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Serving Over 20,000 US Medical Transcriptionists

Need Advice ASAP

Posted By: LG on 2006-10-12
In Reply to:

I was offered 60 minutes of transcription for $40.00.  I am new and I do not know if that is good or not.  Looking through the samples it seems he says the same thing over and over again so you can macro the physical examinations.  Please give me advice.  Right now I am in school, pregnant, and work full time.  My goal is to stay home but it seems he should pay $60.00 for 60 minutes.  Please give some advice I am a new Transcriptionist and I do not want to be used.


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HELP - Advice needed for my friend ASAP - sm

My friend and her boyfriend of 5 years recently obtained custody of the boyfriend's now 7-year old daughter.   You talk about a handful of trouble, that's exactly what has been packaged into this mini sized monster child.


Bear with me because this will be quite lengthy.  I  will call the girl by her nickname, Tater.


Tater was 5 when my friend (S) and her boyfriend (D) started with the custody proceedings.  Every time Tater would come for visitations, she was full of these wild stories that were quite alarming to S and D.  She would come and tell them how her mom walks around the house naked all the time with all of these different boyfriends, how one of those boyfriends held a pillow over her (Tater) face one time, and how Tater and her baby brother were often left alone for hours at a time and sometimes overnight while her mom was out "getting drunk" with her boyfriends.


Naturally, S and D were really upset by these stories and so they got an attorney and really pushed for custody.  They got custody in March 2005 and their life has been a living hell since she has come to live with them. 


Less than a day or so after she moved in, she started telling them how one of her mom's boyfriends "did things to her" so S and D were once again in an emotional fit because they thought someone had molested Tater.   They called a psychologist and the police.  Had her evaluated, everything.  Even had Tater talk to a detective that works child abuse cases.  His findings and the psychologist's findings were the same.  She had not been abused and, in fact, had a severe problem with delineating fact from fantasy. 


Tater now sees the psychologist once per week.  The goal of the treatment was originally to get Tater to understand the difference between telling stories and the truth, along with dealing with the fact that her mother now has absolutely no contact with her.  It's been rough for S and D as well as Tater. 


Things went well for a short time, then school started 3 weeks ago.  Since starting school, S and D have been called to the school numerous times because Tater has either said that she couldn't do her homework because her daddy was "all drunk", that when S dropped her off at school she was "drinking wine from a bottle in the car" (it was green tea in a glass bottle,) and that they don't allow her to talk to her mother, which is not true. Her mother has supervised visitation but chooses to opt out. 


She has told her aunt and uncle that S killed her cat on purpose when it was actually her aunt who accidentally ran over the cat but Tater didn't know that.  She told one of the neighbors that her mommy had her (Tater) picture taken once and was in a naughty magazine because her mom got money for it and Tater would get it when she was old enough.  OMG yet?  Yeah!  This kid is something else.


She also made a little boy cry in class by rudely saying how he was so stupid and slow during outloud reading time.


S and D have tried all of the things the psychologist have recommended, taking her toys, taking her TV, radio, making her write apologies and hand deliver them, and sit directly behind the bus driver (for even more trouble on the bus.)


She also missed the bus home purposely last week because she was going to go to a friend's house.  Her grandmother had to come all the way into town (they live about 10 miles out) to get her.   When D and S questioned her about what she was doing, she screamed at them that it was "HER LIFE" and she could do what she wanted if she felt like it.  Remember folks, this kid turned 7 last month!


Now, a few minutes ago, S called me in tears.  She got another call from the school because Tater had told some of the boys that another boy was threatening her and making her scared (which was a lie) so she wanted them to do something about it.  These 3 little boys proceeded to gang up on the other boy and he was hurt.  Not seriously but that he was hurt is bad enough.  These 3 boys and Tater are now suspended.  These are first graders and this is a very small town.


S and D are ready to snap.  I don't know what else to tell her.  The psychologist told S and D that she was afraid that Tater had multiple personality disorder but couldn't make that diagnosis on a definitive basis because, as of yet, there are no clear cut documented cases in children of this age.  They usually don't start developing these tendencies until they are in their mid to late teens. 


I have looked online for any kind of research or specialists that can deal with this but it's very difficult to find information even on pre-adolescents that are out of control. 


I am asking for your help.  If anyone knows of a professional or group that can help S and D with Tater, PLEASE post here ASAP.  At this point, I'm very concerned about THEIR well being. This kid is a serious danger.  There is much more but I think I have told you enough already.   We are in Washington State too, just in case anyone has any ideas where to go for help.


Thank you so very much if any of you can help.


 


 


 


 


 


 


 


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My dictionary is doing something strange.  Before, when I had a misspelled word it would bring up a yellow box with other words (listed a, b, c and so on) and I could choose the correct word.  It suddenly stopped doing that one day!  Now I have to either figure out how to really spell it (I'm a horrible speller) or look it up rather than have the program drag up similar words.


Any ideas how I fix this?  It's really bothering me and slowing me way, way down.  I even re-formatted the dictionary.


THANK YOU!!!


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Need info ASAP

WordZXpressed in Georgia, are they any good, what do they pay, etc.?  Any info.Alice


HELP (sorry for shouting) but I need help ASAP sm

here's the instructions I have been given with name of company, etc. deleted


Accessing test dictation:  Using your internet browser , open our site: (name has been changed to yadayadayada for privacy purposes)   


ftp://yadayadayada.com/medical/  


This does NOT work as a link; you must type in the address yourself in your browser or copy and paste the address into your browser.    


You will either be prompted to log in  


User name:  yadayadayada Password:    yadayadayada 


You will see many folders.  Double click on the testing folder.


 please download "testnotes.zip"   


To download, simply double-click on the file in question and it will take it over to your hard drive.`  You will first need to "unzip" these files using Winzip. 


 


Okay, I've done all of the above but now how do I get it to play like these instructions in bold say I can.


 


Once unzipped, these files can be played with any .wav file player.  Your computer's sound card will have software which will allow you to play the file.


in hospitals it seems always ASAP - SM
I work rad (employee) in a hospital, and they are always ALWAYS working to improve TAT. From the time the exam is done to complete dictation, they want 3-4 hours. That means if your doc delays the dictation, they want transcription NOW because the doc took so long.

However, in the situation you describe, checking back in 1-2 hours should not matter that much. You should just let them know the deal - they probably know how that radiologist is as much (or better) than you. Maybe they/he could call or email when he is done?

My hospital has a contract with a sister hospital to do their radiology - they have radiologists that do this exact same thing. We told them when our staffing is available. If they do not dictate during that time, then their reports are delayed -- no question. they have to deal with it.

Doing it yourself, your situation is different, of course, but hopefully they would work with you to let you know when the work is available so that you don't have to be "on call" for them.

As far as line rates, I can't say an average. I have another rad account that I do at $.15/line, but this is 3 days a week for a mobile service (TAT is 1-3 DAYS here...) I would charge more if they needed it "now", especially if they wouldn't work with me as to when "now" might be!

Long answer - hope it helps.
Feel free to email with any more questions if you want.
Pls contact me ASAP!
Please send me a personal pm with your contact details, basic information re: client, location, etc. Pending receipt of your mail, I will establish contact with you details.


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EX:  I probed this area with a Q-tip and found that she, indeed, has a sinus tract/track leading to a cavity below the healed skin.


Call a lawyer ASAP!!
You can get advice from an attorney free for the first consultation--just make sure attorney specializes in land purchases and sales so you're given good info. You also need to go to your court house or whereever your land deed is recorded and find out what is required by the court for a legal sale of that land, get copies of everything pertaining to it, check on the taxes to make sure they are all paid or not. Lawyers do take payment plans. Don't wait on this one--if you don't want to be homeless. When it comes to greed and some families, they could treat you worse than strangers. You don't pay your house payment to them, do you? What could happen is if this is a majority party contract--meaning only a certain number of owners are required for the sale to go through--that would be on your note, they could then charge you land rent--an exorbitant amount--to make you move, so see a lawyer ASAP and take all documentation with you. Everything.

Good Luck. I am really sorry this is happening to you.
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:0)
Sound advice from a fellow MT if you want advice or support (sm)

I have been an MT for over 10 years.  I also am getting burnt out, tired of my job, day in day.  However, I do love transcription and make excellent money at it, have grossed over $50,000 per year the last 5 years.  I decided to go back to nursing school and am very happy with my choice.  However, over these 10 years of transcription I have had my ups and downs.  My biggest issue with being at home working is lack of socialization, being home day in and day out with just the kids and the animals really gets to a person, sure hubby is home at night and thinks working from home is the easy life, thus the return to school and boy has my overall enjoyment of life changed once I realized I was the problem, not everyone else and I needed to find myself again.


Anyway, my biggest advice to you three-fold:


1.  Get into counseling for yourself, find out who you are and what your needs are, whether or not you think you need to, I sense you are feeling overwhelmed and need someone other than your family to talk to that can be nonjudgmental to your feelings and needs.


2.  If you're only making $100 after you pay preschool you can either keep doing it and be miserable, or quit because you are lucky enough to have a husband who can support the family without your income. (See how fast his mind changes just by losing the income you do have as to whether your job means anything.)  Or look for a different company or office that you like more and are more productive if you really want to do transcription (lots of fish in the sea as far as companies).


3.  Find a local "mom's" group where you can get out and socialize.  MOPS (mother's of preschoolers) is an excellent one that is nationwide, they have a website.  Also Mom2Mom is in a lot of areas.  They provide a once a week time for moms with kids the same age to get together, socialize, (some offer spirtual guidance some don't) and each week a different mom takes a turn watching everyone else's children at the facility that hosts it so the other moms can talk about things they have in common.  Every stay-at-home and work-from-home mom needs to socialize with adults, without their kids, or they will have a nervous breakdown eventually no matter how much they love their kids.


Sorry so long but it does get better but you have to take the first step at making yourself happy.


my advice
would be to get an MT job that pays by the hour until your experience and accuracy come together well.

I believe that MQ will pay by the hour until you reach "production" -- but i am not sure if there is a time limit on that. I believe i've seen where other companies do this also.

I admire your refusal to quit -- i believe that is one of the essential traits of a transcriptionist. Hang in there. Very little worth attaining comes easy, you'll make it.
Need some advice

I know this isn't MT-related, but it has gotten me so upset that I can't work, so maybe it is MT-related after all.  Anyway, if anyone has been in this situation, can you please tell me how you successfully handled it?  My son wanted to go away for the weekend and asked to use my credit card to secure a hotel room.  We went online to Hotels.com and found a nice place.  I put in my credit card number and was given a room confirmation.  I then received an e-mail from the hotel telling me there were no rooms available.  I called the hotel and they told me I would have to address it with Hotels.com since they were the ones with my credit card information.  I called Hotels.com and they told me that my card had been swept for the entire amount of the stay ($276.00!) but since there were no rooms available, the money would be credited back to my account.  I got my credit card statement yesterday and they only credited back $71.00 of my money, causing me to incur and over-the -limit fee of another $29.00.  I don't know where to turn to get this problem resolved.  Do I call Hotels.com and ask them to reimburse my over the limit fee?  Do I call my credit card company and tell them that it was Hotel.com's fault for hitting my account for the whole amount when they said they weren't going to?  If anyone has been through this kind of thing before, I would really appreciate your input.  Needless to say, I will NEVER use Hotels.com ever again!!  Thanks in advance for your help!


 


Well said! I will take that advice.

Here's some advice from another old MT
Give Medquist a try. I know there's a lot of controversy surrounding MQ, but there is a lot positive about the company, too. The transcription platform is very, very easy to learn and quite MT friendly. Set your boundaries about the number of accounts you are willing to do right from the beginning.

You will never have to worry about not getting paid on time. If you need no benefits, go with the statutory employee status. There's flexibility with that.

There are apparently many MQ haters on this board, but there are many more who are happy with MQ. They just don't happen to spend a lot of time posting here.

Whereever you land next, may it be a great fit for you. :)
Need advice, please --
My 15-year-old niece has confided that she has met a boy through an over 21 chat room and has been emailing him (supposedly, he is 18). He has been to her house, and her parents have met him and they think he is a nice boy, but they have no idea how they really met.  I have serious reservations about this and feel I should tell her parents, because even if this one is very nice, he is still too old for her, and what about the next one? 
Advice
Learning a secondary account can be challenging but it also makes you a more well-rounded transcriptionist. The more accounts, the more doctors you work on, the better off you are in the long run. If its hard at first, work that much harder to learn it. You can't have to much experience!
Need advice

I just wanted to see if anyone had any advice to give.....I have been debating changing jobs.  I currently make $15 an hour doing transcription in office.  The delima I am having is that the whole reason I started doing transcription was so that I could work from home.  I have been doing transcription for 4 years and my job is really easy and I am happy with the money, there are however other down falls with the company and I am not able to have the flexability of working at home, therefore dealing with the stress of not being able to always be there for "home" things.  I have three school age kids, and they are all very active.  My question is....Do I have a chance of finding anything else working at home or do I just try and suck it up where I am at???   I really have not started looking, so I am not sure what is actually out there.  I hate changing jobs, but I also don't want to settle. 


Just need some outside help and opinions! Thanks, KL


RE: Need advice
Don't forget your taxes. You can really wind up in a mess if you don't get on top of that right away.
Need Advice! What would you do?

Want opinions about something which has come up at work and need some advice. I am the lead Transcriptionist in a department with three other people.

Last year, one of our physicians in the practice was fired and rejoined another practice in town. He currently has a lawsuit against the company about the firing.

Today, I saw letters typed by one of the girls in the my department for this particular doctor. (because this patient switched physician groups). Apparently she has been working for him on the side since October of 2004. I am not sure if she is still typing for him or not.

My question is this, would this be something you would bring to the manager's attention, talk to my coworker, or just let it go.

On one hand I feel she is being dishonest and not loyal to our current company. I do not know if she is saying anything about our practice to the other doctor or not. Also at looking at the letters, she set them up exactly the same way we do. Isn't this considered a conflict of interest?

Any advice or help would be greatly appreciated!


Re: Advice - sm
My question - is she using YOUR company's equipment to do this typing? Is she doing it on YOUR company's time? THAT would be a NO-NO to me, along with the other points you mentioned, it doesn't seem quite the kosher thing to do.
Thanks for the advice!!! nm
nm
Thanks for the advice!
That does sound reasonable. Anything to get my foot in the door would be helpful.
need advice

I worked for a multispecialty medical center for 6 years that shut down and sent all transcription out to a service.  I got a job with spheris.  I love the company itself, they are great.  But the problem is money. This is my first experience with production pay. To make what I made by the hour, I would have to produce 1500 lines a day. I am now producing about 1000 a day more or less, depending on how much research I need to do, if my cable or power goes out or if their server goes down or is slow.-- I do ER, consults, admit and discharge summaries,  no operative reports. Cant really use a lot of expansions, only for simple phrases or individual words,  no macros, mostly straight typing. I figured once I got used to their system and compiled all my provider samples and got my Expander glossaries pretty much built  I would improve, which I have, but I really cant see myself ever doing much more than 1200 a day, and that would be with no "P" breaks. I am still having to stop multiple times during the day to enter drug names in my drug glossary so I dont have to look them up all the time to see if they are generic or brand names-their spell-check doesnt have automatic caps, which is another problem for me because I am having a hard time training myself to hit that shift key, I am constantly entering text into my expander.  The terminology is not a problem for me.


I am reading that a lot of you guys are doing 400 lines an hour.!!!  My previous job didnt have a word expander, so I know I need to utilize that better. How do you do it, what am I doing wrong, what can I do to improve, do I need to just forget it and apply at Home Depot? I LOVE transcription!!!!


Looking for advice
Hey, anyone in the Portland/Beaverton area I could speak to about the "real deal" in MT work in the current environment?   I'd really appreciate it.  Off line at moosefeather at msn  dot com  :)
My advice to you
You are doing just fine. Trust me, having kids makes it more difficult to get more work done, but you will soon find a good schedule that works for you. I work for Medquist as an SE and am able to work WHENEVER I want which makes it much easier for me, considering I have 3 kids, ages 7, 3, and 2. Your average of 500-700 lines a day is really good for just starting in July. Don't fret, this is one job that you only get better with in time because you become more used to the doctors and type faster, and don't forget to keep adding to your word expanders.

Another tip I can give is to only work when your child is sleeping, otherwise it becomes too much of a distraction to have your child awake and running around while you try to concentrate on your work. Not to mention, it could also be dangerous if you can't see or hear them like you should.
I appreciate your advice and will certainly
take it to heart.

Just wanted you to know though that I already know the information you posted. I had an MT business for 5 years. I've done MT work for 25 years.

I may be new with MQ but I'm no where near new with MT work. This isn't my first time to do IC/SE work either.

My rainy day money isn't going to the govt. It goes for what I want it to. I've been self-employed for a few years now. I know what I'm doing.

Thank you for your advice though!
Advice to MQ.

This advice is given too late, but for future reference...


 


When you have a new program, just send the information out.


 


Telling people a month in advance that you are going to send the information out is just upsetting.  Calling people on the phone to tell them they will get information next month but you cannot answer any questions just makes everyone more agitated.


 


If you think you were offering a teaser to get people excited, I am sorry to say that it backfired. As you can see from reading this board, everyone is just nervous and upset. Some people are out looking for other jobs because they think they are going to lose their SE position.


 


Big mistake......


advice
I quit over 3 years ago. I decided that I couldn't just slack off or use something to help me, I just set a date and totally stopped forever that day. You feel really bizarre for a few days and I still wanted one for probably a year or more, but that was the only way for me. Just stop. Also I chewed lots of gum all the time. I think I probably did gain weight but I got pregnant right after that so who knows what the weight is from.

But it really does make you feel better in the long run and I have a friend in her early 20s whose parents are both already dead because of lung CA (she still smokes, not a big lesson learner).

Anyway, good luck and just stop!! Just make your mind up right now!! Just buy your last pack and don't buy anymore!
Need some advice

Wanting to change from Hospital to working at home and a little confused about what some services are looking for as far as experience like what is basic 4 experience? 


My advice to you
HEY BUTT HEAD - SIT ON A POPSICLE STICK AND SPIN