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Need some clarification on C-phone dictation and some websites for urology sm

Posted By: DermMT on 2007-07-20
In Reply to:

I will be covering the transcription for a urology clinic.   I was briefly told that the doctors dictate to a C-phone that  goes directly to a base office.  Then the file is e-mailed to their office where they can access the dictation.   Does this sound right or are they accessing the file from the base office through FTP and then downloading it.  Also, doesl AOL work OK to access files or do you need another FTP provider.  Not sure how they are doing the work, but any help would be appreciated.  Need some good website for urology,  Just want to be prepared.   Always ask the experts!  Thanks. 


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Follow up regarding C phone dictation post below sm

Went to the Urology Clinic this morning.  The doctors are dictating on a C-phone to a transcription service and they are transcribing the reports and sending them back to the office for me to QA.  I download the files, check them, print and save.  My questions is how can I have them route these files to  my home computer.    Wouldn't the transcription service have to send the files to me so that I can access the site on online with a user name and password?  Can I do this through AOL or do I need to use Internet Explorer.  Anything else I would need?  Just need some input, because this current Editor may not come back and I may be taking on their actual transcription also.  Big Company.  Don't want to loose this one.  Any ideas would be appreciated. 


Cell phone dictation in the middle of the night
First, they are inaudible, and they are so tired that they forget where they are at and backtrack or forget parts of the surgery. Then you have to figure out what they are saying when yawning and everything else. Also, I hate it when there are screaming kids or a bunch of people in the background that are louder than the dictators, and the dog is barking like crazy. Ambulances: Why do doctors dictate in front of ambulances when the siren is going?
Help -- Sample report for phone interview dictation such as insurance

Hi! I am testing for a job and I understand the dictation as I did medical transcription for 2 years but this is a telephone interview with a person (insurance type deal) I believe. I have no idea how to format. Can anyone out there point me in the direction of samples for this sort of thing? Do I just keep switching paragraphs for each person talking in the conversation? Rules and regulations for this please.


Thank you!


Lisa


You cannot download files via your c-phone. You will dial into the dictation server SM

with the C-phone and transcribe live.  Do you know what kind of transcription platform you are typing in? 


Urology. Thoughts?
 

Posterior right renal mass, exophytic, and measuring up to 3.1 cm in maximum dimension.  This has Hounsfield attenuation numbers between 50 and 60 which is too high for benign simple cyst although this may be a proteinaceous or bled into cyst.

 

A 2.7 cm exophytic cystic mass involving the posterior mid-pole of the left kidney, somewhat hyperdense, possibly representing partially mildly hemorrhagic cyst.

 

Degree of malrotation involving the right kidney.

 

Within the right lung base peripherally, there is a nonspecific 3 mm nodule.  Six-month follow up is recommended.

 

This has the holy living hell scared out of me.  Mets?

 

Appreciate any thoughts; urologist appt. Sept. 27.

Urology to India

The urology office I work in only has me full time in the office for 6 physicians and 2 NPs.  We send out what I can't handle.  They started using a transcription company and guess where it was going? India!!!! Let me tell you it came back a mess and I had to deal with it, after 6 months they are finally letting someone locally do it for the same price.  That makes me very happy!  I can't believe doctors and patients don't care if their dictation goes to India.  Our local hospital says NO!!!


Used to work for urology and
they say at least 6 weeks for all the swimmers to be gone. Make sure he is protected!!!

LOL typical man wanting to make sure his business is still in order.
Urology, Radiology and Psych
Hi!  I'm new to the board, but I saw your question.  I did contract for VA hospitals in my area for years, and I got a ton of urology, some psych (those were very long reports!) and then ended up just doing their radiology.
Does anyone have any good urology sites?

I started out in the file room of a 6 doc urology practice.
I started in the file room and worked my way up to full time transcriptionist. I took 2 semesters of med terminology at our local CC and haven't looked back since. I now have my own small transcription business and also work full time for a major hospital here in Michigan. My cubbie mate spent 7K on her program and degree and was no further ahead than I was.

It can be done.
Good nephrology/urology site? Thnks, nm.
a
I started in the file room of the urology office I worked. And I was not
going to be a file clerk for the rest of my life. I only had 2 semesters of terminology, no other professional schooling. They had a fresh from a Mayo Fellowship peds urologist coming in and needed somebody to help with the typing. First it was half file-room and half transcription. Finally he was so busy, I became full time. I was there from 1990 until 2003. I then left to free-lance and start my own business. He has since moved to Arizona and I still type for him after all these years.
I started in the file room of a 6 doctor urology office....
The file room in any office is a nuclear dumping ground...any paper that nobody knows what to do with gets dumped there. Then and there I made up my mind that I was NOT going to be a file clerk for the rest of my life.

I actually started by filing part time and typing part time. When we got a new Peds Urologist in the office, fresh from a fellowship at Mayo, I was right there. We used tapes back then as that was in the early 1990's. As he could fill up a 2 sided tape with 8 hours of seeing patient's, the other girl in the office did not want any part of his work and left it for me. The rest, as they say, is history.

I had no professional training, just 2 semesters of medical terminology and a killer spelling ability.

After I had typed urology, I was then farmed out to our other offices and I learned GI/GU, family practice, sleep labs etc.

I now work for a major hospital on the west side of Michigan and still type for my Peds urologist. The only difference is that he now has his practice in AZ, not MI.

If you can find somebody willing to take a chance on you with no experience, jump on it with both feet. You will be glad you did.
clarification

The original poster asked a question, which I answered. The examples I gave of actual reports have nothing to do with demonstrating my superiority, nor were they meant to make fun of anyone, but were simply to show the types of problems I personally encounter on a daily basis (all from MT’s with 5+ years experience in radiology, and including one supervisor) .  Expanders are great when properly used, but I think there comes a point when one becomes to dependant on technology and complacency sets in, causing avoidable mistakes.  Spellchecker’s are also wonderful, but what is the point if it is not being used?   


I am well aware I am not perfect, nor can I think of anyone that is.    I currently read an average of between 400-600 reports a day and I’m sure I occasionally miss something.   I care about the quality of the work that I do however, and my first priority is to each patient when I read his or her report.  It’s not just another medical record number, it’s someone’s mother, father, sister, brother, son or daughter and they deserve the best I can do, and their medical care depends on it.  I’m not rich, hell I’m a month behind on my house note right now due to an emergency, but it can’t be just about the money, if it is, it’s time for a change.


Clarification please
When you guys are taking about SE - you just mean an employee and an IC is the independent contractor -- correct? 
Clarification
It is not my understanding is that making MT an apprenticeable occupation will REQUIRE all new MTs to become apprentices before they can be hired. If that were the case, I would oppose it myself. My understanding is that if MT becomes an apprenticeable occupation, that will provide incentives to employers or others to start apprenticeship programs and hopefully provide some assistance to the MTs who will go through those programs. Certainly the concept of apprenticeship for MT is a great idea and very much needed to provide more opportunities for MTs to get the experience they need to get a good job. How we go about making that happen is, of course, where the crux of the matter lies.

I can tell you from personal experience that not all graduates of the "top 3 schools" are ready to work. In fact, I would say that is the exception rather than the rule.

When I hear people criticizing apprenticeship/externship programs that pay new MTs a small line rate while they are getting experience, I have to ask, what's the alternative? The fact is that many new MTs cannot get a job, period. That means not only are they not getting paid, they are not getting any experience--the experience they have to have in order to get a job! So to me, the opportunity to get experience at ANY rate of pay is better than nothing at all.

Jay
Clarification
I just wanted to clarify my comments on the subject in case anyone things I'm advocating your storming in the office with guns ready. LOL When I say "force her hand," I mean do your job and billing as usual. IF she's getting ready to end your contract, make her be the one to do so by keeping your end of the deal, rather than you walking out on something you've worked hard at. Also, when I said I'd be tempted to mention their vacation/inability to pay you, I meant just that. I'd be tempted. (I was merely venting.) As someone said, this is a business situation. I'm sure you'll act appropriately, especially if you happen to come face to face with the doctor, who seems to think highly of you. There really isn't much you can do besides business as usual and then decide what's next should things worsen.
Pay clarification
I should state that the MTs in question do not work in the hospital but rather as independent contractors for a national company. We are paid by line count.
IRS clarification.
See link below for differences between IC, employee, etc. Hopefully, this provide information to those on the board who have questions regarding this issue.

http://www.irs.gov/businesses/small/article/0,,id=99921,00.html
Clarification
My friend said at work at the hospital, things were pretty much just that, work, where you could ask the doctors, other staff questions.  They took bus trips off the compound to go shopping and such, and that is when you had to wear the burka.  You could not speak or make eye contact with a man (unless he was your husband), once they left the compound.  I think she worked for an eye hospital.  At work, you had to be covered at least to cover your elbows with your shirt and of course no skin at all showing anywhere else.  My friend said they paid for your nice apartment, and all you had to buy was your food, so you could save most of the money and bring it back.  She said it was not for everyone, with the strict rules about male/female, etc.   I am still looking for Nellie.  Hope you are well.
A little clarification. sm

I consider a line 65 characters with spaces.


Clarification
Sorry...I failed to mention that I have the WP 5.1 documents saved to a flash drive.  I am trying to search the flash drive for a last name, for example, through Windows, but the documents are WP 5.1 documents.
This is for your clarification.

It hosed me financially and she had the gall to tell me she wasn't responsible for my financial situation. When you are the one holding my paycheck, you are.


The statement above is made by the poster.  It is simply stated in other posts that the MTSO paying late is not responsible for this particular poster's financial situation, and this is true.  No one has stated yet that the MTSO should not pay on time or an MT should tolerate it, but the fact remains that it is not the MTSO's responsibility to plan an MT"s finances.  I feel sorry for the sick child, but please let's not make excuses.  I know plenty of people with sick children that still financially plan.  Come on - I think this is all out of context here. 


for clarification
I could clearly hear the patient in the background. She spoke English. her son was also trying to interpret for the doctor repeating things like throwing up etc. If a doctor can't understand that - then English classes are necessary. This was an emergency clinic, so she had no where to go apparently at the time she needed to be seen. Personally i would have left.
You are so right. Thanks for the clarification.

Clarification please
Your printer usually prints in the font that you are typing your document in, what exactly do you mean??????
Clarification
No. I have done MT for 15 years but STOPPED it approximately 2 years ago. I should clarify that.
clarification

Let me clarify.......I'm finishing up my MT school.  I already have the BS degree...


Thanks!


Clarification.
FlashType is proprietary software owned by MTStars.com and it's Owners.

We in all respects along with Source Code etc, own the software legitimately.

We advise all those who are claiming that software belongs to them should follow the legal recourse (if they have problems with software ownership) rather posting messages on boards.

Thanks,
MTStars Administration.
Clarification
The SR/ASR that my company is using is not on the client end. The clients dictate as normal. This software we use will listen to the recorded dictation and then spit out a report for us to edit.
CRUELTY CLARIFICATION

To the multiple posters below, regarding the thread on farm animal cruelty.  First of all, I believe you. Second of all, me and many like me don't have access to video and/or cannot watch the video.  Yet, we still want some facts. I was not able to pick up fact based on the thread.  Here is what I found out -- VERY INFORMATIVE by the way, and I appreciated reading it -- but there were still questions in the air. Can someone please CLARIFY, by way of simply stating the facts, what is going on with each of the following animals, so that we, AS CONSUMERS WHO MOSTLY SHOP AT BIG CITY SUPERMARKETS, can make an INFORMED CHOICE based on these facts:


1.  Chickens.  Know they live their lives squashed and get heads severed off via rotating razor blades.   True, false, anything missing?


2.  Veal calves.  The cruelest fate of all (besides french geese for fois gras or however you spell it).  Tiny crates, water deprivation, light deprivation, no straw, no way to move the extremities.  And how are they killed?


3.  Regular calves, and cows for meat.  How are they killed - really?  I think the general public thinks they get a humane bullet in the head.  Is this not true?


4.  Dairy cows.  Their fate?  And aren't they treated a little better (fresh air, etc.) for dairy vs meat?  Please inform.


5.  Pigs.  We know that they eat, we know they are dirty, but assume that they, too, get room to roam, and are killed with a bullet BEFORE being cut up.  Is this true?  If not, how different? 


6.  Anything else we need to know about?


So very, very much appreciate a WRITTEN answer to those of us who have no access to / cannot go the video route.  BIG THANK YOU IN ADVANCE.


For: clarification for Kate
I was referring to working as an IC for a service. Some services offer IC, SE and employee status positions.
1099 clarification
The person who paid you, need to have the 1099 post marked no later than 01/31.  The person who paid you needs to supply copies of the 1099s to the IRS no later than 02/28.  Do no confuse these dates.  If you utilized (mind you not employed) ICs, then you too need to have their portion fo the 1099s post marked by 01/31 and the portion that is to be filed with the IRS by02/28. 
clarification on outsourcing

What I meant to say was they outsource a lot of the dictation to India.  Should have clarified that.


Thanks for the clarification and additional information.
x
clarification-had no formal training in....

working for MDs/transcription but came fully experienced into the medical and then MT field by working years prior in secretarial/typing/administrative assistant work....


not like I came into the MT biz with no training whatsoever...hence, I needed to clarify my original post...


 


Clarification - I did not mean breast exam sm
was required, only that an exam was required in NY for a minor to get a work permit. Personally, my kids have gone slightly over 12 months in between physical exams, and I was assuming that this girl's exam was probably overdue. Therefore, she was getting more than just a routine "Stick out your tongue, let me listen to your chest, you're okay to work" type of exam solely for the permit and instead had to have a more thorough exam. That being said, I don't care how old my daughter is, as long as she is a minor, I will be in the room with her during an exam. Same thing for my son.
Clarification: 1200 lpd x 5 days/week...
1200 lpd x 5 days/week =
MQ: $0 incentive
Spheris: $24 incentive/week

Ok, I didnt post this, another JWA did. just wanted clarification.

C-phone used to call in to dictating systems to receive work. A special phone. nm
nm
I had a lot of trouble with static in my C-phone. I replaced the phone cord and that made a big

difference.  Also, have you tried a different headset?  Also someone told me one time that there is a microphone under your volume control on the right corner of the C-phone.  It's a tiny hole.  If you break off a Q-tip and stick that into the hole that will squelch a lot of background noise and that worked as well.  As far as getting your C-phone service, I heard that Dictaphone is "sunsetting" C-phones at the end of this year.  Meaning, they aren't going to service them anymore as they are considered an obsolete technology.  So, I would contact Dictaphone and see what your options are.


I know very little about Lanier equipment.  I've not used it as extensively as Dictaphone.  Is there a local appliance repair place in your area?  You might ask one of those places to take a look at your equipment and see what they think.  Kinda scary, cause they could do more harm than good, but maybe worth a shot.


Not much help, I know.  But I thought I would share what tiny bit of obscure knowledge I do have. 


I don't use any websites--
I use Stedman's Radiology Words 3rd ed.and it has just about any word you'll need.
some websites for you :)

http://www.epodunk.com/cgi-bin/genInfo.php?locIndex=273493


http://www.city-data.com/city/Greenwood-Lake-New-York.html


http://www.greenwoodlakenews.com/


 


Is there any websites

that show over the counter medicine names and homeopathic medical names out there. Have searched some and found some, but would really like a complete listing if possible.


Thanks


Websites?

Could you possibly recommend some websites?  Or maybe books?  Any help much appreciated.


Anybody know of any websites sm
for reference material for Cardiology?  I do strictly cardiology right now and lots and lots of cardiac caths, TEEs, Echos, Holters, PTCAs, etc.  Would be nice to have a website with just cardiology stuff.
I've changed them between an old phone and new phone, but the same company, i.e. Nextel.
x
I use my c-phone whenever we travel. You can hook it directly into your room phone. Be sure and as
xx
I do that with the hospital websites, too.
But I'm lazy.  I'd rather keep a browser window open or save the list to text format and use the search feature than print it out, find my notebook, and hunt through a hardcopy.
Always go to the manufacturer's websites and use it they way they have it!
It is DERMABOND - all caps. The Stedman's books are incorrect.

I know for a fact, as I even called the manufacturer on the telephone to clarify. I was so annoyed because my QA person just kept changing it to lower case - until now of course when I cleared that up.
What are some helpful websites?

I have found some very helpful websites by browsing the boards here.  Just wondering if some of you may have favorites you use. 


My most helpful for finding bacteria is listed below.


http://www.dsmz.de/microorganisms/bacterial_nomenclature.php