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I think MTSO should inquire of foreign docs if they want their

Posted By: dictation SENT TO THEIR LAND OF ORIGIN. on 2006-01-30
In Reply to:

Like it should be standard practice for transcription services to require hospitals to ask------------------

Dr. Pammmmbogmamajama - would you like your dictation to go to India.  Check YES or NO.

Dr. Filiyambo - would you like your dictation to go to PHILIPPINES.  Check YES or NO.

Dr. MacIntiremeout - would you like your dictation to go to IRELAND.  Check YES or NO.

Dr. Chinese - would you like your dictation to go to CHINA.  Check YES or NO (we have to know they are creating offices in Shanghi as we speak)

Hey, I can deal with "the boys" from home.  But I'm sick and tired of  feeling like I chose the wrong profession and should be working in the State Department as translator and should certainly be drawing down lots more salary and getting a WHOLE lot more respect. 

That way we could keep the English dictation in the United States and have it being done by people who have English as their first language.

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foreign docs
And why do a lot of those same ones who speak such poor English also make no sense in putting together their sentences?  I have several that sound like they are clenching their teeth together and straining to get the words out which makes it even worse.  I know exactly what you mean.  Their oughta be a LAW! 
I don't do foreign-speaking docs....
Either they speak English and speak it clearly or they don't have me for their transcriptionist. I'll be danged if I'm going to spend 15 minutes trying to figure out their dictation because they "don't speekee English," or they dont' want to take the time to speak it clearly. Let an MT who doesn't value their time or money transcribe for them! Some may think that's heartless, but that's just the way it is. I'm in this business to make money, not coddle docs who can and refuse to speak straight.
My MTSO can buy the ink and deal with the docs.

She can have her reams of paper, stationery and envelopes, her editing, calculations, payroll, pick up and drop off,  filling in if one of her MTs is out sick or on vacation, dealing with the doctors, office managers and trying to distribute the work to be fair to her staff.

Sure she makes 5 cents more a line than I do. I just type it and save it on disc.

She's the best boss in the whole world, but I don't envy her extra 5 or maybe even 10 cents a line.

Even if she were to sell her business, I'd stay on as an MT, but I would never deal with what she has to deal with. No way.


I know of at least one MTSO who trains the docs on how to dictate
Hey rimrods!!! He fully disclosed he was foreign, it was foreign
trying to catch him telling lies when he already told you he was. Really smart people around here. Call names, insult, tell everyone to leave and go to another site and then wonder why your posts are being deleted. At least he's not feeding everyone a load of CRAP about offshoring. He simply told the truth.
It is a red flag to me, seeing one co. over and over. Would not inquire..nm

Oh, boo hoo!  Those foreigners learn our language so they can take our jobs and our money, you numbskull.  They aren't here to help us.  They take advantage of our laws which actually seem to favor foreigners over citizens, especially if the foreigners are "minorities."  (An interesting term since the only true minority in this world is white people.  About 85% of the world's population is non-white.)  

People like you who think you are so tolerant, are part of the problem.  In this country we would all be learning Chinese if the situations were reversed and China was the country with the open door policy and all the wealth. 

BTW, I lived and worked in Latin America and learned Spanish BEFORE I went there - I didn't expect the people of Colombia to pay to have everything I needed translated into my own language, which is precisely what these foreigners who come here to leech off us expect.

I'm an MT....slavery is not foreign to me.
Whatever it takes.
Those foreign guys

Yeah, we've all had our share of "those" guys.  I worked in Radiology for a Spanish guy for about two years.  He thought his English was perfect, so anytime there were blanks he went off of his latino-rocker.  So I finally get this guy "nailed" where I can transcribe his reports just as fast as the others, and then what happens..  ? I lose the stinkin' account to VR!  So he still sends me work on occasion and guess what .... he's crystal clear NOW, and why?  Voice Recognition doesn't DO gibberish ... it trained HIM!  HA!   (Course he has to speak slowly now, losing lots of "billable hours"  And of course, they had to hire an Editor to clean up the reports, punctuate, and correct his English.)     Go figure!  ');>

Seriously, though, if you can't stay with that ESL day-in and day-out for at least a month, you will never get him.  Why companies bombard MT's with different docs from day-to-day is just beyond me.  If QA were REALLY that important, they wouldn't do that.

You all are talking foreign to me
I have ShortHand and love it, but you left me way behind. A Shorthand course would be great.

isn't SPI a foreign company
Maybe you could work for them.  They bought out Cymed.
foreign dictators
Wow, you sound so full of hate!!!Do you even know how difficult it is to learn another language? Have you ever tried to speak another language?

I don't particularly care for ESL's but...
foreign dictators!!

From one blondie to another--I couldn't agree with you more!

Drives me crazy, not to mention my so-called "productivity!"

What does the site being down have to do with foreign MTs?

Bonus from OJT - foreign dictators. (sm)

I learned OJT in a small hospital with a PDR, Dorlands and a boss with an attitude from &*^%&*^.  There were only about 7 doctors on staff, 4 of which were foreign.  I started off learning to cope with a Thai accent in a physician who had had a speech defect, a Nigerian, a Swede and a Czech.  It was a painstaking way to learn, but I am greatful every day that accents have become a way of life for me.  I almost prefer them to some of those mealy-mouthed speed demons. 

I can remember cursing when they would say "Go back up and change this".  Just rip that paper out of the typewriter and start again. 

My children can't imagine a time before computers.  Will have to take them to a museum someday and show them what life used to be like.




It's not the foreign workers who are at fault sm

The fault lies with the big US corporations who are the greedy SOBs that have outsourced the jobs so they can save billions over what they would pay workers in the US. 

So, to be rude to and cuss out these working people is not going to get us anywhere.  What we should do is boycott the corporations who are sending the work overseas.  Maybe if they lose enough business they will get smart to themselves and bring the jobs back to the US workers. 

First Job, given only foreign dictators, and never the same. Doing allright, however, should I look
This is my first job, and I am never given the same dictator.  Also, this is hospital work with basically any kind of reports.  Only doing about 200 lines a day for 6 cents.  Should I look for another job???
Focus stands for Foreign

Focus is an Indian company, you know.  Most who have been there were not happy, and many MTs only go there because they are fresh out of school and find it hard to get the experience they need.  Just FYI.

I do have a 2nd job with US owned co. that I love. Foreign
It's shameful if the new owner is foreign but

This is NOT racisim.  This is plain common sense and courtesy. 

Aruba is a foreign country. Their laws
are different than U.S.  Father said "no body, no crime" because he knows in their system if they have no body, they have no crime. Therefore, they have to find a body...or they can't prosecute for murder.... Their laws, not ours.  That is what it is when you travel outside the country, you are under the foreign country's laws.. Really too bad but that is how it is.
I think the foreign kid adoptions are liberal Hollywood

I don't think these kids are anything more than a fashion accessory/photo op for these phonies. I'm sure she and the other "stars" who adopt these kids for whatever attention/approval-seeking reasons have a full staff on hand 24/7 to take care of the kids when the cameras aren't rolling.

I doubt Angelina's ever been vomited on or crapped on (at least not by her kids anyway). 

It's the topic of the moment. You must be in a foreign country maybe.
There was a catastrophic hurricane with a devastating flood afterwards! A disaster of biblical proportions! Many people lost their homes, the worldly positions, billions of dollars in loss. Lives were lost, the poor, the elderly and the infirmed. We watched it on the news (it was on here in the U.S. around the clock). Try www.cnn.com for all the details.
Ha! Those jobs they'll just import the foreign PhD on
on one of those work visas as they do nurses and teachers. Pay 'em less and put another American out of work.

Wake up, America! No job is safe any more.
Do you charge more for foreign-speaking doctors? nm
really?? Worse than the offshore foreign transcriptionists?
That's odd.
venting re foreign patient names
I just typed a long report where the patient has some weird foreign name so it's difficult to tell gender. The doc dictates as a male throughout, i.e. he, his etc. At the end changes it to a female.
Tired of these low class foreign doctors
They live here but they cannot learn the language.  Most should not be here in the first place.  They were admitted to medical school with the proviso that they return to their own countries to work as doctors and help their own people;  they got all these fancy or free grants to pay for their schooling; American citizens were pushed aside to fulfill the foreign student enrollment requirements for medical school to "help the needy countries health problems".  Then they got dollar signs in their eyes.  They refused to learn how to talk.  They are arrogant, sloppy, nasty, and are too mentally compromised to even learn how to push the right buttons to enter patient numbers into systems.  What pigs!!!!!!!!!!!  And they expect perfection?   I think we should sign every report off with a blurb saying unable to understand dictator, please return him/her to his own country. 
are you working for third world foreign doctors?
This has been my experience.
TransTech does this group, too. Awful foreign residents! nm
I was living in a foreign country with my parents, probably getting ready for
elementary school. Didn't even know who he was. I don't remember my parents mentioning it, but it was shortly after that when the stupid joke about "What would it take to reunite the Beatles?" came out.
My company foreign owned but they have US office people
Site was foreign built from the beginning..just listed at top only for US
True! Computer techs are all foreign. Used to be a good-
still have a tech job are usuallyh IC's, with no job security and no benefits. Lots of computer and microchip manufacturing jobs, that spawned the 'Silicon Valley' in California have gone offshore. Now even radiologists have to worry about their jobs, as some places send the x-rays digitally to Philippines to be read.

What I'd like to know is.... What exactly is going to be LEFT in the United States for US to do? Gas station attendant? Nope... most are self-serve, unless you live in Oregon. Wal-Mart Greeter? Hmm... not old enough (or retired enough) for that. Farm worker? Nope. Mexicans have cornered that market. Waitress? Nope. Lots of eat-in restaurants going belly-up these days. Typesetter? Nope. Newspapers are going extinct. Web designer? Nope. Most people can design their own nowadays. Retail? Same as the restaurants. Teacher? Whoa - talk about an underpaid profession! Nurse? Another underpaid one. Not a good choice for us work-at-home recluses. Truck driver? One of the few jobs where they need people, but to make ends meet these days you have to pretty much live in your truck. Flight attendant? Not a good choice for us recluses who hate to fly. Rap artist? Pretty saturated field. Hair stylist? I don't even comb my OWN hair most of the time, and haven't cut it in years. So I'd be pretty useless unless someone with long hair wanted a French braid. Chef or short-order cook? Not if you only cook TV dinners. (Does that count as cooking?) Dog-walker? Nah - I'm a cat-person. Bike-messenger? In my town, most of em don't live very long. You never see middle-aged bike messengers. Taxi-driver? Nope - the Sikhs have cornered that market. Executive secretary? (What? Go back to wearing heels and pantyhose? NEVER!)
Samtel does this all the time. Pretty sure she/he is foreign because of the plain stupidity in it a
foreign med school gradutes take separate board exams..nm
which are different than American med school grads. There was an article in The NY Times indicating that new regulations are being pushed that would require foreign med school graduates to take a two-part board exam to practice medicine here, with one part of the exam being English proficiency. Hmmm..that should be interesting. I don't think you have all of your facts straight.
off shoring means the company actually moves there. - of course I mean outsourcing to foreign lands.
they may up their ante but they will always undercut us in price, because they can. No Work Comp, no EOE, no OSHA, no health insurance. If they charged the same as us, what would be the point?
As Economy Slumps, Firms Line Up to Hire Skilled Foreign Workers

 What the heck is going on around here?  It just gets better by the day!


ESL Docs

That is SO true!!!!  There is definitely a problem with dictating the appropriate gender when it comes to ESL docs. They tend to go back and forth umpteen times during one dictation, so you really have to pay attention.  Verb tense can also get very confusing.

I agree that sometimes slowing down and concentrating can actually increase productivity. Even though I feel like I'm transcribing like a tortoise, I'm really getting more done than I think when I slow down and allow myself to think.

Just hang in there with QA. They are just doing their job and you need to take a good look at what they are telling you and concentrate on that issue. It's really hard not to take it personally, that's for sure, but it's gonna make you a better Transcriptionist in the long run. On the other hand, if you feel they are truly wrong about an important issue, then challenge them!!  But you'd better have major references to back up your challenge.

Ellen S.



ESL docs
are you on VR yet? you can choose to have a 20% cut on your baseline rate and get the "better" dictators ?? or you can choose to keep your MT 100% baseline rate and probably get all of the ESL docs -- what a choice - not fair, huh??
This is almost as bad as the docs
I got three of them yesterday...three different docs. I think this is soooo rude! I'm almost to the point where I'm going to refuse to attempt to do them. Surprisingly, it's always a female doc who is dictating either a GYN or breast cancer related report.

I can picture a couple of these ladies hopping on a Harley Davidson riding home from work.
I think they should ask all ER docs

if they even know the English language to begin with, 'cause if they do, they don't practice it.

I know everyone knows that a lot of docs don't

read the reports after we have transcribed them, but I just had a doc on my account dictate that he wanted the line "Dictated but not read" added to ALL of his reports from now on.  He was mad because he said he requested this to be done a few weeks ago and has been "keeping track" and it hasn't been getting done.


All of my PAs were better than the docs before

I switched companies and along with my new account came all new PAs (and might I add, quite a few of them) who all make me miserable. They botch the dictations beyond belief and I am left to fix the sentences which look like riddles and are actually confusing after they get done with it.

Change thoughts in the middle of a sentence...start talking and forget where they left off so I am sitting there for another 2 minutes waiting through the ummms and ahhhs and the start of sentences "the patient umm.... ahhh" and I'm waiting for them to say something and they just hang up.

Mine are good for this too... they will dictate an incomplete report and then a few dictations after they will start finishing incomplete dictations, adding in something they forgot to say, or they will say CC a copy to: Dr. ____  on a 4 second report and not say whose report it goes on. This would be easy to figure out if they didnt have 40 dictations and at least 5 hang-ups with about 8 of those 40 dictations being something they want added on to some nameless patient's report.

Had I not switched jobs, I would have had a hard time believing any PA was hard to transcribe...just because I had a good bit of them on my other account and they were all PERFECT speakers.

Now when I see that I have to transcribe a PA-- 


ESL docs
Hey there,
Hang with it a little while longer. You'll probably find that it gets easier. Those ESL doctors do say the same thing over and over again and it takes practice to get it. Try listening a few seconds longer than the phrase you aren't getting because sometimes that helps. I agree that samples help an awful lot so be sure to request as many as you can. Good luck! You can do it!
I would always rather have my ESL docs over the sm
English as first language docs, who speed talk, slur words, and don't seem to care about the patients.  I am usually very impressed with the patient care given, and the understanding of the human issues, by the ESL docs.  I think the problem with the original poster is she needs to learn to transcribe these docs, with all the suggestions, especially getting samples, mentioned above.  She doesn't really seem that concerned with patient care, but her inability to transcribe difficult dictators.  It is, quite simply, the nature of the business.  The easy docs go on voice recognition, and the transcriptionists transcribe the difficult dictators.
I tell ALL my docs that I'm an MT...
...and I transcribe and read my own reports (I work for a large healthcare co).  Hubby signed a HIPAA form for me to transcribe and read his reports, too.   Now the docs are more careful 
how many docs know?

When I mention to physicians that if they send their work out it might be sent overseas they are appalled!  Sometimes they say things like, "So that's why there were so many mistakes."  Companies don't always tell them where the work is being done or by whom. 

I still fault them for trying to save money at our expense, but in a certain sense some of them are being taken advantage of as well.  Perhaps our "enemies" could turn out to be our best allies should a good case make it to Court TV. 

We need to educate the physicians as well as the public. 

Or I like when they make up their own spelling of words, especially meds.
sorry made a mistake above...I meant the docs take me to the bathroom with them LOL!!!