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You simply have to leave the collar on. Take it off now and again for a few minutes of supervised

Posted By: MQQ on 2005-10-16
In Reply to: Off the topic but really need help with my dog. sm - mlstoo

play, stopping him from licking his wounds. He'll be better before you know it! Woof!


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I supervised an account...sm
...that wanted things left verbatim including even what they considered to be "common-usage" slang like "vanco". This, of course, caused tremendous difficulties because it then fell on us to decide which slang is acceptable and which is not.

We were also expected not to embed repetition or redundancy in the report, but if a dictator said "the patient was very, very distressed" we were to leave both "very's" alone.

We finally had to take this account in hand and push back somewhat because it became almost untranscribable (if that's a word). We had people frozen at their keyboards, trying to make these distinctions without any clear direction and fearing that they'd be called on the carpet.

Sometimes, "client management" means "managing client expectations". A vendor cannot be expected to provide a satisfactory level of service in a millieu where there are ambiguous and/or shifting expectations.

We were finally able to convince the client that they were their own worst enemy and were working against their own best interests, although of course we didn't quite put it that way.

In one sense, all accounts are "verbatim" accounts in that we are responsible to faithfully render the spoken word without modification whenever possible. However, that is only possible as long as two conditions prevail:

1. The dictation, without modification, accurately conveys the intended meaning without factual errors or confusing grammatical constructs.

2. The dictation, without modification, contains no word forms (abbreviations or slang) that unnecessarily degrade the ability of the reader to clearly and unequivocally comprehend the meaning.

When either of these conditions does exist, it is not the words that should be preserved, but the meaning, and that implies the need for judicious, nongratuitous editing and/or corrections.

Our first responsibility is to preserve the meaning of the dictation, which we do by transcribing the dictation verbatim whenever possible, but not when meaning would be lost, distorted or clouded if the dictated words are transcribed as spoken.

I should mention that in tackling this issue with the client, we accumulated dozens of instances (easily done) in which the spoken words, transcribed verbatim, resulted in ambiguous, erroneous, and sometimes even frightening outcomes. The client literally had no choice but to concede the point.
When pets are not confined or supervised, things like this should not be a surprise. nm
:P
Antibark collar

The can idea does work but you have to be there.  With the collar, the dog gets the correction whether or not I am standing there. 


using shock collar
Be careful using that shock collar as it is negative reinforcement.  Dogs bark for a reason, learn to read their barks, could be warning of an intruder nearby, or something like a critter approaching their territory.  Get books on clicker use & treats.....they can learn words like "quiet", "settle".  Takes some time to train but worth it in long run.  I have 3 German Shepherds 2 outdoors in kennel, always keep 1 inside....wonderful deterrent.  They only bark when something is going on. 
I tried using a figure-8 clavicle collar once...sm
You can get them at the drug store probably. It just goes around your shoulders and crosses in the back to keep the shoulders back, used to keep clavicles aligned when fractured. But for some reason, it made me nauseous. I think the hunching just comes with the territory of being curved over a keyboard for hours and hours and hours a day...
Get a soft neck collar and try
Roll up a towel and put it under your neck when you sleep for support. If you don't get a collar you can also use a rolled towel and pin it while you're working.
Neck pain is horrible. Good luck
It still happens, mostly in blue collar jobs,
jobs,too, but not as much.  The employer tells them they are IC, but there are still many people out there who don't understand what that exactly means.  All they see is the extra money on their paycheck and they figure they'll worry about the taxes later, or don't fully understand the implications of being IC and don't know what a 1099 is.  Rack it up to immaturity or being naive, but it still happens.  The IRS has cracked down in recent years and has it's criteria for IC status, which doesn't apply to everyone (look at real estate agents, who can only work for one broker, but yet be an IC). It is beneficial to the employer because it saves the employer money on the SS 'match', plus savings on work comp insurance, unemployment taxes, liability insurance.  To me, being an IC means I don't have an employer - I have a customer and I must do the work they hired me to do or I will lose that customer to someone else.
You CAN NOT defend your use of the shock collar
THAT's why you may choose not to respond again.

Your "defense" above is stunning. No doubt you love your dog and take good care of him/her. But you ARE still using pain to control your pet when there ARE OTHER METHODS that don't involve pain.

Dismiss our points all you want - at the end of the day you chose to take the easy way out with regard to solving the barking problem.

WE who don't use pain to teach make YOU sick? Give me a royal break.

I posted a simple way to teach your dog not to bark - did you even bother to read it?
Pet collar for surgery. I found this neat
collar for my dog who just had surgery.  It works better than one of those cones.  It is called a no-bite cervical collar for pets.  They are available on the internet. 
collar that OP may find works in her situation.
x
I used to say he nursed for 30 minutes every 30 minutes. I was trying to figure
out a way to strap him across my chest so he could help himself while I went about whatever it was I had to do.    I really miss those days too.  
I dont use shock collars but do use a citronella collar
I have a big dog and know that people use what they know will work. Personally I have had some well meaning yet not very knowledgeable person stop me as I walk my very large dog and rip me a new SS-hole for using a prong collar. Note prong collars are very humane when used correctly.

Personally I would not use a shock collar but I have not done any homework on them either. I would be afraid of one of my children getting a shock or something like that however I am sure you have done your homework. BUT I would like to share what I have found that works. My dog wears a Citronella collar and it works wonderfully and with no danger to anyone else or himself. I have attached a link with a write up on them as well as a site that has them on sale if you are interested.


article about
http://www.news.cornell.edu/Chronicle/96/6.6.96/barking.html

where to buy
http://www.worldpetstore.com/abcitbarconc.html

Again not trying to say your choice is wrong just offering another option you might not have considered. Hope you and yours have a wonderful thanksgiving.

It's a bus, not a truck load of nuclear waste. It's a blue collar job,
s
ATT- I was paying $320 for 7000 minutes, I am now paying $175 for 5000 minutes in CA. nm
nm
Simply put....

These are people's lives and people's health.  I am NOT going to guess because their doctor doesn't give a crap and refuses to dictate clearly so lets his MT guess what he's trying to say and hopes she/he gets it right.  


I swear, this group might as well have farted or belched it all out - it would probably have been understood better than they way they dictated it.  And I'm not talking medical terminology either.  I'm talking basic simple English words that they slur all to you know where that is imperative to each patient's record. 


I know to some $$$$ is what counts.  Call me an odd ball because to me, integrity and knowing you did an accurate job is what counts. I can't do an accurate job without the doctor's help when it comes to dictating clearly.  It takes two in this business - the doctor and the MT -to get it right.  So ask me if I miss them.     


and you are simply.............nm

I simply cannot believe this.
:(
S/B $0.10 pl or simply 10 cpl. NM
nm
It seems to me that you could just simply

and then copy and paste it into the shell for Meditech.  I hated Meditech as well.  Yes, I did get used to it, but it is not MT friendly AT ALL!!! 


If I would guess though, your Word would work well since the spellcheck is better.  Try a small report, and see what happens. 


Simply say
that you really did/do want more work, but this new account is just not worth your time the way it is set up (and give details).

There is no way a reasonable adult would not understand that. If they bark (or bite), it means they simply don't care about the people who work for them.

There is nothing rude about not working for wages that aren't worth your time.
No, I am simply asking if anyone else
has this problem with THEIR company? In other words, is this common, or not?!
I simply won't do it.

That makes the report too hard to read, thus more of a margin for errors.  And I put in an extra space after periods on VR that have only one.


MedQuist is simply...
The greatest medical transcription company on the planet.
There simply are no good
aa
I think that is simply fabulous
I am jewish, so I try to find a job that I am capable of doing and volunteer to work for them on Christmas Day
That was certainly not my intent. I simply...sm
wanted constructive input from others. I am thankful for the job I have but I believe it is human nature to try to do better and of course if I can make more money in less time I would feel I was doing better! I just needed opinions which so far have been helpful.
I simply believe in God and what he stands for..
I can't really say I am a Christian or any other particular faith. I know you have very strong convictions and I think it is wonderful, but isn't it funny how we follow and obey the bible in some instances and don't in others. The bible is a guide for us to live by. If we took it seriously, women would be in dresses, men would be working, women would not, women would have long hair, etc. Actually, Halloween is a religious day.. "The festival of Halloween is based on a combination of the Christian commemoration of the departed faithful (All Saints' Day) with the pre-Christian Celtic feast associated with a celebration of the end of summer and the Celtic New Year."


Simply assign the job # to yourself...
and then hit next job.
I simply said, let me know if it is abnormal.
Rather than that, she played a little game. Editing and e-mailing me my chest x-ray report. Geesh ladies.

Had I been asked, I would have simply put off responding until the person had the results from their physician. No big deal.


simply verbatim
Has anyone worked for this company? Just curious.
I was simply curious!

No more, no less!  I don't care personally.  I just think that HIPAA thing is so over-the-top that this one jumped out at me.  I see why they have it, but sometimes it's a bit much.  My sis is the CEO of a Hospice in Chicago, and says it's a nightmare for them, so it depends on which side of the issue one is on at the moment.


 


Which is simply overkill, IMO

I question that part of HIPAA regulations.  If a person can't match the demographics to a report, what is the freaking big deal that its confidentially be protected?  So what if anyone sees you're typing a report for "someone" with symptoms A, B, and C?  Aren't there zillions of people with those symptoms worldwide?  Unless you're in a teeny town typing reports for the ONLY hospital where it's possible only ONE person could have a report like that, its really crazy to think that the average layperson, even in they could understand WHAT they were reading in a report, could figure out from any given report WHO that report was for, or even what hospital in what part of the country.  Without the demos, WHAT security is breached and HOW is it considered a security breach????


I'm also over having to have a zillion constantly-changing passwords so I can sit and type in my secure house!  The amount of programs I have to use to type a single report are so complex and aggravating that unless someone came in here who works for the exact same company, nobody would have a clue how to go about bringing up a report and rooting through the demos.  And who the heck would even WANT to?


I can see the need for HIPAA inhouse, where there are tons of people who know the system floating around, patients around looking and listening, and local people knowing stuff about other locals.  But in the case of the remote, isolated MT, who will never meet a single doc, patient, or facility she types for, making us jump through HIPAA hoops is tiresome and pointless - especially since our Indian bretheren typing the same exact reports don't have to worry about it!


Simply ridiculous. There are many people here who

have entered viewpoints on certain subjects.  It is an insult to MTStars for you to entertain the notion that only one person would post here with views different than what you would like to see.  Get over yourself and have a nice day for a change.


 


Had over 20 days over 100 degrees here. Its simply
dd
I'm afraid I'm simply too loyal to MQ...
to put them in a bind like that. Shame on all y'all!
You simply did not listen or understand what was said,
so please continue your tirade. As a matter of fact, I have been published in PC Magazine for my knowledge. Thank you very much. It's not ego when it's fact.
I'm simply saying that all aren't making the
kind of money you think they are because they have a lot of expenses but that the ones who are should be making good money considering everything they have gone through to get to that point (all those years that they were going through medical school w/o making ANY money usually). If there wasn't a good payoff noone would go through it. That's just my opinion.
What?? I simply posted what happened to me.
:+
I'm not a dreamer. I'm simply a Christian
woman praying for her husband and believing that he will be changed.
I'm afraid ur simply jealous.

COBRA is simply an extension of your sm
prior insurance, and you pick up whatever the company was paying, and pay all costs. COBRA extends you current insurance when you lose your job, but YOU pay all of the charges, same insurance, though.
Some doctors simply do not care.....sm
I was talking to my mother's surgeon at one of her checkups about outsourcing, and he said their hospital outsources all the x-rays to Australia, because while we sleep, they are transcribing, and the work is back the next day for them. He just smirked and could care less this is taking jobs away from us. As long as it isn't taking his job, it means nothing to him. He's attitude really sickened me.
P.S. Caps above simply for emphasis ...
When I read over it again after the message posted the caps came off to me as being a little snotty, and that's not what I intended ...
I DON'T rely on it, have simply used it and found that nm
not only does it help me save money on groceries (and who doesn't want to do that, regardless of their profession), but it makes me feel good that I'm also helping other families in my area that are in need with my purchase.

I usually just stick what I buy from them in the freezer and save it for the day I have NO plans for dinner and need something quick! It comes in real handy.
I simply DETEST working for/with..s.m
Indians. They are rude!!!!!!!! I never too much cared for them anyway, but to work for/with them is absolutely CRAZY! I don't trust them and they are NOT friendly people
"One does not simply walk into Mordor." nm

:D


Being in-house is tough for this reason - you simply have to sit there.
dd
MQ is simply the most corrupt MT company on the planet.

Watch and see MQ implode.  From one who knows from the inside looking out. 


For those who declare their love and loyalty to MQ, it's not reciprocated and the plans in the works by the MQ constantly changing management will soon let you see just how little they care about American MTs.  It's really kind of sad and the only hope for MQMTs is MQ being bought out.  Why do you think they keep changing management? 


 


I so badly need a vacation. And one simply isn't in the budget.
But you know, having travelled far and wide with a man who could take me places, I did learn it isn't where you go, it is who you go with....

Yes, would love to meet, date, fall in love with and marry a rich fellow. Having a two income household would be a welcome change if the guy was the Mr. Right.
Teeth can be changed. That voice is simply the best!
x
It will simply move back into the inpatient
setting, from whence it came, and by which millions of dollars have been saved (well, after the law was passed preventing referring physicians from having ownership of said outpatient centers).  I think this is a "sky is falling" type of post.  With Gen-X getting older and having a higher percentage of the population, it is unfathomable that radiology procedures will be reduced, rather they will increase.  It will impact where it is done, not that it will cease to be done.