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There is an Associated Press article in today's sm

Posted By: Dreamin' on 2006-05-16
In Reply to:

paper about increasing car sales in India.  The Indian people are enjoying higher wages and are now able to purchase cars.  Car makers are scrambling to get pieces of this new, juicy pie. 


I wonder how long it's going to take before sending our work to India is not cost effective for the MTSO anymore.  The Indian MTs won't be able to live on their 2 cpl anymore and will need more, and more.  It's going to be interesting to see this evolve. 


There's hope for us!




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Perhaps you are right. This one is dated today. The original article was on Yahoo today also with

But this article states it would only affect new customers right now.  So I am upset over nothing.  I went through heck with BellSouth when they charged me a surcharge of an extra 50 a month and then would write a letter saying I had to switch to a long distance service and pay by the minute because of my "excessive" use. They told me the unlimited charge was for an average of an hour a day not somebody who worked out of their home and I needed to switch a business plan at over 200 a month charge.  I switched over to cable because of that and then to read that cable was going to charging on a per use fee and not a flat monthly fee it upset me.  It is the nature of our work, VR, only paying for VBC, having headers and footers taken away, now being charged for being on line, etc.  It just seems that everything is done to keep to insure less money.


NY Times today had an article...sm

NY TIMES today stating that not only is Dell's tech dept over in India but they are now opening up manufacturing plants in India to make Dell computers there.


See article in its entirety over at the offshoring concerns forum here....at mtstars.


Been a DELL diehard for 7 years and also an HP printer diehard person for 11 years. 


 


 


Hi Ho~~~ they can now use MRIs as lie detectors. Article in USA Today.





There was an article in our local paper today about

outsourcing (their wording) work to India.  The contractors in India are now outsourcing the work to other places in India.  They figure if  we (the US) can outsource American work to India, why can't they outsource the work also.   Your medical info is going to be as private as if you took out a billboard and posted it there. 


just read article today that it's become bad site.

Very interesting article today on offshoring

About India take on offshoring.  I don't think they are worried about loss of American jobs.


 


http://worldblog.msnbc.msn.com/archive/2008/10/17/1548054.aspx


Here's the article from the Atlanta Journal posted today....
Boy, 3, struck and killed in Gwinnett


The Atlanta Journal-Constitution
Published on: 07/25/05

A three-year-old boy was struck by a vehicle and killed early Monday after wandering away from the Gwinnett County condominium where he was staying.


Gwinnett County police spokesman Darren Moloney said Anthony Lloyd Oscar Littrean was staying with family friends at Olde Mill Crossing complex off Graves Road while his mother was hospitalized giving birth to a sibling.















Officers responding to a 4:30 a.m. report of the missing child found Anthony on Graves Road, across from the complex, Moloney said. He had been hit by a southbound vehicle.


Anthony was taken to Children's Healthcare of Atlanta at Scottish Rite, where he later died, Moloney said.


"They child was staying with family friends while the parents were at Northside Hospital," Moloney said, adding that Anthony's mother gave birth early Sunday morning.


Moloney said investigators believe the child "defeated the locks at the apartment he was staying at."


"When the family friends became aware the child was missing, they immediately began to search and called 911," Moloney said. "At this time, there is on indication of criminal neglect on the part of the child's caretakers."


He said Gwinnett police were "asking for help from anyone who might have been traveling down Graves Road toward South Norcross Tucker Road, away from I-85."


Moloney asked that anyone with information on the accident call 770-513-5048.


"Our investigators want to stress that it is possible that a [driver] struck the child without knowing exactly what they did," Moloney said. "It's possible a person struck the child without even causing damage to their car."



MSN.com has article today on worst wedding presents ever!
nm
X-press

Are you willing to give any info?  Did you work for them?  Thanks!


Where's the press release?
?
We should all send this to the Associated Press too,
which would be published in newspapers across the whole country.

info@ap.org
Press the FN key and Scroll (next to F12)
.
has anyone heard of x-press transcription

i took a test with them last week and hadn't heard anything.  any info?


thanks


 


Of course not, the press release has already been released...sm
and it's all over the local news. Couldn't even tell my family until the press release went out. Actually, couldn't even tell my coworkers before the press release went out. Thanks for your concern, but I'm well versed in security, etc.; particularly this past week.
I wish we had a big button we could press that went BZZZZZZTT!!
nm
just press the Ŗ" button to slow it down
The "3" key speeds it back up
Hold Shift and press F3 twice
F3 cycles through sentence case, uppercase, then all lowercase.
Sent It to New York Times and Associated Press
Send this or your own letter.  Let us know if anyone gets a response.
I sent it to 2 staff writers for the Associated Press plus...
Forbes Magazine, 60 Minutes, USA Today, Washington Post, NY Times, and a couple of others.  The Editor who e mailed me did not know I was an MT but that's okay - you investigate one offshored industry, you investigate them all.  I asked him to check into any credible sources he had.  You may have noticed in my letter it constantly said, "See what you can find out."
You can still highlight your word and press Alt-T-A to... sm
get to the Autocorrect dialog box in 2007. Your highlighted text is already in the With box. Just type your abbreviation and tab to the OK button and hit Enter. A lot of the old shortcuts still work even though the menus are no longer on the ribbon.
accutype, x-press transcription, Medquist

Help!  Need some info please.  I have been an MT since 1992 first in a clinic setting, and now in hospital since 1996.  I have been doing Radiology transcription and love it.  I have been looking for an at home job for the past couple of months and have been offered a couple positions.  I currently get paid by the hour and have no idea how to convert my work to line count.  I have been offered .075, .08 and .09 no spaces?  Anyone type PET scans and know what the line count is on a report like that?  They told me they would give me 9 reports and I would be busy all day which I can't believe because I can usually type 25-30 reports an hour of MR, CT, US, MN and general x-ray. 


Thanks, TLB


Have always heard good things about X-Press
and have heard they pay really well
Any current info on X-press Transcriptions?
I was told that I passed their test and was sent an IC contract out, but just wondering about any good/bad experiences before I sign for sure.  Also, how are the pay and accounts?  Thanks! 
Press Alt + F9 to toggle on field codes.
Or go to tools, options, and check field codes on the view tab.
You need to press shift key and caps lock. You may
need to do it a couple of times.  I transcribed for many years and never had a problem, but the last couple of years I have this happen about once a month.  It isn't a malfunction of the keyboard - it is user error :).
HELP with Shorthand. Suddenly today when I tried to start work today.sm

my ShortHand would type only the first letter of an expansion and then take all the letters away!  I checked and the Type It button is grayed out!  I have restarted the computer and looked on the Shorthand Help menu but can find nothing that applies.  Can anyone please help me ASAP?  I am lost without it!  TIA


Ordered from Medical Arts Press catalog
on a previous job. They have different styles and sizes to choose from.
My Dictatphone settings are Ŗ" to slow down and ŗ" to speed up (you can press these mo
.
Sorry - do not know what happened to my above post. I press 2 for decrease, 3 for increase. nm
x
Moderator, it is not copyrighted, it's a press release, sent to me via email. However,

the link is included and can be viewed at MTIA's web site.  EVERYONE should read this....it affects our future.  I do not doubt the hundreds of resumes MTSOs receive today in response to job postings will dwindle to a handful.  The entire credentialing process is geared to one way only, and that is lining the pockets of those who have led the way to destroy a once honorable profession.  Why would anyone want to go through the process to earn a substandard living today, certification not withstanding?  Does anyone think the MTSOs are going to pay a much higher premium for a credentialed MT?  Come on...get real.  If they are outsourcing today to make more money, does anyone really think they will bring those jobs back and pay EACH AND EVERY credentialed MT a livable wage, money out of their pockets? 


www.mtia.com...if the link does not work.


I would not be holding press conferences criticizing the government I want to help me find my
daughter nor offending the citizens of the country I wanted to support me.  She has clearly lost her mind and needs a spokesperson and she should vent to her husband not the world, although her vents and concerns are unfounded according to their attorney and the prosecuters.  They did not have EVIDENCE to keep these brothers.  No EVIDENCE.  What part of this doesn't Mrs. Twitty get.
I have given my kids cell phones..and taught them how to press and hold the key to call me..so that
My kids are only 6, 8, and 9 and i used to think it was silly to give kids that age cell phones, but not anymore!!
Press Ctrl+Shift+8 or click on the pilcrow on the toolbar (looks like a backwards P). nm
xx
press Control and at the same time turn tthe wheel on your mouse..nm
nm
Blasted cold out today. It was 104 degrees last week, but it's 40 degrees today with rain.
However, I do like cozy days like today when I don't have to go anywhere.  I'm done working, the house is clean, there's chili on the stove for dinner already, and I'm just putzing around.  I think I'll go bake some jalapeno cheese bread to go with the chili.
Good anatomy book is "Gray's Anatomy" (Running Press), soft cover, and inexpensive

article
51, trained on the job 26 years ago,
article...

I'm 57, learned on the job 28 years ago.  I can out transcribe people half my age.  I have no arthritis, no carpal tunnel syndrome, no fibromyalgia and only occasionally get a crick in my neck from my job.   My QA score is 100%, has been for years, and I type 90 wpm, transcribe 200 lph at least and that's on an account that is almost all ESL.   I could do this job another 20 or 30 years if I wanted to (barring sickness or accident that could happen at any age).


As far as the AAMT rep saying younger people are not lining up for this job - have they done anything to market MT to younger people?  I'm sure a lot of high school kids or even community college people would be interested in this work if they were educated about it. 


One last thought - the people they are offshoring this work to in India, Pakistan, Trinidad, the Philippines, are not spring chickens!!! 


I for one am sick of AAMT trying to justify their greediness by blaming their victims, the US MTs.


 


article
There was an article in the news online that said it has spread to 3 more countries through ducks and geese and that it's only a matter of time before someone carries it here.
one article
Boy do you have it wrong, we have both stated our sources about googliNG pet food ingedredients, and if you choose not too, that is your problem, I am sorry for your pets, but you need to read up, not one article but thousands. I hope you check your facts, sincerely,
Article
Can anyone tell me where this article was originally published? I forwarded it to a friend who asked... I wasn't able to tell her.

Thanks!
Article.........sm
http://health-information.advanceweb.com/common/EditorialSearch/AViewer.aspx?AN=HI_06may22_hip18.html&AD=05-22-2006

Try pasting this in your browser - it's an article from the latest Advance magazine called A New Set of Shoes for MTs!

I saw that article too

My first thoughts were like you, just another way to cheat us.  But then when I considered the possibility (trying to be kind here) that some companies are not giving us full credit for every character typed (as in perhaps counting 3 Keystrokes as 1 as has been mentioned here before), then even if they didn't pay us for spaces, we might make more in such a situation if they had to pay us for every single black character.  They can't hide that from us!  In other words, they would not be able to manipulate the line counting as much as I think they are doing now.  Now how much they would pay us for every black character might differ from company to company, but I think this might work in our favor overall.  If pay based on production is better for us than an hourly wage, we need to find what works most to our advantage.   And with the difference there is out there now in line counts from one company to another, pay by character might help us. 


And yes, even if it is a template, every character should still count as well as spaces, returns, tabs, demographic insertion, and also for our knowledge which comes into play every single time we keep the dictators from sounding like idiots and/or catching their mistakes.  Let's face it -- we do at least basic editing too, folks.  We are NOT just typists!  We should be reimbursed for our knowledge as well as production.   We're not donating our time to a charity here.  This is a way of making a living.  We should be paid for whatever we do for the company we work for, just like in any other job.  This might be a step in the right direction. 


I am cautiously almost hopeful. 


 


Here is the article
http://www.networkworld.com/net.worker/news/2002/0408networker.html
I think her article is a little sm
outdated in reference to VR.  Apparently she hasn't been out there in trenches lately.  There is a LOT of VR work out there and unfortunately the pay isn't great, in fact it's awful for the work involved.  Although it won't actually replace the MT, but rather move them into a different area, the pay is never going to match the effort that must go into it. 
FYI - article
I just read an article yesterday in the Oakland Press that Oakland County, Michigan, is getting rid of all their court reporters and going electronic to save money.
EMR Article
I have done transcription for about 19 years. Over the years I have been concerned about off-shoring and voice recognition, but still felt fairly confident about still having work for a long time. Now, with the EMR system coming into play, along with the other factors mentioned above, I feel that eventually, not too far off, this is a losing battle.

I love doing this type of work. It has supported my family while my kids were growing up, I had a secure hospital job, and the luxury of working at home, I have to face reality though.

I am going to go back to school and maybe look into being a radiology tech and/or ultrasound. I will not take anything in medical records, such as coding or biling, as I think that will also become automated eventually, and is already in some instances.

I think doing the editing and/or transcription (if there is any) would be a good part-time second job to have in addition to another job, but not fulltime, as I don't think you could support yourself. I still have a good 15 years or more of working left and do not want to be left out in the cold whle hoping that this is not really going to happen.

I think if the off-shoring could be addressed it would keep more work here in the long-run to keep us working until we have other options. I have seen postings here regarding contacting the president regarding off-shoring transcription (which is a good idea) but you need to also write your local congressman in your particular area. That is what they are there for (that is very important.)

It is ridiculous that the medical records of patients are so highly confidential, but yet we will send it to another country, and with the economy as horribile as it is too.

Maybe the government should retrain us LOL.

I do feel sorry for the newbies, and that these MT schools keep recruiting people into this occupation, and they probably know full well what is going on.

Just my opinion.
EMR article HERE
From Medscape Family Medicine
Physicians Are Talking About...
The Government Push for Electronic Medical Records

Posted 02/24/2009

Nancy R. Terry

The economic stimulus plan currently being considered by Congress allocates $20 billion to health information technology such as electronic medical records (EMRs). Recent postings on Medscape Physician Connect (MPC), a physicians-only discussion board, offer frank opinions about the utility of EMRs in clinical practice -- opinions that are decidedly mixed.

"EMR is the worst thing that has happened to me professionally in over 25 years of practice. My care of patients is impeded and the quality of my care is worse as a direct effect of the introduction of EMR," says a MPC contributor who championed the installation of an EMR system for his physician group.

"I absolutely love our EMR," says a nephrologist. "It has improved the quality of our practice immensely. I spent a lot of time customizing for our practice, but it was worth it. Everything is point and click. To improve care and cost, all patients need a Web-based collection of medical records that include hospitalization, lab reports, x-rays, as well as office notes. That would be the ultimate care."

Physicians who are dissatisfied with EMR systems cite loss of productivity, the negative impact on patient care, and high maintenance requirements. Physicians who have embraced EMRs cite the increased efficiency the systems have brought to their practices. EMRs tend to get high marks from subspecialists and low marks from primary care physicians.

Some of the MPC physicians least satisfied with their EMR systems are those practicing at large healthcare companies or medical centers. "My hospital solicited medical staff support for EMR," says one MPC contributor. "After implementation, administration took over and now EMR is solely for the benefit of medical records as a storage device. To he11 with the medical and nursing staffs. RNs are input clerics rather than beside nurses."

"The very few efficiencies were all on the administrative side," says a regional medical director who helped bring an EMR system to a nationwide healthcare company. "A good sales pitch with nice graphics and testimonials sell it, then the clinical staff is left to suffer."

"EMRs need to address work flows and clinical efficiencies and not seek to provide administrative support," says a general practice physician. "Unfortunately, the administrators are the ones with the time and energy. The rest of us are seeing patients."

In smaller practices, issues of EMR maintenance and support infringe upon patient care. "In my clinic," says a family medicine physician, "provider meetings are completely dominated by EMR issues and problems. There is virtually never time left for discussing topics pertinent to improving patient care."

In speaking about their day-to-day experience with EMRs, primary care physicians complain that entering patient information is cumbersome and time consuming, often because of a template-based system that does not reflect the patient encounter.

"The assumption of the EMR is that you already know the diagnosis when the patient arrives." says an MPC contributor. "This may be better for specialty care, but in primary care, patients come in with fatigue, rash, insomnia, diarrhea, and cough. It's difficult to enter all this until after the visit."

An internist who describes herself as "tech savvy" says that her system's scripted entries for patient information are inadequate. "If you free-text, it is much more time consuming. And we are discouraged from free-texting by our administration because it doesn't trigger adequate billing codes. Not only has it reduced my time with patients, it has added an extra 2 to 3 hours of work each night from home."
The Choice of Systems

"My advice to practitioners," says one MPC contributor, "is wait for a decent EMR that produces useful notes that accurately describe a patient encounter in a way that helps a clinician."

Waiting may not be an option for much longer, however. One provision of the government stimulus plan would impose reduced payments on physicians who are not "meaningfully using" information technology. Whatever is meant by the provision's phrasing, one thing is clear: the push is on to go electronic. Physicians must learn how to make information technology work for them. One EMR expert says that it starts with the choice of systems. "Primary care practices should stay away from templates and stick to a new program by Praxis® [Infor-Med Medical Information Systems, Inc., Woodland Hills, California] that uses pattern recognition of similar cases as well as rare cases. It decreases the workload immensely. For specialty practices, I recommend templates, and Visionary™ Dream EHR [Visionary Medical Systems, Inc., Tampa, Florida] is excellent in being very user friendly," says an MPC contributor whose research in medical management focuses on EMR systems.

Another MPC contributor notes that the technologically adventurous can customize an EMR system by using open-source software. In open-source systems, he explains, the source code needed for programming is included in the software, making the program infinitely adaptable. "When you buy most proprietary software, you have to accept the functions that come with it, as designed by the developers. With open-source systems, you can modify the software to your heart's content."
Is a Choice of Systems Really a Choice?

For some physicians, however, EMR systems remain a nonissue, and the heavy government funding of healthcare information technologies is nothing more than a smokescreen obscuring the real issues in primary care.

"The government and the public are not able to deal with the real problems facing medical practice and the real solutions necessary to turn it around (ie, reasonable reimbursement rates, malpractice reform, regulation of the unscrupulous practices of the insurance industry)," says an otolaryngologist. He adds that once healthcare information technology is "fully implemented and solves nothing, we can start to talk about real reform and real answers."



Author Information
Nancy R. Terry, medical writer and editor, Jackson Heights, New York

Disclosure: Nancy R. Terry, has disclosed no relevant financial relationships.

Medscape Family Medicine. 2009; ©2009 Medscape
That was a really good article
understand it.  Alas, many will not listen.  Many would not even read the article if you printed it up and delivered it to their front door.  Many don't care.  Many believe it's a lot of "hype."  But this country IS falling apart.  And the big whigs know it too.  I don't know if it's so much that they don't care, but that this is actually part of their plan.  When the U.S. finally comes unraveled, they'll step in with a new dictatorship, and there will be precious little any of us can do about it.
chilling article

Read this


 


New Orleans: A Disaster Waiting to Happen
by George E. Curry
NNPA columnist
Originally posted 9/1/2005

"
I am angry. I am angry at the mayor of New Orleans. I am angry at the governor of Louisiana. I am angry at the Environmental Protection Agency (EPA). I am angry at the Federal Emergency Management Agency (FEMA), now part of the Department of Homeland Security. I am angry at George W. Bush. I am angry because they were warned last November that New Orleans was one of the “Disasters Waiting to Happen” – and did nothing about it. Consequently, hundreds, if not thousands, of people are dead. Needlessly.

In an eerie prediction of what happened as a result of Hurricane Katrina, an article titled, “What if Hurricane Ivan Had Not Missed New Orleans?” was published in the Natural Hazards Observer, a major journal headquartered at the University of Colorado in Boulder. It was written by Shirley Laska of the Center for Hazards Assessment, Response and Technology at the University of New Orleans. In other words, this was an article written by a reputable author in a reputable national publication that should have been read by people involved in disaster relief. If they had taken heed, many of the dead in New Orleans would be alive today.

Under the headline, “What if Ivan Had Hit New Orleans?” the author wrote, “New Orleans was spared this time, but had it not been, Hurricane Ivan would have:

- Pushed a 17-foot storm surge into Lake Pontchartrain;

- Caused the levees between the lake and the city to overtop and fill the city ‘bowl’ with water from lake levee to river levee, in some places as deep as 20 feet;

- Flooded the north shore suburbs as much as seven miles inland; and

- Inundated inhabited areas south of the Mississippi River.

“Up to 80 percent of the structures in these flooded areas would have been severely damaged from wind and water. The potential for such extensive flooding and the resulting damage is the result of a levee system that is unable to keep up with the increasing flood threats from a rapidly eroding coastline and thus unable to protect the ever-subsiding landscape.”

Until I read this article, I had said one of the positive things that I hoped would come out of this disaster is that relief experts would realize that they need to make special provisions for the poor, elderly and homeless. In essence, I gave them the benefit of the doubt. Now, however, I realize that there is no benefit in doubt.

The warning was there in black and white:

“For those without means, the medically challenged, residents without personal transportation, and the homeless, evacuation requires significant assistance.”

Laska spelled it out in even more detail.

During Hurricane Ivan in 2004, she continues, ‘Residents who did not have personal transportation were unable to evacuate even if they wanted to.
Approximately 120,000 residents (51,000 housing units x 2.4 persons/unit) do not have cars.

“A proposal made after the evacuation from Hurricane Georges to use public transit buses to assist in their evacuation out of the city was not implemented for Ivan. If Ivan had struck New Orleans directly it is estimated that 40-60,000 residents of the area would have perished.”

The additional problem of people having the means to leave, but refusing to do so was addressed in the article.

“Researchers have estimated that prior to a ‘big one,’ approximately 700,000 residents of the greater New Orleans area (out of 1.2 million) would evacuate,” Laska wrote. “In the case of Hurricane Ivan, officials estimate that up to 600,000 evacuated from metropolitan New Orleans between daybreak on Monday, September 13 and noon on Wednesday, September 13, when the storm turned and major roads started to clear…

“The fact that 600,000 residents evacuated means an equal number did not. Recent evacuation surveys show that two thirds of nonevacuees with the means to evacuate chose not to leave because they felt safe in their homes. Other nonevacuees with means relied on a cultural tradition of not leaving or were discouraged by negative experiences with past evacuations.”

Those that dismiss environmentalists as kooks, should pay special attention to the observations about marshes.

“Loss of the coastal marshes that dampened earlier storm surges puts the city at increasing risk to hurricanes,” the article noted. “Eighty years of substantial river leveeing has prevented spring flood deposition of new layers of sediment into the marshes, and a similarly lengthy period of marsh excavation activities related to oil and gas exploration and transportation canals for the petrochemical industry have threatened marsh integrity.”

Using the Hurricane Ivan model to predict what would happen if a major hurricane struck New Orleans, Laska wrote: “Should this disaster become a reality, it would undoubtedly be one of the greatest disasters, if not the greatest, to hit the United States, with estimated costs exceeding 100 billion dollars. According to the Red Cross, such an event could be even more devastating than a major earthquake in California. Survivors would have to endure conditions never before experienced in a North American disaster.”

It ended, “The hurricane scenario for New Orleans that these conveying risks portend is almost unimaginable. Hurricane Ivan had the potential to make the unthinkable a reality. Next time New Orleans may not be so fortunate.”


George E. Curry is editor-in-chief of the NNPA News Service and BlackPressUSA.com. He appears on National Public Radio (NPR) three times a week as part of “News and Notes with Ed Gordon.” In addition, his radio commentary is syndicated each week by Capitol Radio News Service (301/588-1993). To contact Curry or to book him for a speaking engagement, go to his Web site, www.georgecurry.com.


Relevant article
Not trying to start an argument, just another point of view.

http://www.townhall.com/columnists/thomassowell/ts20040601.shtml