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Serving Over 20,000 US Medical Transcriptionists

Had to share. Indian with heavy accent and stutter;)

Posted By: chris on 2006-06-24
In Reply to:

this should be interesting!!!


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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. :)


 


how about ESL with a stutter?

I have several of those.  And one guy who likes to repeat almost every phrase at least 3 times - annoying but at least you get a chance to hear it again if you didn't catch it the first time  


dictators who stutter

I'm losing my mind from transcribing for a stutterer.  Ugh!  I lose an enormous amount of line count with him, due to his stuttering.  Thinking about typing everything he says, including the stuttering, and sending it through in order to make my line count.  I'm sure this wouldn't be considered professional or acceptable to the client or QA, but I need to be able to pay my bills.  What's the experience of you guys?


dictators who stutter
Now THAT would definitely be a pain! What do you do to ensure your line count? Do you send these dictations rough?

It's National Stutter Day for me! Lots of uh, uh, uh.
nm
Congrats, girl, and get your share of any money that you share before he wipes you out. nm
s
Share, share, I've been looking for some time...sm
sending out resumes gallor, have great experience, but they sound like clones of each other in what they offer, yet what they want is it all!!!  I'm so discouraged, in the depression boat myself!  They want you to commit to FT, new equip, DSL, on and on!!!
You have obviously never been heavy.
It is not a matter of LETTING yourself get fat. Some people are overweight because of genetics, some because of over eating. You remind me of my ex-husband, who has never been heavy in his life -very narrow minded. Keep that attitude about it and as punishment it will catch up with you. There are far better words to use rather than FAT.
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.


MQ sure is top-heavy isn't it? Wonder if that's where are raises are
and why they have to put them on-hold for awhile?
I'm trying heavy towels next sm
for my bedroom windows. Seven clips for each towel, two towels per window so no cutting and costs 36.00 for 3 windows.  Walmart wanted 20.00 a set for one window and I would have to cut and re-hem them.  Hey, I figured if they didn't look right I wouldn't be out anything since I could use them for baths and wouldn't need to return them.  Anything to keep out the drafts.  I think it looks fine.  Of course my son told me I was a redneck cheapskate, so I told him if he didn't like it that he could finance the purchase of "real curtains" himself.  He decided they were fine.LOL
Be careful. If you were a heavy
PRD user, you will be disappointed with Autocorrect. Also, Autocorrect is not a stable program and may crash if you go over 12000 terms in it.
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!
Nope...not top heavy at all, pudgy!
1500 managers/execs at the top
8600+ MTs on the bottom

I'd say they need to lose a few pudgy MTs from the bottom! LMAO
Is this the one with a heavy "suthern" drawl?
x
Is anyone out there that is heavy truly comfortable with their body? sm

I have had a struggle with weight my entire life. As we speak now I am on Weight Watchers.  I don't want to be model thin because I know that is never happening and some people aren't made to be that way.  I am tall, an inch from being 6'.  Before when I look at pictures I am thinking "Hey, I was not so bad.  I DID carry my weight well."  But during those times I thought I was horrible.  Now, just topped the scale to 300 and I am scared to death!  In the past year, since working from home and being depressed, I have put on an easily 50 lbs.  I weigh more than I weighed with being 9 months pregnant with my son. 


Anyway, I know for my health I need to get my weight down.  But the question is - if you are heavy, how do you feel good about yourself and your body, enough to let that stress go so you can focus on other things in life?  This consumes my every thought.  Sometimes I think I need to see a psychiatrist to get this matter resolved. 


I pray daily and ask God to help.  I feel if I can learn to have a better self image of myself that I CAN conquer this goal and lose the weight.


Tips please....I don't look at other heavy women as ugly and fat.  A lot of people I couldn't imagine being thin, yet they look great!  I just wish I could picture myself that way. 


BTW - in the almost 6 years my husband and I have been married, he has NEVER seen my naked, even when I wasn't so heavy.  It is always "give me the covers, turn out the lights" and never intimate without clothes on.  I want real intimacy.  I want to feel good about myself. How do I achieve this while in the process of losing weight?


I have noticed the southern accent. I like it. Don't like BO though. LOL. nm
.
Kirby is heavy to lug up stairs though -nm
nm
I can understand that. Especially if you are heavy chested. Your
I think CTS in a transcription setting usually has to do with poor posture of the wrists and hands. Bending the wrists is a baaadddd idea. The heavier the chest/belly (believe me, I know, it's why I have a split keyboard, lol) the more difficult to get the hands centered in front of you to type, which usually causes unnatural positioning.

I can understand all of that reasoning.
Average 8-9 on heavy days.

Tuesday is my biggest day and it is a 9 hour day that includes an hour for pick-up and deliveries.  But that is with 5 doctors, and two do heavy consults/letters/ops from Monday.  I usually get abut 200 to 250 minutes and it takes me about 8 hours to do it.  But I do in shifts, 10 to 1, off for an hour for lunch/walk then 2 to 5 and then 7 to 9 or else get up at 5 in the morning to finish and print and delivery at 9.   Monday can be the same depending on that they "catch up on over the weekend". But Wed/Thurs is 6 hours and Friday or if I chose to do on Sunday is only 4.  Again my accounts have been with me for 5 to 18 years --oops just had one start last November but they are pretty good dictators and I can just move right along.  But I do take frequent breaks and am able to work the hours that are the most productive for my body which does include usually early morning hours -- 5 to 8.  But that is me and that is the advantage of having my own accounts.  


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
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.


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.
vacuuming - either the vacuums are too heavy or they don't pick up anything....nm
nm
You can use salt in your carpets. Sprinkle it on heavy

use your broom to work it in and leave overnight and then vacuum like heck the next couple of days.  My mom would put her vacuum cleaner bag in the microwave to kill the fleas cause they can get out and changing bags every time gets expensive.  The salt dehydrates the fleas.   You can bathe dogs in tea tree oil, though I warm you it is a strong smell for days.  I read recently you could put a few days on their collar, but again this is very strong and I couldn't tolerate it.  I haven't tried it, but boil 2 lemons, let cool, and then refrigerate.  Use it as a spray every other day, being careful to keep out of eyes and other sensitive areas.


You should also wash all bedding in hot water if you don't ready and this will kill any fleas in the bedding, but is a good idea to do anyway. 


There many options available through your vet if this doesn't work.


Fleas seem to be bad this year.  We adopted kittens from the shelter and we've had a difficult time getting rid of them.  We are using a pill, plus a topical; both from the vet, and still have them, just a few of them, but enough to drive the animals bonkers.  


 


probably heavy rains and strong winds
Your about the distance from the coast as I was in MS with Katrina and there was damage as far as 300 miles into MS..
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.
Filipino and actually heavy Italian. Uggghhh.
nm
I am heavy by society's terms. I weigh
about 210 and am 5'6" tall. Every single female in my family tree for generations had the exact same body habitus. We are all German with big bone structures. I cannot lose weight - period. Been there, tried and done that save for gastric surgery. It is genetic in my case. Seriously, it really can be. I am totally comfortable with my body and how I look - I even love clothes, shoes, jewelry, until....I have to go to the doctors for anything - a hang nail, and its because I'm -- OBESE -- you name it, a cough - its because of that. And THAT makes me MAD!  My cholesterol is normal, I don't have high BP and am 50. I am what I am what I am, and am happy with it until the med profession makes me feel like pond scum. All my relatives also lived into their 80s and 90s, the old healthy as a horse body types. I am super strong and in shape. I guess you get the picture. I have no arthritis, either, or any of the normal problems of mid life. I also drink milk - I LOVE MILK. I would probably lose 10 pounds max if I eliminated milk, but then I feel sick and run down. Its been a long time until I did get happy and satisfied with my body structure, but I still honestly hate doctors for their bias. And sometimes it is bias.
I dont think so that this has heavy virus site
Again,i've used these programs and checked them and they are virus free. To confirm this, try your best antivirus and scan all files. I use Avira latest virus scan and it detected none. For those of us who can't afford to buy the original stedmans, this is a good alternative. If you have the money, buy the software! If you have them and want to share, share them by all means!
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
Poll - what do you think the hardest accent is? I vote Hispanic. nm
/
We had some storms with heavy rain yesterday but did not make a dent
in the dryness. The past few years we have been saturated with it raining constantly. Last year we were 40 some inches over the norm for rain at one point. This year dry as a bone and hot as heck. The little bit you get through the thunderstorms has not made a dent in our need for rain. The river is low.

The weather pattern is so strange.
that's "lost" my work, we also have a heavy duty generator though odds are
substantial period of time that we are also without a phone.....so it would be a bit hard to work. Granted I could drive to the office if necessary (1 hour away).
Has anyone asked their eye doc about heavy computer use causing glaucoma. I read that article on
that. I plan to ask my ophth next month about that.
Yeah, I used to years ago but no heavy usage, what killed by brain cells
not getting high. Granted if I had done it a lot, maybe so, but I have 1 good friend who got high every day, she has a Master's degree and is a respected Speech Therapist, though we tease her about her specialty, "swallowing".
All; heavy dependence on single words and phrases/standard sentences of all lengths. SM
Like San Francisco does, they can be used with any account/any dictator, which is extremely important. Just entering mostly whole reports and sections makes one dependent on that account/that employer and back to square one when it's time to take on a new account or even a new dictator.

I also have dozens and dozens of headers, bolded, unbolded, capped, lower case, etc., in various forms of each, like "Indications" "Indication," "Indications for Procedure," "Indications for Surgery," and so on and on and on.
Its the cheap keyboards. I bought Logitech G15 gamer's, heavy, sits in one place, so I don't
Its the cheap keyboards. I bought Logitech G15 gamer's, heavy, sits in one place, so I don't have to move all the time. It was $79 and really much better than those little things that you spend your time with your hands trying to keep in place and your body trying to compensate for the keyboard moving all over the place-- Try it, you'll like it-- or any other HEAVY, GAMER's keyboards. Plus I love the touch on this, much more like touch-typing than monitoring those itty bitty light-weight keyboards that I used to have to watch where I was all the time (fingers) because they moved all the time. Hope this helps!
Not to change the subject.. but in Medical Phrase Index, debride doesn't have an accent mark. nm
.
Indian?
What does him being indian have to do with anything?
Indian MT
I don't believe you for 1 second. Indian work is NOT SUPERIOR to what is done here. A few of them are doctors, but most are not. They get the medical terminology, but their American English is horrific. Very few of the Indians who do MT trained over here or in Europe. They completed medical school here in India, which is a very abbreviated compared to US or Europe training.

The Indians are enticing American companies to invest and train MTs over there, working at next to nothing, so that when they have captured a significant percentage of the market, they will jack up their rates and the hospitals and clinics here will have to pay because they have driven out all the US MTs by not paying us living wages or giving us decent paid time off, benefits, etc.

People like you are cutting your own throats in the long run.

I am an excellent MT, QA 100% for 15 years, never miss work unless there is a death in the family. My income has gone down steadily over the past 3 years because of the greed of MTSOs. I am leaving this job shortly. I look forward to the day when you bleed to death from the Indian MTSO who will put you out of business.