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Serving Over 20,000 US Medical Transcriptionists

Physicians and caring or lack thereof

Posted By: tootsie on 2008-04-05
In Reply to:

recently I have experienced both sides of this aspect.  In January I was hospitalized for asthma by my then family physician.  I had been to him 3 times in the month before that with problems but he made no effort to adjust meds, etc.  About a month later, he walks into his office and tells his staff today is your last day. I'm closing the office. 


I got strep throat and went to a different doctor.  She was absolutely the best.  She looked at ME while she was in the room, not at the chart or her PDA in her hand (like the first doctor used to do).  She talked to ME.  Asked ME questions and answered any I had.  asked about allergies (which I have many). The first doctor tried to give me medicine I was allergic to (and he had been told multiple times).  Two weeks ago I was hospitalized through the emergency room with another asthma attack (brought on by the flu).  My new doctor sat down beside me in the room. Talked to me.  Got a very detailed history.  Explained what tests she was going to do.  Explained the results of what tests had already been done.  Told me she was going to refer me to a pulmonologist to evaluate if my meds need tweaking.  Even asked me which one I preferred based on how my insurance would pay.   I have only seen her in the office twice and then while hospitalized and I already feel more at ease and reassured that 2 years of using the other doctor. 


Also, at work this past week a patient was admitted after lunch.  Because the patient had missed the noon meal, the PHYSICIAN went to the cafeteria and bought lunch for the patient and took it to him.  Now THAT is a physician that cares about the welbeing of their patient!


I wish all doctors could be like these two - both of them female!  Maybe it has something to do with our nurturing instincts! 




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motivation or lack thereof....
Do i totally understand! I have been doing this for 10+ years and keeping the production up lately has been a real struggle, not only financially but emotionally. Hence, I am returning to school. It is giving me something else to focus on - a goal. Otherwise, I feel like I will be typing the rest of my life. Take some time off??? I would love that !!
Sign on Bonus (or lack thereof)
I was promised a sign on bonus when I was hired 6 months ago and I am still waiting on it! I call every week and email every week and never get a reply. Even my super always says she will check on it, but never gets back to me. It pisses me off! If they don't want to give it to me, eventhough I have kept track and have met every qualification for it, I think they owe me an explanation as to why. I wish someone would get back to me. I wish I would have found this site before I applied with them, I found their ad on another site and left an inhouse job that I held for many years to venture on to working from home, which the at home part I love, it is the the lack of communication part I hate. Has anyone gotten their promised sign on bonus from MedQuist, and if so, after how long and what did you have to do to finally get it? Threaten a lawsuit? Thanks.
One consideration is health insurance and lack thereof because
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Love the "lack thereof part." sm

I've had 4 kids in the elementary school for a total of 19 years.  This year was my youngest's last year in elementary.  I ran into the teacher who had my oldest son in 4th grade on a recent field trip.  She just looked at me and said, "Don't you have a son named _________?  I hadn't seen this teacher to speak to in 12 years.


He's now early 20's "married with children" and she hasn't forgotten him.  He drove her crazy.  He drove me crazy.  He drove all of his teachers, principals, etc. crazy.  He was the class clown and always in trouble.


Funny they don't rememer my other son who was straight A honors all the way, but very, very quiet. 


THANK YOU FOR CARING!!! nm
x
No, she comes off as a caring
but frustrated professional to me. If you don't care what QA people think I don't suppose you care that other MTs also care about quality. You call QA person narcissistic, but you don't portray yourself well at all IMO.


very thoughtful and caring of you to do this.
nm
Poor kid. You sound like a very caring mom. (sm)

Maybe a few months to get himself feeling better (antidepressants?) and you keeping him up in his studies will be enough to get him back on his feet and feeling better about school.  I bet the school would be willing to help you with this (maybe even have a tutor come to the house a few times a week) if you speak to the right people.


Good luck to you, mom! 


caring for elderly parents
My dad died last year at age 89, my mom died last month at 92. My husband and I and our three kids moved in to my parents house 8 years ago to help my parents (I also have 3 siblings). We lived with my parents, and I cooked, cleaned, took them to doctors appointments, etc. My siblings did not do much, even living close by. It was a mistake, my mother said it was her house and not mine and Alzheimer was setting in on both parents. we ended up moving out as I was very unhappy as was my family. My parents health got worse, 24 hour nursing care, finally a nursing home for mother. They had to sell their house to pay for the nursing home because they did not trust anyone to have anything in their names and now everything goes to probate for the estate, which is now hardly anything. Anyone who has aging parents should contact an elder lawyer and know the laws of your state, have bank accounts put in sibling name or even lawyer's name. I really tried to take care of my mother and father but they were very stubborn, would not listen to anyone, took risks and fell etc, and it was not a good thing for anyone to watch. My siblings were all in charge of my parents care for the last four years and they realized what I had gone through. It is very difficult and you try to help but sometimes it does not work. Yes, I loved my parents and tried the best I could, but sometimes it just will not work with living with them as they get so set in their ways. I am a very easy going person. I just know that I will set up will and trusts, etc for my family
God bless you for caring for that child,
dealing with state/CPS, legal system, therapists, nonsense appointments, and meeting her heavy emotional needs to give her a better life. The other posters who are critical of you just have no idea what it's like to take on a large amount of responsibility.

I hope she is feeling better soon. :)


When we all stop caring about these issues,
x
I love what you say about not caring since 1988
That is so true. I try to do my best but care, oh I wouldn’t go that far. I laughed also when I read about the post about hyphens and the person talking about how the dictators can hardly make a coherent sentence. That was the absolute truth. Thank goodness, I work for a place where the hypens, semicolons, etc. are so not a necessity. Readable reports, yes, other nitpicking not.
Another day of investing wisely in your health and caring for yourself and those
x
The difference between not caring what you spend and spending as
x
Enough already! I am a very caring person. I don't make a lot of money either.
I still have canned goods stocked up and I know how to wash out a plastic soda bottle or milk jug and fill it up with water when I'm told to do so. That has nothing to do with posttraumatic stress or FEMA. I never said anything about either of those, so quit jumping down my throat about things I never said. It's not about the people that NEED help because they lost everything. It's about the people in their Lincoln Town Cars who can obviously afford a jug of water and DID not do it. The ones who didn't bother to prepare are sucking up the resources that should be used for those people who lost everything and NEED the help. How can you disagree with that?
When you stop caring, it is time to find

It does not matter if you do QA or greet people at Wal-Mart, if you don't care it is time to find something else to do.


It isn't just about you that QA makes these changes.  QA is doing their job to their employer's expectations.  Either take it as constructive criticism or leave, but don't make someone else pay for your lack of concern.  Having done everything in a medical office from scheduling appointments to transcription to bill collection, I can honestly say that quality matters - it matters to someone, somewhere - and if you are not in that loop, please for the rest of us that still care even after close to 30 years of this business, please, please take yourself to someplace you can be happy.


I do not agree with every nick-picking change QA makes, but I don't dwell on it or stop caring.  I keep plugging away at doing the best job I can.  I am doing something where I make good money and feel like I have an impact on patient care without having face-to-face patient contact or co-employee issues that come with working on-site.


So, go, shoo, get, go on now.  Let me have your work.


 


Being educated about the environment and caring about what is left for the next generation does not
nm.
You're so sweet for caring. Just my hormones kicking a little too much. Thx
s
Naw, they're in it for the bucks. Not many really caring docs anymore
nm
You are so right. Its up to the physicians and
also your local competition. Its all about offering the physicians something better than the competition - better rates, better TAT, and if your competitors are certified, you can bet that's part of their "sell"...But you could never predict the certified issue until you check the waters. Good luck to you! Its not that hard to pick up a local account or two. Enjoy!
Do you think ER physicians actually do as thorough
a physical exam as they dictate or do you think they fabricate a lot of the details of the physical exam?
Not all physicians are like that .....sm
I work for very generous, kind and caring orthopedic surgeons who see patients, with little to no income, and charge them nothing. They ask for no payment and nothing in return. These docs would give you the shirt off their back.

Not every physician cares only about money.
It is bad enough for the ESL physicians but
today I had an ESL PA dictating and when she dictates hypertension she says hypertensions, as in the patient has hypertensions and heart disease is diseases and lukemia is well you catch how it goes EXCEPT if you have the patient's wife, then she says the patient wife or the patient daughter. I am TICKED
Is it just me, or are physicians getting worse
with dictation. I transcribe several that use speaker phones to dictate. I think ER docs are the worst. Not only do they use the speaker phone, but that talk at a rate of about 150 miles per hour. Do they not realize (or maybe they just don't care) how difficult they are to transcribe. I really don't understand why the companies we work for allow this.
I ask the physicians! Haven't had one yet
who didn't tell me what they were already being charged. You should be able to call the MT department at your hospital and ask around there too.
About incompetent physicians...
Yes, they are definitely out there and getting scarrier day by day. Actually, the great majority of them are quite pathetic.
local physicians

I was wondering if any one knows if local physicians would rather hire certified MT to do their work from home.  I am thinking about supplementing my income with a national and wondering if this would be a good way to go.  Any insight into this would be greatly appreciated!!


Prospecting physicians??

I currenlty have one account of my own and am an IC through a very small local transcription company.  However, I want more of my own accounts.  I have sent letters and am willing to do more.  Does anyone have any idea on what it takes to "land" an account?  Thanks so much for any ideas/help/suggestions!!


Physicians by State
www.healthcarehiring.com.  Scroll down to the bottom and you'll find all of the states.  This is a great site to search by state, and you can search by specialty even within that state.  It is in alphabetical order, which is very, very helpful.  I love this site myself and use it every day.  
Yep, been there,done that. Many physicians today
have gone to EMR. I talked with one not long ago who said I needed to find another line of work since EMR is replacing the MT. Even my own personal physician uses EMR.

We are either being replaced with technology (EMR or VR)or work is going offshore. Somehow for me, editing is really not something I am interested in, as I would rather transcribe.

Hopefully, others here will be able to direct you and encourage you, perhaps giving you ideas of how you can obtain clients. Much success in whatever path you choose.
We have many Muslim physicians in the US.
Would you be so quick to condemn someone who had a problem with "We took a moment to praise to Allah"? Would you be as tolerant as you claim to be in that situation?
The physicians used to have to be bribed
to come in and dictate charts, have seen for myself. I would love to know how it went from not wanting to dictate to suddenly everyone getting out their EMRs and typing away.
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 don’t 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!
just got an e/m re lack of work
which we seldom have, but stating that we are all 'one team' and if we want more work we can call in and they can route us work from another CSC. So i wonder why other offices aren't doing that...
lack of work

  Are names of companies allowed on this board?  I'm in the middle of applying to several transcription services, so would really like to know which one (s) don't have enough work available.


Seriously could not be any worse that the lack of (sm)
respect we get as CMTs!! Seriously, we catch all the malpractic, flag it for them, and not even a Happy Holidays! dictated to us on any dictation, I correct that one doctor did say enjoy your holidays! I agree Applebees is looking better all the time!
Lack of memorization
Is the attraction for me! I can't keep what I have straight. And when I have multiple phrases that I want to use the same short for, it's just frustrating!

Thanks for your reply.
appreciation (or lack there of)
One thing I have learned is that not many people understand this working at home gig.  I will say though that after I have let my kids listen to a few of these dictations they are totally amazed and over the years I have helped them with the words to quite a few songs they couldn't understand.  One daughter is now a pharmacist and she is totally amazed at what I can understand.  My son-in-law, also a pharmacist, asked if he could let me listen to the voice mail from ESL's that call in prescriptions and he cannot understand.  My sister and brother-in-law are doctors, so they appreciate my talent and work ethic.  However, just today my second daughter got mad at me because I told her I could not watch her boyfriend's new puppy (not housebroken) and work at the same time.  I have been doing this at home for over 10 years now, so they have grown up with it, and still don't always get it.  I left a hospital job after a divorce because I was never around when the kids needed me and it was difficult to leave work for emergencies.  I made double the income - at first with no benefits.  I miss the retirement, but I wouldn't have been able to keep my house, so everything is a trade off.  Only we can understand each other
I think some of that is due to lack of training as well-
why not train Americans who are displaced workers or unable to find work for whatever reason, or just Americans who have no skills and are working 3 minimum wage jobs to get by? It would probably not cost any more than bringing in people from other countries, and it would probably save the government money, as more people would become self-sufficient and require less assistance.

I think a lot of these people would love the opportunity for the training if it didn't cost an arm and a leg, and I don't think they would be picky about what it paid- I'm sure it would beat minimum wage!
Lack of communication?

I recently was hired for a national MTSO and was wondering if this was typical for most companies who hire you as an employee.  They train you, tell you who your supervisor is, turn you loose on your account, and after that you are hard pressed to get in contact with your supervisor, or anyone for that matter, for questions.  I had questions about:


1) how to fill out my timesheet, a) when to submit it, b) how the pay period runs - all I got was a sample copy and told to submit it on such-and-such day. 


2) questions on formatting that were not in the AI sheet - no response either by E-mail, IM and lack of contact phone number other than the 1-800 office number.


3) Two days into the job - ran out of work on both primary and back-up account.  Response - "sorry, we're just slow." and not by my supervisor, by another company associate as my supervisor was nowhere to be found.  Never heard from the supervisor again.  Haven't bothered to log back in to work.


Just wondering if anyone else has experienced this and is it typical.  Do not want to mention the MTSO, but it is a well-known national.


frustrated.


lack of work
Has anyone had a lack of work in the company they work for. I have been without work for two weeks and keep getting the run around from my company. I was wondering if anyone had to collect unemployment benefits or if there was something else I could do. thanks
Lack of work

I also did not have any work due to President's Day.


I am very frustated, No work due to Thanksgiving initially, then Christmas, New Years, and now President's Day? (Not to mention lack of work due to blizzards etc.)


I like the company I am with, supervisors etc. but am wondering if it is going to improve.  I was promised paid health insurance, but have not yet reached the line count. How is it possible with any work?


Any feedback appreciated. Thank you.


I don't think it is a lack of funds
I really think they are just ticked off that I quit so quickly. But after many years of doing this, 70 lph just doesn't work for me. Account was great, it was the administrative stuff required that killed the job.
My lack of experience...
I was told today by a national transcription company that "due to my lack of experience in the last eight years...." that I was unqualified to work for them as they need people with recent acute care status.  I have worked for a group of orthopaedic surgeons for eight years and went to work for them because my job at the hospital was phased out due to outsourcing.  I have 36 years of experience as a Transcriptionist and all but the last eight were in a hospital setting.  I am shocked to find out that I do not qualify for their company.  The work at our clinic is dwindling and even though they are hiring three new docs this coming year, none of them are going to be allowed to dictate as they will be required to use the EMR only.  All of us sit by our desks waiting for that next job to show up and hopefully if you are lucky enough, you are the one who grabs it first.  I used to work every evening and weekend.  That has happened in the last five months.  Sorry for the venting.  It has been a tough struggle with a laid off husband, one income, and 10 grandkids to shop for, for the holidays. 
I've found that most physicians who
dictate at such a ridiculous pace are trying to make up for other deficiencies....you know like "male menopause" where the older guy goes out and buys an expensive sports car, etc., etc.  Seems most of the speeders on my account are DOs, NOT MDs.....guess they feel inferior in some way. 
Physicians are willing to share their knowledge with (sm)

anyone who will listen.  They love young bright eyed students. I expected the MT world to be just like medicine.  


Why is cost the only issue? It is unprofessional to only think about money. What about pride in the profession and wanting to share knowledge? Isn't that how professions advance and grow? 


I am surprised.


 


 


 


State Licensure for physicians
I use the State licensing agency for whatever state the physician is in.  I just Google State License or Health State licenses and it brings that particular website up and then I do a search.  Great Tool!
When do physicians give feedback to MTs?
x
I have heard American physicians say that. What is the
big deal? You know what they mean.
A lot of physicians refer to their patients
as heterosexual or having same sex partners, it is very relevant in some aspects, as in exposure to AIDS/HIV, etc.
physicians pinching pennies
while making over $100K a year (after insurance premiums), for a service that is tax deductable.... they really dont have a clue...