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Serving Over 20,000 US Medical Transcriptionists

Nope, I promise you I'm not.

Posted By: Yuck on 2007-04-21
In Reply to: I'd like to know - hillbilly MT

I asked all the right questions before I was hired, so I understood pay and everything. They have been nothing but honest and nice. It's one of the two most often recommended companies on this board, and I'll leave it at that because I doubt you'd go wrong with either. But do make sure you ask about everything that is important to you so you aren't disappointed.


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Nope, I don't feel "LUCKY" to be treated like an imbicile by my company. Nope, No way.
x
You will, promise!
Know that we ALL were there at one time. I remember at my first acute care job at a hospital being so frustrated about asking the experienced ladies for help, that I just sat and put my face in my hands and cried a little out of sheer frustration.  I can't imagine starting out at home as an MT, but it seems some of these schools prepare you new ladies well.  Kudos to you!  Keep on truckin'. 
I promise this will help
if you do it regularly!! ... Pinpoint which muscles/tendons are involved and massage, massage, massage!! Also press and hold the trigger points--can tell those by the high pain level--for a few seconds and then on/off in different rhythms. It works, but you have to do it a lot when once it has gotten out of hand. Don't get your pain level (during massage/pressing) higher than an 8/10 for very long at a time though.

Unfortunately, we should be doing this before we feel real trouble, but it is easy to neglect it.

I have trouble with my right hand getting weak with tight wrist extensors and an almost always upset infraspinatus muscle. I let them go and then have to massage myself while I proof each report. It makes a world of difference but you have to be diligent.

We also should be taking extra care of our midback to occiput areas as well.

Lie on the floor with a tennis ball in your palm and put it under the knobs in the occiput area (at different angles) sometime ... ouch!! Mine hurt like heck on both sides, and when they are extra tight the pain goes all the way around to the front of my head. I can only stand to hold it in one spot for a few seconds.

It really works and if done before it is too late will prevent surgery.
Yes, I think it is a responsibility and I mad a promise...

to mom to not ever put  her in a nursing home as a young 20-something. As an only child, I followed and kept that promise.


I cared for her for 6 years. It should have been more but I didn't realize she was going downhill so fast. I was very stressed out in her later years as she started to develop a lot of problems including memory problems,  but when I look back, I would NEVER, EVER, change my mind. She was happy here with us and although she was having a lot of problems, the only thing I wished for was for her to be comfortable and happy. (She was in a nursing home temporarily for 2 months after she broke her hip and was very unhappy. This was sort of a test to see if she would like it, but she didn't.) I did everything necessary to make her comfortable in her last years.


 It was hard, but I kept my promise even though every doctor told me to put her in a nursing home. Thank heavens, I worked for a great company that understood and allowed me to take as many breaks/days off as I needed to care for her.  I would never have changed a thing even though I got very worn out during the end myself because she was almost totally bedridden. Still, I loved my mother with all my heart and still miss her even though she died 6 years ago.


 I only hope my children would do the same for me unless i have Alzheimer disease. If a parent is unhappy at a nursing home, by all means do what is necessary to make their last days happy. After all, they raised us, and we should return that love.


You need to be patient, be a nurse, doctor, etc. for an elderly parent and if there is none, it could be very, very "unhealthy" for the parent and the child, but I feel we need to make sacrifices for  our parents happiness in their later years as they sacrificed for us in our early years. After all, they are the only parents we had, andI I have NO regrets, knowing I did the best I could for her.


Sorry to ramble. I'm still grieving. I wanted her to live to be 100 if possible.We were really close all our lives.


How do these companies get away with this when they promise
nm
Check out MQ - they actually promise you
CRAP and that's what you get!    
I promise I will once the survey is completed....sm
I don't want to influence the results in any way so the information will be unbiased and more meaningful.

Jay
YOU are right! These companies promise the moon so they (sm)

can get the accounts and the MTs are the ones that get the bad deal.  To be honest, I too, am not good with heavy ESLs but I sure try.  I am also slower than most - but I sure try.  There are some ESLs that really try hard and I appreciate their efforts.  Then there are ESLs that are so fast and so sloppy I haven't a clue what they are saying.  There are also horrible American dictators too.  As the above poster said - the lack of decent courtesy is gone.  Their excuse - I'm in a hurry, blah, blah, blah.  Well sometimes I'm in a hurry so maybe I should stop capitalizing words, quit looking up strange words, forget punctuation.  Really!  Have dictators forgotten that there is a real human being transcribing his mess?


Last word on this subject, promise!

One other thing I'd like to mention is that I would have almost no problem with transcribing an ESL if I could hear them clearly!  That's not to say that the doctor is not speaking loudly enough - it's that the onus is on the people choosing the systems used to record their dictation, be it that it's been re-recorded, crappy system, etc.  The radiologist I referenced below would have been bearable if all the extraneous crap was not a factor, as well as the quality of the sound/speakers, etc.  If you could hear clearly, you have a fairer chance of transcribing more seamlessly to make your lines per hour, etc. 


Now that I'm an IC working at home, my main issue with being productive with ESLs is not hearing them clearly - I have enough experience to be able to decipher a lot just based on context (like a lot here say, have developed an ear for it), but if I can't hear it well, c'est le vie. 


If you want to hold out "as long as you can" to not transcribe ESLs, that is, of course, a personal choice.  Most do not have that option and have to bite the bullet.  If you'll notice, most residents are of a foreign land and will be in the workforce too.  Yes, you can get your own accounts with whatever physician you choose and work with them on those issues.  But if you're working for an even small to large MTSO, most have ESLs.  Thx!


Candidates are always going to promise big things
in the heat of the race; then when they are elected and start to serve, all of a sudden their hands are tied! Truly, though, how is one person, such as the President of the US, going to be able to implement change if he/she is,in fact, up against a hugely influential and strong population, such as the NRA (BTW, I'm neutral about the NRA...just using that group to illustrate my point).
I promise you - I begin work at 7:00 p.m. - I'm only PT, and my day always begins with
stat, H&Ps, consults, etc! I love it!
When they have me working mornings I am getting special procedures, ops, caths, and don't like it one bit! Maybe 2nd shift would work for those who just can't see themselves working from 11 to 7. Good luck!
XX,, I promise you can double that typing speed quickly SM
then triple it, and eventually quadruple it with an Expander used right. You're doing something wrong, but I assure you once you know what it is you can correct it easily and immediately start seeing the benefits having your expander do much of the typing for you.

To begin with, though, most of your increased speed is going to come NOT from inserting blocks of text standard for one dictator but rather abbreviations for the individual words, phrases, and headings you're constantly typing anyway.

For instance, I type RPSV for "reports that." It wasn't hard to remember. Variations of "report" are used constantly, so RP became report, RPS reports, RPG reporting, RPD reported. V is "that." AO is "also" for me, and F is "he", so "he also reported that" becomes FAORPDV and "he also reports that" becomes FAORSV. This is the first time I've seen those on paper; you don't memorize the long forms, just string together the constantly used short ones. Amazingly quickly your fingers remember (muscle memory?) so you don't have think about it.

Smartype is probably not the best expander but fine to start on since you have it. Later on, better programs have conversion programs that will allow you to move your abbreviations to that program.

In the meantime, go to productivitytalk.com and start reading and asking questions. If you wish, you can import a whole ready-made dictionary compiled by an MT abbreviations.

But you could also take another tack for now just as a trial. Instead of trying to use Smartype's abbreviations, if that's what you're doing, enter just a handful of your own that you can get very familiar with. I love these that I use and am happy to pass them on to anyone who wishes to try them:

Make T expand to "the"
F expand to "he"
G expand to "him"
K expand to "she"
J expand to "her"
T expand to "the"
B to "but"
Q to "who"
R to "right"
L to "left"
F to "for"
D for "and"

That's more than enough for now. If you do this, I think in a couple of days you'll be loving how a quick tap of the finger drops in all these little words so much that you'll eventually become addicted to abbreviating everything in sight--and to watching your scores on your speed tests rise and rise and rise... Best wishes.
I'm working a festival this weekend, but I promise to get those scriptures to you asap. Thanks fo
:-)
nope
I did that for a while, gave QA, my TC everyone my private email and then I got an email and phone call from my TC, no longer would I receive emails from them unless I did it through Imail..and now this new darn system..I dont need this drama in my life, for pete sake, Im just trying to make a paycheck, ya know??
Nope...

not if being paid on production. Questions and blanks go straight to QA. But this could  depend on how much experience you have.


nope
nm
nope! nm

Did someone ask you what you think????? Nope!!!

:


 


nope!

Nope
.
nope
I would just chalk it up to experience and move on. Actually, that is just what I did, or had to do. If I was counting on them to either pass my tests, or offer me a position, I would have starved to death long ago. I had even found THEM work with a small company that was looking for an MTSO to do some of their accounts. I was promised that since I found the positions for them, that I would be one of them to test for the jobs. NEVER happened. They gave the testing and the positions to three others. When I questioned them about it, they told me that they had not even gotten the accounts, even after I learned they had signed the contracts. Consider it a loss, and take it off next year's taxes. That is the only way you will get any compensation back, and a lesson learned. But frankly, I am still bitter. Even though I found some pretty good positions and am doing now what I love. Good Luck.
nope
You would burn them up in no time. I would recommend unlimited services like Vonage or zerocents.com
nope
I would do this if not verbatim

She is a 66-year-old white female, recently transferred to our practive with diabetes mellitus, hypothyroidism, hypertension, and hyperlipidemia, who I refer, blah blah
Nope, not for you. sm
Sorry. I must have gotten the Florida thing wrong. I thought she also said she was going to Florida, so I'm sorry for having the wrong destination. And I wasn't trying to pick some sort of fight. I was merely posing another opinion/option. There's nothing wrong with not taking the kids on a BUSINESS trip. BTW, thanks for the all-caps on the BUSINESS thing. It didn't come off at all snotty. So, no, my response wasn't meant for you. Thanks for asking, though.
Nope
Gave up holidays years ago and have never regretted it.
nope..
you are mistaken here. type 0-9 in three lines in NotePad and save it as a file. You will see 30 bytes, not KBs.

:)))
Nope.
Been there done that. The online classes are a joke and it is almost completely self study. Wish I had saved my money.
Nope, not to much to ask and we never should

have to!  That said, while I tried all the usuals, nothing got my kids attention as much as no clothes to wear, no clean glasses and their rooms smelling like something died in them. 


MOM, where's my jeans?  How should I know, I did'nt wear them, usually led to finding them on the floor under 3 feet of whatever.  They all got the same printed list of how to do's and now they do them well.


 


nope
the company I'm involved with puts food on the table and pays my bills........I don't exactly call that "gotten to me".....
Nope

Sorry, but it's all hype, and potentially dangerous.  If you research it at medical sites, the phrase perforated colon is usually mentioned! 


http://www.healthatoz.com/healthatoz/Atoz/dc/caz/canc/colc/alert08162005.jsp


 


 


 


Nope. You really don't get it, do you? sm
I don't think any amount of explaining is going to make you understand, either. The same thing that was MISSING when you posted seeking medical advice for what could have been an emergency is the same thing that is keeping you from understanding why people are annoyed every time you post anything. Go back. Start at your post and the content of it. Begin at square 1 and read your post and the responses, followed by more of your posts. I have little hope you'll ever get a clue about anything, considering your original post.
nope. www.dol.gov -- they don't have to do that.
it's in their best interest to do that but not required to


Nope!

I surely would not, though there are many things about the job I like; i.e, working at home - making great money.  What I don't like about it is always being tied down to it - can't take days off or vacation - that sort of thing.  But then, there's no job that's perfect, right?


Nope! I just tell her to go lay down, and she goes. nm
x
Nope, I have never
had any kind of medical terminology course or MT course. I just lucked out. I worked in the billing department for a small hospital and the HIM manager called me up one day out of the blue and offered me a job as a transcriptionist. They trained me and started me out at normal certified salary.
nope, that's not it (sm)
I wish I had my wits about me enough to have thought to snap a picture.  Trying to remember from the quick glimpses I had (at a safe distance).  The harder I try to remember the less I do.  Kinda of like the poster above who said by the end of the week it will grow as she tells the story.  I can still see that tongue flicking at me though.  Ugh.
nope, but I think there are
some sort of mystery fumes filtering through the computer screens today and people have sniffed it a little too long and it gave them a major case of WHINY HINEY.
nope. not at all
Yes. I agree with once in a while, but on a weekly or daily basis? Nope! Especially with young children at home. Married folks have to pull together, not apart.
DH and I have different interests on occasion. He is a runner, I'm a camper. I go camping with our youngest (16 yo DS) fairly often. DH would rather be on the track running in circles. So we often take a few days off and go in different directions -- me to the hiking trails, him to a track meet (and he's a gold medalist in the 1500 m Masters Nationals this year -- had to crow!). But when our kids were little, never, NEVER did he or I go and hang out anywhere on a regular basis. How unfair to whoever is left at home!
Nope that was the pay I saw for a job
That is why I asked it seemed funny
Nope...
this doesn't work either but thanks for trying.
Nope.
But I work on EditScript and it doesn't really interrupt anything. I don't have to worry about TAT either.
Nope.
Sometimes documents get "stuck" and will stay checked out to you, but usually if you have to do an emergency shut down, power outage, etc., then you lose whatever you have done and the note will go into someone elses queue.
Nope, I think she is trying to help. (sm)
I don't understand MTs who don't think about the reaction they get from MDs and nurses who read their reports and see medical or English mistakes. (Now obviously the only people who know the recent BOS rule changes are people in the MT world, and I think it is dumb that the BOS changes rules for us when nobody is explaining them to the MDs, who must think we are idiots now, but that's a war I can't win). What I care about are medical errors, anatomical errors, formatting errors, grammar errors, English errors. Those are the errors I have seen in many place I have worked that are inexcusable. A good MT cares about quality as much as production, and should gratefully learn from whatever QA can point out as errors for them. If MTs don't think excellence is important, why in the world did they go into a clerical medical field.

Where I work currently the work I see is much better, thankfully. This must be due to hiring of good MTs and good QA.
Nope, not there. sm
Thanks for the help but there weren't any that I put in there. This is absolutely horrible. I use autotext a lot with "canned" dictation.

Thanks for trying to help me.
Nope
Well, actually I have an electronic copy on my computer which was provided by the transcription service I worked for but I think I have actually opened it up maybe twice.
Nope
My pay cut happened about 4 months ago. You should have put your foot down and refused to take one like me. Stand up for yourself. You are contributing to the demise of this business. Have a nice life.
Nope
That is a real pain. When I leave a blank, I type the time of the dictation where the blank is, so at least I know where to rewind to. The only thing that helps is using the beginning of dictation arrow if blank is closer to start of dictation and fast forwarding etc.

nope
x
Nope
All my accounts are in the US.  Though granted we sometimes have challenging ESL doctors but you're going to find that everywhere
nope
Nope, the contract did not say that I could not work for any other companies. I just think it is strange how after I told them about the new job that I did not get any response and then the next thing I know, my contract is terminated.
Nope.
I have two transcription companies I work for, plus my own account. I work about 8-10 hours a day on average. My 1 account doesn't bring in a significant amount because the doc isn't in that office but 2 weeks out of the month. I love how people keep assuming stuff with their comebacks though. It makes me laugh. I live in Texas, but I recently moved from somewhere where the cost of living was higher and did just fine. My reasons for working from home: I don't have to pay high gas prices, plus wear and tear on my vehicle, buy work clothes, childcare, eat out everyday, etc. I added it up and I would be paying over $1200 a month if I had to work out the home! OH, and don't forget drive time and being on the road with all of the idiots. That in itself is a big plus to me! Like I said, this works for me.

I am not trying to be bossy by telling someone to get out of the profession. Why make yourself miserable and do something that you talk down about? Common sense would tell you to go find something else, wouldn't it? It would for me! If your income is so low, you can get grants to go to college. It just doesn't make sense to me. People are acting like this is McDonald's or some other low-end job "working for peanuts." I don't see how making $15-30 an hour (with the lower end hopefully being an employee) is bad. I don't see how that is bad for a career that doesn't take a four-year degree.

Anyway, I think I am done. I have work to do. Have fun!