No blame placed on anyone. Surely you have

• QA scores vs limits vs less money for MTs and QA - Go figure
  • I think you need to see it differently ... - Busy MT'ing
    • Ever think that maybe 15% is going to QA because of LOUSY DICTATION? nm - more than one factor here!
    • This is a plan to cut QA personnel and cut pay for MTs - No way
      • ESLs - blueskies
        • Well, grammar/punctuation can dramatically alter meaning, so it IS important. nm - It's not just the big words.
      • It is your job to learn the ESLs and if you can't/won't then you need to - .
        • Oh, get off your high horse. Have YOU ever done the truly horrible ESLs?? nm - smell a rat
    • If you would ever hear the quality of some of the dictation I heard on cell phones, buses, trains, - Give me a break
      • Look, if I were on an account that - Busy MT'ing
        • Easier said than done. Quit blaming the MT for this!! nm - jeez!
          • No blame placed on anyone. Surely you have - Busy MT'ing
        • I have tried countless times too many to mention and nothing is done about the cells phone, trains, - Give me a break
          • dictators on the phone - TAH
        • You are fortunate to call shots. Most MTs can't - Me
          • Well, it costs sometimes. I have had to change employers before because - Busy MT'ing
  • Of course it's a scam. Most MQMTs don't get it. - MQMT

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The OP may not have specified hours, etc, but every MT should know better than to state their line count without giving any other qualifying factors.  It's misleading pure and simple to say "I do 3000 lines a day" and leave it at that.  The natural assumption is you're talking about a normal work day consisting of 8 hours.  The second natural assumption is that you are talking about the standard line definition of 65 characters per line.

The OP is probably fairly new to transcription and is probably trying to get an idea of where she should be production wise and wondering what kind of money she expect to make.  You simply tell her you 3000 lines in a day and don't tell her anything else is misleading her into believing that she can achieve this too and leave her feeling frustrated when she can't. 

I wanted the OP to know that gross lines anda  12 hour day are not the norm in this field and you should not have stated your line count as if it were! 

You go girl!!  My thoughts exactly....

I've learned to take a more pragmatic view of the problem rather than blindly placing all the blame on the doctors themseves.  Rather, I place the majority of the blame on the shoulders of the government and the insurance companies for driving up the costs not only to patients but to the providers.  Practices have found that they've got to cut back somewhere. Some have turned to EMR, some are using voice recognition, and some have resorted to going the cheapest way possible, offshoring, to create the documentation REQUIRED by insurance companies and the government in the first place.  Though we may debate the morality of sending American jobs overseas, they're not doing anything illegal.

The biggest problem I have with offshoring, as my friend once put so eloquently, is "I wouldn't want my medical records to go to some country we're going to be at war with in a few years." (thanks, AK!) We Americans are expected to abide by government-imposed HIPAA laws, but does that extend to offshore companies?  They say they are HIPAA compliant, but who really knows? Which "government" agency watchdog do we have to protect our privacy in these other countries?  Gee, we're having such a problem with identity theft, wonder why?

I've taken to asking any new physician that I go to who will be typing my medical record after this office visit.  If they say they sending it to some really cheesy company in India or even refuse to tell me who, I walk.  How many of you do the same thing?

"Anonymous" and "Untouchable?" 

Don't speak for me.  You don't know me.  I have always wanted to deal directly with the MTs.  There are other QAs who agree with me, too.  But we have been told in may meetings that just will not happen.

Of course, I would imagine the anal ones who should not have their QA jobs would not like to do that, because they could not back-up their corrections.  But I stand behind mine.  I would rather talk directly to the MTs -- lack of communication is good for nothing but misunderstandings and bitterness. 

I am not out to get any MT.  I will not make a change in your report unless it is an outright blatant medical terminology mistake or a formatting error.

Why are you so mean?  You don't know me.  I wouldn't be nasty to you.  I have never done anything to you. 

Bitterness is not good for anyone.  Why don't you place your anger towards the QA who is giving you troubles?  Turn that QA in.  Keep doing it.  If more MTs would speak up, then the ones who should not have jobs will be held accountable.

I know what you are talking about.  I understand.  I see it myself when I look at completed reports and I see what some QA are doing.  It is wrong.  But not all of us are the same way with our jobs.  I have always tried to be professional and helpful to the MTs.  I leave notes with info that they might need concerning the particular report, and even thank them for their hard work. 

I am sorry you feel so hateful towards someone who never did a thing to you. 

it didn't cut the mustard and you want to blame somebody else? You know, one report will not get you canned.

I do feel sorry for you, again.

As for the *blame game* - most states and MOST judges don't care....they don't care if your spouse is caught in bed with people.  Hopefully the OP's state is like that.  Many states today are *no contest* states.  If you want a divorce, you can get a divorce in most states with no contesting.  If the OP's state is not like this - is not a *no contest* state, the OP needs to file for a divorce in another state, where the OP would need to get residency status in that particular state (using someone's address who you know real well). 

...for taking another transcriptionist's word over mine regarding a situation involving only the two of us. I blame my employer for overlooking the fact that another Transcriptionist was 15 minutes late EVERY SINGLE DAY for five years, had temper tantrums at work (even the employer said she needed anger management classes), and antagonized the radiologists - and yet still, somehow, I was the "bad guy" and that employee was the golden child. I blame my supervisor for being IN THE SAME ROOM and witnessing the cold and cruel way the other transcriptionists treated me, when I had nothing but pleasant things to say to and about them, and still allowing the manager to "let me go" when it finally came down to a choice.

No, I didn't fit in. I don't lose my temper at work. I don't try to turn people against other employees. When there is a problem at work, I have the courage to address it and calmly try to work it out. I treat other people with respect and dignity.

You're absolutely right. I didn't fit in. But I should mention - I left there August 28, 2005, and they STILL have not filled my position, nor have they filled the position of another employee who left at the end of December 2005. What does that say about who "fits in" at that department?

Consider the source, laugh, and enjoy your home and your family. You don't have to defend yourself to anybody.

All these ladies are giving great advice.  It seems like you're mind is racing and you're frazzled.  Your situation is stressful, so of course you're in this state of mind.  Get your mind organized, get calm, then you can think your way through this.  I've got HIGH anxiety, and I need to stop and reorganize every so often or else things will fly off the handle bars.  Take a bath with candles, nice music, a glass of something calming and slow down.  Once you have slowed down, and can think logically your kids will see you are in more control and you can formulate a plan for them, and they will listen.  They see you're out of control, so they take advantage of it.  These are stressful times with no money and rising expenses,  but like other posts have stated, don't forget whats really important, and put it into perspective by first taking care of yourself.

I really don't see how your post is going to help her find a solution to her problem.  It is easy to stand up on a pedistal and point out other people's mistakes, but we've all made them.  She needs advice on how to fix her situation, and "assigning blame" is just rediculous.  I can't believe this thread even went in that direction. 

I also don't think that it is right to blame someone for their spouse's actions.  It is his fault for acting that way, not hers for marrying him.

I grew up in poverty, much like Loretta Lynn in Coal Miners Daughter.  I mean poverty.....pair of shoes a year, you name it, yet I never murdered anyone, nobody in my family murdered anyone, we didn't rob the local gas station, we didn't murder tourists.  We also didn't hang around on the street corner selling drugs.  We worked, all of us, doing whatever it took to survive and not a one of us ever collected public assistance.  In fact I had never heard of public assistance until I was in my 20s and had moved out of state to Texas and saw somebody using food stamps and didn't know what they were!  I thought Texas had a special colored money different from the "green" I was used to seeing.

Education doesn't cost a dime. I don't care if you have to wear clothes with holes in them, it's your MIND that matters, not what you wear to school.   College is just about free for anybody who wants to go with special programs especially for single mothers, minorities, and those under certain income levels.  I loved learning from a very young age and with my own children, school comes first above and beyond all other activities.  They work for what they want, both inside the home and out. I have four, not one has ever been in trouble, not one drinks or smokes.  So saying poverty breeds violence is an excuse.  What people need are parents with responsibility, and having 5 or more children out of wedlock by different fathers is not responsible.  Not working is not being responsible. Not setting boundaries for your children is not responsible.   I know many all-white absolutely destitute areas in coal country and you can drive through there without getting shot, mugged, or having your car stolen.   I knew many nurses in the New Orleans area who grew up in the projects, went to college and decided they wouldn't raise their children like that.  That's responsibility. Not letting your pre teen and teen children run the streets at all hours, that's responsibility.  Working and showing your children you can succeed with schooling and working, that's responsibility.  Not showing up at school yelling prejudice because your child smacked a teacher and got expelled, that's responsibility.

I did a quick search for crime stats and found this:

http://www.cityrating.com/citycrime.asp?city=New+Orleans&state=LA

Also, my ex is in the national guard in Texas and was there when people were relocated to help keep order.  He saw people dragging in televisions, designer clothes and shoes, etc., all with the vouchers they were given to find housing.   Texas welcomed people with open arms and a small percentage did find housing and went back to work, but the larger majority wasted the money and then were extremely upset that there was no more.   These were people of all races.  One businessman offered his home to a white family of 7 and told them they didn't have to pay until they went to work.  Four months later they still weren't working and when he went in the house to do a repair they requested, the house had been ruined, totally.  Carpets burned and stained, holes in the walls, absolute filth.  The home was worth 256,000 when he provided it to them, and after the finally got them out it took him just under 100,000 to redo the destruction.  Once again, poverty is no excuse!   They should have taken the opportunity to look for work and been happy they were in a great neighborhood outside of Houston with good schools and good churches, full community support.  I have an illness that will kill me and I'm in pain daily, but I work and I'll keep working until I drop.  I couldn't anymore support my family on Disability than sprout wings and fly.   It all depends on mindset and determination and nobody told me when I was born that I should expect our government to just hand me everything and I can sit back and do nothing.