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Agree...Hispanic is the hardest!

Posted By: FlaMT on 2009-02-11
In Reply to: Poll - what do you think the hardest accent is? I vote Hispanic. nm - gettinold

I've done everything from Indian to Asian and never had a problem with those...but Hispanic accents always throw me for a loop. For instance, I have one MD now that pronounces "violation" as vee-o-lit-on. Took me forever to figure out what she was saying not to mention her grammar was horrendous!


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Poll - what do you think the hardest accent is? I vote Hispanic. nm
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Hispanic too
Either one gets on my nerves and makes me struggle.
Hmm, is this little Hispanic girl racist?
x
"little Hispanic girl" is from a what? LOL nm
x
i am of hispanic decent and celebrated and have been part of many.
it is formal attire similar to a summer wedding, and the gifts are usually jewelery or money. and be ready to "merengue" the night away! lol
Asian, Indian, British, Hispanic..sm
I am old and tired and just can't stand ANY ESLs anymore, and the sad thing is the good dictators are going offshore because the Indian MTs cannot even understand the ESLs. Unfortunately, most companies are filled to the brim with difficult ESLs and i guess if you don't do ESL, u won't have a job.  That is why I am sticking like glue to where I work, NO ESLs.
I moved out of a high crime, mainly Hispanic neighborhood, and now...
I was so thrilled, I almost got mugged one night going to the mailbox, then within 6 months my company changed everything on me and I am barely hanging on rent wise. I sure know what you are going through.
Hardest for me are the NE (i.e., RI, NJ and the like)
Shoot, I used to date a guy from NJ and almost fell over laughing when he asked me out of "cwaffee" LOL.

I'm a Texan too :-)
One of the hardest, IMO
Been doing oncology now for 17 years. One of the hardest parts is the drug regimens.. and they are ever changing, such as the protocols and study drugs. The next hardest for me is understanding the chromosome analyses. I've got some really good websites I could share with you if you would like. Best thing is to have good references and websites.Good luck in your decision and just post here if you need websites. 
Yes it is one of the hardest things to do.
:(
I think this is sometimes the hardest part
of the job, that it is at home. I did it out of house and I enjoyed it more there, maybe I was a little less productive but I am a social person. I had to adapt and it has been hard. I am forcing myself out more but there are weeks when we are on cut off when I don't leave for 3 days, feel like Howard Hughes sometimes. hahahah.
The hardest is whatever you aren't
used to. Discharge summaries have a lot of drug names, but the good thing is that it is the last report dictated (ideally), and with with many systems you can see the earlier reports for drug names and other terms.

I would say some of the most slurred dictation happens during the physical exam section of the H&P, but if you can see the dictator's previous reports are viewable, you can make normals. Lots of times they say the same thing every time, so that's an opportunity to use a normal and save yourself keystrokes.

So these are some reasons there are no pat answers.
first night of each week will be hardest
The first night of the week you work is always the hardest, especially if you have slept a normal night. Try to get a nap that first night before you start your 3 days. I always kept caffiene pills (like No-Doze) handy. I didn't take them often but once in a while they would come in handy just to get me through the night. Also, take a shower before you start as if you are starting a regular day. If you get enough sleep during the day after your shifts, you shouldn't have too much of a problem. My problem was I neve was able to get very much sleep, which is why I had to rely on the caffiene pills at times. For some odd reason when you work third shift you don't seem to need as much sleep either. Good Luck.
Hardest lessons to find out after BK

   I thought health insurance was too expensive when I changed from employee to IC.  I had emergency surgery and afterwards lost everything when I could not pay the bills.


  First, sit down with every debt you owe and categorize everything - credit cards/loan companies/nonsignature debt/mortgage/car/medical/taxes, etc.  Each type of debt has a different relief route typically.  These are things to expect:  Whether you enter a credit counseling program or BK, credit score will be damaged for years - how bad is relative to what you attempt to obtain credit for in the future.   With BK in particular, depending on what state you live in, most major insurance companies will not sell you a home owner's policy until BK is discharged in 7+ years.   You may also have increased car insurance rates.  Depending on your personal circumstance, you need to check with your insurance companies.  For instance, Nationwide will not sell the homeowner policy until after discharge.  You need to ask whether your state uses credit for car/home insurance rating.  Earlier posts are correct - student loans, Federal and State taxes are exempt from BK laws - if these are part of your debt from past years, you need to talk to both your state and the Fed about your options which might include an offer in compromise.  If your student loans are just coming due, you need to talk to the company about options.  If you have older student loans, most can be deferred with added interest and penalties.  Some employers are now running credit  checks in the application process - yes they can and will use that information in the hiring process.


     The "new" BK laws mean that your debt will be reviewed and if you can pay back a portion, you will be required to do so - but this is major legal mumbojumbo, so my ultimate advice - do your homework and find the best BK or debt relief attorney and pay a consult fee before you make any drastic moves.  They may try to 'sell' you a BK filing (obviously, that's how they make their money) but you need to pick their bones for all the info they can give you relevant to your state. 


     Lastly, 35k of debt with 35k of income is doable but you would have to knock your school time down to nominal or put it on hold altogether for a while to avoid BK and not assume any further debt.   Whatever happens, do not let your medical insurance slide or any other policy which safeguards long-term- it may seem worth it up front but I can tell you it is the single worst decision you can electively make.   Best of luck to you.


 


   


Think oncology is one of the hardest specialities.
vv
Oncology - by far is the hardest for me. New protocols every day to learn. nm
x
Op reports by far are easiest for me - hardest is Oncology. nm
x
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.
I love the Asians, because they TRY the hardest, and it usually comes out funny. nm
x
Hardest thing was marker keys
But after about a week, I got the hang of them. Actually, that is THE thing that makes IT worthwhile for all the other features. Just choose keys that are easy for you to use.

Also, I used the expansions I had at the time from the old Expander and created a glossary from those, so my familiar expansions were already there. Once I got the hang of the marker keys, then I started utilizing more of the features.

I love my IT!
My hardest was a woman from Spain - very, very fast! NM
x
Hardest: Dental surgery. Easiest: Cardiology, OPs. sm
Most interesting: Psych.

I think it's generally whatever you get the least of that you'll find the hardest. I used to hate OPs, GI procedures, and cardiology, but eventually got used to them and found they are repetitive (aka good money makers!).
In all fairness, it is a known fact that English is the hardest to learn sm
How many Americans say BP was 120 SLASH 80. Slash? How about over?

With ESLs we have no idea what their native language is like unless we speak it. It may be 120 by 80 for them and they are translating.

I don't know about you, but growing up my plan was to be a translator for the UN. To that end, I took Latin, Spanish, French, German and some Russian. I was a straight A student in these, but I have to tell you, it was not easy. All of them have "gender" to every noun which in turn governs the formation of adjectives and pronouns and even such things as "a" or "an" take gender. Sometimes even verbs take gender. English only has remnants of gender (a boat is a she, as an example).

There are also plenty of ESLs who speak more than two languages and English is only one of them. That adds to the confusion for them because gender isn't consistent. One language may have a male moon and a female sun, while the other is the opposite. In German, the verb needs to be the second word in the sentence and comes before adverb. The above languages frown on more than two adjectives for a noun, whereas English doesn't care. In English you can string together many adjectives if you want to, but this would be considered linguistically incorrect in other languages. Verbs have declensions and by and large, the cases stay the same across the board. English just think of eat, eaten and ate as an example of an exception and we have many such exceptions.

I catch myself saying that English is spoken just as it is spelled...well sometimes, but laugh isn't spelled laff.

Oh and you gotta love UK doctors...eeestroh gen spelled oestrogen comes to my mind.

ESLs can be incredibly frustrating. I know this, I have recently worked on an account with 80+% ESLs, most of whom were rather poor as they go. The fact remains, you have to either find yourself a job where there are no ESLs, which is becoming increasingly difficult, or learn to live with them. Some of my very favorite dictators of all time have been ESLs, partly because I struggled with them and when it just "popped" in my head they were easier than most Americans, and oh so redundant, they made me a lot of money with normals.

I will say that I believe that more money should be paid to MTs when the account is very heavily ESLs because they take a lot more time.



Poll: hardest and easiest work types. I enjoy...
orthopedics and psychiatry.  Do not like cardiology, oncology. 
I just left after 16 years of marriage. Hardest decision I've ever made, but something that I ha

My husband doesn't want to work.  Never has and probably never will and it took me 16 years to figure out that nothing was ever going to change.  He has been in and out of college over the years with a number of different majors and when he is on the verge of actually finishing something, he up and quits, because I believe he doesn't want to actually go out and get a job.  He loves the going to school part, the studying, etc., but the actual finishing and putting his education to work, that's too overwhelming.


For years I made excuses for him, supported him, and actually believed that as he got older he would mature and finally find his way.  He's 42 now and runs off every day with one of his unemployed friends to play frisbee golf or go hiking or water skiing or fishing while I'm sitting at home at my desk typing until my nose bleeds!


I was one of those women afraid of being by myself.  I recently had a major depressive snap where I cried nonstop for three weeks.  I found a great doctor who became a great friend and she helped me find the right medicine to get my head clear and then she helped me realize that I don't have to be afraid of anything.  I was already supporting myself and my kids without anyone elses' help.  What was so frightening about leaving my husband behind?


So quietly I made my plans to leave.  I let my husband know that I was going to move back home to the area where all my family still lives when school let out this summer.  He didn't believe me because I had said it all before.  So I just made sure he knew I was thinking about it again.  Then May came along and miracously a job opened up at the hospital in the small community I wanted to move back to.  This hospital never has openings because they virtually have no employee turnover whatsoever.  Everyone's been there at least 5 or more years.  I took it as a sign and made my move.  Within two days of submitting my resume, I had an interview set up.  Without even waiting to see if I had the job, I packed up my kids and our stuff and told my husband "I'm going.  I love you, but if you want to be with me you need to get a job and actually be my partner not one of my kids."  And I left.


I got the job, thankfully.  I've been here a month and I know without a doubt that it was the best thing I've done in a long time for me and my kids.  My teenage son had built up a lot of resentment towards his father and their was a lot of anger and tension between the two of them before we moved.  Now, my son is happier than I've seen him in years.  He's more social, made a lot of friends, and even has a girlfriend now.  My daughter misses her dad, but she has always been remarkably wise for her young age and is very open about saying how calm everything is up here.


So there's my story.  I would never encourage anyone to divorce or leave their husband, and I haven't actually taken the step to file for divorce yet myself.  But sometimes separation is liberating and therapeutic.  It has been for me.  I can't remember the last time I felt so peaceful.


Agree, agree, agree! Just listen to Benny Hinn..

he speaks perfect English, especially when asking for money!  Also, in my opinion, blanks should be left in the doc's dictation if not able to be transcribed, maybe then they will know that are NOT understood.  With QA fixing them, what need is there for them to care if we understand them or not? 


I agree with you....

I mean afterall there is no evidence that she is dead.  From the beginning I thought they were guilty and I still think that Joran knows something (not saying it was an intentional murder-- probably an accident)  The biggest thing that plays on my mind is why did they lie in the beginning if they were innocent.  I believe that they were covering up for something.  There have been theories that she went for a swim and drowned but there has been absolutely no trace of her.  No shoes, handbag, nothing, which leads me to believe that everything was gathered up and taken somewhere. 


I feel for the family but they need to let the Arubans do their job abiding their own laws.  I know the mother has said she will stay until she finds Natalee but you can't live in Aruba forever.


I agree....

I think you have to blame Natalee herself before you blame the chaperones.  What was she thinking going in a car w/ three strangers in a foreign country???  And also, what about her friends.. what were they thinking letting her go to the bar or leaving the bar alone?  Back when we were in college and were on spring break or just bar hopping in this country..... you NEVER let your friend go off w/ some strange guys.  That is just common sense.


I agree!
It is stated above, "I wouldn't give my daughter 2 cents towards a trip to Aruba at age 18. There's only one reason to go to an island like that, to drink."

Thank you! Me either!

I feel awful for this girl and her family. I really do. But no way in Jerusalem would I have allowed my 18-year-old son OR daughter to go to Aruba (which is a colony of the Netherlands, where pot is legal and who knows if there's any regulation on alcohol).

An 18-year-old is in no way socially savvy or emotionally prepared to be turned loose in a strange place with very loose laws and be expected not to get into some kind of a situation that he/she is in no way prepared to handle.

NO WAY

I really hope they find this poor girl, but it's not looking good.
I agree - for all we know
they could have taken out a second mortage on their home to finance this "vacation".
I agree with you...
besides if I sat all day and typed an American doctor who dictated in monotone speech I'd be sleeping by 10 a.m. I look forward to the challenge of transcribing the ESL's every day..it makes our jobs more rewarding!
I agree
nm
I do agree with that...

Evil does exist no matter where you go and my post was meant in no way disrespectful to you or your opinion (I hate it when a flaming war starts like the ones above).  I just know how one seemingly insignificant comment can start a whole line of growing misinformation...  Kinda like that game we probably all played as kids..telephone or whatever 


I did not hear about the comment of America being the Great Satan, that is interesting, I am going to have to check that one out! 


agree...

IN some cases we did, but do you really think the Indians didn't do the same?  There is a myth about indigenous peoples on any continent being "noble savages," but in truth, there were warring thieving tribes among the Indians here who leeched off the peaceful tribes before the Europeans got here.  Lying and cheating are not exclusively European virtues.


I still say they need to get over it.  We spend way too much time in this country talking about mistreatment and ills of the past - we need to spend more time and energy on building a future for the children and grandchildren we say we love so much.  The best way to give them a successful, peaceful future is to let go of our resentments and choose to love our children more than we love our grudges.


I agree with you (sm)
it takes a village to produce a perfect report! LOL! I embrace the feedback from QA, both positive and negative.  And I make notes and try not to make the same mistake twice.  Life is a learning process, anyways.  The day I stop learning, I guess will be the day I die!
don't think so, i agree, it is a
x
I don't agree.
We get a lot of local coverage, but what about national coverage like on Fox, MSNBC, CNN, etc.? Every single news network has been focused on this one single incident on just about every show from 7 to 11 p.m. for months.  Nancy Grace gives a 30-second blip in her missing person segment, but the majority of her hour-long show is devoted to the Holloway case.  Look at all the help that was donated to the search effort in the Holloway case because of media attention and contrast that to the help that could be focused on other cases in addition (not instead of) had they received the same saturation of news coverage.  It's not a generalization, it's an actuality.
I agree
Yes I agree with both of you Joran was involved.  I think it was drug related probably not to her knowlege, an accident or something and then they panicked and did whatever they did.  When you hear that the father actually said, "No body, no case", that sends off bells to me.  My fear is they know she will never be found, and he will just do his 116 days in jail or whatever, and her parents will never have any closure.  Sad.  I hope we are all wrong.  I hope she shows up somewhere like Elizabeth Smart, no matter how traumatized, it can be dealt with.  However, I still don't think it is fair to all the other parents with missing children who cannot get their story on CNN for 3 hours a night, not for even a minute.  That has to be a plight worse than hell, not knowing; and thank God I don't know how it feels and hope I never will.
I agree with almost everything you said except for
the fact that you don't think our work impacts patient care. I have to disagree with that one. So many times the things that we transcribe are read and re-read to help those giving direct patient care a better understanding of what is going on with their patient (I used to be a nurse and quite often read previous transcriptions). While we are not directly involved in patient care, we do have an impact on their care. Anything that is placed in the chart has an impact on the care because if we transcribe something incorrectly (which we all do)whether it be MR#, wrong med, whatever and nobody catches it then it becomes a part of the record and may be referred to many more times down the road.

I do agree that a lot of transcriptionists would be happier if paid by the hour with incentive bonuses for QA and/or production, but like you said, that is not likely to happen.

I am glad that we can get on this board and discuss our different opinions with others. Sometimes it gets a little lonely working at home and it helps to know other people's insight into different things.
I have to agree...
Degree in advertising and marketing and promotion and choosing to do MT. How pitiful is that?
I agree

I can do 1800-2000 lines a day, so 1000 is a piece of cake.


I agree
On of my good friends is trying to get pregnant now and she thinks becoming an MT at home is going to be easy. She is planning on taking the education direct MT program. I told her, she better know what she is doing.

I doing all the research I can, so I won't make a big mistake.

After reading the posts I don't think it's worth it. I feel I can be a better mother to my child if I continue to work outside the home now. Like a pp said being home physically isn't enough, you need to be their for your children emotionally and mentally. At least once I leave my office, my work stays there and I can give my attention to my baby.

You all have helped so much!!!

THANK YOU:)
Have to say I agree with you
Luckily, I didn't have to do it at home part time, but I had a job away from the home during the day, and worked at home typing in the evenings and weekends.  I had 3 kids to raise by myself with no help, so I did what I had to do to make ends meet.  But I know they felt neglected when I was at home, and "always working."  Luckily, they grew up okay, but it was hard, and there is always the guilt of "always working".  I remember them saying those words very clearly.
I actually agree with you. What gets me is SM
when people in this situation go on to make things infinitely worse by having two, three, or MORE kids. Get some common sense, people! It's bad for the kids, and the rest of us are sick of being expected to pay (literally and otherwise) for your mistakes!
agree
Agree you should get it all. Sorry she had a stroke, but you are working your butt off to keep her afloat.
yes, I agree

That is what I am working on, keeping at it.  Hard right now for me with 3 kids at home and in my face sometimes.  But only 1 month till school.  Ahhhhh, cant wait!  Still, I find that after my 1000, I start to dwindle a bit.  I want 2000 a day, so that is my goal I am working towards.  Have to find ways to motivate myself. 


I also strongly agree with you about the attitude component.  That plays a major role in our jobs.  With changes coming on board at my company, I find the better the attitude, the better it all goes for me. 


I agree - sm
Career Step is the BEST I have found in my research, and have had the best luck with girls coming fresh out of that course and training them... diamonds in the rough, and they were OUTSTANDING!  It is a course you do on your OWN, so if you are successful in the course in managing time and focusing, then you will do well as an MT.... just realize we all SUCK at first... it is experience that makes the MT....  Don't take constructive criticism to heart, USE it to the best of your ability.  I have been a mentor, and OSi actually has great mentors for "newbies"....   Good Luck.... and let me know if you need any help or have any questions....  Bobbie
Unfortunately, I have to agree with you on this one.
American customer service people over the phone, who probably think they are too good for the job they are doing and feel the need to take it out on me by being short, condescending, and sometimes nasty on the phone.  The Indians are very cordial, friendly and patient and are grateful to help. 
Yes, I agree.
and MTStars being watched more closley for this damage control because it pop ups on the first page of Google and Yahoo for keyword: Medquist.

http://www.google.com/search?hl=en&q=medquist&btnG=Google+Search

http://search.yahoo.com/search?ei=UTF-8&fr=sfp&p=medquist
Oh, I agree with ya, except....

I have to look up every single lab test that she abbreviates (incorrectly) because our account does not allow for ANY abbreviations (for this reason, I guess).  She has listed over 37 different lab tests in this report and half of them she abbreviated incorrectly.  I have to look them all up in Stedman's path...if not in Stedman's path then in Stedman's abbreviations, and then if not in Stedman's abbreviations on google or path sites.  I spent over 2 hours on this one 27-minute report. 


I normally love the long, meaty reports especially if they're OPs.  But this woman obviously didn't know what she was doing...and the worst part is that she isn't new.  She does this all the time.  I cringe when I see her name show up in my job list, which it usually does about every 5 months and then 10 jobs in a row.  So I'll probably spend all 8 hours on just her 10 reports and be lucky to make 800 lines.  Yeeehaww.


Well put. I agree...
I am an instructor at a career college. We dropped the MT program 2 years ago. (I still teach medical terms, but now I teach medical assistant students.)The program was dropped because we couldn't place new graduates, and it was clear that the field was headed in a different direction--not only VR, but also overseas outsourcing. That was a wake-up call to me. I'm still in the MT business as a QA specialist and consultant, but I have expanded my editing skills to include legal clients, and I also do freelance proofreading for a magazine. I applaude your decision to earn a bachelor's degree. Good luck in your new field.