ditto the wife comment sm

• Question - Tam
  • keeping track - delphi1164
    • Yes - MTTX
  • Missing dictations - Diane
    • Thanks - MTTX
  • I do that for two of my three accounts, but I type the missing pts at the top of the - finished dictation on its own page. I personally
  • Patient list. - mtathome
  • Someone at the office sounds incompetent. Don't let them toss - giddy pc guru
    • No Way - MTTX
      • Are you IC or employee of the office - Patti
        • I agree with having a good relationship. - luv2type
          • Ok - MTTX
        • IC - MTTX
          • Woaaah, nellie...you need to be IC status only - You're being taken to the cleaners
            • WHAT! - MTTX
              • I think you are getting hosed. - MT in MT
          • You need to consider formalizing your agreement with them. sm - MTMonkey
          • IC emp??? what is that - Patti
      • I welcome transcribing correspondence - giddy pc guru
        • Five years - MTTX
          • It's time to get professional kiddo....sm - MsMT
            • Thanks - MTTX
  • That is pretty routine for them to want - a list of the patients not dictated on. sm
    • I Agree - MTTX
  • When I return my work to the doc - sm -
    • Exactly - MTTX
  • In my opinion... - Neesey
    • Lucky - MTTX
  • No it isnt your job. - MT in MT
    • No, they are not - MTTX
      • Give her some organizational tips - MT in MT
        • I Like your idea - MTTX
      • Boy I have BTDT too at my old job - dotf
        • I did - MTTX
  • anytime a doctor's wife is involved in the - susan
    • Amen! nm - MT
    • I have been really lucky with - B
      • Wonderful! - MTTX
    • You are so right - Tam
    • BINGO! - giddy pc guru
      • ditto the wife comment sm - americanmls
        • Agree! - MTTX

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expanders/shortcuts and he said that's all he used to transcribe and that he was making $$ hand over fist this way and his wife too.....again he said he never *typed* anything, only used shortcuts for absolutely everything regarding MTg....and in that case you could do 500 LPH I suppose.....if not even more

I don't know the cost of this program any longer, but when I bought Shortcuts from him it did cost $149....it was a very long time ago though....hopefully that price came down over years.....

I think they are a total mismatch.  I don't see how she could have been attracted to him, ever.

I loved it.  I have the same problem with my fiance.  He comes home and makes cracks if the kitchen table has stuff on it.  My deck is the other side of the kitchen table so of course it has stuff on it.  Men, gotta love it.

Thanks for letting me vent.

Lisa

I hate it! She is obviously "shopping around" as they all do. There is no loyalty when it comes to wives. If you cannot afford to dump them, then hang onto them until you can replace them. She will make your life miserable. I did the label stuff with the 1" pressure-sensitive transcription labels, Don't pay stationery store price.I am sure you can Google it. I used a paper cutter to "chop" the transcription and return it. The wife wanted me to take the face sheets, already handwritten by her, and print on those! I hope it's a large volume account. If she's saying get as much as you can on a page, she is being ridiculous, the only way you can handle that is to reduce your font and then she'll want you to reduce your price. I feel your pain dealing with the wife, they're ruthless!

If you can't get them to go digital (God forbid, that costs money) then you will have to work around her. I have walked that walk and it ends up you'll have to be the dumper instead of the dumpee which will happen eventually anyway because of $$$.  My heart aches for you. If it were a big $$$ acct. you could set up a laser printer offsite there with the bottom half printing out the labels and the top the letterheads. But, of course, they wouldn't want the work of cutting and placing it in the chart. Been there, it hurts! I thought the doc would intervene in my case as he would rave to everyone about how pleased he was, but he said he only deals with the patients, does not want to know anything about the office staff problems. I finally gave them a notice and left promptly after two weeks. My pocketbook suffered but my pride suffered worse that he didn't step in. Grrrr! If you know digital, you could also buy them a recorder (out of your own pocket of course). Hope you get some good advice here, it's been awhile since I dealt with those "paper dolls" I used to call them,.

No wonder you have to do all this.  He has a wife telling him that you should be doing all this.  First of all, if he pays you, you need to be talking to him about this, not her.  Secondly, you need to decide if you can afford to go without this income.  Do you work for anyone else?  Could you pick up more work elsewhere?  If so, then I would do as other posters recommend and confront him with a new charge schedule.  If he wants you to do the corrections in-house, then have him schedule a time for you to come in and do this and tell him what your charge is.  If he's late, his office should have the courtesy to call you.  If not, I would make it a point to call in before leaving to check if he's running on time. 

He doesn't see consultations for free.  His time may be valuable, but so is yours.  Don't shortchange yourself.  Nine chances out of 10, he knows what he's doing is wrong and also knows that no one else will do it either unless he hires in-house. 

Please also check borderline personality disorder on the internet.  True bipolar has fairly long periods of either mania or depression and cycles.  Bipolar is more ongoing pervasive personality of poor coping skills and conflicted interpersonal interactions.

My advice is to realize there is probably nothing you can do to help them or change them other than altering the way YOU deal with THEM for the good of your own mental health!

Not sure why you needed the computer as I am assuming you already had a computer and the equipment?  Most computers with fairly new Windows system would work okay.  I personally feel the rental fee is kind of a bad idea in the long run at $48.00 a month.  Sounds like you may need a phone line again unless you can get wireless.  You'll have to talk to tech, I guess.

As far as learning and training, are you on DQS? 

Hayseed, Aren't you the gal who did 1700 lines in 6 hours or something like that?  In that case, it's likely you wouldn't have any problem making their quota.  But, how about that hourly rate?  Will they be saving money by putting you on hourly, will you be making more money than when you were doing MT work?  Ask for all the details in writing, would be my advice.  Ask them to also state, in writing, if you can return to MT if you don't like QA.  Congratulations and good luck!!

This is a good solution; it puts it in their face, so to speak.  I've heard that people have to hear or see something an average of 3 times before it sinks in.  If they receive no feedback, they think everything is okay or totally horrible, depending on their own point of view (this is for all people in all aspects of life; I suspect that doctors will just assume that everything is okay).  If they receive negative feedback with a smile, they tend to believe that improvement is optional.  A more dramatic, serious approach is necessary. 

My situation may be a little bit different from yours, but you are not alone, and ER reports seems to be the main star.

I don't have any answers, but I'm kind of in the same boat with you.  I have been working on an account that has all worktypes.  I begin working very early in the morning, when I might be the only one working on this account.  The ER reports supposedly have top priority, right after the stat reports.  My problem is that lately I've noticed that once I complete all stat reports and am getting to the good stuff--the ER reports, whoever is managing the queue changes the priority of the more difficult OP reports and consultations, so that they float to the top of the queue, above the ER reports.  This maneuver would sometimes make sense, but the account specs are such that the ER reports have top priority. 

So, then, it takes several more hours to get to the ER reports, at which time there are so many workers on board that I end up getting 1 or 2 ER reports.  I've lately gone from making over $22/hour to a mere $7/hr.  I feel like I've been messed with, simply because I really got used to the account the way it used to be and now someone has come along and purposely made it more difficult for me.  I have the option of signing off, changing my hours, or going elsewhere.  I do have another interview pending after successfully completing the testing at another company.  I know that the grass is not always greener, but there is a limit to what type of treatment that I will tolerate.

I agree with you. 

This situation seems to be the end result of long years of MTs trying to do their best, while plugging along and accepting the treatment of the facilities, that filtered down to them through the MTSOs, who may or may not be addressing the issues of bad dictators with the facilities, for fear of losing the contracts.  I believe, it is the job of those who have direct contact with the doctors (i.e., those at the facility in the HIM dept).  According to what I have observed, they are not doing this job, and are either clueless, don't care, or enjoy this special power of oppressing the workforce from afar.  It also seems that they are not required to properly train their dictating clinicians.  Some of them are very active, however, in checking reports for proper comma use and such details, and do not hesitate to contact the MTSO to complain when the MT left out a comma, or failed to select the proper date of service on the header, failed to read the doc's mind and did not realize that when he/she coughed in a certain way, it was a clue that he/she wanted a copy sent to Dr. Joe Doe, etc.  Of course, they actually do not pay for headers and footers and they do not provide the MT with enough information to fill in all the details on the header and footer.

I have an egg timer.  I spend exactly 3 minutes trying to figure out a blank or the correct name for a doctor that requires a courtesy copy, etc.  If I cannot accomplish this in 3 minutes, given the lists that I have been provided or internet resources, the report gets a blank and it is sent to the QA department to figure it out.  Each report gets a grand total of 5 minutes for multiple look ups of blanks that are the fault of the dictator or due to me not having enough information to fill in headers, footers, consulting doctors, etc.  If it is my fault because I do not know the terminology, and the word was dictated clearly, I will take more time researching.  If the MTSO wants to address the issues of poor quality dictators/dictations with the facility, that is their choice.

If I were to have my own accounts, I would hope to have a deep pool to draw from so that I could include sanctions for such difficulties in my contract with the option of discontinuing service to those who proved to be so difficult.  However, I do not wish to be a dreamer, and don't think such deep pools exist, at least not in my part of the country, so I haven't even tried this option of having my own accounts.

I"m not sure I understand your comment, and I am not here to debate, but the account that I work on has plenty of difficult dictators, as well as plenty of easier dictators, comparatively.  My point was that you cannot depend on what type of report you will get at any given moment; there is no picking and choosing and the next in line might just change due to major shuffling.  It is not predictable by worktype either.  Whether there is plenty of work depends on how many MTs are working at the time, whatever jobs have been added to the pool, etc.  There is often no work during third shift.