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Serving Over 20,000 US Medical Transcriptionists

yeah, in today's job market, the

Posted By: holy cow on 2006-01-01
In Reply to: Boss sent me a nasty email, I replied and proved she was wrong, and yet no apology. sm - Dreaming MT

middle class is supposed to be happy we even have a job.  Forget any idea of getting any appreciation for hardwork, reliability, knowledge, or any of that good stuff, just be "happy" to be working... in my next life, maybe!

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Yeah, but are these other companies trying to put stores in every market in the country?
I think that is what makes Wal-Mart so "evil" and scares me so badly.  Soon we won't have ANYONE left to buy our goods from because they force all the other competitors out of business (particularly the small business owners) and then we are FORCED to buy everything from overseas countries/Wal-Mart. 
the market will pay what the market will bear...sm

just the fact that jobs are posted for this pay means people are taking it. You have to remember - we are in a global marketplace now. We are competing against people from India, Thailand, Cambodia for these jobs. If the Mexicans could figure it out, we would be competing against them too. It's like washing dishes. Washing dishes isn't easy. Why does washing dishes only pay $5.50 an hour? Because they can find people to wash dishes for $5.50 an hour. Not only that, but MT work was getting cost prohibitive for a lot of people. That's why some other really, really smart people said, "let's find a way to make computers do this! Then we can sell the programs so docs can buy programs instead of paying MT's." Then some other really really smart people said, "let's not even have docs dictate. Let's have them point and click!" And so MT's are also competing against VR and EMR.

You may say ..."If a company offers me 7 to 9 cpl, I let them know that it is an insult to expect an experienced, highly skilled Transcriptionist to be offered such low pay and I refuse to work for them." But if your current job goes bye-bye, and you're scrambling out in the market and that's all that's out there....well, you get the picture. If you want the job, you take the job for that pay. Otherwise, yes, it's get a job at WallyWorld. Your choice.


Now you know the local job market and my
home situation better than I do.  For your information, I make more working parttime at home doing MT than I would working fulltime for any of the local advertising agencies.  Plus, I don't have to travel or put my kids in daycare.   Thank you so much for your concern about my employment situation, though.  And please, get off your
In the market for a new computer -

I will not buy MS Vista - I hear it's a nightmare. TIA


When you market your services with a
business name and a business license, it shows the doctors or hospitals that you are representing yourself as a professional business and are not just a homemaker or housewife trying to make a few extra bucks. They will treat you with more respect and take you more seriously, and in turn will be willing to pay you a fair rate as a respectable businesswoman. Think about any business in your community or town. They all first procure a business name and a business license before they open their doors. You may be working from home, but you can will present yourself in this fashion. I would also suggest obtaining a P.O. Box to use as your business address instead of using your home address. Believe me, this works. I have been running a successful small MT business from home for over 20 years now, and I support my entire family on my earnings.
job market update
If your skills are excellent and your experience and references speak well of you, then I believe the job market is pretty good.


You have to look carefully at the prospective jobs.

Please, I beg of you, for the good of ALL OF US, please please please do not take a job for less than 8.5 cpl! Please!
It's a very tough market right now...sm.
I have 8 years experience and have been testing left and right for the last 3 months. I have passed several tests only to hear about the company being put on a hiring freeze and I am added to their waiting list. I have also tested and done very well and not heard anything back. I finally made the decision that I am going to go to nursing school but right now is not a good time either (my husband has been out of work since April of 2008). He finished his degree and STILL cannot find a job.

Keep faith..it will come through. Maybe instead of having to drive into town, you could send your resume to all the local doctors, dentists, veterinarians, eye doctors, anyone who maybe has been thinking they are too busy to do their own notes. I have heard that this has worked for many people. It is always worth the effort. If you are a good general Transcriptionist too, don't just stop at medical. Send you resume to insurance businesses, lawyers, whatever might be there.

Good Luck and God Bless.
Money Market accounts
MM accounts do have checks, but you are limited to the number of checks that you can write per month - no more than 3 checks to a third party. Rates are usually tiered based on your balance - the more you have deposited, the more interest you will earn.

Start here:

Are you worried about possible MT job market glut then? I am...
My family went to a flea market that is mostly run and
attended by Hispanics.  There were several vendors selling leather goods, such as wallets, belts, shoes, etc.  DH needed a new wallet so he picked one he liked and opened it up only to find a tag that said "MADE IN INDIA."   (He didn't buy it.)  We didn't look at any of the other leather goods, but found it very ironic that the Hispanics are now importing their "handmade" goods from India.  
So what? 8 cpl is what the market will bear. If you don't want 8, don't take a job that pays
Instead, if I had $345, I'd put it in a money-market acct. - sm
and watch it grow, rather than putting it towards a bunch of fake 'certification' letters after my name, and seeing that money fly away and earn me nothing.
Sixe of MTSO Market
Does anyone know the size of the MTSO market (how many service providers, how many software co's etc. or a good source for this info?
Going back on the market -- any advice?

Hi y'all,

Three weeks ago I began a new job doing acute care at a local hospital (part of CHS). On Friday they told us that our work would be outsourced beginning in April.... Previously I worked at another local hospital for 9 years transcribing Rad and ER notes, echos, etc. I left there because I need expensive orthognathic surgery and their insurance plan has a blanket exclusion against it. Plus I wanted to brush up on my "big four" skills.

Now I am looking for work. Boy have things changed!  I really prefer to work for a hospital or start up my own company again but would work for a service as a last resort. After reading the informative posts here, I have begun compiling a list of "good" and "bad" services so I can avoid certain ones.

Does anyone here have any advice for me? Not general advice about job hunting, but more specific advice about the services -- what to watch out for, etc. I have never done editing/VRT, but apparently that pays less anyway so I don't think I will be doing that.


HELP with Shorthand. Suddenly today when I tried to start work today.sm

my ShortHand would type only the first letter of an expansion and then take all the letters away!  I checked and the Type It button is grayed out!  I have restarted the computer and looked on the Shorthand Help menu but can find nothing that applies.  Can anyone please help me ASAP?  I am lost without it!  TIA

Perhaps you are right. This one is dated today. The original article was on Yahoo today also with

But this article states it would only affect new customers right now.  So I am upset over nothing.  I went through heck with BellSouth when they charged me a surcharge of an extra 50 a month and then would write a letter saying I had to switch to a long distance service and pay by the minute because of my "excessive" use. They told me the unlimited charge was for an average of an hour a day not somebody who worked out of their home and I needed to switch a business plan at over 200 a month charge.  I switched over to cable because of that and then to read that cable was going to charging on a per use fee and not a flat monthly fee it upset me.  It is the nature of our work, VR, only paying for VBC, having headers and footers taken away, now being charged for being on line, etc.  It just seems that everything is done to keep to insure less money.

Really? Hmmmm...you wouldn't know the stock market if it bit you.
Run a stock analysis on MQ under any search engine.  Yahoo stock analysts are the ones I use personally.  There are advisories and analyses of MQ and Philips in the data base EVERY DAY.  There have been "hold" advisories, "sell" advisories, and "buy" advisories any given day.  Sorry to disappoint your disillusioned mind. Obviously NASDAQ and regular trade is better, but they are STILL in the ball game, sorry to disappoint you. And you SHOULD be happy at that if you care about the 1000s of MQ employees who have stocks, etc.  But, gee, sounds like you're just a disgruntled werker!
Does anyone know any basics on money market accounts?
If you're an overseas vendor here's how to market....sm

Go by medical offices and talk to them in your native tongue.  They just LOVE hearing it.   When visiting in places like Florida be sure to ask about the last snow storm they had last winter - that's very impressive!   In the northern states talk about the warm sunny 70 degrees in February in their state and ask if they're ready for that this year.  

Be sure to take brochures showing the fabulous quality of work you do.   Be sure you include impressive sentences such as:  "Dr. Jones said he would eat ketchup with the patient to review his lab work."   After all they don't find it cute to type it like it was dictated.... "Dr. Jones said he would catch up with the patient to review his lab work." 

Lastly don't forget to give them laminated card including all 25 digits they will have to use to call your native country.  Be sure they're aware that all of your employees in your native country have new names.... Ben, Mary, Thomas and Amy are of course popular choices.   Potential clients like getting a warm fuzzy feeling by talking to "Mary" who has a very heavy accent to the point that they can't understand her talking.  But hey - she has an American name (woo-hoo!) so all is forgiven!

Be sure to investigate the housing market in your area
In my area as well as most of the U.S., the housing prices are SKY HIGH! Some say there is sure to be an 'adjustment' (downward) of housing prices in the near future. If the prices have skyrocketed in your area also, you might want to take a wait and see attitude for a year or two and see what happens? Just a thought.

I don't know your circumstances, and there may be reasons you need to buy a house right now, but a waiting period would also give you a chance to straighten up or clean up whatever is wrong with the credit.

I feel sad for my two sons, (one of whom is a store manager, but single income), as I don't see any possibility of either of them being able to buy a house at the outrageous prices nowdays.

My husband and I got lucky (MANY years ago) and bought our first house from an elderly fellow who carried the contract himself and gave us a STEAL of a price! He assumed we would default like all the other renters had and he would repossess the house. Ha Ha, not so with us!

Hey, maybe you could try advertising for a house with owner financing. Might be easier to qualify. Good luck!
This is not a new market. Is being done with all offshore companies I have ever worked for. nm
you should be setting your rates according to what the market will bear...
not what you feel like getting. If you like the account, you're familiar with it and able to make good money off of it, you might want to stay at the rate you are at. As a service owner, I used to plan to hire at 7 but bring everyone eventually up to 10 cpl by 0.5 increases every six months. I also used to be able to raise the rates from the hospital, clinic or physician office every 2 years. Nowadays if I bid on a new account, I am regularly outbid at 11 cpl, with 24 TAT. I have discussed it with my IC MT's. If they want a raise, I can try to negotiate a raise from the hospital...but it jeopardizes our account. Every time you raise your rates, it's a signal for them to start shopping around. So I would say, based on what the market will bear, don't expect to be getting raises. Ever.
Never heard of RMT. In my experience, CMT is worthless in the job market.
It's called competition in a buyer's market (sm)
 or vendor's (hospital's) market, not low-balling. 
Here are two free market listings. You can google search for
freelance writing or editing market/job listings, too.

Writers Write market database

Writers Weekly market listing
Various analysts are predicting the housing market will collapse soon. sm
Cannot be sustained at the level it is presently at.
No I don't think so. Everytime I see postings about the MT market failing it gets pegged as "n
that's what I think OP is referring to, postings about the dismal future of MT.
You are in a global market now Darlene. If she doesn't do it, someone overseas will.
You're asking for part of their market! It'll be a competition
You go ahead though. Keep us all informed.

In the market for a new ergonomic keyboard. I would love some suggestions!!! What are you using??
Right now I'm looking at the Comfort Keyboard ($289) and Ergoflex ($179) that are on e-bay. If you haven't seen them, they basically look like a regular keyboard, just in two halves. I've also been looking at the Microsoft Curve Comfort and the Logitech Wave. I HATE the big, bulky ergonomic split keyboards like the Microsoft Elite. I cannot use them at all. I also tried the Kinesis Classic and after a month, couldn't get used to it either.

Right now I'm using the A-tech AntiRSI keyboard. It's okay, nothing great.

I would appreciate ANY suggestions. Price really is a factor even though the ones I listed are outrageous. I'd rather not spend a ton, but will if I have to.

Does anyone have any good ideas for back and hip pain from sitting all day? Anything on the market?
Yeah, yeah, that should be "your work..."

Blasted cold out today. It was 104 degrees last week, but it's 40 degrees today with rain.
However, I do like cozy days like today when I don't have to go anywhere.  I'm done working, the house is clean, there's chili on the stove for dinner already, and I'm just putzing around.  I think I'll go bake some jalapeno cheese bread to go with the chili.
Yeah, baby, yeah.
We are here for the long haul.
I am going to see it today!!
Usually twice a day for about 10-15 min BUT today I seem
to have been here more. I'm getting behind though and going to cut outta here until I'm done for the day! LOL

Just a lot of information to pass along to some who really seem to want to know.

I don't think I'd make it down south.  We had high 90s with humidity for 16 days straight and that was bad enough.  Glad it is cool again. 



Don't buy gas today

e-mail because of the high prices and this a national boycott. Wondering if anyone else received or heard this.

doing well today

Just did 1343 lines in 170 minutes but that includes printing, 24 envelopes, looking up names, getting on here three times, doing 3 E-mails to my subcontractor -- at 0.11 per gross line.  So I am happy today.



I got another job! For example today
the cherrypicker on the account is not working for some reason so I'm expected to stop working my other job to cover her butt, but that doesn't happen anymore! MDI plays a lot of games, IMO. I am only staying until I know for sure my other job doesn't turn out like them.

Being out of work on my account happens daily. It probably depends on what account you are on.

Experiences are different for everyone. Good luck.
Today, that would mean
Today and many other days. Personally, I think that this is really becoming ridiculous. I'm a car buff and I'm sure that there are many other MTs who are as well, but, I'm sure that people who don't give a darn about cars don't want to come to MTStars and have to sort through tons of posts on cars.

No difference with pets. I don't own any pets and have no desire to do so. If I want to read about pets and whose leg or thigh they are humping and why...I'd go to a pet board somewhere on the internet.

Please, give us a break.
I had this one today...

DOCTOR:  "Please send a CC to her primary care physician.  I do not know who that is, but send him or her a copy anyway."

No other reports exist for this patient.

Yes, in my spare time I'm a psychic! 



Today was my first day
and I only lost about 250 lines from norm.  Real easy to get the hang of, though.  (with my notes, anyway :)  Good luck!
Today is 6/6/6.
The devil made me do it!
I had one today too
The doctor said he weights 325 pounds which is (and then he kind of hesitated and then said "too much." (he'll usually say which is up or down so many pounds.) At least some of the doctors say something different than the norm.
Had a doc today that...
had a perfectly understandable conversation with one of the nurses after he had logged on to dictate. I was stunned. I didn't think he could ever possibly speak at a reasonable pace. Of course when he was done with the nurse he had wasted so much precious time he had to dictate his note even faster than usual.
Something hit me today . . .

Recently I had to do a lot of paperwork to enroll my youngest in kindergarten for the 2007-2008 school year.  They ask all sorts of questions about family history and specifically who has diabetes, heart disease, blindness, etc.  Does this not violate the HIPAA laws?  Do I have permission to disclose my grandmother’s health problems to the school?  Or my mother’s and father’s?  I never really thought about it when I enrolled my older child because I wasn’t a MT at the time and I never really had knowledge about HIPAA in those days.  What do you all think about this? 

Not my day today -- that is for sure!

Living paycheck to paycheck these days with the cost of living  being so hight and DH being on disability.  Today I get my check in the mail – national company—and it does not have a signature on it!  I called the office – of course the payroll department had left for the day – it was only 3 something in the afternoon.  I was told to physically mail the check back to be signed and they would return it right away.  Why not just cut me a new check and mail overnight?  Really sick of this place lately.  Never did get any resolution of the 60 odd lines I was cheated out of before only weeks ago.  Lost a few days work over the last week because the system crashed.  *Sigh* I just started a new job on the side.  Hope this one has a better track record. 

had one today . . .
it was a discharge summary - he said "the patient was admitted for some reason, I really don't know why". The patient was in for renal failure for Pete's sake.
Exactly! Today is my day off and I'm doing...
the laundry and housework, like I would if I were at an office all week. My work days are for working my 8 hours and then picking kids up from school to be with them. I wish half my family would also understand, not that they bother me during the day, but just at gatherings and such...I don't talk about my work. I really believe it's jealousy, and they wished they would have thought of that years ago. But I do agree, it's hard work to still do it at home, just minus the driving and office crap!
Went in today and they...

do want me to start out PT and then after a time, a month or so, would bring me on board full time, if all goes well.  This will be at $15.00/hr.  I'm excited--this is not what a lot of you make, I'm sure, but it's more (consistently) per hour than I've ever made before.  Keeping my fingers crossed it will work out!

Thanks for the replies!