A good middle manager finds ways to do it.
Posted By: tnmt on 2008-01-18
In Reply to: MTSO wont tell dr to improve dictation. Too - afraid will offend/insult and will lose acct. nm
I did that role for years. You have to please the client but be advocate for your MTs.
A good AM will find ways to communicate respectfully to the client regarding what the MT has to have to do the job adequately. A good AM will document and see patterns and be able to communicate that to the client. JMO. Obviously I think I was a good AM. LOL.
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Head manager, middle manager, lower manager question
Ok, maybe someone is having this same issue as me. A couple of weeks ago I made mistake and the person on call for the weekend not there, tried to contact them. I He contacted me about this after my shift was over. Instead of stopping there, he in turn told the higher boss up on the chain and then I was contacted again by them. Does this happen in most cases- the 1 you talk with then goes higher and you get slapped on the wrists from both sides? Does 1 person calling it to your attention just not work?
Am I the only one that finds this odd
The original poster asks about the company and then replies that they are bad?? HUH?
Frank finds it as humorous as you did
I e-mailed him the link.
Only a neanderthal finds it sporting
in the name of "sport".
Disgusting.
If anyone ever finds out how to contact her, I'd love to and SM
encourage her to go for a gospel career. She has such a sweet spirit, and I also had the thought that perhaps God has a different path in mind for her awesome voice. I can just see her with a Christian recording contract and a Christian following. I hope she touched some nonchristians with her witness throughout the time she was on Idol.
No compassion for the woman who finds this circmstance a
There is truth behind every joke anyway so if someone jokes about something and finds it funny
their true feelings show. I don't think the dumb-a$$ male is all that funny and I guess it's because most males I know are pretty smart so of course I wouldn't post "jokes" like the OP. That's why I think OP did not really respect men and found humerous truth in the "joke."
Anyone else offended or insulted to be offered 6-7 cpl? Or is it just me or finds this insulting.
Is this how bad it is that now this is the going rate?? I get sick to my stomach just thinking about it. I need a career change. 
If Joint Commission audits and finds "patient care" errors it can result in very...
...serious fines and repercussions.
Dr. wants to cut out middle man and keep
x
Middle GA
Hey Mina! We are neighbors. I am in Byron.
probably floats in the middle
back stroke ... 
middle-aged MT
What do you consider middle-aged?
Advice for middle age
Middle age can be a bitch. It can start in the 40's or 50's. Best advice? First check your overall health with healthcare provider. Lose weight if need be. Exercise. Walking is the best. Ever day. I have been taking pilates, and whoah, does that change your body and mind. Makes you lean and long, lithe and strong. Keep the mind stimulated. READ. Read about a variety of subjects. Keep an open mind. Question everything. Hang around young people, learn from them, but keep your dignity and class. Don't try to dress like them. They can learn from use too. Do fun things. LAUGH, a lot. That helps! And best advice - have a circle of girlfriends who support you and can laugh along with you!!
Once was middle class.
I was going to agree with you at first, but.... There is always food on the table, bills are paid. Have pretty much what I need, but as I get older I care about having a lot less. Certainly not rich, neither of us will be able to retire any time soon, although had we planned better, we might have been able to. So I guess that put's us sort of in the middle, huh?
Hardly. We will always have and need a middle class.
The middle class is supporting everyone. This is a socialistic society.
I work and make money to pay for my stuff.
I work and make money to pay for YOUR stuff.
Believe me, there is a need for a middle class in a society like this one. They're just apprehensive to use the "S" word because it sounds too much like *gasp* Communism!
Yes, we will always NEED a middle class,
but don't think it will ALWAYS be there....just look around you.... Maybe when the rich have to take care of the "working poor" we will see a turn-around, but then again maybe they'll just "forget" them. Don't have much faith in this economy. The poor are being ripped of any programs that existed just a few years ago. By the time the "middle class" hits bottom, there will be no help, no kind of any social programs in existance, just the rich and poor. Which will you be? Yeah, yeah, I'm pessimistic, but also realistic.
I have a middle easterner that
has a lisp (sounds like his tongue is 4 inches thick) and speed dictates. He is Pakistani. It is indescribable and I sometimes feel like I'm slipping over the sanity brink when I type him.
Flexible is my middle name! nm
/
Do you have the one that is split once in the middle or (sm)
Thanks for answering. Do you have the one split once in the middle or the one that is split in 3 pieces?
If you don't like the middle man -- get your own accounts
Be the boss, get your own accounts and then you can't yell at us for taking 20 to 30% of the line count to make sure you get paid, the account is happy, TAT is met, we cover all vacations, sudden illnesses, and just not working. If you don't like working for someone and think that we as owners have it so great, have the guts to go out and get your own accounts and see how you like all the unpaid time you have to put into your business.
Middle Eastern. I don't know why.
I can do the others with no problem at all, but there's something about the vocal tone that I literally cannot hear it properly.
I believe there are many ways
we have benefited from others coming to America. We have a specialist at our Children's Hospital, that is world renowned for rebuidling throats and trachea's for kids after haveing had a trach tube...guess he should have stayed in Africa, in your way of thinking?
That goes both ways, though.
I don't know how many times I set aside an entire day because the company told me there would be work only to sit there all day long checking in every 15-30 minutes for nothing. There are days when I make $5 and days when I make $200. If I don't have work within an hour or two of my shift starting, I turn off the computer and leave for the day. I'm not going to be on call for free just because the companies decided to call us ICs for their own tax break purposes. The same goes for the cherry picked leftovers. I'm not working for $7 an hour while someone else is cranking out the lines by taking all the good reports and dictators.
Sometimes you can have it both ways.
I used to work for a Jewish lawyer and received Jewish holidays off (paid), along with all other paid holidays (including Christmas.)
The difference is that Christmas is a FEDERAL holiday, in fact, the ONLY religious FEDERAL holiday where most people are paid regardless of their religious beliefs. So people of other religious beliefs celebrate the *secular* Christmas, which is supposed to mean happiness, charity, gift-giving and especially tolerance. Your post gives me the impression that you want to investigate and judge every American's religious beliefs and deprive them of the holiday if their beliefs don't match yours. This is a pretty scary thought, especially because of the recently discovered practice of the government's illegal wire-tapping and spying of Americans under the guise of terrorism.
So maybe this issue isn't really about Christmas at all. Maybe it's just about personal freedom, and personally, I find what's happening in this country to Americans almost as terrifying as the terrorists themselves.
I don't think we can have it both ways.
I didn't see Frontline but have read and discussed the WalMart issue in depth over the years.
As I understand it, what separates WalMart from other large department and grocery stores is their business practices. WalMart dictates the price they're going to pay manufacturers for the goods going on the WalMart shelf. If the manufacturer doesn't cut his price to meet WalMart's demands, the store will just move on and stock a different company's brand. (So maybe Bounty cut a deal to get their product distributed thru WalMart but Marcal paper towels couldn't, for example.) The manufacturer is then faced with having to trim his margins while producing more to meet the higher distribution of having WalMart's business. Some companies are much more able and willing to do that than others.
But there is a mentality there that I just personally have a problem with.
To me it's like the hospital telling the MTSO that they're only going to pay 10 cents a line, period. The MTSO will have to slash her profits and likely the rates she's giving to her ICs or employees in order to keep the work coming in. OR, the MTSO may decide it makes more sense for her to get ICs that are willing to work at a much lesser rate (like those in India) so she can keep her business profits steady. This forces the MTSO's hand in a way that I feel is unjust, as her options are quite limited. No business owner or worker wants to go backward income-wise as the years pass, but this is the kind of thing that WalMart is doing to business people. It sounds to me like many hospitals and physician practices do business the WalMart way, and I think we need to walk the talk. If you shop at WalMart to save a few cents, do so knowing that you're supporting a company policy in the process. I do shop there on occassion, I admit, but I keep it to a minimum because I don't want to contribute to WalMart's success.
Good opportunity, while I have the soapbox, is to share something that has been on my mind for years as this offshoring issue has snowballed. I think the saddest outcome of all this is the illwill that has been fostered among so many us. Some of us get on a high horse about where we shop and don't shop, others resent that they have to run from to store to store, cutting coupons, just to get by every month and they last thing they want is to be preached at. Often there seems that there's not enough compassion or understanding, and to me, this devisiveness among people is just a horrible outcome as the loss of American jobs.
I also cringe when I read posts that just reek of bigotry toward Indians, Pakistanis, Canadians, etc. who wind up with work because a company thousounds of miles away made a business decision. Everyday working people, whether they're in Bangalore, Ontario, or Erie PA, do what's best for themselves and their families. I hope that no matter where we each stand on this complex issue that we don't allow ourselves to become mean-spirited and bitter people over it.
My DH is nothing like my dad, wish he was in a few ways though - sm
but for the most part I have a pretty good guy, just needs to learn to let the little stuff roll off his back. Both my dad and I are Scorpios and born 1 day apart so we are a bit alike, so I kind of went for the opposite of me which at times can drive you nuts but we have the same fundamental values and goals and that is important.
oh there's ways to get out of it....nm
2 ways
If you can go into Control I, that will show you the number of jobs (not the job numbers), but I don't write mine down with that function, I check frequently and would know if I missed a job.
on the other hand, if you have to go to the Dictaphone site, write down every job #, not that it does you any good because you have a lump dictation #, but if you do 40 reports (that you have written down) you should have at least 1000 lines and if it shows (as commonly does) 700 to 800 lines, then something is wrong, but how you prove it beats me.
Two ways. SM
1. Alt insert to add a shortcut. type in the keyword. Go to the text to type box. Hit Ctrl-K. (The next keys you hit will be assigned the shortcut). Hit Ctrl-B (for bold). Then type the text you want bolded. Do it again to turn off bold - hit Ctrl-K, then Ctrl-B.
2. After you name the macro and go to the text to type box, click on "Record" on the right side of the box. Then type your shortcut exactly like you want it, using Ctrl-B as in Word to start and stop the bold function. When finished, click "stop" on the recorder box. It will close and the shortcut will be saved.
You can do this with any Word function - italics, etc.
There are a few ways to do this. sm
Under Settings, Incoming you can specify the location where you want the files to be loaded from. Hit Add and chose either the folder on your computer or the FTP location. Check the file types you want and how you want them to load (manually or automatically). If you choose automatically, you can specific how often you want the program to check for new files. If you choose manually, you can use the Load Now button in the toolbar. This method will only load file types ES provides for selection(.dct, .wav, .mp3, and .aif file types). This will not work if you're working with .dss files (and is very frustrating to me).
The alternative method is to click on the Load button in the toolbar and go to the folder where you files are located. Hold down the Shift key, click on the first file, then scroll to the last file and click on it, while still holding down the Shift key. This will select all the files. Hit load.
Are you going to be looking for ways
If DH could "claim the income and I could be his "employee"? Really! You just want to type unlimited, have the money go to DH and then he just pay you the limit of $900. And you dont see how this is wrong? I would not want to hire you, would be afraid you would always be looking for way to cheat me, too.
two ways
I work part time and in one of my jobs we use VPN which is easy and fine.
On the other we use DocShuttle which is also very easy. These are both pretty small operations.
There are ways
without having to depend on the employer to give you a raise - we all know that's getting harder, if not impossible. But someone asked about actual salaries below, so here's mine - I get 1.10/report for radiology, employee status, transcribe about 140 reports per day, work Monday-Friday and cover on Sunday afternoons for about 80-100 jobs on the understanding that I get to it when I get to it! (I do this so that they don't have to hire another person to cover this, thus possibly having us run out of work during the week.) So this comes to $3400-3500 a month.
When I first started on the account, though, I despaired of ever producing enough to pay my mortgage and car payment - UNTIL one day I kept careful track of how much was actually nose-to-the-grindstone transcribing and how much was getting up and down for snacks, coffee, water, restroom, laundry, meals, and other countless distractions. I was quite shocked!
So I made it a point to sit down and type for 1 hour. Then I signed off, went and did whatever I needed - a 3 to 5 minute break that could include a quick phone call, restroom, water, etc, etc. Then I sat down for another hour and repeated throughout the day. My productivity zoomed! In addition to the obvious reason of only allowing one distraction an hour, that 3 to 5 minute break also cleared my head, was guilt-free, and made me ready for another hour of productive transcribing.
The other point that I wanted to make was that I make it a point to actively think about what repetitive motions I make, like between every job or shortcuts within the job, that could be done faster or more easily.
For instance, since I work off a C-phone and have to log the job #, physician ID, etc, I have an Excel spreadsheet that I set up with columns for Doctor, Patient ID, Job #, and Time (in the order that the "voice" reads them - those of you who do this know what I mean). At the top is a freeze pane that has today's date, today's job count, today's money made (job count multiplied by rate of pay), and then total made for the pay period (a running total). Then, although it seems so obvious now, I discovered ALT+tab so that I didn't have to lift my hand from the keyboard to go from the job log to the platform - back and forth with minimal motion.
Little time-savers like that really add up when you're talking 140 reports a day.
And there there is your Expander program. I still add to mine on a daily basis. I have 1 or 2 doctors (bless their pea-picking hearts) that say the same thing over and over, and those are the ones I build normals for. The others aren't worth it - too much editing. But I do make shortcuts for their favorite phrases (for instance, *no fracture, dislocation, or subluxation*, and another one for *no fracture, subluxation, or dislocation*). Any words that aren't caught by autocorrect and which I continually misspell gets either an abbreviation or a spelling correction.
So anyway, even if your boss doesn't cooperate and give you a raise, keep an eye out for more productive, faster ways to maximize each keystroke, each hand movement, each report, and you may find your income growing (my own personal estimate is by about 40%).
Two ways
I copied this from the Instant Text MS Word board. The link no longer works there so I think it's okay to copy it here.
Adding "-year-old" and "cc:" in AutoCorrect
The method for adding "-year-old" depends on your version of Word.
In Word 97, enter -year-old in the With box, enter yo (or whatever short form you choose) in the Replace box. Type 4yo to expand to 4-year-old.
In Word 2000/2002/2003, enter -year-old in the With box and precede your short form in the Replace box with a punctuation mark, such as a semicolon. Type 4;yo to expand. The punctuation mark backs up and replaces the default space AutoCorrect inserts in later versions of Word.
To keep Word from capitalizing cc:
Put cc: in the With box and type ;c (semicolon c) in the Replace box as your short form. The punctuation mark backs up and replaces the space (or letter) with the first letter of your expansion. In this case, it also tricks Word into not capitalizing the first letter of a sentence when you have that option turned on.
A punctuation mark after the Replace entry eliminates the space at the end of the expansion.
You can use other punctuation marks, however, the semicolon keeps your fingers on the home row keys.
This method also works for symbols (such as the degree sign).
YES SIR BUDDY!! It is time to cut out the middle man.
Most MQ offices are made up of 75% statutory employees which actually means "contractors".
If the majority of transcriptionists were men, this industry would not be running like this.
No man would stand for his client to be telling him "I'll pay you what I want, in a way I want, and I'm not going to tell you how I come up with the amount." Nope! it would not happen. And it's ludicrous nationals have gotten away with it so far. MQ is the biggest perpetrator of this practice, but most nationals do it.
They want us to be "employees" until it comes time for the risks of transcription to be accepted, and then suddenly it is all on the shoulders of the at-home transcriptionist.
I'm sick of it.
The reason a person is a contractor is because they are willing to take on the risks of a job. But for that risk you pay greatly. Nationals are not paying greatly. They are paying us as if we are employees.
As a contractor we should expect to receive 3 x what we would earn an hour as an employee.
Now tell me, are you getting that working at home? didn't think so 
Any middle-aged MTs out there struggling like me?
I can only wonder why there are not more support groups for the Baby Boomer mid life females who surely are suffering with the fun of the "change." This is very interesting to say the least!
--------------------
My Grandmother started walking 5 miles a day when she was 60, she is 97 today and we don't know where the hell she is. ellen
The Shire, Middle Earth. nm
middle eastern accents
I had one yesterday for that sang and hummed most of the report. He dictated in a sing-song voice that made me think he was casting some sort of spell. In between words and sentences he would say, ahhhh, ummmmmmm, and then speed ahead with the sing-song again. And it was all in a middle-eastern accent. It was an extra long report and awful. I was so jittery by the time I finally finished.
Convinced the middle class.
xx
manager pay
Let's just say I happen to know that the account managers make over 40,000
Sleeping......no two ways about it! NM
:)
Have heard it both ways! - nm
x
Loyalty goes both ways
How loyal is the company to you if they pay you peanuts, and how hard would they cry if they decided to "down size" and let you go?
set in their ways, not with God complexes...nm
x
It can be done both ways. There are platforms out there
that you can download the sound files, transcribe them, then upload the documents. This would be like an FTP site for upload/download and Word/Express Scribe (or another wav player) to type/listen.
There are also platforms that work "realtime" over the Internet with servers. Some places have you log into their secure system to listen to the sound files and type in a Word-based platform.
let me count the ways
Terrific money! Set my own hours, take off when I want to(obviously I am IC), satisfies my interest in medicine and keeping my mind actively learning every day..
By putting up with him and his ways
you are just enabling him. Sounds like not only are you doing most of the housework, you're providing most of the financial support. I think he has got it pretty good and as long as you don't give him an ultimatum why should he change. You're young yet and there sure is better out there. I'd cut my loses. I'd rather be alone than with someone like your SO.
Sorry in lots of ways.
Through the crystal vision of hindsight, I now shout at the top of my lungs to any newbie even CONSIDERING getting into this field to run, fast and far!!! The flexibility you get does not, in my opinion, outweight the mediocre pay and the total lack of respect that are given to someone who has achieved a certain level of expertise. People who have attained their own levels of expertise in other fields do get a commensurate amount of pay and a certain level of respect; we, on the whole, simply do not. No, girlfriend, I am pursuing leaving this dead-end field and I tell everyone I know how crummy it is and not to even CONSIDER doing this work for a living. That is just my life experience opinion.
Blessed in many ways here as well.
If we sit back and count the many good things that have come I would have to agree they far outweight the "bad" things. My kids were off all this week from school. I went to pick-up work and the office manager says to me "Your children are off all week from school?" I said, "Yes due to the holiday on Monday and then conferences all week." She says, "Well I guess that's okay for you since you DON'T WORK" as she's handing me a stack of "work". She goes on to say "But what about all of the other mother's who have to work?" What do they do for daycare?" I said, "Well, I guess it puts those mother's in a very tight spot?" Hmmmmm..... Funny the perceptions people have of us work-at-home transcriptionists. It is almost like if you do it from home it cannot possibly be work. Let it be known that I love what I do, but I still consider it very much contributing to society. By the way, thanks to your sister that factory stays doing what it should be doing, and thank your sister for ME personally for putting in the time and showing that she cares by going to work each and every day no matter how tired she gets! Thank you for sharing....
There are 2 ways, see inside.
Unless they have been deleted by error, you can go to programs and look for the program folder and find it there. For example, if you have Yahoo IM, go to the program folder for Yahoo messenger and look for the little happy face icon, drag on drop on the desktop and you will get your icon back. You can look also in the remove/restore desktop icon in the desktop manager as below and restore them.
To remove unused desktop icons
- Open
tshared.chm::/shortcutCold.gif>Display in Control Panel.
- On the Desktop tab, click Customize Desktop.
- Under Desktop cleanup, click Clean Desktop Now.
- Follow the directions in the Desktop Cleanup Wizard.
tshared.chm::/note.gif> Notes
- To open Display, click Start, click Control Panel, click Appearance and Themes, and then click Display.
- The Desktop Cleanup Wizard displays a list of the icons that have not been used for 60 days or more, enabling you to remove those icons that you don't want on your desktop. You can retrieve icons you have removed by opening the Unused Desktop Shortcuts folder on your desktop.
- Clear the Run Desktop Cleanup Wizard every 60 days check box if you don't want the wizard to run automatically every two months.
- You can remove an individual desktop icon by right-clicking the icon and then clicking Delete.
- To add or remove the icons for My Documents, My Computer, My Network Places, or Internet Explorer, select or clear those items under Desktop icons.
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