I actually have a couple ESLs who say "thank you for transcribing this report"
Posted By: !!! on 2006-06-21
In Reply to: One time I had a doc - KB
^^
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do you realize it is for transcribing very difficult ESLs??????
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Transcribing Report Of Family Member
I am wondering what the proper protocol would be if I ever came across a report that was dictated on one of my family members.
I just started doing transcription for a hospital in a really small town--the ONLY hospital in that town--and it just happens to be the same town were most of my family lives. I know myself well enough to know that I won't break any rules of confidentiality. However, is there anything in the *laws of transcription* that say I legally am not allowed to transcribe reports dictated on relatives??
I am afraid to ask my supervisor this question, as I really like this account and don't want her taking me off of it. It's chopped full of *standards* and the line count/pay just doesn't get any better than this.
transcribing report on family member
When I worked at a hospital, I asked my boss, the director of medical records, if I was allowed to transcribe a report on a family member, and she said "yes".
A very humble "thank you" :)
a little kindness goes so very far 
Just smile and say "thank you"
If you would like a "thank you" send one to them
I have always sent a thank you even if they don't go with my service. I have also taken in cookies along with a note. That is just me and it has gotten me accounts that treat me the same -- with mututal respect and appreciation. I never treat my accounts so cold as only "providing a service" and that is what I have emphasized in my brochures, flyers, etc Must be doing something right as they have come to me and stayed with me from 5 to 20 years. Have not had to go out and get a new account for the past 6 years. They have also stuck by me through a horrible divorce, illness and getting behind and not treated me as "just a service" that can be replaced. So I say, yes -- treat them as you would like them to treat you.
Do you ever get the ones that say, "Thank you, operator". (sm)
I always picture Lily Tomlin with the "one ringy-dingy" with the earphones plugged in.
That should say, "Thank you, dear; however,"
s
I have one that not only says "Thank you" but then he says "have a nice day."
He may be difficult to understand at times, but the fact that he says those little words, makes a difference.
You can "thank" the offshore competition...sm
Like it or not.... it's driving the prices down in our industry. We have customers now demanding price reductions as contracts come up for renewal and tell us that if we don't meet their new pricing they'll send the work offshores and pay 4 cpl for transcription, 1.5 cpl for editing work.
More and more clients are willing to take the risk of sending work out of the country for the cheap labor and getting the work done 24 hours a day, 7 days a week. The overseas companies truly work 24/7/365 and their English skills have improved dramatically.
Gone are the days of high line rates for everyone. Stinks, I know.
I have 2 middle age couple friends. One couple became pregnant from condom failure.
This is not just "irresponsible" behavior! Both couples are "fixed" now, because for them, reliable birth control was NOT. But it's an error to assume this stuff happens to people who are unmarried or irresponsible. Both these couples are raising 2nd families, now, but it wasn't "irresponsibility" that did them in!
We went to a wedding and received our "thank you" a year later! so there is hope.
x
Silly question, I know, but do you have "Thank you" at the bottom of your invoice?
Seriously, I am making up an invoice template and need to know if most people put "Thank you" on the bottom of their invoices. I cannot find any on the ones that I have recieved from other companies, but then again, I only have a few.
Thanks~
You do not need the 1099. You just need to report the income. Report the company/person ...sm
to the IRS for not sending out the 1099.
I charge the same amount for a "normal" report as for any other report.
You still have to listen to the dictation and change anything that's different. I had one woman try to pull this on me. She'd dictate, "Just pull up my normal, but change this, change that, switch that around, move that, add this, delete that, and change the other." Then she'd only want to pay me what equated to $.03 per line. She wanted 1:1 on her dictation to transcription ratios. I told her to take her cheap account down the road because I'm worth more than that.
Oh, a report just came in. A report actually just slid in, can you believe it. Hip Hip Hooray. I
had better get that sucker typed before it gets out of ONE MINUTE TAT.
If you are careful with putting the correct report in the correct report shell and patient, you will
not have any problems. I only take away this option when someone is careless. There can be NO room for error on this. One mistake can be very serious. Many do it well though, so just double check and you will be fine.
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.
ESLs
Yeah she made the comment let his own people figure out what he is saying. She said this out of fustration. I for one know how fustrating it is when you are struggling to understand what a dictator is saying. You just get so fustrated. It is our job to transcribe no matter if it is an ESL or American, that is true. That doesn't mean we can't get fustrated when we have to struggle to transcribe what they say.
Also I think she meant the MTs in India are the ones doing it for 3-4 cpl. That's why alot of outsourcing goes over there because they work much cheaper. I guess what I am trying to say is I understand your point. It is our job. But I understand hers too. It is very fustrating. :)
ESLs
You know that is a great way to look at it. I hope I gain something for all the struggle I have to go through to understand them. At least I will have gained some experience.
Not only the ESLs
We're being awful hard on ESLs, and alot of the defense for them is they are no worse (or possibly better) than poor-speaking English speakers. The bottom line is that if you are speaking for other people, you should speak clearly, regardless of where you are from.
ESLs
I have had a real difficult time with some ESLs too. But I was on an account where basically I could do them or not work. So I pretty much had to just do it. It got a little better the more I would hear the accents. And I mean a little. Do they provide you with samples for these ESLs? That often helps alot. Good luck!
ESLs
I totally agree with you. It is just as important to know how to speak it as write it if not more so in medicine. There is no excuse. It doesn't matter what nationality -- Latino, Indian, European, or Asian. It makes no difference. They should learn the language fluently to practice medicine. An accent is one thing. But just flat out not being able to communicate clearly. There is no excuse. And no you don't see ESL lawyers. At least I haven't. I am sure you will get some posts telling you you are racist or a bigot. But it won't be from me. And by no means do I have a problem with ESLs who are fluent speaking in English.
ESLs
I have one who says "please use inverted commas," which means (to you and me) quotation marks.
ESLs
I have also heard them refer to blood pressure as 120 by 80 for example. I don't know.
ESLs
You know you are just preaching to the choir. So what if they say 120 by 80. You are a professional. You should know what to put down. If you want to gripe about something, make it something that matters.
If ESLs want our $, should be able to
x
A lot of ESLs
I was told that they have a lot of ESLs so if you are ok with them you will probably like them.
You said VR does not get ESLs
but the platform I work on does them better probably than I could. I am totally amazed it can but it does.
ESLs
Well, fortunately for me, ESLs were my specialty because of my strong background in foreign languages, so I loved them when I was working. BUT I've known many excellent MTs, including my own sister, who had an extremely hard time with them and would literally weep, wail and gnash their teeth! And you're right, on some accounts, the great majority of dictators are (or were) ESLs. Why, I don't know. I retired at about the time when everything was starting to be sent offshore, a few years ago. I'm glad I was able to retire before our whole profession had gone down the tubes.
ESLs
Well, fortunately for me, ESLs were my specialty because of my strong background in foreign languages, so I loved them when I was working. BUT I've known many excellent MTs, including my own sister, who had an extremely hard time with them and would literally weep, wail and gnash their teeth! And you're right, on some accounts, the great majority of dictators are (or were) ESLs. Why, I don't know. I retired at about the time when everything was starting to be sent offshore, a few years ago. I'm glad I was able to retire before our whole profession had gone down the tubes.
Probably best for ESLs.
Or really anybody who can type better than they can dictate.
My PCP has a point-and-click system and during my visits the PCP spends most of the time typing comments into the space provided. I have a feeling that a lot of providers may quickly grow weary/frustrated with the constant typing/spelling/grammar when they should be seeing patients. I'd hate to see what their medical records look like.
ESLs
I have had my share of hard ESL doctors, but by far the worst dictators are English and just go too darn fast or speak sloppy.
But ALL ESLs ALL the time? Please say it isn't so!
xx
It is your job to learn the ESLs and if you can't/won't then you need to
find a new job because you are in the wrong one.
I am very good at ESLs, but if I see an ad
that says lots of ESLs I bypass it. Most companies have at least a few, but I figure if they post ESLs they must have a bunch or some really hard ones. There isn't enough $$ to it for me to do it every day, unless I had just a couple of the same ones all the time and then could learn them.
I have done ESLs I worked for SS before
Look I understand the difficulty with ESLs but for 6 months I never heard a word about my work or quality of, so just to fire me was not fair...because I am sure everyone has had a bad doctor or a bad day.. I am not starting any flame throwing but I'm sure every MT has had a doctor and said "What did he say, is that English????" The doctors should learn how to dictate and I am sure that someone with experience could have handled it... I could not ... I asked for help no one responded because it was late at night, I'm I looking to cry on anyones shoulder, I am just stating the fact that we are a profession of experienced and newbies, everyone deserves a chance and should not be thrown away like your nothing
ESLs are hard enough for exp MTs...sm
I was wondering if you had a QA department to rely on (tell them you are sending a report with blanks and ask them to send it back to you when corrected), or if you had a leader you could have told that the ESL was just too hard, and you needed some help. I think, and hope, that QA would not mind helping in this kind of situation.
When I have a troublesome doc, I do my best to finish the report leaving blanks throughout, then I go back through the report and fill in what I can, and then send to QA or supervisor. Unfortunately, the last 2 nationals I have worked for did not look kindly on that, and one national ignored my request and never sent it back for me to learn from. (I've been transcribing for 24 years, and getting the corrected report back and being able to relisten is great way to learn, I think).
I really feel for you, and we're not garbage (new or old). Most of us have been there, done that, so please don't let this keep you down. Keep applying; you will find a job where they will support you.
I hate to recommend a national that I left because I felt so taken and the work dwindled down to nothing, but I have heard Medquist accepts new MTs. Don't work for free, but you may have to work for a reduced rate, I'm not sure. Keep your chin up fellow MT, you will find your place!
I don't think 25% ESLs is an overload and most are
fairly easy. So far, Transtech has been a great place to work, great people, plenty of work, and easy to maintain a consistent line count.
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