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Serving Over 20,000 US Medical Transcriptionists

Oncology and some specialty AIDS facilities can be TOUGH.

Posted By: Laura on 2005-06-30
In Reply to: what is the most difficult field to transcribe? - whatta think?

nm


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Is Radiation/Oncology a difficult specialty? I am going to be starting..SM
on a new account doing this specialty. I was wondering if anyone has any helpful hints for this specialty. Any know of any references that would be good for me to use? Are there any websites that would be good as reference? Any help would be greatly appreciated. TIA.
Radiation oncology vs. hematolog/oncology

I have experience with hematology/oncology but not radiation oncology.  What exactly is the difference?  Is it a difficult jump from one to the other?  Broad learning curve?  Any info would be greatly appreciated.  Thanks.


oh please, you can get AIDs here just as easily.
x
It's not just *gay* people that have HIV/AIDS

LOL, so where do you get your hearing aids?

WHAT?! My hearings got AIDS?!

That kinda is what my conversations with my dear old dad sounds like.  I'll say something and he will COMPLETELY twist it around because he can't hear for nuthin' and refuses to wear his hearing aids! 


It is amazing though that we're not all insane piles of goo just babbling and drooling by the end of some of our shifts.


        


hearing aids
If anyone that has hearing problems or uses hearing aids sees this, please reply. and let us know how you have managed.   I have been told by a salesman of hearing aids that I have 30 - 35% loss of hearing,of course he works on commission and probably was counting $$ which the one he recommended was about $5000.  so far work has been doable but don't know how long it will be that way, I work in office for doctor who chews, mumbles and yawns which doesn't make it any easier. 
The facilities have not...
been deceived.  You have been deceived.  You are certainly free to notify whomever you'd like, but do not be surprised if you do not achieve the results you expected.
Hearing Aids - Can you be still a transcriptionist?

 


Anyone know if being a transcriptonist and wearing hearing aids are compatible? Thank you.


transcribing and hearing aids
My daughter wears hearing aids and tried to just listen to some transcription years ago to see if it was possible - for her it was not - she tried multiple headsets and just could not hear without the background noise, etc. She wears a very expensive, computer-correctable hearing aid (2) that can be changed with a change in the chip as her hearing changes - but as for transcribing - for her it wouldn't work. Good luck for those who are able to wear them and also work.
You might throw some visual aids in there too.

l


HIV/AIDS drug websites
Does anyone have any websites they can share with me on HIV/AIDS medications? They are so hard to find. My C-drive crashed, and I lost information; had to get a new computer. Thanks,
Any MTs out there who wear hearing aids sm

I posted awhile back in January about needing hearing aids.  I was diagnosed with sensorineural hearing loss back then and was sent for an MRI, which was clean.  I was told the next step would be hearing aids.


I had been having a lot of blanks through work and let the company I am an IC with know what was going on.  I received an e-mail today telling me not to turn in more work until they have a copy of my hearing test.  I am not sure what that means. 


Honestly, with the amount of blanks I have had, they could have let me go for not hitting whatever percentage of accuracy required. 


Anyway, I am just looking to see if anyone else out there has had to get hearing aids and what type they use that works best with being an MT.


Thanks for your help!


Do they offer anything besides VA facilities now? nm
s
99% of time, what facilities want has nothing to
x
There will always be those niche facilities who want quality
p
Dont agree. I think there will always be those facilities/Drs
uio
We are not talking about naming facilities that
x
Maybe facilities use to dealing with employees
x
Maybe doctors don't, but most acute care facilities do.
x
By 2012, the Bush Admin wants all facilities EMR.
This won't happen, but it is the goal. Some doctors will still use transcriptionists to enter the info, but I'm guessing the job description will be changed to Medical Data Entry Person, not require any special skills, and be minimum wage--not that I'm pessimistic or anything.

Some will do it themselves, and some will resist until the very end and beyond, but these guys are probably still hand writing their notes, so that doesn't help us. lol!
Wow, I didn't know that. Both local docs/facilities and (m)
nationals that I work for have never asked about schooling. So IOW, if you don't have the experience, some may hired based on the education? I've only ever known of companies to hire if you have X amount of experience and they didn't care about your education. Good to know. I was wondering how to steer this friend, but looks like maybe she's doing the right thing going with CS?
Bucks stop at facilities who pay for MT service.
x
in fact I wear bilateral aids... some is familial loss; SM
but have to wonder how much is related to 25 years of headset use as well
I have an idea...we can picket those facilities who use companies that offshore. sm
Every patient going in and coming out of that hospital/facility will know their private medical record is going offshore to be transcribed and therefore, there is risk of identity theft, lack of privacy, etc Just like those for ProLife and the like.

I think that will bring attention to the matter!

I know a huge hospital system in my town outsources their TX to MQ, who is now CBay, and now everything will be offshore. I think I will make my point and concerns when I have picket signs outside the President's window in a public area, so as not to be trespassing.

Free Speech in America.....right!!!
the facilities are supposed to "self report" violations -
when I worked inhouse it was explained to us that we were supposed to "self report" to the powers when we did something wrong and would then be fined for it. Who in the heck is going to do that?
Mine say "Thergonomic hand aids". I bought them at Hobby Lobby sm
because I can't find Hand-Eze at my local OfficeMax (live in a small town) any more. These are fingerless gloves made of something like spandex.

I don't know about a website, but Hobby Lobby is a craft store.

I can't type comfortably any more without them - kind of like being uncomfortable in a car without a seatbelt.


Specialty
I will be graduating May 2007. I was wondering what your favorite specialty to transcribe is? So far from the assignments in school I like surgery reports and internal medicine. I did not care for dermatology very much. I had to many visuals in my head of lesions and sores.
What specialty will you be doing?
Have they hired you for a specific specialty?
This is my specialty sm
email me, we'll see what you have for IM and we'll connect. You can IM me anytime and pick my brain. I have done a ton of retinal surgeries, scleral buckling procedures, pars plana vitrectomies, YAG lasers...
Nursing homes/care facilities aren't all they are cracked up to be (sm)
I have a sibling who just lost their spouse. Every time the spouse was in the nursing home, they became ill to the point of needing hospitalization. Dehydration? They weren't giving the poor thing fluids!!! Kidneys shut down and then they died.

I think I'd rather die before being put into a nursing home and I think I will add that to my advanced directives living will.
Specialty dictation

Just wondering how many lines within 8 hours do you "speciality" transcriptionists type?  Not acute care, not SOAP notes, just the specialty accounts?


I type for 11 different specialities that just feed into my "pool" of dictation randomly and am lucky to accomplish 1000 to 1200 lines within 8 hours -- any suggestions on how I can increase this number of lines would be greatly appreciated. 


Every doc is different and you should not blame the specialty. sm
I do dictation for a podiatric surgeon and he is the most perfect dictationist one could ever hope for. He is a perfectionist about every thing, spells other doctor's names, spells other city names, spells out the claim numbers, etc. I would trade all my 11 docs for one more like him. it is not the specialty..it is the doctor.
Can be one specialty or multiple ......
xx
I was cornholed into a MT specialty

Does anyone know where I can get maybe some samples of op notes or radiology notes?  I want so bad to further my career and unfortunately where I work I don't see that happening.  I will be doing ER work until I die... which ER work is not bad, but I will never make any big bucks doing it unless I work for my company forever, that is if the Indian company dosen't take it all over.  Thanks ya'll.


AMs should not pass on info from facilities only makes that mt more nervous and more prone to errors
;
Cardiology is my favorite specialty (sm)
I can't say why, though. I just like the terminology and it just seems like it's easier to look things up maybe?

Be sure you have a good cardiology book. It will be helpful, but if you do caths and PCIs, etc. there are new instruments and stents that come out like it seems every minute, so having a few good cardiology sites and knowing how to search the web is a big help.

I ENVY YOU!! And good luck!
Would appreciate comments from any specialty transcriptionist
who transitioned to another specialty.  Also, have been doing strictly psych transcription for 10+ years but would like to branch out, does anyone have a recommendation as to which direction I should be looking and learning?  I don't mind hard work and have mastered a lot of dialects, but am clueless as to what direction I should be looking to better myself in the field. 
Which specialty have you found the most difficult and why?
I find cardiology to be most challenging.

Any good cardiology links or websites?
Just started ortho specialty... Does anyone
Thanks a bunch!
If it's a woman and specialty is ENT, I've done her.
She's truly awful.
Go down page to By Specialty, cardiology
http://home.adelphia.net/~ktm58/links.html
Asthma Allergy specialty
I am working as an IC for a asthma/allergy specialist who has recently went into private practice.  In the 10 months that I have worked for her she has changed the format of her PE, new patient, D/C, well all of her forms, several times.  I have tried to explain to her that it is her practice and I will transcribe whatever information she feels is necessary to have in the permanent record (she does not do dictation, I transcribe from written report).  Can anyone give me an example of final transcription for an asthma/allergy specialist, and possibly an example of the forms used?  I would like to present these to her to compare so she can feel comfortable with what she is transcribing for the final record.  I would really appreciate any help I could get with this.  This is my first job and I want to keep this doctor satisified......Thanks!
What is your favorite specialty to type and why?
I only have a year and a half of transcribing under my belt, but I have had the opportunity to do a few different specialties: General practice, pain management, orthopedics, physical therapy, endocrinology, psychology and oncology. I have liked them all for different reasons. I like psychology because it is always interesting, easy and I can make good money with it. But I also like orthopedics and oncology because they are interesting and challenging for me. Just curious what others like (and dislike too!).
I think specialty work would be easiest..sm
With family practice, you could see a number of diseases from all specialties, so you need to know the terminology for all. In specialty work, you would see the same all the time. For example, if you took on an ortho doc, you'd see all ortho, so you learn the terminology for that specialty only. Once you have that down pat, you could branch out into a new one and so on, gaining experience with each.

You will have a more well-rounded experience going with family practice over specialty, but as a newbie getting own accounts, specialty would be easier, IMHO. I don't really recommend starting as a newbie at home with your own accounts, but that's just my opinion. It's a lot harder because you won't have QA - the doctor will be your QA, and they can be a lot harder to face than an online QA person. You have to take criticism well, since it will come from a doctor most times (or staff member) and some docs can be blunt and even condescending. Just being honest based on my own experience. Maybe you could try some of the small MTSOs rather than national companies, where you might only have 1-2 QA people and aren't as stringent about BOS rules, etc.

If you find a local doc willing to take a chance, go for it, but don't expect it to be any easier at first than a national or working for another person. There are pros and cons to each. It can be hard to get either job without experience, but a local doc desperate for help might be more willing to take a chance. Depends on what the MT market is like in your area. If small town, good chance finding a client. If larger town with lots of MTs available, it will be harder.
Ever come to like a specialty you used to hate, just because the dictators are so good?
In my case, it's cardiology. Used to CRINGE when I saw a cardiology report come up. But on my account, almost ALL the cardiology docs are great to transcribe. Now I actually enjoy these reports and have learned a lot about a specialty I used to hate!

Now, physical therapy will always and forever be my most detested specialty. I get really bored with all the stupid exercises and the patient saying his/her back hurts. Whose back DOESN'T hurt? The fact that PT on this account has some of the worst dictators certainly doesn't help any.
Heck yes, go specialty! Psych will never bore you!
your production will go up. Psych is different, but at least it's a specialty so you can get good at one field instead of having to do 50 dfferent specialties.
I check jobs in my specialty out of curiosity.
Have only applied for three in a year though and those were to possibly replace a PT job I have with a better PT job. The FT job I have I am content with for now.

Be careful not to become known as applying all over the place. This is when it is a good time to get information from the Company board when you see an opening. Be sure you want to be considered before you apply. It is a small MT world with the better companies. This is my thought anyway.
Could be by specialty, but usually walk-in clinic, stand-alone
s
Reply to get a good set of specialty books
When you say specialty books by Stedman's what do you mean exactly. I have a Stedman's Medical Dictionary and a Dorlands Medical Dictionary but what other books would I need to get? Thanks so much for your help.


I can understand stumbling over an unfamilar med, or one outside of their specialty, but (sm)
I have a number of docs who routinely mispronounce drugs that they have prescribed for the majority of their patients ... they've mispronounced (and often also misspelled) the same drugs for many, many years. It just floors me.