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Serving Over 20,000 US Medical Transcriptionists

I hope your 70 MTs know how fortunate they are (sm)

Posted By: sm on 2008-09-29
In Reply to: If you figure out a way for that to happen, let us know. Unfortunately, most politicians sm - MTSO

Your MTs are very lucky. A lot of us would give anything to have a decent-paying job with someone who cares.


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I have been very, very fortunate....

as mine only flares up a couple of times a year, so far, but you change see the changes in my fingers, etc.  I'm very stubborn about everything in my life, like Frank Sinatra.....I did it my way.....don't take meds, don't follow any particular diet, etc.  I do live in Florida which of course helps with the Raynaud's which was a problem when I was in Virginia a few years ago.  Medications do not like me at all, they always cause some kind of problem, so when the pain is really bad I'll just take good ole Bayer aspirin that seems to help a lot.  I'm about 60 years old now and one day will  probably have to do more but for now, just aspirin and ignore it.  Stupid maybe?  Who knows.  Look at all the bad things they are finding out about certain meds now.  I'd rather just trust in the Lord for now; will do meds when absolutely necessary.  As for typing, it takes an hour or two before my fingers really fly anymore but they do still have wings!!! 


Do as I say and not as I do....make sure your friend has a GOOD rheumatologist...they can do wonders for those who find themselves really incapacitated!!!!  If you are in Florida, go to Dr. Norman B. Gaylis in Aventura, Florida.  He really helped me with my first flareup before I moved!! 


consider yourself fortunate
/
I am very fortunate!
All my docs thank me at the end and sometimes will even after a particularly long report will say "Say, I am ready for a cool one--how about it?" After reading all these comments on board, I feel very lucky.
Fortunate IC.

I know very well the difficulty of taking vacation and while I do not take a vacation every year, I have taken time off for a cruise for my 20th anniversary and for three major surgeries.


I have taken my laptop with me on trips and done what I can while away but it's not the same quantity as when I'm home. I tell all my offices several weeks in advance the dates that I will be gone and that I will do what I can while I'm out but they will have to wait until I return for my undivided attention. I have not had any problems with this arrangement. I did not take the lapto on the cruise and everything was waiting when I returned. Yeah, it's kinda of tough getting caught up but I consider it even tougher not getting away at all.


When I had the surgeries, I made arrangements to have other friends take some of my work while I was recuperating; all of the offices have been very compassionate and understanding so I've been very fortunate in this regard.


It's not easy to take a vacation but I have found that if I explain what is going on and give them plenty of notice, they are very understanding. Everyone in the office gets a vacation, including the docs, so they understand when I'm due for the same.


Sorry, that should have been "I am fortunate to have"

Some of us were fortunate

to get started in this field when it was possible to be hired and trained on the job.  Some of us started right out of high school in the transcription department of a hospital where OJT was offered.


After retiring from another career, I took an aptitude test given by MRC, and did well enough that they basically let me train myself in medical transcription.  I spent the next several years with my nose in books, looking up every other word and for the first year listened to every report twice just to make sure my work was okay.  It took a long time to train my ear for ESL dictators.  It was slow going and not very profitable at first, but eventually I began to make fairly good money at it.  I've worked for MTSOs ever since, and currently make $20-$25 an hour - depending.  But now these companies are really putting the screws to us.


Many employers now demand a ''certificate'' from a ''school'' for serious consideration.  Some years ago, with over 10 years of experience with MTSOs, I interviewed with a local medical practice (the type with a staff of physicians and a stuffy professional practice manager).  He did not really understand how I could be doing this without any ''formal training.''  I offered to demonstrate my ability, but once he realized I had no ''degree'' I was not allowed to test for a position.  I have sent my resume to other local practices over the years, but never got an interview. So it was much easier to keep working for MTSOs, who at least would hire me based on experience and testing.


Anyone who has been in this profession very long realizes that it takes years of experience to become any good at it.  However, I don't think a newbie has any way to get a foot in the door without some silly piece of paper from some funky school nowadays.  Am I missing a way that the neophyte can get hired, work at MT and ''hone the craft'' without attending some rip-off school?


Again, here, I've been fortunate...
5' 5" and weight fluctuates between 105 and 115 pounds....so I don't have a problem with weight.  Why in the world doesn't she try a different rheumatologist?  Are you all in a small town?  Believe me, it would be worth the drive to go 2 to 4 hours to see someone who can help her.  The pain is no fun at all; it is deep within the bones; you can't touch it to make it better; all you can do is wait and know that eventually it will improve.  It sounds like she has a really advanced case.  Maybe you can help her find another rheumatologist, no matter how far away; I have seen many patients improve to the point where they CAN enjoy life again....she just needs a good doc!!!  I'll be thinking about her.  Tell her she will not get better until she does something to improve the situation and the first step is finding a good rheumatologist.  She probably needs some help here as right now she probably doesn't care too much anymore, especially if she is drinking too much....I know just went through this with a neighbor.  She was in the deepest, darkest pit of depression, didn't want to live, drank constantly, lost down to 60 pounds and was totally jaundiced.  I called EMS and put her in the hospital for a month.  She was angry but only for about two days.  Now she is a very happy person and looking forward to life, although with some liver damage.  Guess sometimes we just have to take them by the hand and lead them to where they need to go.
Well I at least I am fortunate to have a job I guess

So many newbies can't find work and I have tried in house in my area, gues what they mostly outsource their work, I know Spheris does a few hospitals in the area, So I will try this IC for awhile but I am deffinatley going back to work, I cant live off of this yet and I am not doing this for (stay at home mother) I do not have children... Yet...


Just wanted to give this an honest effort


make that -- If I ever am fortunate
it is very late and I am very tired. Darn it -- where is my spell checker. LOL
We are fortunate to have benefits.
The problem is that we have a person who can transcribe their required line count in 6 hours or sometimes under that.  When there is extra work to be done, she will get on and get her line count in about 6 hours, then get off for about an hour, then get back on and do extra to finish her shift.  When there is not extra to be done, she gets on and off so that she covers her shift.  This Transcriptionist always produces more than the others when there is extra to be done.  We have other transcriptionists who cannot transcribe as fast, but they make appointments in the middle of their shift and take off and come back on and transcribe their remaining lines.  The ones who do not transcribe as fast complain about the one who gets off and on, but in reality, they are doing the same thing in the name of appointments or errands, just not getting as many lines.   All employees have a base hourly pay.  The required line count is 1000 lines per day.  The lines are calculated at 125 lines equaling one hour pay.   All transcriptionists work in the same pools so the work is distributed evenly.   If a transcriptionist transcribes 5375 lines in a week, they are paid 40 hours at base pay and then  paid time and a half for 3 hours, even if they have not actually "worked" 43 hours.  The lines are registered in minutes, with one minute of dictation equaling ten lines.   We would like to go with a straight line count, not minutes, with an incentive program, but our system  counts headers and footers and blank lines.  Not sure what the solution should be.
I was fortunate enough to have an account
where my Expander stats were running 65% consistently. That meant I was only typing about 35% of each report. Expanders are definitely worth the money. I use ShortHand and love it.

I had one doctor I could do 440 lines per hour on. Unfortunately, those are the accounts going to voice recognition or offshore, so I'm unemployed yet again.
You are fortunate to call shots. Most MTs can't
MQ doesn't give a care about cell phones, noise in the background or whatever would keep you from doing the report. Just do it and don't send it to QA but if QA picks it up randomly to "grade" you, you take a cut because your report may not stand up to QA standards. It's win-win for the companies and lose-lose for MTs.
I was fortunate with community college
I took courses through my local community college's continuing education program. The instructors were people who worked in the medical field during the day and taught at night. By doing exceptionally well in the classes and being a model student, I was recommended by a couple of the instructors and got a start at the office where one instructor worked before I even finished my transcription class.

Once I got my foot in that first door, I've been working steadily and successfully ever since. I had only a couple of classes under my belt!

The approved schools are probably the best chance for work after graduation, but opportunities can arise wherever you train.


Also fortunate enough to have a separate room. And
s
Fortunate enough to have a DH who has a very good income, plus...

the fact that we have no debt but our house. There are those people who just have to have everything right now, no matter what the cost. We have 1 fairly newer SUV, paid for, and DH drives a paid for, older commuter Subaru that has over 200,000 miles that he drives 66 miles a day round trip to work. We don't have kids at home anymore, don't pay for college, still manage to save a bit. I'm always amazed at the couples with kids who have an SUV or mom van, a big truck for dad, boat, RV, flat screen TV, etc, and all the payments to go with them and then complain that they are broke. If people lived below their wage there would be no problem. Our next big crisis in the US is going to be credit cards...imagine buying $100 worth of groceries and paying 19% interest forever!


I envy you! But I am very happy at your success! Wish more of us could be as fortunate! :) nm
nm
How fortunate that someone took the time to answer your question.
I was merely pointing out that it was possible that you don't need to spend the time or money to do all of that since I apparently wrongly assumed that you knew what you were doing. So much for the assumption that you were totally aware of all that the process involved. You're lucky that after reading your response to the original post that someone even wanted to bother answering your question.
You're extremely fortunate to get those lines. Too many of us deal
s
You're incredibly fortunate. Many of us aren't even getting offered 8.5 cpl for years of exper
m
I hope this applies to companies like Medquist. I hope there
isn't a way they can get around it. I REALLY hope.
I hope so
I really want to do IC where I am a stay at home mom with a very active 2 yr old and hate to commit to hours until he is older. One other girl did not do IC because of this
Wow, a ray of hope
that's very encouraging to hear! Even though you didn't take the job, at least they seemed to be concerned as to why! Good job!!!
I hope this is okay
A friend of mine is in second place right now in the Staples invention contest. Please vote for Julie Savage and her Glue Swabs. Right now she is neck and neck with a musician, who has the online musician community bucking for him to win.

Hopefully MTs have more pull than musicians.

Oh, and you can vote once a day from each email addy you have.
I do hope it gets better for you.
I am struggling tremendously myself and working many, many hours to get my quota. But like yourself, I have got to have the insurance. It is so frustrating, but I will do what I have to do - and that has been a lot of praying here lately!


I hope so,

Oh boy, I hope I have this right...sm

He was told to follow up.


He presents for followup.



I hope you
are not still doing any work for her.  If you and she live in the same area, I would pay a friendly visit.  It's very easy for people to ignore emails.  If you speak with her face to face, even if she is unable to pay you during  your first visit.  She will find a way to get your money if she knows that you will come by again. I would continue to drop by occasionally and just say, I was doing a pick up in your area and thought I'd stop by to check the status of a few outstanding invoices.  It couldn't hurt.
Yes, that's my only hope
Maybe enough people will quit that there will be work.  I'm going to wait for the packet and read things over, then decide what I'm going to do.     
Still hope
I've never worked for a National - they turned me down years ago which was a blessing. Sent out letters to 75 local docs and now work for 3 at .15/line. Have you tried doctors in your community? Have to buy my own medical but still well worth it!
That gives me hope...
MQ is "rewarding" me for my dedication and expertise by routing the longest reports and foulest dictators to me simply because "You're the only one who can do them - you should feel complimented." I'm paid by the report so no matter how much I am paid - I'm screwed. Your post gives me hope that there are companies out there that don't operate like this. Thanks!
I hope you mean I just DID it. nm
 
Some hope
I don't exactly agree. I think the best MTs, those that save MDs the most time, have the best chance of continuing to work in this field. I found a job in RADIOLOGY, for goodness sakes, and because the MDs are confident that reports I produce make sense (and these particular MDs actually care) so that they can concentrate on their other work, I believe they will keep me around. I think the MTs with large vocabularies (especially for the dying language of ENGLISH), will be able to find work for years to come. Make sure you continue to educate yourselves and don't daydream while transcribing just because you've done this for 20 years and know all the terms. When you are not valued in one job, look for a place where they DO care about quality. It helps to be where the MDs can talk to YOU instead of a medically uneducated supervisor. Just my experience.
I hope you don't....
shop at Wal-mart or other organizations/companies such as that!  You can't talk out of both sides of your mouth!
I hope someone else says it....
wow
hope this will help....sm
http://www.medicalese.org/line_count.html
Well, 3 is what we have...hope that is

it! She seems to be doing ok with them so far...she is so young we were worried about her, but so far so good! We live in the country, cats get dumped here all the time..so unfortunate because not all cats can survive as some people think. We live on a very heavily traveled road, there are coyotes, and other hazards for them to avoid! We will keep her and her babies, actually have someone who wants one of the kittens. Mom will get spayed ASAP, babies when ready. We also have 7 other cats, all male, who were stranded out here also, they are getting neutered next week. We have a barn cat/feral cat program in our county so it is a reasonable price for spaying and neutering, plus I am hoping to get a quantity discount!


I hope so.

My other two pregnancies were totally different.  I had energy throughout the entire nine months.  However, this is the first pregnancy that I am actually working from home so I believe that is the difference.


I have one of those, and she is an ESL. I am sorry, hope your day goes better!
x
I hope you are okay...

Let us know what happens.


I sure hope so.
thanks for the support!  I'm just not too keen on OPs even though it can be part of the job.  I just find the majority of them boring!  Hopefully I'll slide past them.
Now I hope I don't cause
a commotion with this post, but I have to ask. I have 9 years of MT experience, what should I be making per line? Sometimes I feel like I'm being shorted. Any input is appreciated.
I hope, but ...
I'm glad if your hubby's cellulitis is getting better, but "pocket of infection" sounds like abscess to me??


I hope so cuz...sm

I don't know why it would matter which cable my internet comes through as long as I have DSL, which I do.


Thanks!


Yup. Thanks. Hope you get some
help also.

Must be nice to have a job where you can decide somebody is a nut case so you won't have to figure out a diagnosis, right?

Some expert already e-mailed me with a site that has treatments people have tried for this in case that's what mine turns out to be. Apparently there is a long incubation period between the appearance of the sores and the worms popping out of the skin. Lovely, right?

I cannot imagine being the first people to get this disease and having nobody who had ever heard of it. I would have assumed I was nuts and would have had myself committed.
I hope you can help me out on this
My husband ordered a Dell and there were 3 packages that came, the first was a very small 1 that had some wires in it plus ?? The next 2 were bigger boxes. The smaller package was opened and I have misplaced. I called Dell last night and they did not know what was in the first. He bought off 1 of the shopping channels. Do you know by any chance if you got a little box first and was it absolutely essential for running the Dell? I am in BIG trouble I think if I don’t find. Thanks!
I hope you don't use your

personal PC for this - you could get a nasty virus. At least with the company PC, they can fix it or replace it!


Thanks everyone. Hope I get the job! nm
.
I just hope...
that since the Indian MTs are reading this board and seeing what the US MTs are charging, that they may up their rates - especially once they realize that while we can just pop up a civil suit for payment (pain and if judgment proof, you're also out legal fees), but they don't even have that recourse. I wouldn't even so much mind the offshoring IF we were on a level playing field. Anyway, just hope that they are beginning to realize that the more they undercut us in cpl, the more likely they are to get more of the "sharks", too, but that they have basically NO legal recourse, which is only further encouragement for the predators to deal overseas, leaving us with more work from the reputable MTSOs. When they started this "price war", I don't think they foresaw the pitfalls, and while I hate seeing anybody (US or Indian) stiffed, it will hopefully awaken them to the fact that undercutting prices does nothing but hurt everybody in the field in the longterm, and I really don't believe that the new Pres is going to be able to make large strides in this area, regardless of who is elected, as I don't see it passing congress, though I could be pleasantly surprised.
Is there hope for me?

I have been an MT a little over a year.  I have multiple acute care accounts ... some easier than others, but usually get a lot more of the ones that slow me down.  I have many dictators and still haven't typed for all of them to date.


With all the various things that I see as a problem from night to night (tired, foggy brained, fumble fingers, etc.)  From what I can tell, it mainly comes down to the report content and which dictators I happen to get that determines how many lines I can type.


I have trouble with some dictating in a goofy rhythm, changing their minds continuously, saying things in the wong place (and having to figure out where I should put it), being just plain difficult to understand, etc.  (Also getting a bunch content I am not familiar with and having to look a lot up.)  I know time and experience is a big factor, but I have been told by an authority figure in the company that many people are faster at this point into their career.


I just don't know how to get past all that and have a consistent line count, and I am losing all motivation when day after day my line count is pathetic.


I use lots of expansions and tweak them when I see a better way.  I am at a loss here and would love any helpful, ecouraging advice.    Thanks! 


I hope...
I would definitly hope that you are wrong considering the tons of us who are currently in school to get into this profession. I have found that for every person here that is unhappy with the world of MT, and looking to get out, I meet 3 more who love their jobs and aren't concerned with the future. I don't doubt that things will change drastically in the next 5 years, I just don't see there never being a need for MTs. I hope that you find yourself much happier in your new venture. Decorating cakes is fun!!
no hope
So I threw my MT certificate in the garbage today. I don't ever want to look at that thing again.