Response to comma

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in the following sentences?

1.  Stable, broad-based posterior disc bulge effacing the ventral aspect of the thecal sac with resultant mild to moderate bilateral neural foraminal narrowing.  Stable associated mild facet arthropathy.  --comma after small

2.  This is felt to most likely represent nonspecific demyelination, and multiple sclerosis cannot be excluded.  --comma after and

Was counted off for these by QA as 'necessary commas' but do not know why.

:

>>>it states that the one space rule applies following a period, in numeric lists, and following a colon. I received these guidelines in March from MQ. This is what I would go by. I was told that if I spaced twice I would receive a penalty on my QA reviews.

That's all you had to say.

>>>Obviously, you are the uninformed one, so see ya later wench. 

This was uncalled for.    

Yes, the big four are ops, ds, H&P, and consults. I can't help you with where to look for strictly ER reports, but I'll recommend you try to expand you skills into the ops. It'll help if you stay competitive.

In terms of going from 10 cpl to 9 cpl and taking a 40% reduction in pay ... how do you figure that? If you transcribe 10,000 at 10 cpl that $1,000 and at 9 cpl that's $900. That's a 10% reduction ... unless ... you went from 10 cpl for gross lines over to 9 cpl for a 65-char line. Now, that would be the pitz.  

I think 7 cpl is too much for a newbie. Don't matter what it comes out to in an hourly rate.

I don't believe in freebies. That's why I don't believe in doing "secretarial work" (i.e. looking up addresses).

If a new person wants to be hired by a company, they should not receive the same line rate as someone with more experience. They should "PAY" for their continued training. So, if I'm right out of school and want to get a job with a transcription company, I would have no hesitation telling the company to pay me 2 cpl less than more experienced people, as far compensation for my training. Every three months, I make an additional 1/2 cent per line. After two years, when I should not require any further training, I'm at the highest level.

This isn't greed. It's business.

>>>stand by that.  Sure, an MT under the influence may get it right, but I certainly would never want to take a chance on that. 

You're judging without the fact. The best MT my business ever had was an alcoholic. She was responsible. She never had excuses for not working. Her reports were always flawless (yes, I did QA for all reports from everybody). So WHAT if she threw a few back. It had no impact on the quality of her work. Her body was used to the liquor.

>>>It's all about resposibility and realizing the critical nature of medical transcription.  As an MTSO, I would not want an MT drinking while working.  Period. 

And how are you going to know who does and who doesn't drink while working? Are you going to install a little camcorder on their computer and watch them? 

>>>If I hired someone and found out they drank while working, they would be out the door. 

Even if their reports were perfect? Wow, you must be the reincarnation of somebody from the Tempest League (is that what they called it?) during the turn of the century.

>>>After living with an alcoholic ex-husband for 20 years, I don't think this is labeling.  I think it is a reality.  He was a functional drunk.  In other words, he managed to fool the people around him at work that didn't know him well enough or didn't work with him closely.  Those that were close enough to him to see him on a daily basis could see that he only fooled himself into thinking that it didn't impair him.  He would use the same reasoning you just did and say that it affects every person differently and some have a higher tolerance. 

First sentence:  “after living with an alcoholic ex-husband for 20 years.” The origin of this conversation was somebody who liked to sip a glass of wine while working (I don't remember if it was on occasion or every day). By your statement, they’re a full-blown alcoholic who is impaired on the job.

>>>My point to him is the same as yours:  if it starts affecting your everyday life then it IS impairing your judgment.  If you can't even wait a few hours until the workday is over to have your drink and feel you have to make excuses for why you're drinking on the job, then you're judgment is already impaired before you even take the drink.  I don't think it matters if you're a doctor, bus driver, MT, or zookeeper, you are being PAID for your skills and time while on the job.  Save your drinks for recreation.  If you can't, then either you have a problem with it or you don't respect those who will receive your finished product or those who employ you.  

Again, this had nothing whatsoever to do with the original statement:  Sipping a glass of wine while working. I mentioned that I knew some who WAS an alcoholic and their work was flawless. I could have cared less if they had a drinking problem or not. In fact, I don't think I found out until a couple of years AFTER I hired her that she had a drinking problem. So what?! It did not affect the quality of her work. Why should I fire her simply because she was an alcoholic?

>>>Think about it....if you were on a job interview and the interviewer asked if you had a problem with drinking on the job, would you honestly tell that person, "no, I think it's okay to drink in moderation" and then expect to be hired? 

If I was asked that question, I would flat out say I rarely drink, which is the total truth. I rarely do. If they said to me, “Do you think it is wrong to hire someone who drinks on the job, I would tell them ... as much as I do with somebody who eats on the job.” As long as they can do their job properly, it  doesn’t bother me.

I will try eliminating the products and see what happens.  I am glad to hear that it is possible that you can be allergic to the products.  I did not think it was possible since they are hypoallergenic but  I guess it can happen.  I love their products though. 

Dear Ma'am,

I vividly recall refusing to go another doctor as well.  I can truly emphasize with you and your son's situation because I went through the same nightmare.  Unfortunately, this nightmare is nothing compared to what the new "iPLEDGE" program is doing to thousands of patients.  I used to be able to call in my prescription to my family doctor and now have to sign contracts, submit personal sexual history, speak to a total stranger on a monthly basis, have a blood AND urine pregnancy test- how degrading! 

I have experienced absolutely no ill affects with this medication.  It was my last resort and I am thankful every day at least SOMETHING works.  Accutane (minus this iPLEDGE program) has changed my life- well, it had given me my life back.  On Accutane I have the freedom to truly embrace my life and not hide every day.  I guarantee your son is going through tremendous inner turmoil and physical pain.  Please help to give him his life back and help him get Accutane.

Sincerely yours,

J. Jackson