My company told me how user

• My company told me how user - somebody lied to me
  • Didn't YOG use WordPerfect 5.1? Hold still my heart. - nm
    • I don't remember, I just remember how - op
      • They are still using that but have moved to - nm
  • No magic with MM (sm) - RadMT4Ever
  • I've always said Meditech is horrible. - Sorry for luck, but run while you can..
  • I miss the Cottage system at YOG so much. - Different strokes :). Hope you do better lines soo
    • Me too....love that program. Miss YOG also! nm - MT is ME

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I got tired of the promises...Oh I have gals doing 10,500 lines every 2 weeks in 8 hours a day.  (I think I choked when I heard this.)

It is NOTHING for me to type 8000 lines or BETTER in a week and I get paid way more for my 8000 lines.  I have been looking for another job, either PT to augment the lack of work or FT for the right situation.  First question I ask perspective employer? How do you feel about voice.  I have talked to about 7 or 8 companies in the past 2 weeks.  EVERY ONE OF THEM has said NO WAY, NOT HERE.  It is not very good...you can't expect an MT to edit that crapola for half of what they make typing, unless you don't care the least about quality.  I had two of them tell me it was unmitigated GREED on the part of these company's owners that they even entertain it.

I will say that the cream of the crop of MTs can transcribe so much faster than they edit, it isn't even funny.  Granted, there are plenty of MTs who are stop start, stop start, but when I get into a report, I put the pedal to the floor and TYPE.  I am down to about 1.25:1 or better than that a times.  A 5-minute report will take me under 6 minutes, as a rule, to transcribe.  My accuracy is something above 99.5%. I swear what attracts MTs to editing is the fact that they can't type enough lines to make it work as a career.  Either they can't sit still (that is me most days, but my speed makes up for it), they don't know their stuff all that well, or type slower than a 7-year itch...but they are not the cream of the crop.

Just you all wait...one of these companies who has crappy speech program and crappy "editors" is going to be sued and those extremely substandard reports are going to win the case for the plantiff and the hospital is going to be left high and dry, a couple of doctors with them.  We are here for a reason.  We protect patients and patient care.  We also protect the doctors from litigation.  I used to go through medical records looking for errors, loop holes and other boo boos for a malpractice lawyer.  The better the transcription, the more thorough the dictation, the less I could find proof against a doctor or facility. 

We need a national forum for this...newspaper something.

I gotta admit that I love these bloopers. 

and it won't pick up background noise if you have a noise-cancelling microphone (like I do).

Here's a report I dictated yesterday. I think it had one error (it typed breed instead of bleed), but that was because it was the end of the day and I was getting tired. Judge VR for yourself (and see my note after the report)-


The patient is a 57-year-old male with a history of hypertension, who was found on the floor by his son.  The son heard the patient fall and then heard banging on the floor.  At the time of initial evaluation, the patient was verbalizing although the patient could not understand what he was trying to say.  The patient had a left hemiparesis.  The paramedics were called but by the time they arrived the patient was unresponsive, however, he was reported to have a gag reflex and he was breathing spontaneously.  The patient was transported to our facility for further evaluation and management.

On arrival in the emergency department the patient was found to be entirely unresponsive, therefore, he underwent tracheal intubation for airway protection and to provide ventilatory support.  He was found to be hypertensive at the time of his evaluation in the emergency department.  The patient subsequently underwent a CT scan of his head.  This revealed a hemorrhage into the basal ganglia and ventricles.  There was mild ventriculomegaly and the basal cisterns were tight.  Additional evaluation in the emergency department demonstrated that the patient had left ventricular hypertrophy on electrocardiogram but without evidence of acute myocardial ischemia.  He was noted to have severe renal failure with a BUN of 95 and a creatinine of 9.8.  The patient's blood sugar was 229. The patient had placement of an EVD and was transferred to the intensive care unit for further management.

Since admission to the intensive care unit the patient has remained hypertensive.  His systolic blood pressure has been as high as 190.  His current blood pressure is 140/80.  The patient is receiving a propofol infusion.  He has not required any additional hypertensive therapy at the present time.  The propofol was used because the patient did become agitated, although he was not awake enough to adequately protect his airway.

Since admission the patient's intracranial pressure has varied between 8 and 16.  He has required CSF drainage of about 10 mL per hour.  His cerebral perfusion pressures have remained satisfactory.  He has been in sinus rhythm with a heart rate of 80.  He has not had any ectopy despite the acute intraventricular bleed.

The patient remains intubated and mechanically ventilated.  With slow ventilatory support, his gas exchange has been satisfactory.  We are providing assist-control ventilation to optimize his gas exchange, but we will attempt to keep his pCO2 between 30 and 35.  Lung fields are clear and there is no evidence that he had aspiration at the time of his bleed.

The patient was also noted to be hyperglycemic.  He is receiving an insulin infusion to optimize his glucose control, and the insulin infusion will be adjusted as needed.

Because of the patient's severe uremia he will require dialysis.  Currently, his potassium is not elevated and his intravascular level appears satisfactory.

The nephrologists have spoken to the patient's personal physician.  By history, the patient has had progressive renal failure although he has not require dialysis.  He is also known to have hypercholesterolemia and cardiomyopathy.  He has had deteriorating mental status over the past few weeks, which may reflect his progressive uremia.  He will require dialysis in addition to continued ventilatory support and management of his intracranial pressure.


P.S.  For the record, I dictated this report, if you will excuse the cliche, like a bat out of hell. All I know is I completed 36:23 of dictation in about 1 hour 15 min, and it had 626 lines.

Still think VR is such a bad product? 

I've used MS Word too, but there really isn't that much difference and its easy to learn.

user software

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I am on cable internet right now and it is always going out.  I was on Verizon DSL prior to cable and if I could switch back to DSL I would, but it is not offered where I live, only cable, so I am stuck.  There is not a huge difference in speed between DSL or cable.  I know you can pay a little more for the faster DSL package.  I don't know what your paying now, but I pay $50 a month for cable internet and I was told i could get a way faster speed on DSL for less than that per month.  Personally, I prefer DSL over cable just for the fact it only went out on me once in the 1-1/2 years I was on DSL.  I have been on cable 1-1/2 years and I was down just the other day for over 4 hours.   I lose cable connect every month. 

Hi,

As the author and publisher of MPWord / MPLite / MPTools I will state categorically that each and every user comment that we have posted on the various pages of the website are actual comments we've received.

(We do have more to post, including about the new MPLite, but posting those will have to wait till there is time.)

vJoe

Speech recognition (i.e. Dragon) is not for everyone.

If you are an expert at templates and programs such as ST and IT (IOW, you have the capability of memorizing thousands upon thousands of abbreviatons), and you're a reasonably fast typist, then I'd recommend against using speech recognition software unless you have to (i.e. CTS, broken wrist). When the need arises, the program can make the difference between making a decent salary and making practically nothing. Otherwise, keep doing what you're doing.

However, there are those of us who don't understand how to create templates with pop-up boxes, who don't have the capability of remembering thousands of abbreviations (AutoCorrect is about the limit for us), and who don't fly across the keyboard "with the greatest of ease." For us, speech recognition (SR) can boost our production to a level higher than what we would with a keyboard.

I feel that those who give the thumbs down to SR have not been sufficiently trained on the proper use of the product (i.e. how to speak correctly, the proper way to correct errors, using the global commands features), and/or the department utilizing the program has not used the features to allow the product to learn enough about the terminology and context of phrases (out of box, into computer, and off you go). NOT!!!   

I've been working with SR consistently since November 2001. Some days I use it all day and other times just for a specific specialty, It all depends upon my mood - whether I would rather vocalize more to produce more or prefer "The Sounds of Silence" and would rather keep my fingers limber and type, even if it means a lower production.

Either way ... I rarely have more than two errors per page, and sometimes even less than that. And for the record, I'm doing acute care reports with a wide variety of dictators and specialties.

So, if you want the "real story" behind SR, I think you need to speak with more people who have been successful with product and compare their stories against those who chastise the product ... and find out the specific differences. I'll guarantee you that it's not the product that is to blame.