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Honestly, it takes time.

Posted By: Diana on 2006-01-08
In Reply to: How do you adjust to a 3rd shift job? nm - mt

It took me almost 6 months to completely adjust to 3rd shift.  I have been on 3rd shift now for 7 years and could not imagine ever working any other shift.  Just a few suggestions that took me a bit to figure out.  Call your family and friends and tell them not to call you during the daytime.  If you have a cell phone, use that as an emergency number for emergencies only, i.e. kids, family, etc.  Turn off the ringer on the home phone completely or turn on music and a fan or whatever to drown out the noise.  Room darkening blinds will also help filter out the light.  Good luck.


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Maybe they will. Give it time. It takes time to set up links.
OSI, Precyse, etc tell us more.
Honestly, I don't know why anyone, at this time, would want to
Sorry, I know it sounds negative, but I think your money would be better spent learning something that will actually get you some gainful employment. Have you read this board? Even experienced MTs of 20 and 30 years are having trouble making ends meet with two and/or three MT jobs, let alone just finding a job, and then the pay just keeps getting worse and worse, lower and lower. Why put yourself through that?
It takes time
It probably seems like it is not worth it because you are new.  No other account will be easier and probably harder.  So you have to stick with it, get a good Expander as since you have the same doctor you should only be actually typing about 2/3 of what he says and probably more like 50%.  Use your autocorrect if you don't have an expander.   You don't say how long are your lines -- what side margins and what font are you using?   I have helped get newbies started and always paid between 7 and 9 depending on how much clean up work I had to do.  Again, it will take time and practice.  Don't give up.  Though 6 cpl is a little low, if it is still  65 character line, in time you should be able to get 200 to 300 lines per hour which is not bad and once you get him down good, ask for a raise.  But you have to get your speed up.  You have an advantage of having the same doctor and so listen for his common phrases and put them at least into autocorrect so you don't have to retype them.  If he doesd any x-rays or procedures, make templates.  Anything to save him time.  His exams, put into autocorrect, etc.   Are you an IC or an employee???   Good luck. 
IT TAKES TIME to get a trial going.

Here is a link regarding the lawsuit from FEBRUARY, 2005 for which you will need Acrobat reader.


http://deflaw.com/medquist_add.pdf


Here is MQ e-mail which was followed up by hard copy in US mail regarding MT lawsuit. 


July 14, 2005



VIA Electronic and U.S. Mail



Dear Statutory Medical Transcriptionists:



We would like to thank you for your continued service and support. We know that the key to our success is the people who work so hard for our customers everyday.



At MedQuist, we are determined to become the medical transcription provider of choice for statutory employees. Over the past several months, with your help and input, we have been working on developing a pay plan and comprehensive benefit program that will enable us to set the standard in the industry. We recently announced significant changes to our benefits program for full time employee transcriptionists and within the next few months, MedQuist will be announcing a new pay plan that will address the feedback we received from medical transcriptionists in response to our survey on pay issues.



As you may also know, MedQuist is currently responding to a lawsuit brought by three medical transcriptionists that was filed in response to certain publicity surrounding MedQuist's billing practices involving the AAMT billing unit of measure. MedQuist takes all allegations concerning its pay practices very seriously and will seek to address any concerns raised by the lawsuit. While we believe that the claims raised by the three transcriptionists appear to lack merit, we are diligently working on addressing this matter in order to best serve all of our valued medical transcriptionists.



To enable us to fully and appropriately respond to this, as well as other lawsuits currently pending against the company and governmental investigations, our lawyers from Winston & Strawn are required to collect documents. To ensure that you are completely informed about the materials they are seeking, we have attached a memorandum below regarding MedQuist's document retention and collections policy. Please review this document as soon as possible.



Once again, we would like to express our deep appreciation for your continued patience, cooperation and service to the company.
















Very truly yours,


Frank Lavelle


President



Enclosure


 


The lawsuit is VERY MUCH ALIVE AND WELL and as some of the more sophisticated posters realize, it takes time for DISCOVERY allowing both sides to attack and defend their position.  And MQ stock is STILL delisted as not even MQ can figure out cooked books based on illegal billing for which ANOTHER lawsuit is STILL pending against MQ by the clients.  And as the MQ stock remains delisted for cooked books and illegal billing the shareholders in MQ stock have YET ANOTHER lawsuit still pending. 


 


I agree with you. It takes time to get the

kind of help in there. They have one road open. Everything is flooded. There is no airport to land at. Gas is scarce. 90% of the gas that came from that area is no longer functioning. Cars are being stolen from places just to get out. Thugs are shooting at helicopters trying to evacuate critically ill patients. You've got groups of thugs shooting everything up and steeling anything and everything, but they don't realize mostly everything they take will have to be left behind.  Everyone wants help now but it takes time to put together a plan of these proportions. Nobody was prepared for this because they didn't think it would happen. You have people commandering vehicles with guns for their own use that are being brought in to help evacuate. The only boats you see are very small ones because the big ones can't come in and work. The water is not deep enough.


 A lot of people stuck there are making the situation worse for everyone else because they are helping to put off rescues that can happen by shooting at vehicles, shooting at police officers, setting intentional fires just to get the police over to the fire so they don't come chase them for looting or terrorizing others. You have idiots walking around with AK-47s down Canal Street.


Shephard Smith described itbest the other day. Made me think too since I live in Fla. The day after a hurricane you hear chain saws going, you have people cleaning up, you get out there and assess the damage. They could not do that because for them in NO it was not over. The floods were getting worse and rising. There were no people assessing damage, no chain saws cutting down trees, no power trucks checking out downed power lines just because they couldn't get into the city. Everything is blocked. The closest city to them that has power is 90 miles away. That means no gas for them. Yes, they're bringing buses and stuff but it's very slow going. Trying to figure out how to do everything and coordinate everything w/o communication to others is very hard.


One of the guys in the news conferences said yesterday that he spent 18 months at ground zero. They are looking at being in NO much longer because that is much more damage than what he saw at ground zero.


I do it the same as you...takes a little bit of time but worth it. nm
t
because it still takes too much time to train
it may be that they don't see potential in your work, i.e. poor grammar, accounts have too much ESL, etc.
Time it takes to type...
Approximately how long does it take to type, say, 5 minutes of dictation?  Or 10, or whatever?  Just trying to get a feel for if I'm in the ballpark.  Thanks!
Honestly that is the most intelligent thing I've heard from an MT co. in a long time. Completely
You have to be able to retain knowledge.
You have to know how to reserach effectively.
You have to be able to use deductive reasoning.
You have to have confidence in your decisions and not constantly "need assurance."
You have to be able to separate sounds in your head that are both internal and from multiple external forces.
Some of these can be taught, some are innate, some take years to develop, some either you got it or you don't.
It takes a lonnngggg time to get paid.

You get paid for work you did a month ago.  Paychecks were short.  No answer when questioned about how they arrived at their line counts.  Advertise holiday bonus and $1500 bonus for acute care - do not know of anyone who got one.  Probably just management cronies.  They have great accounts but it is difficult to get lines.  All the work is straight type with lots of looking up because they have teaching facility accounts, so it is difficult to set up templates.  All the better work I am sure goes to preferred MTs or farmed out elsewhere.  The platform is not transcription friendly, lots of looking up and spreadsheets, and they do not pay for headers and footers.  They also micro management big time. 


You have no idea how much time it takes to run this board! (SM)
Hindsight is always clearer!

You are right - they will get the message sooner or later!

Goldbird
time it takes to hear back

General question for you all. I recently applied with a company that took a month getting me through their hiring process only to be told that one of their accounts dropped them so they could not hire any more MTs. Now I've applied somewhere else and interviewed, a company that sounds like a great company, but it's been about 7 days since the interview and have yet to hear back. I interviewed with them last Wednesday and was told that I would hear back one way or another by the end of last week. I sent a follow up email yesterday and have not heard anything. How long do these companies typically make you wait before hearing something back? How long before I should give up and apply somewhere else? Thanks.


You don't want to record, takes a long time and unless you

are making big $$ you won't make any money.  Also, if you forget to rerecord header info you're out of luck.


You can get an adapter from Radio Shack for about $15 and rerecord to a cassette player, in which case you'll need a transcriber, or record to your computer and I'm not sure how that is done.


As I stated last week when you asked this question, you need to look into digital phone service, something like Vonage, or most high-speed internet services also offer it. 


You could also buy prepaid phone cards at Sam's Club, where they are fairly cheap, but you're still talking about $100+/mo.   My digital phone is $34.95/month and you can keep your landline or switch it to digital, which is what I did. 


 


 


No, not really. Do you realize how much time feedback takes. nm
x
It takes a long time to become familiar with
all of the surgical instruments and equipment in operative reports. Most of the time if you do operative reports you usually do all specialties, and each specialty has certain equipment that they use. It just takes time to learn.
Oh it is a lot of extra typing that takes time which I don't get paid for! nm
nm
In the time it takes her to ask you if it's urgent, she could have just answered your question! n
x
Do you ever feel as though this job takes over your life and you have to work all the time in case
there wont be work and you just keeping working and you cant get away from it and it gets to be no fun anymore. I am having a problem with that. Is it from working at home or just getting obsessed or what. I hate this. I feel like I am losing my life to it.
Tell him you have reviewed the time and expertise it takes to do his work, versus ... - sm
... the amount of revenue his practice generates, and being a prudent businessperson you don't wish to undervalue your services.
And then sometimes they want us to delete unused headers, which takes extra time, which we don't
X
The FUNNY thing is that in the amount of time it takes for them to post a message
x
SO the little one takes up your time yet you have time?
LOL
Agree! I hate Daylight Savings Time. It takes me a good two weeks
to get myself and everybody in the household adjusted to the time change every six months. If the farmers need to get up earlier, let 'em! That doesn't mean I should have to, also! DST has definitely outlived its usefulness. I stay up later and get up earlier in the summer, but go to bed earlier and sleep later in the winter. It's like my mind and body are tied to the sun, not the clock. I never got an extra hour of sleep last night anyways because the neighbor's stupid dog barked from 2:00 a.m. to 3:00 a.m.
I honestly don't know - but I will try
You have raised a lot of good points and I appreciate your post.

Of all the comments today, you have the very best post. I don't want to agree with you, but you are right.

Jason is gone from MDI. I did read some of the responses on the questionnaire that he sent out and wondered the same thing myself. Nothing ever came of it.

I spoke to Sue about your post and we agreed about several of your comments.

I do not agree with you that our Team Leaders are not available, etc. They also work at night, weekends and holidays when necessary.

Why don't you express some of this to your TL?

I will take your very good advice and continue emailing our employees about positions that are available from within our comapny.

You will be getting more mass e-amils from me, telling you what is going on with MDI. I promise.

Thanks,
Liz



Honestly
A brand new MT shouldn't be working at home. That's just my opinion.

Congrats about the baby. Good luck!

Honestly, I just don't see it.
Private doctor offices are cheap. Why would they send coding/billing out when it all needs to be done through local clearinghouses and there is no access to the patient's charts.  Hospitals have too much for the doctors to do with charts/coding/records etc to send them out, but you know what, I guess anything is possible these days. I didn't think I'd see the day when Indians would be doing our work either.
Honestly, I think you can use either (sm)
I personally use okay.  I think OK looks tacky in a medical report, as if it were slang, but that's just my opinion.  If your employer prefers okay, then you should spell it that way.
No but honestly...
Profanity or not, judgemental or not, 4 abortions by the age of 23 is extremely sad, and let's not judge the doctor who was probably sick at heart with it. But still, profanity doesn't belong in records and I would leave a blank for the doc to sort out.
Honestly

There is certainly no need to take that tone.  Developmentally delayed is the preferred term among physicians.  The American Association on Mental Retardation changed its name as a consequence.  The DSM-IV is slow to change because the people in charge don't want to go through all the time and expense to publish a fifth version.  Again, the doctor said "he is retarded."  Not a medical term, not appropriate.  As far as autism, case in point on DSM-IV.  Depending on where you look up the DSM-IV some publishing sites still have it on the wrong axis.


As far as getting over it, if people had that attitude we'd still be calling black people the N-word and neither they nor women would be allowed to vote.  The term retarded is as offensive as the N-word or any other racial slur.  So beg your pardon but as long as people, especially doctors who are supposed to be well-educated, continue to be ignorant enough to use that word to describe someone with a disability, I will continue to have something to say about it. 


And oh btw, if the doctor wasn't so ignorant, he would know that saying oh well I want to do a bone marrow biopsy but it would be too hard to explain to this patient, is just wrong.  He should know about conservatorships and health care proxies.  Because if this patient is truly disabled, then he was declared incompetent by the courts on his 18th birthday and he is not the one who makes the medical decisions.


Honestly, you are about...
a decade too late.  US citizens' private information is already overseas, be it medical records or bank records.  The whole country knows about it.  What has been done?  Now that MTs are in fear of losing their jobs, then we begin to see concern about privacy.  Sorry, but it's too late.  The damage has already been done.  If we really cared, we should have acted a long time ago.
Honestly, 300 lph is not much for VR.
I don't know anyone though doing 500-600 lph doing straight transcription. You may just have a crappy account, but there are those that are getting great line rates with VR. As you said though, the pay rate does suck, so it is definitely not the MT benefiting from VR.
In all honestly, I will not...
spend time on it.  This issue should have been addressed 10 or more years ago.  It saddens me, but I have come to the conclussion that MTs are basically clueless when it comes to the industry as a whole.  Sure, we know how to transcribe, but we do not understand the HIM industry and how it operates.  If we did understand it, we would realize that we are way late in the game.  In other words, we have been left behind.
Honestly...
I have no problem taking criticism.  I am also not trying to gather people to send letters to the government, yet I do not know anything about the issue at hand.  It's embarassing for the entire industry.  I am sorry you are offended by it, but it's embarrassing.
no, it won't. honestly.
the daughter isn't the one earning the grade. an AA is NOT a big deal at all. it's NOT something you put after your name like a credential.
honestly this could be me! I also sm
have an odd last name and can't do anything without somebody knowing about it at that da*@* hospital! I would, at the very least, put a note on the chart. The state I live in has a law that if there are errors in your record, you have a right to sit down with a MR person and get it straightened out.

Hubby has been there 18 years. If they ever scr** him over, I swear I will first sue them and then I will go in and demand every chart, all 64 of them be gone through and all the mistakes retyped. If he didn't work there, I would have already done it!
Honestly, they need to be trained.
Mine had the same mentality when we first got together.  I refused to do it.  If he scattered dirty laundry, I left it there.  If he didn't put his dishes in the sink, they sat out.  I'm not anyone's slave.  Also, if they expect the woment to work, they need to share in the housework, child care, and finances.
You honestly believe that? Wow, naive.
i
Honestly, the MQ speculation is

getting so bad about the what if's with the new packages coming out in October and all the speculation, I had this comic flash of all the suits sitting in NJ with headphones on, plugged in,to the big PC's in corporate land just listening to all the "chatter" on the boards...sorta like the CIA supposedly was...can you imagine all the chatter traffic going on until October?


We just need to take a deep breath, try to relax a bit, really nothing we can do until October, then who knows what part of the month we'll all get our packages? 


Believe me, it has worried me to no end, single mom, can't afford much more change, but also can't do a darn thing about it till then.


Oh, am sorry to hear that. I honestly don't
know what to tell you on that...DSG was a good company until these recent weeks, pretty much, but they are making all these changes, and I don't think they're being honest about why. I could be wrong, but if things don't change soon, I will be looking for another job. When they don't answer your emails, etc., you kind of get suspicious.
Thank you. He could tutor :) I honestly think

he could do it on his own with the materials. I have never, ever had to help him with his homework and he still gets honors. Oh. . . to be THAT lucky!  I struggled through high school and college to make honors.  He's what I refer to as an "open and shut student."


He opens the book, reads the assignment, shuts the book and brings home an "A" or "B" on his test.


I'm no slouch in the brain department, but I've never had to help him so I was thinking with some materials, guidance, and putting him on a schedule, it might work. If that ends up being what he would like to do for now until he regroups.


I honestly could have written that....sm

back when I was in high school in the late 70s!  The first high school I went to was just like that.... there was a large snob/bully society  (the snobs were basically verbal bullies because they'd put down people that weren't in the  "clique", and I had some idiot teachers.  My algebra 2 teacher was so stupid that she would write a problem out on the board, stop, look at it and say  "oh that's not right" and then erase it, doing this 2-3 times per problem,... then wondered why no one had a clue what to do on tests.  


I was grateful when we moved to another town and the high school in the next town was much smaller.  The teachers cared about the students and teaching, and the students generally cared about each other.  There weren't snobs there because the area was economically depressed and no one had a lot of anything.  I was able to participate in a program with a local college where during my senior year I went to high school 1/2 day and college 1/2 day, so the 10 of us that did this (out of a graduating class of  99) graduated from high school with 30 hours of college credits completed.  We were also able to do this because the local college gave us discounts to participate in this program. 


When I've asked on classmates.com about some of the snob/ bullies from the 1st high school not a single one of them has had a great life.  One of the ones that was in the "it" girl group has been divorced 4 times now and is a heavy partier, and I've been told that she looks like crap from the years of partying.    One of the guys who was the most "it" for the males died from AIDS which he ended up getting after he moved to New York to get into acting, turned to a life of male prostitution and picked it up there.    The successful people are those who hung around with people like I did.  Out of the group I hung around with 1 is a pediatrician, another a dentist, another is an architect, another is a software engineer and every one of us has stayed in contact throughout the years and get together occasionally. 


I honestly wish you would explain (sm)

as the logic defeats me. Seems to me the reverse is true.


Personally, I couldn't live with myself if I drove to the store, knowing that someone's son or daughter had to die for the gas I was using, but if you can . . . enjoy yourself, I guess.


 


 


Honestly, I really never found out.
Who knows, but I will not even go to the door anymore. That was so weird and so rude!


Honestly, don't you have something else to do today? nm
xx
not trying to disrupt anything, honestly

My flaming face reference was to the one inside the original post  like this



 


Not to the flame that flickers outside on the main page next to the original post that shows it has had a large number of viewings.


I'm sorry to have ruffled feathers by making a casual observation simply about emoticons.  My apologies to anyone haven taken offense regarding this.


Honestly, it will backfire on you if you try to
be conscientious and point out errors. Its hard enough being ALLOWED to do it as QA - MTs hate our guts for the most part. But for another MT to point out an error, NO WAY! It will not be accepted as you expect, either by your boss or the other MTs! I guarantee that 100%!
honestly, just let it slide. You don't have to say anything. I have a sm
tendency to talk a lot sometimes and write a lot sometimes and I would hate to think that something I said in passing could jeapordize my career. I'm sure she was just trying to be very friendly. I know many recruiters and they are very friendly. I wouldn't say anything.
Do you honestly think that you can get MTs to refuse to go to
People have enough problems getting to the physician of their choice due to insurance hurdles!

Your idea is very admirable but in today's economy (especially with all the moaning and groaning about NOT making enough money to live), you are more than unrealistic. Perhaps a handful, literally a handful, of those MTs who have husbands who provide very well might opt to do that but who/what is that going to serve? The well-supported MT club?! lol

You've waited too late. Besides, what are you going to use for your platform to reach the masses? These message boards where only God knows who visits (ID and numbers) -- eventually the owners will tire of your use of their services and probably charge you. Of course, you have television - a very, very expensive medium. Perhaps some trade magazines, again advertising costs. And what will the members who live far away get in return for their hard-earned dollars?

What product/service are you going to offer?

Everyone's just full of these ideas but no one is putting a reality in there anywhere.

Honestly ... no one here is an authority on
You would be best served by contacting the Superintendent of your school system to discuss this. Escalate it further to one of the government offices that handle HIPAA issues.
I honestly have no idea.

I won't ask either, just because I think my boss(es) are in a rock and a hard place themselves.  They're doing what they have to do and I'm doing what I have to do.  I'm not a complainer either.  I just take 'it" for so long and then...well, then I don't.  If I'm having a problem I mention it once.  If I feel cornered and have to mention it twice, like I did overnight, I don't play along anymore and that's the point I'm at right now. 


Honestly it is not your job to worry about
'helping' the doctors. lol You just type what is dictated and your butt is always covered. They are the ones making hundreds of thousands a year and carry the malpractice insurance, not you. Just do 'your' job and let them do theirs, okay?

:)