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Serving Over 20,000 US Medical Transcriptionists

I have learned not to burn bridges in this industry..sm

Posted By: BarbS on 2007-02-19
In Reply to: is giving notice required? - MemphisMT

Yes, I have burned bridges, I'll admit, and everytime I remind myself what a small world this industry is.

Managers and owners changes names and owners. One day so-and-so will be with this company and later with a company you're working with.

We have a small company, not a MT company, and the corporations will just find another contractor without any notice whatsoever, usually when they change management or whatever.

But, we always let them know professionally and politely if we are no longer to do the account. Word of mouth is our greates form of advertisement and we don't want to jeopardize that.


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ABC told Star not to come to work anymore because of her stunt yesterday. Burn bridges, burn! nm
x
Never like to burn bridges
as someday I might want/need to reapply to a former job. As long as the company was decent to me, I have always given notice of some kind, usually two weeks. On the other hand, if the company was totally horrible, I would probably jump ship. It just depends on the situation, IMO.
Never burn bridges. Never know who may go
x
I am not one to normally burn bridges. I am just upset *sm*
because I thought I had such a good chance at getting this account and I know that I could have provided better quality of work and a faster turnaround time; two things that I thought mattered.  This is the closest I have came to obtaining my own account and I have sent out hundreds of letters with proposals.  I know it is a competitive market but some day I am going to hit the right place at the right time.  It is sad that it is who you know and not what you know because I have seen people working in certain positions that I have no clue how that got there.  Thank you for your response. 
I would be inclined to take the job you really wanted but try not to burn any bridges
with the job you don't want - either going part-time with them or something - easing out gently if at all possible in case the other job does not work out and you need to go back with them....Best of luck if you get the new job!
Call old company. If didnt burn bridges, would
x
Burn, baby, BURN! ]:-)
I agree wholeheartedly! BURN that mutha! Our new boss has been trying to inflict that AAMT "Book of Style" crap on us for the past few months, and even the doctors we type for don't want things done that way. All our REAL dictionaries and reference books have it as "q.i.d.", "q.a.m.", etc. And it can be EITHER "ml" or "mL"... both are correct, it's just a matter of preference. I agree, it just a bunch of snippy little nitpicking minutia they are worried about. Our boss is now so worried about periods and commas, that she doesn't even see the forest for the trees, i.e., she doesn't notice that we are all well-trained, hard-working employees who are turning out high-quality work. Alot of the things AAMT gets so anal about are just matters of preference, and we have always gone with that our DOCTORS want, not what the boss says we have to do in order for her to feel important and in control. I don't work for HER, I work for my DOCTORS, so I still do things THEIR way!
Jeff Bridges. nm
x
Never learned it? Hah! I learned it and still didn't like it.

I'm not talking about roads, bridges, etc.
Roads and bridges, etc., are for the good of EVERONE. What I am talking about is that people are too lazy to lift a finger to help themselves, such as being prepared by filling up some water jugs, stashing a few cans of food, etc. If you buy one extra can of food every time you buy groceries, it would not take long before it would add up, so there is no excuse to not be prepared.
Unfortuantely this lady has pretty much burned her bridges with everyone years ago. sm
No one...and I mean no one will set foot in that house to relieve my in laws. It is a very sad situation.
Burn-out
I, too, have done this for over 30 years and am just about fried. It's the same thing, over and over, except I worked for a private group for over 26 years--they purchased new equipment and they didn't want to pay me what I had been making. They never came out and told me that but that is the bottom line. . . money! I figured with my expertise and years of experience I should be paid more than the gal they hired that can't even spell English let alone medical words. My daughters all tell me, "Mom, you've done this for so many years now. Quit and do something different. Like work at Joann Fabrics or ??" I do love to sew so (I like that word combo, don't you?) perhaps I should look into that. I am officially retired anyway but worked on a contingent basis for five years making very good money--not line count pay but a good hourly wage. I am working for a company now on a contingent basis online; however, it is so contingent I made $25.20 last month! I don't know what I'll do with all that money!!!! Ha! Sounds like we should all just do a 180 and start over with something new. I hate to lose all the info stored in my brain over the years but after reading all these posts, is it really worth it anymore??? Another Oldie!
Burn the BOS!!!!


I think the authors of it are bipolar anyway because they change so many snippy little things between every edition.  The doctors could care less about the BOS.  I mean really, who elected the AAMT to speak for all of us?  I certainly never joined their offshore-loving organization.


 


Burn out

I think it sounds pretty normal.  I type specifically x-ray accounts right now, that is the job I was hired to do, and I feel that after years of typing, this is about all a I want to do!  But, I recently accepted a position as floater, and that means I have to do stat xrays, but also typing x-rays that need done in the TAT that is specified for each account....but when the x-rays are low, I hve to type whatever account needs help...this could be surgeries, H&P, etc......and lately, as you said, the xrays have been low, and i have been getting more and more of the other accounts! 


It can be confusing and frustrating because each, as you probably know, have different account specifics and different things that need to be done.  The only reason I like this and have agreed to do this is that the company I work for offered me full time but at an hourly rate.....I think this is awesome and really the only reason I don't get too upset with the different accounts that I type....I think, well yes they are time consuming, but I am getting paid by the hour, which gives me a little breathing room to look up information and make sure I am doing the report in the correct way!


Good luck, and if you would like to know the company I am working for, as I have found they are the BEST to work for.....just let me know, and I would be glad to share that information with you!


 


burn out

Been doing MT for 31 years and have come to the bottom.  I'm quitting the national I've worked for for 6 years because of the stress  of working for them and am going to try to transcribe part time and edit part time.  Haven't been allowed to take a day off since end of Sept.  The only problem is, will have no health insurance and now I'm probably going to be even more stressed about my finances.   Am looking to get out of MT altogether-one way or another.  The national sapped my will to MT!  (and almost my will to live ).  I'm not a fast typist anymore (and I say typist because the national didn't want an MT, just a fast typist), in fact, it's sometimes physically painful to type and production is the only key these days.  In fact, had the national tell me they didn't want knowledge and experience, just production.   Very demoralizing to have someone tell you that.    Anyway, out of there in one week! 


burn out
I have been in this business for almost 20 years and I am not surprised about your situation.  It seems that medical transcriptionists are supposed to work like dogs all the time.  I have had to battle to get time off in a number of situations.  My coworkers seldom took time off as they had no life outside their job which I did.  I have a full and enjoyable life.  My husband and I love to fish, camp, bicycle, snowshoe, ski, etc.  When I took off in my last job my employer who had personal problems besides had a mad look on her face when I came back and treated me coldly for about a month afterwards.   I really believe the reason we are treated like this is because most of us are women.   They think they can take advantage of us.  Right now I am looking for a new medical transcription job on the Internet.  I am appalled on how many companies require their medical transcriptionists to work every weekend.   Don't they think we need a break?  That's why so many of us get burned out.   Good luck.  Hope you get a break.
Burn out
Remember to get enough exercise and eat well and get enough rest. Going back to school sounds like a great idea. Taking some time off on a regular basis is also important.
Burn out

HOw do you combat burn out from MT. MT is all I can do right now. I do not want to start at the bottom of any job....Maybe a WalMart Greeter for a few days a week would work, but I am not about to go to work in an office where some 20-yo chicky will tell this late 50-yo chicky what to do.....


so how do you deal with burn out?


 


 


I SAY BURN THEM AT THE STAKE...

 just kidding of course !


Total Burn Out
Well, I've tried everything to change my attitude & outlook & always feel I've succeeded until I log on every morning & encounter the worst of the worst ESL or American Doc on a cell phone dictating 50 feet away from the mouthpiece with every extraneous background noise imaginable! I can handle a few of those in a row, but that seems to be the majority of what I now get, with dictation times varying from 3-4 hrs or more apart to minutes - depending on who the doctor is.

I'm seriously questioning why I'm doing this to myself on a daily basis as I, too, have only seen my income decline, my hours increase, & am mentally wiped out at the end of the day. I'm doing good to fix something for dinner, let alone anything else that needs to be done! I just seem to sit here in a daze and/or stupor every evening - telling myself tomorrow will be better!

And, Whining Wendy, you're not alone. I thought the days of crying out of total frustration & despair ended in the 60s when I was a "Newbie". Wrong!! During the last 2-3 yrs, this has & is being encountered by me almost on a daily basis - & I'm an "Oldie". In years past, once you mastered deciphering an accent, doc, etc., your days of frustration were over. Now, working for a National, I have found that every day is filled with different, new doc's, new accents, etc. Problem arises when after you finally master an "impossible" dictator, you find that in 6 months or more, since you were so "good" - you get all of his horrible, undecipherable dictation again - none of which is consistent nor repetitive of prior dictations. Back to frustration level 1.

I hate to say it, but my love for this profession has totally been annhilated. Really wish I could offer words of encouragement or suggestions but, at the moment, I have none. I'm just really saddened to see how many of us feel this way & what has happened to a once highly regarded, elite, "profession."

Never in my life have I ever pictured myself working at "Bob Evans" (Geez - could just picture it all now - dumping trays of food, etc.); however, went to dinner there the other evening & they had an Ad posted in their window for help wanted. Jokingly, told hubby I thought I'd apply for the job. Sad thing is, his reply was that I'd probably make more money & be less stressed!

I don't know where we're all headed & wish I had answers & a magic wand - but I regretfully don't. I do know I'm seriously looking into what other options are available to me.

Sorry all - just venting after a very, very bad week, on top of my normal very bad weeks, only now with a Bonus offered until the end of the pay period. Just another stark realization that with the dictators in my pool, that is an impossible, unattainable bonus to achieve unless I want to work 24/7 trying to decipher such. My price to pay for being an experienced, good, at-home, Oldie?
ha ha ha crash and burn

if and I repeat if you are doing that much you will


crash and burn.  you either pace yourself in MTing


or you leave pretty quick.


but unless you are doing only OPs or only ERs i


honestly doubt you are doing quality work of acute care


with all the crap that comes with the docs not being able to


enter right numbers, say right names, say decent drug doses


or even say the drugs correctly.  nope doing all the leg work


necessary to do most acute care, you won't do 2800 lines in a


decent number of hours a day to have a life.


I did it for years - then I got burn out! sm
I guess the key to not burning out is not to do it every day. If you can work two jobs (1 FT and 1 PT) make the PT job 2 or 3 nights a week and not 5. That helped me during my burn out phase. To do it every day 5 or 7 days a week is just too much. You will feel like you have no life, no "me time" and no time for family and friends. After a while that starts to wear on you big time!

Good luck - Hope everything works out for you!
Burn out after 11 years
Today I absolutely hate this job.  Tomorrow may be a different story.  The monotony of typing all day is really getting to me.  I need to work smarter, not longer.  My goal is to work 30 hours a week and get paid like I am working 40.  That means minimizing interruptions (like surfing the web, talking on the phone, etc.) and constantly adding Auto Corrects (we don't have an Expander in our hospital system except for this).  The only thing that keeps me going is the flexibility and great pay at about $22 an hour with full benefits (as I work for a hospital).  I can try to increase my hourly wage by several dollars as we work on a base salary plus an incentive program; that would allow me to cut hours without sacrificing what I am used to earning. 
Can relate to burn-out

I know how you feel.  Been doing this job for 22+ years and I feel like I have to fight myself to start each day, my productivity has gone to the dogs and I need a major break, which is impossible to get.  The apathy concerns me because I've never been so unmotivated in my entire life.  I cannot afford to take off and I cannot afford to keep doing what I'm doing.  The more burnt out I get, the less I produce and the less I produce the less time off I accrue (as in zilch).   I understand the rut you're in.  I sometimes wake up crying, knowing I'm going to pound my brains out for nothing.  The harder I try, the worse it seems to get.  I used to be a huge producer in the past but I am so fried right now that I can barely stand to log in to work.  My back hurts, my shoulders hurt and I'm so sick of sitting here watching my life go by that I feel like I've melded into an extension of my computer and foot pedal.  I've never been this burnt out before and it has taken me by surprise.  My family, friends and even my physician are on my case about not having a life but I don't know what else to do for now. 


There was a time when burn-out was recognized in this field and steps taken to prevent it.  But now the theme to MT is "mush, mush, mush! 24/7."  I sometimes envision someone cracking a whip behind me like a horse, then putting me in the barn wet.  And like that horse that has gotten too tired and just lays down, I'm becoming completely ineffective.


 


You will burn out...in time... I know, I've been there

Did over 250 minutes (100 being mininum) of dictation in 7 hours with breaks...stayed at the grind while others workers too their time, chatted and barely got the required 100 minutes... I've learned to slow down and just be happy producing quality work instead of having to be the "top" because I've found you can't keep that pace up forever. I was young and needed the money and did what I had to do. Do it while you can.


RAM can burn out or become infected. Here's a way to check.
Open your computer and locate your RAM. Remove 1 and restart your computer, check how much RAM. Replace that and remove the next, repeat. My computer has 3 slots for RAM, I don't know how many your's has, but remove each one and check. This will help you figure out which chip is bad or if several are.
gotta burn my prairie...
we have about an acre total of reconstructed prairie. It needs to be burned every year to wipe out invasive plants and create the best growing conditions. What huge flames we get when a little bit of wind picks up. Looks like this weekend will be good for that job.
About once a year I get burn-out, but I've always been able to
shake it off by taking a few days off, adjusting my schedule, etc.   This time I just can't seem to do it.   I absolutely have to work as I am the main support.  The bills are still getting paid, but we need a new roof, new windows,  furniture needs reupholstering.  There just hasn't been much extra money lately to put away for these things.   I need to be at home 6 more years and I couldn't get a job in an office making what I do now so I'm kind of stuck.   I am exploring other avenues though that will allow me to still stay home and work, plus I'm selling things on E-bay to try to help compensate for my low line counts lately. 
It's called burn out. I suffered it, and never recovered. NM
x
I never knew you could burn them. I've had them ground out
nm
careful - that's how sound cards burn out...sm

I have my speakers plugged in behind the tower as I was told that if you plug your earphones directly into the tower you could blow out the sound card.  I'm no maven but it's what I was told. 



I burn through keyboards like they're goin...

outta style, so I'm no help there.  However, I do have joint pain and sometimes it really flares up and almost cripples me...especially in the ol' digits.  I snagged a pair of these things called "Smart Gloves" from the office supply store and they have been a LIFESAVER on days like those.  I don't use them all the time, because they do slow me down a tad, but when I still need to work and really need the support, these serve their purpose beautifully.  After a few days of using them to support my hands, I'm right as rain again as if it were a weekend. 


I found a link to show you which ones I use.  They've got this bubble of little beads that lands at your palm and at first I thought it would be irritating, but it really is quite a comfortable unit.  I really like that the spine of it, the piece that goes along the back of your hand, is not metal...it's like a super rigid piece of flexible foam...quite comfortable and I highly recommend them. 


Best of luck whatever you go with.  Taking lots of breaks and running your hands under warm/hot water really helps ease the pain too.


Here's one link to that glove I use, but you can "Google" many more:
http://www.imakproducts.com/products/smart_glove.htm


Burn-out, carpal tunnel, RSI, obesity,
blood clots in the legs, very high stress to produce fast and still 100% accuracy, years of training... we are waaaay underpaid.
I usually burn a nice incense--works great! - nm
.
They were pretty quick to burn women as witches
Kinda similar
You burn out, you ask for help nicely, some folks lay on the guilt. I have offered money out of my
But you cannot make anybody do anything they do not want to.   I would rather try and pleasantly ask for help than lay on the guilt.  People send you hate notes whether you are pleasant or ugly though.  I find that even when you ask for help, a lot of the time with the team I am on, it tends to make fewer people show up than would anyway! 
Isnt it easy to burn through 500 lines per hour, though, editing?
s
not only the MT industry
making changes with insurance.  DH works for one of the large telephone companies.  We now have to pay for a larger portion of our Rxs when previously they cost us nothing, plus office visit copays also increased.  It's still better than not having insurance at all.  But, the rich keep getting richer and the poor keep getting poorer!
What does this mean for the MT industry? sm

I saw this *** and wanted to share this with other MTs. What is your interpretation of this? Are we going to be out of work for good because I'm thinking electronic medical records are going to replace us, or am I misinterpreting this statement?   What is your take on this?


"...President Obama has also talked about the need to computerize all medical records in five years, creating a huge opportunity for information technology jobs and data entry jobs."


It's the same as any industry...
You have the bottom, the top, and the in between.  I happen to be closer to the top, but there are so many others who are not at the bottom.  And if you knew me, you would know that I do not have the 'screw everybody else' mentality... and it's not really fair to accuse me of that based on my post, which did not mention anything even close to that mentality.  I just do not believe that we have it so bad in this industry, that's all.  I think we should spend some time looking at the positives versus the negatives.  There are so many people out there who have it way worse than majority of the MTs here.
State of the MT industry

Obviously, you work some place that pays very well and you might even have secure employment. If so, that's great.  Some of us worked for companies that were sold or sent all their work offshore and we had to take jobs where we could get them.  Don't be so quick to judge other peoples' choices.  It's true that in some companies, wages are lousy, but do you really think you'd be a fry cook at the clown's over working from a home office?  If you are earning great wages and have a good job, I sure hope you're able to help other MTs find something as good as what you've got.


 


 


If this industry has become amoral it's because:

MTs for the most part have always been treated poorly, no respect and low pay.  We have to stand up for ourselves and not back down from our line rates because no one is going to look out for us but us.  No, not even the docs and/or the OMs, surprise, surprise!  I say she should go for the full monty.  They get to see more patients and therefore have a higher income.  Why should she have to settle for a lower income because they're smart and use time-saving macros?? 


Men make more than we do in any industry.
Sucks, but that's the way it is.
What is the industry standard...sm
Tried to post this on Wednesday, will try again...I need to know what is the industry standard conversion for minutes dictated to minutes typed?  Not how much do you do - but what is average for one hour dictation - how many hours typed.  Bosses think we're taking too long but we do not get automatic demographics and need to look on log sheets (if they arrive and if they're correct) for everything from patient name to referring doctors, addresses, patient #'s, etc. So I need to give him an "average" number of hours dictated equal "X" amount of hours typed taking into consideration the lack of information, the searching we must do and the various typing speeds.  I'm not going to "judge" anyone's advice  - just need some input from those that have been there.  Thanks for sharing.
I agree - as with almost any industry (sm)
you have to find your niche and the place you can call home.  IMO and experience, you can make $60,000-$120,000/year in MT if you find the right hospital, your own accounts, MTSO and/or area of transcription and increase your skills constantly.  After say 4-8 different gigs and nothing works out, then MT work is probably not for you.  Same for any job, whether it is tech support rep (my former career), mortgage broker, service tech.
Industry Standard for VR Pay?
What is the industry standard for VR pay? Specifically for someone just starting out.
Industry pay is sinking.
With 9 years experience, I was offered 5cpl for straight typing.  Nuts if you ask me.  Yet the company filled the positions with that pay. 
The going industry rates are....sm
Around 14 cpl, 65 character line for transcription, 6-7 cpl for editing.

You can "thank" overseas competition for these pricing because they actually will quote around 8-10 cpl for transcription and 3-4 cpl for editing.

Stinks, doesn't it?

I remember when we used to be able to get 18-20 cpl, gross line and could pay the MT 10-12 cpl and all were happy. Gone are those days - I wish they were back!
You could mention where the industry is going
at all because it may offend someone.  The funny thing is that some of the course outlines on line may give you some great material to go by as it explains it pretty well on some of those sites. I think it is a great career, so I may be biased.  
Please do this industry a favor sm
CHARGE WHAT YOU ARE WORTH AND NOT A PENNY LESS!

I mean it. The last person I talked to about this has her own company. Clinics she charges 14 to 18 cents a line, depending on the difficulty and the logistics of the office. Nope, does not include printing or tapes, they have to call in, period.

For hospitals, she charges 22 to 26 cents a line and she gets it. She usually types as many of the OP notes as she has time for and doesn't sub them out because she likes that. Any lines she does herself goes into the corporation at 100% and she pays herself a salary for all her work, not by the line for MTing she does. She has 20 yrs of experience, all of it in acute care.

She says, DO NOT sell your skills short. Don't try to undercut someone to get the job. Remind these people that they get what they pay for and deliver on every promise, but don't make promises you can't deliver on 99.5% of the time. Incorporating is good, better than not and I know all of the reasons behind that too.

I wish you every luck.
yea but it is industry standard!
and also as i put in my email to my doc... the templates and macros BENEFIT YOU!