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Serving Over 20,000 US Medical Transcriptionists

Personally, I would prefer to build my own list versus

Posted By: SM on 2008-10-07
In Reply to: Mary Morken expander system - Where can I find this?

using a premade list.  If you build it yourself, you know what's in there and you use a system that is comfortable for you.  It takes time, but it's well worth it.  Quite frankly, I think this smacks of wanting someone else to do the hard work for you, taking the easy way.


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I personally prefer to have good sex with someone who is nice to me. nm
nm
65 character line versus gross lines versus pay by word

I am checking into other options for transcription.  Can anyone tell me how to compare all of these types of lines & also payment per word?  I know companies use different scales, so I wondered how they compare.  I have been paid on a 65 character line with spaces, but I may be making a change in the future - don't want to get burned.


Thank you in advance!


Build-a-pc
Get the best sound card you can.  My first computer had a cheapy sound card and it caused all kinds of problems.  Make a list of all you want/need to do with your computer and talk to the techies about it.  They will be able to make suggestions.  And be sure you have Microsoft Word and probably Word Perfect, just to cover all bases.  Maybe a cd burner to easily make back-up discs of system and to make discs of info if that should ever be necessary.
you build and add yourself
It is a different style of system. You use the first letter of each word in your phrase so there is no memorizing, you can't forget the sequence of the phrase you are looking for. it is annoying having the screen at the bottom, but i just show the first 5 lines. you get used to it real quick. I love it.
I build my own also. So does my son. It's so (sm)
very nice when we build pc for customers and present them with the finished product. The smiles on their faces when they see that they received exactly what they wanted/ordered is priceless.
there is no way a new MT can build sm
a Medical Phrase Index like the one in print. That book is a great teaching tool and a lot quicker than asking questions on the Word Board and waiting for an answer! Seems to me folks don't want to do the work and research anymore to become a good MT and want everyone else to do their work for them.
if you know what you want get a geek to build you one
Cheaper and better! Not mention you'll know who to call and whether or not they speak English...;)

If you live in the Seattle area, try this link:
http://www.dresch.org/web/dcs/default.asp?c=1

I know him and his work - he'll put a 'puter together to your specifications and it'll be far superior to Dell (or anyone else, plus cost a lot less money)
what are you trying to do, build another city...
please go down about four posts and see the one titled "It never fails to amaze me" and see what happened to that train of thought and the responses to the same.  You might get a clue to your answer.  Have a great day. 
build your shortcuts to the max

it's ALL about your shortcuts.  you have to shorten every word, phrase, not just medical ones, regular English too, assuming you transcribe for someone who SPEAKS English!! 


I have been using the same shortcut program for 10+ years and I STILL add things to it almost daily.  1st rule is if the shortcut doesn't just pop in your head, keep typing and don't think about it.  it has to come to you automatically.  then you have to be creative.  example - I have this one doc who constantly says "once this was done" so I have that in as OTWD.  "The patient tolerated the procedure well" is PATOL.  I have things like ADP for adenopathy, then you have to expand that on further to be LADP for lymphadenopathy, AADP for axillary adenopathy, etc.  if you have one doc who says some phrase constantly, even if it is only one doc, if you type him every day, make it a shortcut.  I have typed in "codes" for so long they are drilled in my brain.  I'll look at a license plate and it will say RSD456, my brain says "reflex sympathetic dystrophy."  the longer you use it the bigger it will get and pretty soon you're typing all shortcuts and not much else. 


Are you using an expander? Build up
you're macros/normals.     I'm able to batch my work.  I type all my reports in each batch and then I go back and relisten to each report, but I turn the speed up so they sound like the Chipmunks.  I feel like it goes faster than reading each report, and I find that I'm able to catch errors that I wouldn't have caught by just reading the report. 
He can build it. Just keep reciepts. nm
:+
Here's how I've build my own expander-ese:
For multiples, I use numbers based on several criteria. For example, my related Expanders may be 'abc1, abc2, abc3'.

I may use the most-used phrase as #1, less-used as #2, least-used as #3, etc.

Or, I may base it on the length of the phrase - shortest phrase 1st, longer 2nd, longest 3rd.

Or, I sometimes use the numbers to signify tense or multiples. If ABC stood for, let's say, 'abdominal clamp', I may assign them s follows:
abc1 - abdominal clamp
abc2 - abdominal clamps
abc3 - abdominal clamping

That's just a 'fer-instance', but you get the idea.

ALSO: I use my auto-correct as my expander, so space in it isn't limitless. To make one abbreviation go further, type it in lower case. Example:
'dx' - for 'diagnosis'.

When you type in 'dx' in lower-case, you'll get 'diagnosis'. Type the first letter capitalized ('Dx'), and you'll get 'Diagnosis'. Type it in all-caps ('DX'), and you'll get 'DIAGNOSIS'! Three abbreviations in one!

Hope that helped!
:)


Temporary dog house is easy to build.
Take a large cardboard box, cover outside of it with multiple sections of newspaper, then tape large plastic sheets (open up garbage sacks) over it. It is well insulated against cold and wet.
I try not to pressure myself so I don't get that way. I build up speed naturally. -nm
x
Get a custom build from a local place.
I don't know about the Macs compatibility though. I had my computer custom built through a local place and am so glad I need. My kids have done things to this computer that no one has ever seen or been able to quite figure out how they did it but the local placed fixed me right up and they keep companies of all my program disks in case I have a complete crash and need to reformat the beasts. They also custom built an HP laptop which I love, love, love.
I believe most of the MT software programs have a build it "cannot edit"
mechanism,so that once a document has been signed; electronically or otherwise, it cannot be altered.  Regarding Addundums, if you were not the original Transcriptionist who typed the document, most companies want  you to bypass it  in the pool, which will then be reassigned to the original tramscriptionist.  It's not good company policy reading and or making an addenda to anyone else's report other than your own.
I believe most of the MT software programs have a build it "cannot edit"
mechanism,so that once a document has been signed; electronically or otherwise, it cannot be altered.  Regarding Addundums, if you were not the original Transcriptionist who typed the document, most companies want  you to bypass it  in the pool, which will then be reassigned to the original tramscriptionist.  It's not good company policy reading and or making an addenda to anyone else's report other than your own.
Question versus gross lines versus 65-character lines....

I have always charged or been paid by 65 or 60 character lines or per letter or space typed, but have never been paid or charged per gross line.


What is the advantage of this?  If I were to charge 11 cents per 65-character line including spaces, what does this figure out to for an average line rate and how do you do this calculation? 


I'm wondering if it is financially beneficial for me to bill by gross line or to keep it the way I have it.  I do know some accounts will only pay per 65-character line, as this was the deal my first own account I recently acquired.  They were adamant on a 65-character line, but didn't specify with or without spaces and I personally would never not charge for spaces.


Thanks for explaining this.  I appreciate it and hope everyone has a speedy day.


No idea...in 3+ years when we build I wil figure it out....probably a wolf theme
xx
New giveaway! $50 Build A Bear Bucks, see sticky post above.
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medical abbreviation list and medical drug list
Hi,

Anyone there who could help me out finding the latest abbreviations list.
I even want the latest drug list because my current program does not have many drugs.

So if anyone could suggest anything which is available online for informationd quick look purposes.

any help for medical abbreviation list and medical drug list would be very helpful.

I prefer IC . . .
simply because of the flexibility. I don't want to feel chained to my computer. To me, one of the reasons to work from home is the freedom it provides. I also find I have a lot to write off at tax time and have never had a problem tax-wise. I don't need the benefits and don't want the company control that comes with being an employee.


Neither...I prefer
my taxes to pay for defense of this nation, protection of its citizens through federal regulatory agencies, police, fire and emergency rescue programs, libraries, public schools, educational assistance for anyone who needs it, assistance for those who cannot help themselves, drug and medical research, paved streets, streetlights, utilities, assistance for new business startups, and few other oddities.
How would you prefer - sm
Wondering if you have any suggestions for a better way? What would make it easier for you?
ME vs MT WHAT DO YOU PREFER

and why.


 


I prefer only the ................NM

I prefer
by far short reports.  Doing long reports, well, I just feel like I'm being held hostage, KWIM?
I much prefer sm
to work for a company and let them hustle up the work, provide the system and equipment, and get paid by the line. Maybe if I were 20 and not 60, but I find that by getting your own accounts, you lose a lot of money.  I prefer transcribing fast, and being paid for just that.  No setup.  No delivery or pickup.  No office managers to deal with.  Pure profit all the way.
I prefer IT.
xxx
I just prefer it.
There is so much wrong information out there that I like to look in my books first. I also hand write in "sounds like" in there so I can find oddly spelled things. Plus it is a business expense. ;-)
Most will prefer DSL for
security reasons I believe and specifically say "no satellite". It is one of the downsides of living in a beautiful rural area.


I prefer...
Quick Look Drug Book but not actually the book, the CD version, that way you do not have to get off computer, grab book, and manually look up the med you need. You just click on to get into the information, type in name, or a version of it, and it automatically pops up with everything you need to know, including what it is used for, and doses applicable...so much quicker.
I prefer my ESL
over the English speaking mush mouth one that sounds like she drunk when she transcribes or the one who talks so low I can barely hear him with the sound on as high as it can go.
Myself, I prefer sm

Stedman's surgical equipment book.  The Surgery Word book is pretty well useless, but the equipment book is fabulous.


I have had a Tessier's and I gave it away, found it completely useless.


I prefer it
I cant sit for 8 hours. I have to break my work up into 2-4 hours at a time.
I prefer In-Hock Rd.
dd
I certainly prefer Word but......
I have become accustomed to it. It is not too difficult to learn and overall I don't feel a bad program. I have used DQS as well and I think Emdat's InScribe offers more options from what I see.

My biggest complaint is the spellcheck. I copy/paste and save all my reports in Word and spellcheck in Word as it catches errors that InScribe's spellcheck does not.

Also, I do not use their Expander - I use Instant Text which I love.
I have done both and prefer IC because I can write
everything off. You have to be very diligent about receipts and setting aside tax money though.

The only real difference in pay between the two is 7.25% for social security (self employment. You have to put aside the taxes rather than have the company pay them for you but either way, that tax money comes out of your check not the company's pocket.
I also prefer in-house

... but I am doing radiology.  I worked at home doing hospital work for 4-5 years, and it wasn't interesting enough.  There wasn't enough variety for me.  I could see problems that I would be sooooo good at fixing if I was working in-house, but there was no way for me to have an impact on quality issues working at home.  I now get to improve the referrer database, look at the future schedule to look for missing referrer names, work with schedulers, techs and radiologists, and just do lots of little things that really add polish to our business, and are very satisfying to me. 


To each her own. 


I prefer VR, MTg for 28 years....nm

thanks but prefer programs not from...

She does prefer that I type in EMR
but said she we would discuss what would work best for both of us. Thanks for the info, that was the kind of thing I needed to know.
I prefer the CD. I can travel with my
job and used a laptop.  I am able to have all my references available because I have them on the computer.  Stedman's only allows 2 downloads though, so if you are one who may have lots of computer issues where you will need to reload your computer a coupld of times a year or if you  might want to resell then CDs wouldn't be the way to go.  The books you can find used on the classified board.

You can use www.drugs.com as a drug reference.

There aren't a separate set of books for clinic work, but I would recommend a book called Sloane's Medical Word Book by Ellen Drake.  It is a large book with all the specialities and while obviously not as thorough as the Stedman's books, the terminology used in clinic work isn't as technical as acute care and will probably be good enough for you.   I haven't looked at Stedman's lately but they may have a similar book. 
prefer books

I prefer reference books, as all my work stays in one spot in my office.  Have tried the CDs in the past but didn't care for them.  I can understand wanting the convenience of having everything on a laptop since it sounds like you move around frequently.  Guess it depends on the work sutation.


I prefer ESLs

I personally prefer an ESL to a native English speaker any day of the week.  At least I know with an ESL, I am dealing with a tougher ear level, a level not many folks can do or are willing to do, and 99% of the time, they happen to be the best dictators out there, they don't rush their dictation or speak half-thoughts/utter a sound that means 10 words, they do their best to speak clearly...all I need to do is learn their accent and clean up their grammar. 


I have only 1 current ESL who speed talks with a thick accent...Just 1 of out say 50+ that I handle between 5 acute care accounts.  I handle a lot more ESLs than that due to the logistics of 3 accounts being major city hospitals, but I didn't want it to seem an inflated, BS number. 


In the long run, my willingness and desire to deal with ESLs allows me to build my ear skills further.  When it comes time to job hunt, that little line on my resume, Heavy ESL experience gets my foot in the door to show what I am able to hear and do, making me a bit more marketable.  Don't get me wrong, MOST ESLs I can handle.  Russian accent still leaves me saying WHAT?!?!  but hey, at least I am willing to try to step up to that battle to conquer and learn them.


I worked for a company that NO ONE wanted to transcribe the 52 ESLs.  I kid you not.  The TAT on those files was disgusting.  MTs would actually refuse to transcribe them.  I took them on, they became my primary workload, my preferred work.  I'd log in for the day, my supervisor would ask me what I wanted for "breakfast" as she read me off the list of who she had.  I had the freedom to choose back then, and let me tell you, it was CAKE, I was loving it and laughing all the way to the bank.  My queue for the day was set with just about 120 minutes of assorted accents, my daily line requirement, as a part timer, exceeded the full-time requirement.  I never ran out of work, I never NEEDED to worked late, never felt pressured, and didn't have to worry about leaving a blank, for it became clear to my supervisor/QA/team leader, as well as the CMT/owner, that if I couldn't get that blank, there was no way they could either.   I took care of my supervisor/QA/team leader and she took care of me, we were in a win-win situation.  But, that job is gone now, as the company folded and closed its doors.  My comfort zone is gone.


Currently, I work for 2 nationals.  They do not filter and distribute files broken down between ESL and native English speakers.  I pull my daily workloads from a pool, so I never know who I will end up with.  It's in my own best interest NOT to shy away from an accent.


I prefer the CDs but use the books...
because I can pass the books on to new recruits who may not be able to afford a lot of new reference materials right off the bat.
Getting into QA prefer hourly
Do you know which MT companies pay QA by hour? Also who would be willing to train a QA person. I have been an MT 10 years and would like to get into QA...I have excellent editing skills and have worked in-house, IC, home-based employee and have an associates degree in science (pre-nursing classes).
I actually prefer the variety to doing the same old - sm
thing day in and day out. The downside, of course, is that you don't get the line counts, what with all the research, backing up & listening again to the difficult dictators, and not using full-page templates because every report is different. It took a long time to get to the point where I was comfortable with this much variety, and now actually enjoy it. Unfortunately, the average MTSO's pay scale doesn't reflect that. So I guess there are 2 choices: Be bored to tears and make more money by mass-producing 'McDictation', as I call it, or be mentally stimulated, and continue to learn, doing harder accounts, but making Third World wages.
I'm with you sister; I'd much prefer using my pc
rather than any company provided one. We are not children here, but professionals. I need to have a watchdog hovering over my shoulder documenting every single site I click on to keep as ammunition to eventually fire me for misuse of their pc.

I've seen the pcs these companies provide for their employees -- like they are doing them such a big favor. BULLSHID! The pcs are refurbished pieces of junk, which they deduct a rental amount from your already poverty-striken paycheck. Nationals: Keep your pcs -- they are worthless pieces of crap.
used to prefer stethoscope
but now find i just don't want anything inside my ears at all -- didn't want to mess with batteries, so found (on ebay) some Bose over-the-ear kind. Very good sound, very comfortable ear cushion, long cord, great swivel ear/headband part and they passively block outside sound very well.