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I think there are two types are care/discussions going on here(sm)

Posted By: my opinion only on 2006-07-13
In Reply to: elder parent care - sm

On the one hand there are the elder parents who are still very functional but maybe not able to live alone.  In that case I feel they should move in with the middle-aged children or vice versa. 


However, on the other hand, there are those elder parents who are no longer able to function and require 24-hour nursing care.  In this case, I think it would be better if they were in a nursing home setting where they could get the around-the-clock care rather than the children having to pay a private-duty nurse.   Yes, the elder parents, when they are young, provided for and took care of the children.  However, we're talking nursing care at this point.   And the other argument is:  How far do the middle-aged kids take the nursing care?  Do they get to the point where they're having to sell their house and belongings in order to keep the elder parents at home?  JMO




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All MQ discussions to the MQ board, please. (NM)
Goldbird
There are discussions about this company at least
every week.  Tons of post in the archives. They recenttly posted they got 500 resumes for 25 openings.
I have seen numerous discussions regarding
AAMT on this site. ????
General discussions here say should get AT
x
numerous discussions here
I have been following numerous threads here and I have a question.  If many of the MTs here are dissatisfied with what is going on with the industry, then why do all of the MTs not stick together and demand what is deserved?  I understand that we all must have an income because we all have bills due and mouths to feed; but, it would not take but a few days for all qualified MTs and Editors/QA to demand benefits and a bottom line cpl/hourly rate or whatever you want to call it.  Kind of like a union.  No company could exist, even with newbies or off-shore doing the work without the qualified MT backing all of this up.  I am not looking to start a war here.  I have just read on this board for quite some time about this same issue, but nobody seems to want to take action.  I know for a fact that if ALL MTs would stick together here, the end result would be very favorable.  It seems over the last number of years these companies are demanding the MT to do more work and have much more knowledge for much less money than they deserve.  So, with that being said, why why why would you not demand your just pay?  Again... I know for a fact that if ALL qualified MTs would stick together, they would have no choice but to pay a standarized fair scale in order to keep their doors open.
I've been avoiding T-day discussions.
I've hosted T-day, Christmas Eve and Easter for the past several years. I'm tired of it. I spend two days cleaning, shopping and cooking. Relatives tell me they'll show up but don't. I have to plan on 32 or more people per year. We shell out a ton of money each time for food and beverages. I wind up cleaning for at least another day afterwards because the nieces and nephews drag everything out of the closets and off the shelves, and their parents don't even ask them to pick up. One of the young ones in potty training invariably pees on the carpet because their parents can't be bothered to put vinyl pants over their training underwear or use Pullups. The younger kids take food into the bedrooms, which my own kids aren't allowed to eat in the bedrooms, then I find nasty rotten food in the toyboxes or dressers or ground into the carpet. Ew, I can't stand letting toddlers run around the house with food and uncovered cloth underpants. Somebody always shows up sick and spreads their germs to all of us. Nothing like sharing your stomach flu! My neighbors get mad at me for my relatives parking in front of their house and threaten to call the cops, which the cops said nobody owns a public street and we can park wherever we want to. I'm the one that always gets "appointed" to host because I work fewer hours than the other women in the family and our living room is bigger. They've got fewer kids than I do and more time off. Maybe we can just cancel it this year and stay home without having anybody over.
Break time is for nonjob-related discussions.
If we could only discuss MT and nothing else here, I wouldn't come here.  I don't want to talk about work if I'm not working.  Boring.
Don't think the worker privacy acts cover discussions such as this...
more likely they cover things like credit reports, evaluations, etc. It's rude to discuss in front of others, but not illegal...of course, in the US you can sue for anything.
Kinship care versus foster care/adoption
Having been placed in a position where I now have custody of my 3 YO granddaughter and going through the legal system, I sought an online network of relative caregivers for children. I would encourage you, especially since you are in Georgia, that if you take any children into foster care with the idea of adopting them, there is federal law that requires the state to take certain actions in a specific time frame. When a child is removed from it's bio parent(s), the state is required to investigate any possible relatives who can take the child before foster care is considered, but even before that, reunification with the parents is the priority. Once a child enters the system and is in the system for 15 out of any 22 months, the state is required to find permanent placement for the child.

The problem with this is that there are case workers who may favor a foster family and do not seek out relative care. I have a good friend in Georgia who had to fight all the way to the state level to get custody of her grandson after the child was placed from the hospital into a foster care home with the promise that the foster parents would be allowed to adopt. She has now adopted her grandson, but it was a long, hard battle to get the state to admit their own interests were placed above those of the child and/or family.

If you get a child placed through the state, please make certain there is not a relative who wants that child before you get your hopes up. The courts are now favoring return of children to relatives even after a child has spent years with a foster family who hoped to adopt them.

States get bonus federal funds by complying with the time lines and being able to close the case, so some states place children in foster care because it is easier than trying to locate relatives.

Didn't mean to go off on a tangent, but I can't imagine my sweet bella going to someone outside her family.
If it was a clinic, it might have been urgent care, but it was NOT acute care. sm
Acute care refers to work in an acute care setting, a hospital, doing at least History and Physicals, Discharge Summaries, Consultations, Surgery notes, Emergency Department notes, and much more, including GI procedures, Cardiology procedures, Neurological procedures, Pulmonary Function Studies.  It goes on and on and it means and acute care hospital setting, not a clinic.
I'm 45 and have done all types (sm)
of transcription. I did formal training for MT in 1998, after my training I was doing pretty well. Now that I am getting nothing but leftover, terrible dictators doing medical transcription, I make more money doing general transcription.
NOT planning on taking on anymore medical dictation since the offshoring got going. It has been a nightmare to find decent accounts, companies and decent dictators in the last year or so.
How come whenever someone types a lot of

lines in a day it is considered cherrypicking? I just finished my shift for the day and had 3897 lines. Did I cherrypick? No! I can't see what work I'm getting until it shows up on my screen. I worked a total of 11 hours with my 3 breaks figured in. Yes, I did work 2 hours OT but they asked for OT so I sat and worked. I can work steadily for 3-4 hours and then get up and stretch. I had no normals except the ones that I put in myself for the doctors. I've been doing the same accounts for about 8 years and have tons of "normals" for a lot of the doctors. Once in a while they will change their wording to throw you off course. The only doctors that slow me down nowadays are the new residents who must talk for no less than 30 minutes for each patient. Out of the 132 charts I transcribed, I had about 65% ESLs. Just because some people type a lot of lines in a day does not mean that they are a cherrypicker.


That's one of the things I hate about some nationals. You should NOT be allowed to see the other line counts of your fellow workers because all these accusations happens. If you see someone with a constantly high line count, you automatically assume they are getting all the "good" doctors when it is not the case with a lot of people. It may be true in some cases but you're lumping everyone with a high line count into one group.


There are these types in QA and in MT, too.
NM
so who types it? they only way around that would be to outsource
and that seems ridiculous.
Report types.

Easiest-family practice.  Hardest-OB/GYN.


skin types
It does depend on the skin type and the type of laser machine they used. Many of them do not do darker skin. They all do tend to work better on lighter skins. I have dark hair due to a hormone imbalance my whole life since childhood. Dark hair on my arms, etc. Some laser brands of machine are better than others. Let me know if you decide you want information on the one I work for or I can give you the name of the top selling laser brand out there that I would recommend from what I know.
you can ask these types of questions
such as laborlawtalk.com

There are different types of USB pedals

There is Olympus, VEC, Infinity, many, many.  Look at the bottom of your pedal to get the code.  If it is an Infinity, you will see something like IN-USB1, or IN9B (for 9 pin) or IN-DVIUSB.  All the Infinity foot pedals work with ExpressScribe EXCEPT the DVI because it is a higher technology than is compatable with ES.  Run the foot control wizard on ExpressScribe to help it locate the foot pedal and recognize it so you can use it.  You may have to try all the COM ports on the wizard before you hit the right COM port and the foot pedal is recognized.  My Infinity foot pedal USB1 is recognized in ES as the _VEC_ if that helps you.


I have had to do the hand control thing and it is very frustrating and can make the test take 4 times longer than with a foot pedal.


There is a whole list of these types
of things I got through my MT training classes. To make the ' over the e in debride, you would do Alt + 233 on your number pad. Let me know if it works. good luck.
Others have other types of jobs?

Hi everyone,


Do any of you have other types of jobs besides MT, QA, Editing, etc. like me?? I just started another type of job for evenings to help out financially, and I like doing so.  I still do my main MT thing, but the other one is actually fun for me, and not just slaving away all day at a computer!! 


Work types
Has anyone ever quit a position because you get work types you were assured you would not have to do?  I absolutely despise discharge summaries and was told upon hire that I would not have to do them, there were plenty of other reports I could do, now I get big chunks of DS throughout the day, I never have liked them, I lose about 75-100 lines/hour doing them.  Does anyone else have this problem?  I am not a newbie, I just do not like discharges and get a real mental block, I think mainly because I get so tired of sitting while the dictator is trying to figure out what to say.
Work types
Yes, they all have to get done but I used to work for a company that you were given a certain work type all day long, and it either rotated or if there was one person who liked ds or op, they were routed to them - the work got done, the MT had more production, thus the company benefitted also, why take an MT who can do 300+ lines on everything but DS and put them on DS when you have people who do 150 on everything, including DS
work types
Most won't allow that.. Especially the ones that pay well. The one I work for requires you to be skilled in all ares, even radiology.. It is a great job.. Have them for 20 years and 10 years in the MT department working from home. Hospitals are the way to go.
other types of transcription

I have been doing medical transcription for about 5 years now and I am very interested in getting into other areas such as auto insurance claims, police reports, interviews, etc.


 


I was wondering if anyone has ventured into this area  -I would like to try something new but do not even know where to start.


Thanks for any advice!


I have had many different types of jobs s/m

from the lowliest to corporate level, and I take pride in all work that I do.  I do not find this profession in any way boring -- there is always something new to be learned and every case (usually) is different and fascinating to me.  Sometimes they make me laugh, sometimes they make me cry, but it is never boring!!.  I just get so frustrated with the regard that everyone else looks at this profession -- that because I work from home, it is not a "real" job, or that what we do is not important or significant.  This job requires a myriad of language and technical skills that I believe an "average" person could simply not do. I have done brain-numbing data entry, and this work is far, far more involved than simply transferring numbers or names into a format. 


Anyone who types enough lines
to survive on these days cannot be called a 'slacker'. No way.
What types of reports were they?

Did you leave a lot of blanks or guess?  Were you familiar with those work types?  Were the accents difficult?  Did you follow the BOS (BS)?


Of the 10 years' exp you have, is it well-rounded (including acute care and clinic).  Have you ever worked in house (in a hospital or clinic)?


Just some things to consider.  I wouldn't throw in the towel just because some national didn't like your test.  Consider a local service with specialties you are familiar with and ask the owner/QA person to help you with learning new ones.


types of keyboards
I just recently purchased a Logitech wave computer, switched from the ergonomic ones I have used for years.  This one was easy to adjust to, my spend is just as fast and yet the rest of the family can use it, they were so confused by the ergonomic ones.  I just want to know who makes a keyboard that the letters do not wear off, have had this one only a month or two and the L is just about gone along with the S, E and N almost unrecognizible.
Do you get choice of which report types are sent to you?
>>
There are all types of cherry picking

Sometimes it's like the game of Monopoly - I'll trade you St Charles Place for Marvin Gardens. You take a couple of choice dictatators in exchange for doing a couple that other people have trouble doing.

Another example is giving a "good show." By that I mean ... there are 20 reports on the system - Two of them are 10 minutes each and the rest are 2 minutes each. You've got two hours to get the work done, so, you do all the small reports. Changes are it'll be the same amount of lines either way, but it's psychological for the client. They think they're getting more work back.

I remember years ago when I worked in a hospital. There was one doctor who sent me screaming from the room (he sounded like a deranged chipmunk). They hired a new gal who had no trouble doing him (she also had a lot more experience than me). She knew I hated him and said, "I'll go him if you let me down so-and-so." You betcha!! We were happy as clams. I got rid of the worst one, and she got to do her favorite one.

The truth of the matter is, I would speak with those in charge and explain the situation. Tell them how you feel (very frustrated). See what they can do/say. If they won't ... personally ... I update my resume and look elsewhere.

Then again, maybe I just have a lower tolerance level than others. 


The transcription manager types it.
x
Is my post about different types of glossaries
nm
I agree - there are those types in every profession - SM
I was just making the point that we can't expect to make the same amount of money that a doctor does when he has gone to school for at least 8 years of his life to be an expert at what he does.........
Realistically with all work types
and various dictators, I average about 17.5 minutes per hour at the end of the day.  But the first few hours I'm still working with my coffee buzz, so it is a little more, maye 22-25.  I get a lot of 10-15 minute reports with a lot of dead air time, then will get a 2-minute report that is two pages long.  I could never go by minutes unless it is the same thing over and over again.
What types of procedures? I love doing

cardiac caths because most docs will say the same thing over and over, same for bypass grafting, just different grafts and locations.  All in all the procedures stay basically the same.  This also works for cardioverting, just change the joules where appropriate.  When I do a cath or other procedure for the first time. I will make a normal for it then make changes as they come along.  These procedures can be good for the line count!.  Also, in your short keys, make short cuts for left and right anterior descending, ejection fraction, end diastolic pressure, etc., you get the picture.  They will use these a lot. 


I have found that most of the time the more difficult dictators are the ones that will basically go word for word in dictating their reports.  Good luck! 


Talk to the doc about what types of screens are
time on the PC.  Also I was told that stigmatism is a common thing to have but a lot of people do not know they have it.  I wear glasses now, but I think my eyesight is getting worse from the looking at the screen as well.  You should probably take more breaks from the PC. 
Rate differential for job types
so, is it just me or are operative reports on the whole more difficult/time consuming than other types, like ERs or discharge reports?  Seems like a more thorough knowledge of anatomy, not to mention surgical equipment, is needed for ops...
Does anyone here type other types of transcription?
If so what type of transcription is it and how did you go about getting that type of work?
Basic 4 isn't one report, it's 4 different types. sm
H&P's, discharge summaries, op reports, and ....i'm blanking on the 4th, sorry.
Shorthand types 62%, I type 38%. nm
nm
I always figure if they don't care about their dictation, they probably don't care about their
nm
Dont care how many languages you took. Care
x
Different types of errors are weighted differently ...
so more serious errors count more, less serious count less. I have 8 reports a month QA'd. My QA person listens to the dictation while reading my transcribed report and marks errors and classifies each error. The total is weighted on a percentage.

Last month on my 8 QA'd reports, I had only 1 error and it was a style format error (I used a "dash" as the physician dictated but the BOS2 says to use 2 dashes if dashes are being used and BOS2 prefers using semi-colons). That was the only error of any kind I had and it was not serious. My monthly QA score (because of how this type of error was weighted) was 99.9%. I have had a few times of 100% but I have never had below 99%. My QA person gives me a full explanation of why it is an error and sometimes marks information that is not counted against me but is given as "information only". Noncritical errors are only counted once in a document and critical errors are counted as often as you have them (ex: if you used perineal instead of peroneal --that is a critical error).
I agree 100% especially with reading as one types (I do also) and if a company sm

constantly have no woek or constantly runs out of work.  At least half of the MTs on MTstars need to follow this advice.  This would stop the majority of the whining on this board.


Well, I have 25 years experience also in all work types
and only do acute care with a line rate of 10.5 cpl M-F and 11 cpl on the weekends.

You can negotiate it a little harder, and you will get it depending on their needs, I guess.

It is MDI-Maryland.
Often it is the clerk who types up and sends emails. nm
x
try selecting file types. You may have it on the wrong
type. Make sure it is on .doc or whatever program you are using.

Hope this helps.
Does anyone know of any websites where I can find different types of x-ray views? TIA

Switch program can convert DSS to other types of
s
Not having standards hurts. Some work types just (sm)
don't add up line wise as quick as others. For me Ops are the best line count, consults and discharge summaries are killers.
You can backup some types of files but not programs.

You can probably set your computer to automatically back up critical files but you're not going to be able to completely back up everything, like OS or program, because that would be illegal.


You can set a restore point on your computer so that you can return your computer to that point should there be a problem. This is always a good idea to do before installing new software.


If you right mouse click on your hard drive (usually C:) and choose properties, it will tell you both how big your drive is, how much space you have used and how much you have free. Only you can decide how big of a USB or Zip drive you will need based on that info.