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Serving Over 20,000 US Medical Transcriptionists

I would just advise to present your situation clearly w/o 'whining' (sm)

Posted By: hvlmt on 2006-06-30
In Reply to: jury duty - Orangeblossom

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 :(


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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!


Not a present but - sm
The worst Christmas (2001) was seeing my mother in a coma on Christmas day and dying the day after. Nothing I get from now on could make me think it was worse than that.
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 can help you with that, but at not at present (sm)
Please check back tomorrow. Doing system upgrade at present and cannot access information to provide you with.
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.
And.. what's the best Christmas present
nm
Then why does he present himself as "ghetto"
and dress like that? If he's trying to set a positive example as you imply, it's not going to happen if he's dressed like a thug while he's preaching the "good word".

Gimme a break.
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.
My present dictator

She underwent the above procedures without difficulty. period. ummm period. She ummm period. She ummm


 I think its time for a break already


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 did it from day one at present job, 80% ESLs, but then I'm sm
It will all depend on your experience as an MT, with ESLs and acute care more specifically, and what platform you are on.

It IS doable, but will take most moderately experienced, moderately fast MTs a bit of time to achieve. While I can and did to this from my very first day, I am NOT your benchmark, but I am here to tell you, YOU CAN DO IT with some effort.
maybe ask present employer to
cross-train you...pick up part-time job and start at a lesser rate in order to allow for training...
If this had just started with the present
administration, might write but hey, this happened how long ago now? Can we write to the people in charge then and say don't send our jobs overseas? The present one is not to blame but having said that, I fully understand where the OP is coming from. I absolutely did not go and see Slumdog Millionare (even though I heard was great) because I hear enough day in and day out of other languages and I sure do not want to pay money and hear more. I am a prejudiced person now, not against most here but like the OP, mostly India.
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.
I didn't have to test for my present
job.  She looked at my work experience and that I was from a very large company, and took that as good enough.  
When people put "please advise" at the
x
Forget the present. His gift will be you.
nm
do your present laundry first and then treat yourself--sm
for a job *well done* by buying new clothes. That way you get both. just a suggestion.
I would advise you to continue teaching! nm
x
I don't think the present Voice Systems will improve
I believe it is best not to name names, as others have pointed out in this message board. So, instead, I will simply post the job as listed on MTjobs.com and say that the same person is posting this job as when I was bilked. 'Nuff said.

Voice Systems, LLC
Contact: Cindy Adams
PO Box 72046
Albany, Georgia 31721
voicesystems@mchsi.com
Telephone: NO CALLS, Fax: 877-883-9873

Title of position: Transcriptionist
Experience: 10 years as a transcriptionist.
Location of position: Georgia
At home or company: Work from home
Full or Part time: Full-time position
Type of Transcription: Many types of transcription.
Specialty: Orthopedics
Job Description: 10 years experience with orthopedic operative notes and discharge summaries.
Hardware/Software: High speed internet, Pentium IV computer, XP Pro, Word platform, familiary with VXP player, and typing into hospital system.
Method of sending/receiving dictation: Internet based
Compensation Information: competitive, 65 cpl, IC status only, great opportunity
Date Posted: 2005-10-17 12:49:12


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?
Escription users past and present
Our clinic is converting to Escription, now after the initial training period Escription is doing OUR work..will we ever get our work back?
Got that right! Wish an autopsy would present itself to break the monotony. nm
s
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


NO. I'm making 0.075 cents/line at present. SM
Have 20+ years experience as an IC, mostly clinic work, which is what I like. Have been CMT since 1997. most companies will pay up to 10 cents for CMT, if you are lucky, but ONLY IF you work full time at THEIR production level which for someone like me will not work.
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. 
Keep your present job while trying out a new company; the grass may not be greener
nm
Look, I am as tired of everything as everyone. My heart breaks for MTs who cannot buy present for t
and it breaks my heart for people not helping other people. I don't know what your point is. I just don't want to be attacked and it seems we get off the subject and take one line from a post and use it against the person.

I have given people money that came to me door saying they couldn't pay their rent when I didn't really have it, not the whole rent but what I could give. It wasn't important that I knew if they were telling the truth or not, it was important to me I could help. I took 2 cats to help a woman who was evicted from her apartment or she was going to leave them there. I already had 2 cats. I am not religious but it seems strange I was taking my trash out and commented to her about moving when she told me she had been evicted, and about the 2 cats. She was not able to get them back and now I have 4 cats. I gave her money during this time and I did not even have a car. I gave her money on several occasions and I did not put retrictions on where it went. I gave her what I could without going hungry or my cats going hungry and I know she appreciated it. My new neighbors borrowed over 100.00 from me and 2 months later I asked them when they could repay it and it made them mad. They didn't speak to me the rest of the time I lived in that apartment. So what I am saying about that is don't loan money you cannot afford to get back, I already knew that but I was going through a bad time with a company I was working for and needed it. Some people are users but I would rather believe and do, if I help someone it helps me more. The woman with the cats stayed in that apartment for 3 nights with no electricity because she had nowhere to go. The people who borrowed the money from me had a little girl and they said they needed it for a drug prescription. I could have said no I didn't have it, and no I didn't have so much money I could throw it away but even though it made them mad at me, I know that little girl got her medicine. Maybe it was all a lie, I don't really know, but in my mind she got the medicine.

I don't know why it offended you that I said don't attack me, you don't know my situation and I don't know yours. I have no family, just my pets and if someone showed up at my door I would give them what I could, I am just built that way. If I said no, I would shut the door, and then probably run down the street to find them. I have a roof over my head, doesn't mean I will in 2 months, but so many people don't. I am sorry but I really hurt over this.
GO for it girlie girl! This is your New Year's present! sm
I am happy for you! You deserve a break and here it is. I hope you love it and it works out well for you.
People cannot fight the power and corruption that is present

in he political system.  These politicians are bought by special interests.  Many of the people with special interests are corporations, insurance companies, etc.  They have major money to contribute to run a politician's campaign.  Both Democrats and Republicans take this money.  So if both the politicians are in need of money to win an election and you and I can provide the money the special interests are going to be heard above and beyond the little guy with a beer in his hand who is working 8-5 and wouldn't know how to organize a revolution if he had an instruction book.  Besides he is too darn tired and has to mow the grass, take the kids to the movies, etc, etc, etc. 


So you got both parties taking special interest money in return for favors granted (or the funding is stopped and the party can't win) What is the American public going to do?  Not vote?  You only get two choices and the system is corrupt.  What do you do?  Once again, you are assuming the American public is intelligent and united.  If you read posts or editorials anywhere you will see the American public is divided led by sound bites or blind loyalty to a political party.  You aren't going to see anyone overthrow this government in this lifetime.  People in power are not going to give it up to let Joe-Six-Pack run the country on his $100 day budget to campaign.  It is sad but true.  We have been led down a path that it is too late to turn back.  While the politicians were passing these laws to allow offshoring/outsourcing, we were watching TV or busy with daily activities of living, thinking this will never affect me.  And it's the same deal now. 


Anybody agree on who should be president?  How about Iraq war?  Anybody agree on forcing the national companies to pay us more for MT?  Come on.  Be real.  You can't unite this country on the smallest issues.


 


 


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.
i think the whole thread is in jest at the fools who run MQ, past and present.
How many MQ CEOs does it take to give MTs a raise after 5-6 years or to award a prize of a trip to Hawaii offered months ago?  What a joke and the jokes on us - for now.
"Medical Transcription: Its Past, Present and Future"
This link was posted a few days ago. It is an excellent article written by Claudia Tessier from the Medical Records Institute. It answers your question and puts the MT profession in clear perspective.

Thank you to the original poster who posted this link.

http://www.medrecinst.com/pages/libArticle.asp?id=28
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


I think it is decided, and you can kiss this account goodbye. I would present the sm
finished work, along with a bill, and when you expect payment.

Meanwhile, get real busy looking for something else to make it up.
I disagree, I would leave the room and ask a nurse to be present...sm
I think it would be uncomfotable for your daughter or son (for a son even more!) when they are over the age of 14 for you to be present at their intimate exams!
Ask your children, unless you turn away your face and then you don't see anything anyways.

Give them their privacy!
They are not babies anymore!

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
Breakfast at Tiffany's, Rebecca, Wuthering Heights -- I really should come into the present but I
just love all of the old movies so much more than the new stuff, although some of it is okay.  For current I would have to say Beautiful Mind, Cinderella Man and Gladiator, cause I just think Russell Crowe is a wonderful actor, although not too sure of his true personality.
The majority of pcs being sold at present are labeled as "Vista Ready." This is
your best bet.  Most MT companies will not make Vista a requirement for at least a few years.