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Serving Over 20,000 US Medical Transcriptionists

In 1990, when I started as a MR clerk, SMOKING was allowed in Med Records...

Posted By: soon-exMT on 2005-09-14
In Reply to: all that PLUS, when I started 13 years ago, electric typewriters were still used (smile!) no message - soon-exMT

can you imagine, and with all the charts laying around...it is so comical now to think of it...

That lasted until about 1992 I think...

That is not all that long ago really, to go from electric typewriters to smoking being practically outlawed...

they say MT will change more in the next few years, than it has in the last 100>>>>!


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When the kids started school I wanted a job in my home town. A hospital clerk position (sm)
came open. You started compiling charts, making copies, etc. Then I was promoted after a few months and began learning transcription and did that part of the day. Then a few months later they taught me coding and abstracting and I did that part of the day. It was a great learning experience to learn things from the bottom up. Needless to say, I am an old dog here who has been doing this more than 25 years now.
When the kids started school I wanted a job in my home town. A hospital clerk position (sm)
came open. You started compiling charts, making copies, etc. Then I was promoted after a few months and began learning transcription and did that part of the day. Then a few months later they taught me coding and abstracting and I did that part of the day. It was a great learning experience to learn things from the bottom up. Needless to say, I am an old dog here who has been doing this more than 25 years now.
When I first started we were not allowed
to put Expanders on their equipment. We were told it was grounds for termination. Not too long after they put expanders programs into all their computers. They realized that the work could get done faster with expanders. If they don't want you to use them DON'T. Let's see how long it will last when they are not getting their reports back fast enough.
I started out doing radiology, then went into medical records. SM
It was a hard transition, to go from one speciality to doing them all. ER notes would be a good start, good money. I prefer OP notes myself.
Started in-house at a hospital, medical records department, on a typewriter in
1983, earning $6.00/hour, eventually moving up after 7 years to $10.00/hour. All hospital work was then outsourced to a national service in 1986 (beginning of our downfall), went to work for the service and made $2.10/page. Service was bought out by another service, rate changed to $1.90/page. Rates changed again to $0.08/cpl. After many years of experience in all services, found my first account in 1992, charged $.09/cpl/gross lines but blank lines not counted. Business has grown steadily through the years through word of mouth. Now charging $.16/cpl or $25.00/hour or $6.00/page, and having to turn down work at this point. If you have the experience and are detail-oriented, you can find your own accounts eventually like I did. But you have to pay your dues first and be able to transcribe all ESLs accurately. If you learn how to transcribe ESLs well, those doctors are the ones to target for work. I do work an ungodly number of hours, only because I am trying to save at a faster pace for retirement because of all the uncertainty in this line of work.
okay, york hospital said they had delivery records, but no prenatal records. sm
they had no idea who she practiced with or anything like that and of course SIL doesn't know any name other than Freundel. i am also a midwife besides being an MT and in order for me to take her given her bicornuate uterus, i have to have her records. i guess delivery records is better than nothing, LOL, but i have to have her prenatal records. i wonder if there is a clinic there or something that med students rotate through. i couldn't even find ms. freundel on AMA, but she may not be through with her training yet either and that is probably why.
1990

Started with one physician in the practice. Now five.


1990. Really had a great time there! nm
nm
Still using my "old" IBM keyboard purchased, I think, around 1990.
I totally panicked when it started going haywire & finally found a company that will repair them, have their own "clone" IBM's which aren't "too" bad, and also have the cord you were searching for.

I bought "their" clone while they repaired my original IBM, and it was pretty close to the touch of the original - but still just not the same. Then a few years ago, my son became aware of my dilema about searching for IBM keyboards -and, Geez - his company had one made by Lexmark back in their supply room - but without a cord -

If you're interested - try looking at http://pckeyboard.com/repair.html -- Repair services are through Unicomp out of KY - 1-800-777-4886, Jim Owens, Ext. 202.

I've been very happy with their service and I, personally, am surprised at what they charge. I purchased their "clone" & the cord for the IBM by Lexmark for $42.69, and their charge for repairing my original IBM was $35.44.
To, me - it's worth it!! Plus - their repair to my original didn't affect the "touch". They replaced key tops, corrected keys that were messed up, i.e., "s" key & others not working, replaced split "attached" cord - but didn't mess with my "feel".

Hate to admit how many "ergonomic" keyboards I've tried. Guess I'm just "too" old, set in my ways, & need my clicky-clack keyboard to keep my rhythm & fingers going.

patient records and prisoner records
Does anybody know if our USA prison system is keeping prisoner records in the good old USA, or are those records offshore outsourced too? I am just curious because it seems to me that law enforcement in general does not offshore records, and I was wondering about prisoner records? If anybody knows, please post. Thanks in advance.
1990 Acura Legend, hate it but can't afford anything else right now

1990 VW Golf here, love it. Work at home, don't drive much.
x
Transcription clerk.....
We don't have a "lead transcriptionist" at the hospital I type for.  There is transcription clerk who handles the reports coming in, getting them filed and such, but our pools are set up either by our supervisor or whatever particular work type needs to be worked on.  As an example, I get Preop H&P's, then H&P's, consults, discharges, ER notes and ops in that order.  Basically, if that pool is empty, it will bring up next report in your next assigned pool.  As I said earlier, you can interrupt a report ( on my C-phone it is 08) and you will get the next report, but then the one you interrupted will come up next.  The person in charge of the dictation would have to assign it out to someone else to keep you from getting it.  With a C-phone and the pools having been set up prior, you won't get a report that you should have to skip over.
way underpaid...you might as well be a clerk at 711...sm
Sorry to say and no offense to you personally, but any experienced MT accepting these wages is severely impacting this profession. If you owned a business, wouldn't you rather pay someone $8.50 an hour? This is disgraceful and an insult to any experienced MT. I have seen MTs work for this wage, but unfortunately 99% of them produce garbage, and then require someone paid at top wage to edit the report. EXPERIENCED MTs need to refuse these jobs, and let the companies hire someone who feels $8.50 an hour is a fair wage, and watch their clients drop like flies, or have an Editor fix everything. I've always said, there is no replacement for a multi-specialty experienced MT who works for a company and requires very little editing. You either know your stuff or you don't. If you know your stuff, you will make a profit for the company you work for. It's as simple as that. The companies who think that hiring ILPs and new MTs and paying them slave wages, will certainly be one of those companies that will not be in existent a few years down the road. Let's get real people!
A girl who worked as a clerk in our

local hospital heard that I worked at home doing transcription.  She called and asked me a bunch of questions of how I got into this.  Of course, I answered all of her questions and added that if she was interested in doing transcription that she would need to go to our local community college and take some courses.  She said she didn't need to go to school because "all you do is type what the doctors say, right?"  To which I replied, "Yeah, that's all I do, just type what the doctor says," as a wave of disgust swept over me.  She came over to the house and sat down to type.  After about five words, with the deer in the headlights look on her face, she was astonished that "just type what the doctor says" is not all that easy!  It was worth all the time trying to explain what transcription really entails. 


Applied at a hospital for a clerk

20 years later, I'm an MT with three of my own accounts and IC for a company on-line.


I applied at the hospital and told them I had done transcription in high school for my medical secretary certificate, and the recruiter asked me if I'd like to work in Radiology as an MT.  I said I wasn't very good at it and she said it pays $2.00 more an hour, and I said "Well then, let me give it a whirl!"  I passed the typing test and have never looked back.  I built up my knowledge by working for 17 years in a hospital in different departments.  I went from Radiology to the Cath Lab to a diagnostics area. 


I loved the challenge.  The medical terms and stories interested me so much that I even wanted to be on the procedures so I could learn more.  So, yes I wore lead and went in as an observer.  If you ever want to gain experience, that is the best way!  Be right there for the show!  LOL


Update: I did not get that file clerk job
at the hospital.  They just called and said they choose another applicant.  They said they would like to keep my name on file in case they have another opening though.  Oh well, guess it wasn't meant to be.   It probably would not have paid much anyway. 
desk clerk at a low-budget hotel -
I called in sick with the flu, and that night the place was robbed at gunpoint.  I had never been so happy to be sick!
Try a search on Clerk of Courts website.
You might try searching on your Clerk of Courts website (if they have one). If he has been sued, it should be on there. If called as a witness probably not. Seems like if you are sued, though, or served to be a witness, they actually have a deputy come out and serve you in person. Could even be something like a parking ticket he didn't know he got. Let us know (if not real personal). Got me curious.
Often it is the clerk who types up and sends emails. nm
x
Was nurses aid, then aide in ICU, then ward clerk, then
MORE medical terms cuz halo the docs were professors, and they let me play PA under their supervision, then w/comp supervisor, then pregnant, then had to find a PMs job and landed in transcription dept as trainee. If I could meet their requirements, I stuck. If not, I was fired. I stuck.
Hospital Unit Coordinator/Clerk
Anyone know what this kind of job would be like? One of the local hospitals has a few of these positions open in various departments. I'm wondering if it's a high pressure/low pay kind of thing, if only because they seem to be hiring from the outside. When I worked for a bank many years ago, they hired "outsiders" only for the crap jobs. I'm tired of MT and want to explore my options.
The clerk in the clearing area keyed the amount
and they can correct the mistake.  Banks use large clearing houses.  A clerk looks at the check and keys in the amount (it shows on the far right lower side on your check). They are human and they do make mistakes.  I had one key in a check for $40 as $400 years ago.  Bank was very apologetic and corrected and refunded everything.
I decided I did not want to be a file clerk for the rest of my life.....
I was hired in a 5 doc urology practice as a file clerk. And we all know that the file room is a toxic waste dump from people who have no idea what to do with whatever piece of paper they have. After working in the file room, the docs asked me if I would help out the other transcriptionist. (She was the only one at the time). Since I KNEW I wasn't cut out to be a file clerk, I said sure. So I filed part time, helped with transcription overload. We got a new peds urologist fresh from a Fellowship at Mayo Clinic so he was a really wordy type.

Long story short, he was so busy I was out of the file room for good, typing just for him as he saw lots of kids, and loving every minute of it. He moved to Arizona in the early 2000's, called me in 2006, and the rest, as they say, is history. He is still a peds urologist and I am still working for him. Everything is done over the Internet. No paper anywhere except what his office prints out.

He is one of the reasons I LOVE MY JOB.
Another day of not smoking


 


YES....


I am on day 9 of no smoking. I am
Birthday is next month and I have a goal to make it to my birthday and then will extend my goal from there. So far, so good. Hopefully continues.

Congratulations to you.
I would like some of what you both are smoking, please.
x
I would try smoking
z
Smoking...
That is good info.  Thank you so much ... am disappointed because he does not really want to quit ... I will never understand how someone can claim to know how awful the health-related issues are to smoking, and yet somehow "justify" in their heads that the enjoyment they receive from smoking totally overrides any potential "risk" they may have "down the road" from their smoking ... for me, it just does not compute.  Oh well.  I will never, ever give up on giving him encouragement and pointing out all his precious cigarettes deleterious effects.  Wouldn't be able to go to sleep at night, if I didn't.  Thanks again. 
Not offended...You just keep smoking that

x


Quitting Smoking
I have been smoke-free for 14 years and actually didn't want to quit but had to have major surgery and couldn't smoke in the hospital so I really had to quit before. I got the Habitrol (3 stage) patches which were Rx then and one other "trick". A stranger said what helped her was to chew on those Twizzlers black licorice sticks. She said that the residue left a residue not unlike the tar from cigarettes. I smoked 3 packs per day and even got up at night and smoked for over 20 years and no one was more surprised then me that I actually quit. My husband still smokes but not around me or in the house or my car.

I know it's tough. Good luck to you!
quit smoking tip
peppermints helped me a great deal...especially candy canes because I could hold them as a substitution....went back to the garbage during a nasy viscious divorce & now can't afford nor want to smoke anymore so I'll be joining you!  don't want to look or smell like this anymore
Quitting Smoking...sm
Hello, I'm an exsmoker who smoked for 25+ years, and I've been a nonsmoker now for 12 years. The only way I could do it was cold turkey, but my hint was I kept an unopened pack of cigs in my purse, and when the cravings came (which they did, something awful for about 3-5 days), I would look at that pack and tell myself that I got this far (8 hours, or 12 hours, or 24 hours) without opening it, and I could go on. I threw the pack out after about 2 weeks, and never looked back. The smell now actually makes me sick. I must admit that I still have a craving after a meal once in a blue moon, but it soon passes. Please hang in there. You CAN do this!!! Good luck. I wish losing weight was even half as easy as quitting smoking was...and that wasn't easy at all. Take care of yourself.
do you not know the dangers of smoking?????
Just kidding, i too am a smoker.  Hate it soooo much but at the same time i look so forward to that smoke on the drive home from class.  I have smoked in my house, I try not to  because of the smell, but if i'm stressed emotionally, i turned to my good friend 'the pack'...my new method of quitting this time...POPCORN!!!  I will buy bags of it and when I get the urge to smoke, i will chow down.  It could work because its hand to mouth motion, a bit self destructive and i also look forward to eating it.  good luck to me!!!  Target has the best popcorn too, very salty.
Well, I quit smoking but now I'm fat

It has been about two months since my last cig.  But dang, I am porky now.  At 47, this is NOT a good time to put on extra weight.  I know i should go for walks, eat carrots and drink water.  I guess the motivation isn't there. 


It is hard to believe I gained 20 lb in two months but my oh my I have.  You should see my face!  Chipmunk cheeks.  and my clothes, even the baggy ones, don't fit any longer.  I bought a new outfit last month and it doesn't fit any more. 


 


HELP!!!


I know what you mean, I quit smoking
joined a fitness center and was very diligent about going every day. But, the scale has went up anyway. I am pretty much at a loss as to what to do. I do not want to start smoking again, I feel much better since I quit.

Congratulations to you.
Can anyone explain smoking hx to me?


I just typed this:


"The patient has an approximate two to three history of smoking two to three cigars per week."


I also have never understood that, for example, "25 pack year history".


Anyone want to enlighten me??


Another fella smoking on O2.
  Duhhhhhhh!  Nearly burned off his face.  Ouch!   Think he'll do it again?  Ummm...yep!
I quit smoking


No point to this message; just thought of it and am congratulating myself. 


Smoking lines there! Wow!! I can't even
s
Yes I have used it to quit smoking!! sm
Five months now without a cigarette; however, the nausea was very bad for me. I only took the Chantix for 1 month and had to stop. I couldn't take the nausea any longer. I even tried Zantac with it and still nauseous most of the time.

Anyhow, I quit June 12, 2007 and still without a cigarette. It really does work. The nausea and weird dreams were my side effects. My sleep pattern was broken up for the month with the dreams. I smoked 1-1/2 packs a day for 20 years, started when I was 16. Now with the help of Chantix am smoke free.

I tried all the other forms such as the patch, gum, etc and nothing really worked like this did. I have no withdrawal symptoms or mood changes whatsoever. I did seem to laugh a lot and sometimes inappropriately while on Chantix; however, since I stopped taking it, I am back to normal.

Good luck with whatever you decide. I am now worried about gaining more weight and taking the weight off that I gained over the past few months since I quit. Being nauseous, I found myself eating pretzels all the time to try and settle my stomach, very fattening.
The only evil I find about smoking is. . .

How darn hard it is to quit.  I have tried everything.  Patches, gum, Wellbutrin, Zyban, cold turkey, etc.


Don't buy them by the pack anymore.  We (my husband and I) roll our own.  Buy a can of tobacco and have a little machine and thought that would deter us, but noooooooooo. $8 a week compared to over $8 a DAY.


We do keep trying so there is hope that someday, hopefully within the next 6 months, we can say see ya!  Yeah right.


 


risks uf using smoking marijuana
besides the social implications there are many researched medical reasons not to. Just a few:
http://cyber.law.harvard.edu/evidence99/marijuana/Health_1.html thats just one web site. There are plenty more
Furthermore, smoking pot dries up you mucous membranes promoting cavities and tooth decay, does cause respiratory ailments and I sure as hell don't want to meet someone driving whose judgement has been impaired with pot any more than I want to meet someone whose judgement has been impaired by alcohol. Please substantiate your claim that it is LESS harmful than alcohol
It won't take cancer to quit smoking. Try
ASTHMA, a common problem for smokers. When you can't breathe when there is a strange odor around such as perfume, you won't get near a cigarette because if you do, you won't be able to breathe. You will cough, and choke and gasp for air and feel air hunger when you sit down. It is not a fun way to live, and I absolutely LOVED my cigarettes, a real hard core addict to nicotine.
Husband and I both quit smoking on same day
We tried separately in the past alone and he quit for 6 months and then went back to smoking. I even smoked with the patch on and almost had a heart attack, not a good thing at all. We both want to quit and we hope that we will be able to do this. I think I have some patches left in a drawer around the house and they worked for my husband. I have been smoking for 40 years and he the same amount of time. I will go to the Stop Smoking Center. We figure we could save ourselves 70.00 a week or more but not smoking and that is one of the reasons to stop. Thanks for your encouraging words. You and your husband should be proud, my doctor told me it is like kicking a cocaine habit, which is sooo addictive and I agree. I smoke most believe it or not at my desk. My husband is going to repaint my office and put up wallpaper, one wall is yellow from the smoke, grosses me out and my kids. Thanks again.
Well, I quit smoking last year when I became pregnant
and it was relatively easy for me to quit because I had a good reason. I know what you mean about taking smoke breaks. What I do is after about an hour, I give a friend a call and talk for about 5 minutes. It is nice to catch up and also takes your mind off the cigarette.
Whatever happened to all of y'all who were quitting smoking?
How's that going? 
Me, too. I quit smoking in October 2005.
Time to lose weight, although we had tons of food out yesterday.
he has been smoking on and off 1 pack of cigarettes for 5 years.
should be good for him.
Has anyone here (or anyone you know) had luck with Wellbutrin for smoking cessation? nm
x
Chantix - Anyone use it to quit smoking? I am most concerned sm
about the nausea.  I have been hearing it is pretty bad for at least 1/3 of the people who have used it.  I have a generally touchy stomach as it is.  Please post your comments here or by email