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Serving Over 20,000 US Medical Transcriptionists

I just started telling them I was a "medical language expert"

Posted By: MQ'r on 2006-03-08
In Reply to: Anybody else have friends/family that act like you don't have a REAL job? sm - makesmemad

as you truly are one anymore trying to decipher all these docs and for some reason, that title seems to bear more acceptance


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YOU may be a typist for a doctor but I'm a MEDICAL LANGUAGE EXPERT!

i've started telling him that he better
never start a fight, but he can stand up for himself and finish it!! the direction our country is headed is terrifying!
English may not be the official language on the federal level, but it is the NATIONAL language. sm
From Wikipedia:

Although the United States has no official language at the federal level, English is the national language.

In 2003, about 215 million, or 82 percent of the population aged five years and older, spoke only English at home. Spanish, spoken by over 10 percent of the population at home, is the second most common language and the most widely taught foreign language.[139][140] Immigrants seeking naturalization must know English. Some Americans advocate making English the country's official language, as it is in at least twenty-eight states.[141] Both Hawaiian and English are official languages in Hawaii by state law.[142] Several insular territories also grant official recognition to their native languages, along with English: Samoan and Chamorro are recognized by Samoa and Guam, respectively; Carolinian and Chamorro are recognized by the Northern Mariana Islands; Spanish is an official language of Puerto Rico. While neither has an official language, New Mexico has laws providing for the use of both English and Spanish, as Louisiana does for English and French.[143]


P.S. Miami may be one of the largest cities, but it is still just one city located in one small state. There are 49 other states. Miami is just a small speck when you compare it to the rest of the United States.
We transcribe "medical jargon?" What?

I just looked at this site! My gosh--what is that guy on.  So our job is to transcribe medical jargon, huh?  According to Webster's, jargon is incoherent speech, gibberish (okay--that could be true), dialect unknown to one so that it seems incomprehensible (maybe for some of the dictators), a mixed or hybrid language (some dictators could fall into that category).


Ah--here we go--the specialized vocabulary and idioms of those in the same work, professional, etc., sportswriters (if only we got paid THAT well) or social workers (they make less than we do), or a somewhat derogatory term, often implying unintelligibility:  see SLANG, and lastly, speech or writing full of long unfamiliar or roundabout words or phrases.


This could explain the downward trend in pay scales for MTs!!  And very good point on not even having our own tax code--sportswriters do! 


 


 


I was wondering that too--- the only thing I could think of was "medical examiner" - which doe
xx
"Medical Transcription: Its Past, Present and Future"
This link was posted a few days ago. It is an excellent article written by Claudia Tessier from the Medical Records Institute. It answers your question and puts the MT profession in clear perspective.

Thank you to the original poster who posted this link.

http://www.medrecinst.com/pages/libArticle.asp?id=28
Go to tools, language, set language--nm
//
Not an expert, but...

Hello


I am also in the process of going digital.  Some things I have learned along the way.....


1. I bought the Olympus DSS 330 for each of my docs.  It's reasonably priced, easy to use, and software works great.  I bought the recorders, because the doctors were completely happy with the tapes, and I am the one who wants to cut down on travel time and gas, so I felt like I should supply the recorders.


2. Audio files are too big (at least for my e-mail) to transport via regular e-mail, and they have to be secure or encrypted, so I bought space (personal/small business account) on CryptoHeaven for 2.49/month.  This is supposed to be HIPAA compliant and secure.  The files get uploaded to this site and can be transferred back and forth between you and the doctors' offices.  Keep in mind, if you or the docs have dial up, this process takes forever, so it is good to know what type of internet connection your docs have.  Cable and DSL are much faster.  If they have dial up, it could take up to 30 minutes for them to upload one day of dictation or even more.  Just a side note... I have found that audio files in DSS format are the smallest and thus the fastest to transfer.


3. I also use WinZip with this as an added protection.  The practice felt comfortable with the protection of WinZip, but WinZip alone does not provide the vehicle to transport the large DSS audio files, and DSS audio files cannot get compressed much more, so that is why I went with CryptoHeaven. 


You can e-mail me if you would like.  Keep in mind, I am no expert, and I am finding out things as I go along.  I will let you know how it goes.


Lynn  


I'm no expert, but...

Do you have a "sample" report of something you've already done in whatever format you're currently working in?  If you do, you could take your report and figure out how much you made doing that report in the format you're currently working in.  Then copy the report and put it in a new document with Times New Roman 11 and one-inch margins.  Then, using 0.9 gross lines, figure out how much you would make with the new format.  Compare it to the old.  Maybe do this with a few different reports to get an idea of a true comparison.


Hope this makes sense. :)


Not an expert here, but
I have had the same trouble, as well as having the longer files only play about a minute or two of an 8+ minute dictation (but does not go back to the beginning). I use the Olympus software, and have the trouble when I am playing .wav files rather than .dss. Two things that I have done are:

1. Download the Express Scribe free transcription module. (The trouble I have had with this is that my footpedal will not work with Express Scribe, but it works with hot keys also, so in a pinch this is what I've done.)

2. Downloaded a free trial of a program called GoldWave (I am sure there are probably others available.) This allows you to convert the file type (I convert to a .wma format -- Windows Media Audio, I think.) My Olympus plays the .wma files in full, but it seems to lose a little clarity on conversion.
Well, I am not an expert (sm)
in this area (not even close), but I would guess that anyone who installs Spyware on your computer can monitor your activity whether you are connected to a VPN or not.  What exactly is spyware, how would it get onto your computer, who put it there, why would they put it there are all questions I cannot answer.  When I was having security issues with my computer, I went to a great site (www.techsupportforum.com).  They have a 'General Computer Security' section that explains what you need to protect yourself in general.  You can also ask questions there and they will help you figure out if anything is already installed on your computer.
I'm no expert, but
are the headphones plugged into the speaker, or where?
Need some expert guessers, please sm.

Even my QA person can't get this one, so I thought maybe someone here might have an idea.  Podiatric.......the doc says, "The patient relates that approximately four months ago, the patient stepped into a hole and twisted his foot.  He heard a pop and has since had intermittent heel pain.  The patient does relate ______  dyskinesia with pain on extended periods of weightbearing." 


Once, it sounded more like prosthetic, only without the "r" sound, and the second time maybe even like postatic, which I know is not a word.  Any help would be much appreciated as he has gotten me on this twice already. 


Were it my personal account, I'd just call him and ask him! 


consulting expert

does anyone know of where I can find or how I can go about looking for a consulting person to help me out with trying to get local accounts and what I need and should do such as contract, how to go about charging the client, what software is needed and the ins and outs of various ways of getting the work back to the client?  any information would be so greatly appreciated.  I just need pointed in the right direction. 


Or can somone give me advice as to what they did to get up and running?


Have a beautiful day!


I'm not an expert in pathology

but it seems the experience that I have had with these, they are fairly short.  I guess they could be lengthy, but I would say on an average $3.00 a page should make you a mighty fine living.  You may want to see some samples before pricing this one out.  The experiences I've had were with a hospital, and these were fairly short reports.  The pathology department employed two full-time hourly MTs for a hospital that probably held about 650 beds.  The OR had about 12 rooms.  The ambulatory surgery department had about 5 rooms.  These are all just my opinions though.  Good luck to you! 


Need fax machine expert!
Can anyone tell me if you have ever had the problem of your fax machine not being able to fax only to one particular number?  I can fax anywhere else, but to this one particular number.  I have tried everything I know, even so far as calling the maker of my fax machine, but no one can tell me why I get a communication error when faxing to this one particular number.  I have changed my splitter on that line, my filter on that line and had the phone company check out my line, all to no avail. It will go through every now and then, but mostly it will not go through.  This has just started happening in the last few months. If anyone has every had this problem and can give me advice, I'd appreciate it immensely!  Thanks in Advance!
I'm no SH expert but you can make
an entry so that it expands A1c. 
I'm not even CLOSE to being an expert but..Have you tried this..

Going into the printer properties and checking your printing preferences. If your not sure how to do this....Go to your Control Panel, open up Printers...find the printer, right click on it, hit properties, and under the General tab, there should be an area at the bottom titled "Printer/printing Preferences (something like that)..hit that and check out all your settings. I'd play around in that areas with your settings to see if somehow something is in there wacko.. Just a thought. I hope it works..


EXPERT VISTA HELP, PLEASE!

I just downloaded the EditScript (Escription) program onto my computer but I'm not getting any prompts from the Installation Wizard to install it.  This is a brand-new computer and I'm kind of a Vista imbecile since I've never used it. 


Is there some other step I need to take to get the program to actually install onto my computer so I can use it, or have I done something wrong? 


I'm SOOOO confused and can't reach my supe to ask her, so I was hoping someone here would be able to offer some advice.


Thanks ever so much!!! 


Anyone an expert on Bayscribe software??
I just started a new job that uses Bayscribe, but the audio is so muffled I cannot hear the dications clearly.  The owners have no idea what is wrong, and I called Bayscribe, and they say it is on my end...either sound card or headphones.  I also work for another co. that uses Emdat, and I use express scribe, and the dictations are crystal clear.  Does anyone know what is going on? 
I have worked as a QA and as an MT which makes me an expert at SM

absolutely nothing, but I'm going to give my opinion anyway. 


Here's the problem with the whole QA process.  We (MTs) are told when interviewing that this or that service strictly adheres to the great and almighty, BIBLE of medical transcirption, the BS, er I mean BOS.  Then, when hired and given our assigned accounts, we are told the BOS applies, but .....  we do it this way for this client, that for that client, and the other way for another client. 


So, we as MTs are supposed to sift through all the crap and put out a flawless document and on top of all that, we now must also consider the egomaniacal QA person who has their "own style" of QA? 


So, now we must take an awful dictator who can scarcely put together a coherent sentence and make sense of what they are saying, then we have to make sure that whatever sentence we've constructed to articulate the dictator's thoughts strictly adheres to the rules of the BOS but WAIT then we must make sure that we've broken the correct BOS rules to suit the account specifics, and then we must now contend with the QA person who has decided we should dot our I's with little hearts cause that's the way she likes it?


And we do all of this for 8 cpl ?!?!?!?!?!


Somebody stop this crazy merry-go-round, I feel sick! 


Email me. I'm no expert, but I'll tell you what I know. nm
x
ExText Problems every day. Need some expert advice

HELP! Does anyone else have this problem and what did you do to solve it?


I use ExText and if I do a Cntl-S then Cntl-T, ExText will close both the document I've been viewing AND the job I'm working on, then open a completely new BLANK document, no headers, etc. I still have the voice files, but no document. I lose the job I've been working on as there is no time to save it to disk. It  usually near the end of transcribing a job. It happens every day, usuallly near the end of my shift. My production is suffering because of it, too.


I'm getting so frustrated and don't know what to do anymore. ExText has been reloaded a couple times and that doesn't solve the problem. I've been told it's my Word causing the problem and I have to remove it and reload that program, which I had done months ago, but still have the same problem.


I don't know where else to turn or what to do. Am I destined to NOT work for any company that uses this program? If so, that leaves out a heck of a lot of jobs.


Other than this problem, I really love using ExText. I think it's great...when it works right.


 


I can image that once we train the VR reports by our expert
editing and corrections, the VR software will start producing more accurate reports. Unfortunately, when that time does arrive, there will not be a need for as many medical editors/transcriptionists as there are now. I suspect at that point we will be competing for MT jobs, and our rates will go even lower than they are now. I hate to paint a somber picture here, but this is what the hospitals have been striving to accomplish since the mid-1980s, when they decided to outsource the transcription to MTSOs to avoid paying hourly rates and benefits.
You can tell I'm not an expert but what is INXS? I mean the songs the bottom three sing are INSX

I have never heard of them and they sound kinda metal to me.  What category does INXS fall into?     I said I know very little about the music that these people are singing for the most part.  Is Nirvana metal? 


Thanks.


 


who died and left her boss and expert on nut-case MTs or freakish behavior?
sounds like one of the MQ supervisors all filled with herself.
Nothing to do with your first language, of course. nm
s
language
Language skills are definitely at the top - I agree. So many outsiders think all we do is type and memorize a few terms. Makes me crazy sometimes to think we are being looked down upon for, quote - just typing, how hard can that be?
P.S. I hate it that we cannot put quotations in our posts!!
OP does not say who had the language
barrier, the doctor or the patient. Just because she is a white American female does not mean she speaks English.
These ESL's speak more than their own language, sm
many are fluent in several languages.  They also pay income taxes at the same rate as USA-born doctors.  Until you can speak their language as well as they can speak ours, have some compassion for their efforts, and be glad that you have a job.  There are ESLs wherever you go.  Better get used to it.  Or better yet, why don't you travel to a country where you don't speak the language.  It might humble you a bit when you see how difficult it is. 
English Language
Amen to that!!!
I live in South Florida and you may as well call it a foreign country. I asked a clerk at local Walmart for Phiso-dem...she had me write it on her notepad she carries around, because she doesn't speak English!!!!
English as a Second Language
nm
foul language
I meant to reply to Tomahawk's post.  If you scroll down a few to MQ, you will see what I a referring to.
Should have said English as a FIRST language. LOL
x
So, English is a second language..LOL!
How can someone get a job doing this kind of work without knowing English?  Just amazes me!
AT&T language line

Hospitals can set up an account with the AT&T language line.  You call the number, give your account code and tell them what language you need.  They have tons to choose from and they are available in real time.  You have to use a speaker phone so the patient, translator and care provider can all hear each other.  Some 911 dispatch centers use it too. 


Sometimes the default language gets (sm)
changed on a document when I am typing and I have to go back in and reset it to English. I notice this when my autocorrect entries do not work and I know that I have them in the file. It only happens every once in a while and I have to "select all" and then change the language back to English. Hope this helps in the future.
LOL We have no'national' language!
and if you don't believe me, visit Miami sometime, one of the largest cities in the U.S.
National Language

"In the first place we should insist that if the immigrant who comes here in good faith becomes an American and assimilates himself to us, he shall be treated on an exact equality with everyone else, for it is an outrage to discriminate against any such man because of creed, or birthplace, or origin. But this is predicated upon the man's becoming in very fact an American, and nothing but an American...There can be no divided allegiance here. Any man who says he is an American, but something else also, isn't an American at all. We have room for but one flag, the American flag, and this excludes the red flag, which symbolizes all wars against liberty and civilization, just as much as it excludes any foreign flag of a nation to which we are hostile...We have room for but one language here, and that is the English language...and we have room for but one sole loyalty and that is a loyalty to the American people."


Theodore Roosevelt


learning another language
It isn't that I wouldn't like to learn another language if I had the time. I would. It would be neat to be able to speak another language, but I don't. And it makes me fustrated when immigrants come here and expect me to know their language when they are the ones who came here. They should know proper English. Or just decent English. If I moved to South America I would not expect them to understand me. I would take it upon myself that if I wanted to communicate I need to learn good Spanish. And if I had a job where I did something such as dictating, I would make sure I knew decent English and tried to make myself understandable. Some ESLs act like they don't care if you can understand them or not. There ARE some who try though.
Wow...so know we have to learn your language as well.
-
If you think that's 'foul' language, you don't
Get over it.
I think learning the language
and losing the accent are not quite the same thing... many of the ESL doctors speak English quite well, and may have been studying English for years in school.  After a certain age, the accent is very difficult to lose. Some people have more of a talent for this than others. I know, makes it hard for the MTs.. but part of the job. Not saying they shouldn't try to improve... I study another language, but I am always going to have an American accent.
I think learning the language
and losing the accent are not quite the same thing... many of the ESL doctors speak English quite well, and may have been studying English for years in school.  After a certain age, the accent is very difficult to lose. Some people have more of a talent for this than others. I know, makes it hard for the MTs.. but part of the job. Not saying they shouldn't try to improve... I study another language, but I am always going to have an American accent.
So why are you telling me this?
I already said mine are grown.  And don't be so quick to judge others.  You have no idea what circumstances others are in.  Judge not, lest you be judged.
I'm telling ya!
Gotta agree, but I worried that messing with the structure of his mouth might take away from that voice. It gives me goosebumps too!
You could certainly help us out by telling us what the...sm

platform was that turned out to be a low-line maker.....


And tell us the one that has been good too!!!


Thanks!


Thanks for telling me this!

I now have been contacted by four others who went through the same thing.  This will really help if they don't respond to the complaints I filed.  Thanks for taking the time to tell me.


Dianne


So what you are telling me is...
I should just go ahead and apply at places states I have two years experience and test for them.  Then, I can get experience without any? Kinda?
The OP WAS telling it like it is.......nm
x
Keep telling it, maybe they will sm
listen to you. They are not listening to me! You said it exactly as it is. This is not a "school" career. It is by learning. Maybe the school gets you started, but it still takes years of learning.

I do feel sorry for the folks who went to these schools thinking that was all they needed because they really got taken advantage of. I don't know if any hospitals these days train folks or not. My opinion is if you have been in school then you need to go work in a hospital/medical center/teaching facility for several years before EVER trying to coming home and do this. you just cannot make any money at this working on production coming out of school. There is no way. Let me rephrase that, maybe you can but on a limited basis with an easy account, not a lot of foreign dictators, one or two work types etc. But, in order to do everything it takes YEARS!