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You must either get really easy doctors or you're guessing and

Posted By: putting whatever you want. on 2005-07-29
In Reply to: We are allowed to send up to 2 blanks SM - MT4

  Don't believe it.


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You're rude. That being said... Some people just work alone for a couple doctors and don't
s
Geez, you're just making this too easy!

I worked for yeeears for a company where I was the primary MT on the account.  I produced what they considered to full-time MTs (no bennies except taxes being cut and matched).  I earned $4000/month.  I later went to work in the office and happened to see an invoice to the client.  I did the math and I realized they were clearing an additional $4000/month just based on my production.  So they were making twice again as much as what they paid me.Was I immature enough to think I DESERVED MORE?  No!


I had a good gig and I knew it.  I knew how valuable I was to both the client and the MTSO.  I knew how long I had worked this account, how certain doctors would only accept my work, how many of those doctors seeing my work at the hospital went back to their practices and signed on with that MTSO because of the quality of my work increasing the MTSO's business in the process.  I was loyal to them  and they were loyal to me.  On the 3 occasions I ran out of work, they paid me 2 weeks pay just so I wouldn't take a job somewhere else.


But let's analyze this since you seem you jumped on my wardrobe size.


First you need to understand this is a country where capitalism is own of its primary foundation.  Next you need to understand that out of that profit, the owner had to pay herself (how many times did she call me for help at 11:00 on a Saturday or Sunday because people bailed on her and she had alread worked 20 hours that day and just needed someone who would help her out?).  In addition to having to do MT work, she had a business to run.  That means maintaining good will.  You know, visiting your clients, checking in to see how things are, what can we do for you...in other words, being the marketing person also.  And god forbid she have a private life.!  She had to pay an office manager to manage all the qurky personalities of the at-home MTs, the daily vascillating work flow, putting out fires and preventing them, etc.  Next she had to pay her bookkeeper because god forbid anyone's paycheck was late or incorrect.  Then she had to pay a computer tech to help set up the new MTs, manage computer issues, make sure all the clients got their work, set up new clients, maintained the ASP, etc.  She also had to pay the in-house MTs.  She had to pay her accountant to make sure the books were in proper order and do yearly taxes, keep up with adding new state taxes to the computer when she hired an MT from another state.


She had to pay rent, electricity, phones, toll free lines for all her long-distance MTs, liability insurance, provide computers sometimes with no notice because someone's computer died overnight and she couldn't afford down time for that MT or the client, provide computer equipment for the client's, provide C-phones and Lanier stations, pay someone to clean the office twice a week...


Is the big picture a little more clear?  Where does this new-age feeling of entitlement come from?  Geesh, am I the only one on this site who can remember trying to pick 100 lbs of cotton in a day and feeling satisfied if I got near that figure?  And I'm in my 40s! 


The world doesn't owe you anything.  It was here first.


They're similar and easy to use, but ExText just functions better. Loved it where
s
We're having chili and grilled cheese sandwiches, quick and easy!
nm
Foot pedals break easy. You're lucky they supply one. I have SIX different ones gathering dust.
nm
Of course, I am only guessing
But it really sounds as if they think it is a cyst.  Not even a mention of CA or mets.  The lung nodule is most likely nothing, did they send him to a pulmonary specialist.  Try not to worry . 
guessing
Yeah! Leave the guessing to the QAs!
Just guessing, but I think you would
have to reformat your hard drive and install XP from scratch.
I'm guessing
you would go into My Computer somewhere. Maybe you could do a power save search and see what comes up in Help.

If I remember right, I had the same issue with my old lap top, but I don't know now what I did to change it.
I would think this would lead to a lot of guessing.

You cannot type in what you cannot hear.


I'm guessing companies don't want to pay
for that experience - cheaper to pay someone with less experience. JMO
Guessing editors
This drives me crazy.  We got an e-mail awhile back that said if the doctor does not dictate the account number or DOS then to send the job to editing.  Well this one editor, who I've already called out for being incredibly rude and unprofessional, continues to type, DOS must be filled in if it's not filled in then use date of dictation.  Like heck I will!  If the demographics show only date of admission and it's say 04/05 and today is 04/23 BUT in the report it says the patient was sent home on postop day 4 or it says they have a followup appt on 04/12 then they obviously weren't discharged TODAY!!  I've got a couple editors that guess on a horrible dictator based on his samples and that drives me nuts too.  Whatever happened to professional pride?
I'm getting another flashdrive and guessing who is on it

Okay, last Thanksgiving weekend, my new doctor gave me a flashdrive and I did all the patients, and then she told me nine of them had been done, how did I want to handle that?  You all were very kind in giving advice.  This was after a girl walked away and left them not knowing up or down on who is done and who is not. 


Today, she called me and asked me questions about dates and patients.  She said she is busy and doesn't really have time to see what is actually on the flashdrives.  We're meeting in the morning and she is going to give me another one (or two or three).  Should I volunteer to listen and make a patient list, or should I tell her I will type all the patients and expect to be paid for them.  I don't want to spend my time listening and not getting paid, honestly.  But then I want to try and hold onto this job, having just got laid off from an office with more than one physician (thanks to Cbay).  You guys are experts and thank you.


Guessing or mistake?
What is annoying about this is that the QA is making an assumption that you guessed rather than just made an honest mistake. Either way, it's a mistake. She should have kept mouth shut and not tried to analyze why the mistake might have been made. If it were me, I'd wait til I cooled off and then e-mail her, telling her that I did NOT guess and never do guess, but simply made an honest mistake.
Yes, that's a prime example of guessing when you can't
x
Not sure, but I'm guessing the unreliability of the connection too.
I have satellite TV, only because cable hasn't been stretched this far yet..:0 - I'll sure be going back to cable if it ever gets here..

I have a phone line though, so that means DSL is available for my internet, although I guess not even everybody can get that either.
I'm guessing you are talking about a specific company here
because it's definately not like that where I work...
I don't get paid for headers and footers, but I don't have to type them and they aren't deducted from my pay either. And I didn't have to wait six weeks to get paid...only two.
good one! actually you are guessing and splitting hairs and still come out loser.
you jumped in on this "I win" game with your "higer education" and "degree".

Frankly dear poster, you depress me. I hate the idea that anyone like you is in the same profession as I am. Amazing too. What with your degree and all. You'd think a person with your "intellect" would be posting on mensa board or something. hee.

bwwwwwwaaaaaaaaaaahhhhhhhhaaaa


No. As another poster said, it encourages guessing, which is completely counter-procuctive to the g
makes for low morale within a company.
The easy answer, taking all the easy work and
x
In her case, I'm guessing personality or mental disorder. After all, they are pretty common. NM
x
Well, Word is easy to buy and easy to install. Word 97 works great. Cheap. SM
I still would not work anywhere I could not use a spell checker with grammar checker and a Steadman's Medical Spell Checker.

IF they want people to TRANSCRIBE MEDICAL REPORTS, then I guess they better get the programs they need.

It's like probably 110% easier to buy and install Word 97 than to try to program their own programming. And, yes, I do mean Microsoft Word 97. Why? Because you can install it unlimited times, in case you need to install the operating system again. And it has a few features that Microsoft, in its un-wisdom, took away in Word 2000 and 20003 and 2007. So, yes, I'd go with Word 97 for its cheapness and it works better than the later versions. Just my opinion, with 20 years experience being an MT. So what if they "don't have it" on their computer? It's easy to get.
Easy easy money they are!

I don't mind seeing those puppies filter in at all.  Same for H&Ps.  They are always different though, so can't really pop in the same pre-formatted autotext, but it's usually WHAMMO 2-3 pages at a time.  Give them a shot...you may just be pleasantly surprised! 



I think I smell either VR on the easy stuff, or offshoring of the easy stuff.
d
I WASN'T GUESSING. I HEARD WHAT I HEARD VERY CLEARLY.
I don't even agree with what QA said, but they are QA. Question them, and your out the door.
For Pete's sake, you're not terminating a pregnancy, you're just typing a report after the
It's already been done before you even hear about it, and NOTHING changes regardless of whether you or someone else types it. Sheesh.
It's not funny when you're on a board where language is one skill you're selling.
.
Hope you're gonna have a glass of wine while you're relaxing

in your spa goodies. Congrats!


Well, you're all complaining that accounts are current and work is low, so, gee, maybe they're
focusing on WORK, as in CLIENT and transcribing, as maybe half of you should be focusing on!!
If you're experienced, try for 9cpl or higher, and you're lucky to get that! nm
s
Skip it. No one cares. Either you're good on the test or you're not.
x
You're probably right. Plus we're losing our percentage of good people by .... (sm)
allowing every loser from every 3rd world country on the planet to just stroll on into our country, some legally, most illegally, and take advantage of the social services all us hard working little gerbils pay for by having money taken out of our pay every month. But I don't think we're all lazy. Just the ones on permanent welfare driving around town in brand-new Cadillac Escalades. Saw one just today on the Bayshore Fwy. Brand-new black Escalade with expensive spinner wheels, with 5 or 6 Mexicans in it. Well, who knows - maybe they stole it and it was on its way to a chop-shop. Smart-and-hungry people aren't always hard-working and honest.
You're not going to find a word expander for free. You're going to have to pay
g
You're forgetting all the stuff you can't buy when you're UNEMPLOYED!
Unemployed people have a hard time buying anything, including cheaply made offshore products. How many will have to end up depending on public assistance? That means more tax dollars being eaten up - besides the taxes NOT being collected from the overseas workers. In the long run, are you really enjoying a lower price?
If you're on the job, ask for samples to do it how they want it. If you're testing, separate o
s
You're not losing it, you're burned out on your main job.
I feel for you... I am having my own "version" ;-) of these kinds of struggles. Lots of recent changes at the admin level have made my job do a 180, going from a really great one to a really crappy one.

For me, it's a struggle to get through the day with a shred of motivation. I get distracted in the way you discuss as well.

I just try to make my environment as comfortable as possible and make the best of it while I decide what the best way is to deal with the burnout... I figure if I can't change my inner brain workings so that I still like this job, I need to find another one, or this feeling will possibly get worse!

I hope it works out for you. Wish I had some better advice for you, but this really does look like burnout and extreme job dissatisfaction to me. We all wear it differently. Try to be good to yourself while you figure out a solution.


Don't know what you're complaint you're making with this post. sm

You stated in your original post that you don't want to work weekends or odd shifts. What is your definition of an odd shift?  Second shift?  Third shift?  Sounds like you want to work M-F on days.  Sounds kind of rigid to me. 


Personally I like second shift, so everyone working days means more work for me! 


Only 30 doctors?
Your line count sound great anyway! Maybe some day I will get there. I will keep working on the expander thing. But only 30 doctors? I am sure we work for the same national. I have only two accounts, but have 97 doctors! I have been meaning to ask my friend who works for the same company if she has as many. She has 4 or 5 accounts, but I don't know how many doctors. Sometimes, when I see the 'no jobs' screen, I am tempted to call and ask for another account, but I never do since I am afraid of what I will get. One of my accounts is my 'dream account' because there are few doctors, and they are WONDERFUL. The other account has about 90 doctors and I never know what I am going to get!
Doctors
I used to type for a doc who said sh*t at least once in every sentence. He always told "the typist" to delete that but it was a laugh just listening to him!
You may be right that most doctors
do not read their reports, but a lot of other people do, including coders, nurses, insurance companies, attorneys, and possibly even the patients themselves.        
CERTAIN DOCTORS.

I work for a small MTSO, and I have been asked to work on a certain doctor.  It happened to me because I was getting his work done on time and how he wanted it done.  So, yes there are good reasons for this to happen. 


Thanks!


So....how do you think these doctors who
And some of them KNOW about offshoring (lots of them do), feel about people going overseas for their medical care?  How does it feel?  Not so much fun, huh?
One of my doctors...
is wonderful about saying A-B-duction or A-D-duction instead of assuming I will know. He's got a slight accent, too, so I really appreciate it
Doctors as MTs
I can't help but wonder why someone would go to med school, then decide to become an MT. Even in India, I would think an MD does better financially than an MT -- which is why I bet while they may be good MTs, they must have been inferior MDs. JMHO.
Do you ever wonder how much doctors would
keep patients if they talk to them the same way they dictate? I have transcribed some doctors that I wouldn't go to (no matter how "good" they are) simply because of their dictation. If they talk as fast, slurred, etc. to patients as they do when dictating, no wonder people are sick.
Doctors
Does anyone know where doctors post that they need a transcriptionist?  I have looked through many websites but only find companies and not doctors.
doctors-ha
I am frustrated beyond belief at doctors who do not keep up with dictation then the office blames the Transcriptionist for being behind.  Dictating a week's worth on Sunday afternoon does not mean they will get all the dictation returned on Monday!  And of course they are asking for "stat" reports on one particular patient, then claim they have "missing" dictation.  Well I don't get paid for my time going through and finding one in particular.  I've been an MT for 15 years, but never have I been so frustrated as this afternoon when this whole situation came up for the upteenth time in the month of May.  Sheesh.........why don't they talk to the doctor about keeping up?!  gggrrrrrrrrrrrrrrrrr     Sorry, just had to vent..... but I was wondering if anyone has a spare tazer I could borrow.
doctors
Isn't it sickening?! Funny how they think they know everything and are always right, then can't even dictate all of one day on that day or can't remember what patients they've dictated on and blame us for losing them! It's actually the doc who has the problem, but they can't/won't see that. If I didn't need the money so bad, I would certainly quit this guy. He's a major royal pain in the buttocks!

Maybe it's just normal "rigors of transcription", but this has been a consistent problem for months and months and especially for the last couple of weeks. Maybe his allergies are frying his brain! Whatever it is, the staff has the same problem!
They are now quoting me what my contract says and claiming I'm not fulfilling that contract!

gggggrrrrrrrrrrrrr
Getting new doctors
I was wondering if any of you can give me some idea on how to get new docs. The last two accounts that I had I just fell into them. My friend was working for an office when they needed a transcriber. And the second were my ob that I had been seeing when I was pregnant with my twins. Unfortunately, I lost the first account to a lady who was going digital and she was was to come in and cover for me while I was out on maternity leave. And now the ob docs changed over the a new system. They are actually using a piece of paper that they check off everything and if there is something abnormal they make a note of it directly on the paper. I had been transcribing for six docs, but now I am only doing 1 and he is probably going to be retiring soon. I don't know what kind of information I would put on a flyer, or should I send out a letter to doctor's offices. Any help would be greatly appreciated. I have never done hospital dictation, so I am strictly looking for office work.

Thank you in advance,

Cheryl
Doctors
Thanks.  I did work for a doctor who stated that doctors are always looking for transcriptionists, but I could never find where they advertise.  The doctor I got was from word of mouth, but he recently moved out of state so I am looking to do work for another doctor.
doctors lie

What do ya'll think about doctors who lie in their dictation.  I have come across this twice within the year - so I am sure it happens quite often.  Once was my own personal MR - doctor came in and told me I had a coronary spasm but when I got my records there was no mention of a coronary spasm or anything else having to do with coronary - he basically said he didn't know what the problem was - other than my blood pressure was 220/114 - which I had to take my own medicine in the bathroom to get it to come down -


 


then - a friend of mine had a bariatric procedure and developed a stricture - he then had an egd under conscious sedation (he is 21 years old) and he became combative on the table.  The doctor came into the RR and told us all about how he had been up and down on the table and how he was not able to do a dilation because of this - then when we got his records - the report said that he had used 3 different balloons and dilated the stricture successfully.  However, my friend was not able to keep anything down - so the doctor went in and did the egd again under general - and could not even find the anastamosis site - he was sent to a specialist who did an egd using dye and fluoroscopy.  Another stricture is forming and the specialist is going to place a stent which is not approved for bariatric patients - it is something they place in people who have esophageal cancer which allows them to eat until they die since the cure rate for esophageal cancer is so low.  I wouldn't let them touch me again - but this is a young kid and he doesn't know any better.  I might also add that the anesthesiologist and the nurse that was in the room on the first EGD came to the RR and told us how bad the situation had gotten before the doctor gave up.


long story long - do ya'll think this is common?  can we no longer trust doctors with our lives?  I realize they are scared of malpractice suits - but, as with my friend, we know that the doctor messed up his tissues - and the specialist told us how bad the tissue looked - like it had been "stabbed through with a knife, inflamed and beginning to scar up".  But do you think that they lie in all of their reports where something goes wrong - or that they color the situation so that they come out smelling like a rose?