I totally agree with you anon, and sorry Appalled.

That MT30+ person got me once before also.  Mean, spiteful and cannot understand how the moderator has not shut her down.

She does have some valid points (this time) but just has to keep on force feeding everyone her darn opinion until it is so far down your throat it comes out the other end. 

To Appalled:   I am sorry that she feels the need to lift herself up in this manner instead of giving you some helpful ideas to deal with this situation that you are not familiar with.  Not all MTs with lots of experience treat others in this manner.  Whenever you see her posts.... duck and run.

• generic reply--guess I struck some nerves - appalled
  • Switching Around Accounts While Getting Paid for Production - I'm also appalled
    • Thanks for support, but MT30+ is trifling - appalled
      • no one trifling! Why do you think you sm - MT30+
        • I'm sorry, I did not at all mean you as a person - appalled
    • MT30 understands her post. I can read sm - MT30+
  • Go work were you worked before then SM - how pampered
  • I think you are totally unrealistic about this profession - Your postings
    • That's the truth!!!!!!!!!!! nm - MT30+
  • generic also --sm - anon
    • Oh I so agree with your post!....nm - agree
    • I totally agree with you anon, and sorry Appalled. - bumblebee
    • I totally agree with you anon! - bumblebee
    • you may not like me or how I post sm - MT30+
      • You may be able to type, but thank God you aren't in the room with the patient! - concerned
        • is it part of your job to be in a room sm - MT30+
    • Thank you, anon, for this post... - appalled
      • you're welcome --sm - anon

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That MT30+ person got me once before also.  Mean, spiteful and cannot understand how the moderator has not shut her down.

She does have some valid points (this time) but just has to keep on force feeding everyone her darn opinion until it is so far down your throat it comes out the other end. 

To Appalled:   I am sorry that she feels the need to lift herself up in this manner instead of giving you some helpful ideas to deal with this situation that you are not familiar with.  Not all MTs with lots of experience treat others in this manner.  Whenever you see her posts.... duck and run.

Please, "a friend" don't take this nonsense to heart.  I can not believe how petty some people are.  It just makes me sick to my stomach. 

Your post was very heartfelt and you gave "starting over" her first really valuable, usable information, and you should feel very good that you may have saved her or her children's lives. 

You are a wonderful, compassionate person and did not deserve that personal attack.  I think you are incredibly brave - both for what you went through and survived, and also reaching out to help someone else in spite of your own pain and that is incredibly selfless.

Please ignore trolls. Believe me, most of your MT sisters (and brothers) are proud of you!  You ROCK, Sistah!!

You are upset becuase you had to do just 1 new account to help out? 

DO NOT EVER WORK FOR MEDQUIST!!!!

I do about 10 accounts a day and never hear the same doctor twice in a day.  Not that long ago, we were put in the national pool of work and there were some days that I had a different account for every single job I typed.

This is part of the job!  The account specifics do change for each account, but the transcription is still the same... it should not slow you down that much! 

Make yourself a quick cheat card for the account specifics:

Patient names: Not allowed

Dates: spell out (May 15, 2009)

Allergies:  ALL CAPS

Physical Exam:  Capitalize subheadings (CHEST:  Clear to auscultation..

If you only have to do this for 2 different accounts, it should be real easy to transition between the 2.

I posted my resume on MT Stars a couple of years ago and, like you, I was flooded with calls.  The company I selected, I didn't even know existed.  I have been a very happy camper for 2 years, plenty of work, decent pay, great tech support, wonderful people who make you feel like "family."  Best move I ever made.

I think maybe the reason why people keep allowing themselves to be used and abused by companies with sporadic work is the known versus the fear of the unknown factor.  Believe me, the stress of starting a new job is small potatoes compared to never knowing you will have enough in your paycheck to cover the bills!

We never went on vacation with our kids and left them with grandparents to come back and find out that our own lack of parenting resulted in somthing that our own kids may have been doing behind our backs all along.

Give me a break. Blame it on gramma?  How about staying home with your kid and taking a good look around to realize that he's the one that's hiding things, not your MIL.

There is obviously a lot of hatred between DIL and MIL here. 

Message for you mom, "get a grip."  This stuff doesn't all happen because their at gramma's for the week. You're obviously doing something wrong here.  Forget your "vacations." and your "rules" and be there for your kids. Teenagers LIE.  It's been going on for centuries.

You can go on "vacation" when they're all grown up and gone.  By the sounds of your message, I would say the sooner they go, the better.

I used to be married to a hunter.  The whole idea felt wrong to me and I hate guns. I haven't had to deal with hunting or guns for 20 years now.

I'm sure I will get blasted by some NRA people for saying I hate guns, but oh well.

Your 16 years of experience has obviously not taught you that there are many different situations in this field that make switching from account to account very difficult.  As the previous poster stated, specifics for accounts can involve much more than formatting, oftentimes involving individual physician specifics, just one point that makes your "docs are docs are docs" theory ridiculous.  Multiply this by 5 or 6 accounts, each having totally different platforms, 50 doctors dictating, half of which are ESL's.  You stated "As an MT you should be able to transcribe any doc out there".  Really?  I would love to test you on a 45 minute arterial bypass graft report transcribed by a doctor right off the boat from Turkey.  Your holier than thou attitude is ignorant, insulting and argumentative. 

When my adult children are here, I feel a need to stop working for short periods of time to go to the mailbox, cook, take out the garbage, etc.  An MT is out his/her best when we hit that "flow"...you know when your fingers are flying in sync and your voice player is on above 100%...but you need to stay in the flow.

When I was on an acute care account, I also did voice recognition and dictated what I was hearing in my headset to save my fingers with a better line count than by using my fingers (never got above 350 with voice, though, as I left the account before I could get higher BUT I was doing this for more than 50 docs).

Having an ergonomic environment does contribute to better productivity as your hands, back, legs, everything feels better and it is easier to get into your flow.  After 25 years of keyboarding, I only have tired muscles in my hands but no symptoms of carpal tunnel (TYG).  I really do encourage people to take advantage of abbreviation Expanders if for no reason other than to save their hands so they can still open jars when they are still in their 50s. 

d~

I'm having a difficult time with a new account.  There are many things that are being changed when I know I'm right.  I even reasearch and can verify why I do what I do.

What would you do in this situation?  I'm going crazy.  I'm having a hard time because I can't do something I know isn't correct regarding grammer, medical term spelling, etc.

Help...I'm so frustrated.

Just a short story to share with you....The other day I picked up 6 tapes to transcribe.  All the tapes *looked* like there was plenty of work on them.  Two tapes I had to listen through both sides (took about 1-1/2 hours) because THEY WERE COMPLETELY EMPTY.  I called the one office these 2 tapes came from and jokingly threatened that I will have to start charging for TIME.  I spoke to the doctor personally who claims he didn't let the tapes run.  I didn't believe him at first but then after the call, I realized whoever changed the tapes out (that would NOT have been him) probably accidentally hit the PLAY button on both occasions, so the tapes ran almost to the end of side A. 

I have been in this business for close to 30 years and have heard many MDs going to the bathroom, chewing gum or eating food, entire phone calls heard on the tapes, entire discussions with the patient(s) on the tapes, driving and dictating (where all you hear is the traffic), walking and dictating either through the halls of the buildings or around their homes, DOGS BARKING incessantly in the background, and then the worst, the absolute worst in my mind is MUSIC IN THE BACKGROUND which comes through very loud, louder than the dictator.

So, like I said - all this stuff is common even though we DETEST all that.

Have a great day! 

AND since when does a company only charge 12 cpl?  Yeah right.  4 cpl is not fair.  Most companies put every incoming person on full QA for a short amount of time anyway no matter what simply to make sure you are doing the work their way.  Even as a newbie, I wouldn't take less than 7 cpl and there is no way on this earth I would ever consider that now. 

What is unfortunate is that all the newbies have the AAMT CMT stuff shoved down their throats from day one.  Plus I see on all these message boards how hard it is to get your first job.  I know when I started, I was mortified.  I didn't think I would ever work, but creativity goes a long way and I had a job in less than a month with a great wage of 10 cpl that I negotiated for.  I never, ever take the first offer and I always stick firm to what my decided bottom line is which is based on what I want to make. 

QA is no excuse to pay someone next to nothing.  And you know what, if all of us joned together and decided not to work for those wages AND also refused to go to physicians who off-shore their back office work, we could come a long way.  There are a lot of us in the industry, and this would take us a long way to getting where we want to be.  It took me a little while longer to find a pcp, but it was worth it to me.  Besides the look on their faces when I asked how their transcription was handled was priceless.  :)