The hardest is whatever you aren't
Posted By: Me on 2007-08-28
In Reply to: Thanks for your help - Newbie
used to. Discharge summaries have a lot of drug names, but the good thing is that it is the last report dictated (ideally), and with with many systems you can see the earlier reports for drug names and other terms.
I would say some of the most slurred dictation happens during the physical exam section of the H&P, but if you can see the dictator's previous reports are viewable, you can make normals. Lots of times they say the same thing every time, so that's an opportunity to use a normal and save yourself keystrokes.
So these are some reasons there are no pat answers.
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Hardest for me are the NE (i.e., RI, NJ and the like)
Shoot, I used to date a guy from NJ and almost fell over laughing when he asked me out of "cwaffee" LOL.
I'm a Texan too :-)
One of the hardest, IMO
Been doing oncology now for 17 years. One of the hardest parts is the drug regimens.. and they are ever changing, such as the protocols and study drugs. The next hardest for me is understanding the chromosome analyses. I've got some really good websites I could share with you if you would like. Best thing is to have good references and websites.Good luck in your decision and just post here if you need websites.
Yes it is one of the hardest things to do.
:(
I think this is sometimes the hardest part
of the job, that it is at home. I did it out of house and I enjoyed it more there, maybe I was a little less productive but I am a social person. I had to adapt and it has been hard. I am forcing myself out more but there are weeks when we are on cut off when I don't leave for 3 days, feel like Howard Hughes sometimes. hahahah.
first night of each week will be hardest
The first night of the week you work is always the hardest, especially if you have slept a normal night. Try to get a nap that first night before you start your 3 days. I always kept caffiene pills (like No-Doze) handy. I didn't take them often but once in a while they would come in handy just to get me through the night. Also, take a shower before you start as if you are starting a regular day. If you get enough sleep during the day after your shifts, you shouldn't have too much of a problem. My problem was I neve was able to get very much sleep, which is why I had to rely on the caffiene pills at times. For some odd reason when you work third shift you don't seem to need as much sleep either. Good Luck.
Hardest lessons to find out after BK
I thought health insurance was too expensive when I changed from employee to IC. I had emergency surgery and afterwards lost everything when I could not pay the bills.
First, sit down with every debt you owe and categorize everything - credit cards/loan companies/nonsignature debt/mortgage/car/medical/taxes, etc. Each type of debt has a different relief route typically. These are things to expect: Whether you enter a credit counseling program or BK, credit score will be damaged for years - how bad is relative to what you attempt to obtain credit for in the future. With BK in particular, depending on what state you live in, most major insurance companies will not sell you a home owner's policy until BK is discharged in 7+ years. You may also have increased car insurance rates. Depending on your personal circumstance, you need to check with your insurance companies. For instance, Nationwide will not sell the homeowner policy until after discharge. You need to ask whether your state uses credit for car/home insurance rating. Earlier posts are correct - student loans, Federal and State taxes are exempt from BK laws - if these are part of your debt from past years, you need to talk to both your state and the Fed about your options which might include an offer in compromise. If your student loans are just coming due, you need to talk to the company about options. If you have older student loans, most can be deferred with added interest and penalties. Some employers are now running credit checks in the application process - yes they can and will use that information in the hiring process.
The "new" BK laws mean that your debt will be reviewed and if you can pay back a portion, you will be required to do so - but this is major legal mumbojumbo, so my ultimate advice - do your homework and find the best BK or debt relief attorney and pay a consult fee before you make any drastic moves. They may try to 'sell' you a BK filing (obviously, that's how they make their money) but you need to pick their bones for all the info they can give you relevant to your state.
Lastly, 35k of debt with 35k of income is doable but you would have to knock your school time down to nominal or put it on hold altogether for a while to avoid BK and not assume any further debt. Whatever happens, do not let your medical insurance slide or any other policy which safeguards long-term- it may seem worth it up front but I can tell you it is the single worst decision you can electively make. Best of luck to you.
Think oncology is one of the hardest specialities.
vv
Agree...Hispanic is the hardest!
I've done everything from Indian to Asian and never had a problem with those...but Hispanic accents always throw me for a loop. For instance, I have one MD now that pronounces "violation" as vee-o-lit-on. Took me forever to figure out what she was saying not to mention her grammar was horrendous!
Oncology - by far is the hardest for me. New protocols every day to learn. nm
x
Op reports by far are easiest for me - hardest is Oncology. nm
x
which accent do you find the hardest to transcribe?
I do okay with Oriental, Greek, Indian, most European accents. However for some reason when it comes to Spanish docs, forget it !  It just sounds like gibberish to me.
I love the Asians, because they TRY the hardest, and it usually comes out funny. nm
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Hardest thing was marker keys
But after about a week, I got the hang of them. Actually, that is THE thing that makes IT worthwhile for all the other features. Just choose keys that are easy for you to use.
Also, I used the expansions I had at the time from the old Expander and created a glossary from those, so my familiar expansions were already there. Once I got the hang of the marker keys, then I started utilizing more of the features.
I love my IT!
My hardest was a woman from Spain - very, very fast! NM
x
Hardest: Dental surgery. Easiest: Cardiology, OPs. sm
Most interesting: Psych.
I think it's generally whatever you get the least of that you'll find the hardest. I used to hate OPs, GI procedures, and cardiology, but eventually got used to them and found they are repetitive (aka good money makers!).
In all fairness, it is a known fact that English is the hardest to learn sm
How many Americans say BP was 120 SLASH 80. Slash? How about over?
With ESLs we have no idea what their native language is like unless we speak it. It may be 120 by 80 for them and they are translating.
I don't know about you, but growing up my plan was to be a translator for the UN. To that end, I took Latin, Spanish, French, German and some Russian. I was a straight A student in these, but I have to tell you, it was not easy. All of them have "gender" to every noun which in turn governs the formation of adjectives and pronouns and even such things as "a" or "an" take gender. Sometimes even verbs take gender. English only has remnants of gender (a boat is a she, as an example).
There are also plenty of ESLs who speak more than two languages and English is only one of them. That adds to the confusion for them because gender isn't consistent. One language may have a male moon and a female sun, while the other is the opposite. In German, the verb needs to be the second word in the sentence and comes before adverb. The above languages frown on more than two adjectives for a noun, whereas English doesn't care. In English you can string together many adjectives if you want to, but this would be considered linguistically incorrect in other languages. Verbs have declensions and by and large, the cases stay the same across the board. English just think of eat, eaten and ate as an example of an exception and we have many such exceptions.
I catch myself saying that English is spoken just as it is spelled...well sometimes, but laugh isn't spelled laff.
Oh and you gotta love UK doctors...eeestroh gen spelled oestrogen comes to my mind.
ESLs can be incredibly frustrating. I know this, I have recently worked on an account with 80+% ESLs, most of whom were rather poor as they go. The fact remains, you have to either find yourself a job where there are no ESLs, which is becoming increasingly difficult, or learn to live with them. Some of my very favorite dictators of all time have been ESLs, partly because I struggled with them and when it just "popped" in my head they were easier than most Americans, and oh so redundant, they made me a lot of money with normals.
I will say that I believe that more money should be paid to MTs when the account is very heavily ESLs because they take a lot more time.
Poll - what do you think the hardest accent is? I vote Hispanic. nm
/
Poll: hardest and easiest work types. I enjoy...
orthopedics and psychiatry. Do not like cardiology, oncology.
I just left after 16 years of marriage. Hardest decision I've ever made, but something that I ha
My husband doesn't want to work. Never has and probably never will and it took me 16 years to figure out that nothing was ever going to change. He has been in and out of college over the years with a number of different majors and when he is on the verge of actually finishing something, he up and quits, because I believe he doesn't want to actually go out and get a job. He loves the going to school part, the studying, etc., but the actual finishing and putting his education to work, that's too overwhelming.
For years I made excuses for him, supported him, and actually believed that as he got older he would mature and finally find his way. He's 42 now and runs off every day with one of his unemployed friends to play frisbee golf or go hiking or water skiing or fishing while I'm sitting at home at my desk typing until my nose bleeds!
I was one of those women afraid of being by myself. I recently had a major depressive snap where I cried nonstop for three weeks. I found a great doctor who became a great friend and she helped me find the right medicine to get my head clear and then she helped me realize that I don't have to be afraid of anything. I was already supporting myself and my kids without anyone elses' help. What was so frightening about leaving my husband behind?
So quietly I made my plans to leave. I let my husband know that I was going to move back home to the area where all my family still lives when school let out this summer. He didn't believe me because I had said it all before. So I just made sure he knew I was thinking about it again. Then May came along and miracously a job opened up at the hospital in the small community I wanted to move back to. This hospital never has openings because they virtually have no employee turnover whatsoever. Everyone's been there at least 5 or more years. I took it as a sign and made my move. Within two days of submitting my resume, I had an interview set up. Without even waiting to see if I had the job, I packed up my kids and our stuff and told my husband "I'm going. I love you, but if you want to be with me you need to get a job and actually be my partner not one of my kids." And I left.
I got the job, thankfully. I've been here a month and I know without a doubt that it was the best thing I've done in a long time for me and my kids. My teenage son had built up a lot of resentment towards his father and their was a lot of anger and tension between the two of them before we moved. Now, my son is happier than I've seen him in years. He's more social, made a lot of friends, and even has a girlfriend now. My daughter misses her dad, but she has always been remarkably wise for her young age and is very open about saying how calm everything is up here.
So there's my story. I would never encourage anyone to divorce or leave their husband, and I haven't actually taken the step to file for divorce yet myself. But sometimes separation is liberating and therapeutic. It has been for me. I can't remember the last time I felt so peaceful.
See how much fun we can have? We aren't always mean!
A little fun with typos can turn into a whole new city!
Why aren't we all doing something?
I have only seen 2 or 3 people say they are happy with MQ on this board. If we are so unhappy, why can't we band together and be heard?
Some are and some aren't, just like here.
nm
others aren't.
;O
You aren't alone......... :(
nn
No you aren't the only one with those sm
problems. Sounds like you had an awfully bad day. I truly admire anyone who works at home with young children. I could never have done that when my 3 sons (nothing like the hit tv show way back when) were growing up. You name it, they did it. If one didn't think of it, the other one did, and the majority of the time, it wasn't good. I admire you for giving it your best shot. Hopefully, someone on this board can give you some suggestions that will help. Keep trying!
They Aren't the Only Ones
Technical support for just about anything is offshore now. Call centers are worldwide. I absolutely refuse to call and speak to someone I can't understand AND expect them to help me. Dell actually has pretty clear-speaking ESLs and after "the job" is finished, they ask all kinds of questions about their English, knowledge, manner, etc...For once I was impressed.
When I was getting my phone line through Verizon, I had to speak with an ESL and it was a nightmare. I get very cranky and short with them even though I don't mean to. If I had the guts to do it, I would demand to speak to an American, but I can't bring myself to do that.
You aren't going to get 15 to 18 cpl.
profession if what you are getting paid isn't what you are worth. I am staying here because I make more money doing MT than I could doing anything else. I'm good at it and I'm fast. I make $35 to $40 an hour. The very least I ever make is on an account that I make 10.5 cpl on and that is $25 to $30 an hour. There is no job I could get anywhere else that I could make that much an hour. I think I am paid very well. Yes, it's worth $25 to $40 an hour for me to do MT. If you can't make enough, you need to find some other job.
And some MTs aren't serious enough.
Some are bad some aren't...
Acute care is not easy. Not for a beginner anyway. Sometimes on the account I am on I just want to scream because I do get a lot of ESLs and they can be challenging. But there are some doctors who aren't so bad. Some days you may get terrible dictators and you think you aren't getting anywhere or making much of anything. Then another day you may have a better day where there aren't so many bad dictators and you get more done. I work on an account with a learning hospital which is a hospital where they have residents who are learning. It is a huge hospital and there are 35 pages of docs on the doctor list. That is not counting the residents either. No I am not kidding. It is rare to get the same doctor except every once in a while. You aren't doing the same ones everyday.
Some aren't cut out
Some MLS's are just not cut out for editing- me for one. I tried for at least 6 months. My lead switched me to picking up the straight typing work on the accounts. I get the more difficult dictators which cuts my rate down but its still better than I can muster in editing. My problem - I can't edit and continue listening at the same time.
come on, aren't you going a little overboard here sm
I welcome the disagreement, I know everyone feels differently, BUT I too am entitled to my own opinion, and I simply pointed out a problem that I have seen here, and it's embarassing to ME personally to be "associated" with these negative people. I'm sorry if that offends you so much. Maybe fool was too harsh, maybe I should have said something like childish or bitter, I don't know. I just stated my own opinion, and don't care who agrees with it or who doesn't. 
They probably aren't paying for it anyway---
That's why they charge so much for dues, etc., so the "higher-ups" can attend all these wonderful conventions in expensive places. I dropped them years ago. They don't have a CLUE that we are all scratching just to survive-- not with their "Let them eat cake" mentality! I wish EVERYBODY would drop their memberships and then see how often these idiots go to Hawaii when they all have to get a REAL JOB.
Maybe they also feel that they aren't the only ones going through it.
Working at home is very isolating, and just knowing that we have a place to vent, share, and sometimes compare other experiences can be very cathartic. We can't get it off our chests to our employers because often it is viewed negatively. We can't discuss it with our spouses/significant others because they don't understand unless they're in the field themselves. Discussing it with the puppy next to your chair helps, but not as much as discussing it with someone else who has been through it. We're all human beings and we all have differing needs. Sometimes we just need "to let it out".
You are schizophrenic, aren't you? - sm
I have never heard of such a complete and total schizophrenic reply in my LIFE!!! You have a split personality for sure. You obviously have never had a 2 y/o, or were on drugs when your child was 2... they wake up in a strange place, they know they aren't home, they think "I want Mommy", get up, unlock the door and book on down the road looking for Mommy and Daddy. This was NOT the parents fault, the driver MIGHT have NOT realized he hit a child, and I am sure he will come forward once the news travels around... This was not anyone's "FAULT"... That baby just woke up looking for Mommy and Daddy, and went out the apartment, and I am sure it was securely locked just as the parent's apartment/home was, and the child just knew how to jimmy the locks... it happens... It is an experience that God has us endure to make us realize how much we must rely on Him... I know my initial comment on this reply was not "Christian-like", but for HEAVEN's SAKE WOMAN!!!! GET A GRIP ON REALITY!!! YOU ARE OUT OF THE ZONE!!!
but aren't there limitations?
Prior to the onset of presbyopia, my vision was around 20/825. Now, I actually require the use of trifocals ... and even with those I can feel my vision constantly changing every few months (one eye gets a little weaker than the other). 
no you aren't...he's a bad dictator
nm
Aren't grandkid's the best? sm
My first time being a gramma and I got blessed with twin girls who are now at the ripe old age of 17 months and never cease to amaze me. The great thing about grandkids is you can play with them, spoil them, etc., without ever having to worry about doing anything wrong. All of the "parental headaches" are up to mommy and daddy. :)
I find that after "all these years," I'm more patient than I was as a young mom. Too much to worry about then.
I'm still a mom though. I have a daughter who is only 10! Spaced them out a bit toooooo far apart. (I have 4, ages 23, 20, 15 and 10). It's sad to say, but I have an easier relationship with my younger 2 as, not only do I know what to expect now, I've mellowed as I'm pushing 50. :)
But grandkids. Wow! They really don't expect a whole heck of a lot from you except for hugs and kisses. I can't wait until the twins get old enough to ask me the questions I can answer with my vast experience over the years. 
Gee, you are really upset, aren't you?!
The pros of working as an SE for me include such things as not having to work a set schedule--I really need and want that flexibility and as an SE, I have it!
I have a higher base rate than most employees; my incentive plan is better; and I still get quarterly bonuses.
I will be using my new computer equipment purchases and some of my rent and utilities when I file my taxes, etc.
I can still get tax breaks on medical expenses, I just have to file them differently than employees do (no pre-tax here).
I don't need the insurance through MQ; I have my own. I don't PTO, I make it up and I make enough to save for rainy days anyway.
Pros and cons will be different for different people. For me, the pros outweigh any cons.
I'm very happy as an IC/SE. I wouldn't work as an employee now.
Testy, aren't we
Nope, I am Frank and in case you didn't know, you work for me while I am loving it up in the hot, hot sun on the islands. Now, I suggest YOU GET BACK TO WORK before I fire you!
You aren't going to be flamed by me. sm
I use a reputable cleaning service which is bonded and insured. I pay the company, the company pays their employees. Plus I wouldn't let someone I didn't know in my house without bonding and insurance.
me too! as if the holidays aren't
stressfull enough, throw in the slap in the face thing called a pay check to ice the cake! I'm looking for other avenues to take....
Well there naturally aren't going to be many in the AM. SM
I do only ops myself. I have a different deal than what it sounds like you have, because my work is assigned manually - I don't get to go in the system in the morning and start plucking them out of there. I get a list at about 8:30 in the morning of the ones dictated the day before.
Too bad, too. I am 2 hrs ahead of the hospital. I could have their notes sitting there for them when they come in, but that's not the way they manage it. I don't like waiting till 8:30 to get my work, so I know what you mean.
You aren't alone, hang in there.
See, you aren't alone in this world
nm
Well, aren't you a little ray of sunshine. nm
nm
Why aren't you asking your MTSO?
They should have provided clear directions for each client on what you are to do.
Maybe they aren't all like that but the ones who move here ARE sm
Apparently our area is an "escape" for the city folks and then they eventually decide to stay.
Unfortunately for us, they want all the big city stuff that you can't have in the country. Can't have it both ways but they sure try.
There aren't enough companies to take all the MTs
that work for companies that offshore. More and more companies are looking to offshore as demonstrated by the companies in support of the current training in Trinidad. I'm totally against offshoring and have turned down at least 3 positions because the companies offshore, but I'm going to do what is best for my family. It is just like the commercial says, buy made in the U.S.A., but if you go shopping for clothes it can take you half a day to find an item made in the U.S.A.
Sorry, you aren't the only one who "knows"
It may not be the same situation and I obviously don't know this person's situation or plans to sell her/his home, I was merely trying to caution the OP and advise her/him to consult an accountant.
http://www.quicken.com/cms/viewers/article/taxes/54900/#Paying
Paying Taxes on the Home Office Share When You Sell Your Home
When you sell your home, the home office may be considered business property, and that portion of your gain on the sale may be taxed, because business property does not qualify for exclusion from income tax, as a personal residence gain. This situation can occur if you use your home for business in the year of the sale, or if you don’t meet the “two-year test” (in which 100% of the residence was used as your main home for an aggregate of 730 days in the last five years). If this applies to you, you must treat the sale of your home as two transactions: one as the sale of business property and the other as the sale of your personal residence. The sale of business property is a taxable transaction that you must report, and unfortunately, any gain that results isn’t eligible for the $250,000 home sale gain exclusion.
If you own your home, any depreciation taken after May 6, 1997 must be “recaptured” at the time you sell your residence for a profit, which means that the depreciation must be taxed at a special 25% rate. The rest of any gain that you have from the sale of the business portion of your home will generally be taxed at 20% (assuming you owned the home for more than a year).
gee, I don't know, if you aren't willing to invest in
what makes you think you would have the business savvy to do something like this?
Gee...a little dramatic aren't we???
The poster was simply saying the weather was being unruly and that when you have weather in the 70s for a few days and then down in the 30s and snowing, people tend to get colds and things...
It happens all the time. I really don't think the poster was trying to say it was the most "terrible" thing. Just making a general statement. Could you be a little more dramatic?
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