One embellished sentences, another did 200 reports and had 70 kicked back with errors.
Posted By: Oh yeah... on 2005-12-27
In Reply to: That's because we're worth it! - MTMan
dd
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Text expander: Got it, use it, embellished upon it,
Size 8.
Exactly !!!! If they get their reports back
shot full of holes, maybe they would take the time to have a little consideration for the people on the other end of the dictation line. (**sigh** in a perfect world.... lol)
I work whatever hours I want, as long as I have the reports back in TAT...
I have assigned doctors...
Ok-you have kicked yourself long enough.
At least they won't have to bury your mistake. Shoulders straight, head up, first thing Monday make that phone call and let the chips fall where they may. You have been good to them for four years; I'm betting they'll keep you. If not, move on.
You have a good healthy sense of having made an error - a lot of people would have just said, "oh well." The best thing to do with errors is identify them, own them, rectify if possible, and then shut up. People who just have to pound someone into the dirt - especially someone who realizes and feels bad about their mistake - well, they have got a serious problem and should have had their heads pinched off at birth.
You are going to be fine - come back and tell us how it goes.
Good luck to you
hope I don't get kicked off for this
really felt like what you said was so rude about "what planet are you on" that I had to respond.
not sure. is Alabama a planet? 
Qwest kicked me off
Look at the fine print. Their "unlimited" is just like everyone else - only unlimited if you can prove you are using it for person-to-person calls. They kicked me off.
ExText kicked out
Hey ExText users, anyone have this problem. Once in my working document, Ctrl S to look at older saved documents, once in a while when sending old report back (Ctrl T) Extext dumps the document I'm working on (creates dump file). Does that happen to anyone else. I'm wondering if putting the document I'm working on in "hold" (Ctrl H) when searching through the older stuff would possibly prevent that. I don't think I'm hitting any other keystrokes, just sometimes dumps me, then have to reload everything, etc.
Just kicked the 3 CPL to the curb!
3 cpl for editing VR is RIDICULOUS and I'm fed up. I suddenly had an "epiphany" that this just was not worth my time and effort. Sometimes, if the jobs are easy enough to edit, its not a problem, so I tried to keep an open mind going into this, just to see if one could actually break even or make more than straight typing. HA! No more 3 cpl for me. Someone else can do it, but not me. 
person kicked off new APPRENTICE on TV..nm
x
You kicked your husband out, but the "mooch" is still there?
Am I missing something?
My ADD kicked in and I took a quick peek
at the article. I really need to work for a change. Will read it later. It seems to me that this report was generated by the people in charge of the system, please correct me if I am wrong like I say I only skimmed it. Will read it totally later on and get back to this hopefully tomorrow. Have a party to go to tonight.
I didn't put up with it! I kicked my ex to the curb because I got tired of dealing with his SM
friends and incessant need to pretend he was a college boy, going to the bars, coming home drunk at 3 o'clock in the morning. Let me tell, nothing goods from letting your man hang out in bars with his buddies. NOTHING! If he needs to have a drink and relax, he can do that at home and the drinks are cheaper!
I can understand that it's hard for you not to give your friend your opinion. I can't hardly stand to see a woman letting a man treat her badly. It drives me crazy! Call me a feminist or a bra burner, but modern women need to get the message that we don't need men so badly we have to put up with all the garbage they hand out!
Don't worry - it kicked my butt for a LOT longer than 4 days,
and I've been in this business for over 30 years. It jujst takes time to absorb new information, and when you get so many things thrown at you at once, it takes even longer. Verifying pt. info. was a sticking point with me, too. The huge list of possible choices was hard to read, and there wasn't always a perfect match.
ALSO.... once you're considered "trained" and not under a microscope, little mistakes will be little to no issue. I think QA just gets a little picky during training, to try to get people started off doing things as correctly as possible.
Hang in there, and it'll all sort itself out in time.
:)
would it be better to take out one of the (many) in these two sentences?
She advised me that for many, many years she had a tea and toast diet with a very poor protein intake, and admitted to not having consumed milk for many, many years. She also had the habit, as do many patients with osteoporosis, by lying down a great deal during the day to coop with her back pain before finally seeking medical attention.
spacing after sentences
Does everyone space once after the end of a sentence now? My daughter takes keyboarding in high school and I just realized they are not taught to double space after the end of a sentence. Should I then change to single spacing after the end of a sentence? 
Anyone use only 1 space after sentences?
This is new to me on one of my jobs. I have always typed 2 spaces after sentences for 25 years. Going to be hard to break this habit now.
You have said in a couple of sentences SM
what I have felt about this field for years now--it is next to impossible to deal in a normal way with most MTs--they have warped personalities and have no concept of how to act in everyday social situations.
Two errors per page is a LOT of errors! nm
x
How about constructing some proper sentences?
xx
The account I do VR on is verbatim so can't fix sentences. nm
nm
I stick with 2 spaces between sentences - it
and easier for ME to proofread, which results in a more accurate record.
BOS is just a money-making scheme for whoever wrote it. Nothing more.
Well, some accounts call for complete sentences for all. sm
Other accounts call for no abbreviations, spell out everything. So, if the account specifics call for it, the MT is to do it. It is not always the MT or MTSO.
I proof as I go. I read my words and sentences as I go....SM
Never received anything less than a 99% on my regular QA reviews and usually have a 99.8, 99.9, or 100%.
Ya know, some hospitals/accounts want fragmented sentences...sm
Some look at it as a technical document and fragments are okay with them.
Just saying.......
I misworded one of my sentences and left another word out. Please sm ...
I WROTE: "I have been told by former employers that I am well above average and deserve to make more than what I'm making especially if it's obtainable."
What I meant to say was this.."I have been told by former employers and QA that I am well above average. Therefore, I feel will my skill level and experience that I deserve to make more than what I'm currently making, especially if its negotiable."
I was in a huge hurry. I hope I cleared that up. Thanks!
Having IT provide phrases, sentences is its best advantage. Two words together.
But one word? By the time it arrives in the layout screen, you have typed all but the last letter.
claudicatio - semicolon
of the - bracket
I miss Word's auto correct boohoo
1 or 2 spaces @ end of sentences? I have Instant Text put in 2, but I have noticed
that after I upload them to the co. I work for, the extra space is being removed. Do you think that that one little space at the end of each sentence would amount to a hill of beans over the course of a week? Just curious what you think. And before you ask, no this was not disclosed to me before I started working here, however, I made the grave error before being hired of only asking how many characters per line and if spaces were included.
The MR reports were being filed. Referring physicians/medical care providers reports were not.
This is a hospital radiology department with in-house MTs and a clerk who is in charge of the report distribution.
Tools>AutoCorrectOptions>Uncheck 'Cap 1st letter of sentences' box. (nm)
x
I have heard of a program for Shorthand that has 90% of all sentences a doctor could use, does anybo
nm
The two sentence normal reports will balance out the 3 page reports.
I am Wendy too
All; heavy dependence on single words and phrases/standard sentences of all lengths. SM
Like San Francisco does, they can be used with any account/any dictator, which is extremely important. Just entering mostly whole reports and sections makes one dependent on that account/that employer and back to square one when it's time to take on a new account or even a new dictator.
I also have dozens and dozens of headers, bolded, unbolded, capped, lower case, etc., in various forms of each, like "Indications" "Indication," "Indications for Procedure," "Indications for Surgery," and so on and on and on.
With short arms, I need chair with shallow seat, good back support and high back. Want arm rests
:+
OK! I'm glad you're back down here. Now don't go back up there and read those evil posts ag
Okay? But I have to leave you now, sadly. Thousands of noble dictating doctors are anxiously awaiting my help with their "dictations"....They're all loading up on chips, drinking lots of soda so they can burp, and then have to go to the bathroom...You know the routine! Off I go to earn some pennies!! But, truly, I am thankful that I have a job! 
PS.. It apparently worked..I heard back and already submitted the paperwork back.
I'm not sure how many people they are hiring but you shouldn't stress too hard over it. Do the best you can.
Your English teacher does not do medical reports. This is for medical reports.
.
Ya still got errors
Keep trying, you are almost there!
if you had that many errors
then something was wrong from the get go.
>>>It sounded good because I thought it would be less wear and tear on my hands. I type already all day on a FT regular job. I never had a report that didn't need massive changing and it just didn't take long to see that I was getting the proverbial screw.
Like I many times before: [1] have the correct sound card; [2] have the correct microphone (the one that comes with the product is probably not good enough); [3] have VR analyze as many documents as you have available (I have more than 500 MB); [4] add words and phrases to the Word List (decreases errors in the long run); [5] do not dictate like you talk to someone ... you need to ar-ti-cu-late correctly; [6] take the time to correct errors when they occur or at the end of the day. But, if you see an error and change it manually, the program is not going to learn; [7] You cannot use VR for all dictators, but you can for all good dictators. I would not use it for the nightmares from hell, unless they are so repetitive you know what they are going to say as soon as they start to say it.
These are the most critical factors involved with using SR (speech recognition) software. If you eliminate or skip over any ONE of these items, you're going to reduce accuracy.
I've been averaging 99.5% (one to two errors per page) for a long time. It think it's obvious I'm doing something right.
There's nothing more I can say.
Errors
Aunt Bea -- no question is a dumb question. I personally correct errors as soon as I see them. I always have the fear that my spellchecker will not pick them up -- for instance if the error was "too" instead of "to" your spellchecker would not catch it. I leave nothing to chance. Hope this helps.
errors
.25 for typos, commas that don't affect the sentence
2.0 for missed medical terms
2.0 for incorrect use of a medical or nonmedical term
0 for leaving out a significant part of a sentence or replacing anything in a sentence that is not said.
when in doubt - leave a blank
errors
Is it typical for a co. to deduct for errors? I have had some, but nothing that is overly noticable.
Errors
 Do you find that it irritates you probably more than it should to see errors in the newspaper, etc.? I mean, something that will be read by so many people should be proofread to perfection, don't you think? They seem to just jump out at me and I know I'm more critical since I am an MT. How about you?
No, I don't think it is about errors....sm
work is sent to other countries because it is cheaper.
errors
I have a question. Ok say I want to go in to my system tools and do a scan to check for errors and if any fix them. Well I thought this should be in my system tools section. It was with my old computer. On this one which is Windows XP it has disk scan cleanup or something like that to get rid of unnecessary files. Well what about scanning for errors. I don't see that option. Maybe I am missing something?
errors
See when I first started my first job the owner sent me a paper and it had certain things to do to my computer every so often and it said once a month "Scan Disk for errors" and I remember doing this on my Windows 98 but I don't see anything like that on this one. I do defragment once a month. The paper had that also on it. But in addition to defragmenting it said scan disk for errors. I thought that is what I was doing when I did a disk cleanup but I think the disk cleanup is just getting rid of unnecessary files. I can't ask the lady because she died right after I went to work for her. Like in a month. Poor lady. The company was taken over by another company then. I don't know I probably need to ask someone who also worked for Janelle too (previous owners name).
Errors!!
and on several occasions, found glaring errors in my and/or my husband's chart.
errors
Whichever company you work for, take it as a wake-up call that maybe you have gotten a little sloppy and try to pay closer attention. I mean no offense at all with that. I have been in the same position and it's hard to swallow your pride and have your errors pointed out to you when you are used to being trusted and not QA'd much. As long as the QA at the new company is not condescending I'd stick with it and take it as a challenge to sharpen up.
if you do not get less pay for errors, try to take it
with a grain of salt. grammar errors should not affect your QA score, overall, yes? I too sometimes get a little nauseated at people who go through my work always with something to prove where I swear they just refuse to let a report go by without finding something. Then there are the wonderful QA people who use it more as a training tool and really help and cut some slack.
in reality, these hospitals do not seem to care a pinch about patient care and I have seen that upfront. they send work overseas to save a buck and cut corners in EVERY single area of the hospitals leaving patients with sometimes nonexistent care at all. it is such a game. the stories I could tell when I first started transcription - there was no QA or any such entity whatsoever and it never seemed to matter much back then.
...and don't get me started with these companies who expect perfection, for a whopping 8 cents a line - ??????? say what?
I oftentimes feel like a slave literally as just some 12 plus years ago this was a great profession for someone like myself with no official college education. I used to be so proud of myself...
but for the most part constructive criticism is welcome.
wish I could offer some hope but from where I sit day in and day out things only seem they will get worse. they are really pushing for certification - this whole country is doing things wrong lately. can't even go any further just makes me depressed.
It could be the errors were in the
transciption of the dictation itself and therefore not available to her.
VR changes a lot of errors for you
and I am glad for that. I took ShortHand in high school back in the dinosaur years and it has helped me so much. I keep my foot on the pedal and as fast as I can go, hardly lift it off.
some examples of errors
You did not specify how many examples you wanted, so I included quite a few, hope it helps. All of these are from one group of radiologists, all american. In answer to your question, unfortunately most of these I believe to be the result of laziness.
THREE-VIEW RIGHT HAND
There is decreased relative small of the distal aspect of the 4th metacarpal. (There is diminished size of the distal aspect of the 4th metacarpal.) Otherwise, the hand is unremarkable in appearance for a patient of this young age.
MRI LUMBAR SPINE
This is best visualized from L3-4 through L5-S1 where there are actual images in addition to the sagittal imaging through the entire lumbar spine.( This is best visualized from L3-4 through L5-S1 where there are axial images in addition to the sagittal imaging through the entire lumbar spine.)
ABDOMEN, THREE VIEWS
The colon has lost his Hounsfield markings in the transverse portion and splenic flexure. (The colon has lost its haustral markings in the transverse portion and splenic flexure. )
CT ABDOMEN W/WO CONTRAST
There is a small left inguinal hernia with fat within the hernia sac but no bile (no bowel). No inguinal lymphadenopathy.
NAME OF EXAMINATION: Sinuses.
FINDINGS: Paranasal sinuses demonstrate generally some metric pneumatization.( Paranasal sinuses demonstrate generally symmetric pneumatization) No bony abnormality is seen.
MRI OF THE LUMBAR SPINE
Compared to December 23, 2003, there has been no objective change in the L5-S1 left posterolateral disk herniation. It causes narrowing at the left lateral recess. It doe snot produce central stenosis. ( It does not produce central stenosis.)
OB ULTRASOUND COMPLETE
There is no polyhydramnios. However, the fetal kidneys are abnormally hyperechoic. This has been associated with polycystic kidney disease and so I recommend a postnasal follow-up study.( This has been associated with polycystic kidney disease and so I recommend a postnatal follow-up study.)
MRI OF THE HIPS WITHOUT IV CONTRAST
The muscles about the shoulder show normal signal on all sequences.( The muscles about the hips show normal signal on all sequences. ) There are no soft tissue masses.
RIGHT HIP TWO VIEWS
DISCUSSION: There has been destruction of the right femoral headache and femoral neck.( There has been destruction of the right femoral head and femoral neck. )
AP PORTABLE CHEST
EXAM DATE: January 22, 2005 at January 12, 2005 hours(January 22, 2005 )
MRI ANGIO ABDOMEN BEFORE AND AFTER IV CONTRAST
TECHNIQUE: 3-D time of flight MRA of the abdominal aorta and renal arteries was obtained following contrast administration. In addition, evidence of the kidneys was also obtained before and after IV contrast.( In addition, imaging of the kidneys was also obtained before and after IV contrast.)
TWO-VIEW CHEST
FINDINGS: Left apical pneumothorax measuring 1-2% is stable. Left lower lobe maxillary sinus is again demonstrated.( Left lower lobe mass is again demonstrated. )There are no other findings.
GALLBLADDER ULTRASOUND
In the porta hepatis, there is a consistent with echogenic lesion measuring 1.1 cm.( In the porta hepatis, there is an echogenic lesion measuring 1.1 cm) This could represent a lymph node in the porta but also could represent an exophytic hepatic meningioma. (This could represent a lymph node in the porta but also could represent an exophytic hepatic hemangioma. )
OB ULTRASOUND COMPLETE
DISCUSSION: There is moderate dilatation of the left renal pelvis. There is mild dilatation on the right. However, neither uterus is abnormally dilated. (However, neither ureter is abnormally dilated. )
ULTRASOUND OF RIGHT BREAST
There is heterogeneous echo texture in that region compatible with typical combination of breast parenchyma and fatty/femoral tissue, but a discrete mass lesion is not identified. (There is heterogeneous echo texture in that region compatible with typical combination of breast parenchyma and fatty/normal tissue, but a discrete mass lesion is not identified.)
AP PORTABLE CHEST
Underlying fusion is suggested, again worse on the left than the right. (Underlying effusion is suggested, again worse on the left than the right.)
LEFT SECOND TOE
There is an old, healed fracture of the proximal phalanx of th cleft third toe.( There is an old, healed fracture of the proximal phalanx of the left third toe.)
TWO-VIEW CHEST
There are remote compression fractures involving the right 5th and 6th ribs.( There are remote fractures involving the right 5th and 6th ribs. ) The lungs are otherwise clear.
THYROID ULTRASOUND
DISCUSSION: In the left lobe of the thyroid, there is a moderately large maxillary sinus that measures 2.2 cm in greatest diameter and is mostly sold and have a cystic center. (In the left lobe of the thyroid, there is a moderately large complex mass that measures 2.2 cm in greatest diameter and is mostly solid and has a cystic center.) The remainder of the left lobe is normal.
There is a small 6 mm nodule in the inferior aspect of the right lobe. The gland itself is not overall enlargement. (The gland itself is not overall enlarged.) The gland is heterogeneous overall in echogenicity.
TWO-VIEW ABDOMEN
No convincing evidence of small bowel obstruction, although developing shortness of breath could theoretically give this appearance and follow-up is recommended. (No convincing evidence of small bowel obstruction, although developing small bowel obstruction could theoretically give this appearance and follow-up is recommended.)
OB ULTRASOUND
DISCUSSION: There is an intrauterine gestation with a large yolk sac. However, the crown-rump length measures 7 mm and this corresponds to an estimated gestational age of about 6 weeks 4 days. However, there is no detectable cardiac activity. The amniotic fluid volume is probably normal of ra fetus of this age.( The amniotic fluid volume is probably normal for a fetus of this age. ) The placenta is closed. (The cervix is closed.)
EXAM OF LEFT FOREARM
FINDINGS: No fracture. There is prominence of the anterior fat patient which suggests effusion. (There is prominence of the anterior fat pad which suggests effusion) No other findings.
MRI LUMBAR SPINE WITHOUT CONTRAST
Tip desiccation of L4-5. (Disk desiccation of L4-5.)
TWO-VIEW ABDOMEN
FINDINGS: Findings of right chest, cardiac size is normal, no infiltrates or effusion. (FINDINGS: Upright chest, cardiac size is normal, no infiltrates or effusion.
TWO-VIEW CHEST
Stable right breast opacity, likely represents
fibrosis.( Stable right basilar opacity, likely represents
fibrosis.)
AP CHEST
Picture of congestive heart failure/volume
overload not significantly changed from
exam 4-hours earlier.( Features of congestive heart failure/volume
overload not significantly changed from
exam 4-hours earlier.)
RIGHT SHOULDER
FINDINGS: The patient has history of a right humeral fracture, plus surgical fixation noted.( The patient has history of a right humeral fracture, postsurgical fixation noted. ) Alignment is intact.
IMPRESSION
1. Postsurgical change involving the right
proximal femur.( Postsurgical change involving the right
proximal humeral.) Alignment is anatomic.
OB SONOGRAM
FINDINGS: Transabdominal and transvaginal evaluation of the pelvis was performed. An intrauterine collection and yoke sac is identified. (An intrauterine collection and yolk sac is identified. )
LEFT HIP
FINDINGS/IMPRESSION: Two-view left hip demonstrate a fracture of the neck of the left humerus in varus angulation.( Two-view left hip demonstrate a fracture of the neck of the left femur with varus angulation.) No additional fractures identified.
THREE-VIEW ABDOMEN
In this since, bowel gas pattern slightly improved since the 14th, but otherwise there has been no significant change. (In this sense, bowel gas pattern slightly improved since the 14th, but otherwise there has been no significant change. )
NUCLEAR MEDICINE CHOLESCINTIGRAM WITH GALLBLADDER EJECTION FRACTION
.After initial accumulation of tracer within the gallbladder, the patient was given solid bolus intravenous injection of CCK and additional anterior sequential imaging was obtained.( After initial accumulation of tracer within the gallbladder, the patient was given slow bolus intravenous injection of CCK and additional anterior sequential imaging was obtained. )
MRI BRAIN BEFORE AND AFTER IV CONTRAST -
There is confluent periventricular signal abnormality in the lungs bilaterally consistent with chronic small-vessel ischemic change.( There is confluent periventricular signal abnormality in the pons bilaterally consistent with chronic small-vessel ischemic change.) Probable remote lacunar infarcts noted in the left posterior frontal subcortical white matter.
THREE-VIEW ABDOMEN -
There is gas within the large and small-bowel. No distension. There is a round calcification in the pelvis which probably represents calcification in the wall of a cyst. There are no suspicious calcifications. No pathologic skin or nipple alterations(this sentence does not belong in this report). Mild hypertrophic change in the lumbar spine.
TWO-VIEW CHEST
REPORT: Bones free of consolidative infiltrate.( Lungs free of consolidative infiltrate.) No pneumothorax or pleural effusion identified.
LUMBAR SPINE SERIES
REPORT: There is very mild levocurvature of the cervicalium spine. (There is very mild levocurvature of the thoracolumbar spine.)
THREE-VIEW ABDOMEN
No evidence of bowel destruction. (No evidence of bowel obstruction.)
CERVICAL SPINE SERIES
FINDINGS: There is a fracture of the CT vertebral body inferior to the junction of the dens with the body.( There is a fracture of the C2 vertebral body inferior to the junction of the dens with the body.)There is retrolisthesis of the dens in relation to the CT vertebral body. (There is retrolisthesis of the dens in relation to the C2 vertebral body. )
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