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Serving Over 20,000 US Medical Transcriptionists

All my docs supply their own

Posted By: luv2type on 2007-03-21
In Reply to: Sticky Paper - D

paper, letterhead, envelopes, etc.  I did have one doc that wanted sticky paper, but the office supplied it to me at no charge.  I would give them a copy of the receipt when you purchase it.  Attach it to the bill with a small charge for having to go and buy it for them.  Could you perhaps speak to the office manager who could maybe have their person who purchases supplies order it for you? 


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not only that, but most co's do not supply...sm
supply any of the equip, have 800 access (pay your own internet) etc, etc, very little financial help. AND the biz about "not enough MTs" is bull, the ones that know better, don't want to take the cut. This is all due to GREED, of the biggies, creating a ceiling price for us, but not for them, just bigger profits in their pockets for the deal when they leave... very well taken care of. CRUMMY deal for us.
its all about supply.
hahahahahahaha
furthermore, when companies as us to supply ULD....
they are in essence asking us to do something ILLEGAL because we are not allowed to use ULD from transcription.....PERIOD!  I wonder if they even realize this?  It's time they did!
Car power supply.
I use a power converter that you can buy at Wal-Mart for about $35. I keep it in the car all the time.
When you want work they do not have to supply any
So, if they do not like the fact you jump as soon as it comes in, or if you get a headache and they get annoyed, for example, they do not have to supply you with work any longer. This leads to the IC jumping at the client's whims and rules, or flat out finding another client. These days, though, IMHO, it is hard to find a client which does not withdraw work if you don't meet their criteria. Guess it is part of the TAT, competition going on everywhere.
Go to Sally's Beauty Supply
I use the Wella color-- comes in a small bottle. Buy your own developer. It is professional quality stuff and the sales people are knowledgeable.
It's been maybe 4-5 years since I worked there, but no ... seems like they supply it to you. nm
x
MT is just like any other business, - supply and demand -
if India is doing it at 8 cpl do you really think America is going to hold at 16? Yes, eight years ago, 16 cpl was not unheard of. Today, many MTSO's do not dare even raise rates. We have not raised rates for 3 years and don't intend to. Which means MT's don't get raises either. But you either deal with it or you get out and get into another field. "if wishes were horses, even poor men could ride"
Not necessarily. Supply & demand...
If prices are stable, quality will begin to count again. It's simply a cost vs benefit analysis. Just like some US MTs stink on the quality scale, I hear some Indian MTs are quite good. When the cost is stable enough that docs can't "settle" for poor quality (which many of them really don't care - it's just another requirement they must fulfill), then they'll look for quality again. Those of them who are quality MTs, will be able to compete, and with the increased competition based primarily on quality, the substandard MTs will go away, both Indian and US, but with cost being the sole driving factor, it's my belief that the quality of the average US MT is no longer much better that the average Indian MT.
Can you supply the link to read it? nm
n
Buy a bark breaker from pet supply catalog (sm)
PetEdge (they are also online) sells a couple of products for kennels that issue corrective noises for barking. You can install certain models outside aimed at the nuisance and it might train him not to bark.
A lot of the refineries that supply the south are in Louisiana.
x
No, she does not.She will be asking us "the govt" to supply her necessities
and we will do it.  You and I, who carry Wal-Mart purses (speaking for myself, of course).  Makes me mad too.  I also noticed the Budweiser can.  Jaundiced eye?  I think not.
We keep a 2 week supply of canned food,

a Coleman stove, propane, water, etc.,  in our basement because we live in an area that is prone to heavy snow and blizzards, low temperatures, and we cannot always get out in wintertime, but I sure don't see any long lines of the politicians here pretending to help us. They would free their backsides so, thankfully, they stay out of our business and we stay safe.  I have quit sympathizing with those who know they are in the path of storm and do nothing about it.  The idiots in Cancun knew that area was directly in the path so now they moan and groan because they can't get out.  Too bad! 


As far as Florida goes, you go through this same thing several times a year, so you have been through the drill.  If you don't like the weather, move somewhere else.  Don't stand in lines with your hands out waiting for sympathy.


 


the supply slowly dwindles, and you give up and go elsewhere...sm
what is the point of making a high line rate, when there is so little work available, you have to find two, three and four services to make the same amount that you did at ONE! This is a very sad biz!!
Go to a beauty supply store in your area and ask them.
You can buy the professional stuff even if you're not a beautician. My SIL says not to use the box stuff. She buys tubes of coloring and uses two or three different shades to get more highlights and lowlights so it looks more natural instead of being unicolor. She's a licensed cosmetologist/beautician or whatever they're called nowadays.
I agree with medical supply company .../sm
I just finished staying with my uncle during his last few months of lung cancer. The motorized lift action was a godsend the last few weeks when he had trouble standing up to get into his walker and move around. We were fortunate in that one of the relatives had a relative who had a relative... etc... anyway, we were able to get a used lift chair in good condition for a lot less, but even if you have to pay full price at medical supply store, it is definitely the way to go if your mom has mobility problems or you think she will in the near future.
installing an uninterruptable power supply (UPS)

I am preparing for the worst and hoping for the best.  What concerns me is a power outage causing me to be unable to work for long periods of time.  I have just purchased a generator but also am wondering if anyone has any information on installing an uninterruptable power supply (UPS) to their computer which is apparently a battery that will run your computer.  I work for a national and wonder if this is permitted?


Anyone?


Atlanta medical book supply store?

I would so appreciate some help.  I just started an IC job.  I wasn't told I would need a word Expander and medical spellcheck.  Every other place I have worked for provided these.  I need to get something fast, i.e., in person now if possible!, as I am already working and not very productive without these two items.  There was a store I went to years ago in downtown Atlanta where I got some medical books near the Fox theater.  Does anyone know if it is still there and the name of it?  I don't have any yellow pages and I have not been able to pinpoint anything on Google.  Thanks so much!


It is useless to supply facts because they don't matter, only emotion. NM
x
With mail order I paid $15 for a 3 month supply,
the same as I would pay in my local phamarcy for a 1 month supply, so saved $30.00 going through the mail versus buying locally.   It was with ExpressScripts  (sp), which is the drug program that comes with our insurance. 
Your company should supply you the pedal or the adapter. I've
s
I would just supply one digital copy, either send the work back
via an FTP site or email attachment or whatever, or keep addending to a CD, but let them keep their own archives. And why can't they print when you deliver the CD or the work in digital format? I don't do any printing at all. Everything goes back digital and they keep their own copies. Once I bill for the month, everything gets deleted, as it should be under HIPAA.
Any tattoo shop mostly, hot topic, sally's beauty supply...SM

Any place that pierces, head shop, etc. Hope that helps.


I give ours gift certificates to the local teacher supply store.
One year, we also gave a teacher a gift certificate to PetCo (for the class bird!).
Honey Bee Wax, microwavable formula, sold at Sally's Beauty Supply for $9.99 (plus the strips for
sold at Sally's Beauty Supply for $9.99 (plus the strips for $9.99).
Foot pedals break easy. You're lucky they supply one. I have SIX different ones gathering dust.
nm
get a Belken control switch box - about $20 at office supply stores. Use regular printer cable. NM
"
Might be able to rent one from an office supply or office machine repair shop
s
ESL Docs

That is SO true!!!!  There is definitely a problem with dictating the appropriate gender when it comes to ESL docs. They tend to go back and forth umpteen times during one dictation, so you really have to pay attention.  Verb tense can also get very confusing.


I agree that sometimes slowing down and concentrating can actually increase productivity. Even though I feel like I'm transcribing like a tortoise, I'm really getting more done than I think when I slow down and allow myself to think.


Just hang in there with QA. They are just doing their job and you need to take a good look at what they are telling you and concentrate on that issue. It's really hard not to take it personally, that's for sure, but it's gonna make you a better Transcriptionist in the long run. On the other hand, if you feel they are truly wrong about an important issue, then challenge them!!  But you'd better have major references to back up your challenge.


Ellen S.


 


 


ESL docs
are you on VR yet? you can choose to have a 20% cut on your baseline rate and get the "better" dictators ?? or you can choose to keep your MT 100% baseline rate and probably get all of the ESL docs -- what a choice - not fair, huh??
This is almost as bad as the docs
I got three of them yesterday...three different docs. I think this is soooo rude! I'm almost to the point where I'm going to refuse to attempt to do them. Surprisingly, it's always a female doc who is dictating either a GYN or breast cancer related report.

I can picture a couple of these ladies hopping on a Harley Davidson riding home from work.
I think they should ask all ER docs

if they even know the English language to begin with, 'cause if they do, they don't practice it.


I know everyone knows that a lot of docs don't

read the reports after we have transcribed them, but I just had a doc on my account dictate that he wanted the line "Dictated but not read" added to ALL of his reports from now on.  He was mad because he said he requested this to be done a few weeks ago and has been "keeping track" and it hasn't been getting done.


Amazing.


All of my PAs were better than the docs before

I switched companies and along with my new account came all new PAs (and might I add, quite a few of them) who all make me miserable. They botch the dictations beyond belief and I am left to fix the sentences which look like riddles and are actually confusing after they get done with it.


Change thoughts in the middle of a sentence...start talking and forget where they left off so I am sitting there for another 2 minutes waiting through the ummms and ahhhs and the start of sentences "the patient umm.... ahhh" and I'm waiting for them to say something and they just hang up.


Mine are good for this too... they will dictate an incomplete report and then a few dictations after they will start finishing incomplete dictations, adding in something they forgot to say, or they will say CC a copy to: Dr. ____  on a 4 second report and not say whose report it goes on. This would be easy to figure out if they didnt have 40 dictations and at least 5 hang-ups with about 8 of those 40 dictations being something they want added on to some nameless patient's report.


Had I not switched jobs, I would have had a hard time believing any PA was hard to transcribe...just because I had a good bit of them on my other account and they were all PERFECT speakers.


Now when I see that I have to transcribe a PA-- 


 



ESL docs
Hey there,
Hang with it a little while longer. You'll probably find that it gets easier. Those ESL doctors do say the same thing over and over again and it takes practice to get it. Try listening a few seconds longer than the phrase you aren't getting because sometimes that helps. I agree that samples help an awful lot so be sure to request as many as you can. Good luck! You can do it!
I would always rather have my ESL docs over the sm
English as first language docs, who speed talk, slur words, and don't seem to care about the patients.  I am usually very impressed with the patient care given, and the understanding of the human issues, by the ESL docs.  I think the problem with the original poster is she needs to learn to transcribe these docs, with all the suggestions, especially getting samples, mentioned above.  She doesn't really seem that concerned with patient care, but her inability to transcribe difficult dictators.  It is, quite simply, the nature of the business.  The easy docs go on voice recognition, and the transcriptionists transcribe the difficult dictators.
I tell ALL my docs that I'm an MT...
...and I transcribe and read my own reports (I work for a large healthcare co).  Hubby signed a HIPAA form for me to transcribe and read his reports, too.   Now the docs are more careful 
how many docs know?

When I mention to physicians that if they send their work out it might be sent overseas they are appalled!  Sometimes they say things like, "So that's why there were so many mistakes."  Companies don't always tell them where the work is being done or by whom. 


I still fault them for trying to save money at our expense, but in a certain sense some of them are being taken advantage of as well.  Perhaps our "enemies" could turn out to be our best allies should a good case make it to Court TV. 


We need to educate the physicians as well as the public. 


docs
Or I like when they make up their own spelling of words, especially meds.
docs
sorry made a mistake above...I meant the docs take me to the bathroom with them LOL!!!
docs
Let's face it ladies and gents - doctors have absolutely NO respect for what we do for them so they can make $$$$$$$$$$$$$$....
My ER docs do it alot

I guess it gives them the right to charge PREMIUM prices,  although I


think ER prices are quite pricey enough.  My friends trip through the ER


the other night was a cool $10,000 and all she got was an aspirin.  (she thought


she was having a heart attack and it was GERD.  But to rule it out they gave her


the works; CT scan, CXR, blood work, cardiac enzymes......and on top of that came the doctors (including the cardiologist, oh my) bill.


 


 


of course, I know 'bout as much as the docs do...sm

yeah, and that's why I'm here typing and they're out on their yacht somewhere, right?    But I do try to diagnose, even did this when I worked for a doc in the back office.  And sometimes I was actually right!


Cheap docs

They absolutely don't care about quality or any of that jazz, which is why I have always wondered why we as an industry keep beating each other up over issues that doctors couldn't care less about. Not that I think we should all just transcribe any old way we want, but it seems like we act like the slaves out in the mud pit slapping each other around about how much or how little straw to use for the bricks while the slavedriver sits on the side line with the whip completely content with end product either way.


I suppose the answer most would give is that we should take pride in the quality of our work whether they (the doctors) do or not, but I can't get passed the notion that these are the same individuals that the powers that be seem so intent on pleasing and are also the same individuals who would see us all in the soup lines tomorrow looking for the next homeless shelter to sleep in if they had their way. They (the medical profession) will not think twice about putting all transcriptionists out of business at their first opportunity, and yet we as an industry continue to bow to their ridiculous and uninformed demands concerning how to do what we do or their complaints about how much we charge or that we shouldn't charge for line count generated by short forms or macros, etc. They have no clue how many times their butts get saved by transcriptionists on a daily basis.


I've never met a transcriptionist who wouldn't readily agree with the notion that we are part of the health care team, and yet many of us continue to act like we still work for the doctors instead of the patient. Oh well, go figure.


Just venting as well.


also, most docs won't do certain tests (sm)

without your consent, if they are not considered standard and will probably have to be paid for by the patient out of pocket, unless the patient agrees to pay either up front or if the charge is denied.  At least that's been my experience! Good luck, I hate insurance companies, too!


Isn't she cute? 


Do your docs talk 2U?

I have one doctor who, when she wants to correct something or other always says "This is an aside to the typist." ARGH. I feel like I'm in a Shakespeare play or something - don't those have a lot of "asides"? I always want to scream at her "Don't you know I'm not a TYPIST?? I'M A MEDICAL TRANSCRIPTIONIST, DAMN IT!!!!" Of course she's 80 or something so I shall forever be "the typist" to her.


I have a resident who always says "For transcriptionist, would you...." to get my attention - but when he was new I thought he was saying "Poor transcriptionist..." I always nodded my head in sad agreement until I realized what he was actually saying....


And then there's the doc who loves to complain about his job to me, sometimes in great detail - "Here I sit, waiting for some x-rays to come in so I can make a buck" and "I cannot believe this hospital."


They crack me up!


docs talk to me
I always get one who says, "uh, secretary, please correct..." and then I have one who always says "oh, operator, could you kindly...." Does he think that because he dictates into a phone it's a telephone operator on the other end or what?
Docs don't have those guidelines because... sm
they realize how stupid they sound and look.  They learn the language of medicine and stick with it.  They don't bow to some silly-*ssed organization's whims. 
Hoo yah. I hear ya. Then you have the docs that. . .

think for some reason you know exactly what they are going to dictate for ROS so they just basically babble right through it and take a big deep breath at the end.


Or the one like I had today that sounded completely wasted off his butt and even with the speed up or down it still sounded like a drunken drawl. It was ridiculous. It was also dicatated later on Thanksgiving night, so who knows? Maybe doc had a few too many rounds of Thanksgiving cheer and then thought, "Ow thith, I thstill gottsa do my dictatheen."


Report them to your supervisor. It's worked for me in a few cases. It's up to them to pass the word along that the dictator needs to slow down.


I had one guy that I do locally on tapes that suddenly decided that he was going to take his machine and dictate on his way home in the car.  I don't think so pal. I called my local boss and said I wasn't going to do it. His tapes have been clear as a bell ever since because he's doing them in the office again.



that won't do nothing but give you a bad name and p*** off the docs...sm
that is definitely NOT the professional way to handle this. Give a little bit more time to get the check, ask for more details (in a neutral tone of voice) about when the check was sent, the number of the check, etc. Document the answers. Then consider filing a claim in small claims court. Sometimes it's a scam but sometimes it's a cash flow problem.