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Discuss this with OM and explain PA made

Posted By: corrections so file WAS recieved by office. nm on 2008-01-21
In Reply to: what would you do? - dilemma for a client

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Sorry, but your OP made no mention of the fact that you did not discuss your situation with this guy
:o
Why don't you discuss this...
With her doctor and tell him that you know you are not a doctor but you read that menstrual blood among other things can effect the test results. Tell him she was on her period at the time so is it possible to test this again after she has stopped her period? Get his opinion on this.
If it ever comes up, discuss it then
with your supervisor, but until then, I would not worry about bringing it up. If it ever happens, just ask her should you do it or return it to the pool and let her make the call.

I did type a doctor's visit for a close friend's dad one time. My friend nor his father ever knew that I did it, and it's been so long I couldn't tell you what was in it if I wanted to. I do believe if it was family or very close friends, though, I'd let the boss know and do whatever she/he decided.
I'd tell me to discuss it with his boss

You gotta be r-e-a-l careful when you're talk state laws. The boss might consider him "problematic." I mean, how much money are we talking about in terms of travel from the boss to the client? If he's getting, say, $10/hour and it's a 15-minute drive ... For $2.50, I would just let it slide.

I'm an IC and work exclusively for one company, which makes me a statutory employee by IRS law. However, I'm making a high line rate, so I'm more than willing to leave things as they are and pay 100% of my social security tax.

This is one of those "silence is golden" situations.


Please discuss what you have firsthand
I have 14 years experience working for a prison system that included a work release center. Penal systems have to abide by certain guidelines set by the federal government when placing work release inmates in jobs. Inmates are forbidden from handling any type of mail. They are also forbidden from any job that involves access to credit card information or peoples social security numbers and other info.

If you have first hand knowledge of an entity or facility that has inmates working in a capacity where they have access to this information, please list the name and I will report it to the proper entity.

Please do not make statement about it being 'common knowledge that inmates process catalog orders' if you don't know what you are talking about. Which catalog has inmates processing orders? Please tell us. Some of you people are so messy and quick to spread false gossip. As adults, you should try to be more responsible about what you say.
I would discuss it with the head of QA....nm
/
Advise you discuss this with your doctor. Soon.
11
The mature thing to do would be to discuss your

feelings with your trainer.  If not satisfied, go to the transcription supervisor, and then to the overall manager. 


First, sit back and take a deep breath.  Put it all aside for a few hours and watch TV, take a bubble bath, do whatever, but get it off your mind.  Then make up your mind that you can do it, but you first must take time to organize everything in your mind.  If you really believe it is still the company's fault, then it is time for a new job. 


 


Find a doctor who will discuss it. I SM
don't know about the patch. I do know there are various dosages of the pills, but all of this needs to be discussed with your doctor. Sounds like you need a new one.
A board to discuss how MT skills can
be transitioned into another line of work couldn't hurt. No matter how secure any job or profession appears to be, the situation can change at any time. That is the reality of the workplace with mergers, technology, etc.

One of the the worst career management errors is to become complacent. I can look back on seventeen years in this profession. It has changed, and not to our advantage. I can't predict the future, but it would be naive not to at least consider other options.
fortunately for the rest of us who dO want to discuss this,

The main board is used to discuss many different topics. sm
There are many posts on this board that if you were to be really technical about it, should be put on the company board, word board, productivity board, religion board, etc., but they're allowed to stay here and be discussed. If you don't like this topic, then feel free to skip it. But it really isn't a political discussion per se, so it shouldn't have to be taken somewhere else.
Please use Offshore board to discuss those topics. (NM)
Goldbird
I agree, she should discuss it with her attorney but personally,
I would wait until the final papers are signed before I bought another house.
I neve discuss politics or religion
x
Her points are valid, true, and very appropriate to discuss here.
The only thing I would add to that is that in addition to discussing this age-old medical "dirty secret" here, it should also be discussed with anyone and everyone, until the issue can be brought to the forefront in the medical industry. A lot of terrible medical mistakes are being averted because of skilled MTs catching them.
We are an important line of defense in the medicolegal risks every doctor & medical institution faces every day. Yet because very few people know this profession even exists, we're continually being kept in the medical industry's darkest closet, and many of them get their hides saved from financial ruin every day -- literally at our expense.
Not OP and don't care to discuss details BUT OSI hired for a specific

specialty that most MTs love and then overstaffed the account.  When MTs ran out of work on that speciality account, OSI offered to switch them to another speciality on a more difficult account. To go to work with OSI required much time testing, negotiating, training and specific equipment purchased so you have already made a time and financial investment only to discover that the specialty you were promised doesn't have enough work so to survive you either take the back-up account which is not as financially rewarding as the one you were promised or you lose the money and time you have put into going to work with OSI.  I also quit my other job so I could work full time for OSI based on promises made that were never intended to be kept. 


.(This is me after discovering what OSI was all about and not at all as promised)


so true - letter says call will be to discuss rewards BUT

anything!


Quit wasting my time with this MQ.


Either say what's on your feeble mind or quit calling.


Can you call and discuss the situation? They may be understanding and helpful. nm
:+
Really tacky on her part - I never discuss salary with anyone but hubby!
She obviously has issues with feeling inferior somehow! What kind of person says, "I make XYZ amount of money" when no one even asks?
i made $15/hr before and didn't stay long because i made so much more on production. sm
that was with full benes too. i wouldn't do it for less than $20, but i think even with $20, i'd want benes. are you in-house?
Free webinar to discuss Bentley College MT survey
This afternoon, May 16, at 1 p.m. Pacific/2 p.m. Mountain/3 p.m. Central/4 p.m. Eastern, Vance Digital/Webstream Information On Demand is hosting a free webinar to discuss the preliminary findings of the Bentley Report. This will be a round-table type meeting and anyone who wishes to comment or ask questions will be welcome to do so. The webinar will be recorded and will be available for purchase. If there is sufficient demand, we'll offer more of these webinars in the near future.

To join the webinar, visit http://www.conference321.com/masteradmin/room.asp?id=rs34fe20e1c1ac and download the tcConference plugin. Log in with a username of your choice and use guest as the password. You'll need PC speakers to hear others speak, and a PC microphone if you wish to speak. A microphone is not required to participate, as the webinar room has text chat capabilities also.

This session will be limited to 100 participants on a first-come, first-served basis.

Please contact me by email at jaysvance at yahoo dot com if you have any questions.

The report can be downloaded from http://www.webstream.us/downloads/Bentley_MT_Survey_Preliminary_Report.pdf
I don't know how it made such a small diff in your invoice... made a $100 diff in mine! (sm)

If it were only adding up to three bucks, I wouldn't sweat it. $100? Yeah, that's baseball registration for my son for this year. I am not giving tabs, returns, etc. away free when it adds up to that much difference!  Why should I charge less for a Return than I would for a"K"?


 


 


Please explain further.
What do you mean by WT? Do you paste report into a Word Document?
explain please
what happened?
Could you explain please exactly what you mean?
I want to be aware of anything I may not know about.

I just ran a numbers check in Word, using "Tools" "Word Count" for all my work I did yesterday and the numbers were exactly the same - characters with spaces divided by 65 - except it appears the company software does not round up so you may lose a line there. Otherwise, they were exactly the same.

Thanks so much.
That's what I was trying to explain the other day -

I was hired to hold a sign at a construction site.  I was offered more money than I was making at MQ after being with them 6 years.  I have been doing MT for years and years, and my skills are non-marketable.


AT the construction site:  I don't have to know computers, buy one, keep up with one, be responsible for one, have the internet, deal with updating computers to satisfy a company.


All I have to do is show up.


At MQ they wanted more and more and more.  Buy more equipment, know proper English, type fast, no errors, NO RAISES, no work most of the time (their solution was more accounts, what a joke!), offered tech support/make an appointment, offered QA/make an appointment/we will call you within 48 hours.


The way I see it is MQ is covering itself with NUMBERS of transcriptionists.


They don't care if we make a living, only that their dictation is done.


They are going to go through us like water/we can't make a living/ok, they kick that girl to the curb and bring in the next MT/and so on.  IT'S NUMBERS, BABY!


They think because they have some sort of "idiot program" going where you supposedly can hire a warm body to clean up jibberish spit out by a voice recognition machine, they can hire 1000 indians or girls with borderline education (after they have driven any experienced MTs who were making anything near livable wage away), and pay them pennys they have the answer to medical transcription and still charge megabucks to hospitals and they will make the king's ransom in profit because they have little or nothing invested (remember they just got rid of the 1-800 phone numbers saving millions of bucks), and now want to pay pennys for editing.


Well, I am off to hold my sign for $10/hour PLUS BENEFITS AND WORKMAN'S COMP, INSURANCE, RETIREMENT, HOLIDAYS.  And I will look  back in every once in a while at whoever stays in this business while MQ takes it down the tubes.


Hey "bumed" you have it right.  And I'm afraid it's not going to turn around until you see piles of blitzed MTs over in the corner.  It is a non-career and thanks to the suits they have brought the quality of medicine down below putrid.  Get out.  Don't spend any more money to accommodate these profiteers.  Look out for yourself.   Think outside the box.  Right now the world is a little upsidedown because everything for the moment is "bottomline".  It can't go on this way forever or we will all be dead from "bottomline" thinking.  And while it is turning around, look here and there - and don't let MT take you down with it.  Good luck to all of us.


 


That would explain it....
So she is stuck at the age when she was molested, which would be about 6.  Poor Yuck!  I feel sorry for Yuck!
Perhaps you can explain this to

HOUSEHOLD INCOME DOWN, POVERTY UP:
MORE THAN 1 MILLION FELL OF MIDDLE CLASS IN 2004

Before President Bush took office, under Democratic leadership, income was on the rise, jobs were expanding, and the economy was booming. Today, the Census Bureau announced that real household income has decreased in 2004, falling for the fourth consecutive year. Since the beginning of the Bush Administration, household income has declined nearly $1,700. Over 1.1 million people fell out of the middle class into poverty in 2004, an increase of 5.4 million people living in poverty since Bush took office. Despite this, Republicans still have no plan to help struggling middle class families. Democrats are fighting to create jobs and keep good paying jobs here at home.
HOUSEHOLD INCOME DROPPED SINCE BUSH TOOK OFFICE

Household Income Declined by Nearly $1,700 Under Bush. For the second consecutive year, median household income declined: income dropped last year by $93 -- down to $44,389. In real terms, median household income has declined by $1,669 since 2000. [U.S. Census Bureau, 8/30/05; Table A-1]

African Americans And Latino Household Incomes Have Declined by More Than $2,000 Under Bush. Real median household income did not increase between 2003 and 2004 for African Americans and Latinos. African American households had the lowest median income, at $30,134--down by $2,273 since Bush took office. Median income for Hispanic households was $34,241 in 2004--down by $2,141 since Bush took office. [U.S. Census Bureau, 8/30/05; Table A-1]

Average Earnings by Women Declined by About $330 in Real Dollars During the Past Year. The median earnings of women declined over the past year, from $31,550 to $31,223. [U.S. Census Bureau, 8/30/05; Table A-2]
1.1 MILLION PEOPLE FELL OUT OF THE
MIDDLE CLASS AND INTO POVERTY IN 2004

Number of People Living in Poverty Increased by 1.1 Million in 2004. Approximately 1.1 million people fell out of the middle class into poverty in 2004, an increase of 5.4 million people living in poverty since Bush took office in 2001. The poverty rate has increased from 12.5 to 12.7 percent over the past year, increasing for the fourth consecutive year. [U.S. Census Bureau, 8/30/05; Table B-1]

Nearly 1 in 5 American Children Lived in Poverty During 2004. 13 million children lived in poverty in 2004, an increase of about 1.4 million since the beginning of the Bush Administration. This comes on the heels of a 730,000 increase in the number of children living in poverty in 2003. [U.S. Census Bureau, 8/30/05; Table B-2 ]

Disproportionately High Number of African Americans and Latinos Live in Poverty. Nearly 25 percent of all African Americans (9 million) lived in poverty in 2004, an increase of over 250,000 over the past two years. Nearly 22 percent (9.1 million) of Latinos lived in poverty, an increase of almost 500,000 over the past two years. [U.S. Census Bureau, 8/30/05; Table 3]

1.9 Million More Americans Enrolled in Medicaid in 2004. As 1.1 million Americans dropped out of the middle class and into poverty in 2004, the enrollment rate in Medicaid increased from 12.4 percent of the population in 2003 to 12.9 percent in 2004. Without the safety net of Medicaid and SCHIP for people who dropped into poverty, the health insurance numbers would be even worse. [U.S. Census Bureau, 8/30/05, page 16 ]
NEARLY 46 MILLION AMERICANS LACK HEALTH INSURANCE: NUMBER OF UNINSURED INCREASED BY SIX MILLION SINCE 2001

Today, the Census Bureau announced that the number of people without health insurance nationwide increased to 45.8 million, the fourth consecutive annual increase. A total of 800,000 Americans became uninsured last year - many because fewer employers offer health insurance to their workers. As a consequence, American families are paying higher and higher health insurance premium - which are expected to double under Bush's tenure by 2006. Yet, Bush and Congressional Republicans lack a real plan to address the problem.
ONE IN 7 AMERICANS LACK HEALTH INSURANCE

Nearly 46 Million Americans Are Uninsured--Increasing for the Fourth Year in a Row. The number of Americans lacking health insurance increased by 800,000 last year--and by 6 million since Bush took office in 2001. Today, a total of 45.8 million people are uninsured--roughly one in seven Americans. [U.S. Census Bureau, 8/30/05; Table HI-4]


Should not have to explain
We are allowed to do things for ourselves once in a while.  It seems ridiculous that we have to "explain" how or why we are doing something because we feel guilty.  I think it is great that you are able to do what you can do living in Florida especially with your hurricaine season being what it has been.   I think it is great and go and have a good time.    
Would you please explain what
you mean by "they/"  Who are they?  Do you mean newbies, anybody choosing to answer your ad, experienced MTs, dogs, cats, what? That is such a generalization.  Explain yourself.
please explain ...
I thought ERs are generally very short reports. Nowadays if we get paid by the line, you can't earn much for a short report. How does that work ?
Can someone please explain the
I can't find anything written in plain english on the internet. Thanks for your help.
Explain, please? I don't get that. What does it mean? nm
x
CMT - please explain
You've said this once before. Please explain.
Could you explain why? mn
x
I would just ask her and explain why (sm)
you would like to have the jacket, and I'm sure there would be no problem with her giving it to you.  However, if she for any reason becomes resistant to it, then I would say just drop it.  Things like this have a tendency to snowball and can cause resentments for a lifetime. 
Can anyone please explain to me why...
it is sometimes YEARS before a discharge summary gets dicatated?  Within the past few weeks, I had a report dicated 4 years after the patient went home.  This morning, the last 3 I have done by the same dictator are from 2004.  What is up with that? 
Explain please

Explain -- is 12 to 13 cpl low or high?  I am low at 11.5 to 13 cpl with my own accounts and two I/C's.   Most services here in the Oregon area are between 14 to 18 cpl in Oregon/Washington.  So I am curious do you laugh because we are low or laugh because you don't believe anyone could be receiving that much?  What do you think the Nationals charge?


Patti


Seems like you better ask them to explain better; but (sm)
I wouldn't pay them anything for the "privilege" of working for them.
Can you explain how to do this? I was just looking (sm)
at the help screen today on this very thing but I'm getting dense and do not know how to do it.  I tried and it was a disaster. Right now I have everything in AutoText, and sometimes, it loses a normal.  I would appreciate the info. Thanks.
okay to better explain my POV

I have not been on this site in almost a week as I have been busy with other things but visited yesterday and today, only glancing at certain threads casually.  The "I really wish" thread caught my eye and still I did not read it all the way through.  As the moderators here have often said, if you don't like the negative stuff, ignore it and get the good stuff.


When I posted the comment about the emoticon, I actually was thoughtful about the use of an emoticon indicative of a negative emotion leading a message about negativity.  That struck me as curious, not as argumentative, struck me as a contradictory debate.  Perhaps I should have put more in my posting but I tend to cut to the quick and what I said was a synopsis of what I was thinking.  I didn't berate anyone or insult anyone.  I made an observation and thought I was opening a door for the post to go in a different direction.


To put it better, I still have not read all the negative stuff over the last few days, nor am I interested in doing so. As this thread grew and became more, well, less caring towards other posters, I posted what I did to point out maybe, just maybe, some of the negative stuff would go away if it weren't thrown out for fodder.  An emoticon like   or could perhaps been less conducive to feeding negativity that the one posted, if in fact the original poster wanted to breed positivity on the board.  I do find it ironic that name calling came about because of a thread wishing negativity would go away.


I'm throwing this out for discussion, not to   .


Let me explain this to you.
The point here is that he is stating that he has dictated the report but is not reading it when he gets it back to sign off on. That does not necessarily mean that he is NEVER going to read it ever again. Lots of doctors do not read the reports right after they are dictated and they just sign off on them. There could be an error in the report, but they would never know it because they don't read it at the time. Six months later when the patient comes in again, the doctor may read the report then, but he certainly isn't going to remember what he dictated six months ago and if it is all accurate. It is more common than you may think.
Explain

Please explain why you don't say what you are talking about.  I believe in being to the point but these clip sentences are like the nutty doctors. 


Yes, explain that!
nm
explain why you say that please. so we all can know.
nm
You don't have to explain - those who would

not believe you for some twisted reason aren't even worth your breath - finger breath! Ha! As I posted below, there are those who just have a grudge against AAMT, and you won't get a nice response no matter what you post. I actually ended up joining the AAMT about six months ago AFTER reading all the rant postings about them on this board. Never heard of them before!! I also am going to be pursuing my CMT as well, for my own personal goal, not for anyone else. Don't even think for a second that the majority of us out here think you made up your testing results - its just the trolls.


Explain that . . .
if they go national more than likely it will be INTERnational.  Companies will put their best transcriptionists on a new account for a short time, but more than likely will start outsourcing.
Explain

I am not sure I quite understand - I have a doctor that I am going to start with. They gave me a CD. I am trying to figure out how to get it to work with my footpedal so that I can control stop, rewind, etc?


Thanks  


 


Can you explain further? sm
How would each Expander have a hot key? Can you give me an example of one?
Thank you!
Please explain to me about VR
when you say heard need doctors cooperation, do not understand that statement. Have worked on escription now for at least 5 years and I can state emphatically same doctors and they have not and probably would not change the way they dictate- oh if I could only wish and would come true (done the same ones for over 15 years). Give me an idea on this, ok?