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Serving Over 20,000 US Medical Transcriptionists

You'd like to hit a nerve, I'd like to stick to facts

Posted By: Working my way out on 2007-09-26
In Reply to: Must be a grain of truth in there somewhere to have hit a nerve. - nm

My comments weren't made to bicker back and forth with someone who wants to have a personal war and claim touche' afterwards. They were made of my observations of what I saw with smooth transcription flow. I have no control of your choice to twist them. You know nothing of me, only that you did not like my observations. Call it whatever you will.


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Please don't speculate. Can we stick to facts?(sm)

Speculating gets us nowhere.  Does anyone have any facts yet?


Facts? what FACTS?..MQ does not deal in Facts! Haven't you learned

they will be written in disappearing ink. 


Make up a theory and build on it.  That's the best fact you will have


from this joke of a corporation.  It is a non-business.  The more deep they get


into the world of transcription the more complicated and nonsensical it becomes.


We are so FAR removed at this point from what the job was originally designed to


do it's impossible to recognize the goal.


p.s. the original GOAL was:  Transcribe what an English speaking physician dictated in place of him having to write it out.  They were clear, distinct, and appreciative of the chance to get home to dinner on time instead of sitting writing notes for 2 hours after making rounds. 


A lot of legal-ese, mumbo, jumbo, useless lab values garbled in a nurse cackling station in the hallway was not where they dictated - nor were they doing it in a car, on a boat, in the men's bathroom, or in the doctor's lounge with one eye on the football game.  They were in the MR room in a soundproof cubby with their charts.


All a transcripionist did was put a tape in the machine, type the name of the patient as good as she could make out from the doctor's dictation - type the report - take the paper out of the typewriter, put a sticker on the bottom of the page HISTORY AND PHYSICAL and the like and put it in a stack for the MR clerk to put the Pat ID number and other info in the little box at bottom of the report.


If we couldn't make out what the doctor was saying, we could get up from our chair, go to the files 2 feet away, pull the chart, and look at the word, number, name of whatever we had question about.


We were not "bean counters", doing transcription as an after-thought.  Ever since the time they put MTs in front of a computer we have become DATA ENTRY first and foremost, collecting information, and along with that trying to still PRODUCE the same amount of reports as we used to squeezed into the same 8 hours - while trying to now understand illiterate people calling themselves doctors and who have lost every bit of respect for the person at the other end of the dictation line and who have become for the most part rude buffoons hardly due the title of human being much less physician.


And to top it all off, now with all the added functions companies want from an MT they want to pay less. 



He gave you FACTS, facts are no biased. GEEZ. nm
x
the nerve!
How dare you make a TV show about my life without offering to pay me?

;)

Annie (who's living on peanut butter and jelly sandwiches until payday)
My LAST nerve
nm
And they have the nerve to air those ads about
c
Obviously I am hitting a nerve somewhere
that you are taking offense to my posts. So which one is it, are you fat, ugly, have an acne problem or all of the above?
Struck a nerve, huh?
I just can't imagine any worthwhile MT being offended by what I said. The reason they wouldn't be offended is because they are the ones picking up the slack for these clowns! The losers I referred to are the main reason Indians are getting work from the US! If every American MT went to work every day and delivered top-notch documents, the Indians wouldn't be making a dime off transcription.

FYI, I don't hire Indians as I spend too much time each day fixing errors made by American MTs. Also, if you are working somewhere that you cannot respond to QA and show them where you documented what you transcribed, then I'd say you need to get out because it's a no-win situation and you are at their mercy.
Listen to the nerve of this one!
over and when I stood at the door, not letting her in, she pushed her way in anyway. I told her I was working and she said,"That's okay I will just sit in the chair beside you AND NOT TALK!" Oh, and she did...but her baby didn't, he cried and screamed until he fell asleep and she sat there and looked at me for over an hour. Let me tell you, that will never happen again. Learned my lesson then and there!
People have a lot of nerve.
I am not trying to be rude, but what kind of friend pushes her way into your house just to distract you while you work? What was the point?
Do you think you have a pinched nerve?
Pinched nerves can cause a lot of problems.  You may want to call your doctor today.  If you had a stroke you should be checked out ASAP.  Not everyone dies with a stroke.  Some people have them and don't even know it.  Good luck.
Hmm, seems to have struck a nerve.
aa
Wow, you really don't like me! I must have touched a nerve with you.

Do you work for the AAMT or are you a MTSO cheating your MTs or outsourcing to India?  Or maybe you are one of those holier-than-thou QA people I've railed against?  You know, the ones that never make mistakes and stroke their egos by finding mistakes in everything from medical reports to generic posts on a casual message board?


As for my dismally failing blog - um it's just a blog, my own personal soapbox.  Nothing more, nothing less.  Oh and thanks for reading it. 


i've been through that too...ppl have nerve,
i think after 3 years of working from home i have finally taught my mom and my sister to quit calling and asking me to run here and there for them, ....took a while, didnt want to hurt their feelings...but its like...they cant do it becuz they are working...HELLO!!!!!!!!!!
eScription on last nerve
Posted over the weekend and got a response but just wondering, anyone else working on escription that the program is really, really slow, like jerky in the audio and then jerky for you to transcribe if doing straight typing? Had new ram put on and have fast access so really don’t know what else I can do, cleaned up the computer as far as defraging it. Any other ideas?
Some peeps have nerve

Well my goodness...SIMON...how interesting that name should be used for such a rude post...wonder if its a real name or does he wish he were SIMON off of that tele show...you guys know which one I am referring too, or maybe HE is is love with the other Simon...oh who knows...anyway...to point out your ignorance Simon, just because someone does not know the next steps to take in regards to opening a business or whatever the case may be  and that person ask questions of others who may know, well that only educates them more.  There is never a "DUMB" question. We learn by asking questions by talking and listening to others. You Simon have pointed out the true reality that there are  those who assume or dont ask questions or make rude comments to cover up their own lack of intelligence.  And you Simon, well you just put your ownself in that category.


One nerve left
"The decision to change the name of the organization from AAMT to AHDI was made by the members of the House of Delegates (HOD). These are volunteers elected by the membership..."

That was smart. You didn't pay anyone to do your dirty work for you, which must let you off some legal hook or other.


"The HOD felt it was important to broaden the name of the organization to include anyone working in healthcare documentation - as many transcriptionists are working in peripheral roles as editors, QA personnel, supervisory and management positions, educators, ..."

...Indian MTs, whose business now supports AHDI management in the manner to which we have become accustomed,...

"etc. Speaking for myself, I haven't transcribed a medical report for pay in at least 5 years, so calling me a medical Transcriptionist no longer encompasses my role. Nonetheless, I am passionate about the integrity of healthcare documentation - and I developed this passion as an MT. For me, AHDI is a better representation of where I fit in..."

...and we definitely needed to relieve ourselves of that pesky restriction to American MTs, which is why we unloaded that dinosaur...
javascript:editor_insertHTML('text','');
well it takes a lot of nerve to get sm
on this board and tell American MTs how things are and how to do things when you can't speak the language or communicate well. You are suppose to be an MT but you can't speak the language? Well I doubt that the documents you put out are very good either! Sorry but this is the reason American MTs don't have MT jobs so you need to stick to your country and your MTs and stay out of giving advice here. IMHO.......sorry I need to spell that out, IN MY HUMBLE OPINION!
you are young and dumb. The nerve of you to say
why have children if you are going to put them in daycare.  When I was going to graduate school and working I became pregnant.  I didn't expect my husband to quit his job and I sure enough was going to stop graduate school my six months.  My triplets went to daycare and was fine.
I agree-the nerve of some people

i bet you spell the peroneal nerve as
=
Must be a grain of truth in there somewhere to have hit a nerve.
!
The company would have the nerve to appeal
This is ludicrous to say the least. Many MTs are single earners in their homes. I think to do such a thing should be broadcast across the nation. If this is happening, please let us know which companies are doing it.
whatever dolfan. touched a nerve apparently.

don't let the truth ruin a perfectly good Sunday.  that is if you actually can absorb the truth of my posts which are probably perfectly clear if one is not so angry they can't see straight like you are at this point.  go back to dreamland my friend and stay where it's all comfy and cozy and no one disputes your FINAL WORD!!!!(hopefully)


PS:  We all state opinions here and not all of us are "liars" or "trolls" because they don't agree with your opinion.  Meditate on that.


 


have any horseback riders here lost their nerve

after being hurt and got it back again?  i have no problem getting on as long as all goes well, but when my horse spooks or something i feel so danged unnerved, which is totally new to me after all these years.  does it just take time or should i hang it up? 


I think you'll be OK but I totally lost my nerve sm
I switched to riding bicycles LOL (probably way more dangerous since I ride on the road)
yep - maybe your very nice post struck nerve?.

Your question/post was very nice and gentle I thought - and the other poster's response was totally out of whack - perhaps you struck a nerve!  *LOL*


Have a GREAT WEEKEND!!!  Ignore the trolls....they are all over the web, as you well know. 


Bursitis or nerve impingement. Have it checked out.
x
I got common plantar nerve neuroma

in my third toe. It bends towards the 2nd toe and if you try to spread the toes, it curves unnaturally and does not bend too well. I used foam spacers for it and it did straighten out somewhat and go partially back into the correct position.


I also get swelling in both ankles and legs plus tingling and numbness sometimes. I have to keep getting up and moving around a bit for that to go away.


 


Here are the facts
They have 5 pay levels. The top level, which is where I stay no matter what it takes, pays 0.085 per line for a minimum of 225 lines/hour with an additional 0.05 per line on weekends. You don't have to work harder for the new bonuses. If I stay right where I am now putting less than 20% of my work on hold (the amount I put on hold is WAY less than that), I will make nice bonuses with the new QA. I like the money I make because I'm a single mother and have no backup income.
The facts
YOU need to give it up. Trust me, I am NOT MQLOVER. We are two different people with one very strong similarity and that is that we both enjoy working for MQ - is that so hard to understand? When she gets flamed it is usually because she is commenting how happy she is at MQ and when that happens that rubs me the wrong way because I agree with her!

WE ARE HAPPY AND NOT AFRAID TO ADMIT IT SO WHAT IS PROBLEM?

Get off the kick that we are the same person posting as two - because let the facts be told that is not true!
Just some facts sm
My original post is speaking of the definitions as we know them, not the terms themselves.

As a matter of fact, neither term is mentioned in the Bible. The only way we recognize what they are is from the way the Bible is describing the two.


Definition of astrology:

Divination using celestial bodies: the sun, moon, planets, and stars.

This description is mentioned in the Bible many times. One example:

"You are wearied with your many counsels; let them stand forth and save you, those who divide the heavens, who gaze at the stars, who at the new moons predict what shall befall you." Isaiah 47:13


Definition of astronomy:

The science of the celestial bodies: the Sun, the Moon, the planets, the stars and galaxies, and every other object in the universe.

The Hebrews were devout students of the wonders of the starry firmanent (Amos 5:8; Ps. 19). In the Book of Job, which is the oldest book of the Bible in all probability, the constellations are distinguished and named. Mention is made of the "morning star" (Rev. 2:28; comp. Isa. 14:12), the "seven stars" and "Pleiades," "Orion," "Arcturus," the "Great Bear" (Amos 5:8; Job 9:9; 38:31), "the crooked serpent," Draco (Job 26:13), the Dioscuri, or Gemini, "Castor and Pollux" (Acts 28:11). The stars were called "the host of heaven" (Isa. 40:26). (source: christianity.about.com)


When all is said and done, you have a free will to accept, disregard, believe, or disbelieve whatever you want to...granted by your Creator.

You also have the knowledge and the means to search out for yourself what is displeasing/incompatible with God and His Word. He will be the ultimate judge.

But don't be fooled, scripture does tell us that putting our faith and trust in the alignment of the planets and stars is divination, sorcery.

God said it, not me.
Thank you for these facts...
NM
The facts....

During the "season," the weather's great - the lines are long, and the prices are shooting through the roof.


 


During the summer, it's just the opposite, but the weather's so hot and humid you'd swear you've got steam coming out your ears. 


Facts are facts . . . The AMA does not . . .

recognize the BOS as an authoritative guide for medical writing.  Fact.  No "personal feelings" are involved. 


Now, my PERSONAL FEELINGS are that I hate to see people waste their money.  Way too many MTSOs and MTs have been duped into believing the BOS is an authority. 


 


And the facts....
do show that CMTs DO earn more money so someone is paying for it. That even showed up in the annual survey done by Advance. It just is. And sure many don't have that, and yet for each and every one of us, it is about CHOICE, and we do choose where we work.
Get the facts
I have been doing transcription for 3 years plus; in my past life I did hospital quality management. Something is missing in this industry, nobody manages anything objectively except how fast we get a report to the customer. I can't figure out how the MT world missed out on the whole QA thing when it is the biggest deal in how hospitals function. I guess as QA was becoming a very big deal from the standpoint of accreditation, the MTs were sneaking out the back door or there became so many variations on managing transcription, JCAHO just didn't feel like opening that can of worms. But, from my experience, background, and 20 years of forcing people to do it, I have concluded that it is the very reason the MT industry is in such chaos. This work is never managed by anything factual. Everyone is guessing at it. I even have to laugh at times wondering if anyone ever bothered to ask a physician if they even LIKE VR; all this time, effort, science, and and.. I rarely hear anything positive. It saves money? Does it? Based on what? Nobody evaluates my work in any detail that tells me anything. No other business involved in the written word sends off final products without it being edited, not spot checked, edited.. like the newspaper. They want perfection newpapers and novels, but we can send information off that has to do with life and death after we double check our work; everyone knows you can't proof your own work. That makes me crazy.

Well, I could do volumes on this. You just flat can't effect change by trying to talk people into it. Which, by the way, would be poor managing. If offshoring is so bad for all the reasons noted, we have to show them the money.

I'm a believer in walk the talk, so in my spare NOT time...I have put this website together so that we can begin to collect data, so we can begin to prove our points. I have one survey there now, but I'm just getting started. There will be many many. When there is some powerful information available, I'm going to start knocking on the doors of some entities who can make something happen (who probably should have been). Go have a look (and do a survey)!!

We have to dig deep about offshoring, really explore it, and get facts about it. I'd be interested in forcing the "big savings" issue into data because I keep wondering if the bean counters are counting in the USA hours spent fixing their work? No, that still shows up on our expense account.

Back to work.
www.medicaltranscriptionsurveys.com
Being out of touch is a hazard of our job, but one reason you touched a nerve SM
that you should be aware of so you won't be surprised in future is that "ESL" is also code for bigotry, with in some sad cases the fussing over the genuine problems with achieving an accurate transcription just windowdressing for the real complaint.

Personally, I find the world and its people a fascinating place and love the way the Web has brought it to me in my little rural Georgia office, including the very wide range of attitudes here.
Those are not facts. Those are your opinions.
The fact is that most people here who own trailers, whether the trailer is in a park or not, OWN their trailer.  It has nothing to do with education level or skills.  The real scuzzy part of town is the lower south side with all the decrepit apartment buildings and homeless people wandering around from the shelter.  Sorry, but the "facts" and "statistics" you are spouting simply do not hold water.
I'd be interested to know if you have the facts on this
Not flaming at all, just would like to know what goes on, what they're not telling us.  I've seen documentaries on how humanely they do it, by injection for cows and they give pain relievers to chickens.  Am I being naive here?
I have my facts straight.
Comments by people on message boards don't matter.  It's the BBB complaints and lawsuits that back up my facts.  Of course, people are going to say good things about a product or service in order to sell, sell, sell.  It's called damage control.
Get your facts straight
http://www.usatoday.com/news/washington/2005-09-07-katrina-debit_x.htm

Anything else you care to complain about?
Facts and stats
Facts and stats are always interesting but fail to include things like the absolute lack of respect for what we do.  When the medical records industry needed more MTs, the only innovative thing they have tried is sending the work offshore.  No one in the industry has figured out that in order to attract and retain good MTs, you need to respect them, pay them what their worth and stop telling them they are a profession when their pay is based on piecework. 
Um, yes, you can. Check your facts. nm
x
The REAL facts on EMR

This is in response to a post made earlier to the MT who wanted to know if EMR is doing away with MTs. 


To answer your question, I would only direct you to the "job's wanted" board here, as well as to various other MT boards around.  Seeing the vast number of companies who are screaming for qualified MTs should answer your question and put your fears to rest.


EMR is too expensive and cumbersome for the vast majority of docs to use.  They will either have to pay big bucks for it and spend their time playing secretary or hire someone to do the input, which equals employee - benefits - paid vacation time - paid personal time, yada, yada, yada.  WHERE'S THE SAVINGS?  There is none. 


If the doc wants to play secretary and input the info himself, he's cutting his own throat doing it as he's earning secretarial wages instead of M.D. wages. 


EMR will not and never will wipe out our industry.  


This is a crock - here are the facts about IQ

Okay, here are the facts for those who care (like me).


There are many standardized IQ  tests.  Some only go to 140.  Some tests can go up to 180.  So basically it depends on what IQ test was given just how relatively smart these people are.  I seriously doubt any of these folks actually published something as personal as an IQ score and even if they did, I would question the validity.   You cannot make a blanket statement when comparing IQs.  One more time (for those who didn't read my last post) -- think about high IQs like this -- it is simply processing speed, just like your computer.  Many IQ tests are auditory memory and/or processing skills -- i.e. you have $1.75 and three of the coins are dimes -- what are the other coins and how many of each. ..that type of thing.  I stress that while IQ is important -- what is more important are other qualities such as character, learning from experience, attitude, resiliency, etc.    I would also add that unfortunately research shows neurocognitive diseases such AD, etc. are very unkind to the extremely intelligent.


I have been a member of American Mensa for years....and find it to be a very valuable wealth of information -- ESPECIALLY  in regard to the testing and studies they have done on gifted children.  Very interesting research and publishing in their magazines of information on smart kiddos (like yours I am sure.) 


: I left Houston and moved to Chicago increasing the average IQ of both places :)


AND if you are going to dis MENSA -- there is another organization called Intertel of which I am also a member whose IQ requirement is 99.9.   What we actually do is covert -- but I am at last relieved that they can no longer harvest my eggs :)


 


Some interesting facts...

In 1960 the average yearly income was 4,743 dollars.


I'm looking in my 1960 Sears catalog right now:


Console television 23 inches  - 429.00


Reel to reel tape player - 279.95


Gas range 289.00


13.8 cu ft (can you say SMALL?) refrigerator - 369.95


Can you see how expensive these things were back then in comparison to income?  You can buy a really good sized refrigerator now for about 700 dollars on sale.  That's not the fancy schmancy one, but it's very cheap compared to our average income.  Same with everything else.


In my 1973 Sears catalog we have a microwave oven for 500 DOLLARS! 


My point is, many things are very cheap now if you take a historical look at it.


Here's 2 facts- the Lap-Band.....sm

The risks of the Roux-en-Y include organ failure and death.


The risks of the Lap-Band do not include organ failure and death.


I type this everyday for 2 years now so the facts come from the professionals and not me. 


 


Opinions as facts
I know what my job is - but I also know what the doctors job is and that is to provide adequate patient care, for which this particular doctor often does not do. I just hate having my initials on the reports. There are many times that I have thought of turning her in, but with doctors patrolling themselves it is unlikely that anything would ever become of it. One of her colleagues has a double-digit infection rate for knees, hips and backs - and somehow he is still in practice. At first I thought maybe these patients were seeking him as a second opinion or already had the infection until I looked further into their records - he works with the same group in the same OR and that is where the infection is coming from. I wish they would just shut them down. It is heartbreaking when a 20-something loses his leg due to an infection - and then the next three reports are also infected patients of his. Maybe I should just get out of this business. I think it has taken its toll.
your facts. not mine. nm
NM
Get your facts straight
"This whole mess" as you put it started long before Clinton became president. Also, remember he was dealing with a Republican congress, which is where NAFTA originated. Reagan was the culprit - it was during his decade of greed that America put itself up for the highest bid - like a lady of the night.