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I am outspoken and not shy but after 30 years in a clinical setting, I LOVE being by myself. nm

Posted By: One is the lonliest number,,,, NOT. on 2005-10-25
In Reply to: anyone get into this business solely to not - deal with people?

:?


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Beats my clinical setting..
I'm shut off in a 12 X 12 room, hearing loud voices outside my door, file clerks running around hunting charts and griping every minute, nurses flitting about hunting "stuff", the office manager laughing loudly outside my door while she flirts with the doctors, and my WeatherBug is calling for the heat index of 115 for my area!  I'll trade with YOU! 
At my clinical sites,...sm
the physicians' handwritten orders are transcribed by the unit clerk into the MAR (medication administration record), or if they are using Meditech they get transcribed into Meditech, again by the unit clerk. Nurses are very savvy on drugs and doses and are expected to question anything that is, well, questionable. A nurse is liable for administering the wrong drug even if the doc ordered it wrong. Both clinical sites I have been at so far were Magnet status - that is a hospital that has undergone extensive credentialing to show superior nursing care. Magnet hospitals have the lowest nurse:patient ratio, which has been directly linked with less deaths and better patient care... just my two cents.
Clinical depression
You better believe depression is real! It exists in my family and among my closest friends, and it is a painful and frustrating disease. Diabetes is often used as an analogy to compare to depression. I think it is a good one because a) diabetes is a real illness and no amount of "sucking it up" will help the body produce insulin, b) it can be treated with medication but not usually cured, and c) lifestyle adjustments coupled with medication help most diabetics feel better and function well. The same are true of depression.

Have you checked into a local county/city community services organization? There should be something available that charges fees according to your income. You need not be on welfare or Medicaid to be eligible. Go through the local government pages of your phone book and see. Call any social services type number and they can put you in touch with what you need.

Are you able to consider borrowing money from someone for a short time? Once you are under treatment you will certainly be able to pay it back quickly as you have all kinds of ability to make a living; it is just that your illness has made you disabled currently.

Also, please try to talk to someone sympathetic personally. The human touch of personal contact is so superior to what can be offered on-line. You could tell them what you have said here, or if that seems to be too strenuous, print out your post here and show it to someone, let them read it. It might break the ice and allow you to feel more comfortable speaking to them about it. The person you talk to need not be the one with the answers, right now they need to be the one who will listen and encourage you.

Many of us will continue to listen here as well, but you really need a live person in front of you to open up to at some point. It really will help, if you can do it.

My thoughts and prayers are with you for your success in treating this awful disease.
Unusual clinical history...
"The patient is status post gunshot wound to the head now complaining of headaches." Yes, bullets tend to cause headaches, I'm sure!
I am on XANAX. I did not think my clinical diagnosis would be on report.
When given this diagnosis, the first thing you want to know is how far it has spread. It can mean life or death. My doctor was OOT for two more days and I was panicking. I needed to know if it was abnormal so I could begin thinking of what the future held. I am not thinking RATIONALLY!!!!!
billing on clinical psych narratives
I am an IC and am being asked to give a quote on transcribing some narrative/office notes, etc for a clinical psychologists office.  In detail, it is a 1" margin around the page and there are headings on a template that you fill in either one word phrases or paragraphs.  It did not look that difficult.  I would have to pick up tapes, e-mail reports back on a daily basis an so I believe that gas and time doing so needs to be counted in.  I am needing some advice on how to propose either by the line (gross or otherwise) or page (either full or half etc).  Any advice would be greatly appreciated.  Thanks in advance. 
Clinical versus Acute Care - why do companies
advertise for clinical MTs and then send you a test for acute care?  I was told it was the only tests they had.  I've been down this road before.  Once you pass the test they place you on acute care and come up with excuses about clinical.  Sooner or later they'll get the hint - when MTs apply for clinical that is what they want to type.  No more testing for acute care for me - when I apply for clinical. 
I have been doing VR for about 4 years now - Love it!! nm
x
hi, I have CS for years and love it sm
My hospital uses CS for Windows and it has it's own expander, so we don't use IT.  I would suggest importing your IT Expanders into the CS expander.  The only time CS runs slow is if there is an internet problem.  You can also make your own normals.  When you get a report you want to turn into a normal, just highlight the text and press ctrl N.  I work on CS and type 300-400 lines per hour, consistently, not just with good reports or every once in a while, but every pay period.  We have used CS for at least 10 years.  It is the best.  It may run slow for you because of the connection, you really need cable.  One time I was dialing into one of our sister hospitals, and it was really really slow, like you described.  This problem must be related to internet connections.  Ask your boss about contacting SoftMed to see if they can help.     
I have used it about 2 years and love it.
nm
I'VE USED IT 2 YEARS AND LOVE IT!!

I find it to be a really easy platform to learn and to use. I've used it for 2-1/2 years now. It has its own expansion program and I also find it really user-friendly.


I am with you - I lease, love having new car every 3 years. nm
x
Have had Orator for over three years and love it....sm
No problems (so far, knock on wood) and support is great.  I also have the DocShutle software.  I know someone else with this system and they like it as well. 
Love it! I've said for years..sm
I didn't believe it would ever catch on - how many doctors would spend 10 minutes trying to get that much dictation done?
Love my job there too. It's been over 2 years and I still like it. The key is flexibility
The work can fluctuate but if your patience and have some flexibility, they are awesome to work for. If you set to a certain schedule, it may be harder for you. Overall, they truly are a hidden gem.
I absolutely love it and have for 25+ years.
I honestly believe this is a job you either love or hate.
Blind date 30 years ago, love at
first sight, still happy, happy, happy.  Moved in together about 5 days later.  Never looked back.  Got married and living happily ever after.
Been editing VR for about 5 years now and absolutely love it!
I also have CTS - it has done wonders not having to transcribe my fingers to the bone.

Yes, you can make awesome money editing VR; however, it depends on the platform and line rate. Personally, I have been workin on eScription's EditScript for the past 5 years and absolutely love it and can't say enough about it.

You can tend to get a little bored from time to time, just like with anything else. When that happens, I take frequent breaks to rejuvenate.

Good luck. I hope it works out for you.
Internet. And I've never been more in love. Been together almost 9 years and have 3 children
also, he was already established and owned his own home when we met. He had been out of college for 2 years when a buddy suggested the internet. I was going through a divorce (he's 4 years older than me) and lived 5 states away from each other.
Some said I was insane, but now they envy our relationship and the life we've built together. God is good.
Oh my.. we have a lot in common.. We got married there 5 years ago. We LOVE to eat at the Bellagio a
in March for Nascar, which we go to every year..and then normally we go in the Fall because the summers are too stinking hot. If you are familiar with Laughlin, we just bought a lot to build a house across the river in Bullhead City. We love Laughlin too..We'll be able to see the whole casino skyline from our house..Thank goodness we wont be there FT for a while though..summers get like 120 degrees there.
There is a setting
to fix that and I can't remember what it is. But I complained about it and our IT guys told me how to fix it. There is something that you have to "allow" to get it to work.
SETTING UP A QA PROGRAM
Need some ideas/suggestions for setting up a very tight QA program. I have no idea where to start with this one. Any help is appreciated.
As an IC you should be setting your OWN rates
And then you inform the clients of the increase--period. You don't "ask" for an increase. That would make you an employee.
I have no idea, but there is a way of setting - sm
in up in WP5.1 so it backs up your work every few minutes, and is saves a back up copy as well. Also if you have to shut down then you just go to your backup folder (you make one up) and there it is under a different name, and you bring that up and resave it and you generally have lost very little work. Email me if you want and I will dig out the instructions on how to set up the backup feature. The problem I have is sometimes I hit something, no idea which 2 keys and I delete my whole report, so the backup feature for me is a lifesaver. Thouhg I have learned the hard way not to save the report after I delete by accident, otherwise the only thing that is in the backup file is a blank file. Luckily I don't make a habit of doing that!
Aha. So it is a setting they could change.
I think they just haven't noticed or haven't had time to do it, but it's good to know it is possible to have it not spellcheck demographics. There is no reason for it since they wouldn't want us to change anything in the demographics.

Thanks.
You are setting yourself up to most likely fail...

if you try to start an MT business right out of school.  Unfortunately, people take the college courses for MT just to find out that most employers do require experience.  There are companies that do hire newbies, but one must have attended an "approved" school.  It's not too late for you though.  I see you as having 3 options:


1. You attend an "approved" MT course/start over with schooling.


2. You apply everywhere, check your newspaper, keep looking.


3. You attempt to start up your own business and learn as you go, although I highly don't recommend this route. 


 


Good luck!


Setting up Lanier LX-219?

I'm at a loss - I cannot find a manual anywere about how to set up my Lanier LX-219 equipment.  I have the terminal block, module and the unit.  two phone plugs on the grey box, one phone plug on the back of the unit.  Does anyone know where I can find a manual on how to set up the equipment? Thanks in advance


I am in our bedroom now, but am setting up - sm
an area in our dining room slowly. Will still work in the BR (I think) during the day; but will move out to the DR when DH wants to go to bed so my typing does not keep him up. That has been a running battle for years and finally bought a new CPU as a backup and now am loading all my programs, etc. which I don't have the time to do of course. Just need to finish doing that and get a new monitor as I am using an ancient one right now that is probably around 12 years old now, huge bugger. If I like it out there more I may work out there during the day too.
Are you setting your own rate?

If so, find out what others in your area are charging. If you think you should be paid more because you're doing pathology, then charge more.


If you're being offered a rate, then do you consider it to be enough? No one else can really answer those questions but you.


Setting up your own accounts

I've been doing some research on here and checking out various links and such regarding setting up my own accounts but am finding myself more confused than ever!   I've noticed some talking about things like mydocsonline, bytescribe, wav player, Olympus, etc., but how exactly do these work?  I'm assuming there is a system in their office or on their end and then I use some sort of system or connect with that to get jobs? How does this all work?


I've been looking into this and trying to understand how it works, as when I recently went to the ENT office they asked if might be looking for some work .  I didn't feel comfortable talking about it in depth because of my lack of understanding.  They are a mid-sized practice with 2 offices and probably less than 10 physicians.  Any info or advice anyone could offer would be greatly appreciated.  Please feel free to email me also if you'd like.


You probably have your setting defaulted sm
to justify - it's "blocking" your text so it all looks like one neat block.  It removes or adds spacing to spread it just so.  Turn it off and you can eliminate the problem you're having.
setting the tone...
This is meant for e-mail but it is also helpful on message boards too...enjoy:

http://www.ewriteonline.com/index.php?display=ArticleDetails&id=358
Setting up Smartype?
I just ordered Smartype and was wondering if you all could give me tips on setting up that have helped you with making money with Smartype.  Thanks
Help with setting new entry in VPN
 I need some expertise... I have VPN for a company on desktop set up, need to create a new entry for another company.. .is that possible?  I have the file in the right folder (PCF or something close to that file) and did the wizard, but it says no valid ID when I know it is... what am I doing wrong?
Setting the record straight

You purchased an IN-155 foot pedal for compatiblility with DVI VoiceWav.  (We have sold nearly 1,000 of these with zero returns.)


When you called our toll free 800 number for support we told you that the problem was not the pedal and was either the software you were using or your computer.  Reluctantly, we agreed to do an exchange for you.  (FYI, when your first pedal came back to us it worked absolutely perfectly and still does.  In fact it is plugged into the same computer I am typing on at this moment.  It has been tested daily since it came back with no problems).


Now, you voice incorrect information on MTStars.  Your problem is in your computer.   


Please feel free to call us yet again if this is not clear to you.


Tom Wilkes


President


Executive Communication Systems


(800) 644-9525, ext. 101


Setting backspace for pedal

I have an older transcriber (DAC Model DA-125) and have had it for quite some time now.  I moved my office over the weekend and had to unplug the machine.  Well, my backspace has reset to practically nothing and I can't find my manual on how to reprogram the backspace.  Is there anyone else out there using this phone and if so, how to do reprogram it for the backspace length?


Thanks so much for your help.


Tabatha in Charleston


Setting up 2 computers with 1 monitor - Need help!

I will be starting a second job next week and need to use that companies computer.  I know I need a syslink router to enable them both to use our cable modem, but I know there is a box you can get so you can use one monitor and turn the dial to switch back and forth between computers.  Anyone know what this is called and where to get it?   Also, is there a way to use only one mouse and keyboard also, or will I have to have 2 keyboards and 2 mice on my desk?  (I have a small desk and am limited on space).  Thanks for all help!!


setting up macros in word

I used to do this about 8-10 years ago, but forgot how to do this.  Please post how to do this.  This is for Word 2002.


Thanks


Need help setting up formatting in MS word - sm
Computer crashed and died and now setting up my backup computer.  I need to fix it so I don't have 2 spaces after a period.  It is doing it automatically and I cannot find where to "fix" this.  This is Word 2000 that I am using on a computer with XP Pro.  Any help with this would be appreciated, it is driving me nuts (I am ending up with 3 spaces after a period as I am so used to spacing it myself).
Setting up icons on desktop
I have a page that I want to appear as an incon. How to do? Thanks.
You can change the setting in Autocorrect...

for automatic numbering to the left margin by:

1) Open MS Word
2) Select Tools
3) Select Autocorrect
4) Click on the tab 'Autoformat as you type"
5) Make sure the box 'Automatic numberer lists' is checked (it's about the 8th box down)
6) Click on okay (otherwise your change wont take)


I hope this is what you meant.


Y'all are right. I am not setting up the boundaries myself! Thanks!
xx
I found the setting but it is grayed out - sm
and I cannot select it, under Tools, Options, Spelling, says "Hide spellling errors in document". I never selected that and can only presume that IT did that for some freaky reason. How do I access it when it is greyed out and you cannot "unselect" it???
Yes its true. They seem to be setting impossible limits for everyone lately and you have to wonder

if they just want people to quit.


It sounds like a setting in your Norton firewall.
/
Setting up a general template will help a bit. Not crazy about DS, either. nm
s
you should be setting your rates according to what the market will bear...
not what you feel like getting. If you like the account, you're familiar with it and able to make good money off of it, you might want to stay at the rate you are at. As a service owner, I used to plan to hire at 7 but bring everyone eventually up to 10 cpl by 0.5 increases every six months. I also used to be able to raise the rates from the hospital, clinic or physician office every 2 years. Nowadays if I bid on a new account, I am regularly outbid at 11 cpl, with 24 TAT. I have discussed it with my IC MT's. If they want a raise, I can try to negotiate a raise from the hospital...but it jeopardizes our account. Every time you raise your rates, it's a signal for them to start shopping around. So I would say, based on what the market will bear, don't expect to be getting raises. Ever.
Is there a way to change the default setting in Word - sm

for line numbering?  It keeps indenting 1-2-3,etc. to the first tab and I need the numbers along the left margin.  I went to <format>, <bullets and numbering>, <customize>, and changed the number position and alignment, and it lines everything up on the left margin. 


However, if I have another numbered section in the report, it goes back to the default setting, indenting to the first tab. 


Is there a way to change the default, or do I have to go through these steps for each numbered list? 


Thanks!


You turned off the white space setting. sm
First switch to page layout view, then go to the Tools menu, Options, then check the setting for white space between pages. You can turn this off real easy if you happen to click your mouse near the top of the page.
I moved cross country, setting up sm

every night in a different motel, and with no laptop, either.  I just used whatever table they provided and setup my total PC system, and got the work done.  Not the usual situation, but it worked fine.  It sure was not a vacation, though, but a cross country move.  Had to stop by dark every night and get some sleep, get up a midnight to work 6 hours, then move on.  Made a lot of money, at least as much as usual.


Setting goals helped me tremendously
I have had burnout in the past and when I did usually tried to take a day or two off. Do not have it now but I just got tired of making a low salary like I was doing so decided I would increase my speed as far as blocking out everything else during the day in order for me to achieve my goal. This last paycheck really paid off. It was $400 more dollars than the time before and I am staying at the increased line count. I like the money and that is more than enough to put some speed in my production. I do not like those lousy paychecks at all.