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Serving Over 20,000 US Medical Transcriptionists

Personally I feel very uncomfortable adding something the doc didn't say

Posted By: Rad MT on 2007-07-07
In Reply to: Is it just me being - change-phobic.

I would ask the OM for standardized templates so they would be on file and if there was ever any question, you would be able to show that you were given a template for that particular situation.


Let the doctors worry about covering their @ss. You worry about covering yours.




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Personally i feel at 15 or 16
is appropriate. But my husband didn't agree, so both our daughters waited until they were 18.
I didn't mean you personally
I'm not on salary, so I can't answer that question. Just when someone posted about it being an inappropriate question, it reminded me of my dad.

I lost my dad 6 months ago and think about him often. I didn't mean to insult you in any way. It just made me smile to remember when he used to tell us that.

If you are uncomfortable with it.....
One poster here said that her brother wears swim trunks when with their child in the bath. That may be an option for your husband if you are that suspicious of the whole thing not to mention uncomfortable.

In my honest opinion, mothers bathe their children with them all the time and very few people see a problem with that, if your husband is that into quality time in the tub with your daughter then give them that time. At least, he is participating with your daughter and not acting like she is a burden to him.

Trust me, if there is something weird going on you will be able to sense it but until that alarm goes off, let it be!
Tried them, didn't like the feel of it and
seemed to slow me down too much.
You didn't feel that way when another SM

longtime person was fired a few years ago.  Why now?  All of you ganged up on her, I tried to tell you she was like this, now suddenly you are upset.


Simple fact about that place.  Get out.  That's all you can do.  Those who did are glad and you guys have been there for 3 more years complaining and being upset.


This is sincere advice.  Either do something about your situation (and that will not be removing your management, she's not going anywhere) or just take it and die there.


Well I had a great one and didn't feel
like it was exhausting or draining like a lot of people seem to feel about them. Maybe it is just me and my approach. I usually make about $300, but 1 year made $400. I consider that GOOD. JMO.
Well since your an MT also, I didn't feel the need to go into our job duties...
I was making a point that we do not have as much education as these doctors do so get over yourself...while I wouldn't mind making 75,000 a year I certainly don't expect it...give me a break!!! and it is insipid argument by the way...since you called another MT stupid, figured I would call you out on something too...
uncomfortable with phrasing/quoting
I don't know that I'd go so far as to say that this person thinks she knows more than the doctors. IT seems more like clarification over how to handle this situation is in order, by either the employer or her QA person, supervisor etc. I've been in the business for 25 years, and I know we see and hear a lot that seems "odd," and there are times where it is your responsibility, after the fact, to flag reports and let somebody know about things. Two cases in point ... I worked for children's hospital where one of the pediatricians (not trained in pyschology) was seeing adults for psychiatric concerns. Long story, and I'm sure you wondered how that was possible but it was. And we also, at that same hospital had a doctor who swore and complained on tape (little asides) and something like this was mentioned to him, and changes were made. However, when something is in quoted, such as what this person has mentioned, it doesn't matter what is said, you have to transcribe it, and whether or not this was a psych note is not the issue. The fact that the doctor wanted it noted meant that it was important. For example, this patient might often times be abusive, and thus it is noted in reports, just as a "drug-seeking" patients behavior may be noted, which is also the doctor's opinion on the person's behavior, but needs to be noted. I know that if you routinely get reports, the content of which you are not comfortable with, this is when you go to your supervisor, or whoever, and ask for a different account, or workload etc. Believe me, over the years, and sitting in one place getting work from all over the country, you are going to hear some things, and the only real blank (shudder, because I hate blanks) is truly something that cannot be understood or verified. This particular instance, it was a direct quote and the "blank" space for what was said could mean all the difference. That's my 8-1/2 cents worth, and I think this was an excellent question to have posed, because not everybody would know what to do when confronted with this. Happy transcribing everyone. -A
I didn't vote for him, but I feel your pain. :)
.
She just didn't feel like she wanted to pay for the services...sm
She said that there was a lot of dictation missing and she had to retype the reports. I listened to the voice file over 3 times, along with the transcription, and there was no dictation omitted. She complained that this happened several times, but I listened to each file over and over and didn't see where the dictation was missing. I think she just doesn't want to pay and it's really sad! It's such a hassle trying to go through this, but I do want my money. It's more the principle than anything else.
Okay, call me weird, when I started I didn't feel...sm
that way. I read about becoming in an MT and I read all 3 books then available on the subject. I found the names of only 2 schools, HPI and At-Home Professions. I found out all I could about them both before making a decision. I didn't go in ill-informed. HPI said right up front that at least 60% of the people who take their course can't do the job, or find it too difficult. My thoughts? It wasn't the program because the advice from those books about a training course was what HPI offered. I felt that what I put into my training would pay off in my successful career. I over studied. I didn't fudge on anything. I wrote out every term 3 times to memorize the spelling (I was a horrid speller then, top notch today). I WORKED for it.

I think that is why I had a good career going pretty fast and by 3 yrs I could make full time money on full time hours. I did a fair amount of job switching and not always for more money, but rather for the experience of the work. I had a plan. I had a goal. That goal was to transcribe OP notes full time. It took about 7 or 8 yrs, but I ACHIEVED IT!

So, after the way I approached this, I make it very clear that it is hard work, that the pay on the face of it isn't great, but hard work and continuous learning will get you there in time.
ask yourself how you would feel if she died needing a kidney and you didn't save her with yours t
/
EXACTLY! Thank you for adding.
x
And that is without adding in the
Ouch, ooch, eech, (walking out to grab the paper off the step this morning).
And adding to that. ..
What happens when the company runs low on work, which is known to happen.  There is nothing in the contract about the "penalty/incentive" does not apply.
Nothing about MQ is adding up anymore.
x
adding my 2 cents
It can be done, as I have been in your shoes as well. It will be tough without family close by, but thank goodness you have a job that can keep you close to your children. When I did it my job was 12 hours a day. Just wanted you to know that you have support here, and by the looks of it you have alot of it. You and your children are in my thoughts.
lol.. thank you for adding humor to my otherwise
nm
Keep adding to that expander SM
Just backing you guys up. I'll never have those quick fingers either (nv hv tos qk fgs eir), just not in me, but by continually creating and memorizing abbreviations, I transcribe fairly challenging acute care hospital work somewhere between 330-340 lph--including short breaks for coffee refills and so on. It wouldn't add up to 3000 over 8 hours (most of my work is actually editing these days), but could be if I were doing work I could make more templates for, clinic for instance. Zero stress, BTW.
Adding Expansions

I was wondering how you build your expansion list, meaning, about how many words do you put in day?  A few, 20, 50?  And do you review them daily so you know what you have?  I tend to create them and then forget I have them and then do not use them.  What are you tips?  Thanks in advance!


Did you try leaving the .09 and adding .09.vox? nm
nm
Are you getting paid for adding the
demographics, such as the patient's name, the medical record number, the dictator's name, two spaces instead of one at the end of a senstence. Is the space included in your line count? Some companies are now paying by the character only. Unfortunately, a lot of these things we used to get paid for have been taken away, thus you need to work a lot harder for the same amount of money. Try to master the more difficult dictators, and once you do, then ask for a higher rate.
just adding my 2 cents; not sure where you have
worked with 'Indians' to have such a negative viewpoint, but my experience was pleasant and the people I knew from India were polite, quiet, respectful but probably mistrusting of Americans I supposed. Most everyone is India gets a college education, not like here. Even on the phone from call answering centers, the 'Indians' I have spoken with for the most part are very soft-spoken and polite.

They were given an opportunity and are taking it and making the most of it and for that I don't blame them. It is our American companies that sought them out and went over there and started these transcription companies, yes?
I had 6346 and adding each day. :) nm
.......
I am talking about adding a few more notches to
make the playback speed increase, only if you want it to, such as if you have a really slow dictator and you want to go back and proof the whole report. Since I proof every report by going back and listening, it really would make the proofing go faster to be able to increase the speed more than we are able to now.
td = 10/13/2005. in IT I just keeping adding them as td.
dd
We got plenty and adding new accounts every day it seems - nm
x
Stuck adding dictionary
  I've downloaded Stedmans 6.0 to Word (program files) and am attempting to add the dictionary for spell check.  I can locate the file but when I try to add a file name, I get hung up.  I'm sure the problem lies in the file name, either the original download or my efforts to add the dic.  I would very much appreciate an assist, pulling my hair out.  TIA - I have googled extensively and followed the instructions but I am missing something here.
adding 5 a week would not work well IMO

I currently have over 1500 entries in my mail abbreviation program file.  If I had built this by adding 5 entries a week, it would have taken 300 weeks, or almost 6 years to build my main file.  I have an additional 6 other files with varying numbers of entries built specifically for different purposes - one for medications - one to correct misspelled words in my current MTSO's spellcheck - and one for each of the different accounts I work (mostly entire op notes and templates).


I believe the one on ShortHand's site is a good start.  Once you get familiar (or even while you get familiar) with it's pattern, you can add your own.  I constantly add to my main file.  Sometimes when I come across something I haven't seen in a while and don't know for sure it is in the file, I follow the pattern, and voile'...there it is and I don't have to guess at the spelling or look it up.   


In addition, if you activate the prompt screen of available entries on your screen, you do not necessarily have to memorize all the entries.  You get to chose from a selection of 9 entries to help jog your memory if needed.  I am a firm believer in the use of expansion software, even though the first one made me dizzy for 2 weeks


Beg to differ with the adding of words
to report if not necessary. That is commonly known as "line padding," especially adding "the patient" when it is not said. I know MTs who have been let go for doings things like that.
Adding some info to this post...

Here is an interesting bit:  http://law-wire.blogspot.com/2008/02/india-to-adopt-data-privacy-rules.html


Also, you may want to look into the Information Technology Act (India).


And adding insult to injury,
I have a few that dictate like they're trying to keep it all a big secret; ironically, it usually sounds like they are trying to keep their voices down so they don't disturb the people having the LOUD conversation 5 feet away! Hello, get a clue! Gaaaah!
Adding up line counts
I am about to start as an IC with a company.  Up to this point, I have not had to add up line counts at all.  What do you use to figure this out to invoice the company?  Any favorite softwares?
Adding insult to injury,
it's IC (independent contract) work with an insultingly low line rate. If I were going to take THAT big a pay hit, it had BETTER have one KICKER of a benefits package attached to it. No, thanks. Don't call me and I won't call you.

In addition to the various fees charged if you don't jump through all their hoops (and they were a bit fuzzy about whether those fees would still be assessed if the failure to complete the required work was THEIR fault not yours, there was also some verbiage in their contract that sounded like they might require you to use a dedicated computer--i.e. you can't use the computer you use for their work for anything else. Naturally, they do not supply this dedicated computer. Excuse me, if I own the computer, I can do whatever I bloody well please with it.
Just for your info.. this 30-year MT is NOT adding s to Down syndrome
so that is not what the problem is... I don't care HOW long you've been transcribing a split infinitive is a split infinitive!  and verb tenses haven't changed, as far as I know... so don't act like 30-year MTs just aren't "with it" cause this one is!
Thanks for your feedback. Will see about adding back the time.
/
Determine your line rate by adding that 25%
get and don't forget to add in costs of marketing, setting up a HIPPA compliant system, printing, sending/receiving work, travel expenses, trying to mantain a client who wants to lower your line rate because someone else will do it for less and/or suddenly finding the need to get a different client because the own you got decided to use voice recognition and didn't tell you until they no longer need your services....
Thanks. I'm adding to my shortcuts. I Googled and saw different spellings.
nm
Line padding is also adding little blank characters

like spaces throughout the report to get paid more.  I saw reports at MQ and Sp that had lines of spaces shown on reveal codes between paragraphs where someone either didn't know how to work their expander, was cutting and pasting, or was deliberately padding their lines.


As for typing out abbreviations, I work on an account that doesn't use abbreviations at all.  I use otcx for over-the-counter, etc.


Instant Text, over 19,800 entries, adding all the time,
and I don't have to remember because the IT is at the bottom of my screen for as many lines as I like, I have 3 showing.
You're welcome, thought to be fun. Will be adding falling snowflakes and
/
Thanks!...good idea about adding the def to the glossary...I'll try that too
.
Smarttype - Adding a text file list?

Is it possible to add a text file word/phrase list to Smartype? If so, how do you do this?


Thanks! 


Line padding is also adding extra words. See inside.

Doc says:  "General. Alert and oriented, no distress. HEENT:  Eyes clear. Lungs:  Clear."


MT types: GENERAL EXAMINATION:  In general, the patient is alert and oriented. The patient is in no distress. HEENT EXAMINATION:  The patient's eyes are clear.  LUNG EXAMINATION:  The patient's lungs are clear.


I kid you not. And there are companies out there that will defend the MT's right to do so. But, would the client's approve of it? I seriously think not.


 


RE: Auto Text - I keep adding AutoText entries but then the next day they are gone. Any suggestion
\
Well of course we know that now. Back then we didn't because he didn't allow unfettered access.
c
right we children didn't tattle to the administrator did we. BTW, didn't you think we were &#
because some half-witted idiot said everyone was jealous because some other anonymous poster said they were going to be a doctor. Didn't they call it doctor envy. Oh yeah, that was all about you wasn't it busy-body MT. You with your degree and premed but yet you still post here and acuse others of jealously. I dunno but you and dano seem so close, I can't put my finger on it but I would say you could be computer clones. Jealous indeed. Children indeed. I think you are blowing your covers) dano and busy body MT. This whole "jealously" thing makes me think that you may be one and the same poster.
I didn't go into labor until 2.5 weeks later, so it didn't work. Sorry!...nm
x
if you feel like that after 12 years, and I feel like that after six months
what hope is there?
I feel people who feel like this post
needs to a) either be a stay at home mother and not work or b) realize that she is no queen bee and I could care less about a degree. What company out here that you know of compensates for having a degree? Means nothing to them. Your working and being there when they assign/need/require/whatever is what you should do IF YOU WANT A JOB in this field, otherwise get out and do something else or become that babysitter.
sorry I didn't have time to thank you, but I didn't forget!!