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You're extremely fortunate to get those lines. Too many of us deal

Posted By: with garbage dictation and just can't do it. nm on 2007-10-14
In Reply to: my thoughts - amdahwd

s


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You're incredibly fortunate. Many of us aren't even getting offered 8.5 cpl for years of exper
m
Help! Is this a good deal? .09 gross lines with a font of ...sm

Times New Roman 11 and 1-inch margins.  It will be op notes, but I have a sample report and there are sure A LOT of characters on those full lines.....


It is an okay deal - TR 11 font is small. Not as good a deal as Courier.
Personally, I would have to think really hard and compare reports and line counts, like the other poster below suggested, before I would jump right into it. It is probably 75-80 characters to a line +/- the single character lines you get for initials, and 2 word lines you get with op reports such as Surgeon:
IV Fluids:
Anesthesia:
etc.

It probably is comparable to 9 cpl with a larger font.

Good luck in whatever you decide.


Good Luck!
If it cranks out 500 lines/hr, that's great if you're still getting -
But if you've been bumped down to 3-4 cpl, aren't you still having to put in 7-day weeks at 12-14 hrs/day to make ends meet?
D'oh! You're right. I saw lines and my brain just went with it.
xx
I have been very, very fortunate....

as mine only flares up a couple of times a year, so far, but you change see the changes in my fingers, etc.  I'm very stubborn about everything in my life, like Frank Sinatra.....I did it my way.....don't take meds, don't follow any particular diet, etc.  I do live in Florida which of course helps with the Raynaud's which was a problem when I was in Virginia a few years ago.  Medications do not like me at all, they always cause some kind of problem, so when the pain is really bad I'll just take good ole Bayer aspirin that seems to help a lot.  I'm about 60 years old now and one day will  probably have to do more but for now, just aspirin and ignore it.  Stupid maybe?  Who knows.  Look at all the bad things they are finding out about certain meds now.  I'd rather just trust in the Lord for now; will do meds when absolutely necessary.  As for typing, it takes an hour or two before my fingers really fly anymore but they do still have wings!!! 


Do as I say and not as I do....make sure your friend has a GOOD rheumatologist...they can do wonders for those who find themselves really incapacitated!!!!  If you are in Florida, go to Dr. Norman B. Gaylis in Aventura, Florida.  He really helped me with my first flareup before I moved!! 


consider yourself fortunate
/
I am very fortunate!
All my docs thank me at the end and sometimes will even after a particularly long report will say "Say, I am ready for a cool one--how about it?" After reading all these comments on board, I feel very lucky.
Fortunate IC.

I know very well the difficulty of taking vacation and while I do not take a vacation every year, I have taken time off for a cruise for my 20th anniversary and for three major surgeries.


I have taken my laptop with me on trips and done what I can while away but it's not the same quantity as when I'm home. I tell all my offices several weeks in advance the dates that I will be gone and that I will do what I can while I'm out but they will have to wait until I return for my undivided attention. I have not had any problems with this arrangement. I did not take the lapto on the cruise and everything was waiting when I returned. Yeah, it's kinda of tough getting caught up but I consider it even tougher not getting away at all.


When I had the surgeries, I made arrangements to have other friends take some of my work while I was recuperating; all of the offices have been very compassionate and understanding so I've been very fortunate in this regard.


It's not easy to take a vacation but I have found that if I explain what is going on and give them plenty of notice, they are very understanding. Everyone in the office gets a vacation, including the docs, so they understand when I'm due for the same.


Sorry, that should have been "I am fortunate to have"

Some of us were fortunate

to get started in this field when it was possible to be hired and trained on the job.  Some of us started right out of high school in the transcription department of a hospital where OJT was offered.


After retiring from another career, I took an aptitude test given by MRC, and did well enough that they basically let me train myself in medical transcription.  I spent the next several years with my nose in books, looking up every other word and for the first year listened to every report twice just to make sure my work was okay.  It took a long time to train my ear for ESL dictators.  It was slow going and not very profitable at first, but eventually I began to make fairly good money at it.  I've worked for MTSOs ever since, and currently make $20-$25 an hour - depending.  But now these companies are really putting the screws to us.


Many employers now demand a ''certificate'' from a ''school'' for serious consideration.  Some years ago, with over 10 years of experience with MTSOs, I interviewed with a local medical practice (the type with a staff of physicians and a stuffy professional practice manager).  He did not really understand how I could be doing this without any ''formal training.''  I offered to demonstrate my ability, but once he realized I had no ''degree'' I was not allowed to test for a position.  I have sent my resume to other local practices over the years, but never got an interview. So it was much easier to keep working for MTSOs, who at least would hire me based on experience and testing.


Anyone who has been in this profession very long realizes that it takes years of experience to become any good at it.  However, I don't think a newbie has any way to get a foot in the door without some silly piece of paper from some funky school nowadays.  Am I missing a way that the neophyte can get hired, work at MT and ''hone the craft'' without attending some rip-off school?


Again, here, I've been fortunate...
5' 5" and weight fluctuates between 105 and 115 pounds....so I don't have a problem with weight.  Why in the world doesn't she try a different rheumatologist?  Are you all in a small town?  Believe me, it would be worth the drive to go 2 to 4 hours to see someone who can help her.  The pain is no fun at all; it is deep within the bones; you can't touch it to make it better; all you can do is wait and know that eventually it will improve.  It sounds like she has a really advanced case.  Maybe you can help her find another rheumatologist, no matter how far away; I have seen many patients improve to the point where they CAN enjoy life again....she just needs a good doc!!!  I'll be thinking about her.  Tell her she will not get better until she does something to improve the situation and the first step is finding a good rheumatologist.  She probably needs some help here as right now she probably doesn't care too much anymore, especially if she is drinking too much....I know just went through this with a neighbor.  She was in the deepest, darkest pit of depression, didn't want to live, drank constantly, lost down to 60 pounds and was totally jaundiced.  I called EMS and put her in the hospital for a month.  She was angry but only for about two days.  Now she is a very happy person and looking forward to life, although with some liver damage.  Guess sometimes we just have to take them by the hand and lead them to where they need to go.
Well I at least I am fortunate to have a job I guess

So many newbies can't find work and I have tried in house in my area, gues what they mostly outsource their work, I know Spheris does a few hospitals in the area, So I will try this IC for awhile but I am deffinatley going back to work, I cant live off of this yet and I am not doing this for (stay at home mother) I do not have children... Yet...


Just wanted to give this an honest effort


make that -- If I ever am fortunate
it is very late and I am very tired. Darn it -- where is my spell checker. LOL
We are fortunate to have benefits.
The problem is that we have a person who can transcribe their required line count in 6 hours or sometimes under that.  When there is extra work to be done, she will get on and get her line count in about 6 hours, then get off for about an hour, then get back on and do extra to finish her shift.  When there is not extra to be done, she gets on and off so that she covers her shift.  This Transcriptionist always produces more than the others when there is extra to be done.  We have other transcriptionists who cannot transcribe as fast, but they make appointments in the middle of their shift and take off and come back on and transcribe their remaining lines.  The ones who do not transcribe as fast complain about the one who gets off and on, but in reality, they are doing the same thing in the name of appointments or errands, just not getting as many lines.   All employees have a base hourly pay.  The required line count is 1000 lines per day.  The lines are calculated at 125 lines equaling one hour pay.   All transcriptionists work in the same pools so the work is distributed evenly.   If a transcriptionist transcribes 5375 lines in a week, they are paid 40 hours at base pay and then  paid time and a half for 3 hours, even if they have not actually "worked" 43 hours.  The lines are registered in minutes, with one minute of dictation equaling ten lines.   We would like to go with a straight line count, not minutes, with an incentive program, but our system  counts headers and footers and blank lines.  Not sure what the solution should be.
I was fortunate enough to have an account
where my Expander stats were running 65% consistently. That meant I was only typing about 35% of each report. Expanders are definitely worth the money. I use ShortHand and love it.

I had one doctor I could do 440 lines per hour on. Unfortunately, those are the accounts going to voice recognition or offshore, so I'm unemployed yet again.
I hope your 70 MTs know how fortunate they are (sm)
Your MTs are very lucky. A lot of us would give anything to have a decent-paying job with someone who cares.
You are fortunate to call shots. Most MTs can't
MQ doesn't give a care about cell phones, noise in the background or whatever would keep you from doing the report. Just do it and don't send it to QA but if QA picks it up randomly to "grade" you, you take a cut because your report may not stand up to QA standards. It's win-win for the companies and lose-lose for MTs.
I was fortunate with community college
I took courses through my local community college's continuing education program. The instructors were people who worked in the medical field during the day and taught at night. By doing exceptionally well in the classes and being a model student, I was recommended by a couple of the instructors and got a start at the office where one instructor worked before I even finished my transcription class.

Once I got my foot in that first door, I've been working steadily and successfully ever since. I had only a couple of classes under my belt!

The approved schools are probably the best chance for work after graduation, but opportunities can arise wherever you train.


Also fortunate enough to have a separate room. And
s
Fortunate enough to have a DH who has a very good income, plus...

the fact that we have no debt but our house. There are those people who just have to have everything right now, no matter what the cost. We have 1 fairly newer SUV, paid for, and DH drives a paid for, older commuter Subaru that has over 200,000 miles that he drives 66 miles a day round trip to work. We don't have kids at home anymore, don't pay for college, still manage to save a bit. I'm always amazed at the couples with kids who have an SUV or mom van, a big truck for dad, boat, RV, flat screen TV, etc, and all the payments to go with them and then complain that they are broke. If people lived below their wage there would be no problem. Our next big crisis in the US is going to be credit cards...imagine buying $100 worth of groceries and paying 19% interest forever!


I envy you! But I am very happy at your success! Wish more of us could be as fortunate! :) nm
nm
How fortunate that someone took the time to answer your question.
I was merely pointing out that it was possible that you don't need to spend the time or money to do all of that since I apparently wrongly assumed that you knew what you were doing. So much for the assumption that you were totally aware of all that the process involved. You're lucky that after reading your response to the original post that someone even wanted to bother answering your question.
anyone watch deal or no deal?

I love Deal or No Deal.......nm

Extremely helpful - thank you!!! nm
nm
It was extremely perverted.
Be grateful they took it off. I would repost whatever you had to say.
this is extremely sad. I started on with MQ
0.0775 cpl.  You're only going to get desperate newbies with that pay.  If you want an "experienced" MT as you say, pay them what their experience is worth. 
They are extremely close.
From what I know of both companies, oddly enough it is MQ catching up to changing its operations to par with Spheris with the new Rewards Plan.

However, while Spheris has already had their compensation/benefits package settled for a while, they seem to be aggressively pursuing purchasing other companies and increasing their offshore entities.

MQ seems to be focusing on it's US clientele.

MQ has ASR and if Spheris has it, I haven't heard of it yet. I would imagine ASR came in with a recent purchase if Spheris has much in the way of it right now.

You are welcome.
ok now I see it - extremely annoying. NM
x
I am extremely careful

Geesh, June.  I am extremely careful, and my girls have been told not to open the door unless they know the person on the other side.  You know children do not always listen.  I had been down the hall using the bathroom, and my 13yo thought the 16yo had stepped outside and locked herself out.  Since it was a soft knock and a familiar one, she thought she knew who was on the other side.  When she realized it wasn't who she thought it was, she shut the door right away and came and told me there was a man in our garage.  We've lived here for 10 years, and this is the first time anyone other than family has knocked on that door.  There isn't a lot of crime in our area, and we leave our garage door most of the time.  We never have any problems.  I know...there's always a first time....never say never and all that...but I am careful. 


A couple of weeks ago, religious solicitors walked up to our door.  I was working, and my 16yo opened the door to them because they were women.  Not anyone she knew, but she opened the door because she didn't find women to be intimidating.  That's why I say children don't always listen to what you say.


After those Missouri boys were abducted in rural areas, I've talked to my girls again about being careful, beiing aware and watching out for each other. 


My hubby thinks I'm paranoid.  I'm the type to keep my doors locked at all times, day or night, and he thinks it's silly because we're in a rural area and probably fine.  When I dispute the point with stories from the news, his rebuttal is that a locked door will not keep out someone who wants in.  Maybe not...but they'll be a lot more noisy trying to get past that locked door than they would an unlocked door.


 


It works extremely well for me. sm
I am in a very, very rural area as stated; all woods.  I was also told it works as good as your cell works.  Our cells are "patchy" in this area, but are fine in our home and we have all metal roof too, which usually causes outages but not in our case.  I was constantly frustrated with Wildblue and no signals on bright sunny days even.  Like I said, in 3 months I have not had one problem with losing a signal and I am on the net 24/7 almost literally, lol.  I know in my case, they gave a 30-day refund in case it didn't work out for you.  So I would say give it a try first and if it doesn't pick up well for you, then look into HughesNet.  The wireless was the BEST move I have made period and I am extremely happy.  I did call tech suport on it when first setting up and the hold was very minimal and tech was very helpful.  I was fixed and up and running within 5 mins with AT&T.  Now I will say my first bill was also about $170 as they bill in advance so I had to pay first month and then 2nd month, but to get started all I paid was for the USB thing itself.  Oh, if you do go with wireless, don't get the "cards", get a USB one that way you can change it from different computers and be mobile with it rather than just working in 1 computer.  Say if you have laptop and desktop you would switch the USB between computers and if you got a "card" it would only work in one of the computers, the one which you bought it for. 
Anybody else notice extremely low IC pay?
I have always worked as an IC acute care transcriptionist. My line rates have always exceeded what an MT can make as an employee, which is only logical because as an IC, you have to pay your own taxes, no benefits, etc. I always peruse job listings on this and other boards, just to see what's out there. Lately, I have noticed a disturbing trend. It seems like most MT companies/MTSOs are only offering .08/line for IC. Unless that is for a gross line (and goodness knows gross lines are a thing of the past), that is outrageous!! When you consider that an IC has to pay approximately 15% of his/her income in self-employment taxes alone, that means a net rate of about .068/line! While .08/line for employee status is still low (in my opinion), at least social security and medicaid taxes are paid, and there are usually benefits, PTO, etc.

If I were an MTSO, I would be embarrassed to offer .08/line to any quality IC MT. For a newbie, sure. But for any MT worth his/her salt, .08/line for IC is an insult.

I know that competition with overseas firms makes it seem necessary for American transcription companies to lower their MT pay in order to be competitive. However, American MTSOs will never be able to compete solely on price; overseas transcription companies will always be able to do it cheaper. It is a slippery slope that has already lead to the failure of many American transcribing firms. The question for American transcription companies should not be can we do it cheaper, but can we do it better??

In today's market, American MTSOs need to stand their ground and quit underselling themselves and undervaluing the value of their American transcription workforce. American MTSOs need to start marketing themselves differently, stressing quality, accuracy, dependability, security, and good old fashioned patriotism. I don't care how low the overseas companies can bid a job. There is no way they can compete with the quality and accuracy of American transcriptionists. I myself have worked for an MTSO who lost a contract to a firm in India, only to have them beg her to take them back a few months later because the quality of the overseas work was so horrible. I am quite sure this is not an isolated incident.

While there are always going to be hospitals that will try to get by on the cheap, there are also hospitals and doctor's offices who realize that they get what they pay for and will put quality first. If you compare transcription services to cars, overseas work is the Hyundai while American transcriptionists are the Cadillac. Cadillac would never slash its prices to compete with the cheaper imports. They know that they have to cater to their own market, people with more discriminating tastes.

I am fortunate enough to work for a company that realizes the value of its services and takes the stronger, wiser stance. They are not after contracts at any cost. They will pass up work if they have to bid ridiculously low just to get it. And guess what? Any bid that only allows you to offer your IC transcriptionists .08/line IS TOO LOW!! And any quality MT is not going to stick around at those rates.
I find it is extremely so! sm
THe other thing is, unless you are ultra fast or so wonderful you are in high demand, you won't make a living at it. I know some cake decorators and it is high pressure. I could make and decorate 3 cakes in a day, of the 2 or 3 layer variety, but they wanted 10 or 12 just the decorated part. I found that daunting myself.

I can only make one of my signature cakes a year (heart shaped cake covered with handmade, real buttercreme roses...think about 150 to 200 roses) about once a year and I need to have time off of work to recuperate anymore. My hands ache and ache!
I get extremely car sick
I posted on the gab board and while I was typing this message moved, so am copying my reply here too in case the other message gets lost -

I get extremely motion sick in a car. I cannot read at all. I can't even read maps to help husband in areas we don't know (can't tell you how many arguments we still have over this and it's been 25 years), and if there are a lot of road signs I can't read them, therefore I would imagine that if you can't read due to motion sickness typing would be hard, because as an MT I am always reading what I type to make sure there are no typo's or I don't hit a wrong key. A couple years ago we took a drive to the Mendocino coast in California. Lots and lots of curves. I thought maybe I had grown out of it (motion sickness), but my DH had to keep pulling over. I was so sick it was awful.

If you take a product like dramamine it will make you drowsy (I should know cos I'm the Queen of Dramamine) Taken enough of it at different times and I end up sleeping through the trip if I take it. I'm not sure if they have any non-drowsy. A lady did tell me once that I should eat a little carbohydrate before I travel and that might help. Again, a big "might" and I don't want to take that chance.

I think the biggest problem with typing while a vehicle is moving is the constant movement of the keyboard. If you go over a bump or hit a rock or swerve, your sure to hit a wrong key. I'm not sure I know of any employer who would allow this. I'd be more apt to be looking at the scenery rather than concentrate on what I'm typing.
You are EXTREMELY lucky...
I can't remember the last time I even took a day off, let alone a week or weeks. I've often put in way more hours in a week than you say you work regularly and still have never come close to the kind of money you're making.
You would need to be extremely fast on your
computer in order to straight type 3000 lines per day. I never did that many and said before, used to have people seek me out in the office as they would hear me typing fast and they wanted to watch me. Straight probably for me never got over 2500 if that. Having said that, had 2 bosses at different times and would be willing to say both probably consistently got that per day. Your speed, I would think, would have to be around 150 to 160 or higher. Can you do that?
Aaahhhh, now I get it. Gross lines vs. Character lines. I guess I've just been conditioned to
think in terms of character lines.  One of the perils of working as an IC for somebody who defines what a line is versus owning your own company and defining it yourself.  After working for someone else for 15 years, maybe it's time to bust out on my own.
Ugh - how extremely nauseating and immature -
nm
I don't think that's " a big IF." That is an extremely sturdy structure. sm
It has a drainage system in the lower levels so it's not like it's going to fill up like an aquarium. It also has an extensive generator system, so it's not going to turn into a giant greenhouse effect. They did not direct people there "to contain the bodies."
Either you started at an extremely low line
rate to begin with or you are blowing smoke. I personally don't believe a word you say.
If you are so extremely thin and beautiful,
then why are you on this site. Are you a transcriptionist. If you are as beautiful and thin as you say you are, I doubt very seriously that you'd be typing for a living.
That was extremely rude & uncalled for.
Noone deserves to be harrassed or "kicked' when they're down!!
I have tried one- extremely hard on my knees
xx
Thought this was extremely old news
nm
Yes...extremely low volume since just after Christmas! nm
/
This is extremely dangerous reasoning. SM
It isn't what the "suits" are saying, it is what they are doing.  These are two totally different and separate entities.  My God, are you so complacent that you cannot even take a look around and see the face of the future?  No one is telling anyone to not just "be happy."  A little foresight and present thinking is imperative, not only in the MT world but in many other areas of business, especially IT.  It's all going over to Asia and it's all same-same there. 
Extremely well put Witch...regardless of personal..
religious beliefs..we could ALL learn to be better "people" from how the Amish treat their fellow humas.
Um, in this country!?!? lol Extremely common.
Poor grammar is everywhere, unfortunately, and ya can't fix what they don't know. ;)
not absurd, just extremely exceptional,
nm
That was an extremely eloquent post!
.