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Serving Over 20,000 US Medical Transcriptionists

Years ago none of us needed training and there were no schools

Posted By: Wouldn't try that now though on 2006-07-01
In Reply to: The insinuation was that anyone without formal training was bumbling... - EMT-P

It's a different world. You need as many skills as you can get. Some of the worst MTs I've ever seen came from other health occupations, RNs particularly although some are good, and yes, even EMTs! I know some EMTs who can't even type, much less spell or proofread. If I needed an EMT though, I would be sure to call for them because I'll bet they were good at that. I hope so!


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Schools and Training.
I'm trying to decide what to do as far as getting more training. I have recieved info from Career Step this school looks the best to me so far. I spent around 6 Thousand for a Program at TechSkills. I graduated last nov. I haven't been able to find work or pass any companies tests =( I really feel that horrible school did nothing for me except burn a whole in my pocket. I'm looking for schools that aren't too expensive or offer internships or something!
MT schools / training

I am seriously considering a career as an MT.  I have zero medical experience.  For the past ten years, I have worked as an Executive Assistant.  I feel that it is time for a career change, as I am no longer happy with what I am doing.  With that being said, I thought perhaps I wanted to do broadcast captioning, high demand, good pay and flexability.  So, without really doing any research, I jumped into the first school that came up when I did a Google search.  It was a seven month course and I graduated this past December.  The course itself was $15,000.  It wasn't a steno thery based course, it was voice recognition.  I made a huge mistake by not looking into the school and the other options that were out there and am now kicking myself in the butt for it because we spent so much money on it.  Sorry this is so long, but I am getting there (to my point and questions).  The requirements for graduation is that you had to pass the final at 180 words per minute at 95% accuracy.  What they didn't tell you and I failed to research this is that in the real world of broadcast captioning, the employers require at least 225 words per minute at 98.5% accuracy.  So the school did not prepare me to go out and be gainfully employed upon graduation. 


Do I need prior medical experience in order to become a succesfull MT?


After having learned the hard way, I have looked into many MT schools, researching for almost two weeks now.  I am leaning towards Career Step.  I would very much appreciate hearing from somebody who has taken thier course, or if I should go with somebody else, and why. 


I just want to be ready to be gainfully employed upon graduation. 


And I have to build my case to my husband as to why we should spend more money on my education. 


Any responses would be greatly appreciated.


 


Online Training Schools

I am looking for good online training MT schools that offer good quality education along with practise sessions and also job assistance. I am new to MT field and have gone through some of the discussions about top online schools (Mtec, CareerStep and Andrew).
For those who have taken courses from this schools (and have got jobs), can you tell me what makes it to take this online courses and why.
also which would come first interms of payling less and getting most of it?
which other online training institutes can NE considered?


Any kind of help, assistance would be greatly appreciated.


thanks



You have not been transcribing 10 years. Your resume reflects about 4 years tops. I am going to put
very little MT experience and now you're pushing software that posters can get for free. There is a problem with that. You need to search YOUR heart ands ask yourself just how helpful you are really trying to be to new MTs or if your lining your own pocketbook because you don't know how to transcribe yourself.
What's needed?

What items are needed for working at home. Such as best books to have, word expander, foot pedal and any other items that would benefit a person just starting out.


Where were you when I needed you?
I am glad to hear of your AHDI approved program. I wish you and your future students nothing but success.

God Bless.
Your Help Needed
I am trying to get back into medical transcription after a 10 year break. Looking to work evenings and weekends only -- still want to keep my day job in IT. My previous experience was in Radiation Oncology and Mental Health transcription. What would be the best way to do this?

I have taken a couple of tests and scored really high on the grammar and medical terminology but no offers yet. Any suggestions on what I need to do to upgrade my skills, etc.

Thank you for help and responses. -- DJ
Advice needed
I am seeking advice from the pros...I have been an MT for going on 2 yrs, however I imagine I would still be considered a "newbie".  I work for a specialist and was hired with no experience, but I have found that I truly enjoy this work.  It appears that I must not be too incompetent at the job, as the doctor I work for has made a concerted effort to keep me here and tells me I am quite efficient at my work.  I am looking to begin working from home at some point, and I need some suggestions on where to inquire and/or search.  I have enjoyed this work so much and am really looking to broaden my knowledge of it further.  If anyone has any suggestions, I would be so very grateful!  ~Regards~ Jennwarr
Why copies are needed
At the company I worked for, we had to have copies of the documents for audit purposes and as proof that an employee was legally eligible to work in this country.  A copy was kept in the file in office and one was sent to corporate for verification of correct information (spelling of name, numbers, etc).  As for filling in the information on the I-9, we would take copies in order to fill in the information when we had time.  We hired 70 to 100 people a week and it was much simpler to make a copy of all of them while the new hires were in training than to have to go find them in the center when we got to their paperwork as they all worked different shifts or quit after the first day.
What is needed to begin?

Hello.  I am new to all of this.  In fact, this is my first post.  I have not signed up for an MT course as of yet but I have narrowed my choice down to two schools based on my research.  I have taken the entry tests for both M-Tec and Andrews.  M-TEC gave me a response and I am waiting on the results from Andrews.  I have not spoken directly to anyone from either program but I received a very nice e-mail from M-TEC.  I have been through both websites with a fine tooth comb and feel that I would be very happy with either one.  Other than the educational program itself, what is needed to begin?  What are the computer software requirements outside of the ones provided in the courses?  Also, is it recommended to have a dedicated computer for this type of work?


Thanks in advance for your time. 


 


 


 


PLEASE HELP! MT Refresher course needed

Does anyone know of a good MT refresher course to suggest?  I've taken a couple of preemploymehnt MT tests here lately and did not pass.  I feel I've lost my edge by working on a radiology account for a couple of years.  I would appreciate any and all ideas.  Thank you in advance.


MT mentor needed
Hello-

Saw your post on the MTStars site.

Would like someone with experience to talk to about "breaking in." Am a recent graduate of Allied Medical school. Have heard they have a bad "rep" out in the market place. I worked my anatomy off for a year to get certified with them.

Why is it they is "urgent need" for MT's, yet so hard to find work?

Thanks for time spent on these questions.


From Vermont,

Diane Mortier, RDH
company supplied all you needed???

wow...and which company would this be?  i do not mind investing in myself here...and my head is spinning w/ all the various soft-/hardware i see used among MT outfits.  i have one place interested in hiring me; they want me to purchase a piece of equipment, which is fine, as far as it goes...and i don't want to end up w/ something i'll never use again if things don't pan out.


in the meantime...back to googling!    


Experience needed for Nationals.sm
I've tried with 2 nationals and quit both. Both needed me because I had PT experience. Once PT work was caught up, then one gave me GYN, which I told her I had no experience in. The second gave me Indian doctors which I never got used to because always a new MD. I was told to create templates, etc., but when the dictation is not clear and the doctor's accent is as thick as mud, how do you overcome it? For now will stick to clinical until I can figure this out, but am wondering how it is done.
Maybe they got burned out and needed a change. Maybe they just
needed to break things up and they teach and transcribe or QA.   Not everyone is motivated by money and they would rather do something they enjoy. 
Information needed on a company.

Does anyone know anything about this company, DocMed Medical Transcription


Thanks. 


 


items needed to begin

Hi Andrea!  I am a current M-Tec student and I am so impressed.  It's a great place to learn!  I would recommend getting a good headset, several binders for organization, a printer (if you don't have one already), some highlighters, and a book case for your text books.  Eventually you may need a dedicated computer, but for training purposes you should be fine with a shared system.  That's what we do here at my house!


Good luck!


Questions, Clarification Needed, Thx!

Hello to the board! Glad I found it. There's a wealth of information here and on the Main Board.


I have a few questions about what I've been researching about MT. Any replies would be appreciated.


1. Is the general feeling among MTs that if a person doesn't do a program thru one of the "Big 3" MT schools, they cannot get hired at all?


2. Or is the feeling among MTs that if the Big 3 schools aren't used, the person can't get hired at a good place?


3. If a student doesn't go thru one of the Big 3, then they can't get hired ANYWHERE and thus can't get that magic "two years' experience?"


I was really burned thru a sonography school. If you don't go thru an accredited program, you simply cannot be hired. Anywhere legit at all. No matter how great your skills are. GOT to have the certification that can only be gained thru an accredited school (can't sit for the test w/o this). I was told the accreditation of the school would be retroactive and cover us (the first students to attend the new program) but that was WRONG. And this was thru a community college!!!


I don't want to go thru a program and then find out that only Andrews, M-Tec, and CS are considered valid for any employment chance.


Many thanks for any help in clearing up the ability to get hired w/o one of the 3 programs mentioned. I find it odd because AHDI "approves" other places as well, not just those 3. 


One last question: DOES A STUDENT HAVE TO COMPLETE AN EXTERNSHIP to get hired? Because I live in Podunkville USA so to speak and there is nothing here for 300 miles in any direction...


THANKS!!!


 


 


 


 


Nevermind found what I needed for free!
d
I felt I had all the support I wanted when I needed it.
However, you need to remember that the course is self-study. You need to be prepared (and I think you are) to work mostly on your own because that is how it will be once you graduate and get a job. I think you will find that you do not need to contact them much, as that is the way their course is designed. Take advantage of the online student group they hold weekly, post on their message boards, and involve yourself. You get out of it what you put in. :-) I think you have the right idea!

I graduated in 9 months and had recruiters banging down my door to test with them. I was working within 2 days of graduation and never looked back. I still enjoy it after 5-1/2 years!
Career Step MT notebooks needed









I am looking to purchase workbooks from someone who has completed the program. Please contact me with a price of what you would be willing to sell them for. Thanks!


PattyB


Forget "approved" schools. AAMT set the criteria, then approved schools that didn't meet i
Stick with Andrews or M-Tec (both of which happen to be "approved") but forget about any others, they are not worth it.
Saw a job on the Job Seeker's Board that was an internship, no experience needed
it's farther down towards the bottom
For testing I needed software that I could download free

but I could not get the footpedal to work.  Anybody have experience with this?  I downloaded Express Scribe to listen to the dictation.


Thanks in advance.


Have experience, but was told I needed a line for the Lanier station they let you use. nm
n
I took their course 5 years ago - sm
I was quite happy with it and the price, cost a little bit more now but still reasonable. If you do all you are supposed to it does prepare you well enough, though I skipped a couple things (learning the abbreviations); and I skimmed on the actual practice dictation which was a big mistake but I wanted to graduate and get working. But I still passed the final, though not as well as I would have if I had practiced more in advance. Took me 2 months to land a job, another 2 to actually start that particular job though; in the meantime I cold-called and landed a job with a small local MTSO and started that one first, then the other fell into place about 6 weeks later (acute care where I was thrown to the wolves basically). Nothing beats learning on the job though and I learned lots while testing my butt off to land that first job. There are plenty of CAI grads, just many look down on them though the program is very good and you come out adequately prepared though I think no school can prepare you for the real deal, it can at least give you the tools and knowledge to deal with reality.
They have been saying that for years, but...
from what I gather, MT's will always be needed, even to just proof the voice recognition. I will say, however, that I am a recent grad, and am finding out that it doesn't pay very much unless you get perfect dictators, which is very slim to none in this business! Good luck with whatever you choose, but I would look into something else as far as medical to do.
MT for 5 years sm
My advice to you is to do as much research when looking for a job as possible.  I did not do this and until I came to MTStars I thought the 0.7 cents per line was what everyone was making.  I did not realize I was making almost the lowest rate in the business.  I have been doing this parttime for 5 years and there are jobs out there, just make sure you do the research into the companies like you seem to be, and as others have said make sure you go to one of the reputable schools that companies will look for.  Do not get discouraged, this can be a wonderful and lucrative business if you make sure to take your time before jumping. 
With almost ten years of MT, I would say...
If 'q.d.' follows a medication as part of a medication sig, you must type 'q.d.' If 'q.d.' is dictated within context as a "short cut" for the doctor, you must type "daily".

These edits are required to produce more professional medical/legal document...and we all know that some dictators need all the help that we can give them.

IMO...
-Jade
I took this course years ago.....
I did get a job at a local hospital, but I had an advantage. I had previously worked as a CNA at multiple hospitals and nursing homes, and ward clerk at a hospital. This is a basic course and you will probably have a hard time finding a job. I'm not trying to be rude, just truthful.
How I did it and have been doing for over 10 years....

Okay, it is time to let the cat out of the bag on how you are going to be successful as a Transcriptionist out of school.


The first thing I am seeing is that these schools promise that you will be working from home making in upwards of $40,000 a year. Forget about that. You are new to this. If you come out of school working on a production basis you may very well fall flat on your face and make $3 an hour by the end of the day. I was a transcriptionist for almost 5 years working for a hospital and I decided I could make more working on a production basis.......I failed miserably my first year.


First off, get experience under your belt and make an hourly rate in the meantime. How did I do this? Well, I started out getting a job in a hospital, any job I could get. I started out in billing, even though I wanted transcription. I watched and waited for openings, when finally someone in the psychiatric unit called me (I made friends with everyone, the key to getting calls like this one) and said they were losing their transcriptionist and I should apply. I applied and got my first transcription job, making an hourly rate. Had I not gotten pregnant with twins I would probably still be there.


After babies were born, went back part time in the evenings. This time since I had experience and another local hospital was willing to hire me in the radiology department. Again, hourly. I watched and waited once again (I hated radiology transcription). I got to know who was in charge in the transcription department. I sent her a fax asking her if she needed any part time help (back then there was no work related email). She said, yes, I could work part time (I now had "experience"). The part time went to full time with benefits. However, I got bored and decided to work for, of all companies, Medquist. I thought with my speed I would be making at least $20 an hour.....hahahahahahahahaha, what a joke. I was lucky to make $8 an hour with them. After about a year of struggling I finally got my foot back in the door of a hospital in another state. I had to commute to the hospital every day during training, it was awful, however, now I again work from home, have the ability to make about $20 or more per hour, I own my own home, own a half decent car, I am divorced and don't take any child support from my ex, instead we share in the custody 50/50.


The moral of my story........


Get your foot in the door. Look for jobs that are front desk, secretarial, whatever. Once you are in there and they realize how great you are you can go wherever you want. My first transcription job in the psychiatric unit also involved secretarial duties, so not just straight transcription. I highly recommend getting into a hospital. The bennies are the best and lots of hospital transcriptionists are working from home with full hospital benefits. If you can't get into a hospital, get into anywhere where you can do some sort of typing/transcription, that way you have your first reference/experience when you apply to a company that is strictly work from home. Everyone wants experience, they just don't want to be the ones to give it to you. 


I am so tired of seeing these schools and companies swindle people.


If you are looking into training, I highly recommend your local community college. You will probably take some credit college courses that will be able to be used should you decide to do something else. My local community college has a course for under $3000 and there are college credit courses that are able to be used towards another degree.


I did my training as a medical assistant, transcription was only part of the course. However, now I am so bored with transcription that I am going back to school to be a nurse.


I hope this helps someone out there. Good luck to you all!


I know 2 different MTs with 30 years

in this business.  One lost an account to EMR and the other lost a good portion of an account to "writing in charts" which is a clue that particular account is going EMR most likely in the near future and trying to save money to purchase it...  It is very expensive for the doctors (more than our pay).  My PCP uses it and he said it is very costly but he is still using it. 


Now those MTs that lost accounts are working for nationals and averaging between 6 and 8 dollars an hour because they are being thrown horrible dictators and platforms that aren't up to par. 


Everyone in this business is struggling and thankful for what they have and afraid to ask for a raise.  I have 2 of my own accounts that I haven't had a raise in 10 years because I know someone will underbid me in a New York minute if I were to raise my rates. 


I just like what I do and like the flexibility, but if I were to spend $4,000.00 it would definitely not be to become an MT, not by today's standards anyway. 


Been at it 25+ years, still love it the same way I did at first. NM
x
Two years this month.
I was just telling some gals that I have made the mistake of attaching versus copy and paste more than once. I was applying to many companies and simply not reading directions word-for-word while doing so. With "many" companies actually preferring the attachment method, I just honestly got in a hurry and didn't pay attention. I did this as a new grad, I've done it with a couple years' experience! I also caught it right away too, and resubmitted, but that's not the point. Just like MTSOs "scan" resumes in a few seconds, I scanned ads. Just a fact! I'm busy too, whether I'm working or not. I know better now though!

I think as a newbie, and with so many companies using the "two-year experience clause," I just felt like a submitting machine. I didn't put a lot of thought into what I was actually submitting, because I really didn't expect anyone to pay much attention to me no matter what I did.

I did, however, make sure that I spellchecked any communications and tried to be as professional as possible. You might be surprised at how "unprofessional" some MTSOs are! I am hearing them say that they don't want to hear about personal issues, but I have also had many come back and burden me with their own! They sometimes set the tone for casual-type communications, which I find offensive and unnecessary.

I started out with all my resources in place. I think that MTSOs have to remember that a newbie is just that. We have just spent thousands to be educated, bought a new computer in some cases, bought a library maybe, and had to set up an office in our home as well. I invested thousands before I applied for my first job! An experienced mentor and friend told me not to scrimp where resources were concerned, and I didn't! The generalization of the MTSO about newbies was what ticked me off. We might make mistakes, but who doesn't? That was unfair!

As far as the $400 phone system, that I would have noticed and passed on immediately. Some schools don't even explain what these are. I had to ask! I now own one that I haven't used in over a year since I bought it. You are trained with Wav files, which is the more prevalent of the two forms of obtaining voice files, and no, I don't have one sitting around "just in case." These bad boys cost from $300-$800. Get real. I doubt there are many experienced MTs who have this or would spend that kind of money upfront before ever hearing the dictators and knowing what you are getting into.

I do, however, think it is perfectly fair to expect that applicants have the basics in place, i.e., resource books, Word processing program, updated computer with protection, and at least a USB pedal.

There is no excuse for punctuation, spelling and grammatical errors in any communications related to finding work. I agree with that.

I hired on with Medquist out of school, or soon thereafter. Here was their attitude at my office: Leave a ton of blanks, time is money, you will learn from your feedback (if you are lucky enough to get it).

I was very uncomfortable with that! I wanted to learn and grow. I was perfectly willing to spend ten minutes researching a single word or phrase in order to learn, and I felt good about my results. Fact is, more companies than not could care less. I've been told that we hire editors for that, so move on. Time is money!

I continually st rived for perfection, and that does take time. You have to be willing to spend countless hours in research and then verification through viable resources your first years. I did, and I don't regret it. Let's take into consideration also though that I was in a position to do that! I do this because I'm good at it and I love it. If I had to pay the mortgage and support a couple of kids, I might look at things in a whole different light.

I think that schools and their ads are a big problem when it comes to moms at home. They give the impression that having children, as well as not being able to pay for child-care services is some sort of prerequisite for this work! If you have these needs, this job is for you. Bull!!

Then, you have people replying to questions like, "why did you choose this career" with responses like, "I have kids and can't afford child care," versus, "I love this work, and I am good at it."

I personally strive and always have for perfection. I have done my time in downtime, and that is with an extensive medical background beforehand! You really have to be willing to give your all, work hard and for little to start. That's a fact!

IMO, schools are failing sometimes to provide their students with essential information in important areas. I see new grads out on the moon alone the day after they pass their exam with nothing but a lousy outdated list of companies to apply to.

Yes, I think you addressed this issue appropriately. I hope it turns into a revealing and learning thread for all concerned!

Thanks,

Missy C


been filing IC for over 15 years
You will definitely need a CPA for this one. You will get to deduct what ever portion of your home you use from your mortgage payment (if you use a room that is 250 squre feet in your 1,000 square foot home, you can deduct 25% of your mortgage payment and utilities), part of your auto (depending if you use your car at all to pick up or deliver work), internet costs, phone costs, and the list goes on.

Personally I do not set aside taxes for my share of the household income. My husband claims 0 and covers mine and his; seems to work for us.

You will definitely need a CPA because there are things you must pay such as self employment tax. If you try to do this yourself and make a mistake it can be very costly later on.

Good luck!!! I hope you enjoy being your own boss. I certainly do.
This is the 3 cpl job, right? Your pay should go up in several weeks, NOT in several years! nm
s
Experience: 2, 5, 10 years

How are newbies supposed to get experience?


Does anyone know of companies who hire newbies?


My mentor 12 years ago.
was the owner of a small MTSO here in town.  She took me from typing psychiatric accounts to acute care and I worked for her for 8 years.  The pay was low at first at $7 an hour, but in a few months I went to incentive and was making a lot more money and learning every day.  So I would say to get some resumes made up and get out the yellow pages and see what you can find around town.  Most hospitals I applied to would not accept me until I had experience, which now I can understand why.  It's really hard now if you're new and most MTs are at home.  I miss that I can ask any questions of my coworkers if I was stumped on something, or asking if they would please listen to something. 
You are very lucky, with 4+ years exp, I get .09 cpl - nm
x
where have you been for the past two years?

You say, "In-house jobs are being outsourced rapidly" and then draw the conclusion that there must be a demand for more MT's?  Where do you think those jobs are being outsourced? It ain't Kokomo, it's New Delhi, etc. It used to be new MT's COULD get a job, back in the old days when the market wasn't imploding.  But even then, you really needed to work in house before you could work from home. It ain't as easy as it seems, especially with ESL's.


Look I'm sorry you got misled about the field. But flogging a dead horse isn't going to help.


That was not the case 6 years ago, though - sm
things might have changed. MQ will allow graduates from certain programs apply though they have no experience, granted you have to pass the test in order to get a job. If you fail it they say to reapply in 6 months.
We were all newbies, but 5 years ago you

had a better chance at getting a job.  If you only want to hear the good stuff you aren't going to learn anything.  I feel for you, I really do, but if you had investigated before taking your course you would have been better informed.  I don't care how much anatomy and terminology you had and I don't care if you made 100% on every test, you still have not experienced real transcription.  There was one newbie MT that had a cerficiate stating she had a completed a course and she insisted she was a certified MT, which she was not.


I'm self-taught, got into the business quite by accident, but I have also seen at it for 20+ years and things were much different then.


I know you're frustrated but we're trying to educate you and you aren't open to hearing anything that isn't positive. 


MDI-MD requires their MTs to have 3-5 years of
experience, I think.  They are a great company, but they aren't set up for mentoring newbies.  Good luck. 
I did not incorporate until 15 years into being an IC

My husband and I file a joint return, and my social security number was what I used in lieu of a federal tax ID#. 


 


 


I worked for probably 12 years with only one
computer, but I was the only one who pretty much used the computer.  That was years ago before the internet became what it has and you weren't downloading music, uploading pictures, etc.   I would make sure you have a good virus protection program.  If you have a SO that likes to play on-line games or computer games or have kids who need the computer for research I wouldn't spend the funds for a second computer, especially if funds are tight. 
as an MT with 17 years experience....

your offer is more than fair.  with all the new MT's on this forum saying they can't get a job, this is a fabulous offer. 


my hat is off to you for taking the time to train, and pay 7 cents a line.  I started out at minimum wage 17 years ago...just grateful for the opportunity.


I only made $13.00 after 20 years
If you want to just get the experience, then go for it.  Once you've gained talent and speed and enough experience, you can take that and make more than that much per hour by working production, but at least hourly, you can slack a little at times and not worry. 
After13 years
I'm back in now after 13 years off and it was a big difference. I don't think you will find the same. We were just beginning on computers, no one worked at home and there were no expanders, etc. I'm learning all these things now, but I'm working and doing o.k.

If you had a previous specialty it might give you a jump ahead to look for a job in that, i.e. neurology, radiology.
Look I've been at this for 20 years

It really isn't something you just go to school for a while, and then go and grab a part-time position and think it's going to make you some cash.  I have always encouraged others who wanted to enter this field, but I can tell you that after 20 years, I am only being offered 7-8 cpl and the accounts I can get on my own are few and far between with the VR, EMR, and large national MT companies taking all of the clients at low rates and offering spit shined reports and fancy platforms for easy access.


Your best bet is to go ahead and choose the closest flower shop and work the register.  It will be much easier on your heart, soul, and sanity!  Trust Me!


I'm only 38 and I'm so burned out I could scream and throw my headphones.  I make 45K a year, but I work long hours and put up with a lot of crap from the offices I service as they know they can find someone cheaper in a heartbeat.  I've had no raise in 10 years.  I worked on-site for 17 years at 13 dollars an hour with benefits only to find out I would be training my replacement (C-Bay).  I gave 2 weeks' notice and here I sit. 


My rt hand throbs, my back aches, and my stress level is high.  If you really think after hearing this that it sounds like a good idea to go to school and become an MT, then have at it, but it will have you in a tail spin and wishing you never did.


My sis-in-law thought she'd be on easy street!  Well guess what?  Two years later, and she's not an MT but has the education.  She gave up because it was too hard! 


I wish you all of the luck in the world, but keep you day job and keep your money in your pocket that you'll pay for the education because we're being sold down the river and fast without a paddle or life jacket! 



Yeah, right, like we will see that same post in another 10 years or even 5. (nm)
x
Of course.....even after 15 years of transcribing I would need to look up a word or two.
nm