Find my reports changed all the time.

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otherwise a mammogram is a mammogram is a mammogram.

Does anyone have any good tricks for dealing with the long reports with huge segments of "nothing"?  On top of that, the people I am dealing with are ESLs so that's slowing me down enough already.

At this point, all I do is speed up and fast forward but am wondering if there are other ways to compensate for this issue.

Seems like someone would teach them how to pause when they stop dictating! 

even cancer and continue to smoke.  In our local paper they are following a woman in her battle with cancer.  She continues to smoke, as does her husband.  They were broke before the cancer diagnosis, having to borrow daughter's babysitting money to pay bills.  Just think how much money they've blown on cigarettes.

I've even known one man with a trach who smoked through his trach.  

that give you joy you'll become a bitter old woman and you'll always have regrets that you gave so much of yourself to your job. 

My mother died of cancer, she fought it for 17 years, but she was just 50 when she got it and the chemo damaged her heart so that she had no quality of life and she wanted to go to the beach one more time.

My father worked hours and hours, OT and weekends, and neglected his family, not out of financial need - not sure why exactly.  He developed Alzheimer's in his early 60s, was not able to enjoy retirement and it didn't matter that he had $100,000 in the bank because he didn't know who he was, didn't know who I was, was in diapers, couldn't feed himself, etc.  

Make the time to do what you enjoy, if only for 15 minutes a day.  If $$ is an issue, use coupoons, buy off brands, shop yard sales, etc.  

You can work until you last breath and they'll still be calling you to help with the backlog.   The company doesn't care about you, doesn't care if your children are sick, if your parents are dying, if you are puking your guts out, so why should you kill yourself for the company.

It does not matter if you do QA or greet people at Wal-Mart, if you don't care it is time to find something else to do.

It isn't just about you that QA makes these changes.  QA is doing their job to their employer's expectations.  Either take it as constructive criticism or leave, but don't make someone else pay for your lack of concern.  Having done everything in a medical office from scheduling appointments to transcription to bill collection, I can honestly say that quality matters - it matters to someone, somewhere - and if you are not in that loop, please for the rest of us that still care even after close to 30 years of this business, please, please take yourself to someplace you can be happy.

I do not agree with every nick-picking change QA makes, but I don't dwell on it or stop caring.  I keep plugging away at doing the best job I can.  I am doing something where I make good money and feel like I have an impact on patient care without having face-to-face patient contact or co-employee issues that come with working on-site.

So, go, shoo, get, go on now.  Let me have your work.

My husband  - now ex - has been in trucking for over 25 years and all of our friends have and are and were.  It has changed a lot and also depends on whether you own your own or drive for someone else.  Kind of like IC versus employee.  Also a lot have also been outsourced as there are a lot of foreigners driving the trucks now a days.   There is such a similarity between the two (MT and trucking) but this started with trucking sooner.   Just like MT you do not make money unless you are moving and when that truck has to pay two salaries it is hard.  But like you said, your dad raised four kids but in this day and age it would be hard to do.   If you are cross country it is so hard watching expenses, etc.  Again just like MT it was a good career and if you have been in it for years it is still decent pay but to start out in it, would not do that.  Just like MT as I have very good accounts, make very good money but when someone talks to me about starting out in it, I do shudder a little as I read such horror stories on this board and I know it is not as easy to do as it was when I started 20+ years ago.  I do still yearn for the open road sometimes though.  It is a way to see the US.   Drove through 42 of the 48 states here and Canada.  Anyway that is my thoughts for what they are worth.

Thanks for the tips.  I just recompiled my Instant Text glossaries and then went into the Importer and created abcz glossaries.  I hope this helps.  I really need to be making 300 to 500 lph because my huby was just laid off and no one is hiring.

Thanks again!!!!