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Practice what you preach, Grandma ...

Posted By: A on 2005-07-06
In Reply to: OUTSOURCING PLAN... - old grandma

Make sure you do charitable work both as a nurse and as an MT ... just "do your part" to spread charity here at home in the good ol' US of A.

You start...we'll follow. lol


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    continuing....Practice what you preach.
    x
    practice what you preach on your front page..see inside
    MTStars provides this site, free of charge, to all MTs and those holding other related positions in the healthcare industry. We believe that an open forum with a minimum of deletion is paramount to successful networking across the globe, and we are confident that this is why MTStars is the success it is today!
    How can someone preach to others about right and wrong
    when they don't live a moral lifestyle?
    Preach it Sister
    Amen and Amen
    Preach it to octomom
    Some people just like cranking 'em out, ya know.
    Preach on, sister!..nm
    x
    how old is grandma?

    One evening a grandson was talking to his grandmother about current events. The grandson asked his grandmother what she thought about the shootings at schools, the computer age, and just things in general.

    The Grandma replied, "Well, let me think a minute, I was born before:  
    television, penicillin, polio shots, frozen foods, Xerox, contact lenses, Frisbees and the pill.


    There was no:  
    radar, credit cards, laser beams or ball-point pens.  


     


    Man had not invented:    pantyhose, air conditioners, dishwashers, clothes dryers, and the clothes were hung out to dry in the fresh air and man hadn't yet walked on the moon.

    Your Grandfather and I got married first-and then lived together.  


    Every family had a father and a mother.

    Until I was 25, I called every man older than I, 'Sir'- and after I turned 25, I still called policemen and every man with a title, "Sir.'
    We were before gay-rights, computer- dating, dual careers, daycare centers, and group therapy.

    Our lives were governed by the Ten Commandments, good judgment, and common sense.  

    We were taught to know the difference between right and wrong and to stand up and take responsibility for our actions.

    Serving your country was a privilege; living in this country was a bigger privilege.


    We thought fast food was what people ate during Lent.  

    Having a meaningful relationship meant getting along with your cousins.  

    Draft dodgers were people who closed their front doors when the evening breeze started.  

    Time-sharing meant time the family spent together in the evenings and weekends-not purchasing condominiums.

    We never heard of FM radios, tape decks, CDs, electric typewriters, yogurt, or guys wearing earrings.  


    We listened to the Big Bands, Jack Benny, and the President's speeches on our radios.  

    And I don't ever remember any kid blowing his brains out listening to Tommy Dorsey.  

    If you saw anything with 'Made in Japan ' on it, it was junk.  

    The term 'making out' referred to how you did on your school exam.  

    Pizza Hut, McDonald's, and instant coffee were unheard of.

    We had 5 &10-cent stores where you could actually buy things for 5 and 10 cents.

    Ice-cream cones, phone calls, rides on a streetcar, and a Pepsi were all a nickel.

    And if you didn't want to splurge, you could spend your nickel on enough stamps to mail 1 letter and 2 postcards.

    You could buy a new Chevy Coupe for $600 but who could afford one?


    Too bad, because gas was 11 cents a gallon.  

    In my day:    
    "grass" was mowed, "coke" was a cold drink, "pot" was something your mother cooked in and "rock music" was your grandmother's lullaby.   "Aids" were helpers in the Principal's office, "chip" meant a piece of wood, "hardware" was found in a hardware store and "software" wasn't even a word.

    And we were the last generation to actually believe that a lady needed a husband to have a baby. No wonder people call us "old and confused" and say there is a generation gap... and how old do you think I am?


    I bet you have this old lady in mind...you are in for a shock!

    Read on to see -- pretty scary if you think about it and pretty sad at the same time.    




    This Woman would be only 58 years old!


     


    I think grandma was right!! (sm)
    Always put a few extra $$ away cut back on the grocery $$ and hide it in a safe place, not in bonds or CDs or stocks!!
    The same goes for John and Yoko. They can preach to others
    but they are not without sin. Why is it Ok for them to be judgmental of others and tell others how to live?
    that USED to be in our MOTHER'S/grandma's...

    That no longer holds true today....even if they are the owner, the rents go up, everything got terribly expensive......my lady who does my nails/feet and cuts my hair is the owner and the employee in her shop.  Nobody else works for her.  I do tip her and also at the Winter Holidays. 


    However, back in the 50s-70s, it did hold true - we didn't tip the owners. 


    We always have ours at my grandma's house
    It's so fun. Almost everyone in the family dresses up, including the adults, and we play games and have a blast! Then we all take the kids trick or treating together. You know, through the years if it has been raining or very cold, sometimes the kids don't even want to trick or treat because we are having too much fun.
    Another "weird" one. My Mom basically checked out as a grandma.
    She had no use for kids, and never paid mine a bit of attention. She was rather fond of my oldest, but never really the younger 2. She had her own stuff going on. Well, we lived our separate lives without a lot of communication. She would send a card with $5 in it now and again for my oldest, signed "Fondly, Grandma". Whatever. Well, according to the people who were with her when she died, she lingered for a few days, and kept carrying on about what a rotten grandmother she had been to my oldest daughter. Never mentioned the other 2, but that's not the point of the story! Well, naturally, I never mentioned this to any of my kids, let alone my oldest. About 2 nights later, my oldest came to me and said she had the "weirdest" dream, and how real it seemed. She said my mother had called her on the phone, and they had this loooooooooong conversation, like catching up on stuff, and how grandma kept telling her over and over how sorry she was - that now she realizes what a bad grandma she was, but that she would make it up to her someday when we're all together again...I nearly fainted. I then told her the story that was told to me about my Mom's last days...
    Grandma would have just DARNED the patient back together!

    /


    Yes, thanks so much, just lost maternal grandma 3 weeks ago, will send to Mom

    My Grandma was 98 years old, smoked like a chimney, drank vodka
    screwdrivers every day, and ran one of the first newspapers in our state. She was blind as a bat but loved to knit blankets for all of us. I think that's why the yarn colors clash so badly! LOL
    Maybe if you practice what to say
    before talking to her and then try to keep your cool.  It is much better to be friends with your neighbors.  Having a difficult neighbor can truly make your life miserable.
    How is she going to practice? Does she have
    s
    practice, practice, practice
    Apparently not being distracted by internet surfing and concentrating while using Expanders is the key.  I haven't done more than 300 lph myself, but I don't have a lot of expanders. 
    Partners in Practice
    Partners in Practice does outsource.
    Practice dictation
    Does anyone out there know of a website where I could get some practice dictation?  Have been away from transcription for a few years and want to get my "ear" back and some speed before trying to get back into it.  Thanks for your help.
    Family Practice

    I was wondering if anyone has any ideas on what you should charge per line for a Family Practice of 4 physicians?  I am interested in working for this practice that currently has been doing their own transcription (oh heaven help! lol), but did not know what would a fair rate to charge per line...thanks for any input!


     


    practice tapes sm
    As usual, your answers are so much appreciated. I love this site, helping others is so important, I do it whenever I can as well. I believe in karma. Thanks again!
    Practice dictation sm
    This is a crazy question but I've had to take time off and feel really out of the loop. Never worked from home before. Is there any company who would forward some sample dication to let you kind of play with for awhile before you formally test for them? At this point, I don't think I'd pass the test although I've had plenty of acute care and specialty experience. I know it sounds really unprofessional but I thought I would at least ask. Hate to fail, spent too many years being a perfectionist, I guess. Are there any sites you could recommend for someone returning to the profession after a few years taking care of family business?
    It's good practice.
    I know it hurts at the moment, but it will help you in the long run to have a bigger variety of dictators and specialties. When I was doing radiology there were only about 15, and all but 2 were quite good. Now doing acute care again I may not have a repeat all day. It does make a big difference in production.
    Practice tapes from?
    I have heard practice tapes some give out that are almost perfect dictation- definitely not what you run into when you transcribe. Are you doing the "goodie" tapes or are they the real McCoy? The practice ones I have heard put in their periods, paragraph. Ha, very seldom hear that in real. What kind of work will you do, speciality or the 4s? I have my equipment as fast as it can possibly go and my salary has gone down in the past 4 years 20,000$ from the constant outsourcing the companies are doing. My speed is between 130-140 wpm and I make good only because I have my nose to the grindstone most of the day. By the way, independent as well but my company asked me for certain hours and which days. I have seen numerous posts on here saying you do not have to do it -but I wanted to work for this particular place and I accept it.
    practice tapes from...
    Practice tapes are real; slurring run-on sentences, gurgling muffled words, you name it.  But, she gave me the printed reports to go with them, so if I really get stuck, i can look at them and find the answer.  If you don't mind my asking, how long have you been in this, and what's your cpl?  You work for an agency?  Yes, my speed is concerning me.  Thanks for your reply.
    If you are an employee at this practice sm
    then it is not your decision who they hire.  It is probably in your job description to train new employees.  You may want to ask for a copy of that before heading into Dr. Whozewhatsee's office to complain.  The other thing is even though you have a background on this girl that does not mean she is terrible (innocent until proven guilty).  In my opinion, when I read your post, I am hearing "this job is mine, mine, mine, and mine".  "I am to make all of the decisions because this job is mine, mine, mine."  Sort of like a 2-year-old.  In saying that I'm sure it will really make you mad.  I am hearing from your post that you really do not want help but you want to be off to have surgery, etc.  The practice cannot just back-up their work but unless you are a supervisor (25+ years does not make you that), it is the decision of the office manager on who to hire.  You may be better off with this young girl as opposed to an outside service.  The outside service may very well take your job by underbidding and letting the practice know that they can get the job done and do not take off for back surgeries, etc.  You may want to keep the waters smooth until you get back.  I would do my best to keep this girl going on a steady pace.  JMO.    Good luck.   
    What a rip-off! That practice keeps their profits UP
    $
    Practice dictations
    I am at a hiatus in my transcription career, but I do not want to lose what I know, or lose my speed.  Is there somewhere you can purchase practice dictation tapes, or digital downloads?  I would prefer digital downloads of voice files if there is such a thing.  Just wondering.
    private practice
    Cardiology in PA, $17.00/hr, 6 weeks vacation, employer funded pension plan 10% of salary yearly, been here 15 years.... longing to be home and a full time MT.. good luck coming back to the jungle.
    MT and practice are both at fault sm
    Have had this done to me more than once. The PT office should have said, no way, if she approached them. She should have said, no way, if they approached her. You have been hurt, and it's not only common courtesy but a stab in the back. Keep them as a client until you get really busy with others and then drop them. I would not keep her, not for one moment. I had to let go of both a friendship,, a client and an employee twice because I do not tolerate this type of sinister behavior. You should not either. Fool me once, shame on me; foll me twice, shame on me. You should be flaming mad, you have every right, you were scammed by both.
    Outsourcing may not be a bad practice,
    but in my case that is why I have no benefits. Hospitals/clinics outsource so they do not have to provide facilities for us to work in and full-time benefits to employess to do the MT work. If they are paying the MTSO less that what they were paying the former employees, who eats the difference? We do.
    depends on practice
    For the most part, my platform fills in the ADT for me BUT...there are some practices that do not provide electronic ADT, therefore I have to enter it manually, which I hate because it's time consuming. There are even a few of my practices where I have to enter it on one screen then enter it again in the report, but I only get paid for entering it the report.
    this is common practice ....
    in hospitals.  What our hospital HR told me was that they save all the applications until they have an opening, they then will advertise that opening in-house and if none of their employees apply they will take out the applications.  So, it's quite a long process and really the luck of the draw.  Since hospitals cannot be without the necessary staff even for short time, they stock pile applications ahead of the need.  So often they will advertise and in reality there is not an opening.  Hope this helps.  btw, I'm 64 and just got hired by a wonderful and company working at home.
    Speed comes with practice
    It may take several months to reach 150 lph. I agree with the other poster that an Expander is not necessary. Fooling around with the expander to load in abbreviations takes a lot of time. In spite of what expander-sellers say, you can easily reach 2000 lines a day without an expander if you are efficient. MTs did it for years on typewriters.

    When you have done enough dictation to begin recognizing that all doctors say the same things over and over, and when you can recognize those things in spite of individual doctor differences, you'll begin to fly. It's a matter of learning what they ought to be saying so that you can understand them.

    It's also a matter of focus. If you are trying to load up an expander, eat, do laundry, do daycare, fool with pets, you will never make progress. If you keep checking IM, email, and answering the phone, you'll never make progress.


    Hot keys and practice.

    How long have you been on this account?  My average is typically between 550-600 lines an hour but I have bad days too, today is only 394 but that is with the kids home and lots of distraction.  At night is when I get my good lines in.  I use the shortcut keys, keep it mouse free, try to keep the audio speed increased whenever I can and do my proofing as I do my spellcheck and throughout the report.  I also still use my autocorrect a lot during editing for common mistakes that must be typed in (usually the same VR mistakes every time). 


    I know that when starting a new account and still checking on specs and such it does take time to get that number up.  There are also days like today myself that typing just seems to be faster.  It happens.  I also noticed when I did a short sting on a clinical acount on Escript that it had horrible lines.  I much prefer Acute Care with VR. 


    probably train MDs in private practice to use VR
    (only kidding)


    Family Practice, Internal Med

    I like them because of the variety.  With family practice you have everything from Pediatrics to Geriatrics.


     


    I would never have given up the doctors' practice I was typing...
    when my husband had his kidney transplant. The money was great! I had 2 people who worked for me! But I was not sure how long his recovery would be (turned out to be only 2 months) and if I could continue to deliver reports anywhere close to on time. Ah well....
    Look for tapes on ebay for practice nm
    nm
    It's not your practice, you are an hourly employee, yes?
    You ask the administrator how you should handle this mentoring thing and mention that you will do your job as best you can while training her but you will have to let the doctor know that the work is going to get backed up. Simple as that. No? :)
    I am on 3 jobs right now. Gets easier with practice. Just get
    p
    Thank you. I am looking for dication that free to practice with..n/m
    k
    Practice makes perfect.

    Let me tell you that QA will not tolerate this kind of 2 and @ and not beginning a sentence with a capital letter.  So, if you want to make it in the MT word, you'd better brush up on your typing.  You wanted tips, right?  Well that's my tip!  Are you serious? 


    Oh, and in answer to your question about companies reading this board?  Yes, they certainly do.  Look at the poster on company board defending her job ad post!  I'd say that is an employer reading this board. 


    My family practice doc just starting using it. sm
    The doc had me meet with the Allscipts trainer to see the different options for transcription from home. The first option was accessing their system via internet and cutting and pasting what I typed in Word into each patient note (I suggest not typing directly into their EMR as you won't be able to use your spellcheck, abbreviation expander, or count the lines). Once you log on, it would be about 5 steps to get to the appropriate patient, then I would have to cut and paste, either each SOAP headings into appropriate heading or just as one note at bottom. Of course, I didn't want to do any of this, too many steps and didn't want to cut and paste (didn't tell him this but trainer had already figured it out and I think he did too as he said that was a lot of steps). However, after he heard he would have to buy an additional license or two (about $5000-10,000) for me to do this, he nixed that idea, which was fine by me. We then decided I would transcribe the SOAP notes as usual and send back via FTP site and HIS office staff would cut and paste, especially when I told him another doc did it this way!! Perfect! And to top it off, his PC guy set up a FTP site on THEIR server!! So far, this has been working great. However, the problem now is decreased work. His PA-C is still dictating but his ARNP has pretty much been using the EMR only and he has decreased his dictation load as well. So, that's it in a nutshell. None of the EMRs are very transcription friendly. Good luck.
    I agree that what you need is plenty of practice
    You need to concentrate on learning medical transcription before you try anything like Dragon NaturallySpeaking. BTW, DNS cannot type directly from an audio file unless the program has been trained for that particular dictator's voice. You would have to repeat what they are saying and then recognize if DNS makes a mistake, something you wouldn't know unless you are an experienced MT. Not a good idea at this point.
    Family Practice trains you with a little of everything

    Need acute care practice
    How can I obtain acute care, op note, experience?  Im interested in a "crash course" in acute care.  I have multiple years experience in multispecialty clinic.  Have interest from an emplyer for acute care, I just dont have the experience, and dont want to lead them on that I do!!  Seems like there is much more out there for those that have experience in acute care!  Practice is a big part of it I know, but schools want you to spend $ on the whole course, which I dont need, and will I really be getting the "experience" I will need to succeed!  Any advice!!!
    so then why did you LIE and say you were doing a practice tape of your friends??? if it truely was a
    '
    Maybe you don't, but I've taken the practice MCATs online
    without studying and passed.
    Why don't people practice peace and love,just
    zz