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It was very frustrating to learn but

Posted By: tigger on 2005-09-10
In Reply to: Has anyone here ever heard of, trained on, or worked on Emdat? Any information? - Curious

after 3 months, I have grown to like it.... well maybe I have grown not to dislike it so much.  I would still rather work in MS Word.  It is NOT the best platform out there to be certain.  The spell check is awful and I copy everything into a Word document to double check.  You cannot copy back into Emdat though.  If there are any changes to make you must type them.  For some reason if you copy from Word, although it looks okay to you, on the physician's end it is wrong.


It is nice not to have to worry about the line count.  It is VERY nice not to have to save each patient separately.  It is nice to have the patients name available (although that is not always the case).  Overall, I give it a C. 


Hope this helped.




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That must be so frustrating! sm

I've only purchased brand new units (around $200), but they only last a year or a little more for me.  I think they make the darned machines with too many plastic parts and they just don't last.


I don't think I'd trust buying a used one without some sort of guarantee.


Sorry - hope things get better!


very frustrating
I was not aware that the MQ levels were based on number of lines typed. The email I got differentiated the levels by work types.
its frustrating but all you can do is
report it to your mgmt. they have the power to stop it if they want to.
How frustrating is this?
   I have a NP who is dictating.  She calls the patient by his first name, calls him by his first part of hyphenated last name, calls him the last name of the hyphenated last name (i.e.  Mr. John Smith-Jones is sometimes John, somes Mr. Smith, sometimes Mr. Jones).  What a BIG pain for this verbatim account.  "uj" usually gives me the patient's name, now I can't use that because she keeps changing her mind what she wants to call him..................grrrrr.
it is frustrating
It's a little easier for me now because the kids are older, but what I try to do is get up early before everyone else and get a good 2-3 hours in. This works for me because I'm a morning person. If you're not, maybe you could work at night? I know it is tough - you just have to shut yourself in, close the door and become unavailable to the rest of the world !
I can see where it would be frustrating...

I am an MT who also takes frequent breaks to rest my hands and my back.  My daily production is pretty good, but my production per hour would not really impress anyone.


Perhaps you could suggest modifying the report to contain just daily production.  I do not see where productivity per hour or some of those other items are pertinent to anyone else because there are people who will shoot out anything to get a line count and there are those who are gifted at typing 100 wpm, neither of which I can/will do.


It is frustrating for sure...sm
I used to work in-house with a lady that was a cherrypicker. There was one hard dictator that she said "I can't do his and it takes me too much time." Well, it took the rest of us a lot of time and frustration also to do his, but we did it. She was allowed to get away with it because she was good friends with the supervisor. Needless to say, all the other MTs left (except her) and they couldn't find anyone to work there and stay, so now their transcription is sent out to be done. The cherrypicker is stuck there doing whatever anyone hands her to do now. Serves her right!
very frustrating.
I actually just put medical transcription in the search box and came up with 4 pages of videos all foreign. Yikes.
Oh that would be frustrating.

It's not just you. The job is especially frustrating
when the dictations are horrible. Let's see, today I've got speedy spit chick, the um um um um um um um um um um um chick, the old guy with gas who constantly loses his train of thought, and the two foreigners.
How frustrating
and sad. OT, but I would have loved the opportunity to get out of the Northeast cold!
It's very frustrating trying to access
This qualifies for the Stupid Business Decisions award.
It is very frustrating when your pay is determined

by your output and you can't produce with the dictators.  It does get easier and I can do them fairly well know, but I do some really, really bad ones - heavy accents, mumblers, can't pronounce words, etc. and even though I can get through them without any blanks it is VERY frustrating, especially when you have several of them at a time. 


Some of the dictators I have now I can fly through, but the first time I had them I was ready to quit because I left lots of blanks and I just don't leave blanks.  I can't believe I ever thought they were hard because they are so easy now.  You have to train your ears.  Give yourself a couple of weeks and if it doesn't get better ask for another account or start looking.  Every company is going to have some bad dictators, ESL or otherwise, but doing 10% and doing 90% is a big difference.


Good luck - hope it gets better.


The same things happens to me...so frustrating

I have to manually right click and delete all of the extra smart lines.  I've had it to where I have so many smart lines that I only have a couple of inches at the top of my screen to type in.  It happens more some times than others.  It happens whether I'm working in straight Word or ExText Word. I find that if I log out of Word and back in, I can get it to stop happening for awhile, but that is so time consuming, especially if I'm logged in to ExText.  I've looked on all of the boards for a solution but haven't found one yet.   


Yes, it gets so frustrating when trying to work
and having to shut down because of a storm. I recently started with a new company and had to explain the quirky weather around here so they wouldn't think I was just slacking off...lol. But, they are very understanding about it, but it drives me nuts!
This happened to me too - it was SO frustrating! SM
I found that I had a lot of Spyware on my computer that was bogging everything down, and that was causing my ShortHand to work VERY slowly. So when I typed out my abbreviations, it would print out the abbreviation followed a couple of beats later by the whole phrase, know what I mean? It was a huge problem. I ran Spybot (free) and it fixed the problem, but not before my production was drastically decreased and I ended up having to give up one account because the majority of the phrases I used on it were in my shorthand and I just couldn't keep up. Good luck, and I hope this helps!
Frustrating on both sides
You are absolutely correct about the hyphens - if the linked words form an adjective followed by a noun, they are hyphenated.  I know it's frustrating to have undereducated QA people, and as a QA person, it's equally frustrating to have people who absolutely never hyphenate, put a comma after every 2 words (or none at all), etc.  I really really hate when MTs start a sentence with "patient comes in......" when the doctor clearly states "THE patient....".....that drives me insane! I had a report the other night where I had to add "the" 27 times!  It's amazing how many people do not understand proper punctuation usage, adjectives, verbs, etc.  I certainly wish I had more like you who know where they go!
Truly Depressing!!! Frustrating!!!
I know I have posted before....thanks to all those that have given me leads.....but I am so depressed....have applied at too numerous-to-count companies....and STILL no MT job!!!!! Have some medical background besides my MT diploma, yet cannot get anywhere!!!! Even bought a foot pedal.....how is one supposed to get experience if no one will mentor them....and I have applied to all mentoring openings.....but no responses!!!! I JUST WANT TO CRY!!!! Seriously thinkiing that this was a big mistake.....wanted to further my career....but this hasn't helped!!!!  And unfortunately, I cannot afford to take another MT course......sorry to post again....I just needed to vent.....so miserable!!!!    Sneaser
Yes I tried it many times. This is so frustrating. nm
:
Yes, it is frustrating when trying to converse with people
who don't understand English.
Oh golly, that must be frustrating and annoying.
maybe you can make a game for yourself of second-guessing the QA folks. It sounds like they are the kind of ill-informed people who would rather cling to their ignorance like grim death than open their minds and learn something useful. If you look at figuring out their foibles as a game, maybe it won't rankle so much.
I would agree they are slow and frustrating
but once you have them down you can make great line counts on them.

As a side note, I have been doing ops daily for 10 years and I still use my Stedman Medical and Surgical Equipment word book often. If you are going to dive into ops you must, must, must get this book before starting. It will help you a lot.
How frustrating! Maybe you could offer to charge them half price, but
I would not let them get away with taking advantage of you. I know you need the job, but it's not fair for them to expect you to spend all that time (especially over a holiday weekend) and effort for nothing. Offering to only charge them half price at least gives you something for your time and also offers them a break. It was their mistake - not yours but halfing it with them will hopefully show them that they are willing to work with them on it but also let them know you're not a push-over that they can take advantage of.

Good luck!
learn something new every day - thanks
See - learn something new every day. Thanks. I just knew about some laws passed locally last year on a city/county basis.
Did you learn
on the job, or were you taught by a friend, or self-taught?

Most of those tests nowadays are geared toward grads of official MT programs.
Learn something new every day don't
you.   A consult is similar in format to an H&P, but 2 different things - for example, an elderly patient with diabetes breaks a hip and needs surgery.   Most likely they are admitted to ortho, but need an endocrine of internal medicine consult to determine if diabetes is stable enough for surgery and no other medical problems that might be a contraindication to surgery, or need treatment prior to surgery. 
You will never learn to do them...
unless you tackle them head on. You do what you can with the report, and you do what you can with the next report. You cannot avoid difficult dictations. If you don't learn to do them, you will never make any money and will probably get into trouble for abandoning too many reports.
Why would anyone want to learn it???
nm
Learn something new every day...sm

Outlook and outlook express are two different things I guess.  I never knew this, but that's what I am being told.  Outlook has a calendar option but outlook express does not.  Very interesting indeed.  Let me know if you all hear anything different from this. 


Thanks for all your help.  I have decided to try the yahoo calendar for free and see how that works.  So far, it's perfect!  Thanks for the info everyone! 


thats it! You have to learn the sm
hard way to understand. For my own personal experience, I have gone through a horrible illness and I know more than ever the importance of medical records that are perfect. I have seen some really bad stuff out there in medical records, my own included that not only is a disgrace but downright dangerous! I have always done my job with the idea that there is a patient behind all of this and they deserve the best we can give them. With all the ruckus about the state of our health care system these days, why would any MT not understand that this is not about us and lines typed and cpl etc. ITS ABOUT THE PATIENTS!!!!!!!!! you are right, the money comes later. Its a career long learning experience, one that I hope never ends on the learning part. Sounds to me like you have also been through enough life to understand all of this. The younger ones won't get it until they have been at this for many years. The only problem is, with some of the attitudes of "I won't do this and I won't do that" they won't be in the business years from now!
Learn from history

and think very carefully about this person and his sob story. Boo hoo! 


His child is cruel toward animals, chances are this child is being mistreated in some way by someone. This is a red flag that something in not right in this child's life regarding the adults. Children are NOT naturally violent--it is learned behavior.


Be friendly, but takes things very, very slow and think of the safety of yourself, your children, and your pet (s). Better safe than sorry.


newbie trying to learn

I have recently finished an online medical transcription course.  I have been reading the posting on this website and I'm very intrigued by some of the information.   Not to sound stupid, but what are word expanders, auto correct, and shorthand?  I have macros on my computer, but I never used them.  I am trying to find my first medical transcription job, but it is very difficult as a newbie.  I would love to be a productive, accurate medical transcriptionist, but it seems that no one wants to give the newbies a chance.  Any thoughts of how to get started?  thanks!


It is your job to learn the ESLs and if you can't/won't then you need to
find a new job because you are in the wrong one.
However, once you learn it, it's great!
I averaged $21-23 an hour doing radiology, about $15-17 doing acute care. If I were to go back into transcription, it would be doing radiology.
Thanks, i'd be interested to learn more

welcome; love IT and sure you will too when you learn it. nm
;
It depends on what you need to learn. Sm
Right now I have a gal starting Sep. 1 who has absolutely no med. training whatsoever so we are starting from scratch. She is paying for textbooks, cd's, materials, etc. I am having her pay as she goes along. I am not making any profit on any materials, but when she gets to the transcription part, I will have to start charging minimally for my time. Not sure yet how to go about that.

The second gal has some formal training and needs dictation practice and I am actually in the process of working with a company getting copies of microcasette tapes with approximately 800 minutes of dictation on them and will give those to my students.

I have a few accts. myself so when my students show that they are ready to tackle digital dictation, I may consider "hiring" them in the future. Right now, our goal is to get them trained and ready with my help, and to be able to pass a co. test.

I don't know where that box is to place my email address is and I don't want to post it in this spot. I will try to get my email available for anyone seriously considering getting into the field and being trained with an experienced MT who is willing to mentor them along the way to meeting their career goals.
I had to learn the same program sm
Whether it is worth it - is only a question you can answer.

Personally, the platform is so easy; however, I do not get the high line counts I am used to even with their expander. I am so used to working in a Word-based platform with over 5000 auto-correct entries. For me, the transition was not worth it. I could only average 240 lines per hour compared to my usual 350 - 400 lph.

You have to realize, every one is different with different needs and wants.

The packet of policies you mention really is no big deal. Just print them out and read them over and within a week you won't even look at them again. Starting any job is overwhelming at first, but then it becomes routine.

I would suggest you give it a shot. You have nothing to lose and everything to gain.

As for the ESL account, I have no idea which one that would be - mine is a good mix of all.
Thank you! Learn something new everyday!
.
I like it. Once you learn it, it is easy.
x
Is this so you dont have to LEARN which is which?
If so, no, theres no way.

If you need a shortcut, just put the nongenerics in your Expander as capped. Put your others in like ddiphenhydramine and it will catch on spellcheck and you will know it is generic.
Yes. Use MT while you learn something else. It's never too late. nm
x
Was very difficult to learn and there are
still some things I cannot get the hang of. But, it is the only Expander I am permitted to use so had to bite the bullet after resisting for a few months. Takes about three months go use it effectively. Try using it for a few hours every day. When you get frustrated, close it and type everything out. On short-fuse days, skip it altogether. Over a few months, with this method, you will begin to develop speed and each new problem will be solved one by one so your line count will not get suffer greatly. Using IT requires doing a massive amount of reading initially. But, I have to say, I love it now (and am still learning how to use it six months into using it).
That rate is better than most. You do learn

the ESLs.  You just have to "train" your ears.  I remember my first day on my current account.  I had all ESLs and I had so many blanks and was so stressed, but now I would rather do these ESLs than some of my American docs.  I still have times when I will have a blank with these docs but it is rare.    When you get corrections back print them and keep a file for future reference and if you can relisten to the report once you get corrections and see if you can hear what they are saying this time. 


Took me about a week to learn it. I sm
forced myself to do it the IT way (using their marker keys), and started out using it 1 hour a day. I purchased mine at fitaly.com for full price. I have seen it used on ebay & here on the equipment board.
because in med school they learn to be even
cockier and they also learn how to dictate even faster. They also learn to pretend that everyone's physical exam is exactly the same no matter what their problem really is and, by the way, the Transcriptionist should know what that physical exam entails from the very first report. So, they all decided to save their money and just be a P.A. instead of an M.D.
yep, for some it's a big deal so learn it *LOL*

The patient will be seen for followup in a week.


Followup one week.


The patient came in for follow up of her acne. (I believe this can be hyphenated to follow-up.) 


The patient will be seen for followup care in a month. (This, too, some MTs hyphenate to follow-up but I do not.)


The BOS has this very issue - Book of Style by the AAMT 2nd edition  - discussed in it. 


 



Where did you learn all these tricks?
I have the program and have really not got into it too much yet, but the manual leaves a lot to be desired. It is very highly recommended so I intend to keep on trying. I bought it about a year and a half ago, and admit I finally gave up and put it on the back burner, but I really want to learn how to use it. I will add, though, that I have had a lot of trouble learning the tricks with Word, since I am on my own and having to teach myself.
Is it easy to learn?
Thanks
It will help you learn MD names and
I think help you get a realistic idea of your nursing career. I don't have kids though. I hope you have a good support system.

Good luck to you.
LIve and learn...
her name?  Isn't that a little unprofessional and childish on your part.  Too bad you got a bad deal, but you chose her.  Maybe she's making more money doing something else or had a family emergency.  Did you have her sign a contract because if you didn't then you really have no leg to stand on.  I just personally think it is poor taste on your part to try to smear her name.  I wish you would produce your full name so that I don't work for you in case I want to quit - you won't smear my name.   Grow up and quit  !  Just find someone else!