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Serving Over 20,000 US Medical Transcriptionists

coude (small c) (with an accent over the e - my computer does not do it.

Posted By: justme on 2005-08-02
In Reply to: cudet catheter? cudet?? help please - barb see mssg

source: The Surgical Word Book by Claudia Tessier, third edition.


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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.
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.  
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.


small mentality usually means small pocketbook
Still make more than you and I but that is deserved. They've put the effort forward and educated themselves.


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
.
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
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.


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
.
Is it their computer? Why are they installing a firewall and autocorrect on your computer? That sm
is usually the responsibility of the transcriptionist, especially if an IC or SE.  Which company?
Question about transfering computer into to another computer.. sm

I have a dumb question - Just bought a new computer and someone told me to get a flash drive to transfer all my info.  But I'm assuming that ExText that I work off of and Escription will have to be downloaded again by the tech people onto my new computer.  I can tranfer these can I?


Thanks


How does one find out the computer specs on my computer?

I should know this, but I just don't remember how to do this.  I am hoping I have enough RAM, or whatever, to load work platform on my own computer and begin working on it, rather than paying *rent* on the company-furnished computer.  Thanks so much.


A computer is a computer, whether it be laptop or desktop.
I have both and use both and I bought both of mine...most companies do not provide computers...
Computer Generated Image or Computer graphic image

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?
If one's biz is small I do not think you can....nm

Yes, you should get a small
social worker, psychologist, or whatever. You just have to wade in and start swimming. If you find the right account, that should help you start out.
Huge, I think it's small on my end (NM)
NM
$18,000+, small national. nm
 
Any small MTSO need PT help? sm
Okay, I have tried the big nationals and that did not work out for me.  I would like something for a few hours a day - would love to do family practice SOAP notes again or something where I can just type away and make some decent money.  I promise a fast turn-a-round and I am willing to work hard, but no complicated platforms and no set hours.  
Why not sue in small claims (sm)
You have a business contract with them. It's not a paycheck we are talking about. It's payment for services rendered. Are they going to send someone to your state to defend it? Probably not!
It's actually one of those small bldg. you
added to the house but it's on the same property as the house...I can't really describe what it looks like. I have only seen it a couple of times. Not sure if that would work. It doesn't have to be that. Just whatever would work. I am more interested in seeing what has worked for others. Just wondering. Thanks for your response.:)
my office is a small
table between the kitchen and the dining room. Books are in a closet right next to it. It helps so I can keep an eye on what my toddler is doing.
how did you get your print to be so small?


if you are for real, your best advice is read this board and take good notes.


 


Yes, small services (sm)

used to pay 11 cpl IC, have now sold out to squids who in turn pay 7-8 cpl.


And services left average 8 cpl, if you're really experienced you'll get 10 or 11 and get such bad dictation you'll get a headache you'll never forget. 


Small accounts
What kind of small accounts are you talking about? How do you find them? Thanks.

I know a couple of people who key as fast as you do, so it is possible.


small company
You just keep your eyes open all the time. Keep looking. You will find them. Opportunity comes knocking at the strangest time if you just keep looking.
A very very small family.
z
I had a small MTSO ask that once. sm
As I was heading toward the exit door, she asked me to send her every single one of the normals I used.

So, I sent her the exact ones she had sent me in the beginning, before I refined them to a fine tune, which had taken me hours and hours to do. I'm telling you, I had most tests for every doctor where I could just hop around and fill in the blanks. No way was I giving those hours of work away!
Thanks! The 16" look so small and the 20" so large! nm
x
small MTSOs

There's a great online resource for MTSOs of all sizes, varying benefits and pay, and variety of work.  It's called www.MTJobs.com.  Sign up to be on their mailing list.  There are usually at least 50 companies listed on each newsletter, which comes out twice a month.  Good luck in your search, and prayers for God's healing of your medical problems.  :)


should have said that this is for a small national not
an individual. We are trying to put some new things in place and want to make sure that we put the right things in place.
Small Nationals.
I guess just not the huge places like Medquist. I would like a little bit smaller. I am even interested in any companies that are great to work for and pay okay. I am not having that great of luck working for MTSO and getting paid good.
Thanks!!
thanks (small message)
just that I posted the link in the subject line and it was too long...no problem, though! thanks!
Small ear pieces
Try Lanier Healthcare.  They have a headset that has ear pieces that fit right into your ear without any hard plastic to deal with, just wires and the foam that fits into your ears.  They are the best ones I have ever used. 
Believe me, you are neither weak or small.
You are a very strong lady who simply wants the best for her family (including an abusive husband). You are the only one who can make the choice to stay or leave and it has to be your choice entirely. We can all give advice all day long, but the ultimate decision will be yours. We are here to listen, though, and to pray in your behalf for wisdom to make the right choice. Whatever you decide, don't ever forget that when it seems like you're all alone, God is always with you, leading and guiding.  
As an IC, you are your own small business. As a

contractor you have NOT been in their emloyment.  You have worked as contract labor for them, whether it be 1 month, 1 year or 5 years.  They owe you absolutely nothing at any point in time of the contract.  However, should you contact their clients (as you mentioned below), there can be legal repercussions for you so I would seriously think twice about this before going forward.


As an IC, it seems you would know that you should not put all of your eggs in one basket. I would bet that most of us that are IC's work for at least 2 companies.  For the ones that don't, they probably work for 1 company and have their own accounts, OR better yet have all their own accounts.


TAT is of the utmost importance.  It only takes twice with me and I won't send anymore work to that particular IC anymore, which is my option.  I might give them a second chance IF their work was top notch.


I have 2 - one large, one small
My first was a very nice rose in the upper-inner quadrant of my left breast. I thought about it for 17 years before I did it. It kind of felt like going to the GYN when I had it do. The guy was very professional and let me catch my breath from time to time. The more fill-in work, the more painful. The more it is just an outline, the less painful.

The other is something private but special to me to honor my kids on my lower back, but above the bikini line. That was much more painful but different guy and it went much faster as I cussed a lot more with fewer breaks.

If I ever get another one it will be a circle on top of the sternum with the leters DNR inside!