My boss is a real nightmare, but at least there is always TOO much to do (sm)
Posted By: Frustrated MT on 2006-11-19
In Reply to: Does anyone else freak when work runs low? - FOMT
I have "my" account of three docs and two PAs, which already kept me busy every day. Then she recently gave me another account to do three times a week in addition to that, so I have three days that are really busy to the point of stressing me out.
On top of that, I can go into three other accounts whenever I want to help out, because the MTs on those accounts are always behind.
When I am really extra frustrated (like I have been lately) with very late paychecks and my MTSOs ridiculous demands, I do try to focus on the fact that I love my docs and there is as much work as I want.
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OMG, that must have been a real nightmare!
I used to have these horrible nightmares that my MIL would come and visit me for lunch and I cooked in my dream the whole night, it was a terrible mess! and when I woke up the stove was cold and nothing on the table!
OMG, that must have been a real nightmare!
I used to have these horrible nightmares that my MIL would come and visit me for lunch and I cooked in my dream the whole night, it was a terrible mess! and when I woke up the stove was cold and nothing on the table!
No, as an IC, I am my own boss. I contract out my transcribing services, but I am my own boss.
:)
Cook it real slow at real low heat; simmer, don't boil.
nm
Best thing - I am my own boss and my own emloyee, worse thing - I am my own boss and my own
:P
The HMO nightmare - SM
I was surfing the web late one night and found these two, oh-so-true paragraphs that sum up managed health care in a nutshell, so I thought I'd share:
"Mangled care" was supposed to be the solution to rising health costs. HMOs would cut out the waste and keep an eye on doctors who ordered unnecessary tests and procedures, saving consumers big money. But it was the HMOs that made the big money--by restricting care.
Their philosophy was summed up by Richard Rainwater, cofounder of the for-profit HMO Columbia-HCA: "The day has come when somebody has to do in the hospital business what McDonald’s has done in the fast-food business and what Wal-Mart has done in the retailing business."
My HMO nightmare
That is so very true. I just dealt with the Hellish Malpractice Organization this past week. My kid had a thumb pointing toward his elbow after a football accident. Well, the thumb wasn't fractured and we knew that meant ligament damage, but we didn't know if it was a complete tear or just a partial tear; therefore, we didn't know if he needed surgery or just a cast for six weeks. The ortho ordered an MRI and my HMO absolutely refused. They said to cast his hand for three weeks and then if the thumb ROM is not improved, they "might" approve the MRI at that time. I am still furious over them practicing medicine on my kid without physically examining him. The ortho told me it has become such a nightmare that he has considered changing professions (boy, did I tell him another nightmare or two about medical transcription).
Well, just to be a butt, my son started having sharp pains shooting up his arm, so I called my lovely HMO and asked the representative what she thought the diagnosis might be. She sounded totally shocked that I was asking her this and said there was no way she could tell me such. I think I made my point to her when I said, "Well, you guys decided to treat my child, sight unseen, in spite of the professional opinion of his ortho, so I thought I'd just see if you could R/O a clot or other major complication via telephone." Believe it or not, I got a call about forty minutes later telling me his MRI had been approved.
etranz nightmare
I just wanted to share my experience with etranz in the hope that no one else will be caught in their trap. This company is very unprofessional in their business dealings. The management will send out payroll checks sometimes as much as 2 weeks late. There are several former MTs how have had checks bounce and are still holding the money. Personally, I have had no checks bounce but I believe it is only because I am in the state of GA where the eTranz office is. I informed the owner that if my check bounced I would be coming to Gwinette County to file charges and lo and behold my check cleared. When I tried to terminate my employment, I was told that if I did not work out my 14 day notice that half of my final paycheck would be held as per contract. When I tried to get a guarantee from the owner that I would be paid for this work, all she could do was scream at me over the phone and she refused to answer my questions concerning payroll. Finally, what I had to do was force her to lock me out of the system so that I could start new contract that I had. I kept calling her regarding payroll, leaving message after message. If I did get her on the phone, she still refused to answer my question, yelled at me, and would hang up on me.
Please stay away from this company. I have found out since resigning that this company has a track record for very unethical business practices.
Interpro is a nightmare - don't even go there
.
Really a nightmare. How awful.
xx
Why is the book a nightmare?....sm
The content of the book is exactly the same as the electronic versiom.
You msut also be careful to download or buy the BOS third edition, 3rd, not 2nd. The latest, 3rd edition, was published in December 2008.
Wow, I woke up from a nightmare....sm
....in which I had been trying for months to find an MT job, and couldn't because I've been retired for several years. Was I glad to wake up! The good part is that with my back problems, I don't have to work sitting at a keyboard or standing on my feet (even worse for me) all day long. Praise the Lord!
I thought of that being a nightmare oops. I know I'd have to
be careful. My one account the works trickles in and the new one is going to be more volume.
I wouldn't blame this nightmare
on MTs who 'simply cannot make the transition'. VR is a rip-off. Yes, the companies make a bigger profit, but at what cost to the MTs. It's simply not possible to accurately VR three times as many lines as straight transcription. Period.
You have to be living a mother's worst nightmare.
God bless you, your baby, and Make-A-Wish. And tell your FIL to kiss your a** and just shut up if he can't say anything positive. Personally, that statement would have caused me to go for his throat. Hasn't the poor baby suffered enough to enjoy something fun?
I keep wishing it was a nightmare and I could wake up and everyone in that area was just living and
nm
My WORST nightmare is broken English docs mumblingrealfast with food/gum in their mouths - and I do
Is it a conspiracy?
Tell your boss
Tell him exactly what you told us - that you were researching for the name and that is what you came up with. You did nothing wrong and I'll bet the doctor will be very appreciative. Good catch on your part!
Per my boss.....
It would be 250,000
Boss?
What happens after the holidays? She sobers up and re-hires all of you?
And, I thought nothing for Xmas was bad! :)
I used to have a boss like that (sm)
She was actually running the company, a new franchise in a big city, and between her other duties, she typed. She would be there at 4 a.m., sometimes 3, and leave at about 9 p.m. every night. That is a sickness. The best part is she didn't need the money - seriously - she didn't even need to work. They were very well off, and her husband had a great job. She finally had a heart attack, but that was after years of those hours; believe it or not, she didn't even go into the hospital for her heart attack - the doctor said it was "mild" so she came to work half days for about a week, cause the place couldn't run without her. Now THAT is sick.
I would think so. You would tell your boss ...
if you worked in an office. I have always let several people know when I am going to be away, just to make sure I'm covered.
Have a great vacation!
Boss
I am sorry to hear this, but I have worked in-house and encountered the same type of boss. I left and did not look back and that same boss is there and things have gotten worse under her administration. My ex-coworker has been transcribing for nearly 20 years and is one of her best employees, but yet she treats her like a dog -- go figure.
Boss
Sounds like she is trying to get you to quit - I went through this with one boss - an MTSO - who was really losing all of her accounts and did not want anyone to be able to collect unemployment. She tried everything, changing people's accounts, denying them bonuses, taking away work and queuing it to other people, you name it - she did it. Thicken up your skin if you like your job, but don't expect her to change. I'm sorry that you have to go through this, as it makes for a stressful work environment -of course at some point that might be able to be changed to a "hostile work environment" at which time you need to go to EEOC. Come to think of it, I would give them a call anyway and report her.
Boss
I bought the Boss too and I love it! I had considered Dyson, but so expensive, and glad i settled on this one - i'm impressed!
boss
I had one that i worked for a little bit longer than you and when I gave my notice she told me she would take my resignation now. Boy doesn't that make you feel like just another #.
I think it might be a boss
Upon further research I think it might be a carpal boss or bone spur because it is very hard and painful, unlike a cyst. I'm going to see my rheumatologist in a couple of weeks and ask him. I have a bad feeling that it might need to come out because my hand is getting stiff. But as long as i can type I'll hang in there.
I think you must have my old boss! Just like you, all of us
Notify your boss
Depending on the company you work for, you might get results. It's very frustrating when you see something that needs changed but are powerless. When working for Edix, I had a patient that had the exact same condition my son has and there was a new treatment that had saved his life, yet her doctor did not know about it and she was at the point of being near death and only in her 20s. I emailed my supervisor and asked them to please notify the doctor of the information I sent and they said nope, no way, against the law. That was nearly 3 years ago and still bothers me wondering how the patient turned out.
Do any of you consider QA/editing to be your boss?
I understand that they critique our work, etc., but I never really considered them to be our "boss". I already have one supervisor, now it looks like I have a few more.
I am my own boss and my own employee. nm
:}
I'd tell me to discuss it with his boss
You gotta be r-e-a-l careful when you're talk state laws. The boss might consider him "problematic." I mean, how much money are we talking about in terms of travel from the boss to the client? If he's getting, say, $10/hour and it's a 15-minute drive ... For $2.50, I would just let it slide.
I'm an IC and work exclusively for one company, which makes me a statutory employee by IRS law. However, I'm making a high line rate, so I'm more than willing to leave things as they are and pay 100% of my social security tax.
This is one of those "silence is golden" situations.
Boss asking for normals
Is anybody working for a company where your boss is asking you to share your NORMALS. Be very careful. My company is asking us to share your normals and come to find out who they want us to share with, overseas. Also asking questions like, who are the best dictators, etc. Also experiencing block of work just disappearing. Several hours just gone. Anybody else.
I wonder if you have the same boss lady as me...
She is terrible. She constantly acuses me of things I am not doing and then when I call her on it, I never hear any more about it. Never an apology. I have tried to speak with her on the phone but she won't and it's always by e-mail which is so frustrating. I have been slammed so many times I can't even count any more. I just never know from day to day whether I'll have a job or not because I never know what I will be accused of next. Oh the things we put up with to make a living in this business
She's the boss, applesauce.
:=
OMG... sounds like you have my old boss! n/m
:)
I'd ask your boss for them or the doctor for -
examples. If you cannot get any that way I'd just use the standard SOAP format for PT.
If you are IC, this person is NOT your boss.
x
Being my own boss is worth that!
x
As employee, you do what the boss (Dr) wants.
x
Apparently your boss is not looking at
the work flow. Next time you are asked, tell your boss that if you could pick and choose you would be doing more work too. The boss needs to handle this, if he/she won't, there is not much you can do.
I would not hesitate to tell your boss
especially since she has asked you why this person does so much more than you. Also, you have proof!
Don't worry about opening up a can of worms - it needs to be open. You need to be honest with your boss when she questions you to cover your tail! I wouldn't worry about the other person - she's made her own bed and now she should lie in it.
I manage my former boss's websites (he has 2), --
other than that, sell some stuff I don't need anymore on ebay now and then...did about $200 a month for about a year.....got rid of most everything though I really wanted to dump...have a few things now I need to list so maybe I will get lucky this month!
boss this to me the other day and really has a lot of good info; sm
cancer classifications
stage and grade
Lowercase stage and grade.
Use roman numerals for cancer stages. For subdivisions of cancer stages, add capital letters on the line and arabic suffixes, without internal spaces or hyphens.
stage 0 (indicates carcinoma in situ)
stage I, stage IA
stage II, stage II3
stage III
stage IV, stage IVB
Use arabic numerals for grades.
grade 1
grade 2
grade 3
grade 4
Aster-Coller
Staging system for colon cancer from the least involvement at stage A and B1 through the most extensive involvement at stage D.
The patient's Aster-Coller B2 lesion extends through the entire thickness of the colon wall, with no involvement of nearby nodes.
Broders index
Classification of aggressiveness of tumor malignancy developed in the 1920s by AC Broders. Reported as grade 1 (most differentiation and best prognosis) through grade 4 (least differentiation and poorest prognosis).
Lowercase grade; use arabic numerals.
Broders grade 3
cervical cytology
Three different systems are currently in use for cervical cytology: the Papanicolaou test (Pap smear), the CIN classification system, and the Bethesda system.
The Papanicolaou test uses roman numerals to classify cervical cytology samples from class I (within normal limits) through class V (carcinoma).
CIN is an acronym for cervical intraepithelial neoplasia and is expressed with arabic numerals from grade 1 (least severe) to grade 3 (most severe). Place a hyphen between CIN and the numeral.
CIN-1,CIN-2, CIN-3
or CIN grade 1, CIN grade 2, CIN grade 3
A cervical cytology sample that is within normal limits in the Bethesda system corresponds with a Pap class I or II; Bethesda's atypical squamous cell of undetermined significance (ASCUS) corresponds with Pap class III; Bethesda's low-grade squamous intraepithelial lesion (LGSIL) corresponds with Pap class III and CIN grade 1; and Bethesda's high-grade squamous intraepithelial lesion (HGSIL) corresponds with Pap classes III and IV and CIN grades 2 and 3. In the Bethesda system, the next higher level is labeled simply "carcinoma," corresponding with Pap class V and with "carcinoma" in the CIN system.
Clark level
Describes invasion level of primary malignant melanoma of the skin from the epidermis.
Use roman numerals I (least deep) to IV (deepest). Lowercase level.
Clark level I into underlying papillary dermis
Clark level II to junction of papillary and reticular dermis
Clark level III into reticular dermis
Clark level IV into the subcutaneous fat
Dukes classification
Named for British pathologist Cuthbert E. Dukes (1890-1977). Classifies extent of operable adenocarcinoma of the colon or rectum.
Do not use an apostrophe before or after the s. Follow Dukes with capital letter.
Dukes A confined to mucosa
Dukes B extending into the muscularis mucosae
Dukes C extending through the bowel wall, with
metastasis to lymph nodes
When the Dukes classification is further defined by numbers, use arabic numerals on the same line with the letter, with no space between.
Dukes C2
FAB classification
French-American-British morphologic classification system for acute nonlymphoid leukemia.
Express with capital M followed by arabic numeral (1 through 6); do not space between the M and the numeral.
M1 myeloblastic, no differentiation
M2 myeloblastic, differentiation
M3 promyelocytic
M4 myelomonocytic
M5 monocytic
M6 erythroleukemia
FAB staging of carcinoma utilizes TNM classification of malignant tumors
See: (TNM staging below).
FAB T1 N1 M0
FIGO staging
Federation Internationale DE Gynécologie et Obstétrique system for staging gynecologic malignancy, particularly carcinomas of the ovary. Expressed as stage I (least severe) to stage IV (most severe), with subdivisions within each stage (a, b, c).
Lowercase stage, and use roman numerals. Use lowercase letters to indicate subdivisions within a stage.
Diagnosis: Ovarian carcinoma, FIGO stage IIc.
Gleason tumor grade
Also known as Gleason score. The system scores or grades the prognosis for adenocarcinoma of the prostate, with a scale of 1 through 5 for each dominant and secondary pattern; these are then totaled for the score. The higher the score, the poorer the prognosis.
Lowercase grade or score, and use arabic numerals.
Diagnosis: Adenocarcinoma of prostate, Gleason score 8.
Gleason score 3 + 2 = 5.
Gleason 3 + 3 with a total score of 6.
Jewett classification of bladder carcinoma
Use capitals as follows:
O in situ (Note: this is the letter O, not a zero)
A involving submucosa
B involving muscle
C involving surrounding tissue
D involving distant sites
Diagnosis: Bladder carcinoma, Jewett class B.
Karnofsky rating scale, Karnofsky status
Scale for rating performance status of patients with malignant neoplasms.
Use arabic numerals: 10, 20, 30, 40, 50, 60, 70, 80, 90, 100. (Normal is 100, moribund is 10.)
TNM staging system for malignant tumors
System for staging malignant tumors, developed by the American Joint Committee on Cancer and the Union Internationale Contre le Cancer.
T tumor size or involvement
N regional lymph node involvement
M extent of metastasis
Write TNM expressions with arabic numerals on the line and a space after each number.
T2 N1 M1
T4 N3 M1
Letters and symbols following the letters T, N, and M:
X means assessment cannot be done.
0 (zero) indicates no evidence found.
Numbers indicate increasing evidence of the characteristics represented by those letters.
Tis indicates tumor in situ.
Tis N0 M0
The TNM system criteria for defining cancer stages vary according to the type of cancer. Thus a stage II cancer of one type may be defined as T1 N0 M0, while one of another type may be defined as T2 N1 M0.
Staging indicators are used along with TNM criteria to define cancers and assess stages. These are expressed with capital letters and arabic numerals.
grade GX, G1, G2, G3, G4
host performance H0, H1, H2, H3, H4
lymphatic invasion LX, L0, L1, L2
residual tumor RX, R0, R1, R2
scleral invasion SX, S0, S1, S2
venous invasion VX, V0, V1, V2
prefixes
Lowercase prefixes on the line with TNM and other symbols indicate criteria used to describe and stage the tumor, e.g., cTNM, aT2.
letter determining criteria
a autopsy staging
c clinical classification
P pathological classification
r retreatment classification
y, yp classification during or following treatment with multiple
modalities
suffixes
The suffix (m) (in parentheses) indicates the presence of multiple primary tumors in a single site. Other suffixes may be used, such as the following in the nasopharynx:
T2a nasopharyngeal tumor extending to soft
tissues of oropharynx and/or nasal fossa
without parapharyngeal extension
T2b nasopharyngeal tumor extending to soft
tissues of oropharynx and/or nasal fossa
with parapharyngeal extension
But ultimately the doc is the boss...so you do it their way if they insist they want it a certain wa
d
I'd inform the boss of this and if he refused
to pay, I'd turn him in to the labor board and then I'd quit but just like MT world there will always be someone willing to work for free thus nothing ever changes with making employers do the right thing.
Boss Yelled at me - no apology
 I worked for a lunatic like that once. File a complaint with EEOC for her "creating a hostile work environment". This may change her tune to a sweeter one.
I think your boss was saying transcribe verbatim,
as in p.r.n before the drug was dictated, and you changed the order. Not to be a witch, but the other poster is not correct - ibuprofen is not capped. You are right that PRN should be p.r.n. - it is a latin abbreviation, but MANY MTs cap stuff like that. One of my peeves...
My boss has one. Doctor prescribed it. nm
She said her shoulder pain, sore fingers and wrists are gone. It is highly recommended for those with RSI. She said worth every penny, but did take 2 weeks to get used to it.
An old boss used to make up words (sm)
She was so proud of herself and tried to use "big" words. She would throw her head back so proudly and say things like we needed to make sure we were "oriententated" on "autholization". Yes, she said it the way I spelled them. Those are just a couple of examples. Memorandums were no exception. I took one of them and highlighted in red once all the errors with a big red F. Shameful. In our meetings, I had to look down to keep from making eye contact with anyone. I would get the giggles if I didn't.
I think My boss wants me to quit (vent)
She won't give me my incentive pay. I have typed 1400 to 1500 lines per day for the last six weeks which is up from 1100 to 1200. The deal is, if I can type this consistently for six weeks then I get paid 0.95 per line instead of 0.9. Well I have done that. She says, no you have not typed that for 10 days in a work period. I asked her, "well, how can I when you pull me off sometimes to file because of lack of work. She says, well, I just cannot give you the incentive. 
Also, she stuck me in an office with one of the most obnoxious coworkers I have ever had to work with. None of the other Mts, male or female, can get along with her either so she sticks her in an office to herself and then she decides to move me in with her. Obnoxious starts belitting me like she did the others, she acts like she owns the place and I told her to stop. She did not stop so I went to the boss. The boss talks to obnoxious so I got the silent treatment for a while which was better then getting an azz chewing every 5 minutes. But then before I left today she bit my head off again about someone who was buring a candle and it was making her sneeze. I go to the boss, tell her I want to move back in the other MTs. Boss says, your not moving. I don't want Obnoxious to be isolated from EVERYONE! Your going to have to get along.
I know these nationals don't pay as high and I am sure they don't offier as good bennies but they are looking sweeter and sweeter. Help.
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