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Serving Over 20,000 US Medical Transcriptionists

Sometimes, when they let an Indian speak

Posted By: mm on 2009-05-02
In Reply to: Ebonics - Explaining Ebonics

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?

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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?
What does him being indian have to do with anything?
Indian MT
I don't believe you for 1 second. Indian work is NOT SUPERIOR to what is done here. A few of them are doctors, but most are not. They get the medical terminology, but their American English is horrific. Very few of the Indians who do MT trained over here or in Europe. They completed medical school here in India, which is a very abbreviated compared to US or Europe training.

The Indians are enticing American companies to invest and train MTs over there, working at next to nothing, so that when they have captured a significant percentage of the market, they will jack up their rates and the hospitals and clinics here will have to pay because they have driven out all the US MTs by not paying us living wages or giving us decent paid time off, benefits, etc.

People like you are cutting your own throats in the long run.

I am an excellent MT, QA 100% for 15 years, never miss work unless there is a death in the family. My income has gone down steadily over the past 3 years because of the greed of MTSOs. I am leaving this job shortly. I look forward to the day when you bleed to death from the Indian MTSO who will put you out of business.
Indian pay
I am not privy to a lot of info about this, but I can tell you my experience. When I lost my contracted work to a couple of small hospitals that went with India, the  administrator told me they went with India because they were doing away with lines. India took 6 of my last invoices and averaged the pay and gave the hospital 2/3rds off!! Mind you, I was only charging them 11.5 cents per line!! She then told me that the offshore company would pay their Indian transcriptionists $2.00 an hour.
I am an Indian MT working from home and I read your post. Indian MTs are not bad, they are best. The only thing you need to do is get to a real good one rather than just these newbies who just want to make some quick money and do not have enough experience. Get in touch with some experienced one and you will them superior when compared to other MTs. I myself have been working for 8 years now and i know what it takes to be an MT to prdduce a good accuracy consistently.
I am an Indian MT working from home and I read your post. Indian MTs are not bad, they are best. The only thing you need to do is get to a real good one rather than just these newbies who just want to make some quick money and do not have enough experience. Get in touch with some experienced one and you will find them superior when compared to other MTs. I myself have been working for 8 years now and i know what it takes to be an MT to produce a good accuracy consistently.
Indian MTs
From what I have heard, you are on the money and it is so ironic because as American MTs we are not allowed to make any mistakes at all. We have to have this impeccable quality of 98% and above to stay employed. We have to abide by these high standards painstakingly so patient care is not compromised by an inaccurate medical record. Is this a double standard (no pun intended)? Are they not lowering the bar when an MT is paid considerably less money and their profits are thus enhanced in the process?
This is a no brainer and we all know it is about the almighty dollar and not just about patient care.
Indian English is not the same as American or British English. Somebody please tell that to the Indians!
Are you Indian?................nm
You are Indian
You Are Indian
I'm hardly Indian...
...and hardly a troll...I'm pure born-and-bred Texan through and through.

As I said, take my advice or leave it. In the meantime, keep putting money into the pockets of all those money-grubbing MTSOs. I sure won't contribute to them...nor do I have to do so.

You SHOULD be able to tell by my writing style that I am certainly not Indian or foreign in any way, shape or form.
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?

Indian workers
I was obvious they were Indian workers from Indian..Every one of them that I talked to had an Indian accent..I have nothing wrong with American workers with accents..but I called at least eight people to get my internet account straightened out and all had Indian accents..Come on now, I cannot believe eight people are of Indian descent all working at the billing department of my internet account..If you are American of first descent and working IN America, more power to you..if the account is sent overseas, I have a major problem with that..and if you dont have a problem with that, contact me in a few years when our jobs are overseas.
I never said I hire Indian MTs
...but I can't wait to see you bleed to death by your own hand, either.

Thanks for driving us away from American MTs though.

I fought against offshore heavily. What did you do?

Bitter, bitter, incompetent MTs.
Is that still Indian owned by Jay?
Oriental and Indian
Indian and Pakistani, although (sm)
When I first started this account, there was one doctor who was so awful I was sure I'd never understand him. His dictations are usually very short, which you think would have helped. However, his speech is so bad, I could only make out a few words. After begging my sup for help and getting samples, I now love him! Now that I know what he is saying (even though he doesn't always make sense), I can breeze through them. And.....sometimes he even thanks us at the end of a shift. This is what he said today after the last report....."
Thanks for the help. Happy Holidays . Iíll be here back again Monday. Thanks for the help. God bless you". I wish he knew how much that is appreciated.

Indian Company
Having been a part of an office of six transcriptionists who lost their job to a local service who has "allegedly" sent work to India, I would rather have been let go due to voice recognition.  That would not have hurt so bad.  The work that was returned from the service had mistakes that I would think were typical of those from inexperienced typists!
CMT (Indian MTs have discount)
Sadly, I am slowly moving from lower middle class to poverty level since pay cuts as a full-time MT.

After numerous requests for some kind of help toward paying for the certification, I am told by AHDI (AAMT) discounts are not even being considered in the near future.

With the future so bleak for the future of MT, I am not sure why I should put out all that money. I am bringing home less than $300/week after taxes and health care...? How do I justify the $287 or so cost, when I have my utilities threatened to be shut off every other month for simply just not having the money...

For me, I do not have a partner who supports me. Am I the only one in this boat?
Only know its an Indian company.
The MT that defends Indian MTs
that steal our jobs is jumping up and down telling someone else not to type for free. Ironic.
Indian people

I don't want to generalize, but most of the Indian people I have worked with over the years have been really nice and helpful.  My internists are a husband and wife team from India.  He wears a turban and everything.  If they have contempt  for me and my western ways, I sure don't know it.

I think the reason our records may be unsafe going to India is not because the Indians are not to be trusted, but because our companies pay them slave wages.  Legally, I have never understood why minimum wage laws do not extend to overseas contractors, but they do not. 

Sadly, most transcriptionists here in the U.S. have seen their salaries decrease.  I'm an excellent transcriptionist/editor and very conscientious, but I'll admit.  I don't try quite as hard as I used to.  For example, I used to routinely make phone calls to double check dictation, but I no longer do that.  I can't afford it.

Consider that the average Transcriptionist in India makes a fraction of what we do and how demoralized it is when that transcriptionist is professionally trained, such as doctors who routinely work as transcriptionists in India.  There is the potential for huge bitterness and frustration.  They don't have the choices we do.  They're stuck.  I'm not excusing immoral and illegal behavior, but I can understand someone who is paid very little who has no choices acting desperately. 

To me that is why offshore workers should be paid more.  People who are paid so little work less well.  I think that most pay rates for U.S. transcriptionists are just barely enough to keep the workforce conscientious. 


East Indian . . and they are

Kinda? What's that? Indian?...nm
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. 
Might I add that I speak from the heart,
literally, as I'm right there with ya at the bottom of the totem pole, so you are not alone.
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.
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.

Why are you on THIS board..i thought there was one for Indian MTs?
at least they aren't Indian telemarketers. nm