I have one dictator who i helped set up her template as she was having difficulty dictating the fiel
Posted By: nm on 2005-09-13
In Reply to: Resident dictates at end of report... - enjoying my job today!
now, she acknowledges me with every dictation and thanks me for my time and says cute funny things that do brighten my day. Some don't realize we are people working just like they are. I brought that to light and have had extremely good response. I changed my email recently and sent the office an email that as always to let me know if they needed anything. next dictation she says by the way i could use a sundae with whipped cream and cherries on top. i couldn't resist sending her an email with a picture of a sundae as she described. might would have had one delivered if local, but it is not.
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Template question. Somehow this morning I saved the date and patient name into my template? I have t
deleting the date and patient name and resaving as a template but everytime I reopen the template the date and patient name are still there. Anyone know how to delete them so that they come up blanks again???? Thanks.
Agree it's the dictator's report and the dictator's call. NM
nm
Create your template (save as a template) and use - sm
Control-F9 to make your empty field (as they call it); a set of {} will appear. Save the file, the brackets will not show unless you set it to show the field codes. To jump from {} to {} use F11. You can also preformat the {} with fonts/bold/caps, etc. Have fun.
no, only those I have difficulty with
It would be impossible to get any kind of production.
I do quickly proofread, and do listen at least 2x to any blanks; many times I get them after completing the report.
Why stay with a difficulty acct? Ask to be off it.
x
I've also used Turbo Tax for yrs without any difficulty...nm
nm
Also linked to dictators and difficulty of account
I used to have an account for which I did on average of about 2000 lines per 6 hours and I did use an expander. I still use an Expander but have a different account, which is very difficult, and I average about 200 lines per hour.
The difficulty level of the test you take is based on your years experience. If you have say 10+
years experience as an MT, then you get the harder test. I have tested for several services in the past and when I test I'm told specifically which files to transcribe and there will be several to choose from, but I'm only told certain ones. That's because we get experienced-based tests - harder test for more experienced MTs and easier tests for less experienced MTs.
I just opened Word, opened the template and saved it as a Word template. nm
If they are dictating what you do with it,
Furthermore, whose to say they won't take it back!!!!???!!!
someone dictating for him
here is one for the books - have a sub-intern dictating for attending - dictates the following - "Dr. _____ states that the patient has a history of "what did he say "quinaquina" failure.. I am not sure if that is the correct spelling."
well he would not - it is chronic renal failure. Now why is he even trying????? - thankfully at the end of the report the attending who apparently was sitting next to him by this point, corrected him when he dictated it again. I give up.
that might be why the doc is dictating sm
all this old stuff. Doc may have gotten caught and fined for not having charts up-to-date. I a hospital, docs get their hospital privileges suspended if the charts are not caught up
what helped me
I had to stay away from situations or places where I tended to smoke.
I know you cannot quit work just to quit smoking but maybe rearranging your home office/work area could help.
I also agree with finding a substitute. For me, it was the holding of the cigarette, not the oral contact, that was a tough one. I need to have something to do with my hands - try a stress ball if you find your hands feel empty during your breaks.
I quit in 1997 and still crave a cigarette from time to time but the feeling passes quickly. The first 4 years were really difficult, though. Good luck.
Thank you to everyone below who helped (sm)
me with the PTO question. I got an answer so am a happy camper again
YOU HELPED ME FIX IT!!!! sm
THANK YOU SO MUCH! You helped me figure it out...I knew I needed to change something with the field codes but could not find it!! THANK YOU, THANK YOU, THANK YOU!!! Something good will happen to you for helping me!!! THANK YOU!!!!!
Thank you to all who helped me!
v
HAVE YOU BEEN HELPED?
Yes, it helped!!! Thanks so much. nm
xxx
Me too. She always helped me when
I was helping out on OPs! Now I do them quite a bit, but still need some help here and there!
helped me a lot
I thought the book was very helpful. I think it increased my speed at least by half. For me, it was a worthwhile investment.
I did try all that and it helped some sm
and it definitely made my computer speed up but the dragging is still there.
They said Drs. not dictating on this account
nm
I tried re-dictating to Dragon...
I bought the latest best version, souped it up with KnowBrainer and devoted 3 solid months to training it to my voice and building a huge vocabulary. I could still type circles around it. Editing is extremely bulky and slow. Also don't think you can have your docs dictate a page and then train Dragon to do their speech direct. First of all, they will expect you do to charge less since "the computer" is doing all your work. Second, you will be spending tons of time doing further tweaking and training to get Dragon anywhere near up to par to actually get any production out of it. All of which is not only frustrating as h---, but you don't get paid for it. Now, don't take this to mean that VR won't take over transcription. Big companies use a different platform with the Dragon engine - one in which they have spent a lot of time figuring out how to make it quick and easy to edit...oh, the end is in sight, all right...
Dictating while being tickled
I have one MD who on three occasions has dictated while being tickled! I can't help but laugh along, but it sure makes me wonder who the heck is in there tickling him!
Dictating and driving
Can you hear me now?? I have a physician who dictates while he drives,and by the way, his dictation goes in and out so unable to get really what he is saying.
Is this a child dictating?
I once had a doc say "I asked the patient to pee in a cup". I forget what I changed it to but I cannot stand the word "pee" and refused to use that. It is so vulgar (of course got the approval from my supe first on the change).
Child dictating
Both my Ped doctors say poop and pee. Is this going to be the industry norm? Maybe we won't have rhinorrhea any more, just snotty noses, and a few owies, ouchies, and boo boo's. lol
Transcriptionist dictating into VR
I read an article about this years ago. A local Transcriptionist would listen to a report and dictate it into a VR program she had on her computer so all she had to do was edit rather than type because she had carpal tunnel so bad. It worked well enough for her that she could remain employed. I didn't know her or have a chance to meet her, unfortunately, but she inspired me to take the VR class through Office Careers at the local junior college. Like most people in the class, I found out pretty quick that I didn't have the voice for the software. It just didn't work well. Plus you have to retrain it any time you get a cold, allergies are acting up, yell yourself hoarse at her kid's football game, etc., because your voice quality has changed and the program doesn't recognize you as you anymore. At the time, she was working with reports on tape and whatever word processing program was popular at the time (WordStar, WordPerfect, Word). I'm not sure if you can use VR on your computer (or the one supplied by your employer) with the Internet platforms that provide the voice files now. It would probably be an added complication your company's technical department wouldn't want to deal with unless they were forced to as a "reasonable accommodation" under the Americans with Disabilities Act.
People dictating
That is as annoying as the dictators trying to say a last name that is 13 letters long, can't even pronounce it, but they continue to use it throughout the report....they can't just say "the patient." Geez!
dictating while seeing a patient
I must be weird because I never had a problem with the doctor dictating while seeing his patients. I worked in a busy clinic where one of the doctors pumped her breasts while dictating, one would eat hard candy and comment about the patients under his breath, one would tell dumb jokes in the middle of his dictations. We (the transcriptionists) got even with them one year at Christmas by publishing a little booklet of all their bloopers. We even got our raises that year!!!
Really does not have to do with the doctors dictating
because I have found eScription for so reason seems to hear the ESLs much better than the English speaking dictators a lot of times. Having said that, I think the system you are using has volumes to do with it from what I read on these posts. Which system do you use, if you don’t mind me asking?
Doctor not dictating. sm
I obtained a client in December. He says he is slow in dictating, but he nor his partner have not dictated all month. I tried to inquire, but he insinuated that my feelings are hurt and that if I didn't like it maybe we should end our working relationship.
I found this odd behavior, especially since he sought me out. Should I drop him and his partner, since they are not dictating? How long do I wait before I drop him?
Actually, if he hates dictating sm
and he is NOT alone in this, you could suggest his coming up with normals for stuff he says all the time and then dictate around those. This is a joint effort with the physician because he will have to sign them and have what he wants in them. You don't negotiate a lower fee for this either, btw, since it takes time to drop them in and to come up with them in the first place.
If he has some F/Us for say a total knee, then he could have a total knee note like: Pt is ____ days postop. I removed the staples from the ____ knee. Pt is to return in ____ weeks' time for followup.
WIth the above, you would drop in the canned text and he could dictate Ms. Josy Blow is 10 days out, had staples, return in 2. Or just 10, right, 2 on his end. I have normals provided by the company I work for, then I have many of my own. Some are a full note because they rarely vary. Some are parts of notes. Some are just shells with headers. ANYTHING not to have to type it all! While you have no problems typing them for him, he doesn't like to dictate so yes, you can help him solve his problem AND cut down your work and worry.
Don't interrupt the doc while he's dictating!
I'm doing this GE doctor and there's a nurse or OR tech who keeps asking him questions. Then he can't remember if he's dictating a colonoscopy or an EGD!!! He loses his place and has to start all over again!
I'm pulling my hair out with all the "uhhhhh, uhhhhhs" and then I have to listen to him get short with her and her get snippy with him and then he can't remember if he took biopsies or not, if he's in the colon or the stomach. He is clueless! Just let him get his rhythm going and leave the man alone!
Okay, I've had my rant for the day!
Believe it or not, I once had one dictating on a small
roaring up and down sand dunes in a DUNE-BUGGY. I had thought it was actually being dictated on a roller-coaster, because that's what it sounded like. When I complained to the boss, he said he'd look into it, and called the hospital. The next day he comes back and said, "No - you were wrong. He wasn't on a roller-coaster, only a dune-buggy."
"ONLY" a dune-buggy?
Re-dictating a sentence in a different way, only - sm
not letting the MT know, and the sentence sounds like an extension of the first sentence. You don't figure it out til you get to the bottom of the report under Impressions, and then you have to go back and find that sentence and listen to it again. This always seems to happen in the middle of a 45 min. long mega-report, too.
I had the guy who was dictating in his sleep,
and he was ESL to boot. He dictated the physical exam 3 different times, and it was different each time. The patient's race also changed from white to black in the course of the report, and there were 3 different contradictory findings in one part of the exam.
I sent the whole mess to QA; they put blanks in the spots that needed them--and sent it on through to the client, discrepancies and duplicates and all. So I got paid for all the typing I did. I did not get paid for the head-shaped hole in the wall, though....
It's about time someone helped US out
nm
You believe the people being helped are the same ones...
shooting, raping, etc.??? Perhaps some are, but the majority are ordinary working people, and probably some who aren't working. So what? They are human beings and deserve to be treated decently. Who are you to judge that they aren't worthy of help???
As others have mentioned, I hope when you need help you are able to get it. What a despicable attitude. I feel sorry for you.
Thanks for your tips, they helped! NM
x
Yes, thanks a lot - helped greatly!! NM
x
I wanted to thank everyone who helped below
about DHs red blotches. He is feeling fine this morning. I did tell him the signs of anaphylaxis and to go to the ER if he has any of those symptoms. We may never know what caused those blotches. Thanks again!!! You all rock!
Thanks. A different speaker helped--
Thanks so much. But, it is the sound quality from my company, it is just bad. They have the good system and then a bad system, is how I interpret it. When it is coming from the bad part, it is bad. That's what I think. Don't know, though. Changing speakers helped, and I did not think of that, so thanks so much.
Yes - it helped w/abbreviations, etc.
I think it helps to broaden your knowledge of certain standards if you're job hunting, even if you've never used them. For example, you won't be surprised when you get a different job or client and someone chews you out about starting a sentence as "27-year-old patient comes in today" (versus "This 27-year-old..." or "Twenty-seven-year-old..."). JMHO and IME
I finally helped someone. Yea!! (nm)
But if what they are dictating doesn't even exist.... ? nm
x
Then the dictating physician needs to spell it out instead
of expecting us to be psychic. I used to waste so much time at my old job trying to find the proper addresses for these yahoo CC physicians. In the meantime, the dictating physician mispronounced, didn't spell, and didn't even give a clue where the other doctor worked. I had to check the company physician list, the hospital physician directory, Anywho.com, then Google. And that was even if I could spell it properly! One physician in particular couldn't pronounce properly. He would put extra Ns and Rs throughout the name. How was I supposed to find it? And I got chewed out by QA for not being psychic enough to figure it out.
Dr. dictating just said happy Valentine's day!
Just makes me smile when the doctors remember to say something nice!
My favorite is dictating a whole list
and then going back and saying, "will you make so-and-so #1 instead of such-and-such." Ugh!
OMG!!! Why do ESL's sit there not dictating for 5 minutes at a time????
Geez, as if they're not annoying enough when they actually ARE talking! 
Doctor is dictating while watching
All I can here is zoom, zooom, zoooom. He paaaaaaaaaaaaaaauses for long stretches while he watches. It's driving me crazy. I keep getting report after report by him.
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