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Serving Over 20,000 US Medical Transcriptionists

what sounds unreasonable?

Posted By: sm on 2007-10-24
In Reply to: asking a question - knittngranny

i don't see how it appears they are trying to make it too difficult. ?? If you want the deal take it. Many hospitals are short of space and can use the footage for something else (closet?! maybe). They also realize they are competing with services and losing MTs to them. I don't think there's another motive. Its cost-effective for the hospital and and makes most MTs happy. i worked in-house for years and years, and now, would not ever want to go back!


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No you are not being unreasonable.
Do not let posters rain on your parade.  Yes, it takes a while to build up speed, but who says that has to be overnight?  Career Step sounds like a great program, but there are others.  Don't get discouraged.  No, you won't make a million, but the experience you gain will help you.  Welcome, and best wishes!!!  New MTs are the wave of the future.  You could very land a job doing part-time voice recognition work that guides you, and no you probably won't be a speed demon.  But, please reach for the stars!!  Your child will thank you later in life.  Children do not last forever at home.  You can ask anyone here that has stayed at home to raise their children, and I bet they all tell you it was well worth it!!! 
Not unreasonable expectation
At WebMedX I have a set schedule, but if I want to knock off two hours early, I absolutely can.  However, it's understood that if I'm short any hours because of this, those hours have to be made up at some point during the week.  Flexibility for me, reliability for the employer.
10 cpl is not unreasonable as a subcontractor
I have had several subcontracting positions that pay 10 cpl and now working as subcontractor for 11 cpl. You do not have to accept the first thing they offer. Naturally, they are going to offer you a lower rate. If they offer say 9 cpl, then ask for 10 cpl. If they offer 10 cpl then ask for 11 cpl. It has worked for me. Now as an employee with good benefits, I will accept 9 cpl with an incentive plan.
I think the employer is being unreasonable

If, as others in this thread have said, you are essentially running your own business, then YOU are the one who should make arrangements for coverage when you are gone. The client doesn't want you to subcontract? Too bad. If that is what you choose to do, and the subcontractors do a good job for them, then they have no right to complain. You should be able to run YOUR business as YOU see fit. If the client doesn't like it, they can hire someone else. That may sound harsh, but it seems to me that you need to take a stand with these people or they are going to walk all over you.


I haven't read every single post in this thread, but I have read the majority of them. It seems to me a lot of people are basically contradicting themselves - first they say you are running your own business, you can't just shut down for vacation, but the fact is, business owners take vacations all the time. They just make arrangements for someone to take care of their business while they are gone. Then they say you have no alternative except to do double or triple work before and after your vacation. If it's YOUR business, then YOU are in control.


I think part of the problem is that a lot of people view working in the medical field as a "calling", not simply a job. There is absolutely nothing wrong with that - but no matter how devoted you are to your job, you still need a break now and then.  A little R&R will help you return to your job with a fresh mind and renewed energy.


It is unfortunate that so many people on this site are giving you such a had time about this. Maybe they need a vacation. 


I don't think 1500 is unreasonable...
There are a lot of variables. If you're willing to work as many hours as necessary to attain 1500 lines per day, then that's feasible within a reasonable amount of time. And once used to the account, of course, you'll do that in fewer and fewer hours.

As far as cpl, I haven't seen many ads for companies willing to pay even 8.5, and that's rare. More likely it would be around 7 to 8.

If you want to get your own accounts, depending on your area, you could probably ask for 9.5 to 10 per line and get it.

Also, you may have to work for a few companies to find the right one.

I left because a hospital was unreasonable and the
I am a quality Transcriptionist and because I am I see no reason to be nit-picked to death when I can find a better job where I'm treated respectfully. I've been an MT for over 25 years. I've done QA, I've been a team lead and am very good at what I do. I was never reprimanded for quality at Diskriter so that was not the problem. The problem was that the hospital picked, picked, picked us to death and nothing we did was ever good enough (I didn't work for the FL hospital they're talking about here, I worked for one in PA).

My friend jumped ship at the same time I did who is the best MT I know with 30+ years of experience and has also been QA elsewhere.

If they're telling you people have left because they're not quality MT's that's a bunch of bunk. We left because we were sick of being picked to pieces while Diskriter's account managers let the hospital management staff walk all over them at our expense.

Simple as that.
Sounds like you are SM
working for one of the few remaining good companies.  Wouldn't it be wonderful if they all at least made an effort to even out the work?  When you factor in VR and the number of newbees that some companies hire, who just don't have the experience to do the difficult dictators, that makes a sorry life for those who do have the experience and can do it.  Which is why I say if "anyone" isn't happy with what they are doing, then they should look for a company that recognizes their MTs as human beings.  I think part of the problem is that the bigger companies are run by "suits" who don't have a clue about actual medical transcription, all they see is the bottom line and any way to make that bottom liine bigger is fine and dandy with them.  I even heard one of those "suits" say once that it didn't matter if all their MTs quit, they were just typists and the manager could just go out and hire some more.
Sounds like you have too much going on. Take

things in little bits.  (Un)pack/clean for 15 minutes and then work for a bit.   Set a realistic goal to work - say an hour that you can make yourself work, then get up and (un)pack/clean, do laundry, etc. and then come back and work.  If you can afford to work a few less hours do it.  It will give you time to complete the move and give you a break from work.


We are remodeling/redecorating and our house is total chaos.  Some days I can jump right in and get something accomplished and other times I put on blinders and just ignore it all.  Some days I dig right into work and knock out my lines, other days I'm on-line more than working.


Take a break, get refocused, and then try out different routines.  I think we all go through burnout at least once a year and sometimes it takes a bit to get refocused. 


 


Sounds about right
x
Thanks, sounds like just what I need.

It isn't that I can't afford either, just concerned that I don't want a 2 year process, because I need to start living now.


I don't need to know particulars, but just wondered how far back your trauma went?  Mine is pretty much a lifetime of traumatic events, but I think most of my issues date back to when I was 5. 


sounds like
Pfannenstiel scar
now this sounds better..
nm
Sounds like...
We need to take what THEY say with a huge chunk of something, and it sure ain't salt! Talk about "The Stepford Transcriptionists." Sheesh. Thanx for ur input - it was driving me nuts!
sounds like there
may have been a problem with their server.  Try it one more time.  If you get the same error page, click the 'refresh' key at the top of your screen to see if this brings the page up.  If it doesn't, you should call someone.
Sounds like MDI
Who do you work for - -if you don't mind saying.
Sounds like what I'm looking for.....
Thanks so much for the replies!
Sounds like my son. sm

My son had an economics project in junior high school. The class was split into groups. Each group was given $75.00 in cash and told to come up with something to make their money back. If they made any profit, it was theirs to keep and split.


My son went through all of the grocery store flyers until he found cans of Pepsi on sale. Then he called all of the pizza places to see if he could get a buy 1 get 1 free special. They bought a bunch of pizza and a bunch of Pepsi, set up a table at lunchtime,  and sold the pizza for $1.25 a slice and the cans of soda for $1.00 a can. They doubled the money, gave the original $75.00 back and split the rest.


Right now my son works in food services at a nursing home. I'm surprised he doesn't charge the residents for delivering their dinners.


Must be. Sounds just like them
nm
Sounds like PMC to me...
 
Sounds like they set you up to

No one can be 100%... 98.8 should be congratulated (IMO) Drs. make mistakes in dictating even.. they aren't 100%.


This sounds like an ad to me.
nn
Actually, it sounds like the old one is
nm
This sounds about right!
A Japanese company and an American company decided to have a canoe race on the Missouri River. Both teams practiced long and hard to reach their peak performance before the race. On the big day, the Japanese won by a mile. The Americans, very discouraged and depressed, decided to investigate the reason for the crushing defeat.

A management team made up of senior management was formed to investigate and recommend appropriate action. Their conclusion was the Japanese had eight people rowing and one person steering, while the American team had eight people steering and one person rowing.

So American management hired a consulting company and paid them a large amount of money for a second opinion. They advised that too many people were steering the boat, while not enough people were rowing.

To prevent another loss to the Japanese, the rowing team's management structure was totally reorganized to four steering supervisors, three area steering superintendents and one assistant superintendent steering manager.

They also implemented a new performance system that would give the one person rowing the boat greater incentive to work harder. It was called the "Rowing Team Quality First Program", with meetings, dinners and free pens for the rower.

There was discussion of getting new paddles, canoes and other equipment, extra vacation days for practices and bonuses.

The next year the Japanese won by two miles. Humiliated, the American management laid off the rower for poor performance, halted development of a new canoe, sold the paddles and cancelled all capital investments for new equipment.

The money saved was distributed to the Senior Executives as bonuses, and the next year's racing team was outsourced to India.

Sounds like she does not know what she is doing.
Maybe your company does not pay much for QA or have high criteria
It sounds like......sm
It sounds like they are basing this on income only, not income and output (her bills). She should talk with the folks at Social Service as they can probaby negotiate a better deal for her, either there or somewhere else.

Good luck! :)
sounds like....
the other poster's Stedman's and mine conflict a little. Mine is:
Stedman's Orthopaedic & Rehab Words, Third Edition (1999) so her's may be more up-to-date.

So, share with us what you said and what QA said. I'm curious!!!!
Sounds like my ex also.....sm
very abusive...mine wasn't that controlling, but he was disrespectful to me and did lots of things to hurt and humiliate me, to the point of double dating behind my back with his oldest daughter and her boyfriend, and on our anniversary to boot. I am out of that mess, met a much nicer guy who is secure with himself and am happier because of it.
Sounds like you seriously need to consider the
How do I know if I am in an abusive relationship? What are the signs and symptoms of an abusive relationship?

The more of the following questions that you answer Yes to, the more likely you are in an abusive relationship. Examine your answers and seek help if you find that you respond positively to a large number of the questions.

Your inner feelings and dialogue: Fear, self-loathing, numbness, desperation

* Are you fearful of your partner a large percentage of the time?
* Do you avoid certain topics or spend a lot of time figuring out how to talk about certain topics so that you do not arouse your partner’s negative reaction or anger?
* Do you ever feel that you can’t do anything right for your partner?
* Do you ever feel so badly about yourself that you think you deserve to be physically hurt?
* Have you lost the love and respect that you once had for your partner?
* Do you sometimes wonder if you are the one who is crazy, that maybe you are overreacting to your partner’s behaviors?
* Do you sometimes fantasize about ways to kill your partner to get them out of your life?
* Are you afraid that your partner may try to kill you?
* Are you afraid that your partner will try to take your children away from you?
* Do you feel that there is nowhere to turn for help?
* Are you feeling emotionally numb?
* Were you abused as a child, or did you grow up with domestic violence in the household? Does domestic violence seem normal to you?

Your partner’s lack of control over their own behavior

* Does your partner have low self-esteem? Do they appear to feel powerless, ineffective, or inadequate in the world, although they are outwardly successful?
* Does your partner externalize the causes of their own behavior? Do they blame their violence on stress, alcohol, or a “bad day”?
* Is your partner unpredictable?
* Is your partner a pleasant person between bouts of violence?

Your partner’s violent or threatening behavior

* Does your partner have a bad temper?
* Has your partner ever threatened to hurt you or kill you?
* Has your partner ever physically hurt you?
* Has your partner threatened to take your children away from you, especially if you try to leave the relationship?
* Has your partner ever threatened to commit suicide, especially as a way of keeping you from leaving?
* Has your partner ever forced you to have sex when you didn’t want to?
* Has your partner threatened you at work, either in person or on the phone?
* Is your partner cruel to animals?
* Does your partner destroy your belongings or household objects?

Your partner’s controlling behavior

* Does your partner try to keep you from seeing your friends or family?
* Are you embarrassed to invite friends or family over to your house because of your partner’s behavior?
* Has your partner limited your access to money, the telephone, or the car?
* Does your partner try to stop you from going where you want to go outside of the house, or from doing what you want to do?
* Is your partner jealous and possessive, asking where you are going and where you have been, as if checking up on you? Do they accuse you of having an affair?

Your partner’s diminishment of you

* Does your partner verbally abuse you?
* Does your partner humiliate or criticize you in front of others?
* Does your partner often ignore you or put down your opinions or contributions?
* Does your partner always insist that they are right, even when they are clearly wrong?
* Does your partner blame you for their own violent behavior, saying that your behavior or attitudes cause them to be violent?
* Is your partner often outwardly angry with you?
* Does your partner objectify and disrespect those of your gender? Does your partner see you as property or a sex object, rather than as a person?

This sounds like a little boy to me *S*....not fun (sm)

Sounds like my dad, X, and I would not put up with that s**t for long.  Blessings to you.


 



That sounds like what I was having. sm
It is from sitting too long in one position. I am working now on daily exercise on a treadmill to keep the deconditioning and to promote circulation.

I also found that if I keep my bed at an incline like they suggest for obstructive sleep apnea, that this helps quite a bit.

It also helps to do calf stretches before you go to bed and application of Ben-Gay has helped me in the past, too.

Massage the knots out until the muscle is back smooth when they occur. This will hurt a bit, but it helps in the long run.

The above is not a quick fix, but it certainly helps.

This sounds like the same -

company I work for.  What are the initials of the company?  I may be able to help you.


It sounds like you may
have some issues with depression and/or anxiety. Maybe too much isolation? Maybe you should speak to your doctor. I'm not saying this to be mean, I'm being serious. If the very simple act of people laughing makes you tense up, that is a serious problem.
I will have to try that - sounds like fun. nm
x
Sounds like....
you've become    a clone of Dr. Phil
sounds like there's a lot you don't know...
sounds to me like you are going off half-cocked.
sounds just like.....dum da dum dum....nm

sounds to me like
someone with some serious personality issues.
Sounds like you are
handling the situation well. I'm glad your hubby told his friend to LEAVE HIM OUT OF IT! Good move.

I have to say, I think I would be tempted to anonymously let *wife* know she needs to check up on her poor-excuse-for-a-husband. Hmmmmmmmmm. Anyone could have seen the guy leave the bar in that chicks car. Probably less stress to stay out of it, but knowing about it would probably eat away at me. That is just wrong.
Sounds to me like something is going

on.  Hard to believe they don't have the money to pay you.  Even harder to believe they really want work held on to that long. It sounds like she might be trying to ease you out without have to say the words.  If you are happy with the job, hang in there. But, I would look for something else just in case.  Maybe in the time it takes for something to happen you can have some pretty good leads on good jobs.


 


GOOD LUCK


Okay! Sounds like fun!
I'll bring the Margaritas!
Sounds low to me...
At 6 cents per line, if you transcribed 200 lines per hour, which is unlikely if you are a new MT, you'd make $12 an hour. When I first began MT, I was only doing 100 LPH for quite a while, which meant at this rate I would have only made $6.00 an hour!

How fast do you transcribe?
That sounds right..
I have my "business" name, just never did anything but buy the domain name. :-) Thank you! I'll be checking come Monday.
Sounds as if...
You are working on VR. The pay can be the $1000 you want every 2 weeks. I worked VR and made even less than what you are making now per line, 40 hour week, had the speed as fast as I could make it and if you are extremely fast, able to make that amount on a 40 hour week basis, been there, done that.
it sounds like... SM
If you are typing and nothing is showing up, then your "window" is not active. On your system and/or your version of Word I dont know just why that might happen, but something else on your computer probably becomes "active" and deactives the Word window.

Do you have other programs running? Maybe in "background?" Can you disable or "quit" those?

Other than that, my PC at work will do this to me too when Word does "autosave" of the current document and the normal template. However, it does alert me by popping up a dialog box and it is never 2-3 sentences.

not much help, I'm sure...hope you can find out!
Sounds like--sm
you still may have the virus, or it already did some damage before it was caught. This is why I don't like Norton's. They are a good program but they consistently miss things. I use PC-Cillin by Trend Micro. If you go to their website, they have a free scanner called Housecall, I believe. I think it will find it for you and remove it. If that does not work, and you care to spend a small amount of money, $30, I believe, get Spyware Doctor through PC Tools. It is a very good program and consistently finds things that the regular antivirus programs do not. You have to renew once a year, but that is only $20, I think. Another good program is CrapCleaner. It is free to download and run. There are two areas to scan..applications and issues. run them both. This will really clean out your history, cookies, etc. I use it weekly. Registry Mechanic is also good, at $30, as it cleans out stuff from your registry. I have all of these programs, as I have learned that one virus scanner is not enough, especially Norton's. I am not knocking them. I used them for six years, but found they did not find or completely remove everything. In this business, we have to protect our computers to the highest extent, and I just did not feel that Norton's was good enough. JMO and good luck.
Sounds very low to me. I would never
accept a setup like that. It would have to be a flat rate per hour with me. That flat rate would have to be averaged with the two jobs that I do, the QA and the training. I would offer to o it for no less than $25 an hour and probably closer to $30 particularly if it is an IC position.
Sounds like you were right where I am now.
I think I might take the plunge, after the new year. I'll be looking for deductions then. :-)

Thanks for your reply.
sounds like YOU are
sticking up for the foreigners, just what WE NEED! I am skilled and qualified, but I, like everyone else NEEDS to ACTUALLY MAKE a living with the prices of EVERYTHING out there being SKY-HIGH! I do not make ANY benefits, but I do make a very decent wage, but that is the ONLY way for anyone to make it in this country, anymore! So take your laptop with YOU - I just work my 40 hours. I have another life, also, not just ALL WORK.
It sounds like so much fun (sm)
LOL - I know, I'd love to see Richard Simmons too!  It's a thought at this point in time, but I know I would enjoy it.  Putting faces with people we've been in contact with through the years would be worth a million.  Have fun!
Well it sounds like you should be

It actually sounds like you should be one of the CEOs.  Please, come down off of your high horse.  I have way more years of education and didn't find the need to attend college to become an MT.  I have 18 years of experience, and even if I was doing QA, I would have to have more patience.  I actually have my own accounts and the doctors have nothing bad to say.  My work doesn't need QA as I am the QA.  This is not to say I do not make a mistake now and again.  To err is human.  I certainly would not go on a message board and act greater than thou.  If you were an MT for 13 years, I am sure you had your fair share of leaving blanks.  Don't forget that we were only limited to reference books for a long time.  There was no such thing as Google.  A lot of these MTs you QA are probably fresh out of school or else they wouldn't be working for a national for such low rates.  A lot of MTs with the experience and education you speak of do have their own accounts or own their own MTSOs.  I've seen a lot mistakes, errors, and all kinds of things of this same sort you and the other posters speak of, and these kinds of mistakes are made by physicians who have a heck of lot more education than you or I.  So please, have some faith in humanity. 


Another thing, none of us know working for these national companies if we are working for any of the ones that offshore or QA for an offshore MT.  You only hear about it on this message board or maybe if the company has it on their website.  None of us are in the back pockets of these nationals every minute of the day.  All companies have other interests especially foreign ones.    JMO. 


That sounds
a