My company dictates 2/10 to 3/10. Note no dash.nm
Posted By: Confetti on 2009-01-19
In Reply to: BOS and number and scales - Janie
x
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
ask the mortgage company to produce the note
Just heard about this tactic this week. Most mortgages have been sold and resold and if you ask them to produce the original note you signed on the mortgage most of the time they can't and it will buy you some time. Do a search on it.
there a note on the company board from QA regarding cherrypicking and they mention "line padding&
This is a new one on me. I've heard of cherrypicking but what constitutes line padding? Isn't everybody typing what the doctor dictates? How can you possibly add extra????
I'm with you, using the dash. sm
My company follows BOS very fanatically and we absolutely use non-Hodgkin....but I admit I don't own the current edition. However, in the first edition it is listed under "prefixes." They show non-Hodgkin-like lymphoma. ( I never use the "like" but that shouldn't matter in this case.)
no dash before cm
nm
Me too, but I use regular creamer and a dash of mocha. NM
NM
Does BOS 3 now not push a dash between things like 3-cm incision or
what is the rule for this. I dont have BOS 3 but I do have BOS2.
Correct. No dash on metric measurements. nm
x
I actually have 1 MD (pvt) who dictates...sm
and I hear him going #1 and flushing the toilet!!! I hate that and I hate them dictating in their offices with the music on!!! This same MD will dictate an op report (3-4 pages long) performed in the office, but dictated while he is walking to his vehicle, driving HOME! I hear all the traffic.....that's got to be THE WORST (along with the music in the offices).
HELP Dr dictates.....
"This patient with a history of AIDS status post Pneumocystis carinii pneumonia," Please help with punctuation before and after status post. My mind is blank.
Client dictates which way, but I have
NEVER in 20 years seen it with the first letter of each word capped, so Low back pain would be correct, unless otherwise dictated by client/BOS.
If a doc dictates CHF, do you type s/m
CHF or expand into congestive heart failure; and for any other shortened word, do you expand. The guidelines for my company state type what is dictated and only expand things in the diagnosis section. Well, someone I know who works for the company said that they just always expand regardless. That doesn't seem right to me. I was just curious as to what anyone else does.
Thanks!
can't think of one female who dictates well, IMHO.
Resident dictates at end of report...
"Note to transcriptionist...thank you for your time, thank you for your service, and have a great day."
WOW, that doesn't happen often, and when it does, it sure feels nice to know we are considered colleagues and not just a typewriter on the other end of the telephone line!
Or making $36 ph on acct that only dictates 1/2
fsa
Yup, same as Diana ... if the work dictates (sm)
I work until it's done even if it's weekends. Technically I don't "have" to since my contracts state M-F but I don't mind the weekends if I don't have huge plans and there's a lot of work to be done.
My DD is a social worker and says that she dictates directly into VR
and the report is on her desk when she gets back to the office. She said everyone in her department loves it!
Question: doc dictates "pt is generally p***ed off."
I'm half tempted to type it just that way....Would you?
RE: Question: doc dictates "pt is generally p***ed off."
Yes, if physician said it, transcribe it exactly as dictated. What is the question concerning "pissed off", if I get the *** correct?
ESL doing rectal exam dictates "I did a rectalization"
I have a doc who dictates the entire address, but not the zip code. SM
or the referring physician (throughout a three state area), and says, "Dr. Smith" and then gives the address. I still have to go online to find the doctors first name. Very annoying.
You are supposed to transcribe exactly as the doctor dictates. sm
However, every "verbatim" account I have done, we are allowed to correct the doctor's spelling mistakes, especially with something like a drug. However, you must be sure of your drug. If there are two that are close, it is safer to use the doctor's spelling and use quotes or whatever the account allows.
Many of them will also allow you to correct a glaring grammar mistake, such as using "is" for "are," etc. If you're not sure, ask the account manager.
Female Elmer Fudd dictates! (sm)
"She has a known history of uterine leio, leiomy, ly, leio, leiom, la...ugh...uterine, um, fibroids."
If the doctor dictates it, you transcribe it, in quotes, as this
is what the patient said.
for GU exam on a female, if doc dictates Normal BUS what does this stand for?
PA dictates patient drinks "a gallon" of liquor a day.
I hear people drinking a pint or 1/5 a day, but a GALLON. The guy is only 45.
Wouldn't it depend how fast/slow dr dictates,
x
The ones that I hate are where the doctor dictates a full line or paragraph,
and says, "No, wait, go back, change that." Then you have to delete everything you already typed and retype the new dictation. Some of these newer doctors do that to nearly every sentence. By the time you finish the report, you've typed and erased half the report. Do we get paid for that? NO. I don't get it. We still have to pay for doctor visits if they misdiagnose us, then we have to pay for the subsequent visit to fix what they didn't diagnose the first time. We should get paid by them for typing what they said, erasing it and retyping what they meant to say. They're getting our wallets coming and going.
..or when the doc dictates "prior report LOST by XXX Transcription Service...AGAIN." sm
I work for a national MT company, we do hospitals all over the country, I work from home. I have NO control over where the chart goes once I send it in, I'd bet the original chart was never dictated and hence never 'lost' by us....but in the case that it may have been, THEY HAVE THE PHONE NUMBER of the company to call them, they have specific contacts at the company for issues such as this...I CAN'T HELP YOU WITH THIS, especially when all they're doing is bitching at me on a voice file. Funny, it's always the same couple of docs complaining of lost dictations. Curious that it's JUST THEM. ;-)
Formatting of the document dictates the line count, not a different computer.
xx
My favorite speciality is the office who dictates it and pays the highest line rate.
It's the money, honey, that matters to me.
I currently type for a doctor who dictates with a digital handheld and sends the files via e-mail fo
and wanted to be able to call me with his dictations. What would be the best and cheapest way for me to go so that he can do his dictations without the handheld unit?? I don't want to invest in a lot because he does not forget very often. This is the first time in three months. Thanks for any suggestions you may have.
common sense dictates you read the writing on the wall. technology has made you obsolete.
and the government has seen to it that american workers are no longer necessary and allows business to outsource many middle income jobs.
Thanks for your note. SM
I think this problem must be specific to my particular account. I have tried all the things we were told, clearing, entering new names to try, etc. Thanks again.
Note to MQ: What would be
retired MTs in your workflow room and being TC's.>?
I am so tired of dealing with haughty people who don't have a clue
why I need something or what I do - and on top of them coping an
attitude with me because I get exasperated with their inability
to do their job which is make the work flow.
If MQ had people hired in their work flow areas who had worked inside
the world of transcription and knew where it goes in a hospital,
what to look at on the screens of the machines in the work flow rooms,
etc etc we wouldn't be getting hysterical messages all the time about
not meeting turn around times.
But no! they want to hire first-time jobbers to be in control of the lives
of people who have been in the business usually upwards of 15 years
in order to even do this MT job at home with no help or assistance -
and then make us put up with them and at the same time try to make a living.
I don't want a doctor operating me who has never been inside a hospital, and I
am sick to death of dealing with people in a transcription company
who has never been inside a hospital and followed a REPORT around.
They need to see WHY A REPORT is done - HOW IT IS DONE
They need to go to dictate stations - they need to go in a medical records
area and look at charts - go inside an OR - and into the ICU
they need to see how the world of medicine is and how it operates.
Only then will they understand TATs, reports, and why things are done as they
are or at least why people want them done a certain way.
Like if I keep getting dictations with LOUD BUZZING - i don't want to keep getting
LOUD BUZZING - I want to let the hospital know there is probably a bad phone
instrument - and if this work flow person sees where dictation is done he will
understand it wouldn't take much to MAKE THE BUZZING STOP - and not get
pissy with me because I'd like to talk to somebody about LOUD BUZZING ON
REPORTS. - It's not rocket science - just need to let somebody know.
I know this isn't a note, but
maybe this will be of some help, I'm still searching for a note.
Breast-Related Medical Terms
GLOSSARY OF MEDICAL TERMS
Areola The pigmented or darker colored area of skin surrounding the nipple of the breast.
Asymmetry A lack of proportion of shape, size and position on opposite sides of the body.
Autoimmune Disease A disease in which the body mounts an "attack," disease response to its own tissues or cell types. Normally, the body's immune mechanism is able to distinguish clearly between what is a normal substance and what is foreign. In autoimmune diseases, this system becomes defective and produces antibodies against normal parts of the body, causing tissue injury. Certain diseases such as rheumatoid arthritis and scleroderma are considered to be autoimmune diseases.
Axillary Pertaining to the armpit area.
Bilateral Pertaining to both the left and right breast.
Biopsy Removal and examination of sample tissue for diagnosis.
Breast Augmentation Enlargement of the breast by surgical implantation of a breast implant or patient's own tissue.
Breast Reconstruction Surgical restoration of natural breast contour and mass following mastectomy, trauma or injury.
Capsular Contracture Tightening of the tissue surrounding a breast implant which results in a firmer breast.
Capsulectomy Surgical removal of the entire capsule surrounding a breast implant.
Capsulotomy Closed Capsulotomy: Compression on the outside of the breast to break the capsule and relieve contracture.
Open Capsulotomy: Surgically cutting or removing part of the capsule through an incision.
Carcinoma Invasive malignant tumor.
Congenita Anomaly Abnormality existing at birth.
Connective Tissue Disease(CTD) A disease or group of diseases affecting connective tissue. The cause of these diseases is unknown. The diseases are grouped together on the basis of clinical signs, symptoms, and laboratory abnormalities.
Deflation/Rupture Refers to loss of saline from a saline-filled breast implant due to a tear or cut in the implant shell or possibly a valve leak.
Displacement Shifting in the original position.
Epidemiological Pertaining to the cause, distribution and control of disease in populations.
Extrusion A breast implant or tissue Expander being pressed out of the body.
Fibrous Tissue Tissue resembling fibers.
Hematoma A swelling or mass of blood (usually clotted) confined to an organ, tissue, or space and caused by a break in a blood vessel.
Immune Response The reaction of the body to substances that are foreign or are interpreted as being foreign.
Inframammary Below the breast.
Inframammary Fold The crease at the base of the breast and the chest wall.
Inframammary Incision A surgical incision at the inframammary fold
In-Patient Surgery Surgery performed in a hospital requiring an overnight stay
Latissimus Dorsi Two triangular muscles running from the spinal column to the shoulder.
Mammography Use of radiography (X-rays) of the breast to detect breast cancer. Recommended as a screening technique for early detection of breast cancer.
Mastectomy Surgical removal of the breast.
Subcutaneous Mastectomy: Removal of breast tissue, preserving the skin and nipple.
Partial Mastectomy: Removal of primary tumor and a wide margin of tissue, may include the overlying skin and the muscle fibrous tissue (fascia) underlying the tumor.
Total (Simple) Mastectomy: Removal of breast tissue and the nipple; sometimes accompanied by armpit (axillary) node dissection.
Modified Radical Mastectomy: Removal of breast tissue, nipple, and fascia of chest (pectoralis) muscle with axillary node dissection.
Mastopexy Plastic surgery to move sagging (ptotic) breasts into a more elevated position.
Necrosis Death of tissue. May be caused by insufficient blood supply, trauma, radiation, chemical agents or infectious disease.
Oncologist A specialist in the branch of medicine dealing with the study and treatment of tumors.
Out-Patient Surgery Surgery performed in a hospital or surgery center not requiring an overnight stay.
Mammaplasty Plastic surgery of the breast.
Mammary Pertaining to the breast.
Palpate/Palpability To feel with the hand.
Pectoralis The major muscle of the chest.
Plastic Surgery Surgery intended to improve, restore, repair, or reconstruct portions of the body following trauma, injury or illness.
Prosthesis An artificial device used to replace or represent a body part.
Ptosis Sagging of the breast usually due to normal aging, pregnancy or weight loss.
Rectus Abdominus Major abdominal (stomach) muscle.
Saline A solution of sodium chloride (salt) and water.
Seroma Localized collection of serum, the watery portion of blood, that resembles a tumor.
Serratus Muscle located beneath the chest's pectoralis major and minor muscles and the rib cage.
Silicone Elastomer A type of silicone that has elastic properties similar to rubber.
Subglandular Placement Placement of the breast implant behind the skin and mammary gland, but on top of the chest (pectoralis) muscle. Also called prepectoral or retromammary placement.
Submuscular Placement Placement of the breast implant under the chest (pectoralis) muscle, or under the pectoralis and serratus muscles. Also called retropectoral or subpectoral placement.
Surgical Incision Cut made in tissue for surgical purposes.
Transaxillary Incision Incision across the long axis of the armpit (axilla).
Umbilical Relating to the navel.
Unilateral Affecting only left or right breast.
Anyway, sorry, on a more serious note...
as regards your problem: Do you have Ad-Aware and SpyBot and have you run those? If you have run those and are still not finding anything, you might want to try a trial of this program I just downloaded myself and seems to have gotten rid of this darned WinFix (Virtumond?) pop-up problem I've been having recently that my Ad-Aware and Spybot couldn't seem to take care of. Dang, I might actually buy this one! But anyway, you can use it for 2 weeks, I think it is, for free (see link below).
Just a note: There are two MTs that I will not SM
use to this day - 15 years down the road - because they did this. They will never get a recommendation from me and they will never sub for me.
You leave a long trail when you do something like this.
on another note
I know a lot of people believe as you do, but in my family I have seen lots of evidence to contradict this theory.
I don't condemn anyone who overdrinks, but I think we spend too much time in our culture blaming genetics and other people - mostly our parents - for our own poor choices and bad behaviors.
Bottom line is, the alcohol does not force itself into anyone's mouth and neither do the drugs. To me, drugs include not just the street drugs, but the legally obtained prescription drugs that so many people rely on to get them through the day (do not flame me about arthritis meds, etc. taken for legitimate conditions).
P.S. and it's an OP note!
nm
On that same note...
I wonder if any of you report errors you notice in other reports to the QA at your office. I have seen some doozies, but I admit I have been remiss. I just wanted to know what the rest of you do, even if the report is old.
sorry -- BAD day. (no note)
.
NOTE,,,,,,,,,,,,,,,nm
nm
perhaps you could drop your TC a note...sm
just to say hi, and welcome. She/he has many, many more people to get in touch with than you do, so why not make the first move? I'm not at all trying to be ugly, please don't take it that way, it's just, why not just send a message saying hi, and introducing yourself? Just a thought! Good luck with whatever you choose to do!!! 
perhaps you could drop your TC a note...
I guess you mean Transcription Coordinator -- what I called my new supervisor. I hear you, but I really don't see that as my responsiblity. MQ is so chaotic, I always get the impression they'd greatly prefer not to be bothered. I'm kinda way past that point with that. Thanks for the welcome anyhow.
perhaps you could drop your TC a note...
I think you've misunderstood me. I agree completely with your most recent post, i.e. being left alone to do my job. Absolutely. I just don't think a courtesy note from a new supervisor is too much to ask. That's not breathing down my neck; IMO, that's courtesy, i.e. Here I am, I'm your new supervisor, here's how things may or may not change, just wanted to say hi and make proper notation of the fact that a change has taken place. WHATEVER.
perhaps you could drop your TC a note...
Okay, now you're making me mad. You don't know me, and you have no right to lump me into a goup with "(my) fellow nut-case MTs" ...and you have the gall to say "nothing personal"? Freakish behavior? Talk about the pot calling the kettle black! Wow, I came on here looking for some support, and now I'm a freak and a nut case. No thanks! See y'all around!!!
perhaps you could drop your TC a note...
Read your phrase: "your fellow nut-case MTs." It does not say "your fellow MTs, some of whom are nut cases."
Read your phrase: "freakish behavior en masse." It does not say "the freakish behavior of some MTs."
Both of these groupings include me. You are guilty of bad syntax and just plain rudeness. I consider these equally offensive. I most certainly did not fly off of any handle, nor did I (until now) TAKE TO WRITING IN CAPITAL LETTERS TO EXPRESS MY OPPOSITION TO YOUR POINT OF VIEW when a little careful wording would've rendered that unnecessary. I proved you point? You sure proved mine. GOODBYE.
Note for Souzam
Sorry to change the subject, but did you even test for KP? If you have any more questions e-mail me at lilygirl54@adelphia.net.
AN OPEN NOTE TO MTS
1-Do not wonder WHY work is being sent overseas when in screening applications 20 of 25 resumes are full of errors, typos and people applying that do not come NEAR to fitting the job requirements.
2-Do not wonder WHY work is being sent overseas when you are hired to work hours YOU REQUESTED and then you do not even bother to start work, call, email, just nothing.
3-Do not wonder WHY work is being sent overseas when you are tested and screened only to find out that several "friends of friends" circulated the test around and while you do wonderfully on the test, now in the real situation, you can not figure out the difference between discrete and discreet.
4-Do not wonder WHY you were given less and less work, but take a look at the quality of work you produced...full of blanks, not formatted to specifications in the manual sent, skipped reports. When Q*A has to redo 90% of your work, it is easier to quietly phase you out than to continue to "train" a supposedly seasoned MT
5-Do not wonder WHY you were taken off an account, but look at the feedback you were given regarding the continued mistakes with spelling (you do not use the spellcheck as too time consuming - your words), continued mistakes with doctors signatures, names, formats, phrases. Your position is to "pound out lines" and not worry about the quality.
6-Do not wonder WHY no one will hire you...after all, MTSOs communicate with each other too and the same names just seem to cycle through
7-Do not wonder WHY companies look overseas for workers...because at least THEY want to work. They are not taking days off at a time with no notice...leaving a company and client in the lurch.
8-Do not wonder WHY your resume was not answered...you applied before, were tested before and never bothered to answer emails regarding hiring...never bothered to start on your start date...resumes are kept and note made of why someone that seemed very qualified was not hired.
9-Do not wonder WHY you were not hired...remember me? I am the one that tested you, screened you, then talked to you for quite some time on the phone interviewing you. Remember me? I am the one you "sold" yourself to as far as being ethical, good worker, etc., only to find out that you received the hiring package, then contacted the client directly and suddenly, you did not want the job and then I see you are working FOR THEM....
10-Do not wonder WHY you were not hired after taking the test...take a look at the test results and the responses back you made like "that is how I have always done it" and I do not think you are correct because that is not how I was told or trained to do it.
11-Do not wonder WHY you were quietly let go...check your invoices and the inflated lines and/or hours on there? The system SHOWS the reports you ran, lines you did, but you continue to add report numbers not done by you and lines not done by you. AND for bonus hours...you continue to add bonuses that were not earned.
12-Do not wonder WHY I cringe when it comes time to hire again..I cringe because of every MT out there that shows NO RESPECT to a potential employer now or down the road by ignoring remails.....receiving a test, but never taking it...getting a test graded and offered position but never responds back....going through entire hiring process with access codes, start dates and times but then NEVER even starts...or the ones that we PAY a computer guy to get set up and they never start working...or we send software and equipment to and then never get it back or have a legal fight to get it back.
There are two sides to ever story, this I know, but as an MTSO the above are simply a FEW of the hundreds of things experienced in trying to hire just ONE good MT....
Thank you so much for such an encouraging note!
I am going through a separation from my husband. He thinks a sacrifice is giving up going to the local bar when he gets of work, giving up his drunk he has on a daily basis, and just all in all growing up and taking on responsibilities.
I have been so down and depressed lately that I have to FORCE myself to work.
Thank you for being the angel on my shoulder today!
On another note, it is proven that
addictions are hereditary also. I am not saying everyone who has alcoholism in their family will be alcoholics, but you are more likely to suffer from addiction than someone who does not have a family history.
|
