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Serving Over 20,000 US Medical Transcriptionists

Proof that it takes only 1 made doctor to gripe about 1 report and out the door you go! nmx

Posted By: MLS2 on 2005-09-29
In Reply to: Angry, this happened in our hospital with our outsource service - sm - hospital MT

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Never proof a report
Have been doing this over 25 years. I do spell check and do that when finishing a report. I work on VR (do some straight also) but the best thing I love about VR is almost human- things I do not have in my shortcuts, it changes on its own a lot of times, I love all the help I can get.
I proof as I type the report and when there are long
pauses I will proof while waiting for dictation to start up again.
Just of the head. I flagged it with a "please proof" for the doctor.
Thank you!
I hear ya.. All it takes is one report like that to ruin my days. Sometimes,
I will have to shut down for a while to "regroup" because I have an attitude. My husband will laugh at me because I will be cussing at the computer and mimicking someone NOT speaking English.. He cant believe I even try as he has no idea whta they are saying.. I think he has a real appreciation for what he thought was an easy job just to sit and type.
If the doctor says it, I transcribe it. It is his/her report, not mine.
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Do you use the doctor's made up words?
Doctors are forever dictation "arousable."  Do you transcribe this even though it does not come in in spell check?
I hear such mixed thoughts regarding getting accounts by going door-to-door soliciting yourself.

Is it worth it.  Are there many people out there that have landed new accounts this way?  Most MTSOs that have been in business for a long time say it is by word of mouth, but what about MTs like me who have been doing this five years.  I feel I'm ready for my own accounts and am not sure if this is the best route.


Any opinions?


I sure used his made up anatomy on a report tonight

"upper extremities are intact x4 with lower extremities intact x3"  .lol just really trying to picture this patient :)


Please tell me I am not alone. Just got a report back where I made a MAJOR mistake. (sm)

I normally try to be very, very careful, but I don't know what happened, but it did.


Feeling a little shaken regarding my skills and attention span right now. 


Please tell me I am not the only one who has made an error and had the client send the report back. 


Once you view it, make sure to reply No to 'save any changes you made?' so the report
s
honey, it works like this: The MTSO(service) charges the doctor X amount per line or report, and
takes part, gives you the rest. Therefore - the MSTO(or service) decides your pay.

If you are paid 8 cpl, surely you do not believe the service charges the doctor 8 cpl - do you?




POLL - Do you proof as you go or proof when finished? sm

I proof after, but would love to proof during.  I'm working on it.  I'm curious as to what percentage of MTs proof as they go or proof at the end?


Thx for responding.


cpl gripe
I realize I am beating a dead horse here but what is the deal with these companies offering 6 and 7 cents per line starting rate.  Particularly one offering 7 cpl for 6000 lines in a 40 our period.  Plenty of employees hunting workers but not willing to pay crappola.  Or lets change it to 75 characters per line.  Or...we'll pay you chicken feed and YOU provide the equipment.  Makes you wonder if it is such a good offer why don't they sit down an try it for 6 cent.  I work a couple days a week for a facilty I used to work at just to help catch them up.  40 mile drive there.  I charge them .15 per line.  Revenge is great!  Makes me appreciate my current pay.  I am certainly not trying undermind anyone currently receiving this pay amount for I may end up getting that myself.  Just needed to vent.
MT, proof as I go. ME, go back and proof afterwards
I have only been editing 3-4 months, and I find I make at least twice the stupid mistakes on ME as with MT, so I do scan the ME reports --find double periods, caps where they are not supposed to be -- stupid stuff.

good luck!
I only have ONE gripe with Wal-Mart..
I don't care what they do or where they build stores.  Many things have come before them and put others out of business, and eventually Wal-Mart will be put out of business by something else new and innovative.  Think about when supermarkets came along.. That put all the little mom and pop grocers out.  Are you shopping at a supermarket in 2005 or worrying about the vegetable man and the butcher shop on the corner?  Of course not.. It's in the past.  The only thing that I cannot STAND about Wal-Mart is the way they accost you at the door as you leave and ask for a receipt to prove you didn't steal the soda or the milk that is unbagged.  I resent that, and no other store does this.  My DH walks past and says "if you believe I've stolen something, please call the police."  Do you know why they ask for the receipt?  Because it's their own employees who don't charge friends and family members, for large ticket items particularly.  I refuse to prove that I didn't steal something every time I leave the store.  My solution is to make them bag everything.  I swear, if I bought a car from Wal-Mart, I'd make them bag it !
And if you got a $10 card you'd gripe, too. It's all you know
*
I see. Oh well, some people just like to gripe.
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my gripe is with the airheads ... sm

recently (holidays? flu season???) even doctors who are usually pretty good seem to have the attention span of a gnat ... so even something as routine as reading lab results becomes a two steps forward, um, oops, make that three steps forward, two steps back as they MISREAD ... Not to mention the folks whose attention to what they are doing is so lacking that they skip whole sections, which they may or may not realize before signing off.... 


these reports are often followed by 20 second next "report's in which they remember that they want copies sent (I love waiting around for them to rifle through the chart to figure out who the other doctors on the case are too)  on which we make ZERO money at all -- they're not really addendums are they? --  but have to log, flag, etc.


I'm stunned at the number who seem incapable of not listening to the other people in the same room dictating and/or their conversations. Listening to people complain about not being able to use the hospital computer system (it's 2009 people, that excuse was old in 1999 and even tired 1989 --- again, it's 2009 ... get with it or retire already)


I hate listening to dead air -- period.


You know, just gotta have something to gripe about
Having those reports pulled then DOES NOT MEAN we do not get feedback on certain reports OTHER than those times. I am really sorry to see others on this board who are so unhappy, hate their jobs, and otherwise just in such self-pity. If people unable to do VR at a rate to where they cannot make more than minimum wage, then past time for a new job.
Don't mind me, I just need to throw a little fit and gripe a little!

I HATE HATE HATE this dictator.  This is how he dictates if I were to strictly adhere to the verbatim rules of transcribing:


PROCEDURES PERFORMED: Cysto, retro, uretero with stent placement.


INDICATIONS:  This is a lady who had perc litho by Dr. X.  She had a perc tube. She had a nephro stent.  On the pull of the nephro stent, did an antegrade nephro and apparently had obstruction in the ureter which was a probable stone.  She was set up for a cysto retro Friday, but she ate, so she was set up for this morning. She understands the risks, options, complications, etc.


HE DRIVES ME INSANE!  He has a very conversational style of dictating that makes it incredibly hard to make sense of his reports! He abbreviates everything, makes up his own words, and has been known to dictate one-word sentences!!!!!


We need a firing squad for dictators like this! 


Breath in, breath out.  Okay, I'm finished now.  I'm just having one of those days, crappy dictators, communication channels between my brain and my fingers have broken down, and I just need a nap!


Back to work.


Who are you to judge? Most people gripe about their spouses,
Its called venting.    We're allowed to do that.
I need to gripe or vent - please don't kick me off board

I occasionally come on this board, as do some of my coworkers to get help with words, look around, etc.  I've never posted but today I'm fuming and frustrated.


I just got done working a couple of extra hours at the hospital this morning, worked all day yesterday (overtime I might add) and do you know what my job has been on all this overtime? Correcting ALL of the outsource's work coming in.  What makes me mad is that all of us have been complaining to our boss and even to HER boss about all the mistakes this company makes - terrible dreadful DEADLY mistakes - and all we get back is "there is nothing we can do about it.  We signed a contract and we have to continue to use them until the contract ends." Which, by the way, ends in another year or two, I'm not sure.  But anyways, this outsource company (who is WELL KNOWN) does not even make an attempt to do our ESL doctors, who are not really that bad. I know there are harder doctors to understand as I have been doing this for 16 years.  The service sends the reports back with a ridiculous amount of blanks.  We go in and listen to them and basically redo the whole report, to which they get paid for it.  Then there are the easy docs - the so-called "hold your hand while I dictate to you" docs - and the service still has mistakes. 


Our boss has asked on occasion if they are offshoring, which they swear they are not.  It was in the contract that they are not to offshore so they swear they are not and the mistakes don't look like they are offshore mistakes (the hospital used a company prior to this one that offshored - big difference in transcription mistakes).


I just cannot believe that our hospital has had this company for a little over two years and not only are they being paid a ridiculous high line rate, but we are correcting all their reports and they still get paid!! We have asked if we can start deducting lines, but we were told that their contract states that that cannot be done because our boss has tried that.


I have a friend that works at a hospital in another state that had an outsource service that was somewhat like the one we have, only they constantly lost reports and got paid for them, but she just lost her job because the hospital felt that there was no need to have all the overtime for the past year and the outsource service doing the overflow.  So they just hired a new outsource company, let all the transcriptionists inhouse go, and got rid of their current outsource service.  she is looking around for another job now.  She had that job for 9 years at the hospital, and because of the outsource service, the administration of the hospital looked at is as a huge $$ problem and just said bye bye.


I needed to vent. Aaaaahhh, I feel better now, but I'm worried that with all our overtime and what the outsource service gets paid, that I'm going to end up in the same boat.  Even our boss has admittedly had some worries about it as well, but she keeps telling us that her boss says her hands are tied and is just as frustrated with the service.  It makes you wonder how it is that these services can be in business for so long, make sooooo much money and do this. 


 


Kind of like an introductory rate? Well, then there's no room to gripe!
Good grief.

If it was said up front there would be reductions or adjustments later, then what's to complain about?

You have options, to opt out, right? Or work somewhere else, right?

Seems pointless to be upset over this.

Great post. The biggest gripe I have heard from available
Wrapping yourself in money will not keep you warm in old age. Just because a middle-aged man is bald or has a bit of a paunch, it is up to a woman to "light that fire". Go to it ladies.
long walk, eat chocolate, gripe to husband :)
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Were you wanting to bring up a transcription-related question, or just gripe? nm
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give it time, dust is settling, they just have no place else to gripe yet. nm
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You do not need the 1099. You just need to report the income. Report the company/person ...sm
to the IRS for not sending out the 1099. 
I charge the same amount for a "normal" report as for any other report.
You still have to listen to the dictation and change anything that's different.  I had one woman try to pull this on me.  She'd dictate, "Just pull up my normal, but change this, change that, switch that around, move that, add this, delete that, and change the other."  Then she'd only want to pay me what equated to $.03 per line.  She wanted 1:1 on her dictation to transcription ratios.  I told her to take her cheap account down the road because I'm worth more than that.
i made $15/hr before and didn't stay long because i made so much more on production. sm
that was with full benes too. i wouldn't do it for less than $20, but i think even with $20, i'd want benes. are you in-house?
Call your doctor - this is not a doctor forum! nm
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You know the difference between God and a doctor? God doesn't think he's a doctor. nm
X
Oh, a report just came in. A report actually just slid in, can you believe it. Hip Hip Hooray. I

had better get that sucker typed before it gets out of ONE MINUTE TAT.


how do you even get through the door with --sm
that big head of yours?! keep up your attitude and one of these days someone is going to adjust it for you. then we will be LOL
door--sm
I do woodburning as a hobby and when I bought my woodburning tool, it came with a *hot knife* attachment, which is a small blade that screws into the woodburning tool and heats up. It cut through this fairly thick plastic quite well. It took about a half an hour, which was less than having tried to cut it with a utility scissors or knife. worked for me! :^)
What's behind door #3?
I'm in it because I have an interest in the medical field, but I'm too squeamish to do the hands-on stuff! :-P I won't get rich doing MT, but so far it's paying the bills.
AT&T is going door to door here trying to get
for cable, internet and phone.  They knocked on my door and told me how much less it would be per month if I went with them.  No way.  I don't trust AT&T back from the days when they were a monopoloy and I had no choice but to use them for my long distance.  I swore if I ever had a choice I would NEVER use them again.  Time Warner may be more expensive than AT&T, but I'd rather pay more for Time Warner than give AT&T any of my business.  And I don't trust them not to jack up the prices.  I've been a happy Time Warner customer for many years now and unless they jack their prices up drastically, I'm staying with them.  My internet is NEVER out more than just a brief period, and that rarely happens.  The phone service is cheaper than AT&T and the cable is fine (DH uses the TV part more than I do).
And one more I told the LDS at my door (sm)

I do have a question!  At the end of the earth when God meets us in the sky, how do you think we will get there, in spaceships?


(They haven't been to my door in a long, long time.)


Best Buy does it too- was 2 feet from the door, guy saw me pay, still had - sm
to show my receipt, which I had already put away in my wallet. Pain in the butt!
THE SIGN ON MY DOOR

WE ARE UNABLE TO ANSWER THE DOOR TO UNSCHEDULED CALLERS.  PLEASE PHONE AHEAD.   No soliciting.  No trespassing.


I may peep out the window to see who is out there, but they cannot see me and I will not answer it.  Later on you can always tell them you were in the shower, bathroom, phone conference, etc. and did not hear the door or could not leave your meeting.    


Ask yourself -- would people let you walk into their office building and interrupt them on their job if they were at their desk on the phone with the boss or a client?  NOT.


Just curious - how did you cut the door out? nm
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Could one more person slam a door?

Could one more person talk in the hall right outside my office?


Could you turn your music up a little higher?


Could you come in and interrupt me one more time?


Doggie, could you whine a little louder? (has to stay in my office -- long story).


Could ONE more doctor dictate from a speaker phone?


Sheesh... now I know why I work the red eye!! 


 


 


Anything that "The Girls Next Door" say

Sure, go for 12 cpl IF you want to get laughed out the office door!
/
My next door neighbor cleans ....sm
every other week and charges $70 to do my entire 1800 foot house. She does a great job, too - and is trustworthy. Before that I wouldn't trust anyone because of the stories of services/people not cleaning or stealing from you.
Sometimes I need a *Do Not Disturb* on my office door
I can't break myself from being always available to my kids, and I guess I shouldn't complain because they're 25 and 18 and both still love to stop in my office door and stand there and talk anywhere from 20 minutes to 1 hour in the afternoon, but it really makes me so unproductive in the afternoon.  This is especially rough when I know I'm behind and need to be pounding the keys, but HEY, I know the day is coming when they don't stand here and talk to me, so I try my hardest to listen when they want to talk.  It's really tough though.  Anyone else have trouble with this?  When the talk dwindles I do tell them I need to get back to work and they're generally good about letting me, but I can't stop them when they feel the need to be here talking to me.  Guess I wish I had 2 sets of ears so I could work while I listen to them too.
Gevalia - its the best and delivered to my door
monthly by the UPS guy! Amaretto is the best and regular is #2. Great coffee and prices are better than buying premium in the supermarket. Keeps me going...
It can be hard to get a foot in the door
but when I was starting out even though I didn't have the experience I would ask them to at least let me test for them, and once I did I was almost always hired. I have never worked as an IC, though- I have only worked in clinics and now 2 hospitals.

The hospital I work at now has a mentoring program where they will hire students just out of school and let them learn on the job, starting out as MT I's. Of course, they have to demonstrate some ability, but that is the way it should be. It seems to me if you are good you should be able to find work, especially with the all the complaints these days that there are not enough good MTs out there.
Something PORTABLE... while I'm running out the door! - nm
;)
door in preparation for getting a different horse
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Over the door lock boxes
I pick up work from a local family practice and our schedules conflict a lot of times.  It is hard to be there exactly when the doctor finishes his dictation and they forget to give me a 30-minute warning since I am about 30 minutes away.  Sometimes I have to make a trip every day to fit his schedule.  Does anyone know where I can buy an over the door lock box (like what Lab Corp uses to leave blood work, etc.)?  I would love for him to leave the transcription tapes, etc., in the box and I pick up and drop off on my schedule so I can get to the work faster and also pick up after office hours.  Any advice would be greatly appreciated.