Honestly, I prefer the dictator talk fast. nm

• not talking with food in their mouths! NM - You would think with the brains these docs need to
  • Why doesn't Risk Management say something to the docs? nm - new mt
  • I had one who decided lunch time ....sm - casey
  • Just because... - ABC
  • Just not the way it works - jj
    • This was just a vent after a long day... - OP
    • I beg to differ with you. An MT transcribes, - Wannie
      • In your dreams. They are not taught how to dictate, nor do they care. sm - jj
      • I agree - babe
        • In a dictation, the nurse overheard - mthelp
          • Honestly, I prefer the dictator talk fast. nm - MTE
          • Oh my! - nm
      • I had a bunch of reports last night - TM
    • Big Bucks???? - sm
  • sorry, supposed to read these docs need to know simple things like not talking with food in their mo - was irritated sorry nm
    • No need to apologize... - ABC

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Why do they feel the need to sound like auctioneers?  I don't think I could talk that fast even if I wanted to.  I just needed to vent.  I am typing a report right now doctor talks fine until gets to the physical examination and then it's auctioneer time.  Sigh. 

If this is what they think, someone needs to tell them that just isn't so.  How are you supposed to type faster if you can't understand a word they're saying?  I think it is just a very rude way to dictate and then expect back a letter perfect report.

I believe it is because they do not like to dictate and they want to get it over with, it seems to rank right up there with doing rectal exams. In our office is what I have named the pile of neglect, he lets it grow until it has to be divided for fear of toppling over. This is for undictated patients that were seen in the office, where  for example the patient has sinusitis and is prescribed a high dollar antibiotic and the  physical says Nose unremarkable etc, or where part of the report is totally unintelligible or omitted.  Sometimes there are even two notes on same patient same day and I do not feel qualified to choose which one should go in the chart.   

There is certainly no need to take that tone.  Developmentally delayed is the preferred term among physicians.  The American Association on Mental Retardation changed its name as a consequence.  The DSM-IV is slow to change because the people in charge don't want to go through all the time and expense to publish a fifth version.  Again, the doctor said "he is retarded."  Not a medical term, not appropriate.  As far as autism, case in point on DSM-IV.  Depending on where you look up the DSM-IV some publishing sites still have it on the wrong axis.

As far as getting over it, if people had that attitude we'd still be calling black people the N-word and neither they nor women would be allowed to vote.  The term retarded is as offensive as the N-word or any other racial slur.  So beg your pardon but as long as people, especially doctors who are supposed to be well-educated, continue to be ignorant enough to use that word to describe someone with a disability, I will continue to have something to say about it. 

And oh btw, if the doctor wasn't so ignorant, he would know that saying oh well I want to do a bone marrow biopsy but it would be too hard to explain to this patient, is just wrong.  He should know about conservatorships and health care proxies.  Because if this patient is truly disabled, then he was declared incompetent by the courts on his 18th birthday and he is not the one who makes the medical decisions.

getting so bad about the what if's with the new packages coming out in October and all the speculation, I had this comic flash of all the suits sitting in NJ with headphones on, plugged in,to the big PC's in corporate land just listening to all the "chatter" on the boards...sorta like the CIA supposedly was...can you imagine all the chatter traffic going on until October?

We just need to take a deep breath, try to relax a bit, really nothing we can do until October, then who knows what part of the month we'll all get our packages? 

Believe me, it has worried me to no end, single mom, can't afford much more change, but also can't do a darn thing about it till then.

he could do it on his own with the materials. I have never, ever had to help him with his homework and he still gets honors. Oh. . . to be THAT lucky!  I struggled through high school and college to make honors.  He's what I refer to as an "open and shut student."

He opens the book, reads the assignment, shuts the book and brings home an "A" or "B" on his test.

I'm no slouch in the brain department, but I've never had to help him so I was thinking with some materials, guidance, and putting him on a schedule, it might work. If that ends up being what he would like to do for now until he regroups.

back when I was in high school in the late 70s!  The first high school I went to was just like that.... there was a large snob/bully society  (the snobs were basically verbal bullies because they'd put down people that weren't in the  "clique", and I had some idiot teachers.  My algebra 2 teacher was so stupid that she would write a problem out on the board, stop, look at it and say  "oh that's not right" and then erase it, doing this 2-3 times per problem,... then wondered why no one had a clue what to do on tests.  

I was grateful when we moved to another town and the high school in the next town was much smaller.  The teachers cared about the students and teaching, and the students generally cared about each other.  There weren't snobs there because the area was economically depressed and no one had a lot of anything.  I was able to participate in a program with a local college where during my senior year I went to high school 1/2 day and college 1/2 day, so the 10 of us that did this (out of a graduating class of  99) graduated from high school with 30 hours of college credits completed.  We were also able to do this because the local college gave us discounts to participate in this program. 

When I've asked on classmates.com about some of the snob/ bullies from the 1st high school not a single one of them has had a great life.  One of the ones that was in the "it" girl group has been divorced 4 times now and is a heavy partier, and I've been told that she looks like crap from the years of partying.    One of the guys who was the most "it" for the males died from AIDS which he ended up getting after he moved to New York to get into acting, turned to a life of male prostitution and picked it up there.    The successful people are those who hung around with people like I did.  Out of the group I hung around with 1 is a pediatrician, another a dentist, another is an architect, another is a software engineer and every one of us has stayed in contact throughout the years and get together occasionally. 

as the logic defeats me. Seems to me the reverse is true.

Personally, I couldn't live with myself if I drove to the store, knowing that someone's son or daughter had to die for the gas I was using, but if you can . . . enjoy yourself, I guess.

My flaming face reference was to the one inside the original post  like this

Not to the flame that flickers outside on the main page next to the original post that shows it has had a large number of viewings.

I'm sorry to have ruffled feathers by making a casual observation simply about emoticons.  My apologies to anyone haven taken offense regarding this.

I won't ask either, just because I think my boss(es) are in a rock and a hard place themselves.  They're doing what they have to do and I'm doing what I have to do.  I'm not a complainer either.  I just take 'it" for so long and then...well, then I don't.  If I'm having a problem I mention it once.  If I feel cornered and have to mention it twice, like I did overnight, I don't play along anymore and that's the point I'm at right now.