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Serving Over 20,000 US Medical Transcriptionists

Argh. Can't. Listen. To. This. Doctor. Any. Longer.

Posted By: going bonkers on 2005-07-28
In Reply to:

No, wait, back up.  Change that.  Nurse?  Did you find the chart?  Oh, really.  Ok.  Yeah.  Sigh.  Hang up.  Scratch that.  Start over.


He adds extraneous Rs and Ls throughout his pronunciation, but he's American.


 




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Argh. sm
Through my years of typing medical notes, I have listened through patient visits, conversations about tee-times, what do you think about that xray consultations, and even (on tape) listened to a doc taking the proverbial leak.

Consider yourself lucky if all you are getting is "back up" and "change that".

I would.
U GOT ME! ARGH!!!!

ARGH!!!
I'm sorry I'm just frustrated at the stupid nurse in the background that WON'T SHUT UP! She has a laugh like the chick on The Nanny and I swear she must be standing right behind the doc while he is dictating and I can't hear half of what he says and he's bad enough as it is! ESL and mumbles and stops in the middle of a sentence and then starts over somewhere else!

I love working at home but sometimes I do miss having hens to cluck with in the office!!
ARGH.. Have you gone to the gas station lately
or to the grocery store. Do you have a clue what your utilities are going to be this coming winter and WORK FOR LESS. YOU ARE BONKERS
Argh...I was there for awhile and no one showed up
so I left. Please post a new time so I can join. I was really looking forward to it. Tonight works for me.
argh! that should read "dictionary" files! LOL n/m
/
I have a PA-C that starts every sentence with.."The pateint will...." ARGH!!. nm
nm
Call your doctor - this is not a doctor forum! nm
x
You know the difference between God and a doctor? God doesn't think he's a doctor. nm
X
The longer
you are in the business and have more expanders, the less errors you tend to make. You are then able to do more scan proofing (mostly to make sure you typed the expansion properly and didn't cause something bizarre to pop into the report).

I am still pretty green. I try to notice what I can while I type and always go back through it (and find something more to correct).

Some reports are much easier to proof than others. The long detailed ones that are harder to type are more difficult to proof as well. I have a hard time keeping my mind from wandering to personal issues, etc. while proofing those.
Lots longer
I don't know - I've been an MT over 25 years, am a super fast typist, use expanders, and have a great platform and accounts, and it takes me a good 5-6 hours, with a 15 minute stretch break here and there, to make 1000 lines.  Bad dictators - a good 8 hour shift to make 1000.
*a little longer than usual...
nm
then that vet would no longer be my VET!! unbelievable. NM
z
If her first initial was J, they are no longer in
business. She went into nursing, pediatric intensive care I believe.
Don't wait any longer...sm
contact an attorney.  You don't have to pay the attorney until he gets your money, then it's a certain percentage.  I know it's a killer to have to pay, but if you don't you're probably not going to ever be paid.  I had to sue a client for 3K.  I still walked away with a good hunk of the money and my pride.  It was well worth what I had to give the attorney. 
WC does not cover CPS any longer. They sm
have determined that it is not caused by typing. Can you believe that?????
oh goodie - we no longer have to see her!!
              
Working probably longer than you have
been on this earth. I have worked over 30 years in this. I do work for an agency as have been outsourced twice from hospital work, always at a lower rate than the hospital. The first hospital I made nearly 60 thousand a year, outsourced, dropped 20 thousand in the new hospital, outsourced and now my salary per year in the 20s. I do operative notes, discharge summaries, history and physicals, consultations and my pay is about yours, 7 cents a line- most of the time you are just expected to produce more- we used to have production (incentive)- some might still have but probably few and far between. If I had to raise a family now, would have to work more than 1 job to do. This is me- I am not speaking for others even though my speed is extremely high. I put my all into my job, have answering machine, no interference, have office set up in my home, have fax (because I need 1 just for my own use), printers, phones, my own computer and a backup in case this 1 goes. Your tapes definitely sound like the real McCoy. That is what we hear day in and day out. I started out with a hospital almost 70% ESL, oh, so hard, well even the English were also and even now after all these years still grit my teeth sometimes just to do a certain dictator. Good luck!
I no longer use satellite, but used
DirecWay when I had it.  Service was about $70/mo.  Download speed is not consistent.  Most of the time it was fast, but sometimes as slow as dial-up.  It depends on if it is raining, snowing, wind blowing and tree may be blowing in front of the dish, if it is real cloudy, etc.   Upload speed is much slower than download, but upload files are usually much smaller so it doesn't take long.    I had trouble with e-mail, though they have upgraded equipment and supposedly the equipment comes with the software installed and configured already so basically you just plug it in and you're ready.   I paid $800 for my equipment  years ago - that included dish and 2 modems.   The newer modems are a lot more expensive.  
Delete them.........esp if you no longer do them...

For private MDs, I only keep their diskettes 6 months, since ALL the work and an additional diskette has been provided when I returned the work.........


If you worked for a national, you need to send the diskettes to them I would think.........that is, IF you worked for a national MT company.  If not, I'd just delete them..........keeping the floppies for myself.........for future....(yep, I still use floppy disks...*LOL*).........


 


they no longer pay for proofing
Just kidding.
I know, I know...
Proofing is very important. Patient care is at stake.
And so are our jobs.



I have been MTing longer than you and get this
When starting VR was also told I should be using the function keys. My "new"(outsourced) job of years even went so far as to show us where we were using the mouse as opposed to the keys. I have never used the function keys and do over 3000 per day, my lines have increased since VR and have worked NOT using the function keys now for several years and it works ok for me. Did they threaten you with not using the function keys???
No longer confused
Now, that makes sense to me!
No longer so frustrated..
I've been reading with interest the comments my venting inspired.. both here and in my email .. and some of the assumptions are amusing.

I've been a Transcriptionist for 36 years, an MTSO a couple of times during those year, a manager with a national company or two, transcription manager, QA manager - basically just about every job possible in this field. I know how important it is for a transcriptionist to be respected for our skills and to be paid for the work we do.

We actually flew to a central location in California to train transcriptionists within a 10 mile radius of the central location, so there was no cost to the transcriptionist. We wouldn't have made the trip had we received only one or two applicants. It isn't that difficult to train someone remotely, but since we had several positions to fill and several applicants, we decided it would be beneficial to make the trip and meet the new ICs.

We have 35 very good transcriptionists, all on IC status, working at different levels of competence, on different accounts, with all of the flexibility they can use. Some started as trainees right out of school, others came to us experienced with one or more specialty. All have been cross-trained to some degree to cover each other when someone has a family emergency or just wants to take a vacation.

We have work, plenty of it, and our pay scale is competitive with other services. We've even done work share programs with other services for short term.

My plea is simply on behalf of other service owners - don't apply if you aren't serious about work. It is a waste of time, both yours and theirs.

Thanks for all of your comments. I'm getting back involved on the board a little more and find how much I've missed the exchange of opinions and ideas.

T.




Where have you been, this board is no longer -sm

***Removed by Moderator***


Hi. I no longer use this program...

also the job I worked using this program couldn't help me.  So I guess I would have to hire someone.


Can't imagine what would be in conflict with it.  I just want to remove it from my computer.


Thanks for suggestions.


I no longer use one, but on the back where the
cord comes in is a cover that I believe has screws.  Unscrew it and see if the plug has come unplugged from the machine.   If that doesn't work I don't have any idea.
In NYS I was told they no longer have
that particular program (I was lucky enough in the early 1990s to go to school for 6 months totally 100% FREE for MT, books paid for, gas mileage, everything) because I was laid my medical record clerk position at the hospital.

In checking now I find no such help at all because of funding being so low.

you would think is this great, rich country there should be plenty of money for those of us who put a huge percent of our earnings into the government for times like this when our jobs disappear yet alas I could find no such help. Displaced homemaker only applies to a specific group of people now, like those with children who are single I believe. Maybe other states are different...

Even losing your job to overseas outsourcing, pretty much only a few professions can claim that, and I think it was airline employees and tech type jobs.

Again, if we are all rich and educated, we probably could get some kind of help/benefits...but then who would need the help right?

sometimes I feel I am in debtors prison because my credit is falling because of the economic times and the company I work for just keeps somehow lowering my pay all the time as my bills are skyrocketing.

In my state anyway there are a lot of jobs you cannot even get without good credit (?) so I guess you have to not need to job in order to get one.

Funny I don't remember this growing up...I always believed if I just worked hard I would be okay...

not so much now
I have done this longer that 35 years now
and have a job, thanks anyway, what makes you think people are kept out of this field by the way we think or believe? I have paid my dues and others. You, my younger peer, get a grip.
Have been with this profession probably longer
that most of you have been on this earth. I, too, have paid my so called dues. I care not if the retired person hangs out with foreigners, that is her life. I do not have to have tea with someone that I would have to grit my teeth to listen to and that would be the case with me. I specifically tell any dealer I call if someone from another country trying to speak to me there is a language barrier and I would like to have someone who speaks not broken English. Having said that, I do not like to listen all day long to foreigners. I did not start out this way, hardly any in fact and now we are completely up to our necks in people who cannot speak correct English. I care less what people think about me, I can be politically incorrect if I like, try not to even have a PCP of my own, hear too much of that every day. Just the way I feel and my previous husband said if you think it, might as well say it.
Having just had a large pay cut, I no longer do
x
Have done this years longer than you and
when I first started in the 70s of course some then. I am still working but I get fed up, has nothing to do with whether you like or dislike doing this work, with ESLs dictating who cannot pronounce words, I really think more than VR that ESLs really compromise this profession. There are much more now than in the 80s, by the way and they are not getting any better, just worst. No one takes up for the MTers here, not being asked to spell a person they want a CC to, cannot ask to spell physician's name attending who is out of state, things are not good.
they pay you to listen to what they are saying and fix it.
I actually feel kind of sorry for the residents who have such a hard schedule, overworked, underpaid and not enough sleep.  I would hate to dictate and don't think I would be very good at it.  Well maybe if it was the only thing I did but not under the circumstances most of them work under.  Think about it.  What if on top of transcribing you had to do all the other things the doctors have to do while being sleep deprived.
Willing to listen.
If you have information, please share it. I just stumbled across this website a week or so ago. I have been totally in the dark about everything. So, please, feel free to fill me in. Don't have time to do a search since I am trying to get my line quota so I don't lose my benefits :-(
Listen to your gut sm

Listen to your instincts.  You have gotten a lot of advice from this board and everyone means well, however, no one but you knows you situation completely. 


As far as your boyfriend, I have been in that situation.  I was "in love" with the person he "could become" but not at all happy with the person he currenlty was.  I was fooling myself into thinking he would become a better person.  One thing to remember is that it is impossible to change another person.  If he is not what you want or need, you will have to make the decision that is right for you and your children.


Debt is a life drainer.  It comes to a point that you are miserable because of debt.  I've been there too.  Again, do what you think is right but try not to strap yourself financially.


Best of luck to you and your family.


listen again, he is probably saying sm
pole of the right kidney. Also, are you sure 2.1 isodense lesion is not hypodense lesion also? Don't know about your "kamachium" will have to think about that one!
who do I like to listen to?

Do I get to make a last wish before the firing squad? 

Sammy Davis, Jr. (greatest entertainer of all time) - Barry Manilow (I like his newer stuff) - Maureen McGovern - Bobby  Darin - Cher - some Janet Jackson - Mariah Carey - Backstreet Boys (some of their stuff) - Peabo Bryson - Luther Vandross - Anita Baker - almost anything Disco - CCR - Petula Clark - 3 Dog Night - Blood Sweat & Tears - a lot of George Michael, Jim Croce - Guess Who - Fifth Dimension - Four Seasons - David Clayton Thomas (from BS&T) - a little bit of Eric Clapton, Steve Lawrence & Edie Gorme (and the list goes on). I also have individual songs I like such as Elusive Butterfly, Green-Eyed Lady ... some stuff from the 60s (my age is showing). Not really into the 50s (but the movie Grease was fun). It all depends upon my mood from day to day.


Who I would never listen to:  Janet Joplin, Rod Stewart, Jimi Hendrix, Rolling Stones (the worst!!!), most of Elvis Presley, a whole ton of 60s, rock singers, and most of today's singers.

Despise rap and don't like country ... but I do enjoy the song "The Devil Came Down To Georgia." I'll pass on opera as well.

As the line goes from the movie:  I "had two 50s and moved right on into the 70s."

Okay folks ... load up the guns. 


NO. Don't listen to the OP below. Go to
You do NOT have to do that.

However, you really should build breaks into your workday so that you are only typing (not taking breaks) during your worktime.

Hours are the times you work during and they can make whatever coverage hour requirements they want.

Lines are what you are producing and paid by. So you want to be as productive as possible while you are working during your coverage times.


Listen to your QA
Do not fight over it..but yes, those are all things that you should know having worked for 15+ years, not to mention any client preferences. Home MTs are always held to high standards over in-house, it is a fact that you have to learn to live with but a fact nonetheless. Most of the feedback you listed, I would be ashamed if I I was not consistent with my spacing, did not know the proper way to type an age, etc. If that does not bother you, keep in mind that if SHE is the one to you your next review, you know she will have a copy of the email you were sent stating that you were made aware of the guidelines.
and I ALWAYS say NOT to listen...nm

listen please
i've moved around, changed jobs a lot in my 32 yr of MTing. There have been times after even 10-15 yr in the business, that i sat down to something and it sounded like the words had been blenderized; i thought i'd never get it. Times i cried and thought i didn't have it any more. You HAVE to stick with it; that IS the key. I do strongly recommend working in-house a good while before you try doing this work in your home. You'll be okay and do well in due time, if you don't give up.
Listen to the
whole tape. Not the partial tape the media played. It is online, just Google for it and make sure that it states unedited. I explains a lot. You are correct that only one source has the right to pass judgment on him. I would also like to say that I have found a friend's father has an extremely interesting take on the use of this word. He is a black man, a professor. In part, if we forget this word exists, if we cover our eyes or ears every time we see or hear it, then we are ignoring an important part of history and an important movement by an entire race, then it could all happen again. Besides, if you ask 20 people their definition of that word you may be surprised. It does not mean the same thing to everyone and it some have more than one definition for it.

On another note, since it has been used in myriads of books, should we remove those all from libraries and burn them?

Personally, I have used this as a learning tool for my grandchild, how words mean something, words can change your life. I have explained to him how sometimes there are people in this world who will do anything to make a buck regardless of whom it hurts. I have shown him how one bad impression could change affect him adversely. I have explained that just because you hear something (a word, a rumor, etc.) it is not okay to repeat it unless you are willing to pay the price and be accountable for that action.


Listen to this one......SM
About a billion years ago I worked for MQ in Fort Lauderdale, Fl. MT I worked with made approximately $80,000 a year. We worked on a difficult ESL account. There was one doctor who only dictated discharge summaries, about a page and a half long. This MT added canned text to make each report about five pages long. She found a pretty routine physical exam, ROS, FH, SH, etc, by the same dictator and pasted it into every discharge summary report, along with whatever routine text she felt she could get away with. The doctor never complained because he could barely speak English and had the best looking reports in the hospital system. MQ was told about this repeatedly by other MTs but they did nothing about it because they were making so much money from her padded reports. Unbelievable. She's probably still there, but now up to $100,000 a year!
need someone to listen
Well, you caught my attention. Did you know that many brilliant/intelligent people suffer from depression? My advice to you is to contact your local community health program and immediately get help with your depression. They usually have fees based on your income. Maybe you suffer from ADHD also, no friends, or not many. Please get some help. "A mind is a terrible thing to waste." You could have a very productive life, making money, making friends. I have been and am from a family with alcoholism/depression/drugs and you have all of the classic signs of crying out for help, just don't know where to get it or whom to trust. You are too young to be like this. I have a son your age and I know he has ups and downs, but you really need help and I want to encourage you and tell you what a good person you are and that there are plenty of people who will help you. Just remember that ending your life is not the answer. Please get help for that brilliant mind of yours today. You have accomplished so many things and should be very proud of yourself. You may seem lost now, but just reach out and get your help and learn how you can be productive and be happy. Everyone deserves to be happy.
Listen to everything.
/
QA might have to listen to all the above but
if you ever worked inhouse you would know that 2 sets of ears are better than just 1. I would listen only to ask for help and then the next person could hear it perfectly well. This could possibly be the same for QA, another pair of ears out there for our words that we cannot make out.
Someone like that is never going to listen

They know what they know and you are not going to be able to tell them differently.  It's unfortunate, because it sounds like she has a lot of hopes set on the scenario that has been laid out to her. It's too bad we can't go back and expose that school or her source somehow.


I'd just say, okay, whatever you think.  Let me know how it goes.  You'll never hear from her again, or if you do, you know darn well it won't be truthful.


Why do some MTs try and cause problems when they are no longer with a company?
I just don't get it. 
it would take WAY longer than 6 weeks for mine! nm
nm
Me, too, but getting pregnant is no longer an option.
I wish I'd never started up again after 8 years without smoking.
When you can no longer handle what life gives you

you get on your knees and pray. Just surrender every care to God and ask Him to help because you can't do any more.  Just saw something on Oprah when she had Faith Hill as a guest and she said she was depressed and fat and wanted a role in a movie and she just fell on the ground and remembered the words to a hymm, I surrender all.  Faith Hill sang it and it brought tears to my eyes.  (Oprah got the role she wanted in Deep Purple.)  Anyway, I was in the same position and literally didn't want to go on and suddenly after my prayer things started happening for the good which I really believed was an answer to my desperate prayer.


PS:  Hope this post doesn't get dinged or offend anyone.


 


Maybe this will help.