I believe this something that is specific to your user profile, and ... SM

• C-phone/Dac question - NM
  • I believe this something that is specific to your user profile, and ... SM - RockinMT

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work type.  I've learned the dictators, done the macros, now  they need to hire new MTs because the workload has increased, so they switch me to a very difficult account, doing everything but my normal work type.  Does this make sense?  I'm productive on my original account, not productive on new account, plus I'm majorly stressed. I do ESL 90% of the time but the new account is really horrible, not only ESL but they mumble and the quality of the dictation is bad.  If you took a new hire and put them on this account and they stuck it out, maybe they wouldn't think these dictators would be so bad.  I've talked with the MTSO and they say they'll switch me back and that lasts 2 weeks and then back to this horrible account.   It would be different if they called and said we need you to do this account for a couple of weeks, but it doesn't pay enough for me to do from now on.

I understand this is the way the business is and my griping probably isn't going to help anything, but I just had to get it out.

I am 34 and have a profile.  I'm not trashy or sleazy (for whoever said that in an earlier post).  I am female and have found a lot of people from high school and even a few from grade school on there.  I have my profile set to private also, only if you are my friend can you see my profile.  There is lots of crap out there on myspace, just as with any other website but I don't think it's all bad.  I don't use mine for evil lol  I use it to keep in touch. 

I agree with the person who said it's okay for your kids to be online as long as you monitor.  I have an 11 y/o daughter and she is allowed online but there are rules and yes I do check up on her.  She doesn't have a myspace and won't be allowed to have one for a few years.  Luckily she's never asked, I don't think she's really discovered it yet.  I think these days constant monitoring of your kids' activities online is a must. 

If so, he's looking kinda rough!  JMO, of course.

I gotta admit that I love these bloopers. 

You, the parent, want something done.

They, the child, want something(s).....

When the something you want gets done by the child...

The child gets something.

Deals and contracts - works every time....*S* 

The "account" that I do - I currently transcribe for only one facility - does not offshore - so only transcriptionists are hired that can produce the work required without needing someone to edit the transcription.  I understand that editing can be in either form - correcting or filling in the blanks of someone who isn't qualified to produce a final document (as in a new transcriptionist's work) or VR (which I have done with past accounts).   As I said, I am fortunate to have that opportunity and not all are so fortunate.  I also have the luxury, because of years of only acute care experience, to have had a choice in who I work for.  I know that isn't the case for everyone.  I am also not currently the sole supporter of my family and I have been in that position in the past. 

However, I think that if each of us who personally has the ability to do so - economically-speaking - that we try not to make it easy for those companies offshoring who are asking for our years of experience to train their transciptionists.   In a perfect world..... 

and it won't pick up background noise if you have a noise-cancelling microphone (like I do).

Here's a report I dictated yesterday. I think it had one error (it typed breed instead of bleed), but that was because it was the end of the day and I was getting tired. Judge VR for yourself (and see my note after the report)-


The patient is a 57-year-old male with a history of hypertension, who was found on the floor by his son.  The son heard the patient fall and then heard banging on the floor.  At the time of initial evaluation, the patient was verbalizing although the patient could not understand what he was trying to say.  The patient had a left hemiparesis.  The paramedics were called but by the time they arrived the patient was unresponsive, however, he was reported to have a gag reflex and he was breathing spontaneously.  The patient was transported to our facility for further evaluation and management.

On arrival in the emergency department the patient was found to be entirely unresponsive, therefore, he underwent tracheal intubation for airway protection and to provide ventilatory support.  He was found to be hypertensive at the time of his evaluation in the emergency department.  The patient subsequently underwent a CT scan of his head.  This revealed a hemorrhage into the basal ganglia and ventricles.  There was mild ventriculomegaly and the basal cisterns were tight.  Additional evaluation in the emergency department demonstrated that the patient had left ventricular hypertrophy on electrocardiogram but without evidence of acute myocardial ischemia.  He was noted to have severe renal failure with a BUN of 95 and a creatinine of 9.8.  The patient's blood sugar was 229. The patient had placement of an EVD and was transferred to the intensive care unit for further management.

Since admission to the intensive care unit the patient has remained hypertensive.  His systolic blood pressure has been as high as 190.  His current blood pressure is 140/80.  The patient is receiving a propofol infusion.  He has not required any additional hypertensive therapy at the present time.  The propofol was used because the patient did become agitated, although he was not awake enough to adequately protect his airway.

Since admission the patient's intracranial pressure has varied between 8 and 16.  He has required CSF drainage of about 10 mL per hour.  His cerebral perfusion pressures have remained satisfactory.  He has been in sinus rhythm with a heart rate of 80.  He has not had any ectopy despite the acute intraventricular bleed.

The patient remains intubated and mechanically ventilated.  With slow ventilatory support, his gas exchange has been satisfactory.  We are providing assist-control ventilation to optimize his gas exchange, but we will attempt to keep his pCO2 between 30 and 35.  Lung fields are clear and there is no evidence that he had aspiration at the time of his bleed.

The patient was also noted to be hyperglycemic.  He is receiving an insulin infusion to optimize his glucose control, and the insulin infusion will be adjusted as needed.

Because of the patient's severe uremia he will require dialysis.  Currently, his potassium is not elevated and his intravascular level appears satisfactory.

The nephrologists have spoken to the patient's personal physician.  By history, the patient has had progressive renal failure although he has not require dialysis.  He is also known to have hypercholesterolemia and cardiomyopathy.  He has had deteriorating mental status over the past few weeks, which may reflect his progressive uremia.  He will require dialysis in addition to continued ventilatory support and management of his intracranial pressure.


P.S.  For the record, I dictated this report, if you will excuse the cliche, like a bat out of hell. All I know is I completed 36:23 of dictation in about 1 hour 15 min, and it had 626 lines.

Still think VR is such a bad product? 

I've used MS Word too, but there really isn't that much difference and its easy to learn.

user software

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How can I become a CMT which is radiology specific?  Do I contact AAMT?  It is my hope that the focus of the test is primarily on radiology and anatomy as I have been out of the other fields for such a long time, it would be impossible to pass the test (I have heard the standard CMT test is quite difficult, is this true?).

Thank you and Happy Holidays Inspite of It All!!!! 

CalfRadMT@aol.com