Once had an ESL cardiologist who dictated every lab result done during hospital stay
Posted By: mamawtypes on 2007-10-23
In Reply to: Ugh - 42 minutes of that boring junk. - Ugh
and even the normal ranges for each test!!! 45 minutes long and of course it was a PRIORITY/STAT.. yeah right
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stay with hospital
If a MT is fortunate to find a hospital employee position, I think she/he would stay. I know I would. Sometimes the hospital will offer an at home position. After 16 years as a MT, it is quite a mess out there in regards to salary. Up to 2003 I made $16+ for transcribing and $18/hour for QA. The company was sold and there were a lot of unanswered questions with the new owners from India. Since then I have made as low as $5 but quit that real fast, guess with what national. Right now I have found a job that pays by the gross line at home as an employee. Take care.
I turned down a hospital job to stay at home and regret it. sm
The hospital jobs are much more stable, and you have the same docs over and over. Even if they are ESL, at least you can get good at them. Take the hospital job - the PTO and benefits are worth it.
Sigmoid colon resection, 4 day hospital stay = $65.000.00 in 1999
dd
Did you ever ask a cardiologist what he/she prefers?
:
What's worse than an ESL cardiologist?
A gum-chewing, lip-smacking, flatulent, yawning ESL cardiologist.
LOL!!! I hope you're doing a cardiologist.
I do have to giggle though, the report I just did was a patient returning after being on the token diclofenac for a month, he ended up having an MRI and he has a disc bulge and is being referred to a neurosurgeon. Now you tell me!
time to find a new cardiologist!
If that doctor admittedly is more concerned with saving a few dollars than he is with the quality of his patient's medical records, then who knows where else he might be cutting corners - and how much he's overcharging his patients!
Your mom definitely needs to thank him for his honesty regarding what is most important to him and then inform him she won't be putting her life in his hands any longer!
Depends on what kind of hospital? Large urban hospital or small community hospital? SM
Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.
I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis. But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl.
I did exactly what you did and had the same sorry result
I came down with repetitive stress injury after typing for hours each day for years. Now after an hour of typing my fingers are sore and stiff. I went to DNS for the same reason, did the Know-brainer, got the excellent mike and trained the a** of the thing - after months, I still could not get any production out of it. I can type circles around the thing-- except I can't type! Furthermore, the thing is so touchy, requires frequent re-boots to get quality production, and I would have to redo my dictationary every three months because of a **known** glitch in the system. Then the thing has to hear the whole sentence and think to make sure it gets context right-- you are dictating the next sentence while it is posting the previous sentence and you're trying to do both at the same time. hated it.
VR done by other companies uses the Dragon platform but then changes the software so that edits are easy - not the bulky, slow, fingers off the keys editing that DNS has. Our hospital had the radiologists go to Dictaphone's Powerscribe and in 30 days they were doing all their own dictation without ANY editing by MTs. So depends on the platform. VR definitely works.
what is the result if you make the same
checking on a free AV?
As long as your end result is verbatim, it should be up to you how you get there! nm
..
Actually, the testing is a direct result of...SM
all of the schools and training programs out there that don't begin to teach a person what they need to know to be able to do this work. People come out of the training programs and think they are ready to go to work, but in reality they haven't got a clue. The only way to weed through these people is to require testing to be sure the person being hired can actually do the work. That's the long and the sort of it, in my opinion.
I agree I learned more as a result of the
I never worked on production back in the olden days, though. I was always paid hourly at my in-house positions. I never received production pay until I went home to work. It's a whole new mindset, and I believe wholeheartedly in using whatever tools are at my disposal to increase productivity. However, I'm very glad to have learned the old-fashioned way, too.
And the result is like a Catch-22. Clients/MTSOs
so they turn to alternatives like offshore or VR. But they don't look far enough to see that the root cause of not enough experienced MTs is because the experienced don't want to stay in a sinking ship. I think they feel that using the excuse that lack of experienced MTs validates them turning to cheaper alternatives, which in turn, makes the ship sink even further.
Think it's a result of that darn "vote-for-the-worst" sm
group that is skewing all the results. Wish that site could be abolished.
Sage advice. Consequences would result in being out of the loop
But I can live with that.
The result of MTs' efforts to make a living wage are (sm)
And of COURSE we don't want less - we DO want more. That goes without saying. But you see - the type of verbal attack that you and other "Debbie Downers" like you launch every time an MT says, "Wait a minute... maybe there IS something we can do is so typical of the type of thinking that holds not just MTs, but women in general back. I have already checked and made sure my doc's MTSO doesn't offshore. If that changes, my ins. (which is just your average, run-of-the-mill HMO) STILL allows me to go to other providers. If you "don't have many options", have you ever wondered WHY? Could it be that you keep SETTLING for less and less? And could it be that other MTs, when they read the gloom and doom in your post, will think THEY have to settle, too?
As for pulling other endeavors out of other nations, hey - there are quite a few that I think others would LOVE to see pulled out. Such as tech help for just about everything from your PC to your cellphone being sent to places where they can't understand what you're trying to tell them, and vice versa. I have a friend with a Masters degree in software engineering who is working menial jobs right now in order to pay the rent, while he looks for a job in his field that is a full-time, benefitted position, rather than as a part-time IC with no benefits. He says even the part-time jobs are getting hard to find because so many employers are sending EVERYTHING out, including part time.
The old, "Go ahead and try! Why don't you quit MT? Oh, boy - more work for ME!" song and dance may fly for a while, but why sit back and seemingly enjoy watching your profession go extinct, when eventually it WILL affect you, too? Do you really want to sit there all day as an "editor" and stare at work typed by other entities? How boring is that? Where is any ounce of creatitivity? At least when you transcribe, you are producing something of value, and can take pride in it. And at a lousy 3-to-6 cents a line, where is the pride in speech-rec or editing work?
Anyone had a positive result of posting a resume through this site?sm
Once again, I am on the lookout for another service because work load is starting to slow down. Quite frankly, I'm a bit scared! We had no work for many days starting about this time last year, and it looks as if that cycle is starting again. I was just wondering if anyone would suggest I post my resume here.
This board's image problem is the result of complaining MTs.
 --should become the new logo.
If you google the phrase "Letterman sign" it is the fifth result listed ... sm
It seems to be the same thing as the Terry-Thomas sign. It was new to me, too.
Offshoring to India is the direct result of declining quality
being produced by American MTs. The declining quality being produced is the direct result of inexperienced, under-educated MTs being churned out by these online MT schools.
How common are server issues and other technical problems that result in downtime? (sm)
Do you get compensated for your downtime? I'm thinking of going to work for a national, but I've heard there are a lot of technical issues at these bigger companies. True?
If Joint Commission audits and finds "patient care" errors it can result in very...
...serious fines and repercussions.
and think, the Dr. may have dictated that
At least you ARE concerned about it. Many wouldn't be. Hang in there!
Has she ever actually dictated a sm
report in the format that she is required to do. I do forms for a cardiologist in this manner, but when I first started working for him, he actually dictated the letters. I think all physicians need to include certain things for a new patient, and then can do follow-up letters without including past medical history, allergies, etc. I wonder if she has any colleagues that would be willing to share samples of their reports, but that specialize in the same field.
ROFL at what this MD just dictated...sm
NEUROLOGIC: He does have diminished memory. I did start him on Aricept for this last year, but he has forgotten to take it.
They pay per minute dictated. Sux.
Especially when they assign the work. It's not fun when all your work is less than 1 minute, two line reports, ESL docs, etc.
dictated, not read
I'd take it as a compliment.
If the docs dictated like that, they would never get anything done, lol
nn
H&Ps dictated by a very thorough dictator. nm
Doesn't have to be dictated...but he does
xx
Exams Dictated But Not Done
I transcribe for a local multispecialty clinic and have seen many of my own reports. It just gripes my butt when the doctor dictates a standard physical exam and I know for a fact that he/she hasn't even touched me. Did not check my heart, lungs, abdomen, neuro, extremities, etc. The only things that are legit are the vital signs. It's like if I come in for a sore throat he looks at my throat but nothing else. My fibromyalgia clinic NP only talks to me - no exam at all - yet she dictates an exam, review of systems (that we didn't even talk about). She will say conjunctivae and lids are clear; PERLA, etc., and she hasn't even gotten within 6 feet of my eyes. This just doesn't seem right. And when you have labs or other tests, they NEVER call you back with the results. My PCP never suggests any preventive testing - I have to ask for it myself. I know they're not all like that but my eyes are opened much wider than they used to be. It's all about getting it done in under 15 minutes and on to the patient in the next room.
I always leave these as dictated.
Let's say you're Asian and have a doc who seems to possibily have a bit of an ''attitude'' about your ethnicity. In perusing your own medical records, you see that this doc uses the term Oriental instead of Asian. There's some confirmation that your suspicions were correct, allowing you to make a more informed decision about your medical care and who you want providing it. Especially true with the word Negro, IMO, which I haven't heard in quite some time but have actually had dictated and left as is, even if I had the leeway to change it.
IOW, I think it's a patient's right to know if a doc is using words like that, so I don't change them.
Doctor who dictated during the PE sm
I had a doc I used to do who treated a lot of brain injuries and strokes. He always dictated during the interview and PE. He would say, in front of the patient...the pt is completely obtunded...the pt is befuddled...the pt is extremely obese, just enormous...the pt's mom is once again out of touch with the pt's needs...and so it went.
The noise was sometimes out of hand, he was a grumbling gravely dictator and that IS all part of the job. It is the thought of being his patient and having him be so brutally honest, well it smacked of unprofessional behavior.
I had a podiatrist who was "too busy" to dictate the day of service, so he would dictate on Sundays. One weekend, he dictated 8 reports...from the bathroom...in the span of about 20 minutes. I got to hear the toilet flush no fewer than 6 times in 5 dictated reports. He kept pausing to concentrate and it wasn't on the report he was dictating!
If the noise is too bad, it gets a blank. I don't care what they say and I don't care where they are when the dictate, but please don't make me know that you have the crap$ while you are on the phone with me. Plainly, I don't want to know.
I would type it as dictated. nm
nm
type as dictated
The word lesbian, unless used in a derrogatory manner, is simply stating the patient's sexual orientation, which could be quite relevant in a psych report. It's the same as describing a patient as a heterosexual female. Not intended to "label" someone, simply stating a fact. I see no problem with typing it as dictated.
I transcribe just what is dictated.
x
I do think, if the doctor dictated this
you should put it in the report.
transcribe as dictated...(sm)
Transcribe as dictated: "Patent shotty veins." This is perfectly acceptable as is and does not require rewording.
dictated / typed
Doctor says "jiddo, jiddo, jiddo" - what does this mean" Why.... 0-0-0 - OMG. The things we put up with for no money.
Dictated Minute
There is/was a transcription service called Alert and Oriented that pays by the dictated/recorded minute. You might try doing a search on that company to see if any MTs posted their experiences being paid by time using this method.
$2 per dictated minute would be around
$40 per hour. Very nice....
But they are not dictated when the IC has to work.
They are alerting the potential contractor to when the work is available. If the contractor does not wish to work when the contractee requires the work done, the the contractor should not seek that position.
Now if the contractor accepted the position and signed a contract committing to working those hours, and the company attempted to force a change in the agreed upon hours to make the contractor work a different schedule, that would be a violation.
My dictated funny for the day
Dictated: He lives with his third wife. First wife was a widow, second wife divorced.
He just dictated she has lots of poop in the
GI tract. Would you type that or change to feces????
Yes, that's why it's funny. If we only typed exactly what they dictated....
-
One more question - why then are they dictated as MS4 and not MD? Enlighten me please sm
Maybe I have been misinformed all of these years by physicians themselves.
Need help asap - Doctor dictated the following:
a sixteen one-thousandth split-thickness skin graft. How do you type it? Is it 0.0016-inch or 16/1000-inch or something else? HELP
Can I play files dictated in DVI on my PC?
I was recently approached by a local doctor and asked if I would like to type for them. The doctor's office uses a DVI system but they did not know anything else including what equipment I would need to play the files. I was wondering if I could purchase software that would alow me to dial into their DVI system with my computer instead of using a separate DVI machine.
Thanks,
Mariah
Paid by the dictated minute? sm
Is anyone paid by the dictated minute and if so what is a fair rate? I was offered what I think is a great rate, however, this is my first experience and I would like to compare. Thanks!
You can't transcribe what hasn't been dictated. I don't see
p
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