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So true, when I worked inhouse, the doc fell asleep

Posted By: mlstoo on 2008-12-04
In Reply to: Understand your frustration - sm

while dictating and actually continued to dictate while asleep "we packed the leg wound with BBQ sauce and grilled it". The service typed it as such and flagged it. Boy, was doc ever embarrassed. His fault for doing 50 charts at a pop.


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I do the same thing! I have fell asleep at ...sm
my keyboard before. It sucks trying to wake yourself up. I haven't found anything really that helps me that much.
I have worked inhouse at
made anywhere from the $11.00 range up to $26.00 (counting production bonuses). There is a wide range. The benefits are usually much better than working at home, but I much prefer working at home and will never return to inhouse again.
I worked for over a year inhouse
and my boss corrected all my work, every day from the time I started until I had less than 3 errors on a page and then I was ready to be doing transcribing. It was a good learning experience.
I always got up every now and then when I worked inhouse. When the manager complained, I just told
nm
my take is that she worked inhouse, not at home, and now wants to find out how to work at home. nm
x
Not true for me. I worked for Spheris for
almost 6 years when I left this past October. I have been working for MQ for right at 5. I worked on a PT status with Spheris and SE with MQ at the same time. I did FT production, though.

I've made great money at both companies. I know some have had bad experiences but it is that way at every company in the world, MT or not.

You have to know what you need and want from your job specifically and then see if what they offer will provide that.


I had a friend who worked there. It is true. She
escaped before it all went down, but that is absolutely true.
Worked inhouse for years and years
Inhouse transcription from 1973 to approximately 1992 and we had no downtime for answering the phones and when the physicians came into the room (or others) needing some assistance, just part of the job. I did not feel bad about doing it then and I dont see why you would either. You don’t realize that probably you are making right now more than if you are outsourced, right? You have hourly salary plus incentive. Guess how many of us have that now? Probably inevitable about outsourcing so I would say just enjoy while you can. The pay our here now sinks further and further. I make, for instance, 4 cents a line for voice recognition and 8 for straight. Now, more complaining?
Falling asleep...
I don't even need the alarm. I put my head back on the "cushy" part of the chair, tell myself "okay, I need 5 minutes," and I'm out like a light and will wake up 5-6 minutes later! I think the sheer boredom of what we do has a hypnotic effect on some of us and causes this. But you're right, when you wake up you're okay for awhile until the next time, whether it's 1 hour later or 4 or whatever. Glad I'm not the only one.
Sorry about that, guess I was asleep for
that answer.
falling asleep
Yes. I have it also, but mine is a health issue due to not sleeping post laminectomy syndrome. I have found that eating hot chips and/or eating crushed ice really helps. Above all since you are healthy, agree with the others see a doc. Hope this helps in the meantime.
Fell sorry.....
BRAVO!!!!!! 
Yep. I was falling asleep sitting up.
I went to the neurologist, and he put me on Provigil. Works pretty good. I'm also switching to an earlier work shift.
I'll be asleep, but the NY one is the ONLY one to watch! :) nm
s
LOL--Agree. I fall asleep sometimes too..
just nod right off. I go back and listen, and I've always typed it correctly.
45 to 70 minutes, if I don't fall asleep. nm
nm
I actually did fall asleep once, and kept typing.
When I semi-woke up at the end of the report I sent it in without extra proofing...had to do some fancy explaining the next day!  Now when I get that way, I take a 20-minute nap (set a timer).  It really does help for a couple of hours. 
Falling asleep at the keyboard

I wondered if anyone has any tips for me.  I have been an MT going on six years.  Suddenly, whenever I am typing, I am drifting off to sleep (and somehow still typing?).  I have tried background noise, getting up and stretching, walking, drinking, eating so much I've gained weight, nothing works!  As soon as I start typing, I relax and can't hold my eyes open.  Finally, I take a nap but my line count is really taking a hit.  This has gone on for several months.  I do not believe it is a health issue - I have always been healthy as a horse.  I think it is bordom or lack of mental challenge?  I really can't see myself moving on to another career.  Help!  I need to stay awake!  Anyone else have this problem?


falling asleep at the keyboard

Actually, I do.  If I am a passenger I cannot stay awake.  If I am driving, I realize I am halfway where I am going and cannot remember anything leading up to that point (such as lights, stop signs) like I am on autopilot.  Maybe I should see a doctor.  I appreciate all the responses.


I kind of fell into it
It's for a local insurance company. I have a friend who works there, and the service that they used was charging a lot. She knew I was looking for a part-time job to supplement my income (at that time I was working out of the home as a legal secretary). We started out working on it together, and then she stopped and I do all the tapes now. It's good money. I've been doing it for about 7 years.
hoo boy I am still half asleep, "better hope" is what I was trying to say - nm
x
I only relisten if I was falling asleep while typing. -nm
x
How dumb are you? Evidently you fell from somewhere.
x
Maybe it was where you post fell .. I thought
that you thought I was telling you that.

OH WELL I'M CONFUSED NOW. ROFL

I meant no harm or bother to anyone.

My babies are in bed. I'm going there, too. I think I'll just stay quiet for a while.
My husband fell back on ME. SM
He had his own auto repair business and I bought his parts half the time.
If a pill causes an abrasion while going down, it can fell like it is still there. nm
x
I got the same email regarding pay....ALMOST FELL OUT OF MY CHAIR

You have got to be kidding me!!


Just as above, the physician said the patient fell
and ordered CT scan and the doctor absolutely checking for confusion. The doctor repeated and I listened back to it, intensely. That was said, VR picked it up and how would a newbie know (brain, confusion, could be in some cases, right) it was contusion they were looking for? I did, changed and finally the physician said the correct word, contusion. I also have the VR putting in Dr. Pannicus and the like. Yep, you need to know what things mean, not just typing in words.
okay, thanks, I thought it was always Fri when it fell on a weekend...
nn
Sorry...wrong board. I am half asleep here in Calif.
dd
she fell out of the stupid tree and hit every branch on the way down

she fell out of the stupid tree and hit every branch on the way down


I fell down my steps in MARCH of 05 and my tailbone still ...
hurts a lot of the time.  Both soft and hard chairs are hard to get out of, depending how long I have been sitting.  My sister said about trying an inflatable pool ring, but there aren't many to be found this time of year!
DH refuses to watch it again- says we fell for all the hype - about (sm)

the show being a "classic" .  People on we barely knew.  We kept waiting for it to get "good".  Then the ending!!!!


Holy cow is right.  Is he dead?? 


Bahaha! Oops. I fell out of my chair.
You're not really a brunette, are you?

Thanks for the giggle.


Mother fell and broke hip Sat, sent home by ER doctor

who said it was only bruised.  Hospital calls Tuesday afternoon and says she actually had a broken hip and needed surgery.  In the 3 days before the nursing home found out it was broken, she fell again.  Has anyone ever heard of the radiology dept taking 3 days to read films?  It was Memorial Day weekend, but even so I don't think it should have taken so long. 


EditScript/Escription - Fell in love with it the first time I used it
x
I meant 2 medium garlic divided into the cloves...was half asleep LOL
x
My problem with working outside is falling asleep, what with the birds singing, the gentle
:+
disks in C-spine, then huge metal fan fell on back of head!
That is when the real pain began. A rhizotomy is where they cut the nerve roots to relieve the pain (anterior) or muscle spasms (posterior). I just had neurectomies, and my head has been worse for the last two months. The neurosurgeon was unable to get left side because my occipital nerve was entangled in the artery, but he got the right. Now I cannot feel the right side of the back of my scalp; however, I am still having a lot of pain! So much for that.
Wear scrubs, they're comfortable and you fell like you getting dressed for work See message.
Go to a local scrub shop, you can get a big bag full for about 100 bucks
Monkey bars aren't the problem. I never once fell off. Neither did my brother. Kids need to climb
c
I think an inhouse job would be the way to so
as you usually get paid hourly. Working at home is not that great. I found that out the hard way. I am just doing it until I can find an inhouse job, they are so rare. Going inhouse is better in every way. YOu do not have to deal with "Do it this way this day and do it another way the next" as is Amphion's practice, along with many others. Also, the inhouse job would give you valuable experience. You can always go back to working at home. You would only gain in experience by working inhouse. Good luck!
Inhouse
she probably wouldn't be making $41 an hour.
And Inhouse
Inhouse you will type for 2 hours, then get a 15 minute break, then type for 2 hours, get a 30 minute lunch and then type for 2 hours then another 15 minute break, then type for 2 hours and go home.  According to my friend who works inhouse they rarely get their 15 minute breaks more than once a day, so even working inhouse they only usually get about 45 minutes and they only make $16 an hour.  Being at home on production you can decide how much to make if you use your Expanders and actually type instead of surfing the net, etc.
I did go through that with my last inhouse position ...
and after I quit and went home to work for my present employers, I realized what the most significant factor was for my burnout: Working with the absolutely rancid attitude of unhappy coworkers. True, I should not have allowed them to get to me but they were unhappy over ANYTHING. Nothing could make them happy and all they did was gripe and b****.

I eventually quit going to lunch and breaks with them because I just didn't want to hear anymore negative spin on whatever was going on. Of course, then I was Miss Goody-Two-Shoes because I wouldn't fraternize with them. There was already tension enough over production. I got to where I would drive around and around the block before parking...then I would be late a lot because I could hardly bring myself to drive to work. I felt sick at my stomach as I got up, knowing I was going to walk in that office where such emotional poison was.

On their own, I liked these women - they could be funny, were intelligent, had a lot on their plates. But as coworkers, they were unhappy about anything that happened and just could not leave any topic alone. At lunch and breaks, they so horribly bad-mouthed the superv, the QA person, the management, the hospital policies, the equipment, the software, the incentive plan, anyone who wasn't sitting there's production, other people's dress and how they handled their family life, etc. I mean it was HORRIBLE. When I started back to college, they were mad as h*** because I got "special treatment" in their eyes. They worked whatever schedules THEY set, but apparently I wasn't allowed to do the same. I see now that they were angry because I was doing something different and progressive in my life.

Then, when I announced I was leaving I thought they would cheer because, after all, I was the outsider. Instead, they got angry. They were angry because I was leaving and they were left behind. They emailed and left voice messages a few times after I had left, asking how I was, and talking trash still about that hospital. I never called any of them back.

I'm done with that attitude. I literally cannot take it. The same issues were happening to me but I chose to look at it differently.

Making a radical change of quitting and going home into a completely different setting and controlling my own environment, pay, etc., was the key to recovery for me.

I also know that I won't be doing this much longer...THAT HELPS A LOT...LOL.

I appreciate the advice.

OFF TO WORK...
I had one when I was inhouse and loved it! sm

I just wish I could afford to get my own right now. It takes a little getting used to, but not too bad and it's soooooo comfortable. 


 


inhouse work

I am thinking about going inhouse to work for a family practice group.  What is the going rate per hour or per line?  I have 10+ years experience.  It would be working for 2 family practice physicians 25 or so hours per week.  Because I have only done IC the last few years, I don't know what to charge when taxes are taken out. 


Please advise what a reasonable hourly/line rate is .  I am not sure at this point.


Thanks


 


i used to be a coder inhouse. sm
my schooling was actually a combination of MT/coding so i had the option of either. i started out coding at a local doc office. i didn't have much of a problem with it. the cons i would say was dealing with people b*tching about the bills and medicaid pain in the *ss, but other than that was fine. i slowly picked up MT work on the side to do in the evenings part time, realized how much money i was making and eventually quit the inhouse job to go full time at home as an MT and tripled my money. not sure about coding at home so i can't help you there.
You actually WANT to go back inhouse and having to
?
I think I would stay with the inhouse job, have the
baby and take your maternity leave. While on leave, you can be looking for an at-home job, and maybe even start with them while on leave. Then, after your paid leave turn in your resignation.
Going to work inhouse again
Well, you would have someone to talk to besides your dogs and you might just enjoy the comaradie of other MTs. On the opposite side of the coin, it may just end up being a very competitive, cold and unfriendly place. You could try it and and prove yourself to to be a valuable MT and perhaps they would send you home to work like a lot of hospitals do now if in fact you would rather do that. If you find your home to be a comfort zone and enjoy your dogs, you may just not like working inhouse. It's your call and good luck