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Serving Over 20,000 US Medical Transcriptionists

venting re foreign patient names

Posted By: ugh on 2007-07-28
In Reply to:

I just typed a long report where the patient has some weird foreign name so it's difficult to tell gender. The doc dictates as a male throughout, i.e. he, his etc. At the end changes it to a female.


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Are you venting as a patient or as an employee/contractor? -nm

I venting as a patient! No doctor cares if I live or die--could care less in my eyes!!!

patient names
This is a problem that I am currently struggling with. My accounts are not 'searchable' and some docs don't spell out the patient's names. I have QC'd these many times with a note AND my e-mail address asking QC if I should be sending all these reports to them minus the patient's name, or send it to them GUESSING the spelling, or just spell the names phonetically and NOT QC them. About 15 requests now, and NO REPLY!! Very frustrating!!! Otherwise, the account is really good. I am new, so did not realize that other platforms gave credit for footers, headers, etc. I know on DQS you get a fair line count on just the body of the report. Don't know about the rest.
Patient Names
You'd be surprised how many facilities have the patient's name on the report. Its not that uncommon. Depends on the facility and the company you work for.
Patient's names
Especially when the name has a funny spellling and I keep going back to the header to see how to spell it!!
Can you copy the patient names in

the My Documents program in Windows XP?  I would love to be able to print out the list to give to the doctors so that they have it to correlate with the reports I give them.  I have no idea how to do this, or even if it is possible.   


Thank you.


 


OP was referring that patient names
being accessible/available to others was in conflict with HIPAA rules. Just stating that they are not and giving examples.
Can't read patient's names - need suggestions
Where I work, we receive a faxed schedule each day of the patient's names, but is very, very hard to read.  The clinic is not very cooperative AT ALL in changing this, even though we are using a magnifying glass to try to read.  Every time we spell name wrong it is returned as an error.  Any suggestions on what we can do on our part to rectify this?   
send list of patient names
what if you added a page with a list of patient's name that were being sent in file. You could just add names to list as you typed each report. Don't think it would take too long, just a copy and paste. At least there would be some documentation of what was being sent in file.
The place I work for went from no patient names at all to
now it is accepted and used all the time. Go figure!
Definitely no HIPAA in India, just came upon surgery sheet with patient names!
I just googled a term, and up comes a surgery schedule with all the patients' names and phone numbers. Yikes.....
Hey rimrods!!! He fully disclosed he was foreign, it was foreign
trying to catch him telling lies when he already told you he was. Really smart people around here. Call names, insult, tell everyone to leave and go to another site and then wonder why your posts are being deleted. At least he's not feeding everyone a load of CRAP about offshoring. He simply told the truth.
Putting patient versus The patient (sm)
When did this "rule" come about? I've been an MT/Editor/medeical records tech/ART for 30 years - Never, ever was I told to put that. You cannot make the sentence be "The patient sent to Radiology" but you can put "Patient sent to Radiology."

Thats just insane.
When people use last names for first names.
You can't tell what sex the person is, and it just sounds so pretentious and stupid.

Hunter, Tyler, Taylor, Cameron, Morgan, Parker, Porter.

Really soap-operaish and annoying.
foreign....

Oh, boo hoo!  Those foreigners learn our language so they can take our jobs and our money, you numbskull.  They aren't here to help us.  They take advantage of our laws which actually seem to favor foreigners over citizens, especially if the foreigners are "minorities."  (An interesting term since the only true minority in this world is white people.  About 85% of the world's population is non-white.)  


People like you who think you are so tolerant, are part of the problem.  In this country we would all be learning Chinese if the situations were reversed and China was the country with the open door policy and all the wealth. 


BTW, I lived and worked in Latin America and learned Spanish BEFORE I went there - I didn't expect the people of Colombia to pay to have everything I needed translated into my own language, which is precisely what these foreigners who come here to leech off us expect.


I'm an MT....slavery is not foreign to me.
Whatever it takes.
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! 
Those foreign guys

Yeah, we've all had our share of "those" guys.  I worked in Radiology for a Spanish guy for about two years.  He thought his English was perfect, so anytime there were blanks he went off of his latino-rocker.  So I finally get this guy "nailed" where I can transcribe his reports just as fast as the others, and then what happens..  ? I lose the stinkin' account to VR!  So he still sends me work on occasion and guess what .... he's crystal clear NOW, and why?  Voice Recognition doesn't DO gibberish ... it trained HIM!  HA!   (Course he has to speak slowly now, losing lots of "billable hours"  And of course, they had to hire an Editor to clean up the reports, punctuate, and correct his English.)     Go figure!  ');>


Seriously, though, if you can't stay with that ESL day-in and day-out for at least a month, you will never get him.  Why companies bombard MT's with different docs from day-to-day is just beyond me.  If QA were REALLY that important, they wouldn't do that.



You all are talking foreign to me
I have ShortHand and love it, but you left me way behind. A Shorthand course would be great.

isn't SPI a foreign company
Maybe you could work for them.  They bought out Cymed.
foreign dictators
Wow, you sound so full of hate!!!Do you even know how difficult it is to learn another language? Have you ever tried to speak another language?

I don't particularly care for ESL's but...
foreign dictators!!

From one blondie to another--I couldn't agree with you more!


Drives me crazy, not to mention my so-called "productivity!"


What does the site being down have to do with foreign MTs?

venting

You are right in the way you feel.   It hurts.  I know, it happened with my mom.  There was no real money, but it was more in the way she treats me and my child versus my other sisters and their children.  I have to take care of her needs because they refuse, but she always seems to lean toward them when wanting to give them something or do something for someone.  I finally broke down and told her exactly how I felt and what I thought.  Although it didn't change anything, I have limited my contact with her.  It made me feel better to let her know how wrong she was.


 


Venting

Things like this happen because companies/people do not have to be accountable for their actions anymore.  I wonder how these big companies would feel if it were the employer who made decisions like that (put the shoe on the other foot, so to speak)? 


I am with you on this--those people who will be displaced (to include you and your family) are going to have a struggle when it comes to finding other employment.


Doesn't make much sense to me anymore...


Venting
I am originally from the midwest and on February 14 Electrolux announces it is laying off 700 people over the next 2 years in a community of about 9000 in Webster City, Iowa!!! Ouch!!!  Not only that the company is building a new plant in Mexico (imagine that).  The supposed reason is the plant is not big enough to meet demand.  Ha!!  Then why not build a new plant there???  This country is going to be so sorry some day.  We are moving our companies to Mexico and Mexico wants to live here.  I wonder when the US workers will lower their paychecks, etc. to keep their jobs.
VENTING
I'm glad you are so very eager. That is a wonderful attitude. This is a wonderful profession, but like all professions there are bad and good companies. Unfortunately, the MT world is in the center of a debate now with offshoring and cutting costs, which puts more pressure on the American MT. Fortunately, I work at home for a hospital, good money, good benefits, great grreat job. I wish all MTs had a job like mine. I understand completely how the MTs feel who are venting. That is what this forum is for. But, at the same time, you have made a good career choice.
RE: Venting about
By any chance would the doctor have to report this as an incident to children's services?


Have you given your son a broad-spectrum antibiotic as a prophylaxis? A lot of junk can form in there as it is warm and moist, just the living quarters a bug would love to call home 

 

Good luck! Sounds like you did the correct thing by kicking his lazzy butt out of the house!  

Venting, venting, venting...

I have had this same ESL female for the last 90 minutes.  She obviously doesn't want to disturb anyone because she is talking so quietly.  I have the ear pieces of my head set shoved so hard in my ears they almost meet in the middle, which also means I can hear her clicking her hard candy against her teeth really well.


Okay, venting over!  Have a good one! 


Venting

I need to vent !!!!!  I am currently a full time student, work a full time job, and I am pregnant.  Why do people say stuff behind your back and go to your manager!!! Why can't people in today's world just say things to your face !!!!  You see I work a customer service job at an airport and I wait on people all day and if someone does not like you than they try to get you fired or a customer does not like you then they try to get you fired.  I am ready to dig a hole and stay in it and stop working !!!! IF ONLY I COULD AFFORD IT !!!!


Does anyone ever wonder why we even get out of bed in the morning and why we even try to get along with all of the back stabbers in this world !!!!!!!!!


Hopefully my MT career will be a better experience !!!!


 


 


Just venting!!!
I am bored!!  I have a line count to make today and there are NO jobs available to do!!    Days like today make me wonder what I am doing!!!  Thanks for letting me blow off some steam!
venting
I sure can sympathize with you !!!!  Been there, done that.  I don't know why medical transcription companies/hospitals allow these dictators to get away with it.  Been putting up with this for 20 years, and it never seems to get any better !!!!
just venting
This doctor I transcribe for almost always dictates the patient's age incorrectly.  In fact, in the subjective she will dictate one age and in the plan she will dictate a year or two difference than what she dictated in the subjective.  Thankfully I have the DOBs on the patient list, so I can figure out the true age, but, in my opinion, I don't think I should have to calculate the age.  Don't you think the office staff should do that for me and write it on the list beside the patient's name?  Mind you, I'm not lazy, I just don't feel like that is my responsibility.  I do it, however, because I want the report to be accurate, and it should be accurate.  Just wondering how you all feel about this.  Of course, I'll keep doing what I need to do.  Like I said, just venting. 
What a day--NOT-venting

Why do doctors, NPs, PAs, etc. decide to dictate without being prepared? I did a 14 minute report with 7 minutes of dead space while the dictator looked through the records to decide what they wanted to say.


This isn't the first time it has happened. Last week, EVERY dictator did it. Of course, the reports weren't 14 minutes long, more like 5-7 minutes, but it gets frustrating.


Do they just pick up a report and sign on the line? Why can't they look at the reports FIRST, then sign on? 


I don't mind if they have a 30 second (yeah,right) pause to chose the right word, but holy bananas, sometimes it just drags on and on. Then there are the doctors that answer phone calls, doctors who talk to the nurses, PAs who can't find a report that they need for lab data or vital signs, and on and on and on.


I think part of their training should be a chapter on HOW TO DICTATE.


Thanks for letting me vent.


Just Venting
An emergency room physician assistant repeatedly dictates "thenar emesis." 
Venting a little.
Surely, we all get those dictators who have clear voices but are halting and hesitant, change their minds frequently in the body of the report without TELLING us they want the text changed; sometimes it's obvious/sometimes it's questionable as to what they mean/want.  I've been running across this a lot today and it's really very trying!    Thanks for listening to me vent.
Venting
I definitely understand.

The only thing I can suggest it talk to your supervisor or MTSO.

Technology sometimes works against us. We have one MT who is forced to use dial-up in her area and we accomodate that by getting her work offloaded to an FTP for download rather than her calling into the system. There might be something your service can do.

Communication is vital.

Best of luck to you.

Just venting about TAT....

If these hospitals are so picky about turnaround time...These docs come in on Saturday night and dictate 50 charts from the last 6 months that they haven't done, every report is 15-20 minutes long, and by cracky, they had better be typed and on the chart within 48 hours, or the transcription company gets a fine.


OK.  I feel better now.


RE: Venting
AMEN
QA Venting
I've been transcribing for almost 20 years. There isn't a medical specialty,ESL accent or work type I haven't done. If I could stand the sight of blood, I could probably do the diagnoses and surgeries myself!

I believe that a lot of these MT's are fresh out of school, or nowadays just finished their on-line, home study course! I think that because some of these dummies at the transcription companies see that they have passed the CMT exam, so they must know it all, but over the years I have had to QA the QA's work many times.

Now, I am by no means perfect, I have made my share of mistakes and have tried to learn from them. I have also come across some wonderful QA people that have taught me a lot, but for the most part it's the other way around!

Nope, I never got my CMT, but have no doubt I would pass it without any problems. I have also never bought the AAMT Book of Style, because it changes every year that it comes out and the wonderful people at AAMT have done everything possible to make this a profession that not many people want to get into anymore.

Sure, it was great when my girls were babies and I had a lot of flexibility in my job, but I could also put in about 6 hours a day way back then and still pull in over $40,000 a year. For the past 5 years I have been working all kinds of crazy shifts for pennies less than what I used to make!

Even though in being an MT you do learn something new everyday and there are a FEW good QA people out there who are very helpful without being condescending!

Although most everything I have learned over the past 5 years I have learned from Google!! LOL!

Basically, it all comes down to what the client wants, and that is what I do.

Sorry this is so long, but I also needed to vent! QA people, think about who you are dealing with! - Real people with real families. We also have feelings, but for the most part QA people NEVER let you know if you are doing something right. I'm sure if I could QA 12 hours straight of your transcription, then I could find a few mistakes and then I could E-mail you and make you feel stupid and question your skills as an MT!

I welcome any feedback, both good or bad, to this post. I could care less, I am getting out of this profession because it is going nowhere, but overseas!

Anyway, Ms. Venting, hang in there, have some beer or wine and just relax before you call the moron on the phone and give her your opinion of her! For the rest of you poor MTs who choose to stay in this profession, I wish you luck! Really I do - because God knows your going to need it!

Bonus from OJT - foreign dictators. (sm)

I learned OJT in a small hospital with a PDR, Dorlands and a boss with an attitude from &*^%&*^.  There were only about 7 doctors on staff, 4 of which were foreign.  I started off learning to cope with a Thai accent in a physician who had had a speech defect, a Nigerian, a Swede and a Czech.  It was a painstaking way to learn, but I am greatful every day that accents have become a way of life for me.  I almost prefer them to some of those mealy-mouthed speed demons. 


I can remember cursing when they would say "Go back up and change this".  Just rip that paper out of the typewriter and start again. 


My children can't imagine a time before computers.  Will have to take them to a museum someday and show them what life used to be like.


 


 


 


It's not the foreign workers who are at fault sm

The fault lies with the big US corporations who are the greedy SOBs that have outsourced the jobs so they can save billions over what they would pay workers in the US. 


So, to be rude to and cuss out these working people is not going to get us anywhere.  What we should do is boycott the corporations who are sending the work overseas.  Maybe if they lose enough business they will get smart to themselves and bring the jobs back to the US workers. 


I don't do foreign-speaking docs....
Either they speak English and speak it clearly or they don't have me for their transcriptionist. I'll be danged if I'm going to spend 15 minutes trying to figure out their dictation because they "don't speekee English," or they dont' want to take the time to speak it clearly. Let an MT who doesn't value their time or money transcribe for them! Some may think that's heartless, but that's just the way it is. I'm in this business to make money, not coddle docs who can and refuse to speak straight.
First Job, given only foreign dictators, and never the same. Doing allright, however, should I look
This is my first job, and I am never given the same dictator.  Also, this is hospital work with basically any kind of reports.  Only doing about 200 lines a day for 6 cents.  Should I look for another job???
Focus stands for Foreign

Focus is an Indian company, you know.  Most who have been there were not happy, and many MTs only go there because they are fresh out of school and find it hard to get the experience they need.  Just FYI.


I do have a 2nd job with US owned co. that I love. Foreign
s
It's shameful if the new owner is foreign but
65e4
IF I WENT TO A FOREIGN COUNTRY TO WORK

This is NOT racisim.  This is plain common sense and courtesy. 


Venting on job interviews - sm

I'm so disgusted and discouraged.  I've had three interviews in the last week, about three more in the last month, and ALL of the recruiters I spoke with had absolutely NO clue.  After listening to their canned speech about their company, they invite my questions.  My main concerns are the platform, how a line is defined (with or without spaces), headers and footers included, progam compatible with Expander that I have (IT or Shorthand), do they take out MY state taxes, (some don't), how is PTO paid, and a few more, but for each interview, but the time I got to this point in my list of questions, I'm totally disgusted because the recruiters cannot or won't answer my questions.(They are good about skirting the major points of things).  They have to contact someone else, who is not available at this time, etc...and will get back to me - yea, right.  WHAT is wrong with these people?  Can't they answer simple questions?  I don't feel that my list of questions is that outrageous, do you?  Am I out of line for even asking these things?   I've been burned too many times to agree to a job without asking these, and quite a few more questions, but can't get past first base with these recruiters.  Are they so far removed from the actual transcription aspect of their companies that they can't find these things out beforehand and be ready for an appplicant's basic questions?  The recruiter makes the first impression for a company, and if they are so far out in left field, what is the rest of the company like?   ANYONE else have this experience?


 


Venting session
ROFL!  I am so there.   I went to interview at a warehouse driving forklifts this past week.  They said "have you ever had to work at a place where you had a certain production or deadline to meet?" and didn't understand why I started laughing.  I probably won't get it, but I am ready to do ANYTHING that doesn't include sitting in front of computer for hours at a time listening to somebody sleep dictating while eating Cheetos at 3 a.m.  I bet I could paint some houses, too.
Grrrrrrr! Venting!

This doctor is particularly annoying in that while she is looking for information, she repeats the last word she just said.  Add to that her nasally voice and I am ready to rip my hair out!


Lab reports revealed that...that...that...that...that...


The patient....patient.....patient.....patient.....patient also had....had....had...had


period....period....period.....period.


Stop the madness!!!    (Okay, I'm done. Back to work.)