Yep. It's the Adam's apple dictators
Posted By: that do my line count for me. on 2008-08-05
In Reply to: female voices - pumpernickel
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God created Adam & Eve-- not Adam & Steve
nm
MERRY CHRISTMAS ADAM!
With Adam & Steve, there would be no people on earth now, would there?
nm
what is the harm in telling the rate? i don't u from adam and i won't steal your job.
Not always. Tongue stumblers. New dictators. Speedy and lazy dictators.
D
Apple
Mac does have one that runs XP and all your old PC software. Go down and check it out. The lovely part is that they are virtually virus-free. Yay.
If you get a PC find someone in your town who will help you build it yourself. You will pay less than half-price that way. Just get enough RAM and the right processor for the software you intend to run and you are set. I don't care anymore what name is on the tower, just so it works and I can afford it. I have wasted thousands on brand names and reputations that went down the hole later on and then had to deal with "customer service" in some place in BFE that was PREVIOUSLY 24/7/365 and now was Monday-Friday 8-5 unless there is a holiday or the boss wears green khakis or there is a sale at Macy's, etc. Or they have been bought out by someone who honors your warranty in a "different fashion" and it is of little or no help. Or, the one where they tell you go to the wbesite, but you can't because you can't get online and they tell you to call back after you do that (get on line). I say no more - they aren't getting my money anymore! Look at all the $$ you will save and then you can get a killer monitor and other stuff with all the cash you save. You can order all the parts from discount PC suppliers and all you need are a couple of tools.
Good luck! Save Money!
Apple a day
I recently heard that an apple in the morning will wake you and give you more energy than coffee. I have yet to try this. Anyone hear of this or try it? I guess it also "keeps the doctor away." Maybe tomorrow.
American as apple pie
Many years ago I heard someone quote a prophetic statement - "The East shall look to the West and the West shall look to the East." I just never thought I would live to see such a rapid switch in my time. Let's see, we have Bush who sports an all American personna. I can't begin to count how many times he uses the word(s) "American way of life," yet never in the history of this country are we seeing hundreds of thousands of jobs in America in all fields given away to the far East and China. Even our military, the Navy, is considering having their fleets built in China! We fight a war with much of it under private contractors, we send our private information to third world countries but our leaders are touting the Privacy Information Act, huh? How can I support my president in his "all American as-apple-pie" agenda when he has demonstrated no regard for the American worker, our healthcare mess, or our jobs? The front door looks good, but the back door is something else. We work for big corrupt unethical corporations who require us, in our case, the lowly transcriptionist, to declare our integrity, and almost every day we hear scandal after scandal from these mega corporations who only get a slap on the hand for their unethical practices. I don't know about you, but it does bother me to work for or with a company that has no integrity. I'm not saying I work for one now, but it bothers me that so many people have to do so to keep food on the table.
apple juice !
supposedly a natural stimulant, and it works pretty well for me in a pinch.
Apple - Just Rotten!
Puns inside the post down a bit. Better than this rotten Apple pun. Fun!
Apple Rings
4 cups cooking apples
2 cups water
1 cup white sugar
1/2 cup brown sugar
1 stick margarine
1-1/2 cup plain flour
1/2 cup Crisco
1/2 tsp salt
5 Tbsp cold water
In a.m. (or night before) peel and grate (slaw side of grater or use food processor) 4 cups cooking apples; chill. (Granny Smith apples) In the p.m. (or next day) spray a 2x9x14 Pyrex dish with non-stick spray. Mix 2 cups water, 1 cup white sugar, 1/2 cup brown sugar, 1 stick margarine. Bake at 400 degrees until bubbly, while preparing pastry.
Pastry:
1-1/2 cups plain flour
1/2 cup Crisco
1/2 tsp. salt
5 Tbsp. cold water
Roll out pasty in oblong rectangle. Spread applies (squeeze out liquid) over pastry. Roll into a jellyroll, about 4-1/2 inches in diameter. Slice into 1-1/4 inch circles. Drop into hot liquid, and sprinkle with cinnamon mixed with a little sugar. Bake at 350 degrees for 45 minutes.
We're in the process of making a cookbook at our church, and I put this one in. My MIL makes it, and it is so good!
how D as in David A as in apple
R as in Robert E as in elephant you complain about an a resident! Hasn't he earned the right to be here (just like the ESL's you came to love). I'm sure his ancestors were ESL's, right?
How's it feel to have someone blast your chance to vent a little?
Sounds like a bad apple.
say it is indicative of all MTs, just this one with a very unprofessional attitude. Maybe she has mental or emotional problems. I would cut her loose.
?? Bad dictators are bad dictators regardless of their mother language.
wonder when people will just get over it and do what they can and move on.
Thanks, Apple. I'll check it out! nm
xx
Apple & cinnamon oatmeal and water 8-) nm
x
Apple Pie A La Mode!!! Go ahead, flame me LOL
x
crab apple jelly don't know recipe.
xx
Keep a shallow bowl of apple cider vinegar on the counter.
This is something my mom did - worked for her, works for me. I set a small, shallow bowl of vinegar on the back of the stove or tucked into a corner on the cupboard. It cuts the odor down to almost nothing and keeps it gone. Plus, it's a whole lot cheaper than the over-perfumed stuff from the store.
It's my opinion that orange juice is tastier than apple juice.
cc
how are they going to get used to all the dictators
if your source says they cherry pick and only do American dictators? Sounds like never. But you knew that.
PS: Are you absolutely sure your source has your best interest in mind with this detailed ratting on another person regarding Indian cherry picking doing non-Indian work?
Dictators who keep....
  
I'm having a bad day with dictators and got this in my
email. It cracked me up. It's a typo in a medical brief that a lawyer filed for a continuance. The typo is on the 2nd page.
http://www.thesmokinggun.com/archive/0916051disk1.html
I have had dictators like that!
when most dictators were from the USA. nm
x
bad dictators sm
I can take an ESL more than I can take an American who speaks fast just to show off to his buddies or because he has a hot date and is dictating from his car or worse yet, if you can't understand him, he has an excuse why his report is incorrect, he can blame you for it. They do it, believe me, and they are the ones who should be shot down. Give me an ESL any day who says thank you very much and is trying hard to learn the language. Some of these fast-talking big shots could care less about us. I had one guy who could fit 15 discharge summaries on one side of a 15 minute tape and everyone would send him to me because I was the outside service. When he was spoken to, he just threw his head back and laughed. Ignorant!
dictators
don't you just love it when you have to turn up the volume to hear what the doctor is saying and then in the middle of the dictation he finally puts his mouth to the mic/phone, blasting your ears; so you turn it down then by the end of the report you have to turn it back up.......no wonder I have ringing in my ears sometime 
Bad dictators
Chewing gum very loudly, blowing bubbles while dictating, drinking something and then chewing on the ice....all in the average day lately. Don't these people stop to think that someone has to listen to this? That they are chomping incessantly into someone's ears. No common sense. Maybe once, someone in authority should remind them that these are legal documents and need to be transcribed as accurately as possible, so no chewing, drinking, talking while yawning, etc.
Bad dictators
I have got to one-up y'all... there is a woman doctor in our group who actually takes her dictaphone INTO THE BATHROOM with her and, yes, that's right, uses the potty right while she's dictating...
ESL dictators
Maybe the ESL docs, knowing that the Transcriptionist must be having a difficult time with the language barrier, should hire an English speaking person to do their dictations. It would free up their time for being a doctor and seeing patient's, give a more accurate transcription, and a better quality report. Wha'cha think???
ESL dictators
Seems many MTs have this complaint. We should be told the correct percentage of ESL dictators BEFORE accepting a job. Imagine all the money a company would save by going over details with each new applicant honestly and thoroughly in the beginning instead of making the job sound good and then have a disappointed new employee, who will quit and the company will have to advertise and hire again. Advertising and training on a computer system is costly, including the time involved etc. The more a company can do to retain its employees, the more money it will save in the long run. Also, pay based on production, not quality of work, is counter productive. Imagine if each Transcriptionist was paid a salary and did quality work and no QA people were needed, except to pull random reports of new employees during the first 30-60 days or so. I feel there is too much QA and not enough emphasis put on quality reports from the beginning. Many transcriptionists feel, the QA people will fill in my blanks, yet they may be able to find the word/words themselves if production was not such a huge factor. But too many employees are trying to meet a line count. With a salary, you can establish a budget and know what to expect in your paycheck. I've transcribed for 25 years. I love my work. Since outsourcing and pay by production have been instituted, I feel pride in transcribing has suffered. Give an employee a job they can feel great about, benefits, and treat them with honesty, fairness, and respect and they will be glad to work for that kind of company. Hopefully, there are companies out there like this It's up to us to find the good companies.
Of note, 10 years ago transcriptionists were being paid around 10-11 cpl and $3.50-$4.00 a page. What happened, outsourcing!! We used to get a higher salary than coders, but not now. We need to keep our work in the USA.
Bad Dictators
I had my share of bad dictators this afternoon too! Is it full moon? I am sure I had your doctor's wife. LOL Can we band together and chart a bus to deliver them to the firing squad?? LOL At least maybe would could let the air out of the tires on their golf carts! Do these people listen to how bad they are???????
Dictators
OH PULEEEEZE spare me the whispering, breathy female docs who sound like they could talk all night on a phone sex line. I don't care what you sound like on the phone. Just TALK lady - spit it out. Am I mad or what? Gads I'm sick of these bimbos.
bad dictators
You ever wonder that when the powers that be become aware that you are making lines on low volume work days, they somehow sneak all the worse dictators your way? I have had bad dictators, none of them in sequential order, and am no where close to my lph this morning.
Dictators
 I could send you a lighter! Seriously, I have considered sending a voice copy to them to play after the fact, a day or two later, so they could see what they could understand of what they said!
BAD Dictators
Oh, you're not alone. They all must have spring fever or something. I have had more dead air than dictation on reports lately. If this keeps up the pay should not be by the line, but by the minutes listened to.
To all the dictators out there
SLOW DOWN! This is not a race. I cannot stand it when these dictators talk so fast that you cannot understand them. You know who you are, especially the cardiac dictators!!!!
Thanks for letting me vent. I get frustrated when my production goes in the toilet!
bad dictators
My huge pet peeve when it comes to dictators is them stopping to flip through the chart and not pushing the pause button. I mean I am just sitting there listening to dead air, wasting money while they find what they are looking for before they start talking again. How RUDE. I think all doctors should take Dictation 101 as part of their medical training before they get licensed. Speak clearly in complete sentences, speak at a fairly fast pace, and for heaven's sake.......hit the pause button if you have to stop dictating.
Bad dictators
IMHO, these are all due to the HIM department folks not training the docs properly. I worked at one hospital long enough to find out that the HIM department heads have total control over what type of dictation behavior is accepted, including the reports that are outsourced. It seems that, if the HIM departments for the various hospitals that outsource to us, or the office managers for the various doctors, would just care about what type of dictation we are getting, they would go out of their way to do something about it. I know they have plenty of time, cause these are the very ones who have no problem picking apart reports and complaining about missing commas!!
Bad dictators
Now my pet peeve.......dictators who say "go back and change" or "forget that last paragraph". You are essentially typing 2 reports and being compensated for only 1. Had 1 report today where CRNP did that 16 times.
Any suggestions welcome!
dictators
If MTs did the kind of job some dictators do they would be fired.
When dictators take a long time shuffling papers I just hold down my foot pedal down while awaiting the next words and check my email or read a paragraph in a book or do some upper body stretching exercises.
Recently I had a doc dictating over the barking of a dog. I wonder where he was? Or where the dog was? 
What is it with these dictators..sm
They'll ...um and ...uh and ...er all through the patient history..wasting more and more of the MT's time than necessary .. with the occasional 30-45 second pause between each item to paper-shuffle (on OUR time). But when it comes to the MEDS and LABS, which are the mainstay of an H&P or consult, as other doctors will base patient care on the meds the patient is already taking or present lab results, they'll race through them at 78 rpm so as not to be understood or able to be transcribed without rewinding 4 or 5 times. Just because they can race-read medications or labs doesn't mean we can type them just as fast... I guess accuracy in these areas takes back seat. (Who cares where the patient moved here from or went to school?)
bad dictators
I think the shoe should be on the other foot. The doctors have absolutely no respect for what we do - we should be the ones giving THEM feedback - They will be the first ones to speak up if there is an error on the report when in fact, it is entirely their fault. We are intelligent, professional MTs, not magicians !!!!
The dictators that....
Have a pager sitting right beside the microphone and it continuously goes off, a shrill BEEP, BEEP, BEEP, BEEP right in my ear and they don't bother silencing it, turning it off, merely MOVING it away from the mic so that my ears are still intact, they just let it beep and keep on talking away.
What are your favorite dictators?
I like the ones who right when they begin dictating, turn around and speak directly into their armpit. Or how about the ones who carry on a complete conversation in English to the nurse next to them, then when they start dictating they sound like one of those auction guys who have had a few drinks?
Favorite dictators
I have one guy, who really seems nice, thank's you each time at the end of the report, apologises if he has to correct something he said, long reports, BUT, he usually dictates at home, while cooking,bathing the kids and NOW, we must have a new dog because we are deciding to train it while dictating .
It's a verbat account so I really should have put in all the "sits, stays, good dog..would have made a fortune.
BUT (again), if it were'nt for the fact that the ER he works in is over 140 miles away, I'd have been in the ER, requesting him, to treat me for my ruptured ear drum, when he must have forgot the doggie treats and this dog started barking, loud, blew my eardrums out, had to crank the volume wayyyyyyyyy down, could NOT hear him, except for the good dog's and sit, I'll play later
SS dictators and LINES.
I HAD a problem with Softscript period. Heard their sever is down again. Look out, line count will be changing again. Horrible communication. Horrible dictators. Never pain on time, NEVER. Dictators from hexx.
dictators on the phone
I agree--I have mentioned this endless times to my supervisor about dictators being on the cell phone, the worse that I have had was a dr at a baseball game, doing dictation on his cell phone, you could hear the other parents in the background cheering--sounded like a little league game and yes I did tell my supervisor and yes it is MQ and of yes, nothing was done
I love the ones that are on their cell phones and then drive thru a tunnel or put the top down
Fast dictators
When are these ******** doctors going to figure out that by dictating 100 miles per hour they are NOT going to get an accurate accounting of their patient encounter???? I feel like I'm being set up to fail. I don't care how much experience we transcriptionists have, if you're going to dictate a three page report if 1.5 minutes, SOMETHING is going to get missed or screwed up. I hope that extra three minutes they saved themselves throughout their busy day is worth it when the patient's chart gets the wrong data and somewhere down the line a big mistake is made. I've had a terrible morning, struggling with Mr. All-Important who dictates vital signs as one long rambling of numbers, never in the same order (one time it will be weight first, then pulse, blood pressure, respirations and the next time it will be blood pressure first, then weight, then respirations, then pulse) -- I've had it!!!!! I've got so many blanks in this batch of reports that I'm embarrased to turn them in.
Thanks for letting me vent. I'm not a bad transcriptionist.
I am so sick of ESL dictators!
 What a lousy day! I am sick to death of getting 100 different doctors a day and maybe one of them speak English. Makes for a very long frustrating day.
If we all would refuse to do bad dictators - what can they do about it?
Let them do them themselves or have their fair-haired Indians do them.
Let the mush-mouthed doctors get back mush-typed dictation. It would be fair.
Tonight I had so many questionable lab values it made me sick. I also got a non-ending stack of bad, foreign, indistinct, unable to speak English doctors --- you know the guys who end up at the bottom on last day of the payperiod.
I have gotten to the point that I want them to say "This isn't right!" and stomp their feet, because I want to go nose-to-nose with these jerks. Just mess with me suckers! I'm ready. I'm premenstrual and I'm ready.
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