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Oh how I want to STRANGLE this dictator... - Is it too much to ask to

Posted: Jan 20, 2015

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 miraculously able to figure out the rest of his jibber jabber so if not for THIS I wouldn't have to pend. Oh, and it's a super long report, too. There goes my QC % for the week. Thanks a lot DOC !!!!

Does anyone else find themselves getting ENRAGED by stupid dictators? It's not even entirely their fault (it's mostly NUANCE's), but I still get so MAD at them ! I'm ashamed to say what I wish would happen to them when they make my job IMPOSSIBLE and also basically make me lose income !

Yes, I know this is the least of the problems of this "career" anymore, but still. UGH!

I feel your pain. Editors are NO help with this stuff either. - Get a load of this creative editing...

[ In Reply To ..]
I sent this to editing (precisely this):

Median, radial, and ulnar _____ are intact. Motor to the upper extremity_____.

Obviously I could not make out blank 1, and blank two was because of an unfinished sentence.

So, ladies and gentlemen, this is the feedback (editing) I got:

Median, radial, ulnar and PIN are intact. Motor to the upper extremity.

No added word, no finished thought, just a period! And someone wants me to "sign off" on this garbage?

The absolute best part? This document went to the client like this still bearing MY initials, not those of the ever-so-helpful editor.

Flippin' ludicrous.

I feel both your pains... - JOttS

[ In Reply To ..]
I'll never forget working in a hospital when the hospital was undergoing remodeling. The doctors were actually dictating with jackhammers going on in the background! Now really don't they have any OTHER place to dictate that's quiet in a hospital for crying out loud!? You'd think, right? My favorite though was when one of my doctor was dictating while he was in the bathroom!!! If he knew that I could hear EVERYTHING going on, I bet he might've thought twice... I think... who knows anymore... LOL. JOS

Proof that they DO NOT CARE ABOUT PATIENTS. - Money is their goal.

[ In Reply To ..]
We can only hope that the clients will see through this charade before long. If I were in charge of finances at the hospital, I would withhold payment for crap like this.

MTs expected to do clinical level reviewing would raise my alarm bells, too! - Scary.

[ In Reply To ..]
Is the whole purpose just to slow me down enough to be fire-able? I'm the one who has been seeing whacked out stuff on reports a lot lately, like, "This is a normal low-voltage fast activity EEG."

and

"...borderline left ventricular hypertrophy" and then going on to say "left heart size normal" in practically the next paragraph.

From doctors I have been transcribing for years. At the rate I am having to Google every single little phrase uttered, I am probably averaging maybe 100 lines per hour. I do not check line counts usually because there has never been an issue, but this? This is really wierd stuff! And it is not just one or two "off the wall" things a doctor might say when he is in a hurry, either. I've been typing these doctors for years and getting good enough audit scores to have hung in there...who are they testing, me or the editors? And why? I have not asked to become a clinical documentation specialist. I'm in no way qualified for that, for heaven's sake! If Nuance has promised this level of proofing, we are all in big trouble! Who can type without second-guessing every phrase uttered? Why would Nuance want to slow us down this much when all they do is harp about line counts? They have definitely upped the game again, at least on me!

Okay, that second example is not a good one, we should all be catching that. - But how about...

[ In Reply To ..]
..."the mitral valve is normal, 3 cusps are seen."

Plus another odd thing or two in that same report, after none of this kind of stuff for years...?

Why?

Transcribe as dictated. It is no longer our job to be catching these errors. - sm

[ In Reply To ..]
Unless there is a discrepancy in the patient's demographics, I send it through.

It's not worth my $10 per hour to find all these doctor's mistakes.

FYI - If a doctor makes an error on a dictation, it is HIS error, even per FIESA standards. There is a "critical dictator error" that QA uses in cases where the doctor made the error.

Use that information to your advantage.

I simply do not have that kind of faith in the newbie QCs, or even - the experienced ones, to do that.

[ In Reply To ..]
I especially don't trust the QAs who can cost me hundreds of dollars with their "corrections."

One of my favorites is when the - name is

[ In Reply To ..]
hyphenated, Dr. Jones-Paperlapbabosalu and the dictator spells Jones, and of course you can't find it under Jones because it's under the part he/she didn't spell! Another personal favorite of mine is when I'm working on an unfamiliar account (which happens to us all the time) and the dictator states send a copy to Dr. Zippy, so I spend valuable time looking for Dr. Zippy, and there isn't one, only to find out it is the doctor's nickname, not even his real first name! Yep, I'll just put Dr. Zippy on the list for you doc, no problem! Idiots!

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