Tag Archives: Medicare

The Final Frontier: Nolo Contendere, Guilty, Part III of III

The Final Frontier: Nolo Contendere, Guilty, Part III of III
By Monette Benoit, All Rights Reserved.
September 27, 2013

Part I and II began: Court reporters are a disciplined breed. This is reinforced as I move through my professional and personal world.

“The final frontier” is a metaphor. I was encouraged to write this as I trolled this topic past professionals, court reporters, broadcast captioners, CART providers, instructors, and students that I am tutoring and coaching. Guilty.

Court reporters listen with laser focus. I have listened to individuals, doctors, speak – a lot.

When specialists have finished long sentences, often I am asked “Have any questions?”

Often, I shake my head. When I am asked why I don’t have any questions I have replied, “The good news is that the patient does not have the diagnosis that you thought was causing the problem. The bad news is that you don’t know what’s causing the problem.”

Not often, the specialist asks, “How’d you do that?”

Rarely, will I share, “Degree in listening.”

Often, I reply, “I listened.” …

Part II: … Me: “No can do. Court reporter. Only time I see word ‘arrested,’ is with work. ‘Patient arrested’ … Not signing until defined.”

EMT: “Your mother arrested on the table. You’re not supposed to know. We’re not allowed to tell you. You need to sign. We must transport now; she needs isolation.” (Code for: “The hospital’s discharge policy was at 5:00 today, and it’s past 5:00 now.)

My court reporter discipline, in my opinion, appeared again. Guilty.

I will not be hurried when asked to sign documents. I quietly insist on reading every line…

Part III of III:

The final frontier involves so many court reporters, CART providers, captioners, and students who share that they will not sign anything without reading every line, too. They insist on a copy of everything they sign, too. When they read documents to sign, everyone in the room sighs – while they calmly read, too. Discipline, yes. Guilty.

A high-profile official court reporter. “I took three hours to read mortgage papers. I took five hours signing a 15-year mortgage. When I bought a car on 24 installments, the dealer closed at 8 p.m. I left at 9:30 p.m. It drives my family crazy.” Nolo contendere.

We are not rattled when we are asking for information at work or at home, regarding a family member and advancing our skills. We listen.

We have no shortcuts to listening.

When people need events preserved, we are there. Always present. Always listening. Guilty as charged.

Update: The cardiologist, after listening to me (I measured each word), said, “She really slipped through the cracks.”

Ah, a leader! I sat tall, softly asked, “Will you be Top Dog? I want all the other dogs to report to you. Is this doable?”

Wearing surgical scrubs (with booties), he said, “Absolutely! I’ll ensure I’m faxed daily details. I’ll write orders for it.” I almost hugged the man.

When transport returned my mom to her room, I watched the scampering with individuals who said, “We sent over the wrong paperwork again? And he wants what? Daily?”

Softly, I said, “That man is now Top Dog. Thank you for making this possible.”

The final frontier. I have now have Top Dog. This is our discipline. I am off the sidelines. I asked a doctor to be Village Chief to help with my dad when I saw Dad’s road turning (Robert Frost, “The Road Not Taken”). My Village Chief then was HOH (hard of hearing); we worked as a team. (In September 2011 I wrote an article for my column, “My Village Chief is HOH.”)

Now I have Top Dog to help my mom. Yes, Mom does have God as a roommate. Guilty. The final frontier necessitates continued attention to detail, continued focus, and much listening. Guilty without an explanation.

The day after submitting this article for my “Journal of Court Reporting” column, a “care nurse” phoned to schedule a meeting.

Me: “Sure. I request a list of all Mom’s diagnoses and meds.”

Voice pitched, she was off to the races. When she refused to give me this, I listened, believing I was not going to win this battle – on the phone. I know that I am entitled to this information by law and chose not to “word” engage with her.

She ended with, “This meeting is just for you to come and listen. It is not for chit-chat.” (Code for: “We have to meet with you approximately every 60 to 90 days per Medicare and our licensing.”)

We had our meeting. The “care nurse” was not present. At the end, with my copy of meds and diagnoses that I had requested on the phone, they asked me – oh, yes, they did – to sign a document.

Me in realtime: “I want a copy.”

Multiple people: “It’s for our files. Sign here (indicating).”

I leaned in, “If I sign, I get a copy.”

They actually said, “That’s okay, then.”

In a swift poker move, I put my hand on it, pulled the document toward me.

Court reporter here read each line with speed-reading skills. Then I lifted my hand. I stood, departed document-less knowing that they remain signature-less. Nolo Contendere.

Part I of III is posted September 5, 2013, www.monettebenoit.com and www.CRRbooks.com
Part II of III is posted September 16, 2013, www.monettebenoit.com and www.CRRbooks.com
Part III of III is posted September 27, 2013, www.monettebenoit.com and www.CRRbooks.com

Monette, the Court Reporting Whisperer, may be reached: Monette@ARTCS.com and Monette@CRRbooks.com

Monette Benoit, B. B.A., CCR, CRI, CPE, Paralegal

Tutor, Motivational Management & Empowerment Coach,
Multiple Title Author of Books & Test Prep for the Court Reporting, CART, & Captioning Industry
Realtime Court Reporter, Instructor, Consultant, Columnist

All American RealTime/Captioning Services, Inc.: www.ARTCS.com

Court Reporter Reference Books & CDs: www.CRRbooks.com

Blog: Monette’s Musings, www.monettebenoit.com

* Educational/Career Advancement; Private Tutoring/Customized Coaching

Have you failed NCRA’s RPR, RMR, RDR, or a state court reporting exam?
Monette will help you to pass your test and to exceed schooling and career goals. http://crrbooks.com/index.php?cPath=61

Did You Know: www.CRRbooks.com has material to help you advance skills for NCRA exams and state certifications?

Did You Know: You can accelerate your career with private tutoring and empowerment coaching?
Court reporting veteran Monette Benoit can help you achieve your goals.

Empowerment coaching and tutoring topics include:

• Motivational skills to keep you moving forward,
• Time-management skills,
• Process learning for more effective retention,
• Development of skills to author your book, your blog, and how to publish,
• Communication skills, daily interaction improvement skills, and much more.

Who comes to Monette for tutoring and empowerment coaching?

• Professionals who want to achieve their goals, to create new possibilities, to advance their career, to author their book, and to develop the dream within,
• Veteran and novice court reporters, CART providers, and broadcast captioners brushing up on their skills for test-taking requirements,
• In-class students who feel they’re “stuck” and falling behind, or aren’t ready for the required tests,
• Students and veterans who struggle with focus, goal-setting, time-management or other life skills that might be interfering in their upward success,
• At-home students who want to ensure they’re on track for their exam and career goals,
• Veteran court reporters, CART providers, and broadcast captioners expanding their career options in related fields,
• Students and veterans alike who find they’re struggling with key areas of daily practice,
• Students or veterans who have begun to question their career or whether they’re on the “right track” …

Check out: Reach Your Goals with Tutoring and Empowerment Coaching
http://crrbooks.com/index.php?cPath=29

Monette Benoit, the Court Reporting Whisperer, can help you achieve at much high levels.

Where do you want to go? What have you really wanted to do with your career, and ultimately, your life?

Specific custom-designed guidance efficiently assists you!

About Monette Benoit:
As a 25+ year court reporter, CART provider, author of NCRA test prep material, and an instructor, public speaker, Monette Benoit has taught multiple theories, academics, all speed classes, and the 225 homeroom within NCRA-approved schools and a community college. She understands the challenges many adults now face in our industry and schooling.

Monette Benoit has worked with thousands of professionals, court reporters, CART providers, captioners, students, and instructors. She has also helped create new court reporting training programs, worked with federal grants, and assisted instructors in developing curriculum for both in-class and at-home students.

Her one-on-one tutoring, private coaching, has greatly assisted thousands of students, novice and experienced professionals to privately reach the next level.

Monette’s Musings is a blog containing information for busy professionals, students, and individuals who are fearless and seek to create their success each day.

27 Sep 2013

The Final Frontier: Nolo Contendere, Guilty, Part II of III

The Final Frontier: Nolo Contendere, Guilty, Part II of III
By Monette Benoit, All Rights Reserved.
September 16, 2013

Part I began: Court reporters are a disciplined breed. This is reinforced as I move through my professional and personal world.

“The final frontier” is a metaphor. I was encouraged to write this as I trolled this topic past professionals, court reporters, broadcast captioners, CART providers, instructors, and students that I am tutoring and coaching. Guilty.

Court reporters listen with laser focus. I have listened to individuals, doctors, speak – a lot.

When specialists have finished long sentences, often I am asked “Have any questions?”

Often, I shake my head.

When I am asked why I don’t have any questions I have replied, “The good news is that the patient does not have the diagnosis that you thought was causing the problem. The bad news is that you don’t know what’s causing the problem.”

Not often, the specialist asks, “How’d you do that?”

Rarely, will I share, “Degree in listening.”

Often, I reply, “I listened.”

Part II of II:

… When the ambulance arrived, Mom, on oxygen and hooked up to multiple machines, was crying. I needed to sign documents, “Hurry,” they said. Head down, I read the first paragraph. The first reaction I hear over and over and over? Deep sighs. Then I heard, “Just sign it. It’s important.”

I read until I saw “Patient Arrested.” I pointed to the line. Ambulance EMTs who were gowned for isolation with gloves and masks, and nurses in the room, abruptly inhaled.

Me: “Arrested? Define, please.” An EMT: “We’re in a hurry.”

Me: “No can do. Court reporter. Only time I see word ‘arrested,’ is with work. ‘Patient arrested’ … Not signing until defined.”

EMT: “Your mother arrested on the table. You’re not supposed to know. We’re not allowed to tell you. You need to sign. We must transport now; she needs isolation.” (Code for: “Hospital discharge policy was at 5:00 today, and it’s past 5:00 now.)

My court reporter discipline, in my opinion, appeared again. Guilty.

I will not be hurried when asked to sign documents. I quietly insist on reading every line. Though I wanted to toss their clipboard against the wall, I sat tall, silently, slowly, counting Mississippi-s until everyone was uncomfortable in the room.

Then I said, “Patient arrested? Yet I am not to be told, correct?”

“Yes. We have standby personnel due to her arrest, yet we could get sued for telling you.”

I did sign – after I read every line. No, they would not give me copies.

The final frontier involves deciding when to let others do their job and to stay on the sidelines, when to step forward.

I now listen to doctors discuss an eval; then I write three words.

Many ask, “Why only that?” looking to my notes.

I softly say, “Data driven.”

Thus far, that stumps everyone working to blow out of the room onto their next patient. Guilty.

Data driven. I listen to “we need to up meds” or “we need to wing-down.”

Watching professionals take Mom’s blood pressure the past few weeks I have again viewed the final frontier.

During symptom spikes, doctors do not return calls and nurses are in “report.” Serious side effects mean “it’s being monitored, and we’ll tell the next shift.”

Like many freelance and judicial court reporters, I have marked a lot of exhibits.

Details are important, yes? I have found multiple incorrect confidential documents for other patients, outdated and incorrect lab reports. I am not stunned anymore. I simply hold up the document(s) – which I was encouraged not to take the time to read. Guilty.

Due to multiple problems, recently I phoned a cardiologist for an outside visit after I watched professionals take Mom’s blood pressure. During the incident that created my call to the cardiologist, Mom’s BP reached 186/90, and a white-coat wearing specialist giggled, “Oh, she’s just upset.” In realtime, my focus shifted with my mother’s diagnosed afib and current diagnoses.

Reactions were swift once I phoned the cardiologist. Mountains were moved well under 24 hours. People were not happy. Oh well. Guilty.

Perhaps the D.O.N., Director of Nursing, phoned, “Perhaps you’re not satisfied with our care here.”

Perhaps I only listened. (Often I choose when to “word” engage. I chose not here. That call told me more about them than me.)

The final frontier. Nurses and staff now tell me, “You really do want to help your mother.” I avoid replying “gah” and am convinced it is our discipline. Guilty.

Court reporters are disciplined from school, each job, each event, and with each application with our skills.

Yet ask a medical person who is working with other medical people for a straight answer – and I am astonished to hear, “Just trust me – you need to sign this.” No.

The final frontier. Multiple individuals whisper, “You’re a textbook problem.”
Me, “How so?”

Patients with family who ask questions and want answers are called problems. “And you do want your questions answered. You listen and listen and listen while they talk themselves blue.” Guilty.

I remain stunned that medical professionals have said, “You help me to do a better job. Most people are too busy to ask questions. And it takes time to answer you. Yet your mother is alive because a family member picked up symptoms, behavior, and patterns quicker than staff.” Guilty.

The final frontier involves so many court reporters, CART providers, captioners, and students who share that they will not sign anything without reading every line, too. They insist on a copy of everything they sign, too. When they read documents to sign, everyone in the room sighs – while they calmly read, too. Discipline, yes. Guilty.

A high-profile official court reporter. “I took three hours to read mortgage papers. I took five hours signing a 15-year mortgage. When I bought a car on 24 installments, the dealer closed at 8 p.m. I left at 9:30 p.m. It drives my family crazy.” Nolo contendere.

We are not rattled when we are asking for information at work or at home, regarding a family member and advancing our skills. We listen.

We have no shortcuts to listening.

Part I of III is posted September 5, 2013, www.monettebenoit.com and www.CRRbooks.com
Part II of III is posted September 16, 2013, www.monettebenoit.com and www.CRRbooks.com
Part III of III is posted September 27, 2013, www.monettebenoit.com and www.CRRbooks.com

Monette, the Court Reporting Whisperer, may be reached: Monette@ARTCS.com and Monette@CRRbooks.com

Monette Benoit, B. B.A., CCR, CRI, CPE, Paralegal

Tutor, Motivational Management & Empowerment Coach,
Multiple Title Author of Books & Test Prep for the Court Reporting, CART, & Captioning Industry
Realtime Court Reporter, Instructor, Consultant, Columnist

All American RealTime/Captioning Services, Inc.: www.ARTCS.com

Court Reporter Reference Books & CDs: www.CRRbooks.com

Blog: Monette’s Musings, www.monettebenoit.com

* Educational/Career Advancement; Private Tutoring/Customized Coaching

Have you failed NCRA’s RPR, RMR, RDR, or a state court reporting exam?
Monette will help you to pass your test and to exceed schooling and career goals. http://crrbooks.com/index.php?cPath=61

Did You Know: www.CRRbooks.com has material to help you advance skills for NCRA exams and state certifications?

Did You Know: You can accelerate your career with private tutoring and empowerment coaching?
Court reporting veteran Monette Benoit can help you achieve your goals.

Empowerment coaching and tutoring topics include:

• Motivational skills to keep you moving forward,
• Time-management skills,
• Process learning for more effective retention,
• Development of skills to author your book, your blog, and how to publish,
• Communication skills, daily interaction improvement skills, and much more.

Who comes to Monette for tutoring and empowerment coaching?

• Professionals who want to achieve their goals, to create new possibilities, to advance their career, to author their book, and to develop the dream within,
• Veteran and novice court reporters, CART providers, and broadcast captioners brushing up on their skills for test-taking requirements,
• In-class students who feel they’re “stuck” and falling behind, or aren’t ready for the required tests,
• Students and veterans who struggle with focus, goal-setting, time-management or other life skills that might be interfering in their upward success,
• At-home students who want to ensure they’re on track for their exam and career goals,
• Veteran court reporters, CART providers, and broadcast captioners expanding their career options in related fields,
• Students and veterans alike who find they’re struggling with key areas of daily practice,
• Students or veterans who have begun to question their career or whether they’re on the “right track” …

Check out: Reach Your Goals with Tutoring and Empowerment Coaching
http://crrbooks.com/index.php?cPath=29

Monette Benoit, the Court Reporting Whisperer, can help you achieve at much high levels.

Where do you want to go? What have you really wanted to do with your career, and ultimately, your life?

Specific custom-designed guidance efficiently assists you!

About Monette Benoit:
As a 25+ year court reporter, CART provider, author of NCRA test prep material, and an instructor, public speaker, Monette Benoit has taught multiple theories, academics, all speed classes, and the 225 homeroom within NCRA-approved schools and a community college. She understands the challenges many adults now face in our industry and schooling.

Monette Benoit has worked with thousands of professionals, court reporters, CART providers, captioners, students, and instructors. She has also helped create new court reporting training programs, worked with federal grants, and assisted instructors in developing curriculum for both in-class and at-home students.

Her one-on-one tutoring, private coaching, has greatly assisted thousands of students, novice and experienced professionals to privately reach the next level.

Monette’s Musings is a blog containing information for busy professionals, students, and individuals who are fearless and seek to create their success each day.

16 Sep 2013

The Final Frontier: Nolo Contendere, Guilty, Part I of III

The Final Frontier: Nolo Contendere, Guilty, Part I
By Monette Benoit, All Rights Reserved.
September 5, 2013

Part I of III
Court reporters are a disciplined breed. This is reinforced as I move through my professional and personal world.

“The final frontier” is a metaphor. I was encouraged to write this as I trolled this topic past professionals, court reporters, broadcast captioners, CART providers, instructors, and students that I am tutoring and coaching. Guilty.

Court reporters listen with laser focus. I have listened to individuals, doctors, speak – a lot.

When specialists have finished long sentences, often I am asked “Have any questions?”

Often, I shake my head.

When I am asked why I don’t have any questions I have replied, “The good news is that the patient does not have the diagnosis that you thought was causing the problem. The bad news is that you don’t know what’s causing the problem.”

Not often, the specialist asks, “How’d you do that?”

Rarely, will I share, “Degree in listening.”

Often, I reply, “I listened.”

“The final frontier” I am referencing here is the late chapter in my mother’s life. Professionals repeatedly prep me for “the inevitable” as Mom has repeatedly gone to death’s door.

Recently, white coats, “She’ll die if she doesn’t have surgery; she may die from surgery.”

Mom, in her Texas southern drawl, “I know I’m going to die; I’m not ready yet. God is my roommate. He’s here all the time. My husband is with Him.”

I work to keep my court reporter posture as individuals gasp. (I gasp later in my car, sans witnesses.)

The final frontier … Dad’s health failed while he was taking care of Mom. Dad died while Mom was ill. I stepped forward and listened (on Dad’s path) as Dad worked to live. A brother now has dire health issues.

As Mom’s guardian and following her path, I am continually asked to sign documents that require a witness. Yet 99.9 percent of the time, when I am asked to sign, and when I ask for a copy, I hear, “It’s for our file.”

I do not sigh; I do not bang my head on their counter.

Slowly, silently, I count two Mississippi-s.

Softly I say, “Attorneys prepped this. You require a signature and a witness. I request a copy.”

Then I wait while a committee is formed to decide if I should get a copy. Guilty.

The final frontier consists of “avoiding stepping on toes.” (A common phrase.) I teased Dad (a man who had major medical background) while he was in hospitals, “Let’s do it; let’s get us real answers.”

Dad would tilt his head, smile, “No, my M.O. is to avoid stepping on their toes.”

I watched seven physicians round – many who did not read his chart prior to entering the room – and far too many times, his physicians were not consulting each other unless they happened to see each other in Dad’s hospital room at the foot of his bed.

The words “Guilty, not guilty, nolo contendere? Just answer the question,” have imprinted my thinking.

The day my mother had her latest major surgery, I witnessed quickened pace of the O.R., then frantic staff in ICU, intensive care. I was told, “It would be best if you come tomorrow …”

Since I had selected the surgical team I had to trust them do their job. Yet I knew we were in serious waters.

After my mother’s complete deterioration from ICU hospital acquired MRSA and pseudomas lung bacteria, surgery was the least of our worries. Mom was abruptly discharged. (That was code for: “Medicare won’t pay.”) No facility wanted Mom’s required isolation.

Repeatedly, I was told, “We’d need to pull a Medicare bed. That reduces our income.” I replied, “You’re kidding me, right?” Nope.

Later, the lead surgeon opened a room. Hospital social workers spoke off the record. “You need to contact the county ombudsman. It’s against the law to tell you …” I listened and focused on another gurney entering Mom’s room for transport.

Hindsight is a wonderful gift. Realtime is a shock, day after day.

When the ambulance arrived, Mom, on oxygen and hooked up to multiple machines, was crying. I needed to sign documents, “Hurry,” they said.

Head down, I read the first paragraph. The first reaction I hear over and over and over? Deep sighs. Then I heard, “Just sign it. It’s important.”

I read until I saw “Patient Arrested.” I pointed to the line. Ambulance EMTs who were gowned for isolation with gloves and masks, and nurses in the room, abruptly inhaled.

Me: “Arrested? Define, please.” An EMT: “We’re in a hurry.”

Part I of III is posted September 5, 2013, www.monettebenoit.com and www.CRRbooks.com

Part II of III is posted September 16, 2013, www.monettebenoit.com and www.CRRbooks.com

Part III of III is posted September 27, 2013, www.monettebenoit.com and www.CRRbooks.com

Monette, the Court Reporting Whisperer, may be reached: Monette@ARTCS.com and Monette@CRRbooks.com

Monette Benoit, B. B.A., CCR, CRI, CPE, Paralegal

Tutor, Motivational Management & Empowerment Coach,
Multiple Title Author of Books & Test Prep for the Court Reporting, CART, & Captioning Industry
Realtime Court Reporter, Instructor, Consultant, Columnist

All American RealTime/Captioning Services, Inc.: www.ARTCS.com

Court Reporter Reference Books & CDs: www.CRRbooks.com

Blog: Monette’s Musings, www.monettebenoit.com

* Educational/Career Advancement; Private Tutoring/Customized Coaching

Have you failed NCRA’s RPR, RMR, RDR, or a state court reporting exam?
Monette will help you to pass your test and to exceed schooling and career goals. http://crrbooks.com/index.php?cPath=61

Did You Know: www.CRRbooks.com has material to help you advance skills for NCRA exams and state certifications?

Did You Know: You can accelerate your career with private tutoring and empowerment coaching?
Court reporting veteran Monette Benoit can help you achieve your goals.

Empowerment coaching and tutoring topics include:

• Motivational skills to keep you moving forward,
• Time-management skills,
• Process learning for more effective retention,
• Development of skills to author your book, your blog, and how to publish,
• Communication skills, daily interaction improvement skills, and much more.

Who comes to Monette for tutoring and empowerment coaching?

• Professionals who want to achieve their goals, to create new possibilities, to advance their career, to author their book, and to develop the dream within,
• Veteran and novice court reporters, CART providers, and broadcast captioners brushing up on their skills for test-taking requirements,
• In-class students who feel they’re “stuck” and falling behind, or aren’t ready for the required tests,
• Students and veterans who struggle with focus, goal-setting, time-management or other life skills that might be interfering in their upward success,
• At-home students who want to ensure they’re on track for their exam and career goals,
• Veteran court reporters, CART providers, and broadcast captioners expanding their career options in related fields,
• Students and veterans alike who find they’re struggling with key areas of daily practice,
• Students or veterans who have begun to question their career or whether they’re on the “right track” …

Check out: Reach Your Goals with Tutoring and Empowerment Coaching
http://crrbooks.com/index.php?cPath=29

Monette Benoit, the Court Reporting Whisperer, can help you achieve at much high levels.

Where do you want to go? What have you really wanted to do with your career, and ultimately, your life?

Specific custom-designed guidance efficiently assists you!

About Monette Benoit:
As a 25+ year court reporter, CART provider, author of NCRA test prep material, and an instructor, public speaker, Monette Benoit has taught multiple theories, academics, all speed classes, and the 225 homeroom within NCRA-approved schools and a community college. She understands the challenges many adults now face in our industry and schooling.

Monette Benoit has worked with thousands of professionals, court reporters, CART providers, captioners, students, and instructors. She has also helped create new court reporting training programs, worked with federal grants, and assisted instructors in developing curriculum for both in-class and at-home students.

Her one-on-one tutoring, private coaching, has greatly assisted thousands of students, novice and experienced professionals to privately reach the next level.

Monette’s Musings is a blog containing information for busy professionals, students, and individuals who are fearless and seek to create their success each day.

05 Sep 2013