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If you would ever hear the quality of some of the dictation I heard on cell phones, buses, trains,

Posted By: Give me a break on 2005-07-18
In Reply to: I think you need to see it differently ... - Busy MT'ing

cars, etc. I dont care how good you are you cant do this work without blanks nor can QA. Some of them dictate with millions of people talking and laughing behind them and they are unable to be heard. PERIOD. No amount of skill and excellence will get you out of sending this stuff back without going to QA.

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cell phones
I was just at the hospital Friday evening attending a death, and one of the family members said, "Oh, we can't use the cell phones," and a nurse said, "Sure you can. It's okay." Things have changed. There may be some places in a hospital where they are still not allowed, but they are becoming accepted in more and more parts of the hospitals.
Cell phones
The candidates running in our state (LA) are calling cell phones. It was on the news a little bit ago that the phone numbers are the ones that were wrote on the voter registration and if you don't want the calls, to write the voter registrar.
cell phones
It seems to mean i read it was against the HIPAA (?) for doctors to dictate on cell phones. I've heard stories, though, of many doctors who do. What about dictating from home--are they taking medical records at home to do this. Seems like that is a violation, too. But who is going to say anything to doctors about diddly squat stuff like rules or slowing down a little so we can understand what the heck you are saying?
on ice while dictating, or I have a few suggestions where to keep it.  My nerves aren't frazzled enough with this industry, now we have these clowns keep their cell phones ON while dictating.  This morning I had to sit through dictation from one of the worst, and he knows it, all the while having his shrill, loud cell phone ringing in my ear.  I know they have to stay available as physicians, but what's wrong with voice mail, text messaging, until he/she is able to take the call in an appropriate, courteous manner.  No, they have to let it keep ringing.  My ears are still buzzing.
Cell phones in hospitals..sm

No cell phones allowed in hospitals.  Nothing new.  I recently saw a newscast on cell phones in hospitals and what they can do.  Turn off respirators, mess with EKG readings, mess with infusion pumps, etc.  Not only should cell phones not be used in hospitals but they should be turned off.  I can't tell you how many times a day my computer jumps around when I have my cell phone anywhere close by.  If this is so, I come doctors carry cell phones around the hospital.  I have a dictator that constantly gets phone calls and when we went to a new dictating system, I had to shut him down because if it rang when he was dictating, well, he had to redictate because nothing was there.  My son was once having a heart procedure done and while we were in the waiting room a lady was on her cell phone.  A nurse noticed her and told her she had to turn it off, she kept talking and he waited until she was off.  As soon as he was out of sight, she got back on.  I almost got up and told her myself to get off because she was risking my son's life!

They do have wireless with laptop through cell phones now
I have it but it is slow too. Probably as slow as satellite. It is supposed to be DSL speed, but I dont think it is. I have never had DSL to know for sure. It is faster than dial up but it is slower than cable. I am able to work, but you can forget about fast downloads. Small jobs are fine. The only thing that takes so long is the actual sending/receiving dictation.
They do have wireless with laptop through cell phones now
I have it but it is slow too. Probably as slow as satellite. It is supposed to be DSL speed, but I dont think it is. I have never had DSL to know for sure. It is faster than dial up but it is slower than cable. I am able to work, but you can forget about fast downloads. Small jobs are fine. The only thing that takes so long is the actual sending/receiving dictation.
Important - Telemarketing to Cell Phones


Cell phone numbers going public tomorrow

REMINDER....all cell phone numbers are being released to telemarketing companies tomorrow and you will start to receive sale calls.


To prevent this, call the following number from your cell phone:            


It is the National DO NOT CALL list. It will only take a minute of your time
It blocks your number for five (5) years.  You must call from the cell phone number you want to have blocked.  You cannot call from a different phone number.

It take about 20 seconds


Nope, it is their cell phones, beepers, etc.
I agree with the poster because when they go off you can tell they are being reached for and checked to see who is calling as the dictator usually pausing and trying to find their words while still trying to check just who that is. They sit cell phones and beepers so close to the dictating units that you have screeches going off throughout the dictations. Hard on your ears. Sometimes I have to hold away and then I cannot type what is being said, oh well.
Also got rid of our house phone because we all had cell phones and that saves me about 75.00 a month
or so.
I have given my kids cell phones..and taught them how to press and hold the key to call me..so that
My kids are only 6, 8, and 9 and i used to think it was silly to give kids that age cell phones, but not anymore!!
I agree. I work for an exceptionally difficult university and those people dictate on cell phones in
trains, in cars, everywhere and they cut out and they just have an exceptional amount of residents dictating on anything imaginable. My blanks are never for words I dont know they are for crappy dictators or those that simply dont know what they are talking about.
Cell phone dictation in the middle of the night
First, they are inaudible, and they are so tired that they forget where they are at and backtrack or forget parts of the surgery. Then you have to figure out what they are saying when yawning and everything else. Also, I hate it when there are screaming kids or a bunch of people in the background that are louder than the dictators, and the dog is barking like crazy. Ambulances: Why do doctors dictate in front of ambulances when the siren is going?
Bad quality dictation
What in heavens name do you do after starting work with a company and the dictation is so lousy qualitywise with static and the voice fading in and out.  Is this normal? Left lines in every report.  ??? Help?
quality of dictation
for the most part and filling out demographics, etc. Escription they just started recently.
Depending on the quality of the dictation...

you could figure on 2-3 mins transcription/1 min dictation. I would say $50/hour is low.

I am interested in what MTs think about the quality of the dictation you get on accounts that are
also using VR and ASR. Do you find the quality of the work getting worse and worse if you dont do the VR and ASR. Just interested in your feelings about that.
somewhat. would help if the quality of the dictation wasn't so crappy. nm
I totally agree and keep in mind the quality of the dictation where you're at currently. SM

You're already used to the dictators where you're at now.  I can almost guarantee that the quality of the dictation will decrease and the number of ESL will increase whatever national you choose to go to compared to where you're at now.  Even if you do luck out and a get a good account at a national, there is still the transitional phase where you getting to know the dictators, account specifics, etc. and your production will decrease considerably than what you are used to.

I'd stay where you're at, choose a national that you like, one that gets more positive feedback than negative, and try it on for size.

Good Luck!

So do you use like a wav pedal to hear the dictation? sm
I actually still do tapes too and like it until they come off the end of the spool.  This always happens to me.  I'm actually losing my huge and only account to EMR very soon and can't seem to find any local docs.  Is digital a way I could get docs further out of my driving range?  Any help would be great.  I am a MTSO and it is just myself. 
If you are currently using a pedal to hear dictation you
have a sound card already.  It is pretty much standard equipment.   What pedal you use just needs to be compatible with whatever software you use.   You can download Express Scribe and try using your current pedal with any voice files you might have already on your computer. 
Letting Physician hear her own dictation
I had two bad dictating Rads, one who said "period paragraph" in the middle of a sentence throughout the entire report and another who threw up the films while dictating, as his handset was placed on the counter. There was no OM to talk to, it was me and after asking them repeatedly to fix the problem, they tried with no improvement. So I typed the report exactly as he dictated it and gave it to him for signature. He never said a word to me about it, just redictated clearly and never did it again. With the other, I walked into the reading room and played the tape for him and asked him if he wanted me to send the dictation to the referring physician so that he could figure out what he was saying. You would be surprised how quick these guys got their act together. But they really did not think there was a problem until it was presented to them. Maybe she needs to hear what it sounds like. She may not think its so bad. I say copy and send the bad dictations with the letter. Leaving out those things mentioned above.

Hard to hear dictation occurred also for me
when dictation transitioned from C-phone to digital over the internet. Most dictation was fine; however, the faint dictators disappeared even with volume turned up to its maximum.

Recalled an article I saved "somewhere" for future reference regarding such via some angel on this site regarding such. Searched through my old printouts and finally found article signed by NM regarding mini-amplifier/speaker at Radio Shack.

I searched the internet and found her/his suggestion being the Koss EQ50 3-Band Equalizer referred to at Thenerds.net for $13.99, and it has made all the difference in the world for me regarding the clarity and volume of dictation.

It is a very small unit, approximately 1/34 x 2 inches - input cord plugs into your PC, output cord plugs into headphone.

Was afraid I was going to have to hang it up until I found this unit - it was a lifesaver for me! Dictation loud and clear !!

OMG! Footpedal will not operate. Winscribe. I can hear dictation

when I click on the arrow for "play" but my pedal is not registering.  Tried a different pedal and the same thing!  Have a call into the Help desk but I am panicking! 

Anyone have any idea would could possibly be wrong????  I have very rarely had foot pedal problems. 

save a generic dictation, sit the person at your desk and tell them to type what they hear
CorTmedical - never heard of em, but they need to hear about the minimum wage ... - nm

Is the dictation quality good, are the dictators good, are you
a newbie and you still have to look up lots of words ....   The very first day I typed, with absolutely no education way back when, when you didn't have to have a degree/certificate or previous experience, I typed 665 lines.  This was without an expander and I was not a fast typist.   I can do 1000 lines in about 4 hours now on average. 
Family Practice trains you with a little of everything

Hahah!a! Funny typo: not quality 'scAre', quality 'scOre'. LMAO!...nm
I know of at least one MTSO who trains the docs on how to dictate
distant trains for me, grew up with 'em. NM
I think that depends on the quality. Do you honestly think there is good quality just throwing every
MT on any account like they are. I also think QA has been told to not waste a lot of time on blanks so I think the hospitals are getting a lot more blanks. I certainly have more when I get in a hospital I dont know and they talk 100 miles an hour.
I thought quality was a given. Speed and quality are not mutually exclusive. sm

I maintain 99% accuracy above on my reports.  However, the original question was regarding personal preference, and I have stated mine, and I respect your opinion as well.  :-)    I do think if I was working in an office or hospital setting, the setup you mentioned might be more profitable in the long run.  There are too many interruptions and such when you have other people running in and out, phones ringing, etc. 

I doubt that anyone but me really cares about the lines per hour it takes for me to do a report.  They just want an accurate report in a timely manner.  I take pride in my work, and would never just slop something out for the sake of the almighty buck.   And, as an added incentive, I work for 2 companies, and one of them has my name on each report.  I don't have a problem with it, but I did think it was a bit unusual at first.

Oh well ... I must confess that what I'd TRULY like is to be paid lots of money to just sit and play Battle Phlinx on Pogo all day long, but as of yet, no such luck.  

I have tried countless times too many to mention and nothing is done about the cells phone, trains,

buses, dictating in the nursing stations with phone laughing and talking, same thing right in the OR rooms, so I give up. It is ridiculous. I think it is time for me to find another hospital or a company that will address these concerns because MQ will not do it. Mark my words. I think they are afraid of antagonizing the account. My opinion.

Brain dead today - or is it hear hear? I'm going to bed.
Marry me?! :) Seriously...hear, hear. Good post. - nm
Are C-phones worth the trouble and expense of getting one? I work for a small company and now the docs want to go back to them! I thought they were rather obsolete. Also, what kind of cost is involved in unlimited long distance plus do you have to have a separate phone line for these?
Aren't C-phones a little outdated or it is just my imagination? I was working on a contingent basis for a wonderful small company but now the owner says the docs like the C-phone better and have switched from that after using the voice-activated equipment for awhile. I enjoyed the work but not the expense of purchasing outdated equipment that I doubt I would use anywhere else. So for now, I have virtually NO work
c phones
I have been searching for a job again and I see one that needs me to have one. Don't know anything at all about them. What are they and what do they do? thanks!
ear phones
Got them at Radio Shack.  I got the less expensive ones, and am sorry I didn't get the fancier, more expensive ones.  I think they would be worth it.  Will be getting some better ones later.
ear phones
I have no idea, honestly. I just don't like wearing a "leash," as well. Also, the ones MQ sent are about 10 feet long.

I know when I see teenagers blasting their music directly into their ears, it not only aggravates me because I can hear it, but it makes me think they'll probably become deaf or hard-of-hearing at an early age.
Ear phones
I also have C-phone and hate the chinset ear phones.  They dig into my ears, and give me a headache.  I got on ebay and searched on C-phone.  I ran across a pair of ear buds (like an MP3 player has) that are 2-prong, and only for the Dictaphone system.  Very excited to get them!   
ear phones
where to get ear phones
ear phones
Just ordered a pair from the company I work for today, but if the company does not provide them, I have, in the past ordered on line from Lanier. They have a website. Another possibility someone just brought to my attention is Radio Shack. Also Dictaphone makes them, which I have ordered also in the past. They have a website,
A C-phone is a telephone with a foot pedal where you pick up your dictation. You dial into a number given by your employer/hospital. Used C-phones can run 100-150.00, and new ones are around 700.00-900.00. Try EBay, as I believe they have them under medical transcription. I have used one for years and really like it. Quality of the dictation is usually perfect.
What ear phones do you use?

I noticed a huge difference in my ability to hear when I switched from regular "transcription" ear phones to a really good quality Bose stereo headphone.  It was a $$ investment, to be sure, but I figured it was worth it since it's tax deductible and I hear more without having to leave as many blanks.

Good luck.  Hope you find a solution that works for you.

Don't know about being the same, but I have one for sale if you are interested.
phones through router
I have Vonage (see above) and I have a C-phone connected to my phone line on the Vonage router box, but I still have regular phone lines connecting my home phone, so basically 2 different phone numbers, 2 different services.
Head phones
I have never used noise reduction head phones, but the best head phones I have ever used are the ones that came with the Olympus 4000 transcription system.  You can buy the head phones separately.  I think they are about $50.  This is a lot, but versus the others I have bought in the past (around $25) there is simply no comparison.  I also use them to listen to music on my computer.  They are great!  I have a Soundblaster card on one computer, but even on my other computer the sound is much better than with regular head phones. 
Wav files vs. C-Phones
Think I'd better get a laptap in the future! Sitting outside typing sounds wonderful but since I am only doing this on a contingent basis, guess I'll stick with my big old computer. Thanks for your input!
interpreter phones in the ER
How does that work in the ER when they need an interpreter for a patient?  I'm thinking there are on-call interpreters (or translators) for specific languages but I'm curious if anyone knows anything about this.