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QA that is so picky it makes you go back and relisten to the whole thing.

Posted By: Yes it's nice to say you're the best with yo on 2006-02-23
In Reply to: What are the things that keep MTs - from making high line count?

when it causes people to live in fear of losing their jobs because they get a major error from doing a new specialty, you wish you weren't helping out on the new specialty, and tend to turn off the computer.

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I go through the entire dictation first, then go back and relisten
for any blanks.  Sometimes by the end of the report I've learned the accent and can fill in the blanks. 
This is what MQ wants you to believe. YOU ARE THE ONLY ONE makes people back off but believe me it
just isnt so. Those damn office people are told to say that so people cringe and say oh my I am the only one. Well, when you hear that line from now on you should know they are lying through their teeth and tell them to jam that line up their behinds. Makes me sick. I have some people in my office that actually tell the truth and that is very few and far between in MQ and I know the truth and it is not YOU ARE THE ONLY ONE. Wait until your account now goes through ASR on DQS which it will and you get the real crappo work to further make you struggle so they can hire inexperienced people and stick them on ASR because that is all they can handle.
wow, makes me want to keep coming back...
I just did the same thing back in August - sm
upgraded my "old" phone and bought a new flip phone for $20 at Dollar General (they wanted $50 on-line for the same phone. Called and had my minutes transfered, now all calls are 1 "unit" a call no matter where I am (was most 2 on my old one as I was usually roaming when I used it). I also got the double minutes for life plan, so all I have to do now is the yearly connection fee ($99), still a lot cheaper than buying and signing up for a 2-year contract anywhere else. The only difference I see with my new phone is it does not work as well as the old one did (it seems to work in more areas); but it works very well at home (the old one barely worked here if at all), just cuts out around the kids school and south of there (very remote there). Great phone to have for anyone who only uses it for emergencies or quick calls like, "oh, do we need milk, I am at the store." type stuff.
I do the same thing. Then when the report is finished, I scan back through
the whole report to make sure I didn't leave any stop code markers behind, and listen to each blank once again.
Waiting for QA to get back to you about 1 simple thing and not being able to move on.
No. If I have had a particularly tough ESL, I might relisten to
that paragraph but never a whole report.
Speed up the sound when you relisten. nm
I know this has been discussed before but how long does it take to relisten to reports that you have
typed. I know some people do that and some dont. So far I have done okay on QA but if I dont I was just wondering how much extra time per day you figure you need to relisten to reports. I usually do about 30 to 35 medium length reports acute care or 1800 to 2000 lines. What errors do you find mostly when you relisten or is it not worth the extra time it takes. Just curious.
I only relisten if I was falling asleep while typing. -nm
Do you relisten to your entire reports after you finish each one or how do you
edit your work before you send it in.  Do you reread each one.  Sometimes I think you can miss a word if you dont but not sure how to edit before sending without making minimum wage.
Do the majority of MTs reread or relisten to all the reports you do and how much time does this take
or I suppose rather which is more effective and takes less time. Do you do this for every report you do. Do the big nationals require this. I suppose it depends on your QA score if you need to do this.
How much do you make hourly if you relisten. What type of perfection are you looking for?
I mean I listen very carefully as I go along and address issues as I go. If I took the time to relisten, I would make half of what I make right now and I can't afford that as a production transcriber.  Seriously if you relisten, what is your hourly wage to produce a report considering all things.
Full audio relisten before sending in work
The hospital recently hired a new supervisor for the transcription department. The MTs were just informed that there are quality issues. They have requested that the MTs perform a full audio relisten to ALL reports before sending them in. Not a read over or proofreading on the fly, but a 100% relisten! I don't mind doing this on shorter reports but some reports are 10 minutes plus. This is going to be incredibly time consuming. I feel like speaking my mind, but I like the company I work with and Christmas is coming and this is not the time for me to be out of a job. Does anyone have any advice on how to handle this situation? Thanks!
proof, slow down, and relisten to the entire dictation...sm
until you see that you are not leaving out the little words.  It worked for me!
You're very lucky and obviously aren't looking up addresses or having to relisten to slop over
What kind of pickiness?  Was it for style-related issues or things like type-o's?  Do they give you account guidelines to follow? 
Same here too. They are VERY VERY picky...
that every single word of radiology is done just so.  Even if WE mess up a word, they rads catch it and bring it to our attention.  They'd never be happy with VR. 
Nit picky
I was doing some subcontracting when business was a little slow about 3-4 years ago and the gal would send me back little corrections circled in red and on the margin was the correction -- it was like a teacher but she would get me for not putting  punctuation in the address, (which the post office wanted no punctuation)  abbreviations for Ave or street or really pickly things that did not make sense and did not change the meaning of the sentence.  But to her defense I also noticed that I had been getting sloppy, like driving a care for 20 years and then taking a driving test, and some things that she brought to my attention I did appreciate but some were just ridiculous.  So after a while when business picked back up I could give her up.  A learning lession for me. 
If you are so picky about the pay, then
As long as there is work and you do it, 8 cpl adds up quickly.
I was always picky about what I ate
but I have learned to eat a better variety than I did as a child. Chitlins haven't made it to my list though. Used to hate, hate, hate cabbage too but I love them now! Who knows, maybe I'll be brave and try chitlins one day. Umm, probably not. What made you finally give in and give them a try?
Picky, picky, picky, picky, picky, picky!

i don't find mistakes if i spot check. so i don't relisten. costs money you know.
paid to type and listen once as i type.
I have a picky little kid who doesn't like

it when the bread gets soggy from the PB&J.  I make sandwiches ahead of time and use hamburger buns, which are inexpensive at the thrift bread store.  The buns are more dense than bread, so they don't get soggy.  You can also make the PB&Js ahead of time on bread and freeze them, although I've never tried it.  Or put a light layer of peanut butter on both pieces of bread, then spread the jelly.  The jelly won't soak into the bread through the peanut butter. 

I do like the other Mom's advice about prebagging things like cookies and chips.  I prebag carrot sticks and celery in the fridge.  We use a lot of yogurt and applesauce cups, granola bars, fruit bars, juice boxes, and that type of thing.  It does add up and costs as much as a hot lunch, but the kids don't like hot lunch.  It takes me maybe two minutes to do a lunchbox. 

Some accounts are picky and
some are not so, just depends.  It sounds to me like you are frustrated and are not feeling appreciated.  Do they also give you positive feedback?  I personally would love to get some QA back, especially on correct style.  If you are unhappy with them, there are a a lot of job openings.  I would try looking around with someone you might be happier with. Better yet, get your own accounts. 
Picky eaters

Dealing with picky eaters is really hard.  I have 2 kids, and their dad is really picky, and my kids inherited his pickiness.  My daughter is 10, and she has never, ever had any type of beef before.  She only likes cheese and bread and can't stand anything wet, such as salad dressings, or ketsup.  She hates any type of fruit, vegetable, pizza or meat but will eat tofu and soybeans. 

The way that I deal with it is this.  I make a normal dinner, but I make sure there is 1 side dish that my kids will eat.  They have to try at least one bite of everything if they want desert, but I never force them to eat anything. 

I also have my kids each pick out 3 TV dinners each week.  (Even that is hard, since they frequently have a hard time finding a TV dinner that they will eat).  If they absolutely cannot stomach what I've made, they are allowed to make themselves a TV dinner instead.  They know that if they ask for more that they have exceeded their "pickiness allowance" and that they have to eat what I make or starve. 

picky eaters
My daughter is 9 and fairly picky. I agree with M, I always try to make sure there is a side dish that my daughter will eat, and if there is something in the main course (i.e. onions, tomatoes,) she is allowed to pick them out and eat the rest of the meal. However, if I make something new she has to try one bite of it. Many times she ends up liking them, although since your boyfriends kids are older that may not be easy for you.

My husband thinks the kids should eat whatever I make, regardless of if they like it, but I disagree somewhat. I think that we should all be allowed our taste buds, and that it is normal for one person to like what another doesn't. He has learned to come around to my way of thinking. LOL

Good luck to you!
I'm gonna seem picky here...
Anybody have any ideas for appetizers that are simple, quick, and relatively cheap?  I know I'm particular, but I'm not a good cook, don't have much time or money!!  This is just for a card game, so I don't want anything extravagant anyway.  Thanks bunches!
It's a very picky platform
That's an issue they need to address big time. However, they do have adapters for that kind of stuff. I had to get a USB-to-Serial adapter for my food pedal when I used EditScript.
Picky vets
You're right, landroverlady, the vets are incredibly picky about their reports, yet they are far from perfect themselves.  It is a relatively new trend that the veterinarian offices are turning to "professional" transcription services to have their reports typed, so they have no clue what the "norm" is in transcription.  If they weren't so darned picky, it would make my job a lot easier in hiring and training.  Any time someone makes even the smallest mistake, I am sure to get a phone call or email from an unhappy doctor!  Life would be sooo much easier if they read their reports in the same manner that they dictated! 
Depends on how picky they are (verbatim)....
I personally would prefer to type "cillin"-type medications or something like that. Maybe check with your QA point person. If you have never been told who he/she is (would not surprise me), his/her e-mail should be listed near the top of the client profile.
It's kind of like with picky little kids.
You have to serve them certain things at least 10 times before they get used to them enough to eat them. And always serve the vegetables first so you eat them when you're the most hungry. I'm not a vegetarian, but I do try to make at least half my plate at each meal vegetables or fruit. There are some veggies I won't eat cooked, but they're great raw. There are some veggies that taste better fresh and steamed than canned and reheated. I finally like onions and red peppers but it took forever to adjust my tastes.

I'm waiting for hubby to make some Italian veggie omelettes right now. Spinach, tomatoes, onions, peppers, fresh garlic with eggs, Italian seasoning, low fat mozzarella and a sprinkle of parmesan. 12-grain toast, cantaloupe and Italian dark roast coffee on the side.
My picky eaters were all told sm
as soon as they were 15 and working that if they didn't like what I put on the table, they could cook their own or order out. My oldest boy, 29, always ate anything and everything. He still does.  My second boy, 22, only liked pizza (minus the cheese, go figure),chicken nuggets, popcorn, tomato soup with bacon bits, apples with peanut butter, and cereal. He has a girfriend now and eats more of a variety, like Chinese food. My third boy, 20, eats only freshly cooked food. He hates leftovers.  Would rather go hungry than eat leftovers. He gets a lot at Subway or Burger King or he orders from the restaurant. My hubby was picky at one time, too, but not after 26 years of marriage. I always tried to keep whatever they liked on hand but that is as far as it went. I cooked the main meal. If they didn't like it, oh well. I told them I was not a chef in a restaurant. That solved a lot of problems. Sounds mean but I came from a family of 7 that had only 1 income and we ate what was put on the table and if we complained too much then we had liver and spinach the next night. We learned in a big hurry.
Picky is the name of the game IMHO. Either it's right or it's not.
AND they are trying to throw in more nit-picky things about what this doc wants...
and this doctor always needs to go to QA and this resident needs an extra signature line and make sure the visit you selected was at the right place and be sure to change this worktype for this doctor because we cannot teach him to do it and we can't tell this doctor that worktype 800 is really not an EEG because we don't think he'll get it and no we can't get the software to recognize a visit ID when its entered and no you cannot start the audio in the document information screen so you can verify the patient and please automatically know when the doctor gives one name at the beginning of the dictation and a different one at the end who he is really typing about and take the following VR sentence and make it a lucid part of a medical report - CT scan guided biopsy performed February refills banding is without mucus brain which is negative.

My VR plan is quickly shaping up like this...take a 20-hour a week job at the local nursing home for full health insurance benefits and find an IC job doing transcription for supplemental income and repeat year after year until ready to be in nursing home.
Any advice for dealing with picky eaters?

OK, I'll try to explain this the best I can.  My boyfriend has two children...one is a girl who just turned 18.  The other is a boy who is 15.  These two children will not eat ANYTHING!  The girl is pickier than the boy, but still he is bad enough on his own.  I have an 8-year-old son who will eat more of a variety than these two put together. 

I am really getting tired of eating the same old thing every week.  They will eat chicken, pork chops, burgers, hot dogs, pizza, and steak.  It gets very old.  My boyfriend and I love italian food, but if we make it we have to cook something separate for the kids (not including mine) to eat!

The girl doesn't like ham.  OH, but she will eat ham that you put on a sandwich...but if you cook a ham, she turns her nose up?!?!?  She likes baked potatoes, but not mashed?!?!?  The boy would live on pizza ANYTHING if you let him.

I know that since they are older there isn't much I can do about it.  Plus, they aren't my children, so I feel strange saying much about it.  Their dad tries to get them to try new things, but they won't do it.  In my opinion, he doesn't really try hard enough.  My son has always been made to try at least a bite of something new...if he really doesn't like it he doesn't have to eat it, but most of the time he thinks it's good.

I just am sick and tired of the dinner menu choices being so limited.  My boyfriend is a great cook (I am a good cook too, but he loves to cook, so he does most of the cooking).  I'll ask what's for dinner and then almost feel sick to my stomach when it's chicken AGAIN!!

If anyone has any advice I would appreciate it.  I think I needed to vent about it more than anything.

I hate to be picky but it is "advice" not "advise". Come on now, we are supposed to be
With short arms, I need chair with shallow seat, good back support and high back. Want arm rests
OK! I'm glad you're back down here. Now don't go back up there and read those evil posts ag
Okay? But I have to leave you now, sadly. Thousands of noble dictating doctors are anxiously awaiting my help with their "dictations"....They're all loading up on chips, drinking lots of soda so they can burp, and then have to go to the bathroom...You know the routine! Off I go to earn some pennies!! But, truly, I am thankful that I have a job!
PS.. It apparently worked..I heard back and already submitted the paperwork back.

I'm not sure how many people they are hiring but you shouldn't stress too hard over it. Do the best you can.

Ebonics: Not a black thing or white thing. (sm)

I don't think there's any cause to get upset or defensive here.  Look it up on line...even colleges are offering courses in Ebonics!  ...well of course they are more sociology-type courses, but still, people are PAYING to learn about the why's and how's of this "other" language.

A quote from one of the sites I found:

"UT-Austin's "Introduction to the Study of African American English," teaches students that the sentence, "Nobody didn't leave" is not "mainstream English with mistakes," but rather a legitimate English dialect. "Ebonics: Myth and Facts" and "African-American English" are both offered at Harvard. Penn and UCLA also promote Ebonics as a legitimate dialect in, "Introduction to African American and Latino English" and "Afro-American Sociolinguistics: Black English," respectively."

Here's the link: http://www.academia.org/campus_reports/2002/september_2002_2.html


When you have a QA person that is picky and another QA person that is very lenient where does that
leave the MTs because some are getting a lenient reviewer and others are getting one that picks at everything. How do you reconcile that issue with the difference in QA mentality. Some people make out well and the other people could be just as good but dont. I wonder about that.
I would not do them back to back - I have done 2 and 3 jobs at the same time -- all PT - sm
It is possible to do of course but you will burn out fast. Now I do one almost FT (about 30 hours a week) and the other is about 8-10 hours a week-- I still get beat doing that and that is w/o set hours. I find that the older I get the harder it is to work late and I am only 40! But a mid afternoon 30-minute cat nap helps a lot in order to keep going on busy days.
How do you set your computer back 1 day. I messed something up and need to go back 1 day.
I think when work gets low, QA just gets picky so they have work too! nm
Yes, you get back to work now. Go back to
some routine, and it does start to hurt less. I know  And remember, she is still there at work with you. Always will be. I figure at this point I have a whole herd of loved dogs under my desk each day - along with a couple horses, hamsters, parakeets, rabbits...If only I could see them - must be quite a happy zoo! But I know they are all there I sense their love.
Makes me wonder
I've heard how many times that children that are mean to animals are being mistreated in some way. After hearing how this little girl (at only 10 years) is so brutal, makes me wonder how she is being treated by the adults in her life.
I think they do it because it makes you
pay attention to them - you cannot just continue working without at least talking (yelling, touching them to move them) to them.  At this time, they are seeking any type of attention, even if it is negative.   Same with cats flopping out on my keyboard. 
That's what makes me so

1/cent for no reason....I'm telling you the CHECK is fulfilling

some legal purpose.  Please run this past an attorney again.

I will try to call Drew, Eckl et all on Monday myself too.

What makes you think
that Zipper. We all LOVE YOU.
You have such a wonderful personality. You bring such warmth and compassion to the board.
makes you wonder...
what happened to the 3 martini lunch?