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Plain and simple, you have to be able to handle the difficult dictators in this profession if..

Posted By: mj on 2007-01-26
In Reply to: bringing MTSO question below - Hhilda

you want steady, appreciated work by a national company. There are so many hoppers out there who bounce from company to company, and then come here to complain about it. Trust me, we have all had our share of tough dictation over the years. When I started MT over 20 years ago, I cried daily trying to get through those many mumblers, ESLs, etc. to make mere pennies an hour. The experience and skills that I gained by hanging in there made me a successful Transcriptionist over the years. I started out in-house, and then obtained a few local accounts, and built from there. I ran a small MT service with several subcontractors helping me. I am now with a small national, the name of which I don't want to mention. I make a good line count of .11/65 characters with spaces and have absolutley no overhead. If you are an experienced and skilled transcriptionist, there are companies out there who will pay you what you are worth. Don't settle for less. However, if you are new and inexperienced in this profession, do not expect to make a good living until you have built the skills necessary to succeed. If all that was involved in MT was getting the easy dictators or accounts, it would not take much to be good in this profession. A company needs to see that you can tackle whatever comes your way. No one ever said it was going to be easy!


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OSI plain and simple
Speech recognition, outsourcing, massive turnover, only the beginning. The only way to offset this was to offer more benefits but they also upped requirements to receive them. You can't make more lines if more and more companies are outsourced, and two new ones have been added to that, Mayo and Sarasota--Ochsner already was. They aren't being that generous with benefits in the long haul and as someone said the other day nobody will stick around long enough to actually receive the benefits.
Well, plain and simple - they just don't care about the MT -

they want to make $$ - meet their turnaround times (for which they get paid more), take on clients, hire more MTs, perhaps lose clients, leave us all hanging with no work and as long as they can make a profit off of us, they could give a darn about all us lowly MTs.  Run out of work, too bad, and they don't need to give an explanation or they can just say they have new accounts coming and please be patient  and string us all along.  Plain and simple, they are in it for more profit, don't care about the MTs, kinda know we are all at their mercy cuz we have to have a job, but plain and simple just giving us all the runaround. 


Somebody prove me wrong - please. But unless you work for a company, can honestly say you never run out of work and never get bounced around on different accounts - spending YOUR  time logging in and out to scramble for work, please don't respond with how good your company is to you.  Yup, you guessed it, I am having a bad day, bad week, and bad past months working for MTSOs.  Unless you are making a decent wage, every hour of every shift - as management and owners are - you are being used and abused.  Feel more like I am on-call lately than an FT employee. 


this is a flame plain and simple. NM
NM
No pay. No work. Plain and simple. I have never heard of not paying before during training. You can
bet they are getting paid by their client on the job that YOU did. How cheap can you get. RED FLAG..RED FLAG.. run.. run fast.
Difficult dictators?
So MDI-FL and WebMedx both have decent health insurance for a decent price? And what do we have to do to get that? Are they all ESL? Or do they truly have decent dictators where you can make some money.  I have done very few ESL. What typing speed are they looking for?
Was the test really difficult? How bad are their ESL dictators?
x
FutureNet ... Very very difficult dictators

The people at FutureNet are nice and for the most part easy to work with.  Their platform is easy to use.  The accounts are the bottom of the barrel as far as dictators with thick accents, fast talkers, slurred speech.  QA is nice but can't help you get used to these awful dictators.  The quality of dictation just stopped me in my tracks, it was so terrible.  Again, the staff are pleasant, but they aren't the ones who have to try to decipher the dictation to make a decent line count. 


If you have the experience, the pay is higher than most nationals, and if you have an extremely good ear for accents, you can do very well.  The dictation is internet based so you don't have to scratch around for your own unlimited long distance.  The pay comes on time in my experience, but there's no Direct Deposit.  The line counter is always accurate, I have checked against my own, and never any discrepancies. 


The editors always seem able to fill in the blanks, so it is proof that some people can understand these dictators, but even though the folks at FutureNet were some of the nicest I have worked with, I could never get a handle on the accents, so regretfully I had to move on.  Don't be fooled by the test reports, the actual dictation is much worse. 


Post from 2 yrs ago said very bad sound quality, low pay, & very difficult dictators. nm
s
I cut my teeth on difficult dictators and acute care. I think that is why I am an excellent MT. If
easy report types, easy docs, who would the other work go to? If I whined about a doctor, my boss gave me that doctor exclusively until I got him/her down. Maybe we should stop treating newbies with kid gloves and expect more.
That is just plain sad
nm
A lot of them just plain don't know!
.
Here's how I handle it....sm

1.  First off, if you don't stand up for yourself, others will continue to rely on you.


2.  When someone knocks on the door to visit you have to tell them that it's your work time and they need to come after ___ o'clock.  Some people think that if you work at home you have lots of flexible hours and if you don't set the rules then they don't know.  You may also want to consider posting a note by your front door that says my work hours are 9a-5p - please do not interrupt during this time or something like that. 


3.  When people call wanting you to take someone to the doctor, get horses rounded up, etc. remind them that you have a job to do and that they need to take care of their own problems.  If you were driving into a hospital or doctors office to work they wouldn't pull this stuff on you so why take it now? 


4.  Use caller ID and if you end up answering the phone politely tell the other person that you're working and they need to call back after such and such a time.  


5.  If you will stand up for yourself and do the above things you'll find yourself not being as stressed out and having actual free time again.  You will also gain respect from family/friends that currently call on you once they realize that you're serious about not being the bail out person anymore. 


Good luck!


How would you handle this?
As I said, I do like the company, like the work, and have been with them now for 6 years (do I look dumb yet). I don't like being taken advantage of, but am not sure how to approach it. The software we have to rent is their work platform, just like all companies have. I don't want to make anyone angry, but also don't know what to say. All the MTs have to do this at the company, not just me. How would you approach this? Any suggestions?
omg..that is just too much for me to handle...
thanks much for that info!
It's the same old act, different handle
I think I can remember three different incarnations of this person...I think in one of them she claimed to be Eastern European royalty or something. She sticks a finger into the wind to determine which way the wind is blowing and then intentionally goes against it or whichever will put her in what she perceives is the best light. Then, of course, in the postings where opinion is split roughly down the middle, she's flipping faster than the grill boy at McDonald's at lunch hour.

Sadly, if she pops up and agrees with anything I wrote, I feel chastised and develop the sudden urge to go back and disavow whatever it was I had written.
If you can't handle it, don't apply for it.

If you can't handle the daily volume of work then don't apply for the job.  You risk getting the job, having more than you can handle and doing either a poor job just to get it all done or not meeting your deadline.  In either case, you risk damage to your reputation when the doctor is unimpressed with your work. 


Is there another Transcriptionist you can share the workload with? 


If the problem is more a lack of experience with transcription as opposed to too high a volume of work then my suggestion is to try to get transcription experience before venturing out on your own.


Of course you can't. You Can't Handle the Truth!
zx
How about you just don't handle it and ignore it.
sometimes, less is best!

It is just plain courtesy...
I'm well aware (as I'm sure most ICs are) that you don't need permission to take a few hours off or a day off but it is just common courtesy to request it off. I requested this Sunday off because I will be out of town for the day, I know my company cannot say no but I did commit to working Sun-Thurs and I can't change my Sunday plans so I have agreed to work extra this week and a few hours tomorrow morning. Again it is just common courtesy to pull your share and to try to be accomodating should you need time off.
How to handle nonpayers
Contact the attorney general of your state and the attorney general of the state where the company is located. If there is a department of business regulation in either state, copy them as well. Then inform the nonpayers that you will proceed on to small claims court. Then do it.
Well that's just plain dishonest then.
I wonder if the MTstars quote was actually written by the the recruiter him/herself then.  I think I'll pass on this company then.
just plain dumb!
I have a couple of docs on my primary acct. who start every report with the patient's name and SS#. I can't believe an MD would be that clueless! There definitely should be some laws about those things!
How do most companies handle this?
I recently started with a new company, so all of my work is going through QA right now.  So, last night I typed a note for a doctor that was 250 lines and at the VERY end, he said I'm sorry, just delete this dictation, I have changed my mind.  Well, I didn't delete it, I had been typing a while with all of those lines. QA picked it up and she deleted it and sent me a note telling me that the dictator requested it to be deleted and please make sure I pay attention to that next time and I no longer have those 250 lines!!!  So, is this how all companies work, because I am not sure I remember having that situation before, but it seems quite unfair that I would type that many lines and then be told nevermind ???
How do most companies handle this?
I recently started with a new company, so all of my work is going through QA right now.  So, last night I typed a note for a doctor that was 250 lines and at the VERY end, he said I'm sorry, just delete this dictation, I have changed my mind.  Well, I didn't delete it, I had been typing a while with all of those lines. QA picked it up and she deleted it and sent me a note telling me that the dictator requested it to be deleted and please make sure I pay attention to that next time and I no longer have those 250 lines!!!  So, is this how all companies work, because I am not sure I remember having that situation before, but it seems quite unfair that I would type that many lines and then be told nevermind ???
can you handle a 12-hour window?
Our company is offering a bonus right now, as they are taking on a couple of new accounts.  It depends on so much, because where I find them great to work for, others have not. 

I have been here about six months, and have never had one issue about scheduling; however, I do work the days I have committed to, just that they have a 12-hour window in which to do it.  My supervisor has also never bothered me for the occasional flexibility, and one of the administrators even told me to go ahead and work however I want on the weekend, whether it is Saturday or Sunday. 

You do punch a timeclock, but after I got used to it, it only has helped me as you actually make a bonus for lines/hour, which if you clock in an out say an hour at a time, you get can that pretty high. 

There is a lot of ESL, but plenty of help and information to help you...

Please feel free to E if you need to...
Thanks.
I had been posting as anon. This is my new handle.
nm
And they do just plain nice things (sm)
like send restaurant gift cards when you've worked hard.  Nice to be given information, too.  The platform could be better, but the lines are really excellent.
If it's mainly plain films, go by page.
If the reports run the gamut of radiology, go by line. You could really jammed up doing long rad reports for a buck and change, especially with a lot of MRIs, CTs, PETs, nuke med, interventional rad, etc.

Good luck!
You're just plain nuts. nm
xx
Company found way to handle TAT. SM

After 5 pm, they are dumping out whatever reports are in editors ques and sending them out to MTs, but just certain MTs who have high ratings and are not allowed to leave any blanks.  Sounds like a great idea, except if one is the MT who gets stuck with all the junk, one right after the other.


This isn't VR either.


MTSO or just plain stupid

The IRS has EVERYTHING to do with this.  IRS defines criteria for employee vs IC status, MTSOs laugh all the way to the bank at IRS and MT ICs because MTSOs have been on the non-legal side, pushing the limits, with little to no work force resistance.  Factor in the lack of employee benefits and although ICs may work as hard and put in as much hours as employees, ICs  make significantly less per unit than MT employeese.  Company owners have taken the risk that we are all just so grateful to have any income, that we won't fight IC vs employee status.  In fact, these company owners make millions of dollars annually filling employee jobs with IC employees without benefits, confident that no one will blow the whistle.


IRS laws clearly distinguish between independent contractor and employee status:
 
ICs:  Enter into a signed contractual agreement with Contracting Party, providing service of completing projects (work). 


-  Contracting Party CAN define begin/end deadlines, length of time IC service is required, basic guidelines, definitions of project and expected outcome.
-  If Contracting Party demands IC adhere to step-by-step instructions, supplies training, or insists IC work during specific hours of the day, specific days of the week, 30 or more hours per week, IC is an EMPLOYEE, entitled to all benefits afforded by definition, INCLUDING UNEMPLOYMENT COMPENSATION.


ICs: ICs purchase, procure and use their own tools, equipment, software, lbooks and other learning materials and training programs to carry out contracted project. 


- If Contracting Party loans, sells, leases, provides or pays for arrangements for loan, sale, or lease of tools, equipment, software, reference materials or books necessary to the project IC is an EMPLOYEE entitled to all benefits afforded by definition, INCLUDING UNEMPLOYMENT COMPENSATION.


ICs invoices Contracting Party for payment of services, arranging for CP financing, up front partial payment with final payment at completion of project, or payment submitted @10, @30, @60, day terms. 


- If a Contracting Party pays ICs on a regular biweekly or bimonthly  basis, through scheduled direct deposits, ICs most probably are employees robbed of the benefit of matching employer funds contributed their Social Security funds, as the law provides for Employees.  ICs (business owners and other self-employed) are solely responsible for payment of their individual quarterly state and fed tax installments, their own Social Security with no SS contribution by employer.


The IRS has EVERYTHING to do with this and by collective silence, MTs continue to allow MTSO's continue rob them.  After the lack of appreciation MTs have suffered, loss of jobs to VR, overseas, I think it's time to stand up and demand what is rightfully ours. As they've already dropped our wages to 0.06 - 0.08 cpl, and turned us against each other as we have to fight for our share of the work, we can only benefit from saying, Enough is enough.


(To poster:  You've been ill-advised.)


And being rude is just plain rudenss. No need
for it, either. 
I don't know if this can be asked or not, but how does Keystrokes handle templates? (sm)

Are they prefilled by the platform and if so are they paid to the MT as having been typed by the MT or does the system subtract for the template? 


I have no problem not being paid for template characters; however, I have found (with a couple of services that I have worked for) that the platform (or client or maybe even the service) will fill in absolutely every heading that MIGHT possibly be dictated by the doctor.  We, as the MT, have then had to bounce up and down the template looking for the heading that is being dictated and in some cases, having to modify the template by extracting words to fit how the doctor is dictating that heading.  In both cases, the line counter was set up to deduct the characters from the ORIGINAL template (which we were not paid for).  If the doctor dictates a shorter heading than was prefilled by the system, we are essentially losing lines.  (I hope that wasn't too confusing.) 


It's just so much easier to type as the doctor is dictating and use my expansion program rather than jumping up and down a template.   I'm wondering how Keystrokes handles their templates.  TIA


But the newbies can handle being team leads?
Give me a &%$) break!!!
Wow, either your comment put her on a pedestal or you're just plain mean
I'm guessing that you're mean or bitter. I read her ad, and it makes sense. MTSOs don't have firm accounts, or maybe very few of them do, but they lose accounts all the time and get new ones all the time. Nothing is stable baby!
Good question! How to handle the stress.
Would be a good thing, but what does a person do?
Does anyone what national company has been hired to handle...

ProHealth Care of Wisconsin hospitals. I heard that they have now changed to a national company to do all of their work for all their facilities.


***


Please do not discuss clients or accounts here.  This thread is locked; please take this conversation to email using the Reply by Email option below. 


Moderator


IN PLAIN LANGUAGE, IT'S KNOWN AS "LOSING FACE" fm
Don't see how an MTSO can inspire faith and loyalty in his/her employees by blowing sugar up their collective behinds 1 day & all the while sticking it to them.  Call me sweetie pie, sugar cakes all you want, but don't do it in the same breath as telling us we'd all have to joint a 50% salary cut club, telling us that the low work for MTs is because of the Huge responses we got for our VR takeover and that because these brand-new VR'rs are so very productive all of a sudden -- (Why not chuck the euphimisms and say straight out, There's no work because it's gone to VR - in addition, we had to overhire a bunch of newbies as prophylaxis to a lot of expected resignations - added benefit, we don't have to pay any more bonuses to keep work in TAT - but you guys (you really do rock!) did pester us about low/no work, but will just have to FLEX until November when the new accounts (Ugggh) show up...hope your landlord, grocer, hungry kids are as understanding as you are, sweetie, sugarplumb - You're all the best! 
You can have 2 sets of headings in ShortHand, ones that are bolded and others that are plain. I had
accounts like that also, one using bold headings and the other not. For the bold headings, I would put maybe an x or a number behind the shortcut, such as HPIx for bold and HPIxx for without bold, whatever suits your fancy.
And this is why every company overhires - MTs don't stick it out - the plain truth
nm
Ok. I could handle once as a mistake if explained promptly and fixed. Twice? I would run sm
as fast as I could. Twice in two months? What if you never get paid at all? You would be better going with a national while getting your own so that you have benefits and a steady paycheck. Start your own accounts slowly so that you start right.
AMEN! All this stuff about being nice is just plain silly.
nm
Why personally attack this poster? That is just plain wrong.
Every post I read by her is good-natured. The only people taking things wrong are the ones listening to the green-eyed monster. IMHO.
Any companies offering just plain Word and upload to FTP?
nm
That is terrible. You know, those women have no idea how to handle all these big university accounts
that are moving up there. They are very very wrong about some of the things they do and it seems like they really dont know as much as they would like you to think they do. That is absolutely disgusting that they did that. I hope that MT reported them to anyone in New Jersey they could find. I would have taken that as far as I could have if I would have been her to the CEO. That is just horrendous. My goodness, why does MQ continue with them. I believe firmly if you make enough calls you will find someone that is willing to listen and take the info where it needs to go I believe that.
The key is working multiple accounts. Three months is hardly long enough to get a handle sm
on the job.  Maybe better to keep a parttime job until you are up to speed on the new job.  I haven't run out of work in almost a year (and that was only for a few minutes), but I do multiple accounts.  Great company, great people.  Nice bennies.
People do make mistakes sometimes. Maybe it was an oversight or plain ole mistake
on someone's part, an unintentional mistake. It is possible.
I can handle micromanage and cherries, but its the bill collectors I want to stay away
You see, to me it is more than worrying about micromanaging and cherry picking. I have been in the biz long enough to develop a rough skin. It is when I do not have enough money to pay the rent or car which bothers me. So, I take the shift least wanted b/c there will be work there, I allow micromanaging and say I will do better next time, and I learn all the toughest ESLs without complaint. You see, no one can control another person, and one should know no job is perfect out there. The only thing a person can and should do is mature-up, quit whining, and get to work so the roof stays overhead, the pantry has milk and bread and the car is still outside. Of course, that is my 2.5 cents.
Youch, MQers, how do you handle DQS timesheets if you're a regular employee with no set schedule?
nm
You are in a profession
of people who really are scrambling for work. It's not like you are a doctor or lawyer. You are a typist and so stop being so uppity about it. your profession. I thought you had friends and that you are a mother, sister, niece.... get lost
Thanks everyone! Due to this profession and
all the garbage that goes along with it, I have accepted a position outside of transcription.  Pay is better and bennies to boot!  It's sad to see what this profession has lead to .  The ungratefulness from MTSOs is growing by leaps and bounds.  Please no replies that.... the grass is not always greener, etc.  Been there, done that.... I'm very comfy with my decision.  I can always fall back on transcription -we are a dime a dozen whether we are seasoned or newbie (unfortuantely)!