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Serving Over 20,000 US Medical Transcriptionists

IC loyalty dilemma

Posted By: Ethical help on 2006-09-23
In Reply to:

The owner of the company I contract through has a strict policy that you do NOT ever converse directly with the client.  I am on an account where there are 4 of us doing it.  One girl continuously keeps writing the client with everything from asking about formatting to asking what some medical terms are.  I have asked her in a prevous e-mail to please not do that, due to the work policy.  She has continued to do so.  I don't know what to do.  If I turn her in, she would know it came from me, and would I be a rat?  She claims that she and the client made an agreement to e-mail each other without telling the owner of the MT company.


Thanx for any input!




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About loyalty to MQ, sorry lm

Unfortunately, MedQuist has been made who they are by buying out so many small & medium MTSO's over the years to get where they are, and I wonder who was not thinking about a consistent "MQ way" while they were doing so.  I mean, as much as we refer to McD's and Wal-Mart, when one opens they sell the same/serve the same around the country.  MQ was like a game of Pac-man, gobbeling in hyperspeed.


In doing so, they made deals with the sales to keep things "as is" it seems from some of the posts and the vast inconsitency across the board has led to so many, many different ways of operations, how MT's have/were treated, how offices are ran, mass exodus of inhouse employee's.  We see this in the praises of some CSC's with plenty of work, treat their MT's with respect, then of course, the nightmare CSC's.  This total opposit just does not make sense at all.  If some need work, then give them work from an office that is overwhelmed for crap's sake...spread the work and $$ amonst all.  I don't have a big suit in my closet or a big degree hanging on my wall, but it sure the heck seems like MQ could save $$100,000' in just "consulting with the MT's" in how work flow could be consistent, accurate and done with pride, care and loyalty, instead of paying those high priced suits that seem to come and go like a revolving door.  In their quest to be the biggest and best with the hypertechnology, they have forgotten what it's really all about...the patient and the MT who is taking pride and time in doing that record because the MT is not breaking their backs working 12 hrs to make what they did in 6, they know the account, they know the dictator and that does not leave them guessing.  I know when one of my doc's says something really off the wall, out of character and does not make sense...as in being interupted when he's giving me drug allergies, says NKDA yet gives the patient Cipro because of a PCN allergy...that's a discrepancy that needs to be sent to QA, so that the next person or someone reading that record does not just glance see nkda's.  I got a very nice thank you from the doc on this and it's only because I know he was very annoyed at whoever was bugging him, and this is because I have him night after night, year after year.  That's what happens when you have accounts you are proficient at...they get done in quality and faster!


This is how you can have so many people on either one side of the fence or the other when it comes to MQ..and there really does'nt seem to be much in the middle.  If MQ has treated someone decent and fair, then it's easy to be loyal to them and vice versa.  There's just never one side to a teeter totter and we may see a huge imbalance one way or the other with the anticipated packets...........I just wish they would get here and calm a few nerves!


Dilemma...
Don't do it. On so many levels, it is not a good idea. Your kid is worth a few more bucks of gas money. In a few years, she'll be gone and you will wish you could chaffeur her around.
No loyalty...
I worked for the same two groups of physicians for many years and when they were able to cut me out, EMR or make office staff transcribe for less, they did. It's all about the $$$. I never was able to get any of them to sign a contract other than one that stated that they could let me go at any time or I could let them go at any time. Of course, I would have been more considerate and gave them notice and been honest about it. Even at cut rates, they are always looking for a better deal. One of the office staff who took my transcription work on the side at cheaper rates recently called me and said she needed help, etc. but at her lower undercut rate.. (what a joke) I at least had the satisfaction of telling her "No thanks". She said she did not know it would be this "time consuming" she has no life, yadda, yadda... They thought it was soooo easy...NOT! Sorry about your situation.. it's a tough lesson we all eventually learn.
No loyalty again!
Like you, I worked as an employee for a group of 18 physicians for over 21 years. I retired early, then they begged me to be a contingent employee because they had no one to fill in for vacations, sick leave, etc. I agreed and it was a pretty good deal. They paid me as a regular employee, albeit contingent basis only, which was fine with me. If I wanted to work, I did; if I didn't or couldn't, I didn't! Then a year ago they switched to a new Dictaphone call in system (whereas before we transcribed from tapes). I said, "There goes my little part-time job." Oh no, they wanted me to stay, blah, blah, blah. Bottom line: They got the new equipment and didn't even have the decency to let me know they weren't EVER going to use me again! Over the years, I paid for much of my own equipment working at home for them and had been their ONLY Transcriptionist for over eight years (with 8 docs at the time!)until the practice got too large. In fact, I had more experience than all of the transcriptionists there! Several of my coworkers thought it was pretty sad but they couldn't do anything about it, of course.
Again, money talks and since I was most probably the highest paid transcriptionist there, they wanted to dump me to help pay for their leased equipment, I guess. Finally when I asked the lead transcriptionist about all of this, she said they weren't going to use contingent people any longer. So my opinion of docs has definitely changed during the last year...and NOT for the better. Sorry for the long post but I get angry every time I think about what they did.
this is my dilemma
I have a question for any of you in a 2nd marriage with stepchildren. I have 2 stepchildren, 2 of my own. It has been a nightmare with DH's kids who are 17 and 18. They came to live with us full time. They were disrespectul, horrible grades, the older has gotten herself pregnant twice, they've been caught drinking, etc etc you get the picture. The stress on my marriage has brought us to the brink of divorce many times but last year they went back to live with their mother. Now husband wants to bring the youngest back here. I cant go into all the details but I refuse to go back to an extremely dysfunctional and toxic living situation. (My kids have not been a problem whatsoever). Some of you may think I'm being selfish but honestly if you knew how hard I tried to help those kids, I did everything in my power and they just got worse.

My question is has anyone else had this kind of problem?
Somewhat of a Dilemma
I'm not sure what to do in my situation.  To try to make a long story short, I worked for a small company doing transcription for a Nephrologist's office.  The nephrologist's office came to me directly offering me a job.  They told me to give my two weeks notice without any specifics and then they would tell her that they no longer needed her services after today.   I feel guilty and want to tell my old company that the reason I left is because the nephrologist's office offered me a better position with more pay.   The nephrology group doesn't think I need to tell her where I went when I quit, but I feel like I should.  I'm not sure how to go about telling her now after the fact.  Any thoughts would be appreciated
Loyalty-sm

I know summer is usually a slow time in the field of medical transcription but I have sat for many days now with absolutely no work.  The past two pay periods have been extremely rough.  I like the company I work for but I can't afford to sit idle.  I have started looking around and have even sent out a few resumes.  I feel a bit disloyal but I have to eat too.  I find it hard to believe that there is absolutely nothing! 


 


Do you ever feel anxiety when there is no work, and if so, how do you deal with it?  Am I being disloyal by looking for work?


Dilemma
They're paying me a lot more as far as money and benefits go. I'm certainly not ungrateful and was only asking for guidance and not to be called names. I want to tell them and I was just asking for a way to let them know. I have the feeling they suspect. If I told you half of what I had to put up with at my old job you'd wonder his this MTSO is in business themselves.
This is a dilemma--SM
There are several things that come to me about this situation.

1) Your ethics and theirs are somewhat of a mismatch which is causing you pause and rightfully so.

2) Don't be swayed by the "ungrateful" speech/lecture. She raises valid points, but the fact that you're questioning yourself and this situation is a good and reasonable thing. No need to beat you up about it. You already have a conscience, otherwise you wouldn't be posting for more input.

3) There are two ethical ways out that I can see.

A) Turn down their offer flat--thank you, but no thank you b/c....

B) Accept their offer, but refuse to lie about it or allow them to put you in that situation. Tell them that the only way you'll contemplate their offer is if they go to your current boss about your being hired away and offer a "finders fee"--this would be similar to situations arranged by temp agencies that place people in "temp to hire" positions. The hiring company, if the temp is hired, pays the agency a fee for the placement. Everybody comes out clean and most, if not all of the parties, come out ahead, especially since this is an above board handling of the situation.

4) I think that you will have to think carefully about their work "offer" in view of their ethics. If they are willing to deceive your boss, what might they be willing to do to you if they change their minds or, indeed, decide to hire someone cheaper. Perhaps you'd want to consider the difference between "at will" employee vs. having a signed contract with them. (Here's a Wikipedia link to explain, though I would not take their word for it explicitly, but contact a lawyer to further explain and/or help you walk through the process should you actually go this route.
http://en.wikipedia.org/wiki/At-will)

Good luck.

LOYALTY

It was wonderful, especially since I was single Mom and just lost a supervisor transcription position at a hospital that closed. I was lucky and landed another job immediately with a private clinic, but was able to take my daughter on a few trips with this extra money and pay off a few bills.  I feel really fortunate now because I just remarried a year ago and money is definitely more stable, but i still hate being treated dirty when I was so loyal to this clinic. 


Is $1000 to much up front????  There really wont' be that much typing involved, but my time in finding all this information on my own was a pain butt!


 


I know that dilemma! You never know if you are going to be able (sm)
to get good line counts with the new company so it is a hard choice. Is there any way you can try out the new company part-time for a while to be sure the work is good? Best wishes to you. I have two small children and am also thinking of seperating from my husband.
Blind loyalty.
And third comment.  ISSUES!  Just because this person is American and lost her daughter does not give her the right to call everyone but herself incompetent.  She CANNOT call these people criminal w/o EVIDENCE.  I wish you would think that thru.  If she is so SURE these people are criminals, let her step up to the plate with EVIDENCE and share that with the world she is urging not to take in the two brothers who were released for LACK OF EVIDENCE.  So tell us what EVIDENCE she has to stand in judgement of everyone.   Oh that's right.  She is American and lost her daughter.  We don't expect evidence just rambling emotions based on.....????
dilemma with teenager
I have a 14-year-old daughter who is on an athletic team that practices after school every day. We live in a rural area and it is a 15 mile round trip to pick her up. A neighbor boy who just got his license a week ago has offered to bring her home as he goes right by our house. We have had a rule that she is not allowed to ride with boys in a car alone yet but with the price of gas, I'm wondering if I should rescind that rule. I don't really know the boy well so I'm uneasy about it. Any thoughts on this?
You owe them no loyalty, especially if they don't pay squat.
Send them a note thanking them for the wonderful experience but giving your two weeks notice or whatever because you have accepted employment elsewhere.
Loyalty goes both ways
How loyal is the company to you if they pay you peanuts, and how hard would they cry if they decided to "down size" and let you go?
Parental dilemma...sm
I am looking for some parenting advice.  My daughter is 8 years old and one of her friend's father died this weekend.  The school counselor went in to speak to her class today to let the children know that this child had lost a parent.  She then sent home letters with information regarding funeral services and some info on how to talk to your children, etc.  Anyway...my daughter wants to go to the funeral in the morning and I have no idea on whether I should take her or not.  Neither my husband nor I knew either parents of this child.  My daughter was a "new" kid last year and this little girl has been a good friend since we have been here and my daughter is very fond of her.  I told my daughter I would think about it tonight and let her know in the morning and I have no clue what to do.  I feel uncomfortable going to a funeral where I have only met the mother of this child once (at a birthday party) and my daughter has had no real experience with death.  The only thing she has had to deal with is the death of a pet.  I talked to her about the funeral and what it was, including people being upset, and of course a casket, and what that was, and she still wants to go.  Does anyone have any experiences like this...or is just plain willing to give me an opinion?
MT is co. business. Not about loyalty to MTs,
x
Shorthand Dilemma
When I type the abbreviation for an expansion the first letter gets separated from the rest of the expansion.

Examples: tp (the patient) expands to: t he patient.
sep (September) expands to: S eptember

This only happens when I use the doctor's normals created by the hospital, for my account. I print out the normals, then insert them into my Shorthand, and refine them further, adding additional text that the doctor says all the time, and then save the whole thing -- in other words I have customized the normal even further.

If I just pull up the hospital normal (with a Ctrl + R) and type in it, there is no problem with expansions. But if I put the normal into my Shorthand, customize it, save it, and then print it out, sometimes I get these "separated expansions" and sometimes I do not when I type in the report. I can't figure out what is making it happen, but it's driving me nuts, and I can't find a pattern.

I've used ShortHand for years with Word and never had this weird problem. Any ideas on what is causing this and how to solve it?
I can understand your dilemma sm
Honesty is best. I can't imagine being on my feet all day and/or doing something really physical because after years of sitting all day, I am deconditioned to the max. Perhaps you are the same way.

Tell them you are not physically up to the job, which is true.

As for MT, I have to tell you, I have had jobs I have regretted quitting and jobs that have dissolved for other reasons, just at a time I was loving them. I am one to say that MT jobs are a dime a dozen. The problem is, you don't want to work for 11 of that dozen! The grass is not always greener on the other side of the fence, and I have suffered from the idea that it is.

I feel your pain, but you have to do what is right for you. I am sure they can find someone else.
My economic dilemma is the same only perhaps on a higher scale...
I have had my cable connection shut off so many times for nonpayment, my utilities are not being paid in full because we simply never have enough money, groceries are now a luxury rather than a necessity as are utilities by the way...my pay has diminished greatly due to the global market and competing with countries like India in Medical Transcription.

I am aware of India and their problems but I am concerned for my own situation and survival.

got interrupted, cannot finish, but had to make my point
How can you feel loyalty to a company that so clearly has no regard for a large portion of its MTs.
;O
detrimenal impact on your life. Loyalty is gone. Almighty dollar has taken its place.
dd
Situations change. We are all in this for the money. Loyalty is great but appreciation (monetarily
And be honest. This is a financial issue and a matter of there is only so much time in one day. They may be shook up for a bit but in the end, they will remember you for the work you produced and your day to day performance and personal character traits. Give them plenty of time to find someone new if you are very fond of them and, in this case, you could offer to train the new person.
Dilemma! Tomorrow is picture day and my 5 yo just went wild w/a jug of blue food coloring --

 


both hands and the entire lower half of his face are now bright, royal blue.. Will this wash off by morning???