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anon - the almighty $ will show in personal injury/malpractice cases. (nm)

Posted By: mstudent on 2007-06-11
In Reply to: Let the docs use their reports transcribed in India as a defense! LOL - mstudent

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What about malpractice cases?
If the jury sees a report in "ebonics" vs standard English it - is not going to help that physician's case. When push comes to shove that piece of paper that he dictated/signed is his a vital part of his defense.
It doesn't matter what kind of care the dr gave, if it's not documented in a way that is acceptable to the community it will not "cover" him.

It's the almighty $
You are right, Jenn. Most doctors do not want VR, they don't want to take the time to train on VR, and they don't want to have to correct their reports. They value a human MT.

It's the almighty dollar that has the last word. It's expensive to implement, but cheaper in the long run to use VR rather than human MTs. Administration is not concerned with the quality, only the expense. If it looks good on paper, it's a deal. VR is bundled with PACS in radiology settings - and all radiology facilities will eventually be using PACS as x-ray film has become obsolete. A digitized radiology dept. does not have to worry about huge files to store, processing equipment, darkrooms and developing chemicals/waste.

Teleradiology is here and medical facilities must keep up with the technology to provide their services. Rad MT positions will be hard to come by as facilities make the switch to digitized systems. For rad MTs, it isn't looking good down the road.
You have that right. Malpractice insurance for neuro sm

I worked for was around $25,000 a year (in 2000) , but the neurosurgeon in the next office paid almost a half million dollars in malpractice insurance yearly.


How's that for expenses?


Keep in mind the state of the art equipment that the hospitals now have to save people that they didn't have back in even the 1990's.  Unfortunately, everyone has to pay their share for upkeep I suppose.  I got a bill for almost $500 for a quick care appointment for an eye irritation that turned out to be nothing.  Insurance paid $98.00 of it.


I wouldn't have bothered, but as you all know, it isn't easy doing MT work with one eye shut.


medical malpractice insurance
I was wondering if anyone knows a good insurance agency to talk to or get online info about, for medical malpractice insurance. I am in school right now and I have to get info. on cost and coverage of medical malpractice insurance for a project, and I am having trouble finding a good website. So if someone could give me some info. that would be great.
Almighty doctor
Actually...more likely the almighty insurance companies or to take it even further, our almighty govt. is to blame.

MTSO's in order to compete with offshore and with doctors cutting back and insurance companies cutting back, have had to lower what they charge doctors (or lose business to offshore), therefore they have to pay MTs less. It's a vicious cycle. It's happening in the tech industry, as well.

If we don't like it, we should think about how we VOTE, because that's the only power we have left at this point.
The almighty numbers
I totally agree with Patti. Who the heck do they think they are (AHDI)to change everything they feel like on a whim. It's all about the money for them and we all know that.
Medical Malpractice lawyer work

I've read here before about some MTs who work for RNs transcribing their notes for medical malpractice lawyers, particularly in So Cal.  If anyone out there can give me more info such as need, what to charge, how to find, etc, I would be so grateful---I'm an MT/editor/quality auditor with 10 years' experience needing to make more money out of my skills.


Thanks!


you must live in Florida or NY - malpractice is really high
I have heard of a couple of places asking you to pay for malpractice insurance, but I truly feel it is up to the company to do that. I, personally, wouldn't pay for it whatsoever!
Nope..the almighty bottle came first with my EX

After 25 yrs, along with 4 before that of dating then he decides the bottle is more important....well it was & still is and I got outta there


Bottom line for EVERYTHING is the almighty
x
Don't forget, doctors are paying out a mint in malpractice insurance.
x
while recovering from an injury, (sm)
I purchased and used Dragon. Cost me about $1000 by the time I purchased the nice microphone and software. If you don't mind the time it takes to "program" your voice and other features, re-listen to each dictation and copiously edit, and put up with all the quirks of the voice recognition, it is so-so at very best. It did allow me to keep my job and work while injured, but I certainly would not purchase it again if I were healthy and didn't have a real need for the product, as it probably took me 11 hours to complete what I could in eight by transcribing the old-fashioned way ... um, the one with all the wonderful Expanders we have available ;)
insult to injury
It is just the Pits! I would not want to work for them if I had any other choice at all. If no one works for them, they will have to change or do it all themselves! Yahoo.
Work in a hospital and no one cares about quality, unless there is a malpractice law suit involved.

All anyone worries about is quantity.  The work is terrible and the only time anyone even acknowledges it is when a doctor is being sued.   When my son was operated on I had to marked his leg in permanent marker before surgery because left/right get mixed up so much.  You can tell reports that comes from India and my supervisor sits there and laughs with us.  Due to the "freeze" we haven't had raises in over 5 years.  


 


Repetitve Stress Injury
Thanks so much for the help and advice.  Yes, I do have the screen eye level but I might be able to adjust a few things.  I think the doctor is my next stop however.  One thing I notice is maybe I need to get to stretching more between dictations.  I have a tendecy to focus on the work for too long.
My son also had a traumatic brain injury
Please let me know if you do find the answer to your question. My son, who lives with his father, has become a drug addict. He will not return to school or work; he is only interested in getting his SSI check and whatever else he can get from the government and everybody else. Please let me know if you have any answers. I do know that I went to college with a learning disability (ADHD), and I not only asked the professors to put me in the front and center seat but also had free tutoring for math classes when I needed it (I kept losing my glasses). They offer free tutoring through Student Services for a variety of handicaps. Good luck!
And adding insult to injury,
I have a few that dictate like they're trying to keep it all a big secret; ironically, it usually sounds like they are trying to keep their voices down so they don't disturb the people having the LOUD conversation 5 feet away! Hello, get a clue! Gaaaah!
Adding insult to injury,
it's IC (independent contract) work with an insultingly low line rate. If I were going to take THAT big a pay hit, it had BETTER have one KICKER of a benefits package attached to it. No, thanks. Don't call me and I won't call you.

In addition to the various fees charged if you don't jump through all their hoops (and they were a bit fuzzy about whether those fees would still be assessed if the failure to complete the required work was THEIR fault not yours, there was also some verbiage in their contract that sounded like they might require you to use a dedicated computer--i.e. you can't use the computer you use for their work for anything else. Naturally, they do not supply this dedicated computer. Excuse me, if I own the computer, I can do whatever I bloody well please with it.
If you can show proof you did this work for them, they then have to show they paid it in order
:+
detrimenal impact on your life. Loyalty is gone. Almighty dollar has taken its place.
dd
R hand and R rotator cuff injury..but I did it

Well, I broke my right hand years back, around 1986, and still went to work, without a cast, cause I had to work..Would work till it hurt too much and made me nauseous, then would go to the ladies room, get cold water on a towel, put it on my hand and go back to work.


In 2003, I tore my R rotator cuff.  Opted for no surgery as I do not have insurance..Had to still work, Im the only *bread winner*..Put my R arm in a sling..took lots of ibuprofen, rubbed my shoulder with Ben Gay..Sometimes had to pick up my R arm and place it on the keyboard cause my arm couldnt do it..When I got on the keyboard, I was find..it was just lifting to my keyboard..It was hell..but what could I do..I will not rely on a govt program, never have, and I had to make a salary, have no family to depend on, would never ask my friends..So I did it myself..R shoulder still hurts sometimes, especially when I sleep..but I was able to get through it and you will too..


Repetitive Stress Injury Neck
I am in bad shape with my neck and I thought maybe I could come here for some advice before I go to my doctor. I have an injury there already, but I thought it healed.  I do 8 to 10 hours a day of typing and computer work.  I do sit in an ergonomic chair, but I have very bad neck pain still...primarily on the left and it is a sharp intermittent pain.
Repetivie stress injury neck
I had fusion at C6-7 15 years ago, with release of nerve entrapment. Now I also am getting the same pain back in my neck and arms from transcription. I have been on muscle relaxants and pain killers. My desk is ergonomically correct as is my chair, level of screen. My screen is eye level. I may need another MRI, as it is now affecting my neck/shoulder. I am going to try a back cushion to see if that will help me. There are several stores that sell these and they are not too expensive. I know the pain, it is horrible and I feel for you. I would just try to see what your doctor can offer you. Cortisone injections do work as does physical therapy. Good luck and I hope your pain is gone soon.
Last year I got repetitive stress injury..sm

have been working on and off as an MT for 20 some years. One year I worked radiology and I can remember actually putting out 200 reports one day. I never got carpal tunnel with the keyboard but could get it with the mouse. About two years ago, I had a busy stint where I was probably working 6-7 straight hours, then my fingers began to hurt. First it was the thumbs, then it was all my fingers. Just ached. Not arthritis, because joints were not red or swollen. I even bought a parafin bath, tried NSAIDs. Finally investigated on the internet to find out I had repetitive stress injury. I stopped typing (fortunately I own a small MTSO) and just let my fingers rest. To this day, two years later, of almost NO typing, all it takes is about 3 hours straight typing and it's back. I've decided I've hurt my fingers irreparably and any further damage I do now, I will just pay for later with arthritis or something. Sorry to hear about your disability.


Son suffering from traumatic brain injury.

My son was hit by a car 7 years ago and sustained a traumatic brain injury. He was in a coma and went through over a year of rehabilitation. He was 15 at the time and finished high school, went on to Junior College and has just finished a year at a state university. He has struggled with learning disabilities and short term memory problems since the accident and has barely passed his classes. It looks as though this was his last semester at school because his grade point average isn't high enough to let him continue school. He will be put on academic suspension. He wanted to go away to school so badly and worked so hard to make it and I know he will be so disapointed when he finds out he won't be going back in the fall.


He is definately a miracle and I thank God everyday that he is alive but I don't know what to do to help him anymore. My question is "Is there anyone out there with a similar situation who can give me some advice on where to go from here?"


It's all about the almighty buck where MTJobs is related. Note that E-Tranz is an MTDaily paid

In these cases, I always believe that God...sm

Being a God person (tho not religious) I believe that perhaps God has another plan for Dana and Christopher.  I always believe that only the good die young.


I feel badly for their 13 y/o son.  He has two half-siblings from Christopher's relationship prior to hooking up with Dana.  I hope these two older siblings (22 and 26) help with Dana's 13 y/o son.  I pray for all of them.


Dana and Christopher - R.I.P. 


There have been cases
where boys in this age range die suddenly from heart problems. It just happened this year with a kid in college. When I talked to my family earlier, they said this is what they were thinking might have happened because it was said they thought he was just sleeping. It apparently happens more than people realize...pretty sad.
...to prevent carpal tunnel and other repetative stress injury. nm
s
yes these cases exist, but
in very small number compared with the legitimate serious cases; and the legitimate cases, as another here said, are still just the very TIP of the iceberg.
The 3 cases are all different. Lundsford
was an amber alert and they searched for the child for days before finding her. It also brought out, again, the inadequacy of the system for tracking sex offenders which frequently results in the death of a child.

Holloway was another missing person, but in a resort area where there is minimal crime, according to their reports. They were looking for the missing person.

My question is this? Why would a "little" girl be dead for at least 14 hours, but never be reported as missing by the parents or guardians. In your case, the body has been recovered. It is now up to the police to determine if there was foul play involved or if it was a natural death.

I really think you need to re-examine your motives for posting.


I am not referring to cases
such as you are describing, and I don't get why you're so defensive. Of course that splinter case that you described warrants an ER visit. I am referring to all of the reports that I type of cases that could easily be taken care of by a PCP and in no way should be considered an emergency. Relax...geez.
Laptop cases sm

So, I'm getting a laptop for work.  Anyone know of cases where the laptop, keyboard, headset, and foot pedal will all fit into.  If nothing else at least the keyboard and headset.  I could always carry the footpedal seperate or use hotkeys.  Something that isn't too terribly big if that is possible. 


Thanks!


Robot cases

My MIL has been doing quite a few robot cases at the hospital, and I have never transcribed a report like that, and to those of you who have, how different is a robot surgery than just regular surgery?


In some cases, this is true...sm.
Personally, I don't mind doing ESL doctors or more difficult docs. I can now run through them just like any other. However, others in my company are not the same way. On many occasions I have been requested by physicians (of course this burns the other MTs) to do their dictation. With that I have many recommendations and have been promoted for that reason. I think it really depends on the company and the people.
In cases like that, sammypot
it seems the dictator should be spoken with so that he realizes exactly what has to be done and that a more sensible way to do it should be figured out.
I type legal cases...sm
and I've helped go through the medical records for the cases and I am apalled at the transcription of reports that I've seen for one large, low-paying company in particular.  I've been a Transcriptionist for 15 years and I no longer am taken by surprise by the lack of quality work
It's obvious she didn't mean cases
that actually required ER attention. You are just stirring the pot.
In some cases, I think religion is just their latest addiction.
Didn't Stephen Baldwin used to have substance abuse issues? Seems like some of these people just trade in the substance for religion and pursue it with the same enthusiasm.
Yep, thanks. They bought cases of water before they left.
They are staying at a nice hotel and he is going with kids that he went to high school with and now they are all in college together. They remind of me of 50s kids, their idea of fun a lot of times is to go out for sodas and hamburgers or go to the game.

Although I'm sure there are legitimate cases of ADHD and autism out there,
I find it hard to believe that all the kids who are pigeon-holed into either category actually do suffer from either condition. They seem to have become a catch-all excuse for "my kid doesn't pay attention," or "my kid doesn't behave the way I'd like him/her to".

Our society has come up with so many lame excuses for so many things, and tends to need a "name" or a "title" for everything.

Maybe this child is just one who matures later than others, maybe she needs to have someone sit down with her and take the time to help her focus better instead of immediately labeling her with the condition du'jour.
A good line count is not possible in most cases.
I work on an average of 8 or 9 diffenent accounts a day, with as many as 16. Of course I was promised a "primary".
A FEW cases are probably genetic. The overwhelming majority are smokers.
c
Child sexual abuse cases - used to do them sometimes where I used to work - sm
now do a lot of Trauma ER, it used to bother me a lot, but not anymore unless its kids. Guess I am getting used to all the gunshot and knife wounds in the city nearby, that is sad in itself.
Lots of cases where babies in NICU got sick from the nurse's nails. nt
 
Anon
Amen to that!
Anon
Where in the world do you work that you have never made less than 50,000???? I have done this for 15 years and the most I have ever made is 31,000 and I am considered very fast and knowledgeable. Let me know!!!
Anon
I cannot believe how mean and nasty you are.  You need to get a life.  How do you know that my weight problem is not health-related?  I am truly sorry that you lost your husband.  I cannot even imagine that!  However, there are no circumstances in life where you need to be so negative and hateful.  I for one will not post anything on this board again due to all the unfriendiness.  I thought this board was to assist MTs in work and life issues.  GEEZ!
Not Anon
I am sorry that you took my post as directed to you.  I was just floored at the remarks that "anon" posted.  Unbelievable.  I was just asking if COBRA could take away dental coverage that I originally had when I started with COBRA and ended my employment.  I am going to be on the phone looking for other coverage.  Insurance can be a real pain.  I thought I was covered with everything I had for at least the 18 months of COBRA before I had to move on.  My plan was to lose the 70 pounds at least and then try to get on with my husband.  I have 25 pounds down and 45 more to go!  Wish me luck! 
Sorry, No Way, but anon and the others are right. NM
nm
TO ANON
I respect the right to her opinion, but I am not ignorant and I will not sit quietly by while someone refers to me as such. When the namecalling begins, the gloves come off.