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Blankety-blank platform. Makes me growl and spit. NM

Posted By: Ollie Woo on 2005-09-15
In Reply to: Thanks for your reply. This has bothered me, along with a lot of other stuff about this blankety bl - Ollie Woo

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Which VR platform used makes a difference

Hi Jay,  I took the survey just now, but one caveat I have that I was hoping to be able to comment on in the survey but it was not asked (and I believe is a key component to the way people will respond favorably or not to VR) is what VR platform they are using.  They are definitely not all created equal.  I work on eScription, which is MS Word-based, and have made more money doing eScription VR than straight typing (previously also in an MS Word-based platform).  I have seen another person's experience in a non-MS Word-based platform, and they have not had the same experience as I have had with tremendous gains in productivity.  It is a platform that basically resides in a Web browser window and prohibits use of all the built-in MS Word productivity tools (autocorrect, autotext, spell check).  Some people seem to think that the need/use of these tools vanishes in VR, but it does not.  So, robbed of such tools in a non-MS Word-based system such as some VR platforms, there will probably be disappointing gains in productivity compared to MS Word-based VR platforms.  I can attest to this personally.  This goes for platforms that will not work with Expanders such as InstantText (which I use) or any of the other Expander programs.  So, what I am saying in summary is that not all VR platforms/programs are created equal, and I think it is very important to distinguish which platform people use that are responding to your survey, because I feel that greatly influences their experience with VR and, hence, response to your questions on the survey.  Good luck with your speaking....


Maybe a silly question, but what makes a platform bad? sm

My company has just changed to a new software, and I don't think I'm ever going to be able to make any money.  The reason is because there are a lot of steps involved just to get to the typing part.  If you get a string of short reports, you'd be extremely lucky to get the minimum required for the day.  Are there other things that make a platform bad?  I'm trying to decide whether to stick it out or not.  Don't want to jump out of the frying pan, so to speak.  Thanks


Thanks for your reply. This has bothered me, along with a lot of other stuff about this blankety bl
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Really? That's just a spit above PP...sm
See?  Tis a small world after all.....Plantation is only 20 miles from my home!!  Small world....*S* 
I always yell SPIT IT OUT ALREADY!!!

Yes, it is! I'm in Flagstaff, AZ more than a spit from where you are though.
/
I almost spit out my coffee on your
last sentence! However, I am not certified. Back in '70 if you could pass an English spelling test, you got the job and hard knocks was the teacher. When this whole AAMT started, the hospital really did not want us taking off for this stuff, made it clear there would be no increased monetary benefit, so we just never did. We never had a CMT in there until about 7 or 8 years ago, boy was she an eye-opener, we were totally out of the loop in a lot of different areas. We had never heard of abbreviation expanders. Catchup is a devil. And a lot of comments from all different areas of the country are almost identical - "all you do is sit there and type" is probably #1. A retired botanist once told me, "you're a transcriptionist? where have you been all my life?" These are so few and far inbetween that I remember all three of them!
I AM SO MAD I COULD SPIT! I can't believe what the posters below are telling you!
My husband installs hardwood floors for a living. Because of the house boom there are times when he works for 2 or 3 weeks straight. On his day off, he sleeps most of the day - which is probably what your hubby is doing. Like another poster stated, he probably does not realize what it's like on your end. He's looking at a day off with peace and quiet. Sure he misses you and the kids, but for some reason men always seem to see things differently. Just don't mention coming to see him and I bet he calls you and asks you to come on his next day off. Just give him time and DON'T LISTEN TO THE MANHATERS BELOW!
Eeeeewwwww! Can you hear him spit? (nm)
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I just double the last letter, i.e. chff to spit out the long
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MTSO with platform versus no platform (big message)

If a MTSO advertises that the MT works in MS Word and sends dictation by FTP, does this usually mean there will be no demographic/doctor database and the demographics will not be autopopulated?


 


I got into a mess with a small company (got out real quickly too).  I was required to print out daily email copies of the doctors' office patient schedules (which were barely legible) and type in all information.  I spent more time hunting for the correct patient through pages and pages of these schedules.  Then I had about 25 pages worth of doctor's names that I would have to go through to find the attending, referring, etc.  A total waste of time as I didn’t get paid for that. 


 


I wish MTSO would give more information as to what platform they use (if any).  Proprietary software is such a generic, totally useless description.  Would they buy a new car that listed, "Car has gasoline operated motor?" 


 


And for Pete's sakes, why so secretive about the pay?  Give a ballpark figure.  Just say, pay is between 7-12 cpl depending on skill, testing, etc. Tell me if you pay for spaces, headers, etc.  It would save them time because I wouldn’t even apply for a 7 cpl job. 


 


Before I spend an hour or two testing, I need more information from a company to be sure it is compatible for my needs.  If the MTSO would spend a little time on their website detailing their platform, how they send/receive files, pay rates,  how line rate is determined (spaces/no spaces) employee/IC/SE status, minimal line count, whether work pools consist of 100s of doctors, or smaller pools with 25-50 doctors etc.   Having all this information on their website would save them time and the MTs time.   Phoenix Medcom has a really good layout describing pretty much everything an MT would want to know before testing with them.  I am just tired of testing with a company and then finding out the job wasn’t exactly suited to my needs. 


Platform versus non-platform (templates)?

I've been working for MTSOs for years now, using their templates which sometimes cause productivity problems (macro issues, etc). I'm wondering if productivity is increased when working on a structured platform, such as one that a national company provides for its transcriptionists?  I've never used a platform, but it would seem that all one needs to do is straight type onto the screen and the platform program takes care of margins, page breaks, etc?


Any thoughts (as well as companies who are hiring who use platforms) would be appreciated.  Thanks


to blank or not blank
I've taken tests like that before, and, yes, they seem impossible but point is to stick it out and put all the blanks that are needed because that is the point, to see if you will blank it or guess something st*pid.  They know what the dictation is like.  I recently took a test where one voice file was horrendous.  I had a ton of blanks but I got the job.  The other 3 files I still had blanks too.  Then again, on the flip side, I've tested for places that had tests like that too and were indicative of their regular dictation, so you had to just test it out and see for yourself because you might be pleasantly surprised that it's not so bad.
Personally, I would blank it. You should
the spelling and for other reasons, i.e. privacy, I think it would be a good idea. Some tests I've taken have asked me to put in three underscores __ __ __ when items bleeped for confidentiality. Even if not asked to, I think that's the way to go IMHO ...
Since you had a bad ESL did you blank or put what it sounded like?
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Blank emails-me, too

 I have always used Spybot and Adware SE, but read they sometimes miss things, so I just bought NoAdWare. Was I surprized at the stuff it found compared to the other ones (including Norton AntiVirus, and my server software)!  I had 4 "dangerous" and 92 "severe" the very first day...that have been on my system for quite a while.


Since then, I have also been receiving blank emails. I'm now up to 5 every time I receive my mail. I've been getting a lot of junk mail all of a sudden and have no idea why. My favorites are winning the lotteries. If I believed them, I would have a bankroll of well over $100,000,000,000. The other ones where I am named in someone's will. Love it. Dream on.


Don't know what to say or what else to do about it without changing my email addess again, and I sure don't feel like doing that. I just did change it 3 months ago.


In my experience, if you don't know for sure, blank it. sm

It doesn't happen to often with my line of work as I only do clinic notes.  I do know which drugs are used for what and  the differences between similar sounding drugs. I have reference materials to help if I don't quite understand the pronounciation, as long as I have been given a particular diagnosis for which the drug is used.


If I am completely unsure (i.e. med list for PMH with no given symptoms or diagnosis) I ask or leave a QA note.  That is much safer than putting the wrong med in the patient's record and that is the extent of what MT's should be expected to do.


As far as the doctor dictating the wrong side of the body for any reason whatsoever, there is no way an MT could possibly determine in a case of it being left rather than right.  In the event of a dictator switching between left and right, that is a red flag to leave a note that simply says, "dicatator is indicating left and then right but does not clarify by end of note."


When my son had his mastoidectomy a year ago, the surgeon came in and drew a big blue circle around his left ear and looked at me and said, "This is the ear that I am operating on. This is his left ear.  Are you in agreement with me that I have the correct ear that needs surgery?"  Well, I kind of chuckled a little bit as my son looked rather strange at the moment and the doc said,  very nicely:  "In all seriousness, we are human and we do make mistakes, but I don't wish to make a mistake with your little boy."


 


 


No Blank Accounts sm

I heard about this but it sounds kinda strange.  Anyone ever run into this kind of account?  How do you not leave blanks if you don't know what they are saying?


What about when you leave a blank
and then QA goes in and "guesses" and fills in the blank? I have relistened after QA, and it absolutely sometimes is not what was said, it's just what the dictator "usually says" so QA puts that in. That makes me look dumb for putting so many blanks, and QA look good for knowing the answers.
blank lines also
When I started my surgical/oncology account 6 years ago, the gal that had been doing it charged for blanks, from first line to the last line on letters, consults, etc. All blanks were counted so I just continued, the OM, docs are well aware of it.  Also, that is why my cpl is lower than others also, it usually averages out in the wash. 
Screen blank for me too.
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Take out all blank lines
Go through and take out all blank lines and count or put on your line count on your file and see how many blanks there are and subtract.  Remember if you have a header though on pg 2 and 3, it does not count those lines.  Also I think that Sylcount will count lines only and no blanks.  Also when doing your line count in MS word, it gives you the paragraphs and so if it is 20, subtract 20 lines,  date to address is 4,  address to RE is 2,  RE to salutation is 2, etc.  Usually there are ten blanks from date to Dear.    Good luck.
Leave a blank
Definitely an error on the MD's part
Always flag/blank something so odd it is likely
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Mine will go to QA if I have a blank.....sm
I do sometimes put that in though.
oh, the dreaded blank

I always do much better filling in the blanks if I don't stress too much over it, finish the report, and go back and listen again after the report is finished.  So often the blank can be figured out with the context of the rest of the report available. 


oh, the dreaded blank

I always do much better filling in the blanks if I don't stress too much over it, finish the report, and go back and listen again after the report is finished.  So often the blank can be figured out with the context of the rest of the report available. 


oh, the dreaded blank

I always do much better filling in the blanks if I don't stress too much over it, finish the report, and go back and listen again after the report is finished.  So often the blank can be figured out with the context of the rest of the report available. 


right click anywhere on your desktop that is blank, sm
and go into properties; click on the last tab that says settings and on the bottom left-hand corner is screen resolution. slide that bar left and right until you see what you are used to. FYI mine is on 800x600 pixels.
Either blank it or sound it out--no big deal either way.
Good luck!
Fill in the blank: You know you're getting old when....sm

1.  For me, when a person I used to babysit from infancy until school age has completed his internal medicine residency and is in a private medical practice.


2.  When I get up in the morning my knees and back crack so much that you can hear them at times in the next room (daughter asks "what's that cracking noise" will confirm this!)


 


You charge for blank lines? WOW! That's a first!

charge for blank lines
not my idea, but I'll take it!
When you test they usually blank out the names - sm
since it is confidential information. If they do not give names, leave blank. If they are saying actual names I would look them up. Tons of resources on the internet to look up Dr. names, even nurses. At my job I look up doctors names and addresses regularly, I macro the info. into a folder though so I don't have to look it up more than once, and update accordingly. I also look up hospital names, etc. when necessary, though I work for a local company that works for one of the local hospitals so I am familar with most of the places mentioned, but if I am not, I look it up. A big part of MT is knowing how to research. Good luck in your testing.
If you can't get it, leave a blank. You always have that option. sm

If the MT cannot understand the dictator, they always have the option of sending it upward for clarification.  They are doctors, not English language specialists.  I know you would like them to be, but that is not the way it is.  We listen, we transcribe, and if we don't get it, we send it upward for clarification. 


It isn't easy, no one said it was.  But I hate to see people complaining about foreign doctors all the time.  They give excellent care, and a lot of us can understand them.  It is a knack.  If you don't have it, then send it to your QA.


You could just go through and delete all the blank lines.
Since it is just a test, why not try doing that?
I cant see any replies either. Blank screen ? nm
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Don't overuse but have to blank and counted off for it?
Right now am really bumfuzzled as I do not know in my MTing career if this has happened before. I was just told from a company where I have worked for some time that blanks are counted off. I do not just leave to be leaving, absolutely cannot make out and really taken aback to be truthful. Do most places do this to their MTs? Is this just another way to make their pockets fuller?
Couldn't be anything NEAR how a 20-blank report
What a bunch of hot air you people blow. And QAs DO blow.
They whine when I send them a blank, and tell me
Among other things.
You left out blank dictations
The ones with no dictations - I have a feeling doctors probably pay the MTSO by dictated minutes - but how about MTSO paying the Transcriptionist who has to waste their time listening to them, signing them off and sending them to QA multiple times a day?
Example: If I leave a blank or want to hear something again
is there a faster way to get back to the point I want without using the arrow buttons and waiting for it to go back and forth? There must be, I appreciate your help.
One blank is not reasonable, what if it is a horrible ESL - sm
that you can only understand 1 word in 10? I have had those. Years ago worked for a company that only allowed about 1 blank every 10 reports or so, which was crazy especially since it was acute care and nothing but ESLs. If you went over your daily allotment you would be reamed via email. I understand trying to keep the blanks down but some are just unavoidable.
do you blank it, change it, question it?
nm
I mean without blank lines in between patient notes

Thanks! Been a long night and drew a blank, LOL.nm
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It would be just as arbitrary to penalize QA for not being able to fill in the blank. (sm)
The assumption is that all blanks are understandable.  They are not. 
The national I work for has a no blank policy. sm
Plus you have to have 90% no blanks to QA to get bonuses and to maintain full-time status. This is very hard sometimes with some of the dictators that dictate from across the room, while the ward is going ape, and this all right next to the telemetry monitor and the ringing phone or at home with the yapping dogs in the background.

But I have found our QA to be forgiving and understanding, so I am getting more comfortable. I think they have a high standard so we will step higher, but they understand the reality, which I think is good.

DH says he definitely would not go through what I go through to be sure there are no blanks, but I am hoping that in time it will get easier, and I will get more productive, and I think it is.

Our Meditech counts BLANK lines...
we get a sweet line count off our account that uses Meditech.
Some of my accounts are charged for blank lines..nm
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Classy my ____--you fill in the blank....
--I saw the clip of Walters announcing Jones' failure to return. That was very practiced and classy, I'll hand her that; but then she's had lots of experience and people to help her craft such an announcement.

--I also saw the King show when Jones talked about what had been going on and why she did what she did. I thought that hat was very classy as well. Her being a lawyer certainly helped her craft her statement.

--Overall, I totally believe Jones' accounting of what happened, when, where, why and who knew what and who knew it when. She was quite clear, her timeline precise.

Her reasons for handling her announcement at the time and in the way that she did also made perfect sense if you listened to her closely and carefully.

I was in her situation once--unfairly "let go" and for totally bogus reasons from a large local San Francisco, CA, foundation.

I was told that I could tell anyone at the foundation anything I liked about my departure.

I was in shock at what had just happened, left my supervisor's office, wandered into the kitchen for something to eat/drink.

A co-worker (high level staff) was there and I spoke to him that I had just been let go. We talked briefly, he offered his sympathy.

After he left the room, my supervisor swooped in, telling me that it was not a good idea to talk about it the way I did...blah, blah, blah....she could only have been in the hallway, listening at the door.

Yeah, Walters, et. al. did do what Jones said they did. And the way Walters handled everything did indeed look "classy"--with time, experience, and help, how could Walters go wrong?

Jones told the truth from start to finish on King's show and the View Crew and network couldn't/wouldn't handle it and did not want to face the fall out; and, they didn't want to lose face.

The further complicating problem was that as a public personality, Jones had additional public outlets to tell the truth.

IF Walters had: Simply kept her mouth shut, just weathered Jones' early initial announcement on air that day, deferred all questions of why Jones' contract had not been renewed to Jones' (citing privacy and confidentiality), responding to all askers with a 'no comment', and referring all explanations to Jones'she wouldn't be in the uncomfortable position she is in now. Walters would not have been so exposed, AND she would not have needed to get to Larry King in advance to cover her ____, to explain anything, and trying to look good, thereby maintaining her "classy" reputation.

Yeah, it was a business decision all right, handled badly and then it came back to bite Walters, et. al. in the butt.

Whether you like Jones or not, she chose to tell the truth and, as such, she had nothing to hide. Brava.