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quality as in ethics/morals/education/parenting/will to do one's best and set examples for others

Posted By: stats on 2005-08-03
In Reply to: The "quality" of people? - mtathome

qualities as to working hard to make your life better and not settling for second best so you can drink your six-pack and rent videos while your kids run wild. you know what i'm talking about. quality as to have no grasp of consequences of one's behavior.


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i would not babysit them. if their quality is that bad on resume, it would be on work ethics too.
;
k, that is your opinion, i stated mine. poor quality in my opinion shows bad work ethics if they do
;
Just good parenting skills -nm
m
Since when is this career closely related to parenting??????????? (sm)
I got into this initially because I was tired of the daily commute, the office politics, and everything else that goes along with working in an office, which everybody here knows. I also have friends that want to work at home for the same reason, and none of them have kids. So, please don't assume that everybody who wants to work at home only does so because they want to be at home with their kids. Yes, that is one reason, but that is by no means the only reason.
There are no morals.
There is nothing to say that a client cannot contract with another service provider.  Has it occurred to you that maybe coverage did a better job?  I hate to sound mean, but why on earth would a client contract elsewhere when they had you?  I find it discouraging though that this client asked you to find them someone.  That sort of goes below the belt in my book, but this does happen very frequently in this profession.  Nothing, and I mean nothing, is a given. 
Professionalism and morals
First, let me say, if I was an administrator in charge of a hospital this particular hospital employee would be gone. No questions asked because she is jeopardizing the welfare of patients by doing what she is doing and putting the hospital at risk for a huge lawsuit.

Rita- I am very sorry that this happened to you. It is a shame that there are doctors out there who think that this is okay to do to someone. Not only that, his dictation for your surgery is fraudulent because he didn't do what he said he did. Did he ever get caught? If so, has he done this to others as well?
Just question her motives and her morals, when she has known for
If she was a hillbilly or redneck babe, we would all be dissing her for being so stupid. But the Senator from New York? Riiiiiiiiight.
Hahah!a! Funny typo: not quality 'scAre', quality 'scOre'. LMAO!...nm
nm
OOps! I was questioning HILLARY's morals and motives!
and if she was a redneck or poor or uneducated we'd all sit here and diss her for being stupid. Honest, look back at some of the messages we've given to women, married to jerks! So for her to stay married to the guy tells her her ambition trumps her morals, hands down.
I think that depends on the quality. Do you honestly think there is good quality just throwing every
MT on any account like they are. I also think QA has been told to not waste a lot of time on blanks so I think the hospitals are getting a lot more blanks. I certainly have more when I get in a hospital I dont know and they talk 100 miles an hour.
I thought quality was a given. Speed and quality are not mutually exclusive. sm

I maintain 99% accuracy above on my reports.  However, the original question was regarding personal preference, and I have stated mine, and I respect your opinion as well.  :-)    I do think if I was working in an office or hospital setting, the setup you mentioned might be more profitable in the long run.  There are too many interruptions and such when you have other people running in and out, phones ringing, etc. 


I doubt that anyone but me really cares about the lines per hour it takes for me to do a report.  They just want an accurate report in a timely manner.  I take pride in my work, and would never just slop something out for the sake of the almighty buck.   And, as an added incentive, I work for 2 companies, and one of them has my name on each report.  I don't have a problem with it, but I did think it was a bit unusual at first.


Oh well ... I must confess that what I'd TRULY like is to be paid lots of money to just sit and play Battle Phlinx on Pogo all day long, but as of yet, no such luck.  


there's all kinds of *education* and education
.
ethics
I posted yesterday but it never appeared???

Anyway, it wouldn't hurt to talk to your supervisor. I happen to work on an account that's a Catholic Hospital so they refuse abortions.
MT Ethics
The issue is that no one bothered to inform me and YES I am getting less work. This was my account that I acquired and have worked hard on for 1-1/2 years.  I think it's despicable. Yes, my client can contract with whomever they wish, but the decent thing to do is at least notify me they were making some changes. 
Ethics
That's just it. I am not receiving the same work.    I have actually turn away work to keep room for the work load.  I am disgusted and will NEVER have anyone fill it for me again. Here I am doing the office a favor and then slapped in the face. Where are the morals here?
Work ethics ??

I have been subcontracting through a mom/pop company for about three years.  They have a few different accounts, but I mostly do the same doctor every day, along with a few people in his clinic.  The transcription company owner has had some health problems, so I stepped up and am now doing my share of the transcription, editing, sending the work in, and the billing.  (I am being paid (not much) for my extra work).  Anyway, the one clinic that I have been typing for about three years called me.  They are not happy with the contract holder and said that something needs to change.  She has become very unorganized and rude with this clinic.  I work my butt off to try to keep them happy on my end, but she shows no interest in trying to be nice or anything and she says she doesn't care if they drop her, it would make her life a lot easier.  The final straw before the telephone call was that she returned tapes from other clinics to this clinic and they freaked out about patient privacy (totally understandable). 


Anyway, the clinic called me and asked if I would be interested in working in-house (I'm not) or trying to figure something out as they no longer want to work through this company, but they are very happy with my transcription.  I told them that I was very sorry for the tape confusion and I that I felt that I was being misrepresented by the people who were picking up and dropping off the tapes. 


It is very hard to explain the whole situation, but the lady who I contract through has said, just in passing and I don't know if she was serious, "If they drop my account with them, you can have them."   I just don't know how bad it would be if I stopped subcontracting through her and just went straight to the clinic.


I would love some opinions on this.  Sorry it was so long. I am very stressed out about this.  If she loses the contract and I stay with her, I will lose a lot of lines...thousands.  I just don't know what to do.  Thanks.


guess you have no ethics eh?..sm

no ethics


no morals


think you're going to heaven? 


No contract. And no ethics.
x
MT Ethics question

Hello-Need some feedback. I am a seasoned IC MT.  The PT office I type for asked that I find a back-up for a vacation I went on in August. I found someone, which took considerable time, to fill in for me. I gave her the opportunity to  make some extra cash and assured her that I would send accounts her way if I could, etc. I just found out, she is also transcribing for this office behind my back. I had no idea.  Isn't this unethical???? Shouldn't she have extended the courtesy of at least informing me?  I would never do that.    Not sure of the circumstances, either. Whether she offered them less rates, or if they initiated contact. Either way, I feel like I have been "had".  Please comment. Anyone?


 


Examples
thanks sm.  Which other mt board are you talking about?  Thanks for the help!
ok..examples..sm
Ok, admittedly, my Expander was huge, containing many sample reports which I type over and over almost word for word such as in op notes, etc. Most of those are now gone; but, also gone are those such as prz for prednisone, ARMC for Auburn Regional Medical Center and others such as that, along with my capital I which i really depend on to be sure i get a capital I when I need a capital I....pd for per day, and I could go on and on, but you get the point. Just wondering if anybody else has lost parts of their expander?
Any examples?

Could you give me any examples of questions asked?  I am just curious.


Thanks!


I believe all of the examples you have here are

more examples....
*j* would be used such as "precj" for precaution, or *prcj* for procedure.  *z* would be used such as *stabz* for stabilization.  I should have put these examples in my earlier post.  Also, I use *g* for words that end in *ing* such *bgg* for beginning. Have other words such as reviewed as *rvd*, reviewing is *rvg*.  But as stated, I have been using abbreviations for about 7years. Some of my abbreviations don't make any sense, but I remember them that way!! LOL.  Words that I don't like to type get abbreviated!!!  Hope this all helps!  Good luck!
some of my examples...
One thing I do is use a j in place of -ion. For example, hos = hospital
hosj = hospitalization

I also use a 2 to make everything all caps - for example hpi2 = HPI chf2 = CHF

If I have a PA dictating for a doctor I have their last name with a 4 to spell out the signature line; for example - brown4 is Joe Brown, P.A., dictating for Jane Doe, M.D.

I also use the first letter of each word for long phrases such as tpcit for the patient comes in today...

Hope some of these suggestions help!
examples?
what are some of the things horrid QA people do? I lucked out by getting a good one back when I had QA years and years ago... i'm just curious...
MQ mandatory code of ethics course?
Did anyone else get an email from Howard about all MQ employees taking a mandatory ethics course? Hmm...I thot I already WAS ethical....
Well let me assure you the company has no ethics...
either and has been banned from this board because of it.  They don't treat this account the way they should and quite frankly the client deserves better. 
cant you report him to an ethics board?
''
Question of personal ethics
If you worked for a company who supplied you with normals, templates, macros, whatever you call a canned dictation, and said canned dictations are full of every type of error you can imagine from spelling to incorrect terms and things typed (I can't say transcribed) in a way that is wrong, and you were told to leave it "as is" and sign your name to it...would you?

I am having a hard time signing my name to something I didn't transcribe and looks like that. I have some pride in my work and I have paid my dues for too long to let ANYTHING so HIDEOUS go anywhere with my name on it!!!!!

What would you do?
Examples of flyers

I am looking for examples of flyers to in the physican's boxes at the hospital for medical transcriptionist services.  Does anyone know where I could find some good examples....or does anyone have something they would like to share with me (from someone that is not very creative making flyers/resumes).  If you have something you wouldn't mind sharing you can email me at norma_OK@yahoo.com.  Thanks for the help.


some examples of errors

You did not specify how many examples you wanted, so I included quite a few, hope it helps.  All of these are from one group of radiologists, all american.  In answer to your question, unfortunately most of these I believe to be the result of laziness.


THREE-VIEW RIGHT HAND


There is decreased relative small of the distal aspect of the 4th metacarpal. (There is diminished size of the distal aspect of the 4th metacarpal.) Otherwise, the hand is unremarkable in appearance for a patient of this young age. 


MRI LUMBAR SPINE


 


This is best visualized from L3-4 through L5-S1 where there are actual images in addition to the sagittal imaging through the entire lumbar spine.( This is best visualized from L3-4 through L5-S1 where there are axial images in addition to the sagittal imaging through the entire lumbar spine.)


 


 


ABDOMEN, THREE VIEWS


 


The colon has lost his Hounsfield markings in the transverse portion and splenic flexure. (The colon has lost its haustral markings in the transverse portion and splenic flexure. )


 


CT ABDOMEN W/WO CONTRAST


There is a small left inguinal hernia with fat within the hernia sac but no bile (no bowel).  No inguinal lymphadenopathy.


 


NAME OF EXAMINATION:  Sinuses.


FINDINGS:  Paranasal sinuses demonstrate generally some metric pneumatization.( Paranasal sinuses demonstrate generally symmetric pneumatization)  No bony abnormality is seen.


 


MRI OF THE LUMBAR SPINE


 


Compared to December 23, 2003, there has been no objective change in the L5-S1 left posterolateral disk herniation. It causes narrowing at the left lateral recess. It doe snot produce central stenosis. ( It does not produce central stenosis.)


 


OB ULTRASOUND COMPLETE


 


There is no polyhydramnios. However, the fetal kidneys are abnormally hyperechoic. This has been associated with polycystic kidney disease and so I recommend a postnasal follow-up study.( This has been associated with polycystic kidney disease and so I recommend a postnatal follow-up study.)


 


MRI OF THE HIPS WITHOUT IV CONTRAST


 


The muscles about the shoulder show normal signal on all sequences.( The muscles about the hips show normal signal on all sequences. ) There are no soft tissue masses.


 


RIGHT HIP TWO VIEWS


 


DISCUSSION: There has been destruction of the right femoral headache and femoral neck.( There has been destruction of the right femoral head and femoral neck. )


 


AP PORTABLE CHEST


 


EXAM DATE: January 22, 2005 at January 12, 2005 hours(January 22, 2005 )


 


 


MRI ANGIO ABDOMEN BEFORE AND AFTER IV CONTRAST


 


TECHNIQUE: 3-D time of flight MRA of the abdominal aorta and renal arteries was obtained following contrast administration. In addition, evidence of the kidneys was also obtained before and after IV contrast.( In addition, imaging of the kidneys was also obtained before and after IV contrast.)


 


TWO-VIEW CHEST


 


FINDINGS: Left apical pneumothorax measuring 1-2% is stable. Left lower lobe maxillary sinus is again demonstrated.( Left lower lobe mass is again demonstrated. )There are no other findings.


GALLBLADDER ULTRASOUND


 In the porta hepatis, there is a consistent with echogenic lesion measuring 1.1 cm.( In the porta hepatis, there is an echogenic lesion measuring 1.1 cm) This could represent a lymph node in the porta but also could represent an exophytic hepatic meningioma. (This could represent a lymph node in the porta but also could represent an exophytic hepatic hemangioma. )


OB ULTRASOUND COMPLETE


 


 


DISCUSSION: There is moderate dilatation of the left renal pelvis. There is mild dilatation on the right. However, neither uterus is abnormally dilated. (However, neither ureter is abnormally dilated. )


 


 ULTRASOUND OF RIGHT BREAST


There is heterogeneous echo texture in that region compatible with typical combination of breast parenchyma and fatty/femoral tissue, but a discrete mass lesion is not identified. (There is heterogeneous echo texture in that region compatible with typical combination of breast parenchyma and fatty/normal tissue, but a discrete mass lesion is not identified.)


AP PORTABLE CHEST


Underlying fusion is suggested, again worse on the left than the right.  (Underlying effusion is suggested, again worse on the left than the right.)


LEFT SECOND TOE


 


There is an old, healed fracture of the proximal phalanx of th cleft third toe.( There is an old, healed fracture of the proximal phalanx of the left third toe.)


 


TWO-VIEW CHEST


 


There are remote compression fractures involving the right 5th and 6th ribs.( There are remote fractures involving the right 5th and 6th ribs. ) The lungs are otherwise clear.


 


THYROID ULTRASOUND


 


DISCUSSION: In the left lobe of the thyroid, there is a moderately large maxillary sinus that measures 2.2 cm in greatest diameter and is mostly sold and have a cystic center. (In the left lobe of the thyroid, there is a moderately large complex mass that measures 2.2 cm in greatest diameter and is mostly solid and has a cystic center.) The remainder of the left lobe is normal.


 


There is a small 6 mm nodule in the inferior aspect of the right lobe. The gland itself is not overall enlargement. (The gland itself is not overall enlarged.) The gland is heterogeneous overall in echogenicity.


 


 


TWO-VIEW ABDOMEN


 


No convincing evidence of small bowel obstruction, although developing shortness of breath could theoretically give this appearance and follow-up is recommended. (No convincing evidence of small bowel obstruction, although developing small bowel obstruction could theoretically give this appearance and follow-up is recommended.)


 


 


OB ULTRASOUND


 


DISCUSSION: There is an intrauterine gestation with a large yolk sac. However, the crown-rump length measures 7 mm and this corresponds to an estimated gestational age of about 6 weeks 4 days. However, there is no detectable cardiac activity. The amniotic fluid volume is probably normal of ra fetus of this age.( The amniotic fluid volume is probably normal for a fetus of this age. )    The placenta is closed. (The cervix is closed.)


 


 


EXAM OF LEFT FOREARM


 


 


FINDINGS: No fracture. There is prominence of the anterior fat patient which suggests effusion. (There is prominence of the anterior fat pad which suggests effusion) No other findings.


 


MRI LUMBAR SPINE WITHOUT CONTRAST


 


Tip desiccation of L4-5. (Disk desiccation of L4-5.)


 


 


TWO-VIEW ABDOMEN


 


FINDINGS: Findings of right chest, cardiac size is normal, no infiltrates or effusion. (FINDINGS: Upright chest, cardiac size is normal, no infiltrates or effusion.


 


 


TWO-VIEW CHEST


 


Stable right breast opacity, likely represents


fibrosis.( Stable right basilar opacity, likely represents


fibrosis.)


 


AP CHEST


 


 


Picture of congestive heart failure/volume


overload not significantly changed from


exam 4-hours earlier.( Features of congestive heart failure/volume


overload not significantly changed from


exam 4-hours earlier.)


 


 


RIGHT SHOULDER


 


FINDINGS: The patient has history of a right humeral fracture, plus surgical fixation noted.( The patient has history of a right humeral fracture, postsurgical fixation noted. ) Alignment is intact.


 


IMPRESSION


1. Postsurgical change involving the right


proximal femur.( Postsurgical change involving the right


proximal humeral.)  Alignment is anatomic.


 


 


 


OB SONOGRAM


 


FINDINGS: Transabdominal and transvaginal evaluation of the pelvis was performed. An intrauterine collection and yoke sac is identified. (An intrauterine collection and yolk sac is identified. )


 


 LEFT HIP


 


 


FINDINGS/IMPRESSION: Two-view left hip demonstrate a fracture of the neck of the left humerus in varus angulation.(  Two-view left hip demonstrate a fracture of the neck of the left femur with varus angulation.) No additional fractures identified.


 


 


THREE-VIEW ABDOMEN


 


In this since, bowel gas pattern slightly improved since the 14th, but otherwise there has been no significant change. (In this sense, bowel gas pattern slightly improved since the 14th, but otherwise there has been no significant change. )


 


NUCLEAR MEDICINE CHOLESCINTIGRAM WITH GALLBLADDER EJECTION FRACTION


 


.After initial accumulation of tracer within the gallbladder, the patient was given solid bolus intravenous injection of CCK and additional anterior sequential imaging was obtained.( After initial accumulation of tracer within the gallbladder, the patient was given slow bolus intravenous injection of CCK and additional anterior sequential imaging was obtained. )


 


MRI BRAIN BEFORE AND AFTER IV CONTRAST -


 


 


There is confluent periventricular signal abnormality in the lungs bilaterally consistent with chronic small-vessel ischemic change.( There is confluent periventricular signal abnormality in the pons bilaterally consistent with chronic small-vessel ischemic change.) Probable remote lacunar infarcts noted in the left posterior frontal subcortical white matter.


 


THREE-VIEW ABDOMEN -


There is gas within the large and small-bowel. No distension. There is a round calcification in the pelvis which probably represents calcification in the wall of a cyst. There are no suspicious calcifications. No pathologic skin or nipple alterations(this sentence does not belong in this report). Mild hypertrophic change in the lumbar spine.


 


 


TWO-VIEW CHEST


 


 


REPORT: Bones free of consolidative infiltrate.( Lungs free of consolidative infiltrate.) No pneumothorax or pleural effusion identified.


 


LUMBAR SPINE SERIES


 


 


REPORT: There is very mild levocurvature of the cervicalium spine. (There is very mild levocurvature of the thoracolumbar spine.)


 


THREE-VIEW ABDOMEN


 


No evidence of bowel destruction. (No evidence of bowel obstruction.)


 


 


CERVICAL SPINE SERIES


 


FINDINGS: There is a fracture of the CT vertebral body inferior to the junction of the dens with the body.( There is a fracture of the C2 vertebral body inferior to the junction of the dens with the body.)There is retrolisthesis of the dens in relation to the CT vertebral body. (There is retrolisthesis of the dens in relation to the C2 vertebral body. )


 


What are some examples of deductions you use?
nm
I was just giving examples.
I didn't see the posts in question where people were complaining about only making $20/hr. I was just trying to point out that all of us have various issues, and there is no way to know why someone can't make it on $20/hr. It isn't always pure greed. Sometimes I think it is just to easy to judge someone on a forum when we don't have the full story, especially this one where everyone is completely anonymous. We don't know the posters issues and why they are having trouble. Most people don't share their whole life stories on an open forum. Some just want to vent somewhere where others are facing the same issue.

If you want to hear complaining though, you should hear to the millionaires around here complaining that they had to sell their jet or their 3rd vacation home because of the money they are losing in this economy. Poor things! LOL.


Which ones, give some examples.....
We are NOT talking about TYPOS here, there is a difference between TYPOS and not knowing the right spelling.

You should know the DIFFERENCE !

Give some examples of posts with wrong SPELLING, IF YOU CAN!
Which ones, give some examples.....
We are NOT talking about TYPOS here, there is a difference between TYPOS and not knowing the right spelling.

You should know the DIFFERENCE !

Give some examples of posts with OH, SOOO TERRIBLE SPELLING. These are mostly just typos.

I noticed that there are a lot of matron-MTs who have NO, absolutely no idea where to put commas, so that I was pondering if they have a keyboard without a comma key.

Example: MT way tooooo long and others too.
Yes, but can you transcribe? Do you have good work ethics?

Yes, but can you transcribe an easy 2 minute dictation in under an hour?
Do you have good work ethics?  Which, begs the question, do you know the definition of ethics?
Can you stick to days and hours you agreed to?
Can you not make up excuses for not working?
Can you stay in your chair and not a leave a job hanging for hours on end?
Are you in this century regarding technology? Which, also begs the question, can you download, install, configure, and operate the newer programs that MTSOs are using?

If you answered no to any of these questions, you're in the wrong industry and from what this MTSO has been getting lately, there are a lot of you out there who have absolutely no business trying to work in this industry.



 


I'd be interested in some examples. There are absolutes, and then there are
nm
I would use hyphens in the examples you provided. sm

I would put 32-year-old male, but no hyphen if it's something like *Patient is 32 years old.*  (Same with 11-pound weight loss vs pt has lost 11 pounds.)  I can't quote the rule on this offhand, but whatever the rule is, I personally I think the hyphens make it easier to read/understand. 


Can you give us some examples of the contradictions?
It's pretty normal to be really freaking stressed out when starting a new MT job, let alone being a newbie with a new MT job. However, I'd like to know specific examples of what they are doing to help with advice. Good luck!
We try to set good examples for our kids. We rarely

drink, don't have alcohol in the house except for cooking wine/sherry, don't smoke, don't do drugs, are honest, hard working people.  My oldest son has "friends" who smoke, who put vodka in their Coke cans, cuss, steal, etc.  My son is a good kid and no I'm not naive and he isn't doing this stuff behind my back because we spend lots of time together.   My son is a health freak and won't allow anyone to smoke around him.  We've also tried to explain to him that even if he isn't drinking if someone he is with is caught drinking then he is guilty by association and he knows he needs to avoid these kids.  He has come home before upset that kids were using seriously foul language.  The "F" word at our house is spelled f-a-r-t. 


We live in a country club community.  The kids around here get new cars when they turn 16.  The parents don't keep up with their kids, just give them money.   My son has to earn his car with saving $$, keeping out of trouble, and good grades.  I don't keep tabs on him 24/7, but I know where he is at ALL times so that if I need to find him I can.  He even asks me if he can get on-line so I know he isn't using the computer for porn.  He is concerned that he doesn't have enough testosterone because he isn't wanting to sleep with anything that stays still long enough.  Don't know that his friends are, but they talk a good talk anyway.  


I think you are wise to be concerned and just need to keep open communication with your kids and hope that he makes good choices.  My son was a follower when he was younger and I had serious concerns about how he would be growing up, but now he has become a leader and I'm very proud of him because so far he is making good choices. 


Regarding the Advance article, here's how I would have handled the examples

I'm curious how other MTs would have handled them?


1. Hemoglobin 9, hematocrit 39. (I would have flagged this with a blank for the hemoglobin and sent to QA).


2. The nose and mouth were suctioned on the perineum (during a C-section dictation).  (I would have changed "perineum" to "abdomen" and sent it on).


3. SKIN: Without lesions, rashes or scars (Patient has HIV and kaposi sacroma).  (I'm not the doctor.  I did not examine the patient.  Therefore, I would have transcribed as dictated and sent it as usual).


4. Left atrium is normal, measuring 4.6 cm.  (I don't get paid enough to second guess the doctor on whether the LA is "normal" or not.  You get what you pay for.)


5. VITAL SIGNS: Heart rate 70, respirations 18, BP 120/70 (in an 18-year-old with a comminuted ankle fracture).  (Again, the patient may have gotten pain medication by the time the doctor saw him, so perhaps he/she didn't have pain at the time of examination and so the vitals were normalized.  I wasn't there, I don't know.  Type verbatim and send it on!)


well oldtime, I'll bet that you have good work ethics. But, people like you are far and few in
6 to 8 MTs only a couple actually work out.  That is an absolute shame, but it's the truth.  How do I know this?  Because I surveyed several services asking the very same question to each and this is what the averages were.  Of course, someone here will whine about how many services I surveyed, were they friend, etc., but I can say with absolute certainty that I was completely fair in my end figures.
We need actual examples of patients harmed by outsourcing
to take to the media. Then we could probably get enough interest for someone to do an expose on it.
Education
Also, every other civilized country has a better education system than the U.S. We graduate people who cannot read and write. I only hire Canadian MTs by choice anymore, because with a mere high school equivalent education they're leagues ahead of their U.S. counterparts.

When we moved from Canada to the U.S. (I was a child), my siblings felt like they had jumped BACK 5 years in school and quickly became bored and disinterested, while they achieved straight As in Canada.

Education is not a priority here, yet we gripe when jobs go to more educated countries.

Again, I guess it comes down to our vote.

Healtchare and education are not priorities in this country.
You need a little bit of an education.sm
Homosexuals, pedophilia, nymphos, etc, etc. all fall into the category of deviant, aberrant, and perverted behavior. They are not born that way,they choose to be perverts. No 5 year old knows they are a homosexual, they certainly could become psychologically disturbed after some pervert/deviant did something to them at that age or before that.
Try education
xx
a little self-education goes such....SM
SNAKES

Many people share misconceptions about snakes. In reality, the large majority of them are harmless, gentle creatures that provide valuable service in controlling rodent populations around our farms and homes.

The snakes most likely to be seen in our area are garter snakes and gopher snakes, both harmless. King snakes and rattlesnakes are encountered much less frequently. The gopher snake's superficial resemblance to the rattlesnake often creates problems for it, but they can actually be told apart fairly easily. Although the gopher snake will vibrate its tail, it has no rattles, the unique property of the rattler. The gopher snake also has round pupils in its eyes like ours, while the rattler's pupils are elliptical, or pointed like a cat's.


The rattler is the only snake to be avoided in California, and this is not difficult. When hiking or climbing, wear boots and avoid placing hands and feet in places where you cannot see. If you should encounter a rattlesnake or any snake, your best course of action is to back off and allow the snake a way to retreat, which they will generally quickly do. Should someone be bitten by what you believe to be a rattler, attempt to kill the snake if this can be done without delay and take it along to aid in identification. Immediately take the bitten person to the nearest hospital, where healthy people usually recover quickly from such a bite with treatment.


Most snakes are harmless and helpful, and should never be killed unnecessarily, as the benefits they provide are considerable.



http://www.suisunwildlife.org/tips.html#snakes


It all comes down to education. SM
This is my opinion of course, so slam me if you wish or agree with my beliefs. Our society has gone so "far out there" with regard to morals in regard to the welfare system for example. Our young women in this country, not all, but many (particularly the lower income areas) feel their most important goal in life is to have babies and get money from the government. They have multiple babies from different men and are not even sure who their children's biological fathers are. These kids grow up and continue the vicious cycle. In doing so, the lack of education that many U.S. citizens get is ridiculous. It does not take money to get a solid education, but many women (and men) choose the easy road with the welfare system. No government policies put a stop to this, which I believe is just a crush to the hard working and educated part of the population who are successful citizens in their lives. There may be poverty in foreign countries, but not by the citizens choice. India citizens, for example, are very intelligent and educated and willing to be successful in careers. No, I do not agree with outsourcing our work, and the company I work for does not outsource. My point is that standards and morals in many parts of the U.S. stink, for which I blame the lazy, uneducated people working the system, and the government policies that allow this to happen. (Yes, there are those on Medicaid who truly are disabled and need the support. I am not even referring to those individuals). The middle class should be rewarded for working hard, but instead the lower class just gets more and more given to them via support by the government. If this continues, our jobs will be significantly overtaken by foreign countries.
Where I am, if you have the education and
experience, it pays better than MT. Oddly enough, last I heard, no program could code as well as a person, and because profits are involved instead of harder- to-appreciate quality, those who hire have no choice but to care about quality when it comes to coding. The proof is all in the numbers. Put another way, MTs cost money, coders find money. But where I am, the education is stressed more also, and you have to work on-site for the hospitals here (last I heard).
Do you have any MT education, did you
get a certificate?  You need to start there first if not.  Otherwise you should list your resume on the various free job boards.