OMG!!! Why do ESL's sit there not dictating for 5 minutes at a time????
Posted By: Turn the mike off, you loser! on 2006-07-09
In Reply to:
Geez, as if they're not annoying enough when they actually ARE talking! 
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OMG! I was in shock for about 10 minutes first time I saw that!
Weird, but funny
How much time does it take you to do 60 minutes of dictation?
I talked to a newbie just the other day who has taken a course but has just started his first job and he blows my time clear out of the water! I may not be the fastest typer but 60 minutes in a couple of hours! Does that seem real?
Daily minutes - time per tape
I have two Internal Medicine docs that average 25 to 35 minutes per day which equals about 500 to 600 lines each. (time to do each tape 1 to 1.25 hours per tape) Monthly line count is about 15,000 to 16,000 per month average .
Two oncology surgeons that dictate three days per week -- one is 25 to 30 minutes per day which can equal up to 1000 lines as a lot of letters and consults the other surgeon is shorter about 10 to 15 minutes and equals about 300 to 400 per day. (time to do tape -- long ones about 1.5 hours and short about 20 to 30 minutes -- good money maker) Monthly line count is about 11,000 to 12,000 per month
Plastic surgeon -- short chart notes only 10 minutes = 100 lines per day - 3 days per week. Only get about 1000 lines per month if he has some letters.
Hand surgeon - some IME's, chart notes - 2 days per week depends but usually about 30 to 40 minutes per day. About 4500 to 5000 lines per month.
Psychologist -- 3 to 5 psych consults - ADHD children - 35 to 40 minutes per report with accompanying letter about 600 to 700 lines per report/letter. (takes me about 1.25 hours per report/letter) About 4500 lines per month.
I have been doing these for so long I can type them in my sleep.
But, if you don't need a lot of minutes per month it costs BIG TIME.
p
My UPS has an estimated battery time of 19 minutes
which gives me enough power to finish the report I'm working on and shut down my computer correctly.
Well, collectively it probably took 20 minutes of my time to post today.
My kids are out and about. I did all my work. I'm a good girl, you see! I don't really get your perceived "jab" at me at all. Why do you think that because I am in favor of someone being an MT and keeping their precious baby at home as opposed to in day care, that somehow that means I say I spend every minute of my life focused on my kids? I really think when you respond like this, its because you are not confident in your own life - I won't delve deeper, but you feel guilty. Guilty enough to have to make fun of me and put imaginary words in my mouth. I never said a whisper or innuendo that MT mothers with kids at home have to focus every second of their lives on their kids. That's ridiculous! We all know that! And I assume you're the same poster above about camp? You use the same SM. I am sorry to disappoint you that I don't understand your "revelation" about my identity! I never said a word here about camp, and don't follow that thought at all. The OP asked if she could do it - be an MT and have a baby at home. I recognize another poster from below, childfree by choice. She and I have had some wonderful debates in the past, and I think we usually agree to disagree! But certainly nice meeting you, I think??
5 minutes tops; if not tend to waste too much time - sm
google what you think it may be, or key terms in the phrase and usually you can figure it out that way pretty quickly.
I'm not wasting 45 minutes of my time for a 2 minute voice file.
I'm not wasting my time on a physician who can't or won't speak half way decently, English born or not. I don't have to work for crappy doctors. I found ones who are willing to make an effort if they can't speak English, they try and spell things as do my English docs. I've been an MT for a VERY long time. I'm an excellent MT and have nothing to prove to you. Have a wonderful holiday season filled with KINDNESS. Try being a little less judgmental. Sounds like you ride atop a very high horse.
I used to say he nursed for 30 minutes every 30 minutes. I was trying to figure
out a way to strap him across my chest so he could help himself while I went about whatever it was I had to do. I really miss those days too.
ATT- I was paying $320 for 7000 minutes, I am now paying $175 for 5000 minutes in CA. nm
nm
If they are dictating what you do with it,
Furthermore, whose to say they won't take it back!!!!???!!!
someone dictating for him
here is one for the books - have a sub-intern dictating for attending - dictates the following - "Dr. _____ states that the patient has a history of "what did he say "quinaquina" failure.. I am not sure if that is the correct spelling."
well he would not - it is chronic renal failure. Now why is he even trying????? - thankfully at the end of the report the attending who apparently was sitting next to him by this point, corrected him when he dictated it again. I give up.
that might be why the doc is dictating sm
all this old stuff. Doc may have gotten caught and fined for not having charts up-to-date. I a hospital, docs get their hospital privileges suspended if the charts are not caught up
They said Drs. not dictating on this account
nm
I tried re-dictating to Dragon...
I bought the latest best version, souped it up with KnowBrainer and devoted 3 solid months to training it to my voice and building a huge vocabulary. I could still type circles around it. Editing is extremely bulky and slow. Also don't think you can have your docs dictate a page and then train Dragon to do their speech direct. First of all, they will expect you do to charge less since "the computer" is doing all your work. Second, you will be spending tons of time doing further tweaking and training to get Dragon anywhere near up to par to actually get any production out of it. All of which is not only frustrating as h---, but you don't get paid for it. Now, don't take this to mean that VR won't take over transcription. Big companies use a different platform with the Dragon engine - one in which they have spent a lot of time figuring out how to make it quick and easy to edit...oh, the end is in sight, all right...
Dictating while being tickled
I have one MD who on three occasions has dictated while being tickled! I can't help but laugh along, but it sure makes me wonder who the heck is in there tickling him!
Dictating and driving
Can you hear me now?? I have a physician who dictates while he drives,and by the way, his dictation goes in and out so unable to get really what he is saying.
Is this a child dictating?
I once had a doc say "I asked the patient to pee in a cup". I forget what I changed it to but I cannot stand the word "pee" and refused to use that. It is so vulgar (of course got the approval from my supe first on the change).
Child dictating
Both my Ped doctors say poop and pee. Is this going to be the industry norm? Maybe we won't have rhinorrhea any more, just snotty noses, and a few owies, ouchies, and boo boo's. lol
Transcriptionist dictating into VR
I read an article about this years ago. A local Transcriptionist would listen to a report and dictate it into a VR program she had on her computer so all she had to do was edit rather than type because she had carpal tunnel so bad. It worked well enough for her that she could remain employed. I didn't know her or have a chance to meet her, unfortunately, but she inspired me to take the VR class through Office Careers at the local junior college. Like most people in the class, I found out pretty quick that I didn't have the voice for the software. It just didn't work well. Plus you have to retrain it any time you get a cold, allergies are acting up, yell yourself hoarse at her kid's football game, etc., because your voice quality has changed and the program doesn't recognize you as you anymore. At the time, she was working with reports on tape and whatever word processing program was popular at the time (WordStar, WordPerfect, Word). I'm not sure if you can use VR on your computer (or the one supplied by your employer) with the Internet platforms that provide the voice files now. It would probably be an added complication your company's technical department wouldn't want to deal with unless they were forced to as a "reasonable accommodation" under the Americans with Disabilities Act.
People dictating
That is as annoying as the dictators trying to say a last name that is 13 letters long, can't even pronounce it, but they continue to use it throughout the report....they can't just say "the patient." Geez!
dictating while seeing a patient
I must be weird because I never had a problem with the doctor dictating while seeing his patients. I worked in a busy clinic where one of the doctors pumped her breasts while dictating, one would eat hard candy and comment about the patients under his breath, one would tell dumb jokes in the middle of his dictations. We (the transcriptionists) got even with them one year at Christmas by publishing a little booklet of all their bloopers. We even got our raises that year!!!
Really does not have to do with the doctors dictating
because I have found eScription for so reason seems to hear the ESLs much better than the English speaking dictators a lot of times. Having said that, I think the system you are using has volumes to do with it from what I read on these posts. Which system do you use, if you don’t mind me asking?
Doctor not dictating. sm
I obtained a client in December. He says he is slow in dictating, but he nor his partner have not dictated all month. I tried to inquire, but he insinuated that my feelings are hurt and that if I didn't like it maybe we should end our working relationship.
I found this odd behavior, especially since he sought me out. Should I drop him and his partner, since they are not dictating? How long do I wait before I drop him?
Actually, if he hates dictating sm
and he is NOT alone in this, you could suggest his coming up with normals for stuff he says all the time and then dictate around those. This is a joint effort with the physician because he will have to sign them and have what he wants in them. You don't negotiate a lower fee for this either, btw, since it takes time to drop them in and to come up with them in the first place.
If he has some F/Us for say a total knee, then he could have a total knee note like: Pt is ____ days postop. I removed the staples from the ____ knee. Pt is to return in ____ weeks' time for followup.
WIth the above, you would drop in the canned text and he could dictate Ms. Josy Blow is 10 days out, had staples, return in 2. Or just 10, right, 2 on his end. I have normals provided by the company I work for, then I have many of my own. Some are a full note because they rarely vary. Some are parts of notes. Some are just shells with headers. ANYTHING not to have to type it all! While you have no problems typing them for him, he doesn't like to dictate so yes, you can help him solve his problem AND cut down your work and worry.
Don't interrupt the doc while he's dictating!
I'm doing this GE doctor and there's a nurse or OR tech who keeps asking him questions. Then he can't remember if he's dictating a colonoscopy or an EGD!!! He loses his place and has to start all over again!
I'm pulling my hair out with all the "uhhhhh, uhhhhhs" and then I have to listen to him get short with her and her get snippy with him and then he can't remember if he took biopsies or not, if he's in the colon or the stomach. He is clueless! Just let him get his rhythm going and leave the man alone!
Okay, I've had my rant for the day!
Believe it or not, I once had one dictating on a small
roaring up and down sand dunes in a DUNE-BUGGY. I had thought it was actually being dictated on a roller-coaster, because that's what it sounded like. When I complained to the boss, he said he'd look into it, and called the hospital. The next day he comes back and said, "No - you were wrong. He wasn't on a roller-coaster, only a dune-buggy."
"ONLY" a dune-buggy?
Re-dictating a sentence in a different way, only - sm
not letting the MT know, and the sentence sounds like an extension of the first sentence. You don't figure it out til you get to the bottom of the report under Impressions, and then you have to go back and find that sentence and listen to it again. This always seems to happen in the middle of a 45 min. long mega-report, too.
I had the guy who was dictating in his sleep,
and he was ESL to boot. He dictated the physical exam 3 different times, and it was different each time. The patient's race also changed from white to black in the course of the report, and there were 3 different contradictory findings in one part of the exam.
I sent the whole mess to QA; they put blanks in the spots that needed them--and sent it on through to the client, discrepancies and duplicates and all. So I got paid for all the typing I did. I did not get paid for the head-shaped hole in the wall, though....
But if what they are dictating doesn't even exist.... ? nm
x
Then the dictating physician needs to spell it out instead
of expecting us to be psychic. I used to waste so much time at my old job trying to find the proper addresses for these yahoo CC physicians. In the meantime, the dictating physician mispronounced, didn't spell, and didn't even give a clue where the other doctor worked. I had to check the company physician list, the hospital physician directory, Anywho.com, then Google. And that was even if I could spell it properly! One physician in particular couldn't pronounce properly. He would put extra Ns and Rs throughout the name. How was I supposed to find it? And I got chewed out by QA for not being psychic enough to figure it out.
Dr. dictating just said happy Valentine's day!
Just makes me smile when the doctors remember to say something nice!
My favorite is dictating a whole list
and then going back and saying, "will you make so-and-so #1 instead of such-and-such." Ugh!
Doctor is dictating while watching
All I can here is zoom, zooom, zoooom. He paaaaaaaaaaaaaaauses for long stretches while he watches. It's driving me crazy. I keep getting report after report by him.
Try a doc that chaws tabakky while he's dictating
PLUS doesn't even have a nodding acquaintance with subject/verb agreement.
dictating while talking to patient
I like peds transcription..have not done as much as I would have liked. I have had some doctors who do dictate at home with their children around ("Be quiet! Daddy's dictating...go see Mommy..sshh") Used to type on an account that had a cardiologist who always dictated his reports while interviewing the patient ("you have the chest pain how often...(patient talking)....") Annoying...all in a day's work.
Why do doctors have to eat while they are dictating!!!!! so rude
nm
MR has little to do with dictating and typing or editing, ...sm
it is point and click by the doctors on their little computer they carry from patient to patient in the hospitals or it is in the doctor's clinic.
When they try to keep what they're dictating a secret...
... from the people having the LOUD conversation right next to them. Guess they never figure out that they are also keeping it a big secret from ME. I keep waiting for them to yell SHADDUP! but for some reason they never do. Sometimes I am half tempted to just transcribe the background conversation instead......
I had a doctor using her breast pump while dictating. sm
Reminded me of my granddad's dairy.
Reminds me of my favorite dictating physician..
 Really miss transcribing his 8 page reports (no sarcasm implied) Have a great day everyone.
I would like to hear from anyone who uses Fusion dictating equipment...
Hospital just purchased Fusion dictating equipment. We had been on a Lanier system for almost 15 years. I've read some on the Fusion equipment and all it is suppose to do (even speech recognition). does anyone use this equipment with the call in station?
I'd say dictating at half speed exonerated you
I could not STAND when they did that! (dictate at half speed distorts the voice or that was my experience anyway)
:)
People dictating who cannot pronounce the words
and do you notice when they are reading others have reported, you can tell they are reading word by word by word and yet half are ones they cannot even pronounce and stumbling all around. Ye Gads!
Dictating on a speakerphone: One of my biggest pet peeves!!
It simply should not be allowed. It is hard enough to understand a lot of these people, and then they sound like they're speaking from the bottom of a pit with the annoying mechanical, buzzing sound quality as they "push to talk". Not to mention all the extraneous noises on top of that -- drives me nuts!!
Eating their lunch/dinner while dictating
I have a doctor from Croatia who is hard enough to understand with his "ah" and 'um" but when he's crunching carrots in the middle of it? Forget it.
they can have bad days, but they're still supposed to be professional while dictating. I'd co
To what do you attribute the fact dictators aren't dictating?
Does that mean people aren't sick or dictators on strike?
I would never be too sure of any company not shipping out work. I know of one that DENIED they would ever do anything so horrific and all the while shipped work offshore. They said they needed to do this to compete but didn't want to own up to it.
Trust no one but yourself.
Rad is dictating what is written on requisition for History is why I would have left it along.
NM
It was very unprofessional for the dictating physician to include that statement.
I have never come across such a thing myself, but I wouldn't hesitate to type it.
MTSOs who work with call-in dictating systems. See inside.
If you work with a call in system, would you be willing to share if you like it/don't like it, how your transcriptionists acess their work (internet or through the call in system), where did you buy your system and is it efficient, etc. Thanks.
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