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Serving Over 20,000 US Medical Transcriptionists

can't see the article anymore...nm

Posted By: dsger on 2008-06-04
In Reply to: We might as well face it, we are being taken over by other countries, thanks to our - MQMT

xxxx


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do you ever wonder anymore when they say
they 'lost the account' if it went to VR or somewhere else?  Was it an easy account? 

Perhaps you just need to get used to the new one.  That happens to me, I panic on new accounts, and then after doing them a few weeks they are just as easy...

Sorry to hear you are losing money, though.  That can never be good when that happens to one of us...
No. I do not believe so. Not anymore.
i know too many companies who suck too bad.
Do they pay much anymore? (sm)

I've seen a few ads, one I saw yesterday paying a whole $25.00 for each audio tape.  The audio tapes were each one hour.  Puleeeze!


So if it took you 3 minutes to do their 1 minute, you would make a little over $8.00 an hour.  That is if their recording is good enough to understand.  If it took you 4 minutes to their 1 minute, you would make a little over $6.00 an hour.


I used to, but not anymore. sm

I went to Wal Mart at 6 a.m. (only because I was already up) a couple of years ago and people were literally fighting in line to get to the door.  I got in my car and went home. All I wanted was a 13 inch TV that was on sale, but figured it wasn't worth it.


I went back the next day and asked a salesperson if there was any chance they might have any of those 13 inch TV's left and he said, "Oh heck yes. We have hundreds of them out back. How many would you like me to go and get?"


Well, I just had to buy 2.


Not anymore
Just a couple of weeks ago it got hacked and let through all kinds of worms/viruses.
Not anymore
I used to type verbatim and thought that was the way it was suppose to be as an MT until I was told that I needed to correct grammer, punctuation etc. from the company I work for "which is part of being an MT and not just a typist". So, since I was "informed" of how things were I make changes if necessary.
Don't cry anymore...get out as soon as possible.
Please follow the advice that has been written here in this thread... You've given this man (?) every chance.  I wasted 7 years of my life to an alcoholic who was selfish, could've cared less about his sons, and all the while, I was hoping and praying that he would change.  As a matter of fact, I gave him an ultimatum, and he is the one who left.  It was a Saturday, I cried all day, didn't have a job, never had a job, what was I going to do?  Well, come Monday, I went to the Welfare Department, got an emergency check, and by Monday afternoon, I was singing, dancing around, thrilled, and my kids had not seen me that happy all of their young lives!  Really sad when I think about what I let them go through!  It is not fair or healthy for the children, and to think I cowered until HE made the decision.  After I left the welfare office, I thought how easy it was, and why didn't I do this sooner. Then, when I got my bearings, I went out into the big world and started working, scraped of course, but life went on, and the kids and I were happy.  As the old saying goes, you have nothing to fear but fear itself.  Please do this for yourself, but especially your children.  God Bless You and give you strength. 
yes, but not bad anymore.
it took numerous dermatologists to even get it diagnosed right. But mine itches fiercely. Used to have to take anti-itch meds orally. I have a mild case right now on my hand and legs. Years ago, had an Rx specially cococted at the pharmacy. The only component of that I recall is urea. Avoid hot water and soaps as much as possible. Other than finding a GOOD dermatologist, I'm afraid I don't have any advice to offer though.
Not anymore.
x
from someone who does not have Mom anymore
I don't have my Mom around anymore and so with this in mind what I can suggest is time, do something with her, make time for her and make her feel important.   Give her your undivided attention.  It only has to be a lunch, a drive somewhere with lunch but most of the time all they want is time with their children.  Just like when we were children and wanted their time and attention, now it has come full circle and they want our time and undivided attention.   Even if you don't get along that well with your Mom, try it and see if it works.   Wish I had more time with my Mom and there were times we did not get along but would love one more Mother's Day.    Just a thought.
Not anymore, but I was 24 when I got into MT, 34 now. nm
x
Used to like her, but don't anymore (sm)
I agree.  Who cares what her favorite things are? 
Not anymore!
Happened to me too. I now work for a company that charges the hospital by the minutes dictated, so even when they do change their minds, I'm still getting paid.
I don't SR anymore but
I really liked it when I worked at the Q. The complaint that you can type it faster than edit it never applied to me because I used to be reading and editing way ahead of where the dictation was. After a while, I learned to interpret some of the garbage ASR put in and would change it before it was even dictated. So I was actually editing faster than it was being dictated. I am not sure I explained it well, but no way I could have typed it that fast.
it's sad that nobody ever says thanks anymore
I might catch and correct literally hundreds of mistakes in any given week, but if I happen to miss one - THAT'S the only thing I'll ever hear about.


not anymore. nm
x
article
51, trained on the job 26 years ago,
article...

I'm 57, learned on the job 28 years ago.  I can out transcribe people half my age.  I have no arthritis, no carpal tunnel syndrome, no fibromyalgia and only occasionally get a crick in my neck from my job.   My QA score is 100%, has been for years, and I type 90 wpm, transcribe 200 lph at least and that's on an account that is almost all ESL.   I could do this job another 20 or 30 years if I wanted to (barring sickness or accident that could happen at any age).


As far as the AAMT rep saying younger people are not lining up for this job - have they done anything to market MT to younger people?  I'm sure a lot of high school kids or even community college people would be interested in this work if they were educated about it. 


One last thought - the people they are offshoring this work to in India, Pakistan, Trinidad, the Philippines, are not spring chickens!!! 


I for one am sick of AAMT trying to justify their greediness by blaming their victims, the US MTs.


 


article
There was an article in the news online that said it has spread to 3 more countries through ducks and geese and that it's only a matter of time before someone carries it here.
one article
Boy do you have it wrong, we have both stated our sources about googliNG pet food ingedredients, and if you choose not too, that is your problem, I am sorry for your pets, but you need to read up, not one article but thousands. I hope you check your facts, sincerely,
Article
Can anyone tell me where this article was originally published? I forwarded it to a friend who asked... I wasn't able to tell her.

Thanks!
Article.........sm
http://health-information.advanceweb.com/common/EditorialSearch/AViewer.aspx?AN=HI_06may22_hip18.html&AD=05-22-2006

Try pasting this in your browser - it's an article from the latest Advance magazine called A New Set of Shoes for MTs!

I saw that article too

My first thoughts were like you, just another way to cheat us.  But then when I considered the possibility (trying to be kind here) that some companies are not giving us full credit for every character typed (as in perhaps counting 3 Keystrokes as 1 as has been mentioned here before), then even if they didn't pay us for spaces, we might make more in such a situation if they had to pay us for every single black character.  They can't hide that from us!  In other words, they would not be able to manipulate the line counting as much as I think they are doing now.  Now how much they would pay us for every black character might differ from company to company, but I think this might work in our favor overall.  If pay based on production is better for us than an hourly wage, we need to find what works most to our advantage.   And with the difference there is out there now in line counts from one company to another, pay by character might help us. 


And yes, even if it is a template, every character should still count as well as spaces, returns, tabs, demographic insertion, and also for our knowledge which comes into play every single time we keep the dictators from sounding like idiots and/or catching their mistakes.  Let's face it -- we do at least basic editing too, folks.  We are NOT just typists!  We should be reimbursed for our knowledge as well as production.   We're not donating our time to a charity here.  This is a way of making a living.  We should be paid for whatever we do for the company we work for, just like in any other job.  This might be a step in the right direction. 


I am cautiously almost hopeful. 


 


Here is the article
http://www.networkworld.com/net.worker/news/2002/0408networker.html
I think her article is a little sm
outdated in reference to VR.  Apparently she hasn't been out there in trenches lately.  There is a LOT of VR work out there and unfortunately the pay isn't great, in fact it's awful for the work involved.  Although it won't actually replace the MT, but rather move them into a different area, the pay is never going to match the effort that must go into it. 
FYI - article
I just read an article yesterday in the Oakland Press that Oakland County, Michigan, is getting rid of all their court reporters and going electronic to save money.
EMR Article
I have done transcription for about 19 years. Over the years I have been concerned about off-shoring and voice recognition, but still felt fairly confident about still having work for a long time. Now, with the EMR system coming into play, along with the other factors mentioned above, I feel that eventually, not too far off, this is a losing battle.

I love doing this type of work. It has supported my family while my kids were growing up, I had a secure hospital job, and the luxury of working at home, I have to face reality though.

I am going to go back to school and maybe look into being a radiology tech and/or ultrasound. I will not take anything in medical records, such as coding or biling, as I think that will also become automated eventually, and is already in some instances.

I think doing the editing and/or transcription (if there is any) would be a good part-time second job to have in addition to another job, but not fulltime, as I don't think you could support yourself. I still have a good 15 years or more of working left and do not want to be left out in the cold whle hoping that this is not really going to happen.

I think if the off-shoring could be addressed it would keep more work here in the long-run to keep us working until we have other options. I have seen postings here regarding contacting the president regarding off-shoring transcription (which is a good idea) but you need to also write your local congressman in your particular area. That is what they are there for (that is very important.)

It is ridiculous that the medical records of patients are so highly confidential, but yet we will send it to another country, and with the economy as horribile as it is too.

Maybe the government should retrain us LOL.

I do feel sorry for the newbies, and that these MT schools keep recruiting people into this occupation, and they probably know full well what is going on.

Just my opinion.
EMR article HERE
From Medscape Family Medicine
Physicians Are Talking About...
The Government Push for Electronic Medical Records

Posted 02/24/2009

Nancy R. Terry

The economic stimulus plan currently being considered by Congress allocates $20 billion to health information technology such as electronic medical records (EMRs). Recent postings on Medscape Physician Connect (MPC), a physicians-only discussion board, offer frank opinions about the utility of EMRs in clinical practice -- opinions that are decidedly mixed.

"EMR is the worst thing that has happened to me professionally in over 25 years of practice. My care of patients is impeded and the quality of my care is worse as a direct effect of the introduction of EMR," says a MPC contributor who championed the installation of an EMR system for his physician group.

"I absolutely love our EMR," says a nephrologist. "It has improved the quality of our practice immensely. I spent a lot of time customizing for our practice, but it was worth it. Everything is point and click. To improve care and cost, all patients need a Web-based collection of medical records that include hospitalization, lab reports, x-rays, as well as office notes. That would be the ultimate care."

Physicians who are dissatisfied with EMR systems cite loss of productivity, the negative impact on patient care, and high maintenance requirements. Physicians who have embraced EMRs cite the increased efficiency the systems have brought to their practices. EMRs tend to get high marks from subspecialists and low marks from primary care physicians.

Some of the MPC physicians least satisfied with their EMR systems are those practicing at large healthcare companies or medical centers. "My hospital solicited medical staff support for EMR," says one MPC contributor. "After implementation, administration took over and now EMR is solely for the benefit of medical records as a storage device. To he11 with the medical and nursing staffs. RNs are input clerics rather than beside nurses."

"The very few efficiencies were all on the administrative side," says a regional medical director who helped bring an EMR system to a nationwide healthcare company. "A good sales pitch with nice graphics and testimonials sell it, then the clinical staff is left to suffer."

"EMRs need to address work flows and clinical efficiencies and not seek to provide administrative support," says a general practice physician. "Unfortunately, the administrators are the ones with the time and energy. The rest of us are seeing patients."

In smaller practices, issues of EMR maintenance and support infringe upon patient care. "In my clinic," says a family medicine physician, "provider meetings are completely dominated by EMR issues and problems. There is virtually never time left for discussing topics pertinent to improving patient care."

In speaking about their day-to-day experience with EMRs, primary care physicians complain that entering patient information is cumbersome and time consuming, often because of a template-based system that does not reflect the patient encounter.

"The assumption of the EMR is that you already know the diagnosis when the patient arrives." says an MPC contributor. "This may be better for specialty care, but in primary care, patients come in with fatigue, rash, insomnia, diarrhea, and cough. It's difficult to enter all this until after the visit."

An internist who describes herself as "tech savvy" says that her system's scripted entries for patient information are inadequate. "If you free-text, it is much more time consuming. And we are discouraged from free-texting by our administration because it doesn't trigger adequate billing codes. Not only has it reduced my time with patients, it has added an extra 2 to 3 hours of work each night from home."
The Choice of Systems

"My advice to practitioners," says one MPC contributor, "is wait for a decent EMR that produces useful notes that accurately describe a patient encounter in a way that helps a clinician."

Waiting may not be an option for much longer, however. One provision of the government stimulus plan would impose reduced payments on physicians who are not "meaningfully using" information technology. Whatever is meant by the provision's phrasing, one thing is clear: the push is on to go electronic. Physicians must learn how to make information technology work for them. One EMR expert says that it starts with the choice of systems. "Primary care practices should stay away from templates and stick to a new program by Praxis® [Infor-Med Medical Information Systems, Inc., Woodland Hills, California] that uses pattern recognition of similar cases as well as rare cases. It decreases the workload immensely. For specialty practices, I recommend templates, and Visionary™ Dream EHR [Visionary Medical Systems, Inc., Tampa, Florida] is excellent in being very user friendly," says an MPC contributor whose research in medical management focuses on EMR systems.

Another MPC contributor notes that the technologically adventurous can customize an EMR system by using open-source software. In open-source systems, he explains, the source code needed for programming is included in the software, making the program infinitely adaptable. "When you buy most proprietary software, you have to accept the functions that come with it, as designed by the developers. With open-source systems, you can modify the software to your heart's content."
Is a Choice of Systems Really a Choice?

For some physicians, however, EMR systems remain a nonissue, and the heavy government funding of healthcare information technologies is nothing more than a smokescreen obscuring the real issues in primary care.

"The government and the public are not able to deal with the real problems facing medical practice and the real solutions necessary to turn it around (ie, reasonable reimbursement rates, malpractice reform, regulation of the unscrupulous practices of the insurance industry)," says an otolaryngologist. He adds that once healthcare information technology is "fully implemented and solves nothing, we can start to talk about real reform and real answers."



Author Information
Nancy R. Terry, medical writer and editor, Jackson Heights, New York

Disclosure: Nancy R. Terry, has disclosed no relevant financial relationships.

Medscape Family Medicine. 2009; ©2009 Medscape
Its not too expensive anymore, and i think...

that it's worth it. It could make the difference between a new client, and that in itself would pay for the cost of your website. I would suggest either of these services:


www.aplus.net or www.sitefever.com


I used to use a timer, but not anymore.
It would jump the living daylights out of me every time as I was "in the transcribing zone." :)
Can't be too careful anymore.
Very wise call.
Nothing about MQ is adding up anymore.
x
not a legal anything anymore
You really need to speak with an attorney about this. I see several issues: 1- she was not divorced, as I understand it, so her husband might have rights to the m/c; 2- Dependant on the existance (I spelled that wrong huh) of a will, who knows who actually owns the bike; but, 3- if the bike is in her name on the title, and there is no leinholder, odds are, the seller has no legal footing (unless there's a contract of sorts with receipts to verify his legal standing).... it boils down to, talk to an attorney in your state, laws vary so much state to state.

I'm so sorry for your loss, and so sorry this had to pop up to get in the way of your grieving and healing process.
I don't do homemade anymore
Being single, its just easier nowadays to buy chili, the fritos and cheese. One thing I NEVER EVER EVER EVER buy (or made) chili with beans .... el yucko!!!!
I use to all the time. Not anymore though.

It is only because no one offers that anymore
nm
She's never on this board anymore.
If you notice, we haven't heard from her since Christmas. She has hired others to respond to us. Probably because she is ashamed.
I don't watch it anymore, but...
watched it today and bawled like I did the first time when Dr. Green's father died and then bawled all over again when Carol and Doug were reunited. 
I don't even watch anymore
I used to be a huge Idol fan; however, this season they have lost me. The show is boring and does not keep my attention. I am pulling for Chris to win, even though I don't watch because I live in Greensboro, NC and he is from McLeansville. I went to high school in McLeansville and knew his family. He is a really great guy and I think he is wonderfully talented. I hear updates on the radio and see them on the local news every now and then and that is enough for me. I still think the best season by far was the very first one when Kelly Clarkson won. I am a huge fan of hers and she has been the most successful yet. We shall see what happens with the rest of them.
who even cares anymore what the BOS says?
not me!
That's why I chose not to take them at all anymore. (s/m)
That way no one's feelings get hurt. I can always buy my OWN clothing, and if I have something I no longer wear the other friend might want, I can still give that to her, instead.
That's why I don't shop there anymore. sm
Years ago, they had this wonderful vanilla almond lotion.  Discontinued.  Then a delicious pineapple-mango lotion/body lotion/body butter. I bought it in everything they had.  Discontinued.  The last time did it for me.  Why do they do that! 
Wordperfect 5.1 for Dos - does anyone use this anymore? sm
I' m not sure what board to put this one but . . . I have an computer with Wordperfect 5.1 for DOS on it that I've kept around "just in case."  Are there any companies that actually use this program anymore or is it safe to say that I can get rid of it? TIA
Can't anyone take anything in fun anymore? Why so anal?
ll
the chum is all sent to QA, by MTs who don't even try anymore, or don't know what they are doi
x
Not having those issues anymore since
I switched from the Belkin to my networking system through my telephone company, Bellsouth. If I had any problems with anything prior to my changing, Bellsouth came and would not touch the equipment, saying they could work on mine if I had their networking. Ok, since I had so much trouble anyway, decided to give in and try theirs and no problems at all anymore. I have had theirs now for probably around 5 months.
Yep, but they said that about XP, too, so I am not too worried anymore.
n
NOT to CMT! It's not worth it. You won't get anymore pay, but if
your own self satisfaction, knock yourself out!
I don't get many solicitors anymore sm
They don't like meeting my 115-pound golden retriever (yep quite a big boy-he really likes people but has a very mean bark) and my snarling cocker spaniel (he doesn't like people, takes a long time for him to warm up to you). If salespeople do come and if they get pushy, I tell them they have 3 minutes to get lost or I'll turn them loose. I had to resort to this measure 3 years ago when we had a bad hailstorm that destroyed everyone's roofs and siding in the whole town and had roofing and siding people knocking at all hours. No one ever comes back.
well, they don't offer $80,000 anymore; it's more like.....
$30,0000 a year......they had some openings this past summer of 2007. I checked in to it. They had some openings in ophthalmology and I was contacted by a recruiter who told me they offered around $30,000 a year. I said, thank you, but no thank you. Just so you know.
I don't think it's available anymore for free, but you can

This is freeware. There is no trial. It is yours to keep.