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I agree with AnnuderMT because of the history....sm

Posted By: Ella (retired) on 2009-05-20
In Reply to: Then stopping trying to negate her feelings - AnnuderMT

of professional abuse suffered by the original poster...I mean, this young woman who has worked for such an indifferent company for 10 years without even any benefits....GEEZ! Even in these hard times, her professional skills and personal integrity are worth more than that. For heaven's sake get another job! There are still better jobs out there. If it were not for my extremely painful lower back, I'd find some PT work to do, just to keep my hand in, and even a retired MT could surely find a job with say, Medquist or some huge MTSO like that. I know what it's like to have one's professional self-esteem eroded and destroyed. Not worth it, not at all. Exit ASAP!

Any tip less than $1 is considered a cheap slight nowadays, and that is just for a piece of pie!


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MT is history.
After doing this for 10 years, 3+ in house, I'm on the brink of hanging it up and forgetting it. The pay keeps getting worse for the MTs (and better for the corporatists), the platforms keep getting slower and more cumbersome, the quality of the dictation does not get any better and tends to get worse overall as the old masters of English retire and more ESLs move in to replace them.

I would strongly advise anyone who is young enough to find something with a future.
CPL History
Just a thought here.  It seems we're all so consumed with making lines and working faster and faster, has anyone stopped to wonder about how the 8-10 cpl rate was devised??  It seems that with the amazing fund of knowledge we have to possess to function in this profession, I feel ridiculously underpaid and overworked.  The companies are constantly begging for us to do extra work with no incentives - just the statement that "here's a chance to get extra lines".   I realize that this is a production-based business, but COME ON!!   Am I the only one who feels like the companies are profiting big-time from our skill and knowledge??   There's so much we have to know as well -- A&P, meds, extensive terminology, hardware, equipment, and on and on.  Please tell me if I'm overlooking something obvious, because I'm getting really burned out.   Thanks guys for listening. 
Nothing like making up history
There are in fact many Hispanics who died and continue to die for this country. I am the daughter of a WWII veteran whose mail was confiscated because he wrote letters to his mother in Spanish. While my dad was literate in both English and Spanish, his mother could only read in Spanish, as was the primary language of New Mexico, Colorado, etc. 50+ years before the Mayflower landed. Also, my brother is a Sgt.Major who retired after 25 years in the army and 3 of his sons are also currently in the army (including Iraq). But as I said before, you can ignore all that 'cause you make up your own history....and telling Native Americans to get over it only displays your ignorance.
Learn from history

and think very carefully about this person and his sob story. Boo hoo! 


His child is cruel toward animals, chances are this child is being mistreated in some way by someone. This is a red flag that something in not right in this child's life regarding the adults. Children are NOT naturally violent--it is learned behavior.


Be friendly, but takes things very, very slow and think of the safety of yourself, your children, and your pet (s). Better safe than sorry.


Click on history
It states that in Nov. 2004 Warburg Pincus and Soros Private Equity Partners acquired Spheris. It is right on their history page.
Family history
You bring up a great question. Personally, I don't think any of that is their business - it doesn't affect how they will educate their child. I would not answer any of that - just put family medical history unknown.

Where do you live? I have taught in 3 states and none of the school districts I taught in, or the private school where I worked, asked.

You know, in this country it is illegal to ask someone for their national origin - how can they get by with asking about such personal information as your family Hx?
This patient with a history of
Aids is status post Pneumocystis carinii pneumonia.
Criminal History?

Can a person with a criminal history, felonies within the last 7 years, still work as an MT?


Chucky, you're history
k
You want the history of how a line is defined?

I have a feeling you're going to need it.

Sheet of paper = 8-1/2 x 11 inches.
Courier font = 10 Keystrokes per inch

Type in Courier font from the left edge to the right edge (no margins) and you'll get 85 keystrokes. Create 1" margins on left and right side and you deduct 10 keystrokes per side. Therefore, 85 keystrokes less 10 keystrokes for left margin and 10 keystrokes for right margin leaves you 65 keystrokes a 1" left margin to a 1" right margin. That is considered a "real line," as opposed to a gross line where "anything on a line is a line." It doesn't matter if you type a whole sentence or just word. If it's on a line, it's counted as a line.

When we started using computers, people switched from Courier font to other fonts, but Times Roman 12 pt was the favored. So, to calculate a line when it's not running from left margin to right margin (Times Roman 12 pt is a smaller font than Courier (see below), you simply follow the rule:  65 keystrokes equals a line. This way, it doesn't matter what font you use, you're rate of pay will be the same. So, if you're getting 6 cents a line for a 65 char line (presuming that includes spaces), you'll be paid the same no matter if your font is:


My dog has fleas and he scratches his head. (Arial)
My dog has fleas and he scratches his head. (Courier)
My dog has fleas and he scratches his head. (Times Roman)
My dog has fleas and he scratches his head. (Verdana)

All of the lines are different lengths, but you will be paid the same no matter which font you use. You don't have to worry if the person who hires you wants you to use Gothic (huge font) and Mary Contrary to use Arial Narrow (very thin font). You will both be paid the same - 65 char/line.

You also need to do is find out if spaces are included. If spaces are included then every KEYSTROKE is counted. If not, then only what you actually see (the letters) are counted. So, be sure to ask if spaces are included.

But, as far as getting 6 cents for a 65-char line ... I'm going to presume you're new to the business (what they call a newbie). As such, 6 cents per line is decent. Just make sure you get raises over time.

However, if you have at least 2 years of experience doing acute care and they offered you 6 cents per line, you really should refuse the offer ... unless it's either that or the bread lines.


Unusual clinical history...
"The patient is status post gunshot wound to the head now complaining of headaches." Yes, bullets tend to cause headaches, I'm sure!
AI - I think Elliott is history tonight-NM
NM
"No history of TB exposure"? nm
x
Interesting history of Christmas Trees
Christmas Trees

How it All Got Started | Trees Around the World | Rockefeller Center
Related Links | Tree Trivia

How it All Got Started
Long before the advent of Christianity, plants and trees that remained green all year had a special meaning for people in the winter. Just as people today decorate their homes during the festive season with pine, spruce, and fir trees, ancient peoples hung evergreen boughs over their doors and windows. In many countries it was believed that evergreens would keep away witches, ghosts, evil spirits, and illness.

In the Northern hemisphere, the shortest day and longest night of the year falls on December 21 or December 22 and is called the winter solstice. Many ancient people believed that the sun was a god and that winter came every year because the sun god had become sick and weak. They celebrated the solstice because it meant that at last the sun god would begin to get well. Evergreen boughs reminded them of all the green plants that would grow again when the sun god was strong and summer would return.

The ancient Egyptians worshipped a god called Ra, who had the head of a hawk and wore the sun as a blazing disk in his crown. At the solstice, when Ra began to recover from the illness, the Egyptians filled their homes with green palm rushes which symbolized for them the triumph of life over death.

Early Romans marked the solstice with a feast called the Saturnalia in honor of Saturn, the god of agriculture. The Romans knew that the solstice meant that soon farms and orchards would be green and fruitful. To mark the occasion, they decorated their homes and temples with evergreen boughs.

In Northern Europe the mysterious Druids, the priests of the ancient Celts, also decorated their temples with evergreen boughs as a symbol of everlasting life. The fierce Vikings in Scandinavia thought that evergreens were the special plant of the sun god, Balder.

Germany is credited with starting the Christmas tree tradition as we now know it in the 16th century when devout Christians brought decorated trees into their homes. Some built Christmas pyramids of wood and decorated them with evergreens and candles if wood was scarce. It is a widely held belief that Martin Luther, the 16th-century Protestant reformer, first added lighted candles to a tree. Walking toward his home one winter evening, composing a sermon, he was awed by the brilliance of stars twinkling amidst evergreens. To recapture the scene for his family, he erected a tree in the main room and wired its branches with lighted candles.

Most 19th-century Americans found Christmas trees an oddity. The first record of one being on display was in the 1830s by the German settlers of Pennsylvania, although trees had been a tradition in many German homes much earlier. The Pennsylvania German settlements had community trees as early as 1747. But, as late as the 1840s Christmas trees were seen as pagan symbols and not accepted by most Americans.

It is not surprising that, like many other festive Christmas customs, the tree was adopted so late in America. To the New England Puritans, Christmas was sacred. The pilgrims's second governor, William Bradford, wrote that he tried hard to stamp out "pagan mockery" of the observance, penalizing any frivolity. The influential Oliver Cromwell preached against "the heathen traditions" of Christmas carols, decorated trees, and any joyful expression that desecrated "that sacred event." In 1659, the General Court of Massachusetts enacted a law making any observance of December 25 (other than a church service) a penal offense; people were fined for hanging decorations. That stern solemnity continued until the 19th century, when the influx of German and Irish immigrants undermined the Puritan legacy.

In 1846, the popular royals, Queen Victoria and her German Prince, Albert, were sketched in the Illustrated London News standing with their children around a Christmas tree. Unlike the previous royal family, Victoria was very popular with her subjects, and what was done at court immediately became fashionable—not only in Britain, but with fashion-conscious East Coast American Society. The Christmas tree had arrived.

By the 1890s Christmas ornaments were arriving from Germany and Christmas tree popularity was on the rise around the U.S. It was noted that Europeans used small trees about four feet in height, while Americans liked their Christmas trees to reach from floor to ceiling.

The early 20th century saw Americans decorating their trees mainly with homemade ornaments, while the German-American sect continued to use apples, nuts, and marzipan cookies. Popcorn joined in after being dyed bright colors and interlaced with berries and nuts. Electricity brought about Christmas lights, making it possible for Christmas trees to glow for days on end. With this, Christmas trees began to appear in town squares across the country and having a Christmas tree in the home became an American tradition.

http://www.historychannel.com/exhibits/holidays/christmas/trees.html
Allergies would be the child's own medical history sm

Not the family medical history.


As far as juvenile diabetes or similar diseases, genetically transmitted or otherwise, if the child is being taken to the ER the parents should have already been notified and be on their way. If the child's family physician is on record with the school (a legitimate request), then medical records can be sent to the ER. I still do not see any necessity of the school having anything other than the child's OWN medical history - allergies, shot records, current state of health, etc.


...The content stays the same - history, symptoms,
s
If the ESL doctor cannot understand English enough to get a history..sm
he does NOT need to be practicing medicine in the United States. I understood the OP to say that the patient was a white American female, so I assume she speaks pretty good English!
If you check the ownership history of the site

To be fair, history and other sections are composed, SM
analyzing and gathering in the process, with sometimes additional legal and political issues to consider, and the labs are mostly just read.
You're joking, right? That was WWII, read your history books.
fdfd
HEADERS....as in what? The things like HISTORY AND PHYSICAL headings?

or the heading at the top of the page that we don't type?


and do you find it a little offputting that they can't put in writing that they pay for spaces?  it makes me think all is not kosher. 


 


 


 


the history? nothing.. he is just advertising an Indian MT company and board
x
I tell a complete stranger my whole life history practically.
I'm suddenly realizing that I have isolated myself and that I have no real friends and the only adult conversation I have is with my DH.  While I love by DH dearly and he is my bestest friend, sometimes you need other conversations/relationships. 
Rad is dictating what is written on requisition for History is why I would have left it along.
NM
Probably old question..history and physical plural or singular?

A history and physical was done OR A history and physical were done. 


27-year-old born with no past medical history
I had that the other day. Is anyone actually born with a past medical history?
No offense, but you were unaware of the history of AAMT/AHDI
I would suggest that you learn more about the history and realities of these subjects before calling for a big strike or walkout. Credibility is an issue here.
Well, Pattie, think about this. All that family medical history you happily handed over? (sm)
When that information listing family medical history ends up in numerous computer databases, you've effectively hampered your child's future ability to obtain medical insurance, life insurance, and who knows what. Although they may not know anything about the identities of parents and grandparents, they sure do know what medical predisposition insurance companies may think are just too risky to sell a policy. Think about that.
Does Dave Navarro have the biggest head in history. So out of proportion. Smart guy though.

His piercings and tattoes are somewhat distracting but........ he's okay.  Bruce?  Back in the day.


Crash, The Chronicles of Narnia, War of the Worlds, Derailed, A History of Violence,
Brokeback Mountain, and Dreamer. All of them were good, although I think Brokeback Mountain would be on the bottom of the list for me. Crash and The Chronicles of Narnia were very good in my opinion.
Hospital work - history and physicals, op notes, discharge summaries,
s
Global warming my Aunt Fannie... Check history, there have been numerous cycles like this
x
blood tests aren't bullet proof either. Must be matched up with history and sx. But you knew that
x
Clear as a bell, ptosis? He has a history of ptosis from alcohol poisoning
He has a history of ptosis from alcohol poisoning
Our tax returns are outsourced. Our credit history is outsourced. Our employers know everything
our age, our residence, our credit (if they want it), any criminal activity, etc.  What is new here?  You apply for health insurance and your employee knows your health background.  What is new here?  Privacy is long gone.
Agree, agree, agree! Just listen to Benny Hinn..

he speaks perfect English, especially when asking for money!  Also, in my opinion, blanks should be left in the doc's dictation if not able to be transcribed, maybe then they will know that are NOT understood.  With QA fixing them, what need is there for them to care if we understand them or not? 


I agree with you....

I mean afterall there is no evidence that she is dead.  From the beginning I thought they were guilty and I still think that Joran knows something (not saying it was an intentional murder-- probably an accident)  The biggest thing that plays on my mind is why did they lie in the beginning if they were innocent.  I believe that they were covering up for something.  There have been theories that she went for a swim and drowned but there has been absolutely no trace of her.  No shoes, handbag, nothing, which leads me to believe that everything was gathered up and taken somewhere. 


I feel for the family but they need to let the Arubans do their job abiding their own laws.  I know the mother has said she will stay until she finds Natalee but you can't live in Aruba forever.


I agree....

I think you have to blame Natalee herself before you blame the chaperones.  What was she thinking going in a car w/ three strangers in a foreign country???  And also, what about her friends.. what were they thinking letting her go to the bar or leaving the bar alone?  Back when we were in college and were on spring break or just bar hopping in this country..... you NEVER let your friend go off w/ some strange guys.  That is just common sense.


I agree!
It is stated above, "I wouldn't give my daughter 2 cents towards a trip to Aruba at age 18. There's only one reason to go to an island like that, to drink."

Thank you! Me either!

I feel awful for this girl and her family. I really do. But no way in Jerusalem would I have allowed my 18-year-old son OR daughter to go to Aruba (which is a colony of the Netherlands, where pot is legal and who knows if there's any regulation on alcohol).

An 18-year-old is in no way socially savvy or emotionally prepared to be turned loose in a strange place with very loose laws and be expected not to get into some kind of a situation that he/she is in no way prepared to handle.

NO WAY

I really hope they find this poor girl, but it's not looking good.
I agree - for all we know
they could have taken out a second mortage on their home to finance this "vacation".
I agree with you...
besides if I sat all day and typed an American doctor who dictated in monotone speech I'd be sleeping by 10 a.m. I look forward to the challenge of transcribing the ESL's every day..it makes our jobs more rewarding!
I agree
nm
I do agree with that...

Evil does exist no matter where you go and my post was meant in no way disrespectful to you or your opinion (I hate it when a flaming war starts like the ones above).  I just know how one seemingly insignificant comment can start a whole line of growing misinformation...  Kinda like that game we probably all played as kids..telephone or whatever 


I did not hear about the comment of America being the Great Satan, that is interesting, I am going to have to check that one out! 


agree...

IN some cases we did, but do you really think the Indians didn't do the same?  There is a myth about indigenous peoples on any continent being "noble savages," but in truth, there were warring thieving tribes among the Indians here who leeched off the peaceful tribes before the Europeans got here.  Lying and cheating are not exclusively European virtues.


I still say they need to get over it.  We spend way too much time in this country talking about mistreatment and ills of the past - we need to spend more time and energy on building a future for the children and grandchildren we say we love so much.  The best way to give them a successful, peaceful future is to let go of our resentments and choose to love our children more than we love our grudges.


I agree with you (sm)
it takes a village to produce a perfect report! LOL! I embrace the feedback from QA, both positive and negative.  And I make notes and try not to make the same mistake twice.  Life is a learning process, anyways.  The day I stop learning, I guess will be the day I die!
don't think so, i agree, it is a
x
I don't agree.
We get a lot of local coverage, but what about national coverage like on Fox, MSNBC, CNN, etc.? Every single news network has been focused on this one single incident on just about every show from 7 to 11 p.m. for months.  Nancy Grace gives a 30-second blip in her missing person segment, but the majority of her hour-long show is devoted to the Holloway case.  Look at all the help that was donated to the search effort in the Holloway case because of media attention and contrast that to the help that could be focused on other cases in addition (not instead of) had they received the same saturation of news coverage.  It's not a generalization, it's an actuality.
I agree
Yes I agree with both of you Joran was involved.  I think it was drug related probably not to her knowlege, an accident or something and then they panicked and did whatever they did.  When you hear that the father actually said, "No body, no case", that sends off bells to me.  My fear is they know she will never be found, and he will just do his 116 days in jail or whatever, and her parents will never have any closure.  Sad.  I hope we are all wrong.  I hope she shows up somewhere like Elizabeth Smart, no matter how traumatized, it can be dealt with.  However, I still don't think it is fair to all the other parents with missing children who cannot get their story on CNN for 3 hours a night, not for even a minute.  That has to be a plight worse than hell, not knowing; and thank God I don't know how it feels and hope I never will.
I agree with almost everything you said except for
the fact that you don't think our work impacts patient care. I have to disagree with that one. So many times the things that we transcribe are read and re-read to help those giving direct patient care a better understanding of what is going on with their patient (I used to be a nurse and quite often read previous transcriptions). While we are not directly involved in patient care, we do have an impact on their care. Anything that is placed in the chart has an impact on the care because if we transcribe something incorrectly (which we all do)whether it be MR#, wrong med, whatever and nobody catches it then it becomes a part of the record and may be referred to many more times down the road.

I do agree that a lot of transcriptionists would be happier if paid by the hour with incentive bonuses for QA and/or production, but like you said, that is not likely to happen.

I am glad that we can get on this board and discuss our different opinions with others. Sometimes it gets a little lonely working at home and it helps to know other people's insight into different things.
I have to agree...
Degree in advertising and marketing and promotion and choosing to do MT. How pitiful is that?
I agree

I can do 1800-2000 lines a day, so 1000 is a piece of cake.