Medical Transcription Discussion Forums:

• Main Board
• Job Seekers Board
• Company Board
• Word Help Board
• Classifieds
• Medquist
• New MTs / Students

General Discussion Forums:

• Gab Board
• Politics Board

I'm working on an ortho eval for a patient with a PIP fracture.  Doctor has dictated an unfamiliar term (there's always that ONE WORD) for me.  He dictates, "X-ray examination today shows impaction at the base of the middle phalanx with approximately 70% joint surface involvement."  Here's the word I don't know (spelled phonetically--Sorry":  "A syphiant(??) portion of the joint surface is translated dorsally."

If someone could point me in the right direction for finding this word, I would really appreciate it!

Hi guys ... my hospital just switched to Meditech / Medscript for transcription.  Does anyone how to adjust the word wraparound at the end of a line?  It won't let me automatically wrap around a word at the end of a line; it breaks up the word where IT wants to - and deletes the first letter of the first word on the 2nd line!  It's terrible - and I cant figure out how to adjust this.

Thanks everyone!  

JoJoGal

Greetings,

How does VR editing prod. pay compare to hourly pay ($15) regular QA and constantly being threatened to start being payed production.  Are there any special tricks to know to make good money on a VR program?  Any companies that have VR and are better than other ones would be appreciated as well.  Any and all assistance much appreciated-have to make a change shortly, so looking for a great company that offers ins. benefits.  Thanks for your time.

many posts asking for help with words or phrases that are clearly in reference books that most MTs should have.  Don't MTs buy their own reference material anymore or do they rely strictly on the internet.  Most the words and phrases asked about on the Word Board could be found just by buying the medical phrase index or the Surgical Word Book or some of these other word books and building up a reference library. 

What happened to building up the library and searching and learning?  I just looked at some of the Word Help stuff tonight and a lot of it is ridiculous stuff that an MT could very easily find.

Any opinions?  Im not talking about blanks where you just can't understand what they are saying.  I am talking about specific instruments and phrases.  Seems like it happens an awful lot and MTs don't want to search or maybe don't know where to search or don't know what reference material is out there to buy?

Lots of this stuff could be found in just the two books I mentioned above.  Just curious

Does anyone have any good tricks for dealing with the long reports with huge segments of "nothing"?  On top of that, the people I am dealing with are ESLs so that's slowing me down enough already.

At this point, all I do is speed up and fast forward but am wondering if there are other ways to compensate for this issue.

Seems like someone would teach them how to pause when they stop dictating! 

It seems the postal service is selling employee information including information to access the employee's health records?  The article stated that they did it because they "needed revenue."  I can't believe I saw this. 

 Link below:

http://www.charter.net/news/read.php?id=13890624&ps=1011&cat=&cps=0&lang=en

\

Needing information about IC and taxes.  Does anyone know if there is a way to do the 1040ES online or do you have to print and send it in through the mail? 

Has anyone worked for them before?  Your experience, good, bad, indifferent....

Tx

Hi, I'm sure this has been touched upon before, but here is my question.  I work for a large acute care hospital at home that requires 60,000 characters (60-character line) per day, doing basic 4 with all-in-all good dictators.  I have worked there for 13 years.  I recently acquired two IC accounts, one neurology and one child psychiatrist (both excellent dictators).  I also got hired on by a national company that doesn't have a line quota and are flexible with the hours I type.  I am wanting to know how much you all can type (character/line count) per hour.  I am trying to plan my day of typing by how much time to spend on each account.  I feel there are days that I just can't get anywhere.  I use ShortHand word expander.  I'm just looking for a baseline to go by here.  Thanks for ya'lls help here.

Is there any way to have Word open up  automatically with the view screen at 125% (rather than 100%)?  Right now I have to change it each time I start it up.

Thx for any help.

I have a scenario at work that I would love to solicit opinions on & see if anyone is on the same page as me.   I am a Transcriptionist with 25+ years experience and considered quite good, and I currently am the sole transcriptionist for a very high volume cardiology practice.    A co-worker of mine, who is over the billing dept, has a daughter who is taking an at-home transcription course (At-Home Professions), has not finished it, and in her own words "is not doing too bad at it". Whatever that means.   My coworker has been trying to push her daughter off on me for a long time, but I've always side-stepped the issue because the girl is not qualified.   Well, last Friday I was off work having a cervical nerve root injection, and she chose this time to bring her daughter to the office and pitch her to our administrator, who, by the way, is a jerk for one thing and knows nothing about transcription either.  He hired her on the spot as a part-time prn transcriptionist and I knew nothing about it until I got to work Monday morning and there she was.  I am livid at the both of them.  For one, my coworker had no business taking it upon herself to decide who should be hired to help ME, and the administrator should have never, in my opinion, hired her without at least getting my input.  The cardiologist and I have a very good relationship; in fact, he worked on me for 3 months, convincing me to come work for him, and I know he is very happy with me, and my inclination is to go to him and tell him exactly what went down.   I've been told I will incur the wrath of the administrator if I go over his head and directly to the doc, but that would be pointless because he's part of the problem!  I'm probably going to have to have surgery (and I'd also like to have a vacation this summer) so I know I need help, but I'm actually in the process of trying to solicit help from a pool of qualified people, transcriptionists from our local hospitals who might be interested in filling in for me from time to time.  I want to know that whoever sits in my chair while I'm out will be able to handle it, and this girl has NO experience whatsoever - she didn't even know how to address a cover letter yesterday.  I know that no mattter who I get, I will have to show them the ropes, show them our system, etc., and that's fine, but I do NOT have the time to train someone from the ground up, which is basically what I would be doing.  Cardiology, in my opinion, is too hard a specialty to start off with, and our volume is so massive that I can barely keep my head above water myself, and I'm fast.  I simply do not have time to train anyone.  I'm so offended over this.   Should I go to the doc or just let things ride and let her work speak for itself?  I'm not sure the most diplomatic way to handle this, though I'm leaning toward talking to the doctor.  What would you guys do?  All opinions will be appreciated and considered, and thanks for taking the time.   

I have a new doc today and he says that he has a ton of reports to read, so to make it easier (I'm not sure for whom) he says NOT to type articles (is, are, of, etc.).  It is actually HARDER for me not to type these words in than it would be to add them!  It's making me nuts looking at these choppy reports.  They should just be doctors and let us do our job!

I am getting numness and tingling in hands, pain in wrists up forearm to elbow...thinking about buying an ergonomic keyboard or changing careers....

ouch

Hi,

Recent grad here on a job search. I am learning so much from this forum about MT companies. I live in Ontario and wish to MT from home. Does anyone know who is likely to hire-who is good to work for if you are a recent grad that will provide you with support/QA screening-who NOT to work for ect....Please let me know and thanks so much!

MTmoonmaiden

 Metzenbaums or Metzenbaum's.  For instance is it  "Using Metzenbaum's we opened the peritoneum." or "Using Metzenbaums we opened the peritoneum."  TIA

How do you handle an account with a doctor who is constantly changing things?  I'm talking about a guy who will give an entire 4-5 sentences then have you go back and delete and change it.    I'm getting really, really tired of typing it all out only to have to go back and delete and retype. 

Do you keep track of how much you deleted and charge for that also?  It is really cutting into production.  This isn't occasional either.  He does this at least once, if not several times, in EVERY single report.  It is like the man can't string together thought.  Not to mention it is frightening how much things change sometimes.  I wonder often if he is talking about two different patient.

Just letting anyone who is interested know that a man has been arrested in Bankok Thailand in regards to the murder of JonBenet Ramsey.  He is apparently a second grade school teacher and had lived in Georgia near the Ramsey's.  Very little else is known, yet.  Apparently the Ramsey's knew about him as a suspect before Ms. Ramsey passed away.  I am happy!  this has been too long in coming!  may she now rest in peace!

Any information on SPI?

Ok people, I need some serious motivation here. Went to try on swim suits yesterday and thoroughly disgusted! With the combination of menopause (won't even get into that whole #&@ ball of wax) and MT'ing the last 5 years, my body has just gone to pot. I have a few DVDs that I try to do once in awhile like the Buns series, etc. and have an older Denise Austin Pilates tape, but I had read somewhere that the Winsor Pilates was more effective because of her technique or sequence or something. Do you think it's worth the investment? I'm just so discouraged, it just makes me want to go get a big bowl of ice cream or chocolate or something. I'm not really fat, just flabby, have lost my muscle tone or something. I had lost a lot of weight due to a series of very stressful events in the past, some of which are ongoing, but have gained it back and just seems to be flab now with no muscle. I just want to tone up and wondered if anyone liked the Winsor series and saw benefits with regular use. Thanks for any help and encouragement!!

I do occasional IC work for a provider that I have known a while now. Today i did some work for her and found something that really bothers me. The physician dictates the patient's full name, street address and home phone number in addition to her DOB. Is that HIPPA compliant? I'm sorry folks but I really don't want my street address and phone number available across the internet even if it is "so called" secure. I would like your thoughts.