Hard to hear dictation occurred also for me
Posted By: Indy-MT on 2009-03-10
In Reply to: Hard to Hear! - MT
when dictation transitioned from C-phone to digital over the internet. Most dictation was fine; however, the faint dictators disappeared even with volume turned up to its maximum.
Recalled an article I saved "somewhere" for future reference regarding such via some angel on this site regarding such. Searched through my old printouts and finally found article signed by NM regarding mini-amplifier/speaker at Radio Shack.
I searched the internet and found her/his suggestion being the Koss EQ50 3-Band Equalizer referred to at Thenerds.net for $13.99, and it has made all the difference in the world for me regarding the clarity and volume of dictation.
It is a very small unit, approximately 1/34 x 2 inches - input cord plugs into your PC, output cord plugs into headphone.
Was afraid I was going to have to hang it up until I found this unit - it was a lifesaver for me! Dictation loud and clear !!
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- Hard to Hear! - MT
- Hard to hear dictation occurred also for me - Indy-MT
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So do you use like a wav pedal to hear the dictation? sm
I actually still do tapes too and like it until they come off the end of the spool. This always happens to me. I'm actually losing my huge and only account to EMR very soon and can't seem to find any local docs. Is digital a way I could get docs further out of my driving range? Any help would be great. I am a MTSO and it is just myself.
If you are currently using a pedal to hear dictation you
have a sound card already. It is pretty much standard equipment. What pedal you use just needs to be compatible with whatever software you use. You can download Express Scribe and try using your current pedal with any voice files you might have already on your computer.
Hard to Hear!
OK, I have been typing for this doc for quite a while now. Recently, his dictations have gotten harder and harder to hear. It seems like his voice is so quiet! In some parts it is like he is fading away and it's so difficult to figure out what he is saying. I am ending up with a lot of blanks just so he can check it and make sure I heard the correct word (that's what I'm supposed to do, right?) Now, the higher I turn my volume up to hear him, the louder the hissssssing noise is in the background and it's killing my ears! What should I do?
Letting Physician hear her own dictation
I had two bad dictating Rads, one who said "period paragraph" in the middle of a sentence throughout the entire report and another who threw up the films while dictating, as his handset was placed on the counter. There was no OM to talk to, it was me and after asking them repeatedly to fix the problem, they tried with no improvement. So I typed the report exactly as he dictated it and gave it to him for signature. He never said a word to me about it, just redictated clearly and never did it again. With the other, I walked into the reading room and played the tape for him and asked him if he wanted me to send the dictation to the referring physician so that he could figure out what he was saying. You would be surprised how quick these guys got their act together. But they really did not think there was a problem until it was presented to them. Maybe she needs to hear what it sounds like. She may not think its so bad. I say copy and send the bad dictations with the letter. Leaving out those things mentioned above.
hard to hear tapes
My guess would be it is his recorder or the tape. Old tapes or old machines that rewind them loose can cause this problem. Could be battery issue too. If happening with multiple doctors, and sure you have ruled out above, try seeing if there is upgrade to your sound card or software and windows media, etc. - whatever you are using. And, yes, headphones do make a difference. I picked up Sony ear buds for about $15.00 at Best Buy and they are way better than headsets we get with tape machines. Hope this helps.
OMG! Footpedal will not operate. Winscribe. I can hear dictation
when I click on the arrow for "play" but my pedal is not registering. Tried a different pedal and the same thing! Have a call into the Help desk but I am panicking!
Anyone have any idea would could possibly be wrong???? I have very rarely had foot pedal problems.
I hear mine suck hard candy all day. LOL sm
He's also done a few of those breathier burps. Yuck You'd think with his ability to edit over the dictation, he'd want to get rid of them, or at least say excuse me. LOL
save a generic dictation, sit the person at your desk and tell them to type what they hear
nm
If you would ever hear the quality of some of the dictation I heard on cell phones, buses, trains,
cars, etc. I dont care how good you are you cant do this work without blanks nor can QA. Some of them dictate with millions of people talking and laughing behind them and they are unable to be heard. PERIOD. No amount of skill and excellence will get you out of sending this stuff back without going to QA.
Wow, never occurred to me!
I think stereotyping is common. Some folks think if you're not a doctor and are a nurse, you're gay, or if you're a hair stylist, you're gay. Frankly, my dear, I never think much about it, whether we're talking male or female (several female friends have surprised me!)
Has it occurred to you that these...
"unfortunate family members" cannot get their own homes because (NEWS FLASH) they're not responsible enough or credit worthy enough to get a place to live??? Perhaps they're not as "unfortunate" as you seem to think they are. People like this feed off of idiotic folks like you, the poor broke, arrogant, Christian lady that you are. They're laughing at you daily,thinking of what a FOOLISH person you are for putting up with their low life selves and you know what? They're probably eating the ice cream you'd love your kids to be eating right now! If they are having money problems, these family members who are renting (steal) from you should have the freaking decency to call you and let you know what's going on. You'd do no less than that for them, being the good Christian that you are. If they had any consideration at all, they'd answer their phone or call you and let you know what's going on. BTW, they have a phone? They can pay a phone bill, but they can't pay for a place to live? HELLO???
BTW, I don't feel sorry for you at all. Your main problem is buying ice cream for your kids? Good Lord!!!!!!!!!! How blind are you? You sound like an enabler to me. I bet your kids are overweight and need to lose some weight anyway. LOL
This type of post really burns me up. I'm in the same boat with Rebecca! I'm a single parent and a caretaker of a stroke patient who lives from dollar to dollar, trying to keep the power on, the phone bill paid so I can work. ICE CREAM???? I have to go through the house and scape change together for money. There are times when I go WITHOUT food so that my family members can eat and sometimes they go WITHOUT FOOD! ICE CREAM???? You make me sick!!!
Has it ever occurred to you
that YOU have this job because MTs are the workhorses behind it? What's this "I'm better/No, I'm better" cr*p??
Just occurred to me
Wonder if they changed their name so the letters are more appealing to middle eastern MTs. ?
Please don't bombard me with nasty comments. Just a thought that popped into my head when I read the above post.
That thought occurred to me as well.
If I invoice for what I actually typed according to their line counter, but they change the report and reduce my line count and pay, wouldn't that make me an employee? I wasn't aware people could just change invoices. Maybe I'll try that the next time the plumber shows up here.
The font is very tiny for me. It never used to be this way. It suddenly occurred and nothing I do
x
If it rains hard, the wind blows hard and there are trees
nearby, it snows heavily it will mess up the signal. The speed is not constant, sometimes as slow as dial-up, but at least still connected. Many companies will not allow satellite.
So, you think it is okay for hard-working MTs to earn 7-8 cpl for their hard work?? nm
:{
Brain dead today - or is it hear hear? I'm going to bed.
nm
Marry me?! :) Seriously...hear, hear. Good post. - nm
xx
Hear, hear! I agree with Dakota - sm
The MTSO should be giving feedback to the hospital/doctors who slur, speak too rapidly, etc. They need to pull up their socks! And there's no reason why these doctors shouldn't be given an outline of what is expected from them when they dictate, such as cell phones, chewing food, candy, gum, etc.
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
x
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
Doc asking for instructions on dictation
A wounderful young man at my church is in his 2nd year of general surgery residency. When he found out what I did for a living, he asked me if I would please help him with his dictation and give him some pointers so that he could do better on his dictation. No one had critiqued him and he wanted to be sure it was o.k. Now THAT'S a good guy. He's a good Christian, he'll be a good doctor, and I know he won't ever change. You cynical so and so's just keep your opinion to yourselves. This was so refreshing to be asked for help like this. It made my day.
No, I'm not dialing in for dictation...
...I'm in QA. They want the at-home QA team to train new MTs over the phone, call MTs regarding stats or if work is missing, call the clinics to follow up on any issues, conference calls, and call the home office with daily issues that pop up. We were told their clinic contact people and the front desk staff have too many other duties so feel QA should do this now. I'm fine with that responcibility, just found it odd that they will not reimburse us.
Perhaps it's not a big issue but as an employee I was curious if there were laws regarding these issues. And this is a new protocol they are implementing so it's not like I recently accepted the job knowing this is how it would be. The at-home QA team never had to do this before. I do realize there are pros and cons to working at home but there seems to be a fine line where an employer can take advantage of an employee 
If I were an IC I would completely understand this.
How do you do dictation from a wav file?sm
How do you receive and send dictation on a wav file???? I know that may be a silly question, just wondering. Thanks!
late dictation
 Sounds like joint commission is coming to call!
Practice dictation
Does anyone out there know of a website where I could get some practice dictation? Have been away from transcription for a few years and want to get my "ear" back and some speed before trying to get back into it. Thanks for your help.
nasal dictation
 Do they teach doctors to dictate in a flat, monotone robotic-like voice on purpose? He's got the same flat tone through the whole thing !Doubled with the fact that it is rainy and gloomy here, I am about to fall asleep with this guy !
What is the going rate for ESL dictation?
NM
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