Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues

Serving Over 20,000 US Medical Transcriptionists

My family now has a hard and fast rule... (lm)

Posted By: MT in Novi on 2005-12-09
In Reply to: Slightly long - darwin

Nobody who is incapacitated/confused/at all unaware is EVER alone in the hospital.

Family comes from all over if we have to, but that's what you do. Family takes care of each other no matter the inconvenience, and having good friends, good neighbors, and a good church helps, too.

We learned that after my father suffered a head injury and was confused and combative and kept trying to get out of his bed, pull out his IV, etc. Someone from the family was with him most all of the time. Family only left when someone from the church or a friend or a neighbor came to stay. (The church had people sign up to come stay with him so that we could get a break, and neighbors would just show up and say "go get something to eat. NOW! ". God bless them all...)

Thank God, my father made an almost complete recovery. He has some personality changes and hearing loss, but nothing we all can't handle. I would NEVER leave a loved one alone in the hospital unless they were FULLY alert and oriented.

Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu

Other related messages found in our database

My family's not into hard liquor. Beer on one side and wine on the other.
Ugh. I only "like" to drink alcohol maybe once a month.
Agree! Hard to make it as single person, let alone a family. nm
Prob is then you may get all fast fast fast talkers...not a fair way nm
depends how fast the MT is......No one would want to pay me by the hour because I'm fast.
how fast you can type, has little to do with how fast you can transcribe
Let's face it, we can only type as fast as the doctors dictate... worse, we can only type as fast as we can *understand* the doctors.  Given someone who slurs or has a heavy accent, someone who clears his throat constantly or shuffles through the paper, given an unfamiliar account or work type, or an area we don't have much experience in and have to look up words, etc., any and all of these things combine to make typing speed not really relative at all.  I personally type 110, but not when I'm transcribing.  I tell most folks who ask, if you type 65-75 wpm, you're solidly in the ballpark for doing medical transcription.
If it rains hard, the wind blows hard and there are trees
nearby, it snows heavily it will mess up the signal.  The speed is not constant, sometimes as slow as dial-up, but at least still connected.  Many companies will not allow satellite. 
So, you think it is okay for hard-working MTs to earn 7-8 cpl for their hard work?? nm
family is family wheter 3 or 8 sm
i live in MA and $1200-$1400 a month is what good health insurance costs, ie $20-$40 copays.  it was just passed into law that if you live in MA you have to have medical insurance so without being self-employed, you can go right to BCBS etc and get a plan directly from the major health insurace companies, but for a family plan and a decent income bracket, forget it.  the prices are outragous.  right now my husband pays $120 a week for family plan and this is after his employer pays 30% of the total cost.  we have $20 copays, but we have a $2000 individual deductable per year with a $4000 family deductible cap.  so when my daughther needed her tonsils out, $2000 and when my son broke his arm, $2000.  someone on this board has to be able to tell you what they pay for insurance through their company as an employee.  good luck.
What a win-win situation!

I wish the animal shelters took better care of our pets (since they are a part of the government and all). I don't know why those shelters smell so bad; the shelter in my county stinks so bad that you are constantly aware of it. Taking care of displaced or hurt animals should be a big part of their job, and they could take measures to ensure the animals don't get sick. I understand all about their being overworked, but then someone should report to the higher ups what is needed, and then there should be no problem meeting those needs.

In a neighboring county where I live, the public went toe-to-toe with the director over the animal division; demanding answers about the operations and procedures. (That director said he needed a new building, but the public thought the changes should be made in their operations and procedures.

When I want a dog, I always adopt (so far over the years I've adopted 2 beagles).

Nice post!
First rule of being an MT

That's what I was taught.  Everyone is in the same boat and has to take the bad with the good.  Refusing to do the hard stuff makes it worse for the other MTs on that account, and they will not appreciate it.  Until the problem doctors go poof and disappear, nobody has the right to say they can shove all the bad jobs onto the next MT because THEY are here to make money (everyone is, and someone has to type it).  And there is such a thing as Karma - one day you might log on to find ALL the work is the dictator you dread, because all the MTs that came on before you felt entitled to leave the crap work for YOU.  You really won't make any money on that shift, as opposed to doing a few bad jobs each shift.  So type them as you get them, like the rest of us. 

If everyone got together and went to management about the problem guy, that's one thing (and yes, we all feel this way about at least one doctor).  Deciding you don't have to do it because you don't want to is quite another, and often grounds for disciplinary action.  Work is often just that, hard work, and with time and practice it becomes easier.  Nobody promised you a rose garden, challenges are what this job entails.

MY first rule, before being MT. is I have to
The first rule of being self-employed is that

you set your own line rate.  However, we all know that NONE of the MTSOs hiring IC MTs allow us to set our own rate.  They "offer" a rate, and we accept if it's OK.

I worked for a real cheapo doctor when I first started out.  He paid hourly and kept riding my backside to type faster because he only wanted to pay for the actual time dictated instead of the time it took to transcribe.  More than once I told him that it takes an average of 3:1 typing to talking ratio to get it done.  It worked out to be $.03 per line.  I dropped him like a bad habit.  He bounced through a few other transcriptionists who all quit on him before he wound up having to pay to outsource to a service.

as a general rule...

I use an "f" after any abbreviation that I want to expand.  I just use the standard abbreviation plus f, so I do not forget what they are.  My ShortHand is full of things like this.

ex: cbcf  tcpf  tshf

Works for me!


date rule
Thanks. My mind just blanked and I couldn't remember. It seems like it has changed so often over the years!
I have been an MT for 33 years and the rule has always been...sm
to use mg when preceeded by a number.
and there are so many exceptions to all those rule! lol
that's the english language for ya! I really don't know.
My rule for semicolons
is that if the two statements support each other and each statement could be a separate sentence, I use a semicolon. Example: He underwent an ultrasound in March 1999; AT THAT time he was noted to have BPH. The sentence you asked about should be done like 'NM'says: He underwent an ultrasound in March 1999, at which time he was noted to have BPH.
Thought that was already a rule
Hmm...I thought that that was already in effect, that no US Govt transcription contracts could go overseas/be outsourced - at least the V.A. has that standard in place...
I was always told as a general rule
it was double.  Most of the time, however, I think it is slightly over that.
Rule Books and AAMT
AAMT sure brought this profession to the forefront. However, when they started publishing their own Bible (BOS) there are a lot of grammatical errors in there. Also, the styles they use are not accepted in this part of the country and will be considered "errors" by the client, hospital or clinician who do not want their reports set up in this manner. It is wrong to test people on a style that is not accepted in their part of the country. You are only forcing people to learn a "new style" which the facility in your area will consider completely wrong. Then the private company will comply with that particular hospital and change the set-up. Sadly, the person who took the test and did not use the BOS has a lousy score and is not considered for the job although s/he meets the set-up criteria for hospitals in the area where they live. Go figure, spend all that money for the book, or just test and get 100 per cent and then study the style of the facility who is paying for the work and then be 100 per cent right. Don't judge all tests by style, wait and see what the hospital is paying you wants for the style. You are putting the cart before the horse. Been in long enough to know that the BOS is absolutely not the "Bible" and the testing companies should take this into consideration. You could study this book until you're blind and then have to "unlearn" it to comply with the paying $$$ facility who is the ultimate "boss" of how the work will be turned in and accepted. Kabish? If I turn in a discharge summary in my local hospital according to the BOS style, I would be considered a total idiot. If I used the local hospital style for testing nationally, I would probably rate a 65% on what the hospital would consider 100% correct for style and grammar. Can't win.
It's the AAMT new BOS rule on numbers.
you two are the exception to the mommy rule(sm)
Most MT mommies got into this business solely for the purpose of staying at home and making a little extra cash on the side.  They try to juggle the kids and MT and the diaper changes always come before that STAT report.  And, yeah, I know what I'm talking about because I used to work in the hospital and that was always the way with the at-home mommy MTs.  There was always an excuse as to why they couldn't do this or couldn't do that.
Well, my husband and I rule the menu here.
We're sure not going to let the kids do it, otherwise it would be pizza, tacos, and hot dogs daily and everyone would keel over from clogged arteries at the age of 30!  Beside, like Kikki said, it's not good to let the kids call the shots.  That's why the good Lord made parents! 
No one said the kids should rule the menu
But if you love your kids then you understand that they are people too, with their own tastebuds. Just because they might have a suggestion doesn't automatically make it JUNK. Just different.

Trust me, my kids know who the boss is. Geez!!!!!
My rule of thumb is a $100 minimum
Of course, closer relatives and friends receive more, but always at least $100 for graduations, wedding gifts, etc. when someone is an acquaintance.
General rule is 3-5% a year. sm
If you currently get 8 cpl, ask for a raise up to 8.25 or 8.5 cpl, that almost covers cost of living and inflation.

Generic numbers here to show the math based on the 8 cpl with the raises:
200 lph at 8.00 cpl = $16 hourly/$33,280 yearly
200 lph at 8.25 cpl = $16.50 hourly/$34,320 yearly
200 lph at 8.50 cpl = $17.00 hourly/$35,360 yearly

When you ask for a raise, provide them with verifiable data to prove you DESERVE a raise. Say you are 99% accurate, remind them. If you type 250 lph or more, remind them. If you work OT on days off, remind them. If you come at them with your homework done and good reason to give you more, they will be more apt to say yes. (I have never been turned down for a raise, once even got more than I actually was looking for because I didn't specify how much of a raise I was wanting.)

Please cite the HIPAA rule. Thanks
The HIPAA Privacy Rule...(sm)

...requires a covered entity to make "reasonable efforts to limit use, disclosure of, and requests for PHI to the minimum necessary to accomplish the intended purpose."  The only AHA-approved HIPAA training program, HIPAA Academy, specifically states in its training materials that HIPAA intends that personal information be limited to document headers unless absolutely required   I will quote page 4-56:

"In practice, we expect the minimum-necessary requirement to lead to compartmentalization of the medical record so that one portion of the record (the body of the report) may be readily disclosed for one purpose without compromising the privacy of the entire record."

By limiting PHI to headers, reports can easily be redacted of personal information; when the PHI is scattered throughout the reports, this information cannot be redacted.


First rule of computers: Whenever anything goes wrong...


That will take care of about 95% of problems.

If you have two identical toolbars, then you may need to go to View, then Toolbars, and then Customize (way down at the bottom of the list). On the Toolbars tab, see what is checked.

If both Standard and Formatting are checked, this is where you may have your duplicate. Try unchecking either one of those and see if that puts your toolbar back the way you want it.

If that doesn't work, come back and we'll try again!

My company has a 2-minute rule
We are supposed to spend around 2 minutes looking for something.  If we can't find anything, we blank it; my boss says that's what they pay their QA for.
I like your company...good rule/sm
Some places make you feel like if you don't search and search then you are inadequate. But I don't get paid to research, I get paid to type. I will research a reasonable amount of time and that is it.
HIPAA Privacy Rule
Guide for HIPAA PRivacy Rule
Covers for Stedman's books are designed by the graphic artist who works with them.
OLD typing rule I have in my head, whether it is accurate I do not know, hence I said IF---nm
You are the exception, not the rule, when it comes to kids w/o fathers.
Rule of thumb - THERE'S NO FREE LUNCH
If you don't want to do much, don't expect to make much. That's just the way it is.
Rule of thumb in the NE is October & April when

the time changes. Daylight Savings starts in April and Standard Time in October. It always works for me. Change all the clocks and change all the batteries.

For those who haven't done so yet, though, better get changing.

Personally, I like the new rule. I think it looks terrible to type

The patient has had intermittent diarrhea for four to five days.

Instead of:

The patient has had intermittent diarrhea for 4-5 days. Do much easier to 'quickly read' the number of days as 4-5.

You are an exception to the rule. After 20 years, I'd like to be making
Jon's files use a set rule of ABCZ and that works for everybody.
In our home, we call it the Red Rule - see message
The Red Rule means that we do not bother mama if she is working unless somebody is bleeding or the house is on fire - Red Rule. :O)
Can some explain the grammar rule for comma use in --sm

in the following sentences?

1.  Stable, broad-based posterior disc bulge effacing the ventral aspect of the thecal sac with resultant mild to moderate bilateral neural foraminal narrowing.  Stable associated mild facet arthropathy.  --comma after small

2.  This is felt to most likely represent nonspecific demyelination, and multiple sclerosis cannot be excluded.  --comma after and

Was counted off for these by QA as 'necessary commas' but do not know why.

What is wrong with prayer, and what rule are you talking about?

Many people have different beliefs and it is not just Christians who pray.  I would greatly respect any doctor, no matter what his religious beliefs, who takes a moment to acknowledge the importance of the task before him and that he can use a little help from above.  We humans, no matter how hard we try, are imperfect. Why are you so offended by someone who prays? And as for a rule ... maybe you are thinking about prayer in schools that is not allowed. 

Let me guess ... you are not offended by the doctor who cusses up a storm in his reports, or are you looking up rules for that one too!


Rule of thumb on dictation. A dictated
minute on average takes 3 to 5 minutes to transcribe. So, at the top, 60 minutes of dictation can take up to 5 hours to transcribe. Would not do it for less than $20 personally, and then based on what I do now I would be losing money.
I think you have your results already. Any MQ post runs like wildfire as a rule! You had
55 views on your last poll, and 1 respondent, who felt the opposite! No offense, but isn't that the answer to your poll? The older posted complaints on speed were that it was too fast at the lowest setting! And nobody ever argued with that!
Both? I thought Spheris had a "no compete" rule.

At least that is what I was told.  Or maybe this is just a new thing?

I fail to understand what the "competition" would be.

first rule in riding school was: Learn how to fall...
no really. learn to tuck and curl up, and roll if you get bucked or thrown off. never ride alone.

horses sense fear; if you show it, or your voice even has one iota of fear in in, forget it, your horse will take control over YOU and have you doing what he/she wants.

use simple commands with a confident strong voice. show the horse respect and the horse will also respect you.

try bareback; it really gives you a chance to 'bond.' do you own the horse or are you just riding a different horse each time at a stable?

you need a relationship with the animal as well. groom them, show them affection, but NEVER let them have the upper hand.

when I first got my horse she used to throw me all the time. she would even throw her head so far back it would almost hit me. no one would ride her but me, but after a lot of time and patience (think of them as a 2-year-old child) they will come around. they need to trust you...

by all means, you must get right back on, if they do throw you or 'spook.' my sister had an ex-race horse, thoroughbred, who spooked at his own shadow, literally. I never did warm up to him, but he was like a one-person horse...

how lucky you are, I miss riding so much!
Get Steadman's Guid to the HIPAA Privacy Rule
It's a written rule in some companies confidentiality agreement.
I know my company has it as a written rule so it just is not good business. I would think an MT would know this
Stedman's Guide to the HIPAA Privacy Rule has one.
Anything by Ann Rule, John Grisham, Robert Ludlum. nm