This ASR dictator is killing me!

Ortho report...referral for a BKA on a patient with multiple and significant "comprabilities"? He even goes so far as to use Comprabilities as a heading before listing the patient's medical issues. Paragraph beginning is as follows.. "Mr. X, who was referred here at the request of Dr. Y for evaluation of below-the-knee amputation of the right leg. The patient has multiple major ________ including end stage renal disease status post renal transplant, peripheral arterial disease status post ...

Talk about demoralizing. We are told to speed up on editing, watch out for "over-editing", then get dinged for omitting an "a or an" or something which absolutely changes nothing. I can understand mistakes are mistakes, but grr.... feel like I need to jump ship here before I get terminated. For the most part QA is pretty good and fairly consistent here, but I feel some of these things are not worthy of being sent to your supervisor and put in your file. Of cou ...

QA is killing me. My super is having me retrained on the system - again. Too many errors. I get errors for the dumbest stuff and critical errors for things that are not critical. I got up this morning and cried for an hour because of the corrections that came in. I'm so stressed I can't even type, which is a good thing because either she cut me off from work or there is no work available and I'm not sure which. Ok, I had to vent, thanks for list ...

I once took great pride in the practice of medical transcription. Funny that we didn't call ourselves "editors" then, because the fact is that we really were editors in much more of the true sense of that word than we are now. A true editor can take garbage, stomp it, filter it, ferment it, age it, and ultimately bring forth a bottle of delicious wine from it. This, we did also. From garbage dictations, we used superior language skills, a knowledge of many subjects, skill ...

surgery (not enough operations to become skilled). The hospital has been trying very hard to keep the information out of public consumption. Something in the article reminded me of Nuance and the difficulties of trying to get paid from them for things they owe, like paid breaks, internet reimbursement, OOW pay, etc. The final sentence is the one the most telling and the one that will be the most pleasing to hear when Nuance has to pay up against their will. When CNN filed a Freedom of ...

In DQS6, where the screen color was determined by what you set Windows colors, I had a nice pale green which is very easy on the eyes. And what's up with the dark grey highlight for SR!? Harder to see the black text underneath. Shesh, these changes from DQS6 where definitely made by people who do not have to look at a computer screen all day. I will never forget the day I was looking for a specific keyboard and the computer salesmen did not comprehend why I was so picky. They had ...

By Avis or ovis criteria it was a very appropriate size stent. ...

Does anybody know how long a report stays in our specific work pool? I've done a break on a report hoping to get rid of it. But it keeps showing back up. I'm trying to make up some sick time, but I just can't understand this garble and have already spent way too much time trying to decipher it. I've been checking on and off for the last 30 minutes and it keeps showing back up. Help!!!! ...

you wanted to quit mid shift????? Sigh. I had one of those yesterday. Everytime I see his name come up in my cue I cringe!!!! He is horrible. Horrible accent. I did notice though after doing about 3 or 4 of his reports, my ears becames "trained" on him and I get better with him as time went by. But still, he is one that just makes my momentum (sp) drop drastically! Just venting!!! Thanks for letting me share. ...

that he does NOT have to say "next sentence" before every sentence. I'm looking at 16+ minutes of this.....I'm just sayin! ...

What do you do if you are typing on a document for 780 seconds and the dictator at the very end tells you to cancel this and erase everything because she already dictated it? In all my years I was lucky enough not to get this until now. I was thinking about sending it in anyway because I just spent all this time on it!!!! ...

Coumadin 30 mg per day. Now, I want to make sure I'm not dreaming here, but that is completely incorrect, right? Maybe I'm having a brain lapse (been an MT for 20 years) but I want to make sure my thinking is correct that this dosage would probably be lethal? I'm going to leave a blank for the dosage, but I just wanted to double check with my MT friends. I have listened to it many times, and she is positively saying "30 mg per day." TIA!! ...

This is what it sounds like. "His WBC 11.48, and his 12.4 and 37.0 PT/PTT were normal." It seems like "PT/PTT were normal." Should be a sentence on its own, but then I'm not sure what the 12.4 and 37.0 lab values would be for. Grr... Any help would be greatly appreciated! ...

I am just curious as to what speed setting to most of you keep it on when doing ASR? I try to keep mine between 8 and 9 unless it's an extremely slow dictator. I would like to increase my line count, but I'm afraid if I speed it up too much I might miss something. ...

What do you do when you absolutely cannot understand what the dictator is saying and you work at home on your own. Can you call the dictator? Can you request to review the other medical records because chances are, the dictator is saying the same thing that appear on those records? ...

ESL dictator with very thick accent states: ...for antibiotic management. NOT with antibiotic management. Please learn to transcribe correctly. Although it wasn't me who made the mistake, it was all I could do to not put in the QA note: A female is SHE and male is HE and it is vomit not WOMIT, please learn to dictate correctly. I so wish it was okay to put QA notes to the dictators. ...

This ANP who is dictating can't make up her mind what she wants to say and constantly corrects herself and then keeps yawning, but doesn't stop the recording or even stop speaking while she's yawning. It's annoying me PLUS it's making me sleepy now myself. More coffee, please!!!! ...

Hemostasis was maintained with a bipolar and fublar. Dictator spelled FUBLAR, but pronounced as FIBiLAR, or more accurately, FIB-YOU-LAIR. ...

I know this is petty, but for some reason, it grates on my nerves to hear: blah, blah Period space space. Or Colon space space enter. I mean, please, are we considered that incompentent? but on the other end of the spectrum we have those that don't say any punctuation, which is absolutely fine, but a pause would be nice. It's not necessary to dictate a whole report in one breath. ...

on the phone to correct their grammer? I have this one who always says "chynosis" for cyanosis and "catheterism" for catheterization. It was funny at first, but now very irritating! Thanks for the vent. ...

What is the rule on filling in mg or mcg, etc., if the dictator just says "Lasix 20." (if the account is not verbatim, should this always be filled in by the transcriptionist?) Thanks! ...

Just need to vent about my ESL doc who decided at 11 last night he needed to dictate all of his H&Ps for the week. He's not very good at his best but his yawning is giving me tons of blanks and it drives me crazy not being able to get it, so have to listen 20 times to try to get one extra word, which of course takes much longer than his 5 minutes of dictation should require! Really wish he would pick a weekday to talk since I only do weekends for this hospital! ...

Dictated ... "EGD that allowed chronic GERD, with small total chronic S/L destoration" I have tried to hear chronic ulceration but that is not it. Does anyone else have a clue, please? Thanks in advance! ...

I really don't think any of them know what it means. It's been getting under my skin lately. ...

Mumbly dictator First he clearly dictates a drop-fem test of which I am dumbfounded. As well as on an imaging report post total hip arthroplasty he dictated what sounds like he is stating.." Vasser clause wires are in place from previous surgery" Is there such a thing...have checked all my books, and online to no avail. Any ideas? I think my ears are beginning to tune this guy out, he is awful! Thanks in advance!! ...

Just want to preface this before anything..I am not new at this by any stretch of the imagination, have heard pretty much all of it..I have had this crappy dictator all day..My theory on them is leave the freaking blanks and bypass QA so they will learn to talk like a human being..Most of the time I send things through QA they dont find the blanks anyway...And we know the company will NEVER say yo doc, speak correctly..This is an English speaking doc who just does not enunciate so there is no ex ...

We have to write out as (100,000), so how do I type out platelets 9.2. ...

Got a guy here listening to the conversation of two co-workers in between dictating. What a waste of time this is. Thanks, Bub. ...

then it is insane to expect to transcribe 99.7%. That's all. ...

Do not dictate next to the machine that beeps every 3 seconds drowning out what you say every 3 seconds. ...

This ASR dictator is killing me! - exasperated

Use Ctl F - dnr

Good idea! Thanks! - nm - exasperated

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