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Serving Over 20,000 US Medical Transcriptionists

She only cuts 3. By hand. That's all.

Posted By: nm on 2006-08-23
In Reply to: You work full time, manage a house and cut 11 acres? No way man! Not me :) - TM

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I've used Hand-Eze and Thergonomic Hand Aids. sm
They help with the carpal tunnel and keep hands warm for me. They cover the hand and wrist but leave the fingers free. I wear them inside out, though, because the seams rub on the skin too much for me. I've gotten so used to them, that it is more comfortable wearing them while typing than typing with nothing on.
Don't talk about hand, I still remember the one that got her hand chewed up by her pet rat....

had nightmares for 2 days after that.



Well, if you broke your right hand and were right-hand dominant, can you see how this might be a fac
It may not be relevant at the time of dictating a physical exam or social history but in the future it would be good to know if the patient breaks the finger(s), wrist, hand, arm.
We got cuts when we went to VR.
nm
And we got cuts when we went on DQS.
  Actually, I guess you can't say they gave us an actual pay cut, HOWEVER, you sure don't make the money you made on the old platform.  That also isn't true because you can make the same money - it just takes LOTS longer.  In my eyes, that is a pay cut.
MQ pay cuts
I'm rather new to this board, so forgive me if this has already been discussed. I work for MQ as a SE and received the "letter" but I know nothing about pay cuts. Have I missed something?
Yes, they do so many more cuts because...
they have to do them so fast to keep up the quota.  I reluctantly took my 2 kids there a couple weeks ago and yet again (it happened a couple years ago too), they could not even trim a child's hair.  I actually had to send my daughter back to the chair because there were long pieces of hair hanging down past the level of her hair.  My other daughter looked like she went 3 rounds with a weed whacker...  I had to pay more money to have it fixed at another place.  This was 2 different stylists, more than one event.  They are know in the stylist world as "chop shops"  I have gone cheap and I have paid more and I can definitely tell the difference. 
There need to be cuts

What's wrong with someone receiving medicaid paying a copayment?  I hear grumbling over this all the time, but you sure see some of them in the grocery store buying an expensive 24 pack of beer, yet they want to complain over paying a 10.00 copay?  Medicaid was designed to be temporary assistance, not a way of life.  I have no problem with helping lower income, but not handouts. I have neighbors in their 20s, healthy as horses, who don't even try to work.  They have 4 children with them, the husband has 2 by other women, and they collect 700 a month in stamps plus 300 in cash because she claims he doesn't live there.  They do NOTHING, nada


As for Medicare, I believe if retirees make over a certain income they should not be eligible at all.  I read that even retired movie stars worth millions of dollars get full medicare benefits.


Cuts

I used to work for Kodak and as most everybody knows they went through years of layoffs and always around this time of year.  The reasoning for it was that the department heads had to have their budgets in for the following year and so you had to cut everyone before the new year started.  It sucks but that is they way corporate America works.


 


Dee


MQ pay cuts, My Two Cents
When MQ first bought up the smaller co. I was with, all of the accounts were still intact. I was pleased when my office (Baltimore now, but at that time, still in the Herndon area) offered up increased pay differential for an extremely difficult account.. hallelujah, I thought... and thought that all the worries I had about the Big Bad MT Company eating up the small company I was with were maybe unwarranted. I jumped on this opportunity to actually get paid for doing more difficult work - but was told by my supervisor, well, you already make too much money per line (actually, per 1,000 characters at the time). She of course welcomed me to the account at regular pay - I passed!

Add in that I have not had a pay raise since this same time frame (7 years) ... not exactly a direct pay cut, I guess, and add in the seemingly unprovable decreased pay over the last 7 years... well, that's my 2 Cents. None of it makes sense.
Possible pay cuts, my experience so far
I have been with MQ since 1998 and have 20 years experience as an MT, editor, and MT instructor. I currently make 10 cents per line and in past yrs have been told I am at the top of various tiers also, so not eligible for raise (for life??) bonuses (some, not all), etc. I too received the letter mentioned above, the one about rewarding "YOU for your skill and performance."

I am still on INET, though attempted without success to move to DQS (only have dial-up available where I live, and the ADT searches and other processes were a nightmare without some sort of high-speed internet). In the process of almost going to DQS, my pay conversion remained the same, 10 cents per line. Though this may sound higher than others are making, I have been making the same thing for 8 years now - but yes, compared to what I see on this board that other MQ-ers are making who have same experience or more, I am grateful and surprised. The company I was with that MQ bought out gave us decent raises, and I had just received one before MQ acquired us, and it carried over, thankfully. Little did I know it would be my last raise for that many years.

Anyway, I eventually will have to go to DQS even on dial-up, pay an arm and a leg for satellite, or quit and go to a new company - all options, woohoo, involve pay cuts. I can't even imagine an additional pay cut for ASR, as this makes no sense to me. ASR is an AID, no different than Expander programs (do we get paid less for other things that make us more productive??!) We should get paid for whatever characters/lines we modify on an ASR report and get paid the same as we would for doing straight MT work. Maybe this has already been said here, sorry if repeat!

So, I am wondering what they will knock my pay down to when I finally get over to DQS and get put on the ASR reports... I'm not sure I will accept this pay cut either.

On another note, I am glad for those of you who are getting paid so well by MQ, have great supervisors, have lots of work, and just love DQS - that is great, it truly is. But, it's simply not that way for a lot of the rest of us. I appreciate being able to speak of my true experience here on this board. So, thanks for listening.


MQ pay cuts, more info
I just got a call from Corporate and I asked them specifically if they were going to cut the charges to the client the same amount of the pay cuts to the employees and she said Yes, they are...............  I found that interesting  as long as it is indeed true.
Short cuts

Ctrl U - underline


Ctrl A - blocks all


Ctrl S - saves


Ctrl X - deletes


Ctrl C- copies


Ctrl V - pastes


. . . and my favorite Ctrl Z - brings back something you accidental delete.


I hardly ever use my mouse as it breaks my rhythm and slows me down.  If I think of anymore I will send them your way.  Did you know that if you hold down your Ctrl key and use the arrows you can move around a document that way?


 


 


 


short-cuts
I've lost my short-cuts...could I have hit a key on my keyboard?  Thanks!! 
ME versus MT, the pay cuts only apply to
those who do ASR (automated speech recognition), now being referred to by MQ at ME (Medical Editors). If you do not do ASR it would not apply, if you do you should receive a letter stating a 20% pay cut for same, or option to quit doing it at all and just do MT.
Inside gives a summary of cuts about to come
E-mail this page to a friend!

House Passes Budget Bill with Biggest Cuts in Medicaid, Medicare

Cuts $99.3 billion over 10 years - 27% from Medicaid, 23% from Medicare.

Feb. 1, 2006 It's done. The House has passed and sent to President Bush the budget reconciliation bill that was strongly opposed by most senior citizen advocacy groups and newspaper editorials due to the deep cuts it makes in Medicaid and Medicare. It was a very close vote 216 to 214. The bill cuts the budget by $38.8 billion over five years 50 percent of the cuts are in Medicaid and Medicare.

Related Stories

Final House Vote on Budget Bill Could Cut Billions from Senior Programs

Passage expected Wednesday to cut Medicare, Medicaid

Jan. 30, 2006 The Budget Reconciliation Bill, which many see as making drastic cuts in government programs for senior citizens Medicaid and Medicare, is expected to hit the House floor on Wednesday for a final vote, the day after the President's State of the Union address. As reported today by the Capitol Hill Watch at KaiserNet.org, the bill will reduce federal spending by $99.3 billion over 10 years, with half of that coming from these senior programs. The Congressional Budget Office analysis says premiums for Medicaid beneficiaries in the bill could cause 110,000 to lose coverage by 2015. Read more...

Senate Budget Chair Calls for More Cuts in Medicare

Republicans to recycle old failed issues in 2006

Jan. 26, 2006 The Republican chairman of the Senate Budget Committee is calling for more cuts in health care programs in fiscal 2007, which includes Medicare, according to The Daily Health Policy Report by KaiserNetwork.org, which cites CQ Today. The daily news summary says Republicans will also be targeting health care proposals this year, but most are proposals that have failed in the past. Read more...

Homecare Industry Rallying Support to Kill Reconciliation Act

Television Campaign to Stop Health Care Cuts for Seniors Launched by AFSCME

Vote on Budget Set for Feb. 1; Senior Groups Seek to Sway GOP Moderates

The House first passed the bill on Dec. 19, 2005, by a vote of 212-206. It went to the Senate, where it passed by only one vote 51-50. Due to procedural changes in the Senate, it had to go back to the House for this final vote. There was intensive lobbying by the senior citizen advocates and others since the Senate vote on Dec. 21, 2005, but they came only four votes closer.

The final vote was mostly along party lines, with Republicans supporting the bill and Democrats in opposition.

AARP CEO, Bill Novelli, quickly issued the following statement:

"Last night, in his State of the Union Address, the President said, "Keeping America competitive requires affordable health care. Our government has a responsibility to help provide health care for the poor and the elderly, and we are meeting that responsibility."

"Today the U.S. House of Representatives has turned a cold shoulder to that responsibility by further limiting eligibility for Medicaid, a program that serves the neediest -- the disabled, children, the poor and the elderly. It also approved a provision in its budget that will deny long-term care coverage to those who give money to charities, churches and family members in need.

"Working with our members, AARP will continue the fight to have this ill-conceived policy reversed."

The bill would save $99.3 billion over 10 years, with half of that coming from Medicaid and Medicare - 27% from Medicaid and 23% from Medicare.

There's also $1 billion in new spending to extend an income subsidy program for dairy farmers and a reprieve for physicians who had faced a 4 percent cut in Medicare fees, according to the Associated Press.

A major boost to opponents was an estimate issued by the Congressional Budget Office estimating that 45,000 Medicaid beneficiaries would lose their coverage in FY 2010 because of higher premiums in the bill. The CBO report also estimated 65,000 beneficiaries would lose coverage in FY 2015.

Children would account for 60% of the Medicaid beneficiaries who would lose coverage, according to the report.

The report also estimates that 13 million Medicaid beneficiaries would have new or higher copayments for services such as physician visits and hospital care. In addition, 13 million Medicaid beneficiaries would pay more for prescription drugs by 2010, and 20 million would pay more by 2015, the report states.

According to the report, "About 80% of the savings from higher cost-sharing would be due to decreased use of services." The report estimates that 1.3 million Medicaid beneficiaries would have to pay premiums and that 1.6 million would lose benefits, most likely for dental, vision and mental health services.

In addition, the report estimates that 15% of Medicaid long-term care beneficiaries would have their coverage delayed because of additional restrictions on asset transfers.

The asset transfer provisions in the bill would impose punitive new restrictions on the ability of the elderly to transfer assets before qualifying for Medicaid coverage of nursing home care. (Click here to read these provisions.)

That is true of ANY job. Cuts happen everywhere.
Companies do the same thing consumers do: Look for ways to get the most for less. It's actually a rather natural process.

Any job can change in its direction, its stability, etc., as our economic, technologic and global relationship status change constantly.

The only security anyone has is to be prepared with continuing education in more than 1 field, low debt load, high savings -- really living within your means, and keep good insurance.

JMO
We do use dx for diagnosis, and all the short cuts expanders
dd
Radiology MTs - Major cuts in outpatient

imaging by Congress - called the Deficit Reduction Act of 2005.  Signed by Bush in December.  Over five years will amount to 20 Billion dollars cut from outpatient imaging payments for Medicare and medicaid patients.  This will have a ripple effect.  Private insurers soon will follow suit.  Posted the DRA but it was removed by Administrator.... This will have a detrimental effect on us all, as cuts will begin occurring in every aspect of radiology. 


Here is a comprehensive article.  Please do not remove this post for one day, Administrator.  This will impact MTs in radiology significantly.


imagingBiz.com - The Information Service of the Imaging Center Institute


This way works, too, but using the ;yo or ;py cuts down on hitting the spacebar
nn
Cuts in medicare and medicaid are about to take place
I have mentioned this but it was always deleted as I think the monitor thought I was talking politics.

There will be a marked decline in coverage for services to medicare and medicaid patients and I believe to offset this, medical facilities are finding ways to cut costs.

The cuts will be significant. You could do a Google search for Deficit Reduction Act. Radiology will be most severely hit, especially stand alone facilities.
DQS short-cuts to Word 2003? HELP!

Does anyone know how to do this.  I have been searching and searching for info and cannot find anything.  Please help!   Thanks.


Acusis is giving workers 30% pay cuts?
XX
Love the serrated bread knife! Cuts everything!! nm
s
Please back you info up. Pay cuts have not been announced. Have you received a letter? nm.

nm.


Ummm--read her post again, please--it don't say *keyboard* short cuts..it says *word* shortcuts
duh!
Depends on the file format of the Short Cuts file.
ShortHand comes with a utility file that can import various formats. You can get that file with the trial download of SH.
Depends on the file format of the Short Cuts file.
ShortHand comes with a utility file that can import various formats. You can get that file with the trial download of SH.
On the other hand....
if you're an experienced acute care MT, you can pick up radiology in a month or two.  I just did it earlier this year.  Never typed a minute of radiology before and a couple months later I'm "flyin" at it.  Yes, there's a learning curve, but it's not brain surgery. 
on the other hand...
If you knew the TAT on the account when you took it on, and accepted it as such, then your obligation is to have the work done on time.  If your personal life is getting more complicated and interfering with your ability to maintain the TAT,  then maybe you should let your employer know so they can replace you with someone who can meet the TAT.  Their first obligation is to the client, after all. 
On the other hand....
Just the fact that you would be working on only one type of report would tend be for better production.
None I can think of off hand LOL!
xx
on the other hand..emp vs IC sm

status.


Anyone have experience with companies who hire you as an employee, certain hours but don't provide you with the equipment you need?  Worked for a company that did that but no medical spell checker on their software, some accounts they want YOU to buy a C-phone for etc. etc.  Asked them up front if account I would be working on would have medical speller, told yes.  It did not.  Also there was some kind of ShortHand program built in that they knew nothing about, we couldn't get to and conflicted with the autocorrect I used in Word.  Kept asking and it was always we will ask the hospital and then nothing.  Went out bought my own spell check and whatever I needed then three weeks into working, they dump the account.


Start over with a new account, different problems, they want me to buy even more stuff.  Said no I am outta here!


Anybody had that problem?


You're right .. and here's 1st-hand knowledge -- sm

I start med school (been an MT for 24 years) August 2006. 


One of my classes last semester was Intro to Medical Practices.  I especially inquired about pro bono work by all the physicians and dentists who spoke to the class as guests each week.  All gave significant amounts of their practice to pro bono work.


One physician in particular impressed me.  He is a cardiovascular surgeon.  His main area of expertise is doing cardiac bypasses.  To make a long story short, because of insurance changes (MCare) over the past few years, he only makes about $650 per bypass for his own pocket and that is gross.  Of the $1850 MCare and insurance companies pay him for this procedure, it costs him $1200 in overhead for that procedure.  Until last year, he would often do the procedure for free for patients who could not afford it and had no insurance.  However, for 2 years he had to BORROW MONEY to pay his OVERHEAD because he did so much pro bono work.  He finally decided he just could not go bankrupt doing that.  So now, he STILL does HIS PART for free but the patient has to pay his overhead.  He tells them to call their family, friends, churches and if they have the $1200 for his overhead, he will donate HIS skills/time/energy for free.


The physician (maxillofacial surgeon) who directed this class said his annual pro bono work runs around $250,000 a year. 


As well, while dentists recoup 95% to 100% of the fees charged for their services (they are ALWAYS getting their money up front), physicians (with the exception of cosmetic plastic surgery) only recoup an average of 31% of their fees.  For every $1000 they spend on a patient, they will only get back approximately $310 and must write off the rest. 


Now that is INSIDE information - direct from the physicians and dentists we had in class.  I was shocked.  Not deterred, but shocked. 


Regarding that lovely cardiologist who gives so much away, take into consideration that the $650 for HIS skills/time/energy for ONE cardiac bypass -- he invests a total of 12 to 15 hours for that one procedure (that is WITHOUT complications happening) including his consult/operative time/followup visits, hospital rounds, etc.  That comes out to about $54 an hour -- and plumbers and electricians around here make more than that.  My Ford dealership in town gets $76 an hour. 


And now, since we are starting to do bypasses endovascularly through the femoral artery, he has to really put the money down for more education to train to do this or he will be out of business shortly. 


Interesting huh?!  When people make comments to me about my future as a physician as a way to "get rich", I tell them not necessarily so!!  LOL  I'm not doing it for money!  You couldn't pay me enough to go through all this at this time in my life!!  LOL  


Because I live with it first hand

I do get offensive when someone doesn't like my children simply because of their skin tone.  I'm not saying that the OP said anything about my children or even posted about the topic.  I was just offended that she can so casually admit to being a prejudice person.  Prejudice causes hate and violence.  I take offense to that.  I think that you should, and everyone should take offense to it so that it can be stopped.  If everyone were okay with it or  no one ever stood up about the subject, where would we be? 


Also, there is a difference between knowing someone as an individual that may be a "bad seed" and be a minority and not liking them versus not liking someone without knowing them as a person simply because they are a minority.


All I know is, when those of us who are saved make it to heaven, there will be every race there right along with us, as God has created us all in his image.


Don't need hand holding.
I don't expect them to hold my hand, but it would be nice if they at least pretended to be somewhat human! Compassion for another person's loss only takes a second to respond to.... as you said in your post. It only took a second right? Most of the time I am with you, I would rather NOT hear from them. But of course I sent an e-mail to tell her that I would be out for the funeral, she could have replied with a condolence. That's all I am saying. I think that's a bit of a problem with the world in general these days, no one even seems to have time to be kind. Thank you for your second to respond and give your condolence on my loss!
Hand stress

I've transcribed since 1983.  You can lessen hand stress if you observe how you hold your hands as you type.  When I was in my twenties I noticed that there was a real difference in the way I held my hands and how the older transcriptionists (they had their wrists up and hands pointing down at the keyboard).  I have always had my wrists laying on something and my fingers are going up.  I have never had one bit of carpal tunnel or pain whatsoever.


I agree 100%, on the other hand
They are all "red" states, you would think Bush would give them a payback for giving him a job....hey, maybe if we tell him Osama Bin Laden is there he will send some troops.
Two first hand accounts..that's where
Any excuse to blame him...that's okay. Very expected. Very insignificant.
Well, Bush DOES consider himself at the right hand of The Man...

I have Short Hand. Never used the others -sm
You can install ShortHand on multiple PCs. I like it. You can actually have one shortcut for a few things (found that really, really useful). You do have to pick from the list which one you want, but I'd rather be accurate even if it might slow me down a little. It has drawbacks too though. If you forgot to put -ed on the end of a word for instance, and you go back and do that and if ed is one of your shortcuts, it will expand when you don't want it to. You can save your personal shortcut dictionary (which is nice for backup) and install it along with the program on other PCs. You can also convert an old PRD dictionary from WP if you had one and possibly others too.

It works with anything windows and you can have multiple dictionaries for multiple jobs or facilities that might have different rules.
best hand lotion..sm
This stuff is great. It's about $12.00 a bottle..maybe more now..check out Silver Lining.com ... it has MSM in it and I have actually used it to relieve my carpal tunnel pain. It's a great healing lotion. Wonderful stuff!
Help! Does anyone have first-hand experience with VR, and if so,
what about the MONEY? I do not mind learning it and am excited about the new possibilities and where MT fits; however, am I to expect a major pay reduction? I imagine full-time with benefits will no longer be an option?

Please, any substantial information will be very appreciated...I am only interested in the money, so I can pay my rent, my utilities, my groceries. I do not have a husband who supports me, so live paycheck to paycheck.

Is it possible to make any money?

Thanks all!
leg and hand edema

I have had a problem with swelling in my lower legs and feet and also my hands for the past few years now.  When this first started I had problems with headaches, went to the doctor and found my blood pressure was high.  So now I take HCTZ 75/50 once a day and do pretty well on it.  It is a pretty good diuretic and my B/P is very well controlled on it. 


In the mornings I have no swelling at all, but I notice though that by the end of my workday my hands and legs are really swollen.  My doctor says to just start exercising regularly and elevate my feet whenever possible.  I also try to avoid salt.  I'm a bit overweight so I'm sure that is not helping either. 


I'm just curious if any of you other MTs have this problem also and how you deal with it.



Hand raised...
I too tell my teens to get off the phone, bed by 10:30 usually, curfew and such. It's hard because her friends don't have curfews and she does. It's very difficult to be the "party pooper" but somebody has to.
Want to hold my hand.
I agree, insulting a fellow MT is uncalled for, let alone a PS to imply this is unprofessional. I guess the word "brain" "dense" and "childish" are your words for the week! That makes what now, ? MTs you are wondering whether they have brains or not, are dense or childish. Oh, and please stop YELLING at people posting on this site. We are not children nor do we act like a child. Be kind as if we were your children, because you obviously are not around adults often enough. Geez!!!!!!! PS: Congrats to making fantastic money. I'm sure you are very dedicated.
This post is getting way out of hand--sm
consider dropping all comments now, before some people end up getting banned. just a suggestion.
I'd force her hand. sm
I'd definitely force her to do the deed if that's what she's up to. I sure wouldn't make it easy for her. It sounds like you've done a good job for them all this time. As for the pay, I think I'd be tempted to mention something about how they could afford vacation, but not be able to pay you, especially after you spent your vacation at home. The idea that she'd do that burns me up for you! Furthermore, you know darn well they've got the money. She's just being vindictive. Make sure and update after next week. We'll be wishing you luck with this sticky situation.
I just checked this out, Hand-Eze about twice as sm
expensive. About $20.00 for a pair of Hand-Eze and $11.99 for a pair of Thergonomic Hand-Aids. The only difference I've found is the color and the name.
Hand Pain Help
You may also try taking magnesium and B6. Magnesium is a natural muscle relaxer, and the B6 works with the mag. Your problem is not exactly the same as mine was, but it could help you too.

Several years ago I developed carpel tunnel syndrome that got progressively worse over a several of months. Magnesium/B6 is what the doctor suggested, and within a week, my pain, numbness, tingling....all the symptoms, were completely resolved!!! I haven't worn a brace since! The dosage I took was 2600 mg of magnesium a day and 200 mg of B6. Adjust the dose as needed.

**Word of warning - if you develop stomach problems (to put it nicely), cut back your dose. Loose stools are a side effect of too much magnesium in your body, but it doesn't mean you can't take it...just cut back the dose until you get to a comfortable level. Good Luck!
hand cramps
My hands were bothering me over the past 8 months or so.  Last weekend I went river rafting and even though my wrists were aching and felt weak, I had to row!  Bottom line, the next day my hands/wrists were feeling fine. After working one afternoon, I had cramping again but I think exercising in kind of a cross-training way will fix them.