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Serving Over 20,000 US Medical Transcriptionists

I would advise you to continue teaching! nm

Posted By: Amanda on 2009-03-10
In Reply to: Getting back into the field after a long break - Nancy

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Thanks for the advise...

I appreciate the good tips about the company board, but my situation is unique. I currently have more than enough work to keep me busy; however, I may be interested in getting a business license and picking up a few more clients and having my cousin (who just graduated as an MT) work under me where I can supervise her work.


If I were to start my own small business, I would like some sort of website and would need a method for my clients digital files to be sent back and forth which is HIPAA compliant (my MD now insists on using email, which I have told him is not secure).


I emailed sitefever earlier today and they showed me an online demo of this file management system they have under development, which they said should get released before Jan 2006. It seems really easy to use, and it is designed for MT's and their digital files. They said the cost is only $60 per year, which seems like a really good option. And, best of all, it's HIPAA compliant!


So, just sharing with you all some things I learned today just by asking a simple question!


You should never advise someone
I agree that she should get proof if she can. However, I think it's very irresponsible of you to tell her to "push his buttons". What if he fatally harms her this time? You don't know this woman and neither do I. If she is a person who normally does not instigate things, by her suddenly doing so could possibly REALLY set him off.

I say if he abuses her on a regular basis, the next time it happens, if she doesn't leave before, to call the police and make sure that photos are taken. You really need to calm down.
My advise to you is

I learned the hard way years ago out in my garage with no AC on a Royal typewriter, stacks of black carbon paper, a typewriter eraser, the aid of a good medical dictionary plus a kleenex or two to wipe the sweat off my brow and you know what?  I'M STILL TICKING!  I have so many accounts and doctors screaming to sign up I can't find girls fast enough but I would say to you to save your money and time about school.  Invest in a good computer, a medical dictationary, learn to use google as a backup and for any questions but ..... DO invest in a good AC unit!  Hee Hee!


Best of luck to you,


Old timer in Arizona


I would advise this -
Do not change anything right now. Keep working and spending like always. Let it sink in and then make responsible decisions with that money. I am not even sure how many people I would tell at first. The people you hear about who have nothing left a short time after a big windfall are nearly always those who quit their jobs and began spending like they were Bill Gates.
Fed up - Going on my own! Advise please!
Ok, I've had it!  I'm going on my own.  I need advise about how to find local clients, what to charge, simple dicatation systems, etc.  Essentially, I need to know everything about starting my own business.  I'm confident in my skills and am tired of being put up down and told when and how much I need to work.  I'm dependable to the point that I have been tottally taken advantage of.  I know there are better ways to make money doing transcription than what I'm currently doing.  Please Help!
best advise is to go to Help on the start
menu, type in copy as the question, and then follow the directions.
Would respectfully advise you to do some SM
serious research before you choose a school. CS may not be the school you need.
I have worked for him and would advise you to look elsewhere. sm

If you are asking because you were approached about a job please feel free to e-mail me for details of reasons not to do it.


advise to atty
To begin with, a GOOD attorney is going to ask another doctor where mistakes are made, not us. The person who takes a deposition is the one who may ask for interpretation of the transcrtiption because most of them are not able to accurately transcribe medical dictation and our opinion is only worth what we interpret from listening to the doctor's tape. We are not medical experts but we are considered experts in interpretation and transciption. Belive me, I know. I've been in court twice relating to transcription and interpretation of a "tape" NOT making a judgment call on something that is only transcribed and has no tape to back it up. We are not allowed to make diagnoses. A good court reporter will ask for assistance in cases where this are problems with an ESL or similar. I have several that I assist with this part and since I am certified and have many years' experience, I am able to hold some weight with the court as an "expert". This is also part of our job and it has nothing to do with a Transcriptionist working against another transcriptionist, so your attitude is way out of line.
I would advise a little caution

First, send your grievances to your employer in writing. Give them a chance to rectify them. (Yes, I know you may already have done this, but there is a procedure for these things.)


Sever people have mentioned starting blogs. That would be a good place to share the answers everyone receives (if any) from the employers. THEN would be the time to talk strike, if the employers' response does not address the issues.


It's easy to get carried away with enthusiasm, but you don't what to shoot yourself in the foot.


Just call me - Gimpy


SPi "strongly advise against"
All the tech folks I've spoken to at SPi (also the Cymed tech people before) strongly DIScourage anyone from installing Vista. Everyone I've spoken to has said that it will cause major problems. (We use Chartnet platform, btw)
Advise needed

I really enjoy reading the posts here.  I am getting back into transcription after being in for over 15 yrs and out for about 2.  I have a new (1st) grandchild that I love to death and babysit quite a deal for my son.  She is 16 months old and loves me to spend all my time with her.  Now that I am going to be busy transcribing; how do those of you with small children keep them busy or balance working around them.  This is my main concern with coming back to transcription; how to let her know Grandma cannot occupy her every waking moment now.


I can advise her from here. Don't go on television and dog the people who are looking for
your daughter and investigating the people who may have seen her last.  Wipe off some of the makeup and go grieve.  Hire a private investigator.  Let your Aruban attorney versed in the laws and possibly with more knowledge of what is going on in the system speak for you.  Go help the searchers from Texas.  Be more like your ex-husband.  Maintain a low profile and quietly go about your business and don't second guess anyone who has more knowledge than you. 
Advise you discuss this with your doctor. Soon.
11
Need help, QA says no to type-2 diabetes, please advise????nm
nm
Guess you NEVER advise your children, do you?
x
Yes, i advise my "children" he is an adult now. sm
He accepted the job as it was and can quit or accept the terms. my dh and i run a construction business. he runs around and spends 2 hours a day just picking up help. we do not pay travel time. you either choose to go or you don't. we do, however, buy their lunch when it is a longer than usual travel. when they are ICs as usually with any manual labor field, labor law and travel time doesn't constitute for their positioning. turn the situation. if someone was coming to your house to do some work, would you be willing to pay every person on that crew travel time? probably not because that would significantly raise the price which you probably already think it too high to do the work you need. you have to realize they are ICs as we are and have all the expenses of trucks, tools, gas, taxes, etc. and have to cut their prices because foreigners are taking over the manual labor fields as well and working for pennies just as transcription is doing but manual labor isn't going to overseas, overseas is coming to the US for pennies. i would have him ask the man he works for about it but it the guy accepts either live with it or quit. i doubt he will get it as with 18yo he can't have a lot of experience to constitute the extra pay, etc.
When people put "please advise" at the
x
I have always said and will continue

to say that you can take all the classes you want for this job, but it's on the job training that is best.  I have seen the on line course that our local college offers, and it makes no sense to me.  Yeh, you have to know grammar, etc., but the in depth English course that you have to take is crazy!  You have to understand the doc, know terminology for sure, have lots of referrences and definitely know where a period and comma goes, but ultimately, isn't it up to the person dictating to be clear and know how they want the report to go.  It's not a job everyone can do that's for sure, but it's definitely a job that requires you to gain experience by actually doing it. 


I was thrown into transcription at age 18 at a clinic that I worked for, didn't know anything about it, and it showed in the reports...I stuck in there though because I had no choice, and when I think back to all the crap I took from docs because I really didn't have a clue...I feel lucky, but that feeling is slowly going away becasue of all the new rules, technology, etc., but I guess that's the way it goes, things evolve, times change.   That's why anyone who comes to me for advice about this type of job, I say, now especially, always have a plan B. 


 


Advise on important questions to ask on job interview
I have applied at a company and they are to contact me. I'm really not sure even what to ask. This is a new experience for me. Any help would be appreciated. Any warning signs to watch for?
I would just advise to present your situation clearly w/o 'whining' (sm)
as my DH went several years back and there was a lady who worked on her farm picking crops, her husband was disabled, and she sold at market on the weekend - the judge actually bought from her - and judge refused to excuse her and said it was a 3-day trial, was her civic duty and would be over soon.. DH did QA at the time and didn't say anything after that :(
Laptop user question... please advise...

Well, it's time to put the old one out to pasture and get a new one.  Computer, that is.  I really want a laptop so I may travel with husband to clinics and now follow games and a daughter (cheerleader) going to college.  But my primary use will be at home.  Do any of you laptop users have any trouble with the monitor going out from over use?  I was told it would be best to hook up to another monitor (already going to hook up another keyboard) for everyday use at home. 


Any feedback on this would be great!  Thanks


Any IC charge late fees? Please advise.
I have been contracted with a hospital for almost 13 years and never had a problem with getting paid every two weeks.  I email my invoice on Monday and receive check via mail by Thursday or Friday.  Within the last three years I have had a little trouble, not often, but usually critical times for me, with receiving payment during that time.  Does anyone charge a late fee and if so, do they pay it?  I thought about putting at the bottom of my invoice "Payment is due within 5 days or a late fee of $ will be charged. 
If you continue to work for them under these
circumstances and accept their policies by continuing to work there, why would they change. 
They are getting away with it because you continue to work

for them, even though they are cheating you.  


There should be clear written guidelines as to how they count lines and you should have a system to keep track of lines independently of SS.  If there  is a discrepancy it needs to be addressed.   You can file a complaint with the labor board if you can document discrepancy, also file with Attorney General.


If you know there is a problem and you continue to work there you basically say it is okay for them to screw you.  


Not really trying to continue stirring the pot, but...

it really does seem that those with a negative view just LOVE to post here.  Honestly, that fact doesn't mean a whole lot, since I agree that there are probably many, many MTs with positive viewpoints on most any subject here...they just don't post.  Who knows why?  Not me.  Maybe they are positive people who want to stay feeling that way and don't want to get slammed, so they don't post. 


I know, someone will now tell me that I can't speak for others.  I'm not.  I'm just pondering the reasons for the ABUNDANT negative posts vs. the piddly amount of positive posts on most every subject. 


My point is I'm sure HappyMQ'r is not alone in her happiness with MQ.  She's just more verbal than some. 


Why do you continue to call
people fat and ugly?
If you continue to speak to me
like that I will ban you from my site.  Now, I'm trying to relate to you guys by being honest. You should appreciate that.
are not that nice, but they continue....sm

to take classes and learn even if they are OLD MDs.  I have been treated in France and England and yes, their offices are not SPECTACULAR AND FANCY like most of ours in the USA....but they treat people really nice and are very thorough.....esp in American Hospital in France.


I have spent YEARS in Europe.........and prefer the medical system there than here.


If we built and continue...

....to build corporations in Mexico, they why in the world do they keep coming over here for work? 


I totally understand where you're coming from.  I have had many family members and friends lose jobs they have worked at for 25+ years.  It's a shame this continues to go on.  Maybe our political postions should be outsourced to the American people, not the high-rollers who are put there because of WHO they know and NOT because they care about us! 


I am bilingual. Please continue SM
thinking that you should not have to learn another language, you will be one less person I will have to compete with in the global economy. 
want to continue using her service. If he says
x
If IC could continue to do p.r.n. stats, but I
x
Well, for example- I want to continue to work
Who told you your full retirement is age 70?? On my papers from social security (and the person there told me same plus another person I spoke with from social security) that full retirement is for me age 66, last year it was 65. Who in the world told you full retirement was 70? Do this, just call social security on Monday and ask them. Simple. What you started off saying and the reason people talked about behind bars and the like, sounds like you wanted to be "employee" of husband, he could pay you, sounds totally underhanded- that is what I thought as well as others on here. I work as independent and pay my own taxes, nothing to do with husband's during the year.
I feel the same way. If we continue to use VR, then
our typing skills will get weak and thus if and when we do need to do straight transcription, we will be a low slower because we are not typing every day. I love to type and that is one of the main reasons I became a medical transcriptionist.
Why do continue to work as an MT then?
I work for 8 cpl and earn approximately $4000 a month working an easy clinic account like the OP. Even setting aside a generous 30% for taxes and paying for insurance, my take home pay is around $2500. Not bad for an easy clinic job with little stress. If I was working acute care or a lot of difficult ESLs, then yes, I would expect to be paid more.
Need advise/guidance from experienced MTSOs. See inside.
I am an MTSO currently using a call in system for docs to dictate.  The transcriptionists also use the call in system to access their work and the call in system is becoming rather congested.  Want to save the call in system for the docs and put the transcriptionists on the internet.  Can someone give me advice/guidance on how to go about this?  Thank you in advance.
Off topic but need STAT ADVISE on deviled eggs

Hi,


I need help as I don't want to make anyone sick LOL.  Baby shower tomorrow night, my co-host who was making the deviled eggs along with other things broke her wrist this morning...soooo, I am in a time crunch and would like to know if I can make these things tonight (36), just boil them tonight, maybe do the prep just fill them tomorrow??  I usually make them & take them or serve them, but don't know about preparing them this 24 hrs ahead of time.


Thank any of you experts in advance for your opinions..this is so much easier than trying to call Betty Crocker


Thats why im getting into the teaching GIG
I FEEL YOUR PAIN.......
I am not currently teaching.

Perhaps I will teach again someday, but as I stated, I am now at home with my children and would like to do something at home.  The grass is always greener on the other side.  Teaching can be great, but it can also be horribly exhausting and emotionally draining.  Also, the schedule is inflexible to the extreme, and I am just not ready to jump back into that right now. 


I appreciate any advice about how to get back into transcription, as that is what I have decided to do. 


 


How long would you continue to do work for someone sm
when your check didn't come when it was supposed to?  It is a week late now, saying it was mailed when supposed to be mailed to the correct address but i have not received it yet.  I now already have 2 weeks worth of pay supposed to be on next check.  At what point would you not do any more work until receiving payment?  I have worked for this small MTSO for about 10 months now and never a problem before.  Just leiry as the more I type, the more income i am wondering if i will receive.  Not idea if it truly wasn't mailed or if lost somewhere in the mail. 
It was so good. I was thinking they were going to continue it
again.  I just love George, Patrick Dempsey ain't bad to look at either.  What did Izzy used to be in?.  She looks so familiar but I don't recognize her name. 
I will no longer continue to bicker with you...
I mentioned one word being misspelled, as I stated above, not the typos. It was the most important word of the post N-I-E-C-E. Relax.
I'm not a national MT service but I will continue to use IC's

as I believe I can meet the burden of proof required by IDES and IRS.


they will continue to offer low wages because there is always SOMEONE who will take it!
nm
Ice first, heat later. Continue to move around some.
Bed rest is not actually recommended anymore. Avoid riding in moving vehicles as that will be the most painful time, trust me.
Okay, just for grins and giggles, to continue

I just brought up that document from last night that I had in Word - and this is what I came up with:


 


5889 characters w/o spaces divided by 65 gives you 90.6 lines


 


6959 characters w/spaces divided by 65 gives you 107.06 lines


 


6959 characters w/spaces divided by 55 gives you 126.5 lines


 


Anyway, I am no math genius - and my husband helped me last night to figure out the percentage - but there was a 15.4% difference between 65 character line with and w/o - you will have to do the math yourself to figure out the % difference between your 55 character line - but w/o spaces you definitely lose and looks to be substantial difference when you factor in your 55 character line.  Good luck!!  It sure made our decision easier! :))


What is worse are companies that continue to use
sdf
Why in the world would you continue to work
out there?   Are you mentally challenged???
For the person who thinks Codex is no threat. I advise you read



HON. RON PAUL OF TEXAS
BEFORE THE US HOUSE OF REPRESENTATIVES
July 11, 2005

Henry Lamb- A Great Freedom Fighter Documents how your Dietary Supplements are Under Attack

Mr. Speaker, I urge my colleagues to read "Your dietary supplements: Under attack again" by Henry Lamb, which I am inserting into the record. Mr. Lamb explains the threat to American consumers of dietary supplements and American sovereignty by the Codex Alimentarius commission, commonly referred to simply as Codex. The United Nations created Codex to establish international standards for foods and medicines. Just last week, representatives of the United States government agreed to a final version of Codex's standards on dietary supplements which, if implemented in the United States, could drastically reduce Americans' ability to obtain the supplements of their choice. Members of the American bureaucracy may be hoping to achieve via international fiat what they cannot achieve through the domestic law-making process--the power to restrict consumers' access to dietary supplements. American bureaucrats may gain this power if the World Trade Organization, which considers Codex "guidelines" the standard by which all other regulations are judged, decides that our failure to "harmonize" our regulations of dietary supplements to meet Codex's recommendations violates international trading standards! This could occur despite the fact that American consumers do not want to be subjected to the restrictive regulations common in other parts of the world, such as the European Union.

This article is typical of Henry Lamb's work. For almost twenty years, beginning at an age when most Americans are contemplating retirement, Mr. Lamb has worked to expose and stop threats to American liberty, sovereignty, and prosperity. Mr. Lamb became involved in the battle for liberty when, as the CEO of a Tennessee construction company, he founded a state association of contractors to work against excessive regulations. In 1988, Henry Lamb founded the Environmental Conservation Organization to defend true environmentalism, which is rooted in the truth that there is no better steward of the environment than a private property owner, from those who used the environment as a cover for their radical statist agendas. Since 1992, Mr. Lamb and ECO have focused on the threat to economic liberty and self-government posed by the radical global environmental agenda.

Henry Lamb works to further the cause of liberty by giving speeches around the country, editing an on-line magazine, making numerous television and radio appearances, and writing a weekly column to inform his fellow Americans of the latest scheme to undermine their freedoms. Mr. Lamb is the model of a citizen-activist, and all who wish to become involved in the battle for freedom can learn from his example. In conclusion, I once again urge my colleagues to read Mr. Lamb's article to learn about the need to protect American consumers from Codex, and I thank Mr. Lamb for his tireless devotion to the cause of freedom.

YOUR DIETARY SUPPLEMENTS: UNDER ATTACK AGAIN (from WorldNetDaily, June 11, 2005)

(By Henry Lamb)

The Codex Alimentarius Commission sounds like one of those shadowy, sinister organizations conjured up by one-world-government nuts to scare people.

Truth: It is!

The Food and Agriculture Organization and the World Health Organization created this commission in the early 1960s to set standards for food safety and to ``harmonize'' the laws of member nations. The commission was endorsed by U.N. Resolution 39/248, which says:

``When formulating national policies and plans with regard to food, governments should take into account the need of all consumers for food security and should support and, as far as possible, adopt standards from the ..... Codex Alimentarius. .....''

The Codex Alimentarius Commission consists of delegates from 163 member nations representing 97 percent of the world's population. It meets every two years, either in Rome or Geneva. Between meetings, the commission is governed by an executive committee that directs the activities of its many committees.

Of immediate concern is the ongoing effort to bring dietary supplements in America under the control of standards set by this commission. Dietary supplements generate a $17 billion industry in the United States, which affects more than 150 million consumers, according to Congressional findings (H.R. 2485). Proposed procedures and standards could virtually destroy this market and deprive millions of Americans of the supplements they want to use.

The European Union Directive on Dietary Supplements, which becomes law in August, severely restricts the types and quantities of supplements that may be legally sold. Most forms of vitamins C and E, for example, are not available, or are available only in extremely small doses. If current plans proceed on course, American consumers are in for a shock.

How can this little-known international commission control what consumers buy in the United States?

An even less-known agency, deep within the bowels of the U.S. Department of Agriculture is responsible for U.S. participation in the Codex Commission and designates delegates to each of the commission's committees. Barbara O. Schneeman is the delegate to the Codex Committee on Nutrition and Food for Special Dietary Uses.

The effort to regulate dietary supplements has been under way for more than a decade. In 1994, Congress adopted the Dietary Supplement Health and Education Act, which kept supplements beyond the reach of the drug police. In the past, Codex recommendations have been non-binding. Now, however, the Codex Alimentarius Commission is teaming up with the World Trade Organization to bring international enforcement to the dietary-supplement battle.

Ironically, it was primarily the U.S. that brought the WTO into existence in 1994, as the successor to GATT, the General Agreement on Tarriffs and Trade. The WTO agreement specifically requires that the member nations--including the U.S.--conform its laws to meet the requirements of WTO decisions. Failure to conform results in stiff financial penalties. The Codex Commission and the European Union want the WTO to enforce Codex standards, which fly directly in the face of the Dietary Supplement Health and Education Act.

Pascal Lamy of France was just selected as director general of the WTO. Lamy served as a member of the French Socialist Party's steering committee and was chief of staff and representative of the European Commission for President Jacques Delors. Since 1995, he has served as a member of the Central Office of the Mouvement Européen (France) and as a member of the European Commission, responsible for trade.

The Codex Commission will be meeting in Rome July 4-9 to adopt the final rules on dietary supplement use. Dr. Carolyn Dean, president of Friends of Freedom International, will attend this meeting and return to the U.S. just in time to present her report to the Sixth Annual Freedom 21 Conference in Reno, July 14-16.

The Codex Alimentarius Commission's reach is much broader than dietary supplements. Its committees are also working on standards for pesticide residue, labeling of all kinds of foods, food additives and nutrients, veterinary medicine and drugs, as well as standards and methods for analysis. The function of this organization is to establish standards for all food worldwide and to enforce those standards through the power of the World Trade Organization.

Few people know that there is such a thing as the Codex Alimentarius Commission. It was created to promote food safety in international trade. It is on the brink of becoming an Orwellian bureaucracy--far worse than the worst fantasies of the one-world conspiracy theories.

The Codex Alimentarius Commission is neither fantasy nor theory; it is real.

http://www.house.gov/paul/congrec/c...05/cr071105.htm

__________________

You can't go wrong with Suze and take her advise, cut up cards but do NOT close accts. Just don&#
:I