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It's irritating, but the new thing seems to be . . . sm

Posted By: omt on 2006-01-03
In Reply to: Question re elderly patient being dropped by long-time PCP. sm - wondering

that 3 missed appointments without 24 hour notice qualifies for termination of services. It's ridiculous, but it's the norm.


My daughter struggled to get twin babies to the pediatrician on time, was 10 minutes late twice, and called 3 hours before an appointment when they both woke up sick one time. She was "booted" from the practice for "failure to establish a doctor patient relationship."


Funny thing was, she never even met the doctor. The doctor was always either out on an emergency or running late. The babies were never seen by anyone besides the PA. My daughter was intimidated into basically, "They see the PA or they won't be seen type of deal."


My son was "booted" by his PCP because his account had an outstanding balance of $36.00. I explained to them that my husband had recently lost his job. They gave me 3 weeks and then booted him. (After insurance paid huge amounts of money for our son and the rest of us, who were not booted because we didn't have a balance).


It's all about money lately for the most part. I don't believe that the doctor feels he could make more money off a different patient, it's just that if there is not enough time to book another patient, the docs won't have enough to buy a new tire for their Mercedes.


 




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irritating
Yes, been throught it several times. I just ignore them - they will stop calling you, but it takes awhile. Since you did answer them once, that just encourages them to call back.

They are probably trying to sell you something - the reaon no one answered when you picked up that time is because they have those calls on a delay - the computer dials it and will hang up if it gets voice mail or an answering machine, but if they get a human voice, the computer goes on hold and it can take a few seconds or longer for a human to get on.

I don't answer any calls that come from "private line." If they don't want to identify themselves, I don't need to talk to them.
Those are irritating and
how about when the poor doc is trying to dictate and there is loud noise in the background almost overriding his/her voice?  Like laughing, chatting, etc.  I go bonkers with that and don't know how the dictator can concentrate.  Is there no other phone to use?? Or maybe...hello...a little common courtesy from bystanders?
I know what you mean, but it's now really irritating... SM
to have to type out a complete word or phrase. So, no, I have no classes of words found in a medical report that I don't make abbreviations for.

Instead, I long ago decided to develop more patterns and switch to using longer abbreviations so that literally millions of more abbreviations would be possible.

Like you, I've always varied from my abbreviation rules when it feels right, but I do it less now with over 50K abbreviations in storage. In fact, I've converted many of my old standards to longer rule-dictated forms as that's just started working better for me, i.e., engage finger memory, disengage thought.

Regarding groups of words, I use symbol keys before and after abbreviations to set up abbreviation "groups." Like a / indicates a capped form, including city and hospital names. Physician names are a / followed by a letter indicating the account (so I can delete them all if I don't work on it any more), followed by first four of surname, then only if needed first 1 of first name. Sounds long, but the right name and title pop up every time per rule.

For others trying to decide how to develop more expansions: for me umbilical hernia is a simple umbhe, umbilical herniation umbhj. Longer than my old umh, but still far shorter than typing dozens of them out, and I get to have every type of hernia there is abbreviated, plus all the other terms that would be vying for the same shorter forms.

As many as possible of the words between the medical terms are abbreviated, like she, could, not, remember, whether, she, took, her, medicine, as, scheduled, or, not: k cdn (or kcdn) reb whr k tok u mec as skd (or askd) o nt.

The patient continues to is tpcust and continued to is tpcudt, but the patient continued feeling is tpcdfg and the patient continued feeling short of breath is tpcdfsob. The patient continued short of breath is tpcdsob. She continued to be short of breath is kcdtbsob. And on and on and on.

The longer the phrase the fewer "extra" letters are usually needed--most complete sentences are their first letters only. It not only works, it works very well and takes a surprisingly short time to learn to knock the strings of letters out without thinking.
irritating

Fast talkers, low talkers - even worse when they do both.  Docs who clear their nose or throat, mumblers, eating while recording, cell phone/pager right next to recorder that practically blows my ears out, and docs who jump all over the place and change their sentences around so I have to decide if it is a new sentence or if I need to delete what I already typed and end up typing twice as many words but only getting paid for half of them.


I recently had one doctor who was wonderful with her dictation and at the end she told me to have a great weekend!  Too bad I've never had any reports from her again.  Lately they just stick me with the kinds of docs in the first paragraph. 


 


This is so daggone irritating!! I have been
receiving phone calls from unknown name and number for about two weeks now.  They were calling three times a day (tid-lol).  I finally answered hoping to let them know that it was NOT appreciated the amount of calls I was receiving.  No one responded to my hello.  I then told them not to call again.  They did.  Now the calls are up to 4-5 times a day.  I have contacted my phone company about finding out who this moron is, but have not heard yet.  Has anyone gone through this and, if so, what did you do that got results?  TIA.
Has anyone else dealt with this? Maybe I'm wrong but it is irritating.

I'm tired of suddenly getting email messages from people I email all the time announcing that they have a new process for ME to go through so that I can be "approved" to send email messages to them. 


I got this notification after sending an email to a short list of friends and relatives.  It wanted me to verify who I was and why I was sending mail to them and verify the numbers I was seeing on the screen and verify my name and my email address. 


Maybe it seems trivial but I think it is ridiculous.  What's next?  Will we have to get "approval" to send something in the mail? 


I understand blocking spam but really now, these people know who I am.  I maintain MY list of people, why can't they?


Thx for listening!


most irritating word in the world-
bling-bling-- If I hear some young punk say the word bling again I am going to bling him right out of this world
It is really irritating to have the replies deleted
x
I imagine it was equally irritating for the patient. nmx
x
Also irritating illegal alien ESLs that steal US
x
hey... irritating maybe, but this is the PRICE for keeping American jobs
why are we whining about this? We keep talking about our jobs being outsourced, well guess what... this is the same thing. We have to pay a higher price to speak to an American. That sucks and sounds ridiculous but the fact remains American workers demand more money, just as we as MT's do over people in India. I don't have a problem with it, maybe cause I see it from their side. I for one cant STAND talking to people from another country and honestly NEVER get the problem fixed with them. It sucks to pay more, but it is worth it, for them and for us.
Ebonics: Not a black thing or white thing. (sm)

I don't think there's any cause to get upset or defensive here.  Look it up on line...even colleges are offering courses in Ebonics!  ...well of course they are more sociology-type courses, but still, people are PAYING to learn about the why's and how's of this "other" language.


A quote from one of the sites I found:

"UT-Austin's "Introduction to the Study of African American English," teaches students that the sentence, "Nobody didn't leave" is not "mainstream English with mistakes," but rather a legitimate English dialect. "Ebonics: Myth and Facts" and "African-American English" are both offered at Harvard. Penn and UCLA also promote Ebonics as a legitimate dialect in, "Introduction to African American and Latino English" and "Afro-American Sociolinguistics: Black English," respectively."


Here's the link: http://www.academia.org/campus_reports/2002/september_2002_2.html


 


Best thing - I am my own boss and my own emloyee, worse thing - I am my own boss and my own

:P


A "man" thing? What the heck is a "man thing?"

"I was told it was a "MAN" thing and everyone does it (i guess all men)"


whenever anyone takes an action and relates it to a whole gender and then tags on everyone does it....well, I guess there's your answer


And the best thing of all, it's
s
Thanks gj...the only thing I can tell you...sm
is that I just worked some overflow stuff and kept looking until I found what I wanted. I am lucky enough not to have to depend on my income right now, so I was able to be much more picky. If you would like more info, let me know and I can email you. Hope all works out well with you and thanks for the good wishes.
one more thing sm
I was only referring to the bitter ones here who work for MQ, not all MQrs.  I am one of the MQrs, ya know! Please get your facts straight before you post a response!
One more thing... (sm)
Tell her if she is willing to travel, there are PLENTY of jobs for traveling coders.
I just had to add one thing (sm)
You need to stop thinking you are owed, whatever the situation may be.
Hard work does pay off and if you're working for the wrong people, there are many more out there. I've found a lot of "wrong people" in this business, LOL.

one more thing...sm
I suck at OP notes...does this matter?
YOU ARE SO RIGHT - IT WAS THE BEST THING I EVER DID ALSO!
And I too heard from companies I didn't even know existed!

I was told by a couple of them that they don't post on this board because they received calls and resumes from people who did not read what the positions were for and it was a nightmare. They made requests for no overseas need apply and of course, overseas would call and apply. If it was a certain requirement, say 5+ years experience, newbies would apply. Just things like that.
same thing
This profession is going to hell in a hand basket.
The only thing I have to say is sm
why on earth would anyone stay with ANY company if they are treated so poorly?  A good MT still has a whole lot of options.  Assuming these complaints about SS, MQ, KS, Spheris, whatever company, are true, why do people continue to work for them?
one more thing
Go you for watching something that is hard to watch and for trying to inform yourself and others, please spread the word, what an idea to get this into schools, but probably will never happen. There are many videos out there that you can purchase for nominal fees and hold private showings for friends and family members, one person tells one person and so on, keep the information flowing!!!!
one more thing (sm)
If you are talking about disability insurance on your mortgage, credit account, etc. be very, very careful when you purchase it.  Read the fine print on the contract.  A friend of mine is terminal and had disability insurance on a number of her accounts.  The one on her second mortgage is still paying.  She had one on a credit card and those weasels charged her $15 every month for the insurance fee, paid $16 on the balance of her credit card each month, and then after a year said they were done paying!  Read the fine print!!
My dad is going thru the same thing....
From what I was told he is having all checks made out to her estate and not him personally (he is the executor).  She had some stocks ($2000-$3000).  If the checks were made out to him he has to pay tax on them but if they are made out to my grandmother's estate then she is responsible but since she did not make enough money in 2005 there will be no taxes taken out.  I may be wrong but that is my understanding of the situation. 
VR may NOT be the Next Big Thing...
MedQuist has been trying for years to push VR on the hospital radiology department I transcribe for and they absolutely REFUSE to use it. MQ was always like "try it, you'll like it" and I believe they did try it one day and that was it. MQ finally gave up. So there is hope for us all yet!
My son did the same thing.

He was in football and really did well.  Everyone in the family always talked about how great he was with football.  Then he decided to quit one day.  I was so disappointed because I knew he could have gotten a college scholarship.  It is SO tough to be supportive of someone when you think they're making the wrong choice.  My Dad got on my son's case about being a quitter and an underachiever.  He really came down hard on him, so I had to defend my son.  In defending my son, I changed my own thinking.  I realized that although we give birth to these adorable little babies, they are their own person.  They're going to do things that we would have done differently.  What can you do?  You can't impose your will upon them.  We all have dreams for our children.  However, their dreams are more important than our expectations of them.


My son just did the same thing...

to him and we all had to adjust our schedules to accommodate him and he just quit.  This was going to be his senior year on the varsity team.  Unfortunately, he did not participate in anything else for his whole high school career, so now he has no activities resume.  You can't tell him anything though.  He does do extremely well in school and takes several APs as well, but it was disappointing.  He was going to try to get an internship with our local hospital, but of course, that never panned out.  Now he works about 15 hours a week and hangs out the rest of the time.  His attitude is getting really crappy too, but his father won't do a thing about it.  He took his car the other night, but gave it back to him the next morning.  Yeah...that really taught him a good lesson :(!  He has been really frustrating me lately.  He is a great kid and when he is good he is the best, but when he isn't, he is just unbearable.  He's not into drugs or drinking or partying and is a homebody, so I guess I have no real complaints.  Maybe it's me not handling his new "adultness."  pheww....that was a vent and a half! 


Same thing here
Arizona-- not even in the HOTTEST part. Couldn't stand to live there any more. I am anxiously awaiting fall, too.
Going through the same thing.
It is VERY frustrating.
I did the same thing...
There were 3 different times I have done this.  Twice, I needed to be out of town and once last month when my daughter had surgery. It wasn't so much the money as making my minimum lines for my phone reimbursement, which I am still waiting for after 6 months of putting in the second line, but that is a whole other thread!
and another thing
That's how I even learned what a macro, expander, acronym was - when I worked for MQ/TL 10 years ago.   These are tools now thare are quite invaluable to me.  $120 investment was worth.  Sounds like a lot, we probably spend that on the first two isles in Wal-Mart.......
same thing

happened to me.  I canceled the credit card.  Also recently when I had to find a new physician/medical group, I asked if they outsourced to another Country and if they did I did not choose them.  I wonder how many patients would stay with a physician/medical group if they knew their records were going somewhere else, granted some have no choice. 


It is one thing to have fun, but that was
disgusting and perverted. I bet that guy was a molester or something.
I get the same thing
It's a big joke. They don't realize how they are pushing people right out of their once great company and they are heading right down the tubes, under bidding jobs, promising things they can't keep and taking it out on who? The people who make the money for them. With MTs, no Medical Transcription company!
I only have one thing to say...sm

I agree wholeheartedly!


It really ticks me off when someone has something positive to say about MQ, and then they get bashed to death!!!


Like so many times before it has been said; If you aint happy, there's plenty other places out there to work.  FIND ANOTHER JOB!


And don't hate on the rest of us who are happy with our jobs, be it withMQ or anywhere else!!!



one more thing...
Don't plan to drive through Cuba NM on a Friday or Sat night unless you like being stuck in traffic (I hear its a big thing to "cruise" there on the weekends and hear they drive very very slowly).  I have never been there myself but can believe it because some people in NM really love and make an art out of tricking out their cars and showing them off.  Someone can correct me if I am wrong.  I think it holds true for a lot of small towns, just this one in particular I have heard mentioned more than once.
One more thing........
If you re-read my EXACT post, you will see that I said it will be DIFFICULT TO DO BUT I WILL MANAGE.

My kids DON'T have set schedules on when they wake up, need a changed diaper, are sick, or get hungry or thirsty, therefore, that makes it difficult for me. Again, I am 100% happy with MQ and am not complaining, just simply stating I will adjust. What gives you the right to attack me for stating that?
One more thing sm
The rates I quoted are average. I am a CMT and make more per hour and I have been doing QA for a long time. This is an average rate for QA that I quoted.
One more thing (sm)
Remember your child will need social skills as well, so I'd definitely encourage an outside activity with other children, and when 16, maybe even a volunteer job or part-time paying job.  I can't believe I forgot to type this part because this is so very important.
One more thing
If he had access to your car, even if it was while you were sleeping and he got up in the night and took your keys, take your car to a car alarm business and have it checked for a global satellite positioning system. I found one on my car hooked into my radio so every time I cranked my car, the GPS sent out my route to a web site that he could access for less than $10 a month to see where I was.

d~
Hey! That's the same thing I do.
nm
And one more thing

I didn't find it funny, it was a serious question!!!


I do the same thing...
Can't seem to get enough of this job! ARGH.
My boy did the same thing
in high school. He insisted on black jeans, blue/black shirts and tops, sometimes a gray t-shirt, very monochromatic. I tried buying "blue" jeans for him and they just stayed in his drawer and he wore the black ones. He is now 23 and just now buying a few "blue" jeans. As long as grades, moods, friends, etc. seem to stay about the same, I would not worry too much.
One more thing to add...
Speaking of rebelling, if you DO make a big deal out of it repeatedly, that's when the rebellion will come out. You know that old story about someone forbidding you to do something and that makes you want to do it even more out of rebellion? I'm not saying this woudl be the same if it were something serious - you SHOULD forbid it; but this to me is not even something that falls into the category of something to be concerned about. Just my opinion - fads come and go! Just let her be herself and she'll appreciate you and respect you for it.
Just one thing to add to that....
Spell check! Looks like that one fell through the cracks...LOL
The thing is

I have worked for them for 10 years and have never raised my rates so I don't feel I should need to lower my price! :) I will raise my rate if they do not go digital. I feel they have saved a considerable amount over the years so they have already been compensated in my opinion.


Another thing, I pickup/deliver five days a week and it seems about one day a week when I drive in (which is 44 miles round trip), there is no dictation to pick up and no one notifies me! I asked the OM if someone couldn't please notify me but they haven't thus far. I usually have transcription to deliver but I don't feel with what I am geting paid (which isn't bad) that I should have to deliver the work (since I DO have a 48-hr TAT anyway in my contract) IF there is no dictation to pick up. I receive a schedule in advance for each month BUT I have one doc in particular that does not always have her dictation done/ready the next day and sometimes I don't get it for days. That is one reason why I wanted to go digital.


Thanks for the suggestion of taking in some of the SOAP sheets (and I would write on them made up info and handle them considerably before hand) to try in a few different laser printers at an office store. I may ultimately need to buy a laser printer.


going through the same thing
I have 4 children and my 17-year-old became extremely upset about my hours. I have to work long hours because my home is so expensive. I have him sit with me and watch movies while I work and I put my house up for sale to move into something less expensive so I don't have to work so many hours. They grow up so fast and I've missed so much.
Yes, best thing that ever

happened to me. I was about 2 months out of community college when I landed a job through the placement office for a group of ten pathologists. Twenty one days later I was fired because of nepotism. The physician owner employed his secretary's 22-year-old daughter to do the transcription, she had no formal training as an MT. I worked more efficiently (used the word expander) and daughter was left with no work. So, her mom and her mom's best friend in the marketing department conspired to get me out of there so the daughter could keep her job. Good riddance to bad garbage. I gladly went to work for a national where I work at home and don't have to put with office politics, just nasty QC folks--which is much easier.