Getting better…

September 14, 2010

So, after creating a cheat sheet for all 7 of my accounts of the 2 specs that I was constantly having to look up, CC and DOS, I finally have my line count back up over the required 150 lph. You can see it hanging to the left of my monitor…yes, it’s that long white strip of paper…lol….

Hmmm…I really need to clean my desk. =)


Tough Time

September 7, 2010

Work has been kicking my butt lately.  I’ve had 5 new accounts added to my queue the past month and 2 were go-lives the last 2 weeks.  My line count has really suffered, but I do appreciate the opportunity to grow…especially in learning new ESLs.  Hopefully this week will be better.

Time to get at it.

Dr. Who?

March 31, 2010

There is just something amusing about an orthopedic surgeon named Dr. Hacker.  =D

Strive for Perfection

January 23, 2010

This was sent through my work email.  We are required to maintain a 99% accuracy rate, not 99.9%, but these statistics make one think, eh?

If 99.9% is good enough, then…

  • 2 million documents will be lost by the IRS this year.
  • 22,000 checks will be deducted from the wrong bank accounts in the next 60 minutes.
  • 12 babies will be given to the wrong parents each day.
  • 1314 phone calls will be misdirected by telecommunications services every minute.
  • 268,000 defective tires will be shipped this year.
  • 18,322 pieces of mail will be mishandled in the next hour.
  • 291 pacemaker operations will be performed incorrectly this year.
  • 114,500 mismatched pairs of shoes will be shipped this year.
  • 20,000 incorrect drug prescriptions will be written in the next 12 months.
  • 315 entries in the dictionary will be misspelled.

Frustration

January 21, 2010

Being a remote MT means there’s not a lot of help available when you’re struggling.  I have a particular doc that makes me want to tear my hair out.  Thankfully I don’t get him very often, but when I do, it’s always a long H&P (he’s a hospitalist).  He’s Asian and his accent is thick and his English is constantly out of order or doesn’t even make sense….and it’s MY job to make him look good. lol Even voice recognition hasn’t been able to figure him out yet. I have to re-type much of what VR transcribes. I failed 2 reports on him yesterday…97 on one and 94 on the other (I’m supposed to be at 99).  I listened to the errors with the QA corrections right in front of me and on some of them I wonder how in the world they interpret the nonsensical string of syllables I hear into what they’ve transcribed.

Today I emailed my mentor to find out if there was anything I could do to learn to “hear” him better.  She suggested samples. Well, I use samples every time I get him, so that wasn’t a lot of help.  Maybe I wasn’t very clear in my asking for help…I thought maybe there’s a trick to learning these ESLs.  Dunno…but I am determined to find a way to pass his reports.  Think what I’m going to do is listen to a bunch of his old QA’d reports.  Maybe I’ll be able to pick up a pattern on him or something.

Saddest Reports So Far

January 20, 2010

Yesterday and today I had the saddest reports I’ve done so far.   The patient was a young woman, 4 months pregnant, with premature rupture of membranes.   Last night I transcribed her admission H&P, her husband was with her, the baby was still alive, but the prognosis was grim.

Today, I got her delivery note…the baby had died and she was induced.

Sometimes you just can’t help but get a little emotionally involved…even as the transcriptionist.  =(

Adding to my vocabulary…

October 12, 2009

As comes with the job I’m encountering new terminology practically every day.  This week I learned about….

Mallory-Weiss tear - results from prolonged and forceful vomiting, coughing or convulsions.  Typically the mucous membrane at the junction of the esophagus and the stomach develops lacerations which bleed, evident by bright red blood in vomitus, or bloody stools.  It may occur as a result of excessive alcohol ingestion.  This is an acute condition which usually resolves within 10 days without special treatment.   

nadir – the lowest point as, for example, the lowest blood count after chemotherapy, the lowest concentration of a drug in the body, etc. 

angiokeratoma - a skin disease in which telangiectases or warty growths occur in groups, together with epidermal thickening.

lancinating – Characterized by a sensation of cutting, piercing, or stabbing.

tangentiality - a pattern of speech characterized by oblique, digressive, or irrelevant replies to questions; the responses never approach the point of the questions.

aliquotcomprising a known fraction of a whole and constituting a sample.

malingering – to pretend illness, esp. in order to shirk one’s duty, avoid work, etc  (in the case this week it was used in reference to a drug-seeker).

As time goes by…

September 18, 2009

I can’t believe it’s been nearly a month since I posted anything.  I’m still adjusting to working full time…trying to find a routine to keep up around here.

On the MT front this week, I might just make the 150 lph mark.  As of last night I was at 152.  Now if I can just hold it…lol.  No great bonus or anything…just a personal goal.  Would be nice if I can get a few reports from the ophthalmologist with the great macro…40+ lines in 40 seconds…whoohoo!

???

August 22, 2009

Had a doc dictate the following yesterday…

“Physical exam reveals he was pleasantly confused.”

LOL!  I guess that’s better than the alternative! :)

What Exam?

August 21, 2009

VR came up with this gem the other day…

“Her Catholic exam was normal.”

Ha!  So glad to hear it!  lol

(Should have been “metabolic panel was normal.”)


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