A community of 30,000 US Transcriptionist serving Medical Transcription Industry

Sick of docs wanting the world, but offering nothing in return - need to vent

Posted: Aug 23, 2010

When did it start being okay for companies to accept and accomodate docs who put out garbage and then require the world of us MT's? I have worked in the medical setting in various capacities, so I know how docs are and I am used to it. However, when it comes to something as serious as transcribing thier reports and getting it right you would think they would do there best to at least try to speak soem what clearly.....the wost part is that these are not even ESL's that I speaking of!...shame I can transcribe for them better than the US born and bred one's....sorry just needed to vent...it's it Friday yet! LOL

I'm right there with ya...sm - Tired of it

[ In Reply To ..]
Having the same problem with my current doctor. He's absolutely horrible when it comes to dictating the more important parts of the dictation, like the vital signs, but apparently it's too much to ask him to slow down... I actually got laughed at by my MTSO when I requested this. Needless to say, I'm on my out of that place...She could've handled that situation a lot better instead of making me feel like a total idiot. If it weren't for the MTs, there'd BE no transcription company! Too bad she doesn't realize that.

give what you get, do not question anything; - n/m

[ In Reply To ..]
n/m

I do just that...I give what I get, but I'm sick of being harrassed by personel who are fully a - .

[ In Reply To ..]
,

sorry...shoud have read "that are fully aware of the problem and are - need to vent

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just giving that old customer is always right talk ....I'm sorry, no they are not always right....and doesn't that violate a hippa law somewhere when the docs would rather laugh, eat, blech whisper and be indecisive/word fumbling when they dictate??

I sure hope most of them are more careful doing their - surgeries than they are dictating the op-report!

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X

we had a joke - sm

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There was one surgeon who constantly re-dictated his sentences. "An incision was made-- no, wait, we made an incision extending to-- no, wait, an incision was made centered over the-- no, wait..." We joked what his surgeries would be like if he had the same approach-- cut one way, then take the scalpel out, try cutting another way, no don't like that either, try cutting HERE instead, no, let's try the first place again-- what a mess!! LOL.

I really agree with you - sm

[ In Reply To ..]
I have 2 jobs, one with tons of ESLs, but the other with one doctor who is a native English speaker. He is just terrible, saying the wrong words/amounts all the time, slurring, eating, using tons of doctor's names without indicating spelling or which doctor he means, etc. I understand the ESLs better than I understand him. Last month he and his secretary had a hissy about a single error I made because I couldn't hear him, so now I just leave blanks or flag stuff. I was trained to "clean up" his stuff, but no more, not for 6 cents a line and a barrage of insults when I make an error ever 3-4 months.

Dictating Etiquette - luckyladyinca

[ In Reply To ..]
This is the responsibility of the MTSO to address. My prices are based on "good dictation etiquette," and whenever I have issues (either equipment used or dictation itself), I address this promptly, as this is costly, effects accuracy and TAT, and falls under risk management. If the dictation is of poor quality, then I address this and remind them their prices and TAT are based on dictation practices. This clears up any problems quick. All 74+ dictators are fabulous! I wish other MTSOs would do this.

That's the problem. Too many large nationals want a billion clients - rather than good MTs.

[ In Reply To ..]
They simply do not care that the doctor is horrible. I actually had a doctor the other day who dictated a note on a patient by the name of Bhandara Padmadanathivaiyanthian (made up name, of course - but you get the gist). Well this guy sped through the note at the speed of light, stammered over words that he dictated in 2 syllables, and jumped back and forth changing things throughout the note without indicating where he wanted what. He does this ALL the time. This is his normal style of dictation.

A week later I get an email that I'm on probation because of the new HITECH laws. The doc dictated on the WRONG patient and the note went to the wrong chart, but I'm on probation because I should have caught that the doc said "she" through the note and the patient was a male. HELLO. We don't get patient demographics that give any more information than birthdate, MR number, and location. If he doesn't dictate this stuff, how am I supposed to know? I will not be held accountable for the garbage that this idiot dictates and I don't want to work for a company who won't back me up when they clearly know how bad he is at dictating. I'm done. No more.

bad dictators - transgal

[ In Reply To ..]
I totally agree! I work on a clinic account with only 30% of the patients having an MR# that's in the system. A foreign neurologist that I transcribe has a PASSING level of English pronunciation within the report, but obviously thinks he can garble the patient info. However, I have NO access to demographics and when I flag it for QA, it goes through blank anyway, and the doctor switches between first name first versus last name first and there's NO way to tell what some of the names are.

On ANOTHER account,there's a rude, rude physician who is ignorant, passes gas, tells of his "conquests" to the point that I know where he takes a date to have a "successful end" to the evening, versus where he takes them when he wants to make it a "short night." (Not his terms, but I won't go into it!) He also SCREAMS at his wife and kids incessantly during his dictation. The hospital knows about it and does nothing. (I almost wish he WAS an ESL, because this is really TMI!!)

Boy, all emptySOs should take a page out of your book. - Desperate

[ In Reply To ..]
I always thought that if you compared the whole medical transcription process to an assembly line, with MT, the "product", if you will, starts with the physician; they are the first party on the assembly line. If it is faulty at the start, then if it is not fixed by the end of the line (in our case, the MTs), you have a pile of garbage. If you were making widgets, a faulty widget would never get that far. However, in our field, because people who know very little about what they are selling have promised the buyers the moon and just leave any and all problems up to the transcriptionists to fix, the ones in the trenches (the MTs) to sort through the pile of garbage for a "perfect" report or else be penalized, usually money-wise, because someone who actually thinks they know what these people are saying has decided that we, the garbage pickers of the world, are wrong. And furthermore, we're supposed to be happy about it and grateful we have a job and show up whenever they need us and go sit in a corner whenever they don't and never ever complain - just put up and shut up. (Do I sound jaded?)

You obviously have done it the right way. Can we all come to work for you??

Thanks a lot.

Also, to the folks who put up and maintain this forum, as someone said earlier, I am grateful for it. I am grateful for the opportunity for us to air what is on our minds and perhaps get it off our chests. Thanks!!

Pssstt---- turn off the expander. - nm

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x

Sick of docs wanting the world - 27-year-MT

[ In Reply To ..]
I agree with you but also realize it is the companies and hospitals we work for who are just as guilty. If we do not learn to stand up for ourselves no one else is going to stand up for us. If MTs continue to present themselves are doormats who just take whatever is dished out to them, that is the way it will continue to be, until we all loose our jobs overseas or to a software program (although I think that is a long time in coming compared to the software I am presently using). If you want a better job, better treatment, better pay and to be treated like a human being not a piece of office furniture, then ALL MTs will have to organize and make that happen. No one is going to hand it to you. It is a shame we have learned to think so little of ourselves as women and MTs. What we do is very hard and tedious. We deserve better respect, pay and benefits for what we create out of gibberish.

How? - nm

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x

okay, so you've scolded us twice now - do you have - any actual ideas? - nm

[ In Reply To ..]
nm

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