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Serving Over 20,000 US Medical Transcriptionists

Yes, several times. I've learned to listen to them. (s/m)

Posted By: A believer on 2006-06-16
In Reply to: curious about this - jusmeee

A very long time ago, I once had a dream that my dog got hit by a car - the exact time, place, etc. And exactly one week later, to the day, place and hour, she got hit & killed by a car.

Another time I was driving on the freeway, and suddenly in my mind got a very clear picture of a pickup truck on fire. Yet there was no truck on fire where I was, and no smoke or anything. About 10 miles up there road, I came around a bend and there was a truck exactly like the one I'd seen in my "mind-flash", and it was on fire.

Go figure, but yes, I definitely DO go with my hunches and premonitions.


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I listen three times sm
Silly as it sounds, very often, the third time I will hear it correctly. If not, move along. Too much time wasted.
I personally will NOT spend too much time looking for a word. I listen 3-5 times if I still don'

it goes to the QA.  I am getting paid 5-8cpl, depending upon the account, as an IC and don't have the time to spend too long looking.  If I can't find something in 15 minutes I'm done.  If I got paid more I might take more time to look, but at these line rates no WAY!


I also get no feedback from QA, or very rarely.  We have one QA who is rude and puts down the MTs at every turn.  It isn't easy for the MT either.  If you aren't even listening to the dictation how do you even know WHY the MT didn't get the word, maybe the doctor is a total mush mouth and our ears are bleeding by the time we got to that word. 


I've been doing this doc for many years, so I've learned how to function with him. sm
I can tell what's a stutter, what's another word, what's just an "uh." Years of experience will get you through a lot.
Wouldn't want to do his charts all day, of course, but a few per day aren't bad. I haven't had to send his to review in a long time, but they do take a little longer to shuffle through.
From what I've learned from...
doing psych reports, people rarely have MPD unless they've been abused horribly.  First off, I wouldn't blame this poor child.  Her life has obviously been unstable and erratic, no thanks to her parents.  I type it time and time again.... Kids are brought in and labeled with all sorts of conditions, ADHD, oppositional defiance disorder, OCD, you name it.  And WITHOUT FAIL when the doctor gets down to the social history, the child comes from some sort of broken erratic unstable home.  The parents don't create a nurturing environment for their child, parade boyfriends and girlfriends in and out of their lives, and then the poor child is labeled with a dozen diagnoses.  Sounds to me like this poor child has been abused, which isn't very far fetched if a mother is recycling boyfriends.  I'd contact a local psychiatrist and start from there.   I wouldn't take one person's word that the child wasn't abused.  Even if she is lying, she's doing it for some reason.
Previous posters are 100% correct. Here's what I've learned...
There have been a lot of very good points brought out here, and I encourage you to consider the advice that has been offered and think this over very, very carefully before making a decision.

I've been in this business since 1996. I went to school (with 3 small children at home), studied at 4 a.m., maintained another full-time job, earned a 4.0, was lucky enough to get a part-time job in MT before I even graduated. I excelled at MT, loved the work and have worked my way up to the top. It has been a lucrative career for me and I've had the chance to stay at home with my kids while they were young (and I still work at home and enjoy being here for my junior high and high school age kids.)

HOWEVER, times have changed. I'm an MT instructor at a local college. We made the decision to drop the MT program because we simply cannot place new grads. I don't care how smart you are, how good your grades are, how much potential you have or how motivated you are--it's very, very difficult, if not impossible, to get a job working at home as a new grad. (Finding a job in a clinic is a little easier, but still difficult.)

If you are one of the few who are lucky enough to find a job working at home as a new grad, you will make next to nothing for at least the first year. New grads are NOT prepared to meet production quotas, they still need mentoring, and they still have a tremendous amount to learn. Most jobs, especially working at home jobs, are production based. As a new grad you will spend most of your time researching, and your production will be minimal; therefore, so will your salary. In addition, most work-at-home jobs have production quotas. Meeting a quota when you are still in the learning phase leads to a tremendous amount of pressure, which in turn, leads to frustration and is not conducive to learning and retaining information.

My first boss (the one who hired me as a new grad) gave me some words of wisdom that I haven't forgotten. She said that transcribing at home with small children NEVER works under any circumstance. Either the work will suffer or the parenting will suffer. I, of course, thought I would be the exception. (My kids were age 2, 4, and 9 at the time.) She had 25 years of experience as an MT and as an MTSO owner, and she was absolutely right. I learned quickly that I could be successful working PART-TIME with small children, but trying to do it full-time defeated the purpose. When you are transcribing, you may be physically "at home," but if you are doing a good job, your mind is tuned in to your work, not your kids. Constant interruptions lead to low production, errors, and huge frustration. I found that I could work a few hours in the early morning before they woke up, fit in a few hours throughout the day and finish up late at night after they were in bed. I was in a position at that time not to need a full-time income, so this was a nice compromise, and it prepared me for full-time work later on when they were all in school. I consider that period of time an extension of my training.

Like another poster said, I do not want to rain on your parade, but tuition is not cheap. (I'm STILL paying off a student loan.) Additionally, MT is not an "easy" curriculum to learn, and it takes a certain skill set and personality type in order to excel and succeed. You will invest a lot of time, money, and effort just in the process of completing your training. It may or may not be worth it in the long run. Career college admissions reps are paid on a commission basis; therefore, they don't always give you the "rest of the story." Those of us who have posted here today are trying to give you "the rest of the story," and our intention is not to discourage you but rather to give you an accurate picture of what MT is truly like, not what the admissions counselor might have told you.

If you do decide to go forward, go with your eyes wide open. I would also encourage you to find a mentor who can advise you along the way.
One thing I've learned in life is it's impossible to
stand up for themselves. Maybe only 1 in 100 will even try. Sad to say, but we've brought a lot of this onto ourselves.
At one time I would have let it slide, but now I've learned I can't afford it or
nm
I've owned cheaper chairs and learned the hard way.

The old saying that you get what you pay for is true when it comes to these cheap chairs! My back always hurt and I was having to buy a new chair at least yearly. You do the math; I've already had the $1000 chair five years and I quit having the backaches five years ago. This chair is no where close to wearing out and will last me at least another five years, probably more. So, if you think that spending $200 every year on a cheap chair is worth it, you go right ahead; I didn't hear anything but thanks for the OP for my suggestion.


I've seen sooo many posts about this....Listen, the 5000 lines isn't a typo.
It's some type of project. If you search the board, you will see the posts and then maybe we won't have to keep top-posting it all over the place?
I've done this many times (sm)

My hubby used to travel around the country a lot for his employer and we used to stay in places from anywhere from a few weeks to as long as a year.  We used to just make sure that we stayed at one of the business-friendly hotels, i.e. the ones with high speed internet and a separate work area.  If it's going to be long term, try to get one of the suites if you can, because you'll be surprised at how quickly cabin fever can start to creep in when you're working out of a hotel room.


As far as the C-phone, other than being a pain to lug around with you, just plug it into the hotel's line, but do NOT call out directly.  Most hotels will charge their guests an arm and a leg to make anything but local phone calls.


What I did was to get an account set up with onesuite dot com (very reasonable low cost prepaid minutes), and I would use that to call out with.  Just make sure that your hotel doesn't charge for making 800 number calls, because an 800 number is what onesuite uses.


Many hotels do not charge for outgoing calls to 800 numbers, but be aware that some of them do.  In which case, neither onesuite dot com or a prepaid calling card will work.


All in all, the only real inconvenience of it all was having to dial all of the numbers, PIN numbers, etc., that were associated with using onesuite or a calling card each time I called out to connect up.


If you have any other questions, you can email me if you'd like.


I've done it, many times...sm

I know after 3 days if the job will not work out.  Let's face it hon...we need to make MONEY and if I see the platform is ridiculous, NOT MT friendly and is a waste of my time, poor training, training done by someone who is NOT a MT and has NEVER worked as a MT....HUGE RED FLAG!!!...That means that the company probably just wants "fingers" to type and type and type.....One company who is always hiring on the boards....I gave it a while, and today I was offered a nice position with someone I used to work for!!!!! it is awesome!!! and I quit that other hot mess today.  Good luck!!! Don't feel bad if you quit...hey, we gots to make a living here. with the economy and everything being so bad...you have to look out for number 1 and your family.


I've seen the idea several times,
x
I've responded to this many times
Look through the archives.

I just don't want to subject people here to the information ... again!
I've heard this a few times- maybe you have too

Do you think anyone would ever be on their death bed, surrounded by loved ones and say, "I wish I had spent more time working."  Doubt it.  My kids are grown now, and the good memories for them are the ones I didn't think were so great.  Like the time we lived in an apartment building in the Northeast, had all our Christmas decorations in the storage room in the basement, and someone stole them.  We made all our own that year with aluminum foil covered cardboard and strung popcorn.  Not even any lights, couldn't afford them.  They to this day call that tree their Charlie Brown tree.  That's just one of many "little memories" that may not seem like much when they are happening, but it's the things they remember.   


I've used them several times w/o any probs at all. nm
s
I've had it a couple of times.
  Doctor gave me a sheet of exercises to do on my own which just amounted to moving my head and/or eyes around in different positions.  It can be just a horrible thing to have.  Yours is probably worse than mine if you have to "have therapy." 
Any job I've been on has used Times New Roman at 12. nm
s
Yes, I've called many times and they
tell me the same thing, that it is being reviewed. I havent'sent any money because they want the entire amount, and the mtg payment is more than I can afford. I figure I'd best try and save half of that to go toward deposits on apartment and moving truck and such.
What is a TROLL! I've asked many times, no ans.
Thank you!
RE: What is a TROLL! I've asked many times, no ans.
From Wikipedia, the free encyclopedia.
In internet terminology, a troll is a person who posts inflammatory messages on the internet, such as on online discussion forums, to disrupt the discussion or to upset its participants. The word, or its variant, "trolling", is also used to describe such messages or the act of posting them.


No big deal. I've done this a few times, can't be helped
nm
I've traveled and worked many times

To try to answer your questions.. Whether your foot pedal will work in your laptop depends on the laptop that you buy. When you're looking to buy one, try to find one with the correct kind of port for your pedal.  The one I recently bought doesn't have a serial port, so I bought an adapter at Circuit City that plugs into my USB port, and then I can plug my ergo keyboard and mouse into that.  In any case, your laptop will definitely come with at least a couple USB ports, so you could always buy a USB pedal to use with it if you have to.   As far as the headphones, every laptop I've ever used has had a place to plug in a pair of headphones so that should be no problem. The thing is...if you're going to buy a laptop specifically for this, then look at the ports on the laptops and make sure it has what you need.  I would say if you don't mind buying a USB foot pedal, though, you're not going to have problems because every new laptop will have USB ports, and I'm sure a place for your headphones.


If you're staying in hotels, try to stay in places that have free high speed internet which so many of them have now.  You can plug right into that and work.  If not, I know Verizon has a wireless broadband service now for around $60 a month you could check into.


I hope this helps some.


 


Yes, about 65K and I've given all my tips multiple times.
no message
Hey, I've had them stumble over their OWN name (3 times in 1 report). nm
nm
I've heard people have to try a new food 10 times before they know for sure they won't like it
I heard that somewhere.

I had a SIL who actually SAT on her young children and force-fed them new foods if they refused them at the table. We were appalled, but weirdly, the kids often got up from the floor and happily ate the food they were just force-fed!
I've tried to quit 6 times in the past 6 years but

always went back to it. The longest I've quit was 3 weeks. My mom died from COPD and she had smoked from age 16. She really enjoyed smoking and although we kept trying, couldn't get her to quit until she was on 24 hour oxygen.  She told me if she couldn't enjoy anything in life (smoking), why live. She died 3 months later.


I started smoking at 13...you know, the "try it, you'll like it" phase. We both tried to quit when I was 19 but we only lasted a day. There was only cold turkey then.


I've tried the patch (3 weeks off cigarettes), cold turkey, herbal meds, hynosis (only lasted 5 hours), you name it. I've used all the suggestions possible to no avail.


With a cigarette dangling from my mouth, I told my boys never to start smoking because they'd never be able to quit easily. Two took my advice, one didn't. He also tried to quit smoking but failed. He was on Wellbutrin for it.


My husband started smoking at 8 while working in a coal mine. He quit cold turkey 19 years ago. He was smoking almost 4 packs a day and one day he got so disgusted with it, he  just threw them out the window of the car. Never touched one since and smoke from other people doesn't bother him.


He told me you really have to have the willpower and just get disgusted enough to quit. There's no other way. I guess I just don't have that willpower.


I've tried to go back to the office a number of times and

I never can make the transition.  One consideration is your wardrobe.  You have to start dressing in office attire which is something I don't miss and found irritating when I went back into the office.  I also found that after working at home for as long as I have done it, it's kind of stressful to get out there and try to be social and friendly.  Office politics is another negative.  Offices are very much like high school, very cliquey and filled with gossip.  There is more to working in an office than just doing your job.  At home, it's just me and my PC.  I do the work and I get paid.  In the office, there's you, your PC, the person who shares the desk with you, the person who sits across from you, the person who sits next to you, your supervisor right across the hall, the doctors knowing you by name and seeking you out to complain about their dictation, the constant ringing of phones, chattering of voices.  The people you share office space with, one will always be hot, one will always be cold, one thinks it's too bright and there's a glare on her screen, and one thinks it's too dark.  You can't wear perfume because the girl next to you is allergic...


I could go on... 


Amen, and I will add one more thing. If I had a penny for all the times I've heard, "just a ty
well, maybe I wouldn't be rich, but I could buy a months' worth of groceries! LOL
Never learned it? Hah! I learned it and still didn't like it.

I use EXText with my current job and I've used at a couple of other jobs I've had. I've ne

used DocQscribe, but I have used Meditech, Cerner, Vianeta, the Precyse platform (I can't remember the name), Dolbey, and  Lanier platform I think was called Cequence (?). 


Out of all the different platforms I have typed on, I have liked EXText the best.  In my opinion, it's very user friendly, easy to learn, and I really like ESP which is the built in abbreviation expander.  Plus it is very easy to create your own normals which I love.  My fingers literally never leave the keyboard because there are macro keys for everything.  You can use your mouse if you prefer or learn the function macros.  I love it.  I think I'm more productive on EXText than with any other platform.


Learned something

I never thought that many peole would want a transcript of a show especially when it was availabe of DVD or tape.  That is why I did not think it would pay that well.  But I learned something and always glad to do so.   The last seminar that I type did not involve medical at all but was building a chip for a computer and all oriental speakers and so when I think my docs are bad, I remember that.  Lots of blanks needless to say. 


Have a good day and thanks for the compliment but all I know is common sense and practical sense through years of doing this. 


 


I learned that way too, but now
nm
has anyone learned that their QA
person is using an outdated BOS ?  I can hardly believe anyone taking their position seriously would do this.  Am I wrong to be amazed and disappointed?
I know what you mean...you'd think I would have learned

my lesson in season 2.  I would love a Taylor/Elliott finale, but I really don't know what to expect.  You'd think Taylor has a big enough fan base to put him through, but after last week, I feel like anything can happen.


yes that's how I learned

how else to learn specialties?


What I have learned from VR is
that it does take an experienced and alert MT to recognize when a mistake has been made by VR. If the MT is editing too quickly or too careless when a mistake has been made by VR, and the incorrect term does sound close to what the doctor is dictating, the MT may not realize there is a mistake in the report that needs editing. This could be very dangerous if the doctors do not proofreading their reports carefully after they are returned to the system as complete.

Unless the VR technology improves substantially from where it stands now, I believe there will be gross errors not caught, which may lead to poor patient care and possible litigation.

I have been a MT since 1981 and have witnessed a lot of changes in this field. VR may appear to be an asset for medical personnel, but it may prove to be a detriment for patients. Sorry to come across as negative, just my opinion.
what I learned...
one can put 30.000-40.000.

Only if it is dictated 'between' 30.000 to
40.000, then write 'to';

or from 30.000 to 40.000.

Also AAMT BOS 2nd edition
Have learned
Have learned from talking with IRS I can become a Sole Proprietor and get an EIN. Nothing changes as far as filing and paying taxes, same as an IC. Sorry if this posts twice.
I took this course too. Learned how to
build my own computers. Never pursued a career in it but am planning on doing so if MTs goes downhill completely.

Does your course include networking too?
I learned that
disc was for the body and disk is for computers. I go by whatever the account spec says.
41 YO here, learned on the job 22 years ago(sm)
and still love MT.  I do acute care, clinic, whatever they throw at me.  Started out in a hospital in 1983 and went home/nationals in 1996.  Been working at home ever since and have no desire to go back in-house.
I have learned something!! I never knew this was possible!
I've always thought liquids damaged/ruined keyboards, but I guess I was wrong. What a good idea you all have!!
learned (not leared)
sorry
My beagle has learned
not to lay near the foot pedal, but just to the side of it. It's the darn cat that won't stay off my keyboard. He'll even lay on it while I'm typing, and knows I'm going to boot him off! I think he likes the attention when the kids are at school and DH is gone to work.
Does anybody out there sew regularly. I have never learned
how to sew and I want to learn.  I am going to take some classes here at a local craft store, but my question is that I want to buy a nice sewing machine, not top of the line but not a cheapy either.  I can always upgrade later if I need too.  Does anybody have any recommendations on a nice, easy to use sewing machine that doesn't have so much crap on it that I would be totally confused. 
I learned it exactly the opposite...
back in 1980 I learned that disc was for the spine and disk was for anything ophthalmological ......
Yep, learned that the hard way, but then when I
told them I was looking things changed and now I'm down from about 95% ESL to about 60% and for the most part they aren't horrible. 
Learned the hard way
I am one of those editors who can't just let a blank go unless I have spent at least 10 minutes trying to research it. Of course, if the dictation is just not clear, then a blank is the way to go. I found at my last job, though, that I was spending too much time on correcting grammar - quite a stickler for that - but the company wanted a much quicker turnaround, even if the report looked like it was typed by a third grader (my opinion) lol.
figured it out and learned something new,....
thanks everyone...this has taken me forever to just get one thing done...thanks.
thanks, learned something today :) (no msg)
.
I learned it in school
I had to take a class on how to use the software for my schooling. I wondered why it would be useful in medical transcription because it is a program in which you speak and it types and does functions for you. I have never used it now that I have started working. Sorry that didn't really answer your question.