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Again, here, I've been fortunate...

Posted By: andromeda on 2005-07-15
In Reply to: She's actually taking meds around the clock for it - a vicious cycle sm

5' 5" and weight fluctuates between 105 and 115 pounds....so I don't have a problem with weight.  Why in the world doesn't she try a different rheumatologist?  Are you all in a small town?  Believe me, it would be worth the drive to go 2 to 4 hours to see someone who can help her.  The pain is no fun at all; it is deep within the bones; you can't touch it to make it better; all you can do is wait and know that eventually it will improve.  It sounds like she has a really advanced case.  Maybe you can help her find another rheumatologist, no matter how far away; I have seen many patients improve to the point where they CAN enjoy life again....she just needs a good doc!!!  I'll be thinking about her.  Tell her she will not get better until she does something to improve the situation and the first step is finding a good rheumatologist.  She probably needs some help here as right now she probably doesn't care too much anymore, especially if she is drinking too much....I know just went through this with a neighbor.  She was in the deepest, darkest pit of depression, didn't want to live, drank constantly, lost down to 60 pounds and was totally jaundiced.  I called EMS and put her in the hospital for a month.  She was angry but only for about two days.  Now she is a very happy person and looking forward to life, although with some liver damage.  Guess sometimes we just have to take them by the hand and lead them to where they need to go.


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    I have been very, very fortunate....

    as mine only flares up a couple of times a year, so far, but you change see the changes in my fingers, etc.  I'm very stubborn about everything in my life, like Frank Sinatra.....I did it my way.....don't take meds, don't follow any particular diet, etc.  I do live in Florida which of course helps with the Raynaud's which was a problem when I was in Virginia a few years ago.  Medications do not like me at all, they always cause some kind of problem, so when the pain is really bad I'll just take good ole Bayer aspirin that seems to help a lot.  I'm about 60 years old now and one day will  probably have to do more but for now, just aspirin and ignore it.  Stupid maybe?  Who knows.  Look at all the bad things they are finding out about certain meds now.  I'd rather just trust in the Lord for now; will do meds when absolutely necessary.  As for typing, it takes an hour or two before my fingers really fly anymore but they do still have wings!!! 


    Do as I say and not as I do....make sure your friend has a GOOD rheumatologist...they can do wonders for those who find themselves really incapacitated!!!!  If you are in Florida, go to Dr. Norman B. Gaylis in Aventura, Florida.  He really helped me with my first flareup before I moved!! 


    consider yourself fortunate
    /
    I am very fortunate!
    All my docs thank me at the end and sometimes will even after a particularly long report will say "Say, I am ready for a cool one--how about it?" After reading all these comments on board, I feel very lucky.
    Fortunate IC.

    I know very well the difficulty of taking vacation and while I do not take a vacation every year, I have taken time off for a cruise for my 20th anniversary and for three major surgeries.


    I have taken my laptop with me on trips and done what I can while away but it's not the same quantity as when I'm home. I tell all my offices several weeks in advance the dates that I will be gone and that I will do what I can while I'm out but they will have to wait until I return for my undivided attention. I have not had any problems with this arrangement. I did not take the lapto on the cruise and everything was waiting when I returned. Yeah, it's kinda of tough getting caught up but I consider it even tougher not getting away at all.


    When I had the surgeries, I made arrangements to have other friends take some of my work while I was recuperating; all of the offices have been very compassionate and understanding so I've been very fortunate in this regard.


    It's not easy to take a vacation but I have found that if I explain what is going on and give them plenty of notice, they are very understanding. Everyone in the office gets a vacation, including the docs, so they understand when I'm due for the same.


    Sorry, that should have been "I am fortunate to have"

    Some of us were fortunate

    to get started in this field when it was possible to be hired and trained on the job.  Some of us started right out of high school in the transcription department of a hospital where OJT was offered.


    After retiring from another career, I took an aptitude test given by MRC, and did well enough that they basically let me train myself in medical transcription.  I spent the next several years with my nose in books, looking up every other word and for the first year listened to every report twice just to make sure my work was okay.  It took a long time to train my ear for ESL dictators.  It was slow going and not very profitable at first, but eventually I began to make fairly good money at it.  I've worked for MTSOs ever since, and currently make $20-$25 an hour - depending.  But now these companies are really putting the screws to us.


    Many employers now demand a ''certificate'' from a ''school'' for serious consideration.  Some years ago, with over 10 years of experience with MTSOs, I interviewed with a local medical practice (the type with a staff of physicians and a stuffy professional practice manager).  He did not really understand how I could be doing this without any ''formal training.''  I offered to demonstrate my ability, but once he realized I had no ''degree'' I was not allowed to test for a position.  I have sent my resume to other local practices over the years, but never got an interview. So it was much easier to keep working for MTSOs, who at least would hire me based on experience and testing.


    Anyone who has been in this profession very long realizes that it takes years of experience to become any good at it.  However, I don't think a newbie has any way to get a foot in the door without some silly piece of paper from some funky school nowadays.  Am I missing a way that the neophyte can get hired, work at MT and ''hone the craft'' without attending some rip-off school?


    Well I at least I am fortunate to have a job I guess

    So many newbies can't find work and I have tried in house in my area, gues what they mostly outsource their work, I know Spheris does a few hospitals in the area, So I will try this IC for awhile but I am deffinatley going back to work, I cant live off of this yet and I am not doing this for (stay at home mother) I do not have children... Yet...


    Just wanted to give this an honest effort


    make that -- If I ever am fortunate
    it is very late and I am very tired. Darn it -- where is my spell checker. LOL
    We are fortunate to have benefits.
    The problem is that we have a person who can transcribe their required line count in 6 hours or sometimes under that.  When there is extra work to be done, she will get on and get her line count in about 6 hours, then get off for about an hour, then get back on and do extra to finish her shift.  When there is not extra to be done, she gets on and off so that she covers her shift.  This Transcriptionist always produces more than the others when there is extra to be done.  We have other transcriptionists who cannot transcribe as fast, but they make appointments in the middle of their shift and take off and come back on and transcribe their remaining lines.  The ones who do not transcribe as fast complain about the one who gets off and on, but in reality, they are doing the same thing in the name of appointments or errands, just not getting as many lines.   All employees have a base hourly pay.  The required line count is 1000 lines per day.  The lines are calculated at 125 lines equaling one hour pay.   All transcriptionists work in the same pools so the work is distributed evenly.   If a transcriptionist transcribes 5375 lines in a week, they are paid 40 hours at base pay and then  paid time and a half for 3 hours, even if they have not actually "worked" 43 hours.  The lines are registered in minutes, with one minute of dictation equaling ten lines.   We would like to go with a straight line count, not minutes, with an incentive program, but our system  counts headers and footers and blank lines.  Not sure what the solution should be.
    I was fortunate enough to have an account
    where my Expander stats were running 65% consistently. That meant I was only typing about 35% of each report. Expanders are definitely worth the money. I use ShortHand and love it.

    I had one doctor I could do 440 lines per hour on. Unfortunately, those are the accounts going to voice recognition or offshore, so I'm unemployed yet again.
    I hope your 70 MTs know how fortunate they are (sm)
    Your MTs are very lucky. A lot of us would give anything to have a decent-paying job with someone who cares.
    You are fortunate to call shots. Most MTs can't
    MQ doesn't give a care about cell phones, noise in the background or whatever would keep you from doing the report. Just do it and don't send it to QA but if QA picks it up randomly to "grade" you, you take a cut because your report may not stand up to QA standards. It's win-win for the companies and lose-lose for MTs.
    I was fortunate with community college
    I took courses through my local community college's continuing education program. The instructors were people who worked in the medical field during the day and taught at night. By doing exceptionally well in the classes and being a model student, I was recommended by a couple of the instructors and got a start at the office where one instructor worked before I even finished my transcription class.

    Once I got my foot in that first door, I've been working steadily and successfully ever since. I had only a couple of classes under my belt!

    The approved schools are probably the best chance for work after graduation, but opportunities can arise wherever you train.


    Also fortunate enough to have a separate room. And
    s
    Fortunate enough to have a DH who has a very good income, plus...

    the fact that we have no debt but our house. There are those people who just have to have everything right now, no matter what the cost. We have 1 fairly newer SUV, paid for, and DH drives a paid for, older commuter Subaru that has over 200,000 miles that he drives 66 miles a day round trip to work. We don't have kids at home anymore, don't pay for college, still manage to save a bit. I'm always amazed at the couples with kids who have an SUV or mom van, a big truck for dad, boat, RV, flat screen TV, etc, and all the payments to go with them and then complain that they are broke. If people lived below their wage there would be no problem. Our next big crisis in the US is going to be credit cards...imagine buying $100 worth of groceries and paying 19% interest forever!


    I envy you! But I am very happy at your success! Wish more of us could be as fortunate! :) nm
    nm
    How fortunate that someone took the time to answer your question.
    I was merely pointing out that it was possible that you don't need to spend the time or money to do all of that since I apparently wrongly assumed that you knew what you were doing. So much for the assumption that you were totally aware of all that the process involved. You're lucky that after reading your response to the original post that someone even wanted to bother answering your question.
    You're extremely fortunate to get those lines. Too many of us deal
    s
    You're incredibly fortunate. Many of us aren't even getting offered 8.5 cpl for years of exper
    m
    I use EXText with my current job and I've used at a couple of other jobs I've had. I've ne

    used DocQscribe, but I have used Meditech, Cerner, Vianeta, the Precyse platform (I can't remember the name), Dolbey, and  Lanier platform I think was called Cequence (?). 


    Out of all the different platforms I have typed on, I have liked EXText the best.  In my opinion, it's very user friendly, easy to learn, and I really like ESP which is the built in abbreviation expander.  Plus it is very easy to create your own normals which I love.  My fingers literally never leave the keyboard because there are macro keys for everything.  You can use your mouse if you prefer or learn the function macros.  I love it.  I think I'm more productive on EXText than with any other platform.


    Spell as best you can or blank them and keep going. I've passed many tests when I've left blan
    s
    As you can already see, you've come to the wrong board! By using the word professional, you've
    excluded about 99% of the population of "whatever" it is that hangs on these boards. Certainly not professional for sure! But you sure are doing a good thing for someone! Its the thought that counts. Sorry you met the dregs right at the start.
    HELP! I've turned my screen sideways, I can't straighten it up. I know I've seen sm
    this before, but I can't remember what it is.  Do you realize how hard it is to read sideways?  TIA.
    I've lost track of how many people who've asked about it to NOT
    .
    I've always verified every line I've typed (I have my ways) -sm
    If you're supposed to be paid a certain $/line, that's what you should be getting no matter how they do billing unless of course it's specified in YOUR contract with THEM.

    BTW, I've never caught a company cheating me ever.
    I've used it. It's the worst piece of crap I've ever seen.
    seriously. I wouldn't wish them on my worst enemy, or their Vianeta program. Awful, just awful.
    Wait until you've been there six months and if you've improved
    quality and quantity, I'd say go ahead and ask.  Otherwise I'd say annually...  good luck
    I've seen the same every place I've done acute care, and
    pointing out dangerous or repeated errors (often in normals for goodness sakes!) never got the result I expected. When I would press the issue, supervisors said if the dictators didn't complain, then the mistakes must not matter!

    It didn't matter if the MT changed what had been a cardiac med in the beginning of the report to an antifungal by the end - I kid you NOT! One poor girl used facial for fascial and fascial for facial!


    I've used a few expanders, and of those I've used, all must be "coded" to get things lik
    One thing I do to get around this, is to create a macro and then link the ShortHand command to the macro. It works for me, but I do the same five clients every day and only have about 20 or 30 macros/Shorthand commands that work like this. This may not work well for you if you have lots of formats and hundreds of docs.
    I've been doing this doc for many years, so I've learned how to function with him. sm
    I can tell what's a stutter, what's another word, what's just an "uh." Years of experience will get you through a lot.
    Wouldn't want to do his charts all day, of course, but a few per day aren't bad. I haven't had to send his to review in a long time, but they do take a little longer to shuffle through.
    I've worn contacts for 30 years. I've had both
    hard and soft.  My vision is much better with the soft ones than they were with the hard ones.   When I first started trying contacts soft ones were still new and they couldn't get me to 20/20, so I went to hard.  Hard were okay until my eyes started changing shape and then I could no longer wear hard ones.  The soft should give you better vision as they conform more to the shape of your eye. 
    I've been a bully; I've been bullied.
    I used to sell a lot on eBay. There are some people who buy high-priced items and play games with you. I've had to call them repeatedly, report them to different agencies. It's not fun. You put time and money into the business of selling, and there are people out there who live to manipulate the system and cause trouble.

    And, I've been bullied by buyers who made unreasonable demands, insist that they pay by check when you clearly state you don't accept them. It's not fun, and is one of the reasons I don't sell anymore. People!

    I've also bought from some sellers who I would not deal with again because of their unprofessional attitude.

    But, overall, ebay can be a great place to be.
    I've become the man I've always wanted to marry.
    I live alone, am 46, never married, no kids, just dogs horses and chickens and just got done building a new house out in the boonies away from the rat race. (Used to live in Manhattan) Couldn't be happier. Selfish maybe, but never out of time, never stressed, and I don't take anything out on others. There's something to be said for being alone but not lonely. I'm not looking for a man to "make me complete." They only sap me of my time, energy and money (how little of it there is with MQ). I consider myself lucky getting to choose my time with friends, and not just stuck with a deadbeat partner. Ladies especially: Be strong and allow yourself to be independent. Any old man will not make you stronger!
    You know I've done the grilling...I've tried it all...
    And I find the best way to cook steak is in a good quality thick-bottom nonstick pan on top of the stove. I found this trick on the internet. I heat the pan on high and when nice and hot, throw on the steak, no butter and no oil. It browns almost immediately, cooks fairly quickly, and seals in the juices - tender, moist and delicious!!!! It doesn't even need seasoning but salt and pepper before cooking. ;)
    I've not only typed, them, I've had a few, myself! LOL
    .
    I've done that already!


    I've actually done that, seems

    like it's slow getting the needed information.  Thought I could do some research on my own. Thanks!



    I've seen this too (sm)
    and it took me a while to figure it out, but because of a particular acct this gal was placed on I was able to figure it out.  She is top notch when works at her usual pace, but when she has something better to do she will leave her work until the last possible minute and it is crap when she turns it in.
    i've got 3 going right now and have for

    several months. 7 days a week, 6a-6p then a little after my son goes to bed. 1 full time w a hospital, two part time. all are from home.  i'm dumping the hospital one today and going full time at one of the current part time and i will probably get rid of the part time one once i know the new full time will work out. did that make sense???


    no life, but had to be sure before left the full time job......


    I've been through a few

    of these things and where there's smoke, there's usually fire.  MRC acquired Medifax (both swore it wasn't going to happen), MQ acquired MRC (both swore it wasn't going to happen) and lastly, I was working for ddi when the owner sent out an email adamantly proclaiming that ddi would NEVER be sold.  I think it was a week, maybe two, and guess what?  Another email stating what wasn't going to happen had just happened.


    For all MQ-ers, I wouldn't worry about it.  Life goes on.  So what if Spheris does buy MQ...I doubt individual MTs will see much change except the signature on the paycheck.  I guess I worked for MQ about 3 years or so after they acquired ddi and not a thing changed until I was transferred to another office and the "new platform."  They were constantly out of work, not to mention the line count going to hell in a handbasket.  I didn't have time to sit around all day waiting to see if they had a report they needed typed,  so I moved on.


    So....please everybody, cheer up, it isn't the end of the world coming or anything like that.


    Now I've seen it all...
    Just got a check from corporate for...hold on...1 cent. Yes, thats right - 1 CENT. I don't know whether to laugh or cry. Actually I didn't think you could even WRITE a check for a penny. Oh well, I guess a penny saved is a penny earned. Rotten bananas to MQ, I say.
    That's it...you've got it.
    Does it make you feel better attacking someone you don't know like that? AND insulting a huge group of people you don't know anything about? They're not the enemies, nor am I.

    Who did you vote for? Was it someone who said "Offshoring is good for America"?

    THAT, my friend, is your enemy.
    YES! I've been up since 4:00 a.m.
    because the dogs were barking in the living room at something outside in the yard.  Hubby just made me lunch of a tuna sandwich and minestrone soup.  I'm done working today, so I've got three hours to go take a nap.
    I've been with them for a while...but...
    even the starting pay is very, very good. 
    I've still never had a NEW new car.
    I don't see the point in it.  They lose their value so quickly.  Plus, why would I want to drive something that's worth half what my house is with all the nuts on the road?  And insurance and licensing costs are so high, too.
    I've done max 200 per day. nm
    x
    I've never tried that!
    I like to make soy candles in Mason jars. It is a hobby that I absolutely love! Last summer I sold them at the local farmer's market and gave some as Christmas gifts. It's a lot of fun!
    we've all been there

    I dont really understand what is going on but i think we have all been in that situation where you try do something nice or helpful and ended up regretting it. it makes things difficult for future references because it causes us to be hesitant when trying to be helpful or nice in the future, which is one of the few explanations i can think of for ppl who never seem to be nice or helpful. maybe they have tried in the past & got burned by it and now they are bitter.


    anyway all you can do is move on and try not to let other ppl & their negativity get to you. don't let their issues change you as a person. you did the right thing by deleting the rude email, don't waste your time on it.


    I've had that before, and I

    also noticed, looking back, that the very first thing that happened was I was suddenly extremely fatigued before it happened.


    Reminded me a little of labor pains.  I'm glad you're feeling better.  I know that when it hits, it knocks you right on your butt.


    You've already done it
    If you would open up your message, you will see 'reply by email'. Anytime you post a message and fill in the 'email' box with your email address, people will be able to email you.
    IT vs SH- I've used both.

    I like Instant Text better. Instant Text costs more, but I think you have better control over it and there are more bells and whistles with it.


    You can download a free demo of ShortHand from their website to try. I don't have the website for either, but you can Google them to bring them up and read about them.