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Serving Over 20,000 US Medical Transcriptionists

Explain to them the realities of life, and hopefully they'll bend.

Posted By: nm on 2005-09-21
In Reply to: I AM FREAKING OUT..... - what to do, what to do...

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Angry? Maybe make your own life better and you'll be surprised
Losers blame other people.

Successful people take responsibility for their own lives.
VR Realities
Where I work we have VR. It has allowed us to return from 30 FTEs to 9 FTEs!! This is a significant saving for the company. I let my employees either edit or retype. The choice is up to them. Of course, we pay by the hour anyway so as long as they are productive the choice is up to them.

We have to think outside the box with VR. It is not going to go away!
There are realities and unrealities in ANY profession--sm
not just the world of MT. If you go to any job posting board, the employer always makes their positions sound much more interesting and the eventualities of income sound more impressive than they really are. I think this would be a waste of your time. sorry. JMO
Life is life....the haven't bonded the same as if it were a 2-year-old!
nm
I make sure the job is not my life and that it does not take over my life. sm
I have been at this 25 years, even once had my own accounts and worked 24/7 with cat naps to keep going but no real sleep. I really burned myself out. Now I work a regular 40-hour week, but it is not my life. It is a means of making money so I can go live my life. I work for a company that is not all about production. They want us to take our time and do it right. I am doing that, and it feels so good to be able to work at my craft and be allowed to do a good job while I am at work.

But after I get off, I have my family and I take time to have fun and enjoy life. I think that is the key to not staying burned out. You need down time, time to have fun, exercise, relax, etc.

Exercise is very important, too. It rejuvenates the hormone system so you have more positive hormones flowing through your body and helps get rid of stress.

That's what I do.
It'll be the most expensive magazine subscription you'll ever get! No point in joining. nm
s
I'll go! I'll go!! I won't take hormones and will be ready to defend your honor :) n/m
.
No. It'll be the most expensive magazine subscription you'll ever get, and it's unnecessary
s
You'll get used to it. It is keeping the right leg propped up at the same time that'll be the
When I broke my ankle, I was just grateful it wasn't the hands. Without our hands we'd be totally screwed.

I broke my right ankle slipping on ice and was lucky to have gloves on because the palm of the glove was totally torn up and my hand was okay.

Good luck and be sure to do your exercises when it is time.
It'll happen. You'll find your fit.
You might have to kiss a few frogs first, though.
Oh she'll spice it up alright, she'll be
placing hidden cameras in the other ladies' dressing rooms! LOL!
continue your goal; he'll/they'll get used to it/over it
nm
I'll vent and I'll sign my name sm
I have two IC contracts right now. I recently went back to a job I had quit earlier in the year to work for the other company I am still working for.

The newer job has 80% ESLs. I transcribe OP notes primarily and I can fill in other work types as the opportunity arises. I am frustrated with this particular situation. After 6 months, I am making less money and working longer hours. I am past the learning curve and I should be doing better, at least in the number of hours I am spending doing the job. We have run out of work for 24 hrs at a time at least 5 or 6 times since December 1, and in November it was more than that. I have a friend who worked for this company as well and she was having similar difficulties. The only thing that we can figure is that they are shorting us line count some way, because after 6 months at it, it should be easier/faster/more money, but it is less and less every single pay period. It is not a nice thing to accuse a company of doing, but it SEEMS that way to us. I am fed up with being expected to type every single OP note that comes in 24/7 and meeting the 6 hr TAT for them on weekends, evenings, holidays, wee hours of the morning...

I took back a job I held for 2-1/2 yrs. The team leader has changed and this gal thinks that I should be on call 24/7 for whenever she has work. I might have some at 7 a.m., or perhaps not until 6 p.m. or later. I can't plan my personal life and between these two IC situations, I find that I am not eating on a daily basis, not showering on a daily basis and not sleeping more than 3 or 4 hours at a time. I have lost weight and I don't feel very well. I woke up today with a rip roaring head cold (my first in nearly 8 yrs) and it has already moved to bronchitis and I am expecting pneumonia by the weekend because I develop it very easily. I already have deep pain in my back.

Yes, I should call in sick tomorrow, but I really can't take the fallout. The job I took back I am covering for another gal who wanted vacation over the holidays and if I have to call in sick, the team leader will call me and pitch a fit about how this is my responsibility. It IS my responsibility, I did say I would do it, and I will do it, despite being quite ill. In the past, when I worked for this company, they would not allow me to call in sick for a "cold" without a doctor's note. I worked through many illnesses with them and only called in sick when I developed West Nile Fever and while I was sick for over a month, I only called for my last 12 reports one day when I could no longer see the computer screen because my head hurt.

The problem is that yes, many MTs lack work ethic. They don't take their responsibility seriously. This is not a work as you please career, not even for an IC. I can see the MTSO's point of view, I truly can. Like finding experienced, reliable and capable MTs, for the MTs who are these things, finding a company will treat you like a human being is equally difficult. I sit here, feeling lousy and like I am an utter slave labor with no consideration whatsoever. I know that my work needs to be done, but when I am this sick it is better that someone else do it for the sake of the work, for accuracy and for speed of getting it out. I know that I am needed, but to be the MT these companies need me to be, I also need to look after my own health.

I will also mention that when I have asked for vacation, I have been approved for the time, but the MTSO queues up my work and calls me then I am not on the system getting it done. I have told them I had been approved for time off, but the MTSO didn't schedule anyone to cover for me and I am told to get on work, vacation or no, if I want to keep my job.

Thus, I work 24/7/365 and have for years. I work sick, I work when I am in pain (I have an AI disorder), I work exhausted from staying up all night covering for others who are allowed to call in sick and have vacations when I can't have either. I work having no health insurance and not being able to afford the $125 a month to buy some with a high copay so I can see a doctor. I work without breaks for breakfast, lunch or dinner and I sometimes come close to having an accident because if I leave my desk to go to the little girls' room I get nasty calls about where I am at and what I am doing.

Many MTs are mistreated, and I am one of them.
Please explain further.
What do you mean by WT? Do you paste report into a Word Document?
explain please
what happened?
Could you explain please exactly what you mean?
I want to be aware of anything I may not know about.

I just ran a numbers check in Word, using "Tools" "Word Count" for all my work I did yesterday and the numbers were exactly the same - characters with spaces divided by 65 - except it appears the company software does not round up so you may lose a line there. Otherwise, they were exactly the same.

Thanks so much.
That's what I was trying to explain the other day -

I was hired to hold a sign at a construction site.  I was offered more money than I was making at MQ after being with them 6 years.  I have been doing MT for years and years, and my skills are non-marketable.


AT the construction site:  I don't have to know computers, buy one, keep up with one, be responsible for one, have the internet, deal with updating computers to satisfy a company.


All I have to do is show up.


At MQ they wanted more and more and more.  Buy more equipment, know proper English, type fast, no errors, NO RAISES, no work most of the time (their solution was more accounts, what a joke!), offered tech support/make an appointment, offered QA/make an appointment/we will call you within 48 hours.


The way I see it is MQ is covering itself with NUMBERS of transcriptionists.


They don't care if we make a living, only that their dictation is done.


They are going to go through us like water/we can't make a living/ok, they kick that girl to the curb and bring in the next MT/and so on.  IT'S NUMBERS, BABY!


They think because they have some sort of "idiot program" going where you supposedly can hire a warm body to clean up jibberish spit out by a voice recognition machine, they can hire 1000 indians or girls with borderline education (after they have driven any experienced MTs who were making anything near livable wage away), and pay them pennys they have the answer to medical transcription and still charge megabucks to hospitals and they will make the king's ransom in profit because they have little or nothing invested (remember they just got rid of the 1-800 phone numbers saving millions of bucks), and now want to pay pennys for editing.


Well, I am off to hold my sign for $10/hour PLUS BENEFITS AND WORKMAN'S COMP, INSURANCE, RETIREMENT, HOLIDAYS.  And I will look  back in every once in a while at whoever stays in this business while MQ takes it down the tubes.


Hey "bumed" you have it right.  And I'm afraid it's not going to turn around until you see piles of blitzed MTs over in the corner.  It is a non-career and thanks to the suits they have brought the quality of medicine down below putrid.  Get out.  Don't spend any more money to accommodate these profiteers.  Look out for yourself.   Think outside the box.  Right now the world is a little upsidedown because everything for the moment is "bottomline".  It can't go on this way forever or we will all be dead from "bottomline" thinking.  And while it is turning around, look here and there - and don't let MT take you down with it.  Good luck to all of us.


 


That would explain it....
So she is stuck at the age when she was molested, which would be about 6.  Poor Yuck!  I feel sorry for Yuck!
Perhaps you can explain this to

HOUSEHOLD INCOME DOWN, POVERTY UP:
MORE THAN 1 MILLION FELL OF MIDDLE CLASS IN 2004

Before President Bush took office, under Democratic leadership, income was on the rise, jobs were expanding, and the economy was booming. Today, the Census Bureau announced that real household income has decreased in 2004, falling for the fourth consecutive year. Since the beginning of the Bush Administration, household income has declined nearly $1,700. Over 1.1 million people fell out of the middle class into poverty in 2004, an increase of 5.4 million people living in poverty since Bush took office. Despite this, Republicans still have no plan to help struggling middle class families. Democrats are fighting to create jobs and keep good paying jobs here at home.
HOUSEHOLD INCOME DROPPED SINCE BUSH TOOK OFFICE

Household Income Declined by Nearly $1,700 Under Bush. For the second consecutive year, median household income declined: income dropped last year by $93 -- down to $44,389. In real terms, median household income has declined by $1,669 since 2000. [U.S. Census Bureau, 8/30/05; Table A-1]

African Americans And Latino Household Incomes Have Declined by More Than $2,000 Under Bush. Real median household income did not increase between 2003 and 2004 for African Americans and Latinos. African American households had the lowest median income, at $30,134--down by $2,273 since Bush took office. Median income for Hispanic households was $34,241 in 2004--down by $2,141 since Bush took office. [U.S. Census Bureau, 8/30/05; Table A-1]

Average Earnings by Women Declined by About $330 in Real Dollars During the Past Year. The median earnings of women declined over the past year, from $31,550 to $31,223. [U.S. Census Bureau, 8/30/05; Table A-2]
1.1 MILLION PEOPLE FELL OUT OF THE
MIDDLE CLASS AND INTO POVERTY IN 2004

Number of People Living in Poverty Increased by 1.1 Million in 2004. Approximately 1.1 million people fell out of the middle class into poverty in 2004, an increase of 5.4 million people living in poverty since Bush took office in 2001. The poverty rate has increased from 12.5 to 12.7 percent over the past year, increasing for the fourth consecutive year. [U.S. Census Bureau, 8/30/05; Table B-1]

Nearly 1 in 5 American Children Lived in Poverty During 2004. 13 million children lived in poverty in 2004, an increase of about 1.4 million since the beginning of the Bush Administration. This comes on the heels of a 730,000 increase in the number of children living in poverty in 2003. [U.S. Census Bureau, 8/30/05; Table B-2 ]

Disproportionately High Number of African Americans and Latinos Live in Poverty. Nearly 25 percent of all African Americans (9 million) lived in poverty in 2004, an increase of over 250,000 over the past two years. Nearly 22 percent (9.1 million) of Latinos lived in poverty, an increase of almost 500,000 over the past two years. [U.S. Census Bureau, 8/30/05; Table 3]

1.9 Million More Americans Enrolled in Medicaid in 2004. As 1.1 million Americans dropped out of the middle class and into poverty in 2004, the enrollment rate in Medicaid increased from 12.4 percent of the population in 2003 to 12.9 percent in 2004. Without the safety net of Medicaid and SCHIP for people who dropped into poverty, the health insurance numbers would be even worse. [U.S. Census Bureau, 8/30/05, page 16 ]
NEARLY 46 MILLION AMERICANS LACK HEALTH INSURANCE: NUMBER OF UNINSURED INCREASED BY SIX MILLION SINCE 2001

Today, the Census Bureau announced that the number of people without health insurance nationwide increased to 45.8 million, the fourth consecutive annual increase. A total of 800,000 Americans became uninsured last year - many because fewer employers offer health insurance to their workers. As a consequence, American families are paying higher and higher health insurance premium - which are expected to double under Bush's tenure by 2006. Yet, Bush and Congressional Republicans lack a real plan to address the problem.
ONE IN 7 AMERICANS LACK HEALTH INSURANCE

Nearly 46 Million Americans Are Uninsured--Increasing for the Fourth Year in a Row. The number of Americans lacking health insurance increased by 800,000 last year--and by 6 million since Bush took office in 2001. Today, a total of 45.8 million people are uninsured--roughly one in seven Americans. [U.S. Census Bureau, 8/30/05; Table HI-4]


Should not have to explain
We are allowed to do things for ourselves once in a while.  It seems ridiculous that we have to "explain" how or why we are doing something because we feel guilty.  I think it is great that you are able to do what you can do living in Florida especially with your hurricaine season being what it has been.   I think it is great and go and have a good time.    
Would you please explain what
you mean by "they/"  Who are they?  Do you mean newbies, anybody choosing to answer your ad, experienced MTs, dogs, cats, what? That is such a generalization.  Explain yourself.
please explain ...
I thought ERs are generally very short reports. Nowadays if we get paid by the line, you can't earn much for a short report. How does that work ?
Can someone please explain the
I can't find anything written in plain english on the internet. Thanks for your help.
Explain, please? I don't get that. What does it mean? nm
x
CMT - please explain
You've said this once before. Please explain.
Could you explain why? mn
x
I would just ask her and explain why (sm)
you would like to have the jacket, and I'm sure there would be no problem with her giving it to you.  However, if she for any reason becomes resistant to it, then I would say just drop it.  Things like this have a tendency to snowball and can cause resentments for a lifetime. 
Can anyone please explain to me why...
it is sometimes YEARS before a discharge summary gets dicatated?  Within the past few weeks, I had a report dicated 4 years after the patient went home.  This morning, the last 3 I have done by the same dictator are from 2004.  What is up with that? 
Explain please

Explain -- is 12 to 13 cpl low or high?  I am low at 11.5 to 13 cpl with my own accounts and two I/C's.   Most services here in the Oregon area are between 14 to 18 cpl in Oregon/Washington.  So I am curious do you laugh because we are low or laugh because you don't believe anyone could be receiving that much?  What do you think the Nationals charge?


Patti


Seems like you better ask them to explain better; but (sm)
I wouldn't pay them anything for the "privilege" of working for them.
Can you explain how to do this? I was just looking (sm)
at the help screen today on this very thing but I'm getting dense and do not know how to do it.  I tried and it was a disaster. Right now I have everything in AutoText, and sometimes, it loses a normal.  I would appreciate the info. Thanks.
okay to better explain my POV

I have not been on this site in almost a week as I have been busy with other things but visited yesterday and today, only glancing at certain threads casually.  The "I really wish" thread caught my eye and still I did not read it all the way through.  As the moderators here have often said, if you don't like the negative stuff, ignore it and get the good stuff.


When I posted the comment about the emoticon, I actually was thoughtful about the use of an emoticon indicative of a negative emotion leading a message about negativity.  That struck me as curious, not as argumentative, struck me as a contradictory debate.  Perhaps I should have put more in my posting but I tend to cut to the quick and what I said was a synopsis of what I was thinking.  I didn't berate anyone or insult anyone.  I made an observation and thought I was opening a door for the post to go in a different direction.


To put it better, I still have not read all the negative stuff over the last few days, nor am I interested in doing so. As this thread grew and became more, well, less caring towards other posters, I posted what I did to point out maybe, just maybe, some of the negative stuff would go away if it weren't thrown out for fodder.  An emoticon like   or could perhaps been less conducive to feeding negativity that the one posted, if in fact the original poster wanted to breed positivity on the board.  I do find it ironic that name calling came about because of a thread wishing negativity would go away.


I'm throwing this out for discussion, not to   .


Let me explain this to you.
The point here is that he is stating that he has dictated the report but is not reading it when he gets it back to sign off on. That does not necessarily mean that he is NEVER going to read it ever again. Lots of doctors do not read the reports right after they are dictated and they just sign off on them. There could be an error in the report, but they would never know it because they don't read it at the time. Six months later when the patient comes in again, the doctor may read the report then, but he certainly isn't going to remember what he dictated six months ago and if it is all accurate. It is more common than you may think.
Explain

Please explain why you don't say what you are talking about.  I believe in being to the point but these clip sentences are like the nutty doctors. 


Yes, explain that!
nm
explain why you say that please. so we all can know.
nm
You don't have to explain - those who would

not believe you for some twisted reason aren't even worth your breath - finger breath! Ha! As I posted below, there are those who just have a grudge against AAMT, and you won't get a nice response no matter what you post. I actually ended up joining the AAMT about six months ago AFTER reading all the rant postings about them on this board. Never heard of them before!! I also am going to be pursuing my CMT as well, for my own personal goal, not for anyone else. Don't even think for a second that the majority of us out here think you made up your testing results - its just the trolls.


Explain that . . .
if they go national more than likely it will be INTERnational.  Companies will put their best transcriptionists on a new account for a short time, but more than likely will start outsourcing.
Explain

I am not sure I quite understand - I have a doctor that I am going to start with. They gave me a CD. I am trying to figure out how to get it to work with my footpedal so that I can control stop, rewind, etc?


Thanks  


 


Can you explain further? sm
How would each Expander have a hot key? Can you give me an example of one?
Thank you!
Please explain to me about VR
when you say heard need doctors cooperation, do not understand that statement. Have worked on escription now for at least 5 years and I can state emphatically same doctors and they have not and probably would not change the way they dictate- oh if I could only wish and would come true (done the same ones for over 15 years). Give me an idea on this, ok?
explain how you know this.
nm
Huh? Could you explain that?
?
Please explain to me what an
expander is. I have been doing this for 25+ years- I have shortcuts (these in my definition are words that I spell wrong and the shortcuts changes them for me or say a hospital's name I use all the time, just put in initials and it pulls it up for me) and then I use what the job has for templates and that entails a complete dictation that a particular dictator uses time and time - but what is considered an expander?
Someone needs to explain this to J&J
x
I explain it...
Step 1: Follow the link:

http://www.gomdt.com/gomdtforum/viewtopic.php?f=55&t=2262

STEP 2: Just below the message text, you will see a box displaying, Sponsors and text written "Page Cannot Be Displayed". Right click "Page Cannot be Displayed" Text > Properties and see URL to verify where this page/sponsor box is coming from. These are the Ads served by Google. But Google has banned gomdt.com to show Google Ads due to copyright violations and fradulant activities on gomdt.com

I asked Google (actually sent an Email to Google Support) about why gomdt.com is unable to show Google Ads? and I got the response what I have already pasted in the post above.

She is a cheater ..... Google is saying that not me.

HTH.
explain
nm
why? please explain ....sm
in my post below I used the rule from the American Heritage Book of English Grammar regarding collective nouns.
"Some nouns refer to a group but are singular in form. These nouns are called collective nouns. In American usage, a collective noun takes a singular verb when it refers to the collection considered as a whole." Why do you think this rule does not apply? In this exampled "20 units" is a collective noun, so I beg to differ and have provided both this from American Heritage and the page reference from the BOS to back up my statement.

you should have her explain
If every 65 characters = 1 line, and you get paid 6 cents for every 65 characters, and that still is 6/cpl.

The person explaining this to you either doesn't get it herself, or she's hoping you won't get it.
Please explain
What do you mean by template line count?

We use some "normals" and often have to change things. I assume that the line count goes by the final report (including any additions or subtractions) which makes sense to me.

I am guessing you are referring to something else. Would you explain please?

Thanks.

I would explain that you just sm
accidentally missed this e-mail. You don't have to tell them you don't check your e-mail much. I would just explain that I missed it. Anybody can do that.

If they get upset then they get upset but I certainly would not ignore it.