I don't understand; how does "speaking reports" work? Isn't that called dictating?
Posted By: In the dark on 2005-12-28
In Reply to: Technology - MT Biz
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Can anyone explain what OP below means by "speaking" reports?
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These are separate reports, called sm
corrections or addendums. We are not even allowed to change any report once it has been sent, and chances are that we are not the original transcriptionists who transcribed it. It is simply a new report.
I don't really mind at all when they say "go back up to History of Present Illness and put this in". It is just part of the job, not a big deal at all.
I need help transcribing some reports that I can't understand.
I'm a new MT and I have reports that I can't understand some of things the doctor is saying. I really need help! If there is anyone out there willing to help please do.
MTSOs who work with call-in dictating systems. See inside.
If you work with a call in system, would you be willing to share if you like it/don't like it, how your transcriptionists acess their work (internet or through the call in system), where did you buy your system and is it efficient, etc. Thanks.
Easy to work with. You can look up old reports. Your own word expander will work
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C-phone used to call in to dictating systems to receive work. A special phone. nm
nm
Yes, it is called ESP. Instant Text and Shorthand work
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Wasnt that a rip. They must have called every person on every account to work. I cant possibly
figure that mentality. PLUS we get nothing extra for weekends, nothing extra for holidays ZIP. They overload the accounts and so we have no work. Why would they pay weekends or holidays when they play this game. Somebody is pocketing something but it AINT THE MTs. I hope every MT in that office inundates Mt. Laurel with complaints until they replaced the people that did this and not to mention their STUPID STUPID PICKY MQ point plan. That is a horrendous joke. Somebody up there needs to be removed and quickly.
I understand, I work in a clinic and
the doctors will tell me, "send a copy to her gynecologist", or "send a copy to whoever the surgeon that an appointment was set up with".... well, heck, I don't have any of that information. I don't even have a chart, and I'm supposed to "find it"..so I do understand what you mean..I also work for a national at night (at home) and have had the doctors spell the name John Smith, but not some long foreign name that they can't even pronounce! I guess they ALL do that. Their time is more valuable than ours, is their thinking.
I understand what you're going through. I work both myself. sm
I have been IC for several years, and thought I might go back to employee for benefits. But I found the insurance was so high, and the pay was not as good, so I work both part time now. The bottom line is, I can't give up the freedom I've had in the last several years. I am given so much work in the morning, and have all day to finish it, and I love this system. I tried to set a schedule for my part-time employee job, thinking I would like to go to full time if it worked out. But I had too much trouble making myself fit a schedule (they have offered to let me work when I can, so I'm still keeping the job, but if I can't do it right, I will quit). Unfortunately, when you get used to IC, it is hard to fit back in a "box." Maybe you could look for a company that would allow you some flexibility in your schedule, say an 8-hour window to work 6 hours. If you have the experience, some companies will work with you that way. I don't think IC is a dead end, it is just a little harder to manage. But the benefits did not pan out. I can get the insurance cheaper individually, the pay was lower so I could actually put a little back as an IC every pay period and take time off "paid." The only thing I miss is what they pay for taxes (I think 7% or so), and having someone else do these things for me. If you like IC as I do, try setting up your own retirement plan, getting your own insurance, and put a little back each pay period for some time off. Good luck with your decision.
Why is it that when I work evening here/there, all reports are 15-min. ESL dictations that no one fe
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Previous reports, meaning another MTs work?
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Psychiatric work or long reports
Does anyone work for/know of any companies that are hiring for psych work or any other long reports like memory disorders, or compensations? I have three years working with these and acute care. I would like to find long reports to do all the time.
Please write to my e-mail address
Thanks!
Your point was? You called me jealous and lazy, and suggested I work an 8 hour shift.
Now you're being "nice". I am NOT worried about others. Why would I want to work an 8 hour shift and produce 1000 lines if I could be missing SOMETHING and increase my production? How mean-spirited you are. I would LOVE to produce more and work less, so that I could spend more time with my loved ones. And to read on this forum the astonishing line counts most MTs are claiming to make regularly - well, I'm either doing some really, really wrong, which I would like to fix, or I'm not doing something that I need to be doing, which I would like to fix! Thus, my sincere question. Truly I believe it is time to leave this board, though I used to LOVE it so much, cause you just can't get an honest thread running anymore about anything - even trivial threads turn ugly by 2 to 3 posts, let alone INFORMATIVE ones like how honestly asking my fellow MTs who are huge producers HOW they do it? As in straight typing or using normals and standards? I try to hang on this board and stay "positive" despite the negatives, cause I really like it here and I really like the admin, etc, but I'm not a glutton for punishment. I know a lot of the old regular MTs who actually carried on intelligent conversations have gone to the board where you have to pay $$$ to post. Apparently, one can still have kind meaningful conversations over there - guess the $$ part weeds out the trolls? Don't know, but its sure sad. Please, don't misinterpret this as me thinking anyone would give a hoot if I left here - cause I know now there will be the normal "good - who gives a crap? good riddance" flames, but really, the MTs who are so trollish are just ruining it for themselves. Thus is their lot in life, though.
Why the stupid idiots called everyone to work on the holiday to make sure they meet their 1 hour TAT
time.
sitting in my computer room, typing away when my boyfriend at the time, called me from work. nm
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Be honest! If you did not think there were random checks on your reports by QA, would you work
I always strive for excellence in my reports partly due to patient care and then there is my own obsessive-compulsive need to be the best, but having said that, are there those MTs who might not try as hard if they didn't have QA breathing down their necks. Be honest now.
well, it IS work related. I edit those reports all the time.
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I work whatever hours I want, as long as I have the reports back in TAT...
I have assigned doctors...
The so-called "reality show" is the lowest form of so-called entertainment in recent years
I hate them. They've ruined TV.
I have to agree that cherrypickers will be out of work when VR takes over, since the harder reports
Even when I worked inhouse and had the opportunity to cherrypick, I didn't. Even now, I am finding out that ESLs are probably easier than than some of the American doctors in the long run, because they get down to business and dictate their report. Most times, they say the same thing over and over. Learn the doc, know his quirks and bang, you are done.
I seriously doubt that type of work is as complex as medical reports.
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If you work from a pool, it's when others are leaving you the crappy reports by skipping over the
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I think the amount of work sent to QA is is very bad idea to limit that. I can understand QA reviews
but to limit the amount of work to QA to get a bonus which is my understanding will cause people to not send things to QA when the dicator makes an obvious error and you dont want to chance correcting it. There are extremely bad dictators and depending on where they are dictating the noise can be horrendous on the phone lines or cells or whatever they are doing. My goodness, you have an attitude.
Or ask for samples of the doc's work if they're hard to understand. GI terms are
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I understand... But I will not lose money by doing free work because she chooses to bill (sm)
will a method that requires me to give away free work. I will politely explain my position when we have our meeting. If push comes to shove, I will tell her that I will switch to her method of line counting, but I will need 9 cpl rather than 8 cpl. If she won't do it, I will give my notice.
Thanks for the input! I appreciate your time!
Acute care work is operative reports, consultations, H&Ps, emergency room, DS basically the type of
dictation found in a hospital setting as opposed to a clinic setting in which you just type office notes and minor procedures.
The MR reports were being filed. Referring physicians/medical care providers reports were not.
This is a hospital radiology department with in-house MTs and a clerk who is in charge of the report distribution.
The two sentence normal reports will balance out the 3 page reports.
I am Wendy too
If they are dictating what you do with it,
Furthermore, whose to say they won't take it back!!!!???!!!
someone dictating for him
here is one for the books - have a sub-intern dictating for attending - dictates the following - "Dr. _____ states that the patient has a history of "what did he say "quinaquina" failure.. I am not sure if that is the correct spelling."
well he would not - it is chronic renal failure. Now why is he even trying????? - thankfully at the end of the report the attending who apparently was sitting next to him by this point, corrected him when he dictated it again. I give up.
that might be why the doc is dictating sm
all this old stuff. Doc may have gotten caught and fined for not having charts up-to-date. I a hospital, docs get their hospital privileges suspended if the charts are not caught up
It's time we all called NJ. I called
They can't provide anything in writing.
Nobody knows anything - keep telling you to call your supervisor.
I smell something worse than New Orleans coming from NJ.
They said Drs. not dictating on this account
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I tried re-dictating to Dragon...
I bought the latest best version, souped it up with KnowBrainer and devoted 3 solid months to training it to my voice and building a huge vocabulary. I could still type circles around it. Editing is extremely bulky and slow. Also don't think you can have your docs dictate a page and then train Dragon to do their speech direct. First of all, they will expect you do to charge less since "the computer" is doing all your work. Second, you will be spending tons of time doing further tweaking and training to get Dragon anywhere near up to par to actually get any production out of it. All of which is not only frustrating as h---, but you don't get paid for it. Now, don't take this to mean that VR won't take over transcription. Big companies use a different platform with the Dragon engine - one in which they have spent a lot of time figuring out how to make it quick and easy to edit...oh, the end is in sight, all right...
Dictating while being tickled
I have one MD who on three occasions has dictated while being tickled! I can't help but laugh along, but it sure makes me wonder who the heck is in there tickling him!
Dictating and driving
Can you hear me now?? I have a physician who dictates while he drives,and by the way, his dictation goes in and out so unable to get really what he is saying.
Is this a child dictating?
I once had a doc say "I asked the patient to pee in a cup". I forget what I changed it to but I cannot stand the word "pee" and refused to use that. It is so vulgar (of course got the approval from my supe first on the change).
Child dictating
Both my Ped doctors say poop and pee. Is this going to be the industry norm? Maybe we won't have rhinorrhea any more, just snotty noses, and a few owies, ouchies, and boo boo's. lol
Transcriptionist dictating into VR
I read an article about this years ago. A local Transcriptionist would listen to a report and dictate it into a VR program she had on her computer so all she had to do was edit rather than type because she had carpal tunnel so bad. It worked well enough for her that she could remain employed. I didn't know her or have a chance to meet her, unfortunately, but she inspired me to take the VR class through Office Careers at the local junior college. Like most people in the class, I found out pretty quick that I didn't have the voice for the software. It just didn't work well. Plus you have to retrain it any time you get a cold, allergies are acting up, yell yourself hoarse at her kid's football game, etc., because your voice quality has changed and the program doesn't recognize you as you anymore. At the time, she was working with reports on tape and whatever word processing program was popular at the time (WordStar, WordPerfect, Word). I'm not sure if you can use VR on your computer (or the one supplied by your employer) with the Internet platforms that provide the voice files now. It would probably be an added complication your company's technical department wouldn't want to deal with unless they were forced to as a "reasonable accommodation" under the Americans with Disabilities Act.
People dictating
That is as annoying as the dictators trying to say a last name that is 13 letters long, can't even pronounce it, but they continue to use it throughout the report....they can't just say "the patient." Geez!
dictating while seeing a patient
I must be weird because I never had a problem with the doctor dictating while seeing his patients. I worked in a busy clinic where one of the doctors pumped her breasts while dictating, one would eat hard candy and comment about the patients under his breath, one would tell dumb jokes in the middle of his dictations. We (the transcriptionists) got even with them one year at Christmas by publishing a little booklet of all their bloopers. We even got our raises that year!!!
Really does not have to do with the doctors dictating
because I have found eScription for so reason seems to hear the ESLs much better than the English speaking dictators a lot of times. Having said that, I think the system you are using has volumes to do with it from what I read on these posts. Which system do you use, if you don’t mind me asking?
Doctor not dictating. sm
I obtained a client in December. He says he is slow in dictating, but he nor his partner have not dictated all month. I tried to inquire, but he insinuated that my feelings are hurt and that if I didn't like it maybe we should end our working relationship.
I found this odd behavior, especially since he sought me out. Should I drop him and his partner, since they are not dictating? How long do I wait before I drop him?
Actually, if he hates dictating sm
and he is NOT alone in this, you could suggest his coming up with normals for stuff he says all the time and then dictate around those. This is a joint effort with the physician because he will have to sign them and have what he wants in them. You don't negotiate a lower fee for this either, btw, since it takes time to drop them in and to come up with them in the first place.
If he has some F/Us for say a total knee, then he could have a total knee note like: Pt is ____ days postop. I removed the staples from the ____ knee. Pt is to return in ____ weeks' time for followup.
WIth the above, you would drop in the canned text and he could dictate Ms. Josy Blow is 10 days out, had staples, return in 2. Or just 10, right, 2 on his end. I have normals provided by the company I work for, then I have many of my own. Some are a full note because they rarely vary. Some are parts of notes. Some are just shells with headers. ANYTHING not to have to type it all! While you have no problems typing them for him, he doesn't like to dictate so yes, you can help him solve his problem AND cut down your work and worry.
Don't interrupt the doc while he's dictating!
I'm doing this GE doctor and there's a nurse or OR tech who keeps asking him questions. Then he can't remember if he's dictating a colonoscopy or an EGD!!! He loses his place and has to start all over again!
I'm pulling my hair out with all the "uhhhhh, uhhhhhs" and then I have to listen to him get short with her and her get snippy with him and then he can't remember if he took biopsies or not, if he's in the colon or the stomach. He is clueless! Just let him get his rhythm going and leave the man alone!
Okay, I've had my rant for the day!
Believe it or not, I once had one dictating on a small
roaring up and down sand dunes in a DUNE-BUGGY. I had thought it was actually being dictated on a roller-coaster, because that's what it sounded like. When I complained to the boss, he said he'd look into it, and called the hospital. The next day he comes back and said, "No - you were wrong. He wasn't on a roller-coaster, only a dune-buggy."
"ONLY" a dune-buggy?
Re-dictating a sentence in a different way, only - sm
not letting the MT know, and the sentence sounds like an extension of the first sentence. You don't figure it out til you get to the bottom of the report under Impressions, and then you have to go back and find that sentence and listen to it again. This always seems to happen in the middle of a 45 min. long mega-report, too.
I had the guy who was dictating in his sleep,
and he was ESL to boot. He dictated the physical exam 3 different times, and it was different each time. The patient's race also changed from white to black in the course of the report, and there were 3 different contradictory findings in one part of the exam.
I sent the whole mess to QA; they put blanks in the spots that needed them--and sent it on through to the client, discrepancies and duplicates and all. So I got paid for all the typing I did. I did not get paid for the head-shaped hole in the wall, though....
But if what they are dictating doesn't even exist.... ? nm
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Then the dictating physician needs to spell it out instead
of expecting us to be psychic. I used to waste so much time at my old job trying to find the proper addresses for these yahoo CC physicians. In the meantime, the dictating physician mispronounced, didn't spell, and didn't even give a clue where the other doctor worked. I had to check the company physician list, the hospital physician directory, Anywho.com, then Google. And that was even if I could spell it properly! One physician in particular couldn't pronounce properly. He would put extra Ns and Rs throughout the name. How was I supposed to find it? And I got chewed out by QA for not being psychic enough to figure it out.
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