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I've noticed this, as well. sm

Posted By: Metu on 2006-02-07
In Reply to: OT: Changing face of veterinary medicine (sm) - catlover

I have cats and dogs.  Very expensive.  Vets have so much more in their arsenal now to help animals with.  The supposed reason for doing the twice a year blood tests on cats/dogs over 10 is that their conditions change so quickly at that age.  We have discovered thyroid, diabetic, kidney,  and arthritic conditions in our older pets that have been controlled or minimized with medications and/or special prescription diets and we have been able to improve the quality and length of our pets' lives.  Not to mention heart conditions that can show up and need medication.  It all depends on how much you can afford to spend.  It is truly amazing all that can be done to help our pets these days.  Dental care is important for pets as periodontal disease can lead to serious conditions elsewhere in their bodies, just like people.  Twice a year seems a bit much though, unless the pet has a really bad dental condition.  One thing I have stopped is vaccinations (other than state-mandated rabies) on a yearly basis for cats over the age of 10 that are indoor pets.  They really don't need it after many years of vaccine buildup in their systems and it can be too much for the aging systems to take.  Best to consult with vet about that option. 

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i've noticed it as well - nastiness... nm
Yes, I've noticed that over the years...sm

With my dogs - how similar vet and human medicine are as far as the terms, meds, etc. 

The vet I was talking to didn't seem to think it would be a problem for me to learn.  She said, off the top of her head, that one difference is that they tend to call drugs by their generic name rather than brand name, and they use the terms ventral/dorsal rather than anterior/posterier.  Just little things like that. 

I've noticed the "dumbing down" of MT, myself. We
highest-quality documents possible, not only accurate, but also as grammatically correct as possible (without changing meaning or dictator's personal style), punctuation and ease of reading.

Now, thanks to software that can't import any punctuation other than periods and commas, and which wraps around on its own and makes the document you so carefully typed look like a 3-year-old did it, the reports look like cr@p.

Then QA gets in there and makes 'corrections', and suddenly words you spelled right are now spelled wrong, or in some cases missing altogether.

My line counts are low, too. It seems like lately, all the docs are dictating brief, bare-bones report 'skeletons', and then they say, 'The rest of the report is in the EMR' (which I suppose must be the gibberish, complete with wrong MR numbers, names and dates, that they entered into the record themselves during the office visit, all the while mostly ignoring the patient sitting there in a drafty hospital gown.

'McMEDICINE' at its worst.
I've noticed that myself - if he said the oceans were blue, you'd all believe him
I've noticed a lot of business owners
have their own way of doing things - sometimes too extreme for me.  They either have done so long their way - they don't realize things have changed since they started - or they go by the BOS down to the letter - each and every single letter - and possibly your accounts have not followed that closely in the past - or they are just picky as all get out and have a huge ego and want to make you feel inferior.  There is also the possibility you may be doing some things 'wrong' - but if you have been in the business for 20 years - cannot be that serious - and obviously you know what you are doing!!  I have run into absolutely crazy things in the last year with different MTSOs.... you dont' even want to know!!
I've noticed that whenever I start to get dialed-in to a
certain account or specialty, and the line counts and pay start to increase a little so that I don't have to work 11-12 hour days in order to do '8 hours' worth of work, then suddenly the specialty or the doctors change, I'm sent something harder or of poorer quality, and then the pay goes back down again. I think what you feel isn't paranoia, I think it's real.
To Sad MT: I've noticed your moniker on a couple of boards. Why are you sad?
I use EXText with my current job and I've used at a couple of other jobs I've had. I've ne

used DocQscribe, but I have used Meditech, Cerner, Vianeta, the Precyse platform (I can't remember the name), Dolbey, and  Lanier platform I think was called Cequence (?). 

Out of all the different platforms I have typed on, I have liked EXText the best.  In my opinion, it's very user friendly, easy to learn, and I really like ESP which is the built in abbreviation expander.  Plus it is very easy to create your own normals which I love.  My fingers literally never leave the keyboard because there are macro keys for everything.  You can use your mouse if you prefer or learn the function macros.  I love it.  I think I'm more productive on EXText than with any other platform.

I noticed that..
If it was the one that started out at 5 cents. What terrible pay.
well I have noticed......sm
that 2 of them are being XTRA XTRA careful when dictating risks and benefits (the plasticsmen) of late......being more lengthy about the risks and benefits....looks like they are CVTA (covering their a**es*) *lol*
I just noticed something....SM
I entered 3 entries into the Shorthand and expanded them and noticed that my autocorrect works as well.  I am able to use both of them together. Does anyone use both of these at the same time???
Has anyone noticed...
that the Job Seeker's Board is all lit up in yellow! It looks like its on fire! I wonder why...hmm...
I noticed that too
I ended up returning mine to the store. Love the layout of the keyboard, and all those features are great; they just need to work on getting a better touch to it. The MS natural was stiff too.
Have you noticed?
Have you noticed how they are down to 3 girls and 3 guys? Last year it came down to a guy/girl, year before that 2 girls, and the year before that 2 guys. I didn't watch the first year with Kelly Clarkson so I don't know who the other contestant was in the final 2 that year. Will the pattern start over this year?
have you noticed that
Taylor hasn't been in the bottom 3 at all yet? Gotta love him! I know, I know, not everybody does but I love him enough to make up for it.
On PAs - has anyone noticed (sm)

that more and more PAs are dictating for the physicians, and they are just awful!  They can't pronounce things, go 90 miles an hour, and I'm not impressed with their yawning, laughing, and various other things they do that are aggravating.  I am sick of them - even the ESLs are better than some of them.  JMO

has anyone else noticed--sm
The new *report message* button at the top of an opened message?  I just  noticed this when reading some rather snide responses to one of my posts earlier.  Hmmmm.....this might be a neat little feature.  Thanks again to the Admin. for looking out for the posters who like to frequent here without having to be harassed, polked fun of, and told to *get a life* when something does not meet with someone elses *approval*.   
have any of you noticed
that when you are first hired by a company, they go on to state about all of these certain rules and requirements (the recruiter tells you the same) such as schedule, how long you should be on QA, if you do not do these by a certain time you could be termiated, etc.  As soon as you start working, it is totally different.  They are much more laid back and none of those things they said are really applied.  I am glad that they are more laid back than what you are expecting, but this is just something I have noticed now with 2 companies.  Have any of you noticed this?
I had noticed some changes

similar, but I thought they may have been linked with depression. 

Things like not wanting to go out for groceries until it was absolutely necessary or if a friend wanted to go out and do things with me.  I just figured it had to do with exhaustion/depression.  s

just noticed below
I just noticed this very question was asked by someone else yesterday and is posted below.  I will check out those suggestions, along with the one above.  Thanks ya'll.
i noticed
the only thing they did for me was sell my name and address to offshore companies, who in turn flooded me with unwanted solicitation. I asked that my name be deleted from mailing list several times. I was told this was their "main source of revenue." Hmph.
Here is what I have noticed on
When I first started on ES I had one nice steady account. I worked on it with one other MT. The facility was new to the platform, and I guess it was kind of a first run trial thing because it was just a few dictators. Once they all got on speech rec, it was awesome. The program even learned the basic formatting, would add appropriate headings, etc. (The line counts were great). There was very little editing needed.

Then they started adding dictators. Still no problem until it got to be too much for just the 2 of us. Each time a new MT started on the account, we could tell. It wasn't that they weren't necessarily doing things incorrectly, just differently. The speech rec program would start formatting things differently because it was learning from the new MTs too. Then it got bad. Things like date format or section formatting, which were client preferences and had to be done a certain way, suddenly had to be constantly fixed. And the speech rec itself seemed to go downhill and not recognize everything it used to.

In short, I think it depends on how many MTs work on the account, how strictly they adhere to client preference, and what their skill level is.

Well, here is how I noticed it to happen
A urologist had multiple normal vasectomy reports that he dictated throughout the day for my acct.

On certain days when a particular person did not work, the normal lengthy surgical procedures came through - they were line-producing reports - a few strokes on the keyboard and you have just typed 60 lines.

However, when a certain in-house person who worked at the office (Monrovia) was working, none of these operative reports came through. They were with the Sansum acct and this particular person was on this acct also. This happened over a four year period...it was obvious that he was bleeding the report into his C-phone either by asking someone in the distribution area to send them to him or just skipping jobs the way a C-phone back in 1999 to 2003 allowed you to skip jobs.

That was my first clue - hot reports (that allow you to make money) just aren't appearing on the screen and had at one time. Someone is making a ton of money and you aren't - and you are working the same amount of time, have equivalent skills and are on the same acct.

Let's face it, we are all in need of money or else we would not be doing this thankless job - where we once were thought highly of and now are not.
I never noticed he was manic
I always liked him and thought he was cute.  Now he kind of turns me off, though.  Still want to see War of the Worlds, however.   I always thought he had the nicest smile.
I have noticed too, since discovering (sm)
this board, I have wasted a lot of time reading and posting, too.  But, I am so unmotivated, and I don't know why! I'm not usually this way, guess it's the heat, kids at home, etc. I hope when school starts back, in four days, I'll feel back to myself.
I noticed it, too, using DQS for another company. nm
Has anybody ever noticed that when a company with a relatively
good reputation is hiring, all of a sudden there are a bunch of posts bashing that company?  It makes me wonder if the negative posts are from MTs who don't want any competition in the application process.  Hmmm....
Thanks for replying. I have noticed that there seem to be a lot of ads ... sm
that mention this.  I am thinking of seeing if I can train on it.  I currently work in DOS so at least I am used to that part.  I usually use ShortCut for Windows but I do have ShortHand also but am not as familiar with it.  Just thinking about it - thanks again for your help.
Have you noticed how many hits the ads have?
Noticed a lot of companies...
on the job boards lately offering, 9, 10 or even 11 cents a line, whereas before that it was 5-8 cents.  Is the tide suddenly turning?
I have noticed this myself as well, although I am a little older than you (49). SM
My short term memory has been declining. Just nice to know somewhat else has noticed this too. Not all in my head.
Another thing I noticed.
The company I work for uses the Olympus player. I plug the ear phones directly into the computer. I noticed a huge improvement when I changed from the old head phones I used with the C-phone to the head phones that came with the Olympus 4000. I also noticed a slight difference in my new computer with a Soundblaster card and an older computer.
I haven't ever noticed anything like that.
Did they make sure you had the latest version with all the bugs worked out? The only technical problem I ever had was at one point it stopped letting me edit my entry when I copied and pasted a block of text, I would have to save it and go back into it, but I rebooted my system and it worked fine after that. Do you have a way to save your glossaries and maybe uninstall/reinstall the program itself to see if that changes anything?
Has anybody else noticed anything different about Google
I hate what my Google is doing.  Is it just me, or can I change it back to the way it previously was, or is this a new format that Google just came up with overnight???
Cool. Never noticed that. Thanks!
Off the subject, but have noticed in most of
Just in the last several months have I noticed (sm)
Chantix being prescribed on a pretty regular basis.  I am a smoker and was thinking about asking my PCP about this, but now I'm not so sure. 
Have you ever noticed that residents/NP etc.
do not know the definition of the word "briefly."  Some of the longest reports I do start the first paragraph with "Briefly, the patient is ..........." and then they ramble on for 10 or so minutes. 
I noticed that with one company

I think the bottom line is the time it takes to recruit, interview, train, and get someone up and running is precious.  So, it would make sense to give someone a break when needed if that's what it takes to not have to "start all over again."  JMO.  Have you noticed how many companies are hiring?  It must be awful to try and keep people because one slip-up and the MT moves on. 

You may have noticed I did not say anything about the MT business
We are talking in excess of 30 MILLION U.S. jobs here.  Yes, I am an MT and I have gotten another job.  I was basically speaking for anyone who has lost a job to offshoring.  That is how we come to the 30 million figure - it is not just MTs at MQ.  It is bigger than that.  I don't think enough has been said and to the right people to address this HUGE stimulant potential to our economy.  I think if someone could possibly speak in total figures (unnamed by the government at this point) it probably would make a difference, especially when you look at the big picture.  The MT business is only a part of this.
I worked for her, but when I noticed her sm
trend for NOT paying, I quit so fast before I go too far into the money she owed, She did pay me, but I did call the clinic/office manager, etc....and of course I WAS going to pursue it if she had not and I told her this.

I really pray you get your money. You MAy have to go after her legally.
LOL. I noticed that too. Read all the MQ posts.
The poster who berates those complaining about MQ always uses caps to emphasize their point and without fail, someone comes along and backs their point up using those same emphasis caps. ROFLMAO

Glad I'm not the only one. Also noticed that does shave :)
doe shave - (does have typed too fast)  :)
I noticed this too! Costs me approximately
$50.00 more for the usual items such as health and beauty aids, cleaning supplies, paper products. Cost of living is going up and our salaries are not.

India's MTs are living very well, according to a friendly gal working for AOL out of Bombay.

I don't know what I am going to do. I got cable t.v. for the winter and feel like I am living extravagantly. There is so much I need. Even keeping my car warrantly valid requires a $500.00 tune up which is hard to budget for.

One thing I do not have is credit card debt.
I just noticed the same thing! Amazing. nm
I noticed a pattern last year..
I think last year he said it on the nights that they sang but not on the night that the results were given and they kicked somebody off. One night recently when the girls were singing, they all said it for him at the end of the show as a group. My husband and I say it when we Nextel each other. It is our signal that we are done talking instead of saying "over and out."
I have noticed an significant increase
in the cost of living. I do not know whether to attribute this to the cost of gas rising or Hurricane Katrina and the gulf ports out of commission but items on the shelf seem about 15% higher in general than just 1-2 years ago save for paper products.

I do not know how a family can do it and not go into severe debt and I really do believe that is how many are making it, using their charge cards to pay day to day expenses.
never noticed him sounding dumb, but
the deodorant thing I did not know about. ICK!!!!! That knocked him down a few notches in my mind. LOL.

Still can't stand George Clooney though. Especially what comes out of his mouth. He probably stinks too. LOL.
I have noticed the southern accent. I like it. Don't like BO though. LOL. nm
I transcribe for a PA and have not noticed any of which you are complaining..sm
He is a VERY clear dictator, LOVES to talk and increases my line count considerably. The only thing I can complain about with him is that he is very redundant and repeats things in various areas of a report, but he is making me money, so that is okay. Not ALL PAs are bad...any more than all doctors are bad dictationists. I guess I am lucky and I am grateful for what I have. and this is JMO.
Oops! I just noticed a typo. Does anyone know of any....sorry about that.