Don't know of a website, but new doctors

• Is there a way to find out if new doctors are in town? - CAMT
  • Don't know of a website, but new doctors - yes

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I work for a small MTSO, and I have been asked to work on a certain doctor.  It happened to me because I was getting his work done on time and how he wanted it done.  So, yes there are good reasons for this to happen. 

Thanks!

What do ya'll think about doctors who lie in their dictation.  I have come across this twice within the year - so I am sure it happens quite often.  Once was my own personal MR - doctor came in and told me I had a coronary spasm but when I got my records there was no mention of a coronary spasm or anything else having to do with coronary - he basically said he didn't know what the problem was - other than my blood pressure was 220/114 - which I had to take my own medicine in the bathroom to get it to come down -

then - a friend of mine had a bariatric procedure and developed a stricture - he then had an egd under conscious sedation (he is 21 years old) and he became combative on the table.  The doctor came into the RR and told us all about how he had been up and down on the table and how he was not able to do a dilation because of this - then when we got his records - the report said that he had used 3 different balloons and dilated the stricture successfully.  However, my friend was not able to keep anything down - so the doctor went in and did the egd again under general - and could not even find the anastamosis site - he was sent to a specialist who did an egd using dye and fluoroscopy.  Another stricture is forming and the specialist is going to place a stent which is not approved for bariatric patients - it is something they place in people who have esophageal cancer which allows them to eat until they die since the cure rate for esophageal cancer is so low.  I wouldn't let them touch me again - but this is a young kid and he doesn't know any better.  I might also add that the anesthesiologist and the nurse that was in the room on the first EGD came to the RR and told us how bad the situation had gotten before the doctor gave up.

long story long - do ya'll think this is common?  can we no longer trust doctors with our lives?  I realize they are scared of malpractice suits - but, as with my friend, we know that the doctor messed up his tissues - and the specialist told us how bad the tissue looked - like it had been "stabbed through with a knife, inflamed and beginning to scar up".  But do you think that they lie in all of their reports where something goes wrong - or that they color the situation so that they come out smelling like a rose?

Something more fulfilling, most definitely.  At least I won't feel like a doormat.  I am starting to think I am really being stupid to make sacrifices like this.

After all, this is just a job.  We all need to have a life, not be irritated all the time. 

I work from home as an independent MT and presently, I am working for three doctors.  Anyone else out there working for a few doctors.  I am beginning to think it is impossible for one person to do this, as I am working 7 days a week, long hours.  Any advice would be greatly appreciated!!! 

"full stop" instead of saying period at the end of a sentence.  The first time I had one I didn't know what he was saying because he wasn't clear.  After QA told me what he was saying I could hear it, but still drinks me crazy.

I also have an ESL doctor who says "paragraft" instead of paragraph.

the BOS.  It was created by AAMT, who is the only entitiy to profess its acceptability as the standard in MT.  It has been a moneymaker for them.  Period.

Actually, only the AMA Style Guide is the "official" standard for any/all medical writing, including transcription.  There is a new version of it coming out soon as well. 

I've had plenty of doctors curse during their dictations.  The first time I had to ask whether to transcribe it or not - the answer was no - I have taken it to be no from that point on unless it is a direct quote from a patient - which happens a lot if you transcribe psychiatry - anything goes there. 

How many independent contractors here ever been stiffed by a doctors' office when you didn't have a written agreement?  Just did business on a handshake?  What did you do to collect payment or did you ever collect payment?  I'm being stiffed and know I won't take this sitting down.  I worked too long, way too hard.  Invoice is teetering 7K.  Any help/advice would be very much appreciated. Thank you.

Doctors get on a dictation machine and start dictating under someone else's name/login - all day long sometimes.  If they don't state their name (many don't) and you're a newbie on the account, you'll never know the difference.

I've had to correct over 50 reports at a time when I worked in-house and the doc showed up before I did.  They're not all that embarrassed or sorry about it, either.

Really need your thoughts. One of my doctors has about 50 templates/shells. When doing combined procedures he will tell me to just combine the 2 or 3  or 4 shells he has for the individual procedures without taking out whatever is redundant or conflicting. I have to do that. Several of these individual op reports are 3 pages long, so can end up with a 6-page final report.

On his follow-up notes, he will use a shell and then say "add this to the physical exam" but he does not say what to take out of the standard note.

Many of his op notes have numerous variables. He oftentimes does not tell me which to use and/or which to delete.

For "risks" he will dictate some and then say "and add whatever Dr. X uses."

I am requesting a meeting with him and with the office administrator, but would like to know what you think and what you would do.

Thank you