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Serving Over 20,000 US Medical Transcriptionists

If we all would refuse to do bad dictators - what can they do about it?

Posted By: Cost cutting is getting more on 2005-10-01
In Reply to: No, just saying it's what we should do. - C-msg

Let them do them themselves or have their fair-haired Indians do them. 


Let the mush-mouthed doctors get back mush-typed dictation.  It would be fair.


Tonight I had so many questionable lab values it made me sick.  I also got a non-ending stack of bad, foreign, indistinct, unable to speak English doctors --- you know the guys who end up at the bottom on last day of the payperiod.


I have gotten to the point that I want them to say "This isn't right!" and stomp their feet, because I want to go nose-to-nose with these jerks.  Just mess with me suckers!  I'm ready.  I'm premenstrual and I'm ready.




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Maybe if refuse to do bad dictators, they will
x
they don't REFUSE to hire new MT's. They REFUSE to hire them at 6-8 cents per line.

mostly because you can now hire experienced MT's at 6-8 cpl. In the near future, you will be able to hire experienced MT's at 5 cpl. Then people will start getting out of this business and new people will stop trying to get in. I had a job opening and asked people to bid what they wanted per line. One very smart young lady was a new grad and bid 3 cpl. I hired her a year and a half ago, she has been terrific! and I was willing to spend my time training her because a) time is money and she saved me money so I could spend my time and b) she had definite potential!. In another six months, she will be the MT with 2 years experience applying for jobs. AND she will get them because she will test well and essentially "bought" her experience. So use Economics 101...


 


Not always. Tongue stumblers. New dictators. Speedy and lazy dictators.
D
?? Bad dictators are bad dictators regardless of their mother language.

wonder when people will just get over it and do what they can and move on. 


I refuse
I have a second job and their information is on there as well. I could see it if it were company provided email, but to randomly want to look through email and files. I have medical information on my computer for my family and they have no business looking at anything. As a requirement of employment, we had to show we have antivirus and spybot protection or we had to download theirs. They delete work done about about 10 days, so no files remain and during that period of time, nobody could access those files without the proper log in as they are part of their own designed typing system. I don't believe for a minute this is regards to protecting their information as the statement mentioned sending out information about the company via email.
If you have 25 years of exp and refuse SM

to be on the supervisory side of things, that's your problem and not your service's problem.  You sure think you are important if you expect the management to consult you on every supervisory hire they make to see if it meets your requirements.


 


Actually one now, but some people refuse to let go of the old way. SM
It took me forever to train myself! I finally made a macro.
Do you honestly think that you can get MTs to refuse to go to
People have enough problems getting to the physician of their choice due to insurance hurdles!

Your idea is very admirable but in today's economy (especially with all the moaning and groaning about NOT making enough money to live), you are more than unrealistic. Perhaps a handful, literally a handful, of those MTs who have husbands who provide very well might opt to do that but who/what is that going to serve? The well-supported MT club?! lol

You've waited too late. Besides, what are you going to use for your platform to reach the masses? These message boards where only God knows who visits (ID and numbers) -- eventually the owners will tire of your use of their services and probably charge you. Of course, you have television - a very, very expensive medium. Perhaps some trade magazines, again advertising costs. And what will the members who live far away get in return for their hard-earned dollars?

What product/service are you going to offer?

Everyone's just full of these ideas but no one is putting a reality in there anywhere.

You are wrong. An IC can refuse
someone else.  The OP should not have to make-up work.  Also, anyone who is committing to lines or hours should then be paid as an employee.  I don't get how these companies can force an IC to type a certain amount of lines.  That is wrong.  An IC has every right to do as much or as little as he/she wants to do.  I know these companies don't like that and some MTs allow it, but I for one am an IC and am not expected to transcribe any amount of lines and when there is no work, there's no work.  That's it.  If there's work, and I want to type, I type.  I can also refuse even the accounts I am so-called expected to be doing without any problem.  There are other ICs that work for the same company that are able to do the work if I cannot.  This is how it should be.  The OP is not wrong in her thinking and no she is not overloaded due to her own fault.  A contract that states a certain amount of lines in a certain amount of time is considered employee.  Check the IRS site if you think I'm wrong.  There should be no control in that form at all. 
refuse to quit
I told him of some of the posts on this board, even the few that were leaning in favor of him, and he says I am not painting a true picure of his concerns. He said that I have given up a good job with benefits and healthcare to now be a contractor and have to pay more for benefits and not even have a retirement plan with the company to fall back on. His company does not offer much in the way of benefits to spouses, so I had to get my own. I admit, I did have better benefits in my old job and this business is not as stable. He feels he is only being concerned for my welfare and that I am misjudging him. We just do not agree on the situation. But even if I go back to my old field, I will still do MT on the side because I love it. I have worked too hard to give up now.
IF MQ LETS YOU GO, ARE YOU GOING TO REFUSE TO TAKE $$ FROM THEM?
Be honest.
REFUSE to do QA work for CPL
Notice to all greedy MTSOs out there: I will NOT work for cents per line in QA. You will not be making money off of my knowledge and painful hours I have put into this profession.

I will be a Wal-Mart greeter before I let you make another dime off of my back and I hope all experienced QA people do the same.

This is ridiculous and insulting!!
I refuse to do it. I have research papers, etc.
get in the habit of doing INCORRECT things just to please AAMT.  If it means I can't be an MT after 25 years of MTing, then so be it.  But I learned English many years ago and every other facet of my life still requires PROPER English/punctuation and I'm not going to learn a bastardized version for AAMT.  AAMT can kiss my hiney!
If I were married, my husband would not refuse to let me do anything
of this nature. I had a husband like that. I got rid of him very quickly. I am who I am and if I want to go back to school, I would tell him I am going back, which is what I did. He demanded I stay home with the kids at all hours of the day and night. I told him bye.
I agree and I refuse to do any sort of
make up time because I feel if the work is not there, they cannot expect me to work the hours I said I was unavailable. They better not say a darned word about my not getting my lines in this pay period due to no work situations constantly.
And when the US MTs refuse to work for that guess
where the work will go? 
I refuse to do tapes but have a possible solution for you.

I have eliminated tapes completely--just not worth the aggravation, gas, time, etc. I only do digital and the docs have two options. One, buy their own recorder and pay a lower line rate or have me supply the recorder and they pay $0.02 more per line. The digital recorders are as easy to use as the tapes recorders.Stress that improved quality of recording will allow you to hear what they're saying more clearly and will result in fewer blanks. Also, they will experience an improved TAT and there will be no more broken tapes. You may find that they are willing to give it a try when you stress the benefits.


Let the next MT refuse him also. Be open bout
I dont consider this cherrypicking.  Just straight up refusing to do a doctor who has no regard for me or his pts if he is going to dictate in a manner that is indecipherable.  Again, I am in this for the money just like MTSO.  I am not here to work for mere pennies an hour.  There are plenty of jobs out there.  The MTSO can get rid of me over 1 crappy doctor or keep me, knowing I know the platform, etc.  If MTSO would rather have 1 crappy doctor or a darn good MT, whatever.  Again, it is hard to find a good MT, crappy dictators are a dime a dozen.  Let the next MT refuse him or not. It is here decision.  Mine is to ask to be taken off so I can make money just like the MTSO.
no and I would refuse to work for that company. nm
nm
If experirenced MTs refuse to do VR, then the services will not
find enough workers, and perhaps will decide to go back to straight transcription. Hard to make any money off VR. You do not get paid for inputting demographics. Are you typing one space or two spaces between sentences? Some VR programs are set to add only one space, so you are being short-changed there also. No extra for bolding or underlining. No numbering allowed. No tabs allowed. The signature line is not being counted toward your line count. The only way to make money with VR if you have taking a 50% cut in pay is to crank up the speed as fast as possible, let it play, and basically read and not have to fill in too many blanks. Otherwise, you will not make enough money to survive.
When US MTs refuse to edit their garbage
xx
Actually, I can REFUSE to have a breast exam done on
me by a doctor, and I always did. For me this procedure is much too intimate.

I guess you can refuse and be fired and then
be making no money.
If we all refuse to do VR at low rates, we may see an increase in pay.

I refuse to validate the idiot Cruise
or to enrich him with one penny of my hard-earned money. I will not be seeing his movie or any other project in which he is involved. I feel the same way about Johnny Depp since the horrible, hateful statements he has made about America and Americans. They are free to speak their minds, but I am also free to choose not to reward their hatefulness.
Training on secondary accounts. Can you refuse?
I have a great primary account. I realize I need a secondary for slow times but the secondary account blows big time. It is laborious (many fields, special requirements that are tedious, etc.). Can I say, "No, but thanks." I reach my required line count with what I have on the primary account even though I am not working a full eight hours. I have taken on a PT job and just fill in empty space by turning around and typing on the other computer when it gets slow.

Any feedback or advice would be appreciated. Thanks!

Maybe it would work with deadbeat ex-spouses who refuse
to pay child support.
Good advice but some people refuse to
split "amicably." I know for a fact in my case it would be a blame game and a huge mess. Been there many times and resorted to other ways of handling it. I wonder if what you suggested would still work for me?

Not the OP but helped by your advice.

Thanks,
me
This is getting ridiculous. I REFUSE to buy yet another edition of the BS of Style.

Those broads at the AHDI or whatever it is called now have too much time on their hands!  They need to get real jobs.  Get back out there in the trenches, have someone QA the crap out their work, and see how they like every changing quicksand of MT.


I refuse to go to Imail...I've gotten a virus from there and so have many other people. nm
,,
Geesh! What's up with you people who refuse to work holidays?
Don't you think people get sick, have accidents, etc on holidays too? What about the doctors and nurses that have to work holidays? Did you forget about them too?

How about police officers, firemen, paramedics...

Do you think you are the ONLY people out there with family and would like to spend time with them during holidays? We would all love to do that but this chosen career requires some sacrifices.

If you can't give a little you should have never started doing this kind of work.
I refuse to work for a company who outsources. Period.
nm
True. Just as I refuse to deal with cust. service
x
Should've held out for the candy bar and refuse to leave till you get it!

I think I would refuse too. I've seen some pretty silly names here, including Why Worry Lane and
x
how are they going to get used to all the dictators

if your source says they cherry pick and only do American dictators?   Sounds like never.  But you knew that. 


 


PS:  Are you absolutely sure your source has your best interest in mind with this detailed ratting on another person regarding Indian cherry picking doing non-Indian work?  


Dictators who keep....

I'm having a bad day with dictators and got this in my

email. It cracked me up. It's a typo in a medical brief that a lawyer filed for a continuance. The typo is on the 2nd page.



http://www.thesmokinggun.com/archive/0916051disk1.html


I have had dictators like that!

when most dictators were from the USA. nm
x
bad dictators sm
I can take an ESL more than I can take an American who speaks fast just to show off to his buddies or because he has a hot date and is dictating from his car or worse yet, if you can't understand him, he has an excuse why his report is incorrect, he can blame you for it. They do it, believe me, and they are the ones who should be shot down. Give me an ESL any day who says thank you very much and is trying hard to learn the language. Some of these fast-talking big shots could care less about us. I had one guy who could fit 15 discharge summaries on one side of a 15 minute tape and everyone would send him to me because I was the outside service. When he was spoken to, he just threw his head back and laughed. Ignorant!
dictators
don't you just love it when you have to turn up the volume to hear what the doctor is saying and then in the middle of the dictation he finally puts his mouth to the mic/phone, blasting your ears; so you turn it down then by the end of the report you have to turn it back up.......no wonder I have ringing in my ears sometime
Bad dictators
Chewing gum very loudly, blowing bubbles while dictating, drinking something and then chewing on the ice....all in the average day lately.  Don't these people stop to think that someone has to listen to this?  That they are chomping incessantly into someone's ears.  No common sense.  Maybe once, someone in authority should remind them that these are legal documents and need to be transcribed as accurately as possible, so no chewing, drinking, talking while yawning, etc.
Bad dictators
I have got to one-up y'all... there is a woman doctor in our group who actually takes her dictaphone INTO THE BATHROOM with her and, yes, that's right, uses the potty right while she's dictating...
ESL dictators
Maybe the ESL docs, knowing that the Transcriptionist must be having a difficult time with the language barrier, should hire an English speaking person to do their dictations. It would free up their time for being a doctor and seeing patient's, give a more accurate transcription, and a better quality report. Wha'cha think???
ESL dictators
Seems many MTs have this complaint. We should be told the correct percentage of ESL dictators BEFORE accepting a job. Imagine all the money a company would save by going over details with each new applicant honestly and thoroughly in the beginning instead of making the job sound good and then have a disappointed new employee, who will quit and the company will have to advertise and hire again. Advertising and training on a computer system is costly, including the time involved etc. The more a company can do to retain its employees, the more money it will save in the long run. Also, pay based on production, not quality of work, is counter productive. Imagine if each Transcriptionist was paid a salary and did quality work and no QA people were needed, except to pull random reports of new employees during the first 30-60 days or so. I feel there is too much QA and not enough emphasis put on quality reports from the beginning. Many transcriptionists feel, the QA people will fill in my blanks, yet they may be able to find the word/words themselves if production was not such a huge factor. But too many employees are trying to meet a line count. With a salary, you can establish a budget and know what to expect in your paycheck. I've transcribed for 25 years. I love my work. Since outsourcing and pay by production have been instituted, I feel pride in transcribing has suffered. Give an employee a job they can feel great about, benefits, and treat them with honesty, fairness, and respect and they will be glad to work for that kind of company. Hopefully, there are companies out there like this It's up to us to find the good companies.

Of note, 10 years ago transcriptionists were being paid around 10-11 cpl and $3.50-$4.00 a page. What happened, outsourcing!! We used to get a higher salary than coders, but not now. We need to keep our work in the USA.
Bad Dictators
I had my share of bad dictators this afternoon too!  Is it full moon?  I am sure I had your doctor's wife.  LOL  Can we band together and chart a bus to deliver them to the firing squad??  LOL  At least maybe would could let the air out of the tires on their golf carts!   Do these people listen to how bad they are???????
Dictators
OH PULEEEEZE spare me the whispering, breathy female docs who sound like they could talk all night on a phone sex line. I don't care what you sound like on the phone. Just TALK lady - spit it out. Am I mad or what? Gads I'm sick of these bimbos.
bad dictators

You ever wonder that when the powers that be become aware that you are making lines on low volume work days, they somehow sneak all the worse dictators your way?  I have had bad dictators, none of them in sequential order, and am no where close to my lph this morning.  


Dictators
I could send you a lighter!  Seriously, I have considered sending a voice copy to them to play after the fact, a day or two later, so they could see what they could understand of what they said! 
BAD Dictators
Oh, you're not alone. They all must have spring fever or something. I have had more dead air than dictation on reports lately. If this keeps up the pay should not be by the line, but by the minutes listened to.