and how do you spot a liar??

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I have two accounts of my own and do vacation coverage for a few other MTs as well as occassional work for a lawyer and a psychologist.  I charge .15 for one clinic and .17 for the other clinic... clinic #2 is a husband/wife neurologist team, and the husband was a major A&& at first... with a very strong accent and every possible bad dictator habit you can imagine.  I told wife I would transcribe for her, but not for him, I had plenty of business.  She said charge whatever you want, have whatever turnaround time you want, just please don't leave.  At the time they were at .12... so I upped them to .17.  That was 5 years ago and now after having gotten to know him and his *quirks* I adore them both.  I am an IC, but they give me very large gift cards for Christmas, kind of in lieu of a bonus, I guess. 

Clinic #2... just this week took on another physician and I told them point blank it was too much for me to provide quick service and they may want to consider a service.  They said no way, we changed the turnaround time to one week with stats as needed.  I even asked them if they considered voice recognition and the office manager laughed and laughed. 

I am just now putting both clinics on digital, and after the initial cost, this will increase my estimated hourly wage as it will take away my delivery time and cost, and my paper and ink printing cost and time.  Though I still plan to visit each office on a regular basis for customer service and because I know my customer service is what got me here in the first place.

For the *occasional* work, the lawyer and pysch I charge $50/transcription hour. 

I know you will all doubt me.  But I work extremely hard, have put in my time with my education - not just learning MT but learning the ropes of running a business and how to do everything smarter, faster, and in the most efficient and sensible way possible.  I also have another business I do in a totally different field!  I am very blessed.  Well, I also know the fields I have chosen were perfect for me, and also I've had good luck.  You know what I think though?  I think my sense of humor and just being as honest and open and observant as possible has made this possible. 

I'm not sure why you freeze up? Pretend you are transcribing. Don't you have to answer these same questions on the fly every day? I know sometimes it's something like a drug name that I've relied on my expansion software to memorize for me, but even then, I can get the other 13, 14, or 15 questions right. I'm a transcriptionist. It's what I do. Same with you. Take a deep breath and do your best. A heck of a lot more fun than taking one more , egggadds, on-line test.

Has anyone ever had this happen or know of anyone who has had this happen?  My 14-year-old son has a spot on the top of his head that is bald.  It's about the size of a quarter.  He has never had this and it came all of a sudden a couple of weeks ago.  There is no hair growing out of this spot.  ~ 

Should I take him in to have it checked or is this a common thing?  I typed it in Google and came up with something called alopecia maybe.  ~  I'll take any advice anyone wants to give me.  Thanks!!! 

I just got a job working for a hospital with a 3/4 million dollar transcription budget whose HIM director wants to bring all the work back in house.  He's offering IC as well as employee with bennies/time off positions.  The wages are fair, and I'm making a great line count on their software (he even let me install my own word expander).  This is a Michigan hospital, but he actually has MTs in other states who work for him.  I had to go in house to train, then I went home.  For anyone who's interested this is at Covenant Hospital in Saginaw, Michigan.