Long-winded dictator

I have an account I work in where the work is mostly the same doctor for the whole shift. Seems lately my hours coincide with Dr. Never-shuts-up!!! It's not uncommon for him to dictate 10 + minutes for gastroenteritis! Yesterday he did an 11 + minute note TWICE on the same patient. What do you all do when all you want to do is SMACK the doctor, lol? ...

We're having some discussion about that. When I worked for Nuance years ago I was told 10 dictations to product a draft, another woman who went through training when they converted to Escription at our present employer says she was told 100 dictations, and another one says 90 hours of dictation. Does anyone know how long it takes before it recognizes a new dictator? ...

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!!!! ...

This doctor says "ah" inbetween just about every other word. So I'm spending all my time in the ASR taking out a bunch of "a's"!!! Wouldn't normally ah vent, but I've ah had her a lot ah today! ...

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. ...

Southern dictator states resection of bowel "s/l ottoman" under surgical history. This isn't how she says abdomen. Not sure what else it could be. TIA! ...

words in her native language (Chinese) and I'm getting a string of her reports (of course)--- and I know it's going to push me over the 10% QC limit. She will dictate like this (and she does it AT LEAST 5-6 times per report: The patient is in atrial eh, eh, eh (insert chinese word here--probably means flutter but it sounds something like "me-ah-plee." I think she just can't think of the English word so she says it in Chinese, always preceeded by "eh, eh, eh." &nb ...

spell the name of a doctor whose name is something like "Dr. Lhaksuduaramamaan" - He just says it real fast and thinks whoever is transcribing the report will just automatically know how to spell that!!! Not to mention he has a Chinese accent --THAT doesn't help either. So he can't go ahead and maybe spell that out? To top it off, he says this name 3 different times in the report, making me have to leave THREE blanks, which I now have to pend? I was miracu ...

Why aren't the dictators audited and scored for their poor dictation? We can take points off for background noise, use of speaker phone, use of cell phone, static, chewing, yawning, side conversations, changing their mind, not pronouncing numbers correctly and so on. Quite a few dictators would be on Performance Management CONSTANTLY and then would no longer be allowed to dictate until they straightened up and did it right. One could only wish! ...

Long-winded dictator - Mollie

personally, no - SM

Just saw - your other msg SM

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