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Try to work w/o distractions, if the cost of day-care is an issue -sm

Posted By: Laura E. on 2006-01-18
In Reply to: New Job - NewMT

then you will have to learn to work when your kids are sleeping basically. That is what I did. It is hard and you do not sleep much...I generally worked at night until 2am and got up at 8am before they were old enough for preschool, and squeezed in work here and there during the day. The younger they are though the easier it is to work I think. But you can do it, but you better be determined if you want to do it that way. I still work at night but not that late anymore since I have 7 hours during the day to myself now. It's still very hard to work when they are home (5&7) but my DH watches them a lot and takes care of them when I do have to work and they are home, so good home support helps too. I have 2 jobs so must still work crazy hours but I do what needs to be done.


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Cost should not be an issue!
Do not try to save money by getting a cheaper chair, that is exactly what you will get....Cheap!  I have a chair that has 4 different adjustments plus I use a lumbar support.  Your back is worth it, don't skimp!!! 
I work long hours and keep distractions to a minimum sm
and very, very luckily was assigned an account that was an excellent fit.   I'm pretty sure you all won't believe me anyway and I'm not sure why I bothered to respond  but my "secret" is just hard work and dumb luck.  Plus I do Radiology and for me that is a big part of the equation.  
IMO, people wont care. If will cost them more
x
My take on a big part of the high cost of health care and why we are

Do y'all know how much nurses get paid?  My sister is a nurse and gets around $40 an hour, where she works no weekends, no evenings, occasional call for which they get paid very well, OT if they happen to have to go in on the weekend, DOUBLE PAY if they work on their birthday, etc., etc.  And then there's the pension, and the great insurance and on and on.  Sometimes all they have to do is make phone calls to make their dough, and I am not talking OR nurse.  And then we get thrown to the dogs.  And no, I am not going to go into nursing because I am too old.  I am just disgusted. 


I dont care if you stay home because ofyour kids, a health issue - sm
or because you just like to work in tne nude. The fact of the matter is, settling for a lower rate jsut for the convenience of working from home is BS. I've been doing this for 25 years and have been home since 1996 and while I know I am not making the same money I did in the haydays, I sure as he11 will not work for less. Many of these companies are bluffing if they tell you they have to lower your rate. In fact, if you hold your ground and have a decent reputation, you can even make more.

It's too bad that so many people don't believe in their abilities and worth to hold out. You should never base your decision on fear. Use logic and common sense.
That is our issue here; I work in the MBR - sm
and he cannot sleep at night due to my typing. So he sleeps in my 1 daughter's room now and she sleeps in the MBR with me. I am in the process of setting up a second computer in our dining room, just need to get off my butt and load a few programs, load Expander dictionary, etc. Then will finally get everyone sleeping where they are supposed to. What is so funny about it is that he cannot sleep with my typing but has to sleep with a radio on or the TV on....makes absolutely no sense. So once I get this situated I will start working out in the dining room at night when everyone goes to bed, or at least until they (he) falls asleep, once he is asleep a bomb could go off and he won't wake up, just takes him a while to fall asleep though. But I will do what I gotta do to get things back to normal around here.
Yes, distractions such as forums are
real time/line-stealers. I'm not working today and have some online research to do so I'm here today more than usual.

Good luck!
There may be plenty of work, but that's not the issue. -sm
The issue is having to compete with low foreign wages & standards of living. In order to continue to afford to live in this country, especially some of the more expensive states. Granted, I have no problem with seeing people in other countries get ahead, but not at the expense of those of us in THIS country.
It's definitely a work quality issue.
I'm having a tough time myself. I had the ultimate in great MT jobs up until just recently. Seriously, my Expander stats were running about 70% per day. Now I'm doing maybe 20% on my expander stats because I have a new job where the dictators just ramble on endlessly and backtrack often. It's about $11 an hour and the schedule doesn't work for me either. After I pay taxes and equipment costs, I might as well be working at Burger King or Walmart. I don't know what I'm going to do. I can't make it on this low income. Maybe those sweet accounts only happen once in a lifetime, and my sweet account is gone to VR.
No distractions. Stay in your chair. A timer.
x
Ask the techs where you work. Probably software issue with their program. nm
s
It is a Transnet issue. The hospital I work for has the same problem. nm
nm
Is this a semantics issue or is it a you versus frustrated issue?
Which ever it is, if your feeling superior on a board makes your day go on ahead. I am sure frustrated knows what she is doing and now so does her boss. I am also sure that in the future frustrated with think twice about how she words every sentence perfectly so that you can perceive it correctly. After all, that is what she would rather be doing than kissing her little daughter. NOT.
Good for you frustrated, for handling it in a professional manner. For the other MTs on here who need to get a life, well, maybe they shouldn't bother since feeling superior here seems to suit well. JMHO.
It isn't a Smartype issue it is a Word issue
On the Word toolbar at the top, click on Tools, then Autocorrect, then check the box that says "capitalize first letter of sentence."  That will do it for you.
Don't these MTs even care about their work?
I'm blown away...how do we stay in business as MTs when this is being sent to hospitals?
Do you really think they care who does the work
or basically how it is done? I don’t think the physicians care at all.
I take pride in my work. I always take care, as if the
aa
very refreshing to see someone care about their work - sm
I only wish that the service that was transcribing our hospital's work did the same. Their work is beyond horrible and the account manager that we have to deal with is a b**** on a good day!! She has every excuse for every request or correction we send back to her. Oh... I'm getting off track.

Anyways, the service that our hospital uses has transcriptionists that cannot punctuate if their life depended on it. The sentences run on and on and on and on. The doctors even say the punctuation and a couple of transcribers STILL WON'T PUNCTUATE!!

Oooohhh that feels better just getting it off my chest and fingers!
They think they don't care how we get the work as long as SM
it gets done and doesn't cost them anything. That's what they think. If you can't do it, they'll get somebody who will.
Acute care work goes by
work type. Consults are a work type, discharge summaries are a work type, OPs are a work type, H&Ps are a work type. They might also have ER, cardiac procedures, neurology procedures, and others, but the bigger hospitals may have other, possibly in-house, MTs doing procedures and ER, so it mostly refers to the Big 4 work types.
I also work for acute care and we are
x
XMTSO doesnt care where you are going to work or what they
;
Not sure if this will work, but hit control shift 8. This might take care of it.
Hope it helps
Do you use child care so you can work? Write
x
Clinic work to acute care
You are on the right track but it's just that no one has given you the break. Most MTs start with clinic notes and then wait for a break into the Big 4 doing acute care. Don't get discouraged. Yes by all means, test away and you might just get lucky. Take any job you can doing acute care even if the pay and hours are bad just to get experience under your belt.

It's not easy making a go of it these days even with tons of experience. Ya gotta be a little clever and have a game plan. Look at it as a challenge and keep at it. Best of luck to you.
I am sorry, where I work we are swamped. It is acute care, though sm
I worked clinic for my first 8 years. From September until March it used to be slim, very slim. That was half the flipping year! In acute care there is less ebb and flow, in my opinion. It gets lean around spring break time, and again when school starts. How long it is slow can vary. I can't even believe how swamped we are at this point. I can see the number of reports are awaiting transcription and it has doubled every 4 hours all weekend AND people have been working all weekend.

If you do clinic, I wish I had an suggestion of how to break into acute care and I don't. I went from clinic only, to a surgical center doing all OPs, which was HARD HARD way to do it. I ended up in an enormous teaching hospital because I had OP note experience. Mine was sheer luck. I'll pray you have such a neat opportunity and can make that switch.
I work 2 jobs, one FT that takes care of
my taxes (I have extra held out), and also as an IC.
Be honest - the only people who care where the work is done are the MTs! nm
x
getting paid is showing appreciation for my work. that's all i care about.
who cares if some supervisor "appreciates" me?  i'm in it for the money not for someone to "appreciate" me. 
Soft tissue work with chiropractic care
Moving/manipulating the skeletal system without addressing muscle/tendons/ligaments is useless because the bones will misalign again if adhesions, etc. in muscles (from previous injuries, bad biomechanics, gravity's effects on our up-right postures,etc.) are not dealt with. I'm in my late 40's so I speak from experience. Muscles are often the culprits that pull bones out of proper alignment. Stretching muscles with adhesions is moot. Consider most of the time we are bending forward in our daily lives; psoas muscles get stronger but back muscles (S.I. ligaments) do not.
Soft-tissue work is essential. Chiropractic care alone doesn't complete the job, hence, need for repeated visits over months/years.
Hope this helps.
You can't take care of an infant all day and work full time.
x
We may care what our work looks like & how correct it is, but many clients don't. They want words
j
Clinic work or acute care question....sm
If you were offered a job by two different companies, the benefits were the same, line rate was the same, everything was the same except one was exclusively acute care and the other was clinic, which would you choose and why?  I have two offers and everything is even except for the type of work.  I would think clinic work you could get more lines, but then it is not as marketable later if I have to switch companies as staying acute care would be.  Any input? 
I have 3 jobs, 1 FT doing acute care, and 2 PT doing clinic work. sm
It can be a challenge juggling things, and I really do not have much of a social life, but for now it works.  It not only keeps the wolf away from the door but allows me to build up a little nest egg and save for a mega vacation I have planned in November to celebrate turning 50.  Having goals definitely helps me get through it all. 
I started on Acute care, then went to clinic work, - sm
and then back again. I found clinic work to be more challenging, plus it often included radiology. I think it's more a matter of just getting familiar with each institution's way of doing things, along with new doctors, and getting familiar with a few new terms (which don't we all do every single day, anyway?) than it is one being easier or harder than the other.
Would anyone care to share where you work? I love OPs, but do CONS and DS all day.YUCK! nm
x
Hey honey, you can work at home and no one will care about your physical appearance. sm
I actually hired a girl one time who was overweight. She could not BELIEVE I would hire her. I told her I did not care if she weighed 1000 pounds, if she could do the work, she was okay by me.
Could your hubs become a patient of a home health care agency and then you could work for them
s
Acute care work is operative reports, consultations, H&Ps, emergency room, DS basically the type of
dictation found in a hospital setting as opposed to a clinic setting in which you just type office notes and minor procedures.
Kinship care versus foster care/adoption
Having been placed in a position where I now have custody of my 3 YO granddaughter and going through the legal system, I sought an online network of relative caregivers for children. I would encourage you, especially since you are in Georgia, that if you take any children into foster care with the idea of adopting them, there is federal law that requires the state to take certain actions in a specific time frame. When a child is removed from it's bio parent(s), the state is required to investigate any possible relatives who can take the child before foster care is considered, but even before that, reunification with the parents is the priority. Once a child enters the system and is in the system for 15 out of any 22 months, the state is required to find permanent placement for the child.

The problem with this is that there are case workers who may favor a foster family and do not seek out relative care. I have a good friend in Georgia who had to fight all the way to the state level to get custody of her grandson after the child was placed from the hospital into a foster care home with the promise that the foster parents would be allowed to adopt. She has now adopted her grandson, but it was a long, hard battle to get the state to admit their own interests were placed above those of the child and/or family.

If you get a child placed through the state, please make certain there is not a relative who wants that child before you get your hopes up. The courts are now favoring return of children to relatives even after a child has spent years with a foster family who hoped to adopt them.

States get bonus federal funds by complying with the time lines and being able to close the case, so some states place children in foster care because it is easier than trying to locate relatives.

Didn't mean to go off on a tangent, but I can't imagine my sweet bella going to someone outside her family.
If it was a clinic, it might have been urgent care, but it was NOT acute care. sm
Acute care refers to work in an acute care setting, a hospital, doing at least History and Physicals, Discharge Summaries, Consultations, Surgery notes, Emergency Department notes, and much more, including GI procedures, Cardiology procedures, Neurological procedures, Pulmonary Function Studies.  It goes on and on and it means and acute care hospital setting, not a clinic.
I always figure if they don't care about their dictation, they probably don't care about their
nm
Dont care how many languages you took. Care
x
cost??

Why is Andrews so much higher than Career Step?  Do you think it's worth it in the end? 


cost?
You will not be disappointed with Career Step. It is affordable, thorough and helpful.
TAT cost

A few years back, we got a mass email out of my office about just how much the out of TAT issue had cost over a particular week...somewhere in the ballpark of over 30 grand for just the top 3 major accounts. 


Yes, we've been told that the company has to pay hefty fines to the accounts for not being within TAT.  Not sure how it is today, but I can't assume much has changed.


CMT cost?
how much does it cost to take the test to be CMT?
It DOES cost a lot more to be IC - SM
On top of the self-employment tax, etc., you don't get the benefit of your company paying 1/2 of your social security so that is where most of your money at tax time goes to. If you are an employee, they match what you pay into social security so it's not as much. I went through the same thing and decided it was not worth my time to work any extra as an IC. I saw the difference in the taxes I paid. Good luck to you.
You can, but it's going to cost you. sm

Several references on Google that will cost you between $40 and $80 for a search, but it would have to be worth what you're looking for before coming up with that kind of money and  I really thing that these sites will not give you adequate information.


Check with your post office.  They may not be able to give you information, but if you or someone you know is getting unwanted mail from a P.O. box address, they can stop it for you.


cost (nm)
x
cost
Don't know if you ever got an answer for that. I purchased a model 0421 a couple month ago. While this is an older model, it works just as well as long as you get an honest seller. They are expensive and you tend to go out on a limb when trusting that they one you are buying actually works. I paid $145 for mine. Total w/S&H was 170, which was an excellent deal. Either deal through ebay or this site. You can find them in the 150-175 range. Read instructions on ebay closely some say not tested. I actually emailed a seller and gave him him a number of how to test the machines and he was tickled to death. He had no clue what the machine was for. I would say buy a used one before spending the money on a new one. There are a lot of these floating around for sale that have just been collecting dust because people are downloading off the internet. Nothing wrong with the machine, these people just have no use for the machines right now.