Because surgeons tend to be
Posted By: Me on 2008-12-14
In Reply to: Why do so many people LOVE operative notes? I see posts about it all the time... - jj
fast, succinct dictators. Because there are very few drugs to dictate, and the surgeon is familiar with all of them (as opposed to trying to dictate lists of meds as the patient wrote them in a history). Because surgeons tend to do the same sorts of procedures over and over, and the smart, efficient ones learn to dictate the same reports over and over so they won't leave anything out. That means an MT who gets him frequently can make normals to use over and over and save time. If an MT is fortunate and the software is very, very good, she can put jump codes in so she can jump from one particular spot to the next to fill in details that change. An example would be doing cataract surgery, where the main thing that changes is the IOL specific information. Because surgeons usually hate to dictate, so the reports are often as short and efficient as possible. Because it's not psych (or whatever the MT hates most, lol).
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I sometimes do that with one of my surgeons
She has a very monotone way of speaking and never pauses between sentences. Rarely dictates a period or any other punctuation. Most of the time I can figure out what she is saying, but she also has a sort of stream-of-conscious way of dictating that strings things all along together. If I can't figure out clearly what it is that she's saying I leave it all as she dictates it. Like you, haven't had any fall out from that tactic, either.
After hearing some surgeons
mangle their reports, I vow to never let hm near me with a sharp object in his hand. And when they say "informed consent" I wonder who did the informing and whether the patient could understand it any better than I do.
most surgeons dictate very well sm
That is one of the best things about ops. When I say "dictate well" I mean that they normally know exactly what they are going to say and use the same phrases over and over, which means a better line count for you. Plus, you are much more likely to get normals doing ops than you are consults and H&Ps (especially in acute care). Instead of doing one of these docs who repeat everything, or change everything, or a resident who is all over the report back and forth. That is what slows you down. I absolutely love op notes; they keep you up-to-date on equipment, etc., and the line count is great, but most of them get farmed out to Spheris (gee, I wonder why?) However, if you never type OP notes, they can be difficult at first.
I type for three hand surgeons
I type for three hand surgeons and I have yet to see a WC claim go through without a big, big fight to pay for carpal tunnel surgery. Yet if you use any pneumonic tools, or drive and clinch a steering wheel -- truck driver, they will pay. But they seriously say that it is not the typing that causes it and will find some underlying cause to be the primary cause of it. All three docs agree. I got CT when I was working in the hospital answering phones a lot and clinching the phone and had the surgery -- 20 years ago. Now with typing sometimes 10 hours a day, never have a problem but guess I am lucky. Anyway you can try but it is a long, slow battle for you to climb and you will definitely need an attorney. Watch out if you are more than 15 to 20% overweight also, they will blame it on that.
Patti
I do tapes too for 5 surgeons Mon-Thurs.
tapes I really do Monday thru Wednesday, Thursday my day off but if there are tapes here, I do them and pass on the day off.....
Yep, there will always be the smaller office or the MDs who like the personal touch of us doing personal deliveries, having just ONE MT do their work.....and these guys are all in their 30-40s.....they will not change because I have had them for YEARS..... and they are all within 8 miles of my home....I'm lucky 
I have never had a hernia repair either, but I have done transcription for general surgeons for 14 y
They usually tell people to plan on 4-6 weeks depending on the lifting requirements of their job. Have you asked your surgeon yet? They should be able to give you a good estimate.
Brain surgeons and the U.S. President take vacations; so can you. The world won't stop if you do!
Makes sense, I understand that surgeons will dictate the same report over and over, but....
none of my surgeons do them the same way each time. I have let's say an appendectomy from Dr. Smith, I pull up the appy report that I have saved from him....he will change all the words like and, the, or change the subject and verb, and it seems I change most of it anyway. I have tried to enjoy them, but you are right, hardly any drugs, I will keep that in mind. BTW, I love lengthy, detailed psych reports, they are my fave! Thanks for you reply!
French, especially the surgeons. Easiest: Middle Eastern, Korean, Chinese, Indian. nm
x
I tend to do that
with the fast talkers. I notice that I type faster. Too funny about turning blue though....gotta remember to breathe. :-)
I tend to agree.
I am concerned because someone I know transcribes for the doctor I use. But then again, I know the entire office staff, and I have heard the receptionist talking about patients when she was having lunch in a restaurant. Although I hate outsourcing, and I do worry about terrorists sabataging the systems and causing information to be lost, I don't really worry as much about confidentiality as much as I do with local MTs.
DH will be right over. I tend to toss them out, myself.
zz
I tend to agree with you sm
I used to like her a lot too, but not anymore. Funny, she got rich in this country, courtesy of us.
I tend to agree with you
I agree. When Angelina Jolie first started bringing to the forefront the terrible African situation, I think that changed the entire focus of this country. Unfortunately, with that also came complacency. At least, I give her kudos for bringing up subjects we, as human beings, didn't want to face. But that was then and this is now.
So...I guess, as just a lowly humble human being, I will throw my hat in the ring and see where it falls. For me alone, I will feel better just knowing I tried.
Have a great rest of your day!
I tend to agree with you. sm
Many times, I was called in the wee hours of the morning to type a stat. This was years ago, and it could have been any time. I never questioned my employer's right to ask me to type a stat even when it was not my shift or even when I was not working that day or that weekend. If there was no one else available and the client was calling with a stat pre-op, then somebody had to type it.
Posture. How many of you tend to sit on one leg while working?
I cannot break this habit. I do not think about it until my knee starts aching midday. Do you practice good posture?
Unfortunately we as women tend to be raised to think that
our lives aren't complete unless we "have a man". Men, on the other hand, are raised to value their careers, educations and be as financially successful and independent as they can be. Therein lies the problem. We're supposed to dream of a big wedding, they're supposed to dream of being president of a huge corporation.
Moms, raise your daughters to be independent, educated and successful and if someone fits into their lives after they are, that's great; and if not, so what?
Yes, I tend to only respond to ads that list how
It seems like posts tend to disappear...
every once in a while. lol
No, I tend to hold grudges though I have become - nm
more tolerant in my old age (40, ha, ha). I told my husband only 2 things would ever make me divorce him, (1) he cheated, (2) he ever hit me/abuse. So far so good, though some verbal abuse has happened though much of it is due to circumstances at present but if it continues or grows worse I will seriously consider leaving and I suspect a nasty divorce would ensue (2 kids involved) and I'd be entitled to over $100K....money is what he loves most so it would get dirty I am sure. But hopefully it will never come to that.
My "on" days tend to be when I don't (sm)
have bills waiting to be paid, dishes needing washed, errands to be done or in-laws asking me to do things for them. Not that I stop and interrupt my shift to get up to do those things, but I think the underlying stress distracts me, no matter how hard I try to fight it.
I saw some postings on another board about listening to classical music helping them concentrate. I tried it and it doesn't work for me (I keep stopping to listen!) but that might be worth a shot.
I tend to agree with this. I was thinking this earlier--sm
when I read the OP, but everyone seemed to conclude that it was none of her business what the other employee did. However, in my opinion, if the MTSO found out about it from another source, and believe me, she would eventually, it could come back on the other MT as having known about it and said nothing. Everything in this world, these days, is a cover your butt situation. If you knew about it and said nothing, then you are just as much to blame as the one who was doing it....against the contract with the MTSO. Protect your own interests first, and do not worry about the one who is doing wrong. silence is condoning her wrong doing and that makes you (the other MT who knows about it) just as guilty. JMO. So, I guess I am on the side of the MTSO. Sorry.
I now work for an MTSO, but when I was inhouse we did tend
to send the difficult dictators out (our supervisor did this). That is just part of working for an outside service. We do not get to pick and choose we get what they choose to send.
I tend to proof my reports as I type,
during pauses in dictation I read the paragraphs above and also while spellchecking. Unless it is a difficult report, I do not relisten.
Some who do ops tend to speak faster than lightening sm
I also see it as an excuse for a CYA for them. You have to watch them dictate to appreciate this, there's no need to talk that fast. You almost have to use their boiler plate op as they are unintelligible. They can always say, "That's not what I said." I don't trust those guys. Some ops are great, interesting, some are totally boring and monotonous, all have good and bad points. Psych reports are interesting but if you do them long enough you start to go "batty" - or perhaps it's just me. I like a mix.
I tend to agree with the above poster. I know, for a fact, that some hospitals sm
have inadequate QA people. Heck, where I worked, it was nothing for a newbie transcriptionist of
maybe 4 months to QA another newbie of 1 day, hired right off the street with no training or eductation in transcription. Sad, but true. I had 1 QA person, there for over 40 years, and 2 QA people there for 6 months. How fair is that? I referenced the BOS many times. They didn't even know what it was.
I AM A PSYCHIATRIST. You are too much in others business and this reflects the inability to tend
to your own problems. I suggest you schedule an appointment to see why you butt your nose into other peoples issues and leave yours to fester and grow. Get off the computer and phone your health care provider. I am too Busy MD'ing to solve your problem over the internet. I am just here to see how I can make my dictation more pleasing to MTs and I can't take care of your psych problems here. Once again, too Busy MD'ing.
40-year-olds tend to make much better students
than 20-year-olds!
In four years you will be 42 years old either way. Do you want to be 42 with or without your Batchelor's degree? :oD
Tell 'em typing fool, because I tend to agree with you. nm
5 minutes tops; if not tend to waste too much time - sm
google what you think it may be, or key terms in the phrase and usually you can figure it out that way pretty quickly.
People tend to "embellish" the answer to this question, especially on this board.
Some people seem to feel a need to impress strangers on an anonymous message board. Sad, but true.
We had two different sizes. The problem is they tend to flatten out instead of standing upright. sm
So if you buy one that says it is 42" deep you really only get about 36-38" deep out of it. You are better off to buy a different kind of pool. We bought one that is a kit, but has a frame to it and is much, much better than the ones with the blow up ring. It is made by Intex and it is blue also, but made of a tough liner type material. It has a metal frame that you build (only took 45 min. to put it up)and it actuall stands up like a real above ground pool. Very nice and not much money..about 350.00 at Walmart for the whole kit, pool, filter, et cetera.
I wouldn't, those illiterate management types tend to stick together.
The next one might be dumber than the first one.
Disagree...ESLs tend to dictate graveyard shifts....nm
As far as company VR for critical care it is not very good and I agree with the other poster. I tend
to leave little words in or if I have to take a lot of words out an extra word gets stuck in. It is a mess. If you are speaking of your own person VR at home to help I know nothing about that. With companies at this stage of the game you will not increase your productivity as you think.
I live in Buffalo & little kids tend to call me Miss Debbie. nm
Keep contact at a minimum. Self doubt hits and it is when we tend to fall back into the web
Good luck to you. Expect highs and lows. Best to get professional counseling so they remind you of who you are and where you want to be when he tries to convince you that you are crazy.
I find you do tend to skip maybe a word sometimes when you dont reread. I guess
your brain doesnt keep up or something. I dont know what causes that.
Unforttunately marriage problems tend to follow you into the next marriage...sm
seems like marriage is more about being the right person than marrying the right person.
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