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What if you brought on a combination MT/QA person, and - sm

Posted By: Flibertygibbit on 2008-01-22
In Reply to: Question for small MTSOs - sm - Dizzi

you each transcribed, and then each checked the other's work? QA would go faster, more transcription could be done, and you'd sort of be killing 2 birds with one stone, while still being able to remain a small, high-quality service.


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A combination of both, but mostly A
People who have been dependent on the government their who life have never had anything expected of them but to take, take, take.

They then expect the government to take care of them and it's never enough.

They teach their kids to expect the government to take care of them.

None of these people have ever had to be resourceful, ambitious or develop any life-maintaining skills.

So it goes on and on and on.

The bottom line is this:

People will be what's expected of them. If nothing is ever expected of them that's what they become.

Somewhere along the line society was given some kind of responsibility for taking care of people who refuse to even try. I have no problem with the gov't helping out someone who has lost her job, got divorced, has an unexpected crisis, but most of these people have been on some kind of program for generations and just expect it with no intention of ever supporting themselves, and even worse, they reproduce like rabbits because there are no repercussions for the irresponsible behavior.
Combination
NM
I think its a combination of things, I myself would
That consistently runs out of work, because I have nothing to fall back on.  Maybe these ladies have a husband who can pick up the slack, so they are not so worried.  Also its a pain in the butt to post your resume and start all over with a new company, new dictators, and not to mention you don't know what you're getting paid until youre actually signed on and let go from your other job.  Whats up with that?  Why don't they ever post the actual salary like other lines of work?  They at least say "start out at 30,000k per year" or something similar.  Its a big mystery what your paycheck will be and thats a nail biter in itself. 
You will also sometimes find a combination...

There are accounts where you do the clinic notes (for office visits - H&Ps and consults) and also the acute care reports for that same doctor/doctors when they perform surgery or another in-hospital procedure.  Then you'll have the operative report as well as the discharge summary.  I love these accounts, as you follow the patient from initial diagnosis (sometimes after several office visits), through their hospital course, and then back to the office for followup. 


As far as knowing what type of work a company has - ask.  That is the best way to find out. 


combination of 3 meds usually (sm)
Most hospitals have their own chemo cocktails for mouth sores but most consist of Mylanta/ Maalox, Benadryl and lidocaine or xylocaine anything to numb the soreness of the ulcers.
That's a great combination!
When using weights, even light ones, remember that technique is very important. Move the weights slowly with no momentum. Don't let wrists flop. They should be rigid and slightly curled in.
There may be a combination of both. I nearly flunked

typing in junior high and I can't believe I make my living typing.  I know it is more than typing, but ....   I had no MT training, no MT education, just kind of fell into it.  My very first day I did 667 lines.  I wasn't working in an office but in the MTSO's home office.  I didn't have an Expander at the time.  Now many years later (18) I can do 2700 lines/day on a good day, but 1800 to 2200 is my norm.   My typing speed increased, plus my terminology has increased so I'm not looking up a lot of stuff.  Between the 2 it has allowed me to increase my  lines. 


You really can't compare what you do to others because there are lots of factors.   How they count lines, the difficulty of the dictation, the platform, etc.  


 


 


How about a combination of both approaches? SM
I've been using an Expander almost as long as the first primitive little DOS-based one became available. So of course, with no Mary Morkens or anything else out there, I started out building my entire system from scratch to suit myself. And I definitely believe it works for me much better than an imported system could.

However, ultimately it took a tremendous investment of time, and it's the only one like it in the world. If I ever lost it, I might just leave the field and start selling plants from my garden on e-bay or something.

A lot of people who work in offices will some morning come in and be greeted by the information that they've been laid off and a security officer assigned to make sure they don't mess with the computer. Will they have a copy of their dictionary at home or lose everything?

Losing a dictionary built on a standard system, then personalized and built up further would be hard but not crippling. And as pointed out, no need to reinvent the wheel...totally from scratch anyway.
I'd say a combination of B and C. House may be miserable, but after
watching all House episodes, he does have a heart, albeit surrounded by iron, lock with no key.
No but sounds like a deadly combination. nm
 
This is the perfect combination for termites too. nm
 
Different combination shortcut keys that I don't want to
also incompatible with Stedman Smartype (Word 2003 made a change that conflicts with Smartype, not a Smartype issue). Earlier versions of Word do not have this conflict.
It has to be a combination of talent for this work and SM
platform/work count. I have the talent and my production initially was excellent but then my income kept going down, and dowm, without any discernible cause. The difference was in how production was being counted on the other side of the computer screen. Fine, if it's fair and we understand why, but we weren't being told even that the decreases were occurring, much less why. Someone the ability to put out good work but without that initial earnings experience might think it was only him or her.
What would be ideal is a combination of the ErgoMagic
keyboard that can be angled PLUS that touch pad. hmmmmm

I'll definitely post if I find one that works for me.
Have you ever had "hypocrit" pie, a combination of applie and custard. nm
x
Oh I see, I'm glad you found a combination that works for you! nm
x
I work for the person. I know. Very excellent person, personally and business-sense.
It is an INSULT to have QA hovering over seasoned MTs who know what they are doing. She trusts her MTs and again if there are questions there is one person, a trainer, who can answer them via phone, e-mail or instant message or you can send the whole report to them if you choose.
Point was is the person willing to make up for the slack of the person who types 1 job when there is

if that is all they WANT to type.   Is the person who wants to be a supervisor willing to make up for those people?


You have crap supervisors, editors and mts in the business like you have good ones.   Sadly, the really good ones of all of them are few and far between. 


Gee, sorry I brought this up. : (
I didn't think of it as asking for medical advice. I know we are not doctors. Just thought someone might have some suggestions as it may not even be a fracture; it could be just inflammation.  Just wondered what others may have done in similar situations that has helped. 
what brought you to NC?
How long have you been in NC? Do you like it as much as Maine? What are the major differences?
What brought it up was
UPS came to my door and my little dog went crazy and she mentioned she had a kitten and then from there blurted it all out......
I am glad somebody brought this up...
I left Spheris  and took a job as a SE.  I am not sure how to handle saving for taxes at the end of the year.  Can you all give me some ideas as to what you do.  I have a terrible time saving money, LOL.
its not the point, its the way it is brought about
x
I also brought mine up with MM....
 
I'm so glad you brought this up....

I feel the exact same way.  As an IC, I do not feel I should commit to lines or a schedule.  In my opinion, finishing early, doesn't mean a thing.  As an IC, I have the option to refuse work at any given time.  If the MTSO does not like that, then find an employee.  I am tired also of finding that even IC status does not pay any better than the so-called employee jobs.  Yes, down time should be paid as an employee.  On another board, there is a job, IC status, 10,000 lines a week.  Cut me a break.  As an IC, you are supposed to be marketable to other accounts out there, not solely one account.  You should be spreading out so to speak, and if you commit to that many lines, then how do you market yourself to other clients.  Also, I find it rather odd when an IC status position is posted as full-time or part-time.  There is no such thing in an IC's world.  It is not that cut and dry. 


I agree with you..... wholeheartedly...... 


You also brought up points sm
I had overlooked. Being willing to work Sat, Sun, holidays etc. I realize there are folks that dont' want this type of job, unfortunately, IT IS THE JOB! Medicine is 24/7 and so is this job.

If a person doesn't want this kind of life, then they need to get out of acute care at least. Work in an office, M-F making an hourly wage. But, to make it in this business, at home doing acute care for hospitals, you have to be willing to work outside of what most people call normal hours.

Another point to be thought about is if you are willing to do this, when these companies are approached fron clients about taking in new work, guess who will get called to do that work? You will because you are reliable and good and they are trying to "land" an account. It is very nice to help a company "land" an account. Most of the time, you will have your choice as to whether or not to do that account or not and that is more stability in your job.

There are so many variables you cannot put this profession in a box like any other. You essentially make your own paycheck! Its up to you. In this economy, people better be ready and willing to work outside the normal 40-hour a week, M-F box if they want to keep a job. That is just the way it IS!!!!!!!!!!!
WHAT BROUGHT YOU TO TRANSCRIPTION

I admit, I'm one of those women who got into transcripton because it was something I could do from home.  I was 20 years old, single with a baby, and looking for a job.  My mother mentioned going to school for Medical Transcription.  I had no clue what it was nor did she.  When I asked what it was, she said, "I don't know but I hear you can do it from home."  LOL, that's all I needed to hear.  Well, that baby will be 21 years old in a few months and I have to say, transcription has been good to us.  There are actually 3 of us now, no hubby though, just my 2 daughters and I. Just thought I would share my road to transcription.


So, what brought you to the world of transcription?


What brought me to transcription
A moment of insanity!!!!  That moment has turned into way too many years.  It seems that a lot of us fall into the same seat when it comes to reasons.  I was a single mom raising two sons, and it paid more money than the job I was doing in the insurance dept. of the HMO I was working at.  The chief of Nuclear Medicine asked me to come to work for him as his secretary/transcriptionist had quit.  I knew him from when I worked as a unit secretary at a small satellite hospital of the large HMO and he did overnight call.  By the time I bid on the job (it was a union setting) the transcription was well over 6 weeks behind.  My office was a patient's treatment room and the day I walked in there were nuclear medicine film jackets stacked half way to the ceiling on the entire patient exam table.  I had a strong medical terminology background but no transcription or Nuclear Medicine experience.  Luckily the prior Transcriptionist left her little black book with words and a folder full of sample reports.  At the end of the first day I was asking myself what the h#&& I had done taking this job.    From there I went into Radiology transcription, In and out patient QA, taught medical transcription, medical front office and computer applications for over 10 years.  Now I work as a consultant and do it all.  It paid my bills, paid for my house and bought my sons what all the other kids in our upper middle class, snooty neighborhood had.  It has been good to me, I just hate seeing where the field is going. 
What brought me to transcription
A moment of insanity!!!!  That moment has turned into way too many years.  It seems that a lot of us fall into the same seat when it comes to reasons.  I was a single mom raising two sons, and it paid more money than the job I was doing in the insurance dept. of the HMO I was working at.  The chief of Nuclear Medicine asked me to come to work for him as his secretary/transcriptionist had quit.  I knew him from when I worked as a unit secretary at a small satellite hospital of the large HMO and he did overnight call.  By the time I bid on the job (it was a union setting) the transcription was well over 6 weeks behind.  My office was a patient's treatment room and the day I walked in there were nuclear medicine film jackets stacked half way to the ceiling on the entire patient exam table.  I had a strong medical terminology background but no transcription or Nuclear Medicine experience.  Luckily the prior Transcriptionist left her little black book with words and a folder full of sample reports.  At the end of the first day I was asking myself what the h#&& I had done taking this job.    From there I went into Radiology transcription, In and out patient QA, taught medical transcription, medical front office and computer applications for over 10 years.  Now I work as a consultant and do it all.  It paid my bills, paid for my house and bought my sons what all the other kids in our upper middle class, snooty neighborhood had.  It has been good to me, I just hate seeing where the field is going. 
When you have a QA person that is picky and another QA person that is very lenient where does that
leave the MTs because some are getting a lenient reviewer and others are getting one that picks at everything. How do you reconcile that issue with the difference in QA mentality. Some people make out well and the other people could be just as good but dont. I wonder about that.
The person MTSO pays is the person who
dsf
The father was brought in for report of him saying this and now he is
released. I guess the "report" of the "report" did not pan out enough to keep him in jail. The prosecutor is not at liberty to disclose anything and has said so repeatedly. No professional has ever quoted one of the suspects directly and you know that. A report of a report of this man having said this is all I heard from a reporter.
My son is also ADHD, but we brought him home

in third grade and he is now in 10th.  He is no longer medicated.  He was in therapy for 2 years because he was bullied, had horrendous teachers, and had low self-esteem because of various school issues.   He came home 3 days after starting K saying his teacher yelled at the kids.  I should have taken him out then, but didn't think I could do it.  I fought the system for so long and continue to fight it today as I help other parents advocate for their children, but at least now my son isn't caught in the middle.   


Lots of parents bring their kids home for the high school years, at least for a year.  There is no law that says they can't go back for whatever reasons.  I know lots of parents who have homeschooled K-11th grade and then their kids want to go to high school for their senior year.   If your son is failing and miserable why send him to school.  


This brought back some memories...
I was once approached in a Barnes & Noble AND a laudromat! LOL
No. Is it good? Have they brought their prices down?
Competition is a good thing to me. Wish we had more competition within our industry with companies fighting for good MTs.
Wow! you brought tears to my eyes sm
I was all ready to be blasted and your post actually brought tears to my eyes.  I know it isn't ME because the same ME was barely making $10 an hour average on the account I was assigned before I got the one I'm on now and have been on for the last 2 years.  I thank my higher power every day for my luck and will never forget that awful account I had before this one. 
This brought tears to my eyes. sm
I loved this. I love animals and this shows how loving an animal can be.
yes, and those titles need to be brought down to just above 1st post. nm
x
Hey Crispy Critter......you brought sm
up a good point about docs compliments. We had one particular neurosurgeon the first place I worked at who was horrible to transcribe for. He said pretty much the same thing all the time so his samples helped. I came to work one day and had a note on my typewriter actually THANKING me for a report well done. No way do we get that anymore. There was a lot of satisfaction in this profession back then.
you brought up a good point. sm
Sometimes we would get compliments back then. I remember the first place I ever worked at. We had a neurosurgeon who was known to be horrible (and was). We kept samples in order to be able to do his dictation. I came in one day and there was a handwritten note on my typewriter from this doctor for a job well-done! I still have it all these years later. Today it seems like the "human factor" is gone from this profession and it has all become about production and money and the patients have been forgotten!
All that punctuation nit-pickiness was brought about by
They needed a reason to do it. (And to sell their anal little BOS). Get everyone so freaked-out about commas and semicolons that they either quit, or their production falls off and they can be 'justifiably' let go, forcing the 'poor MTSO' to have to look offshore for bodies to fill their sweatshops.
All that punctuation nit-pickiness was brought about by
They needed a reason to do it. (And to sell their anal little BOS). Get everyone so freaked-out about commas and semicolons that they either quit, or their production falls off and they can be 'justifiably' let go, forcing the 'poor MTSO' to have to look offshore for bodies to fill their sweatshops.
Huh? A simple google would have brought you to this...sm
http://www.google.com/search?sourceid=navclient&ie=UTF-8&rlz=1T4GZHY_enUS228US228&q=lung+synechiae
It's funny you brought this up as it made me remember
I probably wouldn't have a sewing machine to this day as I'd have never gone to the expense unless I used it A LOT. One day in the mail (years ago) I got a card that said I'd won either a sewing machine or luggage, my choice. Check the box and send the card back within 7 days. I thought YEAH, RIGHT! I certainly didn't hold my breath waiting for this free machine. I don't remember how long it took, but the sewing machine did come and it was not the top of the line either but really nice for a person not having one at all. I still use this sewing machine to this day, although I've noticed some of the buttons are coming off. I've only had it repaired twice in its lifetime (20+ years and counting). The brand is a Singer Merritt.
I loved it. Brought tears to my eyes nm

nm


Yeah, brought in the dogs from the backyard - sm
they generally lay in the dirt under the deck or under the bay window in the dirt. But today they were in for most of the day, way too hot out there!
Thank you all for your support... it brought tears to my eyes.

Seriously, I really appreciate all your supportive advice and thoughts! I have decided after being treated like this and putting up with it for too long, to look for another job or maybe even another career.  I wish I could quit on them right on the spot without notice, but I have decided to show them what class or professionalism is, even in this bad situation. (Of course, if they do not pay me, then I will quit immediately.)  I can only hope they treat their next MT with some courtesy and respect which we all deserve. 


 


Hugs to you all ~


 


Thanks for the response. I just brought it to my supervisor's attention and...
He gave her a call and now she is helping me out.

I totally agree with you about doing extra work. If you are working on YOUR time, anything extra you do is a bonus. You are definitely within your rights to request what you want to work on.

Thanks for the response.:)
I'm glad you brought this up. I've been meaning to

The article brought out a real nutjob!

Someone named 'Ronald' is posting the strangest comments.  Not sure if he has a white hooded robe in his closet, or not.  He seems to think that the civil rights movement has made it impossible to get good help in America and also that we have become illiterate and so are unable to hold such skilled jobs as MT.  A few more people need to go over there and slap him down, please?


help! the link only brought me to the home page
where do i find the article??