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If the doctor dictates it, you transcribe it, in quotes, as this

Posted By: ja on 2008-01-28
In Reply to: QA Help: Earlier I transcribed a report where - Dazey

is what the patient said.


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You are supposed to transcribe exactly as the doctor dictates. sm
However, every "verbatim" account I have done, we are allowed to correct the doctor's spelling mistakes, especially with something like a drug. However, you must be sure of your drug. If there are two that are close, it is safer to use the doctor's spelling and use quotes or whatever the account allows.

Many of them will also allow you to correct a glaring grammar mistake, such as using "is" for "are," etc. If you're not sure, ask the account manager.
Not your call. Transcribe in quotes SM
or if you truly refuse to transcribe that word, use whatever system your company has to make the report go to QA.  There are reasons dictators want a thing like that transcribed--it demonstrates noncompliance or abuse of staff and it's important it be transcribed into the document.
I was told if it is in quotes transcribe it even if curse word...
The doctor wouldn't have said it if he didn't want it in his report. If it wasn't in quotes now no I wouldn't have put it in. But since he was quoting yes I would.
The ones that I hate are where the doctor dictates a full line or paragraph,
and says, "No, wait, go back, change that."  Then you have to delete everything you already typed and retype the new dictation.  Some of these newer doctors do that to nearly every sentence.  By the time you finish the report, you've typed and erased half the report.  Do we get paid for that?  NO.  I don't get it.  We still have to pay for doctor visits if they misdiagnose us, then we have to pay for the subsequent visit to fix what they didn't diagnose the first time.  We should get paid by them for typing what they said, erasing it and retyping what they meant to say.  They're getting our wallets coming and going.
I currently type for a doctor who dictates with a digital handheld and sends the files via e-mail fo
and wanted to be able to call me with his dictations.  What would be the best and cheapest way for me to go so that he can do his dictations without the handheld unit??  I don't want to invest in a lot because he does not forget very often.  This is the first time in three months.  Thanks for any suggestions you may have. 
If the doctor says it, I transcribe it. It is his/her report, not mine.
x
we transcribe for the high paying doctor.
nm
Thanks but she requests in quotes so and..
sounds like "5 C's" was wondering if all symptoms started with C or something. Maybe a slang term instead medical.
If it is in quotes, you had better leave it...

If it is in quotes, you had better leave it... esp in regard to the legal aspect, but also the integrity of the document.


That said, usually the client has a preference regarding these things.


 


The BOS can cram it. That's C-R-A-M and don't put it in quotes. nm.
x
question on quotes....

I typed:  CHIEF COMPLAINT:  "I was hallucinating."


I was corrected as:  CHIEF COMPLAINT:  "I was hallucinating".


Am I wrong here?


ADMINISTRATOR: Some Quotes from MQLover

Administrator, these quotes below are what we are referring to.  Her attitude and language are indefensible.  Please ban her from this board.


From MQLOVER: 


"1.  ….is utterly ridiculous that you find a negative thing to say about everything you read you nasty, nasty lady. "


"2.  Maybe you better wonder about what is for dinner tonight, I am sure you are thinking about that."


"3. Yeah, you make a lot of sense! Stupid.  I find it funny that you think people who enjoy their jobs are immature and have multiple personality disorders. So wake up ugly and go find a shrink."


 


"4.  You really are stupid.  What I have to say is the only loser here is you, so lose about 50 pounds and come back later."


 


There are many more examples on record.  Thank you,


 


The professional MTs who really want to use this site.


 


I don't use slang, ever, unless it's in quotes from a patient or something. nm
x
you can use apostrophes to emulate quotes.
Two apostrophes = one quotation mark

Like ''this.'' (4 apostrophes total, 2 in front and 2 behind word)

Just a little trick I figured out a long time ago for this board.
If it is a verbatim account, I'd vote yes ... although with quotes around it. sm

Do you have a supervisor/liaison/QA person to ask? 


 


I agree ... not really professional.  Of course, I still cringe when I have to type "belly" instead of stomach.  


They are teaching you to always put the period inside quotes now. I just took a college English
It still looks wrong to me that way, but that's how they're doing it.
I actually have 1 MD (pvt) who dictates...sm
and I hear him going #1 and flushing the toilet!!!  I hate that and I hate them dictating in their offices with the music on!!!  This same MD will dictate an op report (3-4 pages long) performed in the office, but dictated while he is walking to his vehicle, driving HOME!  I hear all the traffic.....that's got to be THE WORST (along with the music in the offices).
HELP Dr dictates.....
"This patient with a history of AIDS status post Pneumocystis carinii pneumonia,"  Please help with punctuation before and after status post.  My mind is blank.
Client dictates which way, but I have
NEVER in 20 years seen it with the first letter of each word capped, so Low back pain would be correct, unless otherwise dictated by client/BOS. 
If a doc dictates CHF, do you type s/m

CHF or expand into congestive heart failure; and for any other shortened word, do you expand.  The guidelines for my company state type what is dictated and only expand things in the diagnosis section.  Well, someone I know who works for the company said that they just always expand regardless.  That doesn't seem right to me.  I was just curious as to what anyone else does.


Thanks!


can't think of one female who dictates well, IMHO.

Resident dictates at end of report...

"Note to transcriptionist...thank you for your time, thank you for your service, and have a great day."


 


WOW, that doesn't happen often, and when it does, it sure feels nice to know we are considered colleagues and not just a typewriter on the other end of the telephone line!


Or making $36 ph on acct that only dictates 1/2
fsa
Yup, same as Diana ... if the work dictates (sm)
I work until it's done even if it's weekends. Technically I don't "have" to since my contracts state M-F but I don't mind the weekends if I don't have huge plans and there's a lot of work to be done.
My DD is a social worker and says that she dictates directly into VR
and the report is on her desk when she gets back to the office. She said everyone in her department loves it!
Question: doc dictates "pt is generally p***ed off."

I'm half tempted to type it just that way....Would you?


RE: Question: doc dictates "pt is generally p***ed off."
Yes, if physician said it, transcribe it exactly as dictated. What is the question concerning "pissed off", if I get the *** correct?
ESL doing rectal exam dictates "I did a rectalization"

I have a doc who dictates the entire address, but not the zip code. SM
or the referring physician (throughout a three state area), and says, "Dr. Smith" and then gives the address. I still have to go online to find the doctors first name. Very annoying.
Female Elmer Fudd dictates! (sm)

"She has a known history of uterine leio, leiomy, ly, leio, leiom, la...ugh...uterine, um, fibroids."



My company dictates 2/10 to 3/10. Note no dash.nm
x
for GU exam on a female, if doc dictates Normal BUS what does this stand for?


PA dictates patient drinks "a gallon" of liquor a day.
I hear people drinking a pint or 1/5 a day, but a GALLON.  The guy is only 45. 
Wouldn't it depend how fast/slow dr dictates,
x
..or when the doc dictates "prior report LOST by XXX Transcription Service...AGAIN." sm
I work for a national MT company, we do hospitals all over the country, I work from home. I have NO control over where the chart goes once I send it in, I'd bet the original chart was never dictated and hence never 'lost' by us....but in the case that it may have been, THEY HAVE THE PHONE NUMBER of the company to call them, they have specific contacts at the company for issues such as this...I CAN'T HELP YOU WITH THIS, especially when all they're doing is bitching at me on a voice file. Funny, it's always the same couple of docs complaining of lost dictations. Curious that it's JUST THEM. ;-)
Formatting of the document dictates the line count, not a different computer.
xx
Call your doctor - this is not a doctor forum! nm
x
You know the difference between God and a doctor? God doesn't think he's a doctor. nm
X
My favorite speciality is the office who dictates it and pays the highest line rate.
It's the money, honey, that matters to me.
common sense dictates you read the writing on the wall. technology has made you obsolete.
and the government has seen to it that american workers are no longer necessary and allows business to outsource many middle income jobs. 
transcribe it
there is no reason not to. You are a "professional" which presumes the information will remain confidential no matter who it is. I happen to live in a small town where everyone knows everyone else and half the town is related. Nothing would ever get typed if that was a consideration.
I tried to transcribe one of those

*mask* things once (and ONLY once).  What a crock!  It's like trying to transcribe an auctioneer.  I always wondered how the accuracy couldn't suffer with this method.  (I guess I was right, considering the government is now using it.)  They make less money because there isn't much skill involved in doing it that way.  Legitimate court reporters go to school for quite some time and have to learn what's basically another form of shorthand.  (It's been years, and I might be wrong, but I believe, for example, the letters PB=N (or something like that.  LOL). 


I was around when the court reporters in my area went from straight dictation to *the computer.*  In fact, I did editing/scoping work for one court reporter who bought the new system, way back when the technology first became available.  (She also bought my computer for me to do her work and anything else I wanted to do on it, and part of her *offer* was that after two years, I would own the computer outright!)  It's a whole different world than transcribing.  I didn't like it then, and I don't like it now.  It's easier for the court reporter, who can pull his or her notes right up on the screen when something doesn't make sense and see where the *typo* was and figure out what it actually should have been.  So in order to be an Editor for a court reporter today, you basically not only have to know how to read their notes, but knowing how to read their TYPOS is the important thing.  This particular court reporter had the wisdom to know when her notes weren't that good, and rather than give me a very sloppy transcript to edit, she'd dictate it instead.  She was a great person, and I miss her a lot.


Scoping/editing for a court reporter is a great field to get into if that's your cup of tea.  If you're a typist, it's real difficult to get the "rhythm" that you can get when transcribing, and that's what I don't like about it.  (Very same thing with VR in medical transcription today.)  However, after doing this kind of work for 20 years, I might wake up tomorrow with carpal tunnel and might be forced to pursue it.


One thing about court reporters, from my own personal experience in my area:  They are the most generous, easy-going, NICEST people I've ever encountered, considering the enormous amount of stress they're always exposed to.  Back in the 1980s, I remember reading stats on suicide rates, and court reporters and DENTISTS were right at the top of the list!!


Do you transcribe too? How much are you
required to transcribe per day/pay period? What are your responsibilities.

Sorry for all the questions, but I think one of the biggest problems in this industry is lack of consistency. If the positions were the same, we could compare apples to apples, in terms of hiring and applying :)
How many of you transcribe while
using your telephone line as in you're 'on the phone' the whole time you work?  How does that work out for you both with your phone usage but also with unlimited LD.  Could you recommend any unlimited LD plans that are good?  Our local one isn't that great as far as a high price, so I'm looking around.  Thanks for any help!
I transcribe ...
IMEs, Consults, Re-exams, Followups, Treatment notes,etc.

I am located in Texas, but I work directly for a doctor in Florida and then I transcribe for a small MTSO out of New York also doing chiropractic.
Why don't you just transcribe it?
Get creative - and type ... the patient...peeing, peeing, peeing, more peeing... is a 38-year-old

sorry i could not resist

transcribe from CD

Is there a way to transcribe a church audio lecture from CD?  It is a .cda file.  I have "associated" the .cda with Start/Stop and ExpressScribe, but I still have no control with my foot pedal.  any suggestions? 


Thanks, Debbie


This is how I do it. I transcribe

a minimum of 2000 lines per day x5 days a week for 8 hours a day, making 9 cpl which equals out to $180 per day. That comes out to $900 per week or $46,800 per year. That is just at 2000 lines per day. This is w/o shift differential and line differential added in. We get a bonus for going over a certain number of lines per pay period and we get a shift differential for working 2nd and 3rd shifts, which then works out to over 10 cpl. Transcribing 2000 lines per day works out to 250 lines per hour. W/o using an expander, I probably type about 100 words per minute and with my Expander it is a lot more. My pay stub shows how many lines per hour I average each paycheck. This week it was over 300 lph. I use my expander to its fullest. I have macros for everything and anything you can think of. I do radiology, oncology, and ER transcription - lots of phrases said over and over. I do not cherrypick. I cannot see what report or doctor I am going to get, the chart just pops up and I type it. Some days are all good docs, lots of days they are horrible but in this profession you take the good with the bad.


Everybody's work habit is different. Focus on what you can do instead of what person A or person B can do. When I first started I set goals for myself. I wanted to be typing 1000 lines by so and so date in 8 hours. When I reached that goal I made the goal higher by 100, 250 and then 500 lines. To me, it's all in the attitude you have for work. I look forward to work each day because every day there is something new to be learned.



This sits over my desk: Do not let what you cannot do interfere with what you can do." - John Wooden 


 


Does anyone use Transcribe+
that you can use Dragon naturally with? Starting the new platform and just wondering? TIA
You know ... just transcribe (nm)
what you hear!

I transcribe
250 to 300 lines an hour, is it possible to edit voice rec up in the 600 lines per hour to make an equivocal line rate to transcribing?