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I have a quick question - need help ASAP. sm

Posted By: Static in dictation on 2007-06-15
In Reply to:

The company that I work for uses the iType program.  I was wondering if anyone has had this problem and if so how it was taken care of.  On some of the docs that I get to transcribe there is lots of static/cutting out (almost sounds as if there is a power shortage - that type of sound) in the dictation.  It is mostly when the docs speak close to the recording device or if they speak loudly.  I have tried different sound cards, adjusted speaker volume, tried different speakers and I still have this problem.  Any help would be appreciated. 


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HELP (sorry for shouting) but I need help ASAP sm

here's the instructions I have been given with name of company, etc. deleted


Accessing test dictation:  Using your internet browser , open our site: (name has been changed to yadayadayada for privacy purposes)   


ftp://yadayadayada.com/medical/  


This does NOT work as a link; you must type in the address yourself in your browser or copy and paste the address into your browser.    


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User name:  yadayadayada Password:    yadayadayada 


You will see many folders.  Double click on the testing folder.


 please download "testnotes.zip"   


To download, simply double-click on the file in question and it will take it over to your hard drive.`  You will first need to "unzip" these files using Winzip. 


 


Okay, I've done all of the above but now how do I get it to play like these instructions in bold say I can.


 


Once unzipped, these files can be played with any .wav file player.  Your computer's sound card will have software which will allow you to play the file.


in hospitals it seems always ASAP - SM
I work rad (employee) in a hospital, and they are always ALWAYS working to improve TAT. From the time the exam is done to complete dictation, they want 3-4 hours. That means if your doc delays the dictation, they want transcription NOW because the doc took so long.

However, in the situation you describe, checking back in 1-2 hours should not matter that much. You should just let them know the deal - they probably know how that radiologist is as much (or better) than you. Maybe they/he could call or email when he is done?

My hospital has a contract with a sister hospital to do their radiology - they have radiologists that do this exact same thing. We told them when our staffing is available. If they do not dictate during that time, then their reports are delayed -- no question. they have to deal with it.

Doing it yourself, your situation is different, of course, but hopefully they would work with you to let you know when the work is available so that you don't have to be "on call" for them.

As far as line rates, I can't say an average. I have another rad account that I do at $.15/line, but this is 3 days a week for a mobile service (TAT is 1-3 DAYS here...) I would charge more if they needed it "now", especially if they wouldn't work with me as to when "now" might be!

Long answer - hope it helps.
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My friend and her boyfriend of 5 years recently obtained custody of the boyfriend's now 7-year old daughter.   You talk about a handful of trouble, that's exactly what has been packaged into this mini sized monster child.


Bear with me because this will be quite lengthy.  I  will call the girl by her nickname, Tater.


Tater was 5 when my friend (S) and her boyfriend (D) started with the custody proceedings.  Every time Tater would come for visitations, she was full of these wild stories that were quite alarming to S and D.  She would come and tell them how her mom walks around the house naked all the time with all of these different boyfriends, how one of those boyfriends held a pillow over her (Tater) face one time, and how Tater and her baby brother were often left alone for hours at a time and sometimes overnight while her mom was out "getting drunk" with her boyfriends.


Naturally, S and D were really upset by these stories and so they got an attorney and really pushed for custody.  They got custody in March 2005 and their life has been a living hell since she has come to live with them. 


Less than a day or so after she moved in, she started telling them how one of her mom's boyfriends "did things to her" so S and D were once again in an emotional fit because they thought someone had molested Tater.   They called a psychologist and the police.  Had her evaluated, everything.  Even had Tater talk to a detective that works child abuse cases.  His findings and the psychologist's findings were the same.  She had not been abused and, in fact, had a severe problem with delineating fact from fantasy. 


Tater now sees the psychologist once per week.  The goal of the treatment was originally to get Tater to understand the difference between telling stories and the truth, along with dealing with the fact that her mother now has absolutely no contact with her.  It's been rough for S and D as well as Tater. 


Things went well for a short time, then school started 3 weeks ago.  Since starting school, S and D have been called to the school numerous times because Tater has either said that she couldn't do her homework because her daddy was "all drunk", that when S dropped her off at school she was "drinking wine from a bottle in the car" (it was green tea in a glass bottle,) and that they don't allow her to talk to her mother, which is not true. Her mother has supervised visitation but chooses to opt out. 


She has told her aunt and uncle that S killed her cat on purpose when it was actually her aunt who accidentally ran over the cat but Tater didn't know that.  She told one of the neighbors that her mommy had her (Tater) picture taken once and was in a naughty magazine because her mom got money for it and Tater would get it when she was old enough.  OMG yet?  Yeah!  This kid is something else.


She also made a little boy cry in class by rudely saying how he was so stupid and slow during outloud reading time.


S and D have tried all of the things the psychologist have recommended, taking her toys, taking her TV, radio, making her write apologies and hand deliver them, and sit directly behind the bus driver (for even more trouble on the bus.)


She also missed the bus home purposely last week because she was going to go to a friend's house.  Her grandmother had to come all the way into town (they live about 10 miles out) to get her.   When D and S questioned her about what she was doing, she screamed at them that it was "HER LIFE" and she could do what she wanted if she felt like it.  Remember folks, this kid turned 7 last month!


Now, a few minutes ago, S called me in tears.  She got another call from the school because Tater had told some of the boys that another boy was threatening her and making her scared (which was a lie) so she wanted them to do something about it.  These 3 little boys proceeded to gang up on the other boy and he was hurt.  Not seriously but that he was hurt is bad enough.  These 3 boys and Tater are now suspended.  These are first graders and this is a very small town.


S and D are ready to snap.  I don't know what else to tell her.  The psychologist told S and D that she was afraid that Tater had multiple personality disorder but couldn't make that diagnosis on a definitive basis because, as of yet, there are no clear cut documented cases in children of this age.  They usually don't start developing these tendencies until they are in their mid to late teens. 


I have looked online for any kind of research or specialists that can deal with this but it's very difficult to find information even on pre-adolescents that are out of control. 


I am asking for your help.  If anyone knows of a professional or group that can help S and D with Tater, PLEASE post here ASAP.  At this point, I'm very concerned about THEIR well being. This kid is a serious danger.  There is much more but I think I have told you enough already.   We are in Washington State too, just in case anyone has any ideas where to go for help.


Thank you so very much if any of you can help.


 


 


 


 


 


 


 


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