I spent about a month in India and they do speak English but sometimes I had a hard time
Posted By: MT on 2005-08-08
In Reply to: of course they speak english, with an accent but they speak British-English quite well. - My exposure is....
understanding the way they pronounced the words so I would ask them to spell it.
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Maybe people in India who can't speak English? nm
..
of course they speak english, with an accent but they speak British-English quite well.
And I can't speak Indian so I guess they have an edge don't they?
At least most of them speak English as a first language, eh.
Except the Francophones/Quebecois. Plus, they're not undercutting us on wages.
Pas DE probleme!
to dictate if you cannot speak English.
Sorry to gripe about this, as I know it comes with this industry, but I just transcribed (ha) a doctor, who sounded like this......
ditdada..ditditdadada..ummm, aaahh, shimaprazole, shinequapam, ditdootoday, patient no feel no good...ditditdazow. I quit.
Most of them can't speak correct English,
much less type it.
Tad immature? - does not speak English.
NM
Blodnee, you speak English, not American....sm
and answer the question....Where did you're predecessors/folks come from...or don'tcha know that either?  Cat
Well it appears we all speak American English...
There are thousands of different dialects of American English....from North to South or East to West. Come on folks, we listen for a living....Please calm your little buns down...."American" is not a dialect....Vernacular is different everywhere. When asked to "cut out the lights" my kids looked at me for an answer to which I replied "turn off the light switch".  Cat
*************************************************
Theodore Roosevelt on Immigrants and being an AMERICAN
"In the first place we should insist that if the immigrant who comes here in good faith becomes an American and assimilates himself to us, he shall be treated on an exact equality with everyone else, for it is an outrage to discriminate against any such man because of creed, or birthplace, or origin. But this is predicated upon the man's becoming in very fact an American, and nothing but an American...There can be no divided allegiance here. Any man who says he is an American, but something else also, isn't an American at all. We have room for but one flag, the American flag, and this excludes the red flag, which symbolizes all wars against liberty and civilization, just as much as it excludes any foreign flag of a nation to which we are hostile...We have room for but one language here, and that is the English language...and we have room for but one sole loyalty and that is a loyalty to the American people."
Theodore Roosevelt 1907
If the dictators could speak proper English and enunciate clearly,
if the supervisors didn't bounce MTs off of QA in less than a week and then gripe at everyone about leaving blanks, if the account specs were clearly delineated, if the pay was worth a darn, if the QA feedback was constructive and consistent, then maybe the MTs would care about quality and loyalty. 
English is common in India, still...
After 3 centuries of British occupation, English is still the primary language for many educated Indians and a second language for many others.
Still, to be fair, English is a very confusing language and I don't blame anyone for misusing prepositions - by, over, etc. I think it's easy to understand how someone would say "by" for the slash when "x" stands for "by" in measurements.
As long as I can understand their English, I don't care how thick their accent is or if they misuse a few words. I get most irritated by the MDs born here who will not open their mouths and speak distinctly, or go 110 mph.
I know a little French and a little Spanish and I confuse some of those terms.
India was once colonized by the English - like Hong Kong. They have been exposed
Probably why India was singled out as a outsourcing mecca, much to my dismay...
Don't speak for all, but it would be hard
to work in a place with people "coming and going" if you are listening to dictation. I wouldn't be doing work in an airport, STarbucks, or whatever.
Time spent...
Think about this....There will always be other jobs in transcription or heck anything else you might find of interest, but the bottom line is...Your kids are growing every second, and the time that you miss with them, you can never get back. So, if it were me, I would choose my time with my son any day.. Good luck to you.
Virtually never. Time spent doing that is time SM
that could be spent typing. Instead of stopping to listen, then typing to catch up, I scan AHEAD of the dictation as I type, looking for upcoming questionable areas.
If you would take the time you have spent here today
and work on building your expander, macros, etc. you could get your line count up faster. Don't know if you have a line per day committment or hourly committment, but if you have lines you can get them finished quicker with a better expander and have more time to play or do whatever. I am NOT a morning person, but I feel so much better when I do make myself get up and then by 9:00 I've made my line committment and I've got the rest of the day to do what I want/need to do and if I need more lines I can work an hour or two after dinner. I almost feel like I have a 3-day weekend because I'm finished so early that on Friday I'm done early, my DH has an early day at work and is home by 10 usually so we have an almost full day to play.
Reassess your situation. What were your reasons for coming home to work? If you didn't have to work at all, would you spend all day sitting in front of the TV watching all that mindless garbage and letting the housework go? Maybe you're burned out or depressed. Maybe you just lack self-discipline as somewhat else suggested and you really need structure.
Just some things to think about. Working at home isn't the fairly tale that most people think it is.
Too much time usually spent working (sm)
Like the saying goes, "How many people at the end of their lives say, "I wish I had spent more time working." NOT - being with those who mean the most to us more important, of course.
Time spent with your mother will be a much better
gift than anything you could buy. I'm sure your mother has every material thing she needs or wants.
If you spent some time working instead of
you might make some of that money that you find so elusive. All you are trying to do is stir up trouble. I dislike AAMT as much as the next person. I am an MT myself first, and MTSO only because I have more work than I can handle myself. I get 14/15 cpl. That's it. I know in your dreams you think MTSOs are making so much more and getting rich. I am telling you it's not true. Maybe Medquist is getting rich, but I'm not and neither are any of the other small MTSOs I know of.
When I tried them, spent much time toggling
x
not all the time is spent in the bathroom..
one has also to eat, wash etc...don't you?
This whole discussion is just ridiculous.
Don't you find something better to do?
It's not hard to reach $4000 a month as
Someone with their own accounts can pull in more money than an MT working for a company or another service. In California, I know of an MTSO who charges 16 cpl and the clients pay that willingly. Where I live, I couldn't get away with charging that much. They just won't pay it here. However, I do have my own service and I bring in $3000-$3500 on average. Some months it's less, some a little more depending on the workload.
Also, when you have your own accounts, you become quite familiar with the doc's dictating styles, can build up a huge library of Expander entries, and create normals or templates for the physicians, which boosts your production rate quite a bit.
I know I make more money with my own accounts than I would working for someone else but trust me, there are plenty of headaches that go along with having your own service, too, so it can be a trade-off at times. There are lots of times I think I'd gladly take a lower line rate to get rid of the headaches!! The only thing that stops me is the flexibility since I can work any hours throughout my day as long as I meet the agreed TAT. Since I have two kids, that's pretty valuable to me!
Hard for me to give up 4K a month because the use tapes.
Thank you -- hard to give up 4 to 5K a month if they want to use tapes. Also I have a lot of write off's that offsets the pick up and delivery, gets me out of the house, dressed and make-up on and pay less taxes.
I spent the entire time after the show trying to vote
/
The clock does play into how much time is spent with patients
The way the CPT codes bill insurance have guidelines for the physicians built into them that give amounts of time spent with the patient (in addition to certain information covered in the ROS/PE), especially in consultations (whether inpatient or out), hospital discharge codes and critical care time (inpatient or out).
Yes, that computer is in fact billing the insurance company because it not only saves not having to pay an MT, it bypasses a billing clerk (eliminating that salary), and if the doctor's office space is paid for by a hospital, that file is sent to the hospital's database where a *scrubber* compares what the MD submits versus coding guidelines. If it is an independent office, the MD can upload all that day's billing before he walks out the door and leave it unattended to update patient accounts and reconcile the days money intake.
In a nut shell, your doctor is no longer just practicing medicine. Your MD is doing the documentation and billing and saving money on two warm bodies.
I understand your concern as I see it more and more in today's medical care, but yes, this is the way things are going. I am fortunate that my MD has been very computer literate for a long time, so the amount of time he spends with his laptop is minimal. Once he enters the info, he kicks his shoes back and we chat and get into a deeper discussion both professionally and personally (we've known each other a long time). Give your MD a chance to play catch up to what he or she is doing with that computer and you should see a more relaxed physician soon.
Good luck.
Cheaper health insurance or time spent with
Why would you want to work until 11:30 at night? You risk driving late nights being exhausted in the a.m. when you are trying to get your children off to school. Why not wait out the nursing school call and continue working at home until then. You will be so busy once you start nursing school that I can't see you having the time or energy to work a full-time job on-site (3-11 p.m.) I'm not so sure why you believe that a secretarial job will prepare you more for nursing school. If you want to prepare for nursing school then why not purchase some anatomy books and get a head start, stay home with the children keeping the typing job. Believe me, you are going to learn way more doing transcription than you will doing secretarial work. JMO. Good luck in whatever you decide. Is there a reason you are trying to get away from your children/husband at nighttime? I feel it is more important to spend time with your children than at some hospital being a secretary especially at night. ??????? 
Should company pay for time spent on a required conference call? (sm)
My company has been having conference calls on one of my accounts in which they request that you attend (they take roll call) to learn new rules, changed rules, updates, etc. on the account. This has turned into a real pain because it takes so much time out of your production that day. They say it will become more "routine" as time goes by because of the volume of the rules, etc.
I was wondering, do any others have had that situation and, if so, have you been compensated for that time?
I should note, I am an employee, not an IC, and am paid by the line.
Thanks!
Working full time at home with small children is hard but part time works great
is almost impossible. You will either have to work when your spouse is home or for only a few hours during the day and then more when they are asleep. I work part time at home and my kids (2&5 now) have done very, very well. They are great kids, very well behaved, don't get into much. I stop working to check on them/give them some attention every hour or so while I work (5 hours each afternoon or so) and they get all my attention in the morning and at night. It has worked out beautifully for us.
Last time I checked, even MTs use the English language and we should have a command
of that language and that includes all the rules and regs taught from gradeschool on up. Now, it's totally up to you if you choose to be an AHDI robot. I acknowledge that a lot of MTSOs use the BOS as their guideline and if you work for those MTSOs, then you are obligated to follow "their" rules if you want your paycheck, but that does not mean that the rule book is correct. Quite simply, it is not. A group of retired MTs got together, had a meeting, and decided to make up a set of rules. Then they had a really fantastic marketing team that set out to market those rules as the end-all, be-all of medical transcription. They definitely found a willing audience for the crap they were peddling and they capitalized on it. I guess that's the American dream -- making a bundle of money of a bunch of suckers willing to pay, no questions asked.
I, however, choose to buck the system. I'm a noncomformist, I guess. I earned my bachelor's in English before I decided to become an MT. I believe it's important to be able to express oneself articulately and intelligently using the written word. I dislike what texting, email, and chat rooms have done to the English language (witness above post "wannbe MT ur opinions..."!!!!!).
Oh well, that's just me. I work for a hospital that could care less about the AHDI and its BOS. In my spare time, I wage my anti-BOS and anti-AHDI campaign in the hopes that MTs will wise up and MTSOs will too.
But, if you don't need a lot of minutes per month it costs BIG TIME.
p
$1,200 month working part-time with National/other. nm
sorry you are having such a hard time...
but I honestly do not know what you mean. may I ask who are you talking about.
at some point, people have to stand up for themselves, that is, in my opinion, what
"this country is based upon." thank heavens some people felt they were worth more than just working for the government, and left to start a new life here.
if you are upset about the postings regarding MT profession disintegrating, then I disagree with you.
we do perform a very important service, one that helps our 'fellow man' every single day, in the over-50 reports we probably transcribe each and every day while people wait to have surgeries or need emergency care.
we are typing those reports to create a legal document with our names attached to them as well.
this is not "pissing and moaning" but active dialogue with the hopes something good can come out of it. sorry you feel that way, and I am sincerely sorry you are being touched by those problems because of a natural disaster...
I have a hard time understanding if this was so
wrong then why wouldn't anyone not even your own husband be on your side? I don't know about this one. Something doesn't sound right. JMO.
I'm having a hard time understanding why you
That doesn't make sense to me. Just because you transcribe a report, that doesn't make you the only person who knows about it or even a significant person in the whole process.
I have a hard time believing your overhead
I think you should consider selling your clients to an American-based company and go back to MT'ing. It doesn't sound like you can handle the pressure of being a business owner. I am an IC that makes 10 cpl and my MTSO owner does not mind at all that she is only making 3 cpl off of my 10 cpl, but she does not have to QA my work or do really much of anything, and she's clearing 3 cpl on my 10. Now, if you have complaining MT's, then you need to be more strict about TAT and QA. They should not require you to QA once they've become familiar with the dictations. Also, you need to find a way to also provide 24-hour turnaround. The problem here is that you are only willing to pay 7-8 cpl. I'm still baffled as to the cost of your overhead? Most physicians supply paper, their own dictation equipment. FTP sites do not cost that much. Lot of eyebrown raising ???'s here, that I don't think you are being forthcoming. JMO. Good luck!
A little hard and time consuming to figure out
If you do 300 lines per hour of 65 characters with spaces, no bolds, no caps, etc.then that would be at an average of ten words per line, 12 courier font - 1 inch margins, and so that would be 3000 words per hour divided by 60 which is only 50 words per minute. Your speed on transcription is different than regular typing as you have to account for stopping, listening, correcting, etc. For reqular typing speed I would double what your transcription speed is. I would tell them what my average transcribed line count is and tell them to figure out how that turns into words per minute.
The hard time was the past thing.
Hi, I have just joined Spheris Hyderabad. Two months for settling down is what they give you and after that it is your regular type-type-type. There are nooooooooo problems with this new Spheris Clarity (R) platform. With this, things are just moving smooooooooothly.
It's hard so that you'll fail the first time and
Tell your employer that the money you give to AAMT/ADHI for the 'privilege' of taking their test is funding the progressive offshoring of the American MT profession. If you've been an MT for nearly 30 years, you don't need a CMT after your name. You were a professional MT long before that bunch of con artists dreamed up that scheme to make themselves rich by making MTs think they were on their side. Now we all know better. Don't fund their offshoring scam!
I must say, I haven't laughed so hard in a long time
The above "Frank" conversation is a classic.. You guys have made my year with this one. Soooooooooooooooooooooooooo FUNNY! You two are in the wrong line of business. Thanks for making my day. I laughed 'til my stomach hurt.
I loved my account with Spheris, but had a hard time
punching in and out. I worked originally for Healthscribe and then they merged with Spheris. Things didn't change for quite a while and then all of a sudden things took a crappy turn for the worse. I ended up with at least 5 accounts that I was in daily. I went from having to punch in and out and being required to work full time hours to stay a full time employee even though I could get my work done in part time hours. I didn't stick around and after 2 years with Healthscribe I left shortly after the merge was starting to take shape. Like I said, the biggest problem was punching in and out. Good luck.
I had a really hard time with a pastor who preached on marriage
when I knew this was not his first marriage. I couldn't stand it. All the things he said applies to us, but what about his first wife? Where does she fit in? Too confusing for me.
Waste of time and hard-earned money
when you can only make may be 1 cpl more if you are a CMT. They should not charge you, they should just let you take the test and send you the certificate.
Wonder if you scrub them too hard. I wear my soft ones for 2 years at a time! nm
s
I disagree, first off, I have a heck of a hard time hiring qualified US MTs
client ready work. Then, when I do hire MTs I constantly run into the problem of how they only want to work part time or can only work 2 hrs on this day, an hour here, or an hour there, or the next problem is consistency. Out of the blue, oops, can't work today, or I lost connection to the Internet yet they're too stupid to go offline instant messenger. One MT owes me money because I was nice enough to help her out (yeah I know my fault) and she screwed me over. Such drama. It's a CONSTANT battle to find good US MTs.
Goes both ways. I have a hard time with tenses when speaking Spanish. :)
s
ROTFLMAO. STOP!!! I haven't laughed this hard for a long time.
Can you imagine 10,000 MQMTs just wanting to show Frank a personal touch? He will be one tired guy.
I meant bought. Hard to type and listen to the music at the same time.
:
I would not; most of the time those type files, although not usually hard medical terms, take lots l
to type and are very difficult as it is hard to hear with background noise, different speakers, usually no macros, etc. I think they are worth more pay, not less. I also get paid by the word at 0.008 and had figured mine to be about 0.09/line as well in the past. stick with where you are.
I pay $35/month through Vonage for unlimited LD. Local phone co. charges $50/month. NM
x
INDIA, INDIA, NEWBIE LOOKING FOR INDIAN-OWNED COMPANY-FORGET AMERICA COMPANIES HIRING NEWBIES!!!!
 Our country sucks when it comes to teamwork. My experience is in hospital transcription and 95% foreign dictators. Most of my dictators are from India and surrounding countries. Give up you all,  India is already way ahead of us!
Used to think we were using India, but now realize India is using us for our med. info, jobs,
:{
If it rains hard, the wind blows hard and there are trees
nearby, it snows heavily it will mess up the signal. The speed is not constant, sometimes as slow as dial-up, but at least still connected. Many companies will not allow satellite.
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