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I actually always keep it at the halfway mark or slower. Only way I can hear the ESLs and fast

Posted By: MQDocQ on 2005-08-04
In Reply to: DocQScribe Playback Speed - Taking a poll

dictators!!


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  • DocQScribe Playback Speed - Taking a poll
    • I actually always keep it at the halfway mark or slower. Only way I can hear the ESLs and fast - MQDocQ

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How long did it take you to get fast with your ESLs and learn them well. nm
:
When I first started, I used to hear ESLs
xx
Prob is then you may get all fast fast fast talkers...not a fair way nm
x
a lot of them leave prison and go to halfway

Was he up on state or federal charges, because they are different.   When my ex got out he had to go to a halfway house first for 6 months and was under house arrest for 2 years and parole for 5.  Parole is very serious too.  Good luck on this.


do you get slower as the day wears on?
xx
Yes, very easy to get slower. SM
I have to take a good break. I also have to re-psych myself up. Hahaha

If I don't break and if I don't re-examine what I need to finish for the day and plan it, I won't get it done.
We're halfway there, buying our own equipment, etc. nm
;(
I just bought it, I assume it will be slower but (sm)
I will probably be having carpal tunnel surgery in a month or two, and I figure it's better than not working at all (hopefully).
Same question asked halfway down the page, check it out NM
a
Check out the Company board, halfway down the page. nm
x
As I was saying, I'd be slower on clinic work because docs
Docs doing OP notes have done procedures thousands of times and they fly.
It's making me go grrrrrrr. System slower than COLD TAR
this morning.  
depends how fast the MT is......No one would want to pay me by the hour because I'm fast.
nm
how fast you can type, has little to do with how fast you can transcribe
Let's face it, we can only type as fast as the doctors dictate... worse, we can only type as fast as we can *understand* the doctors.  Given someone who slurs or has a heavy accent, someone who clears his throat constantly or shuffles through the paper, given an unfamiliar account or work type, or an area we don't have much experience in and have to look up words, etc., any and all of these things combine to make typing speed not really relative at all.  I personally type 110, but not when I'm transcribing.  I tell most folks who ask, if you type 65-75 wpm, you're solidly in the ballpark for doing medical transcription.
This is a big question mark for me also.
I have SBC Unlimited currently & know they have been notorious for dumping their unlimited plans. There again, some of the girls on the boards have been, others haven't been. I'm afraid to risk it at this point. I'm getting ready to try Vonage VOIP - Small Business Unlimited Plan & can only hope it works out. It's going to cost me more, but I'm hoping that the increase in cost will offset my fear of being dumped from their service, out of work & with an astronical phone bill for the minutes over what was allowed. I'm petrified at this point. I haven't found anything that says it limits your usage to 5,000, but who knows what is in the fine print that I'm missing somewhere! I'm still digging & think I may try to call them. I also read in all my insundry print-outs, that some DSL carriers will block the ports needed for VOIP. Guess who my DSL carrier is - SBC !! I have no idea what is going to happen. I may end up retiring & end up going on welfare! If I find out anything further, I'll let you know.
water mark
try rubbing cigar ash into the watermark
everything has a check mark next to it
Everything SEEMS to be checked that needs to be checked, but still no address bar 
Bad Mark Forstein
Mark Forstein seems like a very nice guy, but don't expect him to do anything on paper. He likes working on hand shakes so he can switch the deal on you later. He lives in Fort Lauderdale,FL now, and after retiring from Medquist, he tried investing in a Medical Billing Company called R-Solutions, but later took it over after the "brains" revealed that he didn't have the money he made Mark believe he had. After Mark took it over, he basically ran it to the ground. When he took over, it started a slow decline, then his wife took over, at it went out of business within 3 months. Meanwhile, he tried ripping people in debt off by starting a company called Nationwide Consumer Credit. This very shady non-profit business promised to help people out of debt, but the only thing they cared about was taking thier deposit. Rest assured they weren't trying to help people in debt. He set up a parent company called Landmark Credit Services to take the profit. BAD MARK FORSTEIN!!
I'm not sure who Mark Valenti is...
and why I would trust what he is putting on his website. It seems like capitalist propaganda to me.

Thanks for the link, but I think I will rely on my own research tools :o)
half year mark
My small MTSO is at 22,500 and my part-time job in a clinic is $6200.  So should do well this year. 
ER died with Mark Green - Not the

him, Carol and Doug.  One thing that got to me though, why didn't Carol and Doug show up for his funeral????  The newer episodes just don't have the same uumph - I stick to the reruns on TNT. 


Your comments turn my stomach! You are so off the mark! nm
x
She is single but has a significant other named “Mark.”

Again, quote mark problem in macro

Same problem as before with a macro that I posted, only one quote mark where there should be two:


In the macro where you see:  cset:=("=)


there needs to be a quote mark on the other side of the equal sign:  =


Selection.MoveEndUntil(cset:=("=), Count:=wdForward)  should be: (substitute the quotemark for the word quotemark)


Selection.MoveEndUntil(cset:=(quotemark=quotemark), Count:=wdForward)


This quote mark needs to be inserted on both sides of the cset=("=) which is in the code twice.  If this instruction doesn't make sense to you, please e-mail me and I will send you the macro.


Hope this helps.






Water here, too. I fill water bottles halfway and freeze them
so I have ice water for the entire day.  It's easier than trying to cram ice cubes down the little mouths of the bottles.  I confess to having coffee, Earl Grey tea and a cola today because I'm too tired from the idiots who were rodding their cars around in front of the house from midnight until 3:00 a.m. last night.  Oh, well.  At least I'm off today.
Maybe "disappointed" would be closer to the mark than "deeply saddened" over SM
something that is a nice gesture at Christmas. Why would you be "deeply saddened" over this?
Similar problem-rubbing alcohol mark..nm/TIA!

How do you get a water ring mark off a wooden table, nm
z
So agree - miss Doug and Mark and Carol. nm
.
In general business're running slower than usual but running. NM
nm
it's not my fault, the darn quote mark just doesn't post for some reason.
Okay, for some reason, the first quote at the front of qldc does not show up, but in the line autocorrect.entries.add name:=qldc" there needs to be a quote mark around each side of "qldc", not just at the end.

If you want to use this macro -- and find it won't work and are confused my instructions, please write me and I will e-mail the macro to you.

I really don't like the idea of people having to spend their meager pittance of a salary on expensive software to do such a simple thing.

Got floor model of chair that was perfect fit. Final mark down was $40. Went got home saw original
:P
Brain dead today - or is it hear hear? I'm going to bed.
nm
Marry me?! :) Seriously...hear, hear. Good post. - nm
xx
Not to change the subject.. but in Medical Phrase Index, debride doesn't have an accent mark. nm
.
If they don't show up on play control, click on options, put a check mark by advanced controls fo
x
Hear, hear! I agree with Dakota - sm
The MTSO should be giving feedback to the hospital/doctors who slur, speak too rapidly, etc. They need to pull up their socks! And there's no reason why these doctors shouldn't be given an outline of what is expected from them when they dictate, such as cell phones, chewing food, candy, gum, etc.
check mark by advanced controls, WAVE and MIDI controls come up --nm
x
I would rather do some ESLs that some of the
sloppy southern drawls that you cannot ever understand. Wish those people would learn that not everyone is in love with a southerner.
ESLs
What is an ESL ..... and I agree with you completely about the time spent on GRAMMAR!!!!

They can take the smallest so-called "errors" and put a black check by your name. We are medical transcriptionists, NOT English teaches.

Any GOOD MT has equally good grammar. Plus there should be less emphasis on grammar and more emphasis on the medical terminology. Do you REALLY think the doctor cares if a comma was put in or left out? NOT !!!!

I wasted a lot of time agonizing over GRAMMAR when I could have been getting in more lines and doing what is best for the patient .... accurate medical terminology.
Bad ESLs

Wouldn't it make sense for companies with bad ESLs, to hire US MTs who speak the dictator's mother language to do the transcription? 


ESLs
If it makes you feel any better, I once worked part-time for a doctor in his office. I wanted to get back into a hospital setting so I gave him my notice. He couldn't understand what I loved about being an MT. He said, "At least I have the benefit of reading their lips." AND I was once transcribing for this absolutely miserable ESL one day, pretty much the way you described, and waiting for him to hang up. Instead he was chatting with someone when I heard "I don't know how they do it, but I give them a lot of credit." I had to rewind to make sure he was talking about transcription and he was. Not all of them are that sweet. I once had to show an English book and the BOS to an extremely arrogant ESL oncologist. I hope you had a little chuckle here and feel better!
ESls
That's why AAMT is no longer a valid entity for us. The standards have been lowered to accommodate the ESLS because they can't make a decent sentence and don't know how to convey what they did or did not do to the patient. How the hell are we supposed to read their minds???? Those who can speak English and demand verbatim get what they deserve. Just the other day, the doc gave a female who had a vasectomy. He was a verbatim ESL and he got exactly what he dictated. When enough of them get sued or reprimanded, maybe standards will return, but I have no doubt in my mind that ESLs have lowered the standards at the hospitals and that's why we no longer change the dictation to make it sound like they at least passed English class. When I started it was not verbatim. We edited to change context and not content. Hospitals should make it clear they either speak clearly, or write clearly, and failing both of those, they should hire a PA or someone who can dictate like it should be, and some of the PA's aren't much better.
ESLs sm
Once they know you're good at it, expect them to send you nothing but!
ESLs
Hey, we all were horrible at ESLs (and I have to be honest that I often still struggle myself), so don't feel bad about that is how it goes. :) Good luck to you.
Had it up to here with ESLs....
I used to be one of those conscientious MTs who went back and re-listened sometimes 2 and 3 times, because I hate to send blanks to QA. After this morning, NO MORE !!!! This particular ESL doesn't even say the complete word, only the first syllable which is mumbled and scrunched into the first syllable of the next word. From this moment on, I go through it once, proof it and off it goes. If it's shot full of holes, then so be it!!! I'm telling ya, Wal-Mart is looking better and better. UGH !!!!!
What about ESLs
who dictate 1, 2, 3, 4, 8, 10, etc.? These people are prescribing medications and they can't even COUNT in English? I can see messing up and missing a number, but totally messing up like that? On more than one report?
If only the ESLs would be more
organized, be briefer, and pay attention and use normal phrasing instead of these long, awkward sentences they put together. They are strangely worded whether they are routine or made up on the fly. If only they would notice which phrases we can't understand and study the non-ELS dictators' short reports. If they could keep their reports short, we could knock them out much faster and be done with them.
ESLs
Speed up the dictation and listen carefully..then repeat by slowing down the speed. Think in terms of how the ESLs would transpose certain leters. What nationality is the dictactor? Example: S might actually be a T. Hope this helps. Good luck!
ESLs
I can totally relate.  I get SO fustrated with some of these ESL dictators because like you say they cannot speak decent English.  And yes I wonder how do they understand their patients?  If they can't speak English properly can they just understand it when spoken to them?  I cannot believe they actually have MDs either.  I swear sometimes I sit and just curse when trying to figure out what they are saying.  I am glad I am not the only one.  I just feel like saying if you can't even speak where I can understand what you are saying then you don't need to be a doctor.  I know being a doctor entails much more than speaking properly but geez they are terrible. 
I do a lot of ESLs too and I can actually take

an Asian with a very thick accent and do him without any blanks at all, but then I get the fast talking, slurring, nonenunciating American born doc and I have problems.  Even if I had a copy of his physical exam that he says the same every time I still would not be able to hear it because it is so slurred.


I recently started a new account and I have doctors with 13 or more letters in their last name and I just take a deep breath and prepare to have a difficult report, but they have no accent at all and then I get a Dr. John Smith and his accent is so strong that I have a headache and am cross-eyed when I get through his dictation. 


Like it or not the ESLs are here to stay and you can learn to do them or you will find your options limited, especially if you do acute care.