I can understand stumbling over an unfamilar med, or one outside of their specialty, but (sm)
Posted By: NWMNMT on 2009-03-05
In Reply to: you'd think pronounciation of meds - sm
I have a number of docs who routinely mispronounce drugs that they have prescribed for the majority of their patients ... they've mispronounced (and often also misspelled) the same drugs for many, many years. It just floors me.
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I guess I am unfamilar about the rules of an IC. I work
through a company that has the clinic as a client. Do those same rules apply. When I was hired by the company I was hired as a part time IC.
Specialty
I will be graduating May 2007. I was wondering what your favorite specialty to transcribe is? So far from the assignments in school I like surgery reports and internal medicine. I did not care for dermatology very much. I had to many visuals in my head of lesions and sores.
What specialty will you be doing?
Have they hired you for a specific specialty?
This is my specialty sm
email me, we'll see what you have for IM and we'll connect. You can IM me anytime and pick my brain. I have done a ton of retinal surgeries, scleral buckling procedures, pars plana vitrectomies, YAG lasers...
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.
Every doc is different and you should not blame the specialty. sm
I do dictation for a podiatric surgeon and he is the most perfect dictationist one could ever hope for. He is a perfectionist about every thing, spells other doctor's names, spells other city names, spells out the claim numbers, etc. I would trade all my 11 docs for one more like him. it is not the specialty..it is the doctor.
Can be one specialty or multiple ......
xx
I was cornholed into a MT specialty
Does anyone know where I can get maybe some samples of op notes or radiology notes? I want so bad to further my career and unfortunately where I work I don't see that happening. I will be doing ER work until I die... which ER work is not bad, but I will never make any big bucks doing it unless I work for my company forever, that is if the Indian company dosen't take it all over. Thanks ya'll.
Cardiology is my favorite specialty (sm)
I can't say why, though. I just like the terminology and it just seems like it's easier to look things up maybe?
Be sure you have a good cardiology book. It will be helpful, but if you do caths and PCIs, etc. there are new instruments and stents that come out like it seems every minute, so having a few good cardiology sites and knowing how to search the web is a big help.
I ENVY YOU!! And good luck!
Would appreciate comments from any specialty transcriptionist
who transitioned to another specialty. Also, have been doing strictly psych transcription for 10+ years but would like to branch out, does anyone have a recommendation as to which direction I should be looking and learning? I don't mind hard work and have mastered a lot of dialects, but am clueless as to what direction I should be looking to better myself in the field.  
Which specialty have you found the most difficult and why?
I find cardiology to be most challenging.
Any good cardiology links or websites?
Just started ortho specialty... Does anyone
Thanks a bunch!
If it's a woman and specialty is ENT, I've done her.
She's truly awful.
Go down page to By Specialty, cardiology
http://home.adelphia.net/~ktm58/links.html
Asthma Allergy specialty
I am working as an IC for a asthma/allergy specialist who has recently went into private practice. In the 10 months that I have worked for her she has changed the format of her PE, new patient, D/C, well all of her forms, several times. I have tried to explain to her that it is her practice and I will transcribe whatever information she feels is necessary to have in the permanent record (she does not do dictation, I transcribe from written report). Can anyone give me an example of final transcription for an asthma/allergy specialist, and possibly an example of the forms used? I would like to present these to her to compare so she can feel comfortable with what she is transcribing for the final record. I would really appreciate any help I could get with this. This is my first job and I want to keep this doctor satisified......Thanks!
What is your favorite specialty to type and why?
I only have a year and a half of transcribing under my belt, but I have had the opportunity to do a few different specialties: General practice, pain management, orthopedics, physical therapy, endocrinology, psychology and oncology. I have liked them all for different reasons. I like psychology because it is always interesting, easy and I can make good money with it. But I also like orthopedics and oncology because they are interesting and challenging for me. Just curious what others like (and dislike too!).
I think specialty work would be easiest..sm
With family practice, you could see a number of diseases from all specialties, so you need to know the terminology for all. In specialty work, you would see the same all the time. For example, if you took on an ortho doc, you'd see all ortho, so you learn the terminology for that specialty only. Once you have that down pat, you could branch out into a new one and so on, gaining experience with each.
You will have a more well-rounded experience going with family practice over specialty, but as a newbie getting own accounts, specialty would be easier, IMHO. I don't really recommend starting as a newbie at home with your own accounts, but that's just my opinion. It's a lot harder because you won't have QA - the doctor will be your QA, and they can be a lot harder to face than an online QA person. You have to take criticism well, since it will come from a doctor most times (or staff member) and some docs can be blunt and even condescending. Just being honest based on my own experience. Maybe you could try some of the small MTSOs rather than national companies, where you might only have 1-2 QA people and aren't as stringent about BOS rules, etc.
If you find a local doc willing to take a chance, go for it, but don't expect it to be any easier at first than a national or working for another person. There are pros and cons to each. It can be hard to get either job without experience, but a local doc desperate for help might be more willing to take a chance. Depends on what the MT market is like in your area. If small town, good chance finding a client. If larger town with lots of MTs available, it will be harder.
Ever come to like a specialty you used to hate, just because the dictators are so good?
In my case, it's cardiology. Used to CRINGE when I saw a cardiology report come up. But on my account, almost ALL the cardiology docs are great to transcribe. Now I actually enjoy these reports and have learned a lot about a specialty I used to hate!
Now, physical therapy will always and forever be my most detested specialty. I get really bored with all the stupid exercises and the patient saying his/her back hurts. Whose back DOESN'T hurt? The fact that PT on this account has some of the worst dictators certainly doesn't help any.
Heck yes, go specialty! Psych will never bore you!
your production will go up. Psych is different, but at least it's a specialty so you can get good at one field instead of having to do 50 dfferent specialties.
I check jobs in my specialty out of curiosity.
Have only applied for three in a year though and those were to possibly replace a PT job I have with a better PT job. The FT job I have I am content with for now.
Be careful not to become known as applying all over the place. This is when it is a good time to get information from the Company board when you see an opening. Be sure you want to be considered before you apply. It is a small MT world with the better companies. This is my thought anyway.
Could be by specialty, but usually walk-in clinic, stand-alone
s
Reply to get a good set of specialty books
When you say specialty books by Stedman's what do you mean exactly. I have a Stedman's Medical Dictionary and a Dorlands Medical Dictionary but what other books would I need to get? Thanks so much for your help.
Oncology and some specialty AIDS facilities can be TOUGH.
nm
Is Radiation/Oncology a difficult specialty? I am going to be starting..SM
on a new account doing this specialty. I was wondering if anyone has any helpful hints for this specialty. Any know of any references that would be good for me to use? Are there any websites that would be good as reference? Any help would be greatly appreciated. TIA. 
what is your account and specialty on the account?
no one is watching. tell us all about osi.
I would be over there too.....but I also understand where
people are coming from when they say she is criticizing their gov't, etc. I can't say what I would do because I don't know what she is going through, but you can't just assume someone is guilty when there is no evidence to that. Those 2 brothers were held way too long and think about how their parents are feeling. There is no evidence that they did anything and we wouldn't be able to hold them like that over here w/ no evidence.
Don't understand
 I love it when I hear that an MT, at whatever company, is doing 2000, 3000, or more lines a day. I love to hear that because I am trying to increase my line count and this gives me encouragement. I love to hear how they do it and try to take their advice. I don't understand why some get so upset when they hear that an MT has a great line count. Why do they automatically have to be liars or cherry pickers? I think we should be picking their brains to find out how they are accomplishing this so that we can benefit from it.
So I say, keep on talking about your line counts for those of us who want to improve ourselves, please!
what if you can't understand the
customer service rep.....I've had many,many instances while dealing with CS reps from India where I was completely at a loss to understand what they were saying. I say, I you can't speak clearly get out of the field!
Understand
Hope it makes you feel better to know that not all of us out here expect you to keep it to yourself. It gets kind of lonely, and bad days are the worst for that. I have relatively good accounts also, working for a small MTSO, but some days it is all I can do not to come on here and whine. I say, if it makes you feel better, that is all that counts.
Here's what I don't understand - sm
Say we use a template and end up having to delete a lot of unused headings. How is that calculated into the line count? I guess what I'm trying to figure out is if we are typing to make up for the deleted headings, if this makes sense.
And, yeah, I suppose I could ask a company representative but I wouldn't really expect an answer and don't want to rock the boat.
SS is my 1st MT job and while it never quite passed the smell test to me, it was easy to get and quick to get started and is certainly giving me invaluable experience with ESLs, if nothing else. Yeah, the money stinks and I could certainly do without the nasty emails, but the thing is what it is: A foot in the door. And I may even try to keep SS as a backup if my new job turns out to be slow.
as i understand it,
QA addresses the body of the report or dictation, and QC's job is making sure the patient information or ADT is correct.
I understand what you mean sm
I definitely think people who get off on being rude, hateful and just plain nasty to others are not happy people. A happy person is usually cheerful, pleasant and helpful and that isn't always because they live in a bed of roses. I've known people who were always cheerful, pleasant and helpful even when they were dying inside. I guess their attitude gives them a serenity that makes them able to cope, I dunno but I would wish I could be more like those people. Some of them have had problems that would have, seems to me, weighted down a saint.
Hope your editor is in a better mood; meantime, just feel sorry for her/him, I'm betting he/she is way more miserable than he/she tried to make you.
I understand thanks
NM
I can certainly understand, been
there myself, but I am currently working on an account that the second shift person does 5 to my 1, not because I pick or choose when I work or what dictations I transcribe but because of the difference in hours we work I get the responsibility handed to me to take care of things like corrections, researching problem dictations etc, that take away from my production but the other MT thinks I am also a cherry picker but I cannot do anything about what people think, so I do not complain either but rather just do what is required and I know more about the system we work in than anyone else on this account and still produce enough lines to make a good paycheck.
I don't understand. Why should they have to? Maybe they-sm
do a lot of it in-house, or maybe they use a smaller service. I don't know the answer, though. :)
UNDERSTAND
x
I just don't understand....
How people get off demonstrating such grossly childish and rude behavior. Something's making you unhappy honey--you really should do something about it. 
I understand now.
been working so long my eyes are crossing
I understand what you are saying
I was on one account that I always had to fill in some of the info in order to have the ADT do the search to fill it in completely. Most of those reports were short ones as well. The account I currently work on, fortunately, almost always has the ADT filled in and are longer reports. However, you are correct, we do not get paid for the cc info and that can be time consuming when the doc/address is not in their drop-down list and you have to type all the info in yourself. You made a very good point about not getting paid for this.
I don't understand why someone
who has a 4 year degree would be a manager for K-Mart. It seems weird to me.
I don't understand
Well now, call me crazy, but I didn't respond to you yet. There must be an imposter out there.
don't understand
I must be dense but don't understand your question, do you mean how much does this equal if you were to get paid for spaces? Also how many characters in a line or is this a gross line? A simple test would be to check a document you had typed, using Word, see what your character count is with and without spaces divide by whatever your line count is and see the difference. Also see what your gross line is. Again, my brain could be dead on a Saturday after a very busy week but I don't understand what you are looking for as you don't give enough info.
Yes, I understand both of those
what if there are words following the quantity and unit of measure that make it end up sounding more like a sentence? Here is another example:
ANESTHESIA: 50 mg of Demerol were given along with 75 mcg of fentanyl.
It just looks wrong to me. Most of the time I end up flipping it around to say ANESTHESIA: Demerol 50 mg... etc., but I'm still wondering if it's okay to just leave it the original way.
Try to understand.
There are are three MTs scheduled to work 8-5 and 200 jobs to type. A fourth MT comes on at 8:00 A.M. because he sees a high volume of work. He/she sits down and begins typing for two hours at the end of which time there is no work. The three MTs who should have had 200 divided by 3 work to do for the morning have had 200 divided by 4 work and now have nothing left to do but sit and wait for the next flow of work. The fourth MT goes to have lunch, nap or play with the kids. (His/her schedule does not start until 3:00 PM. But at noon, she/he sees another drop of work, and she/he sits down and types for an hour. Then, the initial three MTs finish up their shift and the fourth MT comes on to begin a shift by clocking in.
Do you see where I am going with this?
When there is an unusually high number of reports, and TAT is threatened, calling for help is necessary but otherwise, I just do not see it as anything but intrusion and theft.
I think I understand her. Unfortunately, when there is
no required signature, people feel free to say what they wouldn't if they had to sign. If the negative posts could just be ignored, that'd be great, but you really have to see both to know which not to click on. Even people trying to be helpful here get attacked. It's very strange.
don't quite understand
I've usually worked at in-house jobs, so am clueless about this stuff....what do you mean by "double-dip"??
I'm not sure I understand this.
So you're saying we're all capable of murder, rape, etc. if that's what we want? I'm certainly not! We're all capable of desiring the same sex if we choose to? I don't think so.
I don't understand....
Do you live in a small town or something, and that's why you feel finding your own accounts are few and far between?
It is and has been my experience that clinics/doctors are SCREAMING to find good MTs,but that's the key - GOOD MTs. There are tons of them who claim to be good, but - well, uhm ..... never mind - we won't go there!
There's a LOT of work out there - a lot of it, but you have to do mass marketing and mailing and stay on top of it like a bird on a worm to find them. After all, you know,they're not going to come knocking on your door, right? Good luck.
I understand....
Don't let some of the posters on this board hurt you. In an abusive relationshup, you do what you have to do. You cover your bases, which is what I think you are suggesting. Different people have different experiences and you are just relating your experience! If she is not careful and has no documentation of abuse, her husband COULD convince the courts that SHE is making things up and HE is the better half !! Yes, you are probably sorry for your choice of the words *push his buttons* But you are just telling it like it is/was in your reality. You need to get proof to establish credibility. Probably, the better way to state it is...the NEXT time he is physically abusive...call 911 IMMEDIATELY!!!!! No bargaining, no questioning.
i don't understand
what your problem is. I don't mean to sound mean, but really 350 LPH, I wish I could do that. I type, at best, 250 LPH.
Sure, I do understand that, but there should be a way to (sm)
meet in the middle or something. For Pete's sake, SHE is the MTSO. She should be using a professional line count program. I understand that the Word count system is cheaper for her, but it isn't intended for medical transcription, it's intended for the kids writing their history paper to know if they've gotten to 500 words yet, you know? I should be paid for indents and returns just as I would be for the letter "p" or the number "5". I do totally understand your point, though. Do you think there is any way around it? Like perhaps that she needs to get on a professional line counting software and have us use it? I will not switch to the Word method without an increase in basic cpl pay.
Any ideas on how to phrase the conversation?
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