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It worked; I remembered to download the work into E-Dictate

Posted By: and then E-Scribe worked. nm on 2007-07-20
In Reply to: did that mean it disappeared? - pdqtrans

nm


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When I worked on site, we would judge docs by ability to dictate ...
As it turned out, our assessments were usually correct as to who the best/worst doctors were by the way they dictated. It was not necessarily just that they pronounced words correctly. It had more to do with general sloppiness and lack of attention to detail.
Yep, they dictate in noisy nursing stations, dictate in the ER, dictate in the OR when they are
cleaning up banging around and we are supposed to hear them. So much for HIPPA.
I just went to the website and clicked on the link to download the newest version and it worked.
www.pcshorthand.com is the website.  You can download a free trial of the software, but eventually you will have to buy a license.  You can also pay a little extra and have them ship the actual software to you with an instruction manual. 
If this is your only job and the dictate when you work - sm
then by the IRS definition you are an employee, though it does not sound like you are having taxes taken out. I take care of this problem myself by having another IC job that all I have is a deadline and I must have my work in by then, they could care less when I do it, as long as it is done on time. I have another IC job, where they asked when I would be working, a schedule of sorts, sort of what you are doing, but I do not firmly stick to it. I think it is more to give them an idea of what days you plan to work and what time of day. They do not chew on me if I vary my schedule as long as I log in and do the work. They know as an IC they cannot dictate the hours I work. I don't/cannot write off my home office as it is in my bedroom, but I write off everything else I can. If you need clarification call the company you work for and tell them of your dilemma and how your tax person says the IRS considers you an employee and since they require "set" hours then they should start taking taxes out, etc. from your pay, and see how they backpedal on the set hours issue.
Well, some companies want to categorize you as an IC, but dictate what hours you work. sm
That is illegal. If you are an IC, companies can not tell you what hours to work; however, they can tell you we need these hours covered on such and such day. You can either agree or disagree.

Personally, I will not commit to any set hours. I am an IC solely for that reason. I will give you 2000 lines a day in a 12 or 14 hour period or whatever period you need it in, but I will not tell them I will sit at my keyboard from 9-5.

Companies want you as an IC but they want employee schedules. Most companies are trying to do that nowadays. It is up to you, the individual MT, to accept or decline. Everyone's needs, including companies and MTs, are different.

Quite frankly, you really do need to ask the company what they expect from you, the IC MT, to really make informed decisions and choices.

I hope this helps a little bit. Good luck!
Your company will dictate whether working off line via recorded work is even
s
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.
Download Express Scribe, it's free, when you download the voice files you will listen to....
them in Express Scribe and you can set your footpedal up. I forget where the downloaded files go, can't remember if you can put them where you want them but I would have to search for them to download to Express Scribe - maybe someone else can tell you how. It is much better than what you are doing.
Pedal won't work with Media Player, download Express Scribe. nm
x
Just remembered ...
My youngest was 2-3 yo, wearing a bright grass green terry type jogging shorts suit (OMG, do you remember THOSE?? - tank, shorts ROFL). He got in GREEN food coloring, my niece was watching him while I was in the bank. The food coloring had fallen out of a bag. Luckily, the car (exterior and interior) was green ........ Sure made his bright blue eyes stand out LOLOL .... I THINK I let him get in the bath with lotsa bubbles, etc, and most of it came off. Worth a shot anyway. (this was 20 years ago, so I'm foggy on the details).
At least you were remembered.
How sad that you see the glass as half-empty.  I choose to think of it as half-full - she was not obligated to send you anything.  Ever heard this? "It's the thought that counts!"  When you have a thankful heart blessings are multiplied.
Remembered

Today I went to have my first mammogram and US.  The location I went to was not the office I worked in, but it had the same group of radiologists I had worked for.  As the mammo tech finished her pics and went to see the radiologist, I asked her to tell Dr. R*** hello for me.  (I had already mentioned I'd transcribed for the other office).  She said she would.  After the US, the tech told me Dr. R*** had told her - "Hey, I know that girl!"  And he came running in the door to say hi.  He was all smiles as he came in, and said he was sorry it was under these circumstances (dx mammo), but he was very cute with his enthusiasm to see me.  I was really touched. 


(I do have to have a bx; the studies did not indicate either malignancy or benignancy, but it feels benign). 


I just remembered,

last week I bought a new Logitech LX3 optical mouse at WalMart, again under $20, which has a USB connection, but it also came with a PS2 adaptor included.


I don't know where or if you can get a cheap flat screen monitor.  I had to buy a replacement for my flat-screen Acer that died but I couldn't afford another new flat screen.  I got a very large monitor that must weigh about 75 pounds - the thing is just huge - but it was only $25 from a custom computer store here in town that sells used and refurbished computers.  They had a bunch of the big ones piled up in the back room (everybody wants the flat-screens) and they said I could take my pick for $25.  I got the biggest one they had.  It's bulky but I'm really delighted with it. 


Specifically MQ. I do not work, have never worked and will never work for them, but ...sm

totally am against outsourcing work outside of the United States.  Any company should not be allowed to advertise if they outsource outside the US, in my opinion.


Thanks for the response, I should have remembered. (sm)
Glad you got a laugh out of of it...I figured I could legitimately say I was in training because my Mom had it.  You gave me exactly what I needed, thanks.
Forget it -- I remembered!
Thanks!
Nice being remembered

That's wonderful!  It is very nice when they take even five seconds to wish you a happy holiday season or anything like that.  I've been sick with pneumonia and one of my doc's said in his dictation he hoped I was feeling better and that he would fully understand if I didn't keep my 24-hour return time; he even offered to bring dinner to my home one night for my family.  Another group gave me a nice Christmas bonus and invited me to their office Christmas party.  That is one reason I still like the good ole' fashioned tapes that I pick up and drop off - I get to interact with the doctors and other office staff, which seems to forge a relationship with them.  They realize I'm a human being with a family who works for a reason and that means lots.


Merry Christmas!


it's nice to be remembered
Hi Misha, Whatta thrill you were greeted so enthusiastically and joyfully by that doc. (I can almost see his impish ear-to-ear grin when he burst into the room.) Everything's gonna be alright, kiddo.
I would have been happy to be remembered. My big national..sm

did nothing - zero.  An e-card would have at least let me know they know who I am.  My small account sent me a regular card with a small bonus, which I appreciated VERY much.  It took the person a bit of time to send that card to you, so there was some thought that went into it.


I, personally, am happy to receive anything (even an e-card) than nothing at all.


I'm not an MTSO, just remembered seeing their ad, thought
x
Go work were you worked before then SM

if it still exists, of course.  You were in an antiquated system 3 years ago.  We were all working.  The hospital hourly system fell by the wayside about 6 years ago.  What's stopping you from going back to the hospital?  Oh, they OUTSOURCED?  Ahhh, I see.


Go work in some other field.  Then again, stay in MT.  I can't wait to see you looking for job very shortly when they can you for all your whining.


Oh Wait!! Just remembered. Tech support was putting my PRD into

may continue to work if I just load WORD on my old workhorse computer I have here.  And I will be fine.  Oh please lawd, let this work. 


When I worked for them, there was plenty of work.
They are very disorganized, though, and I spent most of my day doing unpaid clerical work. They would make lots of promises to get me to stay and then not follow through with them.
All my programs that worked on 98 work on XP - sm
There is a setting you can do, after you reinstall them, the "compatibility" mode. You right click on the desktop icon, select "properties", then hit the "compatibility" tab and indicate what you want, Win 95, 98, NT or 2000. It's pretty simple and all my programs work fine on XP even if they weren't made for it.
I should add, I don't know how they are to work for as I've never worked for them, just saw th
post.
I've worked with MTs who work diligently
...to find a way to cherry pick.

The system that you and the poster above you are describing sounds like the one used where I used to work.

One MT fiddled around and wasted who knows how much company time until she figured out how to manipulate the filters component of the system, and set the filters to only route to her jobs from her 3 preferred dictators.

If only these MTs put as much time into actually transcribing as they put into getting around the system they could probably make even more money than they do with the cherry picking.


Nope, I am working exactly the way I always have worked and I always am careful with my work but
lets face it the only way to be certain you are PERFECT is to relisten.
i think anywhere from 14 to 20 an hour depending on hours worked, kind of work, etc.
nm
I heard they were not nice to work for. Knew people who have worked there and left.
This is secondhand information, but I trust the people that told me this.
Download antikeylogger from download.com.

I haven't tried it yet, but it's got good reviews and a 10-use trial.


http://www.download.com/Anti-keylogger/3000-8022_4-10418982.html?tag=lst-0-9


Worked in clinic for 30 yrs and have tinnitus. I am used to back ground noise, hard to work
:+
Every company is different -- I worked FT for one as an employee but worked a split shift - sm
So I never took breaks. I would work 5 hours, break for about 4 hours then do another 3. Another company I worked for did not care what hours you worked (IC) but wanted a min. amount of work each day, 500 for PT and 1000 for FT-- BUT they paid you by how many lines an hour you put out, the higher the lph the higher up the scale you made per line in pay; they have since changed everyone to a flat rate with incentive. But bottom line, if you are an IC it does not matter what hours you work, though many ask for a schedule and ask you to stick to it, they just want you to meet line requirements daily, i.e. 1000 per day, 1200 per day, whatever it is.
my take is that she worked inhouse, not at home, and now wants to find out how to work at home. nm
x
800 dictate can help you set it up.

Cannot dictate for MDs
You cannot dictate for a physician unless you have a PA or MD degree.  We volunteered at the last in-house position I held to dictate the discharge summaries instead of paying quite a bit for interns/residents to do the dictating and were told it is not legal.
If they dictate
your hours, you are not an IC and the IRS will sooner or later jump on it.  Do you file a schedule C with your income tax?  Be careful, because if you're not a real IC your deductions may not be allowed.  
I often dictate for a doc sm
that will send his patients to a therpaist named Candace Jones, but he always sends them to Candice Bergan.
If they dictate them, they want them on there.
x
I got up early, worked during naps, and worked when DH got home.

You have to be disciplined to make yourself work when baby is napping instead of maybe watching TV or doing housework, etc.   


I might also go the route of having a teen come into your home, or either trying a mother's morning out program at a local church/daycare.   I've been home since my youngest was born and he has never been in all-day daycare, but I did have him in a mother's morning out program 15 hours a week at a local church.   It didn't help a lot with my work schedule because I had an older son in school and was a room mom and tutored other kids, but that might be an option.  The only problem with the mother's morning out program is they are around other kids and tend to pick up every germ.  I finally took my DS out of the program because he stayed sick.  You were supposed to keep them off if they had green nasal discharge and I did, but no one else did.  Every time I got him well after 2 to 3 days back he would be sick again.  Other than that it was very good for him because he would not have had a chance to be around kids his age otherwise. 


1-800-dictate (342-8283) [mq]
nm
so, where do you get the information to dictate?
I mean, how much time do you spend on listening to a report and turning around and dictating into your machine.

Just curious...a male friend of mine suggested I do this years ago already.

He said, why not get a voice recog machine, and use it with your job.

Is this what you do, Snow Bunny? I am awful curious, because I was thinking of asking my employer, if they would pay for one of those machines so I can do my job better.

We could probably eliminate about half the MT work force...maybe that is what is happening already, why MQ is always out of work.

If that is the case, however, the only problem I have with that is that everyone should be able to have access to this technology, and it should be above-board from employer to employee...it should be like general knowledge that a company either uses this or allows this...

You have been doing this a long time and whether you know it or not are probably paving the way for the future.

I am the one who keeps trying to get everyone to check out what the MOHCA is doing...within a decade (my opinion) med records may not even need editors at all...

They are pushing for standardized text rather than free text, where a doctor does not even dictate anymore...will be a thing of the past.

My question is, then what?

Thanks.
they seem to be trained to dictate that way.
I worked at a hospital that had a podiatric residency program, and the residents were often required to do the dictation for operations performed by others.  Obviously the long format wasn't something the resident made up on his own, it was something they had been trained to do.  Other doctors tend to stumble into dictation without much in the way of instruction.
before they dictate....I presume...nm
x
Yeah, become a PA and dictate really WELL.

most surgeons dictate very well sm
That is one of the best things about ops.  When I say "dictate well" I mean that they normally know exactly what they are going to say and use the same phrases over and over, which means a better line count for you.  Plus, you are much more likely to get normals doing ops than you are consults and H&Ps (especially in acute care).  Instead of doing one of these docs who repeat everything, or change everything, or a resident who is all over the report back and forth.  That is what slows you down.  I absolutely love op notes; they keep you up-to-date on equipment, etc., and the line count is great, but most of them get farmed out to Spheris (gee, I wonder why?)  However, if you never type OP notes, they can be difficult at first. 
Will it is true that not just anyone can dictate
notes, you have have other degrees and dictate.   They have to be certified by the hospital to be able to dictate, at least at the hospital I work for.  With psych dictation I often have RNs that dictate.  I also have lots of NP that dictate.
LOL, did granny dictate????? NM
.
the doctor themselves dictate SS#
You are way off base here dear.
There are some accounts that do not dictate - sm
every day, very true, but some people also refuse to do anything but one thing. If they only want one doctor, then yes they can expect to run out of work. I work many different specialities and can type the majority of docs (and have). This LTS is in Richmond, VA; I have never heard of another but you never know.
I have several who regularly dictate sm
30 minute reports. Unfortunately, they only give me 100 lines. On the other hand, I have a female PA who dictates 4 minutes notes and that gives me 100 lines, too, because she dictates at the speed of sound. I have to slow her down to turtle speed to hear her correctly. I prefer to do the 30 minutes ones since they talk reaaaalllll slowwwww and I can run the voice file at chipmunk speed and zing through it.
Do counselors dictate? sm
I was going to send out another round of postcards to drum up business and was going to send to counselors but wasn't sure if they dictate like psychiatrists.  Maybe any of you know this?