I sometimes do that with one of my surgeons
Posted By: Happy MT Robin on 2009-04-12
In Reply to: I suppose a good object lesson - Scamp
She has a very monotone way of speaking and never pauses between sentences. Rarely dictates a period or any other punctuation. Most of the time I can figure out what she is saying, but she also has a sort of stream-of-conscious way of dictating that strings things all along together. If I can't figure out clearly what it is that she's saying I leave it all as she dictates it. Like you, haven't had any fall out from that tactic, either.
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After hearing some surgeons
mangle their reports, I vow to never let hm near me with a sharp object in his hand. And when they say "informed consent" I wonder who did the informing and whether the patient could understand it any better than I do.
most surgeons dictate very well sm
That is one of the best things about ops. When I say "dictate well" I mean that they normally know exactly what they are going to say and use the same phrases over and over, which means a better line count for you. Plus, you are much more likely to get normals doing ops than you are consults and H&Ps (especially in acute care). Instead of doing one of these docs who repeat everything, or change everything, or a resident who is all over the report back and forth. That is what slows you down. I absolutely love op notes; they keep you up-to-date on equipment, etc., and the line count is great, but most of them get farmed out to Spheris (gee, I wonder why?) However, if you never type OP notes, they can be difficult at first.
Because surgeons tend to be
fast, succinct dictators. Because there are very few drugs to dictate, and the surgeon is familiar with all of them (as opposed to trying to dictate lists of meds as the patient wrote them in a history). Because surgeons tend to do the same sorts of procedures over and over, and the smart, efficient ones learn to dictate the same reports over and over so they won't leave anything out. That means an MT who gets him frequently can make normals to use over and over and save time. If an MT is fortunate and the software is very, very good, she can put jump codes in so she can jump from one particular spot to the next to fill in details that change. An example would be doing cataract surgery, where the main thing that changes is the IOL specific information. Because surgeons usually hate to dictate, so the reports are often as short and efficient as possible. Because it's not psych (or whatever the MT hates most, lol).
I type for three hand surgeons
I type for three hand surgeons and I have yet to see a WC claim go through without a big, big fight to pay for carpal tunnel surgery. Yet if you use any pneumonic tools, or drive and clinch a steering wheel -- truck driver, they will pay. But they seriously say that it is not the typing that causes it and will find some underlying cause to be the primary cause of it. All three docs agree. I got CT when I was working in the hospital answering phones a lot and clinching the phone and had the surgery -- 20 years ago. Now with typing sometimes 10 hours a day, never have a problem but guess I am lucky. Anyway you can try but it is a long, slow battle for you to climb and you will definitely need an attorney. Watch out if you are more than 15 to 20% overweight also, they will blame it on that.
Patti
I do tapes too for 5 surgeons Mon-Thurs.
tapes I really do Monday thru Wednesday, Thursday my day off but if there are tapes here, I do them and pass on the day off.....
Yep, there will always be the smaller office or the MDs who like the personal touch of us doing personal deliveries, having just ONE MT do their work.....and these guys are all in their 30-40s.....they will not change because I have had them for YEARS..... and they are all within 8 miles of my home....I'm lucky 
I have never had a hernia repair either, but I have done transcription for general surgeons for 14 y
They usually tell people to plan on 4-6 weeks depending on the lifting requirements of their job. Have you asked your surgeon yet? They should be able to give you a good estimate.
Brain surgeons and the U.S. President take vacations; so can you. The world won't stop if you do!
Makes sense, I understand that surgeons will dictate the same report over and over, but....
none of my surgeons do them the same way each time. I have let's say an appendectomy from Dr. Smith, I pull up the appy report that I have saved from him....he will change all the words like and, the, or change the subject and verb, and it seems I change most of it anyway. I have tried to enjoy them, but you are right, hardly any drugs, I will keep that in mind. BTW, I love lengthy, detailed psych reports, they are my fave! Thanks for you reply!
French, especially the surgeons. Easiest: Middle Eastern, Korean, Chinese, Indian. nm
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