I GIVE UP!!! (A RANT/VENT)

• I GIVE UP!!! (A RANT/VENT) - Lucy
  • That is what I am doing now---I bill at .10 a line BUT -sm - XXX
    • Re: XXX - Bill
  • You are being honest and upfront and you have got to do what you have to !! nm - 2teens
  • I second that motion - my 2 cents worth
  • DO WHAT YOU GOTTA DO!! RIGHT ON! - hl
    • Thanks! - Lucy
  • I don't blame you. I really believe in today's MT marketplace,one has to do what one has to do - NHMT
  • You need to be upfront with them. What you suggest isn't right. - BeUpfront
    • I'm with Lucy - mtnest
    • I am being upfront. Sm - Lucy
    • Dang Lucy's got a good idea. Now why didn't I think of that because I've been experiencing - Great-Idea

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One ARNP on my account is absolutely the most aggravating person!  Obviously she rants all the time because we've gotten memos saying to be extra careful with all her work because she is the "squeaky wheel". You have all these particular things to do to hers for 8 lines, 9 lines, etc. etc., reports taking about 10-15 minutes to be sure everything is done right.. for 8 lines, 9 lines..and so on. .Very frustrating. But then, half of the time, she doesn't even give the name of the patient. So we are to be "extra careful", but she can't even remember to dictate the patient's name!  Very frustrating!  Nobody's perfect. We all get in a hurry, but only THEY can make the mistakes!  Thanks for letting me let off steam..

APPLAUSE!!  APPLAUSE!!!

You are just so right on!!!!  They give us little thought or consideration, but expect us to cover them and "make them look good" for pennies!!!

I suggest if you want to stay in this occupation, just keep looking and be persistent, and concentrate on getting experience in acute care.  Personally I don't think the work is drying up, I think the gist of the problem is there is more than enough work to go around, and not enough experienced people to do it.   The "solution" of voice recognition has not taken all our jobs like they said it would. Offshore transcription has not taken all of our jobs. I don't believe EMR is going to be totally successful either.

Even if they find a good transcriptionist, some of the powers that be are unwilling to pay a decent wage even to well-rounded, seasoned transcriptionists.  I have seen lately on this board several examples of people that subject themselves to nearly unbearable work conditions, extremely long hours, working on little sleep, etc.   I certainly understand keeping up with one's standard of living, but is it really worth it?   We will continue to be treated like doormats as long as we're willing to let others do so.

MT is a profession in trouble. The wages have been getting lower and the workload keeps getting higher, and it's no easier now than it was before.  What young person wants to get into a job like that?  I made the decision to work my way out.  I'm bloody tired of the shrinking wages and the lack of respect from suits and the like who have no freaking idea what this job takes. 

Sorry for the long diatribe but I had to vent my 0.02.

Ah, my favorite -- a long proselytization that sounds vague but is in fact meaningless. 

It's GOOD you got all of that off of your chest!!

A rant letter to a couple of doctors:

What has happened to the medical profession in this country?  Why is it that doctors forget their Hippocratic Oath?  Why is it they forget the purpose of their career choice?  I've transcribed this week on numerous elderly patients who have been with their doctors for five, ten or even fifteen years, but they have to seek care elsewhere because so many doctors are refusing to accept Medicare.  How would you feel were if it were your own mother or father being refused care with their established physician just because they became classified as "elderly" and qualified for Medicare?  If it weren't for your "connections," your parents would face the same dilemma that other elderly people face.

Why is it that when a patient comes into your office complaining of feeling fatigued and achy that you automatically assume they're depressed and pop out a prescription for them to pop a pill?  Why not LISTEN to what the patient is saying and realize that while some MAY be depressed, others have a legitimate medical problem going on?  Why not do some labs on them to check for anemia, hypothyroidism, etc.?  Oh, I get it -- let them wait two hours to see you after their appointment time and then spend two minutes with them... after all, time is money.  By the way, I guess that kid who came several times a couple of weeks ago complaining of abdominal pain wasn't just trying to get out of school since I saw his obituary in the paper this week.  Even when his mom and dad brought him in a second and third time, you brushed them off.  I hope seeing his obituary hurts your heart at least half as much as it hurt mine.  I can't imagine the pain those parents are enduring right now, but I doubt you've stopped earning money long enough to let it bother you.  And, no, I won't cover your butt if I get a subpoena when his parents sue you for medical negligence.

Why is it that you cringe when I tell you I need to raise my rates when I've not had a rate increase in three years or longer when in the mean time you've raised your rates at least three times a year every year?  Oh - ok - your expenses have gone up?  Do you think they've discounted my electric bill, gasoline, supplies and everything else?

Remember that last check before Christmas that I asked about when you were late paying me?  You know, the one where you said you didn't have the money to pay me until after the 1st of January - although my contract with you explicitly explains payment arrangements?  That was hard to swallow when your wife was standing there while I was waiting to talk to you and making out a check for $8200 to have your home decorated for Christmas?  Yes, it ticked me off that you had the money for that in your budget but not the money to pay me my measly little $702.  It also ticked me off when you took your three-week vacation to France and left me waiting for payment.

I do understand - its all about the money.  Of course, that is why I work.  But, if I ever get to the point that I'm so cold-hearted or money-oriented that I cannot try and give the best of my abilities in my transcription for every patient I type on, I have common sense enough to know its time to get out of my profession.  Yes, to you I'm just a "typist", but how many times have you picked up the phone and called me asking, "Do you remember the names of the tests that I need to order for Lyme disease?" Or, what about when you can't dictate a proper letter and you say, "This is what I want to say - can you fix it for me?"  What about those times when I've flagged a lab result and said, "This patient would be dead with a potassium of 988."  Regardless, I remain just a "typist" in your mind.

In spite of all your faults, I do my best for you.  I give you accurate work every day of every week because I know one typo (on the transcription work you don't review) with a drug dosage could mean the difference between life and death of your patients.  But in the end, does it really matter to you? 

Hey, everyone.  We have all been so worried about VR and India taking our jobs that I think we may have let something slip by that is so very much more dangerous. 

My uncle had to have a procedure at the local VA last week, which was an education in and of itself, but what was perhaps most interesting was that I was able to watch his doctor work with the VistA EMR system.  For those of you who are not aware, VistA is the EMR system the VA uses.  It was created by them for use throughout the VA system, and basically it is a click and choose transcription system, minus the transcriptionist.  It uses templates and normals, and if the doctor needs to add more specific information, they simply type it in.  As I sat there with my uncle and watched his doctor type a few words, click some boxes, ask some questions, and do a completed preop report in the time it would have taken him to dictate the darned thing, I was astonished.  It is a very slick system, very impressive to see up close and personal.  From the perspective of patient care, it is wonderful.  The doctor pulls up the report with a few clicks, the patient signs off on it with a little electronic signature pad, and a nurse approves the whole thing with a code.  Very slick. 

So why should this scare us?  Here is the kicker.  The VA/Government/Medicare system is giving this program away.  That is right, GIVING it away to any doctor who wants it.  The problem is that it is extremely difficult to install and set up for proper use, and hard to learn to use initially.  It is also hideously expensive, both for the equipment used to run it on and the installation, though for a large practice probably no more cost prohibitive than paying a team of transcriptionists (2-3) for a year.  Okay, now add to this equation that Medicare is encouraging doctors to learn and use this system, and the date 2014 has been thrown out there as a target.  Skeptics say that 2014 is not reasonable but I am not convinced.  Here is why.  I think we can all admit that the transcription workplace is most definitely not what it once was.  Part of the reason is that it is getting harder and harder to find decent, qualified transcriptionists.  I know there are many, many hard-working transcriptionists out there who know what they are doing and take pride in their work.  I also know that there are many folks out there who like to call themselves transcriptionists, people who think the job is nothing more than typing and see no need to further their educations and stay on top of things once they have obtained a job.  This is not a problem that is confined to our profession; many other areas of employment are suffering the same malady.  However, most other areas are able to weed out the bad seeds, if you will, before their business has been harmed and find the hard-working people they need after searching at length, but medical transcription is not one of these areas.  Because of the nature of the beast, the seriousness and responsibility of the job, if a Transcriptionist messes up people have the potential to die.  With wages decreasing over time and companies becoming more desperate to hire anyone who can type, experienced transcriptionists are moving away from the job, not being able to support themselves on the lousy wages companies are paying.  The dwindling experienced work force is being replaced by a new generation of transcriptionists whose only experience with doctors' offices is when they visit their own primary care physician.  They are educated online, and while there are some schools out there truly committed to producing qualified workers, most are fly-by-night operations.  This is why, in part, doctors are trying to find other avenues of getting the reports they need.  Two of the VR perks that are pushed by companies are cost reduction and accuracy.  The companies that are promoting VR are using our inaccuracies and poor performance to tout their new baby, and they are succeeding.  Because they still pay us a minimal pittance to edit the VR after it is dictated, the doctors never see the product beforehand and therefore are under the impression that we are, in fact, inept, and that VR is a much better system than using humans. 

Now, imagine this if you will.  Transcriptionists are already on the hot seat and so, when the government starts promoting its EMR VistA system, it appeals to doctors.  Not only does it eliminate the need for transcriptionists, it costs about the same overall as they are already paying in wages/fees.  It gives the doctor complete control over the reports they produce, and they have immediate gratification because in the time it takes them to dictate the report, it is finished and in front of them.  The impression one gets from reading all the articles and forum posts pertaining to transcription these days is that doctors are becoming frustrated with the services they are being provided, and are ripe for being swayed into something else that is more productive.  This is the perfect time for doctors to begin transitioning to EMR, and the proliferation of companies out there who have developed EMR systems is testimony to that fact. 

Do doctors look at the EMR as a potential end to the careers of tens of thousands of workers in the United States?  No, probably not.  They only look at how this is going to affect them, their practice and their patients.  Congress is supporting and pushing this initiative, as are certain presidential candidates.  The concept of losing this many workers to EMR is apparently not something they are concerned about.  Implementing this sort of system will make them look good, and the importance of image to politicians is a given. 

While there can be no doubt that outsourcing has hurt medical transcription, as has VR, I strongly believe that our biggest threat is coming from our own government.  I think the EMR system is, within the next 5-10 years, going to put 80% of transcriptionists out of business.  There will be holdouts, and I am sure not all types of reports will be producible from this system, but if a doctor is given a choice between paying for a transcriptionist to possibly do a report correctly and perhaps get that report back within 24 hours if all goes as it should, and using that same time they would be dictating to produce the report themselves, with very little actual work on their parts, which will they choose? 

Consider the source, laugh, and enjoy your home and your family. You don't have to defend yourself to anybody.

While it is true that change is the only constant, change should not be accepted uncritically.  *New and improved* is often neither.  While *if it ain't broke, don't fix it* can be taken to extremes such that it inhibits any kind of innovation, change merely for the sake of change doesn't result in improvement either.

Students anywhere, not just those who are financially poor, are often eager to learn when they start a new course of study.  Perhaps the difference you see between third world countries and the US is that transcription pays relatively well in third world countries when you consider their economies (not ours).  It's not a palace, but it's not a shack in the country either.  They believe they are on their way up and may eventually push for higher wages as they want to continue to better themselves and their families.  It's an immigrant's mindset without actually having to go anywhere.  In the US, on the other hand, middle class, and even financial poor, students are in for a shock when they find that they may only be making $20,000 to $25,000 a year and can't afford the average 1 bedroom apartment in their area, much less a house.  If they know any *old* transcriptionists, they may find that wages have been, and are continuing, to fall.  For them, this is not a step up nor will it allow them to do better than their parents, and the bloom comes off the rose pretty quickly.

How much feedback you get depends largely on where you work, not how many years you have in.  It's a function of how much your employer values quality.  How feedback is accepted also has a lot to do with how it is given.  Constructive mentoring that is actually helpful and collaborative is vastly different from the adversarial merely playing *gotcha*, and the response to each will be similarly vastly different.

As for the Book of Style, some clients want it and some don't.  Long-time transcriptionists aren't the only ones who say *but we've always done it this way.*  Long-time dictators have been known to get in a rut, too.

Good long-term transcriptionists have already learned to be adaptable.  Is anybody still transcribing on a non-correcting Selectric and using Dictaphone belts?  Is anybody still using WordStar?  We are already teachable.  Medical care in all sorts of specialties available today little resembles what was originally learned 10, 20 or 30 years ago.  We know how to use resources whether it's books, books on disc or the Internet and are grateful for the increased resources.  Gone are the days of only having a Webster's, a Dorland's and a PDR.  We must continue these good habits.  School is never out!

What needs to happen is for this current exacerbation of the newbie vs oldie fued to die down.  Both bring strengths to the table, as well as weaknesses, and both could learn from the other.  It was easier when we worked in the same place, but if we want to strengthen transcription as a career, we have to do it together.  Fragmenting ourselves into newbies, oldies, mommy trackers, career people, us, them, simply allows employers to play to our fears and play us off against each other.  Transcription as a career cannot survive this way.    

  They whine about everything they're sent.   I think we should all boycott QA for a week, send them nothing, and put them out of a job.

As a former schoolteacher.... We would not have done "snowman poop" in class.  No way, no how.  I think it's a little on the tacky side but still relatively harmless, so that isn't why I wouldn't do it. 

Too many parents with no life and too much time on their hands would complain.  Teachers have to walk on eggshells to avoid giving parents any tiny thing to freak out about.  The kids? They're great.  Parents?  Man, do we need some chlorine in the gene pool.  If they aren't expecting teachers to do free tutoring after school (Why would you expect that? Do we give away free MT for doctors? No! ) or to hold conferences after 6:00 PM so they don't have to leave early from work (Hello, teachers have families, too! They're YOUR kids, YOU take off work early rather than expecting a teacher to stay past 5:00, okay?) they're "forgetting" to send lunch money for weeks at a time or refusing to take any responsibility for their child's behavior and blaming it on a million different reasons other than that they just don't take the time to work on the problem.   

Two degrees in education and a gift for teaching, but never again.  I'm an MT for the rest of my working years.  

a little um, ya know, excessive.  But ya know, some of us, uh aren't quick thinkers like um, ya know, you.    Just havin' a little fun.

I worked with an older lady who got sick of hearing all the ums, sniffles, coughs, crunching from a certain dictator. She was one to tell it like it is no matter who you thought you were, co-worker, supervisor, doctor, administrator.  She had been at the hospital for nearly 30 years and was nearing retirement.  I loved her!  So she typed a report of his verbatim and I mean VERBATIM.  With every grunt, snort, and nonsensical word he made.  She, then of course transcribed it correctly.  She sent in the verbatim report just to show him and his staff what he sounded like.  Long story short, he didn't have a sense of humor at all and he couldn't take a very large boulder of a hint.  He called our supervisor ranted to her about this transcription and said that our department had better not be disprespectful to him like that again.  He never changed his dictating style either.

Anyway, there's my story.  I always have one. 

Let me FIRST say that I do not usually rant, I am not a ranter, if something bugs me I take a deep breath, look at the offending item in the grand scheme of my life and realize that most of the time it isn't that big a deal.  However, these condescending trailer park references that I run into are a bunch of crap!

How can you make a derogetory referrence regarding people who live in trailers?  If it had something to do with race or sex you have been flamed by the whole board.  I am sick and tired of generalizations directed basically towards me!  I live in a trailer in a trailer park and I MOST CERTAINLY am not a skank.  I have heard it all, white trash, trailer trash, skank, etc. when people talk about parks.  My town even named it a "Manufactured House Community" and hid it where you can't see it!  I am here because I can afford it here.  The average price for a house in my town in Maine is $250,000 ++.  While we do just fine, I cannot afford that on my MT salary (been MT for 6 years) even though my husband works his butt off at 3 jobs.  Oh sure, we could probably get a loan for a $300,000 house but I refuse to get in over my head in debt just to convince people like YOU I am in your league!  I also LIKE it here.  My neighbors are the best I have had.  All of our homes (trailers) are well maintained, the lawns are spotless, and there is not a single car up on blocks that I can see anywhere!!  Don't even bother to tell me that is not the norm for parks because there are 300+ trailers in this park and they are all just as well taken care of! 

Another thing that irritates me is the word "skank".  I have never understood why women have to tear each other down using trashy descriptions like that.  Of course I am sure there are those out there who DESERVE the title but most of the time women seem to judge based on the look of the offending party. 

You may think your comment was tiny and I am blowing it out of proportion, but I am not!  It is comments like that that makes people like my neighbors ashamed to even tell people where they live. 

I have said my piece and I await the flaming.  When you drive through my park (yah right) and see me standing on the nice, green lawn in front of my pretty trailer with my 7-year-old in the yard, my toddler on my hip, looking very pregnant in my cutoffs and tank tops, you can THINK "skank" all you want.  I KNOW that I am a strong, educated, well-employed woman with a nice little family who refuses to put all our happiness and our hard-earned savings on the line to prove that I am EQUAL to people like you! 

do what is right.  If she fails to do what is right, then go about this in an adult way and not act like such a child.  "you suck"  That is so immature.

She is responding to you and you are eating her alive.  Why would she put herself out there to be treated like this if she didnt mean it. 

I am really astonished at how people can act on here.  Would you treat people like this in person?  If you do, I cant imagine you having very many friends. 

Remember we are all "HUMAN." 

I have a note (discharge summary) that is 27 minutes long, dictated by RN, that goes into such detail that it might as well be the H&P, every consult, every operative report, and every lab report rolled into 1 document.  She is even dictating  problems the patient had on previous hospitalizations that have nothing to do with this admission.  To make matters worse, she is jumping back and forth between prior problems (that aren't related) and current problems for the hospitalization, as well as listing every single lab test/values from all prior admissions and comparing them to this admission, as well as dictating the whole report for every x-ray the person ever had in this one report.  The guy came in for nausea, vomiting, and dehydration and she's dictating x-ray reports for fractured ankle and rotator cuff MRI from 2 years ago...THE WHOLE MRI REPORT.   Good gravy, missy.  It's good to be thorough, but then too much information just confuses the reader.  arghhhhhhhhhhhhhhh. 

All better now.  Thanks for letting me vent. 

I've already had enough problems working this weekend with technical problems and down time and now that I'm breezing away and making good money, what happens?  My stupid cat decides she needs attention!  First she rubs on my leg and purrs (so far so good, not really a distraction) but THEN she has to move to look at my face through the crack in my desk where the drop down keyboard rests and reach her stupid little paws through, hit the function key that saves and closes the report (which I cannot alter once it is sent through) on a report of over 100 lines!

ARRRRRGH!!!  I was almost finished and needed to spell check it!!!  That just cost me $10.  Her food costs that much!

Anybody wanna a free soon to be hungry cat??

d~ 

I have worked with a company for over seven years as an IC.  I work part time and whatever work I do that morning has to be turned in at 3:00, which gives me around a six hour turn around.  I have two young kids and another account that I work on that has stats that I have to take care of too.  I have only gotten one raise in seven years, and a crappy one at that.  Every other company I have worked for gives me at least about 24 hours to get it back to them.  I am trying to get my kids ready for school and I also have other things going on at the moment.  I get an email in all caps "I NEED THE WORK NOW."  I am just so fed up with this.  I don't want to quit because the work is easy for me since I have been doing it so long, but I feel the need to put my foot down.

I'll try to make this to the point... ;o) My husband got bought out at the end of January so has been off work since then. His buyout will last us until about next January so for now he's enjoying the time with the kids. I on the other hand have gone from working very part-time to full-time, at home,  "just in case" and to help pay off some debt while I've got Mr. Mom here home to take care of the kids.

For the most part, he's being excellent - doing the majority of the housework, all the cooking, taking care of the kids all day. My only gripe is he sleeps in until 9:30 every day while the kids (ages 4 and 7)are up at about 7:30-8. Mind you this is spring break for the 7 yo but when it's school time he gets him off to school and then goes back to bed. The kids play pretty well on their own but if they come into the bedroom he'll put the TV on for them. This leaving them on their own w/o even getting them breakfast and/or the TV thing drives me batty. I've been a wahm since my first one was born and always made them my priority (working around their schedule very part-time), getting up as soon as they got up, rarely turning the TV on to "babysit" them, etc. I feel like he's undoing what I spent years working so hard at.

Now I get up at 5 to go to the gym and then get my work done ASAP so that I can have time with the kids later as I'm finding it very difficult emotionally to be so unavailable during the day. This is making me even more resentful of my dh with him snoozing until 9:30 while I'm so tired a lot of the time. Then to top it off, he gets hurt that I'm usually too tired to be "interested" by 10 at night and I want to go to bed early...  He supposedly understands that I'm tired but still is putting the guilt trip on me.

I know that a lot of this is my own resentments and largely there's nothing wrong with what he's doing and he needs to do things his own way with regards to the kids - I get that, but I'm still resentful. Any thoughts? Thanks for reading the novel and just letting me vent. So much for it being to the point!;o)

I am so sick and tired of day after day trying to figure out what in the heck these ESLs are saying.  I'm tired of them preventing me from making a decent line count and making decent money.  Why in the heck don't they learn English?  From this day on I refuse to make any sense of what they are saying and will type verbatim, stutters, poor grammar and all!  If the company I work for doesn't like it - then fire me.  It's about time MTSOs put it back on the docs to better themselves and NOT us!.  I've been doing this for over 6 years and it gets worse and worse. 

Please do not reply with "I'm sure your ancestors were from another country, etc......"  They were ----and--- now I was born here - AND I SPEAK THE LANGUAGE. 

MTSOs want to send work overseas.  Send all the ESLs.  Also, when it comes time to me "editing" overseas work --- Ha-Ha.... that will definately be my LAST day on the job!  Let the owners of the companies edit the overseas work and see how they like it.

Thanks all. 

Why on earth would a doctor prescribe physical therapy to strengthen a patient's muscles who is in the end-stages of myasthenia gravis?  Money?  A patient with nothing else to do but go to physical therapy?  I don't get it.  This group of doctors are a pain in the ***s.  One has such a high incidence of infections in his surgical patients that I cannot believe he is still allowed to practice - and this one puts everyone into physical therapy - unless they are a 4-limb amputee.  Does anyone know the # to the California Board of Medicine - because I think it is time to call them on this one - work or no work - I am sick of it.  i feel better now. 

No, I am not a doctor and would not care to be one.  But over the years I have seen so many cases go bad and with doctors policing themselves, very few ever suffer any consequences.  My husband works with a doctor who was using cocainen while in surgery.  At one point he was doing a prostate biopsy and passed out on the patient, jamming the needle through the prostate gland.  The other doctors in the  group encouraged him to get treatment or they would kick him out of the group.  So, he got some rehab.  The patient sued, thank God.  But guess what, he is back in the operating room - snorting in the lounge before each case.  The surgery center personnel are afraid of losing their jobs if they report him to the police, so he just goes on doing surgery under the influence.  Perhaps my animosity comes from being abused by several different physicians at different times in my life - and regret at not reporting them.  However, knowing the system, I realize that it is a losing battle.  But, having been through these experiences I can spot these docs a mile away.  Sorry  if I offended anyone - but doctors are human and our lives are at stake, as well as the lives of others when a doctor practices bad medicine.  I appreciate all of the input and understand your anger.  I posted this more as a person than an MT.  I just thank God for what I do know - and wish that there was a way to fix the problem of poor physicians, drug abuse in the medical world, and the patients that suffer at their hands.

Why is it that the doctors you know can speak perfectly perfect English...don't?  This guy is slurring entire sentences and when I slow him down, he sounds drunk.  And he doesn't even sound as if he is old enough to drink!

Thank you.  Venting over.  Have a good evening.

My son just came home from a week-long beach trip with his dad.  My son has three plantar warts on the bottom of his right foot.  I have taken him to the doctor about this and was told to try the OTC remedies.  I have been doing that, and was planning to take him back to the doctor this week actually because they have not gone away.

Anyway, my ex-husband took it upon himself to take a hot knife and attempt to BURN the warts off my 8-year-old son's foot.  My son said it hurt very bad, and now he is limping on his foot.  Now my son has a nasty looking depression on the bottom of his big toe that is very painful.  It's pretty deep, but it's not bleeding at this time, although I'm sure that it was at some point, and my son confirms this.  I have cleaned it and bandaged it and will be taking him to the doctor first thing tomorrow.

WHAT AN I-D-I-O-T!!!!!!  I am the one who takes care of all of our son's medical care.  He lives with me.  I have primary custody of him.  WHY OH WHY did he think he had the right or ability to do this?!?!  Why didn't he call me first and consult with me about what I have been doing to treat the warts?!?!?!?

I have taken photographs and forwarded them to my attorney.  It's a long story, but my ex is one of those people who thinks he knows everything...but really knows nothing.

Thanks, I just needed to get this off my chest.

I am so angry and I need to vent.  I work for a psychiatric facility and have been there for about three months now.  I really enjoy working there and they have been very flexible with my schedule.  Approximately 2 months ago, a temp was hired because we were so far behind.  The person they hired did not have any experience whatsoever in medical transcription, but she was a fast typist so she was hired. 

A couple of weeks went by and it was noticed that she was making quite a few errors.  One of the other Transcriptionist e-mailed her to inform her of her errors and advised her to proof her work.  She became so upset, she e-mailed a nasty letter back to this particular person.  A few more weeks went by and a different transpcriptionist noticed she was still making these errors so she tried e-mailing her as well with basically the same response.  Well last week I happened to come across one of her reports and noticed some errors that were totally unacceptable.  For example, Licinopril, psychogenetic polydipsia, albuteral, ibuprophen, etc. 

Anyway, I mentioned this to our supervisor and he asked that I correct the report and give him a copy so that he could go over it with her, which I did.  I also brought in a book from the course I took a couple of years ago so that she may review it.  She came in yesterday absolutely livid, she was slamming things around, speaking so loud that we could not hear the doctor and using the most foul language.  I turned to her and asked if there was a problem to which she replied I was not talking to you!  So I stated, in a very calm manner, then could you please keep it down as I cannot hear what the doctor is saying to which she replied that's too bad!  She then proceeded to call our lead and left the room. 

I started to think about the whole situation and could not believe how this person reacted.  I called the supervisor at home and informed him of the problem at hand and told him I was on the verge of walking out as was the other transcriptiont.  I told him this behavior was totally unacceptable and I would not tolerate it.  Mind you, this was all because she was still making errors on her report.  She felt people were talking behind her back.  She does not want us (transcriptionists) to tell her of her errors.  She wants us to speak with the lead, have him write the errors on a piece of paper, place it in an envelope and put it by her work area.  Can you believe this?  Who does she think she is? 

Well a couple of hours ago, my lead called to get my side of the story.  I told him exactly what happened to which the other transcriptionist can attest to.  He stated he would speak with her but that the next time there was a problem with a partiular report, we are to bring it up to him or our supervisor (which I thought I did).  I totally feel she should be reprimanded and that this behavior should not be tolerated by anyone, but it looks like she is just going to be "spoken to."  I am so angry and upset, I literally feel like giving my two weeks notice, but then again, I do not want to give her the satisfaction.  I really enjoy what I do but I am afraid if this type of behavior occurs again, I will not be able to hold my tongue as it took every bit of strength in me not to *******, well you know.

Sorry this was so long, I needed to vent.  I know I probably made 100 mistakes on this post, but I am very upset at the moment. 

I just have to vent.  This doctor is chewing in my ear and talking at the same time.  I can feel my blood pressure rise as she talks.    Don't they realize how annoying this is, not to mention rude.  I think colleges should make all doctors take a course in the proper way to dictate.  Sometime I think chewing in the ear is worse than a bad ESL. 

Thanks for listening.  Back to work.  I sure hope her lunch is over soon!!!!