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Things that dry you looney during dictations, for example.

Posted By: Leesa on 2009-03-06
In Reply to:

I thought after seeing on television so much could get away from this but just had a dictator say, "drowsy and unable to, you know, respond to questions appropriately."


I thought the you know, you know, you know would not come through on here.




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Missing dictations
I also get a patient list from the doctors office. I check off which ones I got voice files for, i.e. which ones I typed. I don't keep track of which names or not checked off. How do I know if that patient just didn't show up for the appointment, walked out without being seen, or if the doctor put off dictating. That's administrative work that the doctors' secretaries do at my client's office. If they can't find something they think he dictated and ask me to look for something or check on something I'll do it because it only takes a few minutes but I don't do all the stuff you're doing.

Practice dictations
I am at a hiatus in my transcription career, but I do not want to lose what I know, or lose my speed.  Is there somewhere you can purchase practice dictation tapes, or digital downloads?  I would prefer digital downloads of voice files if there is such a thing.  Just wondering.
missed dictations anyone?
Does anyone have any real experiences to share with the missed dictations? I would like to buy them but I don't want to if my accuracy might decrease with them due to missed dication. although, I think any of my background noise would be louder than any dictator. But I guess on the other end is where the problem lies.
STAT dictations

Re:  Stat dictations.  Does anyone out there charge extra for STAT dictations that come in during the day so that we have to put aside what we are working on and type a STAT letter/document and send in?  This sort of thing can keep one behind in Turn Around Time if it happens on a regular basis.  If anyone charges extra for STAT dictations coming in, what would be a good fee to charge for these besides the line count?


 


Ginny


Downloading dictations (sm)

If you key in alt-ctrl-Z while the first one is loading, it will prevent the other two from downloading from the queue.  When you are ready to submit and do another file, you will need to key in that sequence again to allow the next one to come in.


Assigning the dictations............sm
SO RIGHT:
' The Leads (MTs who assign the work) have to get their lines in, too, and no doubt they're not keeping the ESLs for themselves......'

When I got a lot of crappy dictations in my queue, I complained about this and asked WHO assigns the work, who gets the crap and who gets the good ones.
I was told that it is NOT assigned at ALL, the oldest is picked first out of the pool and so on, and that it is all random and nobody is favored.
Now I read in this post that the Leads (team leads ?) distribute the reports. Who are they? The owners, the supervisors or the QAs?
I had once an argument with a QA about grammar and I was right and she was wrong, and from that moment on I got the crappiest crap of the crap into my queue.


but where do all the CRAPPY VR dictations
come from, then?
I guess, crappy dictators are EVERYWHERE !
Thirty minute dictations -...
that are actually about 5 minutes, once you get past the ummms, and ahhhs, and talking to the nurse behind you, and listening to other people's conversation, and changing your mind 5 times before the completion of a sentence.  Other then that, I can't think of a thing....ahhh, ummm, go back and change....no....under ROS put....
LOL If VR could transcribe his dictations it would be a miracle!
:-)
Where to find some Sample Dictations?

Anyone know where I can find a few sample dictations, like WAV files, on the internet, along with the completed typed reports.  Need to test job applicants.  Happy Holidays!


Supposedly these are sample dictations.
http://www.mtbot.com/links/index.php?PHPSESSID=87548e85937eae92e899386c81c6c8e1&PID=10
You left out blank dictations
The ones with no dictations - I have a feeling doctors probably pay the MTSO by dictated minutes - but how about MTSO paying the Transcriptionist who has to waste their time listening to them, signing them off and sending them to QA multiple times a day?
Noone can send you sample dictations, definitely
a breach of confidentiality. You should have learned this in your course.
Right on, JMO. Also, when I have the ability to choose dictations SM
from a list (which I don't have at my current work, darn), I like to gather up all the dictations I can find for bad dictators and do them together to learn that dictator right up front, instead of struggling over months. I'll also use them to put together a template, which if dictation's really horrible will include a whole pack of phrases he/she has been known to use, a grab bag of possibilities to scan over. May sound like a bother to some, but it's a real serenity-saver.
In dictations, I always hear "as well as" when "and" would do. sm
"At this point in time." What does that mean? One says "At this particular point in time." Raises the line count but it is annoying.
Saving dictations on flash drive??
Hi again,  I figured out the settings, and how to recover the files marked done.  Question though on saving the actual dictation.  My files come through email, I was saving in My Wav files and an Archive File; however, the doc tends to send me a lot of duplicates which the Archive obviously does not like. But, also, since I have had a computer crash on me and lost some things, I am thinking of saving my actual dictations on a flash drive and eliminating the Archive file. How long would you suggest I keep them for?  Once typed they go in the Recover folder, how long should I keep those? I found in the help information that we can order foot pedals through Express Scribe and they will be sure that they work with their program, so I ordered one today - figure can't work without a pedal so best have a spare on hand.  Anything I might be missing? Tips or ideas in using the program. 
hosp acute care dictations..please sm
Are hospital dictations difficult to type? I have always typed various specialities for clinics. The company I just started working for lost the account I was hired for. They did offer me a position to type for the hospital dictations. Do you think it will be a rough transition for me? Any advice please! Thanks.
I had one who like to do his dictations with a Donald Duck voice. nm
xxx
Why is it that when I work evening here/there, all reports are 15-min. ESL dictations that no one fe

,,


Legal dictations usually are multiple speakers
But, legal dictations usually have a longer TAT. 
I think doctors in general just don't care about their dictations... sm

I know there are some who are really great and are careful or even just considerate.  But I think for the most part they just think it's a pain to do and want to rush through it and get it done... let the lowly MT deal with whatever garbage comes out the other end.  Maybe I'm a bit bitter, but at this point that's how it feels.


 


Disclaimer: No need to critique spelling, grammar, or punctuation within my posting... this isn't work, it's a message board.


One of my accts is in Baton Rouge and just today getting a few dictations trickling in. nm

:I


wanted to add it was nice of you to positively reinforce MT efforts on difficult dictations...(nm)
`
I learned to put my phones in front of my ears inbetween dictations so I don't get blasted.
s
Bad things? what bad things? people's being petty and small?
x
You can't make things worse and could make things better.
The skinny woman may be ill.  The guy might not know the dog is a nuisance.  Who knows?  Maybe it is not as forbidding as it seems and maybe they just need to be asked in a nice way. 
I do a lot of the same things you do...

I also go water the plants - sometimes just being out in the sunshine for 20 minutes or so wakes me up and gets me going again.


I also do the online thing for my kids:  Gap, Old Navy and Abercrombie Kids.  I occasionally look at Sephora for me.  


And yes, exercise does help.  I either take a run first thing in the a.m. or around 1:00.  The morning gives me a totally different spin on the day - I feel better in general the whole day and much more positive.  If I wake up too late for that, I end up going around 1:00, as I find that around that time I start wandering mentally anyway.  I used to feel guilty for taking the hour or so away but realized if I added up all the minutes I spend staring at the screen (waiting for the words to type themselves) it would be more than an hour.  So I try to use my time wisely and for myself by exercising and feel more focused and positive afterwards.  This is a habit I'm still creating.  I've been doing this a while now and I still some days have to convince myself it's okay and the hour is going to help me, not hurt me.  After I'm done I'm always glad I went. 


Thanks for posting this question - you gave me some good ideas. 


There are a few things you can do. Don't

answer phones, let machine pick up. Turn ringer off on cell phone. Stay off boards, turn tv down or off. I don't know about others but I need a little background noise so I keep tv on a volume where I can hear it but not truly understand what is going on. I keep it on the music channel just so I hear something in the background. Don't think about the dirty dishes, laundry or 100 other things needed to be done in the house.


If you need a drink, get one before you start, same goes for a snack. I get a bowl of something to snack on before I start working such as pretzels, carrot sticks, m&m, etc. I bought an oven timer to keep on my desk. I set it for 3 to 4 hours and then take a little break when it goes off. When I first sign on I can work for 4+ hours w/o getting up.


Make macros of phrases. The phrases are the key. If you're forever typing something over and over and saying "I should make a macro for it," don't say it, do it. Closed head injury precautions are set as "chip-" in shorthand. I also do a lot of consults and at the end they have their own little "thank you for allowing me to participate" statement. I use the docs last name with a T at the end of it for the word thank you such as "SmithT" because not all the thank you statements are the same. WDI is written discharge instructions, wci wound care instructions. Macro your labs and headings so you don't have to keep typing them. If the word or abbr. needs to capitalized make a macro. igg comes out as IgG. The less you hit your shift key, it's saving a key stroke. 05m comes out as 0.5% Marcaine, etc. Make something you can remember. I'm at the point now where I've done the same accounts for years and hardly make macros, maybe 1 or 2 a day. If I make a macro today I write it in a notebook sitting right in front of me. It's a quick reminder for me.


Hope some of this helps.


Many things are said here...sometimes...

people get a bit testy.  But, guess what?  We are all adults, aren't we?  Long ago I learned to not take offense to things, remarks, opinions, whatever - as most often taking offense only drags you down personally.  Why let things get to you?


MQLover has every right to express her opinion.  Is she the only one who ever slams back when she gets slammed?  Hardly.  That is a natural reaction.  It's a defense mechanism.  We don't all feel kissy/huggie all the time, and we especially don't when we express our thoughts and get smacked for them. 


If someone's post irritate or bother you, why not just skip them?  There's a heck of a lot more to life than getting upset of bb posts. 


The things I do.
% of utilities, -phone, water, electric-mileage, internet, interest on auto payment, repair to car, cleaning equipment for office, repairs to office, cell phone, equipment-foot pedals, soft ware, supplies, paper, pens, etc.  I have often wondered if I could claim my PJs as uniform expense.
But apart from those things R they OK?

two things

Gas heater in the living room and an additional small heater for my hands, if they get cold.

I found it was less costly to install a gas heater than use the fireplace.


Thanks! I'm always trying to think of new things and though....
I thought this might be different to brake up the monotony! Thanks again!
Well there have been quite a few things
here and there, but I have always put off calling them cause they spend 10 minutes getting the spelling of my name right. I am like, "you can call me whatever you want to call me, just answer my question!"

The problem I am having now is that my internet will not allow me to access my bank site, but my cable company helped me with this problem. Since we went back and did a system restore and it still didn't fix the problem, they suggested that I am probably going to have to reinstal internet explorer. I left my CD at my Dad's though, so I will have to wait to try it and see if it works.

I am just wondering if I run into a problem again and I called if they would switch me to a US representative if I insisted. I remember awhile back someone posted that they did that with a credit card company or something. I think I am going to try it though.
That's if you want to be any of those things.
Really, why choose a career field solely based on potential income? Does money buy happiness? Doctors and nurses work very long hours. LPNs make $12 an hour, RNs $18 and up. Attorneys, well, who would want to be an attorney? Accountants here make $12 an hour to start out with a 5-year degree and CPA.
Have you tried these things? (sm)
Writing for the paper and making extra bucks by doing MT?

Maybe go back for your Master's and teach journalism in smaller colleges?

Possibly freelance for web sites? Check out elance.com and other freelancer sites. Lots need writing. Work that experience! Do you have a portfolio to show off?

Good luck :)
two things you can do

1.  Run Disk Cleanup - click Start | All Programs | Accessories | System Tools | Disk Cleanup.

2.  If you use Internet Explorer, click on Tools | Internet Options. Click on the buttons that say Delete Cooks and Delete Files.

Close your browser, restart it, and that should resolve your problem.


Well, with the way things are going,
I think I would be happy to get anything.  Many companies are doing away with gifts completely due to the economy. 
I'm not willing to pay for something that will only tell me things I already know.
I know to use an Expander and templates/normals. I know to expand phrases, words, reports, etc. I know to stay away from the boards, let the machine get the phone, and treat this like a REAL job, but it's really hard to concentrate when there's nothing but garbage dictation on the system. I can see somebody else already took all the work from my primary, so I'm stuck with the lousy ESL secondary that I hate and won't make any money on. I can never make any money working for any national. They bounce you around so much that you never have the same dictators from day to day and can't keep account specs straight.
are doing these things....NM
x
Some of us can do 2 things at once, and well! nm
nm
They are okay though there were some things I did not like - sm
though it may not bother others. Need to have AIM on while you work so they can IM you....they can monitor you this way too, unless you know how to turn off that feature. Alway felt to me like Big Brother was watching. Did not like primary account, lots of short reports (I like them long with good line counts, not these dinky 10 lines things that take you 10 minutes to crank out); loved my 2nd and 3rd though, but rarely got to see them. Were considered an employee, nice, don't have to worry about taxes. Had to give a schedule and stick to it (granted you are an employee so you must do that), but flexible. Have to work 1 weekend day too. Get lots of faxes, sometimes too much. People are nice enough though, never had trouble with QA. Like I said just a few things rubbed me the wrong way, good enough place though. Good luck.
What are the things that keep MTs
I'm putting together a list of things that make it hard for MT to get decent line count. Can anyone give me their opinion?  TIA!
Could mean a lot of things......sm
Could mean that the QA department is backed up and your report just hasn't come up for review yet. Does your QA department have a higher level to which more difficult reports are sent for yet another listen? It could be that it has been held up in this way. I know how frustrating it must be for you not to have your feedback yet. I hope you get it soon. :-)
Here are some things.....
If you own your home, you can deduct taxes, mortgage interest, DSL or internet service, electricity, heating bills, anything you bought for your job, i.e, pencils, pens, a new chair, a new desk, highlighters, etc., and anything else that is related solely to your business at home.

Don't forget you can also deduct anything you donated. Every few weeks I "clean house" and donate all my goodies to Salvation Army. But make sure you get a receipt.


Several things...
For me personally, I was drwan to transcription for several reasons. I love the field of medicine and I love to learn something new every day. Those were the main things at first. Now, I love to be home for my children and am happy this job that I already love helps me do that!
getting things done
I have found David Allen's GTD approach very useful in organizing life, time, and goals.  You can do a search for "getting things done" on google.
As if 1 of those things isn't bad enough.
Yikes.
I never go to any of these things...sm
that way I'm not stuck with buying stuff I don't want/need/pay too much for.
Thank you both - these are exactly the things (sm)
I was talking about! This will be VERY helpful. Have a good day :)
These are some things I do

Boy, I hear you on how time consuming and tiring it can be to get ready to go!  We don't have any kids but we have three small dogs (which are like kids to us).


We camp almost every other week-end, May through September, and I try to do as much as I can during the week to get things ready, a little each day that I can.


Also, I have bought as many things as possible to leave in the camper so I don't have to take things from the house to the RV/back and forth.  I try to stock the cupboards with foods that can be left there for the season.  This year I also bought us underwear that stays in the RV all summer. When we come home from camping, I wash it and back it goes to the RV.  (Then in the fall, it will come in the house and we can throw out old underwear and buy new again the next year for the RV.) We also leave warm clothes in the camper all season as they are usually part of our "winter clothes" anyway.


We also keep our RV electrical plugged in all season so I can leave many things in the refridge and freezer, without using up our propane to run the fridge. We have an outside outlet on our house so we can do this.


While we are camping, I make a list of things I note we will need to buy for the next camping trip; otherwise, I would never remember what I needed. I also have made a "Camping Checklist" of things I need to remember to take each time and things I need to do before we leave. That really helps me a lot.


HTH some.  Have fun camping!  We will be going on "vacation" (five days) in our RV next week and we can hardly wait.  Even each week-end away is like a mini-vacation for us.