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No, same dictators, same exact work, nothing has basically changed except

Posted By: Are you for real? on 2009-02-24
In Reply to: I'm a QA, and yes, we get VR reports - Another QA

for VR sucking big time now. One physician who is letter A perfect in dictation years ago fine, now his work is a mess. I even asked if some of the reports had been sent to another country, starts with an I because they were not like I did at the very start of VRing. They were so good when I first started.


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Basically, harder dictators and harder reports with a lot of formatting with tables, etc. SM

give you extra lines because of the time involved in doing those particular reports.  Not so much you get paid more per line, you just get extra line credit.  For example:


You have a 100 line report, but it is weighted because of a table that you have to input.  Then you would maybe get credit for 130 lines for that report.


Did a whole 388 today....this is why I try not to work when the kids are home/awake - basically impo
x
No, it is not your fingers. I have the exact same problem. Even where I work.
nm
Acute care work is operative reports, consultations, H&Ps, emergency room, DS basically the type of
dictation found in a hospital setting as opposed to a clinic setting in which you just type office notes and minor procedures.
The company I USED to work for changed how keystrokes were SM
counted without telling us. This went gradually on over a period of months. Because my work hours were rather erratic (largely due to not enough work available--they were offshoring our accounts without telling us too), I preferred to assume my lowered production speed had to do with that. And went through the same confused and upset period as everyone else, thinking/wishing/hoping I could cure the problem by working better.

I'm at fault for not recognizing what was happening much sooner and demanding an answer, thus setting myself up for abuse. The questions I finally asked--out of curiosity about what they would say because I had had already learned the truth--were responded to with careful evasions and total failure to disclose.

I did ultimately leave that company for these reasons.

We can--have to, after all--accept that the rapid changes brought by new technologies and methods of increased production require changes in how the counts are done, and that these changes may be fairly and appropriately calibrated.

We do not not have to, and should not, accept not being told it's being done or being mislead or lied about what's happening. Best wishes.
I no longer work for a company just for that exact reason...had me questioning everything I typed.
nm
How many dictators do you all work with?
Just wondering this for those of you on big accounts, like hospitals? How many dictators are on your list and how many of them do you usually work with?
I'll bet I work for the same national! While I have great dictators, seriously they never say the
same thinge twice, save one surgeon who always ends his op reports with the same paragraph, which, of course, I have in my expander.  I mean it - there are probably 30 doctors, and I never ever get a repeat or any pattern at all! Again, I have a huge expander that I've set up on my own over the years, and rarely type more than a few words "longhand", but I still am not hitting over 200-250 lines an hour.  Oh well! At least I have great dictators, right? 
I work an account where ESLs are better than the American dictators ever hoped to be. sm
There is bad dictation all over - you need to learn to cope with what is out there. Don't be afraid of the ESLs - you can only do what you can do, and for even American dictators, there is just no hope for the report coming out flawless if it is a bad dictator. I have 25 years experience, and there is just the fact of the matter that if junk goes in, junk is going to come out, and experiences helps with figuring out the words, but some words are so badly mispronounced, there is no hope of figuring them out. Blanks are inevitable, but that is why we have QA - they are the next level after the MTs get the rough draft out there. It pays to have a second set or third set of ears, and it is part of the plan - it is not all on just you to get it right on the problem dictations.

When work gets slow and you're switched to unfamiliar dictators does anyone besides me find it ha
nm
Not always. Tongue stumblers. New dictators. Speedy and lazy dictators.
D
?? Bad dictators are bad dictators regardless of their mother language.

wonder when people will just get over it and do what they can and move on. 


So basically she herself is QA?
x
I do basically the same as you, but I will
as I type in Word, and this helps with not having to go back and read the entire document.  I find that if I notice it right away, correct it, then I can move on, and it also helps if I need to re-listen to the term or phrase.  I have also noticed where my auto correct did not expand correctly, and even though my final spell check would most likely pick this up, I tend to be a little more careful with that as well.  I am so afraid to go with an Expander because I'm sort of afraid I'll lose that "specialist" touch you speak of. 
They are basically just saying
we will make your transcription look good like she looks good.

I don't see what the big deal is. Sex/beauty sells everything lately. It's just the world we live in, unfortunately. Every commercial on TV almost has some type of sexual undertones to it and some very obvious.
Basically, yes and no.
That doesn't help much, does it?

They all pretty much perform the same functions, but some have different types of connectors that hook to the computer and/or equipment.

I've got 2...a USB that hooks to my computer, and one that hooks directly into a Dictaphone. I know some other pedals connect to game ports. Sometimes the software allows you to set up a variety of pedals with different connectors.
It is basically just something you have to
make yourself do. I learned this way as when I started as an MT we were on typewriters, so you had no choice.
I feel basically the same way sm
why waste their time, as well as mine, just to say, "Hey, I'm your new sup"! Come on, if you need a message to figure that out...well, I don't know what to say about that!  Anyways, you're right.  I don't need anybody holding my hand...that's why I work at home!
You are so right - it's basically worthless
nm
But you could basically try 50 lines per sm
report, and go with that.  That is a reasonable ratio with the differing times you sated.  Would add up to about 1250 lines, give or take different dictators, and the ways lines are counted.   Some dictators take FOREVER to dictate 7 mins, others breeze through 3 mins, with lot of lines.
Basically, it boils down to this....
Back in the day, we were seduced!

Now we're being raped.
I agree. I mean as an IC you basically pay
so many write-offs.  Hire a tax professional your first year to see what things you need to write off.  From then on out, a lot of ICs actually do their own.  Employee status simply means the employer withholds tax money, but they also have a lot more control over you as far as set hours and pay for that matter. 
I basically tell them I know nothing about that route (sm)
Like you I was an MT for 7 years or so before I ever had kids. And even then I did not have the chance to work at home, nor would I have wanted to, actually. IMO with our work, the choice, if you have high-need babies like mine, is either (a) ignore the kid and work or (b) work when they're sleeping. Which means I don't get to sleep like, at all, because I had babies who did not sleep much.

I would, and have, done what you did the drugstore clerk. You can't tell some people anything.

I personally have told people who asked me, "I wouldn't. You won't make enough money for the aggravation." I've also told them, "If that was your plan, you should have started 5 years ago so you had all that under your belt before you had kids." Depends on the circumstance and how hateful I'm feeling that day. (blush)
In theory, it's basically the same as the other
MSWord version; it just has all the bells and whistles.
It was basically an example of a post on there.

Everything should be checked out first, but just like you confirmed, there are local practices for each state that will post for MTs.  I found one myself but I guess I was too late because they never contacted me. 


Just trying to help... 


Absolutely, but basically because
It seems ANYONE thinks they can do it. Even those with atrocious spoken English who apparently slept through basic high school English classes and those who have no gift for spelling at all seem to think that if they can play hunt-and-peck on a computer keyboard, they can be an MT.

I reached the point long ago and when I they propose that godawful question, "How do I become a medical transcriptionist?," I give them the most blunt answer I can without being downright rude...

"Take some night classes in basic English and spelling, then you'll have to take a couple of classes in anatomy and medical terminology. That's just to start."

They lose interest quite quickly when they realize they'll have to exert some effort.
basically I agree
I think definitely industry was better before the BOS, when good MTs simply used good English skills and common sense. Some uniformity in the business was an okay concept, but too much of the "rules" make no sense, and changes at the association's whim. Like another said, it **severely** reduces productivity, which works against the patient, the hospital and the MT. I flat refused to pay any attention to it for years, after a hospital supvr told me some of the "rules" in it, and only when I had to for employment, finally got one and now use it.
MDI and Transcend both use basically the BOS rules
unless client requests something else.  Sounds more like one of Futurenet's nightmare accounts.  
I found basically the same thing - sm
Obstetrics/Gynecology (OB/GYN)
Dayton, OH Doug Moore
York, PA Roseann Freundel --- was on the Residency list in 04-2004. So she has probably completed her residency and has moved to another state/country by now. Also the hospital would have the records I would think, especially since a resident did the delivery. Good luck.

I basically was offered a position..
She said I did excellent on the test. She asked to let them know how many minutes I would want, FT or PT, which I did, and haven't heard a thing since.
Ditto. That's basically what I have told my DH too. - sm
As for those protesting they would not want the money, that is not practical. I would have nothing then other than his 401K (which is quite healthy) and any money from the house if I sold it and moved up to where my family is and where housing costs 2-3 x as much. So that is how my husbands life insurance would be used, which is only $350K, so after I would settle everything I would not have much left as it is. But w/o the insurance I'd be in a very BIG hole. That is why you get it, no its not pleasant to discuss but it is necessary especially when kids are involved. I hope he is around for a long time to come but the odds are against my husband most likely as he has lung and bladder cancer in his family, and some other things as well which will probably preclude him living a long life. I hope that is not the case of course, but it does not hurt to have your financial house in order in case one of you die and leave the other with kids. Even without kids, money is always helpful.
Follow all the same rules basically - sm
Don't let others use your computer, don't discuss any work in specifics (i.e. names, etc.) with anybody), keep work secure whether on your computer, printed out, etc., use secure or encrypted email/FTP if you email your work product, do not let others look over your shoulder while you work and read the report, etc. Just basic common sense stuff in order to keep the information private. Where I used to work had these conference call meetings and we would all log in via the internet and phone and have our HIPAA training every 6-12 months, was a pain in the butt, especially when they decided to stop paying us for the time we spent "attending" the mandatory meetings. HIPAA is not a big deal, as I said, it is mainly common sense.
Linking in radiology is basically when the
dictator dictates two separate exams under one requisition number and just linking the other exam with that number.

It's actually two reports dictated under one exam but you get paid for both exams by linking the second exam with the first. There are various ways to link a report depending on the software so I won't go into that.
Isn't editing basically proofreading!?!
Or do you just hit upload and that's how you get 650 an hour? Oh boy!
per diem is basically *as needed*, nm
nm
I too believe it is a trend, basically to cut costs. As far as MQ, SM
I don't work for them, but honestly, from reading posts, seems like they were just bought out by a mad scientist who thinks up ways to drive people crazy. Sort of a game of how far can we drive people before they crack.
It's basically a type of Dictaphone
where you you dial into the hospital's dictating unit to pick up your dictation. It has to be programmed for your individual accounts.
You are correct, same as Bush basically. nm
xxx
I talked to H about it and he basically said the same thing.
The day is not over yet.  LOL. 
Another "weird" one. My Mom basically checked out as a grandma.
She had no use for kids, and never paid mine a bit of attention. She was rather fond of my oldest, but never really the younger 2. She had her own stuff going on. Well, we lived our separate lives without a lot of communication. She would send a card with $5 in it now and again for my oldest, signed "Fondly, Grandma". Whatever. Well, according to the people who were with her when she died, she lingered for a few days, and kept carrying on about what a rotten grandmother she had been to my oldest daughter. Never mentioned the other 2, but that's not the point of the story! Well, naturally, I never mentioned this to any of my kids, let alone my oldest. About 2 nights later, my oldest came to me and said she had the "weirdest" dream, and how real it seemed. She said my mother had called her on the phone, and they had this loooooooooong conversation, like catching up on stuff, and how grandma kept telling her over and over how sorry she was - that now she realizes what a bad grandma she was, but that she would make it up to her someday when we're all together again...I nearly fainted. I then told her the story that was told to me about my Mom's last days...
A used drug book is basically not worth much
in the long run - so many MTs waste their precious $$ on used resources. Particularly in the world of drugs/pharmacology, even a 1 year old drug reference is basically worthless. Unless you just want to be able to claim "you have one" for your company, its already long outdated. Best to buy the current editions, no matter if you can get a used one cheaper. You are defeating the entire purpose - having an up-to-date reference for your knowledge.
They are basically "sister" drugs. I am allergic
to naproxen, so cannot take ibuprofen now, as they are closely related. I would think if naproxen isn't helping, neither will ibuprofen. Try something unrelated like Tylenol?
I go to Changes, which is the same thing basically as Curves and I could tell soon after starting
and I felt better.  I believe you still have to walk or some other type of exercise and diet.  I lost 12 pounds the first month.  The reason I joined is because I do not want to lose a lot of weight and still look terrible.  The BUDDY system is the way to go with diet and exercise!!
Hi, Trying. You're basically right about the straight typing, I think. SM
But as eScription learns to handle the practitioners' dictation, the product you are presented with is more and more an already-typed document and your job is to edit that. Speedy fingers are still helpful, but production also depends on ability to read quickly, recognize and correct technical errors quickly (potassium 45 to 4.5) and decide on necessary grammar/punctuation changes quickly. I have the dictation speed pumped up as high as I can manage to drop in periods and caps and so on and still keep up with.

It will take a while for the practitioners and computer to get in the groove, though, and for some months the documents will come through in various degrees of mess, some good and some awful that you're just slogging through. During this period you guys are working to train the computer through your corrections feedback. The company I work for dealt with this by paying us full transcription rates for editing during the worst of this. Since editing production is a lot higher than transcription, though, the pay per line drops to reflect this. In our case, to half, but I still make more now because I can edit more than twice what I can type.

For that and for the work itself, I really like editing and would hate to go back to transcribing full time (a small percentage is still transcribing physicians who aren't willing to make the few adjustments needed to accommodate the computer's needs). And you're really fortunate in your hospital's choice because eScription/EditScript (the part you work with) is a wonderful program, easy to learn and work with. Best wishes. And have fun!
I've done it basically all and ops most of the time now and I really enjoy doing ops.
DS and H&Ps can be very sedative LOL  You do need to have a wider grasp of medical terminology and like Hayseed said, at least know your anatomy basics, and have your own resources and know how to use that provided on the internet, and not referring to Google (but that comes in handy once in a while when all else fails).  You have to be able to visualize as the doc is cutting away.  For example, cardiac anastomoses are like little tubes that have to be hooked up some way, side-to-side, end-to-side and so on.  When they cut out a specimen, you have to think of it as a nugget or chunk of meat that someone else is going to be looking at, so they have to orient this with a clip or a stitch here and there to let the pathologist know which side is what, which one has cancer the top, the side or the botton and so on.  Everything in the body is a bag, hose, tube and so on, so using common sense in typing this also helps a lot.
A TASP is basically a company that owns
your clients call in and dictate on their system, and you pay them usually based on the minutes of dictation.  That way you don't have to put out the money for a system of your own but you have access to a system.  Metroscript is one, Bytescribe has a TASP, and the owners of this site also have a TASP although I don't recall the name - but if they would like to post the name of it under my post that is fine with me.  There are others as well. 
I was at a job 2 weeks and qualified. I believe it is immediate, or basically, once you have a polic
nm
Basically, if you get a dial tone, it's hooked up right. NM

add to that ASR, getting paid 1/2 for basically re-typing reports! nm
xx
This is why I basically stay away from the message boards :(
nm
So basically, your price for selling out is $5500.
x