resident dictators - finallyfedup

A new ESL dictating a DS. Can't speed him up because he's too "new" (to this country?). He is spelling every other word!!!!!! AND then spells it again - extubated, e-x-t-u-b-a-t-e-d, extubated e for elephant, x for crosses, t for tom, u for umbrella, b for .......... get the picture (sigh)? On top of that, the report is 28 minutes long!!! Should never have gotten out of bed this morning. LOL I do feel bad for him that he doesn't realize he doesn't have to spell every other ...

Today I will make less than half of what I normally get because all I've gotten today are crappy, hard to understand dictators, both ESL and English-speaking. Seems like all I get lately are the hard to understand, mush-mouth dictators. Guess Nuance doesn't want their MTs making quota. Sorry. I just had to vent. ...

3-day hopsital stay discharge summary. It is 30 minutes long. This going to be fun. ...

Help please:) I work at a residency clinic and was wondering how to sign off a letter if you want to put the resident's initials (the one dictating), the precepting doctor and then your initials. Usually they tell us just to put our initials on a new line, i.e. /mt. For a doctor you would do: DR/mt, but what about the resident? Do you put both sets of initials? Thanks! ...

I have alway been told when in doubt, leave a blank. Resident did not give attending physician's name. There was a doctor's name in the hearder as attending, but I was not sure so I left the attending line blank at the bottom of the report. My boss calls me and tell s me to go on a limb and guess in the future. I do not like those ethics because it leaves me up for problems in the future. Comments welcomed. ...

I've got a resident dictating and is on the PE. "Blood pressure 110/80 and ___________ was 65 and regular." I know that the blank would be heart rate, but the res says something like "balance" or "bowels"....is there a new term or an old one that has escaped me? TIA ...

At the end of his discharge summary, the resident says "thank you very much for your help and your time. I hope you have a nice evening and a nice weekend." Awe. That just made me smile. ...

Really, shouldn't he be more concerned about the content of the report rather than telling me where to put periods and commas and spaces. You know I just never would have figured that one out without him! ...

Hey folks, I recently got put on an ESL, primarily Spanish, account at KeyStrokes. I'm having a very hard time with these dictations. Can anybody give me some tips for better skills understanding this accent? I've been doing ESL dictators of Indian and Asian accents without really any problems at all. However, these Hispanic ones are really giving me problems. Thanks. ...

just with the sound of their voice, can turn your day to yuck? There are 2 docs on one of my accounts who literally make me cringe when I hear their voices. Like nails on a chalkboard or something. I cannot stand listening to them! Unfortunately, they always have very looooong reports. I keep expecting my ears to start bleeding one of these days! ...

Can you imagine getting an ASR report where the dictator says "please put number one please please please put number one, please put number five, please please please put number five.." all the while I am having to edit out all these infernal "pleases" and wonder just what kind of idiot this is. Sheesh! ...

Anyone ever suspect that accounts we do have in-house transcriptionists and they outsource their worst dictators to services? ...

I truly, truly wish these idiots who call themselves physicians had to listen to and transcribe their own dictations. I am so frustrated right now I could just about pull my hair out. Being a greeter at Wal-Mart is looking very enticing right now. ...

About 1/3 of those 100% QA reports were done by ILPs. Total average earnings per hour: a little over 4 $, but I will be paid at my state's minimum wage. Before my in-house hospital job was outsourced to an MTSO that kept the work in the country for 2 years and then sent it to India, I was being paid 19 $ an hour and also had great benefits and PTO. When did this "profession" turn into a minimum wage job ? (actually, half of minimum wage if ...

I have been an MT for over 20 years and have worked at a few different companies. I am currently with DSG, and I just have to say, DSG seems to have the WORST dictators of any company that I have worked for. I work on 5 different accounts for them and it is all the same. Any other DSG'ers out there that are experiencing the same thing? I don't recall being told when I was hired that I would be typing 98% ESL. Beware if you are thinking of working here! ...

I have 6 years of experience and just started a new job doing straight transcription. I'm convinced that I'm getting all of dictators that they can't run through their VR because they are so bad. I'm lucky to make $5.00/hr. Very frustrating. Need to give my notice. Anybody else have this experience? Sorry, I just needed to vent. ...

Wish there was a board doctors could read for complaints. How I hate when they chew in my ear! The absolute worst is this one now who is clearing his throat like a HORSE after every sentence and snuffling all his "thick yellow-to-green secretions" while he dictates! Rude or what? He should have specialized in pathology! ...

One of these days where I'm working but don't really feel much like it. Restless, surfing the net, laughing at the dictators. Had one who rattled off bizarre medical terms while eating, so I had to leave numerous blanks, and then the next one spent a good deal of time trying to explain to the dumb MT how to type "b.i.d." (that's BEE, EYE, DEE - oh, all in little letters - I mean, a little BEE, then a period, a little EYE, then a period, a little DEE, then a perio ...

Would someone from Keystrokes email me as to how bad the ESL docs are? I have been offered a job but told it is mostly ESLs and I don't mind them but if they are really bad dictators, I think I will pass. Thanks! ...

t a l k. it would make my life much easier if you would talk normally and not like you are either a racehorserunninginthekentuckyderby or the tortoise racing the hare and that we d o n o t ...

It really annoys me when some providers wait weeks, or months, to do their dictation, and then all of a sudden they're stats, even though the patient won't be back for weeks or months, or prn. Or the ones who make every progress note a stat, and bump the really important jobs down the line. It just grinds my gears. ...

I work for a hospital that is going to production based pay using editscript and not weighing the doctors. There are some transcriptions who cannot type all work types and can only do easy dictations so they make more than the ones who have the skills and knowledge who do the harder dictations. Any I idea of how I can address this with my supervisor? ...

This really bugs me, and I usually don't mention anything about it, but I am doing a report by a PA, and she is just crunching away while dictating, and can hardly talk while she is eating. She is eating like her life depends upon it, and this is totally rude and obnoxious. I have heard it all though, and there is not 1 MT I have known that hasn't experienced this. They eat, go to the bathroom, have children in the background that they don't try to keep quiet, do ...

How about the company charge extra to the dictators for ESL, drunk sounding dictators, mumblers, eaters, slurpers, burpers, playing games with others while they're supposed to be dictating, what sounds like background Christmas parties, "oh, yeah, go back up to ....and add," speed talkers, dictators that sound like they have hair lips, speech impedements and last, but not least, dictators that cannot pronounce other doctor's names or meds or med terms, but won't spell for you.&nbs ...

I'm new to having to work work for a service. Recently the only work availabe has been the absolutely worst dictator I have ever done in my 25 years transcribing for hundreds of different doctors and specialties. With the platforms being used, can you tell if you are getting previous rejected jobs? There is no way to make more than $1. an hour with this guy. They also have Word programmed to delete one of the spaces between sentences, essentially a keystroke not being paid, as well as a ...

Really aware this morning how much our ability to make money depends on dictators. If you have an account where the majority of dictators are terrible (not ESL), for all the reasons many of us have experienced, it really does not matter how fast we type, how many expansions we have, or how much vast medical knowledge we have worked to obtain. Just made $3.36 in 26 minutes due to an extensive ADT search and a dictator who takes his time reading the medical record while talk ...

Has anyone ever considered coordinating with MT coworkers to refuse doing jobs for horrid dictators? Does anyone think this might motivate the MTSOs to have the backbone to contact the doctor to try to resolve the problem? This could be as simple as having them adjust their mic so that everything they say isn't covered by breath sounds from a mic too close, or learning to use the "PAUSE" command while they review a chart. The only reason they get away with this is because we continue t ...

Just wondering why there are so many doctors/dictators with foreign accents here? Most of mine seem to be from India. My BIL is a doctor and told me years ago that "smart students" aren't going into medicine now because the average salary is "only" about $100,000.00 a year. He said the top students are going into business (MBA degree, etc) in order to make more money. Aren't doctors supposed to go into medicine mainly because they want to help people? Can' ...

resident dictators - finallyfedup

Don't ya just want to reach into the phone and STRANGLE!!! - Olive

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