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Serving Over 20,000 US Medical Transcriptionists

I tend to agree.

Posted By: MT on 2005-08-01
In Reply to: Whether you like it or not, your private health care is distributed to others - My Excellent Opinion

I am concerned because someone I know transcribes for the doctor I use. But then again, I know the entire office staff, and I have heard the receptionist talking about patients when she was having lunch in a restaurant. Although I hate outsourcing, and I do worry about terrorists sabataging the systems and causing information to be lost, I don't really worry as much about confidentiality as much as I do with local MTs.


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    I tend to agree with you sm
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    I tend to agree with you

    I agree.  When Angelina Jolie first started bringing to the forefront the terrible African situation, I think that changed the entire focus of this country.  Unfortunately, with that also came complacency.  At least, I give her kudos for bringing up subjects we, as human beings, didn't want to face.  But that was then and this is now.


    So...I guess, as just a lowly humble human being, I will throw my hat in the ring and see where it falls.  For me alone, I will feel better just knowing I tried.


    Have a great rest of your day!


     


    I tend to agree with you. sm
    Many times, I was called in the wee hours of the morning to type a stat. This was years ago, and it could have been any time. I never questioned my employer's right to ask me to type a stat even when it was not my shift or even when I was not working that day or that weekend. If there was no one else available and the client was calling with a stat pre-op, then somebody had to type it.
    I tend to agree with this. I was thinking this earlier--sm
    when I read the OP, but everyone seemed to conclude that it was none of her business what the other employee did. However, in my opinion, if the MTSO found out about it from another source, and believe me, she would eventually, it could come back on the other MT as having known about it and said nothing. Everything in this world, these days, is a cover your butt situation. If you knew about it and said nothing, then you are just as much to blame as the one who was doing it....against the contract with the MTSO. Protect your own interests first, and do not worry about the one who is doing wrong. silence is condoning her wrong doing and that makes you (the other MT who knows about it) just as guilty. JMO. So, I guess I am on the side of the MTSO. Sorry.
    I tend to agree with the above poster. I know, for a fact, that some hospitals sm
    have inadequate QA people. Heck, where I worked, it was nothing for a newbie transcriptionist of
    maybe 4 months to QA another newbie of 1 day, hired right off the street with no training or eductation in transcription. Sad, but true. I had 1 QA person, there for over 40 years, and 2 QA people there for 6 months. How fair is that? I referenced the BOS many times. They didn't even know what it was.
    Tell 'em typing fool, because I tend to agree with you. nm

    As far as company VR for critical care it is not very good and I agree with the other poster. I tend
    to leave little words in or if I have to take a lot of words out an extra word gets stuck in. It is a mess. If you are speaking of your own person VR at home to help I know nothing about that. With companies at this stage of the game you will not increase your productivity as you think.
    I tend to do that
    with the fast talkers. I notice that I type faster. Too funny about turning blue though....gotta remember to breathe. :-)
    DH will be right over. I tend to toss them out, myself.
    zz
    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).
    Posture. How many of you tend to sit on one leg while working?

    I cannot break this habit.  I do not think about it until my knee starts aching midday.  Do you practice good posture?


    Unfortunately we as women tend to be raised to think that
    our lives aren't complete unless we "have a man". Men, on the other hand, are raised to value their careers, educations and be as financially successful and independent as they can be. Therein lies the problem. We're supposed to dream of a big wedding, they're supposed to dream of being president of a huge corporation.

    Moms, raise your daughters to be independent, educated and successful and if someone fits into their lives after they are, that's great; and if not, so what?
    Yes, I tend to only respond to ads that list how

    It seems like posts tend to disappear...
    every once in a while. lol
    No, I tend to hold grudges though I have become - nm
    more tolerant in my old age (40, ha, ha). I told my husband only 2 things would ever make me divorce him, (1) he cheated, (2) he ever hit me/abuse. So far so good, though some verbal abuse has happened though much of it is due to circumstances at present but if it continues or grows worse I will seriously consider leaving and I suspect a nasty divorce would ensue (2 kids involved) and I'd be entitled to over $100K....money is what he loves most so it would get dirty I am sure. But hopefully it will never come to that.
    My "on" days tend to be when I don't (sm)
    have bills waiting to be paid, dishes needing washed, errands to be done or in-laws asking me to do things for them. Not that I stop and interrupt my shift to get up to do those things, but I think the underlying stress distracts me, no matter how hard I try to fight it.

    I saw some postings on another board about listening to classical music helping them concentrate. I tried it and it doesn't work for me (I keep stopping to listen!) but that might be worth a shot.
    I now work for an MTSO, but when I was inhouse we did tend
    to send the difficult dictators out (our supervisor did this). That is just part of working for an outside service. We do not get to pick and choose we get what they choose to send.
    I tend to proof my reports as I type,
    during pauses in dictation I read the paragraphs above and also while spellchecking. Unless it is a difficult report, I do not relisten.
    Some who do ops tend to speak faster than lightening sm
    I also see it as an excuse for a CYA for them. You have to watch them dictate to appreciate this, there's no need to talk that fast. You almost have to use their boiler plate op as they are unintelligible. They can always say, "That's not what I said." I don't trust those guys. Some ops are great, interesting, some are totally boring and monotonous, all have good and bad points. Psych reports are interesting but if you do them long enough you start to go "batty" - or perhaps it's just me. I like a mix.
    I AM A PSYCHIATRIST. You are too much in others business and this reflects the inability to tend
    to your own problems. I suggest you schedule an appointment to see why you butt your nose into other peoples issues and leave yours to fester and grow. Get off the computer and phone your health care provider. I am too Busy MD'ing to solve your problem over the internet. I am just here to see how I can make my dictation more pleasing to MTs and I can't take care of your psych problems here. Once again, too Busy MD'ing.
    40-year-olds tend to make much better students
    than 20-year-olds!

    In four years you will be 42 years old either way. Do you want to be 42 with or without your Batchelor's degree? :oD


    5 minutes tops; if not tend to waste too much time - sm
    google what you think it may be, or key terms in the phrase and usually you can figure it out that way pretty quickly.

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    We had two different sizes. The problem is they tend to flatten out instead of standing upright. sm
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    I wouldn't, those illiterate management types tend to stick together.

    The next one might be dumber than the first one.


    Disagree...ESLs tend to dictate graveyard shifts....nm

    I live in Buffalo & little kids tend to call me Miss Debbie. nm

    Keep contact at a minimum. Self doubt hits and it is when we tend to fall back into the web
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    I find you do tend to skip maybe a word sometimes when you dont reread. I guess

    your brain doesnt keep up or something.  I dont know what causes that.


    Unforttunately marriage problems tend to follow you into the next marriage...sm
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    Agree, agree, agree! Just listen to Benny Hinn..

    he speaks perfect English, especially when asking for money!  Also, in my opinion, blanks should be left in the doc's dictation if not able to be transcribed, maybe then they will know that are NOT understood.  With QA fixing them, what need is there for them to care if we understand them or not? 


    I agree with you....

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    I feel for the family but they need to let the Arubans do their job abiding their own laws.  I know the mother has said she will stay until she finds Natalee but you can't live in Aruba forever.


    I agree....

    I think you have to blame Natalee herself before you blame the chaperones.  What was she thinking going in a car w/ three strangers in a foreign country???  And also, what about her friends.. what were they thinking letting her go to the bar or leaving the bar alone?  Back when we were in college and were on spring break or just bar hopping in this country..... you NEVER let your friend go off w/ some strange guys.  That is just common sense.


    I agree!
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    Thank you! Me either!

    I feel awful for this girl and her family. I really do. But no way in Jerusalem would I have allowed my 18-year-old son OR daughter to go to Aruba (which is a colony of the Netherlands, where pot is legal and who knows if there's any regulation on alcohol).

    An 18-year-old is in no way socially savvy or emotionally prepared to be turned loose in a strange place with very loose laws and be expected not to get into some kind of a situation that he/she is in no way prepared to handle.

    NO WAY

    I really hope they find this poor girl, but it's not looking good.
    I agree - for all we know
    they could have taken out a second mortage on their home to finance this "vacation".
    I agree with you...
    besides if I sat all day and typed an American doctor who dictated in monotone speech I'd be sleeping by 10 a.m. I look forward to the challenge of transcribing the ESL's every day..it makes our jobs more rewarding!
    I agree
    nm
    I do agree with that...

    Evil does exist no matter where you go and my post was meant in no way disrespectful to you or your opinion (I hate it when a flaming war starts like the ones above).  I just know how one seemingly insignificant comment can start a whole line of growing misinformation...  Kinda like that game we probably all played as kids..telephone or whatever 


    I did not hear about the comment of America being the Great Satan, that is interesting, I am going to have to check that one out! 


    agree...

    IN some cases we did, but do you really think the Indians didn't do the same?  There is a myth about indigenous peoples on any continent being "noble savages," but in truth, there were warring thieving tribes among the Indians here who leeched off the peaceful tribes before the Europeans got here.  Lying and cheating are not exclusively European virtues.


    I still say they need to get over it.  We spend way too much time in this country talking about mistreatment and ills of the past - we need to spend more time and energy on building a future for the children and grandchildren we say we love so much.  The best way to give them a successful, peaceful future is to let go of our resentments and choose to love our children more than we love our grudges.


    I agree with you (sm)
    it takes a village to produce a perfect report! LOL! I embrace the feedback from QA, both positive and negative.  And I make notes and try not to make the same mistake twice.  Life is a learning process, anyways.  The day I stop learning, I guess will be the day I die!
    don't think so, i agree, it is a
    x
    I don't agree.
    We get a lot of local coverage, but what about national coverage like on Fox, MSNBC, CNN, etc.? Every single news network has been focused on this one single incident on just about every show from 7 to 11 p.m. for months.  Nancy Grace gives a 30-second blip in her missing person segment, but the majority of her hour-long show is devoted to the Holloway case.  Look at all the help that was donated to the search effort in the Holloway case because of media attention and contrast that to the help that could be focused on other cases in addition (not instead of) had they received the same saturation of news coverage.  It's not a generalization, it's an actuality.
    I agree
    Yes I agree with both of you Joran was involved.  I think it was drug related probably not to her knowlege, an accident or something and then they panicked and did whatever they did.  When you hear that the father actually said, "No body, no case", that sends off bells to me.  My fear is they know she will never be found, and he will just do his 116 days in jail or whatever, and her parents will never have any closure.  Sad.  I hope we are all wrong.  I hope she shows up somewhere like Elizabeth Smart, no matter how traumatized, it can be dealt with.  However, I still don't think it is fair to all the other parents with missing children who cannot get their story on CNN for 3 hours a night, not for even a minute.  That has to be a plight worse than hell, not knowing; and thank God I don't know how it feels and hope I never will.
    I agree with almost everything you said except for
    the fact that you don't think our work impacts patient care. I have to disagree with that one. So many times the things that we transcribe are read and re-read to help those giving direct patient care a better understanding of what is going on with their patient (I used to be a nurse and quite often read previous transcriptions). While we are not directly involved in patient care, we do have an impact on their care. Anything that is placed in the chart has an impact on the care because if we transcribe something incorrectly (which we all do)whether it be MR#, wrong med, whatever and nobody catches it then it becomes a part of the record and may be referred to many more times down the road.

    I do agree that a lot of transcriptionists would be happier if paid by the hour with incentive bonuses for QA and/or production, but like you said, that is not likely to happen.

    I am glad that we can get on this board and discuss our different opinions with others. Sometimes it gets a little lonely working at home and it helps to know other people's insight into different things.
    I have to agree...
    Degree in advertising and marketing and promotion and choosing to do MT. How pitiful is that?
    I agree

    I can do 1800-2000 lines a day, so 1000 is a piece of cake.


    I agree
    On of my good friends is trying to get pregnant now and she thinks becoming an MT at home is going to be easy. She is planning on taking the education direct MT program. I told her, she better know what she is doing.

    I doing all the research I can, so I won't make a big mistake.

    After reading the posts I don't think it's worth it. I feel I can be a better mother to my child if I continue to work outside the home now. Like a pp said being home physically isn't enough, you need to be their for your children emotionally and mentally. At least once I leave my office, my work stays there and I can give my attention to my baby.

    You all have helped so much!!!

    THANK YOU:)
    Have to say I agree with you
    Luckily, I didn't have to do it at home part time, but I had a job away from the home during the day, and worked at home typing in the evenings and weekends.  I had 3 kids to raise by myself with no help, so I did what I had to do to make ends meet.  But I know they felt neglected when I was at home, and "always working."  Luckily, they grew up okay, but it was hard, and there is always the guilt of "always working".  I remember them saying those words very clearly.
    I actually agree with you. What gets me is SM
    when people in this situation go on to make things infinitely worse by having two, three, or MORE kids. Get some common sense, people! It's bad for the kids, and the rest of us are sick of being expected to pay (literally and otherwise) for your mistakes!
    agree
    Agree you should get it all. Sorry she had a stroke, but you are working your butt off to keep her afloat.
    yes, I agree

    That is what I am working on, keeping at it.  Hard right now for me with 3 kids at home and in my face sometimes.  But only 1 month till school.  Ahhhhh, cant wait!  Still, I find that after my 1000, I start to dwindle a bit.  I want 2000 a day, so that is my goal I am working towards.  Have to find ways to motivate myself. 


    I also strongly agree with you about the attitude component.  That plays a major role in our jobs.  With changes coming on board at my company, I find the better the attitude, the better it all goes for me.