A community of 30,000 US Transcriptionist serving Medical Transcription Industry


an idle mind - is my own workshop


Posted: Jul 27, 2010

Okay, I just started my first job with an MTSO, and now I'm looking at an empty queue. This is the same running-out-of-work scenario that has been following me for the past 6 years, everywhere I go. Three on-site jobs have gone down the tubes because the clinics/hospitals were "streamlining" with VR, and making their remaining employees more "efficient." Every time this happens, I promise myself: Will retrain, will find a new line of work. This is a dying field. Every time, something happens to make me go back and give transcription another try. Maybe there is SOME place that is prospering, and has enough work that I can do well in this profession. Then I find a place where things go well for a while, and I tell myself, See, you were overreacting. There's still plenty of work. Then, it happens again. Work gets low. (Just temporary, everyone says.) Then it rebounds. Then it gets low, and doesn't rebound. Then a head honcho starts inspecting transcription payroll and decides it's too big. Wages are cut. Production is increased. Work supply really bottoms out then, MTs start fighting for work. I decide, OK, get into another field. Then I find another place that is hiring, and another time I tell myself, See, there's still work, there's still a job for you. This last time was IT, I swore. I quit and went back to the community college to find something, anything I could train for. Well, I didn't take into consideration that in the recession, everyone and her brother had the exact same idea. The certificate and diploma programs for just about everything were filled solid. So, I crawled back to my computer and applied to an MTSO, and got hired, and felt optimistic at first, and now, it's NJA, again. My question is: What would you do, if you could not do transcription anymore? And have you looked into the feasability of retraining? I had just a blind idea of "getting certified in something else" at the community college, but found out it wasn't a good plan in reality! So now I am thinking about it again, having to make more realistic plans. My problem is that in the back of my mind, I feel I can always fall back on transcription, and it hinders me from making any drastic change. Maybe that is human nature. But here I sit, at the beginning of my shift, ready to work, and NJA, and no pay. I am going to do some online research now. What do I want to do for a living? What do you want to do for a living?

back in school - sm

[ In Reply To ..]
Getting my associates, then onto BA and Masters in social work. I get FASFA loans to supplement my husbands income. I love being in school, should have done it a long time ago, but like you, I held on to MT and hoped. It was once a very comfy field to be in, not anymore. Good luck whatever you decide.

I could use the same advice! Every morning I wake - up and think, "OK! Today is - sm

[ In Reply To ..]
the day I'm going to kick some transcrioption butt, and crank out those lines!" But it's always SOMETHING that dashes my hopes. Sometimes it's NJA, but not always. More often, it's slow software, ridiculously nitpicky account specifics and demographics, or just plain horrible dictators that are only about 20% intelligible, if that. I always go to bed discouraged, and worried about what the next day will bring.

So, I get up the next morning, hoping for a productive day. But no, as usual, some other problem arises. Maybe today it's a power outage. A few weeks ago it was a virus. Or, maybe I got no sleep the night before (stressing out about finances!), and so all day long I keep nodding off in front of the PC, finally having to resort to another stong cuppa coffee and a chaser of No-Doz to keep me awake.
So then, the next night is a low-sleep night because of all that extra caffeine racing around in my system.

The next day, I'm determined it'll be better. Today will be the day! But no, today the jobs are coming in 1 or 2 at a time, then 30 minutes to an hour between them. Midnight finally rolls around, and my line count is below 300. I drift off to sleep that night, worrying about healthcare. Like how long I'll still have it, if these abysmal linecounts keep happening. Or how I'm going to be able to keep making payments on the CO-PAYMENTS of my last doctor visit.

The next morning, a postcard from the vet arrives in the mail. (They're coming monthly, now). "Time for that checkup and those rabies shots!" it says. Instead, I keep my pets indoors, and just hope some rabid animal doesn't get inside and bite them. Best I can do. Another auto insurance payment arrives, too. I think temptingly of pushing the car off the cliff at the bottom of the hill I live on, in hopes of collecting on insurance to pay the bills. But how much insurance will I collect on a 15-year-old car? Not much, I reckon. And of course, then there's the downside of having to be a lifelong pedestrian, after that.

I've wasted 5 years hoping this company will get its act together and start treating MT like an actual *profession* again, and not a sweatshop. Obviously that's not going to happen.

I hate going to school. I "did my time" through 2 years of college, and night school here and there, and will only be dragged back to the study-grind IF there is something I even want to learn. So far, there is not. Coding? Nope. Too intensely detailed and boring. Not only that, it's headed overseas, soon, as well. X-ray or Sonography tech? I seriously considered it, but the cost is prohibitive, no school is closer to me than 50 or 60 miles, and where will the time come from, if I'm on my PC at home for 18 hours a day? Also, those fields are going to become saturated with ex-MTs, most of whom are 30 years younger than me. I also don't relish the idea of being on my feet all day at whatever age I'd be when I graduated, which would probably be somewhere around 67+.

I would love to scratch my "creative itch"... making and selling all sorts of artistic projects I have in mind. But at the very most, something like that would be pin money, not a living. And again, that old question, "Where would I find the time?"

So, not only do I totally feel your pain, and your worries, I'm also as interested as you are as to what other MTs are doing to get out of this DEAD-END slavery existence.

idle - mind

[ In Reply To ..]
This reminds me of a wacky plan I used to have-- to set up a "Home for Retired or Indigent Transcriptionists." It would be like a commune. We would grow our own food. We would make our own pottery. We would contribute the $15 a day we make working for [company name deleted] for household upkeep. Well, the $15 part came later-- back then we were making at least that much per hour. I just felt that transcriptionists needed some sort of support system, because so many of us didn't seem to be willing or able to do anything else for a living! So the Retired Transcriptionists' Home was a recurrent, semi-serious joke for a while... I gave up on it because of the difficulty of having PROOF that the residents were actually transcriptionists, and what would the residency requirements be, etc. etc.

I am not happy there are others like me - but it does help a little

[ In Reply To ..]
Does that make sense?

Now I realize I am young enough to probably start something else. I am 29, but I have been doing this since I was 18. I thought it was such a perfect career to have when I was going to raise a family... my family hasn't started yet but we were hoping it was close... but now I know I can't contribute to the income any longer like I used to. I have to face getting another job, and having another job for awhile before trying to start a family, getting benefits first... (I do not have them now with my company as I can't make full time lines to save my life!)

I have been applying to different areas to do 911 dispatch. I have experience in this field, and should probably never have gotten out of it 5 years ago, but I really believed transcription would be around, and so perfect for a family... However, A lot of these jobs are in California, and when it comes right down to it, my BF and I just can't make that move back there... the cost of living is outrageous, and it doesn't help that he is in a field that has long dried up and has been laid off for nearly 2 years... I've been traveling and testing... and going through so many filling out applications. The process is draining, but I don't want to go back to school because I can't imagine more student debt loans on top of all the debt I already have. It makes me nuts.

We have been talking a lot lately. He will be 30 soon, and he has been in school for 5 years to become an electrician. This is his last semester, and he hasn't even been working for 2 years... yet he feels like he had to finish it so he can take his test and have that license, which I know isn't a bad idea... but how many overloads in the construction industry do we have. He has to decide what he wants to do... It's really hard for us, especially financially. I have taken about a 60% pay cut in the last 2 years and like I said, he's laid off...

As I said I am not glad anyone is feeling the same strains, but it is a little comforting you know? I wish everyone the best and I hope more people share ideas. We are doing what we have to do for now, but I want a career... not just side jobs here and there to fill the time...

Why did this have to happen to MT :(

I'm Considering Veterinary Technology - earlymusicus

[ In Reply To ..]
I had gone almost all the way through a vet. tech. program back in 1976 (I had to drop out to take care of my mother), and I loved it. I've always been an animal lover - owned my own horse for 23 years, my own dog or 14 years. I've always gotten along well with all animals. I should have done this training instead of MT training. But I'm thinking of maybe going back to it, if I can get grants and scholarships to pay for the classes (I used all my IRA funds on my useless MT training). I'm an outdoorswoman and would love to work with wildlife rehabilitators.

At least veterinary technology isn't something that can be outsourced to India!

I just have to find out if there's age discrimination in hiring VTs because by the time I finish the training, I'll be 61.


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