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Serving Over 20,000 US Medical Transcriptionists

wonder how they can change rules of English...

Posted By: Curious on 2009-03-29
In Reply to: I use it BUT sm - QAing MT

I mean, English is the language we're using, at least temporarily, right?


Compound modifiers - you mean such as:  second-degree burn or half-normal saline?  How can these be eliminated? 


And by eliminating the 's' do you mean that 5-10 WBCs has become 5-10 WBC? 




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Sorry, but my account goes by proper English grammar rules
not that made-up garbage from the AAMT.
I don't change the rules per post.
I've removed the name as we have policies for a reason. If I allow one person to bend the rules, then I have to allow everyone to.

Goldbird
I know what you mean - I cannot believe AAMT can change the English language-
but they dooooooo!!! It's so frustrating. I absolutely refuse to type one space after a period or question mark. I was taught two spaces from TYPING CLASS and that is the way it will be.

Personally, I think it is so the MTSOs that pay for lines and spaces will not have to pay for extra spaces. But that's just my opinion.
QA didn't make the rules or change the rule. We have to learn 'em - SM
and re-learn 'em same as you.  We just have to take the heat from MTs when we do our jobs and enforce the rules.
Even 4.5 is too low. doctors do not change - they still hem and haw, change, change stuff along wit
It is just not enough for the work. Speech is great on the wrists but you are not just reading what is typed, you are making a lot of changes. I have a hard time doubling a lot of days with all the changes I have to make. Just my opinion.
of course they speak english, with an accent but they speak British-English quite well.
And I can't speak Indian so I guess they have an edge don't they?
Don't change. I had to change back to cable. SuddenLink DSL stinks! nm

nm


Change provider vs change to business plan

In your place, I would seriously consider changing providers if there were others available in your area, but I'd ask around about their service quality first.  It may not be any better.  If there are no other providers, then consider changing your service package to a business account rather than residential.  They're usually more expensive, but they also tend to get faster service if there's a problem.


Last summer, I had no electricity for 3 days due to severe storms, but there were some 600,000 in the same boat with me.  We just had to wait it out.  It's a downside of working at home.


change attitude, change life
The first thing you need to change is that defeatist attitude! I know that's hard at times like this, but that's when you need to most.
I won't go into detail, but my financial situation is also at an all-time low, we couldn't even exchange gifts., daughter in hospital twice, & no med insurance)..but then I heard about how much worse things were for others around me this season. Now I'm thankful instead!
Get out while you can. Things will *never* change unless you change them. (nt)

that would be same rules not some.
nm
different rules
for different settings. Cinics are allowed to use abbreviations pretty freely as to where hospitals are not for a lot of things due to possible misinterpretation. It all boils down to the fact that they are paying you and what they say goes!
BOS rules
I am an 18 year MT and I just recently heard of this Book of Style. What exactly is it? Doesn't the style depend on the program the account has. I've used several plateforms, and just about each one is styled differently, so what is the point of BOS? Old school MT!
BOS rules
I have been reading these comments. I have gone round and round with my employer over why the BOS rules are BS. But, I think the reason they keep changing things is because the doctors are getting cheaper and cheaper and don't want to pay anything for quality. That's just my little opinion.
BOS RULES
Well, if the BOS states "disk is the correct spelling, but I have a Rad who went to Med school and was taught disc and discectomy and discitis, who am I to tell him he now has to change it because the AAMT has a "book" that says otherwise. I still spell out my numbers up to 9 just like I was taught in typing class way back in 1982. So far, I've been lucky. My Rads like it their way and they pay me.

They do seem to have a lot of rules.
I saw on the other board, they'd like their own board.....  Yeah, okay! 
Name rules
I believe you can use relative names - first names - but just not the patient's.  Can your QA give you any guidance on this?  I know the company I work for has very specific rules about what can and cannot go in a report, etc. 
English Ivy all over
It's in our back yard, couldn't stop it from growing if we tried. It wraps around our mailbox, which is actually very pretty.... it doesn't even die during our winters here. But it is woody, unless you get some of the ends farthest away from the dirt. Look closely and you'll see small roots sticking out from the stalk. You can either put those directly in dirt, put in water, or rooting hormone helps it take off faster. We're in the south and that stuff grows everywhere. I would give it away gladly just to cut a lot of it away. Good luck!
English
is NOT the official language. There is no official language. True, the majority speak English as their first language but it is not OUR language yet.


English
Officially maybe it isn't but the majority as you say are English. I just think some people who come here should take the initiative to learn English more than they do.
I think I get fustrated because I have a Mexican who lives nearby and came over to the U.S., as many do, illegal. She has a green card to work and all but she isn't a citizen. Well she will not study her English more and can't hardly communicate. It fustrates me because she needs to make more of an effort to learn English where not only can she be understood more but she can understand us more. She can speak English just barely.
That is where a lot of my fustration comes from with foreign dialect. A lot of Mexicans come over here and think we should learn Spanish to communicate with them. Well if they want to live in the U.S. they can learn English. Some of them do learn and you can communicate with them. But some have a chip on their shoulder that they are going to speak Spanish and we can just adapt to it or the government should make provisions for it. Well we did not ask them to come here so learn it or leave.
English
True. There are so many dialects here in the U.S. I am from the south, and I went up north and they talk entirely different. Just different accents, different ways of saying things. They looked at me like where in the heck did you come from.
But with the ESLs I just get plain fustrated because I feel like they aren't making a effort to speak where I can understand them sometimes. And some of them do make the effort. They do and you can tell. They are trying. But those others really chap my *ss.
English

I thought all foreign MD's had to pass the ECFMG (Educational Commission for Foreign Medical Graduates).  Maybe this just verifies their information insofar as medical school, etc. and clinical skills assessment.  I thought they had to pass an English exam, also. 


I agree -- there are too many people walking around not knowing or using the English language.  If they want to live here, they should at least like our country and not fly our flag upside down, etc. AND SPEAK OUR LANGUAGE.  I have no problem with foreigners coming over here.  My only problem is with foreigners coming over here and not respecting our language and culture.


 


 


English yes, others no.
x
MQ Rules, literally! Go MQ!
nm
follow the rules
I too thought crepitus was the only correct form -- until the pediatric rheumatologist "corrected" me and insisted on crepitance. (As the Red Queen says, "All ways here are MY ways.")
New Rules For The Office

New Rules For The Office - Effective Immediately!


SICK DAYS: We will no longer accept a doctor statement as proof of sickness. If you are able to go to the doctor, you are able to come to work.


SURGERY: Operations are now banned. As long as you are an employee here, you need all your organs. You should not consider removing anything. We hired you intact. To have something removed constitutes a breach ofemployment.


DRESS CODE: It is advised that you come to work dressed according to your salary,if we see you wearing $350 Prada sneakers & carrying a $600 Gucci bag, we assume you are doing well financially and therefore you do not need a raise.


PERSONAL DAYS: Each employee will receive 104 personal days a year. They are called Saturday & Sunday.


VACATION DAYS: All employees will take their vacation at the same time every year. The vacation days are as follows: Jan. 1, July 4 & Dec. 25


BEREAVEMENT LEAVE: This is no excuse for missing work. There is nothing you can do for dead friends, relatives or coworkers. Every effort should be made to have non-employees attend to the arrangements. In rare cases where employee involvement is necessary, the funeral should be scheduled in the late afternoon. We will be glad to allow you to work through your lunch hour and subsequently leave one hourearly, provided your share of the work is done enough.


OUT FROM YOUR OWN DEATH: This will be accepted as an excuse. However, we require at least two weeks motice as it is your duty to train your own replacement.


RESTROOM USE: Entirely too much time is being spent in the restroom. In the future, we will follow the practice of going in alphabetical order. For instance, all employees whose names begin with 'A will go from8 to 8:20, employees whose names begin with 'B' will go from 8:20to 8:40 and so on. If you're unable to go at your allotted time, it will be necessary to wait until the next day when your turn comes again. In extreme emergencies employees may swap their timewith a coworker. Both employees' supervisors in writing must approve this exchange.


LUNCH BREAK: Skinny people get an hour for lunch as they need to eat more so that they can look healthy, normal size people get 30 minutes for lunch to get a balance meal to maintain their average figure. Fat people get 5 minutes for lunch because that's all the time needed to drink a Slim Fast & take a diet pill.


Thank you for your loyalty to our company. We are here to provide a positive employment experience.


Have a nice week.


read what rules??
OK I'm a guy but I don't know if I have been counted. 40/7 that's nothing. I have 3 sisters.
HIPAA rules
A lot of the national transcription services have many accounts where the hospitals/docs still want the name of the patient in the body of the report and do not want "the patient" in the body of the report. So the facilities still respect what the doctors want.
RULES ON POSTING

Unless the moderator makes remarks what we post I am going to post what I want to.  If we were in an office we probably would have a discussion about American Idol, family, relationships.   I feel this board has been helpful when you feel isolated all by yourself all day transcribing.  I have learned alot of information that was not related to transciption over the past years.  


Definitely need to set some rules and stick to them -
I also had contractors working in my house a few years ago, so I can totally relate. The phone was also ringing off the hook. I had people knocking on the door (contractors) at all hours because they knew I was here. I finally just about had a nervous breakdown and told my husband if he did not take some of these calls or come home to meet some of these people I was quitting my job. Low and behold, he took the wheel and I got to actually sit and work. He said he did not realize how stressed I was over all this. Maybe this will work for you? Good luck. :-)
They don't have set rules for saving
I've never had to set rules to get them to save money. My kids generally save most of what they receive without me telling them to, and they just aren't into shopping and spending money.

I assume they've learned from my example because I'm pretty good with money myself and don't spend extravagantly.
JLG RULES to those who have a clue

I am amazed and not surprised at how many children we have out here who apparently have not cut it with JLG and now have to bad mouth one of the finest companies there is and I know it! I have had many of my former MT's come to work here -they are making wonderful pay....but perhaps that is because they work?! They aren't sitting on the message boards crying the blues because they didn't listen, couldn't follow simple rules, and probably lied about the length of experience as an MT so they were FIRED!! JLG is one of the finest companies there is. The work flow staff and owners are the finest I have every had the pleasure to work for and I have been in this industry as a CMT and now QA for 22 years.   They pay ridiculously HIGH and you have to have knowledge to make it with them. Stop saying things that aren't true THEY DO NOT run CREDIT CHECKS> FOOL THAT YOU ARE... if you cant cut it as an MT why understand this...JLG asks for a social security# simply to make sure that you belong to that SS# and that you are not an illegal alien working with someone else's SS#, also to ensure that you do not have any delinquent tax liens with IRS because by law they can not employ you as an IC and not pay uncle Sam because if you have not paid taxes before , well that says it all right there. So don't run your toilet when you don't know what you are talking about. What would they care about your light bill, phone bill or any bills on your credit report. That makes no sense but neither does anything negative I have read about JLG. So do yourself a favor, stop trying to work for a top notch company until you build your resume. Perhaps go to an accredited school and learn to be an MT and stop taking mail order courses that get you know where but broke and without a job to pay the student loan back. Anyone wanting to be an MT at JLG should be honored to get hired and also we have more work and more accounts and more new accounts that we can not staff fast enough to keep up. Perhaps you didn't have enough work because you are one lousy MT because that's usually why you don't get work. I wish everyone working here now could here this nonsense but we are too busy to do what you do all day which is make up fairy tales. Apply with JLG. Do yourself the favor don't listen to people that are just disgruntled because they couldn't make the grade. And contrary to MS Opinion....QA knows about everything at JLG. We have to baby sit and grade all the work that MT's do incase they fib about the experience and we have to make sure it is all spell checked and dot their Is and Cross their T's. So QA knows everything from how much work is waiting to be typed, how much has come in and how much will be there the next week. Get off it and get real. Perhaps McDonald's is hiring. Because I make so much money I am buying myself a new 40 thousand dollar vehicle in 3 weeks and let me say this I made just that in the past 6 months. Sorry it didn't work out Now get over it and if you don't like other peoples opinions STAY OFF THE BOARD Back to  my life. Sorry you couldn't have one too.  By the way I wont be back I do have work to do! I just had to come see for myself at the clown like stuff written about our wonderful company.


 


New rules? Hmmm....sm
Since you seem to be a theological expert on all religions maybe you could enlighten us with facts instead of sarcasm and assumptions.

I'm seriously not trying to sound snarky, but after just coming off another forum I go to, there was a similar post. Everyone preaches tolerance should be given to all groups except for Christians.

Actually, we do let our daughter Trick or Treat, but I challenge anyone to look up the origins of All Hallows Eve. There are evil roots and I actually feel like a hypocrit partaking of it because of my own personal convictions (and would never judge anyone else for it) and belief based on what I've studied from the Bible, whose rules by the way go back over 6,000 years. Not what I'd call new and not made by man. Maybe you should study Christianity so that you have the facts before making assumptions.

I apologize if I offended you. It was not my intention. It's just hard seeing your faith ridiculed, disrespected, and slammed on every secular board you go to.
BOS rules for dates-help!
My mind has blanked--what is the current rule for doing dates in dictation?  Isn't it to write out the dates as October 21, 2006, rather than 10/21/2006??  Thanks!
Company QA Rules
Ditto to what ok said. I do also believe that QA people need to confer with one another and get the rules straight. I do love feedback because that is how I learn and continue to grow. But it is annoying and impossible for an MT to do a good job with constant conflicting feedback. I have seen proofed reports with mistakes that QA missed. For instance I saw a report which said "2-mouth-old male" Mouth -- should be month. I have seen such a statement as "please see his noted" Noted? Should read note. Even QA is not perfect. I do respect those in QA who respect me. I value opinions to make myself a better MT. However, smart comments are not needed and do nothing for the good of the company.
counting rules
I have Sylycount.  Go into the software under counting rules and there you can tell it what you need it to count.
Anyone here ignore the BOS rules?
I find local docs and clinics here in NE do not care about the BOS rules and actually consider some of them "mistakes." They like things done the way they always were. It drives me crazy trying to stick to the "new rules" when even the samples they give me are set up the same way they have been doing things for years. I find they still make sense and cannot get my brain to wrap around doing things differently for each account. I am ready to give up.I was told by an ivy league institution health clinic to do it "their way" which has been in place since the dark ages. Am I alone in this predicament?
mean? the rules here at MTstars is you cannot

My advice is this: Get the IRS rules for ICs and
print them out and give them to her. Tell her you want to protect yourself and her from the IRS ever getting involved. If you feel like an employee then you probably are. I'm shocked at the number of companies with unbelievable expectations of their ICs, their demands, etc. They do treat them like employees while offering no insurance, no bennies, etc. It is up to you to be the IC - you will fare far worse should you ever get audited by the IRS. I have known companies who treated their ICs like employees and then the IC got 'let go' and they went to the labor board and the labor board determined from the demands the 'employer' made there was reason for the person to feel they were an employee - no one wants that. Show them the list of 21 (??) guidelines laid out by the IRS - tell her you are meeting your contract and try to smooth it out - 12 cpl is a good rate - be sad to see you have to give that up!
It's not needed, but before the rules
of general English punctuation changed back in the late 70s or 80s, we would have put a comma there I think.
The rules changed?

I would have used a comma in that situation.  But, I had no idea that the rules of English grammar had formally changed.  This is a revelation; most of my grammar education happened before 1972. 


 


I just came across rules on this today
Here is a link to some style rules for MT that you might find handy.

http://www.mtdaily.com/style.html
followup - 3 rules
#1. Follow up (verb): I will follow up with the patient next week.
#2. Followup (noun): The patient will come in for followup next week.
#3. Follow-up (adjective): The patient will have a follow-up appointment next week. I disagree mildly with the post about BOS2 on this.
Grammar good info in BOS/AAMT. Also any good grammar textbook from a bookstore would be good to review/read/study. I tried out Whitesmoke grammar program and hated it. Hope this helps!
It would be against the confidentialty rules (sm)
Send the job back into the cue with an explanation of why; there usually is a dropdown box. And don't let your curiosity get the best of you and transcribe it...DON'T. If caught, you could be penalized up to 10,000 and/or imprisoned. Read you handbook entirely. I know this subject matter is in there.
Apply the BOS rules
Expand abbreviations in diagnosis, impression, and assessment. Otherwise leave abbreviated. If you have the BOS, you can check under "abbreviations." A lot of companies say in their ads and/or on their websites whether they adhere to the BOS or not, and/or if that is a reference they require. I do not think you can go wrong if you generally apply the BOS rules whereas you have to watch out because some are using the 3rd edition now.
If they are changing the rules...then all
you can do is keep your emails to prove that you are just doing what they previously told you to do. If you keep deleting, then you don't have a leg to stand on

As far as the ridiculous corrections like a instead of an, that may be ridiculous, but one way is correct and one isn't. I am a QA and my reports get reviewed by the client. If I let one of the ridiculous corrections go through, then you better believe that they point it out. I mean I agree that they aren't the really important errors, but if the client cares, I care. If the client is going to jump on me for it, then I have to correct the MT. So, don't look at as the QA nit picking you...she is just doing what the client wants.

On the other front, save your emails or you don't have a leg to stand on.
I am unhappy about it, but those are the rules
No young lady here is happy about it. I'm tired of being called a lier. This was in place for years. My 40-year-old friend had to get one as she never had a license until now. I'm not crazy. I do not need help and I'm sick of being called a lier here. No, this was not in place when I was 16 and getting a perment to drive. As for my daughter being sexually active, she is focused on school and works from home typing phone notes for doctors along side me-- her choice. She will be starting a new job in the summer. She doesn't date and rarely goes out. So no, she has better things to do than screw around wth the opposite sex at this point in her life. Not all teenagers are bed jumpers. I'm not blind. I know some girls are, but she is not. I know her friends, they spend a lot of time together. Sex isn't an issue right now.
Now H&R block did specify in their tax rules that....sm
The animal had to be a dog and be over 50 pounds in order for it to count. I am taking advantage of everything that is legal as they have screwed us over long enough.
English Language
Amen to that!!!
I live in South Florida and you may as well call it a foreign country. I asked a clerk at local Walmart for Phiso-dem...she had me write it on her notepad she carries around, because she doesn't speak English!!!!
English as a Second Language
nm
from an MT into a English Teacher

Am thinking of getting some education units (degree hopefully) to become an english teacher. I have been an MT for roughly seven years, five months give or take including schooling. But since i feel that Big Company (fourth down upper left panel of your screen, starts with "m") that says they dont outsource, but we cant be be so sure. I feel that the work is not anymore paying well right now. (maybe im just not getting the big breaks) I feel that i have to check my alternatives - cause im not getting any younger. Its tough out there but i think that god will provide.