Dictating and driving
Posted By: Miss Molly on 2006-12-29
In Reply to: One of those that just makes you scream. - Get Outside
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.
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It would be interstate driving, he and I driving as partners so we can
drive hard. The company we are talking with will give us the sleeper truck. I am envisioning MT while he is driving. Obviously, not full-time, though. I just hate to lose my grip with the contract I have - gravy work.
How would I get the internet access? Satelite will be available across country? Can't put any permanent receivers on the truck.
I remind you, this is not MY midlife crisis. I'm trying to work things out to accommodate him.
It's like when you are driving.
You are so used to it that it's just automatic.
Thank you ALL so much!! This has been driving me...
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
Must be nice! 58 and only for driving? sm
I've been wearing regular glasses for nearsightedness since 3rd grade. Of course vanity put me into contacts many years ago and suddenly, about 3 years ago, I began wishing for longer arms when trying to read something like the side of a Childrens' Tylenol bottle while I was wearing contacts. I told the eye doctor they were making the print smaller and smaller.
It went downhill so fast from there that I either have to wear my regular glasses to see the computer screen or put on the magnifying dollar store glasses over my contacts. Yes I know, time for bifocals, but who can afford them? 
Truck driving
My friend and her husband drove as a "team" before he passed away. She said it isn't as easy as it looks-- especially if you are a woman. She said she had to back the trailers into the loading docks and all the "macho men" would just stand there and stare at her-- apparently they are too "manly" to have their jobs taken by women. Anyway, she said the driving part was fun, but the company monitors you every second via some kind of tracking device and it isn't like I thought-- that you could stop in various parts of the country, etc. There is a lot of technical stuff you have to know about the truck, maintenance, etc., as well. She said she wouldn't do it again.
How about while driving home - sm
I used to have one who dictated while driving in his car, I could almost see him with the file on the passenger seat flipping through it while trying to drive and dictate at the same time. I could hear the traffic and his signal light going on and off. I am glad I moved to a different doctor before I got to hear something like him having an accident... Do they even know that there is a person on the other end of the dictation???
Thank you so much, it was driving me crazy
nm
This MD is driving me crazy!
Have you guys ever typed for a doctor who instead of saying period at the end of a sentence, he instead says "full stop". I am about sick of hearing him say that. I have never heard of that. Where do these dictators get this crap from? Please let me hurry and finish typing for this man before I have my hair pulled out!!! 
MD driving me crazy
How about the ones who dictate discharge summaries and they don't have their thoughts together before they sit down to dictate and they are flipping through the patient's chart pausing, eating, and carrying on a conversation with another resident in the same room with them. The dictation ends up being 20 minutes long but you get 400 lines out of it. Drives me nuts!!!
Driving directions...
Why am I not surprised?
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!
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....
OH YEAH I love the whole CD while I am driving!!
x
Help. Can anyone tell me what the song is on the commercial on tv where the guy is driving across
the US to San Francisco for a cell phone commercial and he pulls up in front of his girlfriends house in SF and calls her on the cell phone and she comes to the door and there he sits in his car. It is the cell phone commercial for the cell phone with the bars on it. This is driving me nuts. I cannot remember the name of that oldie song.
Oh, yes, I hate driving on the freeways
To think I used to do it everyday. I do think the traffic has gotten worse though, not just at rush hour anymore, and people have gotten crazier. DH says it's because I don't have to do it anymore everyday, but I really think it's worse. I go out as little as possible on the freeways, and with the price of gas, I try to combine as much as I can, and stay close to home anyway. It's hard not to become a hermit.
You think there are no responsibilities involved in driving a bus? sm
What about all the lives they are responsible for in the bus and on the ground? Most bus drivers are considered "professional" drivers. They must study for, pass tests (written and driving), and maintain a CDL license (commercial driver), pass regular physicals. This also entails no drinking, etc., on time off work as they are subject to random testing. Very insulting. That is the pay scale in NYC, everybody there makes more money.
not suggesting we quit driving, just think.....sm
I just think if we grew more corn, turned corn into fuel, we'd drive that way and NOT POLLUTE either.......*S*
my kids are driving me crazy...
cant wait til school starts again...
Driving a van was actually considered "cool"
x
yikes ! ESL driving me nuts
 Just a quick vent - for the last 45 minutes I have mostly been listening to the sound of her breathing with an occasional "continuing dittation" thrown in here and there followed by more breathing . I even heard someone in the background say "You can push 1 to put it on pause" which she does for a split millisecond and then continues back with her breathing/"continuing dittation" pattern. Not having a good day today.  Beam me up Scotty, Please ! 
Driving to Children's Hospital with my mom - sm
who was visiting at the time, and going to my then 3-y/o's speech therapy. Also had my other daughter with us, then 18-months-old. We heard on the radio that a plane had hit one of the Twin Towers, at the time we thought it was like a Cessna or something like that, found out quite differently when we got to the hospital and watched it all unfold on the TV in the waiting room.
Sorry but truck driving is going south also
Also had hubby as truck driver, as well as done team driving --the rates there are going down as many are coming over the borders and able to drive for less. So that profession has dropped 50% as well or at least held its own over the past ten years which is not a progression at all. Even owner-operators are seeing a decline. So it is hitting everywhere.
This is trivial but driving me insane
I saw Matt Lauer named his new son Thijs. Does anyone know how this is pronounced? I can only think of "thigs" (rhymes with figs) and that just seems too weird to name anyone.
I will be shortly - school bus driving - sm
$60 a day for about 3 hours of work, about the same I make for MT. I will be very PT at first as I am only a substitute once I finish my training (10 hours of driving with students is all I have left to do). But eventually I will have my own route, then I will probably cut back to about 300 lines a day, or about $600 a month. Don't want to over do it.
my shortand is driving me nuts
It's running so slowly behind what I am typing that I am really messing up and have not even added that many items to it yet. I need it for a job I have that you cannot use autocorrect, which I love, but have to use shorthand. Is there something I can adjust so it does not lag so far behind
This doctor is driving me crazy... sm
I hear a lot of crazy crap in the background, we all do but this is the first time that I have had a doctor listening to Christmas music - in August. She has it up so loud that I can barely hear her and every now and then, while she is flipping pages trying to get her sh*t together, she will sing along.
Now I love Christmas and Christmas music but this is a bit early even for me. She is driving me batty. 
I have to vent! ASR is driving me up the wall!
When I was started on ASR, I was told it was strictly "voluntary" and that if I did it, I would get a "mixture" of ASR reports and straight MT. Well, not the case. Now everyone has to learn ASR and every report I get is ASR-- even the most horrible of horrible dictators. I keep fixing the same mistakes over and over and ASR has "learned" nothing from the corrections. I still think it is all a ploy to put ALL the dictators on it, no matter how bad they are, just so we will make the same per line as the Indians. My last shift, I had exactly ONE very short report that was not on ASR and all the rest were. Just as soon as I can find another job, I am out of MT altogether. They have totally ruined what used to be a good profession with all their "progress". Well, they can have it!
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.
Try a doc that chaws tabakky while he's dictating
PLUS doesn't even have a nodding acquaintance with subject/verb agreement.
dictating while talking to patient
I like peds transcription..have not done as much as I would have liked. I have had some doctors who do dictate at home with their children around ("Be quiet! Daddy's dictating...go see Mommy..sshh") Used to type on an account that had a cardiologist who always dictated his reports while interviewing the patient ("you have the chest pain how often...(patient talking)....") Annoying...all in a day's work.
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