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I suffered from major burnout about 4 years ago. sm

Posted By: searchings on 2007-05-04
In Reply to: burnout/changing companies - tiredMT

Was at a major company that I liked for a year, then they made some changes and it was a nightmare for the second year.  I went to a smaller company for awhile, they were great but I found it harder and harder to sit down and pull reports.  I got to the point I was only doing about 300 lines a day.  I made a change to a small company as IC, and chose one where so many minutes were dumped on me for the day.  I knew I had to finish those minutes, and before I knew it I was back to about 800 lines a day, six days a week.  That is all I can do without developing CT myself; I have learned this over the years.  Now I'm starting some editing part time, so I can earn more without losing the use of my hands.


If you already have CT, you might have to get into something different, like editing.  It doesn't seem realistic to keep working, knowing you're doing more damage and will shortly be unable to work anyway.  I'd be looking for a change.


Whatever you do, try to find the motivation that works.  I didn't find thinking about unpaid bills or setting a financial goal each month helped, it just made me depressed when I couldn't reach it.  I focused on the positive, like being able to do 50 lines more daily this week than last, adding minutes each week until I reached my goal.  I also make sure to take two weeks off at different times each year and go some place at least once, something I neglected for years.  I come back refreshed.


Best of luck to you; it's a difficult situation.


 




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It's quite obvious from your post that you have never suffered....sm
from depression and I take it from your moniker that you are a man, which explains a lot. Please refrain from commenting on things you obviously know NOTHING about.
It's called burn out. I suffered it, and never recovered. NM
x
I nearly suffered heat stroke taking a bike ride in 105 degrees.
dd
Three-job burnout
A co-worker took on a second and now a third job. I can see where in trying to get a "balance" her work is suffering especially in turnaround time and also some quality issues. I believe that if you take on additional work, your first obligation is to your first job, second obligation to your second job, and so on. If the second and/or third jobs pay more, that matters not. I think it is called honoring your committment. Anyhow, too much work will eventually leave you burned out and you may end up sick and/or running as far as you can from this work. Would think very carefully about divying yourself up into too many pieces. Best regards.
BURNOUT?
So, if your post is correct it seems you probably need a vacation, at least. I have done what you say you do and, believe me, it can suck you dry. It is hard to do so many things 24/7/365, used to find myself sitting in my chair at home in the same pajamas I had on 14 hours before. I found I needed a better quality of life. My best advice to you is to take a break and post us when you get back and feel better and not so offensive/defensive. Good luck.
burnout
WOW - I couldn't have said anything better than these posters. Have been there several times over the past 25 years - the last after my son died, and am so thankful I didn't get fired the several years it took me to get back up to speed afterward. Truly, maybe working inhouse would be a good thing for a while for you.

Love, blessings, hugs, understanding.
Burnout
Would it be possible for you to take a part-time job doing something -anything - else to get out of the house and be with people and cut down a bit on your transcription hours?  I know you have to make your bills, but if you're not producing would you be losing a lot by trying something else?  Or maybe at least ask for a different account?  Or maybe find a different service for whom to work?  I know this is scary to think about, much less do, particularly as we age.  My guess is I'm a bit older than you, having been in transcription for 31 years, but perhaps not.  Perhaps you are a late bloomer (she smiles).  I've been where you are, and sadly, the road I'm traveling down at the moment is starting to look familiar, like I'm headed back to that same spot.  In my case, the first time around, I took a temporary part-time job in Geographic Information Systems for a local municipality.  I'd taken the classes for fun at the junior college but had no experience.  I was given very low-level work, but it was different from transcription, I was learning more about GIS than I had at school, I loved it and the people were super!  When I came home to start transcribing, I was in a much better mood and production increased.  I hope you can find something, because your pain is coming through loud and clear.
ahh, burnout

After about 12 years of being an MT, I found myself suffering from burnout.  Right about that time, I was offered the job of 1st & 2nd grade teacher at the tiny Christian school my kids attended.  I was really looking forward to something new.  After only 2 months, I was over my burnout but I was committed to finish out the rest of the school year.  It was the longest 7 months of my life.   


I think the burnout came from having had the same account for so long (nearly 10 years).  Every day was the same.  Maybe just learning a new account or a new specialty would help you get over the burnout.  Although I hate the pay cut that invariably comes with any new account, I always feel proud of myself for rising to the challenge and learning new things.  It keeps things interesting. 


This may sound silly, but do you have any scenery where you transcribe?  I sit in front of a picture window in my office and watch the birds and squirrels.  I have become quite an avid birdwatcher while I work.  It doesn't take a lot of time out of the day, but it gives me something else to look at besides the computer screen. 


on the edge of burnout
It sounds like you're on the edge of burnout.  I was there a few years ago.  You just have to force yourself to stop working at 5 (or whenever your shift is done) and close the door and not look back at that computer.
Dealing with burnout

Hi:


Is anyone out there dealing with burnout due to their transcription job? I have been doing this for 7 years as an Independent with only 1 vacation in that time. I work weekends and holidays and feel like I am about ready to yank my freaking hair out from the responsibility!!!


Lynn


How do you handle burnout as MT? Any
suggestions would be greatly appreciated. I've only been doing this for 7-1/2 years and I've about had it with all the junk.
severe burnout

I just can't do MT anymore.  I've been doing it for 30 years, the last 6 with a national that begins and ends with an S.  I so tired of their lies and garbage.   I also edit as an IC which I enjoy but can't get steady hours.  I'm presently on intermittent FMLA from "S" for my mom who is a paraplegic and they're giving me all kinds of grief over it.   My supervisor is doing everything she can to put roadblocks in front of me. She won't me change accounts permanently.  I get put on an account I'm good at and can get good line counts on for awhile and then I'm put back on the account I told her I hate and can't make money on.  This happens over and over again.  She also won't let me taking an editing job or change my hours.   I received their "certificates" for quality and attendance, but not for production which is the only thing they care about since only 62% of the company made 98% or more quality.  Some days I just can't sit and work.  I'm totally burned out and the above doesn't help.


I'd leave in a minute if I thought another place would be better, but I'm not convinced it would be.  Add to that the fact that I only have dial-up, need health insurance as I am single and can't afford a good computer at this time. 


Sorry for the long post.  Just needed to vent.  Has anyone been in this situation?  What can I do?   I'm working 50-60 hours a week and still can't make a living.  I'm really ready to go on welfare rather than keep working.


 


So your answer to the the OP's burnout
the boss and I am a child.  If that is what you got out of the post, then I AM SO RIGHT ALL ALONG!!!! 
burnout/changing companies
Hi everyone - I post here frequently but I need to remain anonymous for this one; hope you understand.

I'm looking for thoughts from MTs about whether switching to a different company alleviated burnout. I am trying to figure out if it's MT itself, or just the service I work for, that is causing my severe burnout.

I'm on the verge of hauling myself to a doctor for antidepressants (paying out of pocket, of course... no psych insurance coverage as an IC!) and my line counts have dropped drastically. I have bilateral CTS to boot. I'm struggling pretty badly with all the "classic" burnout signs.

Thanks all!
Taking a vacation due to burnout
MTs to boost production.  Having contests to see who can do the most is more like something a 12-year-old would do in my opinion.  Furthermore, this is not a game people play.  This is a job.  The doctors are relying on transcriptionists to do a good job.  We cry we want more money, we have to work for it, and then we cry that we're burned out????      Get a life!
Plain and simple burnout.

I used to carry two pagers for two hospitals all by myself, 24/7.  They went off maybe a couple of times a month.  The chore of being on-call is now shared with a few other people but now the after-hour pages come in nonstop and I don't know why.  Me thinks some deal was made to keep an account or something but I really am just pulling that answer out of my tuckas.  It's gotta be costing the hospitals a mint to have us at their beck and call like that....either that or they got a really sweet deal. 


The other issue is it used to be a much more laid back environment.  You logged on, did your work, and you were left alone.  You kept an eye out for stats yourself and took care of them, because you are there because you are responsible. 


Now you log on, strike up this thing called Instant Messenger, and sit there at your desk working your alloted shift but can't get up because you must be present if you get an IM for a stat...even though you are already on it because it's your job to be.  Want to take a break?  Yeah, sure, once you finish up this stat.  Oh wait, I've got another one here that needs to be done super duper stat....you know what I'm talkin' about too, lurkers.


Ya know the movie, Office Space?  I'm always referring to it with this company.  You know the scene with the TPS reports, where the fella has 4 bosses telling him the same darned thing even though you already know your job?  That's what I'm dealing with and, yeah, I've been reduced to the mumbling dude who worries about his stapler.


I don't blame my bosses at all, but the micromanaging thing is out of control and I have no idea why it has come to be, because it wasn't like this before.  The days of a happier Hayseed with high line counts and company pride are long gone.  I don't know who works there anymore as the folks I knew have all left, and that's made an impact as well.  Ask for new scenery because of burnout, and all you get is a strokin', nothing more. 


 


Contracts....burnout.......etc....open and read
Hello--

I was just reading your post and I do understand where you are coming from. First of all, let me start by saying I will never do a non-contracted job again and every job that I have is contracted. :)

Secondly, I know how you feel about being "stuck inside"--Yep, been there, done that....burnout. I was so ready to go to work in the big world again. So, I left transcription at home, hired a babysitter and went to work in my secondary field as a medical assistant. After three months of it, I was so ready to come back home, and I missed my transcription so badly...AND MY KIDS.

I came back home, been here again for over a year. I can say it is better this time around, I appreciate MT more and I am absolutely taking in every moment I can with my kids. At least I know when my babies get sick, I will be the one nurturing them..and bringing home a paycheck at the same time. :)

Sometimes it is hard to balance everything at once, and the thought of going back outside the home to work seems like an easy answer, but believe me, it is better to be home. :)
I read a book once that burnout was caused by being out of balance. sm
Working too much and not giving time to other parts of your life is the culprit in the job arena. Variety is the spice of life, so focusing on balancing your job, your need for a good cash flow, with times to enjoy yourself is essential.

It takes work, and fortunately I have an S/O that demands that I take time for us to have fun and for "me" to have fun as an individual.

My kids have suffered greatly from me working at home with them home. SM
I have been working at home as an MT since my two kids were born. They are now 4 and 5. In the first few years, I had no help whatsoever. Their father was a bum who didnt work or take care of them while I worked. Your children get neglected while you work basically. And babies and young children desperately need your attention while they are home with you.

My kids have so many behavioral problems right now because of their neglect. I would try to set them up with things to occupy themselves, like coloring or a movie, etc.

I finally put them in day care and things have improved, but there are still a lot of issues because of the damage that was done. They still try to seek attention by doing bad things and they dont listen to me because they are so used to me letting them get away with a lot of stuff because I was too busy typing to discipline them in their early years.

If I could do it all over again, I would definitely have put them into day care from the very beginning.

My advice would be to seek PT care for your baby. Maybe you can do some work around her schedule a little when she is home, like when she takes a nap, and then bang out a bunch of work while she is in day care.


I do this job with young children around and neither my job nor children have suffered...
It can be done...
There is something major going on here
Accounts that used to be really busy have no work.  Multiple accounts are asking us not to work on their account for the day.  Last night an updated was posted with 100 something jobs available in one account, and then later an oops, sorry, I meant 0 jobs available.  What is up with that?  Don't know what's happening with this company.
French Ed. major
with English Ed minor and Music minor. No jobs around here in Northern Indiana, and extended family is here, so once started having kids, kind of just fell into this work. Love it, though, love using the Latin I had years ago.
We have DirecTV and have had no major

issues.  I have internet through the cable company and have had lots of problems.  If cable is through Time Warner they have the worst customer service.  In my area the programming is about the same between cable and satellite, except DirecTV has just added satellite radio.  I don't know if cable charges per each box, but DirecTV does charge $5.00/mo per box after the first one.  The only complaint I have about DirecTV is that we had a big storm and after that we could not get every channel on every box (we have 3).  We're not sure where the problem is, but for them to come out is an automatic $70.00 and then depending on what the issue is there could be more charges.   When my internet goes out there are no service fees, although it is a pain in the rear getting anyone out to fix the problem. 


With satellite you may have to put the dish in your yard on on your house where it might be an eye sore, but if the dish is on the house they only have the run the wiring down the house and not in the yard.  If you have cable they have to run it from the pole to your house and they barely bury it, so that you have to have it located every time you need to do any planting/digging.


With satellite when it rains real hard we lose signal, though it doesn't usually last long.  When we used to have cable we might not lose signal entirely, but it would be very fuzy.  Cable really utilizes satellite.  Our local cable company has huge dishes setup and the cable feeds from those.


 


 


some major issues!
If the post set off some "emotions," then keep them to yourself, or scream them out loud at home where no one can hear you. The person who posted this did not do so to set off YOUR PERSONAL "emotions." I think your major emotion just might be jealousy!!
These are not petty! These are major sm
things that any experienced MT should know. You need to take the correction as it was intended...........not to be petty but to fix things that you have been doing wrong for years! The docs don't know formatting and unfortunately most of the hospitals don't either. Be glad you FINALLY have some correction! Why you would waste your time checking everyone elses transcription is beyond me.

This kind of transcription is why I don't get too excited when I have an "experienced" MT call me to test for a job. I have tested MANY MTs with experience even more than yours and gotten the same thing! Sometimes people have been working for the same place for years and never been corrected.

This kind of stuff is why (in my opinion) that all MTs should have at least 2-5 years experience in an acute care facility before going out on their own! This "new wave" of going to MT school and then opening your "own business" is bringing this profession way down! It needs to stop.
major discrimination
My husband works for an agent with a major insurance company.  He is not the agent although he does have to have agent's licensing. We were told probably 15 years ago, that a white male would not be allowed to become an agent for many, many years due to people (this happened to be two women) who declared that they were discriminated against in this company.  So to compensate for discrimination this national company will not hire a "white male" for the appointed amount of time (which was a very extended time period of many, many years) unless that "white male walked on water."  That was their quote too.  I have heard (but have not verified this) that this same "discrimination" is going on in the medical field.  Therefore, you have all the ESL's who are able to get into med school but the American Caucasian is not chosen because you cannot discriminate.  My question is "Who is really being discriminated against?"  In my husband's company -- It is the Caucasian white male and I have a feeling that it is the Caucasian that is discriminated against in the medical field as well. 
What is a major bummer is...
A lot of the older MTs in this neck of the woods have lost their jobs not to outsourcing, but inability to keep up with technology, and it's not their fault either.  All of these transcribing companies seem to have upgraded their technology so now people NEED high-speed internet/cable, and dial-up just won't do anymore.  Imagine losing your job because the cable/phone company won't string up cable or DSL in your neighborhood because your're just too rural.  It's a huge problem and I can see why that would make many people (including myself) jaded.  What in the heck do you do for work when all you've known is transcribing?  Hardly any hospital hires in-house these days either.  Scary times indeed.
me too... lost major $$$.. sm
I lost my derm practice to EMR, $1500+ per week.  That was my only account.  Very humbling experience.  I know a lot of you are in the same boat.  Now it is taking me about a month to make what I made in a week.  Have a couple PT accounts and am working for my FP doc that has EMR.  He dictates part of the note and I put the typing where he wants it.  It is slow as I have satellite but at least it is some income.  I think EMR is the wave of the future.  Hopefully it doesn't become a law soon. 
For me, a major consideration is, would you be
nm
MAJOR PROBLEMS!!!!

Okay first of all I updated to XP from ME, lost my Microsoft Office so had to reinstall it. I use Express Scribe to play dss files.  Before my update I updated ES to version 4.16.  Found out that does not play dss files so uninstalled that and reinstalled v. 4.15 and it worked.  After the upgrade, I reinstalled version 4.15 and it does the same think at 4.16 did.  WIll not load dss files.  They appear in the file list but with a duration of 0 seconds.  I have tried uninstalling and reinstalling, restarting and everything I can think of.  Even with the extra dss .exe that the website said I needed.  Is there a possibility that XP doesn't not run with ES or dss files or do I need to install another component to make my files play on XP? 


Please help, I am getting backlogged and starting to freakout. 


major errors
Only 2 major errors allowed? When learning a new account that seems a little strict. I understand they can't have major errors but give someone a chance to get things right and learn the way of doing things.
I would say those are major. Hospitals SM
often have this sort of policy and expect the services doing business with them to enforce it.
Major error?
That is not a major error. They are just two straggling headers that got left behind, an oversight at best but not major error category. What is wrong with these people? If they call that major what do they call a real major errors that could possibly affect the outcome of patient care? When you consider all the malpractice that goes on with direct patient care involving doctors and nurses, two straggling headers on a report is really very minor.
The major obstacle is the ...sm..

long distance phone charges for the C-line.  Check into Magic Jack.  Some people have been very happy with it and have used it for long distance while using a C-phone.  It makes no difference what kind of computer you're using when you use a C-phone. 


Link to Magic Jack info is below.


A Major Rant

A rant letter to a couple of doctors:


What has happened to the medical profession in this country?  Why is it that doctors forget their Hippocratic Oath?  Why is it they forget the purpose of their career choice?  I've transcribed this week on numerous elderly patients who have been with their doctors for five, ten or even fifteen years, but they have to seek care elsewhere because so many doctors are refusing to accept Medicare.  How would you feel were if it were your own mother or father being refused care with their established physician just because they became classified as "elderly" and qualified for Medicare?  If it weren't for your "connections," your parents would face the same dilemma that other elderly people face.


Why is it that when a patient comes into your office complaining of feeling fatigued and achy that you automatically assume they're depressed and pop out a prescription for them to pop a pill?  Why not LISTEN to what the patient is saying and realize that while some MAY be depressed, others have a legitimate medical problem going on?  Why not do some labs on them to check for anemia, hypothyroidism, etc.?  Oh, I get it -- let them wait two hours to see you after their appointment time and then spend two minutes with them... after all, time is money.  By the way, I guess that kid who came several times a couple of weeks ago complaining of abdominal pain wasn't just trying to get out of school since I saw his obituary in the paper this week.  Even when his mom and dad brought him in a second and third time, you brushed them off.  I hope seeing his obituary hurts your heart at least half as much as it hurt mine.  I can't imagine the pain those parents are enduring right now, but I doubt you've stopped earning money long enough to let it bother you.  And, no, I won't cover your butt if I get a subpoena when his parents sue you for medical negligence.


Why is it that you cringe when I tell you I need to raise my rates when I've not had a rate increase in three years or longer when in the mean time you've raised your rates at least three times a year every year?  Oh - ok - your expenses have gone up?  Do you think they've discounted my electric bill, gasoline, supplies and everything else?


Remember that last check before Christmas that I asked about when you were late paying me?  You know, the one where you said you didn't have the money to pay me until after the 1st of January - although my contract with you explicitly explains payment arrangements?  That was hard to swallow when your wife was standing there while I was waiting to talk to you and making out a check for $8200 to have your home decorated for Christmas?  Yes, it ticked me off that you had the money for that in your budget but not the money to pay me my measly little $702.  It also ticked me off when you took your three-week vacation to France and left me waiting for payment.


I do understand - its all about the money.  Of course, that is why I work.  But, if I ever get to the point that I'm so cold-hearted or money-oriented that I cannot try and give the best of my abilities in my transcription for every patient I type on, I have common sense enough to know its time to get out of my profession.  Yes, to you I'm just a "typist", but how many times have you picked up the phone and called me asking, "Do you remember the names of the tests that I need to order for Lyme disease?" Or, what about when you can't dictate a proper letter and you say, "This is what I want to say - can you fix it for me?"  What about those times when I've flagged a lab result and said, "This patient would be dead with a potassium of 988."  Regardless, I remain just a "typist" in your mind.


In spite of all your faults, I do my best for you.  I give you accurate work every day of every week because I know one typo (on the transcription work you don't review) with a drug dosage could mean the difference between life and death of your patients.  But in the end, does it really matter to you? 


 


At least 200; FT account is a major
trauma center, PT is a major surgical center. Both are teaching hospitals, so I have all the residents thrown in too.
This was a major national. You can mess with just about anything...
as long as you have a space bar.
to fellow psych major
I would like to start working in the field before I get my BA.  Do you know how many credits you would need in order to do that, and is an AA degree far enough to begin work?  You're a lot closer than me so I figured you might know this.  It would be a big weight off my shoulders knowing I could work within three years rather than 7, which seems so long.  Thanks in advance
Major patriarchy brainwashing.
Having sex does not make you a "wh0re." It usually means you are a functioning adult capable of making your own choices and not having your entire life dictated to you.
We have Publix - MAJOR stores all over....sm

Publix says tipping is not allowed.  I do not agree with that.  They are loading TONS of stuff into cars, why shouldn't they get a tip?  I tip, their bosses are not outside watching anyway and I don't know that anyone ever lost a job with Publix (one of the largest employers in the SE) due to this


to each his/her own I suppose    


Dude, what's your major malfunction? sm

Since I've been working for the last 1-1/2 years with a company and more recently with my own accounts, I daresay that I am doing just fine with or without the RMT.  I wanted to take the RMT for my own fun.  I am sure there are others that either want to take the test or that are waiting to hear their results after waiting several months.


 


It is not a major deal to set up Meditech....
I went remote over 10 years ago and I set up most everything myself with installing the program for Meditech with dial up.  Now I do it VPN which they installed but I probably could have done myself.  More hospitals should look at contracting or hiring the MT directly.  It is so much cheaper for them.  After increasing my rate a couple of years ago, my hospital looked into hiring an MTSO and was surprised at how much more they would have to pay (more than 3 times what I charge) even if they did offer health insurance and taxes.  As to the poster below, I rarely miss work because if I don't work I don't get paid.  And when I can't, the hospital has a back up they hired themselves.  There are always somebody willing to do extra work somewhere.
Me too.. Lost major account
to EMR.. basically put me out of business. I could have "stayed-on" in house doing limited transcription and scanning for 1/2 the money. System was not very friendly to transcription, had to constantly switch screens, etc. would have really lost $$$ if I was paid by the line. Either way hourly/cpl, less money for me. I decided to just stay home and go with national. Hopefully I can hold out for the next 5 or so years, or else I guess I'm off to Walmart!
Major bummer dude!

This is my 2nd Saitek...the first one had silver keys and oh ya, I got the paint on them babies worn off within 6 months.  I'm totally bummed to hear this one will do the same thing, because I really looked at it hard before buying and saw the letters were "etched" in and not painted on.  It's no biggie for me, being a touch typist, but when family or friends want to plink around, they got totally lost...plus it looked fargin' ugly too. 


I use the angry red lights when typing that ESL crap (red alert!), and the happy purple the rest of the time.  The old one was just blue, so I'm kinda sick of that for right now, but it is so much fun to mess with the mood lighting.  Simple pleasures for simple minds      


Currently working for a major national, they use BOS because they want
all MTs transcribing the same. What the client wants comes first, then BOS on the majority of accounts. This is SUPPOSED to make QA-ing a report easier.
Making major purchases

Dh and I were looking for a house about 3 months ago because the one we are in is too small.  We put that on halt.  For one, I am worried about my job.  I work for a hospital.  OM announced we are going to upgrade to a new system.  One of our MTs got to see this new system (I don’t know how) and she said it was great.  She told about those 3 doctors that say when doing one of their DS to cut and paste from their HP and then they begin with the hospital course.  We get paid for all those lines.  Well, now the HP is just going to feed into the DS so we won’t have to cut and paste.  Plus some, not all of the docs are going to be able to do VR.  They will still need us for editing they said.  They already took the headers and footer pay away from us because it automatically wraps into the report. 


 

Now assuming that if the things that already wrap into the report we don’t get paid for, those wonderful DS that we love to get with the free lines is coming to a halt.  Also, assuming from what I have read on this message board and others, pay decreases with VR.  None of this has been said yet by OM but I am expecting it to come.  The other MTs are saying oh this is wonderful, oh this is great.  I haven’t mentioned any of my concerns to them mainly because I don’t want to let on that I am worried.  I just quit looking for a new house.  One of the MTs did purchase a new house recently because since they took us off of hourly and put us on production, she is making great money and we are, actually better than what most the MTSOs pay.    I am just afraid it is just going to come to a halt.  Do I have a right to be paranoid?  Has anyone else put big purchases on halt because they are worried about what is to come?  I am kind of the worry wart pessimistic type. 
Preparing for a major cut in pay is scary.
I am without an emergency fund :( and no one seems to be responding to my resume.

This is so cruel.
I lost major $$ when they discontinued that. nm
X
10.5 with major national, 65 chars with spaces,
nm
Every day I make a chore list. Nothing major, just...
one kid has to empty the dishwasher and take out the trash.  The other has to pick up the family room and vacuum it.  I make the list each day and leave it on the counter.  They aren't allowed to turn the television on until it is done.
Having a major brain fart--need to document the use of --sm
or not to use a hyphen for words like schapho-lunate and lunato-triquetral.  Having a major argument with QA and need documentation but can not think of where to find it.  Tanks