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In all fairness, it is a known fact that English is the hardest to learn sm

Posted By: Lyndia on 2008-01-21
In Reply to: 120 by 80 - ESL - What's With That!?

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.





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Oncology - by far is the hardest for me. New protocols every day to learn. nm
x
Learn proper English...
YOU BE HAPPY THERE - Perhaps you be stupid?
In all fairness...sm
to the OP, and with the assumption that overseas MTs are not allowed to post on this site, and with the OPs message still being here, I can only assume that she is within the USA. Perhaps some of us are jumping to conclusions by the way she wrote her post that she is from India, which may not be the case at all. I have a daughter-in-law that is of Japanese decent, but an American citizen. She is educating herself in many college courses, including English as a second language. She does well with it and I am very proud of her and all she has accomplished. It still remains that the English language is very difficult to learn and communicating may not come so easy for some. Perhaps the OP is an American citizen, as well, and just has difficulty expressing herself verbally. That does not mean that she cannot type what she hears, though. Don't get me wrong, I am just as much against outsourcing to third world countries as much as any MT on this site. I am just saying that we should not jump to conclusions without all the facts. Just because someone writes a poor post, does not mean she is from India and after our jobs. Again, her post is still on this site, which I doubt it would be if she was from India. this is just my opinion and not looking to start an argument. just looking at all the facts, which is why I answered her question in the first place.
In all fairness, NAFTA
introduced and pushed by former President Clinton began the whole process of offshoring. At one time, the gov't believed that more products and services would be purchased by overseas companies if we sent work there way. Big laugh. Recently, under President Bush, congress jointly devised a plan to expand the NAFTA to include CAFTA as well as Australian and Eastern countries. Go figure. Sometimes I think it is not so much the Presidents but Congress whose only thought is padding their own pocketbooks. Remember, many congressmen/women and senators all come from states that offshore heavily.
and in all fairness, that's just one side of it, the other...
can be found at the aforementioned site above in the 'see inside' post.
In fairness to all posters, if you are a MQ poster, please

In fairness to all posters, if you are a MQ poster, please kindly post only NEW information on the Main board and your daily information ie ran out of work already, questions about the infamous "packet", etc. on the Company board.  Please note that redundant questions will be removed from the Main board.  Feel free to check the archives and feel free to post your daily information and queries on the Company board.


Thank you,


Adminsitrator


 


 


No, actually they don't. You guys run on emotion, not fact. And when fact is presented,
c
of course they speak english, with an accent but they speak British-English quite well.
And I can't speak Indian so I guess they have an edge don't they?
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
Agree...Hispanic is the hardest!
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!
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!).
Poll - what do you think the hardest accent is? I vote Hispanic. nm
/
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.


English Ivy all over
It's in our back yard, couldn't stop it from growing if we tried. It wraps around our mailbox, which is actually very pretty.... it doesn't even die during our winters here. But it is woody, unless you get some of the ends farthest away from the dirt. Look closely and you'll see small roots sticking out from the stalk. You can either put those directly in dirt, put in water, or rooting hormone helps it take off faster. We're in the south and that stuff grows everywhere. I would give it away gladly just to cut a lot of it away. Good luck!
English
is NOT the official language. There is no official language. True, the majority speak English as their first language but it is not OUR language yet.


English
Officially maybe it isn't but the majority as you say are English. I just think some people who come here should take the initiative to learn English more than they do.
I think I get fustrated because I have a Mexican who lives nearby and came over to the U.S., as many do, illegal. She has a green card to work and all but she isn't a citizen. Well she will not study her English more and can't hardly communicate. It fustrates me because she needs to make more of an effort to learn English where not only can she be understood more but she can understand us more. She can speak English just barely.
That is where a lot of my fustration comes from with foreign dialect. A lot of Mexicans come over here and think we should learn Spanish to communicate with them. Well if they want to live in the U.S. they can learn English. Some of them do learn and you can communicate with them. But some have a chip on their shoulder that they are going to speak Spanish and we can just adapt to it or the government should make provisions for it. Well we did not ask them to come here so learn it or leave.
English
True. There are so many dialects here in the U.S. I am from the south, and I went up north and they talk entirely different. Just different accents, different ways of saying things. They looked at me like where in the heck did you come from.
But with the ESLs I just get plain fustrated because I feel like they aren't making a effort to speak where I can understand them sometimes. And some of them do make the effort. They do and you can tell. They are trying. But those others really chap my *ss.
English

I thought all foreign MD's had to pass the ECFMG (Educational Commission for Foreign Medical Graduates).  Maybe this just verifies their information insofar as medical school, etc. and clinical skills assessment.  I thought they had to pass an English exam, also. 


I agree -- there are too many people walking around not knowing or using the English language.  If they want to live here, they should at least like our country and not fly our flag upside down, etc. AND SPEAK OUR LANGUAGE.  I have no problem with foreigners coming over here.  My only problem is with foreigners coming over here and not respecting our language and culture.


 


 


English yes, others no.
x
English Language
Amen to that!!!
I live in South Florida and you may as well call it a foreign country. I asked a clerk at local Walmart for Phiso-dem...she had me write it on her notepad she carries around, because she doesn't speak English!!!!
English as a Second Language
nm
from an MT into a English Teacher

Am thinking of getting some education units (degree hopefully) to become an english teacher. I have been an MT for roughly seven years, five months give or take including schooling. But since i feel that Big Company (fourth down upper left panel of your screen, starts with "m") that says they dont outsource, but we cant be be so sure. I feel that the work is not anymore paying well right now. (maybe im just not getting the big breaks) I feel that i have to check my alternatives - cause im not getting any younger. Its tough out there but i think that god will provide.


Former MTs Teaching English
I heard that too. its in the newpaper last week, they will be looking for teacher. Man, this board is really updated.
Am i too old to be a english teacher?
is there a age requirement on being an english teacher? Or 32 is too old?
help with english phrase
permitted to don and dos his TSLO, I know it means to put on and take off, but how do you spell it?  Thanks.
Knowing English as well
In your post you said "I am knew" to the transcription world. It should be new. This is just what would keep you from passing a transcription test.
Should have said English as a FIRST language. LOL
x
So, English is a second language..LOL!
How can someone get a job doing this kind of work without knowing English?  Just amazes me!
Learning the English would be
a big help!  They come here to make money and should learn the language.  Benny Hinn does a great job with the English language when he's asking for money!  so apparently it is doable.
a.m. is not English, it's Latin.
:
Since when can they communicate in English?

Certainly none of the ones I've encountered in CS can!


Well, my dears it is English 101. SM

20 units of Pitocin WERE given or 20 units of Pitocin WAS given.


Twenty units of Pitocin was/were given.


What is the subject of our sentence?


"of Pitocin" is a prepositional phrase and Pitocin is the object of the phrase and, therefore is NOT our subject.  "units" is our subject.  Is "units" singular or plural?


It is plural and, therefore, requires a plural verb, i.e. "were."


Twenty units of Pitocin were given. -- Correct


Below is copied verbatim from the Blue Book of Grammar and is taught as part of the grade school and middle school English 101 curriculum throughout the United States.  No where, in any English text book, does it state that units of measure are always considered singular or in medical transcription certain rules don't apply.  It is THE RULE across the board.  Those weenies at the AHDI decided to make up their own rules, print a book, and sell it to naive MTs everywhere.













Basic Rule.

The basic rule states that a singular subject takes a singular verb, while a plural subject takes a plural verb.


NOTE: The trick is in knowing whether the subject is singular or plural. The next trick is recognizing a singular or plural verb.

Hint: Verbs do not form their plurals by adding an s as nouns do. In order to determine which verb is singular and which one is plural, think of which verb you would use with he or she and which verb you would use with they.
  Example: talks, talk
Which one is the singular form? Which word would you use with he? We say, "He talks." Therefore, talks is singular. We say, "They talk." Therefore, talk is plural.


english turned OFF

I for sure am not going to sit and proofread my posts and sometimes fingers go where they go.  If people feel the need to proofread others posts they REALLY need to get a life or a friend or something.  I had another person do this to me on another board and I cannot tell you how aggravating it is.  I have a 99.58% accuracy rating and make plenty of mistakes in my email posts.  This is NOT WORK.  This is play and the fact that you feel the need to criticize people just tells us all about YOU.


What is YOUR USUAL English?...sm
the SLANG English?
English is not the national language sm
America is a melting pot and English is not and should not be the national language. I'm Native American and while I'm not happy about the influx of immigrants - which I'm sure your ancestors were - America is a melting pot and at one time English was the 'second language' around here and others had to adapt.

Deal with it. America is a safe haven and refuge for other countries. Why was it okay for your ancestors to come here but it's not okay for others to come here?
Am I lost - is this English class
Excuse me, Miss Smarty Pants - but this is NOT English class - go teach English somewhere else if you such strong desire!
At least most of them speak English as a first language, eh.
Except the Francophones/Quebecois. Plus, they're not undercutting us on wages.

Pas DE probleme!
My English teacher would cringe at the BOS. nm
x