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Serving Over 20,000 US Medical Transcriptionists

Maybe people in India who can't speak English? nm

Posted By: bjpnc on 2008-05-06
In Reply to: bah humbug - upnorth


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I spent about a month in India and they do speak English but sometimes I had a hard time
understanding the way they pronounced the words so I would ask them to spell it.
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?
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!
to dictate if you cannot speak English.
Sorry to gripe about this, as I know it comes with this industry, but I just transcribed (ha) a doctor, who sounded like this......

ditdada..ditditdadada..ummm, aaahh, shimaprazole, shinequapam, ditdootoday, patient no feel no good...ditditdazow. I quit.
Most of them can't speak correct English,
much less type it.
Tad immature? - does not speak English.
Blodnee, you speak English, not American....sm

and answer the question....Where did you're predecessors/folks come from...or don'tcha know that either?  Cat 

Well it appears we all speak American English...

There are thousands of different dialects of American English....from North to South or East to West.  Come on folks, we listen for a living....Please calm your little buns down...."American" is not a dialect....Vernacular is different everywhere.  When asked to "cut out the lights" my kids looked at me for an answer to which I replied "turn off the light switch".      Cat


Theodore Roosevelt on Immigrants and being an AMERICAN


"In the first place we should insist that if the immigrant who comes here in good faith becomes an American and assimilates himself to us, he shall be treated on an exact equality with everyone else, for it is an outrage to discriminate against any such man because of creed, or birthplace, or origin. But this is predicated upon the man's becoming in very fact an American, and nothing but an American...There can be no divided allegiance here. Any man who says he is an American, but something else also, isn't an American at all. We have room for but one flag, the American flag, and this excludes the red flag, which symbolizes all wars against liberty and civilization, just as much as it excludes any foreign flag of a nation to which we are hostile...We have room for but one language here, and that is the English language...and we have room for but one sole loyalty and that is a loyalty to the American people."


Theodore Roosevelt 1907

If the dictators could speak proper English and enunciate clearly,

if the supervisors didn't bounce MTs off of QA in less than a week and then gripe at everyone about leaving blanks, if the account specs were clearly delineated, if the pay was worth a darn, if the QA feedback was constructive and consistent, then maybe the MTs would care about quality and loyalty. 

English is common in India, still...
After 3 centuries of British occupation, English is still the primary language for many educated Indians and a second language for many others.

Still, to be fair, English is a very confusing language and I don't blame anyone for misusing prepositions - by, over, etc. I think it's easy to understand how someone would say "by" for the slash when "x" stands for "by" in measurements.

As long as I can understand their English, I don't care how thick their accent is or if they misuse a few words. I get most irritated by the MDs born here who will not open their mouths and speak distinctly, or go 110 mph.

I know a little French and a little Spanish and I confuse some of those terms.
India was once colonized by the English - like Hong Kong. They have been exposed
Probably why India was singled out as a outsourcing mecca, much to my dismay...
MQ acts like ASR will be all they need and forget people with English and

their hospital clients are watching.  When there is no pool of MTs to get anymore when MQ has destroyed the competition and driven what is left of MTs to other sources of employment, well-------------------------maybe there won't be hospitals any more, who knows.  The way our country is going I guess we will have to be treating ourselves from over the internet, LOL. 

But, back to being serious, I see more and more hospitals advertising for MTs to work for their own individual institutions, and not using transcription companies. 

 I hope the pendulum is swinging back to hospitals having more control of their records. 

 Otherwise HOSPITALS are in for a big surprise.   Wasting Mi$$ions on MQ's and Philips "voice recognition" gadgetry is throwing good money after bad.  The "suits" have complicated creating a medical record so much, it's literally a joke. 

 But that's what big business does isn't it?  Get "suits" into a situation and have them try to make it a "profit making venture" out of it  - and pretty soon the whole job gets lost in the hubbub and all you have left is confusion and dollars flying around, and the product is an unattainable goal. 

Oh wait, but you will have a NEW COMPUTER SYSTEM that is supposed to do everything but wash dishes, and the suit will walk away with another of your $23million dollars.     

I noticed the last time I read stats from MQ on how many MTs they have it was (drum roll here)............10,000.  Remember when they crowed they had 13,000?

Was this "Frank's" plan when he took over?        Or are we all jumping ship because they are an intolerable place to get a pay check? You do the work and even then they want to renig on paying you for what you did.      NOW THAT's REAL CLASS, not. 

people speak and you see the words spelled out in your mind...
"stating that people have a poor grasp of the English language anymore. "
i hate that expression. makes no sense to me.
The people who call me from India are AM
ALWAYS polite, agreeable, call me "ma'am", say please and thank you, etc.  They at least attempt to seem concerned with what I need from the company. 
Yes some crappy India people get this work
But I think it is also a great opportunity to keep this IN the USA.
IMO, anger toward India and its people is misplaced. sm
Refocus your anger, if you must experience it, toward the system here, which values cheap labor over accuracy.
Our country sucks when it comes to teamwork.  My experience is in hospital transcription and 95% foreign dictators.  Most of my dictators are from India and surrounding countries.  Give up you all, India is already way ahead of us!
Used to think we were using India, but now realize India is using us for our med. info, jobs,
if you live among trashy people, low income people, people w/o goals or direction,
content to just get by, you by default become a part of a group. "people" have decided to group trailer people as trash. that is because there are enough people in that group to earn the title and even if you aren't trash, you are categorized by others. did i think i was trash in lower class neighborhood surrounded by people who drank and fought all weekend? no but i knew i wasn't staying and did not try to pretend that all the fools in the neighborhood were just nice folks who ended up where they were because high horse snobs deemed their neighborhood low class. people for the most part live exactly where they belong because they don't want to educate themselves, they don't mind "trash" around them and they don't want to be bothered trying just a bit hard to extract themselves from that world. they justify everything to themselves i guess saying everyone who doesn't like their lifestyle is a snob and the comedians (Jeff Foxworthy/Chris Rock, etc) who make fun of them are just ill-informed.

As for me, I fought hard to get out and don't even want to look back. It amazes me people stay for generations.
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!
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.

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.
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.

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.
Hey, speak for yourself (sm)
My accounts are 95% ESL. I love them. I can do them. It's job security, thanks to the MTs who can't or won't do them. As long as I can hear them and the technical quality is there, I welcome the ESL challenge!

I'm lost as to why doctors can not just speak more clearly. I know it is possible, I have many doctors who do it. I am only 25, and I am going to be gray by the time I am 30.

My god. i know that its hard to have so many patients, its also hard to transcribe if you cant speak clearly, for the doctors that can talk more fluent thank you very much.
I would not speak

or respond to any job posting that used a hotmail address.  ANY reputable company will have professional email set up that uses their company name, such as   recruiter@reputablecompany.com. 

Did he speak to you about it?
Speak for yourself
You cannot speak for everyone!!


Hey, speak for yourself...
And her opinions in posts. She put in ample dues in this profession and I for one am delighted that she showed up here to post and keep her fingers on the pulse of the MT biz. I think Ella pretty much rocks.

Pay the naysayers no mind, Ella...You keep posting, girlfriend, because I'm sure I'm not the only one who respects your contribution to the profession and your continued input.

And, geez, she was only pointing out that there are good and bad in EVERY race, nothing wrong with that perspective, especially since IMO it's correct.

I sympathize with you with the ESLs (just finished a 15-minute report dictated by a VERY Chinese dictator which has me ready to beat my head into my monitor, lol!), but don't take it out on Ella. Without the blood, sweat and tears of MTs like Ella, where we would all be today?

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
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
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?
These ESL's speak more than their own language, sm
many are fluent in several languages.  They also pay income taxes at the same rate as USA-born doctors.  Until you can speak their language as well as they can speak ours, have some compassion for their efforts, and be glad that you have a job.  There are ESLs wherever you go.  Better get used to it.  Or better yet, why don't you travel to a country where you don't speak the language.  It might humble you a bit when you see how difficult it is. 
you speak your mind ....
with facts and not with vicious attacks and I like that quality in people.  What you say makes sense and I appreciate reading your opinion.  But I did not post anything with the intentions of warning someone away but rather they research certain things before accepting a position with not just a particular transcription service or company but with any prospective employer and decide for themselves what is right for them.