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Serving Over 20,000 US Medical Transcriptionists

I leave a blank and finish the report. - (sm)

Posted By: Topaz on 2009-05-18
In Reply to: BLANKS - Ceanne

Sometimes (if I'm lucky), the doctor will say the same word again later in the report, only clearer.

Even if they don't say the word again, often once I've finished the whole report and am proofreading, if I listen to the word a while later, I can then understand it.

The post below that talks about reading the sentence out loud in that accent is also a good idea that sometimes works for me, too.

If the sentence is a fairly common one you might encounter in other similar reports (like in a physical exam, or a hernia operation, etc.), sometimes finding a few samples of those types of reports online can provide an answer, even if it's a different doctor.

If you have the capability to put that report on 'hold', and go on to the next one, that's also helpful, because you might get the same word again in the next report (especially if it's the same doctor), and you might be able to hear it, then. Even if you don't, setting it aside for a while and then going back to re-listen to it is often the most effective way to unravel some of the 'mystery-words'.


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Read the report backwards from end to finish. Works great for me.

What about when you leave a blank
and then QA goes in and "guesses" and fills in the blank? I have relistened after QA, and it absolutely sometimes is not what was said, it's just what the dictator "usually says" so QA puts that in. That makes me look dumb for putting so many blanks, and QA look good for knowing the answers.
Leave a blank
Definitely an error on the MD's part
If you can't get it, leave a blank. You always have that option. sm

If the MT cannot understand the dictator, they always have the option of sending it upward for clarification.  They are doctors, not English language specialists.  I know you would like them to be, but that is not the way it is.  We listen, we transcribe, and if we don't get it, we send it upward for clarification. 


It isn't easy, no one said it was.  But I hate to see people complaining about foreign doctors all the time.  They give excellent care, and a lot of us can understand them.  It is a knack.  If you don't have it, then send it to your QA.


Example: If I leave a blank or want to hear something again
is there a faster way to get back to the point I want without using the arrow buttons and waiting for it to go back and forth? There must be, I appreciate your help.
Couldn't be anything NEAR how a 20-blank report
What a bunch of hot air you people blow. And QAs DO blow.
How do you put in little blank characters with a macro and not have it show up on report?
I never heard of this type of padding and I'm not sure I'm not doing this by mistake.
If it is a verbatim report, she should leave it that way. nm
x
I did finish the test
I did finish the test, over the weekend.  Then Monday had my interview.  Then Tuesday was told I got the job if I wanted it.  The next day I called and said I'd take it.  She said great!  I'll have management get with you to arrange delivery of your equipment and everything.  I took the job resigned from my job.  The she called back 15 minutes later and said I couldn't have the position we discussed.  I think its time to get in another line of work possibly.  This one can really ruin your self esteem.
didn't finish
I was SO tired last night, tried staying up to watch the entire episode, but couldn't. I know Dr. Jones was in labor and her husband was in surgery from an MVA, but fell asleep after that. Can anybody tell me what happened??!!
To finish the above,,,,,"MONEY"
:+
faux finish
Check out Tatouage on HSN.com or ebay - these are rub-on transfers of different scenes that can be painted over when the time comes. Go on very smooth and look like paint. They are very detailed and look so real, but can be wiped off when necessary without damage. They are great and take a lot less time than painting.
Finish the course. I think there will be a shortage sm
in the future of all medical personnel from MT to MD. Looking at the whole picture, those of us from the baby boomer age are pushing 50 and as families, many of us had 3 or fewer children or none at all. So, in my opinion, that leaves a much smaller volume medical personnel to care for the aging in the future. So, finish that course so you can type my reports when I need them.
Definitely finish with blanks. nm
-
No way will she finish that course in four months.
Especially with all those kids, she probably won't even finish it at all. It's obvious she's not going to listen to anything you say, so she'll have to learn the hard way.

(If you want to be mean, wait about four months and then ask her for a loan, since she's rolling in the dough!)
I can't think. I mean to finish: wish everyone there was alive and well and the tragedy was just
x
Want to finish my studies this year - sm

So I can make the kind of living I was used to with less headaches and be able to do some traveling with my work.


Also will be able to buy a bigger house!!!


Ok- so what year did they get the MD after their name? I was told NO they are not until they finish
x
You do not need the 1099. You just need to report the income. Report the company/person ...sm
to the IRS for not sending out the 1099. 
Thanks for the info...how do you delete their access after they finish? nm
/
loyal to Hitle, (Finish of above post)
")
bringin it up..you know you're an MT when...you finish your dr's sentence..
s
And we were supposed to finish school and work FT (sm)

after being offered a job making $25/hr. with full benefits and supposedly a future?  And now we're supposed to go back to school at 50 y/o because of this govt?  Are you with the illuminati or what?


This happens to be 2006.  There are many, many people who did not finish school because they were offered jobs that paid quite well.  Unfortunately, those jobs are now being given to illegals, etc., remember "the jobs that Americans won't do?"


I won't be going back to school, I made enough money. 


Do you relisten to your entire reports after you finish each one or how do you
edit your work before you send it in.  Do you reread each one.  Sometimes I think you can miss a word if you dont but not sure how to edit before sending without making minimum wage.
I charge the same amount for a "normal" report as for any other report.
You still have to listen to the dictation and change anything that's different.  I had one woman try to pull this on me.  She'd dictate, "Just pull up my normal, but change this, change that, switch that around, move that, add this, delete that, and change the other."  Then she'd only want to pay me what equated to $.03 per line.  She wanted 1:1 on her dictation to transcription ratios.  I told her to take her cheap account down the road because I'm worth more than that.
Wall painting faux finish techniques sm
Has anyone ever done their walls in a faux finish technique?  I have a rather large room inhabited by my husband and the 2 dogs in the evening while I work, a big screen t.v., a beige fireplace, beige and hunter green wood look vinyl tile on the floor and hunter green furniture. One wall is paneled in a pecan paneling as it couldn't be done any other way. This room was an add on to the house. Right now the walls are a gray color but am looking to paint it something different, something that might not show the splotches caused by the dogs shaking their wet fur on occasion and fingerprints around the switches.  I found the softly aged walls technique on the HGTV web site were you use 2 colors and a divided roller and divided pan. I kind of like the look and it looks fairly easy for me to do.  Anyone have any ideas?
Encouragement for hard times - are you going to finish strong? sm
http://www.maniacworld.com/are-you-going-to-finish-strong.html  This is a very encouraging video.
finish sentence - hard to reference with small writing and is there a CD available nm
nm
Did not finish above...need to find a noise canceling headset for a C-phone, TIA
TIA/
To finish...no one obviously feels like typing up, so the night people get the pool garbage. Grrrr.
,,
Oh, a report just came in. A report actually just slid in, can you believe it. Hip Hip Hooray. I

had better get that sucker typed before it gets out of ONE MINUTE TAT.


If you are careful with putting the correct report in the correct report shell and patient, you will
not have any problems. I only take away this option when someone is careless. There can be NO room for error on this. One mistake can be very serious. Many do it well though, so just double check and you will be fine.

to blank or not blank
I've taken tests like that before, and, yes, they seem impossible but point is to stick it out and put all the blanks that are needed because that is the point, to see if you will blank it or guess something st*pid.  They know what the dictation is like.  I recently took a test where one voice file was horrendous.  I had a ton of blanks but I got the job.  The other 3 files I still had blanks too.  Then again, on the flip side, I've tested for places that had tests like that too and were indicative of their regular dictation, so you had to just test it out and see for yourself because you might be pleasantly surprised that it's not so bad.
Personally, I would blank it. You should
the spelling and for other reasons, i.e. privacy, I think it would be a good idea. Some tests I've taken have asked me to put in three underscores __ __ __ when items bleeped for confidentiality. Even if not asked to, I think that's the way to go IMHO ...
Since you had a bad ESL did you blank or put what it sounded like?
x
Blank emails-me, too

 I have always used Spybot and Adware SE, but read they sometimes miss things, so I just bought NoAdWare. Was I surprized at the stuff it found compared to the other ones (including Norton AntiVirus, and my server software)!  I had 4 "dangerous" and 92 "severe" the very first day...that have been on my system for quite a while.


Since then, I have also been receiving blank emails. I'm now up to 5 every time I receive my mail. I've been getting a lot of junk mail all of a sudden and have no idea why. My favorites are winning the lotteries. If I believed them, I would have a bankroll of well over $100,000,000,000. The other ones where I am named in someone's will. Love it. Dream on.


Don't know what to say or what else to do about it without changing my email addess again, and I sure don't feel like doing that. I just did change it 3 months ago.


In my experience, if you don't know for sure, blank it. sm

It doesn't happen to often with my line of work as I only do clinic notes.  I do know which drugs are used for what and  the differences between similar sounding drugs. I have reference materials to help if I don't quite understand the pronounciation, as long as I have been given a particular diagnosis for which the drug is used.


If I am completely unsure (i.e. med list for PMH with no given symptoms or diagnosis) I ask or leave a QA note.  That is much safer than putting the wrong med in the patient's record and that is the extent of what MT's should be expected to do.


As far as the doctor dictating the wrong side of the body for any reason whatsoever, there is no way an MT could possibly determine in a case of it being left rather than right.  In the event of a dictator switching between left and right, that is a red flag to leave a note that simply says, "dicatator is indicating left and then right but does not clarify by end of note."


When my son had his mastoidectomy a year ago, the surgeon came in and drew a big blue circle around his left ear and looked at me and said, "This is the ear that I am operating on. This is his left ear.  Are you in agreement with me that I have the correct ear that needs surgery?"  Well, I kind of chuckled a little bit as my son looked rather strange at the moment and the doc said,  very nicely:  "In all seriousness, we are human and we do make mistakes, but I don't wish to make a mistake with your little boy."


 


 


No Blank Accounts sm

I heard about this but it sounds kinda strange.  Anyone ever run into this kind of account?  How do you not leave blanks if you don't know what they are saying?


blank lines also
When I started my surgical/oncology account 6 years ago, the gal that had been doing it charged for blanks, from first line to the last line on letters, consults, etc. All blanks were counted so I just continued, the OM, docs are well aware of it.  Also, that is why my cpl is lower than others also, it usually averages out in the wash. 
Screen blank for me too.
nm
Take out all blank lines
Go through and take out all blank lines and count or put on your line count on your file and see how many blanks there are and subtract.  Remember if you have a header though on pg 2 and 3, it does not count those lines.  Also I think that Sylcount will count lines only and no blanks.  Also when doing your line count in MS word, it gives you the paragraphs and so if it is 20, subtract 20 lines,  date to address is 4,  address to RE is 2,  RE to salutation is 2, etc.  Usually there are ten blanks from date to Dear.    Good luck.
Always flag/blank something so odd it is likely
x
Mine will go to QA if I have a blank.....sm
I do sometimes put that in though.
oh, the dreaded blank

I always do much better filling in the blanks if I don't stress too much over it, finish the report, and go back and listen again after the report is finished.  So often the blank can be figured out with the context of the rest of the report available. 


oh, the dreaded blank

I always do much better filling in the blanks if I don't stress too much over it, finish the report, and go back and listen again after the report is finished.  So often the blank can be figured out with the context of the rest of the report available. 


oh, the dreaded blank

I always do much better filling in the blanks if I don't stress too much over it, finish the report, and go back and listen again after the report is finished.  So often the blank can be figured out with the context of the rest of the report available. 


right click anywhere on your desktop that is blank, sm
and go into properties; click on the last tab that says settings and on the bottom left-hand corner is screen resolution. slide that bar left and right until you see what you are used to. FYI mine is on 800x600 pixels.
Either blank it or sound it out--no big deal either way.
Good luck!
Fill in the blank: You know you're getting old when....sm

1.  For me, when a person I used to babysit from infancy until school age has completed his internal medicine residency and is in a private medical practice.


2.  When I get up in the morning my knees and back crack so much that you can hear them at times in the next room (daughter asks "what's that cracking noise" will confirm this!)


 


You charge for blank lines? WOW! That's a first!

charge for blank lines
not my idea, but I'll take it!