accent
Posted By: 91 MT on 2009-02-11
In Reply to: I vote - jaerae
I would have to agree with the Asian accent being the most difficult.
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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. :)
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.
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.
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!
I have noticed the southern accent. I like it. Don't like BO though. LOL. nm
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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
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Whisperers. Ugh. I can do any accent thanks to growing up (sm)
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.
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
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Not to change the subject.. but in Medical Phrase Index, debride doesn't have an accent mark. nm
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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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