I don't understand how I can work so hard and my lph does not budge.

Lately I've been rethinking this choice I made for doing medical transcript work. I'm still in the 3rd course but the accents they have me working through are really hard to understand at times. Why do doctors mumble? Are there any tips you would like to share to help me get through this? Positive construction is welcome. Keep your negitivity to yourselves. ...

Today I will make less than half of what I normally get because all I've gotten today are crappy, hard to understand dictators, both ESL and English-speaking. Seems like all I get lately are the hard to understand, mush-mouth dictators. Guess Nuance doesn't want their MTs making quota. Sorry. I just had to vent. ...

She had a bright or right tube placed endengia? I can't figure it out. ...

What you say is true, BUT when 90% of your work is off-shored except for 10% and you barely have any work, and the work you have is 100% ESL (the absolute worst dictators ever) you make minimum wage. The fact that I'm a much better MT than the ILPs does nothing to comfort me at this point when I have bills to pay. If you don't believe this scenario, then you have not experienced it. Try being in SA3. BTW, I'm scheduled for 24 hours per we ...

Everyone says with VR you can double your line count. I want to know what was their line count typing? On my account, I can type anywhere from 250 to 300 lines in an hour. I've been doing VR now for almost 2 months. I'm editing around 300 lines in an hour, however, I'm being paid 50% less. I was told I would not have to work MORE hours to make the same, but would work the SAME hours and make more. I have an extensive autocorrect and use it a lot. I'm finding that many of the ...

this is what it sounds like but makes no sense to me. can any one help. "Some low muffler quantative abdominal tenderness to deep palpation." ...

An 84 year old monitored for diagnoses of renal failure, anemia and hypertension. 586, 285.9, 403.90. It seems to me that the last code should be 401.90. I don't understand why the code 403.9 was selected. The guidelines say you should "assign codes from category 403, hypertensive chronic kidney disease, when conditions classified to category 585 are present." There is only the 586, renal disease, present in this scenario. Can anybody tell me why a 403 code is appropriate here? ...

So Amy will have four (4) one-on-One sessions each month. But she will be going on maternity LOA (Leave of Absence) and will actually conduct six (6) sessions this month. Rules: Each month, if any of the US regional or India winners of the 'MT of the Month' are interested in a one-on-one session, they will be entered into a lottery and two will be chosen (one US, one India) for an automatic slot for that month. To express interest for th ...

so many people on here have been looking for a position for months. It's not THAT difficult to find a job on here. I applied to a lot of places and heard back from just about all of them. What are you doing wrong that you can't find one when I found at least 10 of them? Perhaps you should all revamp your resumes? ...

Patient with trigger fingers. Patient was given injections into the A1 pulley of the 3rd digit - "Patient tolerated the injection well and without complaint. Following the injection, he did verbalize some relief of the discomfort. I went on to explain to the patient that this was merely a procedure done to try to *"mil-u-right"* some of the symptoms, however, I strongly recommended that he consider undergoing a redo right 3rd trigger finger release". ...

You know, I have worked in a health care facility ever since I graduated from college. My supervisors have always tried to foster a spirit of teamwork -- how we all, working together, can accomplish the goals set out for us. As a result, I believe in building people up, not tearing them down. And I have seen such GREAT examples of that here. When I first posted on this board, I was so upset about a job decision I had made that I was ready to quit, and with the ...

We've been told emphatically to NOT put m2 for meters squared, to instead put sq. m., yet the software continues to put m2. Why hasn't that been changed? ...

First, let me start by saying I've worked as an MT for 25 years. The company I started with was eaten up my Medquist years ago, now MModal, and I've worked at home for the past 20 years. I've lately seen many posts by MTs wishing they were paid 15 minutes a day for reading emails, paid for taking coffee breaks, and would get cost of living raises, Christmas gifts from their employer, flowers on their birthday, and some sort of gift acknowledgement during MT week. I u ...

That you tend to use the instruments that you prefer, another doctor uses a different set, and there are a several different ones that can be used for the same purpose. I don't only type for you, I type for about 100 different docs at this point. Please enunciate, it would make my job so much easier and your final product perfect. ...

According to the suits, they whole reason for this locking-us-out-unless-we-are-scheduled thing was because some of us were not working when we were supposed to or clocking in and working when we weren't scheduled. Okay, at any other job, if someone clocked in or out when they were not supposed to without notifying anyone, they would get written up 3 times and then fired. Why do they spend so much time and resources putting this stupid, probably messy idea into play, when they ...

First off, is "med" an appropriate abbreviation or if I need to expand it. Also, I'm having trouble with a few of the medications she's listing. The first one sounds like Serapril...I know there's Seroquel, and that's a possibility, but it really sounds like she's saying, "pril." Is there anything else that sounds like that? The next one s/l permecidene and the last one s/l kolite. Any help would be greatly appreciated! Thanks so much! ...

What do you do when you absolutely cannot understand what the dictator is saying and you work at home on your own. Can you call the dictator? Can you request to review the other medical records because chances are, the dictator is saying the same thing that appear on those records? ...

For the first time in a long time, I was in the cesspool. I spent 3 hours with an ESL serial dictator, that was speaking so softly I couldn't hear most of what he was saying, and what I could hear I couldn't understand. In one of the reports I only got 5 random words after spending a half-hour on it - and it was only 20 seconds long. What should we do in cases like this - when you literally just Can't Get It, and not for lack of trying. ...

The patient s/l FI and brought to the operating room. General endotracheal anesthesia was used as s/l restroom :0. Seriously. This guy talks so fast and I know these are common and could be anything but any help would be great. ...

I've started trying to understand it. I see lots of software programs out there that supposedly handle this. But if there are multiple programs, how does all the various work put into these programs end up in ONE (!?) place where a persons medical record can be accessed by any medical professional? Or is my understanding already flawed? Will those MDs, or whoever, that choose to continue the narrative dictation (vs point and click or fill in the blanks) can they con ...

Just sitting here laughing to myself as I listen to an ESL dictator that I've had report after report by, heavy accent, talking about how difficult it was for him to get an exam done with a patient who is "difficult to understand due to language barrier." HA!!!! Welcome to my world. ...

I busted my butt for 2-week pay period. Looked up EVERYTHING. Did my best. Not only was my paycheck something I'd use to line the bird's cage, but my bonus pay was......are you ready?.........$38.64. Big friggin whoop. So I can understand the attitudes of you who are not afraid to bitch. I'm right there with you as well as the others who are afraid to open their mouths. The only ones sticking up for this mistreatment are the newbies.&nb ...

Hi! I am currently taking my MT final. My problem is, I am having LOTS of trouble understanding some of the dictations. Is there any tips/tricks to help understand some words that are dictated? Thanks! ...

How can medical records which are so closely guarded in this country be sent to another country for transcription. I think that most patients would be against having their sensitive medical information going to another country. It doesn't seem that Mmodal could even outsource. Is it because the public doesn't know? ...

HOW is it legal to require us to check FIESA daily or several times a week without compensation? Worse, HOW is it legitimate to require us to acknowledge/agree to errors in FIESA that we have no way to verify since we have no access to the voice file and no access to even view the report? It's simply here's this error and how much we dinged you for it, no way of seeing/hearing anything. It's ridiculous and I have never heard of any job anywhere in this country th ...

How is this even legal? ...

that I type that in the abdominal exam says "no masses or megaly." "Megaly" by itself is not a word. This is not a verbatim account. I did about 5 of her reports last night and changed every one to organomegaly - as that goes with abdominal exam. Now, I'm told by my QC coach that if Audit pulls that job, it could be an error. This is so stupid to me! I was thinking as I was typing her reports ~ if I put just "megaly" that would be considered a ...

MM ASR used to be very good at numbers 2 versions ago, but is now getting worse and worse to the point I do not understand how it can be so wrong. 110 sounds like 190??? 90 sounds like 150??? The dictation was crystal clear too. ...

that when you hire someone under certain criteria and then change that criteria on them without so much as an inquirey iinto if they are willing to do that, but demand that they do it, that that company is probably going to lose some of those hires just when they need them the most? Why does everything have to be by force? It makes the company look desperate. . . . . . . and nasty, so nobody else wants to work for them. Hence, no new hires and lots of bad reputation. Oh well, some places just ne ...

in FIESA is supposed to help my quality if I CAN'T go back and relisten to what I missed. I don't like taking somebody's else's word for it and I certainly don't like putting my initials that I reviewed it. If I missed it, I would be the first to admit it, but I don't ever really know if I missed something or not. I know it doesn't count against the QA score, but it's still aggravating. Sometimes, being able to listen a second time would make everything cl ...

I don't understand how I can work so hard and my lph does not budge. - bad ASR

Linecount cheatware, perhaps? - MTBankAccount

I think mine is stuck too - maybe wait awhile nm

same here. - bhoppy

Yes, no matter how much inactive time, the count the same every day this week. Teetering around 150. - bad ASR

inactive time - anon

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