Letting Physician hear her own dictation
Posted By: radgirl on 2007-12-29
In Reply to: Can you make a copy of the bad dictation? - AgingMT
I had two bad dictating Rads, one who said "period paragraph" in the middle of a sentence throughout the entire report and another who threw up the films while dictating, as his handset was placed on the counter. There was no OM to talk to, it was me and after asking them repeatedly to fix the problem, they tried with no improvement. So I typed the report exactly as he dictated it and gave it to him for signature. He never said a word to me about it, just redictated clearly and never did it again. With the other, I walked into the reading room and played the tape for him and asked him if he wanted me to send the dictation to the referring physician so that he could figure out what he was saying. You would be surprised how quick these guys got their act together. But they really did not think there was a problem until it was presented to them. Maybe she needs to hear what it sounds like. She may not think its so bad. I say copy and send the bad dictations with the letter. Leaving out those things mentioned above.
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Instructions for physician dictation
1. At the beginning of the dictation, take the deepest breath you possibly can and then try to dictate the entire report before you have to inhale again.
2. When dictating a particularly difficult word or phrase, please turn your head and speak directly into your armpit.
3. If you have to sneeze or cough suddenly, please remove your head from your armpit and sneeze or cough directly into the microphone.
4. If you must eat while you dictate, please stay away from foods such as marshmallows, bananas, and pudding; apples, pretzels, and celery are much better choices.
5. Please do not stop dictating when you yawn; it throws off our rhythm.
6. Do not stop dictating in the event of a minor background noise such as an office party, the janitor’s vacuum cleaner, a screaming infant, etc.; again, it throws off our rhythm.
7. Talk as fast as you possibly can. Fair is fair, after all, and we type as fast as we can!
8. Dates of admission and discharge are not important for old H&Ps or discharge summaries.
9. Abbreviate whenever possible. Everyone loves a mystery and we are trying to learn new skills, such as mind-reading.
10. Finally, be sure to wait until the end to tell us what kind of report you are dictating, or to "scratch" this dictation since it was already dictated.
So do you use like a wav pedal to hear the dictation? sm
I actually still do tapes too and like it until they come off the end of the spool. This always happens to me. I'm actually losing my huge and only account to EMR very soon and can't seem to find any local docs. Is digital a way I could get docs further out of my driving range? Any help would be great. I am a MTSO and it is just myself.
If you are currently using a pedal to hear dictation you
have a sound card already. It is pretty much standard equipment. What pedal you use just needs to be compatible with whatever software you use. You can download Express Scribe and try using your current pedal with any voice files you might have already on your computer.
Hard to hear dictation occurred also for me
when dictation transitioned from C-phone to digital over the internet. Most dictation was fine; however, the faint dictators disappeared even with volume turned up to its maximum.
Recalled an article I saved "somewhere" for future reference regarding such via some angel on this site regarding such. Searched through my old printouts and finally found article signed by NM regarding mini-amplifier/speaker at Radio Shack.
I searched the internet and found her/his suggestion being the Koss EQ50 3-Band Equalizer referred to at Thenerds.net for $13.99, and it has made all the difference in the world for me regarding the clarity and volume of dictation.
It is a very small unit, approximately 1/34 x 2 inches - input cord plugs into your PC, output cord plugs into headphone.
Was afraid I was going to have to hang it up until I found this unit - it was a lifesaver for me! Dictation loud and clear !!
OMG! Footpedal will not operate. Winscribe. I can hear dictation
when I click on the arrow for "play" but my pedal is not registering. Tried a different pedal and the same thing! Have a call into the Help desk but I am panicking!
Anyone have any idea would could possibly be wrong???? I have very rarely had foot pedal problems.
save a generic dictation, sit the person at your desk and tell them to type what they hear
nm
If you would ever hear the quality of some of the dictation I heard on cell phones, buses, trains,
cars, etc. I dont care how good you are you cant do this work without blanks nor can QA. Some of them dictate with millions of people talking and laughing behind them and they are unable to be heard. PERIOD. No amount of skill and excellence will get you out of sending this stuff back without going to QA.
Thanks for letting us know he's OK.
That's good news. I will put his name on the prayer list at our church. I hope he is soon able to get back on his feet.
I'm just letting you know that they are
not as expensive as you were making them out to be. The big bags cost that much, not a regular purse, and I am not talking knock offs. I am not disagreeing with you though. Most all of these people have been poor their whole life. If you think that every one of them will take that $2000 and only spend in on things that they need, then you are disillusioned. To be honest with you, I am surprised more people have not wasted it on unnecessary items.
Thanks for letting us know about this.
These deals are great! I just requested a catalog. I will check this site before I buy software ever again.
OMG! Thanks so much for letting me know!
/
Thanks for letting me know!
nm
Thanks for letting me know!
That's pretty much what I have wound up doing, too bad they couldn't come up with a better way to do that to make it easier, but at least I know that it's not just me!! I'm definitely not use to the automatic numbering that Word does. Fortunately not many of my docs do this subset thing, but there are a couple, and one that even dictates i. ii. iii. under a.b.c., that almost had me pulling my hair out trying to get those lined up!
Thank you for letting us know.
I was one who posted trying to help. I'm glad to know that you were finally able to get it to work; you're information may also be helpful to someone else in the future with a similar problem.
Thank you, for letting me know I am not the only one...
doing this quickly so I do not get the 'boot' again!
I stopped letting them do that.
Too many times they had inexperienced techs who messed everything up. Once my computer crashed because of what they did. Another time, another company, they deleted a program and nothing would work right. Just because they say they are a computer tech does not mean they know anything. Many do not even have a certificate, just a litle on the job training.
Thanks for letting me know there are people out there
on both sides of the fence. Yeah, I know the consequences and the possiblities. I live with them every day. I guess I have not been as good a planner as many of you have been. It kind of snow-balled me before I could get a grip on it. I think not having a good tax guy for 10 years did not help. But any solutions to getting out of debt with the IRS would be greatly appreciated. Like they say Two things are for sure, death and taxes. No way around either. I have heard that some people cheat the goverment every year with not reporting income and stuff and never have to pay nothing because they make a living under the table. The penaty I get for reporting and filing and having a husband that works a good job is garnished wages and liens. No one wants to work out payment plans that you can live with.
I don't mind letting one use it but....nm
sounds like you are letting them run over you. sm
you are going to have to stand up and say look in order to keep those accts, keep work flowing to you, and money to all of us, we have to meet our requirements. the more you let them lax, the more they will do it. no one likes to be ridden either, but at some point you have to say something or it will only get worse. maybe start pulling some of their work from their assigned acct and giving it to those one or two who are productive on thurs/fri and the others will get the hint to get their work done or you will get someone else to do it.
You did take off from work, without letting anyone know
You flew out of town and now something does not work? If I were them, I would be upset without a notice. You do not sound responsible because if you were, you would have thought out about your work before leaving unless a dire emergency and then you probably would have notified your company.
Just letting you know what I found
This site is very reliable. Luckily I barely use my cell phone so hopefully if it true I won't be effected.
There is nothing lost by letting them know
We are all human.
If they take you back, then give it a while before looking for a new position, and then when you leave the next time, you'll know to have it all in place before giving your notice. Don't fall for these "must start right away" advertisements for jobs. They are a buncha you know what. All companies have at least one MT to cover until they find a new hire. Nothing happens overnight!
Your other option would be to start applying and testing with other companies. I remember Transcend being really quick to get me equipment when I worked for them. Another idea would be to post your resume here and you may get offers if you haven't already done so. Oh gosh, I feel so bad for you. Please let us know how you make out. What a pickle; but you can still transcribe, so you should be okay as long as you can pick up something really soon.
Brain dead today - or is it hear hear? I'm going to bed.
nm
Marry me?! :) Seriously...hear, hear. Good post. - nm
xx
OMG. I'm never letting my legs out of my sight again. LOL.
nm
Its the MQ way. I have my way of letting them know I know they are lying. I hate being BS around.
:
I'm gonna do all of them! Thanks for letting me vent!
:-)
Try covering with mayonaise and letting sit...
for a few hours/over night; then wipe off.
More surprising is what the parents are letting them do. sm
My daughter is in 6th grade. There is a girl in her class who is ELEVEN years old. Now keep the age in mind for a minute here.
This 11-year-old girl has piercings in one eyebrow, one side of her nose, her bottom lip, her tongue AND her belly button. Both ears are also pierced all the way around with about 12 studs in each ear. She wears full makeup and tight, low slung jeans. She told my daughter that she is getting a tattoo for her 13th birthday.
Sort of a "teenage right of passage" so to speak? After all her parents have pretty much run out of things to give her permission to do.
I've met the "parents" and it's obvious that the apple doesn't fall to far from the tree.
Shall I suggest a uvula piercing for her big 13th?
I am confused here, you are leary about letting - sm
young kids drive, but you allow your 14-1/2-year-old to drive? Not only is this illegal, it is nuts. I hope you just made a typo and are not actually allowing your underage child to drive. You will both get in a lot of trouble if you are ever caught, which I hope is the case if she is underage.
Is there a chance the other cat(s) aren't letting her use the litter box? sm
That is a problem in my multicat household. Some of them will chase the cat who is eliminating in the wrong place so she can't use the box. They'll even hide in the area of the box and pounce on her when she tries to relieve herself. You can try putting boxes in different spots or different floors of the home. Good luck.
You make 25-30 an hour by letting the editor do your job for you dumba$$!
You will get yours in the end sweetie. Having someone else do your job shows you are lazy!!
Oh my you would have Amherst in a scramble letting their reports get 2 hours old. Gee, they would
have no clue what to do. Probably sit up all night and watch the system or MAYBE do them themselves to keep the 1 hour TAT. Yep.
I agree with not letting our children watch crap; however,
I think some people are a little too sensitive when it comes to TV. Being someone who supports gay marriage, shows such as Will and Grace do not bother me. I don't really watch much TV though. The only show I love is CSI, but I rarely have time to sit down and watch it.
On the other hand, I have a huge problem with a network that allows many animals to be killed just for entertainment purposes and a problem with people who think that this is okay for some reason. It's pathetic. If that were dogs or cats floating around in that water instead of rats, people would be throwing a fit. What is the difference??
I don't understand why everyone keeps letting Rapid Transcript advertise...SM
They have been doing this for years. I had to nearly take them to court to be paid for two weeks worth of typing. I can't believe that they are still getting away with this. PLEASE, in the best interest of honest MTs looking for an honest day's wage, STOP ALLOWING THEM TO ADVERTISE ON THIS WEBSITE OR ANY OTHER MT JOB WEBSITE. TIA
lol... that's funny. that's what I'm talking about, letting your fingers loose and not wor
I've been letting them stay up pretty late, so they sleep until 10:00.
Still, they get bored in those two hours between getting up and my finishing work at noon. Goofy kids. I do have them in band, but it ends this week. Maybe a day camp for a week or two. I think I'll haul them off to the library for some books. The only Y or rec program in town is in the rougher neighborhood, and they only offer certain scheduled classes. Thanks for the tip!
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Wasn't there a post on here about letting companies having you banking information
nm
Hear, hear! I agree with Dakota - sm
The MTSO should be giving feedback to the hospital/doctors who slur, speak too rapidly, etc. They need to pull up their socks! And there's no reason why these doctors shouldn't be given an outline of what is expected from them when they dictate, such as cell phones, chewing food, candy, gum, etc.
Per my physician....
"All the antibiotics in the world will not clear up your sinus problems because you need to dry your sinus passages out." Get those little red Sudafed tablets and take the maximum dosage for several days. Also, try avoiding dairy products to see if that's a trigger. I can't even eat Ranch, mayonnaise or gooey cheese anymore because it triggers postnasal drip with that irritated ticklish throat and cough.
This is a physician saying this
The patient was tooken to the operating room. OMG, please keep me from screaming!! Where did you go to school, or did you finish?
Get another physician
NM
Not OUR job, it is the physician's and/or
x
EMR physician
I need quick advise. I worked for 4 physicians, one used EMR (partially) the others still use tapes. The EMR physician does not like to read his dictation and the three mouse clicks to sign his documents is too much. The physician has a high school graduate opening up the notes, reading them, editing them at her discretion and then SIGNING them. I informed them that to the best of my knowledge this was 100% illegal but they are still doing it. I have been doing this for some time, but did not think the rules had changed.
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Not to mention you're letting the govt use your money INTEREST FREE
Ack!
Now that said, I usually have them withhold a little too much simply because we can't take a payment hit.
see what I mean? LOL ... physical not physician...
x
Your own physician tells you that you know too much. nm
//
I saw an xray the physician had
that showed a Gator-Aid bottle up this guy's rectum. The wife wanted to know if he had accidentally sat down on it. He had to have it surgically removed. And then again, there is the one I typed on where the person was an alcoholic, had drank dog shampoo and when arriving at the ER was blowing all kinds of bubbles.
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