Please! This is called progress and it was in effect long before Obama came into office.
Posted By: LoveHate on 2009-05-05
In Reply to: Obama GUTTING Our Profession! - equineluvr
Try being a freethinker for once and stop following whatever someone else tells you based on supposed "facts."
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It's called progress...
of course, we see all the DOWN sides of the EMR but there are many positives. With the right set up, after a while, the docs get the hang of it and streamline their input. Of course, it doesn't "tell the story" like dictation does, but, on the other hand, an EMR has many, many other features that apparently make up for it. For instance, if a drug is pulled off the market, the EMR can search and find every patient that has been prescribed that drug. Also it has drug interactions loaded in it, so if the doc prescribes the wrong drugs, the computer can help catch it. I've been to EMR conferences as I was considering expanding to become a VAR, and let me tell you, the EMR's are here to stay. One of the government's push is to have all docs' offices on EMR and eventually a national clearing house for information (which I am sure the insurance companies will love) because of the safety aspect. You can do some searches on the the 'Net to see just how vast the EMR market is. Every year, the docs coming out of medical school are more and more computer savvy and every year, the EMR companies get closer and closer to having a program the docs want. And every year, the MT market shrinks.
It's called technology and progress.
Things change. It's been happening since the beginning of time.
Once President-Elect Obama is in office, we'll
in the last 15+ years to make our voices heard. He, too, wants to tax the crap out of companies that offshore American work, which is as it SHOULD BE! Why should America be ENCOURAGING companies to offshore?
India was one of the few (if any) countries in the world who was not happy to see Obama get elected, and precisely because of his views on offshoring , and taxing the companies that do it. He will be getting his ducks in a row and formulating his agenda in the first months of office, and that is the time to be sure that all members of our government who can be reached by phone, letter, or email, should be given specific feedback on how offshoring medical records is hurting US, as well as patients, and the rest of the country.
That is What I am asking Obama-here's my letter to him (long)
Dear President Obama:
How's the new job? Keeping busy? Financial security? I'll bet. Are the American people keeping the mortgage on the White House up to date? Great. Kids have everything they need? Wonderful. The American dream.
Me? I lost another job to offshoring - AGAIN! It's funny, I can't seem to find any concrete figures on just how many U.S. jobs are offshored. There are only estimations by different agencies and economists. The Population Reference Bureau stated in October 2008 that it was nearly impossible to get an accurate scale and scope on this, but they estimated about 30 million U.S. jobs are offshored and increasing as I write this. Nothing about the tax implications. Does the government know? See what you can find out. I imagine definite figures are a difficult task since the companies do not seem to want to fess up about just what percentage they are offshoring. You stated you were going to eliminate big tax cuts on these companies doing the offshoring. When did you say that was going to happen? Mr. President, I don't think they care. Just this last quarter they have increased the offshoring significantly due to that very fact. Is there a Plan B, because jobs are leaving the U.S. faster than you can create them. Did you take that into account in your stimulus package?
Now about we the people and that stimulus package. I read that these big banks who received stimulus payments of about $150 million actually requested 20,000 new visas for foreign workers (up one-third). That is not going to happen, is it? With our own money? See what you can find out. We the people have always stimulated the economy, worked hard, and paid taxes. You know, the American dream. Now our jobs are being given to foreign workers who do none of those things. What gives? What impact does the loss of tax dollars and funding toward social security have on this country? No one seems to know. See what you can find out about that too. These figures must be astonishing. If that is not a drain on the system, then the people in line for unemployment income certainly is. The stimulus money is not going to trickle down to us. You see what they are doing with it. The best stimulus package you could give we the people is to save our jobs NOW so we can return to stimulating the economy. We can not spend what we do not have, right? Wouldn't this go a long way toward economic recovery? See what you can find out.
While you are checking on these astonishing figures, let me give you mine. The pretty simple fact is that my unemployment income is only going to be 50% of what I was making and only for a period of about 6 months. Now you know companies are not hiring, right? That would mean that in approximately 3 months something in my budget is going to have to be cut; food, health insurance, heat, the mortgage. Which would you choose?
We the people look forward to hearing from you on how we can just simply get back to work. No bonuses thank you, just our jobs. You know, the American dream.
Jobless in the USA
P.S. Mr. President, I know this was way before your time but no one told me. Did bin Laden win back in 2001? See what you kind find out about that too.
I just called my office and was
told there was nothing on every single account. No work at all this whole weekend she said probably. Nada, nothing, zip.
I was was called into directors's office
She told me I really should take a look at a report and fix it. There was a paragraph at the end with so many typos (about every other word)that my face started turning red. I began really doubting myself as a transcriptionist. Then I saw the word "patuent." I realized I would never have typed that, no matter how tired I was. I have it as an expander. Turns out the doctor had electronically went in and added a paragraph of his own. I still can't believe he did not know how to spell patient. So, even almight doctors can make mistakes!
Grrrr - I just called a doctors office that....sm
Medicaid is making me take my foster child to for a second opinion to ask them if their office is in an office park as it's an area that has a lot of office parks. I received an answering service that was manned by probably someone overseas because the woman couldn't understand me. I asked her 3 times if the office was in an office park and she had no idea what I was saying - just kept saying " I can give you the address. It is ....." and gave me the information I already had. I then asked if I could talk to her supervisor and the idiot said "I can give you the office address it is...." and gave me the doctors office address again. I hung up and called back 3 times and still got the same idiot.
Rest assured that when we see this doctor today he's going to get a piece of my mind about using someone to answer his phones that can't understand basic English!!!
It hasn't been called AAMT in a long time. nm
Thanks...I will check it out and let you know on the progress!
I wonder if there is a quick-guide to South Beach? lol..I know that sounds crazy, but just quick facts to get started. But, actually it would probably be best to go ahead and get the whole book so I won't have any questions. Thanks again and GOOD LUCK with yours too!
Thanks..progress keeps moving along and dragging me with it! nm
nm
Are you in a position to compare your progress SM
with others on your accounts? (If you work at home maybe invite them to email you through this site to discuss?) That's the only way to get a true picture of how you're doing so you can figure out how to fix this situation. Have a nice Thanksgiving tomorrow.
Yes, but this time it's different. I'm focusing on progress, not perfection.
I've already reduced my cholesterol by 50. I changed my diet to reduce sugar, refined carbs and hydrogenated oils. I increased fiber, lean proteins and vegetables. I quit smoking and haven't gained any weight since doing that, although my doctor told me I'd put on about 35 pounds. No way! He said I shouldn't be worried about dieting and exercise while I'm craving cigarettes, but I'm not craving at all. Cold turkey, never looked back. DH is going to start exercising with me this weekend. We're going to walk and bike ride together. We got a second exercise bike to ride together indoors for bad weather. (I love yard sales!) My goal is to compete in a mini marathon next summer. Losing 35 pounds would be a nice added bonus, too.
Ortho progress note samples
Does anyone know where I could get samples of ortho progress notes?
TIA
I love 'em too but type everything else but and Progress notes (sm)
DOUBLE YUCK.
The so-called "reality show" is the lowest form of so-called entertainment in recent years
I hate them. They've ruined TV.
Obama
Has mentioned numerous times about getting all health records in computer system. I wonder if he is talking about the point and click type? I believe he has mentioned giving funds for getting things going.
Maybe we should write to him to explain it can be done now with our electronic files and that we certianly don't need to use our jobs.? Anyone know how to actually get through to him?
Barack Obama
//
im sorry, you think Obama cares about MTs?
yea, right. im sure all the politicians do, but newsflash Obama as a president is NOT healthy for small businesses
bottom l ine there needs to be a standardized MT industry, but nobody steps up to the plate to create it. The general public has no idea you think? You think they'd like it if their medical records were being done overseas? not so sure most would... they just dont KNOW it. who fights for us anyway?
Obama plan
The company I was working for the past 10 years went digital. It just meant that all records were copied into the computer, including transcribed reports, it had no effect on the transcription department. It only affected those in Medical Records seeing as there was no need to have as many people there anymore to make copies of films, records, etc. I hope this is what he is talking about. There are still alot of companies that have not gone this road and use alot of paper records.
Since Mr. Obama is so wonderful -
By the way, what is Obama's plan to ....sm
address offshoring? I hope he really does do something.
that's why Obama is the most logical choice
x
I've already decided on Obama ----- sm
His opponents and detractors keep saying he's "inexperienced". Yeah, and look what "experienced" politicians have brought to the table in the last few decades.
New ideas are good.
Youth is good.
I think it's time for a new way of doing things in this country, not the same ol'. It's a new world, with new problems (such as the plight of American MTs and other workers), and maybe he'll bring some relief (or at least some new ideas on how to get it) for the dwindling middle class, which has been carrying the weight and finances of this country on its shoulders for too many years.
Time to stop letting our country get s*****d by India, Mexico, Asia, and others. And I think he has the ability to say "no" to these countries without starting a war with them.
Sometimes "inexperience" is a refreshing change.
That's 1 reason why I voted for Obama -
stay in this business is if the tax breaks are ended and the loopholes closed for companies that outsource what used to be good American jobs. Ending offshoring entirely would be nice, but I doubt it'll happen. But it should cost less for companies to hire American workers at a decent, livable wage, than it does to send it offshore. Offshoring should be something they do in a pinch, not as a standard practice. Yeah, so what if they're making more money the way they're doing it now. Doesn't make it right. They're greedy and they're un-American when they put thousands of hard-working American MT's in the poorhouse, or out of a job.
Obama's new task force
Maybe if all of us posted something here about medical transcription jobs being sent overseas, it could help? I'm not exactly sure if this would be the right place, but I think I'm going to write something about it. Have a nice weekend! :)
http://www.whitehouse.gov/strongmiddleclass/
Obama's plan to implement EMR
What do my fellow MTs think about Obama's ambitious plan to implement EMR throughout the US? I had 1 person tell me that means there will not be a need anymore for transcriptionists as physicians/nurses will just input information and create a medical record themselves. Part of me disagrees with this as the work I do is an EMR.
Not just Obama, send to all your representatives
x
Obama GUTTING Our Profession!
BO's "stimulus" (StealFromUs is more like it!) will disseminate tons of taxpayer dollars so that doctors will go completely electronic in their recordkeeping (including transcription, not just billing), and the company of George Bush's first cousin, Jonathan Bush (CEO of Athenahealth), is cashing in. Of course, Bush is ecstatic about what Obama is doing (both parties answer to the same puppetmasters, after all, so at the end of the day Bush and Obama aren't too far apart when it comes to the big picture anyway).
So some of you who are so mesmerized with BO, please explain how gutting our profession will "create jobs." 
This simultaneously destroys our livelihood while ensuring another transfer of wealth from the taxpayers to the elites/their cronies. So what else is new?!
Don't forget that Obama is Cheney's cousin, so they are all more "connected" than you think.
VIDEO ("Obama Turning Doctors Digital):
Athenahealth's home page:
Details:
Obama's healthcare plan
Anudder MT, Obama's plan will cost 1 trillion dollars and will only give health care to 16 million people out of the 46 million he keeps talking about. Out of that 46 million, about 15 million aren't even Americans - they're here illegally - and I don't know about you, but I don't want to pay for their healthcare in addition to my own. YOU may be rich, but I'm not, and if that makes me selfish, so be it.
And FYI, in Massachusetts, their mandatory single payer plan was supposed to cost 125 million but 3 years after implementing it, the cost has risen to 800 million. How do you know when a politician is lying? His lips are moving. And I hate to break it to all the Obama fans, but he lied when he said he wanted to rise above politics as usual. He's a Chicago politician, the worst thug of all.
For your information, I voted for Obama already last week, but..
I don't know what politics has to do with my post. I only posted that I greatly increased my personal line rate per hour with sitting my butt down and actually doing my work and not finding other little things to do.
Yes, there are days when I want to pull my hair out with my ESLs and there are days when everything flows just fine. I am in the same boat as everyone else as an MT. And the things you are mentioning are beyond your control - I was increasing my line count with the one thing that is within my control - staying seated and typing.
The new Obama Plan for Health Records
So, anyone out there --- What do u think this new proposed plan of National Health Records being computerized within 5 years? What would this mean for MTs. CNN says it would require thousands of highly skilled Medical Records experts to get it on board. Any comments? Is this a good sign for those of us in the Health Documentation career field. And could it mean tighter control of records going off shore?
Yes! Today the Obama head economist said...sm
no more tax loopholes for companies that outsource American jobs. Now Congress just has to pass the bill!
GOT A RESPONSE ON THE LETTER TO OBAMA FROM 1 NEWSPAPER - Not Sure What to Do
It is just a small town paper, asking some general questions about outsourcing/offshoring, pay, types of businesses, etc. I told him I could not tell him what I actually do for a living or name my company. Can he find that out?
I also sent the letter to the Washington Post, Fox News, NY Times, Associates Press, 60 Minutes, and USA Today. I inserted in the letter about uncertain figures that by my calculation, the number of jobs offshored would be more or less the equivalent to the total population in 3 states in the U.S.
What will I do if they find out who I am and who I worked for? Can I be sued?
Definitely effect. nm
x
Effect
nm
effect (nm)
x
Something to the effect of what a (sm)
great job we do, etc. It was really more the tone than the actual words that were said. Ever have someone speak to you with such animosity that it kind of gives you a chill? That's what this was like.
I'm probably just being too sensitive about it, but it was hateful.
The answer IS Effect....
How something WILL "affect" you; this cough DID "effect" my lungs. Sorry, but graduated high school in 1964 back when people really cared about grammar!!!
AFFECT means to have an influence ON; EFFECT is the change that occurs!!!
You see, effect is something that is brought about by a "cause", that is the affect part; "The antibiotics were effective in treating the infections." Hope this helps. Also, it seems mostly in the medical field affect deals "mostly" with psychiatry and emotions. It does however, most certainly, have a place in "normal usage". 
affect v. effect
Effect is noun in the instance noted. Affect is a verb most of the time. Anything else?
Affect/effect
Affect can be a noun in psych - patient having a "flat affect" - no expression. Effect usually is used as an action word and in this case it is effecting a response or a cause.
effect or affect?
Here is a rule of thumb my boss taught me:
Affect - (a verb) "to change or alter".
Effect - ( a noun) "a result".
You will very rarely use "affect" in the context of a sentence, but it will come into play every once in a while.
WHEN is this supposed to go into effect?
I have not received letter.. Is this everyone or just employees or just IC ??? Specific info would be lovely
affect/effect
Affect can also be a noun, as in "patient's affect", effect can also be a verb as in "to effect a result".
your affect has an effect.
Does this person think that English usage doesn't matter in MT work? Some of the worst medical errors got that way by misuse of plain English words.
Affect/Effect
Effect is not always a noun, and affect is not always a verb. When you "effect" a change, effect becomes a verb. When someone has a flat "affect," affect becomes a noun.
Yes, effect is correct.
nm
Effect (bring about)
nm
Affect vs. effect
Hopefully this will help, although I guess everything is subject to interpretation:
AFFECT is a verb meaning "to influence" or "to pretend or imitate". EFFECT can be a noun OR a verb. As a noun, it means "result". As a verb it means "to produce a result".
In your particular sentence, it is being used as a verb...so which one to pick?
Without knowing the rest of the record, I would have to go with "effect" because I'm guessing (again..limited knowledge) that the doctor is indicating that if the bleeding doesn't stop, he has to do a hysterectomy. If the hysterectomy has already been done, or it is planned, than surely, further bleeding could "affect" the planned surgery or something that happened during the hysterectomy.
Without more information, it's a crap shoot!... I'm sure that was as clear as mud. 
affect/effect. nm
x
affect/effect
To clarify affect/effect, here is what a friend said:(emphasizing the first syllable and pronouncing it with a "long E"):
"I affect the Effect"
This really helped me.
I just sent Bill O'Reilly a copy of letter I sent to President Obama. Anyone who can, email him
while the topic is fresh from his recent show. I do think Bill O'Reilly can at least get this offshoring debate out there, and right now we need publicity and basic facts to reach the viewers.
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