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I did it from day one at present job, 80% ESLs, but then I'm sm

Posted By: NOT your average MT, obviously on 2008-09-10
In Reply to: Can 1100 lines in 6 hrs be done - with acute care?

It will all depend on your experience as an MT, with ESLs and acute care more specifically, and what platform you are on.

It IS doable, but will take most moderately experienced, moderately fast MTs a bit of time to achieve. While I can and did to this from my very first day, I am NOT your benchmark, but I am here to tell you, YOU CAN DO IT with some effort.


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Not a present but - sm
The worst Christmas (2001) was seeing my mother in a coma on Christmas day and dying the day after. Nothing I get from now on could make me think it was worse than that.
I can help you with that, but at not at present (sm)
Please check back tomorrow. Doing system upgrade at present and cannot access information to provide you with.
And.. what's the best Christmas present
nm
Then why does he present himself as "ghetto"
and dress like that? If he's trying to set a positive example as you imply, it's not going to happen if he's dressed like a thug while he's preaching the "good word".

Gimme a break.
My present dictator

She underwent the above procedures without difficulty. period. ummm period. She ummm period. She ummm


 I think its time for a break already


maybe ask present employer to
cross-train you...pick up part-time job and start at a lesser rate in order to allow for training...
If this had just started with the present
administration, might write but hey, this happened how long ago now? Can we write to the people in charge then and say don't send our jobs overseas? The present one is not to blame but having said that, I fully understand where the OP is coming from. I absolutely did not go and see Slumdog Millionare (even though I heard was great) because I hear enough day in and day out of other languages and I sure do not want to pay money and hear more. I am a prejudiced person now, not against most here but like the OP, mostly India.
I didn't have to test for my present
job.  She looked at my work experience and that I was from a very large company, and took that as good enough.  
Forget the present. His gift will be you.
nm
do your present laundry first and then treat yourself--sm
for a job *well done* by buying new clothes. That way you get both. just a suggestion.
I don't think the present Voice Systems will improve
I believe it is best not to name names, as others have pointed out in this message board. So, instead, I will simply post the job as listed on MTjobs.com and say that the same person is posting this job as when I was bilked. 'Nuff said.

Voice Systems, LLC
Contact: Cindy Adams
PO Box 72046
Albany, Georgia 31721
voicesystems@mchsi.com
Telephone: NO CALLS, Fax: 877-883-9873

Title of position: Transcriptionist
Experience: 10 years as a transcriptionist.
Location of position: Georgia
At home or company: Work from home
Full or Part time: Full-time position
Type of Transcription: Many types of transcription.
Specialty: Orthopedics
Job Description: 10 years experience with orthopedic operative notes and discharge summaries.
Hardware/Software: High speed internet, Pentium IV computer, XP Pro, Word platform, familiary with VXP player, and typing into hospital system.
Method of sending/receiving dictation: Internet based
Compensation Information: competitive, 65 cpl, IC status only, great opportunity
Date Posted: 2005-10-17 12:49:12


Escription users past and present
Our clinic is converting to Escription, now after the initial training period Escription is doing OUR work..will we ever get our work back?
I would just advise to present your situation clearly w/o 'whining' (sm)
as my DH went several years back and there was a lady who worked on her farm picking crops, her husband was disabled, and she sold at market on the weekend - the judge actually bought from her - and judge refused to excuse her and said it was a 3-day trial, was her civic duty and would be over soon.. DH did QA at the time and didn't say anything after that :(
Got that right! Wish an autopsy would present itself to break the monotony. nm
s
NO. I'm making 0.075 cents/line at present. SM
Have 20+ years experience as an IC, mostly clinic work, which is what I like. Have been CMT since 1997. most companies will pay up to 10 cents for CMT, if you are lucky, but ONLY IF you work full time at THEIR production level which for someone like me will not work.
Keep your present job while trying out a new company; the grass may not be greener
nm
Look, I am as tired of everything as everyone. My heart breaks for MTs who cannot buy present for t
and it breaks my heart for people not helping other people. I don't know what your point is. I just don't want to be attacked and it seems we get off the subject and take one line from a post and use it against the person.

I have given people money that came to me door saying they couldn't pay their rent when I didn't really have it, not the whole rent but what I could give. It wasn't important that I knew if they were telling the truth or not, it was important to me I could help. I took 2 cats to help a woman who was evicted from her apartment or she was going to leave them there. I already had 2 cats. I am not religious but it seems strange I was taking my trash out and commented to her about moving when she told me she had been evicted, and about the 2 cats. She was not able to get them back and now I have 4 cats. I gave her money during this time and I did not even have a car. I gave her money on several occasions and I did not put retrictions on where it went. I gave her what I could without going hungry or my cats going hungry and I know she appreciated it. My new neighbors borrowed over 100.00 from me and 2 months later I asked them when they could repay it and it made them mad. They didn't speak to me the rest of the time I lived in that apartment. So what I am saying about that is don't loan money you cannot afford to get back, I already knew that but I was going through a bad time with a company I was working for and needed it. Some people are users but I would rather believe and do, if I help someone it helps me more. The woman with the cats stayed in that apartment for 3 nights with no electricity because she had nowhere to go. The people who borrowed the money from me had a little girl and they said they needed it for a drug prescription. I could have said no I didn't have it, and no I didn't have so much money I could throw it away but even though it made them mad at me, I know that little girl got her medicine. Maybe it was all a lie, I don't really know, but in my mind she got the medicine.

I don't know why it offended you that I said don't attack me, you don't know my situation and I don't know yours. I have no family, just my pets and if someone showed up at my door I would give them what I could, I am just built that way. If I said no, I would shut the door, and then probably run down the street to find them. I have a roof over my head, doesn't mean I will in 2 months, but so many people don't. I am sorry but I really hurt over this.
GO for it girlie girl! This is your New Year's present! sm
I am happy for you! You deserve a break and here it is. I hope you love it and it works out well for you.
People cannot fight the power and corruption that is present

in he political system.  These politicians are bought by special interests.  Many of the people with special interests are corporations, insurance companies, etc.  They have major money to contribute to run a politician's campaign.  Both Democrats and Republicans take this money.  So if both the politicians are in need of money to win an election and you and I can provide the money the special interests are going to be heard above and beyond the little guy with a beer in his hand who is working 8-5 and wouldn't know how to organize a revolution if he had an instruction book.  Besides he is too darn tired and has to mow the grass, take the kids to the movies, etc, etc, etc. 


So you got both parties taking special interest money in return for favors granted (or the funding is stopped and the party can't win) What is the American public going to do?  Not vote?  You only get two choices and the system is corrupt.  What do you do?  Once again, you are assuming the American public is intelligent and united.  If you read posts or editorials anywhere you will see the American public is divided led by sound bites or blind loyalty to a political party.  You aren't going to see anyone overthrow this government in this lifetime.  People in power are not going to give it up to let Joe-Six-Pack run the country on his $100 day budget to campaign.  It is sad but true.  We have been led down a path that it is too late to turn back.  While the politicians were passing these laws to allow offshoring/outsourcing, we were watching TV or busy with daily activities of living, thinking this will never affect me.  And it's the same deal now. 


Anybody agree on who should be president?  How about Iraq war?  Anybody agree on forcing the national companies to pay us more for MT?  Come on.  Be real.  You can't unite this country on the smallest issues.


 


 


i think the whole thread is in jest at the fools who run MQ, past and present.
How many MQ CEOs does it take to give MTs a raise after 5-6 years or to award a prize of a trip to Hawaii offered months ago?  What a joke and the jokes on us - for now.
"Medical Transcription: Its Past, Present and Future"
This link was posted a few days ago. It is an excellent article written by Claudia Tessier from the Medical Records Institute. It answers your question and puts the MT profession in clear perspective.

Thank you to the original poster who posted this link.

http://www.medrecinst.com/pages/libArticle.asp?id=28
I think it is decided, and you can kiss this account goodbye. I would present the sm
finished work, along with a bill, and when you expect payment.

Meanwhile, get real busy looking for something else to make it up.
I disagree, I would leave the room and ask a nurse to be present...sm
I think it would be uncomfotable for your daughter or son (for a son even more!) when they are over the age of 14 for you to be present at their intimate exams!
Ask your children, unless you turn away your face and then you don't see anything anyways.

Give them their privacy!
They are not babies anymore!

Breakfast at Tiffany's, Rebecca, Wuthering Heights -- I really should come into the present but I
just love all of the old movies so much more than the new stuff, although some of it is okay.  For current I would have to say Beautiful Mind, Cinderella Man and Gladiator, cause I just think Russell Crowe is a wonderful actor, although not too sure of his true personality.
The majority of pcs being sold at present are labeled as "Vista Ready." This is
your best bet.  Most MT companies will not make Vista a requirement for at least a few years.
I am going to have my son present this on Thursday for his position paper in Govt class.
One way to get people, even though they're seniors in high school besides the teacher, to become aware of this situation.  Because it's not just the VA, it's every record that goes overseas, and Mr. Messiah Obama, et. al., fail to understand that or address it.
I got a REAL present for MT week from my part time employer. I love it!

way off topic wedding present question - is there proper etiquette on the amount a guest must (sm)
spend on the wedding present?   I have known people who hardly know the bride and groom yet spend $75 to $100 on a present.  Is this now the expected/correct amount to spend?  I was inclined to spend $25.  Am I being cheap?
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.