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Serving Over 20,000 US Medical Transcriptionists

What kind of recorders do the docs use?

Posted By: sm on 2007-12-05
In Reply to: wav software question - Julie

Some of the manufacturers have proprietary software that can be used with the recorders that are optimal. For example, Olympus recorders have a transcription kit that contains software designed to work best with Olympus .dss sound files. You might check Novuscript.com. They have transcription kits/software for various recorders and they are really good about helping you figure out what will work best for your particular needs.


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Recorders

Hello


My doctors use Olympus recorders.  One doctor does well with the DS-10.  The other uses the DS-330 (No longer in production).  The DS-330 has the advantage of overwriting.  For instance, if the doctor makes a mistake, he can back up and record over what he has already taped; however, this was a disadvantage for my other doctor, who taped over his entire morning of dictation by accident by hitting a wrong button.  It depends on the doctor.  With the DS-10, you cannot tape over anything.  I know with both of them the software provided will automatically put it on the computer once plugged in if you set it to do so, but if you are sending the audio files over e-mail, you should consider first encrypting the file for confidentiality reasons before sending.  I use e-mail, because it is free, and it was easiest to train the office staff to use.  When getting a handheld, you want to consider the types of files also.  A .dss file is much smaller than a .wav file or a mp3 file.  That is also why I went to Olympus recorders, because they record in .dss format, which makes for much faster upload and download times.  If you have other questions, please e-mail me.


Lynn


 


digital recorders

Anyone familiar with the digital recorders?  One of my docs wants to get a recorder and send me his voice files via email, he's not worried about being encryped or anything like that.  I think he is looking, of course, to get the cheepest one out there.  Is there anything specific that I need to tell him that these recorders need to have??  Is the docking station that come with some just for convenience or is that the only way to send the files via email?


Thanks ya'all!


digital recorders - duh!
nm
Digital Recorders
I currently have a client who uses the old tapes. I have heard a little about 'digital' but don't know where to start. Can someone please explain to me how the process works after the doc has dictated using a digital recorder?
Digital recorders ? help plz
Hi, for those of you who use digital recorders with your clients, do you purchase them yourself and then give them to the client?  Do you tell the client they have to purchase their own?  Or do you purchase it yourself and then rent/lease it to the client?  Any input would be appreciated.  Thanks!!
digital recorders
My client keeps recording over his records on his Olympus digital recorder. Does anyone know of a recorder that will not record over something unless it is actually manually erased or one with some mechanism that will prevent this from happening? Thanks!!
digital recorders

I thought I posted this message, but I do not see it.


THis is for anyone that can help with digital recorders that they would recommend.  Thanks for all the help with the digital information, which I have researched FTP sites and so on.  I now know how it works and what I need to do. I now need help on the best digital recorders that you have experience with. I have a few Olympus DS4000, they seem expensive, and I will need 3 for each office, so I need cheap, but of good quality.  DS2 sounds good since you cannot edit, which a few state is not a good thing to have as Docs have problems with this. Any help is greatly appreciated.


Thanks Again  


Question about voice recorders

I am going to visit some family members in a couple of months and I would like to record some family stories and family history. Any suggestions on a type/brand of voice recorder that willl pick up sound very well but not require that it be right next to the person who is speaking? There are likely to be two or three people talking, and also I don't want to make people self-conscious about being recorded, so I would prefere to be able to place it somewhere unobtrusive.


TIA.


Buy handheld digital recorders.

Don't go cheap on those for several reasons. One, they higher-end recorders will be easier for the docs to backup and edit their recording. Also, they are better built and the sound quality is better.


Your basic needs are recorders, playback software, foot pedal to control playback and a secure, HIPAA-compliant method of transmitting files. There is so much information out there. Your best bet is to first get educated on how digital works. Try a Google search and also search this site since there have been many requests for the same information you're seeking.


If you want someone who will outline the steps, do set up and/or training, etc., you would do well to hire a consultant.


Question about digital recorders

I am just curious how this works.  Does the doc dictate on the digital recorder and then just plug into the computer and upload the dictation via e-mail to be downloaded by the MT?  I have been wanting to switch to digital for a LONG time but just haven't taken the time to research this.  Presently, I have several doctors that I transcribe for but they dictate on microcassettes.  Some of them don't want to change -- just stuck in their ways, but I think it would be easier for them and me and would save me a lot of $$$ on gas. 


Is there a lot involved in getting this set up? I mean, besides purchasing the recorders?


Any help is GREATLY appreciated!!


Which company is best to purchase digital recorders from?
I want to be sure I get good tech support along with my purchase and the original software that should come with the recorders I purchase.  (I have "heard" that some company may send their own software with the recorders they sell.)
Hand-held digital recorders. sm
Does anyone have anything to say about any particular model?  I am thinking along the lines of Olympus or Philips.  Thinking a docking device best.   Any comments?  Thanks!
No use Olympus recorders and post to ftp site-- all automatically
very little investment required in equipment. Just recorder and software. Why duplicate the Internet when it is free?
Radiology dictation....do any of your radiologists use handheld recorders anymore?
Or is it mainly phone and through the PC?  Thanks!
VDI call-in system sounds much better than digital recorders and easier tracking with redundant hard
You can hear a pin drop on this system. The sound is that clear. The system has a redundant hard drive and auditing capabilities. It has the capability to do everything but transcribe it. The better the sound file, the faster you can transcribe. I purchased a call-in system that used digital recorders, and the sound was so bad that I ordered this one the same day. I wasted $1200 on that system. Get the analog that uses a VDI SuperStation or C-phone (the C-phone is more clear). Even though the technology is not as new as the digital recorders, in this case it is better. Good luck!
I am not asking for a service, I AM the service looking for recorders
nm
ESL Docs

That is SO true!!!!  There is definitely a problem with dictating the appropriate gender when it comes to ESL docs. They tend to go back and forth umpteen times during one dictation, so you really have to pay attention.  Verb tense can also get very confusing.


I agree that sometimes slowing down and concentrating can actually increase productivity. Even though I feel like I'm transcribing like a tortoise, I'm really getting more done than I think when I slow down and allow myself to think.


Just hang in there with QA. They are just doing their job and you need to take a good look at what they are telling you and concentrate on that issue. It's really hard not to take it personally, that's for sure, but it's gonna make you a better Transcriptionist in the long run. On the other hand, if you feel they are truly wrong about an important issue, then challenge them!!  But you'd better have major references to back up your challenge.


Ellen S.


 


 


ESL docs
are you on VR yet? you can choose to have a 20% cut on your baseline rate and get the "better" dictators ?? or you can choose to keep your MT 100% baseline rate and probably get all of the ESL docs -- what a choice - not fair, huh??
This is almost as bad as the docs
I got three of them yesterday...three different docs. I think this is soooo rude! I'm almost to the point where I'm going to refuse to attempt to do them. Surprisingly, it's always a female doc who is dictating either a GYN or breast cancer related report.

I can picture a couple of these ladies hopping on a Harley Davidson riding home from work.
I think they should ask all ER docs

if they even know the English language to begin with, 'cause if they do, they don't practice it.


I know everyone knows that a lot of docs don't

read the reports after we have transcribed them, but I just had a doc on my account dictate that he wanted the line "Dictated but not read" added to ALL of his reports from now on.  He was mad because he said he requested this to be done a few weeks ago and has been "keeping track" and it hasn't been getting done.


Amazing.


All of my PAs were better than the docs before

I switched companies and along with my new account came all new PAs (and might I add, quite a few of them) who all make me miserable. They botch the dictations beyond belief and I am left to fix the sentences which look like riddles and are actually confusing after they get done with it.


Change thoughts in the middle of a sentence...start talking and forget where they left off so I am sitting there for another 2 minutes waiting through the ummms and ahhhs and the start of sentences "the patient umm.... ahhh" and I'm waiting for them to say something and they just hang up.


Mine are good for this too... they will dictate an incomplete report and then a few dictations after they will start finishing incomplete dictations, adding in something they forgot to say, or they will say CC a copy to: Dr. ____  on a 4 second report and not say whose report it goes on. This would be easy to figure out if they didnt have 40 dictations and at least 5 hang-ups with about 8 of those 40 dictations being something they want added on to some nameless patient's report.


Had I not switched jobs, I would have had a hard time believing any PA was hard to transcribe...just because I had a good bit of them on my other account and they were all PERFECT speakers.


Now when I see that I have to transcribe a PA-- 


 



ESL docs
Hey there,
Hang with it a little while longer. You'll probably find that it gets easier. Those ESL doctors do say the same thing over and over again and it takes practice to get it. Try listening a few seconds longer than the phrase you aren't getting because sometimes that helps. I agree that samples help an awful lot so be sure to request as many as you can. Good luck! You can do it!
I would always rather have my ESL docs over the sm
English as first language docs, who speed talk, slur words, and don't seem to care about the patients.  I am usually very impressed with the patient care given, and the understanding of the human issues, by the ESL docs.  I think the problem with the original poster is she needs to learn to transcribe these docs, with all the suggestions, especially getting samples, mentioned above.  She doesn't really seem that concerned with patient care, but her inability to transcribe difficult dictators.  It is, quite simply, the nature of the business.  The easy docs go on voice recognition, and the transcriptionists transcribe the difficult dictators.
I tell ALL my docs that I'm an MT...
...and I transcribe and read my own reports (I work for a large healthcare co).  Hubby signed a HIPAA form for me to transcribe and read his reports, too.   Now the docs are more careful 
how many docs know?

When I mention to physicians that if they send their work out it might be sent overseas they are appalled!  Sometimes they say things like, "So that's why there were so many mistakes."  Companies don't always tell them where the work is being done or by whom. 


I still fault them for trying to save money at our expense, but in a certain sense some of them are being taken advantage of as well.  Perhaps our "enemies" could turn out to be our best allies should a good case make it to Court TV. 


We need to educate the physicians as well as the public. 


docs
Or I like when they make up their own spelling of words, especially meds.
docs
sorry made a mistake above...I meant the docs take me to the bathroom with them LOL!!!
docs
Let's face it ladies and gents - doctors have absolutely NO respect for what we do for them so they can make $$$$$$$$$$$$$$....
My ER docs do it alot

I guess it gives them the right to charge PREMIUM prices,  although I


think ER prices are quite pricey enough.  My friends trip through the ER


the other night was a cool $10,000 and all she got was an aspirin.  (she thought


she was having a heart attack and it was GERD.  But to rule it out they gave her


the works; CT scan, CXR, blood work, cardiac enzymes......and on top of that came the doctors (including the cardiologist, oh my) bill.


 


 


of course, I know 'bout as much as the docs do...sm

yeah, and that's why I'm here typing and they're out on their yacht somewhere, right?    But I do try to diagnose, even did this when I worked for a doc in the back office.  And sometimes I was actually right!


Cheap docs

They absolutely don't care about quality or any of that jazz, which is why I have always wondered why we as an industry keep beating each other up over issues that doctors couldn't care less about. Not that I think we should all just transcribe any old way we want, but it seems like we act like the slaves out in the mud pit slapping each other around about how much or how little straw to use for the bricks while the slavedriver sits on the side line with the whip completely content with end product either way.


I suppose the answer most would give is that we should take pride in the quality of our work whether they (the doctors) do or not, but I can't get passed the notion that these are the same individuals that the powers that be seem so intent on pleasing and are also the same individuals who would see us all in the soup lines tomorrow looking for the next homeless shelter to sleep in if they had their way. They (the medical profession) will not think twice about putting all transcriptionists out of business at their first opportunity, and yet we as an industry continue to bow to their ridiculous and uninformed demands concerning how to do what we do or their complaints about how much we charge or that we shouldn't charge for line count generated by short forms or macros, etc. They have no clue how many times their butts get saved by transcriptionists on a daily basis.


I've never met a transcriptionist who wouldn't readily agree with the notion that we are part of the health care team, and yet many of us continue to act like we still work for the doctors instead of the patient. Oh well, go figure.


Just venting as well.


also, most docs won't do certain tests (sm)

without your consent, if they are not considered standard and will probably have to be paid for by the patient out of pocket, unless the patient agrees to pay either up front or if the charge is denied.  At least that's been my experience! Good luck, I hate insurance companies, too!


Isn't she cute? 


Do your docs talk 2U?

I have one doctor who, when she wants to correct something or other always says "This is an aside to the typist." ARGH. I feel like I'm in a Shakespeare play or something - don't those have a lot of "asides"? I always want to scream at her "Don't you know I'm not a TYPIST?? I'M A MEDICAL TRANSCRIPTIONIST, DAMN IT!!!!" Of course she's 80 or something so I shall forever be "the typist" to her.


I have a resident who always says "For transcriptionist, would you...." to get my attention - but when he was new I thought he was saying "Poor transcriptionist..." I always nodded my head in sad agreement until I realized what he was actually saying....


And then there's the doc who loves to complain about his job to me, sometimes in great detail - "Here I sit, waiting for some x-rays to come in so I can make a buck" and "I cannot believe this hospital."


They crack me up!


docs talk to me
I always get one who says, "uh, secretary, please correct..." and then I have one who always says "oh, operator, could you kindly...." Does he think that because he dictates into a phone it's a telephone operator on the other end or what?
Docs don't have those guidelines because... sm
they realize how stupid they sound and look.  They learn the language of medicine and stick with it.  They don't bow to some silly-*ssed organization's whims. 
Hoo yah. I hear ya. Then you have the docs that. . .

think for some reason you know exactly what they are going to dictate for ROS so they just basically babble right through it and take a big deep breath at the end.


Or the one like I had today that sounded completely wasted off his butt and even with the speed up or down it still sounded like a drunken drawl. It was ridiculous. It was also dicatated later on Thanksgiving night, so who knows? Maybe doc had a few too many rounds of Thanksgiving cheer and then thought, "Ow thith, I thstill gottsa do my dictatheen."


Report them to your supervisor. It's worked for me in a few cases. It's up to them to pass the word along that the dictator needs to slow down.


I had one guy that I do locally on tapes that suddenly decided that he was going to take his machine and dictate on his way home in the car.  I don't think so pal. I called my local boss and said I wasn't going to do it. His tapes have been clear as a bell ever since because he's doing them in the office again.



that won't do nothing but give you a bad name and p*** off the docs...sm
that is definitely NOT the professional way to handle this. Give a little bit more time to get the check, ask for more details (in a neutral tone of voice) about when the check was sent, the number of the check, etc. Document the answers. Then consider filing a claim in small claims court. Sometimes it's a scam but sometimes it's a cash flow problem.
Chiropractors and other alt med docs?
Does anyone know of a good site for this? I usually use WebMD or AMA but chiros and the sort are not listed, and I can't find a good resource for them.
contacting the docs re. this sm
What she did does seem cruel to you and perhaps she is cruel, but those accounts are absolutely hers to deal with and I think it is wrong for the subcontractor to contact the contractor's clients, totally wrong. I do feel for you. As an IC and MTSO, I have been "kicked to the curb" for cheaper price undercuts by "so-called" friends, etc. You must let it go and move on, perhaps contact your local church if you need help with food, utilities, etc. I do feel very badly for you, but I think to contact her clients would be "tacky" and make you look bad. Perhaps one day you will own your own accounts and see what I'm saying is true. Good luck to you, I am sure you are very hurt, I have been there as well. Not much you can do but log it into your "experience" book. Stay well, things will get better. Sometimes change forces progress, I hope so for your sake. With all my best wishes to you.
Hopefully docs will realize
that their time is better spent seeing more patients than doing data entry..glad that your docs realized this. I had one lone hold-out who refuses to do the clerical entry... but doesn't dictate either... still writes ShortHand notes in charts....Ugh!
Lots of ESL docs
Have worked for prison system in Tx. They hire lots of ESL docs but work is not hard as they outsource serious cases to general hospitals. As regards pre-employment testing all I did was a typing test and gave my references.
Ask the docs what they are paying now and go from there. nm
x
foreign docs
And why do a lot of those same ones who speak such poor English also make no sense in putting together their sentences?  I have several that sound like they are clenching their teeth together and straining to get the words out which makes it even worse.  I know exactly what you mean.  Their oughta be a LAW! 
inconsiderate docs
I had one doc who gave me a bad checs. So, I found another account to make up for his lack of funds, but I picked up his work as usual. I did the last two tapes he gave me, but I didn't give him the work and I returned blank disks to him. His OM hated him, so she called me when she had a deposit and I met her at the bank with the checks and a bill for the new work. She gave me a new check, we took care of business, I got my all my money, and he got his work. I then notified him that I would not do his work for him any longer since he tried to stiff me for several hundred $. Boy was he mad. Tsk, tsk, tsk.
Wow, there are some rude docs out there!

I guess I am very lucky to have such appreciative doctors.  They tell me thank you for the wonderful work about everytime I see them.  I dont get a Christmas gift from everyone of them, but out of my 7, I usually get 3/4.


Sorry you all have to deal with such unappreciative and lousy dictators


Rude docs
Judy, I have 6 docs like that.  First of all, I insisted on a sample for each of them.  That helped a little.  When blanks were happening in a place I knew I would be getting over and over, I would email or call to force them to find out what he was saying and let me know for the next time.  Believe or not, every day gets a little easier.  I've had them for almost 9 years now and get 99% of what they say.  It's rude and disrespectful, but just depends on how badly you need the account.  You will get it eventually.  Every new dictator is tough at first. 
fast docs
Why don't you get with the office manager and get copies of their standards and then all they have to do is say "use my usual or make changes". Mine were too happy to do this because they HATE dictating as much as we hate hearing them like that. And, I still got my line pain in spite of using normals.
When ESL docs use interpreters...
I just laugh when I hear an ESL doc on my account needs an interpreter to explain the risks and benefits of the procedure...LOL!
That's funny because my docs are
just the opposite. slow as molasses through the h&p and then speed up to warp speed through the diagnosis. I don't understand it, but you are right, it can be annoying.
Some docs are - I know an oncologist
making around a 1/2 million a year - not too shabby!