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Yes, I thought that was obvious. I totally understand that too. sm

Posted By: NDMT on 2006-10-06
In Reply to: Also add someone else is doing full QA on your work. - nm

Even though I'm listening to the reports and typing them out then doing my own proofing and editing someone is having to listen to them again and correct my errors.  THAT person deserves and needs to be paid as well.  Not to mention the company needs to make a little profit.  So even if the company is being paid say, 12cpl, after paying me and my QA I'm sure it comes out fair. 


I want to thank everyone here for their advice and opinions and helping me to sort this out in my own mind. 


I think I am getting a fair wage.


 


 




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Totally understand!
I loathe ESLs. They make our jobs twice as hard as they should be. I am not an interpreter, I am an MT. I feel that anyone who wants to live and work in this country should learn the language! That doesn't apply only to doctors either.

My son has two students in his class from Venezula this year. They don't speak English AT ALL! So, the school brought in an interpreter for them. I asked the principal if those kids were being taught English. She said "no, but we have to provide an interpreter for them in their classes." I told her that my son has complained to me that it makes it hard for him to pay attention and understand the teacher when he has to hear the interpreter babbling away in Spanish to these children. Ridiculous!!

Fortunately, I have an account now that I only have 3 ESL docs and they are pretty easy to understand. But I remember those days of wanting to rip my hair out and cry from being so frustrated. I can empathize with you.
I totally understand
I have never had any problem, like I mentioned, using my dial-up either. I connect at the fastest rate (50 Kbps) most consistently and I have worked several different types of jobs, on a couple different platforms, using FTP sites, and E-mail, and while I know it takes a little longer it wasn't too the point that I felt it interfered with my production time really and I am not a patient person. :D

I could understand if there is a compatibility issue, of course, but I am not convinced that that is the problem at all with some of these companies.

If we can do the work in the alloted time, than I guess I just don't understand why we can't use dial-up (particularly when it is all we have available). Perhaps someone else can enlighten us ??? :)
I totally understand

It happens more than people would like to believe.  My son has been ill his whole life and in and out of hospitals.  He has no veins left for IV fluids and medications and his arms are scarred pretty bad.   He had his stomach removed and was given methadone for the pain because morphine was entirely too sedating.  He became very ill when we were on vacation in Florida, went to the ER, the doctor took one look at his arms, saw that he was on methadone, called the deputies and had him send to the STATE HOSPITAL and labeled him a "drug addict."   He wouldn't even listen to his medical history.  Once he got to the state hospital, they called immediately and said "this boy is no addict, he's ILL" and sent him right back home.


He rode there with handcuffs on in the back of a police car, crying all the way.  The deputy apologized to him and told him it was only his job.  We went to the hospital administrator with his records and demanded something be done about the ER doctor and he said it would be handled.  This is only one of probably a couple of hundred incidents.  We tried to get an attorney, going more after the licensing and not money, and not ONE would take his case. 


He's had dirty dressings put back on that caused such infections he required surgery, he was discharged by one doctor while the life flight was on its way to get him - this doctor told the insurance company he was faking and wasn't sick.  By the time he got to the next biggest medical center 5 hours away, he required 4 units of blood and was critically ill. 


So you who made the snappy comment, you better hope you or your family never have anyone critically ill because this happens and it happens a lot and people die from it.   To the poster, I applaud you for having a conscience...it's people like you I would want transcribing MY chart.


 


I totally understand.
We had the same issues with several companies doing our backlog and I spent hours every day fixing their dictations.  Very, very frustrating.
I totally do not understand

The company we purchased CyberSynch (Digital) from also maintains FTP site. They told me they would give me FTP address and that I would be able to pull dictations from FTP site? I have never done this before and do not know much about computers other than Microsoft Word, etc. 


I have all of my patient files stored on my hard drive.I have folders for each patient and in that folder I have dictations saved by date. Doctor looks at his last dictation and sometimes does not even change anything from previous (all he says is same as last time), so all I do is change the date. I do not know if this makes any sense, but I do need access to my files in order to complete dictations away from home.     


Totally understand what you're going through. Just

yesterday I got this email from a friend of mine who alternates jobs between lawn maintenance and roofing. Yep, that means he is qualified.


His email copy and pasted...lol..hey.....how hard is it to get into medical transcription?

cause I've got the computer for it.....just not the in on how to do it.



I totally understand your problem and your need for help--sm
I am sorry that most just wanted to criticise or make you feel less than perfect for asking a simple question. Today was apparently a bad day for some on this board, as their ugliness in ALOT of responses to other peoples questions, not just yours, showed through. Everybody has bad days, I suppose, but alot of the responses you received, in my opinion, were totally uncalled for and just posted to cause embarressment. It just shows the small minds in some people, arrogance, egos, and negative attitudes. No wonder this world is in the shape it is in! I am glad someone saw fit to help you out, though, and gives me some hope that not ALL people are so rude. Hope you have a good and productive evening! God bless us, one and all...even the rude ones. Guess they need it more than the *good* ones do! :^)
I totally understand where you are coming from...sm
The company may not want to be announced on here. I just was curious which companies are the good ones. I have heard nothing but good about Keystrokes. I am assuming they are a good one.
I totally understand that money does not fall from the sky....sm

What I was asking was if anyone had any suggestions on how to "make" money not it fall from the sky...Good grief! 


 


Perfect. You totally understand where I am coming from. Thank you.
I will be e-mailing QA at some point in time, but I will probably be waiting until tomorrow. A good night sleep should help cool me off a little :)
I totally understand your post, and the fact that
the fact that you (and the rest of us) are paid so little for high expected volumes of production, that absolutely ANYTHING that happens to slow us down, even a tiny little bit, is often a financial disaster for those of us living paycheck-to-paycheck and just barely getting by. If we were FAIRLY COMPENSATED for the work we do, instead of being continually CHEATED, UNDERVALUED AND UNDERPAID, then minor glitches like new software, new accounts, ESLs, would be just a bump in the road, not potential food stamps and/or homelessness.

I, too have plenty of work. And I, too am appalled at the fact that no matter how many hours I work, how much faster I try to type (without compromising quality), it seems like it's always SOMETHING. Right when you're clicking along and the income is starting to go up a little bit, they will:
A. Hit you with harder accounts, ESLs, or scratchy, fuzzy-sounding files that even a bat couldn't hear clearly.
B. Have a huge push to get absolutely everything in TAT, right before a holiday or long weekend when you KNOW it's going to fall off, and half of us will be scrounging for work.
C. 'Upgrade' the working platform, (which translates to: )
D. Put all these obstacles and hoops you have to jump through in your way, which are big time-wasters: Meetings, 'training', and various PC and program tweaks.
E. Decide to take their server down for maintenance, and it's always during YOUR shift.
F. While you're midway through a l-o-n-g, 1 hr, 45-min. dictation, which has a mushmouthed/ESL dictator, is very technical and requires a lot of research on drugs, procedures and equipment that is too new to be in the references yet, and during the entire dictation, a loud going-away party for one of the nurses is going on just a few feet away from the dictator, who is eating and while dictating, and occasionally turning away from the microphone to watch the tipsy party attendees, all the while continuing to dictate. The report was of course STAT, and was 30 min. away from TAT when you downloaded it. Then your supe calls you in the middle of all this and asks you what you're doing, and where the report is.
Never thought of it this way. I can understand this. (nm)
cc
Don't understand why not. I thought I've seen other posts similar to this before. I'm not t

cause any problems, but as I work for DSG, so I'm naturally curious. As I said, I liked working with them both. Is it a secret?


 


I totally understand but if your husband is like my husband... sm

When it comes to something like that, that I usually take care of but for whatever reason I can't, I will tell my husband exactly what to do, but when he comes back - to use your case as a "for instance" - I will ask him, "Did the doctor look at his foot?" 


Him: "No."


Me: "Did you ask the doctor to look at his foot?"


Him: "No."


Me:  "I told you to have the doctor look at his foot!"


Him: (shrug)


etc., etc., etc.


Your husband may not be like that - I sure hope he isn't. And yes, they should have checked his vitals and checked his foot without being asked. But sometimes you have to be assertive with people. And while my husband attained the rank of major in the Air Force and had no trouble ordering people around, there are times when he should be assertive but isn't. And he is not intimidated by doctors - he started his AF career as an x-ray tech (that's how we met). I dunno....(Rad MT wanders off, mumbling....)


Might be obvious but who is SE?
nm
maybe you need a man because of your obvious

That's obvious-we all used to be something

but we don't make posts with our former titles. Get over it..


its you and its very obvious
 
Well then its obvious that you don't have much
faith in your children nor your parenting skills if you have not taught them how to make decisions for themselves. 
It is obvious
they don't care. It is not only cardiac docs either.
Thank you, Dr. Obvious...

Doctor dictates:


"The patient takes Doxepin for insomnia.  He has been taking 25 mg four of them at time, but I am prescribing 100 mg tablets which is the same."


This just made me giggle...


OK, now it's obvious to me...
could be wrong, but it seems that they are paying you ONLY after they get paid. That means you are at the mercy of the accounts payable department of the hospital... I never work for an MTSO when MY payment is tied to THEIR payment from their clients.
This may be obvious, but...

 I am pretty sure that she was referring to the manner in which her very unsupportive post was worded, i.e. "a REAL transcriptionist".  How in the world is that helping someone who is coming here for a little bit of help and, dare a person aspire for, a kind word...  anyway, just mho. 


Let's take a moment to put ourselves in her shoes instead of trying to think of a way to boost our own ego.  Perhaps the place in which she worked had a different style, a different format.  I even have done some recent work for a hospital who wants all of their references to the spinal disks spelled disc (even though this is specifically a no-no with AAMT).  I'm not an expert, but if there were a helpful thing that I could think of to say, it would be to buy of borrow a current AAMT Book of Style (3rd Edition) and make sure that you are all up on your format and style.  Anyway, good luck!!


It is so obvious

that some of these docs do not have the first idea what they are going to say when they dial in.  They have not bothered to organize their thoughts or mentally outline what they intend to dictate.  They just 'wing it,' go back and add, delete whole paragraphs, then maybe say virtually the same thing as the deleted section somewhere else.  I've learned never to delete but to cut sections just in case they get pasted back in someplace else.


One guy in particular says things like:  'Put temperature was 98.3 degrees and say BP was 130/70 and write respirations were 18 and could you say weight was 225 pounds, and like, he was sort-of short of breath?' 


How  do you verbatim that?  Dude!  I'm not you pal and we're not having a conversation here.  Do you realize I'm supposed to be transcribing EVERY SINGLE WORD YOU SAY? 


Do you have any clue what they are up to. It is obvious they are up to something.

I just hope everyone is calling Corporate.


sorry for your obvious hairball. nm
x
It was such an obvious question
I am sorry but it was such an obvious question at least to me and kind of reminded me of a Jeff Foxworthy song/routine.  They mail their payments to you where your business headquarters or your AP/AR is located.   It is like your car insurance you drive in California but your insurance headquarters are located in Arizona so where do you mail your check???   Or the MT's that work in a different state, where do you send those checks?  It just struck me ironic that someone who was thinking of doing what you are venturing out to do would have such a basic question to ask.  Struck me as a little weird.  And yes I have been an MTSO for 18+ years now.   Good luck to you and I hope your accounts follow you with your move and you are able to pick up more accounts wherever you move.  You might be the next big national and then you can come back and really let us have it.   Again, good luck.   Patti
It is SOOOOO obvious who you are
And it was so obvious last night who you were as you were posting with different names about what you were "eating". Please.

I am NOT starting flames. I was trying to let the OP know that not everyone on this site is mean and nasty. This place has really become a hole in the wall since you started frequenting the joint. Makes me wonder why I waste my time.


Obvious what 1 requirement is...
Obvioulsy one of the requirements of becoming an MT is rudeness and being quick to judge! I was just asking for suggestions and what being an MT entailed. In no way did I suggest that I had any idea about what MT requires of a person. Sheesh!
I know if someone posted on the engineering forums I am a part of I would be more than happy to give them suggestions on how to get started, different paths they could take, ect. Then again, I like to impart my experience so maybe I can help others learn from my mistakes so they don't have to make the same ones.

Obviously MTs work from home for a reason - seems that most of you don't work well with others!! Only 1 person actually took my post for what it was and told me their experience!! That's a real shame.
Obvious that law was written by men
Do they think that because we have breasts we can't drive correctly? OMG.

This is especially upsetting, seeing as most females who are getting permits are teenage years and breast cancer is not so common in that age range.

As an aside, a friend of mine had to go in for a mammogram a while back. Her insurance company refused to pay for it. Said it was not a necessary exam because she is "not old enough to need a mammogram". Her doc found a lump and wanted the test. Why is this not necessary?
I should think the answer would be obvious. They will take less money. nm
nm
dictator just stated the obvious

"ORAL tobaccoism" -- like what other kind is there !!


oh i suppose it could be cutaneous via patch, but sounded dumb...


It's obvious she didn't mean cases
that actually required ER attention. You are just stirring the pot.
It's quite obvious from your post that you have never suffered....sm
from depression and I take it from your moniker that you are a man, which explains a lot. Please refrain from commenting on things you obviously know NOTHING about.
Not obvious to me. Not all well-compensated MTs are in management.
They're just good at their job. Not hard to understand.
the overstating the obvious award goes to
gotta love residents - "the left lower extremity part of the physical exam could not be performed due to a left lower extremity amputation."
So true. Or an obvious misspelling does not
x
This is such an assinine remark, obvious you
x
IMO, a thread is closed when it is obvious
that nothing new is added to the OP and it deteriorates into a 'troll', unjustified insults, foul language and just tit for tat, going in circles.

True, as the moderator pointed out, it is not moderated for 'niceness.' but the post has to be civil. One can make a stronger point with politeness than with disrespect.
obvious management post here as usual nm
x
Right! It's pretty obvious who the miserable person is here!

You're math is correct. It is obvious
the new plan is designed to reward high producers. There's no away around that fact. If you currently do 1200 lines a day and you want to earn incentive on the new plan, you will have to either get faster for the same hours you work now or restructure your work days to be longer and get more production.

I think everyone has the idea that a new plan means that everyone is going to benefit and that everything is going to automatically be better and improved for all. Not true.

MQ has changed their pay and benefits plan to better increase their revenue. They were not making changes to harm nor help MTs, necessarily. These are business decisions. This is now what they are offering for pay and benefits and we can take it or leave it.

Personally, I believe they want fewer employees, all high producers, and it would be cheaper for MQ to have a smaller workforce of high-producing MTs and pay them overtime than an abundance of low to mid-range producers. This plan will help ensure some of that.

Regardless of what some of the mealy mouths say on this board about me, I am not happy with the way this plan impacts all MTs. Not at all. I'm just not going to be upset about it because every single one of us do have options and those who feel uneasy about this plan should heed their intuition and explore other options.

I think this is the beginning of a slow attrition among the MT workforce.

This is strictly my opinion.
What is with all the obvious spam postings today?
x
Your obvious ignorance is not worth responding to, NM
z
When are people going to look past the obvious "someone got my job"
s
No, but it's pretty obvious that the longer you leave it up,
the higher your chance is. That is why if you are not using it, you should shut it down.
Another management reply. Pretty obvious, huh?
:/
It's obvious that you don't bother to read posts...
just post garbage comments.
I quit looking, too. It's obvious there aren't ANY jobs

I dont think they will do anything on the new pay plan during the Summer for obvious reasons and
those being if people quit and with so many on vacation they may not be able to cover their accounts. So I bet we will hear pretty quickly in September. Yep I bet.
Seems obvious that she is thinking about taking an offer from another company
???