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Serving Over 20,000 US Medical Transcriptionists

Maybe because right now we are training them, sort of like speech rec?

Posted By: sm on 2006-12-12
In Reply to: Looking for someone to calmy explain the $$ - benefit to offshoring.

Just a thought.

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Front-end speech is "talking;" back-end speech is flatulence. :-)
I saw this happen in MQ office while training. Supervisor was supposed to be training but
account was behind so she did transcription while she collected salary for "training" me. Of course I asked others for guidance rather than bother the furiously typing supervisor. I don't know if she cherry picked but she definitely double dipped into the MQ payroll.
there is a world of difference between MT training and NP training
honestly, I am in nursing school and have lots of health care experience as a paramedic and medical assistant. I think you can relax and leave your family's health either in your mother's hands or their physician's...
Are you using Speech EXT or something else? nm
Transcription,Technology,and Support is supposed to be implementing this in the near future.
speech rec
It really does suck. No punctuation, wrong headings, puts in he instead of she or vice versa, lists numbered wrong, doctors names wrong. If you ask me, lets get back to what worked!!!!
speech rec
I absolutely hate speech rec. I see it as a way of utterly dumbing down the profession and paying us even less than we're already getting paid over time, like factory work. With our system (not Dictaphone but a major player), they have enabled essentially all the dictators (even those who are horrible), meaning that the proofreading is a killer, and it's not getting better, some dictations are absolute gobbelty-gook. These days, it ain't my wrists but my neck and left shoulder muscles that get the workout from the stress of how hard I have to concentrate. We've been told that the physicians must never see what the report would look like if we weren't charged with making absolutely certain it's picture perfect, as though we'd typed it! And yeah, I'd just as soon delete the whole durned report on some of these and just transcribe it. To heck with production, which is the constant mantra where I work. Again, I absolutely HATE it and pray it will somehow collapse, but I don't see it happening, not with jobs being so hard to come by.

I can foresee where speech rec could be "perfected" to the extent that there will come a time when an intelligent person could conceivably just sit down and read through these reports and actually learn medical terminology and the whole process by just doing speech rec. Again, like factory work. Think about it.
On speech rec
The company I work for pays 4 cents a line for speech recognition and the minimum for speech rec is 11,000 a pay period. That comes out to $5.50 an hour. I believe the minimum wage in Texas is $6, so I do not make minimum wage doing only SR. To get minimum wage I have to do 12,000 lines a pay period. Actually I do more than that because of the cost of living!
Sort of
Here in NC we had a very hot summer, followed by a comfy fall. It was cool and dry, and I was able to keep the heat off, and just occasionally use the AC when we'd get a warm/humid few days. But since the temp dropped 50 degrees IN A DAY, all my savings are being sucked away as my heat pump had to go into overdrive to warm my house up quick.
I sort of do
I have one full time job of about 50 hours a week for a national MT service. I also work for an imaging center and radiologist for about 25-30 hours per week doing transcription and coding. I am a single mom of a six year old and live with my BF and his teenage daughter. It is trying sometimes. I sometimes do not work as much on the second job, but overall I work about 70-80 hours per week most of the time.
most definitely have some sort
of day care, even if it's someone coming to your house for part of the day. you're not going to be able to make any money if you're stopping every couple of minutes to tend to your child-I know because I have to have my 3 yo home with me 2 days a week and unless he's sleeping, I have to stop every 2-3 rpts for some reason or another.  in the summer it's easier because I can take my laptop outside while he plays.  even it your child is older, it will still take a while before they know when it's ok to bother you and when it's not.  it's the best thing being able to work from home but it will take a while for you to develop a routine.  good luck!
Sort of like....
asking if Bush is a good president because he's shipping out our U.S. jobs faster than he can say "Sadam tried to kill my daddy so I invaded Iraq." My opinion?  I wouldn't read that rag if I got it for free.  AAMT orgnization is  synomous with Judas, Bush, etc. 
I did this..sort of

I still have a couple small accounts but they certainly aren't worth the aggravation and may be giving them up.

The downside is getting used to only having 1/2 the money as before since the taxes are being taken out from the get go and now having to meet production on a daily basis which is getting tougher to do, having to remember to ask ahead of time for time off and vacations and especially trying to remember to ask if I want a holiday off. Having someone tell me what to do.

The upside: Health insurance, pension plan, savings account, paid holidays, extra pay for overtime, having taxes taken out immediately and not having to pay quarterly taxes. .. No more headaches. No more scrambling to find more tax write-offs at the end of the year, getting refunds from the IRS instead of paying in.Incentives for going above and beyond the call of duty.  Having weekends off (first time in 8 years), having part of a day for myself (first time in 8 years).

Need I say more?


I had one of those, sort of....lol
I had a doc who always dictated from his cell phone. Well something happened to where he didn't get it hung up or maybe he had another call and forgot he was on the other line, I don't know. Anyway, at the end of the dictation it sounded like he hung up and then the phone started to ring. He answered it and said hello a few times and then said "F-you" and hung up. I laughed my butt off because he was basically saying that to himself because he didn't hang up. Dumb butt! lol
I sort of did that

When I came home to type 13 years ago, I was expecting my third child.  Prior to that I did have 5 years on-site experience, but it was all in one specialty.  So, acute care was new to me.  I did it.  My line count at that time was 1000 lines a day.  I admit that many days I did not get to the count, but I tried very hard to make every report perfect.  I learn a lot from looking things up.  I kept my babies close by with plenty of toys, play pens, VCR, Disney movies, etc., and there were many times that one fell asleep across my arms while I was transcribing.

I think it can be done if you want it bad enough.  I love working from home!

I have sort of done this - sm
I can be paid via PayPal and had the PayPal MC, which if I have money in my PayPal account, I can use like a credit card. Just paid for some car repairs that way. I can also receive a check, which I have started doing lately as PP charges me about $40 for the privelige of getting my money this way. Has nothing to do the their credit card, just my account fees they charge for incoming funds. So to save that cash I just get checks now. In the future I will probably put some money in my account there though so I can use the MC as I am trying to not use any credit cards anymore. Just make sure there are not any fees for loading the card, or transaction fees, etc.
I said nothing of the sort. SM
It doesn't matter who is posting or on what topic. Discuss, talk about, debate, share topics, beliefs, subject matter. Do with respect and be civil.

What we don't want to see are specific attacks calling other posters out because think they should change how they post or should go away.

Again, the forums are not moderated for niceness or any out-of-norm opinions. ALL opinions are welcome.

It is not about standing for the good or the bad. It is about allowing all opinions the same opportunity to post, regardless of popularity.


Is there any way to sort that out?
All the variables, I mean. I have been at the same company for my 2 years, so I don't have anything to compare to.

As far as platform, what is considered slow about it (and the time involved you are speaking of).

At this point, I can see a lot of difference between accounts. It really seems like companies should try to give each MT a mixture of slow and fast accounts to keep it fair.
MQs speech recognition.
speech recognition
I worked with speech recognition at my last job and I didn't like it.  It took longer and alot of mistakes came through.  You were editing, but I found I could do a better and faster job typing it myself.  Everyone's production went down and error rates went up because you become complacent and when you are reading along with the words playing in your ears your eyes have a tendency to overlook a lot of little things that should be edited.  I did not find it productive or helpful just a mess. 
Speech recognition
I am on speech recognition as it comes up. Don't have it all the time and it is on the DQS platform. I enjoy the break from typing but can be slow as you really have to listen to every word and make the corrections where necessary. The fastest typists just erase the entire report and retype. I just listen and make corrections. I have not had a pay reduction as of yet since this is not all I do. I am still paid my regular per line rate for SR but rumor has it that this will change but this is only a rumor, nothing in writing. If you do not like editing, can always tell them that you just want to type and not edit. I am on high speed internet also. Hope this helps.
Ah, a figure of speech. (sm)
Like a burden or baggage from a person that will not take the time to learn or understand?  One who doesn't want to fix it or get off his/her duff to understand?  One who generally doesn't care?  Anyway, I thought my original post was perfectly understandable and if they didn't understand it that is not my problem!
speech vs. transcription
Thanks...I appreciate the input--I may just give it a try and see how it goes!:)
I want to do VR (speech) editing - sm
which companies should I contact? I do not care whether they outsource or not (please no flaming). Just want to learn the new technology.
speech files
Sorry for confusion, my company has switched from plain typing to basically editing speech files, so my lines have dropped, so pay has dropped. Is there anyway of edit any faster to increase line production? any tips or tricks?
Speech files
Can you speed up the voice file without distorting it too much? Is there a way to move the cursor along with you as you edit, rather than using a mouse (if that's anything you are doing)?
speech files
Thanks for replying. I am working with EXText and am using the foot pedal as I would in text typing, speeding up the files, etc. Don't know why I am in a slump.
thanks anyway.
Speech Recognition
Does anyone use speech recognition software for better transcription productivity?  If so, I am interested in learning more about it & would like to talk.  Thanks.
Speech recognition
I absolutely love editing speech recognition.  After typing for 20 years, it definitely gives my hand a break.  I like the pay as well.
Enterprise speech
No, currently working in-house at a local hospital.  The hospital recently leased the program and we are all having troubles.
ExText speech
My company plays up the speech rec part, saying it takes an average 150 lph MT to 250 to 300 lph. They do admit if you are a fast MT, speech rec doesn't really help you. I know I will eventually train for that part, but I'm not looking forward to it!

Used to do speech therapist also
and that is big business - stroke rehabilitation, kids with problems, oral cancer surgeries - found it boring but pretty easy once you learned the terminology. 
Citrix/Speech Q
The hospital I work for just went live with the radiology platform Speech Q last week.  I can access via Citrix from home but cannot get the foot pedal to work.  Any ideas...........?  Thanks!
A number have gone to speech rec - sm
because Radiology is so repetitive that it's easy convert to speech/voice rec via programs like Dragon or PowerScribe. I was so frustrated with the lack of work that I went into Acute Care (in-house for a hospital).

I was sort of in the same boat

My mom's doc told her in 1996 that she had "a touch of emphysema, nothing to worry about." (He was a lousy doctor but I didn't realize it then).

She had lived in a trailer on our property rent free for 10 years independently before this happened, then she got the shingles, "most severe case I've ever seen," was hospitalized for 2 weeks and went downhill after that. I moved her in with us as she developed macular degeneration, plus she was almost deaf.

The last straw came when she was walking through the hallway and her legs went out from under her. She broke her hip and walked on it like that for 2 weeks. I quit my job to stay home with her after that.  She spent 2 wks in a hospital and 6 wks rigorous PT in a nursing home, then came back home.  I did everything for her. She even gained weight, went up to 96 pounds (4'11"). She also came on on oxygen because of her "touch of emphysema" which turned into full blown COPD.

She then got pneumonia, was hospitalized, and then started to develop memory loss. Her macular degeneration got worse and she couldn't tell day from night and sometimes, her biological clock would get mixed up and she'd be waking me up at 11 p.m. thinking it was 7 am. She loved to read but couldn't do it anymore. My son gave her his large screen TV so she could at least see that, but she couldn't hear without the sound being turned up LOUD.

After 3 years, she was almost bedridden. Her bedroom was next to my office and I had a bell that she would ring if she needed me.

 I had a nurses' aide come in every day for 1 hour a day to bathe her and give her breathing treatments. That was all Senior Services could do for her because of her limited SS income.

In the meantime, I got a job through my former hospital working for them at home after she broke her hip. .I also worked full time 1 job, and had a couple small accounts, took care of her bills and checking account, our three accounts (both self-employed).  

We had a lot of friends that would come over on the weekends but where was I? In the house working and taking care of her. I never left the house for those 4 years except to do grocery shopping...and it was never more than 1 hour so the nurses' aide would be with her while I was gone.

She broke her other hip in January 2000.  I spent every day in the hospital with her, but there was nothing I could do. I couldn't stay the night because this hospital wasn't set up for that and I couldn't afford it anyway.  I knew she wasn't going to make it this time and 2 weeks after celebrating her 79th birthday, she was gone.

Anyway, I feel for you and know what you are going through with the exception of 1 thing....I have no siblings. Hang in there and keep doing what you are doing. You'll never regret it. Three people know you're the right person. You, your mother, and God. Forgive your uncouth (sic) siblings...and if you get mad enough, tell the one that keeps winning the money to hand some over for a change. He might surprise you. Heck, he may not even know the problems you're having. You should tell him.

But in the meantime, just keep taking care of, and loving, your mother for as long as you can...and don't forget to tell her you love her all the time, too.

How about some little stickers of some sort...maybe that will help!

I know that sort of sucks, but that's what the gov
A sort of update...
I still have not started, but I did call my GYN and she said to wait for about a week and if I still have a negative preg test to call her and come in for blood work. Thanks everyone for your sweet replies, it means the world to me. I will let you guys know!!
Thanks! That's what I was sort of thinking
but I really hope more post overnight or in the morning. I have been leaning towards the feeling that it can't be this bad - that it might exactly be the quality of transcription. I work for a big national, and its been getting worse and worse. I actually get upset when I see the critical errors coming thru, and nobody, from the MT to management, care. And I just sort thru this day in and day out. By the end of the day, I am exhausted and depressed. I never dreamed QAing would be what it is, and I for sure have tons of respect for QAers. I think I would rather be inspecting dolls on an assembly line. Unfortunately, or fortunately, though, I do make decent $$ at it - more near $20 an hour, and have loads of time off, but I find its not doing me any good - I use it all for sick time rather than fun. Sorry for carrying on, but thanks so much for listening. And maybe hearing my story will help some QA phobic MTs realize that its not an easy job. No matter how kind we try to be, everyone hates us. I feel like a dentist! Yet sure don't make that kind of money!
We do that sort of thing too. There is just something about
fall time in PA with the crisp air, beautiful colored falling leaves that just make it necessary to have a huge bonfire, hotdogs, apple cider, pumpkins.  Bobbing for apples and corn stalk decorations.  Its just a wonderful celebration before winter comes and we love it!
However, having some sort of certification does
not necessarily mean one is a good Transcriptionist any more than not having certification does not mean one is not a good transcriptionist. That would be saying that anyone who goes to medical school and has M.D. behind their name is a good doctor. While they have to have M.D. behind their name to practice medicine, it does not mean they are a good physician. Just my 2 cents worth.
I'm one of those MTs that can sort of get a zone and... SM

I don't hear anything around me.  My husband literally has to come up and touch me to get my attention when I'm working and then I nearly jump out of my skin cause it's like he snuck up on me.

I've been working at home since my son was a baby.  He's 14 now.  He had asthma and respiratory difficulties from birth and so I needed a profession that allowed me to be at home with him.  At first, my production was just gross, but you'll find that you adapt pretty easily.  Now, with both kids at school (my daughter just started kindergarten), I've seen my production shoot way up to the 1800 to 2000 range just because there are no interruptions and no excuses!

Your production will get better and better.  It just takes time.

may I ask what you mean? company - sort of ??
Really?! Is there some sort of documentation...
we can access to confirm that?  That's just far out.  Ever been in the lunch line in the hospital cafeteria with doctors discussing cases while waiting for the fricassee to be dished out?  What about these third-world countries where the work is being outsourced...they have 2 generations living in the same abode--think there's any privacy screening or dedicated office there?!  Sounds like bureaucratic bull poopie to me.  Kind of like asking "how old are you and do you have kids" without asking.  I'd take a picture of me at a nice fancy-pants office set up at Staples just out of spite if I was asked such a thing.  How the heck do you prove something like that unless you make a home visit?!  Somethin' just don't jive there is all I'm sayin'.
I sort of use a laptop
but the screen is broken off so that I have to use a regular monitor. As far as the touch pad, I bought a USB mouse and just disabled it. There should be something somewhere in the settings that says pointing device. It may also be in the system tray, as it was on mine.
there has to be some sort of formula out there
to count the lines minus the headers and footers.
I sort of wondered if it was that he would be
Sort of figured as much...
Heard some horror stories much like you describe. Thank you anyway.
What sort of notes are these?

Do you mean that they are written notes or are they on a dictaphone system??  I am just wondering why you would need someone close by?  bj

I'm sort of confused here..

If so, I wouldn't be in a hurry to think you'll get the flexibility you desire by applying to these positions here.  Most of them require you work a set schedule, i.e., part-time or full-time. It's tough to find a company that hires true IC status.  They say IC, but then you are required to let them know which days you'll be working with a line quota.  

As far as insurance, check with your local senior center.  They may have information on health insurance providers. 

Sorry for your pain. I sort of have

the same problem but in a different way. My doc puts a check mark on files he supposedly dictates, but sometimes, he messes up. I think he puts the check mark on it first, then when he's rushed, sees the mark and bypasses that report. It usually happens when he's overtired.

Anyway, he used to call telling me he's missing certain files which, usually, are a month old. He used to use tapes, so of course, they were erased and long gone.  I cured part of the problem by getting an internet system for him to dictate on and now must keep these voice files forever. He's still stating he's missing a few files and I can't get it through his head that it's on his end.  I spent 2 hours one day listening to all the files looking for a certain record to no avail. Then on top of that, he makes me put "re-dictation" on the note when I know it's not a re-dictation. He really got mad at me the one day over this crap and I also got mad, but kept my big mouth shut.

It frustrates me but I've been with this doc for 18 years and soon to retire, so I'm keeping him because he at least pays on time and it is good money.  He's keeping me because he gets his work on time if not earlier and he says I work cheap (which I don't- I get $.17 a line and I don't think that's cheap).

Just keep track of your files forever. That's all you can do.