clueless
Posted By: Lynda on 2007-05-20
In Reply to:
Maybe someone can help me figure out exactly what my employer is asking for here -- because I certainly can't seem to wrap my brain around it. I work for an EXTREMELY busy cardiologist who is, quite frankly, quite spoiled (more than the norm) and bascially wants to be spoon-fed everything. As it stands now, he doesn't dictate anything at all; he writes everything down (or his nurse does) and I transcribe from written copy. However, he has received several complaints from lots of different sources regarding horrible handwriting, and he has come up with what he thinks is the bright idea of having someone follow him around - everywhere - with a laptop to record everything he says, freeing him from having to write down anything. Now, in our main clinic and satellite cllinics, I can see this as doable; we have laptops in each exam room with SOAPWARE installed, an electronic patient record system. I can see him having someone in there to do this as he speaks. But he isn't wanting to stop there. He wants someone to follow him as he makes his rounds at the hospital, sees patients in the ER, etc., and I cannot figure out how this can be practical. It seems like he wants to dictate, right? That's what it logically sounds like. I suggested this. No, no, he says. That will cause a "delay". What??? How would following him around with a laptop be any better, when you figure that you still have to dock someplace to print it off and give it to the hospital staff. It makes me tired to even think about trying to follow this hyper physician around 18 hours a day (which is what he would expect). I think the man is crazy, to be honest. But I'm wondering, has anyone known of any physician to take on such an endeavor as this? I just can't seem to grasp the whole idea of what he wants, and I can't hold him still long enough to get him to really explain himself. Any thoughts? Thanks in advance
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clueless
No, they sure don't. But then again, I have to remember doing this on a typewriter........ then I would have had to do the whole thing over instead of just going back and editing. Small comfort anyway :)
sorry for being clueless here but
where are you guys seeing where all the MT week prizes are?
Clueless
I think you are right - the MD's in a hospital setting very well may not know who/where there dictations are going to as it is the hospital's decision to contract with a company.
If a patient sits down to check in at hospital and is presented with a release/consent form to sign stating that they agree to have their medical record information sent overseas, THEN you will see results.
I have a letter in the works to my state senators. I don't know who else to send it to. The news media? The whole thing makes me sick.
I am paying for services rendered when I go for medical treatment and the last thing I want to do is contribute to the wealth of an offshore transcription company to have access to my information and potentially screw up my report because they don't understand the nuances of the English language. How many doctors sign off on reports without reading them? That's a whole different thread, and that particular topic makes me absolutely crazy!
clueless
Absolutely, its happening in my office also. I have been there for 4 years, from the beginning. I set up the dictation system, worked with IT, MDs etc to make this work correctly. Then set up the transcriptionists with a global pool. The most of the work was done in 24 to 36. Now, new girl wants to reinvent the wheel.. going back to one person at each facility... Then, good portion of the work is given to an IC. I had to release most of my part time coverage because of internal issues, but of course its all due to transcription. I am so sick of hearing this. My job is done when the doc signs off on the report. What happens in the file room is another story. Reports not faxed to MD or copies in the charts.
What I really wanted to tell the OM is to sit and do my job for the day, take the dozens of calls because your help can't use a computer to located something and try to produce quality work.
Loyalty can only go so far..I may have to jump ship soon.
clueless
You're so right on the money! A personal assistant DOES seem to be what he wants. I suggested the hand held digital recorder to him but in his own mind it's not the same thing (when all of us know that it really would be). yes, he's quite spoiled.
Clueless but not completely
I’m somewhat clueless and really don’t know what to do. I have over 5 years of distant (1973-1978) orthopedic experience, before MT was a hot item and have been working as an IC for one person for 2.5 years, doing mainly Urology and Urology-related Radiology. I have not had formal MT training. In reading all these board messages I don’t totally get it, i.e. Acute care, what is it? I just found out what the Basic 4 are. I feel like a moron even though I know I’m not. Nonetheless, I’m not getting enough work, have submitted a few resumes to a few sites. Am wondering if I need to get formal training/certification. I was lucky to get what I did without the certification, but I’m ready to go further in terms of specialities, OP reports, consultations, etc. But, I am apprehensive about the whole enchilada. Is anyone out there who has been in my shoes? Any advice and/or recommendations would be appreciated.
Laptops - I am clueless!
Sorry if this is a really dumb question but are all laptops equipped for headsets and foot pedals? I hate all my wires and am considering going with a laptop and wireless connection to do my work but I'm not sure if you can plug in your foot pedal and headset? 
I am so clueless about DVI, C-phone,
I see an ad for work and he is requiring a DVI or c-phone. I have worked on a Lanier before but can't tell you what model. Does it even matter. I bought a DVI system from transcriptiongear.com and had to return it. It was not compatible with what the company was looking for. Can anyone shed some light on this. I am thinking if I purchased the Lanier it will work for whatever situation, but not sure if the model matters. Also, how is it different from DVI or C-phone?
TIA.
Another clueless statement made.
There are LOTS of MTs out that there will say ANYTHING and promise ANYTHING until the time comes to get the work done.
References are generally used for employee situations and the company will only be given information on people who will give a favorable reference.
In business, the customer comes first. Any IC worth anything will understand that and make sure that their customer (the company) is happy; otherwise, they won't have customers.
Silly you.
Thanks everyone for your help. I am wanting to go wireless and am clueless.
nm
They're clueless about tense
I want to know how anybody with such a pathetic grasp of sentence structure can make it through med school?!!?!? Appears they've never heard of the word "an", hence "a" enema, "a" 8-French catheter, etc.. Never make the tense or verb agree. They spell words that are new to them but I've typed a thousand times. They whisper, mumble and drop syllables. But they all spell out 'n-o NO" every time they use it (unless that syllable gets dropped).
And the women - 3/4 of them apologize at least once a sentence whether they make a mistake or not! "The patient had - I'm sorry - the patient had a history of diabetes - I'm sorry, the patient had a history of diabetes mellitus". ARRGH!
One chick in particular I just want to shake until her teeth rattle - ESL, she speaks until her breath runs out, takes a deep breath, and does it again, putting the wrong stress on syllables for even the most normal words "dem ON strate" for "DEM on strate" - and every dang time she dictates multiple views "axial T2, axial T1, etc.' - says "was" performed, not "were". At least a couple times a day I catch myself yelling "its PLEURAL you stupid @)$(#)*!". Oh, for 5 minutes alone with her to beat it into her head, that's all I ask!!!
Happened to me too -- won't let me post, even after I entered the address. I am clueless. :( n
x
The problem with this field today is that those in charge are clueless.
They are only interested in TAT, not quality. People who have some useless initials behind their name and they're the ones who make the decisions that affect all of us. They have no idea what is correct and what isn't. As long as the reports get done and in the chart that's good enough for them. They have their cushy jobs and tons of money and us going crippled for slave wages and all is good with their world. Things will only get worse, and I doubt they'll get better. I am trying to think of other options. Don't have any idea what, but I can't take this abuse anymore.
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