this was an article she found...not HER...geez..sm
Posted By: nn on 2006-09-09
In Reply to: Working at home - csmr-mt
lighten up!
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I just found this article! OMG!
Home > Business Processes
Medical Transcription: The Resurrection
Or is it? With about 12,000 people, and $125 million revenue, this industry was never really dead in the first place. It was just a tough phase of transition. The good news? That phase seems to be over
Balaka Baruah Aggarwal
Saturday, January 01, 2005
Circa 1997: A new industry is on the horizon. There is lot of excitement as people anticipate the benefits of the Internet age and talk of medical transcription as an opportunity that can potentially change the fortunes of many Indians. Along with computer training institutes, the medical transcription training institutes mushroomed in towns and cities promising placements to all trainees. Entrepreneurs were gung-ho as every mom and pop set up shop. And making hay in this excitement was the middlemen who promised abundance of business.
Circa 2001: It was clearly epitaph time for the industry. The booming industry had turned a whimper. The training institutes suddenly disappeared, companies downed shutters and the fledging industry died before it had learnt to walk. That was then.
Circa 2004: There is a sense of purposefulness and systematic ramp-up as the industry goes about its business. There is a steady flow of business despite the US backlash and some have even managed to raise funds. Led by a couple of US-based companies the medical transcription industry in India is in the resurgent mode.
Resurgent? Indeed! But sustainable? One can't help doubting the future of an industry that was once so hyped but which fizzled out as quickly. Judging by all parameters this growth looks sustainable. The industry seems to have learnt from its failure and is doing it right the second time with its focus on marketing, investment on technology and emphasis on delivery of quality service.
The Opportunity
According to US Bureau of Labor Statistics (BLS), there were a total of 97,810 medical transcriptionists working in the US in May 2003, the latest period for which data was available. Surprising though it may sound, almost every seven out of ten MTs in the US were employed by the hospitals or offices of physicians. Less than 15 percent were employed by professional outsourcing service providers.
That means Indian companies have to sell to a business community that has hardly outsourced. Naturally, the only appealing reason for them to offshore is cost saving. Considering this fact, it was not very surprising that this industry was centered only around cost. That, as we will see a little latter, is changing.
However, what is most noteworthy is the fact that between December 2002 and May 2003, there was a drop of slightly more than three percent in overall employment of MTs. This was despite the fact that the Bureau had predicted an employment demand growth for MTs faster than the average growth for all
occupation, even after factoring in the offshoring phenomenon. "Contracting out transcription work overseas," the 2002 Employment Outlook report noted, is "not expected to significantly reduce the need for well-trained medical transcriptionists domestically."
The drop in employment, say observers, has happened primarily because of an acute shortage of supply. This is reflected in a press release from the Medical Transcription Industry Alliance which said, "There are insuffcient number of qualified medical transcriptionists to meet the enormous demand."
This could work out in India's favor. Early signs-in fact the present resurgence-actually shows that it has already happened.
However, not everyone who started out pursuing this opportunity a few years back survives today to grab the second chance. Those who survive are the ones who invested in understanding the business and establishing a name for themselves in the market. These are the ones that are reaping the benefit. Fortune actually favors the prudent these days.
Growing Up, Wisely
Medical transcription, commonly perceived as the lowest end of the spectrum, was the first back-office work to be offshored to India in the early 90s by HealthScribe and Heartland who started their pilot projects from South India.
As the Internet took off in the 90s, the industry caught the imagination of many entrepreneurs who rushed headlong without a base in the nitty-gritty of the business. The first mistake was that entrepreneurs did not have a front-office presence and relied on the middleman. In the absence of direct marketing presence, early entrepreneurs had absolutely no clue about the demands of the market and were at the mercy of sub-contractors. This dependence led to undercutting of prices that reached unrealistic levels and became completely unviable.
Says Raman Kumar, CEO of C-Bay Systems, arguably the largest medical transcription company in India with a controlled workforce (direct and indirect included) of 3,500 people, "Companies in the early phase relied solely on the middleman to get business. That cannot be a viable business model because it is important to own the customers. Otherwise the customer begins to dictate terms to you."
The C-Bay model was completely opposite to what most people were following in India during those days. "We set up our front-end office in the US and focused on building our presence in the market. It takes much more investment to set up the front-office so that's where we focussed initially."
It managed its back-end by setting up relationships with franchisees who were trained by C-Bay and by keeping a strict control on the quality of the work. Kumar reasons that, "We did not waste our efforts in the back-end at that time. After consolidating our front end presence, we focused on the back-end."
C-Bay had bought over three companies in the US: Arrendale Associates and Advanced Transcription Solutions in 2002 and Emergency Dictation Services in 2004. These acquisitions gave a stable customer base to the company.
With the front-end in place, C-Bay turned its attention to the back-end and set up its own center in Hyderabad, Bangalore and a joint venture with Godrej in Mumbai. It also acquired some of its franchisees and is still actively negotiating for some more deals.
And that is a very significant difference in the strategy of the companies that are dominating the medical transcription industry today. Needless to say companies like HealthScribe, Heartland, Spryance, Accusis, Focus Infosys have strong presence in the US.
"This business is based on relationship and clients need an interface to understand their concerns and requirements for which a direct US presence is absolutely critical," says Jayesh Nagda, CEO of Focus Infosys headquartered in US with its delivery center in Bangalore.
Agrees Vijay Kaul, Head, Customer Service, with Spryance, a company which promotes home based transcription in India in a big way. "The importance of having a good marketing network cannot be undermined. We are positioned as a huge aggregator of work. That is our primary strength." Spryance aggressively promotes home based transcription and hires people for Quality Assurance and editing work only. It employs a workforce of 1000 people, 70 percent of whom are home-based Transcriptionist (HBT). Incidentally HBT is a concept that has become quite popular in India and is being experimented by quite a few companies.
The requirement for experienced professionals is high in this model although freshers are also trained by providing extensive feedback. That is why some companies like HeathScribe is a little reluctant about this model.
Says Suresh Nair, CEO of HealthScribe India, "We have a small number of HBT but that is not our primary model. Our HBTs are essentially ex-employees who may have moved to different cities or may have quit for personal reasons." HealthScribe employees 1350 people with only about 100 people working from home.
Acusis that actively promotes HBT finds it a viable model. "Technology has matured enough to allow people to work from home", says KB Anand, COO of Acusis. "We have a tech team of 50 people who have developed a customized solutions called Accusuite which manages voice from US to India and assign it to specific HBT."
Today there are workflow processes and adequate security measures in place to allow working from home. This is one development that really has the potential to change the face of the industry. While ITES has been touted as the industry that could harness the idle talent of housewives, young mothers and others by allowing people to work from home, medical transcription is the only industry that has actually done it. It is estimated that HBTs execute between 10-20 percent of the MT work that is offshored to India.Companies have invested a lot in technology to streamline processes and ensure secure workflow. With stringent regulations in US about the security of patient information, this investment is absolutely necessary for serious players. This is a sustained investment and requires deep pockets.
All the top players have made heavy investments in technology particularly in ensuring information security. The Patient Health Information System of Spryance has been audited by Ernst & Young and is HIPPA certified.
HealthScribe has also invested a lot on technology to have its systems HIPPA compliant. It has developed its own workflow management system that allows the system to assign work in a systematic and secure manner.
The industry is leaving no stone unturned to address the security of patient information. It is one of the reasons why MT companies in Bangalore have come together under a banner called Indian Medical Transcription Industry Association (IMTIA). Says Suresh Nair who is also the President of the association, "The idea is to share experiences and best practices amongst members. Most often, security breaches occur because people are not aware of it."
The Bottomline: Quality
Finally it is the quality of work that will decide the fate of the industry. The major reason why the industry went bust during the first phase of its growth was because the accent on quality was lacking. Hospitals were appalled at the poor quality of work that was being churned out by the industry. "Lured by the hype numerous garage start-ups came up with little focus on quality and processes which soon reflected in the shoddy work," says Som Marappa, President and CEO of US-based MedSoft with delivery centers in Bangalore, Coimbatore and Mysore.
Today the industry watchword is quality. "The industry has learnt that it is only the focus on quality that will see it through," says Suresh Nair. With 98 percent accuracy levels expected it is indeed a tall order.The industry is sparing no pains to gain this level of accuracy. The average training is of nine months and the employee gets productive only after a year. "The gestation period in training a medical transcriptionist can take up to two years and that is why it makes sense to look at destinations with lower cost structure," says V Raman Kumar.
Unlike the call center industry trainees do not have to get their accents right. They are trained in listening skills, introduced to medical language and taught some basic transcription skills. It is estimated that bigger firms invest anywhere between Rs 60,000 to Rs 1 lakh on training each transcriptionist while smaller firms may invest a little less.
The transcripts go through rigorous quality checks in India and US before it is sent to clients. Even companies who swear by the HBT model hire quality assurance people "because quality is the lifeline of the industry."
What is as critical as the quality is the turnaround time. Often turnaround time is 8-10 hrs, sometimes it can even be demanded with a few minutes. Says Nagda, "When we handle emergency dictation, doctors require notes immediately to perform surgery and the turnaround time is a few minutes then." Needless to say that 24x7 services command a premium in the market.
The Industry
According to bpOrbit estimates, there were close to 12,000 people working in the Indian medical transcription industry as of August 2004. bpOrbit also estimates the industry size to be $115 million in the year 2003-04 (April-March). There were close to 250 companies doing medical transcription work, out of which many worked as a franchisee for a bigger company, such as C-Bay.
The top six companies (see box) accounted for 75 percent of the revenue and close to 70 percent of the employment. There are another 5-6 companies that have 100 or more people. In that sense, the average employees per company among the rest turns out to be less than 20. So it has assumed the form of a cottage
industry.
The margins, contrary to popular belief, are not small. At 15-18 percent, it is quite healthy by the outsourcing industry standard. But that kind of margin is expected only after reaching a scale, due to deployment of technology as well as economy of scale.
The average per line price commanded by the companies for transcription is close to 6-12 cents. Depending upon experience, the average lines transcribed by an MT could vary from a low of 200 lines to a high of 750 lines per day. On an average, this yields close to $4.5 per hour, which is what the low end voice call centers with much higher capex and opex, as also the salary, realize. The added advantage in this industry is that as unlike the voice work, here it is not just the quality but even the productivity of an employee increases with experience, resulting in direct increases in revenue. With lesser attrition and higher productivity, this industry is good for long term players, with high scale.
Geared Up
The MT industry does not necessarily have to work at night except in cases of offering 24x7 service. The attrition rate at 15 percent is therefore far lower than the BPO industry. Says Veer Sagar, Chairman of Selectronics Equipment and Service, "This is intelligent work which requires an analytical and logical mind. This goes a long way in curbing attrition because the work is not repetitive."
India's opportunity emerges in the backdrops of the consolidation that the US MT industry is undergoing. The dynamics in the healthcare industry changed with the adoption of technology. Billing became more transparent and US transcription companies came under intense pressure as result of which offshoring became a popular option.
At the same time, there was a shortage of qualified transcriptionists. In the Journal of AHIMA, Carrie Boatman, Director of Professional Relations for the American Association for Medical Transcription said, "The problem facing employers is that the majority of the transcriptionists graduating from a program require additional training before they can be truly productive. Training staff is not a popular option. Training transcriptionists is an expensive proposition that can require six months to a year."
Not many hospitals and health practitioners are ready to bear that kind of cost burden. Which means two things. One, that the healthcare industry has to move away from the dependence on employed labor and has to turn out to offshoring. Two, with large training costs becoming imperative, those with a scale would benefit from it. So what we are seeing is a big consolidation.
Viewed from this perspective, it will not be an exaggeration to say that India could be the epicenter-and not just another location-of this new phase of consolidation. Also, with US elections almost round the corner, the India-factor will not be so much a sensitive issue. In any case, in this industry, it has never been such a problem. Says Raman Kumar, "It has to be very clear that offshoring of work occurred because of the shortage of qualified professionals. Never has offshoring of MT grown at the cost of jobs in the US." This explains why even at the height of the backlash against outsourcing in US, MT was not really an issue.
Many miles to go...
The industry would do well to gear up its security measures. Although big players are conscientiously addressing the issue, the same cannot be said for all small players. Americans are absolutely paranoid about their health information. The incident regarding Pakistani Dr. Lubna Baloch blackmailing the American subcontractor to expose patient information if the alleged payment dues were not fulfilled has sent shock through the industry. A similar incident in Bangalore by two Heartland employees threatening to release sensitive patient data in lieu of some concession has further hackled the industry. "Another Lubna Baloch or Heartland could well be the beginning of the end of the transcription industry overseas," says Marappa of Medsoft.
Another threat is the emergence of the voice recognition software. The industry can ill-afford to remain ignorant of new technology trends. Voice recognition has not fully matured and shall still require editing skills. In anticipation, some companies like Focus Infosys have experimented with the software in-house. But there needs to be many more initiative to address this challenge.
A recent marketing trend is hospitals belonging to a particular group or chain are aggregating transcription work and offloading it to offshore vendors as a single deal. "The consolidation of suppliers in a bid to get better price from vendors has begun to happen," says Nair. This has the potential to squeeze the margins of major vendors.
Many of the medium and small Indian vendors are currently servicing the clinic segment in the US and the large hospitals remain untapped. The clinics account for between 30-40 percent of the overall market.
While marketing challenges can be over some with innovation concerns regarding security are potentially more explosive which can upset the applecart even before growth has stabilized. However with the growth momentum building up and a determined industry bent on success, it is unlikely that the industry will stumble the second time round.
Top Companies
C-Bay
Mode of operation: Own centers and franchisees
CEO: V Raman Kumar
No of employees: 3,500
Presence in India : Hyderabad, Mumbai, Bangalore
Website: www.cbaysystems.com
Heartland
Mode of operation: Own center, JV
CEO: Bryan Black
No of employees: 1500
Presence in India: Delhi, Bangalore, Coimbatore
Wesite: www.heartlandis.com
HealthScribe
Mode of operation: Own center and HBT
CEO: Suresh Nair
No of employees: 1350
Presence in India: Bangalore
Website: www.healthscribe.com
Spryance
Mode of operation: Own centers/HBTs
CEO: Raj Malhotra
No of employees: 1000
Presence in India:
Wesite: www.spryance.com
Acusis
Mode of operation: Own center/HBTs
COO: KB Anand
No of employees: 550
Presence in India: Bangalore, Chennai, Mysore, Coimbatore,
Website: www.acusis.com
Focus Infosys
Mode of operation: Own centers
CEO: Jayesh Nagda
No of employees: 500 +
Presence in India: Bangalore
Website: www.focusmt.com
THE US INDUSTRY MT EMPLOYMENT BREAK-UP1
Industry Employment (%)
General medical and surgical hospitals 40.2
Offices of physicians 33.2
Business support services 12.5
Offices of other health practitioners 2.3
Medical and diagnostic laboratories 2
Others 9.8
1May 2003 figure
Source: US Bureau of Labor Statistics
US STATES WITH HIGHEST MT EMPLOYMENT2
STATE MTs EMPLOYED
Michigan 5,590
Wisconsin 3,830
West Virginia 980
South Dakota 780
North Dakota 520
2May 2003 figure
Source: US Bureau of Labor Statistics
MORE INFO
American Association of Medical Transcription
www.aamt.org
US Bureau of Labor Statistics: Medical Transcriptionists
http://www.bls.gov/oes/2003/may/oes319094.htm
American Health Information Management Association
www.ahima.org
Found this article and wanted to share....
Why I Love (and Hate) Being a Work-at-Home Mom
Find out how this entrepreneurial mom really feels about running a business from home.I created an entire business just so I could be a work-at-home mom. But is it a blessing or a curse? It depends on which day you ask me. Let me tell you what I really think. I hate being a work-at-home mom because: 
- No one respects that I'm actually at work. My husband, friends and family still call me throughout the day and expect me to be able to talk on the phone even if it's my precious work time.
- My children are almost more tortured having me work at home because throughout the day, I'm constantly having to tell them, "Not now, honey. I have to work". (If I worked at a "real" office, I'd only have to say good-bye once during the day.)
- When I'm on the phone with an important client, my child almost always comes in whining, pulling on my clothes or knocking over my pencil holder. If my husband or nanny manages to keep them out, I undoubtedly hear them whining or crying and then I'm tortured because I know I could calm them down.
- My office is often a mess and important papers are covered in crayon scratchings because I'll let my children do almost anything in my office just to get another minute on e-mail.
- My e-mails and phone conversations are incredibly brief so I can just get my point across, but now everyone thinks I'm rude and abrupt.
- I wake up to start work at 5:00 a.m. so I can work alone while my family sleeps. And then my 5-year-old decides to wake up early and join me. So I set him up on the computer playing "Dora The Explorer" so I can get some more work done. I try to focus as I type up some e-mails, but I can't really work for two consecutive minutes because he keeps needing my help.
- I've done live radio interviews from my home only to be embarrassingly interrupted by the barking of my dog.
- And at the end of the day, I realize there is no end of the day, because my office never leaves me. Most of us work from the time we wake up until our heads hit the pillow. But who are we kidding? We're even working then!
I love being a work-at-home mom because: 
- I get to be with my kids from the time they wake up until they go to sleep at night.
- I didn't miss out on their first steps or their first words.
- I can drop work any time and take my kids to the park without having to ask anyone's permission.
- My kids get to see me work and see that I get joy and stimulation out of being productive. I like to believe I'm a good role model for them.
- My daughter can see that you can have it all: a career, a family and happiness.
- As I write this at 6:00 a.m., I can look over at the video baby monitor and see my sweet baby sleeping happily.
- I get to decide when I go to work, when I eat and when I take a break, and no one's watching a clock but me.
- When I go out for a meeting, I can also squeeze in some personal errands and not have to worry about a boss disapproving of my long lunch.
- I can wear my pajamas all day long and no one ever has to know!
- I no longer have to sit in a car to commute, which automatically gives me an extra two hours per day, which adds up to a whopping extra 21 days in my year!
- My work is my home, and my home is my work, which can be a benefit for the write-off's alone! (Ask your accountant.)
Now, perhaps if you measured my two lists, the hate list might actually be longer. But the perks of working from home are invaluable. At the end of the day, I wouldn't trade it for anything in the world. But boy, it sure would be nice if my friends and family realized that I really am working! 
Just found this lovely article about India
on the Kansas City Star's website:
Chamber formed to foster U.S.-India business
A group of area professionals and business executives have formed the Indo American Chamber of Commerce — Kansas City to provide a bridge between Indian and U.S. businesses in the region.
The organization was officially launched last weekend, in time for the Feb. 8 visit to Kansas City by Ronen Sen, the Indian ambassador to the U.S. The group also is organizing a conference on “Doing Business With India,” scheduled for April 10 at the Kauffman Center. The Chamber of Commerce of Greater Kansas City also is planning a business mission to India in the fall.
The new group’s founders are Raj Bhatia, chairman and managing director, and Sanjay Kohli, president.
I'm not sure what all this means, but why are we wanting to force more business "friendships" with these people?!!
Oh, I found it really creepy when you said you found the flowers not so skillfully arranged on your
steps, and from your own flower bed. That's what I was worried about, having gone thru some psycho kids myself with my pups. Someone's been in your yard and in your garden and at your door without your knowledge. Its just creepy to me, and I'd still be very, very careful. Especially valid sounded the other MTs warning you about potential fake molestation charges. You just NEVER know nowadays, and these people have already turned on you big time once. Luckily (though I don't believe in luck), you had it on film to save yourself and your puppy. You might not be that lucky next time, and the whole thing just sounds very unstable to me right now. I know you feel sorry for the little girl, but probably the only time I have ever made BAD decisions regarding my life is when I felt sorry for someone, particularly kids. My son even has an evil kid in his life, but one who has a million reasons for sympathy, and I was saying how we should "be bigger" than the situation and invite this kid over to play. Thankfully, I regained my sanity long enough to remember - ever time I have done something like that on a personal basis for someone just because I feel sorry for them AFTER horrible behavior, it has always been a disaster... Be kind, but you don't have to risk your family again. Be kind from a distance. Its sorry she went thru this horrible experience, but YOU didn't cause it, and its not really your problem. But it could be your problem if this kid acts out in your life. Know what I mean?
I think I found it, found multiple recipes with the same
exact ingredients so I figure this must be it.
Ah geez (sm)
Well, that's what I get for trying to insert my own images  Just use your imagination. *sigh*
Geez
By saying it was the way they talk I meant with an accent on the word as not all doctors say it that way. I was just trying to help and gave more information than some and do not appreciate the way people are sometimes treated on here.
to oh geez
Here here sister!!!!
Geez, the pay keeps going down. SM
Just saw an ad on the MT Jobs board for an experienced Transcriptionist (of course, they want the best) and the pay is 8 cpl for a 75 character line. What's with these companies?
geez
get a life. don't you have some work to do, or something?
Um, geez
I authored the message you responded to, and nowhere did I mention a personal preference for healthcare in Canada, or any other country for that matter. Yes, I posted a list from WHO that ranks healthcare among participating countries. Yes, Canada is on that list, but was the furthest thing from my mind when I copied and pasted that list into my post. Honestly, I don't find 30th place to be notably better than 37th place.
That said, I would love to visit Canada some day, but for healthcare I would seriously consider France (if it were an option for me, which it is not . . . nor is it necessary at this stage of the game).
Now, I have a question for you . . . How would you like to die, or even JUST suffer in pain, on the floor of the ER floor while a janitor mops around you (saw the video of that with my own eyes) and while two people have to call 911 in a futile attempt to save your life because nobody in the ER will care for you?
Oh geez, she's at it again.
GEEZ
what the heck is wrong with you? If she is an IC she is not cheating or scamming. And even if she is an employee, how would that be scamming and cheating. Did she says she is falsifying records? You have absolutely no information to base these accusations on. Man, talk about jumping to conclusions! 
OH GEEZ
lEgitimate oh so sorry. Please, please, review all my other posts. God knows I should not err.
The problem with these boards is that someone wants to discuss something and someone else just wants to nitpick.
Geez, here we go! nm
x
oh geez....
We had a doc that when he said right colectomy, it sounded just like rectalectomy. If I was daydreaming I would transcribe rectalectomy but would always catch myself...except for once. I got his DS when he dictated it and he said "procedures done....rectalectomy...what the heck is that?" I knew I had made the mistake. To my knowledge, he never sent it back because I never heard about it. He must have just written through it. I could have just died!!
geez
Haaaaaa. Just awful. I had one where VR picked up: The patient's blood pressure is at SCHOOL today.
Should have been: The patient's blood pressure is at GOAL today.
LOLLLLLLLLLLLLLLL
I meant the other way around! GEEZ
geez, you seem so hostile!
Geez, sounds like just about everyone I know!
Oh, geez! Too funny!
My house has a shortage of coffee filters all the time, so I never use those. I like that Homestyle microwave popcorn made with real butter, but my fingers get so greasy that I have to keep a wet washcloth on the desk to wipe it off between typing. I'm going to have to try your idea, though.
geez louise
If you're doing all that and with two jobs, I have a couple questions for you. How the heck do you do it? Whats your secret? Do you get hand and arm pain whatsover??? You're doing a lot of lines. How do you do it?
Geez, I'm sorry this offends you. I have,
Too bad I can't give you one for a shrink...sounds like you need it.
Geez, I fit the experience she needs, but
she sounds too demanding and high maintenance. Evenings and weekends, no thanks!!! I want this, I don't have time for that, no phone calls, need ASAP. No MT experience required and no offer of line rate.
Geez, come on. I saw all of the OSi posts,
Yes, somebody is sticking up for OSi all over the place. However, I don't know what is so "transparent." Somebody asked a question directly related to Smartype. I use Smartype and I work for OSi, and my Smartype works fine in Extext. For what it's worth, I post here on these boards about 5 times a week, sometimes on the word board, sometimes on the company board. I check in when I'm eating lunch or taking a break. I don't waste my time reading and posting all day long. I just get tired of never even being able to answer someone's question. What's with that?
Geez, RAD GUY, got my hopes up there - sm
thought is something new on the market to replace Viagra!!!
Geez!! Take a note of the pay.
http://seattle.craigslist.org/hea/122382546.html
Isn't being a medical Transcriptionist being an interpreter. Seems like our pay ought to be commensurate, don't you think?
Absolutely not, never. Geez. nm
.
They pay $20,000? Geez...that would tempt me!
Yeah, I think it is funny how they will pair one very conservative family with a very liberal family, or a hunter with a strictly veggie family. People would not want to watch as much if it went all smooth, human nature.
What did the other family think about how they were portrayed, or did you even have the chance to find out?
geez, do you have a family?
How bout kids? Spouse? I don't think your *work ethic is above* most peoples, just seems that maybe you don't have a life...might want to try one before it's too late! 
And "harrumph!" to you, too! Geez....
.
Geez this gets me excited!
I just ordered this program yesterday and am SO anxious for it to arrive. I have been an MT for about 4 months using only the Expander build into Inscribe. I have a feeling my whole world is about to change. THANKS for all the participation on this thread
ah, geez, Edith.
nm
geez, you guys.
You will find that everywhere you go with every job. Where there is a group of women working together, you will have all of that crap. It's the way of the world!
geez louise, where are you from emt?
hope you're not an MT.
blame the victim, geez
You people crack me up. Blame the victim and her family. For pete sake. You sound like the type of person who would blame a rape victim cause she was wearing a short skirt. The Aruban Govt thinks that boy is guilty, that is why they are holding him. He is guilty, IMHO. His story has changed several times. If you are innocent, you have one story. He left her on the beach, come on, who would leave a young girl, not familiar with the area, on a beach at 2-3 in the morning? The person at fault? The person who murdered her or kidnapped her and I think it is that obviously well off son of a high ranking lawyer. Instead of pointing fingers at her family, we should be sending prayers and hope.
blame the victim, geez
Sorry, but if you dont' want to get picked up and treated as such, don't go to places like that p. e. r. i. o. d. And yes, some women ask for it maybe not intentionally, but it happens. People need to start taking reponsibility for their stupid decisions.
Geez, at least give her credit for trying. At least, sm
if didn't work out and she had to go inhouse, at least she could say she tried. No harm in that, at least that is my opinion.
You really need to get a life. Geez, you even managed to
troll a fun poll post. Sounds like a personality disorder to me. Maybe you're the one who needs a romantic outlet. Gotta rain on everyone else's parade because you're so miserable.
Geez. It's a method to be more accountable for
a minimum amount of work.
She was being facaetious about the big bucks..geez.
x
Geez..a little snippy aren't we?
not
Geez, you missed my point.
Benefits are not mandatory.
Geez, Kate/Medtrans, are you OCD?
x
Oh, geez. This is a troll! LOL Pay no attention!!
LOL
Another one for the tinfoil hat brigade! Geez...
"Mushroom cloud over Vegas"... Oh my Lord.
Where do you get your news, the Enquirer? Do you really think that an 800-pound baby was born recently or that Elvis is living on the dark side of the moon?
Try CNN. Really.
that should be "in your career". Geez!
x
oh geez....breakfast anyone?...droool!--sm
if you get the recipe, please share. sounds yummy!thanks.
Geez, I guess I should consider myself told off.
The truth hurts and I believe in stating it plainly. MTs need to stop giving their hard earned money to that association. I'm going to say that at every opportunity.
The only way we can effect change in our profession is if we ALL wise up first.
Geez - what is your PROBLEM? She just asked
'Got Midol?'
Geez, people, lighten up!!
That was funny, TechSupport.
To the OP, with the job market being what it is, MTSOs are inundated with resumes when they advertise. Keep at it and if you find a company that you really think sounds like a good fit, keep pinging them with e mail, call them if you can get a phone number, and be really aggressive. The squeaky wheel that stands out is what is going to get their attention.
Good luck.
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