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My accounts aren't limited to how much they can dictate...

Posted By: wondering on 2005-09-07
In Reply to: I agree. It seems like all of them want to play catch up on one day - ROFL!

in one day, so on the "catch-up" days, I work from early morning, sometimes 14-16+ hours to get everything (or most of it) done.  Otherwise, I hear, "Do you need help on that account?  Do you want to share it with someone so you don't get behind?"  Uh huh.  Sure.  I mean, of course.  They haven't dictated in days and decided to slam me all at once, but I'll share and then have days and days of a few hours' work.  Plus, sharing means constantly having to watch the incoming jobs so the other MT doesn't download them all. and leave me with nothing.  Geesh.  Sometimes you just can't win.    My accounts are MY accounts.  If companies would have set guidelines for clients (like don't expect to send 10+ hours of dictation once a week and get it all back in 24 hours), it would work better for both sides. 

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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.
Oh, my MT's aren't going broke -they are very happy with their accounts...sm
I haven't had an MT leave me yet because they found better work at a better price even though I come right out and tell them: if they can make more money working for someone else, please take it. (so sorry to ruin your pity party :) though). I have also taken on newbies and trained them into the business. I have worked with my MT's when they found an account that they wanted to get for themselves. I've talked them through proposals, sent them some of my paperwork, and even some of my advertising. I've always told them I feel there's enough work in this business for all of us and I can always find someone to work on my accounts to replace them if they get their own work- so if I can help them land an account of their own- more power to 'em!  You know, you can do the same thing I did...just go out, get your own accounts, buy equipment, set up a file transfer system, bid a good price and get the doc to take it, find some good MT's, train them on the account, then go out and get another account and do the same thing. And then get more accounts. As was said before, anyone can do it -- it's just that most people won't.
You aren't allowed to mention accounts here. It was the same
way with previous owners.   Call the account and ask who does their work now.  Posting an account name is grounds for dismissal. 
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.
Does anyone know if there are a limited
My limited experience with DQS
Tech transferred my PRD (expander program) for me. Had to make some changes to
it, but it works just fine. I recommend checking ahead, if possible, about
getting your expander program switched over, so it will be ready to go for you.
My experience and therefore my info to share on DQS is limited, as I was trained
last Apr. but have not made the permanent move over (I'm the one still on INET)
because it is a nightmare to try to use the DQS system on
dial-up, at least for me. High speed not available where I live. Anyway, I will
say this much, the actual transcription part of it, the screen where you type...
that part does seem like an improvement to me. The rest of it though seems so
top heavy with data from other hospitals that I will never need, the ADT
searches are mind numbingly slow... again, on dial-up. On INET, we just type in
pt name in seconds... DQS requires searches for various demographic info; this
is where dial-up fails miserably. I felt training was pretty adequate, and the
manuals they send out are helpful. I hear some MTs do great with it and
production is increased (though it seems not MTs who were on INET before).
Hopefully you have high speed or cable and the transition will be smooth. Know
whatcha mean about dreading/looking forward at same time. I tried to keep an
open mind as best I could. Good luck!
I look but am limited because I only have dial-up - SO I look to see if I can -sm
find something that is a little better than I have now (.09/line without spaces)---would love to find a .09 a line (or .10 of course) that paid spaces had consistent dictators so I could get a good rhythm going. So I look a lot, but cannot apply to many since I don't have high speed internet. I could get satellite of course but many don't want you to have that, so I am kind of limited and always on the lookout for a MTSO that allows/uses dial-up.
I think with just the limited background you have had
probably will need more training to do the 4s. Some folks say they just started in it but places looking for experience, most of them anyway. You might find a place to hire a newbie. The 4s mean everything so you have to be versed on any kind of medical dictation they can throw at you.
May be my limited experience, but
I like the platform. I worked for local doctors in WordPerfect before this, but I have worked in InScribe for two years, through two versions, and beta tested this current version. I like everything about it except for the lousy AutoText. It's too much trouble to enter individual shortcuts....have to save a list of 20 or 30 to make it worth your time to add them. Other than that, I'm satisfied.
Because they have a limited vocabulary
The results of dumbing down of education in general.  The "I make a lot of money, so big deal if I'm careless, let the rest of the staff cover my butt" syndrome.  Call it doctor ebonics for this century.
yes, in limited fashion
and handwriting to me was more challenging than the voice at times, and timewise, i believe it took longer.
I have entire reports in SC, though not many. Is it limited? nm
New computer - dictionary seems limited

My desktop crashed so I bought a laptop.  The dictionary for the system does not seem to be picking up near the medical terms my desktop did and the new computer has a newer version of MSWord.  Is there anything I can do to expand this?  I have Stedman's but some of the things it is saying I am misspelling are very basic medical terms and I did not have this problem with my old computer. 

sprint limited usage
Do you work more than your 5GM? I just wondered since I am thinking about getting a card. I think Verizon and ATT do the same. My daughter has 5GM on her cable and she went over once, but they did not charge extra.

Thanks a lot.
I agree, especially regarding limited use of expanders...nm
Prosthetics/orthotics - limited references available

If someone out there has a good web site for this speciality, I'd appreciate it.

The service area is limited, though growing.
I don't know if they are talking about WiFi or an Air Card.   WiFi connectivity is cheap, but unless you live in a large city you'll find limited access.  An Air Card (called different names depending on the company selling them) I then they start at about $249.00 and the fees are pretty hefty.  Not sure how good it works though I've heard people who loved theirs and they traveled a lot and said they never were unable to get a signal. 
radiology is NOT difficult..while the "language" is different, its limited.

and worried if limited installs, I wouldnt be
Easy to do when you are doing a limited amount of docs.
I work on 2 accounts with a handful of docs. I have created templates for each one. Each template has approximately 30 lines already transcribed because the docs use the same ROS and PE all the time. In addition, I use IT which does about 50% of my Keystrokes for me. On easy clinic accounts like this with limited docs, 300 is easy.
found a senior citizen on limited income,
word of mouth from someone else who uses her. She charges $10.00 an hour and does EVERYthing - including windows, oven, frig, at least once a month, bathrooms, floors, laundry, changes linens, and all surface areas weekly - all in less than 4 hours for 1600 sq foot condo. You might try posting a note on a senior citizen bulletin board in your area or go to a limited income residental facility and post a note there.
Will last forever, body will fall off before the engine ever quits.
You have a baby, you have limited time to devote to work. sm
This career requires strict, constant concentration. It requires a lot of time to gain knowledge. It's not like stuffing envelopes or making bead necklaces or making telemarketing phone calls. You have to sit at your computer, with no distractions, with ALL of your attention highly focused. The thing is, your baby requires this, too. One of these 2 things will suffer. You wouldn't bring your baby to an office, and trying to do this job with a baby right there is the same thing.
How about zillions of accounts. MQ has these accounts so overloaded even the new hires dont have any
work. I would love to read some of these reports and then they expect perfect QA and no blanks. Did they lose their minds completely.
Just curious if MQ/TL in your message meant Transcriptions Limited, Nashville, TN, bought by MQ?..nm
Adware is extremely limited. Try Trend Micro House Call.
The accounts are old and she keeps her accounts TRUSTING she hired the right MTs
who if in doubt will ask questions regarding reports. No one can find all mistakes in all reports and that is human to have a report with perhaps a typo. You think anyone reads through all the reports of a national company before they get to the hospital? Not a chance. Some random QA is supposed to correct all mistakes? Not hardly. Doctors/dictators make mistakes too. We all do. So do QA people. So the thing is this person hires good people who are trustworthy, the hospital likes the way she does their account and life goes on quite nicely w/o hovering editors/QA people. BTW, who QAs the QA people on your accounts. Ever wonder?
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.
1-800-dictate (342-8283) [mq]
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?

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
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.
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.
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?
I don't believe it. I don't think even the doctors can DICTATE 700 LPH! sm
I think she's yankin' your chain.

She has to be using templates or something to get that.
As an IC the employer cannot dictate the
times you work. They can ask you when you will be working or you can tell them. If they have work available and you are not working, they can let you know so that if you want to work you can; but if there is no work available when you want to work, they do not have to supply any. You, as an IC, decide when you work.
Express Dictate


I currently use Express Scribe software for dictation. I was wondering if anyone has used the Express Dictate system. I am looking to expand and add more doctors and was wondering how this system worked.

Also, if you have any advice on a cheap start up not using tapes please let me know.



Thank God for some nurses who DO dictate...
for the docs who are horrible dictators. I do progress notes for an ICN nursery almost nightly. Thank GOD for those nurses. There are 2 docs right from the old country who can't string a sentence together in English though good docs they may be. We're talking 7-8 page very detailed reports on some of these babies. The other night, one of these gals dictated the first part, God love her, and actually handed the phone to the doc to give his 2 cents worth, awful dictator. Hey, the best thing some of these docs can do is let their PAC's do the dictating!!!
I had one dictate from the jon and flush over and over again sm
Through, get this FOUR DICTATIONS!!! The pregnant pauses, the bobbing of the roll as he pulled out paper, the echo of the small room followed by FLUSH!!!
Express Dictate
My doctors are considering using Express Dictate.  I did a search here to see if there were any comments one way or the other about this and if it was hard to set up and use, but I didn't really find anything recent or helpful.  We went from a Lanier Voicewriter to EMR, and now there is 1 doctor who doesn't want to use the EMR and a couple others who just want to do a little bit of dictation, so they are putting me on contract to do this.  I don't know much about how things like this work.  I have used Express Scribe to test for on-line companies, but I don't know anything about Express Dictate.  Any comments?
My take on how these physicians dictate
I question and I mean question about every day whether the person coming in as physician is really that. I have 1 that basically cannot string a sentence together, changes sentences 3, 4 or 5 times each sentence. I have physicians who pull the same stuff, going several paragraphs down and then asking you to add or delete something. I get really ticked when I hear all this and donít hold my cool. The person in the room with me usually hears my ranting and raving. It is hard enough to get through the ESLs, mumbling, crunching, snorting, eating, sucking, sniffing, sorting papers and the list goes on without putting up with this. One change that was made at the hospital I work for was to tell dictators they could NOT use a cell phone to dictate. It worked. I only wish I were in charge so I could tell them more about how to dictate!