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Mine was an American with no accent, but I just realize I seem to react (SM)

Posted By: Oh, on 2006-01-25
In Reply to: I just had an ESL doc who - ugh

to these horrible dictations the same way I do to jumping into an ice cold pond. I hold my breath and try to type as fast as I can, then go back and see if I can clean it up. Just hope they aren't too long so I don't turn blue while I am typing.


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This message is defining what VBC is! It's time people realize the American MTs...
are our own worst enemies.  VBC is NOT a good thing!  I personally think we should get paid per keystroke.
It's gonna take more than one person to change things. Until all American MTs realize the damage

things will keep going downhill.  We need to all write letters, inform people, push for legislation that will prevent American patients' protected medical data from being offshored.  We need to boycott any MTSOs that offshore and we should not accept peanuts for our skills. 


That's what it will take, but with MTs like you who call us whiners for voicing our frustrations, concerns, and opinions and who sit around doing nothing, we will all lose.


No accent up heeyah. You Southnahs got the accent. :)

Nevah got how them Southnahs can't say go pahk the cah.


If you ah comin' tah Maine, you best be bringing an umbrullah.  Been rainin' like ah son of ah gun and ain't no signs ah stoppin'.  Even them birds have taken tah hidin'', 'cept them there ducks out in tha front yaahd.


Least we ain't gotta shovel it.


And remembah, if you don't like the weathah in Maine, wait a minute, it'll change.


Enjoy your vacation and welcome back. :)


 


You don't know how you would react

if you were in the mother's shoes.   I'm sure she is desperate and may not be thinking rationally and needs to hang onto something.   Also there is so much misinformation by the media, that we don't know anything really, other than they have no proof that she is dead, evidently not the first scrap of evidence, yet they seem to not really be doing much of anything either and for those crucial first 2 weeks didn't seem to do much of anything.  


 


 


Exactly, one should only react to messages and warning from the antivirus program
one subscribed. Dr Virus! LOL!
The same way you do any accent. Do
the best you can and go through the entire report, leaving blanks as necessary.  Then go back and listen to the report again.  I'm sure you'll get some blanks.  Also listen for what you think the blank might be.  Don't guess, but have your mind set that you know that if they are dictating CBC that your choices  are limited in what the options are so listen for those.

This always works for me.  I still may have a blank left, but I usually get most of them filled in by doing the above.  
accent
I would have to agree with the Asian accent being the most difficult.
not an accent, but
many times it's the "English-speaking" docs who are even worse to try to understand!
Not really an accent but (SM)
My very least favorites are the ones who 'swallow' a few syllables at the beginning and/or end of their sentences. It makes it nearly impossible to decipher what they might be saying and just really an annoying habit on the dictator's part.

I'll take an ESL over a 'gulper' any time.


ooh, I know him....got a So African accent?

I don't think it's the accent that is the problem...SM
I think it's the way Indians interchange Vs and Ws. For example, I have heard Indian docs say, "The patient has had chills and Womiting." Many Asians replace Rs where Ls should be. For example, "The patient had a biRateral beRow the knee amputation instead of biLateral beLow.

Some people may consider that just part of the accent. Even so, years ago, one of my favorite dictators was an Indian. He tried very hard to articulate and not mumble. Once you trained yourself that W was a V and "wise-wersa" he was a breeze. I had to toss that in there because he always said it.
For me, it's not any particular accent, it's the speed of
the dictator's talking. Accent or no, when they blast through their report like their pants are on fire, what they get in return for their sloppy dictating habits is a 'swiss cheeze' report full of holes.

I just don't get it sometimes - if teh reports are medicolegal documents, and are important enough to dictate and put in the patient's medical record, I think theyre important enough to dictate more carefully.

My other pet peeve is letters. Most of the time, I find it difficult distinguishing between F and S, B and P, C and D, etc. I think they should come up with some kind of a code when they're going to be dictating letters, such as, instead of saying 'CPT', they could say, 'code cat-pig-tiger'. Or something to that effect. It would save an untold amount of time backing up, relistening, and ultimately leaving blanks in what could have easily been a complete, accurate medical report.
I think so (Alabama doc with accent!)
I have to admit I'm flipping here a bit.  My son took my headphones to school somehow and I'm having to do this without headphones!  Thank you so much!
he is not American on what was an American site
What we post, jobs posted, and those who are posting jobs have no way of knowing it is off shore because he is hiding it - what a great way to get more of our jobs - not sure why this does not bother you. But as an American it bothers me

I have noticed the southern accent. I like it. Don't like BO though. LOL. nm
.
I wanted to put the accent on the end in coude .. sm
Can anyone tell me how to do that?  Thanks.
Vietnamese accent the worst.

There is one Vietnamese doc who not only dictates like greased lightning, he also stutters, stammers, and changes his mind. I think he may have a bit of a lisp also. This is in addition to the problems that Asians have with Rs and Ls. This doc gives me an ocular migraine almost every time.


Spanish and Middle Eastern accents are a piece of cake compared to this guy.


An accent trick that helps me...
After spending way too long trying to figure out an allergy one night that was pronounced as s/l fee-oh-REE-nul and which turned out to be Fiorinal, I started double-checking and realized that East Asian (India, Pakistan, etc.) and Arabic language dictators will often incorrectly accent the 3rd syllable if the word happens to naturally be accented on the 2nd syllable.

So when I have a problem with a word that's accented on the 3rd syllable, I'll re-emphasize it in my head, changing to hitting it hard on the 2nd, and that will often help. Or just playing around with emphasizing different syllables from how they're doing it. Now if I could only find a way to mentally blank out the 'trilling' (arrgh).
I know the lady had a southern accent. nm
0
Whisperers. Ugh. I can do any accent thanks to growing up (sm)

with my mom who had a cleft palate AND a very strong Brooklyn accent!  But why do they whisper?  Like they are embarrassed someone might hear how badly they dictate? And why can't ESL's at least TRY to improve their speech pattern?  Like the poster below who had the dictator making everything plural except when it really was plural, then suddenly it is singular.  I mean come ON. 


Good venting post Wannie.


coude (small c) (with an accent over the e - my computer does not do it.
source: The Surgical Word Book by Claudia Tessier, third edition.
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.
Try to think with an accent as you replay. Really helps! And to say it out loud, too! Play your
s
Had to share. Indian with heavy accent and stutter;)
this should be interesting!!!
Poll - what do you think the hardest accent is? I vote Hispanic. nm
/
Not to change the subject.. but in Medical Phrase Index, debride doesn't have an accent mark. nm
.
Funny! Mine is almost as large, and I don't mind cleaning mine!
It's no problem at all.  Besides, I'll take lots of oodles of square footage any day of the week over living in a sardine can!
Yes, I realize
that especially consults are often dictated in letter form... just something you have to get used to if you are doing the big 4. I was referring to clinics who send out little notes to referring MDs, family members, insurance companies, patient jobs, etc., not hospital notes.
Yes you did, but you must realize that...
just because you couldn't/didn't succeed doesn't mean others won't do well.  As someone else in this thread mentioned, if you couldn't handle indepedent study, you most likely could never handle working independently as an MT.  So, in your case, it's probably a blessing that you couldn't cut the program. 
You do realize, do you not, that
this is just a story made up by TV writers? These are not real people. You do know that, don't you? None of it really matters. It's just a STORY.
I realize that
Of course I am blessed.  I am blessed to do a job that I love as well!  However, I just feel taken advantage of without a raise in five years... I guess I just never understood that.  I've never had a "real" job so I guess I'll learn to deal with it. 
I realize that..
Yes, they are busy people but come on now, when I cannot understand an allergy because my dictator is smacking through it and does not repeat it, I get a little irritated, especially when she does it almost daily. I just needed to vent this evening.
I'm sure you don't realize how....
insulting it is to those of us who have spent many, many years learning to be an MT when people ask us if they could do it so they can stay home with the kids or maybe earn some extra money.  It's like someone asking if it would work for them to be an engineer because they like to look at pretty buildings.  For some reason, people who have never done this seem to think all you have to do is sit down and type.  As the "nice" poster said, it takes years of training and many more skills than being a fast typist.  Most of us are just a little touchy about that attitude that anyone can do it.  Even though that my not be your opinion, it came across that way in your question.  
I realize this is going nowhere, but saying thanks
for a gift and throwing it away is not being thankful for the gift. Obviously if you were truly thankful for the gift, you wouldn't throw it away. I believe you would only throw a gift away if you felt it was a bad gift, which was the OPs contention in the first place.

Your mother is 100% right in saying you should be grateful for the things you have and receive, but there really is such a thing as a poor choice for a gift.
DUH! I didn't even realize there was one - thanks! nm
 
At least some people realize what they are and SM

don't have to hide behind some facade just to please inferior people. 


Superiority is a threat to mediocrity. 


Just because someone is not a sheep and does not follow the crowd makes some sheep nervous!


Thanks!!! I didn't even realize that I could
do that.  Duh!  You've made my day!!
aww...your makin me cry...i realize that tho..
and i thank god everyday that he gave me the gift to type and work hard to be able to be home with them...instead of them being off in some daycare 40+ hours a week...i take it back...
My DH is starting to realize that I just....(sm)
might not stick around for much more of his stuff. I know that won't change him though. I just know it...
Hopefully docs will realize
that their time is better spent seeing more patients than doing data entry..glad that your docs realized this. I had one lone hold-out who refuses to do the clerical entry... but doesn't dictate either... still writes ShortHand notes in charts....Ugh!
Sorry - did not realize I was not allowed to do that. Really, sorry..nm
nm
they don't realize anything...don't care to!
Have really had it with this job.....tired of the whole deal.  To think I spent thousands of dollar in schooling, thousands of hours studying, thousands of hours in experience to come to the point where I wish I would have never gotten into this field!  Alas and alack, must push on...and the docs just don't give one hoot!
OK. I didn't realize that. nm
x
Actually, I did not realize that, but I am glad
xx
Thanks, yes, I do realize I make ...

... mistakes, too.  I'm far from perfect!  This just goes against my grain, I've stated the reasons in the original post, and I'm not happy at all working there. 


They pay $3.50 per report.  Some are short procedures and others longer initial evals that take me 20-25 minutes, so it might even out in the end--I've only been doing this a month or so.  This is a good part-time job, but I need another job where I feel appreciated and not referred to as the "typist."  Someone mentioned spelling out conditions in the contract and that is a good idea.


Thanks to all--


 


 


Yes it was due to depression and I realize that....

How cruel you are.  I AM not a crack addict - I have NEVER done drugs.  I don't drink.  I don't even smoke.  I do have a child that was involved in this tragedy.  Actually I had two - the one that I lost.  So I am sorry if I was "weak" for the tragedies that I did go through but I am learning to cope with life.  Life is hard and apparently it is sunshiney everyday at your house - and good for you - I don't want to wish anything bad on anyone - even when they have no lack of respect for others.  You should watch what you say - things could turn around on you in your happy life in an instant - and then what would you do.  Would you be considered lazy, worthless or something else that is an undeserving gesture of who you really are?  Maybe someone will say "they are just on crack - they deserve what they are getting.  Maybe that just goes to show what laziness will do to you.  They don't deserve anything better."  I was not asking for sympathy.  I was pointing out how fast things CAN turn around when you are off track.  Merely using my fall to try to prevent someone else's.


I do thank all of the wonderful remarks prior to the rude post.  I am healing but it takes times.  I am actually able to get up and not be sad about what I have lost and I have been able to THANK GOD every day for letting me grow through certain things in my life and that I know they happened for a reason.  The reason will be a brighter future!


Didn't even realize JLG was still around! nm
s
They must realize that better pay often means
And also that what's been going on in the MT biz for the past 10 or so years is morally reprehensible. Good for him! He's one of the FEW good-guys out there.
you need to realize your role, hon
a career you can obtain education for through correspondence schools?? You must be joking if you think you should make more than that. Apply for a promotion if you want more $$$$.
You realize what my next question is, don't you?
Is that company hiring? LOL
Not all companies use VR. Many realize
it's a risk to patient safety as flawed as it is.