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Serving Over 20,000 US Medical Transcriptionists

Can anyone shed some light on this situation for me?

Posted By: confused & dispirited on 2005-09-19
In Reply to:

I've been with this large clinic acct. since March of 2004. Since starting, they've been growing & going through lots of changes in the way they're running things. I am a part-time IC. I've gotten great audit scores and have been told I'm one of their best MTs on the account (when wanting to switch to doing more on a different acct.)


When I first started, all the work was in a pool. Sometime later, I noticed they were pretty much assigning only certain clinics to me, which they confirmed they'd starting doing it that way & it improved production. All the MTs seemed to be pleased with this. I had mostly decent dictators overall.


Not too long ago, I noticed I'd started getting overall worse dictators. When I asked my supervisor about it, via email, she said nothing had changed, I was just getting the luck of the draw. I had my suspicions that some of those in higher positions that could manipulate the work were giving themselves the good jobs, & even voiced something to that effect--slightly. But, I did notice after I'd tentatively voiced my suspicions, I started to get some of my better dictators back.


However, last week I noticed a drastic & complete change. I started getting some of the worse dictators from clinics I usually didn't work on--not some of the good dictators from that clinic, mind you, but the worse ones almost consistently. My suspicions were confirmed a few days ago by a broad email sent to us all that there had been some work-pool changes. In effect, it was saying those of us who weren't doing well by their criteria, i.e, QA utilization, production, audit scores, accountability & quality, were not going to be getting work when it was available, but it would go to the ones who meet all this criteria, and that basically we were going to be getting the junk, to paraphrase.  Since work usually doesn't download until later in the morning, they were going to save any morning work for the "good" MTs.


Now, I know that I am meeting all those criteria, and I am so upset by the fact I'm getting all the junk now. From reading this board, I'd thought I'd learned that companies will give full-time employees the better work instead of the ICs, that this somehow is better for the company. Could anyone advise me of this? Could there be another reason for this that mgmt doesn't want to tell us, other than trying to attack our work & say it's our fault?




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Could you please shed some light?
How do you find that good, fair boss/company? From what I gather through reading posts on various forums and my own experience, it is more likely to experience the bait and switch than being dealt with honestly.
I live in Idaho and maybe I can shed a little light.
It depends on where in Idaho you are moving.  If it is a rural area or smaller town, there will not be much if any work for you.  If you are moving to Boise or another bigger Idaho town, you may find something fairly quickly.  The best thing to do is to use a search engine on the Internet for the town you are moving to and find out all of the medical facilities/hospitals in and around that area and then send them a letter and a resume and let them know you are looking for work.  That is how I found my transcriptionist jobs (I work for three different offices).  I hope this helps.    
Go with Light or Extra Light Ash Blonde as
nm
poos don't shed.......why a dog question
on a medical transcription message board?  Interesting!  bow-wow  ~^,,^~
not the sharpest tool in the shed
!
Yes, could be, I guess. He still has not shed one tear and it's been 13+ months. SM

I wonder if he really needs to see some kind of a counselor about his life in general, but my brother is very hard to suggest things to.  But, one thing I do know, if they don't get a handle on this boy's smart-mouth and terrible attitude toward his dad and his grandmother who is helping out, I just believe they are in for some horrific years to come.  I've raised 2 teenagers, one who gave me problems and one who did not, and this is different from what I had to deal with and also at a younger age.  His dad just seems resigned to the fact that, well, this is how it is and how it's going to be.  I can't just sit by and let the whole family crash and burn, but there's only so much that I feel I can do.  The grandmother (my mother) is helping, but frankly her "mouth" is about as bad as the teenager's.  It's constant back and forth/back and forth between her and him - you would't believe the tone of their voices and the things they say to each other, and then the things he says to his dad.  I learned a long time ago that "tone of voices" matters a great deal in general conversation as well as arguments, and to tell you the truth, my mother can be meaner than anyone I know when she gets started. 


I'm sorry ths is so long - I guess I got carried away but I might as well leave it now that it is typed.  It's just a family problem that we have.


Has anyone ever had major surgery and a few months later started to shed a lot of hair. I am having
that right now and I wonder how long this goes on. Much more hair loss when brushing and washing than before. Scary.
why Bud Light?
are you kidding?
Ott light.

Raw oysters, Mr. Ed, and Bud Light.
and Mr. Ed IS SO a famous person!!
Hey, I live in IN too. I like having light outside at 8 PM! nm
x
Hoping they see the light!
I agree with you 100%. I have been in this line of work for over 30 years. (I started off making $3.23 an hour in 1975 (had no experience) and worked with the large belts on a Selectric typewriter. I have always LOVED this profession; however, over the years the stress has increased for me especially in the last three years.

I would like to be able to retire from this job, yet I worry constantly about our profession and my job just going away and what will I do then? I still work in a hospital and the way we are treated even has changed. Pencils only provided, no Kleenex along with the attitude that if we are not typing, we are not working and virtually have problems just getting up to go potty or take a much needed break.

The out-sourcing has really shocked this old gal and I don't really know about the quality of the work returned to comment on it. Does anyone know? I would be curious.

However, I am hoping and praying that one day, our MDs will say "ENOUGH!" Maybe, they will decide that paying for quality work and providing benefits, etc., far outweighs the cost savings benefit of outsourcing to other countries and sadly in companies in the United States also. When I think about the knowledge and dedication we put forth every day to produce quality work, it just really hurts that the hospitals and doctors don't want to pay benefits and pay for the best transcriptionists they can find.

Signed, The Dreamer.

A little light reading

Link to the Bureau of Labor Statistics information on our dwindling profession.  According to them, employment prospects are good for MTs, with many opportunities for advancement.  I think they must be a little out of the loop on what VR and offshoring are doing to us....


http://www.bls.gov/oco/ocos271.htm 


You know - you're like the light co. or the phone co., or any SM

other billing entity. This is not a paycheck, it's payment for an invoice. Terrible thing that you're not getting your money, but it's not like she skipped "paydays" here.


I feel sorry for you. I just got a check I espected much earlier. Sure makes it hard to do business, doesn't it?


ASTRO-light examination is that right???

amazing dictators, here's a light one 4u

I literally lost it, turned the speaker up for my kids and they were losing it along with the doc.  He always refers to vitals, meds etc "as listed on the nurses chart".  He seemed a bit distracted tonight, usually a fantastic dictator, the ones we love that we just know exactly what they're going to say next?


So he says..."Vitals as I noted on the nurses chest".  He only caught himself after some of those nurses burst out laughing and told him what he had just said....the rest of the report was a mix of med terminology and the comedy club!


Can you exercise with light weights?
If you don't have a problem with a disc or something serious like that, working the upper body with light free weights may be just the ticket. It improves the posture and strengthens the muscles you use to hold up your arms while working.
for 6 yrs and work is very light on 3 accts....nm
x
is there a super-light touch
keyboard that is also split and (hope upon hope) with a rise in the middle like the MS ones?
light touch keyboard
I have a logitech DiNovo.l  It is pretty expensive but it is small, flat and makes hardly any noise.  The only draw back is that it comes with a separate number key pad.  The key pad is not connected to the keyboard.  I love this keyboard with my laptap. It is the same size as my laptop and fits flat in my laptop case so I can take it with me anywhere. 
Not to make light of pt privacy, but
I type on a 14 inch laptop screen that I must keep about 2 feet away from my face in order to see it. In the course of seeing my laptop, my less than petite frame obscures probably the middle 50% of the screen. On the screen, there are endless lines of text that would be rather meaningless to the average barrista/customer. The patient demographics are obtained via a link on the toolbar. A 'hotkey' is entered throughout the report where the patient name appears and in the preparing-to-send process, these are all replaced with the patient's name. The hospital I type for is 3000 miles away.

I can see where this might be problematic should someone with better vision than I manage to see around my hulking slumped body and see 25% of the text on the left and 25% of the text on the right and know enough about transcription to be able to fill in those rather large blanks on each line (and that doesn't even take into account that most laptops are made to be viewed head-on; side viewing, viewing from above, etc., distort the picture to make it all but illegible). I suppose this could still be problematic if this eagle-eyed contortionist with an intuitive knowledge of medical terminology and knowledge of random software programs to find that demographic button can psychically detect which hospital of the thousands in the country I am working on and happens to have a relative who lives in that very town ready, willing, and eager to spill the beans about Madame X's bunion. Yes, I can see where this is a danger. I guess I should thank my lucky stars that I have not run into either this fellow or chupicabra at my local coffee house.
There is a product called Green Light
or you might try a systemic insect killer that you just put on top the soil and water it. Just do not use it for any plant that bears fruits or vegetables. They both work well.
I like blue, too. I'd do the walls a light beige or tan.

Our house here was icky when we first moved in.  Each room was a different color of pastel.  The mottled blue/gray/white/brown carpet was nasty because they had cats and dogs that evidently must have been locked in the bedrooms while the adults went to work.  The living room and hallway were blue-gray, the kitchen was yellow, laundry room peach, bathroom pink, and the bedrooms were lavendar, purple, and fuchsia.  Of course, the walls matched the carpet that matched the curtains.  Blechy.  We painted everything just a plain off white before we moved in.


My parents never deviated from plain white walls when I was growing up.  I'm just now learning to go wild with decorating.  In fact, we just got the funds to do our addition today, so we're adding another bedroom, an office for me, and a second bathroom, and enlarging the kitchen and utility rooms.  Fun, fun, fun, more household disruption for the next several months.  I just can't wait for the end result.


My DH drinks 8-12 light beers a day, though he is trying to cut back - sm
but he's been doing it for over 20 years, so I would not be surprised if cirrhosis shows itself. He is in good health, for now. I don't buy him beer anymore since I was enabling him and he did ask me to stop, so that has helped a lot in him cutting back. I think we only have 1 beer in the house tonight so that is good!
Try the top Search link, in light yellow box, between
nm
dang! WHAT husband?! I should light a candle...
!
AC adapter for D-Light digital transcriber?
I have an old D-Light machine that I need to put back into use. Have misplaced the AC adapter. Does anyone know what type of AC adapter it uses?

Thanks!
C Phone not dialing--D-Light from CHARTS-- Please help

Hey y'all.   I have a little black box of a C-Phone, from C.H.A.R.T.S. and it is called  D-Light.  


Yesterday it would not dial.  Everything else works apparently, the green light is on and it changes from green to red when I hit the buttons to dial or hit the foot pedal.


But, the DIAL TONE is lower volume than normal and it will not dial.  The buttons do nothing.  I do get the phone company prompt "If you are trying to make a call, please hang up..." if I stay on the line long enough.


It is acting like it is not getting power, this is how it acts when the power cord is not plugged in.  But, it is plugged in.  I think the machine could work, I just don't know what is going wrong. 


Please help if you know what is going wrong.  TX so much-- I gotta work!! 


 


But it clicks? Usually this means not a light touch? Thanks
Could you expound?
My hubby bought me a light at Wal-Mart for

Christmas.  I suffer from SAD too.  It is by Light America and is called sunlight lamp.  It has a rectangular head that you can adjust the position on.   I have noticed a difference in how I feel since I started using it. 


I wish I could adjust the brightness on it, but I just turn it where it faces the wall when I want it dimmer. 


It sits on top of my desk hutch.  It isn't anything special to look at, I think it was around $20. 


I don't think I am in a light of sight for cell towers either. sm
They pick up signals within distances like cell phones do. I don't think a direct line of site is needed period like it is with satellite. With satellite, you have the big dish that is placed on your house and it beams the satellites in space to get your signals. With wireless it gets signals from the towers. You have nothing but you wireless network card or USB plug that picks up the signal from the tower. No big, ugly dish around on my home.

If you can only occasionally get a cell signal, it might not be the best option for you. Do you know anyone around that has wireless? My brother had it and came to my home with his laptop to show me how it worked and that is when I choose to get it. I like that I can now also travel and pick up signals rather than be limited to one location with the satellite on my home also. No need to worry if a hotel has wireless or not as I have it. I would figure out who the best cell phone company provider is in your area and contact them. Tell them specifically your location, your situation with iffy cell signals and see what they suggest. Like I said mine had the 30-day money back guarantee so I knew I could go that route if I saw it wasn't getting good signals for me. All the major cell companies have wireless now, but your best bet is who has the most towers in your area. I am thinking there is a website that shows cell towers and locations, maybe research it? Cannot recall right now, but I have seen it before. Just contact the company in your area and tell them to explain their wireless INTERNET plans to you.
Just to clarify - This was not meant to trash anyone - I was trying to be light-hearted --
The lady that made this mistake was my roommate and she was laughing right along with us --
George Clooney, hot wings, and Coors Light
can we go now?
12 x 10 light yellow walls, blue ceiling
Desk with hutch and pullout drawer and keyboard shelf, on top of desk and in hutch two transcription units, a clock so I can watch time fly (haha), lots of miscellaneous reference books, most outdated but can't give up, plus large filing cabing, small filing cabinet, two printer stands that match wooden desk and hutch, loaded with more important stuff (yeah, right), one of those organizing paper holders (two stacked on top of each other) with 16 slots for different clients' letterhead, a laser printer (HP of course! LOL), the dozen roses DH bought me for Valentines, dried and looking pretty in the vase, DH's desk and hutch, with his two printers, a shelving system with a bunch of candle and soapmaking supplies (mmm, it smells good in here!), and .... of course! .... my TV. Geez, I can't live without it!
Keyboard recommendations, soundless & light touch?
can anyone recommend a keyboard like that?  I have tried so many.  Has anyone tried the Kinesis?  Is it silent and light touch?  Help!
I am so glad to hear you talk about VR in a good light
I have a jewel of a platform and you can make a decent salary. It is not garbage and like you said, the people here complaining are ones who do not have a good system. You have to be fast in scanning and hearing. If you are a slow typist to begin with, I have no idea how this would play into a person who does really good with VR. I do not fit that category and the people I have know that did VR did not either.
In light of tragedies and terrorism and crime, I hope they have better things to do than
x
And I suppose you're perfect in everything you do? No one was making light of the woman's sit

RE: Anyone know of a real light touch keyboard that is a reasonable price?

\


 


Very rude. They should have had a coffee hour or light hor d'oevres for the guests, especially as
m
I use light blue - it matches my toolbar in MS Word 2003 nm
x
So you have also noticed the light and dark shades in text. I wasnt aware that it was like this when
I bought it. Is there anything to make this better at all. I just bought this whole computer system with LCD screen and I guess I will call them and see what can be done or just get used to it. I like it but not so much having the text look like that. Have you spoken to anyone about yours.
I live in Lancaster, PA and you should check out the Sound and Light Show near Strasburg. nm
:
All of mine were Demerol & Versed, out like a light, quick recovery. No recollection of anything. :)
s
Can anyone suggest a super light touch keyboard? That you can't hear the typing?
I am looking for one that you can't hear the typing.  TIA
Light-colored makeup or glitter is such small potatoes compared to what's coming. I agree with ch
s
I wear cheapie ear buds from Target, any brand, usually Koss. Comfy, light, good sound, cheap. nm
x
Surge protector light blinking on switch. Does this mean the surge protection is not working. nm
:
Light blue background, with bold blue text.
x
It will. I was in the same situation.
Mom was a total bipolar psycho - one day she loved being my friend and the next day she "didn't want to talk right now".  I haven't seen or spoken to her in 20+ years and the kids drifted apart shortly thereafter.  Good riddance.
sad situation
  I know what you're feeling.  We have a similar situation in our community.  My daughter is friends with the older sister and I graduated with the mom, so she and I went to visit the day after.  I know what you mean about flowers and food.  I am planning to go visit again in a few days and take some soup that she can just put in the freezer and heat up anytime.  I also bought some cards that I am going to send over the next few months just to let the family know we are thinking of them.  It's a very sad situation.  Hope this helps.