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Serving Over 20,000 US Medical Transcriptionists

Offshoring just makes me very angry...sm

Posted By: curious girl on 2009-01-29
In Reply to: Could this be the writing on the wall for the US MTs... - SisterMT

Right now especially we need all those jobs that are being sent overseas. I, along with some other MTs, have written a letter to the white house. I don't know who will read this or if it will be read, but I took a stand. I am also going to write my legislators and senators too asking them to do something about offshoring. Eventually someone has to listen. Just my 2 cents.


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that just makes me angry
WHERE/HOW did you receive this? i receive spam emails, but nothing so closely related to what i do as a job...

i dont understand how our jobs can be sent to people that cannot form correct English sentences.

i will NEVER understand this business anymore, and that is why it is time for me to get out of it.

Experience doesn't matter anymore. if they can pay someone as cheap as possible to get the work done, they will do it. And the MT's that accept it hurt the rest of us that deserve more.

im so sick of it! those of you that make good money, count your blessings! A few years ago I was making 50K... now not even CLOSE with the technology and outsourcing...

who stays in a job where their salary has been cut almost 50%?
OFFSHORING makes it more competitive
if you want to do this, you have to work hard at learning it all, which will take some time and frustration after you graduate.
Nothing in HIPAA makes offshoring illegal
And many of the doctors I've spoken to willingly outsource their own transcription because of the cost savings. They are by no means in the dark about these things.
Offshoring to India...Offshoring.
nm
I'm very angry but

My mother would not side with me.  I know this for a fact, thats why I keep the responses to myself.  She pretends like she doesnt see it, she is one of those moms in denial about everything.  I'm also afraid she will feel threatened, I don't want that.  Also, the family member I told has a big mouth, and I think some of it may have leaked out because the last time I went over there, I went swimming and I had a towel wrapped around me.  Exact words from my stepfather "Why are you all covered up, do you think there's a pervert here or something?" And he's become very hostile lately.  The whole thing is a mess.  Its sad because my stepfather and I were close in a normal way at one time.  Its like I lost that.   


Very Angry MT
If you are new and have a year and under why do these companies not respect that fact and try to teach you and make you better instead they just get rid of you over one report that went bad... Are we just garbage?  Just because you do not have to look at a person in the face does not give them the right to do these things, Now let me say it was the account not the company that fired me...
To Angry
I am sorry this happened to you, but I think there could be many reasons and no, this was not fair the way it happened to you given the history you just gave. However...these things do happen. Let me tell you, a couple of years ago I decided to go back to working inhouse. There was a doctor there no one could understand, even the more experienced struggled. He had a certain MT for many years, but when new management came on board this MT was let go. Anyway this doctor simply would not allow anyone else to do his work without finding something wrong. He wanted his old MT back. They found someone to do the work for him but he was very, very picky. Maybe this is what happened to you. It could be anything. You will bounce back from this and go on to find something else even better. However, I am just wondering why didn't they have a backup account for you.

Best wishes.


To Angry sm

Since I have never seen your work I would not presume to pass judgment on it.  *IF* your work consistently had gross errors and you were never informed, that says enough about the company you worked for.  In fact, as far as I'm concerned, a company that would ask ANYONE to work free for "months" as you said in a previous post is beyond despicable. It might be possible this is how they are making their money, the profit margin for free work would be pretty good but I would expect they wouldn't last long.


On the otherhand, I've had more years experience than I care to say, so let me tell you I KNOW how bad the baddest ESLs can be.  This actually happened to me:  I worked for a company about 10 years ago when tapes were sent to us at home by UPS.  I consistently got this one ESL who was so bad I said that God Himself couldn't understand him.  I called the office more than once saying I hated sending the reports directly to the hospital because they looked exactly like swiss cheese.  I was told to "just do the best you can and don't worry about it."  Well, one day I got a tape of his dictation and the tape itself was bad, so that work looked more like the whole block of swiss cheese with huge chunks where the tape was nothing but a stretching sound, thus, large chunks of blanks.  I called the office and again was told to "do the best I could" and send it on to the hospital.  Well, the next day I got some more of his tapes and the first thing he said was, "ah dunawa **** ado MA tie."  I translated this to mean, "I don't want **** to do my typing."  I immediately called the office and I admit I was pretty distraught, even considering how bad he was.  Know what I was told?  "The hospital knows how bad he is, their MTs refuse to do him which is why they send him to us and you're the only MT we have who can do him.  Don't worry about it, just send the tapes back and we'll tell them we're not going to do him anymore."  WHAT????  Why the heck didn't they tell the hospital that way before I pulled all my hair out??!!  And this was a large national that has since been gobbled up by MQ.


Don't give up.  Ask an experienced MT to review your work and give you some honest, constructive feedback and then do what it takes.  If you have to pay someone to mentor you for awhile it's a small price to pay for the education you'll get.    Hang in there.


You say this as if you are angry
Next time, don't come here to ask such questions. It could have been much worse. YOU are the one who is at fault here.  You are lucky that anybody responded at all.  YOU came to this board TWICE asking for help. There are no doctors here.  Use your brain!
Angry
I think you should see a lawyer. You may have a case for wrongful termination.
angry too, but not as much as
having a doctor dictate to the song mack the knife on every dictation - i guess he either thinks he is bobby darrin or just funny - but it gets annoying
You seem to be very angry
I said I THINK, not know. Having a college degree means what in transcription? Nothing that I have been able to find yet and I have done this over 30 years now. You need to find something else to do apparently. I do not find this a crap job and have made really big bucks in my career but then again I have the speed to go along with the background for doing transcription. These hospitals, companies, offices are in this to make money. They are not there to pat you on the back. You seem to be in over your head. Probably something a little less stressful would be a good thing for you. This is just a job that I do not stress about- after first going through a rigorous training program. Have a good day!
I'm angry!
No, they aren't taking over; they've already taken over. Let me tell you - when my husband became seriously ill, I had to fight for two years and delete our savings in the process to get his SS disability, in spite of four doctors (one being the SS doctor) saying he could never work again. We had to go on food stamps and it was a very humiliating experience. However, I was the dummy who was completely honest about everything, so I put down on the quarterly statement when it asked if ANY family member had received cash that my son received $160 in birthday money. They cut our food stamps by $160 the next month! It was a humilitating experience for our family and it taught me that the system is against you! Now, these illegal aliens come over here and get food stamps with ease and I'm working my tail off to pay for them? Is that supposed to be okay? The food stamp office acted like they were doing me a favor even though my hubby and I had both worked for 20+ years at our jobs and they KNEW we weren't deadbeats. I'm angry! I couldn't even buy toilet paper or bath soap with those food stamps! But, I sure saw a woman buying a wedding cake with them in the bakery of the grocery store not too long ago - and she didn't speak a word of English. I have a problem when I see these people paying with a food stamp card and then pulling out wads of cash to buy alcohol after ringing up their foot purchase.
They're illegal and I shouldn't have to support them. They are getting free government benefits and we're the working Americans who are supporting those benefits. They know how to work the system and America has allowed them to do so, so they have indeed taken over.
Now I am angry
Just did a ESL report. The patient was a white American female as dictated by the doctor, and he "could not get an accurate history due to the language barrier".

This just irritates me.

You seem really angry????

Some people do not think Google is an acceptable resource as you can get "wrong answers."  So, if the term is already in question, then I'd say your advice about googling is leading them down the wrong "path." 


Instead of being so critical, why not just "be quiet" since you obviously have a "thing in" for new MTs. 


Furthermore, to single out one post from a new MT the word board is hateful.  Goodbye!  Peace be with you.  I hope you find some peace soon. 


Not angry
Google is always a great start if you don't have anything more specific bookmarked. Part of the skill any newbie needs to learn is how to sift through Google for authoritative references, and/or how to do a search in a way that limits the responses one is going to get to those that are usable.

If I look up something ortho-related, do I take something from Bob's New Age cast supply? or from Wheeles'?

I still -- & will always -- feel that it is better to teach someone how to teach her/himself than it is to spoon-feed a bunch of predigested facts.

You are darn right I'm critical, and no, I'm not going to be quiet as long as I think a newbie can learn something from me.


I'm not angry when I say this about the mayor - sm
The mayor kept telling people to leave over and over and over again. He stated that he knew thousands did not have cars. He even said "this is the real thing, folks." Why didn't he provide school buses or city buses to get these people out - just take a few belongings, get on the bus, and get out of the city.


Apology for angry MTs
Please speak for yourself! On reading the posts - no one called anyone a liar. We just asked for information or proof. There is abundant false information out there. I worked as an IC for a company who had "hired MQ" to take over the hospital jobs but the quality of work they got was so poor, they went back to their own MTs and FIRED MQ. I am not FOR or AGAINST MQ. I simply work there now and need facts. If the DQmanage has that ability, then new hires should be able to ask, "just exactly will I be paid for up-front" instead of taking the job and then finding out half of their work is not paid for. I have no fangs and I did not tear anyone up.
No whining, but ANGRY
With a MQ blog you could communicate and discuss to your hearts content, while you change nothing and your children starve.  And if MQ started the hole you are in, by still being there you are handing them the shovel to make that hole deeper.  Of course it is hard switching jobs and learning new accts but how does staying at MQ with NO jobs make that any easier?  If you have children and bills, you darn well better be doing something other than just whining about what a bad company MQ is.  You can start that process now or you can do nothing but whine and still have to start that process sometime in the future, all the while you bills are adding up and you kids are getting thinner.  And another thing, why do you have to buy anything for a new program or new job?  I have never had to buy anything for any company I have worked for.  It is hard to have alot of sympathy for a person who is constantly with the "poor me" but who does nothing to pull themselves out of the mire.  And if you think I am whining, you are reading my posts all wrong.  I am not whining, I am angry that you are letting yourselves be taken advantage of.  It makes all MTs look bad,  like we cannot take a stand for ourselves but feel ourselves to be at the mercy of any company that wants to take advantage of a hard-working MT.
They are angry. They don't want or need fact,
if they weren't so abrasive, offensive and racist it would actually be quite sad.
Darned right, I'm angry.
Unless you're a billionaire, you should be too!!!!

HOUSEHOLD INCOME DOWN, POVERTY UP:
MORE THAN 1 MILLION FELL OF MIDDLE CLASS IN 2004

Before President Bush took office, under Democratic leadership, income was on the rise, jobs were expanding, and the economy was booming. Today, the Census Bureau announced that real household income has decreased in 2004, falling for the fourth consecutive year. Since the beginning of the Bush Administration, household income has declined nearly $1,700. Over 1.1 million people fell out of the middle class into poverty in 2004, an increase of 5.4 million people living in poverty since Bush took office. Despite this, Republicans still have no plan to help struggling middle class families. Democrats are fighting to create jobs and keep good paying jobs here at home.
HOUSEHOLD INCOME DROPPED SINCE BUSH TOOK OFFICE

Household Income Declined by Nearly $1,700 Under Bush. For the second consecutive year, median household income declined: income dropped last year by $93 -- down to $44,389. In real terms, median household income has declined by $1,669 since 2000. [U.S. Census Bureau, 8/30/05; Table A-1]

African Americans And Latino Household Incomes Have Declined by More Than $2,000 Under Bush. Real median household income did not increase between 2003 and 2004 for African Americans and Latinos. African American households had the lowest median income, at $30,134--down by $2,273 since Bush took office. Median income for Hispanic households was $34,241 in 2004--down by $2,141 since Bush took office. [U.S. Census Bureau, 8/30/05; Table A-1]

Average Earnings by Women Declined by About $330 in Real Dollars During the Past Year. The median earnings of women declined over the past year, from $31,550 to $31,223. [U.S. Census Bureau, 8/30/05; Table A-2]
1.1 MILLION PEOPLE FELL OUT OF THE
MIDDLE CLASS AND INTO POVERTY IN 2004

Number of People Living in Poverty Increased by 1.1 Million in 2004. Approximately 1.1 million people fell out of the middle class into poverty in 2004, an increase of 5.4 million people living in poverty since Bush took office in 2001. The poverty rate has increased from 12.5 to 12.7 percent over the past year, increasing for the fourth consecutive year. [U.S. Census Bureau, 8/30/05; Table B-1]

Nearly 1 in 5 American Children Lived in Poverty During 2004. 13 million children lived in poverty in 2004, an increase of about 1.4 million since the beginning of the Bush Administration. This comes on the heels of a 730,000 increase in the number of children living in poverty in 2003. [U.S. Census Bureau, 8/30/05; Table B-2 ]

Disproportionately High Number of African Americans and Latinos Live in Poverty. Nearly 25 percent of all African Americans (9 million) lived in poverty in 2004, an increase of over 250,000 over the past two years. Nearly 22 percent (9.1 million) of Latinos lived in poverty, an increase of almost 500,000 over the past two years. [U.S. Census Bureau, 8/30/05; Table 3]

1.9 Million More Americans Enrolled in Medicaid in 2004. As 1.1 million Americans dropped out of the middle class and into poverty in 2004, the enrollment rate in Medicaid increased from 12.4 percent of the population in 2003 to 12.9 percent in 2004. Without the safety net of Medicaid and SCHIP for people who dropped into poverty, the health insurance numbers would be even worse. [U.S. Census Bureau, 8/30/05, page 16 ]
NEARLY 46 MILLION AMERICANS LACK HEALTH INSURANCE: NUMBER OF UNINSURED INCREASED BY SIX MILLION SINCE 2001

Today, the Census Bureau announced that the number of people without health insurance nationwide increased to 45.8 million, the fourth consecutive annual increase. A total of 800,000 Americans became uninsured last year - many because fewer employers offer health insurance to their workers. As a consequence, American families are paying higher and higher health insurance premium - which are expected to double under Bush's tenure by 2006. Yet, Bush and Congressional Republicans lack a real plan to address the problem.
ONE IN 7 AMERICANS LACK HEALTH INSURANCE

Nearly 46 Million Americans Are Uninsured--Increasing for the Fourth Year in a Row. The number of Americans lacking health insurance increased by 800,000 last year--and by 6 million since Bush took office in 2001. Today, a total of 45.8 million people are uninsured--roughly one in seven Americans. [U.S. Census Bureau, 8/30/05; Table HI-4]

I'm getting that angry wrinkle because of him. Come on now!!! (nm)
:-(
if she curses a lot she will only get angry if you say anything
I would just leave it alone and hopefully she will get out of it. It may make things worse. Then again, she may not even realize what she sounds like. this is a tough call but I feel she will go on the defensive about this and take resentment out on you.
I understand you being angry...
When I get this way I try to remember that there is a higher power they will answer to one day, and keep teaching my kids right from wrong.
angry/feck

I feel you with the cut in pay but do you plan to do when you get out of this business?


You are a very angry nasty person.
x
Not angry, just stating facts. Look around.
x
Because they're angry and frustrated too
I say definitely change careers, but take a step up not a step back to square one and having to work with 16-year-olds.

People have to set goals and standards for themselves or they will be griping and offending indefinitely, while never getting anywhere.
This is another angry liberal loony
Gloom, doom, hatred, anger.

People like this really have way too much time on their hands.
I'm angry for you! That's the pits! BTDT!

Harsh and angry? No, I am sad and and distressed for them.
berate: Verb - censure severely or angrily.

censure - harsh criticism.

I accept them as one of God's precious creations, born with a sin nature, just like me. I never know when someone who rebukes me for gentle sharing of what Jesus has done for me may actually be saying that they wish somebody would take the time and interest in them to explain what they do not understand. For example, a person who has only seemed offended previously may one day turn to me and ask me if they have sinned too much for God to forgive them. And I can tell them how Jesus can save them. Sometimes it happens and then we rejoice.
So you are angry at Indian MTs and not the greedy
xx
I've been known to cuss when I'm angry...

doesn't mean I'm a bad person.  Just like making an occasional grammatical or typographical error in a casual online conversation doesn't mean I'm not good at my job.


An MT who continually and consistently makes mistakes, refuses to learn from feedback, and simply doesn't care enough to open a book is NOT good at what he/she does and is bringing the entire profession down.


yeah, I have to fight being angry about it.
nm
We are not angry about taxes. Dont you get it?
 as DH earnings with DH then just paying her $900 per month. DH would then claim the additional she had earned as his wages as her MTSO.  It is not about paying taxes.  It is about her getting around the system in order to earn more than $900 a month.  NOT TAXES. 
I would rather not respond to your questions, as your tone seems a little angry
x
Just curious, Angry, but how did a company hire you - sm
with only a year under your belt?? I do not mean this in a negative way, but it is sooooo hard for so many transcriptionists who are just starting out to get hired. How did you do it? What company hired you with less than a year?? I personally feel that more companies should hire some newbies and have a QA person mentor them, but in my company it falls on deaf ears.
YOU came here asking OUR opinions and then you get angry about the responses?? Don't bother us
:+
I know that you are angry in this post, but you are grossly misinformed

The doctor billed you $500, but his insurance reimbursement is approximately 150 to 200 per case.  They don't get paid for the PE before this or the f/u visit to discuss results.  They cannot do 20 of these per day, well no a doctor that you would want treating your mother.  There are still office costs while they are over in the hospital doing procedures. Some office expenses run them 5000/day for help, equipment, rent, malpractice, etc.


Believe me, this doctor is not getting rich doing colonoscopies.


Yes, I would be very angry. Men do not run businesses with emotions - they don't care! nm
x
Cherry pickers really make me angry! SM

I work at-home for a fairly small community hospital.  We have maybe four ESLs on staff at this hospital.  We all have the capability of looking up what reports are on the system and we are allowed to self assign provided we do not abuse it.  The powers that be decided to allow us to have this capability because on second shift and weekends there may be occasion where a report is needed stat and there is no one in the department to assign it and so the person needing the report can simply check to see what MT's are on the system typing and email one of us and we can self assign and do the report.


I usually work first shift, but this week I am filling in for another girl and working second shift.  It is me and one other MT on second.  I plugging along and I get rather lengthy consult by an ESL doctor we all kind of dislike doing because A) He is an ESL dictator and B) All his reports are looooooooong!  So, I get an 8 min consult and I type it, takes me about 20 minutes.  Then, a couple of reports later I get another consult, same dictator, 10 minutes long.  Now, I'm thinking okay what's the other girl doing.  So check on her and she is sitting on the same report she was on when I got the first 8 minute consult.  Her report is a 4 minute H&P by a very American, very good dictator.  So I type the second, 10 minute consult, with just a little irritation nagging me.  A few reports later I get yet another 15 minute consult by the same ESL dictator.  Now I'm steamed.  I look at the job list again and find that she is STILL on the same 4 minute report she has been on for the last hour and a half!  Presumably she has been waiting for me to clear out all the offending dictations so she doesn't get stuck with one!


So now I'm considering letting the supervisor know because it just burns me up when someone treats their co-workers so unfairly.  If she's doing it do me, she's done it to everyone.  But I'm afraid if I gripe about her to management, they will simply take away our self-assign capability and take away our ability to see what is on the system and I hate to penalize everyone because of one person's self-serving and unfair attitude.


What would you all do?


I agree about the rude, angry answers--sm
but personally, I don't blame the MT field and being at home away from people. To me, being AROUND people is even worse out in the *rat race*. I have seen so much anger and rudeness lately, everywhere, that it is unbelievable! From road rage to these message boards, it is everywhere. I don't have the answer to it either, other than I believe it is the state of the world, right now. I don't want to turn this into a religious discussion either, but I think this is how things are SUPPOSED to be, prior to the *end times*, which are truly knocking on our doorsteps. daughter against mother, son against father. none of us are exempt. It is the evil forces in all of us. I can only pray for a quick end by God for all of this strife. Again, this is JMO. I feel bad for the OP. She did nothing to ask for the bitterness. Have a nice Christmas OP, as well as the rest of you. God Bless.
LOL, I love your post! I'm not angry at all, just...CONFUSED!
MT30+ responded on here to what was directed to Whew, which is what made me go "huh"??? I couldn't figure it out even after another cup of coffee...Glad it confused you too.

Congrats, MT30+ or Whew, whoever you are. I am very happy for you!!!
who really cares? personable, angry, bitter, just do your work.
I don't really know the purpose of a supervisor so I guess I don't really care what their tone is. I have been through MANY supervisors. I don't really care about their tone. I do my work no matter what they say or do.
i'm not angry at all. i am amused at the attitude of some know-it-all poster who thinks they kno
and posts an essay on it and Oh If Only They Would Listen I Have All The Answers essay. Too funny. Actually hilarious!
This angry, jealous person wouldn't know a fact
.
Angry, this happened in our hospital with our outsource service - sm
we had not been checking the outsource service's work for months. Well, it came back to bite us in the ass, because low and behold there was a Transcriptionist that worked for the outsource service that could not type whatsoever - in fact, we even suspected that it was being offshored without our knowledge - that's how bad it was.

anyways, it came back to bite us in the ass because an outside doctor's office received a copy of a hospital dictation and it made us look stupid. So needless to say, we asked that this certain transcriptionist be taken off the account. It was our fault for not looking at the transcription services work, but then again, they guarantee accuracy and crap like that.

Maybe this is what happened in your situation. That all of a sudden the hospital decided to do a QA or some doctor finally read his dictation.

Don't be hard on yourself. You will get the hang of it.
You're the one that sounds angry. I've made sure
If you need to stoop to that level to live, apparently the one who's made a wrong turn on the pathway of life is you.
People get angry about the prospect that they failed in life. Time to reevaluate, regroup and see why you feel so angry and take it personally when people make statements such as mine.
Your response sounded angry, defensive and judgmental
you gave for "walking away from the rat race." I don't buy it. I've had tough times in my life too, probably as tough as yours. It's your choice. You can either work harder and refuse to accept crap for yourself or you can get angry and bitter, which is what you've apparently done. If you're talking about turning in soda bottles for deposits, people are naturally going to deduct from that that you are or have been poor. You said it, I didn't. So if you choose to "give up," that's up to you. I chose to make something of myself nomatter what or how long it took. Read Plato's "The Republic." It's the difference between Gold, Silver and Bronze.
I will admit slim pickings, but boy, you sound angry.
zz
Angry? Maybe make your own life better and you'll be surprised
Losers blame other people.

Successful people take responsibility for their own lives.