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Serving Over 20,000 US Medical Transcriptionists

I think ASR may be able to read docs' minds!

Posted By: SM on 2009-02-10
In Reply to:

ASR:  He will return to see us in 3 weeks unless he has no sense.


Actually dictated:  He will return to see us in 3 weeks unless he has any problems.


I think the ASR read my doctor's mind!  I would be good money that's what he was thinking! 




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Unfortunately most docs don't care; they don't even read the reports most of the time.
It's OUR job to comply with quality standards.
Yer right... half the time the docs dont even read the reports. (nm)
.
sorry, supposed to read these docs need to know simple things like not talking with food in their mo
x
Inquiring minds want to know!
I work at home for a national in Philly and make $18.50 and I thought that was good!
Great minds
Great minds think alike!  See my post above
MQ has lost their collective minds!
2 cents for a check?? What in the world is up with those goomers? They must be smoking some chronic over there in New Jersey...
Free Your Minds and Hearts

 I just starting coming on this site as a job seeker and recently began to read the main board. Up until now was pleased with the fact that I had not read one hateful posting, all of that has changed after today.  I don't recall anyone ever telling the "majority" that they had to celebrate anything other than what they've celebrated all of these sixteen centuries.


If the finger of blame is to be pointed anywhere, it should be pointed at a society that feels guilty, whether that guilt is deserved or not, for its treatment of other races, cultures, lifestyles, etc.,  in the past and feels the need to make up for it by being politically correct about "everything," not just Christmas.     Those of you who are bashing others for their cultural/religious beliefs will be the very same ones who believe they have the right to stand at Heaven's Gate when the time comes. 


It isn't necessary to spread hatred and ill will every where, why not leave it in your heart and let it fester there and continue corrupting your soul and not those around you.    


As for me, I will not visit the main board again, and will undoubtedly have my thoughts on this subject bashed to death with hateful banter.  Please feel free to do so, that is your right. 


like I say, great minds think alike...*S*..nm

LOL. I think it's more desperate minds than great ones. :)
nm
and where were some peoples minds when re-electing--sm
our present leader, knowing that he holds strong with off shoring?! He wants to *democrasize* the whole world. He thinks sending our jobs overseas is going to make other countries stronger, but it is only weakening us! That was a major issue with me during the elections and why I did not vote for him...among other reasons.
You GOT it !!!! Great minds think alike *GMTA*

GMTA-great minds think alike..sm
a little hard work never killed anybody....*LOL*
Haha! Great minds at work! - nm
*
Survey - inquiry minds want to know - how many lines...sm
can you normally type in a 6 hour day?  Not your highest, your average please.  I know there will be specifics, but base it on your average day, average dictator, average workload.  I am very curious to see what everyone else can do.  TIA
TENS unit inquiry minds want to know:

Just wondering if anyone has a personal experience using a TENS unit they could share.  How long do you use yours for, if you find relief that you forgot you could have, etc.  As a chronic low back pain sufferer, I’m looking forward to getting mine on Tuesday! 


Thanks


We are nothing to them. The fact we work on production never enters their minds.
:{
I know how you feel. Working at home can be distracting, just having other things on our minds (sm)
like dirty dishes in the sink, piling up laundry, a bed right across the hall to take a nap in. What works for me is tune everything out including internet distractions and e-mails, phone calls. No more than a 10 minute break every couple of hours, 30 minutes lunch time and just hit those keys. The end result can be pretty rewarding.
I love to see people exercise their minds (and their rights)...will check it out...
Thank you, for sharing...

After all, if no one would have stood up years ago, we would still be called the 'typing pool' and making probably $7/hour, AND answering phones, filing, etc.

AAMT did have a huge role in that happening, but I have not seen them do anything for the American MT in a very long time.

According to the Advance Health mag (which is turning into a 'rag' in my opinion), their latest article is how MTs with disabilities are now being trained in INDIA...and elsewhere overseas, and just how wonderful and joyous that all is - !?#@$#@

Sisters, it is TIME we do something and take a stand.
In 12 years of MT'ing I've never re-read an entire chart. Edit/read as I type. nm
x
Yes, I read your post, and I just re-read it, and I've copied and pasted for you in case

you've forgotten your own words! Your post above is 100% different "flavor" to it, now all positive and cheery! Your first post was 100% doom and gloom every which way, including "raining on your parade", and "if you want to go forward"...God, sounds like she's talking about jumping into oncoming traffic! Here is your quote:


My first boss (the one who hired me as a new grad) gave me some words of wisdom that I haven't forgotten. She said that transcribing at home with small children NEVER works under any circumstance. Either the work will suffer or the parenting will suffer.


****


How can the word "NEVER" in caps be interpreted in any positive way? You took about 8 paragraphs to cover every aspect and completely dash this poor woman's dream.  I'm not blind, I'm not talking about day care at all, I'm talking about the total negativity of your original post! You know exactly what I'm talking about, cause you added some sugar to your second version! And that's much nicer than the first!


Oh I've read that site and continue to read it...sm
I agree...much motivation there. I have tried to quit numerous times in the past and did successfully quit when I was pregnant for the first time many years ago but I have never managed to summon up the strength or resolve to stay quit. Thus the "need" for a financial investment in my efforts. It somehow makes it more motivational to know that I have $$$ invested in this effort over and above the $$$ saved on cigarettes.
Who had time to read?LOL I only get a chance to read This Old House once in a while. (nm)
x
I didn't read the other posts but just read this
My daughter got pregnant at 17, said she wanted an abortion but BF didn't. I have a wonderful 2-1/2 yo grand daughter that I don't think I could live without...and now, guess what? I don't. I have custody of her. She was dropped off on my door, I got court ordered temporary custody and final custody hearing in a month.

I'm single with no family support. I had just taken a new MT job one month before this happened and they have been wonderful during my adjusting to being a mom again and I hope I can resume a normal schedule by next week.

I'm passing no moral judgments or giving moral advice. The situation is what it is. My prayers are with everyone involved.
Definitely an eye-opening read. Having my teens read it, too. nm
s
ESL Docs

That is SO true!!!!  There is definitely a problem with dictating the appropriate gender when it comes to ESL docs. They tend to go back and forth umpteen times during one dictation, so you really have to pay attention.  Verb tense can also get very confusing.


I agree that sometimes slowing down and concentrating can actually increase productivity. Even though I feel like I'm transcribing like a tortoise, I'm really getting more done than I think when I slow down and allow myself to think.


Just hang in there with QA. They are just doing their job and you need to take a good look at what they are telling you and concentrate on that issue. It's really hard not to take it personally, that's for sure, but it's gonna make you a better Transcriptionist in the long run. On the other hand, if you feel they are truly wrong about an important issue, then challenge them!!  But you'd better have major references to back up your challenge.


Ellen S.


 


 


ESL docs
are you on VR yet? you can choose to have a 20% cut on your baseline rate and get the "better" dictators ?? or you can choose to keep your MT 100% baseline rate and probably get all of the ESL docs -- what a choice - not fair, huh??
This is almost as bad as the docs
I got three of them yesterday...three different docs. I think this is soooo rude! I'm almost to the point where I'm going to refuse to attempt to do them. Surprisingly, it's always a female doc who is dictating either a GYN or breast cancer related report.

I can picture a couple of these ladies hopping on a Harley Davidson riding home from work.
I think they should ask all ER docs

if they even know the English language to begin with, 'cause if they do, they don't practice it.


I know everyone knows that a lot of docs don't

read the reports after we have transcribed them, but I just had a doc on my account dictate that he wanted the line "Dictated but not read" added to ALL of his reports from now on.  He was mad because he said he requested this to be done a few weeks ago and has been "keeping track" and it hasn't been getting done.


Amazing.


All of my PAs were better than the docs before

I switched companies and along with my new account came all new PAs (and might I add, quite a few of them) who all make me miserable. They botch the dictations beyond belief and I am left to fix the sentences which look like riddles and are actually confusing after they get done with it.


Change thoughts in the middle of a sentence...start talking and forget where they left off so I am sitting there for another 2 minutes waiting through the ummms and ahhhs and the start of sentences "the patient umm.... ahhh" and I'm waiting for them to say something and they just hang up.


Mine are good for this too... they will dictate an incomplete report and then a few dictations after they will start finishing incomplete dictations, adding in something they forgot to say, or they will say CC a copy to: Dr. ____  on a 4 second report and not say whose report it goes on. This would be easy to figure out if they didnt have 40 dictations and at least 5 hang-ups with about 8 of those 40 dictations being something they want added on to some nameless patient's report.


Had I not switched jobs, I would have had a hard time believing any PA was hard to transcribe...just because I had a good bit of them on my other account and they were all PERFECT speakers.


Now when I see that I have to transcribe a PA-- 


 



ESL docs
Hey there,
Hang with it a little while longer. You'll probably find that it gets easier. Those ESL doctors do say the same thing over and over again and it takes practice to get it. Try listening a few seconds longer than the phrase you aren't getting because sometimes that helps. I agree that samples help an awful lot so be sure to request as many as you can. Good luck! You can do it!
I would always rather have my ESL docs over the sm
English as first language docs, who speed talk, slur words, and don't seem to care about the patients.  I am usually very impressed with the patient care given, and the understanding of the human issues, by the ESL docs.  I think the problem with the original poster is she needs to learn to transcribe these docs, with all the suggestions, especially getting samples, mentioned above.  She doesn't really seem that concerned with patient care, but her inability to transcribe difficult dictators.  It is, quite simply, the nature of the business.  The easy docs go on voice recognition, and the transcriptionists transcribe the difficult dictators.
I tell ALL my docs that I'm an MT...
...and I transcribe and read my own reports (I work for a large healthcare co).  Hubby signed a HIPAA form for me to transcribe and read his reports, too.   Now the docs are more careful 
how many docs know?

When I mention to physicians that if they send their work out it might be sent overseas they are appalled!  Sometimes they say things like, "So that's why there were so many mistakes."  Companies don't always tell them where the work is being done or by whom. 


I still fault them for trying to save money at our expense, but in a certain sense some of them are being taken advantage of as well.  Perhaps our "enemies" could turn out to be our best allies should a good case make it to Court TV. 


We need to educate the physicians as well as the public. 


docs
Or I like when they make up their own spelling of words, especially meds.
docs
sorry made a mistake above...I meant the docs take me to the bathroom with them LOL!!!
docs
Let's face it ladies and gents - doctors have absolutely NO respect for what we do for them so they can make $$$$$$$$$$$$$$....
My ER docs do it alot

I guess it gives them the right to charge PREMIUM prices,  although I


think ER prices are quite pricey enough.  My friends trip through the ER


the other night was a cool $10,000 and all she got was an aspirin.  (she thought


she was having a heart attack and it was GERD.  But to rule it out they gave her


the works; CT scan, CXR, blood work, cardiac enzymes......and on top of that came the doctors (including the cardiologist, oh my) bill.


 


 


of course, I know 'bout as much as the docs do...sm

yeah, and that's why I'm here typing and they're out on their yacht somewhere, right?    But I do try to diagnose, even did this when I worked for a doc in the back office.  And sometimes I was actually right!


Cheap docs

They absolutely don't care about quality or any of that jazz, which is why I have always wondered why we as an industry keep beating each other up over issues that doctors couldn't care less about. Not that I think we should all just transcribe any old way we want, but it seems like we act like the slaves out in the mud pit slapping each other around about how much or how little straw to use for the bricks while the slavedriver sits on the side line with the whip completely content with end product either way.


I suppose the answer most would give is that we should take pride in the quality of our work whether they (the doctors) do or not, but I can't get passed the notion that these are the same individuals that the powers that be seem so intent on pleasing and are also the same individuals who would see us all in the soup lines tomorrow looking for the next homeless shelter to sleep in if they had their way. They (the medical profession) will not think twice about putting all transcriptionists out of business at their first opportunity, and yet we as an industry continue to bow to their ridiculous and uninformed demands concerning how to do what we do or their complaints about how much we charge or that we shouldn't charge for line count generated by short forms or macros, etc. They have no clue how many times their butts get saved by transcriptionists on a daily basis.


I've never met a transcriptionist who wouldn't readily agree with the notion that we are part of the health care team, and yet many of us continue to act like we still work for the doctors instead of the patient. Oh well, go figure.


Just venting as well.


also, most docs won't do certain tests (sm)

without your consent, if they are not considered standard and will probably have to be paid for by the patient out of pocket, unless the patient agrees to pay either up front or if the charge is denied.  At least that's been my experience! Good luck, I hate insurance companies, too!


Isn't she cute? 


Do your docs talk 2U?

I have one doctor who, when she wants to correct something or other always says "This is an aside to the typist." ARGH. I feel like I'm in a Shakespeare play or something - don't those have a lot of "asides"? I always want to scream at her "Don't you know I'm not a TYPIST?? I'M A MEDICAL TRANSCRIPTIONIST, DAMN IT!!!!" Of course she's 80 or something so I shall forever be "the typist" to her.


I have a resident who always says "For transcriptionist, would you...." to get my attention - but when he was new I thought he was saying "Poor transcriptionist..." I always nodded my head in sad agreement until I realized what he was actually saying....


And then there's the doc who loves to complain about his job to me, sometimes in great detail - "Here I sit, waiting for some x-rays to come in so I can make a buck" and "I cannot believe this hospital."


They crack me up!


docs talk to me
I always get one who says, "uh, secretary, please correct..." and then I have one who always says "oh, operator, could you kindly...." Does he think that because he dictates into a phone it's a telephone operator on the other end or what?
Docs don't have those guidelines because... sm
they realize how stupid they sound and look.  They learn the language of medicine and stick with it.  They don't bow to some silly-*ssed organization's whims. 
Hoo yah. I hear ya. Then you have the docs that. . .

think for some reason you know exactly what they are going to dictate for ROS so they just basically babble right through it and take a big deep breath at the end.


Or the one like I had today that sounded completely wasted off his butt and even with the speed up or down it still sounded like a drunken drawl. It was ridiculous. It was also dicatated later on Thanksgiving night, so who knows? Maybe doc had a few too many rounds of Thanksgiving cheer and then thought, "Ow thith, I thstill gottsa do my dictatheen."


Report them to your supervisor. It's worked for me in a few cases. It's up to them to pass the word along that the dictator needs to slow down.


I had one guy that I do locally on tapes that suddenly decided that he was going to take his machine and dictate on his way home in the car.  I don't think so pal. I called my local boss and said I wasn't going to do it. His tapes have been clear as a bell ever since because he's doing them in the office again.



that won't do nothing but give you a bad name and p*** off the docs...sm
that is definitely NOT the professional way to handle this. Give a little bit more time to get the check, ask for more details (in a neutral tone of voice) about when the check was sent, the number of the check, etc. Document the answers. Then consider filing a claim in small claims court. Sometimes it's a scam but sometimes it's a cash flow problem.
Chiropractors and other alt med docs?
Does anyone know of a good site for this? I usually use WebMD or AMA but chiros and the sort are not listed, and I can't find a good resource for them.
contacting the docs re. this sm
What she did does seem cruel to you and perhaps she is cruel, but those accounts are absolutely hers to deal with and I think it is wrong for the subcontractor to contact the contractor's clients, totally wrong. I do feel for you. As an IC and MTSO, I have been "kicked to the curb" for cheaper price undercuts by "so-called" friends, etc. You must let it go and move on, perhaps contact your local church if you need help with food, utilities, etc. I do feel very badly for you, but I think to contact her clients would be "tacky" and make you look bad. Perhaps one day you will own your own accounts and see what I'm saying is true. Good luck to you, I am sure you are very hurt, I have been there as well. Not much you can do but log it into your "experience" book. Stay well, things will get better. Sometimes change forces progress, I hope so for your sake. With all my best wishes to you.
Hopefully docs will realize
that their time is better spent seeing more patients than doing data entry..glad that your docs realized this. I had one lone hold-out who refuses to do the clerical entry... but doesn't dictate either... still writes ShortHand notes in charts....Ugh!
Lots of ESL docs
Have worked for prison system in Tx. They hire lots of ESL docs but work is not hard as they outsource serious cases to general hospitals. As regards pre-employment testing all I did was a typing test and gave my references.
Ask the docs what they are paying now and go from there. nm
x