A lot of physicians refer to their patients
Posted By: ja on 2008-01-28
In Reply to: If it weren't a psych note I might wonder why it was relevant - tnmt
as heterosexual or having same sex partners, it is very relevant in some aspects, as in exposure to AIDS/HIV, etc.
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Think you need to refer this to your QA,
they are 2 words where I work.
we should just once, as patients (sm)
go to the dr's office and waste THEIR time!!! Let them know how it feels for a change. But then again, the doc wouldn't wait two seconds on a patient, now would they? Wow, whatta double standard! 
Patients
On a really bad day, I feel like a vampire for making money off of other people's misfortunes.
Maybe sometimes we have too much time to think! I don't know.
Just because 2 patients have the
same dx does not mean they are treated the same and symtoms are the same in many dxs. Do you have your degree?
Well, too bad that they have 30 patients - sm
to see so they don't want to spell things out. Do they cut corners on patient care, as well, when they have 30 patients to see - or is that reserved for us peon MTs? So they're "frustrated" with 30 patients - well, cut your patient load! We're not paid to "guess" or have to look up everything they don't feel like spelling, especially other doc's names. Just won't do it.
By the way, I wonder if they know how many documents we have to type a day (30 maybe?) to even eke out simple minimal wage - but that's OK, I suppose, compared to their 5 or 6-figure salaries.
Just give everybody the bum's rush because you have 30 patients. Suppose we did the same?
It has nothing to do with having a spine as you refer to it..
As long as the place I work helps me pay my bills, raise my children, and treats me fairly, it doesn't matter to me. You are never going to get the entire transcription community to do that. If we were all alike and had the same opinion life would be very dull and we would all be like drones. If you CHOOSE not to work for companies that outsource, that is fine with me, as that is YOUR CHOICE. However, I am happy where I am and it gives me what I need in life. I hope that you can be a bigger person and respect other peoples choices in life. They need not all be like yours. 
What are these "loopholes" you refer to?
My DH has been in administration healthcare for over 20 years (national health care company). He says there is no "loopholes" that keep him from following the wage and hour laws, overtime is overtime, PERIOD!! Their MTs get paid overtime just like everyone else, and have no FORCED mandatory overtime.
You need to contact the wage and hour division PRONTO...something is stinky here!!!
so it's okay to refer to doctor as like a pig!!
but i suggest we might be more professional and MY post is deleted!!?? Good grief. What gives?
Yes, I agree here. You want them to refer you
You want to keep them happy within reason. I doubt it would be that much of a bother. You can write off the expense of the stickies and the travel.
The other worry I have is setting up digital for an office just because I don't want to travel and have them go with another MT because they could get cheaper rates by already being digital. You don't want that to happen.
Can you tell I'm a firm believer in tape work and loyalty?
No matter what, there are things in this profession that you do that are sort of thankless, but I think in the long run if you like the account, you're better off just cutting the stickies and attaching just a small fee each month as Patti says.
Is there a manager for QA you could refer all these
x
Here's a nice one I refer to
This one has a good collection of ops. See link below.
Here's another useful site I refer to
This one's come to my rescue quite a number of times.
http://medicaltranscriptionwordhelp.synthasite.com/
A party for our patients...
Every year, the staff in our clinic takes it on ourselves to throw a party for our patients. We all cook finger food, make snack trays, cookies, baked good, cheezes, bread, meat trays, the works. We have breakfast foods and lunch foods. We decorate tables in our lobby to spread this out on. We usually do this one day a week for the four weeks before Christmas so many patients will get to enjoy it. We have coffee, hot chocolate, orange juice, cokes and punch. We have fruits and dips....something for everyone, even diabetics. The patients are touched that we go to the trouble and we are touched by how much they love it! These patients have gone through enough suffering with their diseases and some are elderly and don't have family members. Some tell us this is their only Christmas! We have been doing this several years now and the patients are beginning to tell us to be sure we appoint them to return on the days we are having our "Christmas spread." I just thought I'd share the Christmas party that means the most to me... and this is definitely it! Just the look on their faces as they are enjoying it is Christmas to me.
It is not our job to judges the patients sm
or why or where they seek treatment. It is our job to transcribe the dictated reports. If you don't like the healthcare system, then go out and change it.
Just how many lives do YOUR patients have?
Apparently mine have more than one because I have one dictator who likes to use the following phrase: Patient was told that he might have death and loss of current life. 
Now we have to insist patients
being treated are actually examined before treatment is rendered?
Wasn't it bad enough medicine when ER docs would proclaim a diagnosis before exam, only to have to backpedal after taking a look?? I guess if they are going to do things in that order, doing physical exams is going to result in their looking stuupid, so their solution is not to do that part.
Big grrrr.
If the patients were aware of that, they could
nm
Do any of you ever feel sad for the patients?
Maybe it is because I am on my period and am more emotional than usual, but today typing all these terminal cancer reports is making me want to cry. I feel so sad for the patient and their families. I just cannot imagine being told that I only have a few months left of my life. And the doctors sound so cold about it. I know they are very used to it....I just know that I could never be a doctor. I could never get used to telling someone they are going to die.
I'm sorry, but why would you refer to ?'s about ones puppy or what's for dinner
Not trying to start a flame or anything, but what's wrong with a few non-transcription questions here and there? It helps break up the monotony of the job, don't ya think? 
We have a gal in our office who I refer to as the 'notetaker'. She's always got some e-mai
that lists this or that infraction. No one is immune. She just isn't happy unless everyone is unhappy and I think the complaints are really just a way to elevate her own status in her own mind.
Not everyone is like our "notetaker", but I've learned when it comes to work, do your best, meet your quotas and if you can have a little fun while doing it, then life is good. Pick your battles, don't sweat the little stuff, and you'll have a whole lot less stress to deal with.
JMO
You should refer them to the testing site.
That's what I do when someone says they *would like to work at home, like you.* I had someone tell me, quote, *You just type what the doctor says, right?* I just looked at her and said, *Yeah, you're right. I just type what the doctor says.* ARRRGGGHHHH!
I refer them to the job boards so they can see how much experience they need. sm
That is it. I don't deal with it anymore. I usually just write down the website and go take a look. You will see how much experience, etc. you need. Good luck.
I have learned from past experience.
Never hear anything again from that same person.
Refer to the Spouse Equity Act
You are entitled to coverage for 18 months...some of these responses just floor me!
You refer to ME as smug when you call sm
yourself "your fine self?" That's rich.
I'm so done with this. I'm amazed you have a job.
I still refer to myself as a 'transcriber' because I hate
I don't think any of us even CARE what the real name of that buncha shysters is.
Try to refer to ref sites and books
Sites like these help.
A question regarding patients' rights
I was just wondering this. My mother was recently sent to a "liver specialist" who is local gastrointestinal doctor because of concern over persistently elevated liver function tests. He drew a LOT of blood work on her and only told her that it looks like she might have a fatty liver. He set her up to come back in six weeks to "get the results of her lab tests." SIX WEEKS! With her being very concerned, of course, we immediately searched the net and found out that fatty liver occurs in patients 1). who drink alcohol (she never has), 2). Patients who are overweight (she is not) or 3). Patients with diabetes (she hasn't got that, either). It says that a liver biopsy is how they find this out. He never mentioned doing one of those. My question is.. would a physician want to wait 6 weeks to find out lab results? You know it doesn't take 6 weeks to get the results back, they probably had them back within a day or two. In the meantime, she is stressing big time about what could be wrong.
Not sure when doctors graduate their patients but
I have boys and we stopped when my oldest was 11 because they always made them strip down to their undies for checkups and checked their privates and I didn't feel that was necessary and my boys hated it.
No thanks. Anorexic geriatrics patients don't do it for me.
x
Very true, but a list of patients?
An invoice by the patient? Some clients need to do their own book keeping. It is bad enough you have to worry about the content of the reports. To have to retype a patient name into an invoice with the line count is utterly ridiculous especially as an IC. IC's get taken advantage of. As an IC, yes you should be charging for "everything". If you're an employee, they can put it under "other duties as needed". Business is business. If it takes more time, that takes more money. End of story. Don't do nothing for nothing. Your clients sure do not. They go all this time with this Transcriptionist with her invoicing and then all of a sudden decide they want each patient name and line count? Cut me a break. You don't think there should be a charge for that? You can work for free, but I certainly WILL NOT! To make statements like be paid to walk to the computer is really being a bit of a smarty pants in my opinion. Keep it to yourself if you want to work for free, most people don't! Have a great day making nothing to do A LOT!
I read it... does it mean US patients would have to travel - nm
.
New Doctor, some patients already typed
I got a new doctor. They girl who had been working for him left him in a big mess, undone dictations, etc. The office gave me a flashdrive to do with about 30 patients on it over the holiday weekend. Today they've told me ten patients had already been typed, how did I want to handle that? It seems they don't want to pay me for these. My husband says to bite the bullet and not charge them, since this is a new account and I'd like to keep it, is possible. What do you think? I know it's a land of confusion there from what is done to what is not done. Thanks!
It's called BEING FAIR TO PATIENTS
. Why should patient care suffer?! The patients haven't done anything wrong, even if management sucks. I thought that's what MTs were ultimately hired to benefit, the patients.
Why not? Other MT boards refer people here all the time?
Are we supposed to just pretend other sites don't exist?
It's not a fad. You need her doc to refer you to a therapist for her. Took my teen years to get
s
I read the posts. Most of my references refer to
x
I don't have time to refer to reference the law details but (sm)
Check out:
http://www.nlrb.gov/index.aspx
You'd be surprised!
An employer has the right to answer questions, but a prospective employer is limited as to what they can ask. Unfortunately, not enough smaller businesses know and follow these rules, thus a terminated employee ends up being blackballed.
Without having Word open to refer to, I'll see if I can help...sm
When you click on autotext to open it, it should be where you can type in a new entry. Type in the entry you want to delete, and when it is highlighted I think an option should show to delete. I hope this is right, but like I said, I don't have Word open and I may have missed a step. Hope this gets you started in the right direction anyway.
You are so right. Its up to the physicians and
also your local competition. Its all about offering the physicians something better than the competition - better rates, better TAT, and if your competitors are certified, you can bet that's part of their "sell"...But you could never predict the certified issue until you check the waters. Good luck to you! Its not that hard to pick up a local account or two. Enjoy!
Do you think ER physicians actually do as thorough
a physical exam as they dictate or do you think they fabricate a lot of the details of the physical exam?
Not all physicians are like that .....sm
I work for very generous, kind and caring orthopedic surgeons who see patients, with little to no income, and charge them nothing. They ask for no payment and nothing in return. These docs would give you the shirt off their back.
Not every physician cares only about money.
It is bad enough for the ESL physicians but
today I had an ESL PA dictating and when she dictates hypertension she says hypertensions, as in the patient has hypertensions and heart disease is diseases and lukemia is well you catch how it goes EXCEPT if you have the patient's wife, then she says the patient wife or the patient daughter. I am TICKED
How does outsourcing dictation allow doctors to see more patients?
In an article in the MT News section, it states this. Do they really need to see more patients? Most of them herd them in and out like cows.
And that is because the GYN forgets to tell his patients that when changing pills you have to use an
alternate method of birth control for a month until the new level of hormones in the pills kick in, whether higher or lower. That is how come so many get pregnant on the "pill." The facts...my cousin is GYN and he tells all of his patients that.
Just wondering, for you MTSOs, about how many patients/reports per day...
For, say, an orthopedic surgeon, or a family practice doctor. Or, maybe, how many minutes of transcription on average per day.
THANKS.
these are the docs that I don't think care about their patients. my opinion. nm
ss
That's what I'm thinking, too. Our agency told us to refer ALL creditors to them
and they were awesome. I'm thinking she doesn't have a good one, either. She definitely needs to call them or switch agencies, like the one you mentioned, to help her.
Is it just me, or are physicians getting worse
with dictation. I transcribe several that use speaker phones to dictate. I think ER docs are the worst. Not only do they use the speaker phone, but that talk at a rate of about 150 miles per hour. Do they not realize (or maybe they just don't care) how difficult they are to transcribe. I really don't understand why the companies we work for allow this. 
I ask the physicians! Haven't had one yet
who didn't tell me what they were already being charged. You should be able to call the MT department at your hospital and ask around there too.
About incompetent physicians...
Yes, they are definitely out there and getting scarrier day by day. Actually, the great majority of them are quite pathetic.
local physicians
I was wondering if any one knows if local physicians would rather hire certified MT to do their work from home. I am thinking about supplementing my income with a national and wondering if this would be a good way to go. Any insight into this would be greatly appreciated !!
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