Subject: MT Daily Rounds, Friday, October 1, 1999

****************************MT DAILY ROUNDS**************************

BROUGHT TO YOU BY MEDICAL DICTATION, INC.

WHERE QUALITY TRANSCRIPTION IS HIGHLY REWARDED

http://www.med-dictation.com
*********************************************************************

IN HONOR AND MEMORY OF
DARLENE CUNNINGHAM

(see Cancer Support Board, http://www.mtdaily.com/mentors/casupport)

>From Louise, happyweezi@aol.com:
Darlene Cunningham was 41 years old. She was married to her loving husband, Dave, for 21 years, and her son, Shawn, is 20 years old. She was a hair color specialist for quite some years and then became an MT and subcontracted for my service as a newbie; she became my best friend. We started a business together, New Hampshire Institute of Medical Transcription, and were about to launch our website in October. This will be delayed but will be pursued in her honor. She was a home-body and loved hummingbirds. She was a joyful, high-spirited, very positive person that fought very hard to beat this monster. She will be sadly missed for many reasons, by many.

>From Debbie:
Darlene was a very gifted person, including being a wonderful artist. She painted her kitchen with textured bricks by free hand. It is beautiful! Her husband has a wonderful garden in their backyard which Darlene loved. Darlene always spoke about how sweet her husband is and showed just how much she loved him and their son.

Darlene was a beautician, but because of problems with carpal tunnel syndrome, she had to quit. She had numerous surgeries because of this. She went through MT training and began working as an MT in the summer of 1998. Both of us began working for a start-up company. Darlene also worked for a local MT and they were starting work on an on-line project for MTs. She had such dreams!

Darlene always said that she was too young to die. She was a very loving, caring person. If you told her about something that was bothering you, she'd worry about you and try to help you. She was also the ultimate hostess, although when I visited her in August, she wasn't able to do all that she wanted to do, and that really bothered her. It was wonderful just hanging around her house with her family coming and going all day and just talking. She was such a good listener and didn't really want to burden anyone with her problems.

I know a lot of people grew to really respect and appreciate Darlene for her caring ways. It'll be one of the biggest things she'll be remembered for, and she was a fighter until the end! During the spring, Darlene renewed her relationship with God, and grew in her relationship with him. Over the summer, both her husband and son became Christians. Please pray for her entire family. (Please write mmorken@ix.netcom.com if you would like the home address of Darlene's family to share comfort.)

THIS WEEK ON MT DAILY

1. New board for mothers with special-needs children:
http://www.mtdaily.com/mentors/specialmoms

2. 300 jobs listed now on MT Jobs:
http://www.mtjobs.com

3. Is your company looking for new accounts to bid on?
http://www.mtdaily.com/outsource

4. E-mail shower for Judy B. and her family:
http://www.mtdaily.com/wwwboard/messages12/2526.html

5. Tell your story of faith on the religion board:
http://www.mtdaily.com/mentors/religion

6. MT suing doctor for racist comments:
http://www.mtdaily.com/wwwboard/messages12/2436.html

7. Replacement letters for keyboards:
http://www.mtdaily.com/wwwboard/messages12/2338.html

8. Working for Indian companies:
http://www.mtdaily.com/mentors/world/messages/607.html

9. $25 medbookstore coupon ends 10/5:
http://www.mtdaily.com/marketplace

10. Sell your extra MT stuff:
http://www.mtdaily.com/ads.html

11. In-house hospital MTs' Board:
http://www.mtdaily.com/mentors/hospitalmts

12. Should the presidential candidate with the most money win?
http://www.mtdaily.com/mentors/politics/messages/2135.html

13. Anybody make good pizza?
http://www.mtdaily.com/mentors/cooks/messages/2140.html

NEW TERMS, MEDICAL NEWS, LINKS

1. Free newsletter of money-saving tips:
http://www.valulinks.com

2. Free newsletter of new surgical equipment:
http://www.surgery911.com

3. SAMe, natural antidepressant:
http://www.psycom.net/depression.central.same.html

4. Excellent grammar guide:
http://webster.commnet.edu/HP/pages/darling/original.htm

5. Free computer technical support:
http://nospin.com

6. Consumer public service:
http://www.consumerworld.com

7. Pneumonia vaccine for children:
http://dailynews.yahoo.com/h/nm/19990929/hl/vac9_1.html

8. Pepcid for autism:
http://www.pslgroup.com/dg/132436.htm

9. Agoraphobia triple treatment:
http://www.pslgroup.com/dg/131e8e.htm

10. Contaminated blood banks:
http://www.foxnews.com/health/100199/blood_taint_ap.sml

11. Sniffing DNA of bacteria for asthma:
http://www.drkoop.com/news/stories/october/sniffing_asthma.html

12. Babies sleep safer in cribs:
http://www.intelihealth.com/enews?243943
Another opinion:
http://dailynews.yahoo.com/h/nm/19990930/hl/bed6_1.html

13. Pregnancy networking website:
http://www.thelaboroflove.com

14. Blocking enzyme to fight cancer:
http://www.intelihealth.com/enews?243551

15. Fungus and leukemia, surprise cure:
http://www.intelihealth.com/enews?243825

16. Coffee to prevent liver cancer:
http://www.intelihealth.com/enews?243644

17. New verification of pharmacy websites:
http://www.nabp.net/whatsnew/pressreleases/webPR.asp?idValue=49

18. DHEA for adrenal insufficiency:
http://dailynews.yahoo.com/h/nm/19990929/hl/adr8_1.html

19. Deafness carrier gene:
http://dailynews.yahoo.com/h/nm/19990929/hl/dea12_1.html

20. Ancure Tube and Bifurcated Endovascular Grafting Systems:
http://dailynews.yahoo.com/h/nm/19990929/hl/ane6_1.html

21. Folic acid to prevent birth defects:
http://dailynews.yahoo.com/h/nm/19990929/hl/fol10_3.html

22. Diltiazem may preserve sight:
http://dailynews.yahoo.com/h/nm/19990927/hl/bli8_1.html

23. Botox for migraine:
http://dailynews.yahoo.com/h/nm/19990927/hl/bot11_1.html

24. HeartMate IP "mechanical heart":
http://biz.yahoo.com/prnews/990928/wa_heart_i_1.html

25. New angiogenic blood-vessel-producing agent:
http://biz.yahoo.com/bw/990929/ca_trimedy_1.html

THANK YOU!

Thanks to MDI, Medical Dictation, Ind., of Maryland, for sponsoring this newsletter. See http://www.med-dictation.com for more information. Thanks also to Joe Weber of Narratek for the special MT Daily Rounds $30 discount on Smartype speedtyping software (which is the leading expander for WordPerfect 5.1, saving 70% of your keystrokes), with a free abbreviation add-on sent via zipped e-mail attachment. Total price including $8 shipping is $173, an $80 savings over the regular price. Email joeweber@alum.mit.edu, call 617-566-1066, fax 617-566-2500, or order at http://www.narratek.com. Mention MT Daily Rounds to qualify for the discount price. At this special price, Narratek can not accept the return of opened software. Thanks for letting others know about the newsletter. And thanks to all who help each other on the boards. Circulation 4,001. -Mary Morken, mmorken@ix.netcom.com.

****************************MT DAILY ROUNDS**************************

BROUGHT TO YOU BY PHOENIX MEDCOM, INC.

Specializing in highly technical acute care surgical reports.

http://www.frontiernet.net/~phoe nixm

********************************************************************

CONFIDENTIALITY AND THE RIGHT TO KNOW

This week I've come across several issues dealing with these two principles; some of the links below relate to them. What should we do when two true and valid principles collide in a real situation? Sometimes one principle overrides the other, such as not telling the truth, to save a life. Sometimes two or more principles have equal weight, and another principle may be the solution. Some are puzzles of two bad options. Here are some situations where wisdom is needed for the best strategy, where there is no easy solution:

-Patient histories and diagnoses must be shared by many health care workers in order for them to be treated, but there must be a clear need-to-know limit.

-Patient diagnoses are private information, but diseases that endanger others must be reported to the appropriate parties for their protection.

-Physicians need to be able to confer among themselves without betraying their patient's trust in their ethics.

-We must keep dictation confidential, but what we hear may dump an ethical dilemma on us.

-A friend may confide that they are planning to commit suicide, but they need intervention for their own protection and we are implicated if we don't act.

-We may need to know the details of a company's arrangements before submitting a resume, but companies have a right to privacy for the sake of competition.

-We may want to use public message boards to warn each other about bad companies, but companies have a right to do business without misrepresentation or interference.

-We may want to know if an MT company is sending work overseas, but they may not even know where the work is done, if their subcontractors are subcontracting out and do not tell them where the work is done.

-Public message boards can feel like an identity masquerade and a personal exposure to the world at the same time.

-Sharing secrets can build trust between people, or lead to threats and intimidation; asking about a rumor can bring clarification, or it can do damage.

Researching facts, understanding motives and consequences, courage and patience, and networking can help us think through questions. Thanks to those who have lightened my thinking load this week!

I'm going to post this on the Ethics Board for further discussion at http://www.mtdaily.com/mentors/ ethics. All of us are wiser than one of us!

THIS WEEK ON MT DAILY

1. New Exercise Board: http://www.mtdaily.com/mentor s/exercise

2. Confidentiality vs. objecting to racism:
http://www.mtdai ly.com/wwwboard/messages12/2436.html
http://www.mt daily.com/mentors/ethics/messages/431.html

3. Referral bonuses:
http://www.mtda ily.com/mtbycompany/messages2/354.html

4. Dictation cherry picking:
http://www.mtdaily.co m/vent/messages3/9771.html

5. Halloween costumes:
http://www. mtdaily.com/mentors/mothers/messages/6238.html

6. Head lice: http://www. mtdaily.com/mentors/mothers/messages/6161.html

7. Efficient QA feedback:
http://www.m tdaily.com/mentors/editors/messages/191.html

8. Approaching a supervisor with production problems:
http://w ww.mtdaily.com/mentors/supervisors/messages/239.html

9. Change in purpose of MTbycompany board, and limits of anonymity:
http://www.mtda ily.com/mtbycompany/messages2/266.html

10. MTs recommending national companies:
http://www.mtda ily.com/mtbycompany/messages/9660.html

11. Active part-time jobs for exercise:
http://www. mtdaily.com/mentors/winners/messages/1031.html

NEW TERMS, MEDICAL NEWS, LINKS

1. High pain tolerance linked to hypertension:
http://w ww.drkoop.com/news/stories/october/hypertension.html

2. PSA may fight prostate cancer:
ht tp://www.drkoop.com/news/stories/october/prostate_indicator.html

3. New bipartisan medical records privacy proposal:
http://web.lexis- nexis.com/more/ahi/19492/5056091/2

4. Countdown to Y2K: http://web.lexis- nexis.com/more/ahi/19495/5056084/1

5. Should Harry Potter be banned from schools?
http://www.accessatlanta.com/partners/ajc/newsatlanta/harry_potter.html

6. Physicians fired for racist comments:
http://www.tampabayon line.net/news/news101d.htm

7. HIV confidentiality vs. right to know:
http://www.ama -assn.org/special/hiv/policy/confide.htm

8. New private AAMT members online forum: http://www.aamt.org/forum.htm

9. Internet Legal Concerns:
http://www.netlitigat ion.com/firstamendment.htm

10. Rett's syndrome gene discovered:
http://w ww.ivanhoe.com/docs/newsflash-monday.html#scientists

11. Glucowatch: http://www.ivanhoe.com/ stream/glucowatch.html

12. Steroids for carpal tunnel:
http://www. ivanhoe.com/docs/newsflash-monday.html#steroid

13. How Ya Doin' survey:
http://www.intelihealth.com/cgi-bin/makelog.pl?pqsn ame=howyadoin&mode=p&graphics=1&r=EMIHC000

14. New controlled reperfusion for DVT:
http://www.intelihealth.com/IH/ihtIH?t=333&st=333&r=EMIHC000&c=245579

15. MT's fatal error: http://www.tampabayon line.net/news/news100w.htm

16. superoxide dismutase synzyme for inflammation:
http://www.intelihealth.com/IH/ihtIH?c=245582&t=7228&p=~ br,IHC|~st,333|~r,EMIHC000|~b,*|

17. Another hand transplant planned:
http://www.foxnews.com/nav/js_stage_foxwire.sml?cont ent=/health/wires2/1008/h_rt_1008_21.sml

18. Quick diagnosis of stroke needed:
http://www.foxnews.com/nav/js_stage_foxwire.sml?cont ent=/health/wires2/1007/h_rt_1007_14.sml

19. Plastic Surgery Chat with Dr. Vander Kolk of JHH on Wednesday:
http://www.in telihealth.com/IH/ihtIH?t=21302&r=EMIHCOOO

20. Lose weight to live longer:
http://www.intelihealth.com/IH/ihtIH?t=333&st=333&r=EMIHC000&c=245272

21. Febrile seizure gene:
http://dailyn ews.yahoo.com/h/nm/19991008/hl/sei7_1.html

22. Tikosyn, anti-arrhythmic: http://www.pslgroup.com/dg/1358 8a.htm

23. New virus caused NY encephalitis:
http://dailyn ews.yahoo.com/h/nm/19991008/hl/enc5_1.html

24. HIMSS Conference in Dallas, 4/2000:
http://www .himss.org/2000conference/overview/overview.html

THANK YOU!

Thanks to Phoenix MedCom, Inc., of New York, for sponsoring this newsletter. See http://www.frontiernet.net/~phoe nixm for more information, or write Busytran@aol.com if you have experience with operative reports. Thanks also to Joe Weber of Narratek for the special MT Daily Rounds $30 discount on Smartype speedtyping software (which is the leading expander for WordPerfect 5.1, saving 70% of your keystrokes), with a free abbreviation add-on sent via zipped e-mail attachment. Total price including $8 shipping is $173, an $80 savings over the regular price. Email joeweber@alum.mit.edu, call 617-566-1066, fax 617-566-2500, or order at http://www.narratek.com. Mention MT Daily Rounds to qualify for the discount price. At this special price, Narratek can not accept the return of opened software. Thanks for letting others know about the newsletter. And thanks to all who help each other on the boards. Circulation 4,027. -Mary Morken, mmorken@ix.netcom.com

**********************MT DAILY ROUNDS, 10/15/99***********************

BROUGHT TO YOU BY MEDQUIST

7,000 MTS SERVING 2,300 CLIENTS
http://www.medquist.com
*********************************************************************

SPECIAL MT MOTHERS
Joyce Fonville, Beth Collins, and Vickie Gosling.

Joyce Fonville: I am a new MT from Georgia. I am a single mom with three children, two girls ages 12 and 16, and a son 4 who is autistic. I have been visiting MT Daily for close to a year now. About four months ago I finally got up enough courage to go into chat. I met Rosebud and we became fast friends. Her son Lee is also a "special kid" with Down's syndrome.

One night Beth joined us in chat. Rosebud and I were talking about our children and Beth began to ask questions about my son, Logan. We began e-mailing each other. She was in the process of having her son tested for developmental delays. I was happy to be her sounding board and support through this rough process.

A few weeks ago, someone posted on the Motherboard asking if there were any mothers of children with disabilities. The response was much more than we anticipated. We came to realize that we needed a board for support. The new board was set up for us to support one another. Raising a special-needs child is difficult; sometimes just a few words of encouragement from someone who has been there can make all the difference in the world. The response and support on this board has been tremendous! I feel like God answered my prayers by meeting Beth and Rosebud and all the other wonderful people that post on MT Daily.

Beth Collins: I am currently learning medical transcription. I decided to join the chat room one night a few months ago to meet other MTs. I was hesitant at first because I am a newbie in this and wasn't sure how I would be accepted. It turned out to be one of the best things I have ever done. One of the first people I met was Rosebud. She was so kind and generous with her advice and made me feel so welcome. She is the reason that I kept coming back to chat. We talked about our families and she told me about her special son Lee who has Down's syndrome. This opened the door for me to tell about my son Cory, who was having some testing done at the time for developmental delays. She understood the things we were going through because she had been here. She was there anytime I needed to talk and she's a good friend now.

Eventually I met Joyce in chat. She became my guiding light through this ordeal with my son. I think God had a hand in bringing Joy to me. I had no idea what I was in for when my son was first suspected with a learning disability. As a mother of four boys, I felt I had the experience to handle anything. But this was all totally new to me and I trusted the doctors and therapists to tell me what to do and when to do it.

One night I got in on a conversation with Joy and Rosebud in chat and Joy mentioned her son was autistic. My heart jumped because this is what I suspected my son to have, but I had never spoken to anyone who knew about it. I had so many questions and Joy was kind enough to answer them all. We were soon talking with each other almost daily, sharing ideas. Joy and Rosebud have become my shoulders to lean on through this. The new "special moms" board is certainly a blessing to all moms like us who sometimes need a place to go for advice or just to meet others and not feel so alone.

Vickie Gosling: I have been a medical transcriptionist for 27 years. Many of you know me as Rosebud on the boards and chat room at MT Daily. I am the mother of two wonderful sons and my oldest son is Down's syndrome. He is 21 years old and his name is Lee. My second son, Matthew, is 19 and is in college.

I was 25 when Lee was born. Since he was my first, he was "normal" to me. I knew nothing about Down's syndrome and didn't know anybody else who was Down's syndrome. I read all I could get my hands on as fast as I could, trying to prepare myself for what was to come. I didn't have the Internet; my family and friends were my only support system. They were a good support system but I longed to talk to someone with a Down's child to know more about what to expect. Lee was six months old before I ever talked to someone who was a parent of a Down's syndrome child. Our first contact was a two-hour long phone conversation!

When I first started coming to the chat room at MT Daily, I met lots of wonderful people and soon learned that there were some "special moms" there too. I met Joy and we started talking about our kids. I told her that she could call on me at any time if she needed advice or just somebody to listen to her. I kept remembering how lonely I was when I had Lee and knew no one who could even relate to what I was going through. Soon after I met Joy, I met Beth. She was really quiet and shy but soon I learned that she had a "special needs" child too. We bounce ideas off one another and just enjoy being there for each other. Oh what I would have given to know them when Lee was little! Better late than never.

One day another person posted a question on the board about a "special needs" child and then came the idea of having our own board. It is so wonderful to go there and read all the posts. There are lots of special moms out there! We've had a teacher post on our board too. So all of you come and check it out, and a special invitation to special moms. You'll find many interesting and informative posts, but most of all you'll find that we are just moms just like you moms, and our kids are kids just like your kids! (http://www.mtdaily.com/men tors/specialmoms)

THIS WEEK ON MT DAILY

1. Buying a C-phone:
http://www.mtdai ly.com/wwwboard/messages12/4510.html

2. Split keyboards: http://www.mtdai ly.com/wwwboard/messages12/4463.html

3. Sound distractions:
http://www.mtdai ly.com/wwwboard/messages12/4460.html

4. Back and wrist pain:
http://www.mtdai ly.com/wwwboard/messages12/4261.html

5. Long- and short-note preferences:
http://www.mtdai ly.com/wwwboard/messages12/4201.html

6. Voluntary certification pros and cons:
http://www.mtdai ly.com/wwwboard/messages12/4141.html

7. MT Liability for dosage errors:
http://www.mtdai ly.com/wwwboard/messages12/3928.html

8. Traffic pet peeves: http://www.mtdaily.c om/vent/messages3/10012.html

9. New IRC MT Chat: http://www.mtdaily.co m/vent/messages3/9925.html

10. Forwarding syndrome:
http://www .mtdaily.com/mentors/friends/messages3/4120.html

11. Advice for MT students:
http://www.m tdaily.com/mentors/newmts/messages/8416.html

12. Best uses for tool bar:
http://www.m tdaily.com/mentors/newmts/messages/8396.html

13. Waiving right to sue a physician:
http://www.mt daily.com/mentors/ethics/messages/566.html

14. Perspectives on MT in India:
http://www.mtd aily.com/mentors/world/messages/680.html

15. Getting rid of lice:
http://www. mtdaily.com/mentors/mothers/messages/6161.html

16. Tell your story of faith: http://www.mtdaily.com/mentors/f aith

NEW TERMS, MEDICAL NEWS, LINKS

1. 10 Core rules of Netiquette:
http://www.albion.com /netiquette/corerules.html

2. Premarket approvals for devices, 9/99:
http://www.fda.gov/cdrh/pma /pmasep99.html

3. Daily changes in websites: http://www.dailydiffs.com

4. Peggy Noonan on taking time:
http://www.forbes.com/asap /98/1130/076.htm

5. Suicide and social fragmentation:
http://daily news.yahoo.com/h/nm/19991015/hl/sui16_1.html

6. House votes against physician-assisted suicide:
http://daily news.yahoo.com/h/nm/19991014/hl/sui11_3.html

7. Suicide intervention: http://suicidal.com/depres sionfaq/q16.html

8. Thymus transplants for infants:
http://www.intelihealth.com/IH/ihtIH?t=333&st=333&r=EMIHC000&c=246215

9. Nobel Prize in Medicine:
http://www.washingtonpost.com/wp-srv/health/daily/oct99/apnobel11.htm

10. Nobel Peace Prize, Doctors Without Borders:
http://ww w.drkoop.com/news/stories/october/peace_prize.html

11. Alternative medicine for thyroid diseases:
http://altmedicine.miningco.com/health/altmedicine/altmedicine/msub14.h tm

12. Dudley Moore and Parkinsonism:
http://www.msnbc.com/local /knbc/216128.asp

13. Online voice mail: http://www.pagoo.com

14. New baby walkers delay development:
http://www.intelihealth.com/IH/ihtIH?t=333&st=333&r=EMIHC000&c=246063

15. Six-billionth baby:
http://www.intelihealth.com/IH/ihtIH?t=333&st=333&r=EMIHC000&c=245873

16. Better cancer diagnosis via genes:
http://www.intelihealth.com/IH/ihtIH?c=246468&t=7228&p=~ br,IHC|~st,333|~r,EMIHC000|~b,*|

17. Muscles need nerves:
http://www.intelihealth.com/IH/ihtIH?c=246411&t=7228&p=~ br,IHC|~st,333|~r,EMIHC000|~b,*|

18. Children's backpacks too heavy:
http: //www.drkoop.com/news/stories/october/heavy_backpacks.html

19. RotaShield vaccine withdrawn:
http://dailyn ews.yahoo.com/h/nm/19991015/hl/rot7_1.html

20. Cystic fibrosis cell function:
http://dailyn ews.yahoo.com/h/nm/19991015/hl/cys8_1.html

21. New brain cells grow throughout life:
http://dailyn ews.yahoo.com/h/nm/19991015/hl/bra1_1.html

22. Customized drugs someday:
http://dailyn ews.yahoo.com/h/nm/19991014/hl/gen9_1.html

23. Obesity denial:
http://daily news.yahoo.com/h/nm/19991014/hl/sha16_1.html

24. Gene mapping progress and individualized vaccines:
http://daily news.yahoo.com/h/nm/19991014/hl/sha16_1.html

25. Sledding helmets:
http://dailyn ews.yahoo.com/h/nm/19991014/hl/sle4_1.html

26. 24-70% of those waiting receive transplants yearly:
http://daily news.yahoo.com/h/nm/19991013/hl/tra11_1.html

27. Intel trying to help doctors with paperwork:
http://daily news.yahoo.com/h/nm/19991012/hl/web15_1.html

28. Doctor-patient E-mail:
http://dailyn ews.yahoo.com/h/nm/19991012/hl/int5_1.html

29. More heart attacks in December and January:
http://dailyn ews.yahoo.com/h/nm/19991011/hl/win7_1.html

30. Nurses discouraged and concerned for patients:
http://www.prnewswire.com/cgi-bin/stories.pl? ACCT=104&STORY=/www/story/10-15-1999/0001045315&EDATE=

THANK YOU!

Thanks to Medquist for sponsoring the newsletter this week. Write Leann at lessai@medquist.com if you benefit from this newsletter.

Thanks also to Joe Weber of Narratek for the special MT Daily Rounds $30 discount on Smartype speedtyping software (which is the leading expander for WordPerfect 5.1, saving 70% of your keystrokes), with a free abbreviation add-on sent via zipped e-mail attachment. Total price including $8 shipping is $173, an $80 savings over the regular price. Email joeweber@alum.mit.edu, call 617-566-1066, fax 617-566-2500, or order at http://www.narratek.com. Mention MT Daily Rounds to qualify for the discount price. At this special price, Narratek can not accept the return of opened software.

Thanks for letting others know about the newsletter. And thanks to all who help each other on the boards. Circulation 4,072. -Mary Morken,

**********************MT DAILY ROUNDS, 10/22/99***********************

BROUGHT TO YOU BY MORKEN.COM

FREE PRIVATE FAMILY MESSAGE BOARDS
**********************************************************************

PANDORA'S BOX

http://www.mtdaily.com/mentors /pandora

My name is Pandora Garcia aka PandaBear. I live in Northern California. I have been an MT for only a couple of years, but I've wanted to do this since before I had my boys, now ages 10 and 8. After discovering what MT was all about, I decided that it was my calling. I started learning about how I could get into it, and voila! I was pregnant. Well, after attending a few classes, I had to stop pursuing my dream for a while and have my first baby. Then along came the second, totally unplanned, of course! My thoughts of becoming an MT were put on the back burner, if only for a little while.

When my youngest son was a year old, I had been working at a large local newspaper and decided to place an ad for some part-time work out of my home. I told my husband that if I didn't get a response from my ad, I would forget about it. My ad was set to run for 10 days. On the 10th day, I received a call from a gentleman who was looking for someone to help him with his nonmedical overflow dictation. I began picking up work in the evening after my shift at the paper was over. I would go home, feed and bathe my kids, put them to bed, and type until 12:00-1:00 a.m., or whenever I was finished with my work for the night. Bright and early at 5:30 a.m., I was up with the kids shuffling them off to their sitter. I would then drop my work off and go to my job at the paper. That evening, I would start the whole process over.

I did this for six months. Eventually, I was making more working part-time at home than I was at the paper. Fortunately, my husband's job provided benefits, so I stopped working at the paper and stayed at home. Ever confident and scared, I quit the job I had been at for eight years, left all those benefits and my seniority behind, and set out after my dream of being an MT.

That was nearly eight years ago. I have done work for vocational rehabilitation firms, investigation services, attorneys, marketing firms, occasional odd typing jobs, medical evaluation services, and now, MT work. As you might have guessed, I am self-taught and I still have a long way to go to catch up to some of you! I wish I could snap my fingers and know it all. For now, I guess I'll just have to keep my 10 fingers snapping on the keyboard!

Finally, I would like to offer my story as a tribute to those people who are dedicated and who have worked long and hard to achieve their status as MTs, and to those who are still climbing the ladder to get there. I am proof that it CAN be done if you want it badly enough and work hard enough for it. I have had many kind, generous mentors along the way who have always been willing to answer my questions and guide me down the unknown path. To them, I would like to say, Thank you.

For all of you MTs out there who know much more than I do, please take a newbie by the hand and help them climb that ladder of success. In that spirit, although I'm still learning myself, I'm always glad to answer questions for those who are trying to get started, and I am full of encouragement! Please e-mail me if you wish, at PRGBear1@aol.com. Happy typing everyone!

THIS WEEK ON MT DAILY

1. New Pandora's Box for fun surveys:
http://www.mtdaily.com/mentors /pandora

2. New Military MT Board: http://www.mtdaily.com/mentor s/military

3. New Comfort Board: http://www.mtdaily.com/mentors/t ears

4. New Thanksgiving Board: http://www.mtdaily.com/mentors/ thanks

5. Evaluating Companies from Recommendations:
http://www.mtd aily.com/mtbycompany/messages2/1702.html

6. Where are the radiology MTs?
http://www.mtdai ly.com/wwwboard/messages12/5058.html

7. Getting acquainted with a 5-year Indian MT:
http://www.mtd aily.com/mentors/world/messages/711.html

8. MTs not paid until accounts pay?
http://www.mtd aily.com/mtbycompany/messages2/1843.html

9. MTs working for 3-4 companies in last year:
http://www.mtd aily.com/mtbycompany/messages2/1786.html

10. Writing a proposal:
http://www.mtdai ly.com/wwwboard/messages12/5475.html

11. Thanksgiving recipes:
http://www.mt daily.com/mentors/cooks/messages/2235.html

12. Cures for hiccups:
http://www.m tdaily.com/mentors/pandora/messages/200.html

13. MT private company message boards available. Write mary@mtdaily.com. (new E-mail address)

NEW TERMS, MEDICAL NEWS, LINKS

1. Publish manuscripts free: http://www.fatbrain.com

2. Sleep deprivation harmful:
http://www.intelihealth.com/IH/ihtIH?t=333&st=333&r=EMIHC000&c=247294

3. Regrowing brain cells:
http://www.intelihealth.com/IH/ihtIH?t=333&st=333&r=EMIHC000&c=247285

4. More Migraines:

http://www.intelihealth.com/IH/ihtIH?t=333&st=333&r=EMIHC000& c=247293 5. Minesse, Protonix, ReFacto, etc.: http://www.ahp.com/pipeline.htm

6. AcuNav, Alamast, Ancure, AneuRx, etc.:
http://www.hpisum.com/terms/te rms.html

7. Launching into MT: http://www.hpisum.com/magazine/Heath.html

8. Project Management: http://www.hpisum.com/ma gazine/Bradwell.html

9. Fruit juice a problem for babies?
http://dailyn ews.yahoo.com/h/nm/19991021/hl/jui2_1.html

10. Plastics and puberty:
http://dailyn ews.yahoo.com/h/nm/19991020/hl/pla7_1.html

11. Increased need for blood donations:
http://daily news.yahoo.com/h/nm/19991020/hl/blo10_1.html

12. Comtan (entacapone) for Parkinson's:
http://daily news.yahoo.com/h/nm/19991020/hl/com13_1.html

13. Breastfeeding reduces childhood leukemia:
http://daily news.yahoo.com/h/nm/19991020/hl/leu15_3.html

14. Walking prevents diabetes in women:
http://dailyn ews.yahoo.com/h/nm/19991019/hl/exe7_1.html

15. Conscience in the prefrontal cortex?
http://dailyn ews.yahoo.com/h/nm/19991019/hl/exe7_1.html

16. Dangers of Atkin's Diet:
http://daily news.yahoo.com/h/nm/19991019/hl/die15_1.html
http://www. atkinscenter.com/faq/search.asp?type=condition

17. Medical patents unethical?
http://daily news.yahoo.com/h/nm/19991018/hl/pat11_1.html

20. Infant education beneficial:
http ://www.drkoop.com/news/stories/october/infant_education.html

21. Fruits and vegetables good for lungs:
http://w ww.drkoop.com/news/stories/october/breathe_easy.html

22. Rosie O'Donnell chat, 6 p.m., 10/27:
https://www.plane trx.com/promo/rosie_main.asp?try=1

23. Health statistics: http://www.cdc.gov/nchswww/

24. Small-business tax planning:
http://www.quicken.com/small_business/article s/939424892_1084 8/?fullarticle=yes#hundredtwo

25. Vioxx now for menstrual pain: http://www.pslgroup.com/dg/13b6 4a.htm

26. Teveten, antihypertensive: http://www.pslgroup.com/dg/13b2 22.htm

27. New three-drug therapy for IBS:
http://www.pslgroup.com/dg/13b2 0e.htm

28. Quiet curtains for hospital rooms:
http://www.intelihealth.com/IH/ihtIH?t=333&st=333&r=EMIHC000&c=246686

29. Personal Health Records Software: http://www.capmed.com

THANK YOU!

This newsletter is sponsored by http://www.morken.com. Write mary@mtdaily.com if you would like a free private family or group message board.

Thanks also to Joe Weber of Narratek for the $30 discount on Smartype, the leading expander for WordPerfect 5.1, with a free add-on of 13,000 abbreviations (see them at http://www.mtdaily.com/abbvs.txt ) via zipped e-mail attachment. Total price including $8 shipping is $173, an $80 savings over the regular price. Email joeweber@alum.mit.edu, call 617-566-1066 (Boston), or order at http://www.narratek.com. Mention MT Daily Rounds to qualify. No returns with this offer.

Thanks for letting others know about the newsletter. And thanks to all who help each other on the boards. Circulation 4,100. -Mary Morken, mary@mtdaily.com

Archives: http://www.mtdaily.com/rounds
Subscribe: http://www.mtdaily.com/newsletter
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**********************MT DAILY ROUNDS, 10/29/99***********************

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APPEARANCES AND DISAPPEARANCES

-President Clinton proposed new rules for privacy of medical records today. The 632-page report must be finalized by February and is to become effective in 2002. See http://www.cnn.com/HEALTH/9910/29/medical.privacy.02/#1. See summary of proposal at http://aspe.hhs.gov/admnsimp /pvcsumm.htm

-Mudclam writes: "My posts were not showing up on the message boards. Hitting "Submit Post" would just take me back to the board. It was happening whether I used AOL 4.0 or 5.0. I started minimizing AOL and using the Internet Explorer browser, and the problem is solved. The boards load faster and all of my posts are showing now."

-Paula writes about Chicago Hope's plot yesterday of an MT selling medical records to a tabloid: "Please take a moment to register your feelings about the protrayal of MTs on this show. Be sure to choose the Chicago Hope option at the top of the board. Perhaps this is one of the small things each of us can do alone that, collectively, will make a difference in the way the public/doctors/hospitals see our profession: http://www.cbs.com/flat/frameset_feedback3Fp5Fwho3Dnetwork.html

-Linda has completed 18 pages of the Word Board archives, now in more readable and printable format. See http://www.mtdaily.com/board/index2.html to index19.html.

-David Morken is disappearing from MT Daily. He has tied himself to the mast of bandwidth.comin a strong gale of e-mail and must go wherever it takes him. David's and Chrishelle's fourth child, my 12th grandchild, is due in five weeks! Lora (loramp@xmission.com) will be spending more time backstage on the website to help us keep things running smoothly.

-Happy Halloween!

THIS WEEK ON MT DAILY

1. New Sports Board: http://www.mtdaily.com/mentors/sports

2. The bad MT on Chicago Hope:
http://www.mtdai ly.com/wwwboard/messages12/6776.html
and http://www.mtdai ly.com/wwwboard/messages12/6717.html

3. Name the MT award for good dictators:
http://www.mtdai ly.com/wwwboard/messages12/6670.html

4. Adding "save file" to macros:
http://www.mtdai ly.com/wwwboard/messages12/6504.html

5. Can companies offer IC, SE, and employee status?
http://www.mtdai ly.com/wwwboard/messages12/6490.html

6. Disk and disc revisited:
http://www.mtdai ly.com/wwwboard/messages12/6358.html

7. Crowded noisy MT department:
http://www.mtdaily.com /vent/messages4/380.html

8. Companies that don't require weekend work:
http://www.mtd aily.com/mtbycompany/messages2/2212.html

9. MTs stealing clients:
http://www.mtd aily.com/mtbycompany/messages2/2104.html

10. What kind of car do you drive?
http://www.m tdaily.com/mentors/pandora/messages/354.html

11. Get a response in 1-10 minutes on Word Board:
http://www.mtdaily.com/board

12. Private board for Trans Am Corp MTs. Write me for info.

NEW TERMS, MEDICAL NEWS, LINKS

1. Record your genetic medical history:
http://www.healthygenerations.com

2. Real food for real people: http://www.realfood4realpeople.com

3. Free CD-ROM encyclopedia, until 10/31:
http://www.smarte rkids.com/free/webster/default.asp

4. Early bladder cancer urine test:
http://www.intelihealth.com/ enews?250202

5. Molecular neurosurgery for chronic pain:
http://www.intelihealth.com/ enews?250209

6. Protecting confidential data: http://www.privacyexchange.org

7. AHIMA's advice on managing our own health records:
http://www2.ahima.org/consu mer/index.html

8. Sperm seasonal changes:
http:// www.Rx.com/magazine/news/t1028199901f.jhtml;$sessionid

9. Tamiflu approved:
http://www.Rx.com /magazine/news/At1028199912f.jhtml

10. Search for nonprescription drugs:
http://www.rx.com/nonprescription

11. Implanted electrodes help paralyzed patients:
http://daily news.yahoo.com/h/nm/19991029/hl/dev10_1.html

12. Health concerns about body piercing:
http://dailyn ews.yahoo.com/h/nm/19991028/hl/pie3_1.html

13. Flu prevention with oseltamavir:
http://dailyn ews.yahoo.com/h/nm/19991027/hl/flu9_1.html

14. Exercise prevents breast cancer:
http://daily news.yahoo.com/h/nm/19991026/hl/exe11_2.html

15. Short drug list by disease:
http://www.virtualdrugs tore.com/druglist.html

16. Avelox (moxifloxacin HCl) for URIs:
http://www.pslgroup.com/dg/13d2 ee.htm

17. Aromasin (exemestane tablets) for breast cancer:
http://www.pslgroup.com/dg/13e4 4a.htm

18. Ortho-Prefest (17(beta)-estradiol/norgestimate) HRT:
http://www.pslgroup.com/dg/13ea 8a.htm

19. Allovectin-7 orphan drug for metastatic melanoma:
http://www.pslgroup.com/dg/13f7 de.htm

20. Distribute your music or download music free at MP3:
http://help.mp3.com/help/?hpgs1

THANK YOU!

Thanks to Joe Weber of Smartype/Narratek for sponsoring this newsletter. Take advantage of the $30 discount on Smartype, the leading expander for WordPerfect 5.1, with a free add-on of 13,000 abbreviations (see them at http://www.mtdaily.com/abbvs.txt ) via zipped e-mail attachment. Total price including $8 shipping is $173, an $80 savings over the regular price. Email joeweber@alum.mit.edu, call 617-566-1066 (Boston), or order at http://www.narratek.com. Mention MT Daily Rounds to qualify. No returns with this offer.

Thanks for letting others know about the newsletter. And thanks to all who help each other on the boards. Circulation 4,131. -Mary Morken, mary@mtdaily.com

Archives: http://www.mtdaily.com/rounds
Subscribe: http://www.mtdaily.com/newsletter
Change:
http://www.listbot.com/cgi-b in/subscribe