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I think this is sometimes the hardest part

Posted By: MQ girl on 2005-10-05
In Reply to: working at home - Mary

of the job, that it is at home. I did it out of house and I enjoyed it more there, maybe I was a little less productive but I am a social person. I had to adapt and it has been hard. I am forcing myself out more but there are weeks when we are on cut off when I don't leave for 3 days, feel like Howard Hughes sometimes. hahahah.


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Hardest for me are the NE (i.e., RI, NJ and the like)
Shoot, I used to date a guy from NJ and almost fell over laughing when he asked me out of "cwaffee" LOL.

I'm a Texan too :-)
One of the hardest, IMO
Been doing oncology now for 17 years. One of the hardest parts is the drug regimens.. and they are ever changing, such as the protocols and study drugs. The next hardest for me is understanding the chromosome analyses. I've got some really good websites I could share with you if you would like. Best thing is to have good references and websites.Good luck in your decision and just post here if you need websites. 
Yes it is one of the hardest things to do.
:(
The hardest is whatever you aren't
used to. Discharge summaries have a lot of drug names, but the good thing is that it is the last report dictated (ideally), and with with many systems you can see the earlier reports for drug names and other terms.

I would say some of the most slurred dictation happens during the physical exam section of the H&P, but if you can see the dictator's previous reports are viewable, you can make normals. Lots of times they say the same thing every time, so that's an opportunity to use a normal and save yourself keystrokes.

So these are some reasons there are no pat answers.
first night of each week will be hardest
The first night of the week you work is always the hardest, especially if you have slept a normal night. Try to get a nap that first night before you start your 3 days. I always kept caffiene pills (like No-Doze) handy. I didn't take them often but once in a while they would come in handy just to get me through the night. Also, take a shower before you start as if you are starting a regular day. If you get enough sleep during the day after your shifts, you shouldn't have too much of a problem. My problem was I neve was able to get very much sleep, which is why I had to rely on the caffiene pills at times. For some odd reason when you work third shift you don't seem to need as much sleep either. Good Luck.
Hardest lessons to find out after BK

   I thought health insurance was too expensive when I changed from employee to IC.  I had emergency surgery and afterwards lost everything when I could not pay the bills.


  First, sit down with every debt you owe and categorize everything - credit cards/loan companies/nonsignature debt/mortgage/car/medical/taxes, etc.  Each type of debt has a different relief route typically.  These are things to expect:  Whether you enter a credit counseling program or BK, credit score will be damaged for years - how bad is relative to what you attempt to obtain credit for in the future.   With BK in particular, depending on what state you live in, most major insurance companies will not sell you a home owner's policy until BK is discharged in 7+ years.   You may also have increased car insurance rates.  Depending on your personal circumstance, you need to check with your insurance companies.  For instance, Nationwide will not sell the homeowner policy until after discharge.  You need to ask whether your state uses credit for car/home insurance rating.  Earlier posts are correct - student loans, Federal and State taxes are exempt from BK laws - if these are part of your debt from past years, you need to talk to both your state and the Fed about your options which might include an offer in compromise.  If your student loans are just coming due, you need to talk to the company about options.  If you have older student loans, most can be deferred with added interest and penalties.  Some employers are now running credit  checks in the application process - yes they can and will use that information in the hiring process.


     The "new" BK laws mean that your debt will be reviewed and if you can pay back a portion, you will be required to do so - but this is major legal mumbojumbo, so my ultimate advice - do your homework and find the best BK or debt relief attorney and pay a consult fee before you make any drastic moves.  They may try to 'sell' you a BK filing (obviously, that's how they make their money) but you need to pick their bones for all the info they can give you relevant to your state. 


     Lastly, 35k of debt with 35k of income is doable but you would have to knock your school time down to nominal or put it on hold altogether for a while to avoid BK and not assume any further debt.   Whatever happens, do not let your medical insurance slide or any other policy which safeguards long-term- it may seem worth it up front but I can tell you it is the single worst decision you can electively make.   Best of luck to you.


 


   


Think oncology is one of the hardest specialities.
vv
Agree...Hispanic is the hardest!
I've done everything from Indian to Asian and never had a problem with those...but Hispanic accents always throw me for a loop. For instance, I have one MD now that pronounces "violation" as vee-o-lit-on. Took me forever to figure out what she was saying not to mention her grammar was horrendous!
Oncology - by far is the hardest for me. New protocols every day to learn. nm
x
Op reports by far are easiest for me - hardest is Oncology. nm
x
which accent do you find the hardest to transcribe?
I do okay with Oriental, Greek, Indian, most European accents.  However for some reason when it comes to Spanish docs, forget it ! It just sounds like gibberish to me.
I love the Asians, because they TRY the hardest, and it usually comes out funny. nm
x
Hardest thing was marker keys
But after about a week, I got the hang of them. Actually, that is THE thing that makes IT worthwhile for all the other features. Just choose keys that are easy for you to use.

Also, I used the expansions I had at the time from the old Expander and created a glossary from those, so my familiar expansions were already there. Once I got the hang of the marker keys, then I started utilizing more of the features.

I love my IT!
My hardest was a woman from Spain - very, very fast! NM
x
Hardest: Dental surgery. Easiest: Cardiology, OPs. sm
Most interesting: Psych.

I think it's generally whatever you get the least of that you'll find the hardest. I used to hate OPs, GI procedures, and cardiology, but eventually got used to them and found they are repetitive (aka good money makers!).
In all fairness, it is a known fact that English is the hardest to learn sm
How many Americans say BP was 120 SLASH 80. Slash? How about over?

With ESLs we have no idea what their native language is like unless we speak it. It may be 120 by 80 for them and they are translating.

I don't know about you, but growing up my plan was to be a translator for the UN. To that end, I took Latin, Spanish, French, German and some Russian. I was a straight A student in these, but I have to tell you, it was not easy. All of them have "gender" to every noun which in turn governs the formation of adjectives and pronouns and even such things as "a" or "an" take gender. Sometimes even verbs take gender. English only has remnants of gender (a boat is a she, as an example).

There are also plenty of ESLs who speak more than two languages and English is only one of them. That adds to the confusion for them because gender isn't consistent. One language may have a male moon and a female sun, while the other is the opposite. In German, the verb needs to be the second word in the sentence and comes before adverb. The above languages frown on more than two adjectives for a noun, whereas English doesn't care. In English you can string together many adjectives if you want to, but this would be considered linguistically incorrect in other languages. Verbs have declensions and by and large, the cases stay the same across the board. English just think of eat, eaten and ate as an example of an exception and we have many such exceptions.

I catch myself saying that English is spoken just as it is spelled...well sometimes, but laugh isn't spelled laff.

Oh and you gotta love UK doctors...eeestroh gen spelled oestrogen comes to my mind.

ESLs can be incredibly frustrating. I know this, I have recently worked on an account with 80+% ESLs, most of whom were rather poor as they go. The fact remains, you have to either find yourself a job where there are no ESLs, which is becoming increasingly difficult, or learn to live with them. Some of my very favorite dictators of all time have been ESLs, partly because I struggled with them and when it just "popped" in my head they were easier than most Americans, and oh so redundant, they made me a lot of money with normals.

I will say that I believe that more money should be paid to MTs when the account is very heavily ESLs because they take a lot more time.



Poll - what do you think the hardest accent is? I vote Hispanic. nm
/
Poll: hardest and easiest work types. I enjoy...
orthopedics and psychiatry.  Do not like cardiology, oncology. 
The easy part is making the decision to leave, the hard part is
actually doing it.  Been in your shoes and it took me a year and a half to leave after I had made the decision to do so.  It was the best thing I have ever done for myself and my girls.  I had family and friends and a counselor telling me what needed to be done and I knew what needed to be done but until I had the courage on my own to do it I stayed.  One day, we had an argument and he spit in my face and that was the last straw for me.  Even though it is something that I will NEVER forget, that day is also a day I will never forget because it is the day that I took my kids and left.  I am a single mom of 2 and have been single and supporting us for 5 years now.  I have been healing ever since and still am to this day.  You can do this.  I know that if I hadn't have left and I would have stayed one of us would be dead by now or both. 
I just left after 16 years of marriage. Hardest decision I've ever made, but something that I ha

My husband doesn't want to work.  Never has and probably never will and it took me 16 years to figure out that nothing was ever going to change.  He has been in and out of college over the years with a number of different majors and when he is on the verge of actually finishing something, he up and quits, because I believe he doesn't want to actually go out and get a job.  He loves the going to school part, the studying, etc., but the actual finishing and putting his education to work, that's too overwhelming.


For years I made excuses for him, supported him, and actually believed that as he got older he would mature and finally find his way.  He's 42 now and runs off every day with one of his unemployed friends to play frisbee golf or go hiking or water skiing or fishing while I'm sitting at home at my desk typing until my nose bleeds!


I was one of those women afraid of being by myself.  I recently had a major depressive snap where I cried nonstop for three weeks.  I found a great doctor who became a great friend and she helped me find the right medicine to get my head clear and then she helped me realize that I don't have to be afraid of anything.  I was already supporting myself and my kids without anyone elses' help.  What was so frightening about leaving my husband behind?


So quietly I made my plans to leave.  I let my husband know that I was going to move back home to the area where all my family still lives when school let out this summer.  He didn't believe me because I had said it all before.  So I just made sure he knew I was thinking about it again.  Then May came along and miracously a job opened up at the hospital in the small community I wanted to move back to.  This hospital never has openings because they virtually have no employee turnover whatsoever.  Everyone's been there at least 5 or more years.  I took it as a sign and made my move.  Within two days of submitting my resume, I had an interview set up.  Without even waiting to see if I had the job, I packed up my kids and our stuff and told my husband "I'm going.  I love you, but if you want to be with me you need to get a job and actually be my partner not one of my kids."  And I left.


I got the job, thankfully.  I've been here a month and I know without a doubt that it was the best thing I've done in a long time for me and my kids.  My teenage son had built up a lot of resentment towards his father and their was a lot of anger and tension between the two of them before we moved.  Now, my son is happier than I've seen him in years.  He's more social, made a lot of friends, and even has a girlfriend now.  My daughter misses her dad, but she has always been remarkably wise for her young age and is very open about saying how calm everything is up here.


So there's my story.  I would never encourage anyone to divorce or leave their husband, and I haven't actually taken the step to file for divorce yet myself.  But sometimes separation is liberating and therapeutic.  It has been for me.  I can't remember the last time I felt so peaceful.


What's up with the CMT part A and part B exams?
I thought it was all one test.  How can a half a test last 6-1/2 hours?  If anyone knows, please share your info!  Thanks! 
Does anyone know if you are a part time employee for 1 company and part time IC for another can you
still claim deductions for IC on your income tax even though you are one of each.
Depends on how part time the part time jobs are.
You can do it. You just have to work out a schedule you can live with.
Which part of OK are you?
Hello there
I did my little part
Went to the Houston SPCA yesterday to bring home a "furry refugee".  They had not all been processed yet, however, and so we brought one home that had already been there, but at least it cleared the way for the other furries guys and gals.  They are in need of donations, if anyone is interested.  They have brought in approximately 460 dogs and cats from NO.
Because they pay a part of it as well.
MQ pays a good portion of the premium and the MT is only paying part.

Spheris pays a higher part of the premium, or at least they have in the past. With the new plan, MQ may have adjusted their portion of the insurance premium up a little bit.

Where did you get the idea MQ was taking away insurance?
this part
Preliminary, unaudited results indicate that operating income declined from approximately $61 million, for the twelve months ended December 31, 2003 to approximately $23 million for the comparable 2004 period. The decline in operating income includes: 1) the impact of approximately $11 million in costs incurred in 2004 related to the ongoing billing investigation and associated litigation, 2) approximately $4 million in costs associated with separation and replacement of the Company's management team, including members at the executive level and 3) approximately $3 million associated with the write-off of intangible assets associated with products no longer being offered. In addition, the base business, as described above in the Revenues section, experienced a decline in transcription service volume from existing and lost clients and a decline in transcription service rates charged to customers. The impact of the revenue decline was partially offset by several cost saving initiatives including reductions in telecommunications costs, office consolidations and associated staff reductions.
$2.87 in this part of PA sm
I got a bike rack for my car (had been using SUV) to take DS to his races and training sessions. I have personally been increasing my mileage and even ride my bike to church every chance I get (20 miles one way). I do all in-town errands by either foot or on bicycle.

When the aforementioned SUV is paid off this summer, I am going to get an even smaller car. I would love to try either a hybrid or a car that would run on biodiesel.
I don't think there is on. How do you get the lab part?
There are programs to get BSN if already an RN that can be done on-line. 
SE has to pay part of the SS tax, which is
practically the same as self employment tax. As SE, the company pays part and you are responsible for the rest.
Most definitely part of it...

See your doctor...may need some hormone adjustment.


What part of WV are you from? sm

I am from Beckley...Boy, is our town ever growing rapidly!!!!


I have read these posts and checked out websites for these train rides, Amish country, Dutch Wonderland and I really, really believe I have found our next vacation!  I have found so many things that I am interested in that would be great for the whole family.  I really do appreciate all of the advice!  Now I cannot wait to book this vacation!  Thanks!!!!


Like I said, it came as part of MQ's (sm)
horrible DQS platform in 2004.
Duh on my part ... thanks so much!! :-) nm

What part are you from because
everything I've read or looked at in my state is between 12-15
You know the sad part?
The sad part is that she was a really good friend for a long time, and she never ever spoke to me after that because she blamed me because I found out what she was doing. I guess she figured I had "ratted her out" after she got caught the second time, when I was not there anymore. I remember when I asked her to stop, she said to me that, "She could not be like me, because she did not have my work ethic." I know that maybe she was just hurt, and that I should stop thinking about it because it was almost 12 years (my goodness how time flies!) ago, but you know, I still miss her. Every so many years I'll send a Christmas card hoping she will write back and even now I wish the whole thing never happened. Oh well. I will make a New Year Resolution right now to stop whining LOL. Things happen for a reason!
First part taken from OP
"... and this is a catholic hospital. i guess this is the new christian work ethic." - I brought up organized religion because of this comment.

I merely meant that it is flawed (because it is made up of humans) and she should look out for her own wellbeing (and not be swayed or feel unjustified because she is working for a religious organization).

Religion itself isn't a bad thing, but many times the organized groups get more concerned with protocol than the truth and love that Jesus talked about.

(The following is from copied from PFO.org)- Some of the most stinging rebukes Jesus issued were directed toward the Pharisees. Probably the strongest diatribe is recorded in Matthew 23. At least seven times in that chapter, Jesus pronounced the following condemnation: “Woe unto you, scribes and Pharisees, hypocrites!” He condemned and illustrated their rapaciousness, their selfishness, their inward spiritual emptiness, and their emphasis on “scruple” while neglecting the “weightier” matters of justice, mercy, and faith.

I am also curious if you are sensitive to how the people in other parts of the world feel when Christians tell them that what they have been taught and believe is wrong and that they will go to H#ell if they don't change their thinking.
it has always been a part of the job sm
and it is not going to change. There are some dictators that some MTs are always going to have a hard time understanding, probably most MTs but they are not going to change for us. The only thing you can do is flag a report and hope the doctor will fill in the blanks or the hospital will say something to that person about all the blanks in the report (the dictator). They are not going to change for us because it is not about us!
QA is a part of MT like it or not. nm
x
what part of Florida are you in
because it shouldn't really affect your work, if you have a working computer and electricity, you should be able to get work.
I exaggerated the part about
1/2 the pay for working twice as hard, but in my opinion that is quickly becoming the trend...

Also, I apologize ahead of time, for any typos.  I am not on the clock right now and am not obsessive/compulsive about it all...

maybe its part of the new MQ pay plan

its all part of the job sweetie.
x
This is part of growing up
I believe they have to start making their own decisions at some point in their life and living with the consequences.  Same as we all do.  I'm not saying he will regret it or not regret it, one way or the other, but either way, it should be his decision.  Take it easy, Mom. 
Try just entering part of the last name sm
and the first letter of the first name.

Some accounts do have glitches and yours might be one.
Obviously not part of the base of
..
Part time
I work part time from home, and I graduated about 7 months ago. It fine doing part time, just don't expect to make any money.
What part of my post
indicated that I was mad or angry about something?
The "get over it" part. :) NM
..
part time
I was told I had to work 20 hours minimum and there was no maximum. Since I'm paid by the line, I could work 100 hours a week if I wanted.
Why don't you try getting a part-time job? Try
z