Misplaced pride. The physician is documenting something, Or trying to. NM
Posted By: MsIndigo on 2008-01-27
In Reply to: I'm sick of seeing those words - prude and proud of it
nm
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Doctors documenting hours worked
Does anyone else find it unseemly that some of these doctors are now stating at the end of the report how much time they spent examining the patient, talking to the staff, other doctors, the family members, reviewing chart data, attempting a lumbar puncture, etc., from 9 to 12 and again 1 to 2, for a total of 3 hours?
For some reason, this seems very unprofessional to me. Am I just being cranky?
Where U at????? I'm a misplaced Pittsburgher in Philly too!!!
Moved here 2 years ago but still love 'dem Stillers!
That's called a typo. Seems your anger is just a little misplaced. nm
//
IMO, anger toward India and its people is misplaced. sm
Refocus your anger, if you must experience it, toward the system here, which values cheap labor over accuracy.
Job pride
After seeing several posts here about how boring this work is, I wanted to take a poll and see how many of you take pride in this job. Do you see it as data entry/typing or a rewarding career?
Pride?
Yes, I take tremendous pride in what I do. We are indeed language specialists; however, I am very disturbed that the pay is not any better than it was when I was doing it 20 years ago.
I take pride in what I do, but....
I no longer see this as a rewarding career. I make less now than I did 10 years ago, thanks to voice editing and outsourcing, this job does not pay me what I used to make 10 years ago, and I only had 3 years experience back then. So, for me, while I take pride in producing quality reports (98.5% was the lowest I ever got on quality control, EVER), I do not feel this "career" will last me until I retire. I love the personal benefits, and I love that up until this point it allowed me to be a stay at home mom to my son, while supporting myself and my son (single mom), but that pay is so low that I can't afford much. I'm much faster actually transcribing than editing, yet more and more reports are edited and so its harder and harder for me to make the money I once made so easily. It saddens me to see how little respect this career yields, yet I still hold pride in producing reports to the best quality. I unfortunately would not recommend this career to anyone new, and I myself am looking into going back to school next Fall to start another career. As long as this job holds out until I finish school, my son and I will be fine. While I still love my job, it just doesn't pay well, everyone I've tried to hire through pays what I was offered 10 years ago starting at a company, and that's sad to not have a raise in 10 years and to have to work harder to get less pay, so for my son and myself, being a single parent, it just does not pay what we need with more and more demands and less and less pay.
However, until my last day I will always work hard at producing the best quality report because I do take pride in my work. I always will.
Take all the pride you want but make sure you get sm
the minimal line count requested in the time allowed and I do.
A Matter of Pride
I choose not to be a CMT (was one but chose not to renew as a matter of pride; i.e., didn't want to support AHDI's program of reduced-rate certification of Indian MTs at offshore sites with my fees), and I keep myself educated -- as a matter of pride. I participate in Medscape's CME program & keep track of the units. No one knows it but me--and indirectly, my employer, since everything I learn applies directly to the work I do. I make sure I tell any potential employer that I choose not to be a CMT and why. My current employer (an MTSO) totally agrees with my perspective. AHDI: Association for Healthcare Documentation in India!
Pshaw.
I take a lot of pride in my work...
I am not in this to make money, I am in this because I love the job. I produce quality work and my employer knows that. I was told once many years ago that it's quality, not quantity that makes a very good transcriptionist. I don't care how many lines everyone else gets; I get mine in every day, have a decent paycheck, know that there are slow times throughout the year and don't fret when work is little to none. I don't bash my company for every little thing on a website that they can easily monitor and find out who I am! I started out in-house 3 months after taking classes at the local community college and have never had a period of unemployment in the last 7 years. This is a professional job and I treat it that way; I get up, take a shower and dress just like a "regular" job. My initials go at the bottom of every report; I am not submitting junk just to prove how fast I am. Those who rush through, don't proofread or don't take the time to look things up are the ones who should really consider getting out of the business. Leave the work to real professionals who want to produce quality work and know how to do it.
I take pride in my work. I always take care, as if the
aa
yeah, my husband's pride and joy!
Brenda and Eddie, king and the queen of the prom, were still going steady. LOL! He has 6 koi fish and some goldfish which he has named, but I can't remember them all. One is Spot, one is Stripe, I remember. He has a bullfrog, don't remember what he calls him, and he's not here right now, but it's probably Hrrumpp! LOL! It's funny, but when he goes down to see them, all his pond friends come swimming over to see HIM too! Go figure! LOL!
There is such thing as taking pride in your work. nm
It is and isn't trivial. Trivial about the spelling, but there is obvious pride (which I have too
to America. I think THAT is what the post was all about. Here in America we do it this way, etc. Many, many Americans are tired of the pandering and adjusting to the "many" ways of life out there - This is America and if you choose to come here then you should abide by our ways of doing/saying things. I feel strongly about that too! No feelings hurt, I hope...
If I were to move to France, I certainly wouldn't try to push my agenda or my way of speaking on others and expect them to pander to me in any way. I would respect their culture and their ways.
Per my physician....
"All the antibiotics in the world will not clear up your sinus problems because you need to dry your sinus passages out." Get those little red Sudafed tablets and take the maximum dosage for several days. Also, try avoiding dairy products to see if that's a trigger. I can't even eat Ranch, mayonnaise or gooey cheese anymore because it triggers postnasal drip with that irritated ticklish throat and cough.
This is a physician saying this
The patient was tooken to the operating room. OMG, please keep me from screaming!! Where did you go to school, or did you finish?
Get another physician
NM
Not OUR job, it is the physician's and/or
x
EMR physician
I need quick advise. I worked for 4 physicians, one used EMR (partially) the others still use tapes. The EMR physician does not like to read his dictation and the three mouse clicks to sign his documents is too much. The physician has a high school graduate opening up the notes, reading them, editing them at her discretion and then SIGNING them. I informed them that to the best of my knowledge this was 100% illegal but they are still doing it. I have been doing this for some time, but did not think the rules had changed.
see what I mean? LOL ... physical not physician...
x
Your own physician tells you that you know too much. nm
//
I saw an xray the physician had
that showed a Gator-Aid bottle up this guy's rectum. The wife wanted to know if he had accidentally sat down on it. He had to have it surgically removed. And then again, there is the one I typed on where the person was an alcoholic, had drank dog shampoo and when arriving at the ER was blowing all kinds of bubbles.
Physician Websites
Here are a couple good ones:
www.healthgrades.com
www.doctorpricing.com
The physician put his comment in
quotes and it should have been transcribed. I would get more offended about incorrect dosing of meds you hear in reports if I had the option to pick my battles, but the fact is, you are a Transcriptionist who is being paid to transcribe what the physician says. You really have to leave your personal stuff out of it. And, if you are the patient, and you are crass enough to be so rude and foul then you deserve to see it in black and white.
This sounds like an ad placed by a physician's
I cold called thinking they may consider an at-home MT, which yes they would be fine with, but they thought event $1.00 per page was pricey since the in-house MT could easily type 20 reports an hour, so they were doing the math. They figured by my charging per line that I would make way too much. Of course, I told that person very politely that I would work for no less than $3.00 per page if that's how they were looking at it and that I charge for production. So maybe this office expected the same thing your hospital does. However, if you type 3 MRI reports, then you're done for with the expectation of 20-25 reports per hour. All I can say is the hospital advertising this way must have a lot of normals and only perform plain x-rays and not any kind of special procedures or MRI/CT.
A physician shared this one
with me...
The patient was in a cute dress... (medical Transcriptionist error....)
Physician Letter
Opinions on this please: Most of my physicians dictate where they would like new paragraphs to start in their letters to other docs. However, I'm just starting with a new person and she didn't specify. She told where she would like periods, quotations, etc. but she never even once dictated that there should be a new paragraph.
I'm tempted to just put the breaks where they seem correct, but I'm not sure if that's the right thing to do.
Any suggestions?
Physician Finder - a useful one
you can search using different criterias, might be helpful for u ppl
use the link below
http://doctor.webmd.com/
Try the AMA Physician Finder
You can do a "sounds like" search by state, and by specialty. Somewhat tedious, but you can generally find them when all else fails.
Here's the link:
http://webapps.ama-assn.org/doctorfinder/html/patient.html
Exactly why I quit using my last physician.
I would wait close to an hour in the waiting room only to feel ignored once I got into the exam room. My doctor spent more time on the computer than he did with my exam. I finally got tired of this and changed doctors.
How do you know the physician hasn't
reported it. No, I do not believe it is our place to do so.
are you sure the physician HASNT sm
reported it? I don't think (I am quite sure) that our scope of duties does NOT involve any of that. Would be real tempting to report though wouldn't it?
Actually, throw out the BOS and use the physician's preference.
I learned that disc is eyes, disk is computer disk, and disc/disk for back is up to the account preferences. The doctors do not care what some stupid AAMT BOS book says because it's THEIR notes and they aren't regulated by the AAMT.
Work hourly for physician. Need help..
I wonder if someone could tell me how they created an invoice when being paid hourly doing transcription. I tried using MP Count but it only calculates using line counts. Thanks for any help.
I worked at a 25 physician multispecialty
clinic as an audit clerk to the transcriptionists (counted lines by hand back when we used typewriters). I picked up some terminology by reading clinic notes as I was counting. I took a terminology and anatomy class and my boss let me take tapes home to practice on. When there was an opening, I tested and got in! I also worked for an ENT doc (who was desperate for a transcriptionist) part-time in the evenings while I was learning to transcribe.
Then the dictating physician needs to spell it out instead
of expecting us to be psychic. I used to waste so much time at my old job trying to find the proper addresses for these yahoo CC physicians. In the meantime, the dictating physician mispronounced, didn't spell, and didn't even give a clue where the other doctor worked. I had to check the company physician list, the hospital physician directory, Anywho.com, then Google. And that was even if I could spell it properly! One physician in particular couldn't pronounce properly. He would put extra Ns and Rs throughout the name. How was I supposed to find it? And I got chewed out by QA for not being psychic enough to figure it out.
I worked in a physician's office as well.
Normally they get paid only a percentage of that. If your mother has insurance she can pretty much disregard that initial bill. The hospital my parents used also chopped off a large amount due to their fixed income. The worst part about this system is that people with no insurance and who do not qualify for the indigent write-off have to cough up the whole thing.
Are you seeing a sleep physician or just thinking
If you're having a rough time with sleep, make sure you see a sleep medicine doctor (if you already have, please excuse the following). Family docs are great but a sleep doc will know much, much more about it. There are a lot of things you can do to improve your sleep routine and they can do a sleep study or have you fill out a questionnaire that will tell them more about your sleep habits. Provigil should only be tried as last resort with a diagnoses of narcolepsy or when all else has failed. Plus, there are a lot of different wakefulness-promoting meds, such as Ritalin mentioned above, and Provigil may not even be the right one for you.
If you already are seeing a sleep doc, you can ask to try something else if you are leery of Provigil. Sorry for being presumptious, but I just want to be sure you are not jumping to medicine first because it's wise to try other methods before resoring to an Rx.
Seek another physician as fast as you can sm
the one you have obviously does not have your best interests at heart, nor does he care. Any good physician with an ounce of brains knows exactly how addicting OcyContin is and should not keep any patient on it for the long term. You should also seek a rehabilitation clinic for addiction problems. You can't do this by yourself. I think they have outpatient clinics, but you need help and you need to get it soon. Good luck.
be sure to give this feedback to the physician.
If you transcribe for a private physician and he wants
cc then use that. However, most MTSOs and facilities go with Joint Commission recommedations or BOS. You only need to find out what is required by your employer. If your employer wants you to use cc it is fine. You do what they want. mL is the correct abbreviation for milliliter. I have been doing this for almost 30 years and you would not believe some of the changes AAMT/BOS have made, but we just have to go with the flow.
Need physician locator website!
I've been using the NCIH website when I have to search a specific state for a provider name, but that website is now gone and apparently is not going to be back. Argghh.
If anyone has any good websites to do physician or provider search by name by STATE (not city, too often don't have that information), I would be grateful if you could share it! TIA. 
You should make it clear to the physician that
there will be an editing charge for any changes or additions once a report has been completed and submitted. I charge an hourly rate for such.
Instructions for physician dictation
1. At the beginning of the dictation, take the deepest breath you possibly can and then try to dictate the entire report before you have to inhale again.
2. When dictating a particularly difficult word or phrase, please turn your head and speak directly into your armpit.
3. If you have to sneeze or cough suddenly, please remove your head from your armpit and sneeze or cough directly into the microphone.
4. If you must eat while you dictate, please stay away from foods such as marshmallows, bananas, and pudding; apples, pretzels, and celery are much better choices.
5. Please do not stop dictating when you yawn; it throws off our rhythm.
6. Do not stop dictating in the event of a minor background noise such as an office party, the janitor’s vacuum cleaner, a screaming infant, etc.; again, it throws off our rhythm.
7. Talk as fast as you possibly can. Fair is fair, after all, and we type as fast as we can!
8. Dates of admission and discharge are not important for old H&Ps or discharge summaries.
9. Abbreviate whenever possible. Everyone loves a mystery and we are trying to learn new skills, such as mind-reading.
10. Finally, be sure to wait until the end to tell us what kind of report you are dictating, or to "scratch" this dictation since it was already dictated.
Find Physician Link
Hi All--Wanted to share
Just as above, the physician said the patient fell
and ordered CT scan and the doctor absolutely checking for confusion. The doctor repeated and I listened back to it, intensely. That was said, VR picked it up and how would a newbie know (brain, confusion, could be in some cases, right) it was contusion they were looking for? I did, changed and finally the physician said the correct word, contusion. I also have the VR putting in Dr. Pannicus and the like. Yep, you need to know what things mean, not just typing in words.
Working for a physician's office.
I am currently working for a small company as an IC. I need some extra work and I'm thinking of trying to get hired on with a local physician's office (if I can find any that are hiring and are willing to hire someone who is a recent graduate) and was wondering how do you charge them for your work? Is it per report, by the hour, so much per line, etc? Is there anyone out there who could give me some pointers as to how I can go about doing this? Thanks.
E
Obtaining "medicines" and seeing a physician are
Of course medicines are cheaper there because the govt doesn't allow private sector (pharmaceutical companies) to price their own drugs.... the govt prices it for them!!
On the downside, physicians are fewer and fewer and yes, patients wait MUCH longer to see a doctor. Canada has a terrible shortage of physicians due to govt control of the healthcare.... fewer physicians, longer wait time for patients not to mention less and less procedures, even those that may be necessary, because govt has decided who they will ration the healthcare out to....
Obama is shoving this garbage down our throats as fast and furious as he knows how....without answering ANY questions as to how to fund this because he know he can't fund it. There will therefore be rationing of treatment. Govt will decide FOR YOU what you can and cannot have for treatment. If you though private insurers are bad enough, just wait for the "too stoopid to get out of the rain" govt to ration it out to ya....
Do you take over the counter medication or from a physician. Which seems to work well.
:
You're the transcriptionist, not the consulting physician.
I know it is difficult sometimes but he went to school a bit longer than you or I did!
Reminds me of my favorite dictating physician..
 Really miss transcribing his 8 page reports (no sarcasm implied) Have a great day everyone.
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