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Serving Over 20,000 US Medical Transcriptionists

Geez, orthopedic surgery is boring and tedious.

Posted By: Just thought I'd vent. I'm back now. nm on 2006-07-12
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nm


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Read a boring book or watch something boring on TV.
Sometimes I go to bed so tired, but by the time I get in bed I'm not sleepy.  I do one of the above and 15 minutes later I'm asleep.   My DH works third shift so he isn't there for me to bother him, may not be an option for you. 
I was transcribing a surgery once, the surgery was over and the doctor was dictating
from anesthesia yet.  Anyway, the surgeon dictating stopped dictating and said "Hey Mary - is this one big enough for you?"  It was obvious he was talking about the patient's PENIS!  I thought HOW EMBARRASSING!  I hope they didn't make fun of my anatomy when I got my tubes tied!
New job first, save sick time, then surgery or surgery first?

I’d like to go back to medical secretary work.  I’ve had cortisone shots in my ECU tendon 3 or 4 times and was warned not to have too many or my tendon could rupture.  It’s been very weak for a year or so and my left wrist is smaller than my right wrist.  I can’t type at all with my left pinky so I think it’s ruptured.  I have Word auto correct and Instant Text set up so I very seldom type As, Qs, or Zs.  I haven’t had surgery because I have my own account, no subs, a DD in college to support, and no disability insurance and didn’t want to take time off work for surgery.  I do have medical insurance though my DH. 


 


I’m debating whether to get a job, save up sick time, and have the surgery while getting sick time pay or have the surgery first without any sick time pay.


 


I’ve done medical secretary work before.  I figured if I use Word there I can save their Auto Correct and transfer mine.  If they use EMR, I can make my own shorts to stay away from Q, S and Z.  I could only accept a job where I don’t type for more than an hour straight, which is what I do now.  Then I started worrying about what if I have to use someone else’s computer?  What if I unexpectedly have to type more than an hour?


 


I think I have cold feet about getting a job outside the home after over 7 years at home AND I’ve had cold feet about having surgery!  Can someone help me think this through logically?  I can’t think straight when my feet are cold.


QA can be very tedious for these reasons:
1. You get all the garbage someone else either could not or did not take the time to hear and understand.
2. You often have to fix all kinds of little errors that the MT had no idea they even missed.
3. If you also have to provide feedback, then you will type your fingers to the bone.

I decided after 5 years to go back to being just an MT! :-)
Very tedious. I would charge $30 per sm
dictated hour.  Most only want to pay $20, but it truly is not worth it for that.  The going speed is 1 hour of recorded time to 3 hours of transcription time, and sometimes 1:4. 
I do this myself, it's tedious and slow... sm
...especially with ESL dictators. It went ok until my workload was changed from the same dictators over and over to now transcribing over 250 doctors. I routinely put in 10+ hour days for about 1500 lines.

This is not a method worth considering... only reason I do it is because I cannot afford to quit my job. Frankly, it sucks.
Surgery/Plastic Surgery Transcription
Hello. I am considering taking a position in the field of plastic surgery. Can anyone recommend a way to pick up on the terminology FAST?
Very nice people.. but log sheet is very tedious! nm
.
It stinks. You can type it faster, it's tedious, it's tiring, and it's
s
My dad owns a dental lab - GOOD money, steady work, very tedious though
nm
Orthopedic pointers
I will be starting a new job transcribing orthopedic clinic work. Although I have transcribed orthopedics throughout the years, but I'm a little worried about "new" or "up-to-date" ortho terminology. Could anyone direct me to some good ortho websites to use as references? I'm also thinking about going ahead and loading orthopedic terminology into my Shorthand program. I think I can get this from the productivity boards. Any other pointers to get jump start would be appreciated. Thanks!
re:Orthopedic pointers
I'm from the old school, so my recommendation is to acquire the latest Steadman's Orthopedic and Rehabilitation word book for a reference.
orthopedic exam
is it supine and prone gradients
Does anyone have a sample orthopedic narrative ..sm
letter that I could use as a guide?  It is for a MVA with questions and answers pertaining to the accident.  Thanks so much.
Stedman's Orthopedic Words
Do you have Stedman's Orthopedic & Rehab Words? There 2 sample op notes for ORIF on pgs A126 and A127.
I don't capitalize orthopedic tests themselves, but if there's

I have HPI Orthopedic/Neurology book (sm)
With that and google, I was able to pick up ortho in no time. It may sound daunting, but a lot of what they say is repetitive and 6 months to a year from now, you'll be wondering why you worried :)

Good luck!

I transcribe for orthopedic surgeon who utilizes EMR
He dictates notes such as if the patient is having out of hte ordinary symptoms to cover himself should the situation lead to a court room setting. But, yes, between EMR and voice recognition, I believe MTs will over time be less than necessary.

The cost is a major factor. Especially with the population aging like we are. Baby boomers will all be on SS at same time and if health care doesn't figure something out, there are predictions being made that are nightmarish, like the collapse of the health care system. This was said by a person (Dr. Andrew Weil) being interviewed by Larry King.


Do you capitalize orthopedic test names?

Is it correct to capitalize every orthopedic test, such as, Anterior Drawers Test, Alar Ligament Test, etc. 


Thank you


 


Stedman's Orthopedic & Rehab Words, both on CD and book
With the CD, all you do is highlight the word and click on the icon.
Wheeless Orthopedic Textbook - Link Inside

Wheeless Textbook of Orthopedics - online - link below.  I find this to be a priceless site. Good luck


http://www.wheelessonline.com/


I am looking for some good basic orthopedic sites -- Any ideas?
nm
BORING!!!
Sand or tan walls, okay, if you want drab and boring go with sand and tan walls
Might be boring but
I'll take boring over nasty any day.  I guess to each his/her own.
They are boring -
:(
It's no more boring than anything else.

MT will always be boring....
because it is a dead end job with no future.  Try studying something that will provide a better living.
BORING...
v
Not boring!
I have to say that it's not boring! I learn something new every day, even after doing this for 20 years. I think if you look at other professions other folks are griping too. It's all a matter of attitude! Make it work for you! It does pay the bills!
Not a big fan, went there twice & boring.

board might be boring that way though

But the work is boring . . . (sm)
Easy but boring clinic notes. Seems most of the accounts are clinics instead of "real" acute care transcription. Pay is low, too. Seems like really nice people, though -- they did everything they said they would when they said they would. That's rare!
by boring I mean very repetitive...
but easy to normalize.  They use these tables for different degrees of muscle movement and stuff.  Maybe you could get a sample from one of the other MT websites.
I agree that PT is boring. sm
When I worked in-house, we had to rotate days of doing PT notes, one day a week. Those days of doing PT notes seemed to never end. You may end up enjoying it, but I get bored easily and PT is very repetitive.
When they have bad/boring shows
it seems like there are new bottom 3 people chosen.  I thought Mandisa had a good voice, but country was not her best (as the case for many of them).  Also, poor song choice.  Next week they sing Queen songs.  I've been recording the shows because they're just not as good as they have been.  I think Paula needs to cut down on her medication.  She's beginning to slurrrrrr her words again.
Boring account
I've just been taken off my favorite work type and put on an extremely boring account.  Lots of work but it is so dull.  How can I keep my productivity up when I am yawning through these reports?  I am quickly losing my incentive to stay at the keyboardj!  Help!  Any ideas?  TIA
Boring reports
I did a 45-minute dictation the other day, which mostly consisted of the doctor saying, "Uh, um."  LOL He was doing a review of records halfway through, reading them to himself as he went. I had to sit there listening to the silence! It really stinks too, because those pauses translate to less typing, which means a lower check for my aggravation.
Boring Account
When I get a boring account, I try to make as many abbreviations as I can and that helps the account go faster and keeps your mind on what new abbreviations you can make up (for your short cuts)
yawn - your tit-for-tat is more boring than your
<<<<>>>>>> got coffee?
But don't you think editing is boring? I would -- (nm)
.
I find myself doing it if a particularly boring

long report or when I'm tired.  I frequently nod off because I'm so tired and then end up having to relisten to the port at least once more, sometimes up to 4 times because I keep nodding off.  My QA score is very high so I'm catching the errors, but my line count sucks.  If I'm not tired I'm okay.  I've worked 7 days/week the last 5 months and it is just hard to sit day after day and type/transcribe.


If your mind wonders go back and relisten to the entire dictation.  If you find lots of errors, even minor ones, maybe that will help you focus more.  If you need a nap, get a power nap.  If you need to do some physical activity get up and do it.  I work split shift as there is no way I could sit for 8 hours straight.  I get up every 1-1/2 to 2 hours and do something to break the monotony. 


I think clinic notes are boring, you have the same

number of doctors usually and for the most part there isn't a lot of medical terminology and they have lots of normals, which is good because they you can have lots of macros/expanders to help, but I like learning from my dictation.  With clinic notes I did know when viruses/illnesses were going around and what the standard treatment was, so I could try some of the same treatments if we got sick without a doctor visit, just after a while they were just boring.  I much prefer acute care. I have lots of dictators so I don't get sick of hearing one doctor all day, although occasionally I do get a slew of the same dictator, the terminology is constantly changing, new drugs, new equipment, new procedures, etc.


 


Rehab is good. Might get a little boring to some
Rehab i
Easy but boring. Only thing I will ask sm
not to do. Also, there is the ---- factor with the doctor wannabes.
I wouldn't care if the job were boring, if

doctors would learn to dictate and give a flying flip in the wind how hard they are to transcribe day after day. If they had to transcribe their own dictations (or another physician's dictation) they might do better. So, it's not so much the boring part, it's the goof ball dictators who make my job miserable.


I feel the same and I find them truly boring.
And nowadays you are lucky to get the same MDs twice at most large nationals and most are ESL, so the money maker thing is becoming a thing of the past. I get mostly OPs but would take a good challenging consultation over a boring OP anytime! I don't know how anyone could like doing OPs long term. For me that would get old real fast.
Let me see, VR versus straight, which is boring?
Hmmmmm, I don’t think so. I have had majority straight today and really do not like anymore- can fly when I have VR and make $$$$- straight only slows me down and like the bumper sticker I saw the other day- I am not speeding, I am qualifying! Loved that.
Ugh - 42 minutes of that boring junk.
Do they really think anybody is going to read all of that? Didn't any English teacher ever tell him the secret to good writing is LESS IS MORE??

How lazy not to be able to shorten it up to something brief yet complete. Shame on him. You poor thing.
meh, you're boring me now {{yawwwnn}}.
x
But the help file is so long and boring to read.
I know about linking and hiding the suggestion window. Other than that, I don't know many semicolon or Ctrl functions. I put hospitalization in as hosn. I wish somebody would teach a Shorthand Expander class or come up with an in-depth book going over specific SH features. The other expander books I bought were lame.
Chris is a boring one-trick pony. (nt)