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Serving Over 20,000 US Medical Transcriptionists

My prob is reading it how it SHOULD be and not

Posted By: what is actually on the page. nm on 2007-11-09
In Reply to: Here's a question about editing VR/ASR -- (sm) - Alphabetically Challenged

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Can point in a direction but takes reading, re-reading sm

Goggle.com and enter various phrases to get articles and companies.  I use a free doanload of ExpressScribe, yep, it is free. They have a number of various software things on their site to read and perhaps one will fit. The express Scribe is a piece of sotware to download, it is very simple and I like simple. You can listen and transcribe various voice file formats. You can use a wav pedal one is called a serial pedall and I think it is 9 pin and plugs in the back of PC and also another pedal I think a 15 pin wav pedal and goes in the USB port in front.  However, you can also use it without a pedal and it works fine.  You use a couple of key to stop, pause, rewind, I forget the key.  There are a lot of pedals so don't just jump in.  On this site you may benefit from emailing the company after reading and rereading, even if you don't understand.  .


_______________


http://nch.com.au/


 


Express scribe site above Copy and paste into address bar in your browser.


Need help can email darleneh1111@earthlink.net   


An error reading or a negative reading? (nm)
nm
No prob...I go with what...
...I remember.  For me "bothkids" works - to each her own - especially since I time 100 wpm anyway.  Actually, I didn't say I didn't like Shorthand.  You asked who has worked on each and for info, and I indicated that I like ShortKeys better because...
No prob. Thanks for the explanation! sm
I work really hard to make my work accurate, spending probably too much time researching. I read medical books for fun and learning on my own time, and I am very particular. However, I see stuff all the time that indicates that a lot of MTs don't care too much about quality or don't know how to achieve it. I wonder about legal liability and the safeguards in place in hospitals and nursing homes to make sure meds are correct, etc. I personally do not think MTs have ultimate responsibility for patient safety and if we do accept this onus, we are going to start getting sued for malpractice and having to buy insurance, which I don't think we should have to do. Just some of the things I wonder about and wanted to get opinions, especially from people with hands-on patient care experience. Thanks again for writing back and explaining.
I've had that prob. too. SM
When I re-booted, all seemed ok. Don't remember if I hit re-start or actually waited for an extended period of time before I powered the 'puter back up.
had same prob with Linksys... -sm
I had the same issues with the Linksys router that we bought. Couldn't connect to the company and couldn't do any file transfers. I gave that one away (couldn't find the receipt) and bought a Belkin router. It was a bit more expensive, but OH SO worth it!! I set the whole thing up in no time and with no help and no calls to tech support for the router...all just using the CD they sent. It has worked from day one without a hitch!! My suggestion: Trash the Linksys and get a Belkin. You won't regret it!
He prob. makes $XXX,XXX.XX & U $XX,XXX.XX
x
I've had same prob
I've had the same problem. Google will look fine and then once I go back to it, it will be all tiny. All of mine still fits on one page though. I haven't figured it out but if I close it out and go somewhere else and then come back to Google, it usually resolves itself. If that doesn't work, I think restarting your pc will straighten it out.
was knocked off and he has drug prob...nm
x
syntax prob? your dream 5 ft 2 in..nm


Dictaphone prob, and they are working on it.
But they tend to work on these problems late at night and on weekends, so that stretches out the length of time it takes for them to actually solve the problem. They don't want to take the entire system down during the busiest work times. They did replace the server over the weekend, which apparently didn't help. At least they know the glitch isn't a hardware issue. Sorry. I'm waiting and waiting for line counts, too. It is frustrating.
they prob can dictate a schedule
no tx...  find a new job that is IC and doesn't demand a schedule; quit feeding the hungry MTSOs that only want to pad their pockets...  UGGHHH! 
NO PROB WITH ESLs WHO ARE WELL-SPOKEN - sm

since there are a lot of them who really put forth the effort to be understood; I don't mind being a little more patient with them.  But the ones who KNOW their English sux and insist on rambling on a 78 rpm (as well as their American counterparts).  What I would really like to ask them to do is to SPEAK LIKE YOU SPOKE AT YOUR JOB INTERVIEW WITH THE HOSPITAL.  I'm sure they had no trouble being understood then. I'd still rather have a good ESL who's reallying trying than a sloppy US doctor - we KNOW he/she knows how to speak correctly; it's just carelessness.  What are they going to do with the few extra seconds they save?


Most hospitals I worked at would not tolerate lousy dictators - and from my experience, mgmt. almost always sided with the MT.  I even overhead one administrator tell a sloppy dictator to .."Either clean up your act or get someone else to dictate for you.  We're not getting into a lawsuit bec. of your carelessness...and my desk is stacked with resumes. 


MY PET PEEVE WITH ALL OF THE DICTATORS?   PLEEEEZE take the 2-3 seconds it takes to SPELL ANOTHER DOCTOR'S NAME, esp. with a CC.  I'm born knowing how to spell it, right?  But I'm not jumping hoops looking it up ... just leave blank.  They'll get the message.


But we know the MTSOs won't touch that subject.  Better see US tear our hair out and loose $$ with s---y dictators than confront the client.


She is scared about turn around time of her business. Prob nothing you can do other than what you d
She does understand, just frustrated and wanting to prob, poke, intimidate, make you feel bad. Just stay calm, when giving her choices just stay calm and say which would you want me to handle for you. Say, I can HELP YOU with thus and thus. She knowwwws just scared and just remain calm, stick to your "Calm Guns" and don't take personally. Say, I know you are worried, this is how I can help, which will it be (so to speak, she will soften and might end up apologizing a bit. Remain at least another month and see how pans out.
prob priviledged info but under the category of (small)
whatever they want either way.

do they toy with the figures? probably. research line count software.
put leg straight out. Pull gently on toes. More pain? Prob DVT.
Could be pulled muscle. Don't need cellulitis with DVT, but generally will have some swelling, warmth MAYBE. Try the toe pull thing with the leg stretched out, see if it hurts. If it does, see a doc today, please.
Choose any menu, prepare, serve and enjoy. If they don't want to eat, their prob. This should
:+
More reading
http://www.msnbc.msn.com/id/9287641/site/newsweek/

"I hope we realize that the people of New Orleans weren't just abandoned during the hurricane," Sen. Barack Obama said last week on the floor of the Senate. "They were abandoned long ago—to murder and mayhem in the streets, to substandard schools, to dilapidated housing, to inadequate health care, to a pervasive sense of hopelessness."


Well, from what I'm reading, it's best to have
a real contrast between color of skin and color of hair. It sounds like your daughter was maybe dark skinned? That's difficult because the hair will be dark, too.

I have very fair skin and very dark hair and have read that is good. I've also read that if the laser isn't set high enough it's not permanent.

Unfortunately, this isn't some hormonal thing that just came along. I'm almost 40 and have been waxing, plucking and bleaching since I was a teenager. Probably spent many times over what laser would cost.
I will. I would much rather be here and reading
some very entertaining and sometimes informative posts than deal with rudeness at another site:) Good to be here!
ME Too! Reading, PA.
nm.
I can't believe what I'm reading sm

here.  One suggestion, since you must have had it so good before, is to go right back to the other place you were working before you took the 3 years off.  They're not in business anymore?  They've been sold?  The MTSO got out of the business?  Welcome to 2009.  Do it or get out of the field.


Even 3 years ago we were doing 2, 4, up to 8 different accounts to get the required lines we needed.  Three years ago I was still required to do at least 1200 lines per day.  Three years ago, an MT with a well-rounded work history could do what you are saying.


If you have been there as long as you say, you are doing something wrong to make $6 an hour.  At that rate, you are typing about 75 lines per hour at 8 cpl.  You need to kick it up quite a bit if you intend to stay in the field, because the service will fire you if you don't get faster.


Am I reading this right?
It seems like you are trying to say that it's OKAY for people to trash newbies:

I quote here, without quotation marks, because I refuse to give up my beloved Firefox browser in order to regain punctuation marks, but you said:

Stop attacking one another and stop trying to bully individual posters or opinions. This means trying to police others' posts for grammar, spelling. It also means to stop trying to personally address others' posting styles or personalities by calling them out.

END QUOTE...

It seems like you're taking the side of people like MT30+ here, like you're saying that it's okay for her and others to put newbies down and tell them repeatedly how they're whiners, complainers, and slackers because they expect a reasonable work environment and reasonable expectations from their employers.

Am I missing something here?

Everything in the paragraph I quoted sounds good until you get to the last sentence:

QUOTE: It also means to stop trying to personally address others' posting styles or personalities by calling them out. END QUOTE.

The only people personally addressing other people's posting styles on this forum are the ones who keep calling the newbies whiners, slackers, etc. When we who are trying to keep this an encouraging forum protest this treatment of newbies and others, we're STILL not calling names - we're trying to create a POSITIVE environment. Sometimes creating a POSITIVE environment, much like childrearing, requires that we point out what is being done wrong, but with the end goal in mind of DOING IT RIGHT.

I'm sure that didn't come out the way I intended, but please please please, take a stand for the GOOD! Thank you!

Just reading it was USB - sm
As suggested below there has to be more than one, I have 4 on the back and 2 on the front. Maybe under a panel so they are hidden? Some Dells have panels on the front that open up to reveal 2 USB ports usually. Otherwise I suggest you get an external powered USB port. I have a powered external Dynex 7 USB port as well as I have lots of USB stuff plugged in...only have 3 spare ports out of all 13 I have. Just make sure it is powered, meaning it runs off of electricity (power cord), not your computer, less of a draw on your computer then. Mine has a power cord plugged into wall outlet, and then a cord from the Dynex is plugged into one of the USB ports on the computer, and I have 4 things plugged into the Dynex. Works great. Was not about to play multiple plugs with all my stuff, printer, memory card, external hard drive, picture transfer device, not sure what else, lots of stuff though.
OOOOPS sorry for not reading sm
carefully.  With all those problems with SS, I'm afraid I'd be looking at SS in my rear view mirror. :)
Possible disaster. I can't believe what I'm reading.
Lots and lots of sites on the internet with good coverage.  I've been following it all evening.  They are saying it if doesn't weaken significantly it could be one of the greatest natural disasters in this country in this century.  60-80 percent of the homes could be washed away, 1000s killed, 30 foot high water in the city if the levees give way and there is a 70 percent chance that could happen.  This is from the Associated Press and a meteorological website - I am not making it up. 
The reason you are reading so many (sm)

bad things is because some of these services are bad!  I have lost a lot of income at times because of these services.  They promise the world and don't deliver.  There are some MTs that by chance fall into a good job with good accounts working for another service, but I wasn't one of them.  I always got the worst dictators and quit working for other services.  If you do not need a full-time job and can get by on a few hundred a week, maybe working for a service would be a good job.  Otherwise you might be very disappointed.


I think you should start looking for your own accounts now so you don't have to work for another service.  Good luck. 


reading reports
Yes, some of the dictating physicians may not read their own reports, but OTHER physicians may read them. I'm speaking particularly with regard to progress notes, X-rays, cardiac reports, and especially consults. One account I worked on very recently, the doctors ALWAYS read their own reports, and referring and consulting physicians all read each other's reports before seeing the patient. See how that karma quickly comes around? I proof and read. I agree with Albert: If you don't have time to proof/read, when will you have time to do it over? Places like Spheris don't tolerate lack of attention to detail.
After reading everything posted here, it
that did not endorse or encourage offshoring but finally accepted that it was here to stay, then taught the Indians how to have their own web page, then began to charge people subscriptions to the web page.

The only difference I see since the Embracing Offshore declaration is an upgraded web site with an increase in paid ads from MTSOs who offshore (i.e., more revenue to the web site), a post here and there defending those same MTSOs in various threads by asking us to understand their pay structures, a sporadic reference to webmaster (denoting the site is being monitored more and treated more like a business) and an far greater tolerance for newbies asking questions (perhaps to help those MTSOs grow some acceptable newbies to hire or fill in the gap those companies QA staff can't provide individual attention to?)

Think about the whole overtone of the board and the posts. It has become an MTSO board. I'm sure if I were an MTSO of US MTs only and I was supplementing my income with a website, at some point I would need my website to be my main source of income as opposed to that from transcription.

Deja vu all over again from the mid 90s.


Hi, neighbor....I'm in Reading, PA.
;)
after reading THAT post, certainly...sm

certainly happy you don't work for me and happy you're happy too about it....


Changing poor non-English (ESL) dictation to reflect gramatically correct reports, using the poor dictation sample provided by the original poster, isn't changing the doctors words, nor patient care. If you want to attach your name to that, and the OP stating she/he is refusing to correct what she/he knows is supposed to be, BE_MY_GUEST!! 


Your comment about how long YOU *think* I've been dealing with MDs speaks tomes.......been in and around this business probably longer than you've been alive!!   


If I'm Reading the Question Right...

EditScript is incorporated into Word and your AC should work in it.  If you disabled the replace as you type when you were using ShortHand, you just need to enable it again.  If I have the question totally wrong, I'm sorry; I may need it spelled out for me .


I've been having SH trouble recently and I didn't even think about using EditScript as being part of the problem.


Amanda


Exactly my first thought after reading
the above post. WOW.
Reading the last 2 posts...
really warms my heart. It really makes no sense for these MTs to get into such a tizzy about some simple questions. It is nothing personal, after all. One good thing about this is we get to work from home and do not have to meet these people in the office each day. My goodness!!! Just think about what your life would be like then, a constant unheaval. What tickles me is when others (who don't know you) tell you you have a problem. I never assume, not a good thing. The only problem I have is around the end of my work day and my little cat walks in wanting some petting and I am trying to wind up my day. Merry Christmas to all. Hope this New Year brings you much happiness, love and security like the last 6 have been for me when I married the love of my life.
Proof reading
I have never heard of that either. I go over/listen to each report I type twice. QA is only there if I get stuck or have blanks.
After reading the above post..sm
I was going to say the same thing, basically. I use macro's all the time, too, but I would also like to know what exactly the macro feature is CAPABLE of doing. I know the place I work for just designed a macro to line count and change font on a whole folder of typed files at one time. It is things like this that I would like to know...how do you *program* macros to do this??? So, I know what you are saying.
Crap. Try actually reading what she said.
I agree with her. I was not a good, fast, MT but I am a killer at research and I can find stuff it seems like nobody else can. I share it with the MT's I proof and my QA peers in the company and everybody benefits.

It's not a question of being better than, worse than or whatever. People are reading stuff into posts that isn't there, IMO.
Tinks - you are reading
was gonna post that there HAD to be a catch somehow, the post is just written like that....
I think for me and what I am reading, these are mainly experienced MTs and ....
I have been doing this for 17 years and what causes the burnout is the stress, not from the job but all the changes in the last 5-6 years, with major companies having people just to figure out how they can make more profit and the constant changes with line counts, different platforms to the company's advantage, dictation maneuvering, on and on and on. I worked for one company that gave me a secondary I fell in love with, told them I wanted it for my primary, it reminded me of the hospital dictation I was used to, it wasn't a week later that I was doing almost 95% ESLs, that was bull - then to be making less than I was 5 years ago and working more hours to make less, VR that is not trained and takes longer to change than to type and make half per line, all these things contribute to burnout - sometimes I work sporadically all through the day to get my lines in because I am so discouraged of such a skilled profession making less than minimum wage with some companies. Yes, I agree it is great to be good with ESLs but it does slow you down and if you want to work 2 more hours a day or more because you are on an accout that is mainly ESLs, then you are doing it because you are lowering your standards, again, and again and again. That is the nature of this profession anymore.

In bowling good bowlers have a handicap for less experienced bowlers but that is a game, this is not a game. I do not like being handicapped in this profession bacause companies have to handicap the more experienced transcriptionists to be able to have less experienced transcriptionists do the work. Too many experienced transcriptionists are getting out of the profession because of that stress, not the stress of transcription, that is not the stress. The cherry pickers are the team leaders having to get their lines in and doing the easier dictation, they can do that, I don't think they have favorites they give it too, most are faces they don't see or know - they give the more experienced MTs the hard dictation, take the cream for themselves, and maneuver other dictation for the more inexperienced transcriptionists, and probably for not much different pay.
Reading your post...

I'm sure it is.  I could have written that same thing exactly!! 


What is up with that?


This was worth reading, thanks.nm
xxx
You don't know how to stop reading this
thread?
Re-reading your post.
"Shouldn't the line counts be exact since the company issued their own program? The program works with MS Word's count, and their reasoning is that Word counts differently on different computers" So, are you using a program that uses Word or are you just using the properties as listed in the actual Word document?

"Is MS Word that inaccurate on their counts on different computers?" If you had already checked with MS they why are you asking us to tell you something different?

Bottom line, ASK THE MTSO. Verify that your settings match. The posters on this board couldn't possibly answer that question for you.
I try to convice myself what I am reading is as
x
Yup - it's why I'm reading MT Stars right now
X
After Reading About Captioning

I am wondering why MTs don't use those stenograph machines like court reporters.  ?


Someone on here mentioned that she/he does use one.  Does that plug into the computer like a regular keyboard, and is it difficult to learn the keys and such? 


I would love to hear more about it.


Thanks! 


After reading your post, I'd have to say

it seems that your hospital wants to take advantage of you both as an employee and as an IC.  I don't think those 2 should mix.  I would start with the Labor Department for your state.  They should have a website to answer some of the general questions and probably can direct you to the more specifics.  You may need to file a complaint with them.  Good luck.


After reading most of the posts below..sm
I would just like to say that it probably just depends on the program the office/hospital uses and the doctor's choice of how they want it done.  Where I work the doctors could still dictate and I could still transcribe it and then the reports could be scanned into the EMR if that is what they had chosen to do, but it wasn't, and my position is being phased out.  Lots of different ways of doing this type of thing, and unfortunately saving money is more appealing than having a finished report that looks and reads decent, so bypassing the Transcriptionist seems to be the way our area doctors are going.
Do you have a reading comprehension
problem? The problem isn't promoting MTs.
Do a lot of reading on the company and
Medquist boards on this site. That might help you decide whether to come back to MT or not. Good luck.
A little light reading

Link to the Bureau of Labor Statistics information on our dwindling profession.  According to them, employment prospects are good for MTs, with many opportunities for advancement.  I think they must be a little out of the loop on what VR and offshoring are doing to us....


http://www.bls.gov/oco/ocos271.htm