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I agree with Patti . . . too many variables

Posted By: (sm) on 2006-12-14
In Reply to: Compare old documents - Patti

Here's a link to an article I found some time ago, which suggests multiplying gross line count by .70 to attain an estimation of an equivalent 65-character count line (or 30% less, as Patti also suggested). It really just depends on too many factors though.

http://www.mtworld.com/tools_resources/line_counts.html


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Agree with you -too many variables.

I pay my IC's 8 cpl for my psych work as it has a long Turn Around Time and all they do is type, I pick up, print, QA, deliver, etc. to the psychologists.  But even at that, they can average one report of 400 to 500 lines in 60 minutes, depending on the tests, done, etc.  but I made so many templates when I was doing the account that it is very easy to do and very good money.  But then if you compare that with one of my clinics  that has a very nice doctor but talks 220 words per minute and it slows down to only 200 to 250 lines per hour.  So there is a difference there.   You can only assume the lines you would be typing in a day and times it by 8 cents and then times how many days you are working a week, etc.  Too many variables -- what if there is no work?


Patti


 


 


I agree with Patti, but I also need to add this.
I think your anger is misplaced against your mother. You aren't protecting her from embarassment. It sounds like you're avoiding the situation (telling her the truth) and blaming her for not seeing anything. You need to ask her to meet you at a neutral place without him and tell her exactly why you're being "cold". Don't punish your entire family, especially your mother, for the actions of one nasty man. As Patti said, what about the other females in your family? If he's being inappropriate to you, what about any younger relatives?
I agree w/you Patti...
I've been there...swore always that I would in no way tolerate cheating, but I did...I forgave him and now, our marriage is better than ever.  Of course, this was almost 13 years ago and I was much younger and much less self sufficient back then.  But now, if he did it again, he'd be out like a light! It's hard to *forgive and forget*, in fact, I don't think that's even possible, or wise...especially the *forget* part.  I'll never forget, but think I have forgiven.....
I agree with Patti below....the need to pay--sm
bills is a great incentive. not having a spouse and having to depend upon yourself for all of your needs is, indeed, a tremendous motivator. I do at least 3000 lines a day when it is available to me to do. working for someone else does not always mean the work is there, but most of the time it is. If it is there, I will do it...no matter how late it gets, or if my laundry is building up in the corner. the laundry will always be there, but I cannot do it if I cannot pay my electric and water bills. It is all priorities and how much you want it. Watching tv is low on my list! good luck to you!
I agree with Patti.........

I agree with you Patti, I have done MT for 15+ years, I started in an Acute Hospital where they trained me on the job and paid me well while learning.  After 7 years I got my first account did both the hospital and my account for a few years before venturing out on my own, that was 11 years ago next month.  I have made a great living, more than 50k a year since.  I too picked up the undesirable doctors, who by the way DO PAY WELL AND ON TIME.  I wholeheartedly agree with getting to know the office staff, they are brains usually of the whole works.  I still have that first account and will never stop doing his work until he retires, god willing.  I have over the years had to pick up small fill in accounts to supplement that one,  but I have never ever had a problem finding accounts, it can be done you just to be very diligent. 


I also agree it will not happen this way right out of school or as you are learning, but it can be done. I think it is essential for newbies to have that Acute Care Hospital training, though that is harder and harder to come by these days with most hospitals outsourcing.I  was in the right place at the right time.  When I was learning I requested the most difficult dictators/doctors, and that has really served  me well too. 


I dont usually work 40 hours a week, but occasionally I do.  I also take lots of vacations so it all balances out. 


 


100% agree with you Patti
once again!  Would not trade it for the world.  Fortunately, I have great friends in the offices and make great money!  Thank the Lord!   <- This is me and luvin' it!
I would have to agree with Patti
I wish if people didn't have something worth saying that they just wouldn't post at all.  Nastiness, that's all this is with these two who come off like they know it all.  So sad that they must "bigger" themselves by kicking someone when they are down.  There must be some other reason.  Do not lose sleep over it.  There is more work where that came from and poor communication from the start usually does not get any better further in, so I think you are better off personally.  Take care, and hope you find a nice fit for you.  What's meant to be will be. 
I would have to agree with Patti. SM

You limit yourself by charging per page, but you need to figure out how much will go on a page.  It sounds like you may want to charge more like $3-3.50 per page if they must insist on paying per page.  If you have to adjust margins that can be another task that will hold back production.  Will you have to pick-up and deliver/print.  You must consider those types of things as well.


I agree with Patti...sm

I, too, have a small MT business and agree with all of her points.  You have to be  prepared for whatever might happen.  I work when I'm sick, maybe not at a fast rate, but I do make a serious attempt.  I don't take a vacation...I take several long weekends.  They're easier to manage with my work load. 


However, there's one I'm a little unclear on...specifically, #7 where you say you pay 10% taxes. I would very much appreciate it if you could elaborate a little on that.  Feel free to email me (dianahufmn@gmail.com) or, if you would like, share on the board.  Thanks in advance! 


I agree with Patti! All that FTP talk and doc
shuttle makes me break out in a cold sweat! I'm in NJ, and I do what the doctors want - not vice versa! They would tell me to hit the pike! If the doctors want to use tapes and paper, then I use tapes and paper or move on!! I make good $, and its easy as cake - Great that some can tell doctors what to do, but not in my life! And the original poster is just starting out like the rest of us were. Hardly the time to be dealing and playing hard ball about FTP and the like! Nope! When I used to think it had to be so complicated, that's when I was too afraid to even start! No way! And, yes, there are TONS of doctors out there who still use tapes and will not change! Hurray!! That's why they still churn out the units to fit them!
I agree with Patti. See message
Keep it simple. When I started with my own clients, I basically told them that my service would be based on what they needed from me and that is what I did. They called the shots and I did what they needed from me. I have never used a contract with clients to this day and I have multiple clients. Basically just the Business Associate Agreement required by HIPPA and the clients are happy with that. My thought was always that if the client wanted a contract, that was fine, but if they did not bring it up, I did not either. I also do tapes, print on a couple of my accounts and deliver/pickup, but most of my clients are now on my call-in system, which is much nicer, but I will not turn down tapes. Good luck with your quest and hope it works out for you.

I agree Patti, I thought so too when I read--sm
the OP in the very beginning. She just took bits and pieces from the previous posts on this board and put it all into her own, just to see what and who would respond. I thought alot of the posters below really got sucked in. Guess they cannot tell Kikki is at it again, like we can.
Agree with Patti. Charge for all the "extras'.
x
agree with Patti and can't believe how many people freak over having IC status...sm
just over the taxes. I mean, we're all grown ups here right? Get over it.
Variables. sm
It probably varies.  In my situation, she gets a sufficient retirement check, not rich by a long shot, just barely adequate enough to get by.  We get no aid what so ever.  She has been on a waiting list for over 3 years to have house cleaning help.  There is transportation to and from doctors available almost anywhere, but they essentially "dump" them out with no help.  My parent cannot see, she just cannot be dumped out and left to do on her own.
Too many variables
Basically because there are too many variables and can only give you a range of cpl.  Depends on your experience, what type of service you will provide -- digital or tapes with pick up, printing and delivery, etc.  Are you talking gross, or 65 character per line, font, margins, spaces, headers, footers.  Without all the information it is hard to answer a question.  But I would figure a guess in the range of 12 to 14 cpl for clinic notes.   But that is a range only, your area could be higher. 
Variables
There are so many variables that it is hard to "point you in the right direction".  Each of my account works somewhat different.  You have to decide how to count your lines for your accounts and what you will charge, will it be gross or cpl?  As for software that also depends on each account.   Know the HIPPA guidelines.   Also if you are just starting out -- at least I felt this way and still do -- you have to be ready to accept any and all accounts if you want your foot in the door - so that means having the capability of doing tapes, picking up and delivering, digital, etc.  If you limit yourself your chance of failure goes up.  Again my opinion.   As for contracts a lot do not agree with me but after so many years with the same accounts I do not work with one.  But when I did, I simply wrote up stating what I would provide and what the client would provide, outling turn around time, rate per line, etc. But even with a contract they can quit your service at anytime stating "poor quality" or something like that.   There are no big secrets of getting your own accounts and no book to go by, you simple go out and hand out or mail out brochures/flyers, etc. letting people know that you are available and what service you will provide.   But if you want someone to hold your hand step by step you will have to go out and hire a consulting marketing firm to do that for you.   You do need to see if your city needs you to have a business license, see if you need to file your name with the State, etc.    I keep mine as simple and uncomplicated as possible and all my clients seem to appareciate that.  They give me the tapes, I type and return back in an agreed upon TAT at a agreed upon price.   Good luck. 
There are a lot of variables to consider
I would say 500 lines on an account you know and in Word (I do not work on MT platforms) would take say 4 hours tops, but it all depends on how much experience you have as an MT and also how well you know your accounts. 
many variables

Farther on down there are some comments/replies to this question.  It depends on whether or not you are doing digital, picking up tapes and delivering back hard copies, etc.  Also your experience.  As much as everyone thinks that we MTSO's rake in the big bucks by subcontracting our work -- we are lucky to make 10% after the cost of gas, if we deliver and pick-up, the non-billable hours of invoicing, QA the account, the marketing, the customer service to the account, etc.  Also be prepared that you will be the one to cover when that IC decides not to work -- as an IC they have that choice, call in sick, or whatever and if that happens with 2 out of 4 you are up all night typing.  That is why I have cut back to have enough for mainly myself and one I/C that works a very small account and if something happens I can cover easily.   Also think about who will cover for you and the administrative part of the job when you go on vacation or get sick.   But all that aside, start small with one account for yourself and charge what you feel you need to make a decent hourly rate, .11 to .13 cpl either gross or character count seems to be a good starting point if that is what the going price is in your area.  Pay your IC's .08 to .09 cpl so that they can make a "decent living" that they want.  I am not trying to tell you not to just pointing out some of the pittfalls and to start off smaller with just one account for yourself, get used to the "business" aspect of it as well as the medical and then in a while if all goes well grow.  Also remember that just as easily you get that new account, you can lose one and then you will have to lay off your IC's as you yourself will need the work.   Also remember that when those docs are on vacation, around holidays or the summer the workload goes down and that is usually when the IC is clammering for more work and wondering where is the work.   Remember to keep enough money is reserve to pay your IC's on time so that when the clinic runs 30 to 45 days late in payment, you can pay them and not yourself or your bills.    Even though they are a business also, they want their money whether or not the account pays.   Have enough work on hand to keep the accounts happy with 24 TAT and those "emergencies" of being one person short but not too many so that your help runs out of work and especially when the account decides not to dictate for 3 days and then you get it all at once.    There are accounts out there but you have to probably send out 100 to 200 flyers/contacts made to land one and if you are willing to put in the time -- go for it. It is not as easy as everything thinks but for those with the determination and drive it is there for you.    Good luck.   Patti


Too many variables
Depends on what rate per line they pay.  This is gross line which is good but if itis 5 to 6 cpl per gross line versus 9 cpl for 65 characater probably not.  Also   is it clinic notes, same docs, Basic 4 or what.   too many variables here, not enough information.  Only you can tell by what your paycheck shows. 
variables

With all due respect, there are many more variables from the side of the MT than you have mentioned.  I admire you for giving the information in your ad that you say you give, and I am sure you have had more than your fair share of MTs with little to no work ethic or those desperate for a job who will say they can do it just to get their foot in the door and be given an opportunity to try hoping it will work out--and for some of them, it doesn't.  I can appreciate the bind this places you in. 


But if you are dealing with ICs, then maybe they are not necessarily hiding from your calls and e-mails but just working the hours they choose to work.  ICs are not employees as you know.  I am an IC and the company I work for expects "employee" status from me in many ways and they are wrong to treat me as an employee and not give me the benefits of being one.  This has me thinking more and more of going elsewhere.  Perhaps, just perhaps some MTs perceive your company as being like this and they get frustrated and quit.  Just perhaps.


Also, no MT knows what a job is going to be like until they actually do it for a while.  Listening to some voice files and seeing templates helps, but there is so much more.  Until you work the platform, until you see how many lines you can do for a particular dictator per hour, until you have done this for a few days, you cannot judge whether this particular employer is for you or not.  In my present job, I get feast or famine with the same TAT expected.  Feast can burn out an MT.  Famine can scare one off.  And when I get good speed on an account, they take me off of it and give me a new client because they say I am good and they want me to do the client's work so the client will stay.  Very flatering to me, but not necessarily financially the best thing for me.  Constant change slows production--more variables from which an MT must decide to stay or not. This may not be your situation, but this another variable we MTs must consider. 


I've done other types of secretarial work and it is much like MTing -- you don't know the job until you've been there and tried it.  All either side can do -- you and the MT -- is try to find the best fit and see if it works out to the advantage of you both.  I don't think either side wants to waste their own or the other's time. 


What you may consider is a good account may be horrible to the MT after he/she has done it for a week or so.  You may think your platform is top of the line but maybe the MT finds it cumbersome, slow, a time-waster.  He/she moves on because there are bills to pay.  Even your line rate, good as it sounds, cannot salvage a bad fit.  I'd rather work at a lesser rate and speed right along and produce tons of lines than struggle every day for a high rate.  Now I'm not suggesting you lower your rates LOL!!!  Goodness, we NEED rates like that!!  I'm just saying if the MT for whatever reason decides he/she cannot make good money with you--a good hourly rate of production, good lines--they will move on. 


They might have been totally honest with you on their resume but when confronted with all the variables of the job, they found it just did not work for them.  And you, as an MTSO, have no way of knowing whether someone is being truthful or not, or of knowing if they will be pleased once they begin to work for you, or if you have someone who is careless and misrepresenting themselves and just biding their time until something else comes along at which point they abandon your ship. 


You sound like a fair, honest person who has been burned too many times.  But MTs get burned too and I guess at this point in our profession we are suspicious of one another and the low wages overall makes the MTs quick to move on if it looks like the job won't give them what they need.  We can't afford to wait it out and see if it gets better with this or that company.  If it does not work from the beginning, we have to move on because our time is precious too. 


Some of the actions from MTs which you describe are NOT right and those MTs pull this profession down to a lower level of respect.  But this, for many, is today's work ethic unfortunately no matter what business you are in.  I've seen it in corporations and in healthcare settings.  It's like people just don't care anymore about their job.  And for that, I have no answer to give you as it leaves me amazed too.


 


Everybody is different and every day is different. Too many variables. SM
What I earn depends on work type, staying focused, concentration, etc. I have been through 5 jobs this year due to lack of work. I currently have 2 but my motivation is lacking, trying to get my mojo back. Good luck. Don't judge yourself on what other people earn. I personally know a lot of MTs who make fantastic money. I made in the mid 30s.
variables

There's a lot of variables involved - your typing speed, your Expander software, the platform you will be typing on, etc.  When I first started out as a brand new MT, I was lucky to do 100 lph.  Now that I've been doing this a little bit more, and have good Expanders and shortcuts set up, I can do 250 lph.  My goal is to get up to 350 lph - I've talked to a lot of people who say it can be done.


If you're just getting back into it, I would say figure 150 lph as a good base, and then once you get back into the swing of things, you'll increase from there.  Don't plan on that right off the bat, though.  I just started a new job on Monday and I'm working very closely with QA. I'll be lucky to make $100 by the end of the pay period, but that's the way it works at the very beginning sometimes.


There are lots of variables there....

It took me approximately two weeks to really get the specifics down on the account I am currently working on.  That is just the account specs.  The DO's and DONT'S.  It is about 75 pages long.  I still am not used to all of the doctors yet because I have not had the opportunity to transcribe for all of them enough to be able to get used to them.  I work for a national, but my account is for a large hospital, so there are doctors there that I have not even come across yet.  I have been on this particular account now for 3 months.  I have the specifics down cold, and like I said, that only took a couple of weeks to get.


I have had other accounts that only took a few days to get used to because they were smaller and didn't have that many specifics.


The bottom line is that it depends on the account itself.  The client is going to be the one that will determine how long it will take you to get used to an account based on how many instructions, etc. they dish out for their accounts.  Each and every account will be different.  You may notice a pattern at some point, but you can't really count on a set amount of time or categorize it into a specific time frame.


Just my opinion.


There are too many variables. It depends

on how many lines you can produce, how company counts lines and if it is hard to get lines due to their system, do you have lots of bad dictators that slow you down, how hard you are willing to work, how smart you work (macros, expanders), what shift you work and if there is a shift differential, etc.  


There are many MTs that make $20,000.00 or less and many that make $40,000.00+  based on past postings to that same question. 


Because of all the variables involved, sm

I think it's ridiculous that your team leader would post such a thing.  Every MT's situation is different--different accounts, shifts, work types, hours, etc.--and a team leader should know that.  As far as working for a national goes, I feel less "communication" is better.  Why stir things up?  These companies ought to just let us transcribe and keep their silly emails to themselves.  Don't they know the old saying, "Familiarity breeds contempt?"  Maybe your team leader needs more real work to do.  Don't let it bother you.  Just do your part and forget about it. 


One time I told a national bigwig (because my opinion was requested) that if I were asked to draw a cartoon which described this company's relationship with its MTs, I would draw the MT in a cage, sitting at her computer, with a (particular) "suit" poking the MT with a big stick, saying "They produce more when they're angry." 


Fortunately now I am a happy IC with a very nice company that treats its MTs with respect.  Ya have to kiss a lot of toads in this life, ya know? 


 


 


Probably would depend on a lot of variables.
what I would do. I would have to be in the situation, I guess.
There are so many variables involved that you

really can't compare things.  A lot of the people making that money have their own accounts or are working many hours.   You don't know if the person making 60,000 is an IC and has to pay their own taxes.  IC positions generally pay better than an employee position.  One acccount may not pay for spaces or headers.  You might actually be doing the same amount of lines, but they aren't being counted. 


At one time it wasn't that difficult for someone to make that amount of money if all the variables were favorable.  These days it is harder because line rates are overall lower and companies are always reconfiguring how to count lines in their favor.


If you are pleased with the amount of $$ you are making that is all that really matters and I would not feel that you are inadequate. 


Lots of variables

There are a lot of variables to what you are asking.  It also depends on what your definition of good money is.  I have a FT job and a PT job, both of which pay 8.75 cpl.  I average about 200 to 220 lph, so it's a good living for me.  I don't have any credit cards, my car is paid off and my mortgage is fairly low.  I also don't have a family - just lots of cats.  I should qualify that the FT job doesn't start until January.  I had a FT job in-house at an Oncology practice up to about a week ago making $14 an hour.


I work for Landmark part time (and I've been VERY pleased with my association with them so far) and the new FT job is with Probity.  I've read mixed reviews of them so far on this board, but my dealings with them so far have been very good and extremely professional.


Lots of variables
There's a lot of variables that go along with that, primarily on how good your Expander is and how much you have in it.  I happen to know from the last couple of days that I am more than twice as fast with an expander.  I've been typing without it because of a software glitch.  The company I work for wants every abbreviation expanded and I do mean everything.  I had to type percutaneous endoscopic gastronomy tube out at least 6 times for a 25 minute discharge summary.
The problem is they are trying to standardize that which has too many variables.
Important details in documentation are going to be left out. Patient care is going to suffer. Forget about our jobs, we should worry about the medical treatment we will receive from doctors who do not have our full and complete histories.
But there would be variables at ANY line rate. (nm)
s
Wow. I don't know that there is "an average". So many variables here.
Depends on if it is known accounts or new accounts/dictators; familiar specialties, etc.

My overall average line count in transcription is about 275 lph. This would include HPs, Ops, Dis, Cons, ERs, clinic notes sometimes and anything else that might pop up here and there like a procedure note, etc.

I know as many MTs (or are we considered MLS's now? lol) who average much more and those who cannot make that.

Guess I didn't help much, huh?!

There is a reason they are called variables.
The most lucrative setting is where you get paid a better than average line rate to produce reports dictated by clear-speaking doctors who say the exact same thing for each work type and never backtrack while you work on a platform that has no headers, footers, or demographic entry that you don't get compensated for.

However, that is hard to come by so you will have to decide for yourself what suits you best from the options available to you.
There are lots of variables. How fast you

type, do you use an expander, do you have good dictators or lots of ESLs and crappy dictators, is the platform user friendly, are you doing acute care of clinic, do you have lots of normal/templates, do you get paid/counted for spaces, gross line versus 65 character line.


You really can't compare yourself to anyone else.  A lot of people (not all) care about producing lines and don't care about quality of the product.  They refuse to proof reports, say that is what QA is for.  Some people just seem to have a talent for MT, have lots and lots of expansions/templates, have an extensive knowledge base so they don't have to look up much.  If you do clinic you tend to have one speciality and only a handful of dictators so you can make lots of normals so you can produce more lines.


I can do 2000 lines/day on occasion, but can't do it every day.  I've done 3000 lines before, but that is rare. 


Line rates can also be regional. Too many variables to
give somebody else hope that they might someday get the same rate. If you don't like the rate an employer offers, don't take it -- that's the only way to make them listen. It's not the baloney you seem to think it is.
neither slow, nor stupid, but I think there are lots of variables that need to be addressed..
such as all the crap some companies want you to put into headers, cc's, etc., and make sure you know every word in the client's profile and check every day to see if anything changed - (of course, they don't PAY for time spent researching client profiles) - it's like "who's on first?"
There are so many variables at play that it's dangerous to compare to others along these lines. s
I know that there have been occasions when I've had a run of one of my more familiar docs -- one for whom I have a lot of canned text and who tends to dictate with a great deal of regularity, and quickly -- and I've been able to break the 500 lph barrier, but only briefly. Otherwise, working a large hospital account as I do, with dozens of regular docs and a hundred or so others who just crop up now and then, I can't conceive of anyone averaging anything close to that ... I'm luckly to average above 250-275 lph on a typical day, and some days -- when it's resident and ESL heavy -- that can go down to 150-200.

But, again, it's really pretty silly to compare lph between different MTs unless the variables are the same.
variables: clinic v. acute, employee (benefits) v. IC (pay taxes);
nm
Patti, I'm a big fan of yours
I always make a point of reading your posts. You should do some sort of column. The networks do pay well for transcription. They can afford to only charge $20 per transcript because they sell hundreds of them. Keep in mind that the Transcriptionist is producing a product that they mass produce and make a huge profit on.
hi patti ...
I'm in lower Westchester County, NY, about 1/2 hour north of NYC. Do you know of a good, reputable MT company that I can contact?

Thanks ...
Joanne
Thanks Patti
I'll ask about it again this evening if there is still no check in my mail box when I get home.  At least I am not doing this full-time.  I have an outside FT job and I do this in the evenings for supplemental income, but I still need it as I am on my own. I have learned my lesson about not signing a contract again that states I get paid when the client pays them, never again.  I've started sending out resumes, might as well get ready to move on. 
thanks again Patti...
I was just doing the math for the 3$ per page with sample copies in Word, and it wasn't adding up (many more lines on a page than I had anticipated. I thought a page would only have 30 lines or so...not!) You all are GREAT. All this advice is helping tremendously.
Patti, you are right...
I used to have my own accounts and at my highest, I made $60,000. I have gone to remote only and my income has dropped significantly. I just wanted to give my input and back you up, you are absolutely right!
To Patti

Hello Patti


I definitely agree that this can be done.  I believe back 3-4 years ago, you might have been the one who inspired me to get my own accounts and even offered me wonderful technical information.  I am not sure though.  Anyway, I am offering you my support.  I make about $30/hr, but I only work about 7 hours a week as an MT.  I have great dictators, use expanders, and charge 0.13 cents per line.  The other MTs in the area charge about 0.15 cents per line, and the one that I asked said she made $45,000 last year working part time.  It can be done.  Good for you.  Keep up the good work!


Patti - sm

Their fee is $40 a month, which I didn't think was too bad.  The total I will be paying them is almost what I am paying now.  The difference will be the interest rates and time it takes to pay them off.  My husband is really upset that we are going to do this, but as I said before, I don't see any other way.  I am keeping one credit card with a low limit for emergencies, travel, etc. and the rest of them will be history!!  When I get out of this mess, it will never happen again.  Again, I appreciate your info.


Patti....

you don't need to explain yourself to Tikki (aka Kikki) or anyone else on this board.  You took a bashing about the cookies and now about tapes, and money for gas, and on and on and on and on.


You are obviously a very successful and talented MTSO/MT/WOMAN.  I admire you.  May you continue to have good fortune shine down on you.


 


 


Patti, maybe if you... sm
explain to her that not capping a brand name drug would be like you lower casing her name (or the doc's name). Maybe that would help.  =)
Hi Patti!

Boy Patti
You've been one busy little MT today posting left and right under all these different names of yours about your 1,000 sq foot mansion on the water and your hefty checking account of $20K a year!  Okay, it's gorgeous, the most beautiful home we've all ever seen and could ever imagine having and with a yearly income like you've got, well who needs to win the lottery?  LOLLOLLOL.
Patti - sm
Could/would you be willing to post a picture of the views?