I tried re-dictating to Dragon...
Posted By: Old MT on 2006-05-02
In Reply to: VR - Dragonlady
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...
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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
They said Drs. not dictating on this account
nm
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
x
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.
Dr. dictating just said happy Valentine's day!
Just makes me smile when the doctors remember to say something nice!
My favorite is dictating a whole list
and then going back and saying, "will you make so-and-so #1 instead of such-and-such." Ugh!
OMG!!! Why do ESL's sit there not dictating for 5 minutes at a time????
Geez, as if they're not annoying enough when they actually ARE talking! 
Doctor is dictating while watching
All I can here is zoom, zooom, zoooom. He paaaaaaaaaaaaaaauses for long stretches while he watches. It's driving me crazy. I keep getting report after report by him.
Try a doc that chaws tabakky while he's dictating
PLUS doesn't even have a nodding acquaintance with subject/verb agreement.
dictating while talking to patient
I like peds transcription..have not done as much as I would have liked. I have had some doctors who do dictate at home with their children around ("Be quiet! Daddy's dictating...go see Mommy..sshh") Used to type on an account that had a cardiologist who always dictated his reports while interviewing the patient ("you have the chest pain how often...(patient talking)....") Annoying...all in a day's work.
Why do doctors have to eat while they are dictating!!!!! so rude
nm
MR has little to do with dictating and typing or editing, ...sm
it is point and click by the doctors on their little computer they carry from patient to patient in the hospitals or it is in the doctor's clinic.
When they try to keep what they're dictating a secret...
... from the people having the LOUD conversation right next to them. Guess they never figure out that they are also keeping it a big secret from ME. I keep waiting for them to yell SHADDUP! but for some reason they never do. Sometimes I am half tempted to just transcribe the background conversation instead......
Using the Dragon
I, too, have carpal tunnel, released in the right have, getting worse in the left. I am recuperating from a broken right clavicle and find it very uncomfortable to extend my right hand/arm to move the mouse. Also, it is not allowing my collar bone to heal. One of my docs changes his mind so often that I have to delete and re-type so often that this might not be the way to go. Also, by the time I "train" myself to use the Dragon, I should be all healed.
dragon
Do you know if it can transcribe dictation from wav files? Also would the doctor have to train the software or could the Transcriptionist train it?
dragon
The person doing the dictation has to train the software. The MT could listen and redictate but why?
In the end, more trouble than it's worth.
Brad
Dragon
Were you using the Medical
Suite? It is absolutely necessary to have it. Did you spend the extra money to work with a prefessional Dragon trainer? I did and it was worth ever penny. Were you using a GOOD headset? Did you run the
Acoustic Optmizer at least weekly to improve recognition? Did you turn off the mike if you had to spend more than about 30 seconds looking something up or going back to listen to something again? Dragon does not work as well if you have a difficult dictator and you have to stop and start a lot, so sometimes it is quicker to type a report. Did you build macros and normals in Dragon? Were you working in the Dragon Pad or Word? If you were trying to use it in another program, all of the commands may not have worked and the recognition not as good. It is best to dictate into Word or Dragon Pad, then copy and paste.
What version of Dragom were you using? The older versions were slow and took longer to train. I have Version 7 with the Version 8 upgrade and the recognition is very, very good and it took only about 30 minutes to train on it.
I have not had problems with my docs as far as what to charge. My formula is simple: The better the dictation (i.e. the doc follows the rules of how to dictate into Dragon), the better the recognition, which means it takes me less time to edit, so I charge less.
I suspect your main problem was that you did not have the medical suite or you were using an older version, or that you needed more training on it from a pro.
VR-Dragon
I use Dragon to transcribe because I can no longer type, and have been doing so for the past 7 years. It has improved 1000% since I first started with it. I have Dragon 8 now. It may not be as fast as fingers, but it has kept me employed. I use it in conjunction with Auto Correct and Auto Text; I have created a ton of voice-activated macros/normals and I can usually turn out at least 1200 lines per day. More if I am doing radiology. Don't wait until your hands give out completely like I did. It is well worth the money. You may E-mail me with more questions if you like.
Dragon - sm
I have had Dragon 8 Preferred for about 4 months, I bought it off ebay new for very little. I have never been able to get a lot of speed out of it, even with excellent diction it makes mistakes and I have to make corrections. But I am able to use it for parts of my OPs, and most of my discharges. A little slower, but I can turn out more than 800 lines a day now. Was having too much trouble with my shoulders and hands to do more than that before. If you're really fast, it probably won't save you any time, but it sure can save you wear and tear on the body. I don't believe I would use it enough to invest in the Medical Version, though.
Dragon
Hi,
I have used Dragon Speak medical for many years and love it. It does have its problems, like when i am tired or speaking too loudly, i definitelyhave to proof everything, but it has helped me in the long run in getting reports pumped out quickly! I do a lot of PERS and IMEs so it is a great help and wrist saver. I don't understand what problems you might be having. Feel free to email me.
Cindi
I use Dragon
Hi. You can email me if you would like.
Has anyone tried the new Dragon 9...sm
speaking software. It is supposed to be better without any voice training. Considering trying it to cut down on those late nights. If you have used it what do you think of it. It would be used for Clinic notes if that makes any difference.
Thanks. 
Dragon
Anyone using Dragon? I was thinking about buying a unit for home - you know listen to the dictation and repeat it. My hands need a rest now and then. I had it when it first came out but it was lousy and I wasn't happy with it. Are they any better or is there something else in place of it. Thanks
Dragon
using this to dictate from handwritten progress notes, but then do you think this would require a lot of editing? I guess once Dragon is trained, it could increase productivity. I would like to save myself from looking up and down from my desk.
Dragon MT
I just started using this Dragon MT program. So far it is like taking 10 steps back from the other program that the hospital was using. Is this correct that there is no medical dictionary or Expander with this program and you have to create your own in Word autocorrect or am I missing something. Is this customary with most software? I guess I have been spoiled so far. With all of this technology, it is hard to believe the company wants you to start from nothing. Thanks in advance.
what is Dragon?
just wondering what dragon is?
Dragon
I am interested in purchasing Dragon for transcription. I went to Staples and asked for the preferred addition. The man said he hasnt heard very good things about the program. So I put it back and came home to ask your advice.
I know that it is non medical. I know they have a medical one that cost around 1,299. Any information on this product and how it works would be greatly greatly appreciatted. If I can use it and save my hands that would be great.
Again be honest about and tell me what you think.
Thanks guys.
Lilly
I had a doctor using her breast pump while dictating. sm
Reminded me of my granddad's dairy.
Reminds me of my favorite dictating physician..
 Really miss transcribing his 8 page reports (no sarcasm implied) Have a great day everyone.
I would like to hear from anyone who uses Fusion dictating equipment...
Hospital just purchased Fusion dictating equipment. We had been on a Lanier system for almost 15 years. I've read some on the Fusion equipment and all it is suppose to do (even speech recognition). does anyone use this equipment with the call in station?
I'd say dictating at half speed exonerated you
I could not STAND when they did that! (dictate at half speed distorts the voice or that was my experience anyway)
:)
People dictating who cannot pronounce the words
and do you notice when they are reading others have reported, you can tell they are reading word by word by word and yet half are ones they cannot even pronounce and stumbling all around. Ye Gads!
Dictating on a speakerphone: One of my biggest pet peeves!!
It simply should not be allowed. It is hard enough to understand a lot of these people, and then they sound like they're speaking from the bottom of a pit with the annoying mechanical, buzzing sound quality as they "push to talk". Not to mention all the extraneous noises on top of that -- drives me nuts!!
Eating their lunch/dinner while dictating
I have a doctor from Croatia who is hard enough to understand with his "ah" and 'um" but when he's crunching carrots in the middle of it? Forget it.
How does Dragon work?
Has anyone used "Dragon" VR - and if so, how does it work? Is it worth shelling out the big bucks for?
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