Lousy dictators
Posted By: sm on 2008-09-24
In Reply to: Why on earth would doctors - Dumbfounded
Hospitals and clinics have no policy or rules against speaking to a physician about his lousy dictating habits; however, they just dread the situation. I've been there and done that.
For those working within the hospital, you usually know which docs you can and can't speak to about this. Seems their egos are so fragile they might bruise, but really, who cares? We are talking patient care, which is what all of this is supposed to be about, right?
MR directors are usually the ones put in charge of "talking" to them or transcription supervisors but it all depends on the doc. Some are open to suggestions and really don't realize they sound so pathetic. Others know and just simply don't care...like I said before; they think they are gods and no one should dare approach them and even if you do, they then make snide comments while dictating and I have seen them get even lousier with their dictation....which says what about them? They DO NOT care about the patients, just themselves....
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
lousy accounts/dictators
I also lost my best & longest account because the hospital did not renew their contract...so ok, took the bait about a new account with great dictators, their biggest unbreakable rule is it is VERBATIM all the way, don't clean up the doc, etc.
Have the nicest sounding, very polite, all american dictator who can not keep his concentration or needs to go to MT school, I swear. I actually typed the report verbatim...then counted all the Patient's, patient...both billaterally...15, count them,15 times throughout the report!!! If I could have put in the ummms, and ugh's, I would have made my line count just on his dictation alone
Not always. Tongue stumblers. New dictators. Speedy and lazy dictators.
D
I will not put up with lousy
accounts solely to profit the MTSO and doctors. The bottom line is if they can't provide me with profitable accounts, I'm outta there. I am so tired of being given the ESL and rambling dictators just because "nobody else can do them." TOUGH! Why should I make peanut wages doing the tough work because other people can't hack it?
?? Bad dictators are bad dictators regardless of their mother language.
wonder when people will just get over it and do what they can and move on.
Ever think that maybe 15% is going to QA because of LOUSY DICTATION? nm
x
I must have a really lousy account.
I can do anywhere from 100-150 lines per hour at my job WITH an expander. I rarely have to look anything up, except for patient information and addresses, which is time consuming and really annoying. The work is not difficult at all, but needs to be "cleaned up". However, I felt completely inadequate seeing my crummy production rate. That is, until I figured out my lines per hour with my small IC account. 210 lines per hour WITHOUT an expander. And this guy pays me by the gross page. Imagine what I could do for him WITH my expander. Hmmm.... Gonna have to think about what I'm going to do here to even out this production disparity. I wish I could find another job like this guy.
Not a lousy reason!!!!
since it only takes a course that you can take on-line!!! 
I can't believe what a lousy attitude this MT has
That certainly isn't the way to get a better raise next time. If I were in your position, I would start training someone else for this job. When that person is up to speed, sayonara, Ms. Bad Attitude.
How about fine for lousy .... SM
dictations? It costs us time and money with every ..uh ... aah ... ug..."The patient ..(shuffles paper) ... is a ... no, this is the wrong chart" .  ... zzzzzzzzzzz .. 
"Okay, let's start again", please go back up to the top .... "Please delete that first paragraph " ... hiccough ..... aaaach ....  Uh ..... ...hmmm ... let's see...
Are you a bad MT with lousy quality work?
My calls are answered immediately, i've been on the same account for years, i'm praised for my work, receive emails thanking me. Maybe its YOU and not THEM?
No...not Mass....but QA is pretty lousy
this isn't the first time I've had trouble with them.
If you're lousy at speaking up for yourself,
It sounds awful, I know. But you've just got to TRY to get past that uncomfortableness! If you don't speak up for yourself, no one else will. Don't sign that contract. Call them up and tell them you need to raise your line rate. Raise it a reasonable amount, and stick to your guns! I know it's scary, but there are a lot of places out there hiring if your current place is going to walk all over you. Good luck!
Even to start with, $14.00 an hour is lousy pay for ANY MT work...NM
?
a good post, NOT; lousy focus you have
first you sling insults at MQ as a 'nonbusiness' -- do NOT back up your accuations with anything whatsoever substantial and then drift into 'mumbo-jumbo' about how the profession has degenerated --
MQ is the giant because they are VERY good at business -- and they give me and lots of other MTs a fabulous job and are always improving as a company...as far as the profession, yes it is changing, as everything else in our world. So we either adapt, or get left behind and whine. If you are all that unhappy, it looks like time for you to move on to greener pastures in another line of work.
I wouldn't work as an MT for a lousy $7.50 an hour OR
.
oops, meant yes, it is a lousy wage
.
Opinions: Do You Think $12.00 An Hour Is A Lousy Hourly Wage For An Experienced Medical Transcripti
Opinions?
how are they going to get used to all the dictators
if your source says they cherry pick and only do American dictators? Sounds like never. But you knew that.
PS: Are you absolutely sure your source has your best interest in mind with this detailed ratting on another person regarding Indian cherry picking doing non-Indian work?
Dictators who keep....
  
I'm having a bad day with dictators and got this in my
email. It cracked me up. It's a typo in a medical brief that a lawyer filed for a continuance. The typo is on the 2nd page.
http://www.thesmokinggun.com/archive/0916051disk1.html
I have had dictators like that!
when most dictators were from the USA. nm
x
bad dictators sm
I can take an ESL more than I can take an American who speaks fast just to show off to his buddies or because he has a hot date and is dictating from his car or worse yet, if you can't understand him, he has an excuse why his report is incorrect, he can blame you for it. They do it, believe me, and they are the ones who should be shot down. Give me an ESL any day who says thank you very much and is trying hard to learn the language. Some of these fast-talking big shots could care less about us. I had one guy who could fit 15 discharge summaries on one side of a 15 minute tape and everyone would send him to me because I was the outside service. When he was spoken to, he just threw his head back and laughed. Ignorant!
dictators
don't you just love it when you have to turn up the volume to hear what the doctor is saying and then in the middle of the dictation he finally puts his mouth to the mic/phone, blasting your ears; so you turn it down then by the end of the report you have to turn it back up.......no wonder I have ringing in my ears sometime
Bad dictators
Chewing gum very loudly, blowing bubbles while dictating, drinking something and then chewing on the ice....all in the average day lately. Don't these people stop to think that someone has to listen to this? That they are chomping incessantly into someone's ears. No common sense. Maybe once, someone in authority should remind them that these are legal documents and need to be transcribed as accurately as possible, so no chewing, drinking, talking while yawning, etc.
Bad dictators
I have got to one-up y'all... there is a woman doctor in our group who actually takes her dictaphone INTO THE BATHROOM with her and, yes, that's right, uses the potty right while she's dictating...
ESL dictators
Maybe the ESL docs, knowing that the Transcriptionist must be having a difficult time with the language barrier, should hire an English speaking person to do their dictations. It would free up their time for being a doctor and seeing patient's, give a more accurate transcription, and a better quality report. Wha'cha think???
ESL dictators
Seems many MTs have this complaint. We should be told the correct percentage of ESL dictators BEFORE accepting a job. Imagine all the money a company would save by going over details with each new applicant honestly and thoroughly in the beginning instead of making the job sound good and then have a disappointed new employee, who will quit and the company will have to advertise and hire again. Advertising and training on a computer system is costly, including the time involved etc. The more a company can do to retain its employees, the more money it will save in the long run. Also, pay based on production, not quality of work, is counter productive. Imagine if each Transcriptionist was paid a salary and did quality work and no QA people were needed, except to pull random reports of new employees during the first 30-60 days or so. I feel there is too much QA and not enough emphasis put on quality reports from the beginning. Many transcriptionists feel, the QA people will fill in my blanks, yet they may be able to find the word/words themselves if production was not such a huge factor. But too many employees are trying to meet a line count. With a salary, you can establish a budget and know what to expect in your paycheck. I've transcribed for 25 years. I love my work. Since outsourcing and pay by production have been instituted, I feel pride in transcribing has suffered. Give an employee a job they can feel great about, benefits, and treat them with honesty, fairness, and respect and they will be glad to work for that kind of company. Hopefully, there are companies out there like this It's up to us to find the good companies.
Of note, 10 years ago transcriptionists were being paid around 10-11 cpl and $3.50-$4.00 a page. What happened, outsourcing!! We used to get a higher salary than coders, but not now. We need to keep our work in the USA.
Bad Dictators
I had my share of bad dictators this afternoon too! Is it full moon? I am sure I had your doctor's wife. LOL Can we band together and chart a bus to deliver them to the firing squad?? LOL At least maybe would could let the air out of the tires on their golf carts! Do these people listen to how bad they are???????
Dictators
OH PULEEEEZE spare me the whispering, breathy female docs who sound like they could talk all night on a phone sex line. I don't care what you sound like on the phone. Just TALK lady - spit it out. Am I mad or what? Gads I'm sick of these bimbos.
bad dictators
You ever wonder that when the powers that be become aware that you are making lines on low volume work days, they somehow sneak all the worse dictators your way? I have had bad dictators, none of them in sequential order, and am no where close to my lph this morning.
Dictators
 I could send you a lighter! Seriously, I have considered sending a voice copy to them to play after the fact, a day or two later, so they could see what they could understand of what they said!
BAD Dictators
Oh, you're not alone. They all must have spring fever or something. I have had more dead air than dictation on reports lately. If this keeps up the pay should not be by the line, but by the minutes listened to.
To all the dictators out there
SLOW DOWN! This is not a race. I cannot stand it when these dictators talk so fast that you cannot understand them. You know who you are, especially the cardiac dictators!!!!
Thanks for letting me vent. I get frustrated when my production goes in the toilet!
bad dictators
My huge pet peeve when it comes to dictators is them stopping to flip through the chart and not pushing the pause button. I mean I am just sitting there listening to dead air, wasting money while they find what they are looking for before they start talking again. How RUDE. I think all doctors should take Dictation 101 as part of their medical training before they get licensed. Speak clearly in complete sentences, speak at a fairly fast pace, and for heaven's sake.......hit the pause button if you have to stop dictating.
Bad dictators
IMHO, these are all due to the HIM department folks not training the docs properly. I worked at one hospital long enough to find out that the HIM department heads have total control over what type of dictation behavior is accepted, including the reports that are outsourced. It seems that, if the HIM departments for the various hospitals that outsource to us, or the office managers for the various doctors, would just care about what type of dictation we are getting, they would go out of their way to do something about it. I know they have plenty of time, cause these are the very ones who have no problem picking apart reports and complaining about missing commas!!
Bad dictators
Now my pet peeve.......dictators who say "go back and change" or "forget that last paragraph". You are essentially typing 2 reports and being compensated for only 1. Had 1 report today where CRNP did that 16 times.
Any suggestions welcome!
dictators
If MTs did the kind of job some dictators do they would be fired.
When dictators take a long time shuffling papers I just hold down my foot pedal down while awaiting the next words and check my email or read a paragraph in a book or do some upper body stretching exercises.
Recently I had a doc dictating over the barking of a dog. I wonder where he was? Or where the dog was? 
What is it with these dictators..sm
They'll ...um and ...uh and ...er all through the patient history..wasting more and more of the MT's time than necessary .. with the occasional 30-45 second pause between each item to paper-shuffle (on OUR time). But when it comes to the MEDS and LABS, which are the mainstay of an H&P or consult, as other doctors will base patient care on the meds the patient is already taking or present lab results, they'll race through them at 78 rpm so as not to be understood or able to be transcribed without rewinding 4 or 5 times. Just because they can race-read medications or labs doesn't mean we can type them just as fast... I guess accuracy in these areas takes back seat. (Who cares where the patient moved here from or went to school?)
bad dictators
I think the shoe should be on the other foot. The doctors have absolutely no respect for what we do - we should be the ones giving THEM feedback - They will be the first ones to speak up if there is an error on the report when in fact, it is entirely their fault. We are intelligent, professional MTs, not magicians !!!!
The dictators that....
Have a pager sitting right beside the microphone and it continuously goes off, a shrill BEEP, BEEP, BEEP, BEEP right in my ear and they don't bother silencing it, turning it off, merely MOVING it away from the mic so that my ears are still intact, they just let it beep and keep on talking away.
What are your favorite dictators?
I like the ones who right when they begin dictating, turn around and speak directly into their armpit. Or how about the ones who carry on a complete conversation in English to the nurse next to them, then when they start dictating they sound like one of those auction guys who have had a few drinks?
Favorite dictators
I have one guy, who really seems nice, thank's you each time at the end of the report, apologises if he has to correct something he said, long reports, BUT, he usually dictates at home, while cooking,bathing the kids and NOW, we must have a new dog because we are deciding to train it while dictating .
It's a verbat account so I really should have put in all the "sits, stays, good dog..would have made a fortune.
BUT (again), if it were'nt for the fact that the ER he works in is over 140 miles away, I'd have been in the ER, requesting him, to treat me for my ruptured ear drum, when he must have forgot the doggie treats and this dog started barking, loud, blew my eardrums out, had to crank the volume wayyyyyyyyy down, could NOT hear him, except for the good dog's and sit, I'll play later
SS dictators and LINES.
I HAD a problem with Softscript period. Heard their sever is down again. Look out, line count will be changing again. Horrible communication. Horrible dictators. Never pain on time, NEVER. Dictators from hexx.
dictators on the phone
I agree--I have mentioned this endless times to my supervisor about dictators being on the cell phone, the worse that I have had was a dr at a baseball game, doing dictation on his cell phone, you could hear the other parents in the background cheering--sounded like a little league game and yes I did tell my supervisor and yes it is MQ and of yes, nothing was done
I love the ones that are on their cell phones and then drive thru a tunnel or put the top down
Fast dictators
When are these ******** doctors going to figure out that by dictating 100 miles per hour they are NOT going to get an accurate accounting of their patient encounter???? I feel like I'm being set up to fail. I don't care how much experience we transcriptionists have, if you're going to dictate a three page report if 1.5 minutes, SOMETHING is going to get missed or screwed up. I hope that extra three minutes they saved themselves throughout their busy day is worth it when the patient's chart gets the wrong data and somewhere down the line a big mistake is made. I've had a terrible morning, struggling with Mr. All-Important who dictates vital signs as one long rambling of numbers, never in the same order (one time it will be weight first, then pulse, blood pressure, respirations and the next time it will be blood pressure first, then weight, then respirations, then pulse) -- I've had it!!!!! I've got so many blanks in this batch of reports that I'm embarrased to turn them in.
Thanks for letting me vent. I'm not a bad transcriptionist.
I am so sick of ESL dictators!
 What a lousy day! I am sick to death of getting 100 different doctors a day and maybe one of them speak English. Makes for a very long frustrating day.
If we all would refuse to do bad dictators - what can they do about it?
Let them do them themselves or have their fair-haired Indians do them.
Let the mush-mouthed doctors get back mush-typed dictation. It would be fair.
Tonight I had so many questionable lab values it made me sick. I also got a non-ending stack of bad, foreign, indistinct, unable to speak English doctors --- you know the guys who end up at the bottom on last day of the payperiod.
I have gotten to the point that I want them to say "This isn't right!" and stomp their feet, because I want to go nose-to-nose with these jerks. Just mess with me suckers! I'm ready. I'm premenstrual and I'm ready.
Not yet, but some days I think some of the dictators I get are going to
The dictators are terrible. NM
:
Love new dictators, don't you? sm
Had one spend the whole time spelling everything. Not just meds either. She even spelled lumbosacral and anteriorly.
Very, very clear English spoken very, very slowly as if she were speaking to a child.
She did not, however, give the name of the patient or the date of service. All I knew was that he was a 36-year-old male that took M-O-T-R-I-N.
Gotta love it. Won't be long before she's mumbling while eating lunch.
|
