Honestly, I prefer the dictator talk fast. nm
Posted By: MTE on 2006-09-14
In Reply to: In a dictation, the nurse overheard - mthelp
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I can see how that would help. I have often wanted to talk to the dictator and let them know.
nm
I'd prefer by the minute, especially if the doc shuffles through papers a lot! But if a fast tal
x
I believe it is Talk As Fast As You Can Day sm
My NPs, PAs and most of the docs are talking faster than the speed of sound today. I have to run them on real slow just to hear them talk normal.
depends how fast they talk-try this instead
Try taking the number of lines you actually type and the normal is 138 lph. So if you are getting around 690 lines, then this is good. If you arent, then you could try speeding the tape up maybe?
WHY DO DOCS HAVE TO TALK SO FAST?
Why do they feel the need to sound like auctioneers? I don't think I could talk that fast even if I wanted to. I just needed to vent. I am typing a report right now doctor talks fine until gets to the physical examination and then it's auctioneer time. Sigh.
Why do Docs talk so fast
If this is what they think, someone needs to tell them that just isn't so. How are you supposed to type faster if you can't understand a word they're saying? I think it is just a very rude way to dictate and then expect back a letter perfect report.
Why do docs talk so fast
I am on account like this right now and I hate, hate, hate it. It is an ER account and they just make me sick to my stomach trying to digest all that they said.
If they think they are getting picture perfect reports they are sadly mistaken, not to mention how dangerous they can be because one doesn't understand them clearly. Consequently my reports are full of holes and they are sent to QA. I have been an MT for 30+ years and I still cannot understand them.
why do docs talk so fast
I believe it is because they do not like to dictate and they want to get it over with, it seems to rank right up there with doing rectal exams. In our office is what I have named the pile of neglect, he lets it grow until it has to be divided for fear of toppling over. This is for undictated patients that were seen in the office, where for example the patient has sinusitis and is prescribed a high dollar antibiotic and the physical says Nose unremarkable etc, or where part of the report is totally unintelligible or omitted. Sometimes there are even two notes on same patient same day and I do not feel qualified to choose which one should go in the chart.
Prob is then you may get all fast fast fast talkers...not a fair way nm
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Agree it's the dictator's report and the dictator's call. NM
nm
depends how fast the MT is......No one would want to pay me by the hour because I'm fast.
nm
how fast you can type, has little to do with how fast you can transcribe
Let's face it, we can only type as fast as the doctors dictate... worse, we can only type as fast as we can *understand* the doctors. Given someone who slurs or has a heavy accent, someone who clears his throat constantly or shuffles through the paper, given an unfamiliar account or work type, or an area we don't have much experience in and have to look up words, etc., any and all of these things combine to make typing speed not really relative at all. I personally type 110, but not when I'm transcribing. I tell most folks who ask, if you type 65-75 wpm, you're solidly in the ballpark for doing medical transcription.
Eewwww... you don't talk like an MT, you talk like mangement. Ick. (n/m)
:p
I honestly don't know - but I will try
You have raised a lot of good points and I appreciate your post.
Of all the comments today, you have the very best post. I don't want to agree with you, but you are right.
Jason is gone from MDI. I did read some of the responses on the questionnaire that he sent out and wondered the same thing myself. Nothing ever came of it.
I spoke to Sue about your post and we agreed about several of your comments.
I do not agree with you that our Team Leaders are not available, etc. They also work at night, weekends and holidays when necessary.
Why don't you express some of this to your TL?
I will take your very good advice and continue emailing our employees about positions that are available from within our comapny.
You will be getting more mass e-amils from me, telling you what is going on with MDI. I promise.
Thanks,
Liz
Honestly
A brand new MT shouldn't be working at home. That's just my opinion.
Congrats about the baby. Good luck!
Honestly, I just don't see it.
Private doctor offices are cheap. Why would they send coding/billing out when it all needs to be done through local clearinghouses and there is no access to the patient's charts. Hospitals have too much for the doctors to do with charts/coding/records etc to send them out, but you know what, I guess anything is possible these days. I didn't think I'd see the day when Indians would be doing our work either.
Honestly, I think you can use either (sm)
I personally use okay. I think OK looks tacky in a medical report, as if it were slang, but that's just my opinion. If your employer prefers okay, then you should spell it that way.
No but honestly...
Profanity or not, judgemental or not, 4 abortions by the age of 23 is extremely sad, and let's not judge the doctor who was probably sick at heart with it. But still, profanity doesn't belong in records and I would leave a blank for the doc to sort out.
Honestly
There is certainly no need to take that tone. Developmentally delayed is the preferred term among physicians. The American Association on Mental Retardation changed its name as a consequence. The DSM-IV is slow to change because the people in charge don't want to go through all the time and expense to publish a fifth version. Again, the doctor said "he is retarded." Not a medical term, not appropriate. As far as autism, case in point on DSM-IV. Depending on where you look up the DSM-IV some publishing sites still have it on the wrong axis.
As far as getting over it, if people had that attitude we'd still be calling black people the N-word and neither they nor women would be allowed to vote. The term retarded is as offensive as the N-word or any other racial slur. So beg your pardon but as long as people, especially doctors who are supposed to be well-educated, continue to be ignorant enough to use that word to describe someone with a disability, I will continue to have something to say about it.
And oh btw, if the doctor wasn't so ignorant, he would know that saying oh well I want to do a bone marrow biopsy but it would be too hard to explain to this patient, is just wrong. He should know about conservatorships and health care proxies. Because if this patient is truly disabled, then he was declared incompetent by the courts on his 18th birthday and he is not the one who makes the medical decisions.
Honestly, you are about...
a decade too late. US citizens' private information is already overseas, be it medical records or bank records. The whole country knows about it. What has been done? Now that MTs are in fear of losing their jobs, then we begin to see concern about privacy. Sorry, but it's too late. The damage has already been done. If we really cared, we should have acted a long time ago.
Honestly, 300 lph is not much for VR.
I don't know anyone though doing 500-600 lph doing straight transcription. You may just have a crappy account, but there are those that are getting great line rates with VR. As you said though, the pay rate does suck, so it is definitely not the MT benefiting from VR.
In all honestly, I will not...
spend time on it. This issue should have been addressed 10 or more years ago. It saddens me, but I have come to the conclussion that MTs are basically clueless when it comes to the industry as a whole. Sure, we know how to transcribe, but we do not understand the HIM industry and how it operates. If we did understand it, we would realize that we are way late in the game. In other words, we have been left behind.
Honestly...
I have no problem taking criticism. I am also not trying to gather people to send letters to the government, yet I do not know anything about the issue at hand. It's embarassing for the entire industry. I am sorry you are offended by it, but it's embarrassing.
no, it won't. honestly.
the daughter isn't the one earning the grade. an AA is NOT a big deal at all. it's NOT something you put after your name like a credential.
honestly this could be me! I also sm
have an odd last name and can't do anything without somebody knowing about it at that da*@* hospital! I would, at the very least, put a note on the chart. The state I live in has a law that if there are errors in your record, you have a right to sit down with a MR person and get it straightened out.
Hubby has been there 18 years. If they ever scr** him over, I swear I will first sue them and then I will go in and demand every chart, all 64 of them be gone through and all the mistakes retyped. If he didn't work there, I would have already done it!
Honestly, they need to be trained.
Mine had the same mentality when we first got together. I refused to do it. If he scattered dirty laundry, I left it there. If he didn't put his dishes in the sink, they sat out. I'm not anyone's slave. Also, if they expect the woment to work, they need to share in the housework, child care, and finances.
You honestly believe that? Wow, naive.
i
Honestly, the MQ speculation is
getting so bad about the what if's with the new packages coming out in October and all the speculation, I had this comic flash of all the suits sitting in NJ with headphones on, plugged in,to the big PC's in corporate land just listening to all the "chatter" on the boards...sorta like the CIA supposedly was...can you imagine all the chatter traffic going on until October?
We just need to take a deep breath, try to relax a bit, really nothing we can do until October, then who knows what part of the month we'll all get our packages?
Believe me, it has worried me to no end, single mom, can't afford much more change, but also can't do a darn thing about it till then.
Oh, am sorry to hear that. I honestly don't
know what to tell you on that...DSG was a good company until these recent weeks, pretty much, but they are making all these changes, and I don't think they're being honest about why. I could be wrong, but if things don't change soon, I will be looking for another job. When they don't answer your emails, etc., you kind of get suspicious.
Thank you. He could tutor :) I honestly think
he could do it on his own with the materials. I have never, ever had to help him with his homework and he still gets honors. Oh. . . to be THAT lucky! I struggled through high school and college to make honors. He's what I refer to as an "open and shut student."
He opens the book, reads the assignment, shuts the book and brings home an "A" or "B" on his test.
I'm no slouch in the brain department, but I've never had to help him so I was thinking with some materials, guidance, and putting him on a schedule, it might work. If that ends up being what he would like to do for now until he regroups.
I honestly could have written that....sm
back when I was in high school in the late 70s! The first high school I went to was just like that.... there was a large snob/bully society (the snobs were basically verbal bullies because they'd put down people that weren't in the "clique", and I had some idiot teachers. My algebra 2 teacher was so stupid that she would write a problem out on the board, stop, look at it and say "oh that's not right" and then erase it, doing this 2-3 times per problem,... then wondered why no one had a clue what to do on tests.
I was grateful when we moved to another town and the high school in the next town was much smaller. The teachers cared about the students and teaching, and the students generally cared about each other. There weren't snobs there because the area was economically depressed and no one had a lot of anything. I was able to participate in a program with a local college where during my senior year I went to high school 1/2 day and college 1/2 day, so the 10 of us that did this (out of a graduating class of 99) graduated from high school with 30 hours of college credits completed. We were also able to do this because the local college gave us discounts to participate in this program.
When I've asked on classmates.com about some of the snob/ bullies from the 1st high school not a single one of them has had a great life. One of the ones that was in the "it" girl group has been divorced 4 times now and is a heavy partier, and I've been told that she looks like crap from the years of partying. One of the guys who was the most "it" for the males died from AIDS which he ended up getting after he moved to New York to get into acting, turned to a life of male prostitution and picked it up there. The successful people are those who hung around with people like I did. Out of the group I hung around with 1 is a pediatrician, another a dentist, another is an architect, another is a software engineer and every one of us has stayed in contact throughout the years and get together occasionally.
I honestly wish you would explain (sm)
as the logic defeats me. Seems to me the reverse is true.
Personally, I couldn't live with myself if I drove to the store, knowing that someone's son or daughter had to die for the gas I was using, but if you can . . . enjoy yourself, I guess.
Honestly, I really never found out.
Who knows, but I will not even go to the door anymore. That was so weird and so rude!
Honestly, don't you have something else to do today? nm
xx
not trying to disrupt anything, honestly
My flaming face reference was to the one inside the original post like this
Not to the flame that flickers outside on the main page next to the original post that shows it has had a large number of viewings.
I'm sorry to have ruffled feathers by making a casual observation simply about emoticons. My apologies to anyone haven taken offense regarding this.
Honestly, it will backfire on you if you try to
be conscientious and point out errors. Its hard enough being ALLOWED to do it as QA - MTs hate our guts for the most part. But for another MT to point out an error, NO WAY! It will not be accepted as you expect, either by your boss or the other MTs! I guarantee that 100%!
honestly, just let it slide. You don't have to say anything. I have a sm
tendency to talk a lot sometimes and write a lot sometimes and I would hate to think that something I said in passing could jeapordize my career. I'm sure she was just trying to be very friendly. I know many recruiters and they are very friendly. I wouldn't say anything.
Do you honestly think that you can get MTs to refuse to go to
People have enough problems getting to the physician of their choice due to insurance hurdles!
Your idea is very admirable but in today's economy (especially with all the moaning and groaning about NOT making enough money to live), you are more than unrealistic. Perhaps a handful, literally a handful, of those MTs who have husbands who provide very well might opt to do that but who/what is that going to serve? The well-supported MT club?! lol
You've waited too late. Besides, what are you going to use for your platform to reach the masses? These message boards where only God knows who visits (ID and numbers) -- eventually the owners will tire of your use of their services and probably charge you. Of course, you have television - a very, very expensive medium. Perhaps some trade magazines, again advertising costs. And what will the members who live far away get in return for their hard-earned dollars?
What product/service are you going to offer?
Everyone's just full of these ideas but no one is putting a reality in there anywhere.
Honestly ... no one here is an authority on
You would be best served by contacting the Superintendent of your school system to discuss this. Escalate it further to one of the government offices that handle HIPAA issues.
I honestly have no idea.
I won't ask either, just because I think my boss(es) are in a rock and a hard place themselves. They're doing what they have to do and I'm doing what I have to do. I'm not a complainer either. I just take 'it" for so long and then...well, then I don't. If I'm having a problem I mention it once. If I feel cornered and have to mention it twice, like I did overnight, I don't play along anymore and that's the point I'm at right now.
Honestly it is not your job to worry about
'helping' the doctors. lol You just type what is dictated and your butt is always covered. They are the ones making hundreds of thousands a year and carry the malpractice insurance, not you. Just do 'your' job and let them do theirs, okay?
:)
Honestly, probably the best way to study for it
is to work, work, work.
Good luck!
I can honestly say that this does not bode well for MTs everywhere...sm
I have been an acute-care MT for 6+ years and I agree with everything that has been posted here. What we do is very HARD WORK. I believe what we do is far and beyond "skilled clerical," as I have answered phones, filed charts, ran invoices, data entry, and none of that compares to what I now do. I believe that since this became "big business," and hospitals started turning to the nationals (and even India) for their transcription, it will not be worth it to take the time and hard work to learn to transcribe, because the pay just will not be there.
I lost my job at our local hospital two weeks ago because they could not find qualified transcriptionists to fill two positions we had open, therefore they had to turn to a national. I just don't see people putting in the time/effort to learn a skill that is no longer as important as "the bottom line." I am praying about where to go from here, and considering getting out of an industry that has the sole purpose of getting that extra 0.005 cpl out of ya! JMHO.
Honestly, this is worrisome......sm
I have a personal friend who had the same thing, drenching night sweats, at the age of 28. This went on for several months. It turned out to be diabetes and lymphoma.
He really should go see a physician as soon as possible.
He is in remission now, but the diabetes is a problem to control.
I really do not mean to scare you, but this is not normal for men, or at least most men, especially if it suddenly occurred and has not been an ongoing problem.
Let us know how you make out.
Honestly, I don't know why anyone, at this time, would want to
Sorry, I know it sounds negative, but I think your money would be better spent learning something that will actually get you some gainful employment. Have you read this board? Even experienced MTs of 20 and 30 years are having trouble making ends meet with two and/or three MT jobs, let alone just finding a job, and then the pay just keeps getting worse and worse, lower and lower. Why put yourself through that?
Honestly, this was all done 5 years ago.
Nothing happened then, nothing will happen now.
Honestly, and no bad feelings, but ....
Some MTSOs send dictations to India, where they are straight typed, then the reports are sent back to the US to the QA.
What happens next?
I assume that the QA corrects them and sends them to the client.
How does this affect the US MTs? In no way do US MTs correct the mistakes Indians make in their reports.
And in what way do MTs 'train' the Indian MTs?
The only ones who can rightly complain are the QAs.
Or do you think that the Indians type the reports straight, the reports are sent back to the US office, and the QA sends them as VR to an US MT for correction?
Wouldn't this be rather expensive?
4 cpl for Indian straight typing
4 cpl for US MTs correcting the Indian VR, plus possible QAing.
This would be 8 cpl, at least.
They might as well keep the whole thing in the US.
Correct me if I am wrong.
BTW no Indian can sneak into this forum, when the US MTs are so paranoid that they suspect even a US MT working on US soil to be an Indian working in India.
aer soparanoid tht they even suspect US MTs working an UDS soil to be Indian MTs workign uin India.
I did bad, bad, bad!! Need a dictator! Lol nm
:)
I have one dictator who does that...sm
He's from either Britain or South Africa and he always clearly says *the patient is alert and orientated* and I give him *orientated*! It is a verbatim account! He speaks the true King's English, so if he says *orientated* (and he does ALL the time say that word) it's what I'm giving him. *lol*
And this is the dictator you get from the
that is MT friendly! Yeah right! I'll apply to the company that states "dictators are MT friendly! Been there done that, but I got a chuckle from your post! Thanks for sharing!
ESL dictator
LOL!, LOL!. LOL!!!!!!
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