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RE: Question: doc dictates "pt is generally p***ed off."

Posted By: Shelly Hendrix on 2005-11-09
In Reply to: Question: doc dictates "pt is generally p***ed off." - MadamX

Yes, if physician said it, transcribe it exactly as dictated. What is the question concerning "pissed off", if I get the *** correct?


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Question: doc dictates "pt is generally p***ed off."

I'm half tempted to type it just that way....Would you?


I actually have 1 MD (pvt) who dictates...sm
and I hear him going #1 and flushing the toilet!!!  I hate that and I hate them dictating in their offices with the music on!!!  This same MD will dictate an op report (3-4 pages long) performed in the office, but dictated while he is walking to his vehicle, driving HOME!  I hear all the traffic.....that's got to be THE WORST (along with the music in the offices).
HELP Dr dictates.....
"This patient with a history of AIDS status post Pneumocystis carinii pneumonia,"  Please help with punctuation before and after status post.  My mind is blank.
I generally...
ask for a manager on the spot.  If there isn't one there, I'll call back later and speak to one.  I, for one, believe in service with a smile.    I haven't had to, but I do think I would ask for the number and address of corporate, either to write a letter or call.  JMO, of course. 
Generally...
you are given the option of buying the modem or they will provide it.  It's cheaper to buy it yourself.  You will also need line filters, which allow the phone part of the connection to work.
Generally... sm
When they say 65 characters with spaces, it means that you count every letter you see and every space between those letters, and divide by 64, which equals a line.

Usually only up to 2 spaces between the period of one sentence to the beginning of the next sentence is counted, not a whole blank line at the end of a paragraph if that line is only a few characters.

Some companies pay for the actual ASCII character for the or , but that is company preference. You can come close to figuring with taking your total letters and punctuation plus spaces and divide by 65. That is the AAMT (or AHDI or whatever they call themselves these days!) standard and what I think most companies go by when they say 65 characters plus spaces.

If you're concerned about what your company counts or if you're not being counted correctly, just ask them what they count and how they count it, and then verify that that is what you come up with on your reports.

Hope this helps!
Generally...
....he will be paid within 2 months. Our biggest problem is we never know HOW MUCH the next check will be because it's never the full amount he billed them for. He's been doing this for 5 years. He really hates it, but he is a computer programmer, and most of the jobs are now overseas.
Client dictates which way, but I have
NEVER in 20 years seen it with the first letter of each word capped, so Low back pain would be correct, unless otherwise dictated by client/BOS. 
If a doc dictates CHF, do you type s/m

CHF or expand into congestive heart failure; and for any other shortened word, do you expand.  The guidelines for my company state type what is dictated and only expand things in the diagnosis section.  Well, someone I know who works for the company said that they just always expand regardless.  That doesn't seem right to me.  I was just curious as to what anyone else does.


Thanks!


If you say you are generally happy with MDI
Why don't you just take up Liz on her offer to call her? Why come on here and go on so.

Though it seems you WANT to give constructive criticism, you really aren't.
It's probably not high, generally, but
if you're a single person with those expenses and work only as an MT, even for two more companies these days, it's HIGH.
Generally no emails
As an IC at a small MTSO, if there is very low workloads, there is usually no email. I thought this was strange myself, since if it was my company, I would be keeping my people closely updated and thinking about them and their needs and anticipating their questions and concerns. I would have to take the initiative to email asking "is there anything wrong?" or "is something the matter with such-and-such account?" or "is there a technical problem somewhere?" I would then get an email answering my question. I think it is impolite and unprofessional for a business not to keep their people closely posted and put them first.
GENERALLY speaking

first shift is 7 AM to 3 PM


second is 3 PM to 11 PM


third is 11 PM to 7 AM


this is general - it may be +/- an hour or two.


shift differential would probably be based on company policy.


Is satellite generally
a lot cheaper than DSL/cable? Personally, I get the creeps when I have to type during a thunderstorm. I'm afraid I'm going to be zapped in the ears with lightening!
A lot of companies are different but generally it is anywhere from
50-70% cut for VR.. Say you get 9 cpl for straight typing. You company might pay you 4.5 cpl or even 5 cpl. As a whole, if you get below 4 cpl, no matter what your base rate is for straight typing, I'd tell them to take a hike. I have been offered anywhere from 1.5 to 3 cpl in the past and just laughed. There NO way this is an acceptable and liveable wage no matter who you are. You could make more at McDonalds.
Is this generally a known slow...sm
time of year for MT?  I know I have heard some posters on here say this is the slow time of year.  I have only done this 1-1/2 years so I don't know really yet.  Is this a given for around the holidays to be real slow?  Do things usually pick up more after the holidays?   
can't think of one female who dictates well, IMHO.

Resident dictates at end of report...

"Note to transcriptionist...thank you for your time, thank you for your service, and have a great day."


 


WOW, that doesn't happen often, and when it does, it sure feels nice to know we are considered colleagues and not just a typewriter on the other end of the telephone line!


Or making $36 ph on acct that only dictates 1/2
fsa
Yup, same as Diana ... if the work dictates (sm)
I work until it's done even if it's weekends. Technically I don't "have" to since my contracts state M-F but I don't mind the weekends if I don't have huge plans and there's a lot of work to be done.
We've all been there; if your work is generally
You want to hear something REALLY stoopid? When I first started working in a children's hospital as a newbie MT, for about six months I transcribed the abbreviation VSD as venereal sexual disease (not ventricular septal defect).  When I discovered my error, I went to my boss and confessed, fully expecting to be fired.  She was freaked but forgiving, and had a memo issued to the medical director so he could inform the doctors to look out for the error in all the charts they read; it turned out they had already done handwritten correction of most of the errors.  That was over 20 years ago but I still wince at how many babies have records of venereal disease because of that error.
Generally typing speed is

irrelevant, since the typical typing test usually involves straight copying from a printed or hand written sheet.  Any transcription involves other functions than just typing, hence the standard typing speed means nothing. 


 


The funeral home generally does
not hire MTs. The forensic pathologist hires the MT. You can ask the funeral home for a list of their doctors.
Sorry. I wasnt arguing with you. Im just generally
it just gets me p1ssed off, and then i start ranting!
My DD is a social worker and says that she dictates directly into VR
and the report is on her desk when she gets back to the office. She said everyone in her department loves it!
ESL doing rectal exam dictates "I did a rectalization"

I have a doc who dictates the entire address, but not the zip code. SM
or the referring physician (throughout a three state area), and says, "Dr. Smith" and then gives the address. I still have to go online to find the doctors first name. Very annoying.
You are supposed to transcribe exactly as the doctor dictates. sm
However, every "verbatim" account I have done, we are allowed to correct the doctor's spelling mistakes, especially with something like a drug. However, you must be sure of your drug. If there are two that are close, it is safer to use the doctor's spelling and use quotes or whatever the account allows.

Many of them will also allow you to correct a glaring grammar mistake, such as using "is" for "are," etc. If you're not sure, ask the account manager.
Female Elmer Fudd dictates! (sm)

"She has a known history of uterine leio, leiomy, ly, leio, leiom, la...ugh...uterine, um, fibroids."



If the doctor dictates it, you transcribe it, in quotes, as this
is what the patient said.
My company dictates 2/10 to 3/10. Note no dash.nm
x
Generally, I have more trouble with female dictators..

something about the tone of their voices is harder for me to understand


They generally are very active dogs who can develop
behavior problems.  Please do a Google search.  He should be excercised daily.  Again, please do a google search and learn as much as you can.  Talk to breeders, trainers, etc.  In the long run you (and he) will be much better off if you take the time now to research and spend the necessary money to learn training techniques.  You might find that it boils down to daily long, structured walks and then play.  You will do great!  Good luck! 
In the US, a business degree generally means an MBA...
That's a pretty good education, unless, of course, "business degree" means something different in India.
for GU exam on a female, if doc dictates Normal BUS what does this stand for?


PA dictates patient drinks "a gallon" of liquor a day.
I hear people drinking a pint or 1/5 a day, but a GALLON.  The guy is only 45. 
Wouldn't it depend how fast/slow dr dictates,
x
try rebooting, Control-Alt-Delete 2x to get it to do it generally- if you still have troubles it
could be a virus maybe?  Have virus protection on your computer, firewall? - Good luck.
I generally request 60 minutes of dictation for the weekend

Generally office notes versus hospital
For my accounts anyway, my multispecialty is office notes, letters, in office procedures and acute care is hospital notes.
generally this time of the year is slow for my hospital NM
:)
The ones that I hate are where the doctor dictates a full line or paragraph,
and says, "No, wait, go back, change that."  Then you have to delete everything you already typed and retype the new dictation.  Some of these newer doctors do that to nearly every sentence.  By the time you finish the report, you've typed and erased half the report.  Do we get paid for that?  NO.  I don't get it.  We still have to pay for doctor visits if they misdiagnose us, then we have to pay for the subsequent visit to fix what they didn't diagnose the first time.  We should get paid by them for typing what they said, erasing it and retyping what they meant to say.  They're getting our wallets coming and going.
..or when the doc dictates "prior report LOST by XXX Transcription Service...AGAIN." sm
I work for a national MT company, we do hospitals all over the country, I work from home. I have NO control over where the chart goes once I send it in, I'd bet the original chart was never dictated and hence never 'lost' by us....but in the case that it may have been, THEY HAVE THE PHONE NUMBER of the company to call them, they have specific contacts at the company for issues such as this...I CAN'T HELP YOU WITH THIS, especially when all they're doing is bitching at me on a voice file. Funny, it's always the same couple of docs complaining of lost dictations. Curious that it's JUST THEM. ;-)
Formatting of the document dictates the line count, not a different computer.
xx
trailer parks and low level housing is where criminals generally go.
not too many criminals have good jobs to afford a nice house. i know of child molester filled neighborhood because there are no restrictions, no HOA and the houses are low income homes. no this doesn't only happen in trailer parks but crime statistically happens more often in worse neighborhoods and more ex-criminals statistically live in lower level neighborhoods.
Do you think doctors are generally arrogant and make a lot of money and so inconsiderate of us?
I had been listening to several breast onco dictations by the same female dictator who kept on yawning that it was so annoying...made me want to post a complaint to a forum of mother MDs (though I was not quite sure where I would post it) which I previously run into...

I then saw under the General Discussion board this thread:

http://www.mommd.com/ubb/ultimatebb.php/ubb/get_topic/f/1/t/000236/p/1

That made me feel like reaching out to the sleepy doctor who was probably not being paid for that time she takes to dictate about her patients (she apparently let them pile up before dictating) and just let her head rest on my lap (I am a female). Maybe she did not have enough sleep, or not even enough time to enjoy her family...
Generally 200 lph, but depends on work type, I can do more with OP notes, has to do with motivation
I hate HP, consults, and DS, but that is the majority of what I do. I always, always do better with OP notes.
My favorite speciality is the office who dictates it and pays the highest line rate.
It's the money, honey, that matters to me.
I currently type for a doctor who dictates with a digital handheld and sends the files via e-mail fo
and wanted to be able to call me with his dictations.  What would be the best and cheapest way for me to go so that he can do his dictations without the handheld unit??  I don't want to invest in a lot because he does not forget very often.  This is the first time in three months.  Thanks for any suggestions you may have. 
common sense dictates you read the writing on the wall. technology has made you obsolete.
and the government has seen to it that american workers are no longer necessary and allows business to outsource many middle income jobs.