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Serving Over 20,000 US Medical Transcriptionists

things are turning around?

Posted By: marceia on 2007-03-30
In Reply to:

I have some relatively good news fellow transcriptionists!  I am seeing a change for us in small doses.  Seems several of the larger hospitals who have outsourced to "companies" are now bringing back in the MT and paying decent wages with all benefits.  Look around, they are popping up everywhere.  I know of several "compaines" that I have worked part time for that the hospitals are dropping like flies because of various reasons, but the truth of the matter is that it is always better to have regular typists working for the same doctors as we "learn their lingo" and know how to baby them, which in a nutshell is what gives us the job security that we look for.  I work for a hospital as an IC that now is having big problems because they dont want to give raises or benefits(therefore people are quitting), but they are finding out very fast that no one else can or wants to do their work.  I can't wait for them to try the offshore companies.. will just be too rich...  As fussy as my group of doctors are, well, I smell raise on the horizon and benefits to boot.  they will just have to fall flat on the ground before they can walk the walk!! 


Just remember, what goes around comes around.  I have a new job with a hosptial that has made me full employee and decent wage.  I am so looking forward to seeing this change that has been long coming. 


I am just glad that it really is starting to turn around.  Just goes to show these offshore cheaper prices are not being "bought" for long by many.   I know of one hospital that had outsorced all their work, after a while (maybe a couple of years) they found that it was CHEAPER to bring the Transcriptionist back in and train to send home with all equipment and benefits and really decent pay, I am talking more than what any "company" has ever offered me, except for opt notes.. Just too cool.  I am so excited..  


Will keep you posted as I start my new job - really belonging again!  :)


 


 




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No, not offended and not turning on you sm
I think some of us are frustrated and concerned for you because we know it will happen again--and there's nothing we can do.

We also see the things that you're saying and see them as typical problematic statements, classical of someone who's being abused and will be abused again.

Statements like these:

"I have neglected to mention that when he is calm, he is actually okay." What? What difference does that make? He's probably very sweet and wonderful when he's not hitting you, yes.

and

"The incident two weeks ago was because I was forcing a trip to see my daughter's family." In other words, you caused it, right? That's so typical of an abused woman. "I made him mad" or "I egged him on." See, we on this board read things like this and see what you're not seeing, which is why we are SCARED for you and urging you firmly to see them. You're interpreting this as turning on you or that we're offended. No -- we are seeing something and trying to get you to see it, and really worried that you're not. And yes, frustrated that you're going to live with this man under the same roof while you try counseling and religion.
Maybe you are accidentally turning it
on by hitting Ctrl-B or a combination of keys to turn it on. I am always accidentally making words all CAPS.
Have you tried turning it off and then back on? nm
x
turning off computer at night

I leave mine on -- just do a "control, Alt, delete" and "log off" instead of shut down.  It works fine.  I have to enter my password the next day, but thats okay. 


I've heard the machine will not last as long if it's turned off every night.


 


 


Yes, turning Celine OFF works even better! LOL

He will be turning on the charm 100%. Don't listen to it. sm
And you've never tried God as an option before? Well, if you wish, tell him to get some God on his own while you and your children are safe someplace else.

You're stoked right now, which is great, but don't let it fizzle out with husband's pleas and lack of abuse in the meantime. It WILL happen again if you stay. Anybody who knows anything about abuse will tell you that. The center you contacted will tell you that, too. Listen to the experts.

Bravo on actually contacting your parents and Swan. However, you said they can hide you out if you actually need to go. Hello? You actually need to go. Now. You were just hit 2 weeks ago. You're feeling in control and all, but it WILL happen again. Yes, you are in danger. Your husband is scared right now. He senses the loss of control. However, this is a cycle. When you stay, and things get a bit more distant, they'll resume some sort of normalcy. It'll build up, and he'll blow. What will happen next? You know you've got someone who has abused you as recently as 2 WEEKS ago, and you say you're not in danger and you're willing to let your CHILDREN LIVE under the same roof as someone who WILL eventually blow again, and maybe hurt them next time?

It's not just about being hid out when (not if) things get ugly again. You need to work toward a permanent plan, not just a crisis plan. There are other places besides this one you've called, ones who can give you some counseling and advice on how to leave and make it on your own with your children.

I wish you would listen and leave, but I have a feeling you're going to wait til next time. Do you know it takes women an average of SEVEN times leaving their abusive spouses before they finally leave for good? How many times will you let it take you? And what will be the cost to you and your children before you finally "get it?"
Turning numbering on and off for lists
Does anyone know the keystroke commands or if they even exist to turn numbering off and on for lists?  I hate having to use the mouse to point at the menu and going that route!
Turning the control off did the trick. sm

I don't even need the convertor now.  The plug-in downloaded and my GP plays the dvf files just fine.  Wow!!!  I can't thank you enough. 


Thanks, thanks, thanks!!!!


It seems turning that off sorta turns it into XP. LOL! nm
x
You might also try turning off the suggestion window SM
or whatever it is you have for a while. I use Shorthand, but it's pretty much the same thing. That way you could give yourself a list of often-used abbreviations to memorize and get very comfortable with and/or a rule that tells you what a lot of your abbreviations are going to be. As you get comfortable with those few, you'll end up loving them and wanting MORE, MORE, MORE. With that attitude, you can turn the window back on or give yourself yet another list and another rule or two to get used to.

Just think, if you only used abbreciations for the words "the patient" (tp or ?), "hydrochlorothiazide" (hycx or ?), and "blood pressure" (bp or ?) you'd never type those three out again and would be saving that much time with each of them. Start small and unspook yourself.
Join the club on being confused. With turning us

things are charged, billed, or anything any more.


It just seems like they wanted me to work for nothing to clean up ASR reports.  It was pitiful what they wanted, considering what they needed me to clean up.  I could have typed it faster and better using my word expanders.


Go with your gut, Patti - my gut is turning and screaming Indian - sm
but then again, it could just be increased peristaltic activity... but I doubt it
Try turning off the User Account Control. nm
x
Are you turning the volume using the home typist icon
or your regular volume control icon on the tool bar?

I have had that problem with some whispering dictators, so I mute the program itself just for that dictator.

It's a shame if you can't use it. I get a real rhythm going and my day just flies. I don't think I can type without it now.
I hear ya. I'm a natural blonde turning white sm

At first the box stuff worked pretty good. Now I have a huge "skunk stripe" on the left side of my forehead and I'm starting to grow another "skunk stripe" on the left side.


After a while the box stuff only calms down the different texture of the white stuff for a few weeks so if you wear a few bangs, you need to cut them to match after dying. 3 weeks later the bangs with the white stuff are suddenly a good half inch shorter again.


Needless to say, for the time being I have the "off the forehead"  look that makes my head look like two breakdown lanes on a highway.


I'm saving my money. The initial shock for the "makeover" is scary, but my 2 sisters told me to go for it as the upkeep isn't too bad at all. They would both be snow white in their late 40's if it weren't for visits to the salon.


I'm headed in the same direction and I'm early 40's. My husband, who went white by 38, told me to just go natural.


I told him to kiss my natural behind.


 


Try turning off User Account Control in Vista. (nm)
x
Mine is working fine and turning purple...
.
Turning off Indexing will drastically improve speed.
Vista loads a ton of "services" that you won't ever use so turn those off as well. A Google search will give you exact instructions on the ones you don't need.
I would feel like people would think I was an infertile woman turning my cat into a baby.
x
You're turning this lighthearted thread into something entirely too deep. Lighten up.
p
Try turning the volume down, it works. Celine is superior by far. No contest. NM

Raintree County, Cross Creek, The Turning Point nm
x
Bad things? what bad things? people's being petty and small?
x
You can't make things worse and could make things better.
The skinny woman may be ill.  The guy might not know the dog is a nuisance.  Who knows?  Maybe it is not as forbidding as it seems and maybe they just need to be asked in a nice way. 
I do a lot of the same things you do...

I also go water the plants - sometimes just being out in the sunshine for 20 minutes or so wakes me up and gets me going again.


I also do the online thing for my kids:  Gap, Old Navy and Abercrombie Kids.  I occasionally look at Sephora for me.  


And yes, exercise does help.  I either take a run first thing in the a.m. or around 1:00.  The morning gives me a totally different spin on the day - I feel better in general the whole day and much more positive.  If I wake up too late for that, I end up going around 1:00, as I find that around that time I start wandering mentally anyway.  I used to feel guilty for taking the hour or so away but realized if I added up all the minutes I spend staring at the screen (waiting for the words to type themselves) it would be more than an hour.  So I try to use my time wisely and for myself by exercising and feel more focused and positive afterwards.  This is a habit I'm still creating.  I've been doing this a while now and I still some days have to convince myself it's okay and the hour is going to help me, not hurt me.  After I'm done I'm always glad I went. 


Thanks for posting this question - you gave me some good ideas. 


There are a few things you can do. Don't

answer phones, let machine pick up. Turn ringer off on cell phone. Stay off boards, turn tv down or off. I don't know about others but I need a little background noise so I keep tv on a volume where I can hear it but not truly understand what is going on. I keep it on the music channel just so I hear something in the background. Don't think about the dirty dishes, laundry or 100 other things needed to be done in the house.


If you need a drink, get one before you start, same goes for a snack. I get a bowl of something to snack on before I start working such as pretzels, carrot sticks, m&m, etc. I bought an oven timer to keep on my desk. I set it for 3 to 4 hours and then take a little break when it goes off. When I first sign on I can work for 4+ hours w/o getting up.


Make macros of phrases. The phrases are the key. If you're forever typing something over and over and saying "I should make a macro for it," don't say it, do it. Closed head injury precautions are set as "chip-" in shorthand. I also do a lot of consults and at the end they have their own little "thank you for allowing me to participate" statement. I use the docs last name with a T at the end of it for the word thank you such as "SmithT" because not all the thank you statements are the same. WDI is written discharge instructions, wci wound care instructions. Macro your labs and headings so you don't have to keep typing them. If the word or abbr. needs to capitalized make a macro. igg comes out as IgG. The less you hit your shift key, it's saving a key stroke. 05m comes out as 0.5% Marcaine, etc. Make something you can remember. I'm at the point now where I've done the same accounts for years and hardly make macros, maybe 1 or 2 a day. If I make a macro today I write it in a notebook sitting right in front of me. It's a quick reminder for me.


Hope some of this helps.


Many things are said here...sometimes...

people get a bit testy.  But, guess what?  We are all adults, aren't we?  Long ago I learned to not take offense to things, remarks, opinions, whatever - as most often taking offense only drags you down personally.  Why let things get to you?


MQLover has every right to express her opinion.  Is she the only one who ever slams back when she gets slammed?  Hardly.  That is a natural reaction.  It's a defense mechanism.  We don't all feel kissy/huggie all the time, and we especially don't when we express our thoughts and get smacked for them. 


If someone's post irritate or bother you, why not just skip them?  There's a heck of a lot more to life than getting upset of bb posts. 


The things I do.
% of utilities, -phone, water, electric-mileage, internet, interest on auto payment, repair to car, cleaning equipment for office, repairs to office, cell phone, equipment-foot pedals, soft ware, supplies, paper, pens, etc.  I have often wondered if I could claim my PJs as uniform expense.
But apart from those things R they OK?

two things

Gas heater in the living room and an additional small heater for my hands, if they get cold.

I found it was less costly to install a gas heater than use the fireplace.


Thanks! I'm always trying to think of new things and though....
I thought this might be different to brake up the monotony! Thanks again!
Well there have been quite a few things
here and there, but I have always put off calling them cause they spend 10 minutes getting the spelling of my name right. I am like, "you can call me whatever you want to call me, just answer my question!"

The problem I am having now is that my internet will not allow me to access my bank site, but my cable company helped me with this problem. Since we went back and did a system restore and it still didn't fix the problem, they suggested that I am probably going to have to reinstal internet explorer. I left my CD at my Dad's though, so I will have to wait to try it and see if it works.

I am just wondering if I run into a problem again and I called if they would switch me to a US representative if I insisted. I remember awhile back someone posted that they did that with a credit card company or something. I think I am going to try it though.
That's if you want to be any of those things.
Really, why choose a career field solely based on potential income? Does money buy happiness? Doctors and nurses work very long hours. LPNs make $12 an hour, RNs $18 and up. Attorneys, well, who would want to be an attorney? Accountants here make $12 an hour to start out with a 5-year degree and CPA.
Have you tried these things? (sm)
Writing for the paper and making extra bucks by doing MT?

Maybe go back for your Master's and teach journalism in smaller colleges?

Possibly freelance for web sites? Check out elance.com and other freelancer sites. Lots need writing. Work that experience! Do you have a portfolio to show off?

Good luck :)
two things you can do

1.  Run Disk Cleanup - click Start | All Programs | Accessories | System Tools | Disk Cleanup.

2.  If you use Internet Explorer, click on Tools | Internet Options. Click on the buttons that say Delete Cooks and Delete Files.

Close your browser, restart it, and that should resolve your problem.


Well, with the way things are going,
I think I would be happy to get anything.  Many companies are doing away with gifts completely due to the economy. 
I'm not willing to pay for something that will only tell me things I already know.
I know to use an Expander and templates/normals. I know to expand phrases, words, reports, etc. I know to stay away from the boards, let the machine get the phone, and treat this like a REAL job, but it's really hard to concentrate when there's nothing but garbage dictation on the system. I can see somebody else already took all the work from my primary, so I'm stuck with the lousy ESL secondary that I hate and won't make any money on. I can never make any money working for any national. They bounce you around so much that you never have the same dictators from day to day and can't keep account specs straight.
are doing these things....NM
x
Some of us can do 2 things at once, and well! nm
nm
They are okay though there were some things I did not like - sm
though it may not bother others. Need to have AIM on while you work so they can IM you....they can monitor you this way too, unless you know how to turn off that feature. Alway felt to me like Big Brother was watching. Did not like primary account, lots of short reports (I like them long with good line counts, not these dinky 10 lines things that take you 10 minutes to crank out); loved my 2nd and 3rd though, but rarely got to see them. Were considered an employee, nice, don't have to worry about taxes. Had to give a schedule and stick to it (granted you are an employee so you must do that), but flexible. Have to work 1 weekend day too. Get lots of faxes, sometimes too much. People are nice enough though, never had trouble with QA. Like I said just a few things rubbed me the wrong way, good enough place though. Good luck.
What are the things that keep MTs
I'm putting together a list of things that make it hard for MT to get decent line count. Can anyone give me their opinion?  TIA!
Could mean a lot of things......sm
Could mean that the QA department is backed up and your report just hasn't come up for review yet. Does your QA department have a higher level to which more difficult reports are sent for yet another listen? It could be that it has been held up in this way. I know how frustrating it must be for you not to have your feedback yet. I hope you get it soon. :-)
Here are some things.....
If you own your home, you can deduct taxes, mortgage interest, DSL or internet service, electricity, heating bills, anything you bought for your job, i.e, pencils, pens, a new chair, a new desk, highlighters, etc., and anything else that is related solely to your business at home.

Don't forget you can also deduct anything you donated. Every few weeks I "clean house" and donate all my goodies to Salvation Army. But make sure you get a receipt.


Several things...
For me personally, I was drwan to transcription for several reasons. I love the field of medicine and I love to learn something new every day. Those were the main things at first. Now, I love to be home for my children and am happy this job that I already love helps me do that!
getting things done
I have found David Allen's GTD approach very useful in organizing life, time, and goals.  You can do a search for "getting things done" on google.
As if 1 of those things isn't bad enough.
Yikes.
I never go to any of these things...sm
that way I'm not stuck with buying stuff I don't want/need/pay too much for.
Thank you both - these are exactly the things (sm)
I was talking about! This will be VERY helpful. Have a good day :)
These are some things I do

Boy, I hear you on how time consuming and tiring it can be to get ready to go!  We don't have any kids but we have three small dogs (which are like kids to us).


We camp almost every other week-end, May through September, and I try to do as much as I can during the week to get things ready, a little each day that I can.


Also, I have bought as many things as possible to leave in the camper so I don't have to take things from the house to the RV/back and forth.  I try to stock the cupboards with foods that can be left there for the season.  This year I also bought us underwear that stays in the RV all summer. When we come home from camping, I wash it and back it goes to the RV.  (Then in the fall, it will come in the house and we can throw out old underwear and buy new again the next year for the RV.) We also leave warm clothes in the camper all season as they are usually part of our "winter clothes" anyway.


We also keep our RV electrical plugged in all season so I can leave many things in the refridge and freezer, without using up our propane to run the fridge. We have an outside outlet on our house so we can do this.


While we are camping, I make a list of things I note we will need to buy for the next camping trip; otherwise, I would never remember what I needed. I also have made a "Camping Checklist" of things I need to remember to take each time and things I need to do before we leave. That really helps me a lot.


HTH some.  Have fun camping!  We will be going on "vacation" (five days) in our RV next week and we can hardly wait.  Even each week-end away is like a mini-vacation for us.


Several things:

1. Separate accounts. Get a credit card in your business name to run all business purchases through. That will simplify things immensely. Get a business checking account (you can choose Jane Smith DBA - doing business as -Transcription Services Limited if you are not incorporated).


2.  The first year that you are an IC, do not worry about quarterly payments. You do need to withhold enough from your paychecks to be ready to pay your regular taxes as well as an additional 7.5% self employment tax come April next year. Put all of this in your business account.  The second year, 2007, - as long as you pay 100% of what your taxes were in the previous year, you will not incur any fines. So if you paid $8500 between your husband and you in your taxes this year, next year divide the $8500 by 4, to get $2125. Watch your husband's withholding and every quarter, take what has been withheld from him and add whatever it takes to make $2125 from yours. I.e. he has $2000 withheld, your quarterly payment should be $150 - allowing a little extra.


I agree it is worth it to find a good CPA that will help you get organized and give you deadlines for filing, as well as help you find deductions that you are entitled to take. But after that, easy enough to do on your own if you do your own taxes anyway.


 


I have two things (sm)
Watching my two-year-old son sing and dance, and my five-year-old daughter getting 100% on her sight words (reading) at school four weeks in a row. And she's only been in school for four weeks. My kids make me happy and proud!