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Serving Over 20,000 US Medical Transcriptionists

The hard time was the past thing.

Posted By: Abdul Wajid on 2008-03-24
In Reply to: Line count - Barbara Hanna

Hi, I have just joined Spheris Hyderabad. Two months for settling down is what they give you and after that it is your regular type-type-type. There are nooooooooo problems with this new Spheris Clarity (R) platform. With this, things are just moving smooooooooothly.


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Must have been hard to do that....in the past I have done a lot of child sexual abuse reports - sm
and they were no picnic.  After my mom died, it also seemed I got a lot of congestive heart failure patients (what she had), and now since Jen's diagnosis of Wilms, I did 2 letters last weekend on two other kids with Wilms at the same clinic we attend.....what freaked me out was the Stage II child had a 3 place recurrence at the completion of his chemo, while a Stage IV child was just fine.....Jen is Stage I....and then at her ultrasound this week the doc was extremely thorough (more thorough than the last one, same doc too) and it made me a bit uneasy as he did stuff this time that he did not do last time.  But he said all was well, said they get faked out a lot by shadows where the removed kidney used to be that looks like recurrence so they have to be extra careful and rule out that possibility.  But the child abuse ones, when I used to get them, were definitely depressing, can only do so much of them.  
New MTs a Thing of the Past?
Interesting perspective and comments!  I agree with some, notably about VR.  I remember when I started, asking about if VR would replace me some day, and then the answer was "not in your lifetime." Ha!  I have lost accounts to VR.  I am still an MT, and things are constantly changing, you are right.  Thanks for your comments!
HIPAA is in no way a thing of the past
are you actually an MT? You must be totally out of touch with the outside world if you believe that. HIPAA is alive and well and offenses are prosecuted. You might want to brush up on the laws and consequences if you want to call yourself a professional, or even a knowledgeable MT.
Working full time at home with small children is hard but part time works great
is almost impossible. You will either have to work when your spouse is home or for only a few hours during the day and then more when they are asleep. I work part time at home and my kids (2&5 now) have done very, very well. They are great kids, very well behaved, don't get into much. I stop working to check on them/give them some attention every hour or so while I work (5 hours each afternoon or so) and they get all my attention in the morning and at night. It has worked out beautifully for us.
I can't get past Mariah doing her "wiggle the fingers through the air" thing to listen to w
:X
In time past my child was diagnosed
with a disease that is catastrophic. He was in college and quit that day. I was employed in hospital setting and immediately sat up Cobra, and carried it for about 4 months I think until which time he got a job and got his own medical insurance. My insurance covered as long as the child was in college. I knew with the disease if no insurance bridge would never be able to be covered again and with the cost of the medications needed just an overwhelming thought and even though I have money, would never be able to cover the costs of thousands every month to be paid out.
It is a hard thing.....

But I started my son out in life by telling him I would support him in anything he did and any decision he made as long as it was good, was lega and didn't hurt anyone else!!  I feel you must trust you son in this.  Perhaps something happened that he is not yet willing to share with you.  Putting pressure on him now regarding that scholarship could be a very bad thing.  Sounds to me like you have raised a good and responsible son.  I don't think you should question him too strongly?  I know, money may be short and it may be his only way into a good college but what is more important? 


It is a hard thing; we parents only want the best but so often we tend to see the end of the "dream", (is it our dream or your child's dream?), without seeing all the ramifications that the child endures.  Trust in your son.  Of course, speak with him occasionally, try to find out what may have happened to cause this change....I would think something apparently did happen.  You may never know....he might not even be able to pin point it himself.  Again, trust in the fact that you have raised a good son and that he will do well in whatever he endeavors.  Let him lead his life; just keep the reins tight enough that he does not stray.


I only say these things because I've been through it.....teenagers are a real challenge, (the terrible 2's are nothing!!).  They are growing into men and/or women and becoming the people that they will be forever.  Please give him the chance to find himself and to be the person HE wants to be.  Don't cry, take pride, you are a good mom and he is a good son. 


That's one thing that is hard......
I do very well as an MT and make well over $11.50 an hour, but I do think it is hard to justify how someone living in a lower cost of living state can do VERY well and someone living in a more expensive state can barely live off of their wages, when pay standards would be higher there.  One more thing that is frustrating in this industry is the lack of raises like EVER in my experience!  I have been doing this for about 6 years, I was a nurse previously and I make well over what I could make on any nursing job, BUT I have never gotten a raise with being with the same company this long.  The "idea" is you get faster, therefore you increase your OWN pay, but I think I pretty much type as fast as I ever will now without some added bionic capabilities and the company I have been with for 6 years, I have had the same account, so I can almost tell you what the dictator is going to say before it comes out of their mouth.  I do make good money, but the way the cost of living continues to rise, in a few more years I will be making average money, since there is no cost of living raises.
Okay, next time I'll run the topic of my posting past you okay, Your Highness?
x
That is a hard thing to comment on
I don't know the answer either that will make everyone happy.
Next time I'll run my postings past you for approval then, okay, posting police?
I love the "my way or the highway" attitude. Get over yourselves.
Another thing that's hard to fight these days...
Try to find a kid whose parents actually have standards about what kinds of movies or television channels their kids can watch?  Honest to Pete, I've seen 6-year-olds in R rated movies, on a regular basis.  I try to tell my 11-year-old that she may not see certain PG-13 movies (which are sometimes worse than the R rated stuff) and all I hear is about how all her friends can see anything  they want.  We don't allow MTV, South Park, any of that garbage.  They don't need it.  Kids are getting so hardened by all the smut and low-class entertainment  out there and  I just refuse to condone it.  We have kids next door whose mother listens to Eminem in the car with them and lets her 8yo watch things like Texas Chainsaw Massacre.   And don't get me started on the cell phones.  No properly supervised 10-yo NEEDS a cell phone.  I got my oldest one last year  when she turned 16 and began to drive.  But I'm hearing about how half the 6th grade already has one.   Why?
Change is hard, it be the worst thing or an opportunity sm
It is all about attitude.

I have done a fair amount of switching in my time. I have one of my IC situations for 3 yrs, the other for 6 months. I am giving up on the 6-month arrangement for a full time, with benefits and using my favorite expander, actual job. This is all just in time for the new year and I am excited about it.

I won't lie to you, a new job with new software, new voices, new management, new people to work with, new specialties...it is stressful and there will be a learning curve. Sometimes the learning curve is too steep, the platform a dinosaur and all the voices seem to speak Greek and not Latin like they are supposed to, and you move on again. I am convinced the right fit exists for each of us.

You also need to know that most of the situations out there currently pay you about 2 weeks after you do the work, they do offer direct deposit and other nice things. Having not had a rubber check in the past 5 yrs, I can tell you it is nice not to worry about that either.

Best of luck to you. You are not alone, come back and tell us how you are getting on.
What a terrible thing to call a hard-working MT.
Disgusting name to call someone who has worked very hard, probably gone to college to learn this, invested a lot of time and money, perhaps worked in a hospital, certainly worked very hard, to be called a slob!
sorry you are having such a hard time...
but I honestly do not know what you mean. may I ask who are you talking about.

at some point, people have to stand up for themselves, that is, in my opinion, what
"this country is based upon." thank heavens some people felt they were worth more than just working for the government, and left to start a new life here.

if you are upset about the postings regarding MT profession disintegrating, then I disagree with you.

we do perform a very important service, one that helps our 'fellow man' every single day, in the over-50 reports we probably transcribe each and every day while people wait to have surgeries or need emergency care.

we are typing those reports to create a legal document with our names attached to them as well.

this is not "pissing and moaning" but active dialogue with the hopes something good can come out of it. sorry you feel that way, and I am sincerely sorry you are being touched by those problems because of a natural disaster...
I have a hard time understanding if this was so
wrong then why wouldn't anyone not even your own husband be on your side?  I don't know about this one.  Something doesn't sound right.  JMO.
I'm having a hard time understanding why you
That doesn't make sense to me.  Just because you transcribe a report, that doesn't make you the only person who knows about it or even a significant person in the whole process. 
Oh one more thing..if your traveling and staying at hotels, plan ahead. I learned the hard way.

A hotel that states they have "internet access" does not necessarily have it in your room. A lot of them have what they call a "business" center where they have like a community computer to share with other guests or to have access on your laptop you need to sit in that room. I dont know about you but I dont feel like dragging out all of my equipment and sitting in a lobby somewhere to work. Double check that they have internet access available in your room.. and be forewarned that most chart for wireless internet access like maybe $10-12 for a 24-hour period. We just got back from Vegas, and to me, it was worth that fee for a whole 24 hours. I got the most work I could out of it.


I have a hard time believing your overhead
I think you should consider selling your clients to an American-based company and go back to MT'ing.  It doesn't sound like you can handle the pressure of being a business owner.  I am an IC that makes 10 cpl and my MTSO owner does not mind at all that she is only making 3 cpl off of my 10 cpl, but she does not have to QA my work or do really much of anything, and she's clearing 3 cpl on my 10.  Now, if you have complaining MT's, then you need to be more strict about TAT and QA.  They should not require you to QA once they've become familiar with the dictations.  Also, you need to find a way to also provide 24-hour turnaround.  The problem here is that you are only willing to pay 7-8 cpl.  I'm still baffled as to the cost of your overhead?  Most physicians supply paper, their own dictation equipment.  FTP sites do not cost that much.  Lot of eyebrown raising ???'s here, that I don't think you are being forthcoming.  JMO.  Good luck! 
A little hard and time consuming to figure out
If you do 300 lines per hour of 65 characters with spaces, no bolds, no caps, etc.then that would be at an average of ten words per line, 12 courier font - 1 inch margins, and so that would be 3000 words per hour divided by 60 which is only 50 words per minute.  Your speed on transcription is different than regular typing as you have to account for stopping, listening, correcting, etc.  For reqular typing speed I would double what your transcription speed is.   I would tell them what my average transcribed line count is and tell them to figure out how that turns into words per minute. 
It's hard so that you'll fail the first time and
Tell your employer that the money you give to AAMT/ADHI for the 'privilege' of taking their test is funding the progressive offshoring of the American MT profession. If you've been an MT for nearly 30 years, you don't need a CMT after your name. You were a professional MT long before that bunch of con artists dreamed up that scheme to make themselves rich by making MTs think they were on their side. Now we all know better. Don't fund their offshoring scam!
I must say, I haven't laughed so hard in a long time
The above "Frank" conversation is a classic..  You guys have made my year with this one. Soooooooooooooooooooooooooo FUNNY!  You two are in the wrong line of business.  Thanks for making my day.  I laughed 'til my stomach hurt.
I loved my account with Spheris, but had a hard time
punching in and out.  I worked originally for Healthscribe and then they merged with Spheris.  Things didn't change for quite a while and then all of a sudden things took a crappy turn for the worse.  I ended up with at least 5 accounts that I was in daily.  I went from having to punch in and out and being required to work full time hours to stay a full time employee even though I could get my work done in part time hours.  I didn't stick around and after 2 years with Healthscribe I left shortly after the merge was starting to take shape.  Like I said, the biggest problem was punching in and out.  Good luck.
I had a really hard time with a pastor who preached on marriage
when I knew this was not his first marriage. I couldn't stand it. All the things he said applies to us, but what about his first wife? Where does she fit in? Too confusing for me.
Waste of time and hard-earned money
when you can only make may be 1 cpl more if you are a CMT.  They should not charge you, they should just let you take the test and send you the certificate. 
chiefly British past and past participle of SPELL
nm
Wonder if you scrub them too hard. I wear my soft ones for 2 years at a time! nm
s
I disagree, first off, I have a heck of a hard time hiring qualified US MTs
client ready work.  Then, when I do hire MTs I constantly run into the problem of how they only want to work part time or can only work 2 hrs on this day, an hour here, or an hour there, or the next problem is consistency.  Out of the blue, oops, can't work today, or I lost connection to the Internet yet they're too stupid to go offline instant messenger.  One MT owes me money because I was nice enough to help her out (yeah I know my fault) and she screwed me over.  Such drama.  It's a CONSTANT battle to find good US MTs.
Goes both ways. I have a hard time with tenses when speaking Spanish. :)
s
ROTFLMAO. STOP!!! I haven't laughed this hard for a long time.
Can you imagine 10,000 MQMTs just wanting to show Frank a personal touch?  He will be one tired guy.
I spent about a month in India and they do speak English but sometimes I had a hard time
understanding the way they pronounced the words so I would ask them to spell it.
I meant bought. Hard to type and listen to the music at the same time.
:
I would not; most of the time those type files, although not usually hard medical terms, take lots l
to type and are very difficult as it is hard to hear with background noise, different speakers, usually no macros, etc. I think they are worth more pay, not less. I also get paid by the word at 0.008 and had figured mine to be about 0.09/line as well in the past. stick with where you are.
one thing at a time

FACT:  VR works if "all of the tumblers click." But most importantly - the correct sound card and microphone, you dictate correctly (you cannot dictate in the same manner that you talk to someone), and you take the time to correct errors (that could be as they occur or at the end of the day). Remove one ... and you're going to have problems.

>>>And obviously you don't work for Transcend or MDI-FL where not only is the VR platform crap, but the accounts are difficult accounts AND our Expander program still doesn't allow macros. 

That was never mentioned in the original message.

>>>If you're making money, you must not have made that much before VR. 

Depends upon your definition of "that much."

>>>I was making over 9 cpl on straight typing at 400-450 lph on an account all ER and OPs. 

I currently work on four to five different accounts, all acute care with a wide variety of dictator (maybe 100 or so). ST and IT will not work for me. I've been using Word w/ AutoCorrect all along. I don't know squat about macros and templates. With that ... depending upon the dictator, I average 275 to 325 lph.

>>>There is no way possible to produce 900 lph to just break even to what I was making let alone to MAKE money on VR. 

Not true ... or was the $75+ I made in 1-1/2 hours my imagination?

>>>You may be using your macros in VR and doing the same thing you did while straight typing, but you're making less money doing it. 

I never said I use macros in VR. In fact, I don't. Everything is straight dictation for me.

>>>I don't care what company you're working for, they aren't paying you the same rate for editing VR as they did for straight typing, and there is NO WAY you're producing over 900 lph, so my statement stands about high producers not making money.  The only point you made is that you had to be a mediocre producer to be making money, otherwise you'd just be breaking even.


Excuse you?

1.  VR is not for everyone. I have said that many times. But it's a real life saver when you have physical ailments that slow down your production (I had a busted finger and was casted for a month). You ever type with two fingers casted together?
2.  VR works for people who are willing to do what is necessary to make the product work correctly. And from what I've read "around town," most are not.
3.  *I* can produce more lines per hour using VR, without the macro and template features, than I can typing in Word with AutoCorrect. I don't have a good memory, and that won't change. So why would I type? Very simple ... to keep my hands limber.

If you are kicking out 400-450 lph on the keyboard, however you do it, then keep right on doing what you're doing. And I'll do the same thing.


One thing at at time
Try focusing on the here and now. Sometimes thinking about EVERYTHING is just too much. If you stay focused on whatever you are doing right now, such as dishes, watching a movie, transcribing, the time will pass and you will get through this. One day at a time, one hour at a time, one minute at a time.
I think it's the stupidest thing on TV in a long time.
x
That's why I asked if it was a one-time thing or a pattern
A one-time slip-up is bad enough, but some people have a "serial cheating" personality that is unacceptable and definitely a deal-breaker.
Some people like to keep a Time Clock thing showing on their monitors, too. But
s
It's always the first thing a computer person asks me...lol! And it works a lot of the time. nm
nm
Oh, my. That's the funniest thing I've read in a long time.
AHDI: Solving the world's problems, one foreign MT at a time.

ROLFMAO
The FUNNY thing is that in the amount of time it takes for them to post a message
x
I thought there was one to cook in crockpot. Don't have time to do the stove thing today but than
:(
Honestly that is the most intelligent thing I've heard from an MT co. in a long time. Completely
You have to be able to retain knowledge.
You have to know how to reserach effectively.
You have to be able to use deductive reasoning.
You have to have confidence in your decisions and not constantly "need assurance."
You have to be able to separate sounds in your head that are both internal and from multiple external forces.
Some of these can be taught, some are innate, some take years to develop, some either you got it or you don't.
But why sign it to put the past behind? The past should have

It seems that they dredged up the past by wanting the release signed to keep them out of trouble for unfair employment practices.  Usually when a person ends the working relationship, they give formal written notice, the company accepts the notice, and the employment is over.  Smells pretty fishy to send a termination agreement and, oh by the way, sign this release.  LOL


If it rains hard, the wind blows hard and there are trees
nearby, it snows heavily it will mess up the signal.  The speed is not constant, sometimes as slow as dial-up, but at least still connected.  Many companies will not allow satellite. 
So, you think it is okay for hard-working MTs to earn 7-8 cpl for their hard work?? nm
:{
Same thing with nationals. You work all the time to keep the account caught up when others dont work
and then when they decide to put a whole lot of extra people on your accounts and run you out they could care less about how much you worked.
Have gotten as much as $3,000 in the past.

The hospital I worked for for 28 years (as a medical lab technologist) always gave us a Christmas bonus. This ranged from $3,000 one year in the 80s down to an orange (yeah, a piece of fruit) and a calendar a few years later. It usually averaged, though, around $200 or so. It always depended on the hospital profit for that year.  


The clinic I work for now gives us $100 and a really fancy dinner-dance party (that I don't ever attend).


I have used it in the past
I had it before I got DSL.  Never had any problems at all. Lots of local numbers to call into.  Never really had problems getting bumped off.  Never had problems with busy signals.   Just was really slooowww  (as is any dial up).  I paid a few dollars more a month for the "accelerated" version.  It was supposed to be faster, but I didn't notice any difference.    I would definitely recommend it as far as dial up goes, though.   
I have done this in the past and have just taken another
full time position with another company.  If you are motivated enough, then go for it.  The only advice I can offer is if they are both full time jobs with full time line requirements not hours, when the first full time job picks back up, are you going to be able to do both jobs full time?  That is the only problem I had but I was able to do it just fine. 
his past was his past........if you...sm

If you have never learned in life that yesterday is history, tomorrow is a mystery, today is a *gift*, that's why we call it present...and to forgive what was years ago and condemn him in his 60s and continually name-call him, such as *perv* - you apparently have the personality disorder.


Everyone is entitled to their opinion, just as I am.....so like I said - go into the mirror.......and become introspective before you name-call....


oh, and your history is 100% perfect?  Oh, I get it - you have no faults from the past or prefer to point out everyone else's faults or past. 


'tis all in the attitude.......