Dictators like that should be forced to
Posted By: Misha on 2007-05-30
In Reply to: yesterday I had - almost 40
either type their own reports or use VR. See how they like their own mess.
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Not always. Tongue stumblers. New dictators. Speedy and lazy dictators.
D
Forced into it.
A company I was with for a long time switched over to a VR system. It takes some getting used to but I love it.
Yes, I was forced to by company, who does not
ss
?? Bad dictators are bad dictators regardless of their mother language.
wonder when people will just get over it and do what they can and move on.
If forced to transcribe the slang, then
satting would be correct. The two consonants after the vowel make the vowel short. In the dictation, "satting" (slang for saturating) is pronounced with a short "a" so that is how it should be transcribed. Typing only one "t" would make the vowel long. However, as at least one person has already pointed out, "satting" is slang and is not proper transcription style regardless of who demands it be typed that way.
I was forced to work with some at one point -
They all took and passed - granted these were a little above average from the work I saw - my guess is there is a lot of help - probably even some "cheating" - I mean - how does AAMT verify who that is half a world away - no SS#, etc
They've forced many of our ERs to shut down
a regular doctor's office. So the few that are left are full to bursting. Once when I had a medical emergency, the ambulance couldn't take me to the closest ER because they had no room, instead we drove FOREVER to a far-away hospital, and still I had to wait a long time out in the hallway. Right now I would say 80% of the people being treated on the account I type for are Mexican and don't speak English. So the hospital has to pay for full-time, professional translators to accompany these people at office visits. And it's no surprise that a large number of them came here illegally.
My company forced us to do all accounts for one hospital. SM
They are a group of five hospitals. Those of us who said we did not want to do all five, suddenly had our primary out of work, because the other MT's were doing OUR account. That is how things are now. It seems to be the name of the game.
I suspect employers are being forced to care. SM
Since it's a new platform, it's a new problem that probably a lot of companies are just waking up to. My sympathies for people who find themselves effectively "forced" to use it as it apparently is now.
With serious compatibility issues with common brands of the Expanders that have become vital to so many of us, at this point I would not apply to a company using it, and I suspect few other good experienced transcriptionists reading about it would either. This seems such a grave flaw that it will have to be repaired, or this platform will end up a dead end used by only a few institutions.
How about contacting the company that developed the platform directly for answers and fixes? Also the developer of your own expander, who must be well aware of the issues Chartscript raises for them. The ShortHand tech guy (not my own MTSO techs!) fixed me up promptly when I was put on eScription and developed glitches. Best wishes with this.
I do not work hard every day to support fools, yet I am forced to by this
I do NOT, DO NOT, care about people who put themselves in harm's way in order to brag that they have a 9-room house on the beach.
Forced to conform? It's a holiday show with music. sm
They're not apparently being asked to stand up and deny Jesus, for heaven's sake.
If it's a public school and public money goes to the school, my feeling is they'd BETTER be inclusive. If people's feelings get hurt because they're a majority and they just can't stand to have any of the minorities mentioned, tough.
I hope this proves to all MTSOs who say they are forced to lower their rates that if MQ can get 20,
All they need to do is stick to their guns. Our rates should not be falling. MQ does not even have the good quality that half of these other services do.
I used to get hand and wrist pain. I still do if I'm forced to use a standard keyboard.
I bought an ergonomic keyboard and use a telescoping keyboard drawer so I can prop the side of the board that's closest to me up in the air. That forces my wrists into the proper position and spreads my hands apart. It works wonders. I thought I would have to quit MT before ever really getting started, but I'm able to work pretty much fulltime now.
Walmart is good. The regular supermarkets are going to be forced to compete.
It all works for the good of the consumer.
Forced to work scheduled shifts..no flexibilty..what gives??? So frustrated.
I started MT two years ago for a medical clinic of about 100 doctors. I am now working at home. I get paid hourly 10.50/hour. My employer will NOT let us work flexible shifts. I have to work a standard 8 hour shift with a one-hour lunch break that is unpaid.
I got into this field because I wanted to work from home and have FLEXIBILITY. I have a toddler under the age of 4 and when I interviewed and shared my reasons for wanting to work at home (my children) I was told I was a "great fit" and then I get in my home and am told there is ZERO flexibiity and I have to work 8 hours straight just like in-house people! This is extremely stressful for me having a small child and I don't make enough money to afford daycare.
I started working with Medquist part-time for extra money and AGAIN I was told I would have to work a set shift, with no flexibility.
Where are the jobs that you guys have where I can work my own hours? Sitting here typing 8 hours straight everyday with a demanding toddler is starting to wear on me, but I need this job badly.
What gives? I thought the nature of working at home with MT is flexiblity and every job I've applied for in MT has given me NONE. 
supposed to be, after people lose their jobs, they are forced to take part-time, lower-paying jobs..
with little to no benefits. service jobs. where are you going to work in a few years, when Medical Transcription is replaced by technology? McDonald's, Walmart? you really going to like that?
how are they going to get used to all the dictators
if your source says they cherry pick and only do American dictators? Sounds like never. But you knew that.
PS: Are you absolutely sure your source has your best interest in mind with this detailed ratting on another person regarding Indian cherry picking doing non-Indian work?
Dictators who keep....
  
I'm having a bad day with dictators and got this in my
email. It cracked me up. It's a typo in a medical brief that a lawyer filed for a continuance. The typo is on the 2nd page.
http://www.thesmokinggun.com/archive/0916051disk1.html
I have had dictators like that!
when most dictators were from the USA. nm
x
bad dictators sm
I can take an ESL more than I can take an American who speaks fast just to show off to his buddies or because he has a hot date and is dictating from his car or worse yet, if you can't understand him, he has an excuse why his report is incorrect, he can blame you for it. They do it, believe me, and they are the ones who should be shot down. Give me an ESL any day who says thank you very much and is trying hard to learn the language. Some of these fast-talking big shots could care less about us. I had one guy who could fit 15 discharge summaries on one side of a 15 minute tape and everyone would send him to me because I was the outside service. When he was spoken to, he just threw his head back and laughed. Ignorant!
dictators
don't you just love it when you have to turn up the volume to hear what the doctor is saying and then in the middle of the dictation he finally puts his mouth to the mic/phone, blasting your ears; so you turn it down then by the end of the report you have to turn it back up.......no wonder I have ringing in my ears sometime 
Bad dictators
Chewing gum very loudly, blowing bubbles while dictating, drinking something and then chewing on the ice....all in the average day lately. Don't these people stop to think that someone has to listen to this? That they are chomping incessantly into someone's ears. No common sense. Maybe once, someone in authority should remind them that these are legal documents and need to be transcribed as accurately as possible, so no chewing, drinking, talking while yawning, etc.
Bad dictators
I have got to one-up y'all... there is a woman doctor in our group who actually takes her dictaphone INTO THE BATHROOM with her and, yes, that's right, uses the potty right while she's dictating...
ESL dictators
Maybe the ESL docs, knowing that the Transcriptionist must be having a difficult time with the language barrier, should hire an English speaking person to do their dictations. It would free up their time for being a doctor and seeing patient's, give a more accurate transcription, and a better quality report. Wha'cha think???
ESL dictators
Seems many MTs have this complaint. We should be told the correct percentage of ESL dictators BEFORE accepting a job. Imagine all the money a company would save by going over details with each new applicant honestly and thoroughly in the beginning instead of making the job sound good and then have a disappointed new employee, who will quit and the company will have to advertise and hire again. Advertising and training on a computer system is costly, including the time involved etc. The more a company can do to retain its employees, the more money it will save in the long run. Also, pay based on production, not quality of work, is counter productive. Imagine if each Transcriptionist was paid a salary and did quality work and no QA people were needed, except to pull random reports of new employees during the first 30-60 days or so. I feel there is too much QA and not enough emphasis put on quality reports from the beginning. Many transcriptionists feel, the QA people will fill in my blanks, yet they may be able to find the word/words themselves if production was not such a huge factor. But too many employees are trying to meet a line count. With a salary, you can establish a budget and know what to expect in your paycheck. I've transcribed for 25 years. I love my work. Since outsourcing and pay by production have been instituted, I feel pride in transcribing has suffered. Give an employee a job they can feel great about, benefits, and treat them with honesty, fairness, and respect and they will be glad to work for that kind of company. Hopefully, there are companies out there like this It's up to us to find the good companies.
Of note, 10 years ago transcriptionists were being paid around 10-11 cpl and $3.50-$4.00 a page. What happened, outsourcing!! We used to get a higher salary than coders, but not now. We need to keep our work in the USA.
Bad Dictators
I had my share of bad dictators this afternoon too! Is it full moon? I am sure I had your doctor's wife. LOL Can we band together and chart a bus to deliver them to the firing squad?? LOL At least maybe would could let the air out of the tires on their golf carts! Do these people listen to how bad they are???????
Dictators
OH PULEEEEZE spare me the whispering, breathy female docs who sound like they could talk all night on a phone sex line. I don't care what you sound like on the phone. Just TALK lady - spit it out. Am I mad or what? Gads I'm sick of these bimbos.
bad dictators
You ever wonder that when the powers that be become aware that you are making lines on low volume work days, they somehow sneak all the worse dictators your way? I have had bad dictators, none of them in sequential order, and am no where close to my lph this morning.
Dictators
 I could send you a lighter! Seriously, I have considered sending a voice copy to them to play after the fact, a day or two later, so they could see what they could understand of what they said!
BAD Dictators
Oh, you're not alone. They all must have spring fever or something. I have had more dead air than dictation on reports lately. If this keeps up the pay should not be by the line, but by the minutes listened to.
To all the dictators out there
SLOW DOWN! This is not a race. I cannot stand it when these dictators talk so fast that you cannot understand them. You know who you are, especially the cardiac dictators!!!!
Thanks for letting me vent. I get frustrated when my production goes in the toilet!
bad dictators
My huge pet peeve when it comes to dictators is them stopping to flip through the chart and not pushing the pause button. I mean I am just sitting there listening to dead air, wasting money while they find what they are looking for before they start talking again. How RUDE. I think all doctors should take Dictation 101 as part of their medical training before they get licensed. Speak clearly in complete sentences, speak at a fairly fast pace, and for heaven's sake.......hit the pause button if you have to stop dictating.
Bad dictators
IMHO, these are all due to the HIM department folks not training the docs properly. I worked at one hospital long enough to find out that the HIM department heads have total control over what type of dictation behavior is accepted, including the reports that are outsourced. It seems that, if the HIM departments for the various hospitals that outsource to us, or the office managers for the various doctors, would just care about what type of dictation we are getting, they would go out of their way to do something about it. I know they have plenty of time, cause these are the very ones who have no problem picking apart reports and complaining about missing commas!!
Bad dictators
Now my pet peeve.......dictators who say "go back and change" or "forget that last paragraph". You are essentially typing 2 reports and being compensated for only 1. Had 1 report today where CRNP did that 16 times.
Any suggestions welcome!
dictators
If MTs did the kind of job some dictators do they would be fired.
When dictators take a long time shuffling papers I just hold down my foot pedal down while awaiting the next words and check my email or read a paragraph in a book or do some upper body stretching exercises.
Recently I had a doc dictating over the barking of a dog. I wonder where he was? Or where the dog was? 
What is it with these dictators..sm
They'll ...um and ...uh and ...er all through the patient history..wasting more and more of the MT's time than necessary .. with the occasional 30-45 second pause between each item to paper-shuffle (on OUR time). But when it comes to the MEDS and LABS, which are the mainstay of an H&P or consult, as other doctors will base patient care on the meds the patient is already taking or present lab results, they'll race through them at 78 rpm so as not to be understood or able to be transcribed without rewinding 4 or 5 times. Just because they can race-read medications or labs doesn't mean we can type them just as fast... I guess accuracy in these areas takes back seat. (Who cares where the patient moved here from or went to school?)
bad dictators
I think the shoe should be on the other foot. The doctors have absolutely no respect for what we do - we should be the ones giving THEM feedback - They will be the first ones to speak up if there is an error on the report when in fact, it is entirely their fault. We are intelligent, professional MTs, not magicians !!!!
The dictators that....
Have a pager sitting right beside the microphone and it continuously goes off, a shrill BEEP, BEEP, BEEP, BEEP right in my ear and they don't bother silencing it, turning it off, merely MOVING it away from the mic so that my ears are still intact, they just let it beep and keep on talking away.
What are your favorite dictators?
I like the ones who right when they begin dictating, turn around and speak directly into their armpit. Or how about the ones who carry on a complete conversation in English to the nurse next to them, then when they start dictating they sound like one of those auction guys who have had a few drinks?
Favorite dictators
I have one guy, who really seems nice, thank's you each time at the end of the report, apologises if he has to correct something he said, long reports, BUT, he usually dictates at home, while cooking,bathing the kids and NOW, we must have a new dog because we are deciding to train it while dictating .
It's a verbat account so I really should have put in all the "sits, stays, good dog..would have made a fortune.
BUT (again), if it were'nt for the fact that the ER he works in is over 140 miles away, I'd have been in the ER, requesting him, to treat me for my ruptured ear drum, when he must have forgot the doggie treats and this dog started barking, loud, blew my eardrums out, had to crank the volume wayyyyyyyyy down, could NOT hear him, except for the good dog's and sit, I'll play later
SS dictators and LINES.
I HAD a problem with Softscript period. Heard their sever is down again. Look out, line count will be changing again. Horrible communication. Horrible dictators. Never pain on time, NEVER. Dictators from hexx.
dictators on the phone
I agree--I have mentioned this endless times to my supervisor about dictators being on the cell phone, the worse that I have had was a dr at a baseball game, doing dictation on his cell phone, you could hear the other parents in the background cheering--sounded like a little league game and yes I did tell my supervisor and yes it is MQ and of yes, nothing was done
I love the ones that are on their cell phones and then drive thru a tunnel or put the top down
Fast dictators
When are these ******** doctors going to figure out that by dictating 100 miles per hour they are NOT going to get an accurate accounting of their patient encounter???? I feel like I'm being set up to fail. I don't care how much experience we transcriptionists have, if you're going to dictate a three page report if 1.5 minutes, SOMETHING is going to get missed or screwed up. I hope that extra three minutes they saved themselves throughout their busy day is worth it when the patient's chart gets the wrong data and somewhere down the line a big mistake is made. I've had a terrible morning, struggling with Mr. All-Important who dictates vital signs as one long rambling of numbers, never in the same order (one time it will be weight first, then pulse, blood pressure, respirations and the next time it will be blood pressure first, then weight, then respirations, then pulse) -- I've had it!!!!! I've got so many blanks in this batch of reports that I'm embarrased to turn them in.
Thanks for letting me vent. I'm not a bad transcriptionist.
I am so sick of ESL dictators!
 What a lousy day! I am sick to death of getting 100 different doctors a day and maybe one of them speak English. Makes for a very long frustrating day.
If we all would refuse to do bad dictators - what can they do about it?
Let them do them themselves or have their fair-haired Indians do them.
Let the mush-mouthed doctors get back mush-typed dictation. It would be fair.
Tonight I had so many questionable lab values it made me sick. I also got a non-ending stack of bad, foreign, indistinct, unable to speak English doctors --- you know the guys who end up at the bottom on last day of the payperiod.
I have gotten to the point that I want them to say "This isn't right!" and stomp their feet, because I want to go nose-to-nose with these jerks. Just mess with me suckers! I'm ready. I'm premenstrual and I'm ready.
Not yet, but some days I think some of the dictators I get are going to
The dictators are terrible. NM
:
Love new dictators, don't you? sm
Had one spend the whole time spelling everything. Not just meds either. She even spelled lumbosacral and anteriorly.
Very, very clear English spoken very, very slowly as if she were speaking to a child.
She did not, however, give the name of the patient or the date of service. All I knew was that he was a 36-year-old male that took M-O-T-R-I-N.
Gotta love it. Won't be long before she's mumbling while eating lunch. 
ALL dictators should be required to take a
dictation class taught by an experienced MT. This would surely help this problem.
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