*************************MT DAILY ROUNDS, 9/3/99********************

BROUGHT TO YOU BY MEDQUIST

with 7,000 MTs and 2,300 clients
http://www.medquist.com, lessai@medquist.com
*********************************************************************

BIO OF A NEW MT, KAREN POEHLEIN
furball@Psci.net

Going back to school at the age of 39 was not an easy thing for me. I went to a junior college in Owensboro, KY. It was a two-year MT associate's degree program. We had lots of computer classes, accounting, English, business communications and even psychology to prepare us to run our own business. In our accounting class, we set up dummy corporations and kept the books for a fiscal year so we would know to keep our own business records. The medical side of the degree program was very intense. It was a very fast-paced program. Each class met once a week for a 3-1/2-hour session. For each hour spent in the classroom, we spent from 2-5 hours preparing on our own.

At the time I started classes, my husband was on kidney dialysis and we were hoping and praying for a kidney transplant. He didn't get a transplant and passed away May 18th of this year. From day one when I began classes he would tell me he just wanted to live long enough to see me graduate. I took the last of my finals the end of March but our commencement was not until June 26th. He knew I was finished but he was not there to see me graduate. I had worked so hard for this achievement and I knew he would have been so proud of me. I graduated Summa Cum Laude; not too shabby for an old lady of 42.

In July, Mary Morken took me under her wing and agreed to mentor me. I am getting the benefit of her years of experience and there is no way to put a price on that. She has the patience of Job and I am a fiery redhead with a temper to match. I still have the first report I transcribed for her and it has more blanks on the page than words! I keep it in my desk drawer. Every once in a while I get it out and compare it to my current reports, and I can see how far I have come. I am slugging away every day, learning new things from the detailed corrections I receive and keeping a notebook of new words and phrases.

To be able to do transcription well, you have got to know medical terminology. In the beginning, you don't need to be a fast typist; speed is important but that is something that comes with practice. You have got to know what the doctors are talking about. While in school, I got the basics. We transcribed practice tapes verbatim and were graded on them. I had Transcription I, II and an advanced transcription class. But you get your real learning once you are out there doing it. You will find out how prepared you are to start developing your craft once you start working.

I am sure there are days when my mentor would like to stand me in a corner with my nose in a circle. LOL. But she never criticizes me. She gently points out my mistakes, sends me back the corrected copies of my work and cheers me on. It is so important to feel that someone is pulling for you. There are days when I think, "What in the world am I trying to do to myself? I buried my husband just three months ago. Why am I adding this kind of stress to my life?" Then I go take a walk or do something nice for myself, get a break from it all and then go back to it.

It is amazing how different the dictation sounds when you are mad. If anyone was here to watch me when I am transcribing, they would probably think I had gone around the bend. I fuss and argue with the doctors on the tapes. They spout some mouthful of gobbledy goo and I yell back at them, "Say what?" One of my cats enjoys napping on my desk while I work. When I am getting particularly frustrated and argue back with the doctor, Elsa, my number-one-work-helping, number-one-paper-holder-downer-cat will look at me like she is saying, "Hey mom, I think you need a break!"

Yes, it can be frustrating and can make you cuss and cry and sweat a little. The doctors mumble; some of them talk barely above a whisper; lots of them talk in fast forward; and dictation sounds different when it is recorded over the phone. But it is a wonderful field to be in and I wouldn't trade it for anything.

It would be so great if more of the older, more seasoned MTs would agree to help with new MTs trying to break into the field. Our contribution to the medical field is a very important one. But it is only as good as we make it. It is a joint effort for all of us.

THIS WEEK ON MT DAILY

1. Trouble printing onto chart pages:

2. Have you ordered your free first aid kit?
3. How has the Internet changed you?
http://www.mtdaily.com/mentors/friends/messages3/3402.html

4. Encourage this MT in a marriage crisis:
http://www.mtdaily.com/vent/messages3/8706.html

5. Sources for Medical Slang:
http://www.mtdaily.com/wwwboard/messages11/8037.html

6. Redesigning the MT Department:
http://www.mtdaily.com/mentors/hospitalmts/messages/800.html

7. Have you used your $25 MT Daily coupon at Medbookstore yet?
http://www.mtdaily.com/marketplace/medbookstore.html

8. Labor Day Weekend Plans:
http://www.mtdaily.com/mentors/friends/messages3/3290.html

NEW TERMS AND MEDICAL NEWS

1. NOW Streptococcus pneumoniae Urinary Antigen Test:
http://dailynews.yahoo.com/h/nm/19990831/hl/pneu7_1.html

2. Excellent Drug Lists:
http://www.kumc.edu/AMA-MSS/study/pharmacology.htm

3. Emergency Room Slang:
http://www.ironhorse.com/~rlewis/Rjlv/Humor/er_slang.html

4. Medical Billing Scam Warning:
http://www.ftc.gov/bcp/conline/pubs/invest/medbill.htm

5. Mute buttons for web, PopOff and AdsOff: http://intercantech.com

6. Free internet access with ads: http://www.zeronet.com/join

7. Healthcare job boom:
http://www.healthcarebusiness.com/archives/healthcarebusiness/current/60-graph1.html

8. Doctors object to being called "providers":
http://www.healthcarebusiness.com/archives/healthcarebusiness/current/11.html

9. Free stuff by Email: http://www.zmedia.com

10. Science proves laughter causes muscle weakness:
http://dailynews.yahoo.com/h/nm/19990903/hl/lau8_1.html

11. Science proves breastfeeding can be natural birth control:
http://dailynews.yahoo.com/h/nm/19990902/hl/bre7_1.html

12. New gene related to diabetes:
http://www.drkoop.com/news/stories/september/gene_defect.html

13. New NR2B gene to improve learning and memory:
http://dailynews.yahoo.com/h/nm/19990902/sc/science_mice_2.html

14. Foxnews Health Wire: http://www.foxnews.com/health/wires2/

15. New gene related to mental retardation:
http://dailynews.yahoo.com/h/nm/19990831/hl/int8_1.html

16. First gene therapy for muscular dystrophy:
http://dailynews.yahoo.com/h/ap/19990903/hl/gene_therapy_3.html

17. Hippos and whales related?
http://dailynews.yahoo.com/h/ap/19990830/sc/hippo_whale_family_1.html

THANK YOU!

Thanks to MedQuist for sponsoring this newsletter. Please write Leann at Medquist, lessai@medquist.com, to let her know if you benefit from this newsletter. Thanks also to Joe Weber of Narratek for the special MT Daily Rounds $30 discount on Smartype speedtyping software (which is the leading expander for WordPerfect 5.1, saving 70% of your keystrokes), with a free Abbreviation Add-on sent via zipped e-mail attachment. Total price including $8 shipping is $173, an $80 savings over the regular price. Email joeweber@alum.mit.edu, call 617-566-1066, fax 617-566-2500, or order at http://www.narratek.com. Mention or type MT Daily Rounds to qualify for the discount price. Thanks for letting others know about the newsletter. And thanks to all who help each other on the boards.

*************************MT DAILY ROUNDS, 9/10/99*****************************

BROUGHT TO YOU BY BANDWIDTH.COM

DEDICATED INTERNET CONNECTIONS FOR MT COMPANIES *********************************************************************

WIND IN OUR SAILS, LEAD IN OUR KEELS
MT DAILY AT FOUR YEARS

When my son David finally persuaded me to start MT Daily in 1995, a friend, Ron Neuenberger, offered me a free website and technical help on his brand new website, Angelfire. MT Daily moved to its own domain before Ron sold Angelfire, and with David and Ron's ongoing help we began to build the business base for MT Daily so we could go on building an online MT community. These two men made MT Daily possible.

I think computer interaction brings out the child in us. Sometimes it's the play of a cyberspace masquerade or the fun of finding new friends with common interests. Sometimes it's the anger we let fly or the new ideas we brainstorm. Sometimes it's the vulnerable question we post to the public with simple trust we will be loved, or the over-confident advice we dish out to strangers. This kind of contact is changing the way we think and feel about people and our work, and our group and national identities. Some regression can lead to progress when the future is so new.

I'm very grateful for the Internet. Being online has certainly changed me over the last seven years. Online friends have influenced me and helped me. Having a library and virtual city at my fingertips has changed the way I learn and think. It's changed my family into pioneers with a new frontier to explore and build, with many people on the move, helping each other, discovering together. For a glimpse of my son David's Internet journey outside MT Daily, see these pages:

http://www.bandwidth.com/about/about.html
http://www.forbes.com/tool/html/99/sep/0910/feat.htm

My husband's virtual adventure is teaching graduate courses via Internet and announcing his new book online:

http://www.regent.edu/acad/schgov/hmorken/home.html.

When people move to another country, they expect to feel the disorientation of culture shock. Experts suggest keeping a clear centered focus on who we are as unique persons with our own core beliefs and personal purposes in life, and continuing the daily structures and expressions of life when in a foreign land. Cyberspace is a quickly-changing new culture that exposes us to the customs and ideas of many individuals and groups. I think it's wise to guard our privacy, personal choice, and individual expression when on the Internet. With these anchors in place, we can pursue the benefits of networking with each other and enriching ourselves and our work with the best information possible. We can explore new territory while being true to ourselves and the important people in our lives.

How has Internet communication changed you? Add to this topical thread on the friendship board: http://www.mtdaily.com/mentors/friends.

THIS WEEK ON MT DAILY

1. Create your own website and become a cyberspace settler:
http://www.mtdaily.com/mentors/webwork

2. List of over 50 MT websites:
http://www.mtdaily.com/mtlist/webs.html

3. Does your company need new accounts?
http://www.mtdaily.com/outsource

4. Pneumothoracotomy:
http://www.mtdaily.com/board/messages19/5459.html

5. Dictation being transcribed by non-MTs:
http://www.mtdaily.com/wwwboard/messages11/8680.html

6. Physicians with writer's cramp:
http://www.mtdaily.com/wwwboard/messages11/8728.html

7. Great marketing idea for local MTs:
http://www.mtdaily.com/wwwboard/messages11/8824.html

8. Share the FAQ with others. It's public domain:
http://www.mtdaily.com/faq.html

9. Thanks to Talon for help on the Physician's Board:
http://www.mtdaily.com/mentors/physicians

10. Battery backup for computer:
http://www.mtdaily.com/wwwboard/messages11/9161.html

11. Apprenticeship business model:
http://www.mtdaily.com/mentors/teachers/messages/266.html

12. Standard for minimum lines:
http://www.mtdaily.com/mentors/supervisors/messages/213.html

13. Update on Staci's special-needs baby:
http://www.mtdaily.com/mentors/mothers/messages/5766.html

NEW TERMS AND MEDICAL NEWS

1. Fareston (oremifene citrate) for breast cancer: -http://www.corporate ir.net/ireye/ir_site.zhtml?ticker=RPC&script=410&layout=11&item_id=50515

2. New Transplant Website: http://www.unos.org/patients/data.htm

3. Four lupus-related genes mapped:
http://dailynews.yahoo.com/h/nm/19990909/hl/lup10_1.html

4. New protection from chemo: pifithrin-alpha (PFT-alpha):
http://dailynews.yahoo.com/h/nm/19990909/hl/can7_1.html

5. D2 brain receptors may underlie drug addiction:
http://dailynews.yahoo.com/h/nm/19990908/hl/stim12_1.html

6. Prevent alcohol relapse with nalmefene:
http://dailynews.yahoo.com/h/nm/19990908/hl/alc13_1.html

7. Maternal depression and children:
http://dailynews.yahoo.com/h/nm/19990908/hl/dep2_1.html

8. Dyslexia-related gene:
http://dailynews.yahoo.com/h/nm/19990907/hl/dys1_1.html

9. Download fast search engine:
http://express.infoseek.com/download_express.phtml?dve_id=145

10. Search 566 dictionaries: http://www.onelook.com

11. Eye surgery sites: http://www.eyeinfo.com/links.html

12. Graphic anatomy site:
http://www.cid.ch/DAVID/mainmenu.html

13. Premarin and horses:
http://www.uan.org/programs/premarin/index.htm

14. List of needles: http://tor-pw1.netcom.ca/~dynabc/pg3.html

15. Longest list of medical links:
http://galaxy.einet.net/galaxy/Medicine.html

16. WordPerfect Help: http://www.wpwiz.com/links.html

17. Hyperpolarized gases (helium) light up lungs with MRI:
http://dailynews.yahoo.com/h/ap/19990909/hl/see_through_lungs_2.html

18. CryoCath plans cold cryoablation for all arrhythmias:
http://www.cryocath.com/press_PatentENG.htm

19. ACTROS SLR+ Pacemaker VDDR:
http://biz.yahoo.com/bw/990903/or_biotron_1.html

20. aflatoxin, carcinogen from fungi on tobacco:
http://biz.yahoo.com/bw/990909/ny_medscap_1.html

21. First closed-chest endoscopic procedures, with Heartport, Endoclamp.
da Vinci system ports:
http://biz.yahoo.com/bw/990903/ca_intuiti_1.html

THANK YOU!

Thanks to David Morken and bandwidth.com for sponsoring this newsletter (the newsletter was his idea in the first place). Thanks to Joe Weber of Narratek for the special MT Daily Rounds $30 discount on Smartype speedtyping software (which is the leading expander for WordPerfect 5.1, saving 70% of your keystrokes), with a free abbreviation add-on sent via zipped e-mail attachment. Total price including $8 shipping is $173, an $80 savings over the regular price. Email ,joeweber@alum.mit.edu call 617-566-1066, fax 617-566-2500, or order at .http://www.narratek.com Mention or type MT Daily Rounds to qualify for the discount price. At this special price, Narratek can not accept the return of opened software. Thanks for letting others know about the newsletter. And thanks to all who help each other on the boards. Circulation 3,876. -Mary Morken, mmorken@ix.netcom.com (still waiting for grandbaby!)

****************************MT DAILY ROUNDS, 9/24/99********************

BROUGHT TO YOU BY TRANSCRIPTION SOLUTIONS, INC.

http://www.mtdaily.com/tsi.html
*********************************************************************

MT INDUSTRY REPORT

One of the benefits of having public MT companies is the availability of public information from research done for investors. A recent 40-page analysis by William Blair & Company for MedQuist includes their opinions on industry trends. They estimate that $1.3 billion of the $4.0 billion industry is outsourced, and the outsourcing industry is growing at a 10-12% pace compared to 8% for the rest of the industry. The growth in transcription is driven by the need for faster reimbursement, better patient care, more thorough electronic records, and legal protection. As local hospitals and clinics fail to find enough local MTs, they outsource to national companies.

The author estimates that there are roughly 60,000 full-time-equivalent MTs in the U.S. and believes that the shortage of MTs could hinder the growth of MT companies. Another factor that could both help and hinder growth will be the final Health Insurance Portability and Accountability Act (HIPAA) which is expected to lead to more detailed documentation and security requirements over the next 2-3 years.

MedQuist's share of the industry is estimated to represent 8% of all transcription and 26% of outsourced transcription; Transcend, Edix, Rodeer, and YOG each represent 3-4% of the outsourcing. The approximately 1,000 smaller companies represents 61% of the outsourced market.

The three technology issues discussed are speech recognition (MedQuist is doing one beta test), Internet voice file transfer, and Y2K. Competitive advantages, growth opportunities, and the risks to investors are outlined. The first risk mentioned is the shortage of MTs. Regarding MT wages, they state, "The shortage of qualified MTs could lead to wage inflation or to higher turnover rates, each of which could pressure margins or internal revenue growth....the MT labor pool...is highly fragmented, non-unionized, paid largely on production, and composed of both employees and independent contractors." Regarding overseas transcription, they do not expect any possible increase in overseas MTs to replace U.S. MTs because of the current shortage.

This unique study largely confirms my impressions of our field from other sources. While it is not written for medical transcriptionists, it is helpful to understand how public companies address their investors, instructing people who are unfamiliar with the industry who want to know the risks involved. Feel free to write me email if you have questions about the report.

THIS WEEK ON MT DAILY

1. New board for mothers of teens:
http://www.mtdaily.com/mentors/teenmoms

2. Marketing idea of a STAT service:
http://www.mtdaily.com/wwwboard/messages12/1295.html

3. Ideas for increasing production speed:
http://www.mtdaily.com/wwwboard/messages12/997.html

4. Drug book options:
http://www.mtdaily.com/wwwboard/messages12/784.html

5. Ideas for QA feedback needed:
http://www.mtdaily.com/mentors/editors/messages/191.html

6. E-mail encryption programs:
http://www.mtdaily.com/wwwboard/messages12/1330.html

7. What do you call your in-laws?
http://www.mtdaily.com/mentors/friends/messages3/3693.html

8. Petlovers with spouses who aren't petlovers:
http://www.mtdaily.com/mentors/petlovers/messages/2130.html

NEW TERMS, MEDICAL NEWS, LINKS

1. Synercid approved for infection:
http://dailynews.yahoo.com/h/nm/19990921/hl/fda12_1.html

2. Gene therapy for muscular dystrophy:
http://www.drkoop.com/news/stories/september/bonemarrow.html

3. In utero gene therapy (IUGT):
http://dailynews.yahoo.com/h/nm/19990923/hl/fet9_1.html

4. Dangers of liposuction:
http://dailynews.yahoo.com/h/nm/19990922/hl/lipo6_2.html

5. 140,000 human genes:
http://dailynews.yahoo.com/h/nm/19990922/hl/gen17_1.html

6. Gene therapy may prevent mesothelioma:
http://dailynews.yahoo.com/h/nm/19990921/hl/int5_1.html

7. First ovarian graft:
http://www.cnn.com/HEALTH/women/9909/23/health.menopause.reut/index.html

8. Asbestos update: http://www.mesothel.com

9. Onions may prevent osteoporosis: http://www.intelihealth.com/IH/ihtIH?t=333&st=333&r=EMIHC000&c=242675

10. Hematology news site: http://www.bloodline.net

11. Toxins like mercury may enter brain through nerves:
http://dailynews.yahoo.com/h/nm/19990921/hl/merc7_1.html

12. Iron gene mutation and heart disease:
http://dailynews.yahoo.com/h/nm/19990920/hl/iron8_1.html

13. Teens' brains keep growing:
http://dailynews.yahoo.com/h/nm/19990920/hl/bra11_2.html

14. Air pollution and children's asthma:
http://www.intelihealth.com/IH/ihtIH?t=333&st=333&r=EMIHC000&c=242603

15. Romantic ideas: http://www.theromantic.com

16. Living on one income: http://www.miserlymoms.com

17. Pros and cons of free PCs with ads:
http://www.stretcher.com/stories/990920b.cfm

THANK YOU!

Thanks to TSI, Transcription Solutions, Inc., of Houston, Texas, for sponsoring this newsletter. Thanks also to Joe Weber of Narratek for the special MT Daily Rounds $30 discount on Smartype speedtyping software (which is the leading expander for WordPerfect 5.1, saving 70% of your keystrokes), with a free abbreviation add-on sent via zipped e-mail attachment. Total price including $8 shipping is $173, an $80 savings over the regular price. Email joeweber@alum.mit.edu, call 617-566-1066, fax 617-566-2500, or order at http://www.narratek.com. Mention MT Daily Rounds to qualify for the discount price. At this special price, Narratek can not accept the return of opened software. Thanks for letting others know about the newsletter. And thanks to all who help each other on the boards. Circulation 3,963. -Mary Morken, mmorken@ix.netcom.com