If the radiologists are associated with a spine clinic
Posted By: there's also, sm on 2008-11-20
In Reply to: a list - anon
diskograms, epidural steroid injections, nerve root blocks, vertebroplasties, etc.
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Keep the Day Job/Radiologists
I, too, would go back in-house in a heartbeat! We were outsourced, then the hosp. closed. I was still doing that same account and others, but my production went way, way down.
I talked to a good friend yesterday (Radiologist) who I worked with. He told me how miserable VR is and that he spends tons of time trying to correct it (not one negative word about the MTSO, whoever it is). Even still, it comes back with errors. He clearly said, "I'm not an MT, I'm a Radiologist, so I don't know how to do all this stuff."
Ironically, another Radiologist called my number by accident. I didn't know him, but he certainly recognized my name (in this huge city). After I told him what I do and where I worked before this mess, he said how horrible VR is. Get this: Then he told me that the docs are being razzed about "PRODUCTION," too! The other Radiologist told me the same thing (2 different hosp. systems)! I told them how the TAT game works and "the suits."
Lastly, I hope you'll ignore this woman. Don't give her the satisfaction. I don't know how laws go, but shouldn't there be some "freedom of religion" thing you could try? Hope you start snapping back. She treats you poorly because you've allowed it. Not being cruel, just honest.
As Dr. Laura would say,"Now do the right thing."
And please...keep us posted!
Just radiologists need every work to be right?
x
What is it about radiologists who dictate mammograms?
We had one at a hospital where I worked who was constantly making jokes. If someone had an unusual name, he would find a humorous way to mispronounce it, and then say, "Boy, that's a mouthful! Oops - not supposed to say that when I'm dictating mammograms!" Or if the patient had the same name as someone famous, like Elizabeth Taylor, he would say, "Just call me 'radiologist to the stars'!"
Silly, but it certainly brightened up my day. 
I second this! Radiologists don't mind questions
You are correct in that radiologists know MTs save their butts constantly and are glad to review, revise or reword at the suggestion of an MT. Sometimes they will say "no, that's what I meant and what I want", but they are generally very glad to have things brought to their attention and are quite gracious in explaining something to help you learn. They know the more you know they better their reports will look. And often they're so laid back they will tell you to automatically fix their more common mistakes (metacarpal for metatarsal, etc.) without having to ask them about it. So we do tend to fall into the habit of fixing stuff for them because they themselves often encourage us to do so when its blatantly obvious.
Anybody have any info for AZ company Valley Radiologists that they...
can share or hear anything. I've heard very very bad things about the transcription supervisor. Please do share any info you may have or have heard. Thanks!!!
I doubt that any radiologists here are sweatin' bullets, hon
and don't have to sweat it, like people who are not college material do
Same for radiologists. Films being popped up on the screen.
Causes such loud pop noises when they throw films up and take them down. Really makes it tough to hear the dictation.
c-spine or C-spine?
x
from the spine......................NM
.
radiologists and radiology services are very very tight with money - sm
You always have to keep an eye open for who is hiring and who is looking to switch to another service. I for one, have managed to get the work I had by just letting radiology offices know who I was and where I lived. My reputation spoke volumes and references even more. However, there will always be that one person or company that will undercut your rate just to get the work. But keep in mind, depending on the radiology office or radiologist, they may keep crap work just to save $$. Others will not, and eventually I always get called back.
You cannot expect people to just hand over their paycheck to you and say, "yeah, here is who I'm working for. Call them up." Would you want someone cutting into your paycheck? I know I wouldn't. Take the work while it is there. Feast or famine. And always keep YOUR OWN eyes open for business.
It has nothing to do with having a spine as you refer to it..
As long as the place I work helps me pay my bills, raise my children, and treats me fairly, it doesn't matter to me. You are never going to get the entire transcription community to do that. If we were all alike and had the same opinion life would be very dull and we would all be like drones. If you CHOOSE not to work for companies that outsource, that is fine with me, as that is YOUR CHOICE. However, I am happy where I am and it gives me what I need in life. I hope that you can be a bigger person and respect other peoples choices in life. They need not all be like yours. 
It is disks in the spine now
I transcribed for a spinal surgeon who said that the Academy of Orthopaedics has decided that spinal discs should officially be spelt "disks." Apparently they want to make everything consistent. So that is how I spell it unless a doc tells me to spell it othe old way. Which I do although technically it is incorrect.
Radiology dictation....do any of your radiologists use handheld recorders anymore?
Or is it mainly phone and through the PC? Thanks!
how do you get an inguinal hernia in your spine?
Does your dad have a spine? He can't spare a hour in the car to take you
I would ask him personally (bypass stepmommy)....and if you really want to see him, then take taxi from the station to their house. Don't let her control when you see your family.
it's definitely cervical spine; otherwise it's fine
nm
Have you been worked up for fibro and/or is the arthritis in your spine, too? Sorry...:( nm
s
Back in the day, disk was for eye, disc was for spine,
now the MTSO I work wants disk for everything.
And I was told it was "disk" for eye, and "disc" for spine.
*
clinic is not walk-in or ER notes; it is clinic
could be a small clinic with just famiy practice, internal medicine, maybe physical therapy, or it could be like mine, large, every speciality, cardio, nephro, neuro, ortho, endo, surgery, ENT, podiatry, ophtho, derm...
Anyone w/ experience w/ Resurgens or Pinnacle Orthopedics for spine care in the
Has anyone ever used either or know anyone who has? Would appreciate any comments. I need to see someone for my scoliosis which I know is progressing, and the pain is giving me fits right now. Thanks.
disks in C-spine, then huge metal fan fell on back of head!
That is when the real pain began. A rhizotomy is where they cut the nerve roots to relieve the pain (anterior) or muscle spasms (posterior). I just had neurectomies, and my head has been worse for the last two months. The neurosurgeon was unable to get left side because my occipital nerve was entangled in the artery, but he got the right. Now I cannot feel the right side of the back of my scalp; however, I am still having a lot of pain! So much for that.
any neck pain? Sounds like a cervical spine problem. And med advice.. you nee an xray!
You might be old enough for degenerative changes, or disc space narrowing. What you are describing could definitely come from cervical spine nerve root compressions. Does the symptomatology change when you reposition your neck or adjust your posture? See somebody, that's kinda-sorta something you shouldn't be messing with.
clinic
yes, it is clinic work
Clinic pay
I'm thinking about doing some doctors clinics. What should I charge. I too will be picking up and delivering. Thanks a bunch!!
I had only clinic exp.
I just applied to companies that seemed good and was hired with no acute care experience. Good luck to you!
Do not know about WP, but I have a clinic--sm
who has WP and I type in word, save document as "rich text format' and they can open it on their end.
I went from FP clinic to OPs sm
hardest darn 4 months of my career! I skipped acute care other work types. In the end, it has been just great. I then went work for a service doing OPs after that (it was all outpatient surgery) for a large teaching hospital. At this point, you can throw me about any OP and I can do it. I learned cardiothoracic surgery this year without much cardiac experience and didn't even find that a problem.
I have a Stedman's Surgical Equipment word book, but if you are a good googler that is almost as good, but can be time consuming if you are not. It would help you to have another MT who knows OP notes to ask questions of as you learn. I did, it helped a lot.
when you say clinic...
Do you have multispecialty clinic experience or is it just a few specialties, multiple docs or 1 doc? That might have something to do with it.
mainly clinic, but
I do have about 4 months of acute care. I know most places like to have 6 months of experience.
Any hiring - ER only - or clinic maybe?
Need a new job! But have only done ER for 12 years. Old single mom with small children and no time to learn new tricks right now LOL! Anyone know of a good company - at-home - that hires for ER only (not Spheris) or clinic work? Would appreciate as much input as you are willing to give. Would especially be pleased if they supply equipment! Thanks!
The gal I shared a clinic with (sm)
went in one day to pick up tapes. She was standing there erasing tapes when one of the docs walked in and started chatting with her. As they were standing there, he handed her his tapes for that day and the day before. They continued to chat and she took those tapes and ran them through the magnet! She looked up at him, he looked down at the magnet, and they both busted out laughing.
Yeah, it sucks, but it isn't the end of the world! Go in first thing Monday morning and tell them what you did.
My old clinic spent (sm)
over $100,000 implementing an EMR system that claims to "replace dictation." Well, they'd have to sell it to doctors who are interested and have time to type in order to replace dictation. If nothing else, it increased my line count because of all the crap I had to add to get the notes uploaded to the system! I'd still be there if I didn't have to move.
Mayo Clinic
They have run that ad in "Advance" for years. I had a friend who applied for it and they told her they were just "making up a list". I don't know if that has changed or not. Also, to work at home, you have to live in the Phoenix area-- no way for me! It used to be nice when I moved there in 1964 with large citrus groves, beautiful clean air, etc., but now with the traffic, high crime, illegal aliens, gangs, road rage, shootings every day, etc., it is just like living in LA. If that appeals to you, go for it, but not me! I have a horse and used to enjoy riding along the canals and cotton fields, etc. Now it is just wall to wall houses about 3 feet apart. I got out of there in 1997 and not a moment too soon!. They are trying to make the rest of Arizona just like it and ruining everything, unfortunately. It used to be a beautiful place, but not any more. Besides, all the Californians are moving here with their money and are pushing housing prices out of sight. 
Anyone know what co has ad for clinic work - sm
on the job seekers board. States you have to have a C phone or be able to re-record but no company name given. Anyone know who this might be? 
Does anyone do PT Clinic Reports?
I have never transcribed these type of reports and may have an opportunity to in the near future. I have over 12 years of multispeciality experience as an IC and am just wondering what the pros/cons might be of the these types of reports.
TIA.
yes, but did you hear that this clinic is now
closed, and nobody knows why? Hmmm... All of their patients are scrambling to fing somewhere to go for medical treatment. Interesting.
Mayo Clinic
I know for a fact that all of the Mayo System clinics here in Minnesota run ads just to collect resumes. They will lie and tell you that the opening has been filled, but I have an insider who tells me what is really going on and you also see the ad continue to run. There are no job openings. Not nice.
I do clinic work for them
/
I think clinic/ ER notes sm
would be a good place to start, either working as an IC/employee for a national or getting your own accounts.
Good luck!
Hospital or Clinic? sm
Will you be doing one work type or several?
If you are to be doing one set work type for a hospital, I would say 14 cpl. More than two work types 16 cpl.
If you are to be doing clinic work I would say anywhere from 10 cpl to 12 cpl.
Let her know that your quote is negotiable based on the work. Don't undersell yourself.
Might try clinic work ... seem to be less there. Otherwise
x
Clinic vs Hospital
I have noticed that it does worse with clinic notes than hospital notes. If I sit still for an hour I can average 600+ lines an hour but I get bored. My line count for all my escription accounts together average around 3000 a day, with about 25% of that being straight typing.
I also found my thumbs got very sore using soley keys so I prefer to use my mouse some.
Why only work clinic
and not in acute care? Do you feel you cannot do the hospital work or ? If you start off in the 4s, it helps you to be able to work just about any job relating to transcription but you might fear, do you?
Clinic and acute are very different.
I think acute care is much easier personally, but I've done mostly clinical stuff for 8 years now. I've only done acute care for a few months but I think it is much easier. Of course, my old clinic had every type of doctor known to man lol.
Do you get more LPH with clinic notes or Ops? nm
x
only clinic notes can have
an actual name in a report. hospital reports should never have an actual name but instead just have * the patient *. hipaa rules.
If the clinic does procedures or is SM
accredited by the Joint Commission on Accreditation of HEALTHCARE Organizations, they have to comply.
My work is clinic also
My work is clinic notes, psych reports, surgery letter and consults also and I have had the same doctors for 7 to 18 years. But I still pay me IC's 8 to 9 cpl even though I can personally do 400 to 600 lines per hour and they can make $40 an hour on the psych reports. I also will not boost my rates sky high to my docs because we make a decent living due to shortcuts, templates, etc. But no way would I ever start anyone out at 6 cpl or even 7 cpl, though of course maybe I should and rake in the money myself. And on the other hand, I pay well but I still have had to look deep and hard to find those that will work for that amount and be mainly depedable so I can keep the accounts. They only wanted to work Tu, half of Weds and perhaps Thurs depends. I used to have 3 IC's and now have one after a doctor died and one retired and I keep the majority of the accounts because I could not find anyone that was dependable and thought it didn't matter if a report was 24 hours late, or the report was just half done, etc. And if the doctor requested things to be done a certain way we did it, mom and dad capitalized we do it because he signs the checks. So I can only imagine handling 10 IC's and trying to have enough work and yet have enough coverage when you needed it. Too much for me.
Yes, it is clinic notes...sm
I also have an extensive list of Expanders that I wouldn't doubt was well over 20,000. I've been building it for the last 11 years working at home. I don't even type out the word with (wi).
I appreciate your response and the boost.
Clinic notes
Mostly clinic notes from my experience:
S - subjective
O - objective
A - assessment
P - plan
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