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Serving Over 20,000 US Medical Transcriptionists

For the board owners, just a note to say

Posted By: Love the new home page. thanks! nm on 2006-02-10
In Reply to:

nm


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This IS the owners board to do with as....nm

That is the red note on the job seeker's board.
nm
Of note, the "christianity board" is actually many religions, not just christianity. nm
x
there a note on the company board from QA regarding cherrypicking and they mention "line padding&
This is a new one on me.  I've heard of cherrypicking but what constitutes line padding?  Isn't everybody typing what the doctor dictates?  How can you possibly add extra????
How comes this person wasn't reported to the monitor board? I told someone to read the red note on
I'll probably get banned for writing this, but my comment was much milder than this. I didn't call anyone any names. What's up with this?
and it's mostly owners now but....sm

I have lived under 3 different families with children, all children being in the MASTER bedroom above mine.  I have had to wait for TWO sets of kids to grow up.  It's the noise from the kids from the first 2 families.  Ok, this current family, has toddlers - little toddlers of which the older one (5) is a little terror....


I transcribe in both bedrooms, the master for private MDs (as the 2nd BR used to be my daughter's but she's married now and out of here), and the 2nd BR for a national.  With this 3rd family, besides the children, this bruja (Spanish for witch) decides every now and then to BLAST her music at 3 PM so loud that my walls shake (it's the bass that bothers me the most).  I have complained at the concierge desk, has been documented for one year, and then a few weeks ago I decided to introduce myself, big smile on face, while her music was blasting, and tell her that I live under her.


HUGE MISTAKE!!!  This bruja says *oh, YOU'RE the one (who had been complaining)* and pointed her finger at me, and I said *NO, YOU'RE the one, the one who is totally inconsiderate of those above you, below you, to each side of you, and across from you* to which she said *take it up with the concierge* who met with her and said *you can take action* -


an hour later, the police came to my door, BECAUSE I RANG HER DOORBELL - can you imagine - well imagine the courts today, how they worry about the rights of the criminals and what about the victims.  While I wasn't a *victim* - the years' worth of documentation with the concierge AND security, should've been enough.  Nope, they told me not to ring her doorbell anymore and if her nose level gets that bad to avoid the concierge and CALL THEM.  I hate bothering the police for things like this.....but I WILL.


S. Florida is where I live in case you might be wondering where they could possibly be THAT inconsiderate.......yep, S. Florida......


Welcome new owners, but please let us know
or if our posts or information are shared with anyone.
Irresponsible pet owners
This is similar to thread on the spotted board about irresponsible owners.  The posters there had sympathy for people who were careless with their pets.
owners trying to compete
The companies are trying to keep their profits high, be competitive with India and the doctors want to pay next to nothing. It's a tough business right now. I would look to other options or really push for more money. I wouldn't work for less than 9 cents. On the other hand, there are MTs out there who think they are very good, but they are honestly terrible. I think if you push for a quality company and sell yourself and you truly are worth the money, you will get it.
I don't get it....the owners, the advertisers....
nm
Owners set the tone
Owners can indeed be nice, but they also need to set the tone, or the corporate culture, for *nice*.  Polite and respectful has to be the clearly stated expectation for behavior by everyone.  *It goes without saying* does, indeed, need to be said and reiterated every so often.  The idea that everyone in the firm is a client of every other employee needs to be stressed.  Some of these things are fairly easy for the owners to check.  Ever call your own business as a potential new hire and see how you're treated?  Ever call Technical with a problem and describe yourself as a worker instead of a boss?  It can be a real eye opener, and it's something owners need to know.
That sure is odd! I wonder if they meant the OWNERS of
nm
OSi owners can do transcription...lmao

I would!!! I get so irritated at irresponsible dog owners (sm)
I hope you file a complaint. As someone else said, at least it will be on file.

I second the pepper spray!!! We have dogs in our neighborhood whose owners let them use others yards at their litter boxes, so to speak. I don't have dogs but have a yard full of dog doo. With kids who like to play outside, or even when MOWING! that is nasty!!!
Question for MTSO owners/ICs
After years of working for others, I am looking to start up my own service.

Can anyone tell me what is the average going rate to charge for a hospital/acute-care account ? I have no idea of where to start my offers out at.
Previous owners were jerks....dog got hit by a car, by the time they took it - sm
to the vet it had gangrene. They told the vet to put the dog down (a year old)...vet called a Husky rescue organization who "rescued" him and had the necessary surgery done. My family adopted him about 2 years ago....great dog, keeps our lab company too. He can run like the wind which is pretty amazing.
Service owners/cherry pickers
Why do service owners never seem to notice cherry pickers? Even going to great lengths to deny there are any in their group?
Because owners, managers, and CEOs are all trying to cut costs
so they can make as much moolah as possible.  EVERY OTHER JOB I have ever had provided on the job training, EVEN the salaried professional white collar positions.  Going to school or college does NOT train a person to automatically step into a position knowing everything.  Nurses, doctors, lawyers, managers, HR directors, personal bankers, vice presidents, all of them had apprenticeships, internships, training, or worked their way up.  MT is the only field I know of where nobody is willing to train or mentor newbies.  The training at my last MT job consisted of an emailed two-page explanation of how to pull up their jobs.  That's it.  No account specs, nothing.  Go live on day one.
I've noticed a lot of business owners
have their own way of doing things - sometimes too extreme for me.  They either have done so long their way - they don't realize things have changed since they started - or they go by the BOS down to the letter - each and every single letter - and possibly your accounts have not followed that closely in the past - or they are just picky as all get out and have a huge ego and want to make you feel inferior.  There is also the possibility you may be doing some things 'wrong' - but if you have been in the business for 20 years - cannot be that serious - and obviously you know what you are doing!!  I have run into absolutely crazy things in the last year with different MTSOs.... you dont' even want to know!!
Any small MT business owners in CA out there? I need advice!!

I'm looking start up my own small bus., just a couple accounts, but I need to know if there are any HIPAA contracts or anything else that I should be providing for the doctor and myself to sign.  Any advice would be truly appreciated!!


Thnx, Rachel


The owners of both Andrews and M-Tec very accessible and can help you with your decision.
Best of luck. :)
Why do you assume the names here are made up? Could it be the new owners
just posting to post? I have always been here (ss) and I have seen Hayseed, TRose, Country MT and many others that I no longer see anymore. If everyone would keep using their same names, initials we would know who is who.
The owners of the companies I work for certainly could increase my cpl rate. nm
:}
the people who really make BIG BUCKS are business owners
especially when they go into...say- window washing or something right away, instead of into debt. In general, I'm for college - plan to push my kids to get their master's right away as that seems entry level nowadays - but where I made really good money was owning my own service. Make(made) more as an MTSO than I ever will as a nurse-practitioner.
And will you admit there are plenty of wannabe service owners also?
nn
American Association of Medical Transcription Service Owners
They do not represent the rights of the individual Transcriptionist it seems but rather promote their organization in order to continue to exist and to continue to survive, they seem to think they should stand up for the service owner and not the MT.

You'd think they would be giving information on how to get more production since our wages have stood still and unless speed engines are used, we make much less than what one would think.


Solid company, nice owners, LOTS of ESLs nm

Wow..I'm so shocked. I didnt know this happened. I know the clients pay the MTSO owners so why ca
the MTs who do the work. Is this the same person. It sounds like she is a nice person but nice does not pay the bills. Anyone care to give initials of the company as I have been looking for a IC job and obviously with these people having a huge turnover due to nonpayment, I do not want to fall into that trap. How awful!!!
Dogs dying from 'miracle drug'. Heads up, doggie owners
Marketed as a miracle drug for man's best friend, Rimadyl is one of the most popular painkillers available for dogs. And it's killing dogs by the thousands.

Vince Sharkey was faced with the decision every pet owner dreads, whether to euthanize his beloved dog King Billy.

Arthritis and deteriorating bones made it too painful for the 8-year-old golden retriever to walk.

His veterinarian recommended putting the dog down.

"He had so much life in him. I said, 'I just can't do that'."

Then Sharkey discovered Rimadyl, a prescription anti-inflammatory drug heavily marketed to owners of older dogs. Sharkey says Rimadyl saved his dog's life.

"Before I had him on the Rimadyl he was not even able to walk. He would drag his back half of his body. The moment we got him on Rimadyl, he was back to being his normal self again.

But Lynne Bradburn tells a very different story.

Her Saint Bernard, Honor, was just 22 months old when he died after taking Rimadyl for a sprained knee.

"He'd been sitting in my lap. And he looked up at me, and he died," Bradburn said.

Honor died after taking just four doses of the drug.

"They tell you it's as safe as aspirin. But it's not. And yes, I'm angry. And I will always be angry," Bradburn said.

The FDA reports some 12,516 complaints about Rimadyl dating back to 1997, including more than 2,300 cases where the dog died or had to be euthanized. The largest number of cases involve liver or kidney failure or internal bleeding.

Rimadyl's manufacturer, Pfizer, maintains the drug is safe, saying some 10 million dogs have taken over a billion doses of the drug, with less than 1 percent of them experiencing any negative side effects.

"There are side effects just as there are benefits with all medicines, with all medical procedures and certainly with Rimadyl. The good news about Rimadyl is that for the overwhelming majority of those 10 million dogs, plus, it has provided safe and effective pain relief," said Pfizer spokesman Robert Fauteux.

But the FDA approved Rimadyl after it was tested on just 549 dogs, raising the question, were the rest of the dogs that took the drug acting as guinea pigs?

Retired veterinarian turned attorney Paul Mabrey says a drug for humans would never be allowed on the market with such a small sample.

In response to continued concerns about the drug, Pfizer sent a letter to veterinarians across the country warning them that some side effects may "occur without warning" and, in rare situations may result in "hospitalization or even death."

Still, veterinarians continue prescribing Rimadyl more than any other drug in its class. But they're careful to warn dog owners looking for a miracle cure.

"There's a lot of people that want the medication not fully aware of everything that's entailed with that but we make sure to do everything we can to educate before they go on the medication," said Dr. Deborah Feltz, a the Elliott Bay Animal Hospital.

It's a warning echoed by those who know first hand what happens when a miracle drug proves imperfect.
Thanks for your note. SM
I think this problem must be specific to my particular account. I have tried all the things we were told, clearing, entering new names to try, etc. Thanks again.
Note to MQ: What would be

retired MTs in your workflow room and being TC's.>?


I am so tired of dealing with haughty people who don't have a clue


why I need something or what I do - and on top of them coping an


attitude with me because I get exasperated with their inability


to do their job which is make the work flow.


If MQ had people hired in their work flow areas who had worked inside


the world of transcription and knew where it goes in a hospital,


what to look at on the screens of the machines in the work flow rooms,


etc etc we wouldn't be getting hysterical messages all the time about


not meeting turn around times.


But no!  they want to hire first-time jobbers to be in control of the lives


of people who have been in the business usually upwards of 15 years


in order to even do this MT job at home with no help or assistance -


and then make us put up with them and at the same time try to make a living.


I don't want a doctor operating me who has never been inside a hospital, and I


am sick to death of dealing with people in a transcription company


who has never been inside a hospital and followed a REPORT around.


They need to see WHY A REPORT is done - HOW IT IS DONE


They need to go to dictate stations - they need to go in a medical records


area and look at charts - go inside an OR - and into the ICU


they need to see how the world of medicine is and how it operates.


Only then will they understand TATs, reports, and why things are done as they


are or at least why people want them done a certain way.


Like if I keep getting dictations with LOUD BUZZING - i don't want to keep getting


LOUD BUZZING - I want to let the hospital know there is probably a bad phone


instrument - and if this work flow person sees where dictation is done he will


understand it wouldn't take much to MAKE THE BUZZING STOP - and not get


pissy with me because I'd like to talk to somebody about LOUD BUZZING ON


REPORTS. - It's not rocket science - just need to let somebody know.


I know this isn't a note, but
maybe this will be of some help, I'm still searching for a note.
Breast-Related Medical Terms

GLOSSARY OF MEDICAL TERMS
Areola The pigmented or darker colored area of skin surrounding the nipple of the breast.

Asymmetry A lack of proportion of shape, size and position on opposite sides of the body.

Autoimmune Disease A disease in which the body mounts an "attack," disease response to its own tissues or cell types. Normally, the body's immune mechanism is able to distinguish clearly between what is a normal substance and what is foreign. In autoimmune diseases, this system becomes defective and produces antibodies against normal parts of the body, causing tissue injury. Certain diseases such as rheumatoid arthritis and scleroderma are considered to be autoimmune diseases.

Axillary Pertaining to the armpit area.

Bilateral Pertaining to both the left and right breast.

Biopsy Removal and examination of sample tissue for diagnosis.

Breast Augmentation Enlargement of the breast by surgical implantation of a breast implant or patient's own tissue.
Breast Reconstruction Surgical restoration of natural breast contour and mass following mastectomy, trauma or injury.

Capsular Contracture Tightening of the tissue surrounding a breast implant which results in a firmer breast.

Capsulectomy Surgical removal of the entire capsule surrounding a breast implant.

Capsulotomy Closed Capsulotomy: Compression on the outside of the breast to break the capsule and relieve contracture.

Open Capsulotomy: Surgically cutting or removing part of the capsule through an incision.

Carcinoma Invasive malignant tumor.

Congenita Anomaly Abnormality existing at birth.

Connective Tissue Disease(CTD) A disease or group of diseases affecting connective tissue. The cause of these diseases is unknown. The diseases are grouped together on the basis of clinical signs, symptoms, and laboratory abnormalities.

Deflation/Rupture Refers to loss of saline from a saline-filled breast implant due to a tear or cut in the implant shell or possibly a valve leak.

Displacement Shifting in the original position.

Epidemiological Pertaining to the cause, distribution and control of disease in populations.

Extrusion A breast implant or tissue Expander being pressed out of the body.

Fibrous Tissue Tissue resembling fibers.

Hematoma A swelling or mass of blood (usually clotted) confined to an organ, tissue, or space and caused by a break in a blood vessel.

Immune Response The reaction of the body to substances that are foreign or are interpreted as being foreign.

Inframammary Below the breast.

Inframammary Fold The crease at the base of the breast and the chest wall.

Inframammary Incision A surgical incision at the inframammary fold

In-Patient Surgery Surgery performed in a hospital requiring an overnight stay

Latissimus Dorsi Two triangular muscles running from the spinal column to the shoulder.

Mammography Use of radiography (X-rays) of the breast to detect breast cancer. Recommended as a screening technique for early detection of breast cancer.

Mastectomy Surgical removal of the breast.

Subcutaneous Mastectomy: Removal of breast tissue, preserving the skin and nipple.

Partial Mastectomy: Removal of primary tumor and a wide margin of tissue, may include the overlying skin and the muscle fibrous tissue (fascia) underlying the tumor.

Total (Simple) Mastectomy: Removal of breast tissue and the nipple; sometimes accompanied by armpit (axillary) node dissection.

Modified Radical Mastectomy: Removal of breast tissue, nipple, and fascia of chest (pectoralis) muscle with axillary node dissection.

Mastopexy Plastic surgery to move sagging (ptotic) breasts into a more elevated position.

Necrosis Death of tissue. May be caused by insufficient blood supply, trauma, radiation, chemical agents or infectious disease.

Oncologist A specialist in the branch of medicine dealing with the study and treatment of tumors.

Out-Patient Surgery Surgery performed in a hospital or surgery center not requiring an overnight stay.

Mammaplasty Plastic surgery of the breast.
Mammary Pertaining to the breast.

Palpate/Palpability To feel with the hand.

Pectoralis The major muscle of the chest.

Plastic Surgery Surgery intended to improve, restore, repair, or reconstruct portions of the body following trauma, injury or illness.

Prosthesis An artificial device used to replace or represent a body part.

Ptosis Sagging of the breast usually due to normal aging, pregnancy or weight loss.

Rectus Abdominus Major abdominal (stomach) muscle.

Saline A solution of sodium chloride (salt) and water.

Seroma Localized collection of serum, the watery portion of blood, that resembles a tumor.

Serratus Muscle located beneath the chest's pectoralis major and minor muscles and the rib cage.

Silicone Elastomer A type of silicone that has elastic properties similar to rubber.

Subglandular Placement Placement of the breast implant behind the skin and mammary gland, but on top of the chest (pectoralis) muscle. Also called prepectoral or retromammary placement.

Submuscular Placement Placement of the breast implant under the chest (pectoralis) muscle, or under the pectoralis and serratus muscles. Also called retropectoral or subpectoral placement.

Surgical Incision Cut made in tissue for surgical purposes.

Transaxillary Incision Incision across the long axis of the armpit (axilla).

Umbilical Relating to the navel.

Unilateral Affecting only left or right breast.


Anyway, sorry, on a more serious note...
as regards your problem:  Do you have Ad-Aware and SpyBot and have you run those?  If you have run those and are still not finding anything, you might want to try a trial of this program I just downloaded myself and seems to have gotten rid of this darned WinFix (Virtumond?) pop-up problem I've been having recently that my Ad-Aware and Spybot couldn't seem to take care of.  Dang, I might actually buy this one!  But anyway, you can use it for 2 weeks, I think it is, for free (see link below).
Just a note: There are two MTs that I will not SM

use to this day - 15 years down the road - because they did this. They will never get a recommendation from me and they will never sub for me.


You leave a long trail when you do something like this.


on another note
I know a lot of people believe as you do, but in my family I have seen lots of evidence to contradict this theory.

I don't condemn anyone who overdrinks, but I think we spend too much time in our culture blaming genetics and other people - mostly our parents - for our own poor choices and bad behaviors.

Bottom line is, the alcohol does not force itself into anyone's mouth and neither do the drugs. To me, drugs include not just the street drugs, but the legally obtained prescription drugs that so many people rely on to get them through the day (do not flame me about arthritis meds, etc. taken for legitimate conditions).
P.S. and it's an OP note!
nm
On that same note...
I wonder if any of you report errors you notice in other reports to the QA at your office. I have seen some doozies, but I admit I have been remiss. I just wanted to know what the rest of you do, even if the report is old.
sorry -- BAD day. (no note)
.
NOTE,,,,,,,,,,,,,,,nm
nm
perhaps you could drop your TC a note...sm
just to say hi, and welcome.  She/he has many, many more people to get in touch with than you do, so why not make the first move? I'm not at all trying to be ugly, please don't take it that way, it's just, why not just send a message saying hi, and introducing yourself? Just a thought! Good luck with whatever you choose to do!!!
perhaps you could drop your TC a note...
I guess you mean Transcription Coordinator -- what I called my new supervisor. I hear you, but I really don't see that as my responsiblity. MQ is so chaotic, I always get the impression they'd greatly prefer not to be bothered. I'm kinda way past that point with that. Thanks for the welcome anyhow.
perhaps you could drop your TC a note...
I think you've misunderstood me. I agree completely with your most recent post, i.e. being left alone to do my job. Absolutely. I just don't think a courtesy note from a new supervisor is too much to ask. That's not breathing down my neck; IMO, that's courtesy, i.e. Here I am, I'm your new supervisor, here's how things may or may not change, just wanted to say hi and make proper notation of the fact that a change has taken place. WHATEVER.
perhaps you could drop your TC a note...
Okay, now you're making me mad. You don't know me, and you have no right to lump me into a goup with "(my) fellow nut-case MTs" ...and you have the gall to say "nothing personal"? Freakish behavior? Talk about the pot calling the kettle black! Wow, I came on here looking for some support, and now I'm a freak and a nut case. No thanks! See y'all around!!!
perhaps you could drop your TC a note...
Read your phrase: "your fellow nut-case MTs." It does not say "your fellow MTs, some of whom are nut cases."

Read your phrase: "freakish behavior en masse." It does not say "the freakish behavior of some MTs."

Both of these groupings include me. You are guilty of bad syntax and just plain rudeness. I consider these equally offensive. I most certainly did not fly off of any handle, nor did I (until now) TAKE TO WRITING IN CAPITAL LETTERS TO EXPRESS MY OPPOSITION TO YOUR POINT OF VIEW when a little careful wording would've rendered that unnecessary. I proved you point? You sure proved mine. GOODBYE.
Note for Souzam
Sorry to change the subject, but did you even test for KP? If you have any more questions e-mail me at lilygirl54@adelphia.net.
AN OPEN NOTE TO MTS

1-Do not wonder WHY work is being sent overseas when in screening applications 20 of 25 resumes are full of errors, typos and people applying that do not come NEAR to fitting the job requirements.


2-Do not wonder WHY work is being sent overseas when you are hired to work hours YOU REQUESTED and then you do not even bother to start work, call, email, just nothing. 


3-Do not wonder WHY work is being sent overseas when you are tested and screened only to find out that several "friends of friends" circulated the test around and while you do wonderfully on the test, now in the real situation, you can not figure out the difference between discrete and discreet.


4-Do not wonder WHY you were given less and less work, but take a look at the quality of work you produced...full of blanks, not formatted to specifications in the manual sent, skipped reports.  When Q*A has to redo 90% of your work, it is easier to quietly phase you out than to continue to "train" a supposedly seasoned MT


5-Do not wonder WHY you were taken off an account, but look at the feedback you were given regarding the continued mistakes with spelling (you do not use the spellcheck as too time consuming - your words), continued mistakes with doctors signatures, names, formats, phrases.  Your position is to "pound out lines" and not worry about the quality. 


6-Do not wonder WHY no one will hire you...after all, MTSOs communicate with each other too and the same names just seem to cycle through


7-Do not wonder WHY companies look overseas for workers...because at least THEY want to work.  They are not taking days off at a time with no notice...leaving a company and client in the lurch. 


8-Do not wonder WHY your resume was not answered...you applied before, were tested before and never bothered to answer emails regarding hiring...never bothered to start on your start date...resumes are kept and note made of why someone that seemed very qualified was not hired.


9-Do not wonder WHY you were not hired...remember me?  I am the one that tested you, screened you, then talked to you for quite some time on the phone interviewing you.  Remember me?  I am the one you "sold" yourself to as far as being ethical, good worker, etc., only to find out that you received the hiring package, then contacted the client directly and suddenly, you did not want the job and then I see you are working FOR THEM....


10-Do not wonder WHY you were not hired after taking the test...take a look at the test results and the responses back you made like "that is how I have always done it" and I do not think you are correct because that is not how I was told or trained to do it.


11-Do not wonder WHY you were quietly let go...check your invoices and the inflated lines and/or hours on there?  The system SHOWS the reports you ran, lines you did, but you continue to add report numbers not done by you and lines not done by you.  AND for bonus hours...you continue to add bonuses that were not earned.


12-Do not wonder WHY I cringe when it comes time to hire again..I cringe because of every MT out there that shows NO RESPECT to a potential employer now or down the road by ignoring remails.....receiving a test, but never taking it...getting a test graded and offered position but never responds back....going through entire hiring process with access codes, start dates and times but then NEVER even starts...or the ones that we PAY a computer guy to get set up and they never start working...or we send software and equipment to and then never get it back or have a legal fight to get it back.


There are two sides to ever story, this I know, but as an MTSO the above are simply a FEW of the hundreds of things experienced in trying to hire just ONE good MT....


Thank you so much for such an encouraging note!

I am going through a separation from my husband.  He thinks a sacrifice is giving up going to the local bar when he gets of work, giving up his drunk he has on a daily basis, and just all in all growing up and taking on responsibilities.


 


I have been so down and depressed lately that I have to FORCE myself to work.


 


Thank you for being the angel on my shoulder today!


On another note, it is proven that
addictions are hereditary also. I am not saying everyone who has alcoholism in their family will be alcoholics, but you are more likely to suffer from addiction than someone who does not have a family history.
Geez!! Take a note of the pay.

http://seattle.craigslist.org/hea/122382546.html


Isn't being a medical Transcriptionist being an interpreter.  Seems like our pay ought to be commensurate, don't you think? 


I can't imagine why my note
has all of these hits, especially since it wasn't a general question and had nothing to do with transcription. Must have been a slow work day :)
Op note account
Anybody out there that does surgery notes exclusively and how do you like it?  Thanks in advance.