Bizarre conversation on dictation
Posted By: IL MT on 2006-02-18
In Reply to:
This obstetrician was talking to patient and her mother on a dictation this morning. The doctor and the patient's mother were trying to convince her to bring her dog into the office through the back door to have the doc do an ultrasound. He said, "I know where the uterus is, I'll just take a look to see what's going on in there". The patient had just given birth herself. It was so very strange. After about five minutes, he began to dictate. 
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YOU ARE BIZARRE !...nm
nm
I agree. It's a little bizarre.
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This whole post is bizarre.
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Your last sentence is bizarre because
really I do not think has anything to do with anything. I fit the same profile, mother, gmother, the retirement bit but just don’t know where it plays into this picture? We were talking about a person wanting to do transcription and poster said not good speller.
bizarre life today
What chaps my hide also is, India and China would NEVER offshore their private citizen information to our country - NEVER. Well, I don't know about India, but China certainly would not. The Chinese are too cunning and crafty. They think ahead 20, 30, 50 years from now. They trust no one but themselves. That just burns me up that we have no say over our so-called confidential information going offshore.
That is the most bizarre thing I've ever seen.
I can't imagine doing transcription with one of those.
This whole thing just sounds bizarre. NM
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I think the same conversation is going on at
company board, not too far from type. Look for the blonde comments, sadly. I still have no clue which one is better, but I think some posters get into more detail. I personally would always go with spaces, 65 character line including spaces, but that's just me!
This whole conversation seems to have gone off in - sm
the direction of whether or not QA is "needed" or not, or whether or not they are up to doing their jobs correctly.
I'm not saying either of those things, but what I DID say was that all too often, both inhouse and at home, I've been having to deal with QA-ers who make changes where they should NOT be making them. I even had one take out an entire sentence that was CORRECT, and VERBATIM, and insert something that the doctor never even said, and which didn't belong with that patient's diagnosis.
That is SO unethical!
I just had a nasty conversation with a
telephone rep from India who informed me that all Americans were uneducated, stupid, and "farmers" and that India was getting all the jobs because they were all educated. She shut her fat mouth when I asked if that is why India still practices putting female infants on the hillsides to be eaten by wolves, why so many of their people are starving to death, and why disease is so rampant. They are getting to be the most arrogant bunch of people I have ever seen.
I have to say I am unsettled by this conversation. sm
I wouldn't dream of drinking while I am working. I don't believe that is a "perk" of being at home and like several have said, I don't care who you are, alcohol impairs you. I can't imagine saying anyone saying this is okay. And, much as Endiqua said, using the everyone does it scenario is not only wrong, it's immature. I hope we are more professional than that!
don't join in the conversation if you sm
don't want to but don't censor others from doing so!
But that wasn't conversation....
that was criticizing the original poster for "assuming" that others celebrate Easter. I don't think she assumed that at all; she was just asking what others were serving. I think she would assume that those who don't celebrate wouldn't answer because the question wouldn't apply to them.
I had a telephone conversation come through once -
It may have been a walkie - I am pretty sure I saw the guy drive down the street in front of me talking on something - it was very brief, I think probably when he was in very direct range. It was wierd!
But I'd rather listen to a side conversation than
erase and retype nearly every line. Three times the effort for 1/3 the pay when he does that. Back up. Change that. After it's already been typed.
WOW - I just read your link to a conversation with -sm
AHDI, and I KF's answers to your questions are so vague, so filled with upper management doublespeak, that they basically say nothing at all. Except there is one thing she has constantly sidestepped answering, and that is - What is AHDI doing for UNITED STATES MT's. Her non-answer says it all: NOTHING.
You should send a copy of that conversation, and copies of other posts on this board, to our California Congress & Senate representatives.
There is SO MUCH anger on this board, and if we could just consolidate all of that, and direct it towards our elected officials, who might be able to do something about it legislation-wise, it might go a long way towards helping American MTs.
Thanks for your excellent post, and for taking the time to pull off part of KF's sheep-suit, so we can all see what's underneath.
This conversation was on the company board, but I think
about line counts and how we might be suspicious. Don't know, but checking your lines anytime and knowing exactly how they are calculated are apples and oranges. I for one would like to know exactly the formula, and I would like to know when it changes. If the calculation changes so should my original offer letter. That is IMHO.
good choice. mr. ed provides transportation and conversation.
but isn't he dead? 
Has anyone had a conversation with the people at Amherst about this situation. I am not sure where
to go after them to get any results. I would appreciate any recommendations you may have on this because it needs to be addressed.
Wrong - if you had gone to college you wouldn't be having this conversation.
Ever consider that maybe your lack of ambition is the problem and that your own set of choices have put you in a position you're not happy with? Of course not. It's always someone else's fault.
Listening to a cell phone conversation
My doc left his recorder on again. LOL
Had this exact same conversation here in 2005 - see message
Here is the original posting. I'm still doing MT but now on my terms. I don't make as much money as I did even 10 years ago but I get to pick and choose what I want to do. I still don't feel appreciated. And, once again, I blame the AAMT as well as the changes in business ethics that I see EVERYWHERE today. Let's not even get into the subject of the CEO's and their insane remuneration packages! Anyway, my only recommendation is to find something you love (MT or billing, or something else) and do it to the best of your ability and on YOUR OWN TERMS. That helps to mitigate the frustration, somewhat!
20 years as an MT - now I am on strike...sm
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Posted By: on strike on 2005-09-12
After 20+ years as an IC I have seen my salary go down, down, down! Not because my speed has decreased, no, it has in fact increased dramatically due to the availability of ShortHand programs. No, my salary has gone since the inception of AAMT and their "standards" and practices. The organization that was going to help MT's become more respected has done the opposite. Yes, there were doctors out there who initially thought of me as a "typist" but I quickly showed them the difference between a typist and a "medical transcriptionist" (medical language specialist). Some of them were unwilling to pay for the difference, but most were pleased to pay a bit more for someone who knew when he was making a mistake and was willing to call and get it right. Today, however, the large MT companies have driven the IC out of business. They offer 4-hour turn around at ridiculously low rates. Many of these companies outsource to India, Pakistan, the Philippines, etc. Some of the outsourced work is done perfectly. Most is not. I am hearing this from office managers who cannot convince the business owners that it is "cheaper" to have the transcription done correctly the first time rather than have more time (money) spent doing QA.
Most of my work has been for large radiology clinics. Conglomerates that own upwards of 100 to 200 radiology clinics across the country own these clinics. The bottom line with management is the "bottom line". Their bonuses and hefty salaries are dependent on keeping costs down...therefore cheap transcription is a "must".
Finally, the reason for the steady decrease in salaries for MT's is the availability of cheap foreign and (yes!) American labor. MT's in this country are becoming more desperate and accepting the lower line rates. Yes, of course you need to in order to pay for food, etc. However, if ever there was a time for us to organize a "strike" this is the time. It will never happen, however, because we are too busy just getting by. And where has the AAMT been during this time (in particular the last ten years when salaries have been eroding the fastest)? They have been telling us the "proper" way to do transcription. In the "good old days" if we did not transcribe correctly we were fired. If we used poor grammar, we were fired. That simple! Meanwhile this group (AAMT) purporting to be working to benefit MT's has instead been working to benefit themselves. They benefit themselves by touting their CE courses and the need for us all to become CMT's, that we can only do through their courses and their tests. None of which are free.
No, I am not an AAMT hater. I hate the hypocrisy of the AAMT. I hate the fact that experience counts for naught in this field. I hate the fact that the moment corporate America realized that medical transcription was an income producing product mostly male executives realized that they could take over with large companies, offer work at a much lower price than an individual could, and force the medical Transcriptionist to work at the prices they foist on us. That is what I have seen over the past twenty years.
Don't bother flaming me for telling you what I have seen. Most of the flamers will be from large corporations or IC's who have accepted their fate. Yes, you are making good money typing thousands of lines a day at a few pennies each line. Yes, you pay your bills doing so. I am not putting you down for doing so. What I am saying is that over the past 20 years the medical transcription field has changed (been hijacked by large corporations) and as such the bottom line is "how cheap can we get the transcription done". Such is corporate America. Get it done cheap or someone else will get the contract.
So, what am I suggesting? I don't know for sure. Perhaps there is no answer for most transcriptionists other than to accept their fate. As for me, I am lucky enough to have an income so that I can go on "strike" until I find a job that pays me what I am worth. Or, until I go back to school to find another career! Which is the most likely course of action a lot of us will be taking no matter how much we love what we were doing.
If you have any useful insights I would love to hear them. Flamers will be ignored.
Conversation insinuating that RadGuy may be gay is NOT tolerated on this site.
Anyone who continues to post in this manner will have their posting ability immediately removed.
WHATEVER. I can't handle ignorant people, which means this conversation is over.
SEE YA!
My conversation with you is over. You sound worse than a pack of 6th grade girls.
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YOU, Busy MT'ing, are one of those that fail to reach mature conversation when you mockingly add
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Could this entire conversation BE any more high school? Grow up, you guys, honestly.
It's THEIR dictation. They want what THEY are
dictating. If they use poor grammar, etc., that's not the MT's fault!!
Many don't trust the MT to make appropriate corrections and I can certainly understand that.
dictation by doc's
you're absolute right about the hospitals doing something about how doctors dictate and it probably wouldn't take that much effort to do it, but they're not going to do it. If the dictation is wrong, the MT will get the blame regardless.
low dictation
This is several hours of time just disappearing.
? min. of dictation per day
What is considered the average amount of minutes for 7.5 hour day. I'm thinking 45 to 60 minutes???
PA dictation
You must be lucky! Our group had two PA's and they literally "outdid" each other to see who could dictate the fastest. I got used to them, of course, listening to them all the time but many times had to stop and look up a med to be sure of the dosage because I couldn't tell if they were dictating 5 mg. 50 mg. or whatever! They seem to have an "attitude" too; we had one female one who really thought she was hot stuff. If they were that good, why didn't they spend the extra time and $$ to go to med school???
RE; Dictation
Kept forever. Chart is microfilmed and kept. Regular transcription is kept for 10 years supposedly at hospital I worked for.
I just had a dictation where
he stopped dictating mid sentence in the chief complaint and I Iistened to silence for about seven minutes (maybe he fell asleep, I dunno) and then he says, "hello? hello?" and hangs up!  Gotta luv this job! 
60 min of dictation
How long should it take someone to do about 60 minutes of dictation on average.
Thanks you.
60 min of dictation?
My own personal average is about 1 hour for each 15 minutes of dictation.
Can't help with the dictation but...
 LOVE YA!
Hope that helped.
Dictation
The problem is that MTs are rarely in the workplace any longer. When I originally started in transcription years ago, we were in-house and accessible to the doctors. I would tell the the speeders to slow down. We had one ER doc who loved to look through reference books for words to use. I would tell him nicely, "If you have to look it up, spell it and save both of us the hassle." That usually worked. But now, most of the time, they have no idea who is transcribing their work and as long as it gets done, that's all they care about.
Ever think that maybe 15% is going to QA because of LOUSY DICTATION? nm
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You never listened to the dictation to know.
No, decent dictators can form complete sentences. They don't erase every single word interlaced with ah, um, er, then sit there so long that a 15 minute dictation only has 43 lines. If a person can't complain about having a bad day to her fellow MTs without getting jumped on, what does that say about your personality? The only B**** I see here is YOU.
Same here. Give me the dictation, I do it - sm
I return the reports, give me the money. End of story.
Worrying about a friendly supervisor is pointless. Just do the work and take the money.
80-100 minutes of dictation
Can anyone tell me approximately how long 80-100 minutes of dictation takes to do with variables I know of a good or bad dictator but on average. A 60 minute microcassette tape on both sides of 120 minutes, is that something to compare this to? Thank you.
235 seconds of dictation...sm
and less than 20 lines!!!!  And he ends the dictation at 200 seconds, then proceeds to shuffle papers and say "end dictation" 50 times...come on already, END THE DICTATION! No respect! 
re:243 seconds of dictation
I actually have a picture of my cat laying on my Dorland's sound asleep...he was looking for the definition of "uhmm"
Bad quality dictation
What in heavens name do you do after starting work with a company and the dictation is so lousy qualitywise with static and the voice fading in and out. Is this normal? Left lines in every report. ??? Help?
Dumb dictation
Review of systems was not obtainable from the baby, obviously, due to the baby's age of one month. Review was obtained from parents. DUH!!!!
dumb dictation
Don't you just love these..I had one with the 11 MO understanding the assessment and agrees with the treatment!
Specialty dictation
Just wondering how many lines within 8 hours do you "speciality" transcriptionists type? Not acute care, not SOAP notes, just the specialty accounts?
I type for 11 different specialities that just feed into my "pool" of dictation randomly and am lucky to accomplish 1000 to 1200 lines within 8 hours -- any suggestions on how I can increase this number of lines would be greatly appreciated.
Oh, it wasn't in his dictation, it was an aside to his PA sm
I think he just had never seen that size before, nothing indecent intended.
I don't think it's the dictation itself that's the problem, it's the SM
kissing of individual arses and making 300 MTs remember which cheek you're supposed to kiss on Doc A and which on Doc B. :(
dictation funny
Mitral valve with moderate anus calcification. What was calcified? LOL
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