do you realize it is for transcribing very difficult ESLs??????
Posted By: nm on 2006-07-07
In Reply to: I would take 17 cpl with no spaces any day - no name
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I actually have a couple ESLs who say "thank you for transcribing this report"
^^
Yes, I realize
that especially consults are often dictated in letter form... just something you have to get used to if you are doing the big 4. I was referring to clinics who send out little notes to referring MDs, family members, insurance companies, patient jobs, etc., not hospital notes.
Yes you did, but you must realize that...
just because you couldn't/didn't succeed doesn't mean others won't do well. As someone else in this thread mentioned, if you couldn't handle indepedent study, you most likely could never handle working independently as an MT. So, in your case, it's probably a blessing that you couldn't cut the program. 
You do realize, do you not, that
this is just a story made up by TV writers? These are not real people. You do know that, don't you? None of it really matters. It's just a STORY.
I realize that
Of course I am blessed. I am blessed to do a job that I love as well! However, I just feel taken advantage of without a raise in five years... I guess I just never understood that. I've never had a "real" job so I guess I'll learn to deal with it.
I realize that..
Yes, they are busy people but come on now, when I cannot understand an allergy because my dictator is smacking through it and does not repeat it, I get a little irritated, especially when she does it almost daily. I just needed to vent this evening.
I'm sure you don't realize how....
insulting it is to those of us who have spent many, many years learning to be an MT when people ask us if they could do it so they can stay home with the kids or maybe earn some extra money. It's like someone asking if it would work for them to be an engineer because they like to look at pretty buildings. For some reason, people who have never done this seem to think all you have to do is sit down and type. As the "nice" poster said, it takes years of training and many more skills than being a fast typist. Most of us are just a little touchy about that attitude that anyone can do it. Even though that my not be your opinion, it came across that way in your question.
I realize this is going nowhere, but saying thanks
for a gift and throwing it away is not being thankful for the gift. Obviously if you were truly thankful for the gift, you wouldn't throw it away. I believe you would only throw a gift away if you felt it was a bad gift, which was the OPs contention in the first place.
Your mother is 100% right in saying you should be grateful for the things you have and receive, but there really is such a thing as a poor choice for a gift.
For me, it 's more difficult after 2 p.m.
doesn't matter what it is. But that's only because I've been doing it since 4:30.
It can be difficult...
to know the right thing to do. So many companies are unfair to their MT's, but is it right to dish it right back to them?
I would say it depends on how they treat you. If they are great to work for then be fair to them. If they are awful to work for then, well, use your best judgment.
If you do lower your rate just be sure that they understand this is your rate for THIS account of mostly macros. If they want you to do an account with straight typing they need to readjust.
Good for you for having high values in an industry that is getting more and more amoral every day :-)
Not difficult for you maybe
But obviously she wouldn't have posted if she didn't have feelings of uncertainty about it. I know when I have had to make a decision about something being right or wrong I find it difficult. You have a clear opinion on this, she didn't. I was just trying to be supportive. I WAS NOT making a blanket statement that it is difficult to treat a bad company badly, or playing the SAME GAME that your company is playing. Geez!!!!
Not only is it the most difficult sm
it is also extremely depressing, or at least it was for me. I used to work for M. D. Anderson years ago and did a lot of Peds. Also, the protocols change faster than you can keep up with them so expect to spend a lot of time searching but internet would probably make it easier. Good luck and I hope you like it...somebody has to do it but not this body anymore.
How difficult is it to set up?sm
Also, what equipment do I need? I have a Linksys wireless broadband router.
Yes but difficult! nm
x
I was LPN 30 yrs ago. It is more difficult now. SM
I would encourage you taking the course, but then try working in a doctor's office, clinic or private duty. Most definitely, not in a hospital.
I remember loving the course, but hating it when I got out into the real world.
So difficult
It is very difficult for me too sometimes. So many tragedies.
It seems life is often so tough. My views and understanding of where and why we came from have been changing over the last few years, and I am having a very rough time trying to make some sense of it.
I would rather do some ESLs that some of the
sloppy southern drawls that you cannot ever understand. Wish those people would learn that not everyone is in love with a southerner.
ESLs
What is an ESL ..... and I agree with you completely about the time spent on GRAMMAR!!!!
They can take the smallest so-called "errors" and put a black check by your name. We are medical transcriptionists, NOT English teaches.
Any GOOD MT has equally good grammar. Plus there should be less emphasis on grammar and more emphasis on the medical terminology. Do you REALLY think the doctor cares if a comma was put in or left out? NOT !!!!
I wasted a lot of time agonizing over GRAMMAR when I could have been getting in more lines and doing what is best for the patient .... accurate medical terminology.
Bad ESLs
Wouldn't it make sense for companies with bad ESLs, to hire US MTs who speak the dictator's mother language to do the transcription?
ESLs
If it makes you feel any better, I once worked part-time for a doctor in his office. I wanted to get back into a hospital setting so I gave him my notice. He couldn't understand what I loved about being an MT. He said, "At least I have the benefit of reading their lips." AND I was once transcribing for this absolutely miserable ESL one day, pretty much the way you described, and waiting for him to hang up. Instead he was chatting with someone when I heard "I don't know how they do it, but I give them a lot of credit." I had to rewind to make sure he was talking about transcription and he was. Not all of them are that sweet. I once had to show an English book and the BOS to an extremely arrogant ESL oncologist. I hope you had a little chuckle here and feel better!
ESls
That's why AAMT is no longer a valid entity for us. The standards have been lowered to accommodate the ESLS because they can't make a decent sentence and don't know how to convey what they did or did not do to the patient. How the hell are we supposed to read their minds???? Those who can speak English and demand verbatim get what they deserve. Just the other day, the doc gave a female who had a vasectomy. He was a verbatim ESL and he got exactly what he dictated. When enough of them get sued or reprimanded, maybe standards will return, but I have no doubt in my mind that ESLs have lowered the standards at the hospitals and that's why we no longer change the dictation to make it sound like they at least passed English class. When I started it was not verbatim. We edited to change context and not content. Hospitals should make it clear they either speak clearly, or write clearly, and failing both of those, they should hire a PA or someone who can dictate like it should be, and some of the PA's aren't much better.
ESLs sm
Once they know you're good at it, expect them to send you nothing but!
ESLs
Hey, we all were horrible at ESLs (and I have to be honest that I often still struggle myself), so don't feel bad about that is how it goes. :) Good luck to you.
Had it up to here with ESLs....
I used to be one of those conscientious MTs who went back and re-listened sometimes 2 and 3 times, because I hate to send blanks to QA. After this morning, NO MORE !!!! This particular ESL doesn't even say the complete word, only the first syllable which is mumbled and scrunched into the first syllable of the next word. From this moment on, I go through it once, proof it and off it goes. If it's shot full of holes, then so be it!!! I'm telling ya, Wal-Mart is looking better and better. UGH !!!!!
What about ESLs
who dictate 1, 2, 3, 4, 8, 10, etc.? These people are prescribing medications and they can't even COUNT in English? I can see messing up and missing a number, but totally messing up like that? On more than one report?
If only the ESLs would be more
organized, be briefer, and pay attention and use normal phrasing instead of these long, awkward sentences they put together. They are strangely worded whether they are routine or made up on the fly. If only they would notice which phrases we can't understand and study the non-ELS dictators' short reports. If they could keep their reports short, we could knock them out much faster and be done with them.
ESLs
Speed up the dictation and listen carefully..then repeat by slowing down the speed. Think in terms of how the ESLs would transpose certain leters. What nationality is the dictactor? Example: S might actually be a T. Hope this helps. Good luck!
ESLs
I can totally relate. I get SO fustrated with some of these ESL dictators because like you say they cannot speak decent English. And yes I wonder how do they understand their patients? If they can't speak English properly can they just understand it when spoken to them? I cannot believe they actually have MDs either. I swear sometimes I sit and just curse when trying to figure out what they are saying. I am glad I am not the only one. I just feel like saying if you can't even speak where I can understand what you are saying then you don't need to be a doctor. I know being a doctor entails much more than speaking properly but geez they are terrible.
I do a lot of ESLs too and I can actually take
an Asian with a very thick accent and do him without any blanks at all, but then I get the fast talking, slurring, nonenunciating American born doc and I have problems. Even if I had a copy of his physical exam that he says the same every time I still would not be able to hear it because it is so slurred.
I recently started a new account and I have doctors with 13 or more letters in their last name and I just take a deep breath and prepare to have a difficult report, but they have no accent at all and then I get a Dr. John Smith and his accent is so strong that I have a headache and am cross-eyed when I get through his dictation.
Like it or not the ESLs are here to stay and you can learn to do them or you will find your options limited, especially if you do acute care.
ESLs
Yeah she made the comment let his own people figure out what he is saying. She said this out of fustration. I for one know how fustrating it is when you are struggling to understand what a dictator is saying. You just get so fustrated. It is our job to transcribe no matter if it is an ESL or American, that is true. That doesn't mean we can't get fustrated when we have to struggle to transcribe what they say.
Also I think she meant the MTs in India are the ones doing it for 3-4 cpl. That's why alot of outsourcing goes over there because they work much cheaper. I guess what I am trying to say is I understand your point. It is our job. But I understand hers too. It is very fustrating. :)
ESLs
You know that is a great way to look at it. I hope I gain something for all the struggle I have to go through to understand them. At least I will have gained some experience.
Not only the ESLs
We're being awful hard on ESLs, and alot of the defense for them is they are no worse (or possibly better) than poor-speaking English speakers. The bottom line is that if you are speaking for other people, you should speak clearly, regardless of where you are from.
ESLs
I have had a real difficult time with some ESLs too. But I was on an account where basically I could do them or not work. So I pretty much had to just do it. It got a little better the more I would hear the accents. And I mean a little. Do they provide you with samples for these ESLs? That often helps alot. Good luck!
ESLs
I totally agree with you. It is just as important to know how to speak it as write it if not more so in medicine. There is no excuse. It doesn't matter what nationality -- Latino, Indian, European, or Asian. It makes no difference. They should learn the language fluently to practice medicine. An accent is one thing. But just flat out not being able to communicate clearly. There is no excuse. And no you don't see ESL lawyers. At least I haven't. I am sure you will get some posts telling you you are racist or a bigot. But it won't be from me. And by no means do I have a problem with ESLs who are fluent speaking in English.
ESLs
I have one who says "please use inverted commas," which means (to you and me) quotation marks.
ESLs
I have also heard them refer to blood pressure as 120 by 80 for example. I don't know.
ESLs
You know you are just preaching to the choir. So what if they say 120 by 80. You are a professional. You should know what to put down. If you want to gripe about something, make it something that matters.
If ESLs want our $, should be able to
x
A lot of ESLs
I was told that they have a lot of ESLs so if you are ok with them you will probably like them.
You said VR does not get ESLs
but the platform I work on does them better probably than I could. I am totally amazed it can but it does.
ESLs
Well, fortunately for me, ESLs were my specialty because of my strong background in foreign languages, so I loved them when I was working. BUT I've known many excellent MTs, including my own sister, who had an extremely hard time with them and would literally weep, wail and gnash their teeth! And you're right, on some accounts, the great majority of dictators are (or were) ESLs. Why, I don't know. I retired at about the time when everything was starting to be sent offshore, a few years ago. I'm glad I was able to retire before our whole profession had gone down the tubes.
ESLs
Well, fortunately for me, ESLs were my specialty because of my strong background in foreign languages, so I loved them when I was working. BUT I've known many excellent MTs, including my own sister, who had an extremely hard time with them and would literally weep, wail and gnash their teeth! And you're right, on some accounts, the great majority of dictators are (or were) ESLs. Why, I don't know. I retired at about the time when everything was starting to be sent offshore, a few years ago. I'm glad I was able to retire before our whole profession had gone down the tubes.
Probably best for ESLs.
Or really anybody who can type better than they can dictate.
My PCP has a point-and-click system and during my visits the PCP spends most of the time typing comments into the space provided. I have a feeling that a lot of providers may quickly grow weary/frustrated with the constant typing/spelling/grammar when they should be seeing patients. I'd hate to see what their medical records look like.
ESLs
I have had my share of hard ESL doctors, but by far the worst dictators are English and just go too darn fast or speak sloppy.
DUH! I didn't even realize there was one - thanks! nm
 
At least some people realize what they are and SM
don't have to hide behind some facade just to please inferior people.
Superiority is a threat to mediocrity.
Just because someone is not a sheep and does not follow the crowd makes some sheep nervous!
Thanks!!! I didn't even realize that I could
do that. Duh! You've made my day!!
aww...your makin me cry...i realize that tho..
and i thank god everyday that he gave me the gift to type and work hard to be able to be home with them...instead of them being off in some daycare 40+ hours a week...i take it back...
My DH is starting to realize that I just....(sm)
might not stick around for much more of his stuff. I know that won't change him though. I just know it...
Hopefully docs will realize
that their time is better spent seeing more patients than doing data entry..glad that your docs realized this. I had one lone hold-out who refuses to do the clerical entry... but doesn't dictate either... still writes ShortHand notes in charts....Ugh!
Sorry - did not realize I was not allowed to do that. Really, sorry..nm
nm
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