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I am looking at Bose headphones on ebay and am trying to decide between the around the ear regular Bose's, versus the noise canceling around the ear versus noise canceling on the ear.  Anyone have these and can help me with my decision?? 

I have a pair of RCA cheaper (on the ear) phones now that are supposed to be noise canceling, but cannot really tell a big difference when I have it turned on and also notice a buzz in my ear when I do turn on the noise cancel option - any probs like this with the Bose's????  Thanks for your help. 

Now, we have negotiated 12 cpl and that I only need to deliver work three times a week.  We've also decided that radiology will be a whole separate contract and that next week I will do a sample of dictation to see if the dictators are going to be difficult.  And then the negotiations start again.

How am I doing so far?

There was an MT in Las Vegas

Who lost 20% of her wages.

Needing work that was new,

she joined up with a zoo,

and now she cleans animal cages.

No work for basically 2 weeks on either my main account or backup.  Can't help but wonder how many new hires have plenty.  I've been sitting here with absolutely nothin' for nearly 10 days and even tried on the weekend.  I love the account, but a girl's gotta eat!

Anybody else, or just my accounts?

I have been an MT for 8 yrs and have been thinking about getting my own accounts locally.  It would be much more efficient to avoid trips to dr's offices for pick-up/delivery, so my main question is what is a good alternate way to do this?  I have seen email mentioned, but can the work be transferred securely this way...is it emailed as an attachment so that work is done on another platform that has expanders/shortcuts integrated...what platform/program to use??  What equipment do I need...what equipment does the dr need for dictation...do I provide it or does doc?  I have so many questions about the logistics of working this out...detailed info would be greatly appreciated.

What to charge? ....I know this is controversial...was thinking .14 cpl (65 character), 12 font, ? margins.  Recommend higher or lower rate? (region=major city in AZ)

Marketing:  How to introduce service in marketing material...should I include price in the material or just say something like "reasonable" or "competitive"?

I welcome any input you may have, especially on the issue of specifics how to receive/deliver work, platform/equipment needed.

Thanks

When I went to my doctor for dizziness/vertigo he told me that one of the most common indicators of heart attacks in women was a symptom of dizziness.   It did not turn out to be that but it alerted me to watch for simple symptoms that could indicate a larger problem.  I did have some fluid behind my TM's caused by allergies and Rhinocort Aqua nasal spray used at night helps me  a lot as the dizziness was the worse in the morning.  When in question check with the doctor. 

I'm going from DocQScribe to an Ex-Text platform and I have to reinput the phrases in one-by-one.   Should I do this as the phrases come up?  Is it preferable to just make some time to re-type the whole list at multiple settings? 

who says what he REALLY thinks about the JCAHO. Funny, I found it on Google when I typed in JCAHO and q.i.d. since I wasn't sure what to do about q.i.d. ........

The Death Star of American Medicine

I wish I had written this (JCAHO Unplugged; registration required), because it gives voice to the feelings that I (and probably 99% of the physicians in this country) have about the Death Star of American medicine -- JCAHO. A few excerpts (emphasis is mine):

That is why it really upsets me to watch the JCAHO people walk through my hospital like they were navigating a toxic waste dump. What upsets me even more is the utter paralysis of normal activity that occurs months before their visit and the huge sums of money spent on mock drills and consultants to prepare for the JCAHO invasion. JCAHO (the Joint Commission on Accreditation of Healthcare Organization) arouses more fear in hospitals than MRSA gone wild, and their "visit" has a greater institutional paralytic effect than circulating a neuromuscular depolarizing agent through the ventilation system.

A few unsigned verbal orders, or an anesthesiologist carrying a syringe of Anectine in his or her scrubs, or not locking up I.V. bottles of normal saline will result in conditional or provisional approval, and failure to take remedial action within 30 days may result in the death penalty, which for the hospital means bad PR, and more significantly, loss of all federal money. That's right, you can get the chair for parking tickets in the JCAHO world.

It doesn't matter that the hospital admits 50,000 patients a year, saves countless lives and performs daily miracles. Write q.i.d. twice and you can get your liver transplant someplace else.

A response by Russell Massaro, MD, FACP, Executive Vice President Accreditation and Certification Operations, JCAHO, follows Dr. Cossman's screed. The only thing I can say about it is that he makes clear that unannounced surveys will be forthcoming in 2006. Oh, joy!

A lot of the press in the past few days has been discussing issues such as oversight, accountability, and clearly expressed legal authority. JCAHO operates without any real semblence of these niceties, and does so with all the subtlety of a bureaucracy run by Darth Vader. Watching hospital administrators lose bowel and bladder control the minute a JCAHO inspection is brought up has always reminded me of Vader's underlings wilting in his presence --- and for good reason. Without the JCAHO seal of approval, they cannot operate an otherwise well-run, caring facility. The organization, as it was originally intended, was designed to ensure a basic level of safety for all hospitals. It has now become yet another "certifying" agency which must come up with new "critical" problems to fix in order to ensure its ongoing existence (those of you who have gone through the most recent mental masturbatory experience of banning QD and QID in orders know what I mean). What is most galling to me, however, is that hospitals must fork over a hefty sum for these frequent torture sessions, and the inspections are done not by practicing physicians or nurses, but by folks who long ago gave up the difficulties of actually caring for patients for the safety of a clipboard to hide behind.

Maybe I have my metaphors mixed up --- JCAHO comes in like the Death Star, but leaves no room for different institutions to solve problems in their own way. The JCAHO mantra can really be translated as "Resistance is futile. You will be assimilated!" As a result, I suppose JCAHO is really The Borg.
 

posted by Aggravated DocSurg @ 10:16 AM

I am currently working for a small company as an IC. I need some extra work and I'm thinking of trying to get hired on with a local physician's office (if I can find any that are hiring and are willing to hire someone who is a recent graduate) and was wondering how do you charge them for your work?  Is it per report, by the hour, so much per line, etc? Is there anyone out there who could give me some pointers as to how I can go about doing this? Thanks.

E

I turned in my notice on 6/28 and quit two weeks later.  I have received my last paycheck, reimbursement for PTO, a letter saying someone will be calling for an exit survey, and even my shipping labels to return my computer, etc. but have yet to receive any information about COBRA and I want to sign up!  It is now almost the end of the month and I'm worried that I have to get my money in by the first of the month.  Does anyone know?  I don't want to get stuck with a pre-existing condition problem.

Thanks!

Okay, here's my situation.  I have a PC given to me by the hospital that I work for.  Last week, it went haywire on me and so I took into the techies to work on.  Long story short, they had to build me a whole new PC.  So now I've got my new PC and it's working great except they forgot to load me the Stedman's medical spellchecker (we use EXText). 

Sooooooo, rather than call the help desk and go through all the hoops just so they can load it on for me, I want to just build my own spellchecker.  They only slow down is those darn drugs!  I have to look those up every single time because I'm never 100% sure if I've spelled them right.  Is there a drug word list somewhere out there on the net that I can copy and paste into my dictionary file?  That would be oh so wonderful. 

I just cannot face the techie people again.  I couldn't work for two days last week because of PC issues and today is the first day of a new pay period and I so want to make up for my lost lines without any more hiccups.

Okay, I'm done boo hooin' and beggin.  Back to work!

I posted on technical board, but this seems to be a more populated place.

I have an external sound blaster box with plug in for headphone, speakers with plug in for headphone.  When I put headphones into either one of these, the sound still just comes out of the speakers.  What the heck am I doing wrong? 

TIA

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Cut it out with the personal attacks.  If you don't like the subject matter, skip it.  Banning is the next step.  I'm tired of deleting unnecessary, ugly posts. 

Goldbird

I've noticed some people complaining about MS new IE7 and having compatiblity problems with it.  I don't know if this has been brought up here before, but Microsoft has pulled a sneaky move and bundled the IE 7 upadte/upgrade in with their High-Priority Updates.  If you use  "Express" to update your system, only "critical updates" are listed, but this includes IE 7.  If you use "Custom", you can then uncheck the box next to the IE 7 update/upgrade so you don't inadvertently download it, and you can opt to not have that IE 7 update shown again if you so choose. Don't know wny MS decided to do that.  Warnings went out from my company not to download it because it is not compatible with the platform we use. 

After literally two days of working on this, finally got my glossary to my personal computer and into IT V Pro which I upgraded (thank you Christina!!!).  But my entries are all garbled. 

I hope this isn't some safety feature used by my national to keep us from using company glossaries though I did create this myself over three years.  

Job starts in three days (radiology) and I so need this glossary.  Hate to start over again...as you well know.

Anyone?  TIA :)

Then outsources like us are getting ripped off...

I barely make $5 for 8 hours.. you think that's fair. .. cause I sure *&%# don't.

Does anyone know what happens if someone doesn't have health insurance and ends up with huge medical bills?  Can you just pay a little every week/month (forever) or will you lose any assets you might have?

I am upper middle-aged and might have to give up my insurance because I just can't afford it right now.  I have paid for years (and rarely used it), but I am terrified something major might happen if I give it up.

Thanks for any input you can give me.

Filling out their interview questions, answering questions about my computer, and it would be just my luck they would either send an e-mail in just four  words, "we can't use you" or not send one at all.  That would just bite. 

The test was not really difficult just that I have no control over it, I cannot speed it up, slow it down.  I kept stomping the floor looking for my nonexistant foot pedal. LOL.  I am afraid there might be something I missed on the test.

Here I wanted to apply for a few more companies to see if one could offer me a better deal than another, but I bet I will have to go through the same thing, and I am not real sure I want the job.  What if they offer too low of pay?  What if their line quote is too high? 

That is my vent.  whew.!!!!  I am going to bed.

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