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It is much harder on the wrist to constanly use the mouse to jump around the report to edit, rather

Posted By: Ouch! on 2006-06-23
In Reply to: Allow me to retort. sm - Current Webmedx-er

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Seems to be the way of all the companies with VR right now. You edit so much of the report so
rapidly that things probably go back incorrect. I really watch anything that has NO attached to it because VR or ASR does not get NO many times. Also, it does docs on cell phones and that is very difficult because you just get such a garble of words that it is impossible to know sometimes what they want and what they dont want so partially the docs have to take better control of what they are doing and they have to know cell phones are unclear and yet they dictate on trains and in noisy rooms, etc and I can only assume they dont care. The whole thing is getting difficult and I know the work coming from overseas is horrible so does this mean transcription is just throwing out work anymore. Seems like it.
Do NOT use your mouse, and you can do this 2!
Seriously..scan ahead..format, etc. You can do it. It just takes practice.
Said it before, here again, I use my mouse with VR
and have never used the hot keys and I get well over 300 lph, sometimes as much as 500, 600 and the like. I can scan ahead but you do not have to put the mouse down in order to do well.
With VR always use the mouse
I told someone else on here that have never used the hot keys. Been doing this tooooo long to change now and my speed is as fast as the audio will take me. Glad you tried the mouse.
Mouse and VR
You've got a good attitude! Using shortcut keys and avoiding the mouse is a big part of productivity with VR. In editing, the longer your hand(s) is away from the keyboard the less productive you'll be. I was a mouse fanatic too, but after I learned a few keyboard shortcuts I was hooked. It really does increase your line count. I'm still trying to master all the shortcuts with our program, and I'm pretty confident I'm 90% there. I'm sure you'll do fine with them. It really doesn't take long to get rid of the mouse fix. Good luck!
It's harder to get your own accounts
Most guys don't have a choice but to work for nationals in this business or own their own business.  Would like some input into how guys work at making that much money in MT.  Thanks.
I was doing VR, too. For me, the work is just harder to come by.
I work second shift, and it used to be early evening the OPs would start coming in. I could really roll on those, but they have all but disappeared. I now only get handful per shift and mostly EGDs or I&Ds. I also worked Fridays and Saturdays, which were great for work, but even those days are depleted now.

I think now I just am bummed out thinking I worked my butt off to get to the 5 to 6-year mark where I could apply with the better companies, and there just is no work. My daughter is almost done with her transcription course, and it is scary to me that she has to work for 3 cpl but even scarier that I might have to pretty soon :(


Seems like they are just making their job harder.
They should be taking the time to do the job correct the first time. How is rushing through going to help them in the long run? The reports are just going to come back for corrections, which is then going to take them longer to fix in the end then just editing them properly the first time through. I understand not wanting to get pay docked, but it seems they are only making things worse for themselves in the end.
Working harder for less pay.........
to achieve the same figure on one's paycheck is circular reasoning.

As has been stated before here, it is a pretty sure bet that the clients are being charged the same for their reports whether an MT physically transcribes it or whether a speech engine translates it and an MT cleans it up. That being the case, with the MT being paid even less for speech recognition, the middle man (management) is making way more money off the MTs back and will continue to make more as the MT is pushed to turn out more production.

As for adapting to more coming technilogical changes, you'd better prepare to adapt yourself to another line of work because the MT field will become obsolete as we know it even today. There will be fewer MT positions needed as speech recognition becomes more and more proficient at creating a medical document that is within acceptable limits.
Avoid mouse if possible
If your software gives you the option of using keyboard commands instead of picking up your hands to use the mouse, use them. Avoid doing anything that takes your hands off the keyboard and your eyes off the screen if at all possible. But it can be helpful to write down your new shortcuts and tape the list to your monitor until you can remember them. If you have internet, make use of OneLook Dictionary. Many common medical phrases are in there as well as single-word entries. It might be quicker than using even a specialty book.
Just push tab instead of using mouse. NM
q
To Minnie Mouse
Minnie, I am with MDI-MD. No, I am not nor have I ever been, management. I am just a lowly MD and have been one for decades. I appreciate this company because it pays me well, knows how to run a company and I love my accounts.
Could someone please explain to me how using the mouse
in VR works? If you have to edit something, you have to take your hand off the mouse and fix with keystrokes? I have seen this a lot people discussing the use of a mouse with VR, but I don't quite understand it. Please explain. Thank you kindly! And keep up the good work!
Me to, I sit there with 1 hand on the mouse and the other on the
keyboard, reading along. When a correction is necessary, I put the cursor in that spot and make the correction and read on.
I never use shortcuts and I cannot imagine that this would speed me up.
Work Smarter, Not Harder...
Exactly! Go to work for a company that pays for ALL of your work, not just what is reflected in your typed reports. What about time spent looking up physicians out of a data base of 50,000! Trying to figure out what in God's name the doc is saying when pronouncing some foreigner's name, and wasting 10 minutes doing so...with no pay! ALL of my expertise is worth compensation, not just what they see on the final report. How many times do you type an entire report, just to hear at the end, Erase this, I'll redictate! No credit! What a waste of time and I deserve to be paid for the work I did, even though the DOCTOR screwed up and screwed me out of earning my pay for those lines! What a bunch of BS!!!
I must agree with you. Seems harder the older you get.sm
When I was in my 20s, sure I could do 1800+ a day, but it's a different story now that I'm in my 40s. Sore wrist and fingers. Forearms tight and painful.
IT SUCKS!!

PS: Chinamom, sorry, I didn't mean to reply by email. Clicked the wrong thing by mistake. I must be getting old!!
Yes, for some reason Bayscribe does seem harder (sm)

Harder to make your lines, that is.  The only time that Bayscribe will not add demographics (or autopopulated info) to your character count is if you mark the report as a No Report.  Otherwise, on all reports, including the ones marked Incomplete Report, it will count all the demographic info too.


They say that Bayscribe is Word-based, but personally, I haven't seen much simularity at all between Word and Bayscribe.  I do know that when I switched from using Word to using the Bayscribe platform, my average lines-per-hour production dropped somewhere around 25%.


So yes, with Bayscribe, I do find myself working longer hours in order to make the same line counts that I used to make.  I'm not really sure what the answer is, but I don't think that it's the accounts.


Sometimes the bigger they are, the harder they fall.
Lots of these big MTSO co's are in bed with AHDI, and I have a hunch the whole kit-n-kaboodle of 'em are ridin' for a fall. Or a public hangin'.
Even if some of them aren't harder to manipulate,
it's just assumed that they are. I've found that the few guys I worked with on-site in the past WERE fairly woman-like in their willingness to be manipulated and taken advantage of. Which is probably why they got into, and stuck with, MT in the first place. Those guys who won't stand for that sort of thing never got into MT at all. Which is probably about 99.999% of them.

The benefits to the MTSO for having at-home MTs is not only the savings of NOT having to run, maintain, insure, heat, cool, and clean a brick-and-mortar building for their workers, but more importantly, the physical and social ISOLATION of those workers by basically chaining them to their desks at home. The isolation makes it far easier for us to be lied to, intimidated, cheated and overworked because NO ONE ELSE SEES IT HAPPENING.

The internet, and forums like this one, have broken us out of that isolation to some degree, but obviously not enough of a degree for change to happen. It's likely that for every MT that knows of this, or other MT forums, there are 10 who don't.

Further compounding the trouble those of us who DO use online forums to communicate with each other have, is the fact that we all know the MTSO suits cruise these boards, and we have to be careful about what we say, and to not reveal our identities, or else we'd most likely find our little selves fired.

So to date, medical transcription, and the sweatshop conditions it's done under, is the healthcare industry's best-kept 'dirty little secret'.
Correction to Minnie Mouse
Whoops, I meant to say lowly MT, not lowly MD. (That wouldn't be me, I hated science.) I was up nearly all night last night working. No work shortage here. Anyway, sorry I made an error in typing, hope the grammar/typing cops don't launch their grenades at me. :)
Have yet to turn loose of the mouse
On on end, makes no difference about using hot keys or not, most really good, very few errors to change but so long on the mouse, will just stay.
Using mouse versus key controls
From discussion below with WMXers using ASR, I decided I didn't have anything to lose trying the mouse since using key controls isn't upping my speed.  Much to my very pleasant surprise, I averaged 50 lph more than my usual (almost 500 extra lines today).  It was hard to use it at first, but so much easier to navigate through the reports.  I didn't use it for highlighting, just navigation to what needed correcting.  Hopefully the numbers will go up as I become more proficient with the mouse.  I'm glad I tried it.

I use both a wireless mouse and keyboard
and love it! I've used both the Microsoft 7000 wireless keyboard and mouse as well as the Logitech wave wireless keyboard and have no problems with either one keeping up with fast keystrokes.
We? We?? You gotta mouse in your pocket?
d
Was told starting VR HAD to use the mouse
I had never used the mouse before since starting this job in the 70s so shock city when told had to use. Ok, got to where I could use that and then outsourced to a company from the hospital where I was trained and then told NOT to use the mouse; however having said that I just continued on with the mouse. Does not slow me down at all, able to keep up with the work as fast as I can get the audio to go so all this yah-yah about using these keys, don’t know what all the hype is about. When people say you can work faster, not in my case.
Is it getting harder for anyone to get jobs now with all the people applying for them. How does
this seem to be going for most MTs looking for jobs.  What seems to be the one factor that gets MTs a job before all the other 100 or so looking for the same job and what are the most desired qualities today that companies are looking for.
Anyone else going from DQS to ExText and noticing lines are harder to get? (sm)

Both accounts are about the same difficulty, just find ExText more cumbersome and where I used to do 1200 lines in 6 hours on DQS I now take every bit of 8 hours and sometimes that doesn't do it. Am i just getting slow to learn new things or has anyone else noticed this same thing?


Definitely harder and I've given it a lot of time. I'm thinking about
nm
You have it all wrong. I work SMARTER, not harder.

I will take on any acct. After months of getting used to it, I see what I am making an hour. If it is worth the work required to do that acct, great. If it isnt, I ask to be taken off acct and so far, have never been refused. Sometimes takes little while for them to get another MT for acct but have never been refused. Company is not working for the prestige, loyalty to an acct, or ME for that matter, or for the good of mankind. Why should I? I am in this for the money, just like the company. I am very much a pro, which is probably why companies would rather have me on another acct, than to quit giving me work all together. They know many companies are always looking for a good MT.   Like other posters, I dont understand why someone would work below their worth. There are too many companies out there to try. I have tried several, staying with the ones where I could make good money.


Acute care is quite a bit harder than clinic.
Definitely. Never a good idea to lie. You won't find anyone at most big companies to ask beginner questions to, on ops or otherwise.
I'm a skinny well-paid whiner and don't use a mouse.
nm
try holding cntr down and using mouse scroll.
x
Keyboard. Using the mouse is too hard on my hands. nm
.
Trying to see bright side - I am bad about using mouse - working very (sm)

hard today on starting to break the habit.  I took the little class thing on increasing our skills w/o mouse and do try to use a little more but now I feel I had better get my fat butt in gear on it immediately.  Hopefully this will help offset the losses I am going to encounter. 


I figure I will put the mouse on the left hand side to start with so I will be more conscious of whenever I read for it.   Old habits die so slowly.  Shoot, this old girl took forever to quit reaching up to return the carriage on the old typewriters.  (Am I giving my age away?)


I have about 7 more years until retirement and I do not want to train now for another profession, don't think that would be too profitable.  I want to bend like a willow in the wind and adjust to whatever comes up with this profession until then.  Trying to be positive.  Will paste on a smile and work,work, work on quitting using that mouse.


 


I, too, went from MQ to TT, and line counts are much harder to get at TT with Dictaphone ExText.

I have always been called *firey fingers*, so know it is not me, as I am very fast and accurate on the keyboard.  Line count continually gets harder to achieve.  I know it depends on how the company has Dictaphone set the line count parameters -- whether to pay headers, footers, spaces, demos, normals, expanders, etc.


Also speech recognition using ExSpeech at TT is so cumbersome and awful.  Really made good money and line count with DQS speech editing.  Just must my opinion.  Other comments would be interesting.


The requirement is 50% participation. It is actually harder for a larger company sm
than a small company if they are national to get good rates. Once in, they will have it easy after that. I dealt with it personally for another company and it was a nightmare. Insurance is crazy and once national, it is harder to get the insurance. They should have gone with BC/BS when smaller but chose Unicare for some reason. Now they are regretting it.
Burnout...wanted to work smarter, not harder.

It seemed like I was sitting at my desk for 12 hours a day, 6 days a week, just trying to pull the bare minimum.  I had to hop around from one hospitals operating system to another and to another constantly...and if you've ever had the pleasure of doing that, you know that lines don't come easy that way because you spend all your time waiting for things to load and what not.  There just wasn't enough work to stay on one account all the time, the way I think it should be, so instead of becoming an angry and bitter employee, I left.


They really did try to make me happy, but all they could offer were more hours, or more accounts, and like I told them, I simply wanted to work my 8 hours and make a decent living.  Had a really hard time doing that over the winter.  I think they overhired but I never asked that question head on.  It was a great company when they first started out, but then got really big really fast.  Great benefits though, if you can make the lines.


If I needed to get my foot in the door, I'd work for them, get the experience, and move on.  It's that kind of place.  But during a moonlighting gig I tasted freedom, more money due to a more efficient way to work, and better overall work environment, surrounded by people who truly loved their jobs, and when I was happy to log on for THAT job, and got sick to my stomach when I had to log on at DVHP, well that's when I knew it was time to be on my way.



I have and it worked great for me using mouse controls. No prob.
x
it means you use the mouse to put the cursor where you want to make a correction
with keystrokes.
The other way is to use the shortcuts, a combination of keys.
Sometimes you get spelling and abbrvns over the phone, typing later on. Bone up on your harder
s
I agree that it is an easy platform, but compared to other platforms I have used, lines are harder
to get, probably counted or weighted differently.
To Edit
Well...then you have probably missed out on some of the best job opportunities with small MTSOs. I would beware of the large Nationals...they are the ones who offshore. I don't, won't, and only hire US MTs. I also pay my MTs much more than the average Nationals and we don't run out of work either!! Sorry you missed the opportunity of a lifetime not responding to ads posted with yahoo e-mails. Your loss.
Sure!!!!!!!!!! Jump right on in!!!!!!!!!!
After the wage and hour uproar they most likely won't ask you to work overtime and not record your hours
May I jump in here...
I have already applied to TT, finished the testing, etc. Does anyone know how I might follow up on my application? Has anyone here done so. I know a lot of people have applied here and they are probably swamped. It has been about a week since I finished my testing. Should I wait another week or try to pursue a followup?
Would jump on more pay
if it doesn't work out can always rely back on your MT skills. As long as work load isn't too much and too stressful, as QA can be much of the time.
may I jump in?
it is not just medical; this is everywhere, I think it is a direct result of shabby schooling. The kids are not getting the same basics we did. At my 30 year reunion, this was a big topic of conversation. Some things are better and more in depth, especially social studies and math and sciences, but good basic English has gone by the way side. and then, of course, there is the internet which I guess actually has more people using some writing skills that otherwise they would not have. and I don't care what anybody says, the boston tea party was not an accident! You really have to be aware of what your kids aer being taught now. Our parents would have been down to the school so fast. Now they are teaching some religion, just not Christian. Big dispute on Houston radio last week. well, enough of that for awhile. Just had to vent.
Where exactly are they all going to jump to?
This has been coming for a long time. I for one am going to try to go into with a good attitude at least and give it a shot. I left my last company (MQ) not only because of VR, but because on top of it they put everybody in huge work pools (otherwise known as the cesspool). It was an impossible situation. They will all be doing it before you know it. Nowhere to go but out of the profession altogether.
Alex-Med, anybody edit for them? (sm)
  I was interested to know how they are to work for, pay on time, steady work flow, sound quality, that kind of thing.  Any insight is appreciated.
Edit BP normal?

For your normals that have either an abbreviation or a long form use the following:


type bp, get BP


type bpp, get blood pressure


type wnl, get WNL


type wnll, get within normal limits


type copd, get COPD


type copdd, get chronic obstructive pulmonary disease


type cold, get COLD


type coldd, get chronic obstructive lung disease


Yes, sometimes the word cold will be used in a report, but it is so seldom unless you are doing pediatrics, that you will and should notice it.  Hope this helps.


How can you edit after 2 years?
Unless you worked in an intensive MT situation I don't see how you can be an Editor after two years!!  That pay is ridiculous, even beyond ridiculous. 
If they are out of OR, then they offered 2-3 cpl to edit and I said NO...
It may not be them but it sure sounds like it.