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I'd tell me to discuss it with his boss

Posted By: Snow Bunny on 2005-10-28
In Reply to: Opinions needed - NOT MT related

You gotta be r-e-a-l careful when you're talk state laws. The boss might consider him "problematic." I mean, how much money are we talking about in terms of travel from the boss to the client? If he's getting, say, $10/hour and it's a 15-minute drive ... For $2.50, I would just let it slide.

I'm an IC and work exclusively for one company, which makes me a statutory employee by IRS law. However, I'm making a high line rate, so I'm more than willing to leave things as they are and pay 100% of my social security tax.

This is one of those "silence is golden" situations.




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No, as an IC, I am my own boss. I contract out my transcribing services, but I am my own boss.
:)
Best thing - I am my own boss and my own emloyee, worse thing - I am my own boss and my own

:P


Why don't you discuss this...
With her doctor and tell him that you know you are not a doctor but you read that menstrual blood among other things can effect the test results. Tell him she was on her period at the time so is it possible to test this again after she has stopped her period? Get his opinion on this.
If it ever comes up, discuss it then
with your supervisor, but until then, I would not worry about bringing it up. If it ever happens, just ask her should you do it or return it to the pool and let her make the call.

I did type a doctor's visit for a close friend's dad one time. My friend nor his father ever knew that I did it, and it's been so long I couldn't tell you what was in it if I wanted to. I do believe if it was family or very close friends, though, I'd let the boss know and do whatever she/he decided.
Please discuss what you have firsthand
I have 14 years experience working for a prison system that included a work release center. Penal systems have to abide by certain guidelines set by the federal government when placing work release inmates in jobs. Inmates are forbidden from handling any type of mail. They are also forbidden from any job that involves access to credit card information or peoples social security numbers and other info.

If you have first hand knowledge of an entity or facility that has inmates working in a capacity where they have access to this information, please list the name and I will report it to the proper entity.

Please do not make statement about it being 'common knowledge that inmates process catalog orders' if you don't know what you are talking about. Which catalog has inmates processing orders? Please tell us. Some of you people are so messy and quick to spread false gossip. As adults, you should try to be more responsible about what you say.
I would discuss it with the head of QA....nm
/
Advise you discuss this with your doctor. Soon.
11
The mature thing to do would be to discuss your

feelings with your trainer.  If not satisfied, go to the transcription supervisor, and then to the overall manager. 


First, sit back and take a deep breath.  Put it all aside for a few hours and watch TV, take a bubble bath, do whatever, but get it off your mind.  Then make up your mind that you can do it, but you first must take time to organize everything in your mind.  If you really believe it is still the company's fault, then it is time for a new job. 


 


Find a doctor who will discuss it. I SM
don't know about the patch. I do know there are various dosages of the pills, but all of this needs to be discussed with your doctor. Sounds like you need a new one.
A board to discuss how MT skills can
be transitioned into another line of work couldn't hurt. No matter how secure any job or profession appears to be, the situation can change at any time. That is the reality of the workplace with mergers, technology, etc.

One of the the worst career management errors is to become complacent. I can look back on seventeen years in this profession. It has changed, and not to our advantage. I can't predict the future, but it would be naive not to at least consider other options.
fortunately for the rest of us who dO want to discuss this,

Discuss this with OM and explain PA made
x
The main board is used to discuss many different topics. sm
There are many posts on this board that if you were to be really technical about it, should be put on the company board, word board, productivity board, religion board, etc., but they're allowed to stay here and be discussed. If you don't like this topic, then feel free to skip it. But it really isn't a political discussion per se, so it shouldn't have to be taken somewhere else.
Please use Offshore board to discuss those topics. (NM)
Goldbird
I agree, she should discuss it with her attorney but personally,
I would wait until the final papers are signed before I bought another house.
I neve discuss politics or religion
x
Her points are valid, true, and very appropriate to discuss here.
The only thing I would add to that is that in addition to discussing this age-old medical "dirty secret" here, it should also be discussed with anyone and everyone, until the issue can be brought to the forefront in the medical industry. A lot of terrible medical mistakes are being averted because of skilled MTs catching them.
We are an important line of defense in the medicolegal risks every doctor & medical institution faces every day. Yet because very few people know this profession even exists, we're continually being kept in the medical industry's darkest closet, and many of them get their hides saved from financial ruin every day -- literally at our expense.
Not OP and don't care to discuss details BUT OSI hired for a specific

specialty that most MTs love and then overstaffed the account.  When MTs ran out of work on that speciality account, OSI offered to switch them to another speciality on a more difficult account. To go to work with OSI required much time testing, negotiating, training and specific equipment purchased so you have already made a time and financial investment only to discover that the specialty you were promised doesn't have enough work so to survive you either take the back-up account which is not as financially rewarding as the one you were promised or you lose the money and time you have put into going to work with OSI.  I also quit my other job so I could work full time for OSI based on promises made that were never intended to be kept. 


.(This is me after discovering what OSI was all about and not at all as promised)


so true - letter says call will be to discuss rewards BUT

anything!


Quit wasting my time with this MQ.


Either say what's on your feeble mind or quit calling.


Sorry, but your OP made no mention of the fact that you did not discuss your situation with this guy
:o
Can you call and discuss the situation? They may be understanding and helpful. nm
:+
Really tacky on her part - I never discuss salary with anyone but hubby!
She obviously has issues with feeling inferior somehow! What kind of person says, "I make XYZ amount of money" when no one even asks?
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Tell your boss
Tell him exactly what you told us - that you were researching for the name and that is what you came up with.  You did nothing wrong and I'll bet the doctor will be very appreciative.  Good catch on your part!
Per my boss.....
It would be 250,000
Boss?
What happens after the holidays? She sobers up and re-hires all of you?

And, I thought nothing for Xmas was bad! :)
I used to have a boss like that (sm)
She was actually running the company, a new franchise in a big city, and between her other duties, she typed.  She would be there at 4 a.m., sometimes 3, and leave at about 9 p.m. every night.  That is a sickness.  The best part is she didn't need the money - seriously - she didn't even need to work.  They were very well off, and her husband had a great job.   She finally had a heart attack, but that was after years of those hours; believe it or not, she didn't even go into the hospital for her heart attack - the doctor said it was "mild" so she came to work half days for about a week, cause the place couldn't run without her.  Now THAT is sick.
I would think so. You would tell your boss ...

if you worked in an office.  I have always let several people know when I am going to be away,  just to make sure I'm covered.


Have a great vacation!


Boss
I am sorry to hear this, but I have worked in-house and encountered the same type of boss. I left and did not look back and that same boss is there and things have gotten worse under her administration. My ex-coworker has been transcribing for nearly 20 years and is one of her best employees, but yet she treats her like a dog -- go figure.
Boss
Sounds like she is trying to get you to quit - I went through this with one boss - an MTSO - who was really losing all of her accounts and did not want anyone to be able to collect unemployment. She tried everything, changing people's accounts, denying them bonuses, taking away work and queuing it to other people, you name it - she did it. Thicken up your skin if you like your job, but don't expect her to change. I'm sorry that you have to go through this, as it makes for a stressful work environment -of course at some point that might be able to be changed to a "hostile work environment" at which time you need to go to EEOC. Come to think of it, I would give them a call anyway and report her.
Boss
I bought the Boss too and I love it! I had considered Dyson, but so expensive, and glad i settled on this one - i'm impressed!
boss
I had one that i worked for a little bit longer than you and when I gave my notice she told me she would take my resignation now. Boy doesn't that make you feel like just another #.
I think it might be a boss
Upon further research I think it might be a carpal boss or bone spur because it is very hard and painful, unlike a cyst.  I'm going to see my rheumatologist in a couple of weeks and ask him.  I have a bad feeling that it might need to come out because my hand is getting stiff.  But as long as i can type I'll hang in there.   
I think you must have my old boss! Just like you, all of us

Notify your boss
Depending on the company you work for, you might get results.  It's very frustrating when you see something that needs changed but are powerless.  When working for Edix, I had a patient that had the exact same condition my son has and there was a new treatment that had saved his life, yet her doctor did not know about it and she was at the point of being near death and only in her 20s.  I emailed my supervisor and asked them to please notify the doctor of the information I sent and they said nope, no way, against the law.  That was nearly 3 years ago and still bothers me wondering how the patient turned out.
Do any of you consider QA/editing to be your boss?
I understand that they critique our work, etc., but I never really considered them to be our "boss".  I already have one supervisor, now it looks like I have a few more.
I am my own boss and my own employee. nm
:}
Boss asking for normals
Is anybody working for a company where your boss is asking you to share your NORMALS.  Be very careful.  My company is asking us to share your normals and come to find out who they want us to share with, overseas.  Also asking questions like, who are the best dictators, etc. Also experiencing block of work just disappearing.  Several hours just gone.  Anybody else.
I wonder if you have the same boss lady as me...
She is terrible.  She constantly acuses me of things I am not doing and then when I call her on it, I never hear any more about it.  Never an apology.  I have tried to speak with her on the phone but she won't and it's always by e-mail which is so frustrating.  I have been slammed so many times I can't even count any more.  I just never know from day to day whether I'll have a job or not because I never know what I will be accused of next.  Oh the things we put up with to make a living in this business
She's the boss, applesauce.
:=
OMG... sounds like you have my old boss! n/m
:)
I'd ask your boss for them or the doctor for -
examples. If you cannot get any that way I'd just use the standard SOAP format for PT.
If you are IC, this person is NOT your boss.
x
Being my own boss is worth that!
x
As employee, you do what the boss (Dr) wants.
x
Apparently your boss is not looking at
the work flow. Next time you are asked, tell your boss that if you could pick and choose you would be doing more work too. The boss needs to handle this, if he/she won't, there is not much you can do.
I would not hesitate to tell your boss
especially since she has asked you why this person does so much more than you. Also, you have proof!

Don't worry about opening up a can of worms - it needs to be open. You need to be honest with your boss when she questions you to cover your tail! I wouldn't worry about the other person - she's made her own bed and now she should lie in it.


I manage my former boss's websites (he has 2), --
other than that, sell some stuff I don't need anymore on ebay now and then...did about $200 a month for about a year.....got rid of most everything though I really wanted to dump...have a few things now I need to list so maybe I will get lucky this month!
boss this to me the other day and really has a lot of good info; sm
cancer classifications

stage and grade
Lowercase stage and grade.

Use roman numerals for cancer stages. For subdivisions of cancer stages, add capital letters on the line and arabic suffixes, without internal spaces or hyphens.

stage 0 (indicates carcinoma in situ)
stage I, stage IA
stage II, stage II3
stage III
stage IV, stage IVB

Use arabic numerals for grades.

grade 1
grade 2
grade 3
grade 4

Aster-Coller
Staging system for colon cancer from the least involvement at stage A and B1 through the most extensive involvement at stage D.

The patient's Aster-Coller B2 lesion extends through the entire thickness of the colon wall, with no involvement of nearby nodes.

Broders index
Classification of aggressiveness of tumor malignancy developed in the 1920s by AC Broders. Reported as grade 1 (most differentiation and best prognosis) through grade 4 (least differentiation and poorest prognosis).

Lowercase grade; use arabic numerals.

Broders grade 3

cervical cytology
Three different systems are currently in use for cervical cytology: the Papanicolaou test (Pap smear), the CIN classification system, and the Bethesda system.

The Papanicolaou test uses roman numerals to classify cervical cytology samples from class I (within normal limits) through class V (carcinoma).

CIN is an acronym for cervical intraepithelial neoplasia and is expressed with arabic numerals from grade 1 (least severe) to grade 3 (most severe). Place a hyphen between CIN and the numeral.

CIN-1,CIN-2, CIN-3
or CIN grade 1, CIN grade 2, CIN grade 3

A cervical cytology sample that is within normal limits in the Bethesda system corresponds with a Pap class I or II; Bethesda's atypical squamous cell of undetermined significance (ASCUS) corresponds with Pap class III; Bethesda's low-grade squamous intraepithelial lesion (LGSIL) corresponds with Pap class III and CIN grade 1; and Bethesda's high-grade squamous intraepithelial lesion (HGSIL) corresponds with Pap classes III and IV and CIN grades 2 and 3. In the Bethesda system, the next higher level is labeled simply "carcinoma," corresponding with Pap class V and with "carcinoma" in the CIN system.

Clark level
Describes invasion level of primary malignant melanoma of the skin from the epidermis.

Use roman numerals I (least deep) to IV (deepest). Lowercase level.

Clark level I into underlying papillary dermis
Clark level II to junction of papillary and reticular dermis
Clark level III into reticular dermis
Clark level IV into the subcutaneous fat

Dukes classification
Named for British pathologist Cuthbert E. Dukes (1890-1977). Classifies extent of operable adenocarcinoma of the colon or rectum.

Do not use an apostrophe before or after the s. Follow Dukes with capital letter.

Dukes A confined to mucosa
Dukes B extending into the muscularis mucosae
Dukes C extending through the bowel wall, with
metastasis to lymph nodes

When the Dukes classification is further defined by numbers, use arabic numerals on the same line with the letter, with no space between.

Dukes C2

FAB classification
French-American-British morphologic classification system for acute nonlymphoid leukemia.

Express with capital M followed by arabic numeral (1 through 6); do not space between the M and the numeral.

M1 myeloblastic, no differentiation
M2 myeloblastic, differentiation
M3 promyelocytic
M4 myelomonocytic
M5 monocytic
M6 erythroleukemia

FAB staging of carcinoma utilizes TNM classification of malignant tumors

See: (TNM staging below).

FAB T1 N1 M0

FIGO staging
Federation Internationale DE Gynécologie et Obstétrique system for staging gynecologic malignancy, particularly carcinomas of the ovary. Expressed as stage I (least severe) to stage IV (most severe), with subdivisions within each stage (a, b, c).

Lowercase stage, and use roman numerals. Use lowercase letters to indicate subdivisions within a stage.

Diagnosis: Ovarian carcinoma, FIGO stage IIc.

Gleason tumor grade
Also known as Gleason score. The system scores or grades the prognosis for adenocarcinoma of the prostate, with a scale of 1 through 5 for each dominant and secondary pattern; these are then totaled for the score. The higher the score, the poorer the prognosis.

Lowercase grade or score, and use arabic numerals.

Diagnosis: Adenocarcinoma of prostate, Gleason score 8.
Gleason score 3 + 2 = 5.
Gleason 3 + 3 with a total score of 6.

Jewett classification of bladder carcinoma
Use capitals as follows:

O in situ (Note: this is the letter O, not a zero)
A involving submucosa
B involving muscle
C involving surrounding tissue
D involving distant sites

Diagnosis: Bladder carcinoma, Jewett class B.

Karnofsky rating scale, Karnofsky status
Scale for rating performance status of patients with malignant neoplasms.

Use arabic numerals: 10, 20, 30, 40, 50, 60, 70, 80, 90, 100. (Normal is 100, moribund is 10.)

TNM staging system for malignant tumors
System for staging malignant tumors, developed by the American Joint Committee on Cancer and the Union Internationale Contre le Cancer.

T tumor size or involvement
N regional lymph node involvement
M extent of metastasis

Write TNM expressions with arabic numerals on the line and a space after each number.

T2 N1 M1
T4 N3 M1

Letters and symbols following the letters T, N, and M:

X means assessment cannot be done.
0 (zero) indicates no evidence found.
Numbers indicate increasing evidence of the characteristics represented by those letters.
Tis indicates tumor in situ.
Tis N0 M0

The TNM system criteria for defining cancer stages vary according to the type of cancer. Thus a stage II cancer of one type may be defined as T1 N0 M0, while one of another type may be defined as T2 N1 M0.

Staging indicators are used along with TNM criteria to define cancers and assess stages. These are expressed with capital letters and arabic numerals.

grade GX, G1, G2, G3, G4
host performance H0, H1, H2, H3, H4
lymphatic invasion LX, L0, L1, L2
residual tumor RX, R0, R1, R2
scleral invasion SX, S0, S1, S2
venous invasion VX, V0, V1, V2

prefixes
Lowercase prefixes on the line with TNM and other symbols indicate criteria used to describe and stage the tumor, e.g., cTNM, aT2.

letter determining criteria
a autopsy staging
c clinical classification
P pathological classification
r retreatment classification
y, yp classification during or following treatment with multiple
modalities

suffixes
The suffix (m) (in parentheses) indicates the presence of multiple primary tumors in a single site. Other suffixes may be used, such as the following in the nasopharynx:

T2a nasopharyngeal tumor extending to soft
tissues of oropharynx and/or nasal fossa
without parapharyngeal extension
T2b nasopharyngeal tumor extending to soft
tissues of oropharynx and/or nasal fossa
with parapharyngeal extension


But ultimately the doc is the boss...so you do it their way if they insist they want it a certain wa
d
I'd inform the boss of this and if he refused
to pay, I'd turn him in to the labor board and then I'd quit but just like MT world there will always be someone willing to work for free thus nothing ever changes with making employers do the right thing.