Not necessarily...metabolism slowing...
Posted By: wondering on 2005-09-08
In Reply to: Does hormone replacement (specifically low dose Prempro) cause you to gain weight? nm - bloom off the rose
as we get older is a much more likely culprit. At 50, our metabolism is on average 50% lower than at age 16. That is why when we are young we can lose weight easily and rapidly, but as we age it's a tremendous struggle. Exercise is the key, as it not only burns calories but revs up the metabolism for hours following.
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Help my metabolism
Do any other MTs out there have an extremely slow metabolism - I seem to do nothing but want to sit in front of the TV or take a nap after transcribing or 8 hours - any suggestions on a good herbal supplement?
You need to find a way to slow metabolism
way down so you can survive on minimal calories a day, and you do that by eating very little. My friend does very well on 600 calories a day, does not gain or lose weight.
mygawd!! it's my metabolism? I just thought I was exhausted...nm
nm
Slowing us down
If one person is getting great line counts, and she goes on vacation, the account may suffer while she's off. If instead two people are getting mediocre line counts, and one goes on vacation, the account does not take as hard a hit.
A phenomena that easily leads to burnout is being punished for competency by one's employer. I've run into it in other industries, but it happens here too. The more you know and the better and faster you are, the more crap work they'll send your way. If you have a good work ethic and pride yourself on conquering challenges, they'll use it against you by giving you more difficult accounts/jobs, because they know you won't wimp out and complain or quit like others might. The more efficient I become, the more extra difficult work I get. The slower people that goof off are rewarded for that with a light easy work load. Its not very fair, but its certainly been a trend in my experience.
ESL is a particular thorn, because as someone else said, everyone hates to do it. I have one dictator in particular on one of my secondaries that is just impossible. Our QA person chides us for not getting him right, sending snotty emails that we must take the time to look up his old reports, and that it doesn't take much time to do so, even though SHE often has to leave the same blanks in the report that I left, because she can't understand him either. Its a case of the emperor's new clothes - everyone knows this person is impossible, but they think by guilt-tripping us into killing ourselves over each report, somehow they'll get done. Never, never will they tell the doc HE is the problem and its his own fault his reports are such a mess. Maybe ONE report doesn't take that much time, but we don't get just one report. And yes, many reports do take a lot of extra time, and often it doesn't matter how much time you spend, he's simply indecipherable. Still, they'd prefer to try to make us feel incompetent and keep the client, while we all lose money because of him.
Slowing down Dictaphone
When I used it, it was #4, but you'll need to check with your supervisor to make sure that is the right code. Then you do ## to go back to regular speed. This worked on my current transcriber also.
I'm slowing giving up my perfectionism...SM
in that I won't search and search and search for a new/unfamiliar term. I'll do a quick search in my books and Google and maybe ask on the Word Board, but if nothing comes up, I flag it. I used to spend WAY too much time wanting to find these things, mainly because I'm pretty anal, which is generally a good thing in MT but can end up costing you $$$!
I presume you are slowing it down on your player - sm
when you transcribe, if not, obviously try that. If that does not help then either just to the best you can, alert whoever you are sending the work into of the blanks (and why), and just handle it that way. If you just don't want the hassle of them anymore then give them 2 weeks notice that you are dropping them since they cannot seem to follow a simple request and make it so you can turn into them a quality product. With my 1 puny account, I always email them while files have any blanks, and why. I am dealing with the Drs. personal asst. (not the office manager) and she loves that I do this (when I have to), the previous MT did not....just sent it in with the blanks with no heads up or explanation. Good luck!
Slowing down and listening ahead
These are two different things. You have to practice them separately, then eventually merge them.
As for slowing down, that should be the easiest. It means to key at a speed slow enough that you make no typos. None whatsoever--not even one.
Just practice typing one sentence until you can key it correctly without a single error. Go on to a paragraph. You'll settle on a speed that works for you.
You may feel that you are typing s l o o o o w l y, and this may frustrate you, but bear with it for a bit. Practice this every day, slowly and smoothly, giving each letter the same amount of time. No machine-gun rat-a-tat-tat. No speeding up and slowing down.
Your goal is to maintain the same boring, monotonous rate on and on and on. It shouldn't be tiring at all. You'll find it easy and restful, but you'll make better progress because you won't have to stop to fix anything.
To learn to listen ahead, you'll need to pretend that you're working on a typewriter. If you have an actual typewriter, use that. Otherwise, just assume that you CANNOT correct anything. What you type has to stay on the page forever, so it had better be right the first time.
Take a practice report. Listen to the first entire sentence without typing anything. Hold it in your head. Now type it from memory. Do the whole report that way.
You'll have trouble with whole sentences at first. You might have to do just phrases, then longer phrases, then work up to sentences.
Practice that perhaps an hour a day for a week or so. At some point, the process may click for you and you'll figure out the point behind it.
Once you can do whole sentences, you can start typing while listening. Listen to the first sentence, but this time start typing it when you have heard half or all of it. You can pause the tape momentarily at the end of the sentence if you need to, but you should be able to type continuously.
Listen listen listen . . . listentype listentype listentype type type type listentype listentype listentype type type type, etc.
It takes practice, but it's worth it.
Strike in Pakistan slowing down offshored work here. Just another example of offshore
:+
Not necessarily! If she's an IC, she's just like SM
the electric company - no "payday" but waiting for the bills to be paid that they mailed out.
Not necessarily
Let's say the MT types 200 lines per hour at 8 cpl, that would be 16.00 an hour. If you can do VR at 400 lines per hour (I currently edit at 500 lph), at 4 cpl, you would make the exact same thing without the wear and tear on the hands.
I was mainly curious as to why so many openings and if people were leaving.
Not necessarily. (see m)
This only counts if you deduct a portion of the mortgage or monthly maintenance or common charge payment. If you are just buying equipment like computers and office supplies it has nothing to do with your house. Even deducting a portion of the utilities has nothing to do with selling your house.
Please consult an accountant for the most accurate information for your situation!
not necessarily
A lot of us use those types of emails because spammers cruise the hiring sites as do the foreign MT companies. Every time I place an ad, even though I put continental US only, I get loaded up with emails from India, Pakistan, etc. I don't want that mess in my regular email so I use yahoo or hotmail.
Not necessarily
Gross lines are not a good way to go if everything is typed in - say - Times New Roman 12, and the client wants the left and right margins set at - say - one inch each. You would have a LOT of characters per line, so if that is the case, you might come out ahead and better by charging for a 50 or 55 character line instead of a gross line. What do you think?
Not necessarily.
I have been job hunting recently. I have now accepted a position, but I was offered better pay as an employee than what I was offered as an IC. I obviously took the employee position because of the better pay and the tax advantage, not to mention the benefits and continuing education that was offered. I love the flexibility that being a subcontractor gives me, but not at 6.5 cpl!
But.... are they getting what they pay for??? not necessarily
I would take an MT with 20 plus years of hard and fast experience over a paper tested MT any day.
not necessarily....
I had a 3-doctor specialty practice on the west coast and I was the only one that did them. I only charged 12 cents a line for 7 years and just lost the account two months ago to women that underbid me by 2 cents. depends on what clinic or hospital... im struggling right now with my hospital account to get enough lines during the day.... What may be the case is they wont give her that much.
Not necessarily. - sm
I know that if you use ADP for your payroll for lack of a better word, depending on how many people ICs you have an opportunity to be included in their benefits program. At least this was how it was a couple of years ago.
that's not necessarily true
My mother told me I had a bottomless pit for a stomach when I was growing up. I was constantly eating, especially junk food. That was pretty much the way it was straight through high school. Then again, I was kind hyper as a kid. I wouldn't sit still for anything.
I think weight problems are rooted more in lack of exercise than food intake. In my day, we were always outside playing. Now, kids spend their lives vegetating in front of TVs and video games.
It has always been and will always be an issue of burning more calories than you consume.
'Tain't necessarily so
If the docs spoke clearly and in orderly fashion, it would still require an extensive knowledge of medical language, procedures, and of course grammar, to do this job. It would just make that knowledge more important.
P.S. I would suggest kindergarten, not high school, for most of them.
You do not necessarily need to take coding....
courses, although they would be helpful. I have been a Cancer Registrar as well as a Coder and am now doing transcription at home. I have an RHIT (certification after two-year degree in Health Information) from AHIMA. I actually have a hospital pursuing me to take a Cancer Registry position and am trying to decide what to do. You do not have to have a degree to be a Cancer Registrar, although it does seem that most places aren't as willing to train as they used to be, but some do. It does help to have a background in Coding, but again it is not necessary. AHIMA (American Health Information Association) just started an online Cancer Registry self-study program that will most certainly get you going in the right direction. Also, Santa Barbara Community College in CA has an online degree and certificate program for Cancer Registry as well. I hear it is an excellent program. You will take the necessary basic courses like pathophysiology, pharmacology, and medical terminology, oh and computer basics before beginning the core courses. I would definitely look into that. Also, study the NCRA website (National Cancer Registry Association). You will find tons of information on the profession there, as well as credentialing information. (www.ncra-usa.org). Cancer Registry is an extremely rewarding profession in my opinion, although the salaries have not caught up to the complexity of the position. Registrars may start as low as 30k in some areas, with an average being in the high 30-mid 40k. Of course, managers and program coordinator will make more. I don't know where the other poster got 100k from, but that is totally off the map for working in hospitals. Now maybe doing consulting after getting many years under your belt, but still that is a stretch...maybe 70-80k. I'd be happy to answer any specific questions you have to the best of my ability. Blessings! 
You won't necessarily lose your job,
but you will get the absolute worst dictators and dictation possible. All the good stuff goes offshore and we get what's left. And make sure the account you're offered pays for headers and footers to make up for them not paying for spaces. No all accounts pay for headers and footers, and that really makes a difference.
It's not necessarily being a martyr (sm)
The way I see it, it's payback time for the ones who brought you into the world. My mother was there for me as a child, of course. She was also there for me as an adult. There were several times when I went to her for help and she was always there. I saw the sacrifices she made for me, to help me without batting an eye. In her dying months, she needed help getting to appointments 3 times a week. She was afraid to stay in the hospital at night by herself -- me and some of my siblings took turns being there for her, holding her hand and trying to sooth her when she was in so much pain. I cringe to think of the lack of TLC she would have received had we said she belonged in a nursing home. I couldn't imagine letting her lie in agony alone, nor die alone. As much stress as I went through at the time, in looking back, I would have done it all again. You do that for the ones you love, unconditionally.
Not necessarily true
I have been doing medical transcription officially for 18 years, and unofficially much longer than that - I'm second-generation, with a mother who taught me as a teenager to transcribe for her at-home business.
I have managed several departments in hospitals with 600+ beds; managed small MTSOs, much of that in my 20s with less than 10 yrs of experience. I now own my own company - I'm 36.
My experience with most seasoned MTs was positive - never once did anyone question if I had enough experience to be the manager or do their QA. I made mistakes sometimes, which they didn't hesitate to point out to me. The difference is how the manager deals with that - I am one who happily admits that I am not all-knowing or all-seeing, and certainly not perfect.
The reality is that sometimes a "superstar" MT makes a terrible manager. The manager's job is to keep the big picture in view, not be the most knowledgeable MT in the department.
Everyone's entitled to their opinion - but sm, by having such a narrow view of who is "qualified" to be your supervisor, you could miss out on a truly inspired and empowering leader/supervisor.
At least you've got your own business and don't have to worry about that at this point in your life....
Not necessarily true. (see m)
It is possible to get student loans discharged in a Chapter 7 filing. It is not the norm, they say it is very difficult, but it is not impossible. It can be done.
not related necessarily
but I need a part-time job and would love to find one in DQS. Actually, at this point, would like to find anything I can do. Would it be too much to ask to e-mail me with any leads? TIA.
that's no necessarily true....
I just started here with this impending pay rate change. You can't honestly say that you are satisfied with these new issues. I've enjoyed being with the Q for the last 12 years, and have rolled with the changes, but honestly this pay adjustment is too much. They are going to lose a lot of quality MT/MEs over this.
It doesn't have to be necessarily
It has to do with being flexible and knowing that one client prefers things one way and another client prefers things another way. Not all clients follow BOS and not all clients follow by the book format. I have a physician that likes Tinel sign instead of Tinel's sign, so that's how he gets it. I think when you've been at one place for so long, you tend to get used to dictators, but you also can gain experience with new dictators as they come about. I had new dictators any given time and have been through many systems from a typewriter to digital to now online. You have to be flexible that is what I have learned.
I don't think this was necessarily the reason sm
It sounds like they expect you to sit around all day and wait for a job or dare I say TWO to come in. I think they wanted you at the beck and call. Not funny and isn't like you work solely for the joy.
I have not had a contract terminated for getting another job. I have had a company insist that I put them first, which for a full time, I think goes without saying. Moonlighting is moonlighting. I did have someone refuse to offer me a contract part time because of the people I was working for full time, saying they were a direct competitor. The full time has about 400 MTs and this small company who refused me had about 35 MTs. I don't think they were in serious competition, but I suppose that is their call.
I think you are better off without them, but you didn't deserve to be treated that way. They sound unprofessional and inconsiderate. I wish you better luck with your new company. Change can be good...sometimes VERY good.
May not necessarily be outsourcing.
I know of one company that is offering 4 cpl for transcription and 2 cpl for editing to new grads of CS. There was naother company that hired new grads only paying 1.25 cpl editing. So if the companies are getting 7 cpl then use a VR Editor and then get an MT editor to work for 1 or 2 cpl, they are still making a nice profit with US MTs.
it's not necessarily a bad idea, but...(sm)
I think anything identifying the MT should be removed before sending the fax out. Everyone can potentially benefit from seeing others' mistakes from an FYI standpoint, but intentionally identifying the MT who made the mistake serves no purpose at all.
not necessarily tips but...
I do use IT as my Expander - love it. I'm not one who briefs everything, but it save me a ton of time and worth every penny 10 fold. Another must have is the Stedman's spellchecker dictionary.
I wish I had the secret to staying focused. Like many, I lollygag, waste time on the internet surfing, get distracted by household obligations, etc. Honestly, if I would do a straight 8 hours of working, I'd probably make 20-30k more a year. I tend to work a chunk in the morning to mid afternoon and then a few hours at night.
The main thing is to find a company that gives you the opportunity to make money. Find a couple specialties you like and are good at. Find work in those areas. Best if you can find work where you don't have more than a moderate handful of doctors where you can really build speed. If a company isn't paying you for every keystroke you type - get out.
Go beyond what everybody else does to look for opportunities. As it's been said before, the best companies don't advertise. There are a lot of people happy with several companies that do advertise on these boards, but I believe that the smaller companies are the best.
Track your lines. You should be able to type 250-300 lines an hour without too much problem if you are working in a productive environment. If you can only do 150 lines in an hour, then stop and say what is slowing me down. Is it constantly looking up words? It is the platform? Is it extra things you do other than typing that your company requires? If the problem is something you can't alter, i.e. company requirements or platform, start seeking other work.
I don't know that you necessarily HAVE to have a master's. sm
I had never heard of the existence of such a major the first time I went to college 15 years ago or I would have gone for it then, but I have since come across schools that offer it as a bachelor's degree. The prgoram I'm in is an online degree program from a university in another state than I live.
I don't have a straight answer for you on what the demand is for someone with this training. A lot of jobs ask for broad qualifications...like, "a degree in English, communications, or related field," so I figure that's me, LOL. It's probably something where you have to have an idea of WHAT you want to do and then find a way to get there, rather than to wait for an opening to appear.
36 hits doesn't necessarily mean anything.
If there were 30,000 hits on Google, I'd think it legitimate. However, 30 hits could mean that there are 30 misspellings or 30 idiots out there making up words. Or it could be a real word. Normo is a combining form; however, reflexic is not in any of my dictionaries. (Merriam, Taber's, Dorland's, Stedman's) If the account's verbatim, use it. Otherwise, tag it.
Not necessarily - I make 12 cpl for a company. nm
x
This doesn't necessarily work for others, but ...
when I feel upset, overwhelmed, or down about my situation, I try to think of how worse others may have it. For instance, maybe your husband is facing 6 weeks of recovery from surgery... but somewhere out there somebody's husband has been delivered a grim prognosis and would give anything for a 6 week "recovery."
You say you're an orphan... But looking on the positive side you do have a husband and children (however trying they may be at times), and someday they will have spouses and children and your family will be ever larger. That's a good thing.
Again, not to diminish your problems in any way, just trying to share how I sometimes help myself through tough times, by reminding myself that things can actually be much much worse.
Not necessarily. She was in the south where christianity came first
in the white man and black man's eyes no matter the color of skin. Was racism wrong? Darn tootin. But, had Rosa Parks been aetheist, buddhist, mormon or any other religion she would have gotten NOWHERE.
No necessarily so...I don't hear back often
and I have many years experience in MT, including recruting, management, have my CMT, etc. I think they are threatened maybe I will take their job!
NOT necessarily does post belong on GAB BD
The Main Board and the Gab Board are definitely for discussion of a movie and/or healthcare.....The GAB board is not for any subject (so they have said here at MTStars) relating to MT work......or politics and religion.....Think the Main Board is also not for politics and religion posts also.....
But Administration could clarify this for us here..........and have in the past numerous times.
Assault is not necessarily rape
nm
Not necessarily. There are lots of other factors
involved that could contribute to a large return, such as losses in the stock market, medical expenses, etc. Generally speaking though it is because you have claimed too many dependents or claimed single when you are married, but there are lots of people who are not able to save money so a little extra each month contributes to a large refund later and then they have the funds to pay off debt or do home repairs, pay college tuition, etc. Now if they put a little away in savings they'd have more to show at the end of the year, but with interest rates so low it wouldn't be a significant amount.
This situation might not be ideal for you, but it may be for someone else. It is their money, it doesn't affect my paycheck or my tax return so I figure it is none of my business.
Not necessarily. Supply & demand...
If prices are stable, quality will begin to count again. It's simply a cost vs benefit analysis. Just like some US MTs stink on the quality scale, I hear some Indian MTs are quite good. When the cost is stable enough that docs can't "settle" for poor quality (which many of them really don't care - it's just another requirement they must fulfill), then they'll look for quality again. Those of them who are quality MTs, will be able to compete, and with the increased competition based primarily on quality, the substandard MTs will go away, both Indian and US, but with cost being the sole driving factor, it's my belief that the quality of the average US MT is no longer much better that the average Indian MT.
Shhh, there, there, now. You won't necessarily lose the account.
Stop fretting over it. This is not the first or the last time that someone has accidentally erased an untyped tape. Being honest with the physician is the best thing you can do. Yeah, you might lose the account, but probably not. I mean, are these guys normally jerks about stuff? Or are they decent, hardworking, nice guys? You might offer to type the tapes for free for their trouble in having to redictate. Good customer service. Good luck, and let us know how it goes. Just don't let it ruin your weekend.
I once dumped a full cup of coffee all over my desk. I ruined files, folders, tapes, and pictures. I cried about it. When I told my client what had happened, he laughed because he had done the same thing.
You know "prophylactic" doesn't necessarily mean condom. NM
x
That movie was Hollywood, not necessarily the truth.
Hollywood can put a spin on anything. You can't go by that. I'm not sure if this guy is the killer or not, but the DNA evidence should prove if he is or not.
That is awful but it's not necessarily just a pit bull problem...
It is awful what happened to your dog but to blame the dogs just because they were pitbulls is not very fair, blame them because they were dogs at large and blame their owners but don't blame the breed. Pitbulls have a bad reputation but honestly it's not the breed's fault that drug punks and men with big egos and little penises have decided to exploit these dogs. You can visit this site http://archives.cnn.com/2000/US/10/09/pomeranian.kills.ap/ to read about a pomeranian who killed a 6-week-old baby. The lady who had the face transplant over seas was mauled by her pet black lab. Diane Whipple of California was killed by two Presa Canario dogs in her own apartment hallway. Yes pit bulls bite and maul and all those horrible things but so does every other breed of dog, pitbulls are just more newsworthy than the local neighborhood german shephard or rotty or aussie shephards or any of the breeds. My friends son had to have surgery on his face to repair severe lacerations from their neighbor's cocker spaniel and personally I've been bit several times by blue heelers but never by the pitbulls that various friends of mine have. Again, I'm so sorry for your loss but any group of dogs running loose with a pack mentality is capable of the same sort of thing, being a pitbull should just be a sidebar to the story and not the main point, at least in my view.
You don't necessarily to turn off the AutoCorrect of Word.....
I left mine on and when the ESP got full, started putting stuff in the AutoCorrect. There is a setting that you have to make to allow the AutoCorrect to work as well (in "Preferences") but I needed the extra space, took out some of the idiotic things in the AutoCorrect, and replaced them with abbreviations. It works GREAT!
Not necessarily. Depends on the state and status. sm
My state does not require it. I use my SSN for tax purposes. You need to speak with a qualified CPA and/or your local government offices to find out what is needed in your area.
Don't necessarily trust SiteAdvisor to keep you safe (sm)
Source: McAfee's SiteAdvisor Security Ratings Faulty, Says Windows Secrets - MSNBC Wire Services - msnbc.com
Address : McAfee's SiteAdvisor Security Ratings Faulty, Says Windows Secrets
Outdated Updates Leave Users Vulnerable
...for one....
Not necessarily...mine are older and I do fine as I mentioned above.
For toddlers...a great way to deal with it is to get them one of those "kid computers" and a stack of paper to draw on..as well as other activities (leap pad) and put them right next you at a desk.
I guess your answer means "biggest", not necessarily best
nm
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