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2012年9月18日 星期二

"The Creature of the Wildcard" by Jon Fischer: Book Review


The Creature of the Wildcard

by Jon Fischer


PublishAmerica (2006)

ISBN 1424118557

Reviewed by Paige Lovitt for Reader Views (8/06)

I have never read a fantasy as unusual as "The Creature of the Wildcard." It is a cross between a metaphysical philosophical book and a fantasy novel. The fantasy part, involves a story about a man named Alaric Fischer. The metaphysical philosophy that I feel is in this book comes from Alaric's musings.

Alaric is a talented artist that gets caught up in the dream world. He gets involved with the Neuro Art Institute. The institute views the mind as a work of art and the brain as its artist. He goes there to take a course on dream imaging. Alaric wants to test a program called "The Eclipse" which is designed to bring an escape from suffering.

While Alaric is trying to learn how to control some delusional thoughts, he discovers that he has the power to change reality. As he further explores who he is, he uncovers some shocking truths about who he is and why he has his talents. He is told that he is the God of Alternity. Alternity is described as "being coined by John C. Lilly, the inventor of the sensory deprivation tank, to express an altered state of being on the drug ketamine. In actuality it is an alternative to death." The doctor, helping Alaric learn what his purpose is, tells him that it is his job to "condition mankind in the paradox of being alternative to known existence." Alaric will be going into an alternative state of existence and be able to achieve immortality to accomplish what he needs to.

The author's style of writing makes it easy to visualize the scenery as it unfolds around Alaric. It made me feel like I had entered into a psychedelic state. The story holds a great deal of depth and involves concentration and contemplation to seek out the deeper meanings. It is not a light fantasy. It is a book that will be enjoyed by people who enjoy the deeper, darker side of fantasy.




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2012年9月15日 星期六

My Review of Systems as a Medical Transcriptionist


I am writing this article to pass on some of the wonderful experiences I have had through the profession of medical transcription. This wonderful part of my life started like this. I have been a medical transcriptionist for 20 years, but I did not know about this profession until after I had tried nursing, waitressing and insurance sales. After wandering through these other occupations unfulfilled, I was primed and ready for a career I felt I was suited for. But what could I possibly be suited for? I was equipped with a degree in nursing, but what do you do with a nursing degree when you don't like nursing? Starvation was a very real consequence when I sold insurance, so I knew I was not a sales person. I could always wait tables, but how much longer would my feet hold out? During this time when I was soul searching and trying to figure out what to do, I took a job as a medical secretary which involved scheduling surgery, making appointments, filing and a very small amount of transcribing office notes. In the job interview, I told the office manager I had a good bit of medical terminology knowledge and some, "experience," in a hospital. I deliberately did not tell her I had an RN degree and wanted this job as a secretary instead as this would probably have led to her looking at me wide eyed and then saying,"I'm sorry, you're over qualified." This job perked along just adequately, but it was here I realized I found transcription to be fun. I looked forward to it and was disappointed every day when the tape ran out after only an hour. I was one step closer to finding the profession of my dreams.

My first full-time transcription job (heaven!) was in a hospital in the city where I live. For the first time, I knew the career area in my life had gelled. All my education and experiences (good and bad, recent and distant) had come together and culminated in my becoming a medical transcriptionist. Any other kind of transcription simply is not the same as the medical field. Legal transcription, for example, I found to be extraordinarily boring. It is both the medical field and the transcription field put together that produces this unique profession.

When I have trained new transcriptionists who were really new with no experience in the field, I could decide within 15 minutes if they were going to stay at the job or leave flabbergasted and astounded that we actually do this. They never get comfortable sitting at the keyboard and actually look as if they are about to get up at any time. The keyboard is an awkward contraption that's impossible to operate with only 10 fingers. Word Perfect is Word Insanity to them. Their headphones are an awkward instrument of sensory deprivation. After they have entered the correct directory, pulled up the proper form and named it, they always look at you wanting to know how much money they have made so far. When they look up a word, they aimlessly wander around the book, hoping the correct term will jump up and say hello. I give these poor souls one day at the most, but there was one pitiful girl who lasted less than one day, unfortunately because of something I said.

Three-quarters of the way through the day, I stupidly asked her if she had remembered to save before leaving the document. She replied she had left the computer turned on. Long story short, she never even came back to get her glasses. There was one new recruit who actually exclaimed, "Why do you do this?" to which I responded, "I enjoy it and the money's good." This has always gotten me a look from them that meant they thought I was insane. A physician told me once, " I don't see why you don't go stark raving mad, sitting here all day and typing." I replied, "who says we don't?" I've always felt you had to be a little quirky to honestly want to do this job. After all, you sit and type and sit and type and sit and type, and then you sit and type some more. It's not unusual to continue to hear doctor's voices dictating in your head after you've gone home from work, although I've learned to be careful how I say that, especially to someone who's not a transcriptionist. Another occasion where someone looked at me like they thought I was insane (who says I'm not?).

Having been in this profession for so long, I have also become able to spot the, "real," transcriptionists, so they are called by the veterans. You judge for yourself. The, "real," transcriptionists actually enjoy sitting and typing, plugged into headphones for hours on end. Production is their passion, and they pound away tediously, completely content, pausing only to look up words or do the ever necessary proofreading.

Then, (eyes rolling) there are the people who like to call themselves transcriptionists and end up irritating the life out of the rest of us who really are. They come to work chattering, they work chattering and they leave chattering. When your concentration is broken , it takes a few minutes to get back to that point. These guys rattle on and on about every doctor, every patient, every irrelevant detail they can think of to talk out loud about. This usually results in the serious transcriptionists staring steadily at the chatterbox and typing all the while (which is a real transcriptionist's talent akin to patting your head and scratching your stomach) until the offender notices they are being stared down by a clerical lynch mob and finally hush. Then, they give the rest of us that, "you're insane," look with a hint of, "I'm offended, I thought I was entertaining you guys."

A so-called transcriptionist who asks the same question three times in one week is usually dubbed an, "Alzheimer's patient." These people have a defective short-term memory and cannot remember what they were told or what they looked up for longer than a couple days. A good transcriptionist has a memory that never fails. The Alzheimer's patients are also the people who ask about a word out loud instead of looking it up. They get in as much trouble as the chatterboxes.

There are also the comedians who have to announce to everyone in the room something humorous (or is it humerus?) they heard in dictation. This produces a polite, very small smile from the rest of us while never missing a keystroke (or the lynch mob might gather), silently hoping the, "typist," would either hush or go home. To be labeled a typist is the strongest putdown that can be bestowed. You see, a typist is someone who mechanically manipulates the keys on a keyboard, and nothing more. Your average monkey could accomplish this. They usually hunt and peck which produces a large silent grin (never missing a keystroke) from the rest of us that they never know about. A transcriptionist (harrumph!) is a professional with an extensive knowledge of medical terminology, editing, spelling, punctuation, English, word processing, pharmacology, lab and pathology, and sometimes foreign accent interpretation who melds all these abilities together seamlessly at 100 words per minute. We also have the necessary ability to communicate with each other with our eyes and expressions. As mentioned before, the professional transcriptionist is capable of transcribing and socializing silently at the same time.

Another valuable source of experience is the mental hospital. Let me explain! The patients there are usually required to have a general physical exam before they start having psychotherapy with their psychiatrists. In my mental hospital experience (as an employee, not a patient, mind you), I found the social histories fascinating. They read like good books and are very interesting.

I've always thought it would be risky for me or any transcriptionist to undergo general anesthesia because I just might spout someone's private information. Incidentally, knowing a celebrity's medical diagnoses is unnerving, not exciting, especially if it's something like a sexually transmitted disease or a mental problem. Public figures and movie stars see doctors also; they are not immune needing medical treatment. Needless to say, that's all the details I'll put in this particular paragraph, citing confidentiality! You can't be a transcriptionist and play Rona Barrett or a reporter for the National Enquirer.

When I worked in medical records in a mental hospital, I found that mental illness can strike anyone at any time. In this job, the psychiatrists (shrinks) visit their patients every day and dictate daily progress notes. Now, you have a serial TV show-type situation where every day there are new developments. When we heard that old familiar whir and click of the machine activating, we waited anxiously like housewives waiting for their favorite soap opera to come on. The machine would stop and the lucky one of us to grab the dictation first would tell us the news (only within the transcription room, mind you!) Some patients sank deeper and deeper into insanity, and others made a wonderful recovery. Just a bit of trivia; shrinks have the most entertaining sense of humor of all doctors I have ever known.

Back to maintaining confidentiality, this includes not repeating to anyone the statements or innuendoes made on the dictation whether knowingly or accidentally by the dictator. A word of advice: don't dictate in bed. If someone remembers something they need to dictate after climbing into bed, then they should get up before dictating and be doubly sure the recording has ended lest they document whatever else takes place in their bed and who it takes place with! Sorry, no more details with this one, except to mention that dictating right after you eat can provide the transcriptionist with some entertainment, accidental or not. Everyone should remember, most recorders pick up all sound that occurs in the room, and some dictators foolishly think they are, "alone," in the room even when the recorder is running. We don't type in "eructation," or "flatus;" we just laugh and report it to everyone in the room. For the aspiring transcriptionist, look up eructation and flatus, and get a good laugh. Due to events described in this paragraph, there are doctors I can't look in the eye any more and they don't know why.

So many good experiences, so little space. I'll sign off now with no chief complaints, only a review of systems within wonderful limits and a bright prognosis. See you in a follow-up visit!

You can contact Carol Roberts through by email at: meditrans@aol.com




Carol has been a medical transcriptionist for over 20 years and has been certified by the American Association for Medical Transcription. She owns and operates Carol Roberts Transcription in Pembroke Georgia and is a staff consultant for Meditrans Help, the medical transcription help site, [http://www.meditranshelp.com]





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2012年9月13日 星期四

Review of "Solon" by Raymond Springer


This book started out slowly, building swiftly as the murder investigation ensued. It felt right just before Springer went over the edge, being too obvious and "shocker" about the phrase "serial killer." My daughter talks about the "creepiness levels" of such prose, citing that in some cases like this, you end up thinking the author regularly eats paint chips or something.

Anyway, Springer after this momentary lapse went right back into the heart of the matter: the murder investigation by detective sergeant Daniel O'Dell of a female serial killer victim. This story is being told in a straightforward manner, a little "tell not show" for my tastes. I felt like the beginning commenced well, then proceeded to drag through the details a bit - not unlike the feeling one gets from dragging on a rain soaked cigarette butt, but definitely lending itself to continuing to read the book.

There were the occasional grammatical problems, such as "Professor Weaver confidently sauntered up to the victim and looked at her remains over for a moment..." which detracted in small ways from reading. In general, this book was written in the modern vernacular, shocking essence and all, with limited use of commas.

This lends itself to its own style of dramatic writing, the Hemingway brand of it anyway, although I felt sometimes that Springer was trying to over impress his readers with too many petty and authoritative sounding details. But I didn't feel swamped in any way, and it was fairly Spartan in the truest true crime dramatic sense which plows you right into the meaty stuff and doesn't leave you starving for action, drama or suspense.

But I didn't feel like the background scenery was being described at all, to the detriment of the story, while the victim's personal body details were being assailed instead. It would have helped to know more about what the crime scene was like where her body was found...more details like in a movie, and less shock value.

Within this book: "The scene was in a secluded area behind a large dilapidated pawnshop just west of the city of Detroit. It was an area that was frequented by the homeless boozers and no-account crack heads. It was not close enough to the downtown metro area to be under the constant protection of roving police patrols, nor was it within earshot of the residential section for anyone to hear a victim screaming."

Aside from the need for one phrase to be "nor was it within enough earshot of the residential section..." - this paragraph, close to the story's beginning, wrapped up the scenery needs, but I did feel a little starved for further detail when the author began going on in greater detail about items such as "ripped out nipples." Call it my own problems, but although true crime novel fashion dictates this kind of perverse awareness for the sake of an action oriented readership, I get tired of continuous references to victim body parts used to "grab" interest, instead of more played out storytelling.

I guess I miss the days of Agatha Christie, and of course this is supposed to be the more hardboiled, Mickey Spillane style of true crime thriller. But this type of writing makes me yearn for more gracious days, when prose involved describing far more than what Jack the Ripper got into. My bad, my bad, but please spare me some of the gruesome details and tell the story with characterization, which I found also to be missing from this book.

However, I may be being too "me" here. There was the line, "Just be gentle with her head." This statement of purpose from the medical examiner looked clinical at most, but it intimates a little later in the game some meager identification with the victim as something other than a series of body parts, which I appreciated. And the book was slowly building at that point, which brought us into deeper appreciation of the characterizations, as they later occurred.

I saw this as a kind of complex foreshadowing, and the dialogue at this point began to relay the characters' strengths and weaknesses, lending needed plot aspects to the overall story. I think in terms of television's "CSI" crime drama awareness, the author had a nice, tight beginning to the story, albeit my weakness for more structural detail. It was fluid, flowing rapidly but with some jerks and starts into the first chapter, and it made for a rank but somewhat well paced beginning.

I would have rather lines like "It was larger than the barn with a rolling white cap that had a destructive look to it as it turned forward and began to engulf everything in its path..." read in a "show not tell" fashion, such as: "Gushering, cold hearted wiping out the placid green countryside, engulfing everything in its path, the tremendous rolling white death entered with a whoosh! Speeding right at me with a fearsome crescendo, it made me stand transfixed, gasping for breath as death mounted with hurricane velocity. I had no time to scream as the concrete wall of water slapped me down cold, not even feeling my head grinding into the ground as I blacked out."

I got no "show not tell" sense of excitement from this book. Basically, I found the writing to be descriptive properly when it came to telling us about only the necessary details, but bereft and barren when it came to color, light and "fun" stuff such as the "you are there" feeling that really great true crime novels and books regarding similar subjects normally entail.

Also, I found the writing itself to be choppy at best, miserably lacking in continuity at worst. We went from a true crime setting to demonology too quickly, and I felt like I was being left behind too soon. Later on in the book, as we entered more deeply in, some of my desire for actual "show" turned up in the story, with lines like, " It was a one-time visit to the head shrinker to dig out the hidden quintessential monkey on the back," in Chapter Five.

I began to feel less imagery deprived, although the writing was still Spartan and spare, lending an odd atmosphere of detachment to the story telling. I read, but I just didn't feel involved as the story jumped around almost randomly from scene to scene. I kept waiting for all the odd loose ends to be wrapped up, and didn't feel like this was happening for me anywhere.

I wondered if the previous reference to a "demon puddle" - which showed varying scenarios to one demon so that he could admire other's sufferings - were related to the choppy scenarios of the writing. I also thought Dr. High's problem, dermatological hypersensitivity, which made him unable to fully relate to how he was flooded with perceptual industry, was some sort of keystone to the book; between the demon and the doctor, perhaps there was a reason to keep switching scenarios in such an abrupt and random manner.

The book's quirky nature, though, and the mild changes between descriptive prose where the author had me more compelled and the simpler "tell not show" nature kept me going enough to want to finish the book, finding out how all the loose threads came together eventually. Some erratic capitalizations such as "Gold" for "gold" left me puzzled, unaware of their deeper (if any) meaning. I felt like the book could have used a thorough proof reading.

Basically, I never actually felt the sense of suspense Springer was obviously trying to build with references to "religious programming" in that there was nothing there in the book to build suspense with, nothing I could see that made me feel uptight, worried, or anxious about any of the characters. He didn't dwell on a central character long enough for me to grow any real feelings about the characters or to at least become more curious as to what their circumstances held.

I also never felt the desired sense of "suspension of disbelief," or the feeling the events in the book were true to life and might mean something to people. It just wasn't there, and I spent forever groping for it, wondering why I felt so emotionally "flat" and unable to really care about anything. Probably it didn't help to have such an abrupt "jamming" of many characters, with an obvious thread of anti religion that didn't fulfill the premise of being scary, wondrous or otherwise anything but pedantically expressed with lots of details, but no spice, mustard or even a definite sense of plots intertwining with substance.

I felt relieved somewhat when the events did coalesce enough to appreciate them as more than factual statements without any purpose. However, I found some extraneous use of the "f" word scattered intermittently throughout as not enamoring me to the plot line or characters any. Such attempts to shock shouldn't come as unrelated to the plot lines or as jarring as they came here, with no particular reason given for their use. I never felt, for example, that we really got to know Dr. High, an obvious principle character, in any real depth. There were shocker revelations of circumstances, but they all seemed petty and not particularly useful to the main plot, which was still obscure one quarter of the way through this book.

At least finally the loose ends of before were wrapped up, but there were no characters to relate to or feel for but Dr. High, the one with the odd disability; it seemed treated for "freak show" purposes, instead of trying to get us to care about the doctor or what would happen to him under the auspices of a growing Satanic serial murderer reference. Another major character, Tristan, seemed to just suddenly show up, with no particular essence to him or feeling that we should care about him in any way.

By Chapter Six, things again moved away from main characters and further more or less confusing plot angles and characters were brought in, compounding the growing difficulty regarding concern for the people in this book. I felt like I was watching a rerun of "Friends," the popular TV show, where they kept switching around to the various cast members without any of them growing on me as people.

In "Friends," it worked because they made many close relationships happen between the characters; I felt no such relationships here, although I was at least still curious to see what events would transpire. There was some attempt at partial construction of several interwoven plot lines, as we got to the assassin and Dr. High, and returned to police sergeant O'Dell; but it all felt too "loosey goosey" for my tastes. I yearned for a central character, which wasn't happening, thus the "Friends" analogy. Who really mattered in this book?

Maybe the police sergeant, Daniel O'Dell. But just as I was about to begin caring about him, the identity of the killer was brought up, as known by O'Dell. This detracted from any getting to know O'Dell as a person, or warming toward him, as he was keeping us from the killer's identity. But at last a reason to read to the end of the book had been brought forth, so this had become a good turn of events. I also liked the timely nature of the current economic crisis appearing in the story, as O'Dell's criminal forensics investigation had to suffer from it.

Naming Dr. High "Ray," like the author's own name, didn't work though as a way to get me to care about him; rather, it detracted from the book's reality. I've got to admit however that the sensory deprivation tank being used to solve a murder case is at least something I've never seen before, and this book held many new plot devices that kept me guessing, feeling like I wanted to learn this new stuff and needed to know how it would apply. I just wanted to care about the involved parties more, but it helped tremendously that the newer details were fresh and inviting, giving the overall plot, which was beginning to come more clear to me, a freshness and vibrancy that I could truly appreciate.

By Chapter Ten, I was beginning to get "into" this story, with leading lines like "If you were to ask the murderer to rationalize what he or she did, they would come up with a perfectly rash and reasonable explanation. If you were able to talk to the cat and ask why it terrorizes its prey prior to decapitating and saving the head as a trophy, perhaps the cat would state that it's all in the name of training." I liked these little "quirks" of thought and new ideas in this book, which is its principle measure of worth, with no really splendid characterizations or people to really care about - and the many wandering away trips it took, without really letting us know why Mexico, the Catholic Church, or other standard "lean on" plot devices were so essential to the overall plot.

Then the murderer seemed to be revealed too soon; I was hoping it would be the "treat" at the end of the book. Now it seemed the one character we could care about, sans how horrible he was as a person, was the killer, due to his painful and abusive upbringing. I wasn't sure it was planned that yes, the only being we could feel about in this book was the serial murderer; that's what I meant about this book being too "Jack sympathetic" and "into" the usual device of serial murder. But at least we finally had someone we could feel something real about, at any rate.

Frank, the killer, began to remind me of the main character in "Family Guy" in his essence of being "smelly," having "enormous rolls of fat," and being a hard workin' dude, lingering over his sandwich at lunchtime and seeming related to the "common man." Having feelings over someone who "liked women because they scream louder" was discomfiting in a somewhat new way for me.

At least the odd "factoids" scattered throughout this book were presented straightforward; but the meaning behind the character of the murderer was a little lost on me. The Ripper referencing was a little obvious, with the new angle of Frank's having filed down teeth to rend his victims dead being at least mildly entertaining.

I also began to like the relationship between Dan and Ray, who had turned out to be the quintessential characters of the book, but didn't feel like Dan's "good guy" aspects were gone into as heavily as Frank's "normal, but bad guy" aspects had been researched. I still felt more about Frank than Dan, which didn't sit well with me. That may have been part of the idea, but I didn't like it. I was grateful for the scenes where the immersion tank was used to look into the mind of the murderer were outlined in a more spare fashion, not dwelling any too "lovingly" on the details of how the mostly female victims were ripped into shreds.

And once Ray began to see the details of Frank's crimes and see into the mind of the killer, I finally got worried about what would happen to him later. The stark drama of the ripping and tearing was shown in a fairly straightforward and not as ungainly as before way, which left me wanting to know what was going to happen and made me want to keep on reading and finding out.

The book, admittedly suspenseful in a dawning, growing way, and with some new details in the telling, I'll leave you to finish yourselves. Suffice it to say, it started slowly on me, filling me with grave doubt as to the author's story telling capabilities. But it gradually won me over with its freshness of approach, its interwoven character and story details, and its myriad technical details about subjects that most readers would like to learn about.

I don't want to reveal more about the book, as I'd like you to read it, though you may think I didn't like it. I actually found it to be a turn pager read, albeit odd and abstruse, having ideas I'd never before seen presented together. Suffice it to say I'd recommend it, although I would also recommend some extensive editing and some reworking of the "sympathy quotient" for the characters. And sadly enough for our modern times, it may actually fit in for its lack of sympathy.

I'm just a little scathing in my review due to the lack of feeling for the main characters, which gradually resolves somewhat. I get tired of the "Jack is the greatest guy" technique which some modern true crime and other similar novelists tend to invoke by getting all "hairy" about the details. Also, Frank turning out to be demon possessed, even with it tightening up all the other obscure plotlines loose ends, didn't feel right with me in that it excused him, as the book did many times, for all his murderous actions. His mom was responsible; the Church was responsible, etc.

I'd like to see a book which placed more blame on the killer himself, instead of a "tell not show" book which excuses his every action in the name of a new plot twist or a series of factual events which scarcely relate to the overall plot structure. I on the other hand have to admit that I liked this book. It kept me guessing, even though it was frequently poorly written, and it kept the action going at a relaxed but even pace, flowing consistently throughout this hard to classify fiction novel: true crime, ripper fantasia, science fiction...quite a lot of genres were expressed.

The name of the book, "Solon," becomes apparent about halfway through, when the demon which possesses Frank becomes known to be his father, Solon. At last this treat of info was presented to us, only about halfway through, and many more similarly odd treats became known in later portions of Springer's new book - frankly satanic ones that more or less qualify this book as "dark fantasy."

It wraps up its spiritual essence while not being nicely spiritual itself, and those who shrink away at satanic referencing might not enjoy this book, which is more or less adult but not sophisticated enough for coffee table status.

I must leave you to find out what eventually transpires in this tale of peculiarities on your own, as I don't want to spoil this interesting read's outcome. I recommend this book, although I would like to see it editing for style and some content issues, with some restructuring of the more "purple prose" sections of it to get the reader more interested - and yes, some better characterizations. The ending is okay, leaving the reader hanging and wanting some more, but I felt like the book "leaned" too heavily on "shocker" anti religion stuff. I would, however, be glad to read the sequel of this oddly written and strangely enthralling book, and suggest you get yourself a copy of "Solon" and do the same.




GHOST WRITER, INC. - ghostwriter, copy editor, proofreader, rewriter and book author - and our team of 100+ writing field related workers, many of which are New York Times best selling authors. We have contacts with literary agents, commercial publishers and literary/film field professionals.

GWI is at http://www.ghostwriterwriting.com - write us at ghostwriter@ghostwriterwriting.com for swift help on your worthwhile writing project.





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2012年9月8日 星期六

Book Review - The Husband


Mitch Rafferty receives a call one day that his wife is being held hostage for two million dollars. A middle class landscaper, Mitch thinks the call must be a joke - until a nearby dog walker is murdered as proof of the kidnappers intent. Suddenly, Mitch is plunged into a desperate search for his wife and a struggle against the ties that bind.

The novel follows Mitch through a range of emotions and actions. He knows he has no way of obtaining that kind of money, and so figures the kidnappers want him to knock of a bank, or engage in some kind of similarly criminal activity. At the same time, they have managed to set the stage so that he will take the rap for any number of things - including the murder of his wife. Mitch tries to be both proactive and obedient, and winds up in a huge mess.

Mitch and his wife, Holly, are both wonderfully developed. As we follow Mitch in search of the money and fight with Holly for her survival, we become quite close to the pair of them. Holly has a tough exterior that reminds us of other Koontz women. She is both strong and proactive, not willing to engage in the 'victim' mentality as she seeks to free herself and worries about her husband. Mitch is customarily quick on his feet as he dodges the cops and tries to find both the reason for the blackmail and the money.

However, I have to say that the 'bad guy' just doesn't live up to Koontz's normal portrayal. The kidnappers are very lightly touched upon, with only the craziest receiving the most attention. Oddly enough, we never enter his mind and, in fact, never even see his face; he always wears a ski mask. Koontz has previously taken us through some very colorful criminals, people so evil they make us shudder. This time around, we only view the bad guy from the outside. It was nice not to enter such a diseased mind, but I was surprised to find that I missed it.

The secondary bad guy, who caused the whole heist to take place, was a bit more intriguing. With him, we got more of that great background information Koontz is so good with. His break with reality was easily foreshadowed, although still quite surprising, and I was impressed with how smoothly Koontz carried it off.

Another problem I had as a frequent Koontz reader was expectation. How many times has Koontz employed a sensory deprivation chamber to result in something bizarre? Of course, when such a chamber entered the novel, I braced myself for some otherworldly experience. With that sort of expectation hanging over my head, I guess I was a little disappointed in the normalness of the conclusion. That said, this should only be a problem for frequent readers (and maybe not even them), and in no way impacts the overall writing of the novel.

Koontz creates some realistic characters with great motivation. I love the way he set up the kidnapping, and his development of Mitch, his parents, and his brother was masterful. He draws us into the book and keeps us actively engaged. Another great novel from the master.




Nola Redd is an author on http://www.Writing.Com/ which is a site for Poetry Contests. You can read more of her book reviews in her Biblio-file





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2012年7月28日 星期六

Book Review - The Husband


Mitch Rafferty receives a call one day that his wife is being held hostage for two million dollars. A middle class landscaper, Mitch thinks the call must be a joke - until a nearby dog walker is murdered as proof of the kidnappers intent. Suddenly, Mitch is plunged into a desperate search for his wife and a struggle against the ties that bind.

The novel follows Mitch through a range of emotions and actions. He knows he has no way of obtaining that kind of money, and so figures the kidnappers want him to knock of a bank, or engage in some kind of similarly criminal activity. At the same time, they have managed to set the stage so that he will take the rap for any number of things - including the murder of his wife. Mitch tries to be both proactive and obedient, and winds up in a huge mess.

Mitch and his wife, Holly, are both wonderfully developed. As we follow Mitch in search of the money and fight with Holly for her survival, we become quite close to the pair of them. Holly has a tough exterior that reminds us of other Koontz women. She is both strong and proactive, not willing to engage in the 'victim' mentality as she seeks to free herself and worries about her husband. Mitch is customarily quick on his feet as he dodges the cops and tries to find both the reason for the blackmail and the money.

However, I have to say that the 'bad guy' just doesn't live up to Koontz's normal portrayal. The kidnappers are very lightly touched upon, with only the craziest receiving the most attention. Oddly enough, we never enter his mind and, in fact, never even see his face; he always wears a ski mask. Koontz has previously taken us through some very colorful criminals, people so evil they make us shudder. This time around, we only view the bad guy from the outside. It was nice not to enter such a diseased mind, but I was surprised to find that I missed it.

The secondary bad guy, who caused the whole heist to take place, was a bit more intriguing. With him, we got more of that great background information Koontz is so good with. His break with reality was easily foreshadowed, although still quite surprising, and I was impressed with how smoothly Koontz carried it off.

Another problem I had as a frequent Koontz reader was expectation. How many times has Koontz employed a sensory deprivation chamber to result in something bizarre? Of course, when such a chamber entered the novel, I braced myself for some otherworldly experience. With that sort of expectation hanging over my head, I guess I was a little disappointed in the normalness of the conclusion. That said, this should only be a problem for frequent readers (and maybe not even them), and in no way impacts the overall writing of the novel.

Koontz creates some realistic characters with great motivation. I love the way he set up the kidnapping, and his development of Mitch, his parents, and his brother was masterful. He draws us into the book and keeps us actively engaged. Another great novel from the master.




Nola Redd is an author on http://www.Writing.Com/ which is a site for Poetry Contests. You can read more of her book reviews in her Biblio-file





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2012年7月22日 星期日

My Review of Systems as a Medical Transcriptionist


I am writing this article to pass on some of the wonderful experiences I have had through the profession of medical transcription. This wonderful part of my life started like this. I have been a medical transcriptionist for 20 years, but I did not know about this profession until after I had tried nursing, waitressing and insurance sales. After wandering through these other occupations unfulfilled, I was primed and ready for a career I felt I was suited for. But what could I possibly be suited for? I was equipped with a degree in nursing, but what do you do with a nursing degree when you don't like nursing? Starvation was a very real consequence when I sold insurance, so I knew I was not a sales person. I could always wait tables, but how much longer would my feet hold out? During this time when I was soul searching and trying to figure out what to do, I took a job as a medical secretary which involved scheduling surgery, making appointments, filing and a very small amount of transcribing office notes. In the job interview, I told the office manager I had a good bit of medical terminology knowledge and some, "experience," in a hospital. I deliberately did not tell her I had an RN degree and wanted this job as a secretary instead as this would probably have led to her looking at me wide eyed and then saying,"I'm sorry, you're over qualified." This job perked along just adequately, but it was here I realized I found transcription to be fun. I looked forward to it and was disappointed every day when the tape ran out after only an hour. I was one step closer to finding the profession of my dreams.

My first full-time transcription job (heaven!) was in a hospital in the city where I live. For the first time, I knew the career area in my life had gelled. All my education and experiences (good and bad, recent and distant) had come together and culminated in my becoming a medical transcriptionist. Any other kind of transcription simply is not the same as the medical field. Legal transcription, for example, I found to be extraordinarily boring. It is both the medical field and the transcription field put together that produces this unique profession.

When I have trained new transcriptionists who were really new with no experience in the field, I could decide within 15 minutes if they were going to stay at the job or leave flabbergasted and astounded that we actually do this. They never get comfortable sitting at the keyboard and actually look as if they are about to get up at any time. The keyboard is an awkward contraption that's impossible to operate with only 10 fingers. Word Perfect is Word Insanity to them. Their headphones are an awkward instrument of sensory deprivation. After they have entered the correct directory, pulled up the proper form and named it, they always look at you wanting to know how much money they have made so far. When they look up a word, they aimlessly wander around the book, hoping the correct term will jump up and say hello. I give these poor souls one day at the most, but there was one pitiful girl who lasted less than one day, unfortunately because of something I said.

Three-quarters of the way through the day, I stupidly asked her if she had remembered to save before leaving the document. She replied she had left the computer turned on. Long story short, she never even came back to get her glasses. There was one new recruit who actually exclaimed, "Why do you do this?" to which I responded, "I enjoy it and the money's good." This has always gotten me a look from them that meant they thought I was insane. A physician told me once, " I don't see why you don't go stark raving mad, sitting here all day and typing." I replied, "who says we don't?" I've always felt you had to be a little quirky to honestly want to do this job. After all, you sit and type and sit and type and sit and type, and then you sit and type some more. It's not unusual to continue to hear doctor's voices dictating in your head after you've gone home from work, although I've learned to be careful how I say that, especially to someone who's not a transcriptionist. Another occasion where someone looked at me like they thought I was insane (who says I'm not?).

Having been in this profession for so long, I have also become able to spot the, "real," transcriptionists, so they are called by the veterans. You judge for yourself. The, "real," transcriptionists actually enjoy sitting and typing, plugged into headphones for hours on end. Production is their passion, and they pound away tediously, completely content, pausing only to look up words or do the ever necessary proofreading.

Then, (eyes rolling) there are the people who like to call themselves transcriptionists and end up irritating the life out of the rest of us who really are. They come to work chattering, they work chattering and they leave chattering. When your concentration is broken , it takes a few minutes to get back to that point. These guys rattle on and on about every doctor, every patient, every irrelevant detail they can think of to talk out loud about. This usually results in the serious transcriptionists staring steadily at the chatterbox and typing all the while (which is a real transcriptionist's talent akin to patting your head and scratching your stomach) until the offender notices they are being stared down by a clerical lynch mob and finally hush. Then, they give the rest of us that, "you're insane," look with a hint of, "I'm offended, I thought I was entertaining you guys."

A so-called transcriptionist who asks the same question three times in one week is usually dubbed an, "Alzheimer's patient." These people have a defective short-term memory and cannot remember what they were told or what they looked up for longer than a couple days. A good transcriptionist has a memory that never fails. The Alzheimer's patients are also the people who ask about a word out loud instead of looking it up. They get in as much trouble as the chatterboxes.

There are also the comedians who have to announce to everyone in the room something humorous (or is it humerus?) they heard in dictation. This produces a polite, very small smile from the rest of us while never missing a keystroke (or the lynch mob might gather), silently hoping the, "typist," would either hush or go home. To be labeled a typist is the strongest putdown that can be bestowed. You see, a typist is someone who mechanically manipulates the keys on a keyboard, and nothing more. Your average monkey could accomplish this. They usually hunt and peck which produces a large silent grin (never missing a keystroke) from the rest of us that they never know about. A transcriptionist (harrumph!) is a professional with an extensive knowledge of medical terminology, editing, spelling, punctuation, English, word processing, pharmacology, lab and pathology, and sometimes foreign accent interpretation who melds all these abilities together seamlessly at 100 words per minute. We also have the necessary ability to communicate with each other with our eyes and expressions. As mentioned before, the professional transcriptionist is capable of transcribing and socializing silently at the same time.

Another valuable source of experience is the mental hospital. Let me explain! The patients there are usually required to have a general physical exam before they start having psychotherapy with their psychiatrists. In my mental hospital experience (as an employee, not a patient, mind you), I found the social histories fascinating. They read like good books and are very interesting.

I've always thought it would be risky for me or any transcriptionist to undergo general anesthesia because I just might spout someone's private information. Incidentally, knowing a celebrity's medical diagnoses is unnerving, not exciting, especially if it's something like a sexually transmitted disease or a mental problem. Public figures and movie stars see doctors also; they are not immune needing medical treatment. Needless to say, that's all the details I'll put in this particular paragraph, citing confidentiality! You can't be a transcriptionist and play Rona Barrett or a reporter for the National Enquirer.

When I worked in medical records in a mental hospital, I found that mental illness can strike anyone at any time. In this job, the psychiatrists (shrinks) visit their patients every day and dictate daily progress notes. Now, you have a serial TV show-type situation where every day there are new developments. When we heard that old familiar whir and click of the machine activating, we waited anxiously like housewives waiting for their favorite soap opera to come on. The machine would stop and the lucky one of us to grab the dictation first would tell us the news (only within the transcription room, mind you!) Some patients sank deeper and deeper into insanity, and others made a wonderful recovery. Just a bit of trivia; shrinks have the most entertaining sense of humor of all doctors I have ever known.

Back to maintaining confidentiality, this includes not repeating to anyone the statements or innuendoes made on the dictation whether knowingly or accidentally by the dictator. A word of advice: don't dictate in bed. If someone remembers something they need to dictate after climbing into bed, then they should get up before dictating and be doubly sure the recording has ended lest they document whatever else takes place in their bed and who it takes place with! Sorry, no more details with this one, except to mention that dictating right after you eat can provide the transcriptionist with some entertainment, accidental or not. Everyone should remember, most recorders pick up all sound that occurs in the room, and some dictators foolishly think they are, "alone," in the room even when the recorder is running. We don't type in "eructation," or "flatus;" we just laugh and report it to everyone in the room. For the aspiring transcriptionist, look up eructation and flatus, and get a good laugh. Due to events described in this paragraph, there are doctors I can't look in the eye any more and they don't know why.

So many good experiences, so little space. I'll sign off now with no chief complaints, only a review of systems within wonderful limits and a bright prognosis. See you in a follow-up visit!

You can contact Carol Roberts through by email at: meditrans@aol.com




Carol has been a medical transcriptionist for over 20 years and has been certified by the American Association for Medical Transcription. She owns and operates Carol Roberts Transcription in Pembroke Georgia and is a staff consultant for Meditrans Help, the medical transcription help site, [http://www.meditranshelp.com]





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2012年7月16日 星期一

Review of "Solon" by Raymond Springer


This book started out slowly, building swiftly as the murder investigation ensued. It felt right just before Springer went over the edge, being too obvious and "shocker" about the phrase "serial killer." My daughter talks about the "creepiness levels" of such prose, citing that in some cases like this, you end up thinking the author regularly eats paint chips or something.

Anyway, Springer after this momentary lapse went right back into the heart of the matter: the murder investigation by detective sergeant Daniel O'Dell of a female serial killer victim. This story is being told in a straightforward manner, a little "tell not show" for my tastes. I felt like the beginning commenced well, then proceeded to drag through the details a bit - not unlike the feeling one gets from dragging on a rain soaked cigarette butt, but definitely lending itself to continuing to read the book.

There were the occasional grammatical problems, such as "Professor Weaver confidently sauntered up to the victim and looked at her remains over for a moment..." which detracted in small ways from reading. In general, this book was written in the modern vernacular, shocking essence and all, with limited use of commas.

This lends itself to its own style of dramatic writing, the Hemingway brand of it anyway, although I felt sometimes that Springer was trying to over impress his readers with too many petty and authoritative sounding details. But I didn't feel swamped in any way, and it was fairly Spartan in the truest true crime dramatic sense which plows you right into the meaty stuff and doesn't leave you starving for action, drama or suspense.

But I didn't feel like the background scenery was being described at all, to the detriment of the story, while the victim's personal body details were being assailed instead. It would have helped to know more about what the crime scene was like where her body was found...more details like in a movie, and less shock value.

Within this book: "The scene was in a secluded area behind a large dilapidated pawnshop just west of the city of Detroit. It was an area that was frequented by the homeless boozers and no-account crack heads. It was not close enough to the downtown metro area to be under the constant protection of roving police patrols, nor was it within earshot of the residential section for anyone to hear a victim screaming."

Aside from the need for one phrase to be "nor was it within enough earshot of the residential section..." - this paragraph, close to the story's beginning, wrapped up the scenery needs, but I did feel a little starved for further detail when the author began going on in greater detail about items such as "ripped out nipples." Call it my own problems, but although true crime novel fashion dictates this kind of perverse awareness for the sake of an action oriented readership, I get tired of continuous references to victim body parts used to "grab" interest, instead of more played out storytelling.

I guess I miss the days of Agatha Christie, and of course this is supposed to be the more hardboiled, Mickey Spillane style of true crime thriller. But this type of writing makes me yearn for more gracious days, when prose involved describing far more than what Jack the Ripper got into. My bad, my bad, but please spare me some of the gruesome details and tell the story with characterization, which I found also to be missing from this book.

However, I may be being too "me" here. There was the line, "Just be gentle with her head." This statement of purpose from the medical examiner looked clinical at most, but it intimates a little later in the game some meager identification with the victim as something other than a series of body parts, which I appreciated. And the book was slowly building at that point, which brought us into deeper appreciation of the characterizations, as they later occurred.

I saw this as a kind of complex foreshadowing, and the dialogue at this point began to relay the characters' strengths and weaknesses, lending needed plot aspects to the overall story. I think in terms of television's "CSI" crime drama awareness, the author had a nice, tight beginning to the story, albeit my weakness for more structural detail. It was fluid, flowing rapidly but with some jerks and starts into the first chapter, and it made for a rank but somewhat well paced beginning.

I would have rather lines like "It was larger than the barn with a rolling white cap that had a destructive look to it as it turned forward and began to engulf everything in its path..." read in a "show not tell" fashion, such as: "Gushering, cold hearted wiping out the placid green countryside, engulfing everything in its path, the tremendous rolling white death entered with a whoosh! Speeding right at me with a fearsome crescendo, it made me stand transfixed, gasping for breath as death mounted with hurricane velocity. I had no time to scream as the concrete wall of water slapped me down cold, not even feeling my head grinding into the ground as I blacked out."

I got no "show not tell" sense of excitement from this book. Basically, I found the writing to be descriptive properly when it came to telling us about only the necessary details, but bereft and barren when it came to color, light and "fun" stuff such as the "you are there" feeling that really great true crime novels and books regarding similar subjects normally entail.

Also, I found the writing itself to be choppy at best, miserably lacking in continuity at worst. We went from a true crime setting to demonology too quickly, and I felt like I was being left behind too soon. Later on in the book, as we entered more deeply in, some of my desire for actual "show" turned up in the story, with lines like, " It was a one-time visit to the head shrinker to dig out the hidden quintessential monkey on the back," in Chapter Five.

I began to feel less imagery deprived, although the writing was still Spartan and spare, lending an odd atmosphere of detachment to the story telling. I read, but I just didn't feel involved as the story jumped around almost randomly from scene to scene. I kept waiting for all the odd loose ends to be wrapped up, and didn't feel like this was happening for me anywhere.

I wondered if the previous reference to a "demon puddle" - which showed varying scenarios to one demon so that he could admire other's sufferings - were related to the choppy scenarios of the writing. I also thought Dr. High's problem, dermatological hypersensitivity, which made him unable to fully relate to how he was flooded with perceptual industry, was some sort of keystone to the book; between the demon and the doctor, perhaps there was a reason to keep switching scenarios in such an abrupt and random manner.

The book's quirky nature, though, and the mild changes between descriptive prose where the author had me more compelled and the simpler "tell not show" nature kept me going enough to want to finish the book, finding out how all the loose threads came together eventually. Some erratic capitalizations such as "Gold" for "gold" left me puzzled, unaware of their deeper (if any) meaning. I felt like the book could have used a thorough proof reading.

Basically, I never actually felt the sense of suspense Springer was obviously trying to build with references to "religious programming" in that there was nothing there in the book to build suspense with, nothing I could see that made me feel uptight, worried, or anxious about any of the characters. He didn't dwell on a central character long enough for me to grow any real feelings about the characters or to at least become more curious as to what their circumstances held.

I also never felt the desired sense of "suspension of disbelief," or the feeling the events in the book were true to life and might mean something to people. It just wasn't there, and I spent forever groping for it, wondering why I felt so emotionally "flat" and unable to really care about anything. Probably it didn't help to have such an abrupt "jamming" of many characters, with an obvious thread of anti religion that didn't fulfill the premise of being scary, wondrous or otherwise anything but pedantically expressed with lots of details, but no spice, mustard or even a definite sense of plots intertwining with substance.

I felt relieved somewhat when the events did coalesce enough to appreciate them as more than factual statements without any purpose. However, I found some extraneous use of the "f" word scattered intermittently throughout as not enamoring me to the plot line or characters any. Such attempts to shock shouldn't come as unrelated to the plot lines or as jarring as they came here, with no particular reason given for their use. I never felt, for example, that we really got to know Dr. High, an obvious principle character, in any real depth. There were shocker revelations of circumstances, but they all seemed petty and not particularly useful to the main plot, which was still obscure one quarter of the way through this book.

At least finally the loose ends of before were wrapped up, but there were no characters to relate to or feel for but Dr. High, the one with the odd disability; it seemed treated for "freak show" purposes, instead of trying to get us to care about the doctor or what would happen to him under the auspices of a growing Satanic serial murderer reference. Another major character, Tristan, seemed to just suddenly show up, with no particular essence to him or feeling that we should care about him in any way.

By Chapter Six, things again moved away from main characters and further more or less confusing plot angles and characters were brought in, compounding the growing difficulty regarding concern for the people in this book. I felt like I was watching a rerun of "Friends," the popular TV show, where they kept switching around to the various cast members without any of them growing on me as people.

In "Friends," it worked because they made many close relationships happen between the characters; I felt no such relationships here, although I was at least still curious to see what events would transpire. There was some attempt at partial construction of several interwoven plot lines, as we got to the assassin and Dr. High, and returned to police sergeant O'Dell; but it all felt too "loosey goosey" for my tastes. I yearned for a central character, which wasn't happening, thus the "Friends" analogy. Who really mattered in this book?

Maybe the police sergeant, Daniel O'Dell. But just as I was about to begin caring about him, the identity of the killer was brought up, as known by O'Dell. This detracted from any getting to know O'Dell as a person, or warming toward him, as he was keeping us from the killer's identity. But at last a reason to read to the end of the book had been brought forth, so this had become a good turn of events. I also liked the timely nature of the current economic crisis appearing in the story, as O'Dell's criminal forensics investigation had to suffer from it.

Naming Dr. High "Ray," like the author's own name, didn't work though as a way to get me to care about him; rather, it detracted from the book's reality. I've got to admit however that the sensory deprivation tank being used to solve a murder case is at least something I've never seen before, and this book held many new plot devices that kept me guessing, feeling like I wanted to learn this new stuff and needed to know how it would apply. I just wanted to care about the involved parties more, but it helped tremendously that the newer details were fresh and inviting, giving the overall plot, which was beginning to come more clear to me, a freshness and vibrancy that I could truly appreciate.

By Chapter Ten, I was beginning to get "into" this story, with leading lines like "If you were to ask the murderer to rationalize what he or she did, they would come up with a perfectly rash and reasonable explanation. If you were able to talk to the cat and ask why it terrorizes its prey prior to decapitating and saving the head as a trophy, perhaps the cat would state that it's all in the name of training." I liked these little "quirks" of thought and new ideas in this book, which is its principle measure of worth, with no really splendid characterizations or people to really care about - and the many wandering away trips it took, without really letting us know why Mexico, the Catholic Church, or other standard "lean on" plot devices were so essential to the overall plot.

Then the murderer seemed to be revealed too soon; I was hoping it would be the "treat" at the end of the book. Now it seemed the one character we could care about, sans how horrible he was as a person, was the killer, due to his painful and abusive upbringing. I wasn't sure it was planned that yes, the only being we could feel about in this book was the serial murderer; that's what I meant about this book being too "Jack sympathetic" and "into" the usual device of serial murder. But at least we finally had someone we could feel something real about, at any rate.

Frank, the killer, began to remind me of the main character in "Family Guy" in his essence of being "smelly," having "enormous rolls of fat," and being a hard workin' dude, lingering over his sandwich at lunchtime and seeming related to the "common man." Having feelings over someone who "liked women because they scream louder" was discomfiting in a somewhat new way for me.

At least the odd "factoids" scattered throughout this book were presented straightforward; but the meaning behind the character of the murderer was a little lost on me. The Ripper referencing was a little obvious, with the new angle of Frank's having filed down teeth to rend his victims dead being at least mildly entertaining.

I also began to like the relationship between Dan and Ray, who had turned out to be the quintessential characters of the book, but didn't feel like Dan's "good guy" aspects were gone into as heavily as Frank's "normal, but bad guy" aspects had been researched. I still felt more about Frank than Dan, which didn't sit well with me. That may have been part of the idea, but I didn't like it. I was grateful for the scenes where the immersion tank was used to look into the mind of the murderer were outlined in a more spare fashion, not dwelling any too "lovingly" on the details of how the mostly female victims were ripped into shreds.

And once Ray began to see the details of Frank's crimes and see into the mind of the killer, I finally got worried about what would happen to him later. The stark drama of the ripping and tearing was shown in a fairly straightforward and not as ungainly as before way, which left me wanting to know what was going to happen and made me want to keep on reading and finding out.

The book, admittedly suspenseful in a dawning, growing way, and with some new details in the telling, I'll leave you to finish yourselves. Suffice it to say, it started slowly on me, filling me with grave doubt as to the author's story telling capabilities. But it gradually won me over with its freshness of approach, its interwoven character and story details, and its myriad technical details about subjects that most readers would like to learn about.

I don't want to reveal more about the book, as I'd like you to read it, though you may think I didn't like it. I actually found it to be a turn pager read, albeit odd and abstruse, having ideas I'd never before seen presented together. Suffice it to say I'd recommend it, although I would also recommend some extensive editing and some reworking of the "sympathy quotient" for the characters. And sadly enough for our modern times, it may actually fit in for its lack of sympathy.

I'm just a little scathing in my review due to the lack of feeling for the main characters, which gradually resolves somewhat. I get tired of the "Jack is the greatest guy" technique which some modern true crime and other similar novelists tend to invoke by getting all "hairy" about the details. Also, Frank turning out to be demon possessed, even with it tightening up all the other obscure plotlines loose ends, didn't feel right with me in that it excused him, as the book did many times, for all his murderous actions. His mom was responsible; the Church was responsible, etc.

I'd like to see a book which placed more blame on the killer himself, instead of a "tell not show" book which excuses his every action in the name of a new plot twist or a series of factual events which scarcely relate to the overall plot structure. I on the other hand have to admit that I liked this book. It kept me guessing, even though it was frequently poorly written, and it kept the action going at a relaxed but even pace, flowing consistently throughout this hard to classify fiction novel: true crime, ripper fantasia, science fiction...quite a lot of genres were expressed.

The name of the book, "Solon," becomes apparent about halfway through, when the demon which possesses Frank becomes known to be his father, Solon. At last this treat of info was presented to us, only about halfway through, and many more similarly odd treats became known in later portions of Springer's new book - frankly satanic ones that more or less qualify this book as "dark fantasy."

It wraps up its spiritual essence while not being nicely spiritual itself, and those who shrink away at satanic referencing might not enjoy this book, which is more or less adult but not sophisticated enough for coffee table status.

I must leave you to find out what eventually transpires in this tale of peculiarities on your own, as I don't want to spoil this interesting read's outcome. I recommend this book, although I would like to see it editing for style and some content issues, with some restructuring of the more "purple prose" sections of it to get the reader more interested - and yes, some better characterizations. The ending is okay, leaving the reader hanging and wanting some more, but I felt like the book "leaned" too heavily on "shocker" anti religion stuff. I would, however, be glad to read the sequel of this oddly written and strangely enthralling book, and suggest you get yourself a copy of "Solon" and do the same.




GHOST WRITER, INC. - ghostwriter, copy editor, proofreader, rewriter and book author - and our team of 100+ writing field related workers, many of which are New York Times best selling authors. We have contacts with literary agents, commercial publishers and literary/film field professionals.

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2012年3月14日 星期三

Are There Useful Self-Help Treatments for Depression? A Review of the Evidence


Depression is a mental illness that is common and can affect anyone. Depressed people experience a low mood or disinterest in life, as well as trouble sleeping and concentrating, overwhelming fatigue, and feeling suicidal and worthless. Recommended treatments for depression include antidepressants and psychotherapy. The most common type of antidepressants are selective serotonin reuptake inhibitors, which work well for moderate to severe depression. Different types of psychotherapy include cognitive behavior therapy, problem solving therapy, and interpersonal therapy. However, many people self-treat their depression with techniques that often don't involve a professional. Self-help treatments are often preferred as an initial option when symptoms are still mild.

There are many self-help treatments that have been suggested as helpful for depression. These include different herbal remedies, dietary supplements, changes to diet and lifestyle, psychological techniques, and physical or sensory techniques. Yet are they likely to work for you, or are they a waste of effort, time and money? Scientific research can provide guidance about what treatments are likely to be helpful, and which should be left on the shelf. It's possible that treatments that have personal testimonials may work for you even if they haven't been researched thoroughly. However, you can be much more confident that treatments will work for you if they have shown effectiveness for a group of people in a scientific study. Scientific studies can show that treatments are effective regardless of whether people improve naturally with time, or expect to improve. This article will give an overview of what self-help treatments are effective for depression as shown by scientific research. Only evidence from high quality studies (randomized controlled trials) will be examined.

Helpful treatments

Bibliotherapy

Bibliotherapy is another name for self-help books. The helpful ones use cognitive behaviour therapy to change thinking and behaviour patterns. Several studies suggest it is helpful for depression. However, it may require a lot of motivation to persist with the treatment to see benefits.

Computerized cognitive behaviour therapy

This is similar to bibliotherapy but uses the internet or a computer program instead of a book. Several studies suggest it is helpful for depression. However, it may require a lot of motivation to persist with the treatment to see benefits.

Distraction

Thinking about or visualizing pleasant or neutral thoughts (e.g. the shape of the African continent) may help improve depressed mood temporarily. Studies show that it is better than sitting quietly. It may help if you often think about why you are depressed and the negative outcomes from depression.

Exercise

There is good evidence that exercise is helpful for depression. It is not clear whether aerobic exercise (e.g. running) is better than anaerobic exercise (e.g. weights). The amount needed to be beneficial is also unclear.

Light therapy

Light therapy uses a device to expose the eyes to very bright light for a period of time each day. The evidence is strong for winter depression (or seasonal affective disorder). It may also have a small benefit for non-winter depression.

Pleasant activities

Systematically doing more of the activities you usually enjoy is likely to be helpful. Studies with supervision by professionals show it helpful for depression. However, it may be less helpful when done on your own.

Relaxation training

Progressive muscle relaxation is learning to relax by tensing and relaxing specific muscle group. It can be self-taught from books or audio instructions. Several studies show it is helpful for depression, though less helpful than psychotherapy.

S-adenosylmethione

S-Adenosylmethionine is a compound that is made in the body and is available as a supplement. It is involved in many biochemical reactions. It also helps make serotonin, a brain chemical targeted by antidepressants. Studies generally show it is helpful for depression. However, the dosage required is unclear.

Sleep deprivation

Sleep deprivation is staying awake for the whole night or restricting sleep to part of the night. Studies show that many people find it temporarily improves depression. However, the effect disappears once sleep is resumed.

St John's wort

St John's wort is a traditional herbal remedy for depression. It is available as a supplement. Studies consistently show that it is better than a placebo for mild depression. Be aware that herbal supplements are not usually well regulated, and that brands may differ in their effectiveness. It also interacts with some medications, so check with your doctor before using.

Promising treatments

These treatments show promising evidence, but more studies are needed to be sure.

Autogenic training

Autogenic training is the regular practice of simple mental exercises in body awareness for relaxation. One study showed encouraging results.

Borage

Borage is a herb traditionally used in Iranian medicine. Its flowers can be used in herbal teas. One study found it was better than placebo for depression, but more studies are needed to be sure.

Carnitine

Carnitine is a nutrient produced by the body and is available as a supplement. Carnitine has been tested in 3 studies for a mild form of depression called dysthymia. Promising results were shown for older adults.

Massage

Massage by trained therapists has promising evidence for depression.

Negative Air ionization

A negative air ionizer is a device that uses high voltage to electrically charge air particles. One study showed it helpful for winter depression (seasonal affective disorder).

Saffron

Saffron is a spice made from the Crocus sativus flower. It is used in Persian traditional medicine. Several studies show that saffron is a promising treatment for depression.

Yoga

Yoga exercises the mind and body through physical postures, breathing techniques and meditation. Initial evidence suggests it may be helpful for depression.

There are many other self-help treatments, but these were not reviewed because they have not been studied in good quality studies.

Content adapted from Morgan AJ, Jorm AF: Self-help interventions for depressive disorders and depressive symptoms: A systematic review. Annals of General Psychiatry 2008, 7:13.




Amy Morgan is a PhD candidate from the University of Melbourne, Australia. She has published 20 peer-reviewed papers in mental health and is the creator of Mood Memos http://www.moodmemos.com. Mood Memos are free emails with info and advice to help improve mild depression symptoms. Visit the website today to start receiving Mood Memos.





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2012年3月4日 星期日

Book Review - Healing Back Pain - The Mind-Body Connection (Dr John E Sarno)


Introduction:

TMS has to do with the manifestation of emotional and psychological conditions in the soft tissue surrounding the spine and consequently emerging as the major cause for pain in the neck, shoulder, back, buttocks and limbs. Although the painful yet benign syndrome is brought on mainly by stress, the cause can be a wide range of latent emotional issues.

Dr Sarno suggests that the acceptance and treatment of TMS as a legitimate syndrome may be deemed a "holistic" approach because unlike conventional medicine, TMS is treated not by addressing the symptoms, but by identifying them and then treating the underlying cause rooted in emotional and psychological factors. Having faced negative attention from his contemporaries himself, he backs up his claim with many testimonials at the end of the book, from TMS affected patients that he successfully cured.

The Four W's:

Who - TMS is a cradle-to-grave disorder affecting people of all ages. However on a general note, people between 30-60 years of age have been found to be the most affected. Since this age group is also the "maximum stress" group with most responsibility, stress is accepted as the most common cause of TMS.

Where - As the name suggests, the most affected soft tissue in TMS are muscle (myo) and also peripheral nerves. In some cases, there can be accompanying pain in tendons or ligaments, which tends to disappear once the back pain is treated.

What - TMS usually occurs as a sudden acute attack with an excruciating pain most commonly affecting the lower back and buttocks. However many people also report a gradual beginning to the pain, which is usually localized in the neck and shoulders to later move further down the back.

When - Acute or slow, the timing of the pain can only be determined by the patients' psychological state at the time, with a physical incident acting merely as a trigger. He explains a delayed onset reaction wherein a person sails through tough stressful times without a hiccup, but develops TMS later due to the accumulated anxiety.

Psychology and Physiology:

In an attempt to stress his point about TMS being a psychological phenomenon rather than a structural aberration in the spine or muscle deficiency, Sarno does tend to get rather repetitive. But he gets the point across. Repressed unacceptable emotions which give rise to tension and physical or emotional stress are two of the major causes of TMS. Differentiating between the conscious and unconscious mind and keeping a safe distance from psychiatric jargon, Sarno reflects on how various psychological factors such as low self-esteem, narcissism, fear, anxiety, anger and unnatural repression of natural traits will at some point or the other cause the body to retaliate and defend itself-consequently manifesting as back pain.

As for the physiology of TMS, the basics are already pointed out in the first chapter. Although the explanation is a bit heavy with a lot of medical terms, in a nutshell, the physiology of TMS can be said to be represented by certain emotional states that cause mild oxygen deprivation of the abovementioned soft tissues. This dearth of oxygen is the primary cause for the pain, sensory abnormalities and muscle control deficits.

Talk to your brain:

The treatment of TMS is as non-linear as the concept itself with the focus being on understanding the nature of the disorder and training oneself to act on it and change the brain's behavior. Simply being aware of the potential psychological causes of the pain and telling one's brain that one is not helpless and intimidated can actually cause the pain to go away. Such is the power of volition.

Sarno also urges patients to get over fears of the pain relapses, to resume all kinds of normal physical activity including the more rigorous ones as well as discontinue all physical treatment or therapy. However he is very careful to mention in various instances throughout, that the book is not meant for self diagnosis but is merely an introduction to a newly discovered syndrome. He clearly states that TMS should be diagnosed and treated only after a thorough medical exam of the back has been conducted yielding no conclusive evidence of spinal aberrations. As an important part of the treatment, Sarno asks patients to review daily reminders of what TMS actually is and list out possible causes for the syndrome.

Overall, the book is a bold venture into a realm which is still not considered "solid" medicine owing to its subtle nature. However Dr Sarno's reputation as a professor of Clinical Rehabilitation Medicine at the NYU School of Medicine, and attending physician at the Howard A Rusk Institute of Rehabilitation Medicine at NYU Medical Centre, his many years of research into the syndrome and the large number of patients who have benefited from his work, certainly adds credibility to the book.

If you are suffering from any of the symptoms mentioned, if you are brave enough to try something out-of-the-box, if you have an open mind and if you wish to heal yourself naturally, this book may serve as a potentially explorable avenue for a safe alternative remedy to back pain.




Shreyasi is a full time business journalist covering the South Asian steel and raw materials industry. The rest of the time, she is a freelance writer, thinker, poet, singer, swimmer and wildlife enthusiast. She loves to travel, read and write about anything under the sun, although, animals, wildlife, health, spirituality and paranormal phenomena are her top favorites. For more information and samples of her writing, please visit http://shreyasi-dreamweaver.blogspot.com/.





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2012年2月1日 星期三

Book Review, "The Dark Side" Jane Mayer's Gripping Analysis of the Quest for Actionable Intelligence


The Dark Side: The Inside Story of How the War on Terror Turned into a War on American Ideals [Soft cover]

by Jane Mayer

432 pages, $15.95

ISBN-13: 978-0307456298

Nonfiction

When nineteen hijackers took possession of four airliners and flew planes into American buildings, the world was forever changed on September 11, 2001. While America mourned its loss, the Commander-in-Chief pledged from an elementary school in Florida, "Terrorism against our nation will not stand."

In the aftermath of this tragedy, America's war on terror began. Admittedly, those tasked with gathering intelligence to prevent future attacks on America faced an ominous task. Suspects were everywhere - the salient issue became: how does one get cogent information in a timely manner? Could interrogators go too far when trying to gather information?

Jane Mayer, in a gripping analysis of the dark side of the intelligence business, portrays Bush's administration on a quest to subvert future attacks against America. In shocking detail, she characterizes an insatiable drive to make terror suspects talk. Sadly, it is apparent that legal maneuverings were pursued to bring American interrogators to the edge of legally torturing individuals to obtain actionable intelligence. Unfortunately, after allowing such atrocities as sensory deprivation and the now infamous water boarding techniques, very little sound intelligence was ever developed.

Interestingly, Mayer demonstrates that the White House was all too aware that it was skirting on the edge of legal disaster. Its employment of extralegal wrangling, through strategically drafted internal memos, actually sanctioned forms of torture to extract information from suspects. According to the author, the legal determinations of what constituted "pain" or "suffering" arose from administration lawyers who were content to grapple with peoples' lives in a political power struggle.

Mayer sees this descent away from criminals' rights for the travesty it is. Devaluation of any human life is a short journey away from the ideals upon which this country was founded. Perhaps our resolve to discover information through "approved" torture has only alienated future generations of Arab youth and empowered them to dream of unspeakable atrocities they can perpetuate on our servicemen. More to the point, does the sanctioning of interrogation by any means possible open the doorway to limit freedoms of citizens of the United States who find themselves peripherally associated with terrorism?

Time will indicate if members of the former administration will answer criminally for what has transpired. Hopefully, America has learned that a tortured terrorist will admit to almost anything.

Review by Steven King, MBA, MEd




http://booksatthebeach.blogspot.com

http://about.me/booksatthebeach





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2012年1月19日 星期四

Book Review - The Husband


Mitch Rafferty receives a call one day that his wife is being held hostage for two million dollars. A middle class landscaper, Mitch thinks the call must be a joke - until a nearby dog walker is murdered as proof of the kidnappers intent. Suddenly, Mitch is plunged into a desperate search for his wife and a struggle against the ties that bind.

The novel follows Mitch through a range of emotions and actions. He knows he has no way of obtaining that kind of money, and so figures the kidnappers want him to knock of a bank, or engage in some kind of similarly criminal activity. At the same time, they have managed to set the stage so that he will take the rap for any number of things - including the murder of his wife. Mitch tries to be both proactive and obedient, and winds up in a huge mess.

Mitch and his wife, Holly, are both wonderfully developed. As we follow Mitch in search of the money and fight with Holly for her survival, we become quite close to the pair of them. Holly has a tough exterior that reminds us of other Koontz women. She is both strong and proactive, not willing to engage in the 'victim' mentality as she seeks to free herself and worries about her husband. Mitch is customarily quick on his feet as he dodges the cops and tries to find both the reason for the blackmail and the money.

However, I have to say that the 'bad guy' just doesn't live up to Koontz's normal portrayal. The kidnappers are very lightly touched upon, with only the craziest receiving the most attention. Oddly enough, we never enter his mind and, in fact, never even see his face; he always wears a ski mask. Koontz has previously taken us through some very colorful criminals, people so evil they make us shudder. This time around, we only view the bad guy from the outside. It was nice not to enter such a diseased mind, but I was surprised to find that I missed it.

The secondary bad guy, who caused the whole heist to take place, was a bit more intriguing. With him, we got more of that great background information Koontz is so good with. His break with reality was easily foreshadowed, although still quite surprising, and I was impressed with how smoothly Koontz carried it off.

Another problem I had as a frequent Koontz reader was expectation. How many times has Koontz employed a sensory deprivation chamber to result in something bizarre? Of course, when such a chamber entered the novel, I braced myself for some otherworldly experience. With that sort of expectation hanging over my head, I guess I was a little disappointed in the normalness of the conclusion. That said, this should only be a problem for frequent readers (and maybe not even them), and in no way impacts the overall writing of the novel.

Koontz creates some realistic characters with great motivation. I love the way he set up the kidnapping, and his development of Mitch, his parents, and his brother was masterful. He draws us into the book and keeps us actively engaged. Another great novel from the master.




Nola Redd is an author on http://www.Writing.Com/ which is a site for Poetry Contests. You can read more of her book reviews in her Biblio-file





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2011年12月17日 星期六

"The Creature of the Wildcard" by Jon Fischer: Book Review


The Creature of the Wildcard

by Jon Fischer


PublishAmerica (2006)

ISBN 1424118557

Reviewed by Paige Lovitt for Reader Views (8/06)

I have never read a fantasy as unusual as "The Creature of the Wildcard." It is a cross between a metaphysical philosophical book and a fantasy novel. The fantasy part, involves a story about a man named Alaric Fischer. The metaphysical philosophy that I feel is in this book comes from Alaric's musings.

Alaric is a talented artist that gets caught up in the dream world. He gets involved with the Neuro Art Institute. The institute views the mind as a work of art and the brain as its artist. He goes there to take a course on dream imaging. Alaric wants to test a program called "The Eclipse" which is designed to bring an escape from suffering.

While Alaric is trying to learn how to control some delusional thoughts, he discovers that he has the power to change reality. As he further explores who he is, he uncovers some shocking truths about who he is and why he has his talents. He is told that he is the God of Alternity. Alternity is described as "being coined by John C. Lilly, the inventor of the sensory deprivation tank, to express an altered state of being on the drug ketamine. In actuality it is an alternative to death." The doctor, helping Alaric learn what his purpose is, tells him that it is his job to "condition mankind in the paradox of being alternative to known existence." Alaric will be going into an alternative state of existence and be able to achieve immortality to accomplish what he needs to.

The author's style of writing makes it easy to visualize the scenery as it unfolds around Alaric. It made me feel like I had entered into a psychedelic state. The story holds a great deal of depth and involves concentration and contemplation to seek out the deeper meanings. It is not a light fantasy. It is a book that will be enjoyed by people who enjoy the deeper, darker side of fantasy.




http://www.readerviews.com





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2011年12月16日 星期五

My Review of Systems as a Medical Transcriptionist


I am writing this article to pass on some of the wonderful experiences I have had through the profession of medical transcription. This wonderful part of my life started like this. I have been a medical transcriptionist for 20 years, but I did not know about this profession until after I had tried nursing, waitressing and insurance sales. After wandering through these other occupations unfulfilled, I was primed and ready for a career I felt I was suited for. But what could I possibly be suited for? I was equipped with a degree in nursing, but what do you do with a nursing degree when you don't like nursing? Starvation was a very real consequence when I sold insurance, so I knew I was not a sales person. I could always wait tables, but how much longer would my feet hold out? During this time when I was soul searching and trying to figure out what to do, I took a job as a medical secretary which involved scheduling surgery, making appointments, filing and a very small amount of transcribing office notes. In the job interview, I told the office manager I had a good bit of medical terminology knowledge and some, "experience," in a hospital. I deliberately did not tell her I had an RN degree and wanted this job as a secretary instead as this would probably have led to her looking at me wide eyed and then saying,"I'm sorry, you're over qualified." This job perked along just adequately, but it was here I realized I found transcription to be fun. I looked forward to it and was disappointed every day when the tape ran out after only an hour. I was one step closer to finding the profession of my dreams.

My first full-time transcription job (heaven!) was in a hospital in the city where I live. For the first time, I knew the career area in my life had gelled. All my education and experiences (good and bad, recent and distant) had come together and culminated in my becoming a medical transcriptionist. Any other kind of transcription simply is not the same as the medical field. Legal transcription, for example, I found to be extraordinarily boring. It is both the medical field and the transcription field put together that produces this unique profession.

When I have trained new transcriptionists who were really new with no experience in the field, I could decide within 15 minutes if they were going to stay at the job or leave flabbergasted and astounded that we actually do this. They never get comfortable sitting at the keyboard and actually look as if they are about to get up at any time. The keyboard is an awkward contraption that's impossible to operate with only 10 fingers. Word Perfect is Word Insanity to them. Their headphones are an awkward instrument of sensory deprivation. After they have entered the correct directory, pulled up the proper form and named it, they always look at you wanting to know how much money they have made so far. When they look up a word, they aimlessly wander around the book, hoping the correct term will jump up and say hello. I give these poor souls one day at the most, but there was one pitiful girl who lasted less than one day, unfortunately because of something I said.

Three-quarters of the way through the day, I stupidly asked her if she had remembered to save before leaving the document. She replied she had left the computer turned on. Long story short, she never even came back to get her glasses. There was one new recruit who actually exclaimed, "Why do you do this?" to which I responded, "I enjoy it and the money's good." This has always gotten me a look from them that meant they thought I was insane. A physician told me once, " I don't see why you don't go stark raving mad, sitting here all day and typing." I replied, "who says we don't?" I've always felt you had to be a little quirky to honestly want to do this job. After all, you sit and type and sit and type and sit and type, and then you sit and type some more. It's not unusual to continue to hear doctor's voices dictating in your head after you've gone home from work, although I've learned to be careful how I say that, especially to someone who's not a transcriptionist. Another occasion where someone looked at me like they thought I was insane (who says I'm not?).

Having been in this profession for so long, I have also become able to spot the, "real," transcriptionists, so they are called by the veterans. You judge for yourself. The, "real," transcriptionists actually enjoy sitting and typing, plugged into headphones for hours on end. Production is their passion, and they pound away tediously, completely content, pausing only to look up words or do the ever necessary proofreading.

Then, (eyes rolling) there are the people who like to call themselves transcriptionists and end up irritating the life out of the rest of us who really are. They come to work chattering, they work chattering and they leave chattering. When your concentration is broken , it takes a few minutes to get back to that point. These guys rattle on and on about every doctor, every patient, every irrelevant detail they can think of to talk out loud about. This usually results in the serious transcriptionists staring steadily at the chatterbox and typing all the while (which is a real transcriptionist's talent akin to patting your head and scratching your stomach) until the offender notices they are being stared down by a clerical lynch mob and finally hush. Then, they give the rest of us that, "you're insane," look with a hint of, "I'm offended, I thought I was entertaining you guys."

A so-called transcriptionist who asks the same question three times in one week is usually dubbed an, "Alzheimer's patient." These people have a defective short-term memory and cannot remember what they were told or what they looked up for longer than a couple days. A good transcriptionist has a memory that never fails. The Alzheimer's patients are also the people who ask about a word out loud instead of looking it up. They get in as much trouble as the chatterboxes.

There are also the comedians who have to announce to everyone in the room something humorous (or is it humerus?) they heard in dictation. This produces a polite, very small smile from the rest of us while never missing a keystroke (or the lynch mob might gather), silently hoping the, "typist," would either hush or go home. To be labeled a typist is the strongest putdown that can be bestowed. You see, a typist is someone who mechanically manipulates the keys on a keyboard, and nothing more. Your average monkey could accomplish this. They usually hunt and peck which produces a large silent grin (never missing a keystroke) from the rest of us that they never know about. A transcriptionist (harrumph!) is a professional with an extensive knowledge of medical terminology, editing, spelling, punctuation, English, word processing, pharmacology, lab and pathology, and sometimes foreign accent interpretation who melds all these abilities together seamlessly at 100 words per minute. We also have the necessary ability to communicate with each other with our eyes and expressions. As mentioned before, the professional transcriptionist is capable of transcribing and socializing silently at the same time.

Another valuable source of experience is the mental hospital. Let me explain! The patients there are usually required to have a general physical exam before they start having psychotherapy with their psychiatrists. In my mental hospital experience (as an employee, not a patient, mind you), I found the social histories fascinating. They read like good books and are very interesting.

I've always thought it would be risky for me or any transcriptionist to undergo general anesthesia because I just might spout someone's private information. Incidentally, knowing a celebrity's medical diagnoses is unnerving, not exciting, especially if it's something like a sexually transmitted disease or a mental problem. Public figures and movie stars see doctors also; they are not immune needing medical treatment. Needless to say, that's all the details I'll put in this particular paragraph, citing confidentiality! You can't be a transcriptionist and play Rona Barrett or a reporter for the National Enquirer.

When I worked in medical records in a mental hospital, I found that mental illness can strike anyone at any time. In this job, the psychiatrists (shrinks) visit their patients every day and dictate daily progress notes. Now, you have a serial TV show-type situation where every day there are new developments. When we heard that old familiar whir and click of the machine activating, we waited anxiously like housewives waiting for their favorite soap opera to come on. The machine would stop and the lucky one of us to grab the dictation first would tell us the news (only within the transcription room, mind you!) Some patients sank deeper and deeper into insanity, and others made a wonderful recovery. Just a bit of trivia; shrinks have the most entertaining sense of humor of all doctors I have ever known.

Back to maintaining confidentiality, this includes not repeating to anyone the statements or innuendoes made on the dictation whether knowingly or accidentally by the dictator. A word of advice: don't dictate in bed. If someone remembers something they need to dictate after climbing into bed, then they should get up before dictating and be doubly sure the recording has ended lest they document whatever else takes place in their bed and who it takes place with! Sorry, no more details with this one, except to mention that dictating right after you eat can provide the transcriptionist with some entertainment, accidental or not. Everyone should remember, most recorders pick up all sound that occurs in the room, and some dictators foolishly think they are, "alone," in the room even when the recorder is running. We don't type in "eructation," or "flatus;" we just laugh and report it to everyone in the room. For the aspiring transcriptionist, look up eructation and flatus, and get a good laugh. Due to events described in this paragraph, there are doctors I can't look in the eye any more and they don't know why.

So many good experiences, so little space. I'll sign off now with no chief complaints, only a review of systems within wonderful limits and a bright prognosis. See you in a follow-up visit!

You can contact Carol Roberts through by email at: meditrans@aol.com




Carol has been a medical transcriptionist for over 20 years and has been certified by the American Association for Medical Transcription. She owns and operates Carol Roberts Transcription in Pembroke Georgia and is a staff consultant for Meditrans Help, the medical transcription help site, http://www.meditranshelp.com





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