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they can have bad days, but they're still supposed to be professional while dictating. I'd co

Posted By: another MT on 2005-07-29
In Reply to: Doctors have bad days too! - Dr. used "F" word 5 times during dictation!




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When they try to keep what they're dictating a secret...
... from the people having the LOUD conversation right next to them. Guess they never figure out that they are also keeping it a big secret from ME. I keep waiting for them to yell SHADDUP! but for some reason they never do. Sometimes I am half tempted to just transcribe the background conversation instead......
and now it's OUR fault that the docs aren't more careful when they're dictating?
Hey, they're making 100 times what we do, so it's their responsibility to be aware of what they're saying, not ours.
You're supposed to be able to do
twice the lines because VR is editing as opposed to straight transcription; it would depend on the dictators and the VR program as to how much editing would be required by the MT. 
Hey, you're supposed to put jokes
on the comedy stop board.
You're supposed to go back to school because of this government???
Maybe you should go back to school because you have higher expectations for yourself instead of blaming the government for the result of your own life choices.

Try assuming some responsibility and try making your life better on your own without blaming someone else.

Such a defeated attitude! Is that the government's fault too?

The government isn't Santa Claus. No one is responsible for our success but ourselves.

Grow up.
They're not supposed to touch my computer ever, but my teenager is sneaky!
I just happened to notice just now that it happened after I had transcribed dictation file through the TransNet Player and and then I got a VR report as my next one and the wave volume was down again as soon as I got into the VR report.  Is there a difference in the sound files?
They're supposed to be good luck. He'll find his way out when he's hungry. nm
s
You're supposed to plant them in beds and line the bed with chicken wire and then place the bulbs

on top of the wire and cover.  This keeps the critters from getting to them, but is a lot of work. 


I don't do clinic but we're 3 days out of TAT, so
more than enough work. 
You're so right - I gave my notice - 5 more days & Im back home!!
I worked at home 9 years - back in an office for a year -cannot WAIT to be back home again. Office politics and BS, silly little rules that make no sense, traffic, hours less in each day because you spend that time commuting, people who care if you have a $200 purse or not...when you work at home you can still have friends, but you get to choose who you spend your time with!
They're still at version 7 and version 8 is supposed to come out this Fall, which may be compatib

Give it up and enjoy your vacation! They'll live w/o you for a few days.You're allowed! :) nm
.
30 hours divided by four days equals seven-hour days. Most of us have to work pretty much every day
.
Working 6/hour days, 5 days/week I make
$42,000.00, but the work is there to make more if I want to.  I'm in the southeast. 
2000 low days, 4000 busy days
Did 43,000 lines last month.   6 doctors. 
You can "make a living" if you work 16-hr days, 7 days
and if you rarely buy anything but food and the barest essentials in clothing. My balancing act is so precarious that all it'll take is one of life's little disasters (rent increase, sick pet, major car repair) to pull the rug out from under me. Not a good feeling at all.
550-650 lph on average. Some days more, some days less. It all depends. nm
x
How? By working 12-hr days 7 days/week?
;LKJ
If they are dictating what you do with it,
Furthermore, whose to say they won't take it back!!!!???!!!
someone dictating for him
here is one for the books - have a sub-intern dictating for attending - dictates the following - "Dr. _____ states that the patient has a history of "what did he say "quinaquina" failure.. I am not sure if that is the correct spelling."

well he would not - it is chronic renal failure. Now why is he even trying????? - thankfully at the end of the report the attending who apparently was sitting next to him by this point, corrected him when he dictated it again. I give up.
that might be why the doc is dictating sm
all this old stuff. Doc may have gotten caught and fined for not having charts up-to-date. I a hospital, docs get their hospital privileges suspended if the charts are not caught up
They said Drs. not dictating on this account
nm
I tried re-dictating to Dragon...
I bought the latest best version, souped it up with KnowBrainer and devoted 3 solid months to training it to my voice and building a huge vocabulary. I could still type circles around it. Editing is extremely bulky and slow. Also don't think you can have your docs dictate a page and then train Dragon to do their speech direct. First of all, they will expect you do to charge less since "the computer" is doing all your work. Second, you will be spending tons of time doing further tweaking and training to get Dragon anywhere near up to par to actually get any production out of it. All of which is not only frustrating as h---, but you don't get paid for it. Now, don't take this to mean that VR won't take over transcription. Big companies use a different platform with the Dragon engine - one in which they have spent a lot of time figuring out how to make it quick and easy to edit...oh, the end is in sight, all right...
Dictating while being tickled
I have one MD who on three occasions has dictated while being tickled! I can't help but laugh along, but it sure makes me wonder who the heck is in there tickling him!
Dictating and driving
Can you hear me now?? I have a physician who dictates while he drives,and by the way, his dictation goes in and out so unable to get really what he is saying.
Is this a child dictating?
I once had a doc say "I asked the patient to pee in a cup". I forget what I changed it to but I cannot stand the word "pee" and refused to use that. It is so vulgar (of course got the approval from my supe first on the change).
Child dictating
Both my Ped doctors say poop and pee. Is this going to be the industry norm? Maybe we won't have rhinorrhea any more, just snotty noses, and a few owies, ouchies, and boo boo's. lol
Transcriptionist dictating into VR
I read an article about this years ago.  A local Transcriptionist would listen to a report and dictate it into a VR program she had on her computer so all she had to do was edit rather than type because she had carpal tunnel so bad.  It worked well enough for her that she could remain employed.  I didn't know her or have a chance to meet her, unfortunately, but she inspired me to take the VR class through Office Careers at the local junior college.  Like most people in the class, I found out pretty quick that I didn't have the voice for the software.  It just didn't work well.  Plus you have to retrain it any time you get a cold, allergies are acting up, yell yourself hoarse at her kid's football game, etc., because your voice quality has changed and the program doesn't recognize you as you anymore.  At the time, she was working with reports on tape and whatever word processing program was popular at the time (WordStar, WordPerfect, Word).  I'm not sure if you can use VR on your computer (or the one supplied by your employer) with the Internet platforms that provide the voice files now.  It would probably be an added complication your company's technical department wouldn't want to deal with unless they were forced to as a "reasonable accommodation" under the Americans with Disabilities Act.
People dictating
That is as annoying as the dictators trying to say a last name that is 13 letters long, can't even pronounce it, but they continue to use it throughout the report....they can't just say "the patient."   Geez!
dictating while seeing a patient
I must be weird because I never had a problem with the doctor dictating while seeing his patients. I worked in a busy clinic where one of the doctors pumped her breasts while dictating, one would eat hard candy and comment about the patients under his breath, one would tell dumb jokes in the middle of his dictations. We (the transcriptionists) got even with them one year at Christmas by publishing a little booklet of all their bloopers. We even got our raises that year!!!
Really does not have to do with the doctors dictating
because I have found eScription for so reason seems to hear the ESLs much better than the English speaking dictators a lot of times. Having said that, I think the system you are using has volumes to do with it from what I read on these posts. Which system do you use, if you don’t mind me asking?
Doctor not dictating. sm
I obtained a client in December. He says he is slow in dictating, but he nor his partner have not dictated all month. I tried to inquire, but he insinuated that my feelings are hurt and that if I didn't like it maybe we should end our working relationship.

I found this odd behavior, especially since he sought me out. Should I drop him and his partner, since they are not dictating? How long do I wait before I drop him?
Actually, if he hates dictating sm

and he is NOT alone in this, you could suggest his coming up with normals for stuff he says all the time and then dictate around those.  This is a joint effort with the physician because he will have to sign them and have what he wants in them.  You don't negotiate a lower fee for this either, btw, since it takes time to drop them in and to come up with them in the first place. 


If he has some F/Us for say a total knee, then he could have a total knee note like:  Pt is ____ days postop. I removed the staples from the ____ knee.  Pt is to return in ____ weeks' time for followup. 


WIth the above, you would drop in the canned text and he could dictate Ms. Josy Blow is 10 days out, had staples, return in 2.  Or just 10, right, 2 on his end.  I have normals provided by the company I work for, then I have many of my own.  Some are a full note because they rarely vary.  Some are parts of notes.  Some are just shells with headers.  ANYTHING not to have to type it all! While you have no problems typing them for him, he doesn't like to dictate so yes, you can help him solve his problem AND cut down your work and worry.


Don't interrupt the doc while he's dictating!

I'm doing this GE doctor and there's a nurse or OR tech who keeps asking him questions.  Then he can't remember if he's dictating a colonoscopy or an EGD!!!  He loses his place and has to start all over again!


I'm pulling my hair out with all the "uhhhhh, uhhhhhs" and then I have to listen to him get short with her and her get snippy with him and then he can't remember if he took biopsies or not, if he's in the colon or the stomach.  He is clueless!  Just let him get his rhythm going and leave the man alone!


 


Okay, I've had my rant for the day!


Believe it or not, I once had one dictating on a small
roaring up and down sand dunes in a DUNE-BUGGY. I had thought it was actually being dictated on a roller-coaster, because that's what it sounded like. When I complained to the boss, he said he'd look into it, and called the hospital. The next day he comes back and said, "No - you were wrong. He wasn't on a roller-coaster, only a dune-buggy."

"ONLY" a dune-buggy?
Re-dictating a sentence in a different way, only - sm
not letting the MT know, and the sentence sounds like an extension of the first sentence. You don't figure it out til you get to the bottom of the report under Impressions, and then you have to go back and find that sentence and listen to it again. This always seems to happen in the middle of a 45 min. long mega-report, too.
I had the guy who was dictating in his sleep,
and he was ESL to boot. He dictated the physical exam 3 different times, and it was different each time. The patient's race also changed from white to black in the course of the report, and there were 3 different contradictory findings in one part of the exam.

I sent the whole mess to QA; they put blanks in the spots that needed them--and sent it on through to the client, discrepancies and duplicates and all. So I got paid for all the typing I did. I did not get paid for the head-shaped hole in the wall, though....

Professional
You sound like a "professional" with an attitude. Maybe you had better seek some therapy or meditation. What ever happened to "judge not, lest ye be judged" and treating others like you would like to be treated? Like I said before, maybe it was just an honest mistake. Apparently he has some degree of professionalism to have been approached by two different doctors. Take a look at his work before you pass judgement.
Professional
No, this isn't religion 101, it is LIFE 101. If you treat everyone you know the way you treat most of the people on this board, I would expect that you will be losing your professional position, as well, real soon. My error rate is quite fine, thank you, but I do have the heart to forgive others "their" mistakes, too. Maybe you need to find another place to work for. MQ does not seem to be agreeing with you. You also have too much time to be responding to job boards. I wonder how much work you get done in a day. HMMMM???? The truth of your anger was in your last post...."maybe you are one of those recruiters that will hire just about anyone, including illiterate people, TO TAKE MORE OR OUR JOBS AWAY." your insecurity is showing. Don't take it out on innocent people. Deal with your own issues first. Good luck to you. Life is tough. Suck it up.
HERE'S HOW A PROFESSIONAL WOULD DO IT ..
OLD TIMEY MT eh?!! Here's how a professional would have written the ad:

Seeking a well-seasoned medical transcripitonist with a vast fund of medical knowledge, and who has experience with computers, transcription software, FTP, expanders, and reference software for the transcription industry. Seeking an individual comfortable with computer technology and willing to learn our proprietary software.

...that's it, that's all she needed to post. If that person was professional, the first rule is to state what you are looking for, NOT what you don't want. Be clear and specific, not make negative statements because it only reflects on the person writing the ad and the company. Shame, shame.


professional
This is major. Seek a professiong, I live in the South and still see Blue Hairs and Pink Hairs. How it comes out depends on the texture of your hair, your base color and many other factors. That's why its costs. I would be leary of anyone who did it under $125.00
As a professional...
I expect the same courtesy I give. The doctors want clear, easy to understand reports; I want clear, easy to understand dictation. I don't care if it is ESL or English or poor communicator in general: if you want someone to type what you say, say it clearly. I think it would be unprofessional to accept substandard quality; that's part of what has gotten this profession into the jam that we're in as it is.
non-professional?
What?! We look non-professional just because we work at home? Ridiculous! Professional depends on the person, not the location. And you mentioned doctors working at home... Most docs in the past worked at home and they were very professional. And have you not seen Cosby? ha Professional is an attitude, a person's demeanor, not a location. Who wants to work in an office with all the politics and garbage when there is a perfectly good, honest, respectable, AND PROFESSIONAL option to work at home? I have been in business over 15 years AT HOME and have never had anyone tell me I was unprofessional. I think it is very honorable and a blessing from God to be able to be with my kids, and I support anyone trying to do the same.
Not very professional to
transcribe a report on somebody you know personally. Would you want one of your family members or friends to look at your medical records, especially if there were things you wanted kept private? I am shocked that any MT would do this and call themselves a professional. There may not be a law, I don't know, but it would certainly make a valid lawsuit if it ever came out and rightfully so.
You say you are being professional

But then you are saying you will do it on the side like a hobby for extra cash. What's the difference?  You are talking out of both sides of your mouth.


Yes I have kids and I am no less of a professional than you and I do a good job.  No I couldn't take my kids to work, so I telecommuted for the hospital 3 days a week.  My kids are school age.  I've been doing this for 19 years.  So don't tell me that it's not professional to work from your home. 


But, there was a lady with a sick bird and the boss let her bring it in and kept in her office so she could feed it!  HA!  No kids, but birds were allowed.  Well, there was one girl that was allowed to have her kid there while she worked, but she wasn't an MT, she was a secretary. 


Now you see why I left to come home to my safe haven where I am making almost twice as much as I did at the hospital.   No, this will never be my side gig.  This is my main professional career and I'm darned good at it and I'm glad to help sick people and professionals in the healthcare industry document medical records.  I'm not afraid to research anything and don't care how long it takes either.  I'll get the answer!  And no, I have no desire to be QA because I'm an MT and that's what I'll be God Willing and the creek don't rise!


But if what they are dictating doesn't even exist.... ? nm
x
Then the dictating physician needs to spell it out instead
of expecting us to be psychic. I used to waste so much time at my old job trying to find the proper addresses for these yahoo CC physicians. In the meantime, the dictating physician mispronounced, didn't spell, and didn't even give a clue where the other doctor worked. I had to check the company physician list, the hospital physician directory, Anywho.com, then Google. And that was even if I could spell it properly! One physician in particular couldn't pronounce properly. He would put extra Ns and Rs throughout the name. How was I supposed to find it? And I got chewed out by QA for not being psychic enough to figure it out.
Dr. dictating just said happy Valentine's day!
Just makes me smile when the doctors remember to say something nice!
My favorite is dictating a whole list

and then going back and saying, "will you make so-and-so #1 instead of such-and-such."  Ugh!


 


OMG!!! Why do ESL's sit there not dictating for 5 minutes at a time????
Geez, as if they're not annoying enough when they actually ARE talking! 
Doctor is dictating while watching

All I can here is zoom, zooom, zoooom.  He paaaaaaaaaaaaaaauses for long stretches while he watches.  It's driving me crazy.  I keep getting report after report by him.