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ESL Dictators-I must be backwards

Posted By: Not a speed typist on 2006-05-21
In Reply to: Not sure if changing jobs will help... - Carol D

The more I do the same ESL's, the less I CAN do them.  I don't mind doing them as it is challenging, but getting the same ones day after day seems to wear me down and I can't think clearly, so it takes longer for me to finish a report.  It used to take me 15-20 minutes to finish a report for a certain doctor, but now it may take as long as 45 minutes! I don't make sense to myself. LOL


 




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Not always. Tongue stumblers. New dictators. Speedy and lazy dictators.
D
?? Bad dictators are bad dictators regardless of their mother language.

wonder when people will just get over it and do what they can and move on. 


Backwards
To me, those posts sound a little pitiful, or as if the poster is too lazy to do any looking. Do you think companies see the ads and say to themselves, "Oh finally, somebody who is willing to work!" If they did, each employer would have to contact you to ask if you were interested in a job with each specific requirement, such as equipment, IC/employee, etc. Not very efficient, right?
sorry, I had that all backwards..lol...sm

Now that I've tried to understand your 2nd post, I believe these questions you have should be addressed with your supervisor over at the company. You will be working from home FOR them, so you need to get clarification about EXACTLY what they EXPECT from you. Hopefully, they will be flexible so that if you make your line count, if a line count is required, you can do the lines in the shortest amount of time. However, you need to know where THEY are coming from. They may want an 8-hour workday from you. Don't guesstimate would be my advice.


Good luck with them!!! 


I think you have it backwards

the "laziness" that you describe is more likely due to demoralization with the constant take-aways from companies. I think someone would be foolish to enter this field now and there are those of us who are too old to change careers. I refuse to give the effort I gave when I had quality insurance, good line rate, incentives, etc.


 


You are backwards
If you use the same margins, gross is more than 65 cpl.
No, I'm not backwards.
When I went from gross to cpl, I checked the math and came out about even. As other posters have mentioned, the font and margins make the difference, which I failed to mention in my first post. I know that there are more than 65 characters in a gross line.
I think you went backwards
If you can do 60 minutes of dictation in 15 to 20 minutes I will crown you Queen of Dictation.  If you do 1:1 you are fantastic and I usually do 2:1 and to me it is great and I do clinic and have had the same docs for 10 year.  In 60 minutes you would get probably 700 to 900 lines if it was decent dictation and if you can do that in 20 minutes, my hat is off to you.   I think you meant 15 to 20 minutes per 10 minute report or something line that which would mean 120 minutes for 60 minute tape.   Hvae a good day.
Going about it backwards
I do VR and put my audio speed on the fastest I can go in order to make the salary I want. I never ever go through first and do a read through. You are slowing yourself down by doing this. Why not do as you go? My numbered lists are all out of wack but I change them 1 by 1, never just reading the entire report first. You can get the speed but don’t ambush yourself in the process.
have no idea - but it is backwards
kind of to offshore. 
How about USMTA just backwards from your first one (nm)
nm
I have a backwards speaking ESL today.

He can't form a proper sentence.  "Since discharge, for followup, the patient, two weeks ago, was seen yesterday."  I wish it was a verbatim account.


Pepsi, desire you not. 


Hey you made a typo. Why would you go backwards? Cause you don't like your job.
That's why people don't like editor. Read between the lines. This editor/poster feels it is going "backwards" to be an MT. I rest my case.
you have it backwards, if you don't go to the doc get a high deductible
having a high deductible will really cut down on your premiums. Say you rarely see the doctor and don't have prescriptions. An 80/20 plan with a $5000 deductible can run you as little as $59 a month, and that has a $500 out of pocket. I have Assurant Health (formerly Fortis), for myself and the kids. For $5000 family deductible we pay about $3000. So the most we will pay in a year is $8000. But at my husband's last job, we were supposed to pay all of the premium for family coverage and they would pay for his coverage. Premiums were going to be $9000. Add a $500 deductible to that and 20% which would probably run another $2000, and a catastrophic illness for one person would be $11,500. $11500 is a lot more than $8000, plus with the Assurant Health plan that is our FAMILY deductible. With the group plan, if one more person got sick, it started all over again with their own deductible. So you have to do the math.  Individual coverage for all 4 of us will run us $5300/yr, that is, if they agree to insure my husband. If you have ANYTHING at all, individual insurance will not take you. So keep that in mind too. Insurance is the reason why somebody in the family should have a "real" job :)
Typing and backwards, what systems do you use?
NM
Shift - home will do it backwards to the beginning
x
I so agree w/you. Look at what Google just did - bent over backwards to

wanting to catch porn sites. 


Why does the US always have to be so darn politically correct.  We are going to //politically correct//outselves right out of existence one of these days.  Kiind of like that song that says you gotta stand for something or you won't mean anything.  We need some boundaries here.  *They* won't even let us have a common thread running through our nation anymore of having English-spoken-here to have us be a unified country.  They have fractured us to the point where we DO STAND FOR NOTHING.


Read the report backwards from end to finish. Works great for me.

Press Ctrl+Shift+8 or click on the pilcrow on the toolbar (looks like a backwards P). nm
xx
Why would I go backwards? Simple thing is to fire the MTs whose quality is crappy. Weeded out abou
I get paid rather well, but I really should not have to do an MTs job. The point is I DON'T WANT TO TYPE!! Why would I want to be an MT and type ALLL THE TIME?
how are they going to get used to all the dictators

if your source says they cherry pick and only do American dictators?   Sounds like never.  But you knew that. 


 


PS:  Are you absolutely sure your source has your best interest in mind with this detailed ratting on another person regarding Indian cherry picking doing non-Indian work?  


Dictators who keep....

I'm having a bad day with dictators and got this in my

email. It cracked me up. It's a typo in a medical brief that a lawyer filed for a continuance. The typo is on the 2nd page.



http://www.thesmokinggun.com/archive/0916051disk1.html


I have had dictators like that!

when most dictators were from the USA. nm
x
bad dictators sm
I can take an ESL more than I can take an American who speaks fast just to show off to his buddies or because he has a hot date and is dictating from his car or worse yet, if you can't understand him, he has an excuse why his report is incorrect, he can blame you for it. They do it, believe me, and they are the ones who should be shot down. Give me an ESL any day who says thank you very much and is trying hard to learn the language. Some of these fast-talking big shots could care less about us. I had one guy who could fit 15 discharge summaries on one side of a 15 minute tape and everyone would send him to me because I was the outside service. When he was spoken to, he just threw his head back and laughed. Ignorant!
dictators
don't you just love it when you have to turn up the volume to hear what the doctor is saying and then in the middle of the dictation he finally puts his mouth to the mic/phone, blasting your ears; so you turn it down then by the end of the report you have to turn it back up.......no wonder I have ringing in my ears sometime
Bad dictators
Chewing gum very loudly, blowing bubbles while dictating, drinking something and then chewing on the ice....all in the average day lately.  Don't these people stop to think that someone has to listen to this?  That they are chomping incessantly into someone's ears.  No common sense.  Maybe once, someone in authority should remind them that these are legal documents and need to be transcribed as accurately as possible, so no chewing, drinking, talking while yawning, etc.
Bad dictators
I have got to one-up y'all... there is a woman doctor in our group who actually takes her dictaphone INTO THE BATHROOM with her and, yes, that's right, uses the potty right while she's dictating...
ESL dictators
Maybe the ESL docs, knowing that the Transcriptionist must be having a difficult time with the language barrier, should hire an English speaking person to do their dictations. It would free up their time for being a doctor and seeing patient's, give a more accurate transcription, and a better quality report. Wha'cha think???
ESL dictators
Seems many MTs have this complaint. We should be told the correct percentage of ESL dictators BEFORE accepting a job. Imagine all the money a company would save by going over details with each new applicant honestly and thoroughly in the beginning instead of making the job sound good and then have a disappointed new employee, who will quit and the company will have to advertise and hire again. Advertising and training on a computer system is costly, including the time involved etc. The more a company can do to retain its employees, the more money it will save in the long run. Also, pay based on production, not quality of work, is counter productive. Imagine if each Transcriptionist was paid a salary and did quality work and no QA people were needed, except to pull random reports of new employees during the first 30-60 days or so. I feel there is too much QA and not enough emphasis put on quality reports from the beginning. Many transcriptionists feel, the QA people will fill in my blanks, yet they may be able to find the word/words themselves if production was not such a huge factor. But too many employees are trying to meet a line count. With a salary, you can establish a budget and know what to expect in your paycheck. I've transcribed for 25 years. I love my work. Since outsourcing and pay by production have been instituted, I feel pride in transcribing has suffered. Give an employee a job they can feel great about, benefits, and treat them with honesty, fairness, and respect and they will be glad to work for that kind of company. Hopefully, there are companies out there like this It's up to us to find the good companies.

Of note, 10 years ago transcriptionists were being paid around 10-11 cpl and $3.50-$4.00 a page. What happened, outsourcing!! We used to get a higher salary than coders, but not now. We need to keep our work in the USA.
Bad Dictators
I had my share of bad dictators this afternoon too!  Is it full moon?  I am sure I had your doctor's wife.  LOL  Can we band together and chart a bus to deliver them to the firing squad??  LOL  At least maybe would could let the air out of the tires on their golf carts!   Do these people listen to how bad they are???????
Dictators
OH PULEEEEZE spare me the whispering, breathy female docs who sound like they could talk all night on a phone sex line. I don't care what you sound like on the phone. Just TALK lady - spit it out. Am I mad or what? Gads I'm sick of these bimbos.
bad dictators

You ever wonder that when the powers that be become aware that you are making lines on low volume work days, they somehow sneak all the worse dictators your way?  I have had bad dictators, none of them in sequential order, and am no where close to my lph this morning.  


Dictators
I could send you a lighter!  Seriously, I have considered sending a voice copy to them to play after the fact, a day or two later, so they could see what they could understand of what they said! 
BAD Dictators
Oh, you're not alone. They all must have spring fever or something. I have had more dead air than dictation on reports lately. If this keeps up the pay should not be by the line, but by the minutes listened to.
To all the dictators out there

SLOW DOWN!  This is not a race.  I cannot stand it when these dictators talk so fast that you cannot understand them.  You know who you are, especially the cardiac dictators!!!! 


 


Thanks for letting me vent.  I get frustrated when my production goes in the toilet! 


bad dictators
My huge pet peeve when it comes to dictators is them stopping to flip through the chart and not pushing the pause button.  I mean I am just sitting there listening to dead air, wasting money while they find what they are looking for before they start talking again.  How RUDE.  I think all doctors should take Dictation 101 as part of their medical training before they get licensed.  Speak clearly in complete sentences, speak at a fairly fast pace, and for heaven's sake.......hit the pause button if you have to stop dictating.
Bad dictators
IMHO, these are all due to the HIM department folks not training the docs properly.  I worked at one hospital long enough to find out that the HIM department heads have total control over what type of dictation behavior is accepted, including the reports that are outsourced.  It seems that, if the HIM departments for the various hospitals that outsource to us, or the office managers for the various doctors, would just care about what type of dictation we are getting, they would go out of their way to do something about it.  I know they have plenty of time, cause these are the very ones who have no problem picking apart reports and complaining about missing commas!!
Bad dictators

Now my  pet peeve.......dictators who say "go back and change" or "forget that last paragraph". You are essentially typing 2 reports and being compensated for only 1. Had 1 report today where CRNP did that 16 times.


Any suggestions welcome!



dictators

If MTs did the kind of job some dictators do they would be fired.


When dictators take a long time shuffling papers I just hold down my foot pedal down while awaiting the next words and check my email or read a paragraph in a book or do some upper body stretching exercises.


Recently I had a doc dictating over the barking of a dog. I wonder where he was? Or where the dog was?


 


What is it with these dictators..sm
They'll  ...um and ...uh and  ...er  all through the patient history..wasting more and more of the MT's time than necessary .. with the occasional 30-45 second pause between each item to paper-shuffle (on OUR time).  But when it comes to the MEDS and LABS, which are the mainstay of an H&P or consult, as other doctors will base patient care on the meds the patient is already taking or present lab results, they'll race through them at 78 rpm so as not to be understood or able to be transcribed without rewinding 4 or 5 times.  Just because they can race-read medications or labs doesn't mean we can type them just as fast... I guess accuracy in these areas takes back seat. (Who cares where the patient moved here from or went to school?)
bad dictators
I think the shoe should be on the other foot. The doctors have absolutely no respect for what we do - we should be the ones giving THEM feedback - They will be the first ones to speak up if there is an error on the report when in fact, it is entirely their fault. We are intelligent, professional MTs, not magicians !!!!
The dictators that....
Have a pager sitting right beside the microphone and it continuously goes off, a shrill BEEP, BEEP, BEEP, BEEP right in my ear and they don't bother silencing it, turning it off, merely MOVING it away from the mic so that my ears are still intact, they just let it beep and keep on talking away.
What are your favorite dictators?
I like the ones who right when they begin dictating, turn around and speak directly into their armpit.  Or how about the ones who carry on a complete conversation in English to the nurse next to them, then when they start dictating they sound like one of those auction guys who have had a few drinks?
Favorite dictators

I have one guy, who really seems nice, thank's you each time at the end of the report, apologises if he has to correct something he said, long reports, BUT, he usually dictates at home, while cooking,bathing the kids and NOW, we must have a new dog because we are deciding to train it while dictating .


It's a verbat account so I really should have put in all the "sits, stays, good dog..would  have made a fortune.


BUT (again), if it were'nt for the fact that the ER he works in is over 140 miles away, I'd have been in the ER, requesting him, to treat me for my ruptured ear drum, when he must have forgot the doggie treats and this dog started barking, loud, blew my eardrums out, had to crank the volume wayyyyyyyyy down, could NOT hear him, except for the good dog's and sit, I'll play later


SS dictators and LINES.
I HAD a problem with Softscript period.  Heard their sever is down again.  Look out, line count will be changing again.  Horrible communication.  Horrible dictators.  Never pain on time, NEVER.  Dictators from hexx.
dictators on the phone

I agree--I have mentioned this endless times to my supervisor about dictators being on the cell phone, the worse that I have had was a dr at a baseball game, doing dictation on his cell phone, you could hear the other parents in the background cheering--sounded like a little league game and yes I did tell my supervisor and yes it is MQ and of yes, nothing was done


 


I love the ones that are on their cell phones and then drive thru a tunnel or put the top down


Fast dictators

When are these ******** doctors going to figure out that by dictating 100 miles per hour they are NOT going to get an accurate accounting of their patient encounter????  I feel like I'm being set up to fail.  I don't care how much experience we transcriptionists have, if you're going to dictate a three page report if 1.5 minutes, SOMETHING is going to get missed or screwed up.  I hope that extra three minutes they saved themselves throughout their busy day is worth it when the patient's chart gets the wrong data and somewhere down the line a big mistake is made.  I've had a terrible morning, struggling with Mr. All-Important who dictates vital signs as one long rambling of numbers, never in the same order (one time it will be weight first, then pulse, blood pressure, respirations and the next time it will be blood pressure first, then weight, then respirations, then pulse) -- I've had it!!!!!  I've got so many blanks in this batch of reports that I'm embarrased to turn them in. 


Thanks for letting me vent.  I'm not a bad transcriptionist.


 


I am so sick of ESL dictators!

What a lousy day!  I am sick to death of getting 100 different doctors a day and maybe one of them speak English.  Makes for a very long frustrating day.


If we all would refuse to do bad dictators - what can they do about it?

Let them do them themselves or have their fair-haired Indians do them. 


Let the mush-mouthed doctors get back mush-typed dictation.  It would be fair.


Tonight I had so many questionable lab values it made me sick.  I also got a non-ending stack of bad, foreign, indistinct, unable to speak English doctors --- you know the guys who end up at the bottom on last day of the payperiod.


I have gotten to the point that I want them to say "This isn't right!" and stomp their feet, because I want to go nose-to-nose with these jerks.  Just mess with me suckers!  I'm ready.  I'm premenstrual and I'm ready.