and now it's OUR fault that the docs aren't more careful when they're dictating?
Posted By: sm on 2005-12-26
In Reply to: Think again... - One MT
Hey, they're making 100 times what we do, so it's their responsibility to be aware of what they're saying, not ours.
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To what do you attribute the fact dictators aren't dictating?
Does that mean people aren't sick or dictators on strike?
I would never be too sure of any company not shipping out work. I know of one that DENIED they would ever do anything so horrific and all the while shipped work offshore. They said they needed to do this to compete but didn't want to own up to it.
Trust no one but yourself.
Some bluster- of course docs aren't training to be MTs, mostly Spheris trying to look good BUT
they are definitely trying to grow the business and knock out more of the American share of the market.
When they try to keep what they're dictating a secret...
... from the people having the LOUD conversation right next to them. Guess they never figure out that they are also keeping it a big secret from ME. I keep waiting for them to yell SHADDUP! but for some reason they never do. Sometimes I am half tempted to just transcribe the background conversation instead......
if you're getting jerked around that's your fault
quit. do something else. go somewhere else. you let 'em treat you that way. get your own accounts.
you need someone who can relate to your feelings of frustration? oh well, we can relate, dear. we can relate how your attitude stinks that we have other topics to talk about and you want to get onto everyone for it. lmao
put your topic out there and if no one answers your posts, no one's interested. if they are, they'll answer. if you get no answers and you still "need to talk to someone", hire a therapist or a dog or something.
they can have bad days, but they're still supposed to be professional while dictating. I'd co
Its not the animal lovers fault about abortion and abuse of innocent children, it's the fault...
of our government to allow such a law. The innocent dogs being killed over the so-called rabies roundup vs. shortage of "beef" have no government to help protect their rights to live so the humans have to step in and protect their rights and the humans should protect the human's rights as well to live, but when a government passes laws, etc., you can only fault the government; afterall, they have the final decision.
Be careful in your wording. Wannabe's? If you're referring to new MTs, then say so. It's
p
You just have to be careful which version of Works you're buying. sm
Plain Works does not have Word at all, only a word processor that "looks" like Word. The Works Suite has Word 2002. To get Word 2003, you have to get the Works "Plus" 2008 version.
it IS the mayor's fault and it IS Kathleen Blanco's fault
to assess the potential damage and what help they have immediately available in their area. They are then responsible for contacting the feds for more aid BEFORE the fact if they truly know their geography, economics, and have a weather advisory board on hand for such purposes, which they DO.
The mayor and the governor did not do any of this and now as the general consensus of the liberal loonies always turns, if you drop the ball and don't take responsibility for what you're expected to know how to do in your elected office, BLAME BUSH.
Stupid is as stupid does.
You're really swift, aren't you?
x
You're pretty full of yourself aren't you?
your problems, your point of view, your way, your outlook, your, your, your.
frankly unless you know exactly what everyone is up against personally, financially, physically, emotionally, your "advice" is exactly worth what we paid for it. ZERO. Now don't waste your typing skills trying to talk down to us again. No one is buying into it.
Well those things aren't "fudging" -- they're being more SM
efficient. I started out that way too. I never had a spell checker until 1990. I don't call it fudging at all.
If you're so brilliant then, why aren't you in a better line of work?
1. Surgeon.
2. Attorney.
3. College professor.
oh, and yes, my brilliant one - what year exactly did you graduate with your Ph.D. from Harvard?
LMBO
You're using your puter to chit-chat here aren't you? Why can't you let him have some fun t
Make sure there aren't other taxes that you're overlooking.
Some communities/counties have occupational privilege tax, 911 tax. Some sales require you to collect a sales tax on your service. The best advice is to check with a tax preparer AND visit your state's revenue website to make sure you're not missing anything.
Naw, they're in it for the bucks. Not many really caring docs anymore
nm
You're very lucky and obviously aren't looking up addresses or having to relisten to slop over
s
You're really proud of the 'former bank manager' thing aren't you
Why do you use that name? Just curious.
You're incredibly fortunate. Many of us aren't even getting offered 8.5 cpl for years of exper
m
Those aren't SH functions. They're Word functions, or
s
If they are dictating what you do with it,
Furthermore, whose to say they won't take it back!!!!???!!!
someone dictating for him
here is one for the books - have a sub-intern dictating for attending - dictates the following - "Dr. _____ states that the patient has a history of "what did he say "quinaquina" failure.. I am not sure if that is the correct spelling."
well he would not - it is chronic renal failure. Now why is he even trying????? - thankfully at the end of the report the attending who apparently was sitting next to him by this point, corrected him when he dictated it again. I give up.
that might be why the doc is dictating sm
all this old stuff. Doc may have gotten caught and fined for not having charts up-to-date. I a hospital, docs get their hospital privileges suspended if the charts are not caught up
It's our fault
I saw an article yesterday (can't remember which newspaper) that said that. It's America'a fault there's global warning, its (whichever gods) punishment to the US.
Not my fault!
Only because the bashings start immediately after I post and then I react - sorry for being human!
My fault
Next time honey, we will turn on the lights so everyone can see it. Also, I would appreciate all the music turned down so I can hear you say to me "Oh Frank, my goodness you are so......" I just love it when you talk to me like that. For that my dear, you will get a bonus in your check next pay.
Yes of course my FAULT
Yes I looked up words, Yes I did my research, YES I HAD A BAD ESL WHO DIDN'T SPEAK ENGLISH !!!!!!!!! That is WHY
My fault sm
I also usually stay off the boards, but I totally forgot tonight. That's OK
It's not the dog's fault....
nm
Right...and of course, it's someone else's fault you were
Still can't post, still don't get it and still haven't learned to just stay out of the conversation as obviously they're not looking for your opinion...rude and mean as ever. Of course...that's just an OPINION. blah blah
How was it my fault?????
I was sitting there minding my own business. He walks over and blurts out my test results. Exactly what should I have done? Put tape over his mouth? I had no idea what he was going to say before he said it. I am the injured party here who is out over $100.00. I have to type an entire day to make $100.00.
It's always our fault
I learned a long time ago that no matter what, any mistakes made will always be blamed on the MT. If something doesn't get dictated by the doc, the excuse is inevitably either "it was lost by the transcriptionist" or "that Transcriptionist isn't typing all my dictations."
I used to greatly respect doctors - and then I became an MT and started actually having to work with them. Boy did my opinion change - and fast!
Lu..........thank-you. If I have a fault it sm
is being blunt. But, I am not going to sit here and beat around the bush and sugar coat things. I have seen too many whiny, complaining MTs in my career to cater to that stuff any longer. If you have been in the business a long time you know what I mean as do all of the others who have done this for a long time.
Maybe the bluntness comes from working on production for years (which I like) or whatever, but I don't have time to baby and soothe. If people don't want to hear how the business is then don't listen (most don't listen anyway).
The Mts who are successful in this business, working on production, know that we don't have time for the nonsense! I especially don't have time for the folks who are complaining because they have TOO much work and have to do different accounts, when there are people out there begging for work! Kind of reminds me of people who complain of having no money, need money and the overtime is there, but they just don't want to work it today! GEESH!
They said Drs. not dictating on this account
nm
I tried re-dictating to Dragon...
I bought the latest best version, souped it up with KnowBrainer and devoted 3 solid months to training it to my voice and building a huge vocabulary. I could still type circles around it. Editing is extremely bulky and slow. Also don't think you can have your docs dictate a page and then train Dragon to do their speech direct. First of all, they will expect you do to charge less since "the computer" is doing all your work. Second, you will be spending tons of time doing further tweaking and training to get Dragon anywhere near up to par to actually get any production out of it. All of which is not only frustrating as h---, but you don't get paid for it. Now, don't take this to mean that VR won't take over transcription. Big companies use a different platform with the Dragon engine - one in which they have spent a lot of time figuring out how to make it quick and easy to edit...oh, the end is in sight, all right...
Dictating while being tickled
I have one MD who on three occasions has dictated while being tickled! I can't help but laugh along, but it sure makes me wonder who the heck is in there tickling him!
Dictating and driving
Can you hear me now?? I have a physician who dictates while he drives,and by the way, his dictation goes in and out so unable to get really what he is saying.
Is this a child dictating?
I once had a doc say "I asked the patient to pee in a cup". I forget what I changed it to but I cannot stand the word "pee" and refused to use that. It is so vulgar (of course got the approval from my supe first on the change).
Child dictating
Both my Ped doctors say poop and pee. Is this going to be the industry norm? Maybe we won't have rhinorrhea any more, just snotty noses, and a few owies, ouchies, and boo boo's. lol
Transcriptionist dictating into VR
I read an article about this years ago. A local Transcriptionist would listen to a report and dictate it into a VR program she had on her computer so all she had to do was edit rather than type because she had carpal tunnel so bad. It worked well enough for her that she could remain employed. I didn't know her or have a chance to meet her, unfortunately, but she inspired me to take the VR class through Office Careers at the local junior college. Like most people in the class, I found out pretty quick that I didn't have the voice for the software. It just didn't work well. Plus you have to retrain it any time you get a cold, allergies are acting up, yell yourself hoarse at her kid's football game, etc., because your voice quality has changed and the program doesn't recognize you as you anymore. At the time, she was working with reports on tape and whatever word processing program was popular at the time (WordStar, WordPerfect, Word). I'm not sure if you can use VR on your computer (or the one supplied by your employer) with the Internet platforms that provide the voice files now. It would probably be an added complication your company's technical department wouldn't want to deal with unless they were forced to as a "reasonable accommodation" under the Americans with Disabilities Act.
People dictating
That is as annoying as the dictators trying to say a last name that is 13 letters long, can't even pronounce it, but they continue to use it throughout the report....they can't just say "the patient." Geez!
dictating while seeing a patient
I must be weird because I never had a problem with the doctor dictating while seeing his patients. I worked in a busy clinic where one of the doctors pumped her breasts while dictating, one would eat hard candy and comment about the patients under his breath, one would tell dumb jokes in the middle of his dictations. We (the transcriptionists) got even with them one year at Christmas by publishing a little booklet of all their bloopers. We even got our raises that year!!!
Really does not have to do with the doctors dictating
because I have found eScription for so reason seems to hear the ESLs much better than the English speaking dictators a lot of times. Having said that, I think the system you are using has volumes to do with it from what I read on these posts. Which system do you use, if you don’t mind me asking?
Doctor not dictating. sm
I obtained a client in December. He says he is slow in dictating, but he nor his partner have not dictated all month. I tried to inquire, but he insinuated that my feelings are hurt and that if I didn't like it maybe we should end our working relationship.
I found this odd behavior, especially since he sought me out. Should I drop him and his partner, since they are not dictating? How long do I wait before I drop him?
Actually, if he hates dictating sm
and he is NOT alone in this, you could suggest his coming up with normals for stuff he says all the time and then dictate around those. This is a joint effort with the physician because he will have to sign them and have what he wants in them. You don't negotiate a lower fee for this either, btw, since it takes time to drop them in and to come up with them in the first place.
If he has some F/Us for say a total knee, then he could have a total knee note like: Pt is ____ days postop. I removed the staples from the ____ knee. Pt is to return in ____ weeks' time for followup.
WIth the above, you would drop in the canned text and he could dictate Ms. Josy Blow is 10 days out, had staples, return in 2. Or just 10, right, 2 on his end. I have normals provided by the company I work for, then I have many of my own. Some are a full note because they rarely vary. Some are parts of notes. Some are just shells with headers. ANYTHING not to have to type it all! While you have no problems typing them for him, he doesn't like to dictate so yes, you can help him solve his problem AND cut down your work and worry.
Don't interrupt the doc while he's dictating!
I'm doing this GE doctor and there's a nurse or OR tech who keeps asking him questions. Then he can't remember if he's dictating a colonoscopy or an EGD!!! He loses his place and has to start all over again!
I'm pulling my hair out with all the "uhhhhh, uhhhhhs" and then I have to listen to him get short with her and her get snippy with him and then he can't remember if he took biopsies or not, if he's in the colon or the stomach. He is clueless! Just let him get his rhythm going and leave the man alone!
Okay, I've had my rant for the day!
Believe it or not, I once had one dictating on a small
roaring up and down sand dunes in a DUNE-BUGGY. I had thought it was actually being dictated on a roller-coaster, because that's what it sounded like. When I complained to the boss, he said he'd look into it, and called the hospital. The next day he comes back and said, "No - you were wrong. He wasn't on a roller-coaster, only a dune-buggy."
"ONLY" a dune-buggy?
Re-dictating a sentence in a different way, only - sm
not letting the MT know, and the sentence sounds like an extension of the first sentence. You don't figure it out til you get to the bottom of the report under Impressions, and then you have to go back and find that sentence and listen to it again. This always seems to happen in the middle of a 45 min. long mega-report, too.
I had the guy who was dictating in his sleep,
and he was ESL to boot. He dictated the physical exam 3 different times, and it was different each time. The patient's race also changed from white to black in the course of the report, and there were 3 different contradictory findings in one part of the exam.
I sent the whole mess to QA; they put blanks in the spots that needed them--and sent it on through to the client, discrepancies and duplicates and all. So I got paid for all the typing I did. I did not get paid for the head-shaped hole in the wall, though....
I don't fault you for being pessimistic
because the both the companies and our own so-called professional organization have trodden on us for so long that most MTs really don't think there is any other way.
Fortunately, nothing I have planned requires the "companies" to listen to anything MTs have to say, "whining" or nicely.
And nothing I have planned requires cooperation from the beneficiaries of cherry picking with wonderful accounts and who are happy with their jobs.
The essence of the situation is that services are much more in danger of extinction in this age of technology and the global economy than are domestic MTs. The majority of them are on borrowed time.
The companies don't have the assets that are critical to the future of the profession. The offshore companies and their transcriptionists certainly don't.
The only ones who do are the MTs with the skills to do the work that can't be done by VR or offshore. Those are the only assets that aren't commodoties. Those skills can't be replaced by a software robot, a matchbook-school new graduate, or an offshore wannabe cherrypicking-transcriptionist to do the easy "Queen's English, theatrical elocution" dictation.
The MTs are the ones in possession of the assets that are critical. The skills are the asset, not the job. The job can be sent offshore. The company can fire you from a particular job. But the critical assets are still in the hands of the MTs, who have the power to shape their future by harnassing and directing those assets in a positive way.
Why is the MT's fault? Apparently he
is being allowed to do that by his supervisor.
It isn't any MT's fault -- given opportunity, then those who really want the money will make it.
I know that for myself I work my schedule. I do work extra quite a bit of the time -- at the request of my supervisor. They ask me specifically to work more.
Surely, you are not suggestion that I say, "Oh, I'm so sorry. I just can't work any extra. You see, MT Mary Poppins will get huffy because she will think I'm stealing her lines and then I will be called a greedy MT so I should forfeit money to be made for myself because of how SHE feels." ???
If you TRULY think that is reasonable, you are going to be miserable as long as you are in this job.
If I am asked to do more, I will do it as long as I am working in this business. It's NOT unfair to anyone. It is my opportunity to make money. Nothing is unfair about that.
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