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The ones that I hate are where the doctor dictates a full line or paragraph,

Posted By: my beef with doctors on 2005-09-07
In Reply to: don't you wish - as MTs

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.

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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.
If the doctor dictates it, you transcribe it, in quotes, as this
is what the patient said.
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. 
Ctrl+E centers the line or whole paragraph. nm
Can't you change it in Format/Paragraph/Line spacing like
Chars aren't counted in gross lines. If you have a 4-line paragraph...sm
you have 4 gross lines, no matter how long or short the sentences are. A heading on it's own line is 1 gross line. A signature on it's own line is 1 gross line. The date at the top of a document on it's own line is 1 gross line. Anything on a line going from margin to margin is 1 gross line, no matter how few or many characters, or if there are spaces or not, even if there's only 1 character on that line like 'A' for instance. Does this  help? :)
Formatting of the document dictates the line count, not a different computer.
My favorite speciality is the office who dictates it and pays the highest line rate.
It's the money, honey, that matters to me.
Doctor's hate to dictate. I can't tell you how many docs

have told me over the years how dictating is their least favorite part of their job.  This is why so many of them suck at it.  I used to the transcription supervisor at a teaching hospital and I used to have to train the new residents each year on the dictation system and I used to beg them to dictate slowly and clearly and I would bribe them with promises of food.  I would stock the chart completion room where most of the dictated from with all kinds of snacks and treats.

Docs are so sweet when they are residents.  Then they turn ugly as the years go by!

Love psych notes. HATE, HATE, HATE, HATE,
HATE ER notes.
Template line counts not paid in full
Often in an office, there are letter templates and procedure templates for operative notes. If a doctor dictates a letter, we retrieve the letter template which has his signature line and letterhead of the medical office, and we add the paragraphs that he dictates. If the doctor dictates a minor procedure, we select the operative note and we change that around - OFTEN we change the operative note around in a BIG WAY- to reflect what he dictates.

Of course, the letterhead should be deducted from our line count, as we did not type it, and it shows up as included in Microsoft Word count. But the operative notes are different - we often DELETE all of the stuff and type all new lines, and the head office should not deduct that.

Beware - and double check exactly what your company is deducting as templates from your word count. I discovered that I was getting paid for only ONE LINE or even a NEGATIVE LINE COUNT in a two paragraph operative note (this happened repeatedly) because the head company was deducting a "template" that appeared that I often deleted and typed over. Make sure your pay is correct for different types of dictation.

There are two many fingers in the pies in these companies, and they change our pay calculation, sometimes in error. Make sure you know whether your company is deducting for templates, and how much they are deducting, etc. Keep an eye on your pay calculations.
Your right...my fault. I QA for 4 cents per line and I hate it.
If you type fast you can lose money doing QA. At 4 cents per line I can QA 700 lines per hour (roughly) which is still $28 per hour. Honestly I think the industry standard is 3 cents, but the company I work for will have me QA when they are bombarded and I will not QA for less than 4 cents per line.
i hate when our line count site goes down

I like to know how much i've typed. The line count site at my job has been down for days. I hate that.

If you are paid by the line and make over $25 an hour, then I hate to say it

but I am wondering if you are doing full QA.  By the line is NOT fair pay for QA.  I know I mentor new MTs on a very difficult account and there is no way you could earn a decent wage on any amount of line pay, no way!

Don't go telling someone they could do better if they are paid by the line.  Quality specialists MUST have ethics in their work.  You can do a decent amount of reports a day and give feedback and mentoring, but you certainly would not be earning $25 an hour on line pay that I have seen....just no way!  The most I have seen QA paid is 7 cents a line and still those women do not average that amount. 

Now, I don't know what you do or if you listen 100%, but most QA positions I have had have had megablanks, 100% listen as well as 100% feedback and you just cannot produce that much doing your job in a proper manner.

I hate shopping. I do mine on-line and avoid the annoying crowds.
honey, it works like this: The MTSO(service) charges the doctor X amount per line or report, and
takes part, gives you the rest. Therefore - the MSTO(or service) decides your pay.

If you are paid 8 cpl, surely you do not believe the service charges the doctor 8 cpl - do you?

Shift end will highlight the line, but you need F8, then hit period key to highlight full sentence,
You can use F8 and hit any letter or punctuation mark you want to go to. Hit the escape key to turn off F8.

Shift and arrow keys only highlight single characters.

Full Core means full CPR code.
I hate DocQSribe, I hate DocQScribe, I hate DocQScrbe, I hate DocQScribe, I hate DocQSribe.
If you know it is a new paragraph, then by
all means make it one. If she does not like the way you are typing them, she will be sure and let you know.
do paragraph, then scan over it
I listen as I go along also.  It really gets to be quite easy.  To reread the report definitely would cost money.  I do a paragraph or so and as the doctor is shuffling papers or gathering his thoughts, not really dictating, I scan down the paragraph to make sure it is okay.
LOL! I love your last paragraph and sm
isn't it the honest to God truth!
Your first paragraph I agree with.
From then on- no. It is not our fault that healthcare costs so much. I can remember (telling my age here) when an office visit at the local doctor was $15- a physical was $30. The last time I went the total cost, including paying the lab separately for interpreting, was almost $400. Medical care has become big business like everything else. The problem is that MT's are not considered as part of the team in the way that nurses, physicians assistants, etc., are. Doctors would never get away with not paying benefits for the rest of their staff. Oh, they would if they could. Your last paragraph is true in the sense that if she cannot find what she needs she may have to CHANGE her career. The good work may be out there, but there is certainly not enough of it to go around.
Love cardiology, hate podiatry. Hate discharges, but
Or a whole paragraph! Yes, I have actually cussed out loud!
We should get paid for this! It is our time and money!
Read this paragraph closely.....
She was hired as part of CBay's corporate social-responsibility experiment, and although the program reflects only a tiny corner of a vast industry, it has turned up an unexpected truth: Blindness seems to infuse the outsourcing transaction with a warmth and a mystique that the sighted often fail to see, almost as though outsourcing were made for the blind.

"It's our advantage, this imagination thing

Where's the company's corporate social responsibility to this country.........this just burns me up.......

now we know folks......is this ridiculous comment suppose to make those of us losing our jobs feel better?

"outsourcing was made for the blind"

It's this thread, 2nd to last paragraph (See Inside)
Quote from original post:

*It means no more benefits as an employee and I can't get health insurance on my own, but I did without for 15 years before that. I'll have to be an IC, but I have two IC positions and between the two is going to be more than okay financially and with taxes. Plus, I think I am going to have more time because I am not strapped to my desk for the same shift hours week after week. It should allow me to pursue a master's degree and have a life. *

You clearly state you are going to be an IC. Keystrokes does not hire ICs. I'm not picking your post apart; it's just the inconsistencies are pretty obvious and I'm more confused now than I was originally.

I'm sure I'm not the only one wondering what the heck is going on with these 2 posts that contradict each other.

I hate those but I hate trauma notes on children even more sm
I used to work for a large hospital that saw a lot of children for various horrible things.

The very last one I did was a 12yo boy who had hung himself while his mother was at work. She thought he was in school. The doctor cried, I cried (as I usually did) and I just couldn't handle that anymore. That was the longest report I swear. Short in lines but the length was almost an hour. The doc didn't pause the machine, she cried, horrible gut wrenching sobs, and I did too, right along with her.
SM for stacked versus paragraph form.

Stacked form would be:






Paragraph is :

PHYSICAL EXAMINATION:  VITAL SIGNS:  Blood pressure 120/80.  HEENT:  Head is normocephalic... etc.

Hope that helps.

Helpful for me was to turn on paragraph marks (sm)
I was told that those are the "containers" for all the formatting codes. You can't see them, but sometimes if you have a tricky formatting problem, you can copy and paste a paragraph mark from one place to another and it quick-fixes problems.

Having the marks on there takes a little getting used to, but it didn't take long.
Is SOAP format always in paragraph form? *sm*

or is it common to transcribe headings within a SOAP report? For example, a SOAP report with a PE section?

Thanks in advance!

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.
Yeah, but full-time lines does not necessarily mean full-time hours, so I would do it if your produc
In IT, a paragraph is always in entry screen (from Wordpad). How do I get rid of this 4ever?
Disgusted, your last paragraph is so true! Thanks for voicing it out loud! nm
Actually, it does check the body of a paragraph, but not the last sentence of a document....what'
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.


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
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.
You can set Word to not count blank lines by changing your paragraph style
to automatically double space after the paragraph.
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!
Question: doc dictates "pt is generally p***ed off."

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

RE: Question: doc dictates "pt is generally p***ed off."
Yes, if physician said it, transcribe it exactly as dictated. What is the question concerning "pissed off", if I get the *** correct?
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.
Female Elmer Fudd dictates! (sm)

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

My company dictates 2/10 to 3/10. Note no dash.nm