   Simply taking a ‘pill’ to stop the hot flashes is not enough for every woman.  It’s obvious something that we as women unfortunately have to deal with.  Every woman is different.  Some may not suffer anything.  Though I have never taken any hormone replacements or prescriptions to ease the menopause condition – maybe I should have.

I used to hear the saying that a woman is closest to death while in labor.  I think menopause can be similar to a person having a nervous breakdown or literally losing their mind.  For some women (such as myself and a couple of others I know), it makes you do and say things that feels as though you’re ‘outside of yourself’, things you’d never find yourself doing or saying in a normal state.  It’s almost as if someone is possessed with a demon.  I am so serious!  I have done and said some things inappropriately, I’ve cried, I’ve laughed and I’ve also felt as though I was having a breakdown.  All because of menopause.

My advice for women who may begin the state of menopause or you think you may have symptoms, go see your doctor.  Read, read and read articles that are out there regarding menopause and look at the signs and symptoms.  Pay attention to those symptoms and seek help for it.  It is no joke.  This is one time I really feel sort of bad for men who have spouses, relatives, friends going through menopause.  You know you have a true man in your life and loves you unconditionally when he can stick with you throughout this part of a woman’s life.  Those of us who do not have partners, please don’t suffer with this alone.  Seek professional help for this.  Don’t be ashamed and don’t think it’s something ‘bad’.  Get the help you need.  It will save you undo stress in your life, will save your health, and you can learn to lead a productive life!

Love You!

heart-620523_1280As Valentine’s Day is traditionally a time to celebrate ‘love’ – mainly someone you’re romantically involved with or affectionately attracted to, not everyone shares the same, for various reasons.  So today, here at You Empower your Health, I want to love on you, celebrate you, bring out the love in you so you can gladly share with someone else!.   Times like these can undoubtedly affect your health.  It can affect your mood, your mental health and your physical health.

Instead of ‘despising’ Valentine’s or hating on others and their ‘love’ for each other, treat YOU!  Treat yourself to what YOU would love to do!  Love YOU!!  Do something you’ve never done before for YOUR body, YOUR self.  Once you love on you, then share that love with someone whose alone, whose broken, an elderly person, or a person who may be ill, and by the end of this Valentine’s Day, after doing all of that, you will be so surprised how you’ve given yourself….and someone else a longer life, a healthier heart, a healthier mind and an overall healthier physical well being.   I LOVE YOU!!

Making 2015 a healthy, happy year!

Now that we’re into the first full week of 2015, I’m hopeful that this will be a prosperous and healthy year!   With the major holidays behind us, let this be a time to now focus on vintage-259349_1280better health……for ourselves and for others around us!  As I continue my job in the HIM field (health information management), there’s a tremendously large number of patients taking HUGE amounts of medications, people dying from the flu – even babies dying from it.  I hope that I can somehow help make a difference in someone’s life in my blogs so they can see the benefits of being healthy.  Of course we are not immune for dying, but we can do something about an early or unnecessary early demise if we just educate ourselves.

This is also the time of year, no matter what region of the country you live in, the weather is ever-changing and winters can be very brutal.   Let’s continue to be the eyes and ears of our elderly neighbors and others who may be less fortunate than us and help provide a heater, a blanket, a meal or a ride or whatever type of assistance you can give them – even if it’s calling 911 for them.  Those are just some of the many little things that we can do for others.

Though I am very fortunate to work at home, I DO remember the times of having to go out to work, spending many hours at work, going to and from work and shopping, etc. and spending more than 10 hours away from home.  When your body makes those different changes, going back and forth from heat to cold, being around very ill, coughing, sneezing people, our bodies tend to lose the resilience against fighting germs, diseases, etc.  That’s orange-401822_640why it is important to take charge yourself by utilizing simple things such as vitamin C, drink lemon water, have honey and lemon mixed with cinnamon.  You’d be totally surprised at what those items will do for your body!) and of course bundle up from head to toe when out in the elements.

I’m looking forward to a great 2015 in many ways.  I hope that I can continue to be an encouragement and a useful tool by my blogs to help YOU be a healthier and happier YOU!

Time to be thankful

celebration-315079_1280As the holidays are upon us, these are the times when a lot of us overindulge when it comes to eating and drinking.  There’s nothing wrong with celebrations in eating or drinking, but in complete moderation…….and healthy as best we can.  We don’t need to sit around and stuff our plates with food all day long, every day nor drink until you can’t even see anymore!!  You’re killing your insides like that.  As I still am in shock and pain from my friend I’ve mentioned on my Facebook, Mr. Mark ‘Elijah Israel’ Fant, who just recently passed and was only in his early 50s, one thing that still does not shock me is the manner in which he died.   Having too much cholesterol in his system.  No, there are no warning signs for the majority of us that we have ‘too much cholesterol’ in our arteries, but here is where we MUST be extremely careful in what we put into our bodies – especially after the age of 45.

Getting regular checkups with our primary care physicians is vitally important, ya’ll, even if we are NOT having signs or symptoms of illness.  Getting regular exercise is also important in keeping those arteries clear of plaque (fat/cholesterol) so that the plaque will not flow to the coronary (heart) arteries and stop the heart from beating, causing a myocardial infarction (heart attack).  Read your labels and see and compare ‘enriched’ or starchy items versus whole grain items and notice how much saturated fats and cholesterol and sodium are in the products you purchase.

I too am cooking the traditional Thanksgiving meal – vegetables being cooked fresh, not canned – but this year I am going to definitely eat in moderation.  Desserts, yes I’m cooking, but family and friends are definitely welcome to come by and take them as I truly do not need whole pies around here!  (lol).

Thanksgiving is the time to be grateful for the many blessings we have and to share what we have with someone who is less fortunate.  I want to wish you all a blessed and thankful Thanksgiving of 2014!

Let’s Get educated!

It’s been a while my friends, but I’m back!!  Busy trying to find my way in life….well, my stability in employment that is, and so I’m back on track.

Saw EMS come through my complex a couple of Sunday’s ago – came to the complex next to mines.  Didn’t think much of it, so a couple of days later, I talked to one of the residence’s who live in that building and he informed me that it was his mom that EMS came for!!  As he went on to tell me her prognosis (as best he could in nonmedical terms), I was absolutely floored by how WE still do not take care of ourselves health-wise.  She was so incredibly short of breath to the point of gagging!!  That is when the son finally called EMS.  Her lungs were so filled with fluid and had been short of breath for some time, until she has had damage to her lungs.  She cannot even come home until her lungs are at a better capacity and will not collapse.  She hadn’t been to a doctor since she was 14 years of age and is currently 60 years old.  NOT GOOD!apple-256261_1280

Folks, this is NOT normal!  It is NOT normal to be short of breath.  It is NOT normal to have ongoing swelling in your feet and legs!  It is NOT normal to smoke two packs of cigarettes a day and think you’re NOT going to be short of breath, have a ‘smoker’s cough’ and any other problems!

As I write this, I too am talking to myself as our health is a continual learning experience and I want to continue down the right path of a healthier me as well as my love for all of you to see a healthier you!  Again, I am not in perfect health, but I am doing fantastic considering where I’ve been in the last 4 years or so.  I too had to finally listen to someone who was positive, encouraging, knowledgeable, educate myself (in what my actual profession  is) and more importantly, learn from others who have been through serious health issues but have survived and changed their ways.  I too had to stop making excuses that I’m too busy.  We’re not too busy trying to earn more, pay our bills – we should never be too busy to care for own self!!  It’s about taking responsibility for your own health.   First, we have to change our mindset.  If we can gradually begin to change our mindset about ourselves and not think, ‘Oh it’s just a little headache’ it’ll go away’ or “honey, I’ve had this swelling for 3 or 4 months now, it will go away”, your life, your health WILL begin to improve.

Let us begin to educate ourselves, read more and as I’ve always said on this blog, let us learn our bodies and know when to get care from a healthcare professional.  If you’re worried about the big hospitals and thinking and worrying about payment after going to the hospital, we now have ever more increasing community clinics that have great medical staff.  They ARE interested and concerned about your health.  There’s so much at our disposal these days.  Educate yourself about the physicians/healthcare providers in your community.  Unfortunately, there are some who are not up to par as in any profession, but that is where YOU take responsibility in researching the best practices, best hospitals, physicians, healthcare workers by seeing their reviews, their malpractices, etc.   All of that and more information is available to you online.  They are not always about that mighty dollar or trying to profit from you.  As a matter of fact, these healthcare professionals in your community clinics are affiliated with the big-named hospitals in your town – this is why they are now in your community – to serve you, help you and begin a healthier you!

 

You’re an MT…….and you do what?

This week, May 18th-May 24th, is the celebration of MT (Medical Transcriptionist) week.  Well….. it’s not like it’s July 4th or Christmas or something where there’s a lot of fanfare or millions of people around the world are celebrating.  In fact, we’re just a minority group of people who sit behind a computer with headphones, a foot pedal and hands on the keyboard all used simultaneously in listening and interpreting what a physician dictates on medical_transcriptionhis/her device – though making a profound difference in establishing, completing and perfecting every patient medical record documentation – whether for a hospital location or a rural clinic.

In 1985, President Ronald Reagan signed a proclamation making this week National Medical Transcriptionist Week.  The proclamation was established to ensure accurate and concise permanent medical records and the importance of quality patient care.  (Here’s the link to President Reagan’s official proclamation):    http://www.presidency.ucsb.edu/ws/?pid=38668

Here are just a few things I feel would not exist if it weren’t for us MTs:

  • Coders would not exist and could not code an accurate patient record if not for us.
  • Lives would be lost at a high level if not for MTs (It’s almost impossible for doctors, PA’s, NP’s, RN’s, fellow students, clinicians to see patients and expect great quality care, dictate and also transcribe their own report for each and every patient they see.  I don’t care how advanced technology has become with ‘point and click’ of advanced software technology with prefilled templates, speech recognition, etc.)
  • So much information would be lost or nonexistent if we did not guard, protect and keep accurate patient record documentation.

From the days of word perfect, MS DOS to the current Microsoft Word to speech recognition applications and on and on, medical transcriptionists ARE still in existence!  We ALL still add value to each and every person that enters a healthcare facility because we make the difference as it pertains to patient quality care and their permanent health record by ensuring a precise medical record documentation.

We still correct the clinicians when they’ve dictated all night long after seeing so many patients and they can’t distinguish if the patient is a he or she, a black or white female, or mistakenly given a wrong medication – for instance – potassium 20 mEq when they’ve dictated 20 mg!!  Yes, WE do all that as medical transcriptionists because we have skills and the knowledge in anatomy and physiology, medical terms and have that pristine “listening ear” to accurately record patient’s medical record……whereas machines definitely get it wrong! We ‘listen” for the correct words/terms when the background noise of babies crying, clinicians chewing gum or whether playing their music is louder than the physician dictating.

So………from me to ALL my fellow MTs  out there – though you know there will be no fireworks, no barbecues, no bells or whistles-type celebration for us, I want to wish each and every one of you a Happy Medical Transcriptionist Week – KNOW THAT WE DO MATTER!

A mother’s work is never done

mothers-day-337941_640Here to wish ALL mother’s a Happy Mother’s Day!  Whether you’re a mom yourself or not, we obviously ALL have had a mother and no matter what the nature of that relationship with your mom, she deserves to be honored, loved and thought of!

As of this Mother’s Day in 2014, I know I am blessed beyond measure to still have my precious mom, Mrs. Mary Hughes, still alive and doing well at 92 years of age.  Although I am unable to spend time with her this year, it’s still even just an honor and a joy to hear her ever so young-sounding voice on that phone and to still have her wits about her.

I especially want to send shout outs to all those that have lost their mother and especially the mother’s that have lost a child.  I hear all the time from mother’s who have lost a child that there is no other pain equal to that of losing a child, but this Mother’s Day, take those thoughts and remember all the beautiful things about that child (whether a child or an adult) that put a smile on your face. They may not be here in the physical, but you are STILL, and always will be their mother.

A mother’s work is never done – whether a newborn or whether an adult, a mother is always thinking, wondering, worrying and praying for their child.  No matter if you’re the mother of one child or the mother of 19 or more, there’s nothing like the love of a mother whose taken the time to groom, teach, heal, feed, laugh, cry and discipline their ‘youngins’ as I like to say.

So this Mother’s Day, spend some time, call and speak or find some way to honor your mother – she spent many hours bringing you into this world giving you life – keeping you alive and nurturing you – at least love on her while she’s here!

That sure does hurt, but what is it?

80-90% of the time when I solely transcribed ER reports in the past and a doctor dictates “patient with right lower quadrant abdominal pain”, etc., I pretty much knew (in my mind) that the patient had an appendicitis.  Sure enough, when the doctor came to the end of the report and with a description of the diagnosis, he (or she) would dictate:  “DIAGNOSIS:  Appendicitis.”  This is the joy I still get from transcribing all types of reports now – putting my medical terminology knowledge, A&P knowledge together and figuring out what a particular patient may have before the doctor gives a final diagnoses.black-40607_1280

Appendicitis is an inflammation of the appendix.  The appendix is a small pouch attached to the cecum, the beginning of the large intestine.  It is commonly found in children and young adults, but obviously is not discriminatory to anyone of any age, gender, race, culture, etc.

The pain is predominantly on the right lower part of the abdomen, but some may suffer pain in different areas:  some on the left side, some on or underneath the belly button, but normally there are other symptoms that may occur.  Fever, chills, nausea and vomiting, loss of appetite, constipation and/or diarrhea, pain when coughing or sneezing and pain in the abdomen while riding over bumps are many other symptoms that can occur with appendicitis.

The cause of appendicitis is not fully understood and could be from various reasons such as the appendix may become blocked by stool or foreign body, or obstruction causing bacteria to invade the appendix, causing it to fill with pus and swell.  Bacteria invading your body is NOT cool and can cause a whole host of other problems.

Appendicitis is not to be taken likely as it can rupture and can cause potential life-threatening infections if not treated.  Never let that type of pain go on for days!  Medical professionals suggest that if you’re having especially severe abdominal pain and/or fever, nausea, vomiting and the symptoms continue to occur and/or worsen, please seek medical attention immediately.