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I also noticed that they *finally* addressed....sm

Posted By: I noticed on 2008-04-22
In Reply to: BOS 3rd edition changes sm - astheeer

the issue of generic versus brand name drugs and state that generics should not be capped. One thing that drove me nuts, but nothing to back me up.


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was the post addressed to YOU?....sm

Have you got a life, yourself, by the way? 


Another topic that might be addressed
in this context would be the potential for identity theft. I am sure that if I, without a larcenous bone in my body, could think of the following scenario, others could too.

Suppose an unscrupulous overseas MTSO "contracted" with an ID theft ring in the US to supply names and SS numbers harvested from medical records.

This MIGHT have already happened to me; there's no way to know for certain. But last August, I went to the local GI clinic for "that procedure" that they recommend for everyone over 50. I used my credit card for my copayment, of course.

I happen to know from my local MT contacts that this practice offshored its work to India a few years ago.

Not too long after my procedure, I received several dubious "male enhancement vitamin" products in the mail. Huh? And then my credit card was charged for the products. Since I didn't order them, the credit card company reversed the charges. The identity thief was too stupid to actually change the mailing address, in addition to thinking that the "vitamins" would perform as advertised. (Anybody want 'em? I still have them. I wasn't going to pay to ship them back, no way.)

The timing of this COULD be sheer coincidence... but it's just a little suspicious to me. My credit card number was stolen from SOMEWHERE.

This town is small enough that if my local congress-critter (and his wife) have had "that procedure," they probably had it done at the same practice where I did.... I do believe I shall write him a letter; but I will have to compose it in words of one syllable or less, because he is really, really stupid.
One from MQ, and in it a letter addressed from the lawyers
I am just afraid the rug is going to be yanked completely from under us, and I have no plan B.  The changing of management, no raises, and losing accounts is nothing new, but my biggest fear is being sold and being at the mercy of a lower pay plan, worse rules, etc., i'm comfy where I am. 
Yup, I addressed this with the company I work for,
and they said they would crack down on it. But did they?
And mom isn't doing such a hot job of picking husbands, either. THAT should be addressed. nm
x
More about phrases as other poster addressed
Since the dictators seem to say the same thing in so many different ways, I have found I often have to add a a bit extra, and it would have been easier if I had thought of that when I first started making Expanders so I would have started right off being very consistent.

For an example CTDW, CSTDW, CDTDW = (respectively) continue to do well, contintues to do well, continued to do well. - It is amazing how many things will overlap or conflict.

Or, they will use a phrase with the word "or" or "and" in it AND without them ...
like, cyanosis, clubbing, edema ... and cyanosis, clubbing, and edema ... Or even worse, they flip the words around to clubbing, cyanosis, and edema.

So many dicators and so many ways of saying the same thing. That is what gets frustrating to me. It's endless.
It means I saw an email stating this, but it was not addressed to me.
nm
I justed attended a meeting and this was addressed
There are now computers that will be performing surgery. The medical field is changing in ways that are not good, according to the speaker, in that the younger physicians coming into the field are not comparable to physicians of yesterday, generally speaking. He thought it was a good direction, this computerized physician. He also did state that insurance companies and pharmaceutical companies have much to say about what goes on in the medical field (they have power/money).
Need to hook up a USB pedal to RealPlayer. I'm sure this has been addressed before. sm
I have a test wave file I need to play.  It runs fine from my desktop, but I can't get the pedal to work.  I have an Infinity In-USB-1 I just plugged into the hard drive, but it will not play the file.  Will this work wtih RealPlayer?  TIA.
Were STAT reports addressed in contract? sm
I had a doctor that did this same exact thing. He would procrastinate on doing reports, or just overbook himself so he never had time to dictate, and then when someone called wanting a report, he'd call me to see if I could do it ASAP. Of course, he didn't want to pay extra for this service, though. He would also call me night or day and expect me to drop whatever I was doing for other (better-paying) clients and do his "urgent" report. I go by the old saying that poor planning on his part does not make it an emergency on my part. I will do it for them IF I have the time and IF they pay a higher rate. Otherwise, I will not cater to this behavior because the poster above is right - they will continue to do it as long as you oblige. You have to be the one to set the boundaries. Get voice mail and caller ID if you don't already have and screen your calls. I found that sometimes just waiting a few hours before calling them back allowed them to calm down and realize it's not the end of the world, and they'd then say it was okay to get in by the next day or whatever. Sometimes it's not so much that it's a stat report in terms of the patient's need but that they need it to get paid, in which case they'll sometimes back down if you quote a higher rate or tell them you simply cannot fit it in right then. Same doc would pile me up with a week's worth of dictation and expect it all back in 12 hours, too, so it was an overall mentality with him that he wanted everything done NOW. It wasn't even humanly possible most of the time but try getting them to see that. You should have no social life, after all, and live to work! LOL

Good luck with that. I got rid of the client that did it to me. He felt I should be at his beck and call but argued the rate at every turn, and it wasn't that much to begin with so it wasn't worth the aggravation! Seems like the most demanding ones are usually the biggest cheapskates, too.
neither slow, nor stupid, but I think there are lots of variables that need to be addressed..
such as all the crap some companies want you to put into headers, cc's, etc., and make sure you know every word in the client's profile and check every day to see if anything changed - (of course, they don't PAY for time spent researching client profiles) - it's like "who's on first?"
Good things take time. (this is addressed to OP, BTW) My first 15 years or sm
so of MT was without the benefit of using an expander. When Expanders became the norm, I was reluctant to try, thinking that it would be more cumbersome than by not using it at all. Was I surprised and pleased I had ventured into the Expander world.

Since you're at home you can add entries on your free time, even if you do 5 or 10 at a time, when there is no pressure on you. Start out with expanders for "the patient," "-year-old," the names of your doctors, anything that is repetitious. You will be surprised how much time this will save you. My initial expander, PRD, actually calculated saved Keystrokes and productivity. Back then I was saving 30%!

The expander is especially helpful for those crazy terms that are hyphenated or have camel caps, those that I always had to look up to check myself. Create your brief form by just using straight lowercase, for instance, duoneb for Duo-Neb (or d-n).

Speed will come, don't worry. Good luck to you!

(Posted in the wrong place--I always do that!) This is in response to OP.


I think presenting a letter addressed to him and/or the office manager to submit to him is very
appropriate. That is exactly how I presented it as I was having a hard time thinking how to say and what to say. It was much easier to "plead my case" on paper. Go for it.
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
v
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....
I've noticed this, as well. sm

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. 


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?
x
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!
x
Off the subject, but have noticed in most of
x
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
x