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Might I add that I speak from the heart,

Posted By: QA on 2006-05-15
In Reply to: You are right. Thank you. - chopped liver

literally, as I'm right there with ya at the bottom of the totem pole, so you are not alone.

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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?
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?

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.
I think I did not speak clearly about the just showing up MTs

If a company hires only ICs, then they cannot expect them to work except for the times they want. 

Typing less than 100 lines a day is not pocketchange because of the pay. 

so, did he speak at the convention?
If you continue to speak to me
like that I will ban you from my site.  Now, I'm trying to relate to you guys by being honest. You should appreciate that.
Speak for yourself. I want and need to know my mistakes.
I'm sure there are those who get offended but not all are that way.

I speak from experience
I had a dog who had to have surgery and I asked for the "Buster" collar. They said they had a different "new and improved kind" and put it on him. Well, he got out of it numerous times with three trips back to the vet's office with ripped-out sutures and even after leaving him there all night (when they came in the next morning, he was out of the collar and had the sutures ripped out), I FINALLY got the Buster collar I asked for as they finally believed me. Don't take the collar off-- you will be sorry.
speak for your own family!
My family loves our pets.  I have three children and four dogs and two cats and two birds.  Our family loves each of our pets like they are a member of this family because they are!!!!!  My husband and I treat them like they are also our children.  They are very well behaved and SOOOO much fun. 
I would call and ask to speak with the
manager and report it anonymously, if you can block your number somehow, absolutely! I know if I was her manager, I would definitely want to know, especially since you mention this is a larger national service. Perhaps that's WHY they're posting for jobs *all the time*? How scary.
I can't speak for any other company, but
for my particular situation, its a trickle down effect. QA is only as good as the layer above us. Nothing we can do about it anymore than the MTs can.  Basically, I guess I'm saying we're on an even rung on the food chain - and all answer to those above!
Speak for yourself. This seasoned MT can't do
This is what I will suggest so we can all speak up.

On one day, say May 1, every MT that reads this sends a letter to the Editor of their local newspaper calling attention to the fact that protected medical information may be going overseas, complete with SSNs.  If people don't start becoming involved in protecting their own information, then they don't know or maybe even don't care, but I think many will start to ask questions.  But I could be wrong. 

Obviously I can't speak for ALL ER docs
and perhaps your son's exam was as dictated, but I know from personal experience that they often "fill in" stuff on the reports. 
Can't speak to QA, but SR editing...SM
My incipient carpal problems that required splints and even days off now and then totally went away and stayed away with mostly editing and light transcription. BTW, if efficient with SR editing, should top $20/hour easily and nicely (but can't advise reading out loud, which would slow down production tremendously if I were doing it--different strokes).
can't speak for the rest of them
I know one MTSO who was going to put on an ad and has backed off with what has been going on with the ownership of the board. I think it's just like the number of postings being down - people are on here but are hesitating because they're not sure if everything is okay. I think if you give it a little more time you'll see more and more ads come back on as people relax about the board again.
Don't speak for all, but it would be hard
to work in a place with people "coming and going" if you are listening to dictation. I wouldn't be doing work in an airport, STarbucks, or whatever.
Sometimes, when they let an Indian speak
on TV, you might have noticed that Indians pronounce 'that' as 'dat'.

I know NOTHING about Ebonics, have never heard it.

Is saying 'I aks' instead of 'I ask' also Ebonics?
If only they would dictate/speak - sm

as clearly as they did when going for their interview for medical school or hospital position.  If they spoke then they way they dictate now - they'd never have gotten into school or gotten their MD jobs -- so WE KNOW that THEY KNOW how to speak intelligibly when they want to; they just don't think we're worth the effort.

I appreciate and respect the ESL who puts forth an honest effort to be understood, over someone (usually English as FIRST language) slurring at 78 rpm, going through the HPI/PMH with ..ah, ... um ... (2 words) ... er ... (1 word) ....uh, ...(2 minutes pause) ... uh...uh... and then speed-racing through meds, labs, and whenever reading diagnostic reports verbatim .. so everyone knows that they know how to say those long words and which they wouldn't be able to come up with on their own.  My pet peeve??  We're BORN knowing how to spell any doc's name, just because THEY know how: i.e, ."CC to Dr. Kryswkowskizhausen and then spells J-O-N-E-S.

My heart goes out to you...

I know how painful this is...had to do the same with my 12-year-old Cocker Spaniel two years ago, and I still miss his presence so very much!  Your little sweetie will always live on in your heart, though, and I truly believe that one day you'll be reunited at the Rainbow Bridge.  As 'gh' posted, if you haven't yet, please visit Rainbowbridge.org...it's a wonderful site & has one of the most beautiful poems I have ever read. 

Please accept a big ((((HUG)))) & my deepest sympathy. 

keep him in your heart
Just wanted to tell you what you probably already know, the pain will get less and less with time. Keep your dad's picture nearby and talk to him when you feel the need. I do it sometimes and my dad died 31 years ago. I believe your voice will be heard and your heart will be comforted.

My heart goes out to you ... sm
I have two 13-year-old lab/collie/chow mixes, Sasha and Keesha. They are sisters, but from different litters. I will be facing the inevitable decision of putting them down before too long. They both have severe arthritis - one in the hind legs, and the other in the shoulder area. I give them medicines for it and lots of TLC, but time is taking a toll on them. They sleep a lot and stay inside in the AC when it is hot outside, and out of the cold weather in the winter as well. They really are my "kids" and I know they have been the greatest children I could ever have. They still greet me with wags and kisses every day. I know I'll miss that when their time comes.

As much as it hurts to have to make this decision, you have loved your dear one with the highest form of love you can give. God bless you and help you through your loss each day. It will get better with time. And, when you are ready, God may bless you with another sweet pet to love. No, it won't be the same, and you'll always think of the ones no longer here, but know that you loved your pet enough to not let her suffer needlessly. That is the truest form of love we can give. You were there for her and did not abandon her. When I think of the decisions ahead of me with my "kids", I know that is what will enable me to love and take care of them one final time. They will always be in our hearts.

God bless you and give you sweet memories.
My heart goes out to you

You and your husband both sound like wonderful people but he has an unfortunate illness that only adds to the real problem I am sure. Some people do not truly understand mental illness that it truly is an illness and the person that has it is not to be blamed as they do not have control over it.

I have had a lot of issues in my life over the years and have learned not to so quickly judge anyone. I always feel what goes around comes around too and I have seen that happen many times in my life.

I don't have much advice (but you seemed to have gotten quite a bit here which I hope you find some helpful) as I have not walked in your shoes. You sound so torn. 

I certainly will pray for your and your family. Do you have a pastor or one that you could contact that you both could possibly talk with? Having an impartial third person educated in counseling may be of great benefit.

Wishing you only the very best. Please do keep us posted.

My heart goes out to you
My ADHD son is now 13 and succeeding for the most part in school. I won't give the lengthy history on his struggles, but grade school was horrible for him, I had to fight every year with a new teacher to get his IEP enforced, and for him to get some special education to help him out (granted the schools liked the special education part=more money from the state, but they didn't like the part of having him in a regular classroom for the majority of the day). Once he hit middle school having that break in between classes and being able to move to class to class really helped and he went from a D student to an A student. All I can say is we are out our childs only advocate you have to fight for what they deserve whether the teachers/school like it or not
I heart you.
My heart goes out to you and I'm so sorry
that what I'm assuming is your first MT job is creating such stress for you.

I know it's easier said than done, but you need to relax and think rationally instead of emotionally. Instead of panicking because of contradictions, turn it around and put "yourself" in control of your situation. Document everything from QA!! As FBL stated below,if QA B contradicts QA A, document such and send emails to such; however, my emails would also include a cc to the QA Supervisor and my liaison and/or manager for my account. I would do the same regarding the question about "too" many blanks. I was always taught there was no such thing as "too" many blanks as it was preferred to guessing !! I would present this question to the QA in question, and again my liaison and/or manager,etc. Document - Document!!

To make you feel a little better, I've been in this profession for 40+ years,and I still get contradictions from QA!! Having known I've researched thoroughly all available resources(books,internet),I document such and just forward all info to the above powers of authority. Can't say I don't get pi__ed to this day, but I just don't stress over it !!

Don't underestimate yourself because you're a "newbie". You went to school,you "do" have knowledge that is invaluable that will only be enhanced with experience.

I commend you for pursuing this profession in this day and age with its trials and tribulations.

I wish you nothing but the best!!

Speak for yourself. I have fabulous conditions
with my present employer and have had the entire 3 years I've been there.

Conditions are NOT deplorable for all MTs -- only when you accept those conditions are they present.

While we don't need to assume responsibility for turnover costs, it's no wonder companies don't want to give some the time of day. They want MTs who have a proven track record of dedicated length of service, production, and quality and who are interested in doing that again.

It DOES cost to hire -- and that does NOT mean necessarily the actual training of an experienced MT but includes HR personnal to interview/process you, the time others have to cover while you learn your accounts, etc.

If you're a responsible person at all, you'd have a better attitude than the one you just posted.
Well...I have the experience you speak of and I just asked if there
were any positions as an Editor open and I am now an editor. But for the most part, I agree with the other poster...LOL.
When I speak of being in the psych ward
I only say that because this decision I need to make about what to do has been driving me crazy. All the "I should do this, and I should do thats" The What if this and What if that...My head is in a tailspin.
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!
If you don't speak on a daily basis . . .
We speak several times daily.
Even right now while he's overseas on a business trip, we make time for a couple daily phone calls.
(continued) - you need to speak to a professional
to make sure it's done properly and there are no surprises later!

Good luck!
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.
I speak from first hand knowledge...
and I never said she didn't love the boy, but rather not in the traditional sense. You know the kind where you actually take care of your kids. I won't blast all that on the internet. I'm just saying though that I only speak from what was actually done, not by assuming something heard through the media.
I am updating my resume as we speak.
Decided not to wait any longer. I can't afford to sit here either. Today is horribly slow. Thanks to those who responded.
EXACTLY! Or because you speak the truth & the supes (nm)
In my RA appts. They type as I speak.

They ask the questions to fit their little template there on the computer and then they type away.  This is how it's been done since I have been going there for two years now.  They (nurse, PA, rheumatologist, etc.) type really fast.  So.....

Most of them can't speak correct English,
much less type it.
This "list" you speak of is really unfair though (sm)
There are always two sides to any story. And, I'm sure I'm not the only one who has been through this in one way or another but....

I've been an MT for 18 years now. About 10 years ago my life was a mess and I was dealing with some substance abuse issues (alcohol). I was never fired from any job because I always quit before it came to that, but I did burn many bridges in the local area. The quality of my work was never called into question, it was always attendance issues.

I'm just saying some people do grow up and change. I did. But I understand weeding out good MTs from not so good ones isn't necessarily an easy job either.
No ma'am I speak American.

It's a dialect, not a language. As for my ancestors, I have traced my heritage to Ireland, Czech Republic, and Poland. I'm well aware of my roots. But I don't live in those countries, I live here. I wouldn't move somewhere I couldn't understand or be understood.

It sounds to me like you're one of the bleeding heart liberals, who wants to keep letting more in when we can't take care of the ones we have. Do you enjoy your work being sent overseas to people who can't understand "English"? Do you enjoy making a lot less per line because of that?  

I feel sorry for you and your ignorant bliss of what this country is becoming. I'm pretty sure you're outnumbered on this board, too. You have taken a comment out of context to suit your own soapbox. My point was, if they want to offshore work, why not send them their own dictators? There are hundreds on this board everyday complaining about the ESL's - hence the acronym - and yet I see nothing from the "cat" to those commenters.

Maybe you just wanted someone to fight with today. Signing off - have no time for comments like yours!

Tad immature? - does not speak English.
They're afraid to speak up for the MTs...
Too many companies are so desperate to get the accounts, they are afraid to speak up and tell the hospitals/clinics, etc., they have to clean up their act when dictating. They need to set in place strong guidelines for dictating, no mush mouth, kids screaming in the back, no cell phones or talking to others or be in a room where others are talking, etc. They're as afraid to speak up as the individuals in the hospitals are afraid to say anything to the docs. Well, if they want their work done properly, they should stand up for us. I've had this happen in hospitals where administration was scared to death of offending a particular couple of "high admitting" physicians, big money makers for the hospital. They just expected us to "deal" with it and then the docs complained LOUDLY about blanks. Maybe if someone had the b***s to say something direct and stop treating these physicians as if they're gods, they might get the picture.