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Posted By: nana on 2007-10-07
In Reply to: ortho help...s/l michelle flip sign? - Denise

There is a flip sign (test for herniated disc, lumbar, with radiating pain. There is another one called Milgram (both legs) for radiating pain. I don't know about Michelle. If you find out, repost so I know it!

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ortho help...s/l michelle flip sign?
this is an ortho exam and he keeps repeating this throughout many of his dictations and I can't seem to find anything.  It sounds pretty clear that he is saying michelle flip sign but I just can't verify that anywhere.  Anyone ever hear of that?? Thanks so much for your help! 
Can you use a plus sign for hyper and minus sign for hypo?
However, there's a flip side
The company I work for actually lost a large hospital account because THEY wanted to go to VR and we wouldn't!
on the flip side....
Howver, tonight I have spent the longest time on a very long dictation for the absolute worst dictator. Not dreamy--a nightmare! Although I was dreaming of stranguling him through the internet connection--ah if only. Oh, my nerves are on edge now and he was the last one it looks like for the night. What a horrible way to end the night. Maybe a few more will filter in so I can forget him.
the flip side
Be thankful you have the information to verify the correct age. :)
And then there is the flip side - if you have a

It is really hard to find good MTs.  I keep my company very small for that exact reason.  But sometimes even when an MT is really good, they can be lacking in the work ethic department.  I'm talking about MTs who do excellent work.  They have just a couple of very clear, very easy doctors assigned to them, a great line rate (10 cpl), and all they have to do is make sure they get whatever those doctors dictate get done.  And sometimes they do great.  Other times they come up with 101 excuses about why they couldn't get the work back on time.  Or they slack off all week and promise to catch up on the weekend, and then they don't.  Oh, but the same MTs are always asking if they can get another doctor assigned to them, if they can get a raise, if they will be first in line for new accounts coming along.  To which I say:  Get a clue!  Do the work you are assigned and do it on time and THEN ask me about raises and more work.  I don't particularly like having to either assign the work that doesn't get done to another MT on the weekend or having to do it myself on the weekend to get caught up because some MT who has a gravy account won't even keep up with that.

Please, don't anyone email asking for work, as I am not hiring and if I were in a position to I would come here first and ask for help.  I'm just venting because I don't understand having such an easy account and doing excellent work and then on the other hand slacking off and letting it get behind, and then having the nerve to ask for more work/more money.  If I am going to have to type it myself on the weekend, I might as well get rid of said MT and type the gravy account myself during the week!   

I'm on the flip side of this...sm
As some others have posted, we MTs get the shaft too. I've applied for and gotten several positions in the last decade, only to have been lied to once I accept them.

I have been an MT for 15+ years, but unfortunately have limited experience because I've only worked in a few specialites. I've been hired by companies to work in my specialty fields, but when the time comes, they want me to do something else. I don't want to be a newbie learning all new things this late in my career. I know that limits me, but there has got to be somebody out there who needs my specific skills and wants a good reliable MT.

I have worked for a huge national for the last 12 years and it was comfy and cozy while we had the smaller offices and my manager knew me and my dedication and appreciated my work, but since we have expanded nationally now, I've lost that manager and have become a number like all the other MTs in the company.

Nobody there now knows that I have never missed a day (or even an hour) of work in all that time without calling in with prior notice and get permission. I've always worked overtime when needed to keep an account in turnaround, and have done many, many things for this company in the early days that I was happy to do even though I didn't get paid for it, like mentoring new MTs... and again, nobody in the company today knows that about me anymore, and no one would listen to me if I could tell them.

I would love to work for an MTSO such as you or the above poster... I'll bet you know the names of your MTs at least.

I feel your pain and frustration also. When I was mentoring new MTs I could see in some of them exactly what you are talking about and I politely tried to steer them away from this field if they weren't going to be serious about it... some stuck it out and became good MTs and others passed on the career when they found out they were expected to work. Unfortunately today we don't have mentors to teach new MTs how to learn and work, to sort of weed out the slackers,... so that's what we're getting. They don't know any better because no one has told them what this job entails, only that they can work from home in their spare time in their jammies and be with their kids, and that's all they know about the job.

I know that there are many slacker MTs out there, but there are also some dedicated and hard working ones too, so please don't lump us all into that first category just as you don't want us to lump your wonderful companies into the categories of the liers and non-payers, etc.

We both have to kiss a lot of toads before we find our prince, be it a good MT or a good company.

I wish you luck in your searh for a good MT.
The flip side....sm
Computerized medical records will contain (actually, embrace) dictated reports. Handwritten notes will eventually go away.

My guess is that we'll probably see many more ancillary caregivers (like physical and respiratory therapists, etc.) dictating notes that they currently write by hand in the chart.

A different scenario, of course, is that these notes will be created using VR and/or "boilerplate" templates with "point-and-click" or "fill-in-the-blanks" capabilities.

We'll just have to see how this plays out, but it isn't a foregone conclusion that the EMR will result in transcription job loss by any means.
Kinda have to agree with you. Flip side would be
I've had supervisors send occasional bloopers or things around the holidays that are appropriate, but never the forward type things.

This reminds me of the MT who was complaining that her super didn't want chit-chat on the phone.

It's just best on both sides to maintain a professional decorum most of the time.
I own several rental properties, buy houses and flip them and
own several nationally-known chain restaurants.

Much more productive than pointing fingers at the government and blaming them for any poor choices on my part, most of which are fixable if you stop complaining and get off your butt!
Working for MTSO--flip side. sm

I have advertised on this board looking for help and while I received a lot of responses and some good prospects, there were many more that were either: 1) Indian companies/individuals like CLK referred to above (deleted immediately); 2) newbies without any experience; or 3) several "experienced" MTs who overstated their experience/qualifications and when it came down to it, they didn't have the most basic of skills (computer, Internet, etc.) It is just as hard for an MTSO to find good help as it is for MTs to find a good company.

I guess Ms. Flip decided not answer my question. I am sure MedQuist would love to have...sm.
many more MTs with such an attitude.
That is true, when you sign up you sign up from the
day your former insurance terminated. Then it is on a month to month basis.
With a $ sign, yes it is...without, it...
is only 7-1/4 100ths.  Decimals.  Get it?????  The whole number without the decimal isn't dollars and cents.  It's just a number.
She has no sign that says that but obviously you do.
She has worked in nothing but the best behavior. She kept her chin up and kept morale up while she was working way too many hours with way too little time off.

I dont know where you come off saying that other than thinking that you must have that sign on YOUR back. Don't transfer your stuff to someone else. Have a nice night.
Well it's just the way I am. I sign my name to almost SM

everything I post. I'll admit I've gone anonymous a few times, but it is rare. I'm just not going to do it. I stand behind anything I say - if it's wrong, then I made a mistake, I wasn't trying to hornswoggle anybody.

It is easy to see the culprit behind these MTs who can't make any money. You hear people talking about "platforms" and searching for demographics, etc. That's the problem.

I work for somebody for whom I am a source of income, not a cost center. The faster I am, the more we both make.

I do use my Expanders - a lot - and I've used the same shortcuts for years. But the main thing is that I work in Word without worrying about how some unit secretary is going to pull up the report I just typed. The company I work for isn't there to make sure the consultant on 4E can see the work quickly without shuffling papers. They're there to produce a fast and accurate medical record - period.

That other stuff is for the hospital to worry with, and the hospital I work for has some kind of system where my Word documents go in their system in batches. I wouldn't pretend to know what that is, LOL, but I'm not crippling along on a program that was designed for everybody but ME, and that's what happens at these big companies. They have to have a selling point, and that seems to be it.

"Here, let us do your transcription. Here's how it works. The MT types your report, it goes into the chart electronically. And the stuff is all there for the data miners, too, so everybody can like us!" This was true for Dictaphone, Lanier, everybody. They all had to have an angle for everybody in the hospital and the MT was left sucking hind teat, as we say out in the country.

Been there and done that and would only go back if I had absolutely no other choice. As much as I love this profession, I couldn't figure out why people gripe about not making money so much - and then I went to work for a national and found out real quick.  

My sign is Leo...nm

Before you sign

I don't know what they are charging you but I talked to several before I went with Trinity Debt Management whose name was given to me by my church and they were the cheapest.  But I still ended up filing a Chapter 13 because of a divorce that cost me so much I could not pay the bills.  But I did start with them and they were very nice.  It cost $50 to start the program but their monthly maintenace fees were way cheaper than the other major ones I talked with.  Some wanted as much as $100 to $150 per month to manage my account that was a payment to a bill.  But I chose the Chapter 13 repayment program and pay $300 a month for three years to the courts and they pay it out and the balances are then wiped clear.  I only had to pay partial attorney fees, mainly filing fees, the rest was put into the monthly fee.  I still feel bad but at least am paying something.  But there is nothing you can do when you go from two paychecks to one and doesn't feel the bills are his responsibility.  Good luck.  Just thought I would mention them.


she did sign for 3 yrs but if we all....nm

No, and don't ever sign...
Any type of contract or agreement that has that clause in it! Be aware!
They probably won't sign

They will probably hee and haw and not sign a contract or they put in whereas for "cause they can terminate the service immediately" or with 15 to 30 days notice they can terminate the service without cause.  So with or without a contract they will terminate her services when they find someone else if that is what they are doing.   Who knows I could be wrong and will probably get my goose cooked for working now for 15 years without contracts and have to eat my words.   Time will tell. 


I would sign....but
I won't spend $2 to do it!! Rip....
Where do I sign up?
 I would sure like to meet you in person...I've been an MT for 42 years (started at age 17 when transcription was still lumped in under "Medical Secretary."  I have worked in all venues of transcription...clinic, MTSO and legal...but never found the time to actually get all the credentialing an MT needs in the current environment.  After "proving" myself, I was promoted to supervisory level and my greatest pleasure was "helping" other MTs as I had been helped in my early years.  If you ever implement your "program", let me know because I'll sign up anytime/anywhere!!   
You don't want to sign it off any other way or ...
...you will not get credit for your lines. Use the unknown patient MRN, type it and sign if off. Follow your company/client's specifications on how to accomplish that.
I do want to sign it off
because it is a personal letter and he does not want it on the hospital system.  I would be typing it in Word and be paid separately. He has quite a few of these he wants done.  The point is he doesn't want the lines in the system.    Thank you.
Then don't sign it
Don't agree to it and don't sign it and if you do, then don't whine about it.
That would be the first sign of
epicondylitis (better known as tennis elbow). This is
very common in repetitive movement in the hand/wrist, which of course all MT's apply themselves to day after day. I experienced that for the first time in my MT life 1-1/2 years ago, very painful. After viewing articles via Internet, this totally alleviated the problem as follows. One hour before starting work, take 600 mg ibuprofen, buy a tennis elbow brace or 2, I just had it in the left hand, you wear it approximately 1/2 inch "below" the epicondyle everyday constantly that you work...within at least 4 weeks, you will find that you no longer have the pain, thus can now stop the ibuprofen, but continually wear the tennis elbow brace while working to avoid recurrence of the problem.
s/l MOSES sign.
EXTREMITIES: The patient does have +2 pitting edema bilaterally without any erythema, warmth, or tenderness to palpation along the calves.  He has negative _____ and Homan sign
brudzinski sign???- sm

Have you ever seen this dictated as part of HEENT exam on history and physical exam.

please sign this petition...

I received this from my sister, please pass it on. It is very important. It may not be LEGAL, but it is important... just click on the link, then click on the sign petition...let's make our voices heard on this issue...please also pass it on...

Mastectomy Bill in Congress:
It takes 2 seconds to do this and is very important...please take
the time and do it really quick!

Breast Cancer Hospitalization Bill - Important legislation for all

Please send this to everyone in your address book. If there was ever
a time when our voices and choices should be heard, this is one of those
times. If you are receiving this it's because I think you will take the
30 seconds to go and vote on this issue and send it on to others you know
who will do the same.

There's a bill called the Breast Cancer Patient Protection Act which
will require insurance companies to cover a minimum 48-hour hospital
stay for patients undergoing a mastectomy. It's about eliminating the
"drive-through mastectomy" where women are forced to go home hours after
surgery against the wishes of their doctor, still groggy from anesthesia
and sometimes with drainage tubes still attached.

Lifetime Television has put this bill on their web page with a
petition drive to show your support. Last year over half the House
signed on.

PLEASE!! Sign the petition by clicking on the web site below. You
need not give more than your name and zip code number.

I would not sign it, seems like they have something to hide
to sign it. Obviously they are trying to protect themselves from a MQ type of situation. Makes you wonder though?
No, I didn't sign up,
Did not sign for Ipay
I did not want to join Ipay..however, I should still get a check if Im owed one, right?
Not many. We're too far away. I tried to sign up to take in
a child who hadn't found his or her parents, but most of them have extended families and I'd have to be registered as a foster parent.
What a deal! Where do I sign up????

There's a sign o' the times, eh?
do NOT sign any such agreement
I had a chance to sign up.
My ex-employer was into it.  There were some local people who did well with it and were in that upper group.  Also, I had the opportunity to check out some of the tapes without buying.  I still never found the money to get started.  Now I am glad I didn't. 
Have to sign contract and
have to give a month notice if I do not like it, or feel it will not make enough money. It is user friendly and can use expanders.
Sign on Bonuses
When are sign on bonuses, relocation assistance, usually paid out?


I may peep out the window to see who is out there, but they cannot see me and I will not answer it.  Later on you can always tell them you were in the shower, bathroom, phone conference, etc. and did not hear the door or could not leave your meeting.    

Ask yourself -- would people let you walk into their office building and interrupt them on their job if they were at their desk on the phone with the boss or a client?  NOT.

It's the Homans sign
Sign of the times
Both Mary Kay and Avon have great eye products. Try ebay for a great price on them. You might even find a sample--I know there were samples of Mary Kay's Eye Creme at one time.
or she could just sign CallMeKikki
I would never sign one if asked.
First of all, did she sign a contract?
If you did not have her sign a contract, then you can just let her go with no notice.  If you did have her sign a contract, then just give her a reminder of what is expected of her as stated in the contract.  This is why contracts are so important.  It gives you something to stand behind your expectations are not being met.  As a professional, you can't just keep someone on because you like them.  You need to have someone you can count on even you don't particularly like them....  JMO.
Think this is a sign of the times
and you will find in all walks of life - this is just not MT related. It is a different generation - you just have to fix what you can, accept what you cannot and move on. I'd rather not have my burgers made by guys with long hair, tattoos and rings in any and all orifaces but what choice do I have? I'd rather call customer service and get an American rather than an Indian..... accept it for what it is is how I handle it.
When do I need to sign up for COBRA? sm

I turned in my notice on 6/28 and quit two weeks later.  I have received my last paycheck, reimbursement for PTO, a letter saying someone will be calling for an exit survey, and even my shipping labels to return my computer, etc. but have yet to receive any information about COBRA and I want to sign up!  It is now almost the end of the month and I'm worried that I have to get my money in by the first of the month.  Does anyone know?  I don't want to get stuck with a pre-existing condition problem.


Did you have her sign a contract with a

If not, then just take it as a learning lesson - that your fill-in decided to compete with you, and more importantly that your client decided to keep you both.  Your PT office may be naive to it all.  However, consider, if I was the PT office, why would I tell my MT to get a fill in, then decide to keep the fill-in and my MT?  Unless business is booming and there is plenty of work for everyone, I would take it as a slap in the face.  I hate when docs offices do this.  Personally, I'd confront my fill in and the client about it  

Have supervisor MT sign for them
Have the MT you turn them in to sign for them, then redirect calls to her, saying that she had all of them when you left. Also, I would charge for reprinting, redelivering, etc. I had this happen a LOT with the last local doctor I typed for. I feel for you.
The only way to "get rid of it" is to sign off and then on again.
You can hit the download another job button, but it will keep that STAT in your queue until you sign off.

There is no easy way to reject a job. Sorry!