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Serving Over 20,000 US Medical Transcriptionists

Honestly, and no bad feelings, but ....

Posted By: mm on 2009-05-03
In Reply to: THANK YOU........sm - USA MT

Some MTSOs send dictations to India, where they are straight typed, then the reports are sent back to the US to the QA.

What happens next?
I assume that the QA corrects them and sends them to the client.

How does this affect the US MTs? In no way do US MTs correct the mistakes Indians make in their reports.
And in what way do MTs 'train' the Indian MTs?

The only ones who can rightly complain are the QAs.
Or do you think that the Indians type the reports straight, the reports are sent back to the US office, and the QA sends them as VR to an US MT for correction?

Wouldn't this be rather expensive?

4 cpl for Indian straight typing
4 cpl for US MTs correcting the Indian VR, plus possible QAing.

This would be 8 cpl, at least.
They might as well keep the whole thing in the US.

Correct me if I am wrong.

BTW no Indian can sneak into this forum, when the US MTs are so paranoid that they suspect even a US MT working on US soil to be an Indian working in India.


aer soparanoid tht they even suspect US MTs working an UDS soil to be Indian MTs workign uin India.





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My feelings are they are probably...
Shock, disbelief, anger, fear... I'm sure they are feeling all those things...plus uncertainty and full of questions. I know that is how I felt on 9-11. I am praying for them. America is not in this alone.
I'm having those same feelings

I was feeling sorry for myself, because as the storm was approaching my area yesterday, I had 3 contractors working on my house repairing damage inside from a roof leak. Then when I got home from work yesterday, the leak started again in the exact same spot and ruined all they had done. The roof was supposedly fixed before the inside repair started. Then as I was leaving for work this a.m., I saw a man from MS (where I live) interviewed on Fox News who had been holding his wife's hand and she was swept away. He was crying and the lady interviewing was crying and it was pitiful. The interviewer asked him where he was going next. He replied that he didn't have ANYWHERE TO go, that everything he had was gone.  I just sat down and cried. At least I still have a roof!  Praise God! May he watch over these poor people!


my feelings exactly (sm)

Just can't put them as eloquently (sp?) as you just did, but anyways, thanks!   for saying what I didn't.  I too am SICK TO DEATH of hearing these people whine and cry, blaming Bush for everything! 


Anyways, very very well said...Bravo to you!


ALWAYS GO WITH YOUR FEELINGS...
Absolutely, positively put an end to it. Say, "Honey, this makes me feel uncomfortable. I am sure you are not doing anything wrong, but it does make ME feel uncomfortable, and since you are not doing anything wrong, you won't mind stopping this practice so that I will be more comfortable." If he balks, you can put him on the spot why he is having such a fit over a simple request. You can bet your booties the Child Protection Agency would frown HIGHLY on this practice. Good luck. And no, it may be all innocent, but why take the chance.
feelings
It's par for the course for this business, that's the nature of the beast. Even if you work for yourself, it's just as bad. They don't think you're human with a life. Spent many years in this profession and it's "thankless" but then there are those with no work at all. Know how you feel. Just take it a half day at a time. I always try to get over things by thinking of those less fortunate and count my blessings. It's hard, makes you feel bad not to have all the spare time others seem to have, but if you ask them, they probably are not happy either. Try to treat yourself to something nice a make a "grateful list". Works for me.
I have those same feelings
to our family gatherings. I always feel that it's an invasion in some way. I'm not sure why. She doesn't invite them because they don't have anywhere else to go, but it is as if she can't be with the rest of the family without these people with her. We are a fun and loving family, so I'm not sure what's is about, but I do resent these people being at our family gatherings. I'm praying hard that I will not feel this way this year.
You are not alone in your feelings at all! sm
I have been an MT for 9 years now and am worn out from the uneven workloads that result in feast or famine paychecks, overhiring, system issues, and endless just-off-the-boat ESLs who cannot not speak a real sentence to save their life.  Then there are the nasty generic e-mails, conference calls that accomplish nothing but more confusion for everyone, and well, I am just tired of working like a dog on garbage accounts for the past 4 years and wearing myself out.  It was much better for the first few years of my career but quickly went downhill.  I have only been at 2 companies in 9 years.  Thankfully my husband makes a good income and we do not really need mine at this point, but it makes me sad that I busted my buns at it this long, all the time thinking the industry just might turn around.  I am just about over the at-home MT thing! 
You said it!! Exactly my feelings! ...sm
You train and train and do interns and then the MTSOs don't want to compensate you what you feel you are worth.
You have just stated my feelings exactly. nm
xx
I can understand your feelings ....
I'm a West Texan (lots of sun and heat) and moved to Everett for about 6 months, I was SO depressed up there and starved for sunlight. What's really sad is ... the natives said "this is such a sunny year" *thud*. While I was up there, a report came out that Tacoma is the place with the highest suicide rate, lack of sunshine was one cause behind that.

Good luck, if you need sun, come see me! LOL
I have mixed feelings.
My knee-jerk reaction is to boycott any company offshoring. It feels like a personal insult at times, toward American workers. This is a reaction, though.

My response (using the brain, not the heart) tells me that globalization of this and every other industry is here. It is not going away. I want the U.S. to be able to trade with other companies; I don't think it is in this country's best interest to be withdrawn from the world. While I would like to take it personally, from an intellectual perspective this was going to happen one way or another. The MT job as it is today would eventually be outdated by advancements in technology. So it is not like offshoring alone has caused these changes. All industries evolve. It is what allows us to have better products, cheaper prices, and more affordable living choices. This field is no different. This is a response.

I do not plan to martyr myself in vain for something that is following its natural path of progression. Taking such an obstinant position against change would be the greatest catalyst to my financial demise -- the world will go on changing, so I had better learn to change, adapt, and evolve with it!


never ignore your gut feelings
Every time I have ever ignored mine, I have regretted it. This is especially true when it comes to being a mom. Maybe it is mother's intuition or whatever. Kinda like when a kid wants to know why they can't do something...."Because I said so" sounds so lame when you don't really have a reason. However, I've learned the hard way if I feel something is wrong to listen to my inner instinct--it has never been wrong.
Feelings... nothing more than feelllnngsssss
So, I wanted to say, I came into this world 3 years ago after other hospital work..and thought the same thing, geeeeez what a load of whiners!!  But, then I started sending off  my great ideas that were continually ignored, worked loads of hours and was asked for more, was a major team player, etc etc.  It is my nature to do so.  But....THESE people.. have been pounded on.  The industry's businesses have, for the most part, dodged every law and manipulated every scenario possible to their advantage, having not looked out for their people.  I, personally, am working on something very significant with an attorney to align some of the compensation laws. I'm dumbfounded at what they are pulling off.  I've had jobs with way more responsiblity than this, and this one is beating me up big time.  There is every scenario available as there are MTs, so we can't compare each others'.  It can be hard to be cheery (in fact, it would be inappropriate) if you poured your soul into a career that wasn't feeling right, but were stuck with it to meet financial demands.  There isn't an ounce of anything objective and consistent in the world of medical transcription; decisions about everything are guesswork, and if you are in a good situation, consider thyself fortunate and help those who feel stuck to find find something better.  I just left a miserable situation, and was shocked at the gagillions of people that wanted to bring me on having barely breathed hello into the telephone..  The people who need to improve are guided in no way...so I'm going to say it is great people have good experiences, but there's nothing cheery about losing your pay year by year and watching your benefits get yanked.. and and and.  People won't quit whining until they feel understood and validated.  My happiness and good fortune does not mean others are not entitled to the other.  The real test comes in standing up for "that" and lending a friendly ear (and i'm not implying i'm good at that/lol. I say that in one side of my head while the other side is wishing everyone would quit whining right along with you, but heck, people are frazzled.  I am not diminishing your happy days, really..How can we spread the love? Okay, I've now officially gone over the edge.  Off to work!  LaterLadies!
No Hard Feelings
I am giving you an internet hug. I hope it works out for you!!
my feelings and actions exactly!!! nm
x
You've really hurt my feelings - NOT
NM
If you really don't want to cause hard feelings, just delete it
and if they ask always say that you just haven't had the time to check e-mails lately.
I agree with your feelings, but there is such a thing as --sm
going overboard. as much as minorities should be considered equally for jobs, education, etc., so should it be for all...not just minorities. ESLs are not the only ones that help keep MTs busy. transcription work can come from ALL dictationists, not just ESLs. Standards should be the same for all. Either lower them for the *white americans* or raise them for all others. I am not a racist and I do not defend one against the other, but it should be equal...across the board. That used to be the *American Way*, INCLUDING diversity.
You could send letters of your feelings
before this judgment came down. However, it is basically a "plea deal" and nothing can be done about it.
Then stopping trying to negate her feelings
Bully for you that you wouldn't feel slighted. How wonderful that you don't mind the benign neglect of your husband regarding your anniversary. At least, one would assume, that your husband does something that contributes to making your life pleasant, happy, and easier on a regular basis or does something that nurtures your soul in a romantic or loving way. However, other than signing my paycheck, while at the same time finding ways to get more work and more hours for less pay, my company does very little to foster the warm fuzzy feeling necessary to be able to overlook a cheap slight. As someone pointed out earlier, a 1 penny tip to a waitress is designed as an insult. I've gotten coupons worth more than $5 out of the Sunday paper, and I didn't have to risk carpal tunnel or sacrifice family time to get it.
I love reading your posts..and having my own feelings
You are so right
Yup, you have to say you're busy, and No, and I can't...and then stick to it, bad feelings or
s
poster is wrong - snakes do have feelings...N/M
/
MTs put too much personal feelings and angst into job. MTSO
uio
The key words "feel like I have been had". There are no feelings in business..sm
Unfortunately, there is no place for emotional feelings when doing business. I too learned the hard way, just as you have.

Sorry for your experience, but it will make you stronger and smarter for future dealings.

Good luck to you!
Not all have the warm and fuzzy feelings about mentors
I learned transcription inhouse in a hospital when I found out about a person being able to make more than just their salary each week by being fast and that I was. I thought it would be a piece of cake, hey I had worked in hospitals, both adult and children, doctor offices and the like. It took me a year of her training before I was put on incentive. My boss (mentor?) got upset with me 1 time and put me on 3 days work a week when I had been working full so then got a parttime job for those 2 days until the boss lady HAD to ask me to return. Their work was heavy in the first place, but that was what she did. Another time she told me after a person typed over 50 minutes a day (I was the only 1 doing this out of about 6 or 7 transcriptions)that then that person would stop and do paper work. I told her that would not work as it would only apply to me and I would have to go further up about that. Lastly when I left after 7 years working in transcription I had an outgoing evaluation and she put down average (instead of outstanding, superior) for attendance and told her I had not missed 1 single day of the last 3 years and she would have to give me the best mark on that if nothing else. She said she really had not checked her records. I am glad I learned but warm and fuzzy, not here. Reading above noticed you said only 2 more years until retirement. What is that? I am past retirement age now but this Friday am due to start drawing full social security payments. I am so excited and hope to continue working as the money will be twice of what I am making now. Sooooooooo excited.
I hope I didn't hurt your feelings - I'm sure

you'll be able to clean it up - I do that sometimes, too - I have my own way of working where I sometimes leave a s/l in a spot so I can go back and listen - I've even had the report accidentally go to the client like that because I hit the wrong key before I fixed the report!


Anyway, did you listen for the "cranial nerves" part?


Actually, you are incorrect. People post their feelings on this site
to having to register and give their personal information, IP address, etc. Be pro-AAMT. I choose not to and that is my right. No whining, no complaining...I am just one of those American MTs who doesn't see AAMT as glorious as you do. Also an Old MT.
Follow you "gut" feelings - they usually never steer you wrong!. nm
x
I honestly don't know - but I will try
You have raised a lot of good points and I appreciate your post.

Of all the comments today, you have the very best post. I don't want to agree with you, but you are right.

Jason is gone from MDI. I did read some of the responses on the questionnaire that he sent out and wondered the same thing myself. Nothing ever came of it.

I spoke to Sue about your post and we agreed about several of your comments.

I do not agree with you that our Team Leaders are not available, etc. They also work at night, weekends and holidays when necessary.

Why don't you express some of this to your TL?

I will take your very good advice and continue emailing our employees about positions that are available from within our comapny.

You will be getting more mass e-amils from me, telling you what is going on with MDI. I promise.

Thanks,
Liz



Honestly
A brand new MT shouldn't be working at home. That's just my opinion.

Congrats about the baby. Good luck!

Honestly, I just don't see it.
Private doctor offices are cheap. Why would they send coding/billing out when it all needs to be done through local clearinghouses and there is no access to the patient's charts.  Hospitals have too much for the doctors to do with charts/coding/records etc to send them out, but you know what, I guess anything is possible these days. I didn't think I'd see the day when Indians would be doing our work either.
Honestly, I think you can use either (sm)
I personally use okay.  I think OK looks tacky in a medical report, as if it were slang, but that's just my opinion.  If your employer prefers okay, then you should spell it that way.
No but honestly...
Profanity or not, judgemental or not, 4 abortions by the age of 23 is extremely sad, and let's not judge the doctor who was probably sick at heart with it. But still, profanity doesn't belong in records and I would leave a blank for the doc to sort out.
Honestly

There is certainly no need to take that tone.  Developmentally delayed is the preferred term among physicians.  The American Association on Mental Retardation changed its name as a consequence.  The DSM-IV is slow to change because the people in charge don't want to go through all the time and expense to publish a fifth version.  Again, the doctor said "he is retarded."  Not a medical term, not appropriate.  As far as autism, case in point on DSM-IV.  Depending on where you look up the DSM-IV some publishing sites still have it on the wrong axis.


As far as getting over it, if people had that attitude we'd still be calling black people the N-word and neither they nor women would be allowed to vote.  The term retarded is as offensive as the N-word or any other racial slur.  So beg your pardon but as long as people, especially doctors who are supposed to be well-educated, continue to be ignorant enough to use that word to describe someone with a disability, I will continue to have something to say about it. 


And oh btw, if the doctor wasn't so ignorant, he would know that saying oh well I want to do a bone marrow biopsy but it would be too hard to explain to this patient, is just wrong.  He should know about conservatorships and health care proxies.  Because if this patient is truly disabled, then he was declared incompetent by the courts on his 18th birthday and he is not the one who makes the medical decisions.


Honestly, you are about...
a decade too late.  US citizens' private information is already overseas, be it medical records or bank records.  The whole country knows about it.  What has been done?  Now that MTs are in fear of losing their jobs, then we begin to see concern about privacy.  Sorry, but it's too late.  The damage has already been done.  If we really cared, we should have acted a long time ago.
Honestly, 300 lph is not much for VR.
I don't know anyone though doing 500-600 lph doing straight transcription. You may just have a crappy account, but there are those that are getting great line rates with VR. As you said though, the pay rate does suck, so it is definitely not the MT benefiting from VR.
In all honestly, I will not...
spend time on it.  This issue should have been addressed 10 or more years ago.  It saddens me, but I have come to the conclussion that MTs are basically clueless when it comes to the industry as a whole.  Sure, we know how to transcribe, but we do not understand the HIM industry and how it operates.  If we did understand it, we would realize that we are way late in the game.  In other words, we have been left behind.
Honestly...
I have no problem taking criticism.  I am also not trying to gather people to send letters to the government, yet I do not know anything about the issue at hand.  It's embarassing for the entire industry.  I am sorry you are offended by it, but it's embarrassing.
no, it won't. honestly.
the daughter isn't the one earning the grade. an AA is NOT a big deal at all. it's NOT something you put after your name like a credential.
honestly this could be me! I also sm
have an odd last name and can't do anything without somebody knowing about it at that da*@* hospital! I would, at the very least, put a note on the chart. The state I live in has a law that if there are errors in your record, you have a right to sit down with a MR person and get it straightened out.

Hubby has been there 18 years. If they ever scr** him over, I swear I will first sue them and then I will go in and demand every chart, all 64 of them be gone through and all the mistakes retyped. If he didn't work there, I would have already done it!
Honestly, they need to be trained.
Mine had the same mentality when we first got together.  I refused to do it.  If he scattered dirty laundry, I left it there.  If he didn't put his dishes in the sink, they sat out.  I'm not anyone's slave.  Also, if they expect the woment to work, they need to share in the housework, child care, and finances.
You honestly believe that? Wow, naive.
i
Honestly, the MQ speculation is

getting so bad about the what if's with the new packages coming out in October and all the speculation, I had this comic flash of all the suits sitting in NJ with headphones on, plugged in,to the big PC's in corporate land just listening to all the "chatter" on the boards...sorta like the CIA supposedly was...can you imagine all the chatter traffic going on until October?


We just need to take a deep breath, try to relax a bit, really nothing we can do until October, then who knows what part of the month we'll all get our packages? 


Believe me, it has worried me to no end, single mom, can't afford much more change, but also can't do a darn thing about it till then.


Oh, am sorry to hear that. I honestly don't
know what to tell you on that...DSG was a good company until these recent weeks, pretty much, but they are making all these changes, and I don't think they're being honest about why. I could be wrong, but if things don't change soon, I will be looking for another job. When they don't answer your emails, etc., you kind of get suspicious.
Thank you. He could tutor :) I honestly think

he could do it on his own with the materials. I have never, ever had to help him with his homework and he still gets honors. Oh. . . to be THAT lucky!  I struggled through high school and college to make honors.  He's what I refer to as an "open and shut student."


He opens the book, reads the assignment, shuts the book and brings home an "A" or "B" on his test.


I'm no slouch in the brain department, but I've never had to help him so I was thinking with some materials, guidance, and putting him on a schedule, it might work. If that ends up being what he would like to do for now until he regroups.


I honestly could have written that....sm

back when I was in high school in the late 70s!  The first high school I went to was just like that.... there was a large snob/bully society  (the snobs were basically verbal bullies because they'd put down people that weren't in the  "clique", and I had some idiot teachers.  My algebra 2 teacher was so stupid that she would write a problem out on the board, stop, look at it and say  "oh that's not right" and then erase it, doing this 2-3 times per problem,... then wondered why no one had a clue what to do on tests.  


I was grateful when we moved to another town and the high school in the next town was much smaller.  The teachers cared about the students and teaching, and the students generally cared about each other.  There weren't snobs there because the area was economically depressed and no one had a lot of anything.  I was able to participate in a program with a local college where during my senior year I went to high school 1/2 day and college 1/2 day, so the 10 of us that did this (out of a graduating class of  99) graduated from high school with 30 hours of college credits completed.  We were also able to do this because the local college gave us discounts to participate in this program. 


When I've asked on classmates.com about some of the snob/ bullies from the 1st high school not a single one of them has had a great life.  One of the ones that was in the "it" girl group has been divorced 4 times now and is a heavy partier, and I've been told that she looks like crap from the years of partying.    One of the guys who was the most "it" for the males died from AIDS which he ended up getting after he moved to New York to get into acting, turned to a life of male prostitution and picked it up there.    The successful people are those who hung around with people like I did.  Out of the group I hung around with 1 is a pediatrician, another a dentist, another is an architect, another is a software engineer and every one of us has stayed in contact throughout the years and get together occasionally. 


I honestly wish you would explain (sm)

as the logic defeats me. Seems to me the reverse is true.


Personally, I couldn't live with myself if I drove to the store, knowing that someone's son or daughter had to die for the gas I was using, but if you can . . . enjoy yourself, I guess.


 


 


Honestly, I really never found out.
Who knows, but I will not even go to the door anymore. That was so weird and so rude!


Honestly, don't you have something else to do today? nm
xx
not trying to disrupt anything, honestly

My flaming face reference was to the one inside the original post  like this



 


Not to the flame that flickers outside on the main page next to the original post that shows it has had a large number of viewings.


I'm sorry to have ruffled feathers by making a casual observation simply about emoticons.  My apologies to anyone haven taken offense regarding this.