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Need help asap - Doctor dictated the following:

Posted By: Pokey on 2006-06-13
In Reply to:

a sixteen one-thousandth split-thickness skin graft.  How do you type it?  Is it  0.0016-inch or 16/1000-inch or something else?  HELP


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Doctor who dictated during the PE sm
I had a doc I used to do who treated a lot of brain injuries and strokes. He always dictated during the interview and PE. He would say, in front of the patient...the pt is completely obtunded...the pt is befuddled...the pt is extremely obese, just enormous...the pt's mom is once again out of touch with the pt's needs...and so it went.

The noise was sometimes out of hand, he was a grumbling gravely dictator and that IS all part of the job. It is the thought of being his patient and having him be so brutally honest, well it smacked of unprofessional behavior.

I had a podiatrist who was "too busy" to dictate the day of service, so he would dictate on Sundays. One weekend, he dictated 8 reports...from the bathroom...in the span of about 20 minutes. I got to hear the toilet flush no fewer than 6 times in 5 dictated reports. He kept pausing to concentrate and it wasn't on the report he was dictating!

If the noise is too bad, it gets a blank. I don't care what they say and I don't care where they are when the dictate, but please don't make me know that you have the crap$ while you are on the phone with me. Plainly, I don't want to know.
I do think, if the doctor dictated this
you should put it in the report.
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Need info ASAP

WordZXpressed in Georgia, are they any good, what do they pay, etc.?  Any info.Alice


Need Advice ASAP
I was offered 60 minutes of transcription for $40.00.  I am new and I do not know if that is good or not.  Looking through the samples it seems he says the same thing over and over again so you can macro the physical examinations.  Please give me advice.  Right now I am in school, pregnant, and work full time.  My goal is to stay home but it seems he should pay $60.00 for 60 minutes.  Please give some advice I am a new Transcriptionist and I do not want to be used.
HELP (sorry for shouting) but I need help ASAP sm

here's the instructions I have been given with name of company, etc. deleted


Accessing test dictation:  Using your internet browser , open our site: (name has been changed to yadayadayada for privacy purposes)   


ftp://yadayadayada.com/medical/  


This does NOT work as a link; you must type in the address yourself in your browser or copy and paste the address into your browser.    


You will either be prompted to log in  


User name:  yadayadayada Password:    yadayadayada 


You will see many folders.  Double click on the testing folder.


 please download "testnotes.zip"   


To download, simply double-click on the file in question and it will take it over to your hard drive.`  You will first need to "unzip" these files using Winzip. 


 


Okay, I've done all of the above but now how do I get it to play like these instructions in bold say I can.


 


Once unzipped, these files can be played with any .wav file player.  Your computer's sound card will have software which will allow you to play the file.


in hospitals it seems always ASAP - SM
I work rad (employee) in a hospital, and they are always ALWAYS working to improve TAT. From the time the exam is done to complete dictation, they want 3-4 hours. That means if your doc delays the dictation, they want transcription NOW because the doc took so long.

However, in the situation you describe, checking back in 1-2 hours should not matter that much. You should just let them know the deal - they probably know how that radiologist is as much (or better) than you. Maybe they/he could call or email when he is done?

My hospital has a contract with a sister hospital to do their radiology - they have radiologists that do this exact same thing. We told them when our staffing is available. If they do not dictate during that time, then their reports are delayed -- no question. they have to deal with it.

Doing it yourself, your situation is different, of course, but hopefully they would work with you to let you know when the work is available so that you don't have to be "on call" for them.

As far as line rates, I can't say an average. I have another rad account that I do at $.15/line, but this is 3 days a week for a mobile service (TAT is 1-3 DAYS here...) I would charge more if they needed it "now", especially if they wouldn't work with me as to when "now" might be!

Long answer - hope it helps.
Feel free to email with any more questions if you want.
Pls contact me ASAP!
Please send me a personal pm with your contact details, basic information re: client, location, etc. Pending receipt of your mail, I will establish contact with you details.


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ASAP Transcription in TN..any info?
xx
HELP-ASAP Tract or track (sm)

Haven't been doing surgery for a while and cannot remember the rule for tract/track.  Couldn't find it in the AAMT BOS either.  Thanks!!


EX:  I probed this area with a Q-tip and found that she, indeed, has a sinus tract/track leading to a cavity below the healed skin.


Call a lawyer ASAP!!
You can get advice from an attorney free for the first consultation--just make sure attorney specializes in land purchases and sales so you're given good info. You also need to go to your court house or whereever your land deed is recorded and find out what is required by the court for a legal sale of that land, get copies of everything pertaining to it, check on the taxes to make sure they are all paid or not. Lawyers do take payment plans. Don't wait on this one--if you don't want to be homeless. When it comes to greed and some families, they could treat you worse than strangers. You don't pay your house payment to them, do you? What could happen is if this is a majority party contract--meaning only a certain number of owners are required for the sale to go through--that would be on your note, they could then charge you land rent--an exorbitant amount--to make you move, so see a lawyer ASAP and take all documentation with you. Everything.

Good Luck. I am really sorry this is happening to you.
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Anyone know how I can get the dictator to slow down? It would surely help me. TIA!!
I have a quick question - need help ASAP. sm
The company that I work for uses the iType program.  I was wondering if anyone has had this problem and if so how it was taken care of.  On some of the docs that I get to transcribe there is lots of static/cutting out (almost sounds as if there is a power shortage - that type of sound) in the dictation.  It is mostly when the docs speak close to the recording device or if they speak loudly.  I have tried different sound cards, adjusted speaker volume, tried different speakers and I still have this problem.  Any help would be appreciated. 
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Thanks, but I just bought one since I needed it ASAP.
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Bayscribe help needed ASAP! Is there a way

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Need help ASAP on drug board s/l olapectic

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Please help asap.


HELP - Advice needed for my friend ASAP - sm

My friend and her boyfriend of 5 years recently obtained custody of the boyfriend's now 7-year old daughter.   You talk about a handful of trouble, that's exactly what has been packaged into this mini sized monster child.


Bear with me because this will be quite lengthy.  I  will call the girl by her nickname, Tater.


Tater was 5 when my friend (S) and her boyfriend (D) started with the custody proceedings.  Every time Tater would come for visitations, she was full of these wild stories that were quite alarming to S and D.  She would come and tell them how her mom walks around the house naked all the time with all of these different boyfriends, how one of those boyfriends held a pillow over her (Tater) face one time, and how Tater and her baby brother were often left alone for hours at a time and sometimes overnight while her mom was out "getting drunk" with her boyfriends.


Naturally, S and D were really upset by these stories and so they got an attorney and really pushed for custody.  They got custody in March 2005 and their life has been a living hell since she has come to live with them. 


Less than a day or so after she moved in, she started telling them how one of her mom's boyfriends "did things to her" so S and D were once again in an emotional fit because they thought someone had molested Tater.   They called a psychologist and the police.  Had her evaluated, everything.  Even had Tater talk to a detective that works child abuse cases.  His findings and the psychologist's findings were the same.  She had not been abused and, in fact, had a severe problem with delineating fact from fantasy. 


Tater now sees the psychologist once per week.  The goal of the treatment was originally to get Tater to understand the difference between telling stories and the truth, along with dealing with the fact that her mother now has absolutely no contact with her.  It's been rough for S and D as well as Tater. 


Things went well for a short time, then school started 3 weeks ago.  Since starting school, S and D have been called to the school numerous times because Tater has either said that she couldn't do her homework because her daddy was "all drunk", that when S dropped her off at school she was "drinking wine from a bottle in the car" (it was green tea in a glass bottle,) and that they don't allow her to talk to her mother, which is not true. Her mother has supervised visitation but chooses to opt out. 


She has told her aunt and uncle that S killed her cat on purpose when it was actually her aunt who accidentally ran over the cat but Tater didn't know that.  She told one of the neighbors that her mommy had her (Tater) picture taken once and was in a naughty magazine because her mom got money for it and Tater would get it when she was old enough.  OMG yet?  Yeah!  This kid is something else.


She also made a little boy cry in class by rudely saying how he was so stupid and slow during outloud reading time.


S and D have tried all of the things the psychologist have recommended, taking her toys, taking her TV, radio, making her write apologies and hand deliver them, and sit directly behind the bus driver (for even more trouble on the bus.)


She also missed the bus home purposely last week because she was going to go to a friend's house.  Her grandmother had to come all the way into town (they live about 10 miles out) to get her.   When D and S questioned her about what she was doing, she screamed at them that it was "HER LIFE" and she could do what she wanted if she felt like it.  Remember folks, this kid turned 7 last month!


Now, a few minutes ago, S called me in tears.  She got another call from the school because Tater had told some of the boys that another boy was threatening her and making her scared (which was a lie) so she wanted them to do something about it.  These 3 little boys proceeded to gang up on the other boy and he was hurt.  Not seriously but that he was hurt is bad enough.  These 3 boys and Tater are now suspended.  These are first graders and this is a very small town.


S and D are ready to snap.  I don't know what else to tell her.  The psychologist told S and D that she was afraid that Tater had multiple personality disorder but couldn't make that diagnosis on a definitive basis because, as of yet, there are no clear cut documented cases in children of this age.  They usually don't start developing these tendencies until they are in their mid to late teens. 


I have looked online for any kind of research or specialists that can deal with this but it's very difficult to find information even on pre-adolescents that are out of control. 


I am asking for your help.  If anyone knows of a professional or group that can help S and D with Tater, PLEASE post here ASAP.  At this point, I'm very concerned about THEIR well being. This kid is a serious danger.  There is much more but I think I have told you enough already.   We are in Washington State too, just in case anyone has any ideas where to go for help.


Thank you so very much if any of you can help.


 


 


 


 


 


 


 


Oops. worth OF catch up and wants it ASAP.
x
Call your doctor - this is not a doctor forum! nm
x
You know the difference between God and a doctor? God doesn't think he's a doctor. nm
X
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:0)
and think, the Dr. may have dictated that
At least you ARE concerned about it. Many wouldn't be. Hang in there!
Has she ever actually dictated a sm
report in the format that she is required to do.  I do forms for a cardiologist in this manner, but when I first started working for him, he actually dictated the letters.  I think all physicians need to include certain things for a new patient, and then can do follow-up letters without including past medical history, allergies, etc.  I wonder if she has any colleagues that would be willing to share samples of their reports, but that specialize in the same field.
ROFL at what this MD just dictated...sm
NEUROLOGIC:  He does have diminished memory.  I did start him on Aricept for this last year, but he has forgotten to take it. 
They pay per minute dictated. Sux.
Especially when they assign the work. It's not fun when all your work is less than 1 minute, two line reports, ESL docs, etc.
dictated, not read
I'd take it as a compliment.
If the docs dictated like that, they would never get anything done, lol
nn
H&Ps dictated by a very thorough dictator. nm

Doesn't have to be dictated...but he does
xx
Exams Dictated But Not Done
I transcribe for a local multispecialty clinic and have seen many of my own reports. It just gripes my butt when the doctor dictates a standard physical exam and I know for a fact that he/she hasn't even touched me. Did not check my heart, lungs, abdomen, neuro, extremities, etc. The only things that are legit are the vital signs. It's like if I come in for a sore throat he looks at my throat but nothing else. My fibromyalgia clinic NP only talks to me - no exam at all - yet she dictates an exam, review of systems (that we didn't even talk about). She will say conjunctivae and lids are clear; PERLA, etc., and she hasn't even gotten within 6 feet of my eyes. This just doesn't seem right. And when you have labs or other tests, they NEVER call you back with the results. My PCP never suggests any preventive testing - I have to ask for it myself. I know they're not all like that but my eyes are opened much wider than they used to be. It's all about getting it done in under 15 minutes and on to the patient in the next room. 
I always leave these as dictated.

Let's say you're Asian and have a doc who seems to possibily have a bit of an ''attitude'' about your ethnicity.  In perusing your own medical records, you see that this doc uses the term Oriental instead of Asian.  There's some confirmation that your suspicions were correct, allowing you to make a more informed decision about your medical care and who you want providing it.  Especially true with the word Negro, IMO, which I haven't heard in quite some time but have actually had dictated and left as is, even if I had the leeway to change it.


IOW, I think it's a patient's right to know if a doc is using words like that, so I don't change them.


I would type it as dictated. nm
nm
type as dictated

The word lesbian, unless used in a derrogatory manner, is simply stating the patient's sexual orientation, which could be quite relevant in a psych report.  It's the same as describing a patient as a heterosexual female.  Not intended to "label" someone, simply stating a fact.  I see no problem with typing it as dictated. 


I transcribe just what is dictated.
x
transcribe as dictated...(sm)
Transcribe as dictated: "Patent shotty veins." This is perfectly acceptable as is and does not require rewording.
dictated / typed
Doctor says "jiddo, jiddo, jiddo" - what does this mean"  Why.... 0-0-0 - OMG. The things we put up with for no money.
Dictated Minute
There is/was a transcription service called Alert and Oriented that pays by the dictated/recorded minute.  You might try doing a search on that company to see if any MTs posted their experiences being paid by time using this method.
$2 per dictated minute would be around
$40 per hour. Very nice....
But they are not dictated when the IC has to work.
They are alerting the potential contractor to when the work is available. If the contractor does not wish to work when the contractee requires the work done, the the contractor should not seek that position.

Now if the contractor accepted the position and signed a contract committing to working those hours, and the company attempted to force a change in the agreed upon hours to make the contractor work a different schedule, that would be a violation.