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Death toll in Pakistan rises up to 30,000. Whatever your belief system is please think of the

Posted By: families who have lost loved ones. nm on 2005-10-10
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death toll
That is 53 confirmed deaths so far....Lord knows what the count will be when the water subsides, so it may be close to comparison with the Tsunami, I pray not.
Toll-free call-in system

I have 3 doctors that I am going to be taking on as clients of my own.  One is going to be using a recorder, the other 2 are still wanting to use a call-in line for their dictation.  They will not be dictating a large amount just a couple times a week.  Does anyone have any suggestions for a service that provides a toll-free call-in line for a decent price?  I am thinking about mydocsonline for my doc that will be using a recorder.


Thanks in advance and Merry X-Mas to you all! 


As the quality of life rises in the Third World, (sm)
so will it's cost of living, as well. Do you think those Indian MTs are going to get C.O.L. raises? Nuh-uh. And the foreign CEOs are even greedier (and shadier!) than those in the U.S.
They'll figure it out as the cost of living in India rises
and their pay-per-line doesn't.
Frustrated Beyond Belief
I'm having the same problem too. I try to start out the day with a good attitude, and pretty soon I just want to pull my hair out. It seems like EVERY day it turns out this way. Plus I'm just learning, so I don't know if I'll even be able to get 1000 lines. How DO you get 1000 lines in an 8-hour period when sometimes it can take a long time to listen to something or clean up a real mess. I honestly don't know if I'll be able to do 1000 lines a day. The dictators are not tht good. I had one today I couldn't get the name of the patient PLUS she dictated the wrong MRI #. I fought with that thing for over an hour, trying to figure out how to get the name. How DO you decide how long to spend on each report esp. when I'm like you; I don't like to leave a bunch of blanks.
To unpopular belief

 I do care more than some people think.  I care about the MT world, as I have been a part of it since 1989.


Would you not think that if I was this horrid person, you would have heard something before now?  Consider the source.  XO


 


I have compassion and I have belief they can
important thing in situation like this is to help friend help herself, not just give pity. Show strength and initiation and pass that to friend, not just poor you.  Give compassion but also give the feeling friend CAN make her life what she wants it to be.
Wow..you guys are blessed beyond belief! nm
s
I'd like to see hard data before buying into that belief
I will blast a poorly performing QA'er all day long. Someone with something of substance to offer in critiquing my work is someone I communicate with and have nothing but respect and praise to give. I won't get into a snit about the use of too many or too few commas, but a QA'er who fills in a blank I sent in for a second ear and fills it with something incorrect IS someone who holds no respect in my eyes. That is the person I'll blast all day.

Darn. I was not quiet. Wonder what this will do to my image on the board?
it does take a toll on earnings...
I agree about the rates for VR. It can take a while to fix a botched report and in some cases I have to fix them by typing in the corrections, but still only getting paid half the rate. I used the Edit Script platform, which is awesome, but the company I work for is heavily supported by ESL docs, so it is a challenge. I do, however, use the IT Expander and get free lines from templates.

My solution was to also work for a second company that uses the same platform, but is mostly American docs and has a higher percentage of typing rather than editing, about 60/40 (40 typing). My first company is around 80/20 (only 20% typing). I agree with another poster who said that you have to find the combination that will work for you and increase your pay. She is right because for me, the second company is a smaller company and I will make more money with them. I like the other company also because they will give me experience with ESLs, but I will earn less money. I do the smaller company full time so I can eventually get the benefits and the larger company with the ESLs part time. Now I am receiving 2 paychecks, but working extremely long hours. I feel it will balance out with time. I have flexible schedules with both and can usually take off anytime I choose,which I feel are the perks of being an MT. It is hard to have this situation with a traditional job, so I take the good with the bad. I am new to this field and want to stay optimistic about my future with MTing.
Toll-free phone
1-800-772-1213
Toll Free Call In for only 8 cents per minute!
y
You're misunderstanding how toll free call in
services work.  You can't just get some long distance service at 3 cents a minute. Where are the doctors supposed to leave their dictation?  We have software that answers, prompts for the dictator ID and password, then keypad functions the doctor uses to leave their dictation.  Then, those dictated files are provided to the transcription service via FTP.  So, our service, at 9 cents per minute is the cheapest on the market offering these features and we do not require a large amount of minutes per month like other toll free call in services do.
ATA - here's a toll free number-- give them a call...
The American Transcription Association (ATA)
1210 Old York Road, Suite 101, Warminster, PA 18974
215-792-6299
(Toll-Free) 877-786-5513
They answered. Said he was from Pakistan and that all MTs
x
ID being stolen in Pakistan
There is probably less chance of your ID being stolen in Pakistan than the United States, where I had my stolen.
We're not a transcription service. We offer toll free call in dictation
service at rock bottom prices. I was only offering you an alternative without having to put out a lot of money by buying handheld units.
Meditech is an operating system and Fusion is voice for a dictation system
nm
I'm sure India, Pakistan, Philippines...
and perhaps a few others.  But the WORLD...no....not even most healthcare providers in the U.S.A.  If you really believe what you said, you've have been misled.
Aim the missles at India & Pakistan
One way to get rid of some of our nuclear arsenal....
Yes, he's from Pakistan. He didn't hire himself though.
x
Advertise in India & Pakistan, not the U.S.

The quality I see coming out of Pakistan and Egypt still bites the big one.
:+
how do you know for certain that Sheri is not an honest person? and Dr. Ahmed is from Pakistan, the
or is there any owner here. No one answers any of my questions. I have been posting all day.
It is owned by Zeshan Ahmed from Pakistan. It is no longer
xx
Zeshan Ahmed from Pakistan. He posted it right here. I have zero comfort
this website. I can't believe you would be.
18,000+ have perished in Pakistan. A terrible tragedy has occured in the world, we should
whether offshore services can't work.  Any way you look at it, people are people.  To the original poster, have some respect.
Six Cents is an excellent income if you live in India or Pakistan!
If a client told me that was the rate of pay they're offering, you'd be amazed just how quickly that conversation would come to an abrupt end. 
Strike in Pakistan slowing down offshored work here. Just another example of offshore
:+
Remember that Pakistan co who threatened to post medical records on the Net?

REMEMBER WHEN THIS STORY BROKE? Finally, somebody is dealing with the issue. Check this out!


http://www.gcn.com/online/vol1_no1/41035-1.html


VA IT security gaps extend to contractors
06/14/06 -- 04:15 PM
By Mary Mosquera,



Rep. Buyer: Department CIO needs IT security enforcement authority
 
[b]The Veterans Affairs Department said today that it has been investigating allegations that an offshore medical transcription subcontractor last year threatened to expose 30,000 veterans’ electronic health records on the Internet in a payment dispute with a VA contractor. [/b]
The VA assistant inspector general referred to the investigation during questioning in a congressional hearing on VA’s data security environment in the wake of the theft of sensitive data of 26.5 million veterans, active duty military and reserves officers.


The medical transcription incident highlights how gaps in information security also extend to contractors, said Michael Staley, VA’s assistant inspector general for auditing. Some VA medical transcription contractors have used offshore subcontractors in India and Pakistan without VA’s approval and without adequate controls to ensure veterans’ health information was secure under the Health Insurance Portability and Accountability Act, according to an audit released today.


“Contracts do not specify criteria for how to protect information,” Staley told the House Veterans Affairs Committee.


Staley enumerated audits of information management security under the Federal Information Security Management Act, the Consolidated Financial Statement and Combined Assessment Program that revealed significant vulnerabilities. These include VA not controlling and monitoring employee access, not restricting users to only the data they need and not terminating accounts of departing employees in a timely manner.


In last year’s FISMA review, the IG provided 16 recommendations, including addressing security vulnerabilities of unauthorized access and misuse of sensitive information and data throughout VA demonstrated during its field testing. All 16 recommendations remain open, he said.


Audits also found instances where out-based employees send veterans’ medical information to the VA regional office through unencrypted e-mail; monitoring remote network access and usage does not routinely occur; and off-duty users’ access to VA computer systems and sensitive information is not restricted.


“VA has implemented some recommendations for specific locations identified but has not made corrections VA-wide,” he said.


From fiscal years 2000 to 2005, the IG identified IT and security deficiencies in 141, or 78 percent, of 181 Veterans Health Administration facilities reviewed, and 37, or 67 percent, of the 55 Veterans Benefits Administration facilities reviewed.


“We recommended that VA pursue a more centralized approach, apply appropriate resources and establish a clear chain of command and accountability structure to implement and enforce IT internal controls,” Staley said.


The underlying situation is the VA’s department CIO does not have authority to enforce compliance with data security and information management and recommendations from GAO, said Veterans Affairs Committee chairman Steve Buyer (R-Ind.).


Buyer traced problems in security enforcement to a memo dated April 2004 from the general counsel that said the department CIO did not have enforcement authority.


The CIO, undersecretaries who lead VA’s benefits, health and burial administrations, and the VA secretary share responsibility for enforcement, said Gregory Wilshusen, director of information security issues for the Government Accountability Office.


“Information security is a governmentwide problem, and we have talked with OMB about that,” said Linda Koontz, director of GAO’s information management issues.


Buyer expressed frustration that there are no consequences for “recalcitrant” agencies that do not correct problems that GAO has repeatedly highlighted. He cited the Privacy Act, which has been strengthened with consequences.


“If you have a bureaucracy so strong in the department that the secretary or political bodies are unable to act, don’t you think the president or vice president or OMB needs to know that because there are monetary consequences behind that inaction? I’m bothered that GAO doesn’t have the higher authority to which they can turn,” Buyer said after the hearing.


After several more hearings this month, Buyer and his committee will make recommendations or craft legislation. He suggested that Congress consider looking at strengthening FISMA.


“We can even come up with that in our language, but we’re not going to have jurisdiction over that. We’ll have to work with Mr. Davis [House Government Reform Committee chairman Tom Davis (R-Va.)] and his committee. I’d be more than happy to do that,” he said.



© 1996-2006 Post-Newsweek Media, Inc. All Rights Reserved.


So then this board is now owned by Dr. Zeshan Ahmed from Pakistan? Do I understand you correctly?
So this is NOT AN AMERICAN BOARD ANYMORE?
You can *what if* yourself to death--sm
it sounds to me like your decision is already made.. gor for it! Giving up *free time* is never easy, but we need to earn a living too. Good luck to you!
EMR is NOT the death of MT
Even if the entire world went to EMR (which I doubt we'll ever see in our lifetime) it doesn't mean the death of the MT nor does it mean we will all have to go to VR. I transcribe for an office in NY that uses EMR, and once our reports are sent in, they go into a holding bin for the doctors to review and sign of on.Then the reports go directly into the patient's EMR. The only difference is no paper. We still get the same amount of work for the same amount of pay. There is absolutely no change to my routine. On the other hand I have an account out of AR that will probably never ever ever go to EMR unless the doctors are faced with losing their licenses or they retire (a good 20 years or more)
That just irks me to death.
I worked for a national that had two QA people on my account.  The one QA person did it one way, and the other one did it another way.  One pushed for combining forms, the other one said NO.  I never knew who was working from one day to the next.  I finally sent an email to both QA people, the account manager and the owner of the company with quotes from each of their corrections contradicting each other.  I asked which way I should do it because I couldn't do it both ways.  It took forever to sort out.
Income Tax after Death

I have a friend whose mother passed away in March of this year.  She was an IC and thus earned income right up until the time of her death.  Is her daughter now responsible for filing an income tax return and/or paying taxes on this income?  I know an accountant for her would be handy in this situation, but I thought I might get some opinions here as well.  Thanks!!


RE: Taxes after death
My mom died last year and the accountant did work up her taxes and they were paid by me. The money, of course, came from her account.
Yes and lover her to death!
$50 a week. We have about 2500 sq ft and she cleans the whole house. I can't believe it took me as long as it did to hire someone.
I'm tested to death, too
If you create a folder on your desktop called "Sound Files" - then when you are downloading an mp3 file or whatever - right click and do "save to target" - then browse your desktop until you see sound files folder and make sure that is in the box. Then, the files will download to that folder. Then, when you double click on Express Scribe, up on the top you will see "Load" - click on this and then browse for your sound files folder. Highlight those you want to download into express scribe and then down at the bottom, hit ok or load (can't remember which it is). They will then be loaded into express scribe, ready to go.
Death summary on someone who...
had died for the same disease as my dad, lymphoma. The summary went through the last month of her life and the hospital stay. At that time, my dad was not in the hospital, but was showing these same signs. So, I knew what was forthcoming for him. And, needless to say, it happened the same way with very few changes. Talk about a tear jerker and a tough one to type.
Death in family
As the "executrix" in my family it was my duty to be sure everyone was treated fairly. Some things were taken by family members without waiting and rather than get upset about it, I let it go. I just made sure the written wishes in the "will" were carried out. Some did take things that should have been given to others, but I knew better than to bring it up,since it would only make for family problems ad infinatum. You don't know if there was something about the jacket that made this person feel her father's presence, not thinking of where it really "belongs." I agree that it should go back to you but in my experience, they might say, "it was a gift" and never be on good terms with you again. Let it go, believe me, this is what this wonderful man would have wanted you to do. It's hard, it's difficult, but "letting go" will give you more freedom. Perhaps at a later point you could mention how much the jacket meant to your son and how you are glad it was not given to a stranger. Perhaps she'll come to her senses. She's in too much pain right now to think straight. Wait a week or two and don't cause a permanent rift. You'll be proud of yourself later. It's material. Bad feelings go on forever. Somehow "grace" is always the best under pressure. Sorry for your loss.
Death in family
Quickly - ask for it. Otherwise, it might be sold in a yard sale. I know that when my father-in-law died, my mother-in-law's mother and sister came in and cleaned out the house - within 3 weeks you would have never known that he had lived there. They took and sold everything that they wanted, left my mother-in-law with a few pictures and her own memories. Thankfully, her mother died this year - she and the sister were real vultures. Hope this helps, but whatever you do, fight or no fight - get it back - you will be glad that you did and so will your son.
scared to death...what to do

Okay, now that I have job offers, I have to figure out what to do.


Right now:  I am employed on site as an admin asst with great insurance, good pay, people I like, and job security.  The downside is missing my family--I only see them about four hours in the evenings and most of that is bathtime, cooking supper, you get the picture.  I also have quite a drive to work and parking is HORRIBLE.  I feel I work LONG weeks and then have little to show in the way of my emotional outlook and cash left over after buying gas, etc. 


What could be:  I have job offers to come back home and type full time.  I would be here to see my children and be close to their schools if something happened.  Also, my husband has built me a gorgeous office by closing in a porch, so there's a big three-paned picture window that overlooks my garden.  I can envision myself at home, but there's a tremendous amount of fear that's holding me back. I am AFRAID because I remember how long it took to get lines in every day.  I worry about the security of benefits, PTO, and just the job itself.  I don't want to be sitting in this office 7 days a week from 6 a.m. to 7 p.m.  I hope I'm more capable than that, but sometimes it's not the MT, it's the conditions, and if I give up my other job... 


I guess I am just venting and worrying and wondering.  After a two-year break, can I come back home and be productive and accountable as an MT?  Can I count on the industry?    I really wanted to come home, but now I'm afraid.


TIA for any and all suggestions!


BORED TO DEATH
Does anyone else get sick and tired of doing the same work, same doctors, same everything day in and day out?  I am bored to death with this job!  I like the job just not the same stuff.  I think I need a change!!!! 
Death summary

Dr. dictates:


Reason for Death:  Incompatibility with life.



The VR is what bored me to death..sm
I would actually get to the point where I could feel my head nodding...80% of what I got was VR....I was beginning to feel retarded.  The only straight transcription that was sent to me were the worst dictators, cause the company knew I would do it, take my time, research, relisten, etc.  I've always felt more alive transcribing than editing.   Cat
Sick to death of this!

Now, I'm sure that this has been covered again and again, but I am so upset that I just have to say something!  I am so SICK and TIRED of every single job listing saying, "New graduates need not apply," etc.  It's like a slap in the face...you're not good enough, we just know it, don't even THINK about submitting you resume to us you subhuman.  I have worked at previous jobs in which I was as good after two months of experience as some who had been working there 3 or more years.  (I'm sure everyone has had this feeling.  I'm not trying to insinuate that I'm a genius or anything.)  Why can't anyone just give me a chance?  How do they know that I'm not good enough?!?!?  Meanwhile, I've invested a moderate amount of money and a huge amount of time into this for what???  Anyway, that's my rant.  Thanks for listening and sorry for the negativity.


death summaries
I've typed several that have left me sobbing, spilling tears on my keyboard quite literally, over the line: The patient passed away peacefully with his entire family at the bedside. After I would dry my tears and wipe off my keyboard, I would wonder why that statement was deemed medically pertinent?
Once had a supervisor who nitpicked me to death, my first job,
took it and took it, until FINALLY one day, she told me that "mcg" was not abbreviation for micrograms....that's when I QUIT and went home!
So the solution is clubbing 50,000 to death?
Pleeeeeeeeeeeeeeeeeze. I'm sorry, but that's just an ignorant comment.
blue screen of death

I'm not sure if he went back to myspace a second time, I'll have to ask him.  Thanks for all the help.  I got it at Best Buy so I think I'll take it back there and see what they have to say also. I just don't want him away at college and have the darn thing crashing all the time.  It's not like you can just keep buying new ones at that price!



DRG'S - DEATH OF BIG BUCKS FOR DOCTORS
I still remember when DRGs came into healthcare - before that - you could just go to the hospital and get yourself admitted - relax for a few days or a week - have nice nurses to wait on you hand and foot, and then leave - with the insurance company picking up the tab.  Oh, they would give you some aspirin or tylenol - something to charge for and do a complete routine lab panel on you at each admission, but you didn't have to have anything really wrong with you in order to get in.  Then came the DRGs, insurance coding and the end of the primadonna transcriptionists - This also ended the big bucks to the physician's (for the most part).  Some still make a lot - but it is due more to savvy investments than it is from healthcare.  Google DRGs if you want to find out more, especially those of you who are new transcriptionists.  Our days of the "big bucks" is over, as well.  I have seen about a 50% decline in pay from when I started working 15 years ago.  Most of that within the past 5 years.