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Serving Over 20,000 US Medical Transcriptionists

Yeah..I know what you mean in that regard--sm

Posted By: none on 2006-11-17
In Reply to: I know their demeanor is different face to face, - Wannie

I have transcribed dictations by doctors who have been intoxicated at the time of dictation, done at 5 in the morning and he is in surgery by 7 in the morning. This really scares me. I have also done dictations by doctors who are felons. Physicians used to be highly respected and were above reproach. I wonder now about that, too. Ethics seems to have flown out the window these days. These are just my experiences and my opinions. I am not saying that ALL doctors are this way, but the few make it bad for the majority.


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Regard or regards?

Dear Dr. X

I am writing you in regards/regard  to John Smith 


Regard/regards
It would be in regard to.

I have been instructed that regards is only used for things such as "best regards", etc. Hope this helps.
Not in that regard - SM
I'm allowed to correct for grammar, punctuation, spelling, etc., especially with the ESLs. I keep such "fiddling" to an absolute minimum to achieve a clear dictation and otherwise it's verbatim or blanked.
Willing to what? Have no regard for the people
"below" them who help keep their practices going or for the transcriptionists listening to their lousy dictation skills. While I may not have chosen to be a physician, I work just as hard to make my money as they do (probably harder), do a good job, I might add, and still have to listen to mushmouthed, letsseehowmanywordsicansaybeforeistoptotakeabreath, or just rude and inconsiderate physicians who don't care how the folks who keep them going feel. Sorry, just had to vent, because while there are some very pleasant physicians, most that I have met are incredibly arrogant people.
In regard to OH LORD
Per administrator you need to show some kindness to the new MTs. I doubt you yourself were so wonderful when you first started out. Try to remember we are all HUMAN and we all error at some point in our lives.
Oh believe I have no problems in this regard.
And then proceed to post the line rate as if some MTSO will pay a sub 14 cpl.  No need to be defensive unless of course you're feeling the need to be bashing like our first post was intended to do. 
You are absolutely right in this regard.

I've been in this field for 20 some years and I have my own accounts by the physicians asking me personally from being on site and seeing how fast I type.


Unless you have connections, it's pretty hard to start your own business and offer up your services for cheaper than a national can.  Also, you would have to be flexible and have a call in system, do tapes, go digital, etc., etc. especially in this day and age.


I agree with this above poster; it's not so easy these days.


I consider myself very lucky in this regard
No, my hands do not hurt and this is 8 hours straight. Most of this is VR now (appx 95% of the day) but some straight. Before VR I typed over 2000 per 8 hour period for, hmmm for the past 20+ years. I know people who have had real problems with so much typing but so far, so good here.
In regard to your comment
"Are you so desperate to improve your looks?" - I am not the original poster and don't know anything about the lifestyle lift.

I had commented on my sister's face lift (not a lifestyle lift) which makes her look 15 years younger (but still like herself). She also changed her hairstyle at that time, so I think that's what people attribute to her looking so great for her age. She did not have the type of sutures you are referring to.

The reason I started to think you might think there is actually is plastic involved because you made some comment regarding it falling apart (or something of that nature).

It's great you would never do it. It would be nice if no one had anything done ... then we all wouldn't have to be compared to those who have!

I must tell you though, you really are quite charming.

Be very careful with regard to this company. nm.
nm.
In regard to the below topic concerning pay rates...

Does anyone else find it odd that the very select few of highly paid MTs, (making between 12 - 17 cpl)  are bold enough to write a post stating outright how much they make and how much they are worth.  But when questioned over and over about who these companies are that pay so well, no one volunteers even one name.


This bothers me for two reasons. 


1)  We're in a recession and many of your fellow MTs are struggling to feed their families and would benefit greatly from the same opportunity. 


2)  None of you are making these insane line rates and likely are just bored out of your mind because you are actually unemployed, which would explain why you have so much time to come here and fabricate things to post about.


No offense to anyone, but I find it incredibly frustrating to read your posts just to have my questions to you blatantly ignored.  If you aren't bold enough to answer, just have the common courtesy to say so.   I hope I'm dead wrong, but whether I am or not, the result is the same because none of you have the nads to speak up and give us some names!  If you aren't going to share information and make a difference, why bother?


You have GOT to be talking about Transcend. What a MESS in that regard!
I threw in the towel after a few months, and regret that I waited that long. What a waste of my precious time! It was such a giant step for me back in time having to shuffle thru reams of paper, and most of which make no sense at all - no rhyme or reason to 50 pages of random rules, each and every silly report that pops into my computer. Uggghhh. It NEVER got better - actually worse when changes came in nearly daily and the whole mess was jumbled around again, with my highlighting and hints obsolete! I heard other parts of Transcend under different supervisors went smoothly, but the different accounts I tried were all the pits!! Forget about transcribing! Had to go thru hurdles to get there!
How can you feel loyalty to a company that so clearly has no regard for a large portion of its MTs.
;O
LAW WITH REGARD TO UNPAID TRAINING, UNPAID WAIT TIME, DOWNTIME, ETC.

I was doing some research and just thought I would share it here. 


----------


http://en.allexperts.com/q/Employment-Law-924/2008/3/unpaid-training.htm


Question
I'm a part time security officer.  The contract is changing hands where i work (large corporate facility)...the location stays the same but a new company takes over the new contract next week.  The incoming company has advised everyone that they must attend a mandatory unpaid training class.  Is this legal?


Answer


Expert: Shirley McAllister, CPP, PHR
Date: 3/28/2008
Subject: unpaid training


It is not legal.



Here is the ruling from the Department of Labor Website at


http://www.dol.gov/esa/regs/compliance/whd/whdfs22.pdf


Lectures, Meetings and Training Programs: Attendance at lectures, meetings, training programs and similar activities need not be counted as working time only if four criteria are met, namely: it is outside normal hours, it is voluntary, not job related, and no other work is concurrently performed.


Since the meetings are not voluntary you must be paid to attend them.


FURTHER:


29 CFR 785.27 - General.
Attendance at lectures, meetings, training programs and similar activities need not be counted as working time if the following four criteria are met:
(a) Attendance is outside of the employee's regular working hours;
(b) Attendance is in fact voluntary;
(c) The course, lecture, or meeting is not directly related to the employee's job; and
(d) The employee does not perform any productive work during such attendance.


IF THE ABOVE 4 CRITERIA ARE NOT MET, THEN THE EMPLOYEE MUST BE PAID FOR THE TRAINING/MEETING TIME.


29 CFR 785.28 - Involuntary attendance.
Attendance is not voluntary, of course, if it is required by the employer. It is not voluntary in fact if the employee is given to understand or led to believe that his present working conditions or the continuance of his employment would be adversely affected by nonattendance.
__________________


ICs and unpaid trainings:


http://www.expertlaw.com/forums/showthread.php?t=59022


----------------


FURTHER
(FROM http://www.dol.gov/elaws/esa/flsa/hoursworked/screen1d.asp)


Waiting for Work
Time which an employee is required to be at work or allowed to work for his or her employer is hours worked. A person hired to do nothing or to do nothing but wait for something to do or something to happen is still working. The Supreme Court has stated that employees subject to the FLSA must be paid for all the time spent in "physical or mental exertion (whether burdensome or not) controlled or required by the employer and pursued necessarily and primarily for the benefit of the employer of his business."


Place of Work
Hours worked include all the time during which an employee is required or allowed to perform work for an employer, regardless of where the work is done, whether on the employer’s premises, at a designated work place, at home or at some other location.
------------


DOL.GOV, WAGE AND HOUR OFFICES:


Having trouble finding your answer on our website?


Call the Wage and Hour Division’s toll-free help line:
1-866-4USWAGE (1-866-487-9243)
TTY: 1-877-889-5627
Monday-Friday 8 a.m. to 8 p.m. Eastern Time


 


With regard to Jester's Touch. Ms. Jester contacted me via email
this morning to announce that she has "been told to cease any other communications" with MTStars.  As well, she has told a tissue of lies regarding the labor board denying Ms. Latta's case.  I have learned this morning that the case has NOT been denied and is still being processed. 

Yeah, yeah, that should be "your work..."

Yeah, baby, yeah.
We are here for the long haul.
Oh, yeah!

I understand where you're coming from.  The respect is just not there anymore.  Everyone in this business has heard for years about how voice recognition and EMRs are going to replace us all, which I just don't buy.  I work for a national on a difficult account with many ESLs, and it generates lots of work.  Every summer we have problems keeping up with turnaround but the management has yet to come up with a solution that actually works consistently.  I suspect it's a combination of MTs having kids home from school during the day now, vacations being taken, and people not working their schedules,  but most of all I think it's just plain burnout - we deserve to enjoy the summer too.  Last summer I worked so much to the point that I think I did substantial damage, and my body just cannot take it anymore (been at it for about 20 years, the last 10 years of it steady).  The powers that be fail to understand that we are not machines! 


Oh yeah
Or when you are trying to sleep and in your mind you are dictating to yourself..i.e., and the patient..yada, yada, yada, happens to me all the time, especially if I have had a long stressful-difficult dictation day, LOL..Of even if Im day dreaming, sometimes I find myself falling into dictation mode, repeating dictating I have transcribed, or close to it..Yeow!!
Yeah.
intromission changed to interim admission.  LOL
yeah right.
dream on.
Yeah - sm
Diskriter. If you have 3+ years experience and want full time work, brand new benefits and line incentive - send your resume to them.
yeah, right, sure he is.
u
Yeah, right
Saying it doesn't make it so. You are probably QA'd by people in India. What a crock.
Yeah, sure.

Uh-huh



That makes complete sense (not).


Oh, yeah.
I cheated on the soup, too, by buying a box of premade at the health food store.  They've got such neat stuff there.
yeah, me too, and it's not

Yeah, well--
That's why this country is going down the toilet.  Between the corporate greed and being overrun by the illegals, how long do you think it will last?  The CEOs now don't care-- they are too busy counting their money and buying those expensive cars, yachts, and their third and fourth homes, etc.  They have what I call the "Marie Antoinette" syndrome-- "Let them eat cake".  They have theirs-- so the h*** with the rest of us! 
yeah...
You are full of it. You aren't an MTSO. No place has a "crew" that is "all friendly and kind." They work at home, so how would you know what they are like? Even the rudest person can be nice for 2 minutes while talking on the phone to the boss.

Oh yeah!!
LOL - good going MQLover - like your style!
Yeah, you ask how old I am, but
the person who responded to me is the one who said it first. Of course, come down on the person who likes workings for MQ. How predictable. Go take a shower and maybe the water will make you grow a real thought.
yeah right, 60K w/MQ...

Yeah, please don't.
This is fun to listen to.
Yeah, I am.
I didn't say anything perverted. You are stuck on this molestor kick.
Yeah you.
I am not constipated and I know you aren't. I guess your laxatives worked to help you lose weight. Now, go cut your bangs in the morning.
Yeah, I'm 47...
and I STILL haven't developed those skills (that's why I'm an MT)!
Yeah...here ya go....
Link to her website....
http://www.pathfindnews.com/resources/foxminister.html
Yeah ....
Come to Texas, we'll go dancing, bring boots, I have the truck :-))
Yeah....

It's called MT stars, as in medical transcription, so post regarding medical transcription - as in the profession......understand that?


 


You want Regis and whatsername?  Post on that board.


 


You want Romper Room?  They have their board, too......   Get the message honey bun?


oh,yeah...
one doc for whom i worked used to dictate (breaking this up because i have no idea how to spell it): "die-ag-no-sis-siz."

eep. and they write med-orders in latin?? lol.
Yeah
Get everything in writing!!
Yeah, right.

Account instruction#1 says bold and CAPITALIZE allergies, list medications in number form regardless of what dictator says. Do NOT abbreviate in HPI, but you can abbreviate in Assessment if the doc does.  Don't use degree sign unless doctor dictates it.  List assessment in number form, even if there's only one item.


Account instruction #2 says bold headings but never bold or capitalize allergies.  Only expand abbreviations in Assessment but nowhere else in document.  Be sure to use degree sign when typing temperatures.  If there is more than one item in the assessment, use number form in listing them.


Account instruction #3 says never bold or capitalize allergies, don't abbreviate anything.  Never number medications, even if dictated by physician.  Can use the degree symbol if Drs. A, B, and C dictate such.  If Dr. D dictates patient's name in body of report and uses words that don't exist in the English language, be sure to type what he says since it's a verbatim account, and he complains all the  time that he doesn't want his report to sound so *formal* by using *the patient* instead of the name.   For all other reports, use *the patient.*  If Dr. E dictates the patient's sister, Sara, do NOT use the name Sara and just type *the patient's sister," regardless of what he really says. Dr. F might not dictated a numbered assessment list, but that's what he means.  Dr. G prefers to see the text of H&Ps on the same line as the heading, but on his consults, he thinks it looks better if there's a hard return, with the text starting on the next line.


As an Editor for multiple accounts, are you sure that YOU'RE paying attention to all the little idiosyncrasies contained in the sometimes 20-30 PAGES of account instructions for any given account? If so, I doubt you would find it so easy.


Yeah right.
If you make more doing MT than using your bachelor's you've made a wrong turn on the pathway of life, hon.

Sorry, but I don't buy it.
Oh YEah ..i KNOW what you mean!!!sm
especially about the cleaning part.... Oh boy..I sure do love my hubby and don't ever want to lose him..but, man Do i EVER get tired of cleaning up after SOMEBODY ELSE!!!
Yeah
LOL!
Yeah,
nm
Yeah, but they sure R fun@

Yeah... it's just too bad we don't

live in Bush's world.  Must be nice there! 


Yeah, well...
I don't believe it either, and I also don't believe it when Bush says our economy is STRONG!!  People say a lot of things that aren't always true.....
Yeah...
I would go for the scrubbing toilets... at least you get more  respect!
Yeah, ME!
:+