YOU are right! These companies promise the moon so they (sm)

can get the accounts and the MTs are the ones that get the bad deal.  To be honest, I too, am not good with heavy ESLs but I sure try.  I am also slower than most - but I sure try.  There are some ESLs that really try hard and I appreciate their efforts.  Then there are ESLs that are so fast and so sloppy I haven't a clue what they are saying.  There are also horrible American dictators too.  As the above poster said - the lack of decent courtesy is gone.  Their excuse - I'm in a hurry, blah, blah, blah.  Well sometimes I'm in a hurry so maybe I should stop capitalizing words, quit looking up strange words, forget punctuation.  Really!  Have dictators forgotten that there is a real human being transcribing his mess?

• No accents/ESL. PERIOD! - Renee
  • ESLs - blondie
  • Each to his own. Personally, I hate the sm - no E as first language
  • Think outside the box - Scribbles
    • I agree. Worst are native borns who talk very - fast.
    • I prefer my ESL - LinK
      • English-speaking garble is just as bad - Renee
  • Challenge yourself - sm - sammypot
    • You have a point - Renee
      • There will always be someone willing/able to - do ESL. They will never have to change. nm
    • You cant make someone learn or improve their - situation. If never want to progress, her choice.
  • If you want to limit yourself, as IC that is your - right but at some point may limit jobs. nm
  • It seems that only can you not understand - me
  • People like you are responsible for dumbing-down our "profession". If...sm - anon
    • She's obviously new or something else is up. - JMO
    • As a professional... - Renee
    • I have to disagree with you a little on this one...sm - Getting old and tired
      • Preach it Sister - Cris
      • Well, if I may respectfully disagree a little here too - CeeCee2
        • Too funny. - Renee
          • Operative word here is "should" - CeeCee2
            • I think some drs see dictation as a game. How - bad can he dictate and still get a document.
            • I see your point - Renee
      • THANK YOU! - Renee
      • Bucks stop at facilities who pay for MT service. - They wont pay more, so MTSO can pay more,
        • You are correct, but...sm - Getting old and tired
          • True but bid for decent rate and wont get - contract. India is fact that cant be undone now.
            • Also true... but bid low and be prepared to do it yourself...sm - Getting old and tired
              • I dont disagree & think there are Dr who have - been burned by offshore, willing to pay more
                • but they are few & far between. Most never see - finished job, just gets put in folder. nm
        • when they feel they can get same service - offshore for less money. nm
      • YOU are right! These companies promise the moon so they (sm) - Dixierose
    • She has already said not worth it to her to - make effort and that is her right. nm
      • Maybe a misunderstanding? - Renee
        • " I don't need the money that bad". Sorry, to - me thought that meant not worth the effort. nm
          • Didn't mean to sound that way - Renee
      • 1 person can only dummy down herself. If - majority act like pros, then no problem. nm
    • I kind of have to agree here... - I've been transcribing ESL dictators
      • I would have to agree - GeorgiaMT

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to mom to not ever put  her in a nursing home as a young 20-something. As an only child, I followed and kept that promise.

I cared for her for 6 years. It should have been more but I didn't realize she was going downhill so fast. I was very stressed out in her later years as she started to develop a lot of problems including memory problems,  but when I look back, I would NEVER, EVER, change my mind. She was happy here with us and although she was having a lot of problems, the only thing I wished for was for her to be comfortable and happy. (She was in a nursing home temporarily for 2 months after she broke her hip and was very unhappy. This was sort of a test to see if she would like it, but she didn't.) I did everything necessary to make her comfortable in her last years.

 It was hard, but I kept my promise even though every doctor told me to put her in a nursing home. Thank heavens, I worked for a great company that understood and allowed me to take as many breaks/days off as I needed to care for her.  I would never have changed a thing even though I got very worn out during the end myself because she was almost totally bedridden. Still, I loved my mother with all my heart and still miss her even though she died 6 years ago.

 I only hope my children would do the same for me unless i have Alzheimer disease. If a parent is unhappy at a nursing home, by all means do what is necessary to make their last days happy. After all, they raised us, and we should return that love.

You need to be patient, be a nurse, doctor, etc. for an elderly parent and if there is none, it could be very, very "unhealthy" for the parent and the child, but I feel we need to make sacrifices for  our parents happiness in their later years as they sacrificed for us in our early years. After all, they are the only parents we had, andI I have NO regrets, knowing I did the best I could for her.

Sorry to ramble. I'm still grieving. I wanted her to live to be 100 if possible.We were really close all our lives.

One other thing I'd like to mention is that I would have almost no problem with transcribing an ESL if I could hear them clearly!  That's not to say that the doctor is not speaking loudly enough - it's that the onus is on the people choosing the systems used to record their dictation, be it that it's been re-recorded, crappy system, etc.  The radiologist I referenced below would have been bearable if all the extraneous crap was not a factor, as well as the quality of the sound/speakers, etc.  If you could hear clearly, you have a fairer chance of transcribing more seamlessly to make your lines per hour, etc. 

Now that I'm an IC working at home, my main issue with being productive with ESLs is not hearing them clearly - I have enough experience to be able to decipher a lot just based on context (like a lot here say, have developed an ear for it), but if I can't hear it well, c'est le vie. 

If you want to hold out "as long as you can" to not transcribe ESLs, that is, of course, a personal choice.  Most do not have that option and have to bite the bullet.  If you'll notice, most residents are of a foreign land and will be in the workforce too.  Yes, you can get your own accounts with whatever physician you choose and work with them on those issues.  But if you're working for an even small to large MTSO, most have ESLs.  Thx!

It is strictly up to the agreement between the employer and the insurance company.  Your new employer can tell you what the pre-existing clause is in your new policy.  Some require proof of insurance for the past 12 months.  It may say something like if a diagnosis has not been made NOR treatment received within the last __ months.  Not good when companies negotiate with a pre-existing clause in order to get a lower rate.  Better check with your HR with your new company before doing anything.  It really gets hairy !

What are some of the best small companies that you have worked for?  Does anyone live out in the sticks and is on dial-up?

do u like working for this company.  Do they treat you fairly.  I was told to download and they will give me first files to fit me with proper account.  They have been great.  Does this continue?  Please let me know.  While on the subject does anyone have any information on Amphion, Medware, QTmedical, Orion and Transhealth.  Any information appreciated.

Does anyone have any information on smaller companies hiring at this time.

Don't they realize the more familiarity an MT has with a certain dictator or group of dictators, the more accurate they are going to be in their transcription and the faster they will be able to produce lines?

Or is it that transcription companies simply don't want MTs to make a decent living?

I don't get it. 

i.e. don't pay on time, lousy platforms, too many ESLs, etc., how on earth do they manage to stay in business?

live in feast or famine.  It's better for them when it's famine because the work is out fast (too bad for us trying to be consistent, huh).  Top that off with people who don't work the whole pay period, just towards the end which is when the work tends to run low (too bad for us trying to be consistent, huh).  So during the time when these don't work, you get overloaded and need to work as much as you can to make up your time (too bad for being consistent, huh).  I know, I live in those same shoes, buried and then scratching and scraping for work to do.  Gotta love it!

I paid $350 a month through Consumer Credit Counseling for over a year and they sold my accounts to Money Market Management and never told me.  They never paid a thing on my Sears bill because they were still waiting for Sears to accept their proposal, which Sears never did.  I was never told that either. 

I don't know where all of the money went because when I dumped them, my $200 Home Depot credit card bill was suddenly almost $600. (Late charges and over limit charges).

Work with your creditors.  It worked for me, at least for the most part.  Sears doesn't usually budge, but you'll find that in this day and age, creditors are willing to work with you and settle for a certain amount a month if you are willing to do direct debit (even $20 a month) from your bank account.

Good luck.