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Serving Over 20,000 US Medical Transcriptionists

Anyone else dying for school to start? (sm)

Posted By: SM on 2005-08-11
In Reply to:

Grandchildren had been going to the LatchKey summer program, but they closed for the last 2 weeks before school starts to get the schools ready.  So guess what?  You got it.  Memaw is trying to type with children.  I have to totally admire those of you that do this on a regular basis.  My hat is off to you. 


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In NY school does not start for another month.
/
So when does school start in your area????

TRAINING SCHOOL--I WANT TO START A

training school to produce quality transcriptionists using something like HPI's CD and cassettes.  I have purchased several from different transcriptionists and I wonder if anyone has ever attempted to start a training program.  I know the local colleges are going to come after me in every way they can just to prevent me from infringing on their multi-million dollar Transcriptionist training, but they teach them and charge them for soooo very much that transcriptionists do not need, and they stretch their programs out for two years.  I already have a transcription service with 6 employees, but want to expand and I have just interviewed about 8 applicants who knew absolutely nothing about the meds we use now, and especially about the AAMT guidelines about not using q.d., q.i.d. q.h.s. etc.  One woman had been seeking a position for a year, but everyone in our area wants "experience."   She is a very fast learner, intelligent, and I only have to tell her things once.....but after a two-year college, making the Dean's List, I am training her!!  I want to start the "training" school cuz as it is now, I am doing it for free, just so I can get an excellent, long-term employee...  Has anyone every tried doing this and did the colleges really come after you with lawyers?  How can I term it, charge for it, but not require a "teaching license" so I do not get in trouble?  I am clueless on this, want to be careful not to step on toes, but am very tired of training students who graduate for free.  Feel free to email me if you need to...... PLEASE HELP ME!!! 


When does school start in your area? sm

August 14th here in Cobb County and I can't wait to get the kids out of the house then  


School Start Date
Here in NYS the kids don't go back until after Labor Day, which is usually around September 7th of so. Of course, we get out a lot later than those in the South. School doesn't let out until the end of June.
I can't wait for school to start either, and I don't even HAVE kids!! nm
xxxx
I do not know about her school but next Tues. when my kids start the first day they get out at 9:50
x
teach and guide, start my own school? sm
I guess then they should take the Word Board off if teaching and guiding is a "no no?" Difference between teaching and just telling somebody something they can look up for themselves.

Yeah I am into books! Not too slow if you know what you are doing! Still do 250-300 lph with accuracy which is more than I can say for your post.
My kiddos start school next Wed and I'm not ashamed to say it will be a relief. My teenaged son

gives me hourly updates on his boredom every single day.  Now, my daughter is starting kindergarten this year and I will be sad probably the first week because she's my baby - my last baby - but she is sooooo ready for school.  She just can't wait.  Maybe I should be the one with hurt feelings since she can't way to leave me! 


I highly doubt my son's feelings are hurt when I say "Just think, you won't be bored when school starts."


POLL: Home School vs. Charter School vs. Public School vs. Priv ate School...
Pros and cons of each too. I have two little ones that will be starting school soon and I would like opinions on all. Thanks in advance! :)
MT dying
I have been working as an MT since 1992.  I started at $7.50 an hour - no incentive - just a flat $7.50 an hour - that company was gobbled up by another bigger company - and the gobbling has continued on.  I went to work for a smaller MTSO and at one point was making $80 an hour transcribing a very easy radiology account that was mainly normal reports - everything was a template and the template was the whole report.  I now make no where near that - and have trouble getting up to $18 or $20 an hour.  I am thinking of going back to school to becomeo a pharmacy tech - besides - it gets depressing working at home all the time and never having interaction with co-workers, etc.  The school is just a thought at the moment.  I definitely would not encourage anyone to go into MTing at this point in the game - not with voice recognition and outsourcing to other countries.
MT Dying profession

I don't agree with you.  I'm betting that MT is good for MAYBE 5 more years.  Maybe.  Thinking they won't perfect VR is only fooling ourselves....they will.  I wouldn't recommend MT to anyone looking to enter the field.  Money better spent on something with a better future but what that would be, I don't know.  Seems everything that can possibly be offshored is being offshored.  Maybe we should move to China   Then we can be sure to have jobs seeing nearly everything in the U.S. comes from there anyway.  Or maybe, the way things are going we had all better learn to like rice, cuz that's probably all we'll be eating before long.


Regarding MT being a dying profession...
I have actually read in numerous places that MT is a job with future opportunity, in light of the baby boomers beginning to get old and sick.  That's going to supply us with a lot of medical reports for a very long time.  As for voice recognition taking over...I'll believe it when I see it.  I know an MR who does VR and I've seen the gobbledegook that it comes up with.  Eventually all these companies will realize that they were sold a bill of goods by these VR vendors, but because they've invested so much in this technology, they're going to stick with it until the bitter end.  Just my opinion of course.    Finally, outsourcing.  I'm  pretty confident that  something will happen that will put the kybosh on sending private medical records off to Calcutta for transcription.   I think that practice will also stop eventually.   I could be totally wrong and maybe I'll have to put away my rose colored glasses, but for now, that's my prediction.
MT Dying Profession
Sad when you work for a company that you thought was great and all of a sudden the work is yanked away and you sit with nothing yet you see the company advertising multiple times. When you look at what many posters say, that seems to be one major problem with this profession. The companies have no loyalty to transcriptionists. The best places to work are small local services, if you can find them. I don't recommend to anyone who asks me that they get into this profession. I used to, but not any more.
MT dying profession
I totally agree, Dano. They have absolutely no loyalty to MTs OR QA for that matter - we are nothing to them. I don't feel like a respected professional who is rewarded for her expertise and hard work anymore; I feel like a factory worker in an assembly line (no disrespect to those who work in factories, BTW)who just has to pump out the work as soon as possible - it's all about numbers to them. That's why in addition to working in this field, which I have been doing for 10 years (and would have quit by now if I could!), I am going back to college to get my degree in dental hygiene. I can't wait to get out of here. Used to make good money - no more. Used to be respected -no more. They only want cheap labor. Anyone looking to get into this profession - don't be fooled by the lies - do something else!
Is transcription really dying?
I have another question for all of you...is transcription really dying out?  I haven't seen that where I'm located, we are pretty much in high demand.   I didn't even go to school and I got a job in-house at our hospital starting at over $13.00 an hour.  But, now that I am reading all of these posts I'm starting to wonder what the chances are of me being able to continue this profession, esspecially since we are thinking of moving to a big city in the near future.  I am really considering going into coding school starting in September so my husband and I will both get our degree at the same time.  I'm just wondering if I should get out while I'm ahead.  Any advice is appreciated.  Thanks!
Not dying, just growing!
First of all, HIPAA does not require EMR for all records by 2009. If that were the case, you would have known about it several years ago, because most physicians do not use EMR and have no plans to use EMR at this point. Most HOSPITALS don't use them, either. Even if they wanted to, there aren't that many viable products they could use!

He may be thinking of other HIPAA requirements which have affected his practice and which he doesn't like. HIPAA did require some privacy and security things which he no doubt found irritating. He now has a need to transmit his claims electronically, which probably annoys him.

I would guess that the concept of paying an MT annoys him, too, so he took it out on you by terrorizing you during your recent visit.

Second, nothing about an EMR means you can't dictate and transcribe.

If you're currently doing only small-office dictation, you might want to expand your capabilities so that you can do hospital acute care. I think that job prospects have been better there since internet-based voice file transfers became possible. There are a lot of jobs available with national services and even with large employers who will let you work from home.




MT is a dying profession??
Hmm...
I don't think it is dying, I think it is changing sm
There will always be a need for a hand typed medical narrative. Having said that, how much need is anyone's guess. FOR NOW, many companies are moving towards at least some VR. I have watched my company ramp it up and now ramp it down again. Why? The quality isn't there and part of that is the MEs who are doing them.

Being an ME usually only appeals to someone who can't actually type the report with any speed and accuracy (not a real MT in my book) or an MT who can longer tolerate the wear and tear on her hands (a real MT). The pay is less, which might not be a problem IF the software didn't require so darn much editing! Either the software needs to be a LOT better or we need to be paid more, if they want to the best quality, so that real MTs are doing the ME thang.

What I see happening, even now, is that companies who will hire a traditional, old-fashioned typing MT want the very best they can get at the best price they can get her. It is and will be increasingly a buyers market for our services. It will edge out any MT who is marginal...in speed, in accuracy, in attitude, in work ethic. That is to say, those of us who can stay glued to our desks and produce 99.5% or better accuracy AND do it with speed, will still be around for quite a while yet. The tolerance that some companies for not showing up on time, not getting your minimums, not producing very good work, is decreasing. I see this as a trend.

Less work? Not for some of us. No work, as in we don't need the chaff of this industry? You bet, and it is happening already.

The truly top-notch MT will always be needed. Do you have any idea how very few of us there are? I have not talked to a company who has more than 1 or 2 of us that they consider the cream of their crop. If you want to stay, look at what you need to improve, be it work ethic, speed, accuracy or scope of knowledge. If you don't, you'll be in one of the first groups out of this business.
My monitor is slowly dying...sm
I have a Dell computer and monitor, but my monitor appears to be on its last leg.  I'm already looking for its replacement but instead of ordering another Dell, does anyone know of any other brands that are compatible or not compatible with Dell?  I'd really rather not pay the shipping from Dell, but I do remember when I originally purchased the computer my printer was not compatible.  Thanks for your help.
So, if you were dying in the bed and needed a STAT
You wouldn't mind that the person behind the document only cared about the money? You wouldn't care they put a post on this board like "why does anybody do this?"
Patient would feel slapped in the face.
That would be dying you slapped in the face.
I am really shocked and saddened to see who we serve is forgotten for the sake of money. Yes, we have to survive, and we do well. I have 3 jobs, am exhausted, but proud to say I am behind the document to help a very sick child or dying person, or recovering person, or person who was saved from suicide. I guess the idea of self rather than others is prominent around here, but not where I come from. After 27 years in the business I am proud to say I work behind the scenes and give the best I can for the patient, the doc, the nurse, my boss, the patient's family and so forth. After all, I would expect the same for me and my little boy.
Not on my budget. I usually can find something on if I am dying to watch T.V.
(NM)
Call, please. The rest of us are dying to find out something. nm
.
The main problem with this field is it is dying
And there isn't anything that we (as MTs) can do about that.
how did you give up cigarettes, I am dying to quit.
nm
Is medical coding a dying profession like MT?
My income is in the crapper and keeps getting worse and worse. I love working at home, been doing it for over a decade, so looking into something I can do at home. So what about medical coding? Offshore problems? Technology advances pushing out the "real person" coder? Any disadvantages? Worth learning and getting into at this point?
I did that with 2 kids with time mgmt and a high school girl who babysat 3 days a week after school
nm
Over 100. Burnt my bare feet on concrete. Plants are dying.
dd
I am feeling so stressed by changes at my company, holidays, friends dying,
not sure where to turn next.  I really feel like I need to dump my whole situation and start from the beginning by doing a job where I am around people during the day instead of the curt phone calls from the office, and not having enough time to even talk or go out of the house to do anything.   Why can't these companies have a little time to just say hello, thanks for a good job, or just something nice once in a while.  Everything in the communication is negative, negative, and more negative.  Team leaders are the pits, too.  It is jusd do more, do more;  they  don't care if you are sick, and it means nothing to them to pile on more stress and more demands so they look good.  They want you to work every day of the week, but they sure do take their days off, don't they. 
The cost of running a private school or any school is expensive....
Why do you think public schools are so run down and can't find good teachers?  Because the government and people to not put forth the effort or $$$$ to improve the educational system.
Dogs dying from 'miracle drug'. Heads up, doggie owners
Marketed as a miracle drug for man's best friend, Rimadyl is one of the most popular painkillers available for dogs. And it's killing dogs by the thousands.

Vince Sharkey was faced with the decision every pet owner dreads, whether to euthanize his beloved dog King Billy.

Arthritis and deteriorating bones made it too painful for the 8-year-old golden retriever to walk.

His veterinarian recommended putting the dog down.

"He had so much life in him. I said, 'I just can't do that'."

Then Sharkey discovered Rimadyl, a prescription anti-inflammatory drug heavily marketed to owners of older dogs. Sharkey says Rimadyl saved his dog's life.

"Before I had him on the Rimadyl he was not even able to walk. He would drag his back half of his body. The moment we got him on Rimadyl, he was back to being his normal self again.

But Lynne Bradburn tells a very different story.

Her Saint Bernard, Honor, was just 22 months old when he died after taking Rimadyl for a sprained knee.

"He'd been sitting in my lap. And he looked up at me, and he died," Bradburn said.

Honor died after taking just four doses of the drug.

"They tell you it's as safe as aspirin. But it's not. And yes, I'm angry. And I will always be angry," Bradburn said.

The FDA reports some 12,516 complaints about Rimadyl dating back to 1997, including more than 2,300 cases where the dog died or had to be euthanized. The largest number of cases involve liver or kidney failure or internal bleeding.

Rimadyl's manufacturer, Pfizer, maintains the drug is safe, saying some 10 million dogs have taken over a billion doses of the drug, with less than 1 percent of them experiencing any negative side effects.

"There are side effects just as there are benefits with all medicines, with all medical procedures and certainly with Rimadyl. The good news about Rimadyl is that for the overwhelming majority of those 10 million dogs, plus, it has provided safe and effective pain relief," said Pfizer spokesman Robert Fauteux.

But the FDA approved Rimadyl after it was tested on just 549 dogs, raising the question, were the rest of the dogs that took the drug acting as guinea pigs?

Retired veterinarian turned attorney Paul Mabrey says a drug for humans would never be allowed on the market with such a small sample.

In response to continued concerns about the drug, Pfizer sent a letter to veterinarians across the country warning them that some side effects may "occur without warning" and, in rare situations may result in "hospitalization or even death."

Still, veterinarians continue prescribing Rimadyl more than any other drug in its class. But they're careful to warn dog owners looking for a miracle cure.

"There's a lot of people that want the medication not fully aware of everything that's entailed with that but we make sure to do everything we can to educate before they go on the medication," said Dr. Deborah Feltz, a the Elliott Bay Animal Hospital.

It's a warning echoed by those who know first hand what happens when a miracle drug proves imperfect.
The School of Hard Knocks is the best MT school
n
Well then, don't start at the beginning, start in
x
We met in high school. My high school sweetheart
introduced us in a discussion over Ford versus Chevy versus Dodge. I used to race my Dodge Coronet with oldstyle 318 V-8 engine against the guys on the back roads and old highways. High school boyfriend had a Chevy truck. DH had a Ford Fairlane and later an AMC Javelin that just made me swoon. We didn't actually start dating until three years later, and my old high school boyfriend was a bit surprised at that since he introduced us.
This is our profession -- a profession which is dying, I might add. SM

So I should get a hobby so I won't care, like you?  A hobby isn't going to pay the bills.  I can't afford a hobby because in addition to working for a living, I also have to study in a different career field in my spare for fear that eventually transcription will be strictly an offshore operation!


How about we start one? Here are a few ...
TransHealth - 0.08 - .10 per line. Employee status. Benefits. Does not offshore.

QED - 0.06 per line to start.

First Choice - 0.10 per line, IC only, no offshore.

Keystrokes - 0.08 per line, $1.08 for radiology to start. Both IC and Employee. No offshore.

TRX - up to 0.09 per line. IC only. Not sure on offshore.




does her first name start with an L and last name a T?

Hey, maybe they should start (sm)

a legal secretarial organization and screw that up for half a million people.  They've done enough damage in this field.


I say start looking elsewhere...sm
but don't leave this job until you have something else.  In the mean time, call these people and ask what the problem is.  It could be something that they are unaware of.  It happens to me all the time.  And unfortunately, usually one e-mail or call to any company works.  You have to be persistent.  Get on the phone and call them and don't stop until you get a reply, and while you are waiting on work and a reply, start applying eslewhere.  Good luck to you!
Start out with
having your lawyer send a letter asking for prompt payment to avoid legal action. That might just be enough. Plus, having your lawyer write a letter doesn't cost TOO much. If that doesn't get it then you will have to sue. I hope it doesn't come to that. Good luck!
Why don't you start
by calling the funeral home/director who handled the original burial. I am sure this will not be the first time he has dealt with this situation. If you don't want to deal with them, find a funeral home your are comfortable with to handle the arrangements.
I'm not trying to start anything, but (sm)
what would this organization do? I've never really understood what AAMT does/did and why I should be a member. How would AAMT or any new organization benefit the MT?
Start looking around...
My department has gone from 20+ to 3 in the last 2 years. In part due to voice recognition and the addition of EMR.
Hey! I know! Maybe you could start up your
own blog or something to cover all these big issues - you, the American MT. Oh, but that's right - you did that and its a dismal bomb. All 7 (?) people who agree with you can keep each other company, dissing everyone. The only thing I did like on your blog was the bag over your head. Quite appropriate. I remember you, too, as the one who thought it was just so precious when your kid was using your work computer and your Expanders kicked in. Yup, a real pro. Gotta run now and work - sure hope I don't forget my compound modifier hyphens...snicker...snicker.
Where to start?

How can I get an idea how much I want to deduct for the year, not what but how much money I should be trying to deduct or can.  I need to get better prepared and deduct what I can this coming year. 


Thanks in advance for your help!!


Everyone has to start somewhere.

My mom was an LPN for 30+ years and she came home one morning in tears.  She (a devout christian) admitted to me (then just a little kid) couldn't believe how mean she was to a nurse's aid who was just starting out on HER floor.  My mother's ego was bruised because this "kid" (even though she was a lady with kids, she still called her a "kid") had the same type of training my mother had but yet had a different initials on her name pin and my mother felt she had no business giving shots or doing something or other....it was so long ago I forget what the problem was. 


My mother was so upset at her own behavior she vowed to take all the new people under her wing and show them not all people were bitter, and that we all have to start some place.  It really did her heart good to do that.  Now mind you, I'm not preaching here, because I'm an atheist (boy did that really frost dear old mom's patootie!), but I do belive in life's lessons.


Try not to be so hateful and bitter towards her.  It sounds like you kinda already have her discounted before she's even had a chance to begin.  You said it's a high-volume office, so maybe you could use the extra hand.  Try, at least try, to be a little tolerant and kind is all I'm saying.    


start looking for another job
Longevity means nothing anymore in this business. I know a couple of people that this happened to. The first one was jerked around so much she finally just gave up when told to come back to the office to work, would have been over an hour drive each way for her. Another person is still hanging in there working at the office once a week. I think companies would rather jerk people around instead of firing them. Not saying this is what is going on in your case because I don't know all the circumstances. Maybe youve been with them too long, making too much money?? I had the heave-ho once myself for this same reason. It was obvious they were pushing and pushing until I finally gave up and left. The situation was very hostile and not one I wanted to stay in. Best of luck to you whatever you decide. With your 16+ years experience Im sure you would have no trouble picking up right where you left off somewhere else.
Seems like not right at the start but
when you are in the middle of a 10+ minute report. I will try the logging out and coming back. I will also try the other, just letting it set for a minute or so. I really appreciate the assistance!
it is a better start than most of us have here.....
but knowing anatomy and terminology will not be all you will need. Learning the equipment is also secondary.

first and foremost, you have to be able to type at a relatively quick speed if you want to make any money in this field. Second, you have to develop an ear for foreign accents, and that is what seems to be difficult for most.

Good luck in your pursuit. If you battled your way through enough school to be a dentist, you will find your way in this field as well. It is just not as easy as a lot of people seem to think it is.
Start with irs.gov and
The first 2 results are a start. I can't say if they're everything you can deduct, but it's a good start. Also, I've noticed a very common misconception on this board that only ICs can deduct home office, but the first sentence of the first result of that search says you may be able to take a home office deduction whether you are self-employed or an employee. Good news for the rest of us!
why don't you start nm
nm