We are fortunate to have benefits.

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as mine only flares up a couple of times a year, so far, but you change see the changes in my fingers, etc. I'm very stubborn about everything in my life, like Frank Sinatra.....I did it my way.....don't take meds, don't follow any particular diet, etc. I do live in Florida which of course helps with the Raynaud's which was a problem when I was in Virginia a few years ago. Medications do not like me at all, they always cause some kind of problem, so when the pain is really bad I'll just take good ole Bayer aspirin that seems to help a lot. I'm about 60 years old now and one day will probably have to do more but for now, just aspirin and ignore it. Stupid maybe? Who knows. Look at all the bad things they are finding out about certain meds now. I'd rather just trust in the Lord for now; will do meds when absolutely necessary. As for typing, it takes an hour or two before my fingers really fly anymore but they do still have wings!!!

Do as I say and not as I do....make sure your friend has a GOOD rheumatologist...they can do wonders for those who find themselves really incapacitated!!!! If you are in Florida, go to Dr. Norman B. Gaylis in Aventura, Florida. He really helped me with my first flareup before I moved!!

I know very well the difficulty of taking vacation and while I do not take a vacation every year, I have taken time off for a cruise for my 20th anniversary and for three major surgeries.

I have taken my laptop with me on trips and done what I can while away but it's not the same quantity as when I'm home. I tell all my offices several weeks in advance the dates that I will be gone and that I will do what I can while I'm out but they will have to wait until I return for my undivided attention. I have not had any problems with this arrangement. I did not take the lapto on the cruise and everything was waiting when I returned. Yeah, it's kinda of tough getting caught up but I consider it even tougher not getting away at all.

When I had the surgeries, I made arrangements to have other friends take some of my work while I was recuperating; all of the offices have been very compassionate and understanding so I've been very fortunate in this regard.

It's not easy to take a vacation but I have found that if I explain what is going on and give them plenty of notice, they are very understanding. Everyone in the office gets a vacation, including the docs, so they understand when I'm due for the same.

to get started in this field when it was possible to be hired and trained on the job. Some of us started right out of high school in the transcription department of a hospital where OJT was offered.

After retiring from another career, I took an aptitude test given by MRC, and did well enough that they basically let me train myself in medical transcription. I spent the next several years with my nose in books, looking up every other word and for the first year listened to every report twice just to make sure my work was okay. It took a long time to train my ear for ESL dictators. It was slow going and not very profitable at first, but eventually I began to make fairly good money at it. I've worked for MTSOs ever since, and currently make $20-$25 an hour - depending. But now these companies are really putting the screws to us.

Many employers now demand a ''certificate'' from a ''school'' for serious consideration. Some years ago, with over 10 years of experience with MTSOs, I interviewed with a local medical practice (the type with a staff of physicians and a stuffy professional practice manager). He did not really understand how I could be doing this without any ''formal training.'' I offered to demonstrate my ability, but once he realized I had no ''degree'' I was not allowed to test for a position. I have sent my resume to other local practices over the years, but never got an interview. So it was much easier to keep working for MTSOs, who at least would hire me based on experience and testing.

Anyone who has been in this profession very long realizes that it takes years of experience to become any good at it. However, I don't think a newbie has any way to get a foot in the door without some silly piece of paper from some funky school nowadays. Am I missing a way that the neophyte can get hired, work at MT and ''hone the craft'' without attending some rip-off school?

So many newbies can't find work and I have tried in house in my area, gues what they mostly outsource their work, I know Spheris does a few hospitals in the area, So I will try this IC for awhile but I am deffinatley going back to work, I cant live off of this yet and I am not doing this for (stay at home mother) I do not have children... Yet...

the fact that we have no debt but our house. There are those people who just have to have everything right now, no matter what the cost. We have 1 fairly newer SUV, paid for, and DH drives a paid for, older commuter Subaru that has over 200,000 miles that he drives 66 miles a day round trip to work. We don't have kids at home anymore, don't pay for college, still manage to save a bit. I'm always amazed at the couples with kids who have an SUV or mom van, a big truck for dad, boat, RV, flat screen TV, etc, and all the payments to go with them and then complain that they are broke. If people lived below their wage there would be no problem. Our next big crisis in the US is going to be credit cards...imagine buying $100 worth of groceries and paying 19% interest forever!

Not even in the salad days did I make anywhere near that. In fact, most of the services I know don't charge that.

I guess I just like knowing I own my own business and I made it what it is today. I like getting out and delivering. Talking to the people in the office making personal contact. Working as much as I want. I also like the write offs and paying less than $1,000 taxes per year. To each their own. To me this is the answer. Most on this board all they do is say that there is no way to make 50K a year and I simply gave an example of how you can do it. I am not knocking you, you seem to have done it I just like doing it "my way" as Frank Sinatra would say. Best of luck to you.

It has become a matter of taking a higher cpl w/o benefits or lower cpl with benefits in this industry...as well as those employers who want (example) 7 years of experience for 5-6 cpl. Anyone accepting that should be ashamed to call themselves an MT. I make only slightly less than I did 5 years ago. Now I make 11 cpl on a 65 line count versus 11-12 cpl on a gross line - the difference though, is that I had paid benefits then which I don't have now. The other difference is that when I could work in DOS and create all reports into one file to send at the end of the day, I could routinely produced over 350 lph (and never, ever work more than 6 hours a day, 5 days a week!). Now that I have to work on a platform that requires individual reports being submitted, I've really taken a hit in how many lph I can produce. I still work less than 40 hr/wk, though.

I truly believe in working smarter than harder. If a company offers a platform or dictators that prevent me from making a minimum of 200 lph or more, then I don't work for them. If I can't use my abbreviations that I've built over the past 10 years, then I won't work for that company. If I can't have benefits paid by the company AND the cpl I want, then yes, I will be an independent contractor and take all the tax benefits I can. Last year, I only paid $268 in federal taxes for the entire year.

I have to work around my child as well (I am single) and I am fortunate that my training days are well behind me. I still have a good life and good income, but I am choosy about the company I will work for. When I am older and things change significantly that I make less than $40k/yr, then I will go back into coding and have a job with good pay and benefits. I can't see staying in a profession if it doesn't benefit me the way I need it to.

After I wrote my last post I was just thinking about the benefits. I was with Keystrokes for a while and you can be an employee with them and still get the flexibility of 24 hour TAT and therefore you can get the benefits. So it's not impossible to get benefits and flexibility. I know the Keystrokes ortho accounts offer 24 hour TAT, not sure if it's all of the ortho accounts, but I know some of them do. I'm not sure if they have other specialties that have the 24 hour TAT. Good luck.

I'm an independent contractor and so I don't receive any benefits. The reason I stay as an IC is because it allowed me to obtain one degree, and now I'm going back to obtain my nursing degree, and so I like the fact that as an IC, I can set my own hours and that kind of thing...so unfortunately, the penalty for that is not having insurance, paid time off, etc., but I hope it will all be worth it in the end when I'm a nurse! And, I don't mind answering any questions at all...so feel free to ask.

The company has great benefits that can add up to several thousand a year. Paid downtime. Paid holidays. Vacation/PTO starting the first year. No equipment rental fee. Big discount on word books. Rental library for medical education. Reimbursement for continuing education. Decent insurance. Might make a difference.