Nowadays doctors are little more than glorified puppets. sm
Posted By: Topaz on 2009-03-19
In Reply to: I wonder why when a department is outsourced/offshored sm - MSMT
The suits in managed care tell them what hours to work, how many patients to see per day, what to treat and what to ignore, and what treatments they can or cannot prescribe. With the office visits cut shorter and shorter, and more and more patients seen per day, ('run 'em in/run 'em out medicine at its best), they don't have much control anymore. They just look at their watches alot (like throughout your entire visit), and gallop down the hall from one exam room to the next, trying to keep up with the quota management has imposed on them. Management snaps their fingers, the doctors jump. Lots of them dont even dictate anymore, their nurses do it. No wonder the quality of dictation has been going steadily downhill, just like the rest of healthcare. I'm sure most of them don't have the slightest clue their hospital's work is even outsourced, let alone offshored. They live in a pretty cloistered little world. I'm sure the doctors where I used to work still think their hospital has a transcription department!
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Doctors nowadays are in it for the money and "superiority"...
It is my opinion that there are very few docs left that truly care about their patients. In working with them and as a patient. Having a sickly child, I have been through 6 peds in 11 years for one reason or other. Only had one truly great ped, he saw sick children even on his day "off" and still saw them in the hospital and if he couldn't treat whatever, he wasn't afraid to send you to a specialist. He saw patients until he died. I believe he was in his 80s.
LPN.glorified CNA..I'd not want to work in a podiatrist office if I went through the time to get
No, you're not alone. Almost all TV disgusts me nowadays. nm
nm
It is sad, but that is the state of this "profession" nowadays.
So true! Nowadays a B.S. Degree is just that --
hee
I think microcassettes are used more often nowadays then minis.
``
CEUs don't cost that nowadays!
NM
No big bucks for docs nowadays
So true. Compare it to the union thing. Just my take on it. I've worked in-house & at home, and have seen this thing slide down the hill big-time!
this was maybe 20 years ago valid, but not nowadays
with such a low line rate and VR, when transcribing's speed has to be tripled to get the same pay.
Newbies can still learn and profit from the answers given on the word help board.
CHANGE is inevitable in every field.
Hey---Nowadays we NEED a Dept of Pubic Health!!
ROFL
Nowadays that's a pretty mild word....... -nm
I think the majority of families in America are dysfunctional nowadays!
I have yet to find or meet a functional family.
My little family of 4, meaning me, my husband and 2 children are functional, but when you add in my side of the family, 5 siblings, and his side of the family 5 siblings, it becomes totally dysfunctional. Go figure!
I can only do the best with my own little family of 4 and keep us a functional, caring, productive family giving back to society in a positive meaningful way. I can not control the siblings or extended cousins, etc.
It is my goal to keep my little family of 4 functionally intact forever!
Check the MT jobs available. Nowadays 8 or 9 cents a line is considered good for experienced MTs.
x
so many people was wishy-washy nowadays...love to see people make
a stand for what they believe in...
it is kind of wierd those statements have to be made in the first place but guess we are an ever-transitioning country and are still young. so many different beliefs yet not much tolerance.
I found your post respectful, and right on as to how you feel. it does not seem that difficult to sift through to read and respond to messages someone might not care for...
Only 30 doctors?
Your line count sound great anyway! Maybe some day I will get there. I will keep working on the expander thing. But only 30 doctors? I am sure we work for the same national. I have only two accounts, but have 97 doctors! I have been meaning to ask my friend who works for the same company if she has as many. She has 4 or 5 accounts, but I don't know how many doctors. Sometimes, when I see the 'no jobs' screen, I am tempted to call and ask for another account, but I never do since I am afraid of what I will get. One of my accounts is my 'dream account' because there are few doctors, and they are WONDERFUL. The other account has about 90 doctors and I never know what I am going to get!
Doctors
I used to type for a doc who said sh*t at least once in every sentence. He always told "the typist" to delete that but it was a laugh just listening to him!
You may be right that most doctors
do not read their reports, but a lot of other people do, including coders, nurses, insurance companies, attorneys, and possibly even the patients themselves.
CERTAIN DOCTORS.
I work for a small MTSO, and I have been asked to work on a certain doctor. It happened to me because I was getting his work done on time and how he wanted it done. So, yes there are good reasons for this to happen.
Thanks!
So....how do you think these doctors who
And some of them KNOW about offshoring (lots of them do), feel about people going overseas for their medical care? How does it feel? Not so much fun, huh?
One of my doctors...
is wonderful about saying A-B-duction or A-D-duction instead of assuming I will know. He's got a slight accent, too, so I really appreciate it
Doctors as MTs
I can't help but wonder why someone would go to med school, then decide to become an MT. Even in India, I would think an MD does better financially than an MT -- which is why I bet while they may be good MTs, they must have been inferior MDs. JMHO.
Do you ever wonder how much doctors would
keep patients if they talk to them the same way they dictate? I have transcribed some doctors that I wouldn't go to (no matter how "good" they are) simply because of their dictation. If they talk as fast, slurred, etc. to patients as they do when dictating, no wonder people are sick. 
Doctors
Does anyone know where doctors post that they need a transcriptionist? I have looked through many websites but only find companies and not doctors.
doctors-ha
I am frustrated beyond belief at doctors who do not keep up with dictation then the office blames the Transcriptionist for being behind. Dictating a week's worth on Sunday afternoon does not mean they will get all the dictation returned on Monday! And of course they are asking for "stat" reports on one particular patient, then claim they have "missing" dictation. Well I don't get paid for my time going through and finding one in particular. I've been an MT for 15 years, but never have I been so frustrated as this afternoon when this whole situation came up for the upteenth time in the month of May. Sheesh.........why don't they talk to the doctor about keeping up?! gggrrrrrrrrrrrrrrrrr  Sorry, just had to vent..... but I was wondering if anyone has a spare tazer I could borrow.
doctors
Isn't it sickening?! Funny how they think they know everything and are always right, then can't even dictate all of one day on that day or can't remember what patients they've dictated on and blame us for losing them! It's actually the doc who has the problem, but they can't/won't see that. If I didn't need the money so bad, I would certainly quit this guy. He's a major royal pain in the buttocks!
Maybe it's just normal "rigors of transcription", but this has been a consistent problem for months and months and especially for the last couple of weeks. Maybe his allergies are frying his brain! Whatever it is, the staff has the same problem!
They are now quoting me what my contract says and claiming I'm not fulfilling that contract!
gggggrrrrrrrrrrrrr
Getting new doctors
I was wondering if any of you can give me some idea on how to get new docs. The last two accounts that I had I just fell into them. My friend was working for an office when they needed a transcriber. And the second were my ob that I had been seeing when I was pregnant with my twins. Unfortunately, I lost the first account to a lady who was going digital and she was was to come in and cover for me while I was out on maternity leave. And now the ob docs changed over the a new system. They are actually using a piece of paper that they check off everything and if there is something abnormal they make a note of it directly on the paper. I had been transcribing for six docs, but now I am only doing 1 and he is probably going to be retiring soon. I don't know what kind of information I would put on a flyer, or should I send out a letter to doctor's offices. Any help would be greatly appreciated. I have never done hospital dictation, so I am strictly looking for office work.
Thank you in advance,
Cheryl
Doctors
Thanks. I did work for a doctor who stated that doctors are always looking for transcriptionists, but I could never find where they advertise. The doctor I got was from word of mouth, but he recently moved out of state so I am looking to do work for another doctor.
doctors lie
 What do ya'll think about doctors who lie in their dictation. I have come across this twice within the year - so I am sure it happens quite often. Once was my own personal MR - doctor came in and told me I had a coronary spasm but when I got my records there was no mention of a coronary spasm or anything else having to do with coronary - he basically said he didn't know what the problem was - other than my blood pressure was 220/114 - which I had to take my own medicine in the bathroom to get it to come down -
then - a friend of mine had a bariatric procedure and developed a stricture - he then had an egd under conscious sedation (he is 21 years old) and he became combative on the table. The doctor came into the RR and told us all about how he had been up and down on the table and how he was not able to do a dilation because of this - then when we got his records - the report said that he had used 3 different balloons and dilated the stricture successfully. However, my friend was not able to keep anything down - so the doctor went in and did the egd again under general - and could not even find the anastamosis site - he was sent to a specialist who did an egd using dye and fluoroscopy. Another stricture is forming and the specialist is going to place a stent which is not approved for bariatric patients - it is something they place in people who have esophageal cancer which allows them to eat until they die since the cure rate for esophageal cancer is so low. I wouldn't let them touch me again - but this is a young kid and he doesn't know any better. I might also add that the anesthesiologist and the nurse that was in the room on the first EGD came to the RR and told us how bad the situation had gotten before the doctor gave up.
long story long - do ya'll think this is common? can we no longer trust doctors with our lives? I realize they are scared of malpractice suits - but, as with my friend, we know that the doctor messed up his tissues - and the specialist told us how bad the tissue looked - like it had been "stabbed through with a knife, inflamed and beginning to scar up". But do you think that they lie in all of their reports where something goes wrong - or that they color the situation so that they come out smelling like a rose?
doctors
I like www.healthcarehiring.com/
Can look up doctors, clinics, and other things by state.
Doctors --sm
are so used to dictating certain ways that he may not even know he said the word comma. I have a doc that uses "comma" for every punctuation, including period at the end of a sentence. My transcription training drilled it into my head to use as few commas as possible and we were graded on that, dinged if we had too many. I transcribe what I feel to be right, not what the doctor dictates as far as punctuation goes. JMO
I take this seriously; however I know doctors
My mother's surgeon is one of them. Sometime during one of his visits, mother's medical records were brought up and somewhere in the conversation transcription. Well, he said all the x-rays were transcribed by a facility in Australia and he thought it was wonderful because they were ready the next day since their day is our night, etc. He just had a big 'old smile on his face. When I asked him didn't he realized HIPAA rules could not be enforced, he just shrugged as if it were no big deal. This is a guy that has been around a long time and he doesn't even care about patient records, and this would go for ALL the other doctors in his group practice as well. The x-rays are sent by a local hospital, so if the doctors don't care, and I know the hospital knows where the records are, I find it hard to believe most don't know what's going on with our records.
The bottom line......MONEY.........and not the patient.
I take this seriously; however I know doctors
My mother's surgeon is one of them. Sometime during one of his visits, mother's medical records were brought up and somewhere in the conversation transcription. Well, he said all the x-rays were transcribed by a facility in Australia and he thought it was wonderful because they were ready the next day since their day is our night, etc. He just had a big 'old smile on his face. When I asked him didn't he realized HIPAA rules could not be enforced, he just shrugged as if it were no big deal. This is a guy that has been around a long time and he doesn't even care about patient records, and this would go for ALL the other doctors in his group practice as well. The x-rays are sent by a local hospital, so if the doctors don't care, and I know the hospital knows where the records are, I find it hard to believe most don't know what's going on with our records.
The bottom line......MONEY.........and not the patient.
my doctors!
or the nurses or whoever else, but as i just said this IS being implemented April 1st!
dont think it will happen super quick for everyone, this is an eventual process, how can you deny that?
Doctors will not like to have to
put all that data into a computer. They are doctors not data managers. That work will pile up on them and because of their busy schedules and become a real pain.
They will always in the end have to dictate/narrate some sort of personal profile on the patient that does not include vital signs,lab values and imaging results.
No, because the doctors will not want
to listen through an entire dictation of sometimes meaningless stuff to find out what they need.
if the doctors in the USA really REALLY sm
knew why their work is of such bad quality, they would bring their transcription back into the US and hire EXPERIENCED US MTs to do it. I see it happening already, albeit very slowly!
Doctors
are the worst at spelling. I have one doc that consistently spells words wrong. I spell them correctly and leave a note letting him know. He continues to spell them wrong (the same meds). I think he just cannot admit that he is wrong(-:
Where have all the doctors gone?
Gone for AMA meeting every one...ohh when will they ever learn? When will THEY ever learn?
Okay, joking aside. The AMA is meeting in Chicago. Obama is addressing this convention to push his new health plan, something the AMA doesn't support. They are afraid, as are we all, that this will "save" money by cutting compensation to doctors and hospitals. They seem to have record numbers in attendance to show their numbers and power.
So, this might be why work is low all around right now. Bully for them! If they can stop Obama on this, I'll be low on work for a bit and I don't mind in the least. I don't believe that nationalized health is the answer for this country.
GO AMA
Doctors have bad days too!
Guess SHE was having a bad day. Once during the dictation, she screamed it ou because she could not find the medication list! This foreigner had no trouble learning that word, obviously! 
Cheap doctors
I remember one specialist many years back who complained when the hospital I worked for put in a new dictation system which required pushing the buttons on the phone to put in patient ID, etc. He came to the department in person, ranting and raving because "now he would have to pay to have a push button phone installed" in his office. This same doc came in the department on a Sunday afternoon and was using the hospital department copy machine to copy EACH AND EVERY PAGE his JAMA because he had DROPPED IT IN HIS POOL at home. Can you say, "cheep, cheep, cheep"????
They sound just like my doctors! (sm)
Something more fulfilling, most definitely. At least I won't feel like a doormat. I am starting to think I am really being stupid to make sacrifices like this.
After all, this is just a job. We all need to have a life, not be irritated all the time.
One transcriptionist, three doctors--HELP
I work from home as an independent MT and presently, I am working for three doctors. Anyone else out there working for a few doctors. I am beginning to think it is impossible for one person to do this, as I am working 7 days a week, long hours. Any advice would be greatly appreciated!!! 
Doctors are definitely their own breed.
I used to type for a doctor who I swear had his own dictionary. He was always making up words and also using really big words that nobody ever uses. I guess it made him feel smarter and above us lowly transcriptionist. He was a very nice guy. He just insisted on using words that were not words. When you typed him, you worked for every single line you got. Your situation is exactly why I hate verbatim accounts. We had one doc that wanted us to type his reports exactly as he dictated them. He never once used a verb. Terrible-looking report, but docs get what docs want.
That is true for SOME doctors but not all - PLUS (SM)
think about it - we need doctors and they are the ones who have gone to college and earned the degree so of course they should benefit. If they weren't going to make more $ at it then who would go through all of those years of school and sacrifice to do it???? You also have to calculate in their expenses for help, the patients who never pay, the ones with insurance who don't have to pay much, their employees, their equipment, their office expense, college loans, malpractice insurance, which is sky high, plus all those hours that they are on call EVERYDAY that they don't get paid for. I worked in the office for a doctor and did hsi transcription and he was in private business and barely made as much as I did doing transcription. He charged high too but after all the expenses he just didn't see as much as everyone thought he did. There are others that are definitely benefiting more but not always how it appears on the outside and I say that for the most part they have earned it and deserve to make more after all of those years in school than someone like me who went to school for 9 months to get my transcription certificate.
I have a couple of ESL doctors who say
"full stop" instead of saying period at the end of a sentence. The first time I had one I didn't know what he was saying because he wasn't clear. After QA told me what he was saying I could hear it, but still drinks me crazy.
I also have an ESL doctor who says "paragraft" instead of paragraph.
Most doctors do not abide by. . .
the BOS. It was created by AAMT, who is the only entitiy to profess its acceptability as the standard in MT. It has been a moneymaker for them. Period.
Actually, only the AMA Style Guide is the "official" standard for any/all medical writing, including transcription. There is a new version of it coming out soon as well.
RE: Most doctors do not abide by. . .
You did not answer the original question. Your personal feelings were not asked for in this instance.
Some American doctors . . .
aren't that much better. Example - patient lives several thousand feet in the air - translation - the patient lives in the mountains. I kid you not.
Doctors are SO inconsiderate
Just need a moment to vent...why are doctors SO inconsiderate??? This one doctor, which I happen to have been working on ALL morning, is so inconsiderate. She mumbles, shuffles papers with the phone in her hand, and generally just cannot be still while she's dictating...and to top that off, she will not dictate in any reasonable order. She never indicates when she's changing from history to physical to assessment to plan....UUUHHH...I am literally  !!!
Doctors Cursing
I've had plenty of doctors curse during their dictations. The first time I had to ask whether to transcribe it or not - the answer was no - I have taken it to be no from that point on unless it is a direct quote from a patient - which happens a lot if you transcribe psychiatry - anything goes there.
Stiffed by Doctors. What would you do?
How many independent contractors here ever been stiffed by a doctors' office when you didn't have a written agreement? Just did business on a handshake? What did you do to collect payment or did you ever collect payment? I'm being stiffed and know I won't take this sitting down. I worked too long, way too hard. Invoice is teetering 7K. Any help/advice would be very much appreciated. Thank you.
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