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Serving Over 20,000 US Medical Transcriptionists

any bit of info is good to know; ignore the post below

Posted By: n/m on 2007-12-28
In Reply to:

nm


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    Ignore my post. I finally found the post on how to do this. nm
    n
    Ignore that post as best you can
    I think it's the same 'ethnic' (Indian?) troll that keeps spamming up all the threads trying to antagonize and provoke people. It's all over the main board, company board and MQ board.

    Perhaps if we all ignore it, it will float away to whatever continent it came from.
    Please ignore the above post. I messed up.
    I work as an editor for SS. I had problem getting my lines in every day and for a while was doing 1890+ in 4-5 hours. However, after they changed my pay to w/o spaces at their whim (as I had been paid for spaces for the first 4 months I worked there), I just decided I did not care and I do just enough to get 945 in my 4 hours. They are constantly wanting extra help in editing, which I used to pitch in and help as well, but now I don't simply because of the pay change.
    I took offense at that too, but I chose to ignore it in favor of the issue of the post.
    I figured if we made a big deal of that one word the focus would be taken off the real issue.
    If you were that good, you would have no reason to complain about it. Maybe you should just ignore
    it, but apparently YOU DO have a problem with editors. If you are that good, maybe you will become an editor and SEE exactly what we are talking about!!
    Adding some info to this post...

    Here is an interesting bit:  http://law-wire.blogspot.com/2008/02/india-to-adopt-data-privacy-rules.html


    Also, you may want to look into the Information Technology Act (India).


    Excellent post and info...a must read.nm
    x
    Where do I post if I am not a new MT but can't get a job and need info on getting local accounts?
    I have applied to so many companies that I have lost track of who I have applied to! I have been out of MT for only a year but it seems like I am starting all over again with understanding even the American dictators.  So I am thinking of going back to doing local doctors using tapes.  I totally lucked out on the first account(s) I had and I don't know how to get local accounts. Any suggestions?
    Original post to give info is on Page 2 now I think (sm)
    As far as the "rules", I think she is referring to what she requested in the post (male or female, age, state) stuff like that.
    Some gave how long doing MT.


    Okay, Thanks for all the good info
    I am so glad I checked the chat line here before I quit for the day. Thanks for all the helpful info. I think the major problem with MQ and the employees and why so many are so upset is that they leave us in the dark so much. Plus, every office seems to operate by a different formula, which gets some people understandably upset. AND, MTing as a career is definitely NOT what it used to be, meaning a respected, good paying career. With nationalization, the pay has decreased, there is offshoring, which MQ participates in, AND, most of all, we all seem to be no more than an employee number now instead of a valued employee! Hey! I'd better get down from my soap box and go join the family before hitting the sack! Thanks again.
    Looking for Info, good or bad, regarding
    TC Transcription out of Florida.  Taking on a second position with them and wondering if anybody has had any experience with them.  Good and bad appreciated, if any.  I posted on the company board but did not get any response (that could be good or bad).
    THANK YOU! You have given me some good info!
    I was just looking for information and not just opinions. Your post was very helpful. Thank you again!
    Good info - Thank you! (nm)
    x
    really? Good info, thanks.....sm
    Thanks :) -  I do have great skin and told I look 15 years younger than I am...*LOL* - I like hearing that
    good info - thanks !

    thanks to all of you for the good info!
    I appreciate you taking the time to give me the tips!  Now if I can just get used to the fact I will have an empty nest
    Haven't had it, never heard of it, but after I read your post I googled it, and lots of info avai
    x
    boss this to me the other day and really has a lot of good info; sm
    cancer classifications

    stage and grade
    Lowercase stage and grade.

    Use roman numerals for cancer stages. For subdivisions of cancer stages, add capital letters on the line and arabic suffixes, without internal spaces or hyphens.

    stage 0 (indicates carcinoma in situ)
    stage I, stage IA
    stage II, stage II3
    stage III
    stage IV, stage IVB

    Use arabic numerals for grades.

    grade 1
    grade 2
    grade 3
    grade 4

    Aster-Coller
    Staging system for colon cancer from the least involvement at stage A and B1 through the most extensive involvement at stage D.

    The patient's Aster-Coller B2 lesion extends through the entire thickness of the colon wall, with no involvement of nearby nodes.

    Broders index
    Classification of aggressiveness of tumor malignancy developed in the 1920s by AC Broders. Reported as grade 1 (most differentiation and best prognosis) through grade 4 (least differentiation and poorest prognosis).

    Lowercase grade; use arabic numerals.

    Broders grade 3

    cervical cytology
    Three different systems are currently in use for cervical cytology: the Papanicolaou test (Pap smear), the CIN classification system, and the Bethesda system.

    The Papanicolaou test uses roman numerals to classify cervical cytology samples from class I (within normal limits) through class V (carcinoma).

    CIN is an acronym for cervical intraepithelial neoplasia and is expressed with arabic numerals from grade 1 (least severe) to grade 3 (most severe). Place a hyphen between CIN and the numeral.

    CIN-1,CIN-2, CIN-3
    or CIN grade 1, CIN grade 2, CIN grade 3

    A cervical cytology sample that is within normal limits in the Bethesda system corresponds with a Pap class I or II; Bethesda's atypical squamous cell of undetermined significance (ASCUS) corresponds with Pap class III; Bethesda's low-grade squamous intraepithelial lesion (LGSIL) corresponds with Pap class III and CIN grade 1; and Bethesda's high-grade squamous intraepithelial lesion (HGSIL) corresponds with Pap classes III and IV and CIN grades 2 and 3. In the Bethesda system, the next higher level is labeled simply "carcinoma," corresponding with Pap class V and with "carcinoma" in the CIN system.

    Clark level
    Describes invasion level of primary malignant melanoma of the skin from the epidermis.

    Use roman numerals I (least deep) to IV (deepest). Lowercase level.

    Clark level I into underlying papillary dermis
    Clark level II to junction of papillary and reticular dermis
    Clark level III into reticular dermis
    Clark level IV into the subcutaneous fat

    Dukes classification
    Named for British pathologist Cuthbert E. Dukes (1890-1977). Classifies extent of operable adenocarcinoma of the colon or rectum.

    Do not use an apostrophe before or after the s. Follow Dukes with capital letter.

    Dukes A confined to mucosa
    Dukes B extending into the muscularis mucosae
    Dukes C extending through the bowel wall, with
    metastasis to lymph nodes

    When the Dukes classification is further defined by numbers, use arabic numerals on the same line with the letter, with no space between.

    Dukes C2

    FAB classification
    French-American-British morphologic classification system for acute nonlymphoid leukemia.

    Express with capital M followed by arabic numeral (1 through 6); do not space between the M and the numeral.

    M1 myeloblastic, no differentiation
    M2 myeloblastic, differentiation
    M3 promyelocytic
    M4 myelomonocytic
    M5 monocytic
    M6 erythroleukemia

    FAB staging of carcinoma utilizes TNM classification of malignant tumors

    See: (TNM staging below).

    FAB T1 N1 M0

    FIGO staging
    Federation Internationale DE Gynécologie et Obstétrique system for staging gynecologic malignancy, particularly carcinomas of the ovary. Expressed as stage I (least severe) to stage IV (most severe), with subdivisions within each stage (a, b, c).

    Lowercase stage, and use roman numerals. Use lowercase letters to indicate subdivisions within a stage.

    Diagnosis: Ovarian carcinoma, FIGO stage IIc.

    Gleason tumor grade
    Also known as Gleason score. The system scores or grades the prognosis for adenocarcinoma of the prostate, with a scale of 1 through 5 for each dominant and secondary pattern; these are then totaled for the score. The higher the score, the poorer the prognosis.

    Lowercase grade or score, and use arabic numerals.

    Diagnosis: Adenocarcinoma of prostate, Gleason score 8.
    Gleason score 3 + 2 = 5.
    Gleason 3 + 3 with a total score of 6.

    Jewett classification of bladder carcinoma
    Use capitals as follows:

    O in situ (Note: this is the letter O, not a zero)
    A involving submucosa
    B involving muscle
    C involving surrounding tissue
    D involving distant sites

    Diagnosis: Bladder carcinoma, Jewett class B.

    Karnofsky rating scale, Karnofsky status
    Scale for rating performance status of patients with malignant neoplasms.

    Use arabic numerals: 10, 20, 30, 40, 50, 60, 70, 80, 90, 100. (Normal is 100, moribund is 10.)

    TNM staging system for malignant tumors
    System for staging malignant tumors, developed by the American Joint Committee on Cancer and the Union Internationale Contre le Cancer.

    T tumor size or involvement
    N regional lymph node involvement
    M extent of metastasis

    Write TNM expressions with arabic numerals on the line and a space after each number.

    T2 N1 M1
    T4 N3 M1

    Letters and symbols following the letters T, N, and M:

    X means assessment cannot be done.
    0 (zero) indicates no evidence found.
    Numbers indicate increasing evidence of the characteristics represented by those letters.
    Tis indicates tumor in situ.
    Tis N0 M0

    The TNM system criteria for defining cancer stages vary according to the type of cancer. Thus a stage II cancer of one type may be defined as T1 N0 M0, while one of another type may be defined as T2 N1 M0.

    Staging indicators are used along with TNM criteria to define cancers and assess stages. These are expressed with capital letters and arabic numerals.

    grade GX, G1, G2, G3, G4
    host performance H0, H1, H2, H3, H4
    lymphatic invasion LX, L0, L1, L2
    residual tumor RX, R0, R1, R2
    scleral invasion SX, S0, S1, S2
    venous invasion VX, V0, V1, V2

    prefixes
    Lowercase prefixes on the line with TNM and other symbols indicate criteria used to describe and stage the tumor, e.g., cTNM, aT2.

    letter determining criteria
    a autopsy staging
    c clinical classification
    P pathological classification
    r retreatment classification
    y, yp classification during or following treatment with multiple
    modalities

    suffixes
    The suffix (m) (in parentheses) indicates the presence of multiple primary tumors in a single site. Other suffixes may be used, such as the following in the nasopharynx:

    T2a nasopharyngeal tumor extending to soft
    tissues of oropharynx and/or nasal fossa
    without parapharyngeal extension
    T2b nasopharyngeal tumor extending to soft
    tissues of oropharynx and/or nasal fossa
    with parapharyngeal extension


    Good info here. As for the mail........sm
    I just write "refused" on the envelope and put it right back into the mail. It may take a couple of times for them to get the message, but they will take you off their list if you do this.
    any info good or bad would be appreciated

    on JLG and All Type. Speaking with one, actual offer from the other but not sure about either. Concern for more is flexibility which they both promise, but I heard that one before.


    Lots of good info Ace...Thanks. NM
    nm
    just need a few good pieces of info
    from what i understand, name, address, ph#, esp w/SS#, birth date, maiden name .... everyone should definitely educate themselves about this, as its very widespread now.
    surgical equipment info is good
    nm
    Some good info! Would you mind another question?
    Do you know what causes the discrepancies in character counts between Word and Dictaphone (specifically ExText)?  I have been wondering about this for a while. The line count at my company is 65 characters including spaces.  TIA
    Good cardiology info site?
     
    I don't think you'll get a good answer from the info...
    you provided. It varies too much from location to location.

    I've seen some MTs on here that say inhouse in their area make less than $10 an hour. Our local starts newbies (providing they pass the tests) at $16.79 an hour.
    Need some good oncology sites. Any info appreciated. nm
    x
    Bells palsy and chronic headaches? Does anyone have any good info or help out there? sm

    Unfortunately, I have had Bells palsy for the past 8 years. I got it while pregnant and had a pretty severe case. I was extremely sick with that pregnancy and then ended up with the Bells palsy. In fact, my baby quit growing after I got the Bells palsy! Thank God I was about 32 weeks when I got it. Anyway, over time the symptoms have not been as bad. For the most part to look at me you couldnt tell I had the Bells--until I smiled at you. Then, of course, you would know it. I have regained some use of muscles, but not all. I have been able to get my eye to close, but it is not tight, so I still battle with dry eye every night/morning. My forehead has been completely "dead" since this happened. Even electric stim could not move the muscle! Whenever I get a headache it always seems to settle on the dead part of my forehead. My headaches have been increasing lately, and currently I have had a headache for five days! I have tried Advil, Tylenol and Excedrin Migraine with no relief. My neurologist cant see me until January since I havent been to him for years. I can not afford an MRI right now and have no desire to start taking any type of pain med. Does anyone have any experience with Bells or have any ideas. I was wondering if a TENS unit might help. I have been reading about that on the internet. Sorry this is so long. Thank you for any help. As you can imagine, I am having a very hard time working all day at my computer with this!


    do a google search-were many hits and should find good info--nm
    //
    Do an archive search - good info posted a few weeks ago.
    nm
    A good place to get reasonable, objective info regarding ADHD is CHADD

    just keep it in mind for the future. www.chad.org. Also there are some informative videos at coolnurse.com. About 10 videos regarding ADHD. you will have do a search on the site but it's worth it. If it's in her father's family it could be possible that she has it, and if so, you needed to get educated about it and be her advocate. School systems respond very well to confident, well prepared parents who come in to meet for a plan that allows for reasonable accomodations. I've been doing it for years.


    Emdat platform?? Good, bad or ugly? Any info is appreciated. Thanks in advance. NM
    /
    Thank you fellow MT. I love that site.....good source of info without the complaing....
    Thanks again.
    Thank you fellow MT. I love that site.....good source of info without the complaining....
    Thanks again.
    Here, Here! Good post. (nm)

    very good post JZ
    I have been working at home for over 11 years as an IC and employed.  I have many times tried to juggle two jobs for various reasons, lack of work, always received the worst of the work when work is available, tiring of it, etc. etc., and I have always found it very difficult and actually end up working many more hours than when working just one job.  I wish I could do it, but to date I have had great difficulty working two jobs, even if one is part-time, one full-time, or both part-time.  Be sure it is what you want.  Good luck!
    HA! Good post. (nm)
    x
    good post but..............sm

    I read that BUSH only approved enough money to restore the levees for a category 3 hurricane (this might have changed in the recent past though) and when I heard that, I couldn't believe it.  The levees needed enough money to withstand a hurricane 5.  I know this because I live on the water in the SE for 30 years.  Yes, it's up to the locals and nobody was condemning your governor.  I do agree it's not a political affiliation thing.


    But what I saw is that most of New Orleans (not the inner city) and outskirts are where a lot of poor people are/were and my feeling is this administration is not racist...they merely do not know how to deal with poverty and the poor.  That's VERY sad. 


    Good post!
    An excellent and accurate post-very true!
    Good post and I think BOS would
    agree - only thing they do differently (I think and too tired at this point to verify) is serial 7's I think?  I don't use the BOS as a know-it-all but use it as a guide if I cannot find it anywhere else or have no idea!!  Thanks so much!
    good post...
    this was a very good overview, but for demographics entered I don't know if anyone pays for that though obviously they should...the element of weighted lines for very difficult ESL and maybe some non-ESL "club members", but it is something largely kept on the drawing board of MTSO but is needed especially because of the line rate aspect, versus hourly wage differential in the scheme of things. The industry members make sure to take very good care of themselves while they take care of us as much as they think they can without making it easy.
    Very good post
    I totally agree with you...very well said...plus like the next poster said, "It is a jungle out there."
    Good post!
    You gave out a lot of practical advice and good information. It was a pleasure reading this post. Thank you for taking the time to try to help others!
    good post

    Please consider when we were newbies many of us were fed a pack of lies about how much money we'd make right off the bat and how "easy" this job is.  I was told that from the RNs who taught us at the local community college.  I knew no one personally in the business to whom I could turn for the real story.  These people had NO idea of the real world.  It was suggested to me by several professors that I take this profession up as a way to make "easy money fast" to help pay for my RN courses.  I believed them since they were from the medical field.  My transcription teacher was the only one to level with us but back then it wasn't as bad as it is now.  I still had hope. 


    I was lucky on my first job -- made excellent money on just 3 doctors, 1 specialty, templates for the most part.  I thought it was a dream come true.  MTing seemed to be all that it had been cracked up to be.  Then my employer dropped the account, 12 of us were out of work immediately.  I decided to go with a national so that that would not happen again.  I was given 26 specialties with over 100 dictators all at once, and it has been another universe altogether.  I am glad for the experience, but school never prepared me for THIS!  I am trying to be patient, wait it out hoping things will get better because I enjoy the job, but it is not what I was told it would be.


    I now work 2 jobs, weekends and holidays included.  I spend my free time studying.  I have learned the "real world" of transcription by first-hand experience and reading the posts on here from you experienced MTs for whom I have the utmost respect and admiration. 


    There really are some of us who are trying our best to become proficient at this and take our jobs seriously.  If we seem unreasonable in our requests at first, it might just be that that is what we were told we would receive and we bought it.  Never in my wildest imagination did I think you experienced MTs made anything even remotely close to what I was/am being paid.  It wasn't until I started reading this board that I wised up. 


    You are right, we have to band together, not fight.  We're all in this mess. 


    Good post
    HE, HE, HE is right! How dare we ''rude, ignorant'' MTs not embrace the ramblings of someone whose fellow countrymen are co-partners in the outsourcing of our jobs and the stagnation of our wages! Tsk, tsk, tsk--how ignorant. How very politically incorrect! Your post was great and more power to you! (Wonder how well-received we'd be in their country if the shoe were on the other foot!)
    Exactly! Good post!
    ;)
    Good post! nm
    x
    Good post!
    I totally agree!  Also, let's not fool ourselves in thinking that these reports are for the benefit of the patients.  For the most part, they're for the benefit of the billing process.
    Good post
    First and foremost I never claimed to be perfect..This is for the snippy remark that someone made below...

    This is a really good post..My pain doctor feels the same way he uses local companies. My physical therapist got so sick of the crap she was getting back she asked me how to make up shortcuts and all and now transcribes her own reports. It is faster then fixing mistakes. Thank God because she is great and I really didn't want to change but I would have...I need help with this, this is a huge undertaking...Everyone needs to ask their doctor where their information is going and who transcribes their records. I do it and if I don't like the answer I educate and will go elsewhere. Most of the docs believe it is a violation of Homeland Security..These are private docs I have spoken to not hospital docs..

    Let me give you my background information so maybe you see why I am so against my information being sent overseas especially when we are at war..I am on disability from the police dept. I was a police officer for 14 yrs before having a disk fusion and had to retire..I took up MT work because I am a single mom and it allowed me to work from home and raise my boys..It is one of very few jobs my pain doctor thought I could handle so I did it. It has allowed me to raise two great kids so I feel I owe it to at least try and fight this..

    Maybe I'm off on a tangent. I am in the process of researching HIPAA and how it is enforced overseas. Where I work I do VA work and need a clearance to do it..I like that..I jump on this board and see the complaining about no work so after talking to my pain doc and my boss I decided to try and help...Right off someone jumps down my throat because I misspelled HIPAA oops sorry. I never claimed to be perfect...But I am darn sure not willing to sit back and do nothing as more American jobs go overseas. I'm coming up on 50 my life is pretty much done with as far as money goes plus I am in pain every day so whatever happens to me happens I really no longer care...What about our kids and grandkids that is who I am thinking about..This country whether or not you choose to stick your head in the sand is on very fragile ground economically and security wise..

    So basically you can choose to sit back and let some of us do the work or you can jump in and help..What I am asking for doesn't require much at all on your part I am doing most of the work with some really good ideas that have been provided by those that jumped on board..

    I love my country and refuse to give up any more of it without a fight...So if you have some helpful remarks please feel free to let me know. I can take critism and I need a lot of guidance on this project..What I don't need is a smartA remark because I hit a wrong key on the keyboard..
    Agree, good post!

    Wow! Now THAT is how to complain! Good post!
    Well written! No vulgarity or name-calling or cussing!

    Excellent points!

    You should be an attorney!!!!!

    Good job!