Whisperers. Ugh. I can do any accent thanks to growing up (sm)
Posted By: Deb on 2009-06-24
In Reply to: Do hospitals and MTSOs not care that - wannie
with my mom who had a cleft palate AND a very strong Brooklyn accent! But why do they whisper? Like they are embarrassed someone might hear how badly they dictate? And why can't ESL's at least TRY to improve their speech pattern? Like the poster below who had the dictator making everything plural except when it really was plural, then suddenly it is singular. I mean come ON.
Good venting post Wannie.
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No accent up heeyah. You Southnahs got the accent. :)
Nevah got how them Southnahs can't say go pahk the cah.
If you ah comin' tah Maine, you best be bringing an umbrullah. Been rainin' like ah son of ah gun and ain't no signs ah stoppin'. Even them birds have taken tah hidin'', 'cept them there ducks out in tha front yaahd.
Least we ain't gotta shovel it.
And remembah, if you don't like the weathah in Maine, wait a minute, it'll change.
Enjoy your vacation and welcome back. :)
I had a very very mean dad growing up,
by the laws today he'd have been in jail for abuse. Outside the home, people knew he was a rough guy, but he was a good guy, always helping people with their cars, not normally losing his temper, etc. As he aged, he mellowed. My oldest son know what an SOB grandpa could be. My youngest son (10 years difference) NEVER understood or believed when we all said how mean grandpa could be. Grandpa and my youngest son were best buddies. My dad passed away almost 5 years ago and it hurt really bad. He and I had become so close after he got over the mean stage and we spent a lot of time together. I was the one he counted on when he was ill to take him to the doctors or hospital, and he knew I'd do ABSOLUTELY anything for him. I even talked with him about salvation before he died, as I really wasn't sure and wanted to know for a fact that even though he was a good guy, that he was saved and going to Heaven. That was really important for me to be able to deal with his death. So, when he died, I did lose a friend as well as a father and my children their friend as well as grandpa. Life is short, life is tough, but God is good.
This is part of growing up
I believe they have to start making their own decisions at some point in their life and living with the consequences. Same as we all do. I'm not saying he will regret it or not regret it, one way or the other, but either way, it should be his decision. Take it easy, Mom. 
Growing Companies
Well I know of one company that I worked for an never paid. How do they get more business? Well they can undercut everyone else on the playing field because they get newbie MTs to do the work for free. They charge the doctors less per line and make nearly 100% profit. It is a win/win situation for the company. I do not believe doctors check these boards and look for negative feedback. They just go to the company who offers them the best deal, but that is just my thought on the subject . . .
Not dying, just growing!
First of all, HIPAA does not require EMR for all records by 2009. If that were the case, you would have known about it several years ago, because most physicians do not use EMR and have no plans to use EMR at this point. Most HOSPITALS don't use them, either. Even if they wanted to, there aren't that many viable products they could use!
He may be thinking of other HIPAA requirements which have affected his practice and which he doesn't like. HIPAA did require some privacy and security things which he no doubt found irritating. He now has a need to transmit his claims electronically, which probably annoys him.
I would guess that the concept of paying an MT annoys him, too, so he took it out on you by terrorizing you during your recent visit.
Second, nothing about an EMR means you can't dictate and transcribe.
If you're currently doing only small-office dictation, you might want to expand your capabilities so that you can do hospital acute care. I think that job prospects have been better there since internet-based voice file transfers became possible. There are a lot of jobs available with national services and even with large employers who will let you work from home.
The same way you do any accent. Do
the best you can and go through the entire report, leaving blanks as necessary. Then go back and listen to the report again. I'm sure you'll get some blanks. Also listen for what you think the blank might be. Don't guess, but have your mind set that you know that if they are dictating CBC that your choices are limited in what the options are so listen for those.
This always works for me. I still may have a blank left, but I usually get most of them filled in by doing the above.
accent
I would have to agree with the Asian accent being the most difficult.
not an accent, but
many times it's the "English-speaking" docs who are even worse to try to understand!
Not really an accent but (SM)
My very least favorites are the ones who 'swallow' a few syllables at the beginning and/or end of their sentences. It makes it nearly impossible to decipher what they might be saying and just really an annoying habit on the dictator's part.
I'll take an ESL over a 'gulper' any time.
Yes, and also what did HE do about the growing threat of islamofascism?
x
Hiring because they are growing, have some hard
left (with the company's blessing). Now they are much stronger and better and in my experience, the most professional company I have dealt with in 10 years.
No extensions..he's been growing out his hair
I've seen other pictures of him on some of his Unicef trips and he's been growing it out. I just wanna get my fingers in there...looks so silky and smooth.
Oh, your poor baby! I had one of those growing up
even with a DOCTOR performing the excision. I can't even imagine -- nor do I want to -- what your poor little guy went through. I'd tie your ex down and burn the soles of his feet to let him see how he likes it! Grr!
Okay, on a less violent note, I agree that your ex had no business taking this into his own hands. I would definitely get something in writing legally saying he can't do anything like this in the future. That's just horrific to me. I can't believe he actually thought this was a good idea!
I've had some experience over the years with plantar warts and will tell you that sometimes they even disappear on their own (my son and I both had a couple after a vacation that just went away on their own). The doctor only treated that one of mine because it had gotten too deep and was hurting when I walked. Otherwise, he would've used treatments, probably similar to what you're doing, and just monitored. I recommend getting something in writing because plantar warts usually will recur (not always) and your son may get another later after these are cleared. I'd be darn sure you have some kind of recourse if the "genius" tries this again.
I realize he thought he was doing a "good" thing for his son, but in any other circumstance, that would be considered abuse! Yikes! I hope your little guy is feeling better and that his foot heals up soon.
No way. It's a huge wave that's just going to keep growing
s
the reason it is the fastest growing sm
industry is because of the schools out there selling MT training! The schools don't know what they are doing, they are just ripping prospective MTs off.
This profession will NEVER be something that can be learned totally in a classroom setting. If you go to school then you have to be willing to work in a facility for several years. you ahve to be willing to learn to transcribe any and everything and the worst of the worst before you EVER EVER go home to work especially on a production basis.
I don't care who it ticks off but at least it can't be said I didn't tell you the way it was.
The poster "hot pink" is telling it EXACTLY how it is but she words it better than I do. Im sorry for the folks who are losing their jobs (especially the MQ folks) to VR and India etc. But I think alot of the MQ employees used MQ as their very first job and didn't get the experience they really need. MQ should have been after you have worked for several years in a facility. With the training in every kind of work type and every foreign accent, etc. etc you wouldn't have a hard time finding a job now. They are still out there.
ooh, I know him....got a So African accent?
I don't think it's the accent that is the problem...SM
I think it's the way Indians interchange Vs and Ws. For example, I have heard Indian docs say, "The patient has had chills and Womiting." Many Asians replace Rs where Ls should be. For example, "The patient had a biRateral beRow the knee amputation instead of biLateral beLow.
Some people may consider that just part of the accent. Even so, years ago, one of my favorite dictators was an Indian. He tried very hard to articulate and not mumble. Once you trained yourself that W was a V and "wise-wersa" he was a breeze. I had to toss that in there because he always said it.
For me, it's not any particular accent, it's the speed of
the dictator's talking. Accent or no, when they blast through their report like their pants are on fire, what they get in return for their sloppy dictating habits is a 'swiss cheeze' report full of holes.
I just don't get it sometimes - if teh reports are medicolegal documents, and are important enough to dictate and put in the patient's medical record, I think theyre important enough to dictate more carefully.
My other pet peeve is letters. Most of the time, I find it difficult distinguishing between F and S, B and P, C and D, etc. I think they should come up with some kind of a code when they're going to be dictating letters, such as, instead of saying 'CPT', they could say, 'code cat-pig-tiger'. Or something to that effect. It would save an untold amount of time backing up, relistening, and ultimately leaving blanks in what could have easily been a complete, accurate medical report.
I think so (Alabama doc with accent!)
I have to admit I'm flipping here a bit. My son took my headphones to school somehow and I'm having to do this without headphones! Thank you so much!
Wow! You and I have a lot in common! Growing up in HI and having a Japanese grandmother who
practically raised me, I learned soo much on how to cook oriental and my "American" family loves it!
I can teach you all kinds of tricks - though you sound like you know most of them. Fried rice and fried noodles are super easy.
For anyone interested: Just boil 3-4 Ramen noodles for about 6-7 minutes. While that is cooking, combine 9-5-1
9 T of soy sauce
5 T sugar
1 teaspoon of fresh garlic
Mix all together. Mix may have too much sugar, in which case add more soy sauce or use less sugar.
Then add strained noodles to frying pan and the sauce - after stir frying for about 5 min. add frozen mixed veggies. You can also add a cooked meat such as chicken too! Family's fav.
Fried rice is super easy too. Cook 3-4 cups of white rice or brown rice. Let it sit overnight. When you are ready to fry them for lunch or dinner, use 2 T oil, 2-3 eggs scrambled and then cold rice - to this add approximately 5-6 T of soy sauce, cook, and then add frozen mixed veggies and fry for about 10 min.
I can make home-made sushi WITHOUT the raw fish and we love that. I can also make homemade beef broccoli.
I have tons of super easy oriental recipes. Cheaper too!
Neat sharing recipes like this...
We only have one go around in this life, don't spend it growing roots
x
The service area is limited, though growing.
I don't know if they are talking about WiFi or an Air Card. WiFi connectivity is cheap, but unless you live in a large city you'll find limited access. An Air Card (called different names depending on the company selling them) I then they start at about $249.00 and the fees are pretty hefty. Not sure how good it works though I've heard people who loved theirs and they traveled a lot and said they never were unable to get a signal.
It's the "fastest growing" industry in the THIRD WORLD,
And a low-paying one, at that, with few to no benefits.
Fast growing does not mean high paying nm
I have noticed the southern accent. I like it. Don't like BO though. LOL. nm
.
I wanted to put the accent on the end in coude .. sm
Can anyone tell me how to do that? Thanks.
Vietnamese accent the worst.
There is one Vietnamese doc who not only dictates like greased lightning, he also stutters, stammers, and changes his mind. I think he may have a bit of a lisp also. This is in addition to the problems that Asians have with Rs and Ls. This doc gives me an ocular migraine almost every time.
Spanish and Middle Eastern accents are a piece of cake compared to this guy.
An accent trick that helps me...
After spending way too long trying to figure out an allergy one night that was pronounced as s/l fee-oh-REE-nul and which turned out to be Fiorinal, I started double-checking and realized that East Asian (India, Pakistan, etc.) and Arabic language dictators will often incorrectly accent the 3rd syllable if the word happens to naturally be accented on the 2nd syllable.
So when I have a problem with a word that's accented on the 3rd syllable, I'll re-emphasize it in my head, changing to hitting it hard on the 2nd, and that will often help. Or just playing around with emphasizing different syllables from how they're doing it. Now if I could only find a way to mentally blank out the 'trilling' (arrgh).
I know the lady had a southern accent. nm
0
A lot of girls growing up with privilege like she had turned skank.
If your definition of skank is a female who is openly promiscuous with no regard for others, low morals, and is proud of it, there are a lot of them. Paris Hilton, Nicole Ritchey, Britney Spears, Jessica Simpson (claims to be a religious girl -yeah right), Jenna Jamison, etc...there are a lot of them out there.
Considering all that you mentioned, the fact that the economy is growing is amazing. But,
f
Or.... how about the famous line "we're growing!!!"
and you see the same ad week after week after week after week. I can think of 3 places that continuously have ads out. I have worked all 3. I now know firsthand why they advertise all the time, they probably can't keep anybody more than a month or two.
coude (small c) (with an accent over the e - my computer does not do it.
source: The Surgical Word Book by Claudia Tessier, third edition.
which accent do you find the hardest to transcribe?
I do okay with Oriental, Greek, Indian, most European accents. However for some reason when it comes to Spanish docs, forget it !  It just sounds like gibberish to me.
Mine was an American with no accent, but I just realize I seem to react (SM)
to these horrible dictations the same way I do to jumping into an ice cold pond. I hold my breath and try to type as fast as I can, then go back and see if I can clean it up. Just hope they aren't too long so I don't turn blue while I am typing.
Try to think with an accent as you replay. Really helps! And to say it out loud, too! Play your
s
Had to share. Indian with heavy accent and stutter;)
this should be interesting!!!
Poll - what do you think the hardest accent is? I vote Hispanic. nm
/
Not to change the subject.. but in Medical Phrase Index, debride doesn't have an accent mark. nm
.
Hey New Yorker! I am a former Yorker myself growing up in Rome, NY! So, how is it UP there?? sm
Man, I sure do miss that place!!!! I graduated from high school in Rome, worked in Utica, shopped in Utica (Sangertown mall - ring a bell??) and basically have the GREATEST memories of that place. I then attended college in Syracuse where I lived for 3 years, met a guy from a military base in Watertown, NY, and left the area.
I'm remarried now (haha) and would absolutely love to bring my family up there - especially in the fall. I've been living in the south for over 10 years now and let me say this: THE LEAVES NEVER CHANGE COLOR DOWN HERE!! :( They turn ugly brown and then just fall on the ground the die!
My husband, who is from GA, has never left the area and has no desire to drive to upstate NY or VT where my grandparents live. My kids want to go really bad..
Anyways, I loved Syracuse and would love to come back one day.....
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?
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