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I am a midwife and i was attempting to deliver a baby, face presentation, and transferred to hopsita

Posted By: mwmt on 2006-09-12
In Reply to: What were you doing when the WTC was attacked 5 yrs ago? - nm

was working with doc to try to reposition the baby without the face but wasn't successful and ended up with c-section. happy b-day to her!!!


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We didnt know it would be like this until we got transferred. I only got transferred within the past
4 weeks. I already have my resume out and have talked to another company. It was okay until the accounts and offices get closed and we ended up at Amherst. I am sure a lot of us are leaving.
Help! Have face-to-face interview for at-home hospital job tomorrow and ....SM

I want to ask the most comprehensive questions I can so as to make the best decision possible.  I work for a small national right now, pretty happy but would like better benefits, especially more affordable and better insurance.  I already know this hospitals pays .09 cpl and .11 if you do more than 1200 lines per day.  It's been so long since I've been interviewed in person.  I need you guys to help me make a list of questions to ask so that I can just get it all down on paper and make sure I'm not missing anything.  I know they use ChartScript and Lanier and that they provide the computer.  What else exactly should I ask? 


I came across my best friend online, but I have yet to meet her face to face sm
I have known her for several years. We talk a couple of times a day. I have never seen her face to face, but I could not live without her love and support and she feels the same.

I have given my number out several times recently. I have yet to come across a serial killer. They are all MTs. Without exception, they have all been wonderful. In three cases, we are all working on friendship. In one case, I think we will be close in time. We are very similar in many ways and I just think she is wonderful.

I have dated on line and we were together as a couple in person for a year. It was a great experience.
need answers for presentation - thanks

Company I work for has at-home and in-house MTs, pay is hourly and by grade/levels, that is, if you produce over a certain amount consistently, you move up a level and get higher pay. New HIM department manager wants to revise job descriptions, most likely will raise production levels required to increase pay. I am on job description committee, and we are looking at several issues. Please answer questions below - I want to be able to make an informed presentation based on current trends in the industry.


Any companies require CMT?


Any companies that don't "require" CMT but pay higher if you are?


How does company count production - by lines, or report or page or dictation minutes?


Does this vary with type of work/account? (radiology is often by page/report and not by line)


If production count is by lines - how is line counted....65 characters including spaces / no spaces.....virtual black character....black line (gross line).....other?


Does company have minimum quotas... i.e.150 lines per hour or 1200 lines per day or # lines per payperiod.....?


If company pays hourly (usually in-house) are there production quotas.... production incentive bonus?


Does company offer pay increase if you consistently produce higher than minimum quota?


No, we are not currently hiring, at least not until job descriptions are revised which could take 3 months to go through administrative approval.


Thank you for your participation


Give notice face to face and (sm)

briefly explain the circumstances.  In the same conversation ask if it's ok to use the company as a reference and possibly provide a "To Whom It May Concern" letter of recommendation.  Then follow up with a brief letter.  A good reference goes a long way, even as an IC!


DOG...yes, he gave about 1-1/2 hr presentation. Interesting.
nm
I would like to know the answer to that question also, in addition to attempting to
comprehend the madness behind the motives of some posters who feel it is more therapeutic to mock than become masters of medical transcription.  The latter is the purposes........Isn' it??!!!
Troubles with Teething - Baby, Baby, Baby
Hi. My little guy is teething soooooo bad and I am wondering if any of you have some ideas that I can try, to hopefully make his life (and my life) a little easier to deal with? lol. We've tried Tylenol - with little pain relief, but much diarreha! We've tried Orajel - it seems to wear off too fast to make a difference. We've tried teething toys - help for only a few minutes (not nearly enough time for me to get any work done!). His appetite is normal, but his sleep schedule has been totally disrupted (as has mine). For the last 2 nights, he has woke up every couple hours. I would think he would be exhausted during the day....but he never goes to sleep. He is more fussy than usual and alittle more clingy, but overall he is very playful. His pediatrician gave me some suggestions (the above) that I have tried with little to no help, so I am desperate for new ideas! He is cutting multiple teeth right now (and just got a few new ones last week too) so he is in a lot of pain. Poor little guy. I appreciate all ideas that anyone has. Thanks in advance.  :)
Yep, i'm also a midwife.....
`
My great-nephew standing in his baby bed in his beautiful nursey - he is the most adorable baby in t
nm
I would LOVE to be a midwife. Do you know
x
Calif is attempting to revoke the "employee shares salary info with another employee" penalty.
dd
You are probably making more as MT than therapist. I would like to be midwife.
aa
hmm, that sounds normal for an OB but not for a midwife. sm
your welcome. midwives are supposed to be "no intervention" kinda thing. i have had a doc push a baby up that was coming face presentation to see if the baby would come back down the canal the correct way but it didn't work. have never heard of a midwife doing that regardless of the reason and if the baby was already having heart tone issues, in my personal opinion, that could have made things a lot worse@! but again it is hard to question what she did and why without the records so i will stay on the safe side, lol. but i would say no, that is not normal and by that it sounds like maybe it was an urgent transport and she made the wrong choice by not calling ahead of time. i can see her sending them an hour away if it wasn't an emergent situation but not in an emergent situation regardless of how the docs would treat them. we always have hospitals we prefer IF time allows since we know the docs there but when urgent, you go to the nearest place there is and always with a call in to usually unit secretary if not OB on call to let them know what is coming in so they can be ready. but if the baby was having cord/heart tone issues, why the heck would she mess with it and possibly make things worse?? what if the cord was very tight around the neck, she pushed the baby up and that tightened it even more. oh my, that thought is a little scary!!!! nope, not normal to me or any midwives i know. i think our state regulation really helps weed out those who practice unsafely and it should be regulated in every state. also forgot to mention there is NARM, north american registry of midwives, that you can also check into her credentials, etc. with. they also credential us as well as our state. do a Google search for their web address.
Have a face-to-face talk with your son!
Tell your son you love him and care for him, but you are just not happy about his soon to be wife/lesbian calling his mother/soon-to-be mother-in-law these nasty things. Tell your son that if he wants any part of his family then he needs to talk to his girlfriend and tell her that she needs to respect his mother or things will sure be hell down the long road. You know how it is when you do not get along with in-laws. Sounds like your son had a lot of communicating to do or you may not respect him anymore.
face to face demeanor is always different...sm
guess they figure if you can't see 'em, they can be themselves.
I know their demeanor is different face to face,
but if they treat the medical record with such little regard, I really wonder what kind of ethics they have regarding the medical care given to their patients.
Yes, I deliver
Yes, I actually pick up tapes because they refuse to go digital. I email back the finished chart note and return the tapes when I do the next pick up.
Hey ladies, I am a midwife and an MT. However, the money comes from MT sadly. sm
I do midwifery on the side as i love it but i have to keep my 2 MT jobs to keep the bills flowing. I am an LM, CPM so i do not do hospital deliveries. I do homebirth/ birth center deliveries so the pay is less than CNMs would make but a lot of the CNMs these days do all the crap work from the MDs. Best thing with MT is it works around my MW schedule. Love it!! I average about 20-30K on midwifery delivering about 15-20 babies a year. I personally know one that delivers 3-4 a month and averages about 75K but i choose not to be that busy with midwifery til my kids get older as i still need family time. I don't see where to put email in here but if anyone wants info from me, would be happy to share.
Anyone out there deliver newspapers?

Just wondering if I'm the only crazy fool.  My younger son took on a paper route and then lost interest.  I helped him with it for a while.  My older son used to do the same route and it became available again.


I'd been trying to get motivated to walk in the morning and would always turn the alarm off.  When I helped my younger son,  I saw him counting his cash and thought "okay, I walk for an hour every morning and make $85.00  or more a week while I'm doing this."


Only drawback is that it is 7 days a week 364 days a year (no paper at Christmas) and you have to be up at 4:30 a.m. When my older son did the route, he would get over $500 in Christmas tips.


Maybe I'm trying to convince myself to keep it up?  I do know that I feel great and am in much better shape than I was even a few weeks ago.


All you paper "boys" out there get back to me.


You pickup and deliver?! Oh my!
Well, my clients are from across the nation. I don't do any pickup/delivery.

I have a digital dictation system. I have long distance expenses, accountant and attorney (not monthly but annually), my equipment/software, I provide the software for my contractors, and the list goes on.

I appreciate everyone's input.
I help my husband deliver papers--

He's been doing it for the past 5 years.  It's the steadiest income we've ever had and good pay.


 


It's not your advice, it's the way you deliver it. Very snotty. nm
b
Yes, you can make a profit if you pick up and deliver.
You charge them a line rate that includes your cost for doing the tapes, printing, etc. A business person should know how to successfully sit down and figure up their expenses and how to charge a rate that will provide a profit, regardless of how the dictation is supplied. If the client wants delivery, I am glad to do it and charge them a fee for said delivery based on the cost of gas, vehicle maintenance, etc. They either are willing to pay the fee for the delivery or they decide digital doesn't look all that bad after all. Either way, I win. I also do not go to their office every day. I go twice a week and that's fine with them and doesn't bother me since I'm running other errands then anyway.

I would not dump a client that I've had for years simply because they are afraid of technology. I charge them accordingly for tapes because I consider that out of the normal way I do business and make sure I turn a profit, but I certainly wouldn't dump them. In fact, in some ways, their reluctance to move forward with new technology can be viewed as a positive thing because at least I never have to worry about losing them to speech recognition since they won't even pick up a phone to call in dictation. ;)

Yes, I have a call-in system, I have digital handhelds that I supply to clients, and I am well versed in digital dictation. I prefer my clients to use the digital services I offer, absolutely, but I do have some old clients that I've had for years that just don't want to make the switch. Not about to drop a $30K a year client over it, though. I know that eventually, they will come around and try the digital way of life. Until then, I'll gladly collect the delivery fees. :)
Deliver newspapers. I do. Good $$$, great exercise.

I do approximately one hour each morning (walking).  This past week I made $160 tax free  for 7 hours of "exercise." :)


My theory is why get up early and walk the dog when you can walk the dog and make money while you're at it.


My sister and her husband did a motor route together and made $500+ a week.


And the Christmas tips?  CHA CHING!!!  I made almost $600 last year with 65 customers.  My sister and her husband made close to $2000.00.


 


i got transferred too
it is crazy, never ran out of work until they moved us to amherst, they OVERLOAD bad....labor day wkend was a joke working for them, email on sunday they are desperate for ppl to work, by monday, no work

I Was Transferred
My office did close. My account was transferred to unfamililar territory and I have found this office to be far superior to the one I worked with before. Just 1 example: I was given a backup account when my main account volume was low. I did well with this account, but did not care for it. After several days, I tried my main account but kept getting the message that all requested dictation had been transcribed. After a few more days I got suspicious and dialed in using another MT ID number. There it was! Work available! It turns out that the woman in charge of my account had "blocked" me from getting into it so I was forced to the do the backup account. It seemed that another MT had quit and that left this account short of MTs. Instead of being honest with me and asking me to help out until they hired another MT, she just blocked me from getting in. So as you can see, it was not all that great with this office. When it closed, I felt bad for those who lost their jobs that worked in that office, but I also felt that I could trust the new office to not do that to me again. I was right. They were all shocked and very disappointed that an employee of MQ would pull such a stunt. I have been with this office for several months now and have been treated no less than wonderful. I am sure there are other good companies out there to work for, but for me, I am staying put. However, if you leave in good standing, MQ always welcomes you back, so you are right--what do you have to lose? I tried it, and if you need to test newer waters, I say go for it.
LOL I don't know. I do know they transferred their corporate
helpdesk back to the U.S. because it comprises 90% of their sales. I think it was 90%. The home users have to put up with the offshores tech support. I bought a Dell, too, because I figured I could do my own tech support without buying anything extra or calling them. Shoot, $300 for a computer and printer. They had to have lost money on that deal, right? I don't know if that was right or wrong of me if I'm against offshoring, but I really needed a new computer.

Anyway, you might try Dell's online knowledge base to search for the answers to your issues. Do you think you'd be able to fix it yourself with detailed instructions? What kind of problem are you having? Maybe I can help.
I transferred my glossary, etc to a new
computer.  I found out how to do it by Googling "copying Expander to new computer" or something like that.  I'm sorry I cannot tell you exactly what it says as they are printed at home and I'm on the road.  This works for your dictionary as well.
Has anyone had 8mm or Super 8 film transferred to DVD?

Seems to me it would be a great X-mas gift.  I found one of my brother (now 55+) when he advanced from cub scouts to boy scouts.


I tried to check out a couple of websites, but it's all Greek to me.


I cant believe it. I was just transferred to Amherst and said how much help they needed this weekend
and guess what. NO WORK. Are these people playing games up there with us and our livelihood. I am getting thoroughly disgusted and I think we should talk to corporate about this. There is no sense to this anymore. There is someone up there that must hate MTs and enjoys doing this. They have to be nuts. Is there someone up there we can talk to beyond these idiots that monitor the accounts.
Yes, live on W Coast and my acct transferred
over to Amherst. 
I dont know about your accounts there but my office was transferred there and since then all the
accounts and people in my office have their accounts running out. It took a few weeks after being transferred there but finally they got all of them because they want that 1 hour TAT on accounts there and that is what they are trying to do. So I dont think it is a few isolated accounts. My office had tons of accounts that went up there on DQS and we are all in the same boat.
Ooops, transferred the 25 years old to your age at the time.
df
You'd need to ask the tech if your abbrns. in ESP could be transferred should you ever leave
s
You purchase the plans which allow so much data to be transferred.
I paid for the $59.99 monthly package, which is a lot of data usuage and have used programs such as Dictaphone ExText and Escription on the road. It seems like someone told me you'd have to pretty much be on it nonstop to use up all the data allowance but you can check it out here..http://b2b.vzw.com/broadband/bbapccard.html
Has anyone asked to be transferred out to an office that MIGHT be open for awhile. Is there anyone
in Amherst that is willing to get this situation taken care of or is that a lost cause.
I have been in the same boat since being transferred to Amherst. I have contacted New Jersey and
spoken with one of THOSE WOMEN and have gotten very little response other than oh we will see what we can do and things continue to just go on the way they were. I think it will take a lot of people calling Human Resources and emailing those 2 women or getting transferred or quitting that will change things MAYBE. Are many people quitting up there in Amherst. I know since my office has been transferred they are quitting now.
Just got transferred to the Amherst office and am wondering what to expect from that transfer.

Can anyone tell me anything about how they operate that office. Do you have work in your regular accounts without hundreds of backups or what is the situation.


 


My goodness, there are MQ offices crying for help. Gets transferred out of Amherst to Ohio or one of
the other offices. I will do that if they run me out of work at Amherst. I dont plan to stick around long if that happens.
Egg on Face...
I do apologize - I guess I was in my "MT Mode" and not my "Human Being Mode" when I posted that - all I could think about was OSi, the MT company. Sorry about that and hope things work out!
we have to face that MT is not the
same as it used to be.  Five years ago or so you would have been able to get what you stated but now it is nearly impossible unless you obtain your own account.  I have been doing this for 16 years and I have seen that the MT pay keeps on declining.  I am looking into another profession.  It has just become too stressful to try to make a decent living on the pay any more and just tired of the whole thing with offshoring, etc.  Take care
The face
My word, if I had a face like that I would sell eye liner or something.  Maybe they mean some people type with their looks?  Hmm.  I really think it is an unprofessional ad.
Let's face it
Things are going to change. We don't know to what degree, but I'm pretty sure jobs will be cut and consensed, so you can bet many of us will feel it in some way.

I think our whole society is going to go through a major restructure; there's just no way around it.
Obviously not for his face, but maybe his hands?
x
Jen, seriously, the face of MT is changing. sm
Get that degree.  Trust me on this.  Yes, it's nice sitting home in jammies with the kids.  I did it a lot of years, but I made way more money then than now.  Things are changing drastically and fast in this field.  Get the degree.
We might as well face it, we are being taken over by other countries, thanks to our

government.  You have got to read this article at


http://news.yahoo.com/s/ap/20080604/ap_on_re_us/domestic_workers_rights;_ylt=AuYJ4gKnmseAW_rqGopWh.FH2ocA


Domestic workers sue, lobby, organize for workplace rights -THESE ARE ILLEGAL IMMIGRANTS PEOPLE!


I just want to crawl in a hole and DIE!  I am so worried for my children.  Soon, the US of A will be owned, run and operated by other countries totally!


UNBELIEVABLE!


 


I did the face lift and did for myself only
I had huge bags under my eyes and my jouls were drooping. I did it once and then about 10 years later and both times thrilled with the outcome. I have yet to have anyone say they hate it, oh no in fact most of the girls I graduated with totally taken with how, what, when and the price. I also had other things done as in tummy tuck and that again was what I wanted. I please myself and my husband is also pleased with his new lady. I am thinking this year possibly finding out more about the thread lift. I do want to enhance some but not a total face lift this year. I say goody for anyone who wants to improve on their looks or how they feel about their own self.
I’m a sucker for a furry face. I currently
 have 2 Maltese, 2 Pugs, 1 Lhasa, 1 Yorkie/Chinese Crested mix (we think), 1 Rott/Pit mix and getting another Maltese from the animal shelter this week. 
I am sorry you have this situation to face. It makes
me so upset that this can happen with vets and their costs. I won't even go into that tirade of mine....I actually had to put down my best friend as I did NOT have the $$ even remotely for this barrage of testing just to even guess why she was seizing at 15 years old. I know, she was old, but the vet estimated something near $5K to $10K for a "complete work up". At her age, I declined. Its so weird the timing of your post. Just yesterday my sweet husband was able to give me a modest diamond ring and wedding band - we've been together for 30+ years; however, I had to sell my original set off to pay for emergencies about 3 years ago.I acted like it didn't bother me, but it did. You know - I put on a brave face for the kids and him. And he did, too. It wasn't the diamond or the $$ - it just had so much sentimental value and was symbolic. At any rate, we shopped around for 2 days, as we had no time, and after going to 3 or 4 jewelers and being insulted - most offered $100 to $200 to - take it off our hands - the 5th small jeweler was honest and kind and fair and gave us, I think, $2,000 for the set. It saved us from disaster, so do try a few more jewelers. Keep the faith. And the point of my story? Tides changed for us, and now 3 years down the road, my husband surprised me with a new set - again, not expensive, but its worth a million $$ to me. I think you are a wonderful person to do this for your dear dog. Lots of folks wouldn't even consider it. You will be blessed for it, for sure. Hope your pooch gets well, and hope you get top $$ for your ring.
No, but I have a few on my face - wondering what to do about them - any ideas? nm
x