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I would NOT recommend Transcend at the moment.Worked there recently for several months, and it was

Posted By: Ex-Tr on 2005-10-19
In Reply to: PLEASE, somebody, who ARE the good MT companies? - Terry

a HUGE disappointment.  Very antiquated platform - total chaos on account rules - shuffling thru piles of papers for each job - horrible.  Supervisors were totally unorganized. Most accounts had no work. I had work, but it was just a huge bummer...job was opposite of everything promised...or implied.

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Transcend DOES offshore. I worked for them
for about a month, and when I asked during my interview, the recruiter told me that they have some accounts that are sent overseas. I asked this question because I had lost my job before to outsourcing. She just reassured me that there were plenty of jobs that they didn't outsource to keep me busy, but this was not the case either as I never had work on my account.
Anyone recently worked for Amphion?
I am curious about what kind of work they have.  I read in archives that there were a lot of clinic notes, letters and correspondence type work.  What I want to know is whether this has changed and if I went to work for them would there be acute care/hospital work?  What is the program they use?
FN - I worked for them for about 1 year about 18 months ago (sm)
At first I thought they were wonderful  but my last account had so many docs and so many specialities I just finally gave up and faded into the sunset.... they never even missed me.  I also found QA to be very rude sometimes - depending on which account you were on.
I worked for a company about 8 months ago that did this sm
threw the MT/QA under the bus and let the hospital call the shots. In my opinion that is very wrong. We are responsible for the reports yes - but the client should not be dictating who specifically does their work. It makes the MTSO look weak when the client has that much control. I argued and won my case but I was stung and quit pretty soon after that. I didn't want to work for someone who threw me under the bus and yet never listened to my suggestions/complaints about dictators, etc. Fair is fair - and I just did not feel it was fair. You work for the MTSO - not the client. Sure, the client is always right - we need to do it their way - but the MTSO is there as a buffer and needs to protect the MT/QA people
I worked for a plastic surgeon for 3 months...sm
and people having face lifts and tummy tucks are in incredible pain after their surgical procedure. My sister chose to have breast implants done and she was in severe pain for about 3 days after surgery. No way am I interested in having elective things like this done!
Wish Escription would mention that when they recommend the adapters or just recommend the one. nm

my fav moment
was when Taylor won and he was so overwhelmed!  During the whole show last night I felt like he thought Kat was going to win but he was having a good time anyway.  He's been my favorite the entire season.  I just loved watching his reaction when he heard the news!  Kellie Pickler was always annoying to me, but I have to say the little skits of her were funny last night.  Like her hair short that way too--it's very cute.  Was that her dad sitting beside her?  I heard he had been released.  Didn't see her grandpa I don't think.  He was usually always there to see her. 
Fav AI moment
I thought Clay's appearance was great - the other guy was so surprised. I also wondered about plastic surgery - but it may just have been the longer hair that made him look different. He looked more "built", too. I am so glad that Taylor won.
One at the moment, but looking for second as getting slow--nm
Oh no, senior moment sm
Am I describing the right state? Could I mean Utah? So confused. Anyway, I've been to both states and they are both beautiful.
Some need to step out of their box for a moment - eh! LOL. nm
Surreal moment this a.m./CNN
Today on CNN they had on the phone a doctor by the name of Tony Asher, a local (Charlotte) neurosurgeon.

I have been to him and I work at a hospital where he practices, so ironically this a.m. I recognized his voice before I looked on the TV and saw his name during interview with Sonjay on CNN.  For me, it was a weird experience, but only one that another medical Transcriptionist could fully appreciate.

Also I have seen him as a patient. I was misdiagnosed with trigeminal neuralgia and he verified it wasn't that diagnosis. In long run, it was a bad tooth - I actually went to Duke for a consultation and they couldn't figure out the problem, BUT the first thing the doc there asked, "Are you sure it isn't a tooth?". AND it was a tooth, but that didn't happen until a x-ray by dentist later on (which contradicted findings of x-ray when this first happened).

I will always remember the resident that was in with the doc (whose name I long forgot) - the resident looked just like Raymond's brother on "Everyone Loves Raymond." And talked like him.

These are my issues with VR (at the moment, that is)
I say this because the platform I work on has changed from 1 of really, really good to now: No periods even though starting another sentence and the next letter of next sentence capitalized so it knows; numbers can be completely haywire from 4,4, 3, 1, 4 and 5 to perfect for some dictators, mostly not though, doctor's names no longer in although previously had them in; no matter what the patient's name is, completely opposite from what is being said; sometimes throws in categories capitalized not even said and in wrong place. Now the good thing about VR, I am my own spell check now. Everywhere I go I am seeing misspelled words and I find literally hundreds all over the place. Just found 1 this morning in the doctor's office, surgeies. I guess the person making the sign did not have or use spell check. I do not think literally possible to do that many lines per hour myself.
At this moment I have 5011
and that's just in my ShortHand dictionary. All of my spelling correction type things go in the autocorrect file, and since I work in DQS, I'm not sure if there's a way to count those....

I'm adding more expansions every day, as I think up new and different things that need expanding. And not so coincidentally, my average daily line count is creeping up as well... although I am sure that is partly due to just getting more and more familiar with the dictators as I go along.
Say "I'm having a MedQuist Moment" instead of "Maalox."

My only "where were you" moment was JFK assassination.
I was a sophomore in high school and was in English class. I remember being devastated and the guy sitting next to me made a rude comment and laughed. I wanted to knock the heck out of him.
My favorite moment of the night was
when Simon made that remark about Ryan with the Desperate Housewife look. Did everyone see those pictures of Ryan and Terry Hatcher? It may be a shock if Katherine or Mandisa go. I hope it's not Chris.
HA!!!! Lucid, don't you mean "Lucy" moment. LOL. nm
LOL. It took a moment to realize you weren't
Please don't flame me, I'm having an Alzheimer's moment, but what is the (sm)
basic 4.  I know it includes H&P, discharge summaries, and operations and procedures, but what is the 4th.  My brain is just not functioning today...it's my only day off and therefore I don't have to think right???  TIA
Have just landed a great job.  Good $$.  No nights, weekends, or holidays.  How long do you think that is going to last?  Look at the trend 6 months ago, now, and 6 months from now - or a year from now.  The face of the MT business is changing.  No one is secure and one thing is for sure - we can not all stay.  I have a good client in a specialty I love now.  I guarantee you, this client is going to obtain a cheaper source than me in the next 12-18 months.  I am at the age where I need steady, secure, decent paying work.  When this one goes, I am hanging up my headphones too.  Hope to get my social security figure up first though.
I am drawing unemployment at this moment
due to being laid off my primary job. I can earn up to one-third the amount of my weekly benefit without being penalized. I have to be available and actively looking for work every day of the week, and I must be willing to accept work on any shift. I was specifically told that enrolling in school would forfeit my eligibility for continued UI benefits unless I was accepted into a state-endorsed training program because I have to be available for work 24/7. Tomorrow I have to attend a 2-1/2-hour job-search-assistance class and will ask about this again, but I know things worked the same way in my previous state of residence.
there are a bunch of these on ebay at the moment. NM

It's the topic of the moment. You must be in a foreign country maybe.
There was a catastrophic hurricane with a devastating flood afterwards! A disaster of biblical proportions! Many people lost their homes, the worldly positions, billions of dollars in loss. Lives were lost, the poor, the elderly and the infirmed. We watched it on the news (it was on here in the U.S. around the clock). Try www.cnn.com for all the details.
Hey! I just got my second dach (mini). Henry is in my lap at this moment.
My favorite moment last night of American Idol...
I loved the moment when that Clay Aiken wannabe was given that razzie award and was singing Don't Let The Sun Go Down On Me (much to the regret of my ears, LOL) and out walks Clay Aiken, the crowd goes wild and I'm sure the wannabe thought they were cheering for him.  LOL  I think he was truly shocked that Clay was there.  Nobody could have acted his reaction out!  I loved it. 
Need help with calculating expenses for bid on large account. At the moment I do not know *sm*
how many lines they dictate per day/week.  I am going to call the person who sent me the bid forms and ask.  I do not have my own call-in system and would be using a TASP. Can someone tell me that currently uses a TASP how to go about figuring my costs in so that I do not under bid.  I know that each dictator and the type of report is going to vary but on an average what would you say?  Bottom line is I need to know how many cents per line I need to charge to cover the call-in system and my other expenses.  Another thing they listed in the bid is that the vendor is to provide all other supplies including plain paper to complete each assignment.  The hospital will provide any special letterhead, envelopes, etc.  How do you provide the paper and probably the toner if you are doing this remotely?  Would there be any other expenses that would fall under other supplies that you can think of other than toner and paper?  How much toner and paper do I provide or should I ask the hospital what they use on a  weekly basis?  I would assume I have the right to ask questions as to how much paper, toner, how many lines they do each day or week on average.  I want this account very much but I do not want to have to pay a cheap line rate and I need to make this worth my while.  Thank you very much for you help. 
Ditto that. Some of us are just extremely lucky and are there at the right moment. The rest of us...
I totally loved Instant Text from the moment I started using it.
I imported my Expanders from my PRD that I used in WP5.1 so that I didn't have a great learning curve. You can import a lot of different programs expansions so that you can use what you're used to. The other part of the program I truly like is the ability to make compilations from files of reports that I've already type. IT makes the lists for me of phrases that are often used in the reports. IT is less profitable to use if you're just expanding words. Why exactly are you expanding entries that you don't intend? Guess I don't understand.
$32K/part time 6 months/full time 6 months
I have kept my child home with me half the year, but when pre-K started I began working full time. Helps to only have a main account and one backup account for the 2nd year now, so my abbreviation program rocks and rolls when I focus.
My favorite moment on a soap was years ago when Hope was marrying someone else and Bo came up riding
on his motorcycle to break up the wedding and take her away.  I always thought that was the most romantic thing in the world!  My favorite was the Christmas episodes when Mrs. Horton would put up the Christmas tree bulbs of all of the family members and it was basically like reliving the old episodes.
Every company is different -- I worked FT for one as an employee but worked a split shift - sm
So I never took breaks. I would work 5 hours, break for about 4 hours then do another 3. Another company I worked for did not care what hours you worked (IC) but wanted a min. amount of work each day, 500 for PT and 1000 for FT-- BUT they paid you by how many lines an hour you put out, the higher the lph the higher up the scale you made per line in pay; they have since changed everyone to a flat rate with incentive. But bottom line, if you are an IC it does not matter what hours you work, though many ask for a schedule and ask you to stick to it, they just want you to meet line requirements daily, i.e. 1000 per day, 1200 per day, whatever it is.
I got up early, worked during naps, and worked when DH got home.

You have to be disciplined to make yourself work when baby is napping instead of maybe watching TV or doing housework, etc.   

I might also go the route of having a teen come into your home, or either trying a mother's morning out program at a local church/daycare.   I've been home since my youngest was born and he has never been in all-day daycare, but I did have him in a mother's morning out program 15 hours a week at a local church.   It didn't help a lot with my work schedule because I had an older son in school and was a room mom and tutored other kids, but that might be an option.  The only problem with the mother's morning out program is they are around other kids and tend to pick up every germ.  I finally took my DS out of the program because he stayed sick.  You were supposed to keep them off if they had green nasal discharge and I did, but no one else did.  Every time I got him well after 2 to 3 days back he would be sick again.  Other than that it was very good for him because he would not have had a chance to be around kids his age otherwise. 

I would recommend this sm
Call and ask how many characters define a line. They should be able to tell you how many characters they consider a line. Most companies usually pay a gross line and characterize it as no more than 72 characters to a line. I hope I explained this correctly, but you really do need to call and ask the company who made you the offer. Then you will have your answer.
I would not recommend...
Breitner. They do not pay for headers/footers, you do not have any way of keeping your line count, etc., etc.
I love my Dyson!!  Absolutely love it.   Have had it for a year and it is great at picking up cat hair, etc.
if you are new, I recommend
The Medical Phrase Index by Lorenzini & Lorenzini Ley. Try to get the latest edition. It is worth it if you are new as you can look up part of a phrase and ideas of what the rest of the phrase could be.

Also, if you are into CD versions, I like the Dorlands Medical Dictionary. It is cheap, too.

The Surgical Word Book is a must, I think, if you do op notes.

Good luck to you!
May I recommend
a STEDMANS reference book on pathology and virology, allergies, immunology?

Why does nobody recommend sm

that the MT get concrete examples of contradictory QA to present to her supervisor?  Continuing to work until July 18 without at least doing that seems like a waste of time.

I would recommend
getting your own wav player (or knowing how to use something like ExpressScribe).  Also, it might be a good idea to have your own line counting software.  Other than that, it really does depend on the account and what they use.  Good luck!
Although you state you would never recommend
a company you work for, you are indirectly recommending them when you question a particular MTs experience with that company and go on to state your positive take on it. I believe that MTs' loyalties should to be one another and not the MTSOs, and that we should do everything we can to support and encourage one another. It's not easy these days being an at-home MT, so let's pull together.
I have no experience with MD, but I would recommend a
genetics consultation for your daughter.  My SIL went through a similar situation with a condition that runs in her family.  The males go blind and pass away early.  I can't remember what it was, but they had to see a geneticist to see if she passed it on to her kids.
It's awful. I'd never recommend it.
I would also like to know what others would recommend on this same question sm.
I work for three physicians right now and use the small microcassettes which I pick up twice a week.  I live about 30 miles away.  They asked me to research and give them a price on how we could set up a digital system.  I am just starting to investigate this and I am thoroughly confused.  Thanks.
I recommend Etrans too
Very good dictators on the account I was on and where they need the most help.  I only left because I wanted an editing job with less typing.  Good luck!
I wouldn't recommend it...

I started out in court reporting school and switched to MT when I got pregnant.  VR is also playing a big factor in the court reporting field right now.  They have stenomask reporters who wear a mask and repeat into the mask everything that is said during the court proceeding, and VR translates it.  Court reporters currently make anywhere from 40K to 80K per year, but stenomask reporters only make about 20K per year. The military has switched to using stenomask reporters and many courts are also leaning in that direction because of the cost savings. 

The steno machine is also very difficult to learn.  Most court reporting schools say you can learn it in 2 years, but the average court reporting student takes 4 to 5 years to master it. 

Whatever you find, I would recommend sm
staying away from Hartz Mountain products.  Lots of cats allegedly have had bad side-effects or worse from HM.  One of my cats could not tolerate their flea collars years ago.
Absolutely recommend this
Tips n Techniques

Highly recommend M-TEC!!
I had job offers right out of school with a number of companies. Their training was right on. The support you get from them is terrific. I have also personally met both Kathy and Susan who, in addition to being great instructors, are also very nice ladies! Go for it and be prepared to work hard! :-)
I recommend the SUM program

from Health Professions Inst.  www.hpisum.com - it's a bit pricey but you get actual dictation to practice on and I think you can get it in modules to spread the cost out a bit. 

PS I have no connection with this company, just like their products.

I'd recommend getting CMP and other blood
tests and going from there.  If you get a physical and they do the blood work, should be covered under insurance.