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Serving Over 20,000 US Medical Transcriptionists

Home is where the heart is....no matter what type of structure!

Posted By: Home Sweet Home on 2005-08-03
In Reply to: My rant re: "a match made in trailer heaven - two skanks in a crud" - Oh, no you did not!

Some people are so judgemental and know no better!

Don't worry about it, everyone has their own opinions and you can't change that.

Home is where the heart is no matter what structure it is.


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Dano no matter who it is from, take it to heart.
It is well written and not back stabbing. Does it really matter who it's from?
No matter what type of business you're in, there does -
come a time when you have to draw the line somewhere. It seems like a no-brainer that if the price for transcription was X amount of dollars with letterhead provided by the client, then it would be X amount MORE with letterhead provided by the service. Still I would imagine she panicked a little, fearing she'd lose the account if she stood her ground about a separate rate for providing the paper. Knowing how expensive paper is, I still have trouble seeing how she could just let it slide in the beginning.

In her position, having allowed him to cheat her for a certain amount of time, what I would do next is give him notice that next month (or next week, or whatever), due to the overhead costs of supplying paper for the account, she could no longer do it at the old price, and then quote the new price.

If she gets 'replaced', she'd have to figure that it was going to happen sooner or later anyway, and if he was that cheap, there were probably other 'surprises' down the pike, as well. So probably good riddance. It might seem like a better deal to keep that account and let the guy keep cheating her like that, but then again, a better account is probably just around the corner. OR --- he could start to take her seriously when she sticks to her guns and says she has to raise her price. She has to make a living, too, right? OR --- he could go with someone else for a while, realize he had a good thing when he was using her service, and come crawling back. At that point, she could probably charge him almost anything she wanted, within reason of course, and he'd gladly pay it.

I had a non-MT, service-type business a number of years ago, and some of my BEST clients were the ones who left in a huff when I had the 'audacity' to raise my prices along with the rise in overhead, only to come back on their hands and knees a few weeks or months later. Some of them became the most generous tippers, too. It was funny how male colleagues of mine in the exact same business were rarely, if ever, questioned when it came to their charges for services rendered. Yet as a female, it was almost expected that if the client tried to get me to provide the same service for less, that I wouldn't stand up for myself and would just accept it because I was a female.

Until there is an equal double-standard to go along with the perception that women's work is worth less than men's, and we can pay half what men pay at the gas pumps and in the grocery stores due to our gender, then we shouldn't have to simply settle for less than they would get for the same job, either. And you just KNOW that if medical transcription had evolved into a 'men's' profession instead of a 'women's' profession, it would most likely be a good, high-paying white-collar job that they would have fought long and hard to prevent from being offshored. We just stood there and allowed the hospitals to reduce it to about the same level as janitorial work, or lower.

If a woman running an independent MT business such as this woman is STILL doesn't want to do things like give clients the bad news when a price hike is in order, why not simply borrow a strong male voice to make those calls? And to have a little spiel on the voicemail system, so that it SOUNDS like the system is owned and run by a man? If the client believed a man owned the business and was making those kinds of decisions, I bet she'd be able to command a higher price for her services all around, not just when supplying the letterhead. Something to think about!
Okay home is where the heart is but if you live in trailer park next door to red neck grits
with a mullet and bleached blond hair who drink beer all day and let their kids run wild, your little trailer park heart filled home becomes a bit of a headache because of the neighbors who may not have the same ideals or morals/ethics you do and they are SO CLOSE you can't shut them out of your world. Cheap housing brings in cheap people and in trailer parks you pretty much get what you get neighbor-wise. So my heart may be in my little trailer but my neighbors are part of my homelife.
hehe I was able to nurse and type at the same time. It's all a matter of the chair and keyboard
x
It they can't type a grammatically correct sentence, it doesn't matter how many degrees they h
:+
I think it is tied into working at home and not exercising the gray matter, except for MT stuff.
:
Oh and don't you love the "WOW, you work from home?? HEY! I can type - hook me up!" sm
That burns my hiney more than anything else. Working from home is NOT a piece of cake. I can relate to those who think since we work from home we can just get up anytime. I don't know how many times I have tried to explain that if I were working in a "traditional" office, that they wouldn't just walk in, call, etc. etc. but I don't think anybody will ever really get that our time is money, literally.
at your sentence structure
you're putting us on, right? "you must have look for cheaper transcritionist"????? Are you truly Indian or is someone pulling our legs?
I'm going to type an acct at home for local group. What is a good word expander for

things to know on doing tapes from an office?  Is it best just to give them a disk and let them print it out at the office like they want to? 


Anybody doing an acct like this?  Thanks.


I don't think that's " a big IF." That is an extremely sturdy structure. sm
It has a drainage system in the lower levels so it's not like it's going to fill up like an aquarium. It also has an extensive generator system, so it's not going to turn into a giant greenhouse effect. They did not direct people there "to contain the bodies."
Go to counseling and get guidance and structure.
It CAN work if he earns back your trust and is truly sorry. Counseling can help guide you through this process. It is truly worth a try. What have you got to lose? Good luck to you! :-)
ESL sentence structure funny.
The patient's blood pressure felt she was high.

(But did her blood pressure tell on her? LOL).

Balanced Structure and Relaxation
I find the way that works best for me is to treat working at home just like working in an office. I get up in the morning, have my coffee and watch a little bit of news on the television, then I go in and get dressed just like I'm going into the "office," even if I am just in my home office and no one will see me. I've always tried to avoid working in my jammies because it seems to me I'd be too relaxed and not able to focus on the tasks at hand, if that makes sense. I think keeping as much structure as possible in the home office setting means greater productivity...at least for me it does.

I'm the sole source of income in my household. My boyfriend is the domestic engineer and handles all of those things usually associated with a housewife (cooking, cleaning, running errands, paying bills, and everything else required to run a household). I can earn as much doing 4 hours of transcription than he could earn in 8 hours, so this works out really well for us and he has no problem with being a "house-husband." He also knows how seriously I take my profession and, given the chance, I'll work 18-20 hours a day, so he also helps keep my workaholic tendencies in check. Being an IC, he doesn't feel too neglected in that we can still go out to lunch or go to a movie or watch a movie at home together, all quality activities that keep our relationship on track.

When my daughter, who is in college, comes home to visit, she normally sleeps late. I start to work on my lines earlier than usual so I can still make my commitment yet still have plenty of time left mid/late day to do things with her. If need be, I'll hop on again later in the evening while she and my boyfriend are watching TV or playing a video game, so I can get my lines in.

We're very progresive in my household, and while this is my ideal situation, I realize it's not something that would work for everyone; however, thanks to my supportive boyfriend and my wonderful daughter, I'm able to make a very decent living for us and we're all very content and no one feels neglected.

It's all pretty much about balance and structure, and making it a point, if at all possible, to set aside a couple of hours a day to devote to the other person and still get the job done. I honestly don't think it's QUANTITY of time but rather is QUALITY of time. A couple of hours a day to have lunch, go see a movie, or just lay about the house watching a DVD goes a long way toward ensuring no one feels neglected and that I have all the time I need to provide my little family with everything we need.

Good luck to you and keep us posted on how things are going. Living with the MIL can't be entirely pleasant, so I'll keep my fingers crossed for you!!!
Doesn't matter, IF you are not paid an hourly wage, i.e. a set amount no matter - sm
how much or how little you type, say $12.00/hour, you do not get OT. As someone mentioned here, certain jobs are exempt, and as most of us are paid a flat rate of .08 cpl or .09 or .10, whatever it is, that is all we get regardless of how many hours under or over 40 hours we go. If you want OT then go get an in-house job or get a job doing something else.
Not so much fixing words but sentence structure
Sentence structure and syntax are what slows me down. How do you make restructuring sentences not slow you down?
don't type double spaces. Type single. Then no one will be cheated.
x
I can type with wine, can't type with coffee, though...too jittery.
x
That is, type the code above before and after what you want bolded in the text-to-type box. nm
nm
My kids have suffered greatly from me working at home with them home. SM
I have been working at home as an MT since my two kids were born. They are now 4 and 5. In the first few years, I had no help whatsoever. Their father was a bum who didnt work or take care of them while I worked. Your children get neglected while you work basically. And babies and young children desperately need your attention while they are home with you.

My kids have so many behavioral problems right now because of their neglect. I would try to set them up with things to occupy themselves, like coloring or a movie, etc.

I finally put them in day care and things have improved, but there are still a lot of issues because of the damage that was done. They still try to seek attention by doing bad things and they dont listen to me because they are so used to me letting them get away with a lot of stuff because I was too busy typing to discipline them in their early years.

If I could do it all over again, I would definitely have put them into day care from the very beginning.

My advice would be to seek PT care for your baby. Maybe you can do some work around her schedule a little when she is home, like when she takes a nap, and then bang out a bunch of work while she is in day care.


I enjoy being alone at home, but I've got one home sick from school already.

One on one with a kid is nice, too.


This summer has been absolutely crazy.  I haven't had a moment to myself for three months because all of my kids were home traipsing their friends through the house and yard.  My husband switched his work schedule, too, so he's around more than usual.  However, I like not having to do two loads of dishes and four loads of laundry a day.  There are no toys or clutter dragged out everywhere.  I can clean the house first thing in the morning, and it stays clean until everyone gets home at night.


I even got to relax with a cup of coffee and watch TV for half an hour this morning, something I liked for a change instead of cartoons or kids' movies.  I signed up for an online class that I've been wanting to take.  I can exercise without being interrupted.  Yesterday, I went to the mall and spent all my saved up gift cards.  I got some clothes, books, bath stuff, and a new coffee mug.  My work gets done a lot faster, too.  Call me nuts, but I've never had the luxury of being alone in the house for 14 years.  It's kinda nice.  I love my family with all my heart, but I love having a few hours to myself each week, too.


Except now the cat and dogs have been acting weird since the kids went back to school.  They must think that I need someone or something to clean up after and correct behavior on.  They're getting into everything and racing around the house behind me.


my take is that she worked inhouse, not at home, and now wants to find out how to work at home. nm
x
Forget "per line." Your take-home pay should be taking home SM
roughly what it was before. If it is not, is it because your current pay rate for editing (which in many companies keeps changing as the VR system is developed) is too low or is it because your talents and skills are more for speed typing than speed editing?

If the first, discuss it with higherups, and go get a new job if you don't get the response you need. My last MTSO was secretly refiguring how production was counted to pay us less. I can accept hard reality, it was the secrecy that burned. Sometimes, though, it's just that the learning curves of individual editors and that of the system aren't in sync, and you end up temporarily making less.

If the second, though, recognize it as soon as possible and change to straight transcription work, in your company or a new one, for as long as you can find it.

As for why we aren't paid more for a higher skill, that's just the way the labor supply ball bounces. Best wishes.
My heart goes out to you...

I know how painful this is...had to do the same with my 12-year-old Cocker Spaniel two years ago, and I still miss his presence so very much!  Your little sweetie will always live on in your heart, though, and I truly believe that one day you'll be reunited at the Rainbow Bridge.  As 'gh' posted, if you haven't yet, please visit Rainbowbridge.org...it's a wonderful site & has one of the most beautiful poems I have ever read. 


Please accept a big ((((HUG)))) & my deepest sympathy. 


keep him in your heart
Just wanted to tell you what you probably already know, the pain will get less and less with time. Keep your dad's picture nearby and talk to him when you feel the need. I do it sometimes and my dad died 31 years ago. I believe your voice will be heard and your heart will be comforted.


My heart goes out to you ... sm
I have two 13-year-old lab/collie/chow mixes, Sasha and Keesha. They are sisters, but from different litters. I will be facing the inevitable decision of putting them down before too long. They both have severe arthritis - one in the hind legs, and the other in the shoulder area. I give them medicines for it and lots of TLC, but time is taking a toll on them. They sleep a lot and stay inside in the AC when it is hot outside, and out of the cold weather in the winter as well. They really are my "kids" and I know they have been the greatest children I could ever have. They still greet me with wags and kisses every day. I know I'll miss that when their time comes.

As much as it hurts to have to make this decision, you have loved your dear one with the highest form of love you can give. God bless you and help you through your loss each day. It will get better with time. And, when you are ready, God may bless you with another sweet pet to love. No, it won't be the same, and you'll always think of the ones no longer here, but know that you loved your pet enough to not let her suffer needlessly. That is the truest form of love we can give. You were there for her and did not abandon her. When I think of the decisions ahead of me with my "kids", I know that is what will enable me to love and take care of them one final time. They will always be in our hearts.

God bless you and give you sweet memories.
My heart goes out to you

You and your husband both sound like wonderful people but he has an unfortunate illness that only adds to the real problem I am sure. Some people do not truly understand mental illness that it truly is an illness and the person that has it is not to be blamed as they do not have control over it.


I have had a lot of issues in my life over the years and have learned not to so quickly judge anyone. I always feel what goes around comes around too and I have seen that happen many times in my life.


I don't have much advice (but you seemed to have gotten quite a bit here which I hope you find some helpful) as I have not walked in your shoes. You sound so torn. 


I certainly will pray for your and your family. Do you have a pastor or one that you could contact that you both could possibly talk with? Having an impartial third person educated in counseling may be of great benefit.


Wishing you only the very best. Please do keep us posted.


My heart goes out to you
My ADHD son is now 13 and succeeding for the most part in school. I won't give the lengthy history on his struggles, but grade school was horrible for him, I had to fight every year with a new teacher to get his IEP enforced, and for him to get some special education to help him out (granted the schools liked the special education part=more money from the state, but they didn't like the part of having him in a regular classroom for the majority of the day). Once he hit middle school having that break in between classes and being able to move to class to class really helped and he went from a D student to an A student. All I can say is we are out our childs only advocate you have to fight for what they deserve whether the teachers/school like it or not
I heart you.
xx
My heart goes out to you and I'm so sorry
that what I'm assuming is your first MT job is creating such stress for you.

I know it's easier said than done, but you need to relax and think rationally instead of emotionally. Instead of panicking because of contradictions, turn it around and put "yourself" in control of your situation. Document everything from QA!! As FBL stated below,if QA B contradicts QA A, document such and send emails to such; however, my emails would also include a cc to the QA Supervisor and my liaison and/or manager for my account. I would do the same regarding the question about "too" many blanks. I was always taught there was no such thing as "too" many blanks as it was preferred to guessing !! I would present this question to the QA in question, and again my liaison and/or manager,etc. Document - Document!!

To make you feel a little better, I've been in this profession for 40+ years,and I still get contradictions from QA!! Having known I've researched thoroughly all available resources(books,internet),I document such and just forward all info to the above powers of authority. Can't say I don't get pi__ed to this day, but I just don't stress over it !!

Don't underestimate yourself because you're a "newbie". You went to school,you "do" have knowledge that is invaluable that will only be enhanced with experience.

I commend you for pursuing this profession in this day and age with its trials and tribulations.

I wish you nothing but the best!!

For me it isn't an account type but a dictator type ...
and that would be oriental. An oriental dictator (hahaha, that kind of sounds funny...hahaha) is the most challenging for me.
No, you don't type directly into ES. You type in Word -
or whatever their platform is, just like you did with your tapes.

Then you do your line count in Word or the platform.
You should type them. I usually type them in parentheses following the diagnosis.
x
You have a very good heart.
forgiving. I do admire your charitable spirit. May this whole incident turn out to be a major blessing for you :)
heart go a flutter
Antonio Banderas, Al Pacino, Robert Deniro..the guy on Cold Case, what is his name, Danny Pino?
Piece of my Heart
When I'm stressed I get to let it all out with that song.  lol
Bless your heart
I hope you quickly work your way into a better pay range.
Bummed Out - My heart goes out to you.
I picture myself in this situation daily as job security as a SE is nil & I keep wondering what I think I'm going to do when I'm all of sudden "let go", since our so called "Profession" has sunken to the status comparable to that of a worker at McDonald's.

First of all, our profession since the 1960's has never evolved nor been recognized as a "Profession" - it is a "job" that any "typist" can do - period end!! That being said - around the late 1980s, early 1990's, those savvy in business became aware of the "need" in this job market & saw it as an opportunity for "big bucks" with no knowledge nor regard or concern of the medical knowledge required of those required to produce quality medical records. That's the key - quality has been replaced with quantity.

Only when us "Oldie" transcriptionists leave our beloved field & the physicians eventually become aware of the poor quality of work & the fact that patient care is truly jeopordized & sadly ends up suffering from the consequences of such - will medical transcription ever hope of being recognized as a "Profession."

The sad fact is that as long as us "oldies" stick around & correct the mistakes of the newbies, transcribe the worst of the worst undecipherable dictation & correct the ASR - we are sadly contributing to our own demise. Without us & our medical knowledge - being paid a pittance - the worst of the worst wouldn't be transcribed nor would ASR be edited!! I'd love for the work I now get to be sent overseas & see the end product. Out of thousands of doctors on a teaching hospital roster - I get very few. I get no normals (but did when initially started on this account. I get garbled, faint, cell phone dictation cutting in & out, & the same undecipherable dictators with whom no rhythm can be established - having to listen word by word & typing as such daily. My production keeps decreasing as well as my pay - but I'll bet my "employer" is tickled pink. I'm supposedly at "top pay", therefore, the less I'm capable of doing equals more money in their pocket, i.e. have to pay me less - hire more overseas.

Physicians are our lifeline & need to be made aware of the difference between a "medical transcriptionist" doing their dictation versus a "typist." Albeit most are intrigued by "Voice Recognition" now on the market, I'll bet 95% at hositals are unaware their dictation is being recorded in the background to Automated Speech Recognition - only to try to be deciphered & corrected by a medical transcriptionist. Without our medical knowledge & expertise - whether transcribing or editing - the medical record is worthless & patients are going to suffer. That being said - our expertise is worth more than 7-8 cpl or 2 cpl for editing. Somehow - we need to make physicians aware of the price that is being paid for their savings on their dictation, who is typing their reports & whether HIPAA regulations are being adhered to.

Unskilled workers - that is exactly what we're considered & being paid as such. Unless & until we can collectively convince physicians that quality is more important than the almighty dollar - we're resigned to the designation of "typists" & paid as such -period end !!

I don't know who you've endlessly tested with, nor if you're seeking employee status, full or part-time, or IC or SE status, & will probably get flamed - but have you tried applying at Medquist? Really hesitant to suggest it as I have no clue as to what is happening with their new so-called "Rewards Program" that is supposed to be going into effect - but from the sounds of your past experiences, I wouldn't think it could be any worse -who knows at this point!!
Bless your heart...

you replied with Peace out, & I replied with guns-a-blazin'...what the heck did I do, forget that great thread from yesterday  


my bad...*sigh*


Bless your heart ...
Are you getting enough sleep? That's pretty important!

Also, how long are you up before you start typing? Do you eat breakfast? You need a good mix of protein and carbs before you start typing. Perhaps a little exercise..??

On your expander, slow is fine on adding to it. Limit yourself to 5-10 shortcut entries a day. Write them down and keep them posted on your screen until you can use them without looking at the list. Then take that list down and work on another 5-10 shortcuts. They won't do you any good if you cannot remember to use them. When naming shortcuts, do whatever comes to mind first, whatever is natural.

Don't spend too much time on ESLs if you truly cannot understand what is being said. I don't like blanks either but there is a difference in beating your head against a wall over unintelligible gibberish versus doing a quick (3 minutes is my limit) research of meds, instruments, terms, diseases, etc. Don't be your own worst enemy here!

Working efficiently is not a matter of how fast you are, it is how streamlined you think.
Healing heart
you're welcome. I wish you the best on your journey and keep you and your family in my thoughts and prayers. I would not have been able to offer any insight had I not experienced this in my own life.
oh my heart breaks for these
families -- to be told they are alive and now that they are not -- please pray for these families, as only God can provide them any level of comfort now.
How awful for you! My heart goes out to you sm
I am now afraid of dogs not on a leash. I was walking my dogs not so long ago and we were attacked by a loose cannon and the owner was right there, laughing. I put up a much bigger fence and am afraid to walk my dogs anymore. So sorry to hear about your baby.
My heart aches for you...I am so sorry that--sm
you have lost your beloved pet. I know the feel of such a terrible loss. take care...and hug your other dog. I know he/she will be suffering a loss, as well.
bleeding heart

Might I add that I speak from the heart,
literally, as I'm right there with ya at the bottom of the totem pole, so you are not alone.
In a heart beat
Am currently trying to get on with them.

continued my heart goes out to you
I could care less if the teacher liked me or was my "friend", I was there to speak for my son's needs. Stay strong and be tough, and don't give up!
HEART, not "heard" - U no wat I mean...
.
bless your heart!
x
Oh bless your heart! ...

I'm so happy for your success.  You're an encouragement to me that one day before I finally get out of this profession that I'll be able to experience wonderful financial rewards again, if only for a brief moment in my case.


I appreciate you sharing your experience with us and keeping it real. 


Bless your heart ...
Sometimes the grass is greener on the other side of the fence;  sometimes it's not.  The important thing is that now you'll never regret knowing if you lost that 'perfect opportunity' or not and you were welcomed back with open arms to your true home.  Sincere best wishes to you on your continued success.