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The topic is fine; be careful of language, that's all. (NM)

Posted By: Goldbird (Moderator) on 2006-01-19
In Reply to: Do you think it's appropriate - ???

Goldbird


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Be careful & check the fine print sm

There was a small note on the sidebar about it on my July 2008 bill and I didn't notice it until later ---


Sprint reserves the right to limit throughput speeds or amount of data transferred and to deny, terminate, modify, or suspend service if usage exceeds 5GB per month in total or 300MB/month while off-network roaming. Check your subscriber agreement rights on Sprint.com. 


English may not be the official language on the federal level, but it is the NATIONAL language. sm
From Wikipedia:

Although the United States has no official language at the federal level, English is the national language.

In 2003, about 215 million, or 82 percent of the population aged five years and older, spoke only English at home. Spanish, spoken by over 10 percent of the population at home, is the second most common language and the most widely taught foreign language.[139][140] Immigrants seeking naturalization must know English. Some Americans advocate making English the country's official language, as it is in at least twenty-eight states.[141] Both Hawaiian and English are official languages in Hawaii by state law.[142] Several insular territories also grant official recognition to their native languages, along with English: Samoan and Chamorro are recognized by Samoa and Guam, respectively; Carolinian and Chamorro are recognized by the Northern Mariana Islands; Spanish is an official language of Puerto Rico. While neither has an official language, New Mexico has laws providing for the use of both English and Spanish, as Louisiana does for English and French.[143]


P.S. Miami may be one of the largest cities, but it is still just one city located in one small state. There are 49 other states. Miami is just a small speck when you compare it to the rest of the United States.
Go to tools, language, set language--nm
//
Nothing to do with your first language, of course. nm
s
language
Language skills are definitely at the top - I agree. So many outsiders think all we do is type and memorize a few terms. Makes me crazy sometimes to think we are being looked down upon for, quote - just typing, how hard can that be?
P.S. I hate it that we cannot put quotations in our posts!!
OP does not say who had the language
barrier, the doctor or the patient. Just because she is a white American female does not mean she speaks 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. 
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
foul language
I meant to reply to Tomahawk's post.  If you scroll down a few to MQ, you will see what I a referring to.
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!
AT&T language line

Hospitals can set up an account with the AT&T language line.  You call the number, give your account code and tell them what language you need.  They have tons to choose from and they are available in real time.  You have to use a speaker phone so the patient, translator and care provider can all hear each other.  Some 911 dispatch centers use it too. 


Sometimes the default language gets (sm)
changed on a document when I am typing and I have to go back in and reset it to English. I notice this when my autocorrect entries do not work and I know that I have them in the file. It only happens every once in a while and I have to "select all" and then change the language back to English. Hope this helps in the future.
LOL We have no'national' language!
and if you don't believe me, visit Miami sometime, one of the largest cities in the U.S.
National Language

"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


learning another language
It isn't that I wouldn't like to learn another language if I had the time. I would. It would be neat to be able to speak another language, but I don't. And it makes me fustrated when immigrants come here and expect me to know their language when they are the ones who came here. They should know proper English. Or just decent English. If I moved to South America I would not expect them to understand me. I would take it upon myself that if I wanted to communicate I need to learn good Spanish. And if I had a job where I did something such as dictating, I would make sure I knew decent English and tried to make myself understandable. Some ESLs act like they don't care if you can understand them or not. There ARE some who try though.
Wow...so know we have to learn your language as well.
-
If you think that's 'foul' language, you don't
Get over it.
I think learning the language
and losing the accent are not quite the same thing... many of the ESL doctors speak English quite well, and may have been studying English for years in school.  After a certain age, the accent is very difficult to lose. Some people have more of a talent for this than others. I know, makes it hard for the MTs.. but part of the job. Not saying they shouldn't try to improve... I study another language, but I am always going to have an American accent.
I think learning the language
and losing the accent are not quite the same thing... many of the ESL doctors speak English quite well, and may have been studying English for years in school.  After a certain age, the accent is very difficult to lose. Some people have more of a talent for this than others. I know, makes it hard for the MTs.. but part of the job. Not saying they shouldn't try to improve... I study another language, but I am always going to have an American accent.
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?
Medical Language Specialist

That is our title, Medical Language Specialist, which really throws people.  When asked to define what that is, tell them you translate medical dictation to document form, be it hard copy document or electronic docment, to provide pertinent medical information for patients, physicians and hospital staff.  See their reaction.   


Of course when they say "all you do is type," ask them to spell esophagogastroduodenoscopy as an example of the terminology you use.  That usually shuts them up.  (Smile)


"The Language of Medicine" sm
is a very good book and very thorough. I would recommend it highly.
ESLs are about 60-70% of the dictators, we as language
With this particular doc did you just guess, or did you leave blanks? How many times did you listen?  Did you ask for help?  They all basically have the same or similar awful accents, so in the beginning you need to take the time to really listen and get to know the accent, that way in the future you can zip through them.  What did you do to make them fire you, what was the mistake exactly? 
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!
Are there many American MTs whose first language isn't English? nm
nm
Here is an example of the communication/language barrier
My ex-husband had the flu, high fever and it was not getting better. He was quite ill. He went to his physician, a foreign physician with heavy accent. My ex tried to explain how sick he was. The doctor rx'ed antibiotic and sent him home. That night, my ex had a high fever and went into a seizure. Paramedics were called. He was still seizuring by the time they reached his home. He came into the hospital with bilateral acute renal failure due to the infection and high temp.

When I spoke to him, he said it was clear the physician did not appreciate how ill he was and the language barrier was limiting their ability to talk to one another. My ex was so ill, he didn't feel like being assertive. He should have been hospitalized. But, that is too late now. His kidneys never regained function and now he sits with millions of others waiting for a donor at UCLA.

Heartbreaking, isn't it?
language was being discussed - not just plead


French 1st Language dictators

My take is that you are both correct and mistaken.  People with French as their mother tongue can be both challenging and reliable to transcribe in English. The challenging part is the omission of certain sounds that are normal to the English-attuned ear.  The reliable part is that the differences one hears are usually SO predictable.  I belive that with more info I can help you even with your specific problem.   


Assault on the English Language
I transcribe for a doctor who I think may be Russian, but anyway, he has lived in this country (USA) for many years and has not taken the time to learn to speak succinctly. As a matter of fact, he seems to be dyslexic on top of the heavy accent and often phrases words backwards, does not know how to speak concisely, and I am thinking whoever has the misfortune of reading his HNP's is going to think he is a real Dip (even after editing). Even our editors have a real challenge getting through his work. I wish I could shake the snot out of him and require that every ESL physician practicing in America be required to speak the English language fluently.
ESL just means English as second language.
x
Doesnt matter how many language I know.
x
Doubt I know our language"perfectly" but you
x
It is you, because you used that same language on your original post...
and who says "loser" anymore besides my young son???
Had an Iranian who didn't know the language sm
so he would just say, "whatever's that word I want - if you don't know it, look it up in the dictionary." That was between all his ummm, ummm, ahhh, It doesn't matter what country he was from, it is just to get the point across that he had a very heavy accent to boot and he never bothered to try to improve one bit in 12 years.  His version of amaurosis fugax was "amagosis fewjacks." Grrrr.
Old lady: What language is: 'Bizoar?' Go to bed!...nm
nm
On the topic.......
I would certainly hope that any woman, young or old, has the common sense to wear what is most attractive on her. Of course, that doesn't always happen, but ya can't lump any group together by age, etc., and say that one particular style won't look good on all women in that particular group. We're all unique and what may look fine on you will look like hell on me. Or vice versa.

I'm a size 1-2-3, depending, and even though I'm almost 48, I do have to do most of my clothes shopping in juniors. Not all, mind you, but the majority. I hate to admit it, but I own shorts from the girls' rack (size 12). I also work out on a daily basis and have my natural brown hair. The makeup I own could be stored in a single small Glad bag with room left over. I wanted to switch from bikinis to one-pieces this summer, but friends told me that I would be crazy to do so.

I wonder......are you talking about someone like me?

Please think before ya post; you just might offend someone. :)
Off the topic but really need help with my dog. sm
My 7-month old little cocker was neutered on Friday. Overall, he is doing good, eating fine, drinking fine, up and around and in generally good spirits. The only thing we have had to do is give him Benadryl and 1/2 aspirin three times a day to keep his agitation level down since he was extremely off the wall the first 36 hours. He has one of those clear lampshade collars. Now, my question is, I would like to take the collar off since he can't scratch his ears or play with his toys-and he does love his toys. How on earth do I keep him from licking the surgical site? Does anyone have any good ideas? The aspirin is helping, but he still wants to lick. My son told me he used lots of vaseline with red pepper mixed in for his dog, but I'm afraid to try that. My luck he would get it in his eyes or in his sutures. I had a female years ago that was spayed, but never had a ounce of problems. She didn't lick once.
off topic...
I would say there is no such thing as "Somewhat unfaithful." That is like being a "little pregnant." SO, first just say it - your husband was unfaithful and you worked through it.

No, you do not have a right to feel angry and betrayed by your mother-in-law. You did not marry her nor she you. The 2 of you did not exchange vows. You have a right to feel hurt that she's having a relationship with the other woman and not you, but who she communicates with is her business. Now you know, mom-in-law is NOT your friend. Most mothers-in-law are not friends with their son's wives, so join the club.

You say your marriage is now stronger than ever - that's where your focus should be, not on your mother-in-law. Be cordial with her, but she's given you evidence of her true colors and you should not take her into your confidence again.


There is never a topic here (sm)
As far as comfort goes, I think it is great.  If the frame would make it higher, then that would be good for an older person as they would probably have a problem getting down on the floor.  (I know)
Along the same topic as below...

What do you find makes a man sexy? Is it his eyes? his smile? his ruggedness? his sensitivity? Or is it all of the above?


For me, it's all of the above.  I love a rough and rugged man, not a sissy man that's afraid of getting his hands dirty! Deep eyes that can see right through you...a smile that still looks like a child...and sensitive enough to cry over The Notebook...


Hey, that describes my husband to a T!!! Woohoo lucky me!!!


Off topic, but why...
did you take the "O" out of God? Just curious...odd to me that you would do that...no flame here, just an honest-to-goodness curiosity question
Trying to keep this topic near the top! sm

I wanted to do some research on the stuff we're discussing (offshoring), but unfortunately I cannot find recent information.  I googled "bills to stop offshorting" and came up with this article:


Markey Introduces Bill to Block Offshoring of Consumers' Personal Data


WASHINGTON, DC -- May 13, 2004 -- Representative Edward J. Markey (D-MA), a senior Member of the House Energy and Commerce Committee, and the Co-Chair of the Congressional Privacy Caucus, today announced that he is introducing legislation to clarify the rights and responsibilities of companies, their regulators and consumers regarding the protection of privacy in global commerce.


Rep. Markey said, “It is becoming increasingly clear that both our jobs and our privacy are being shipped offshore, and federal regulators aren’t doing nearly enough to stop it. In effect, regulators are telling consumers to ‘check your privacy at the shore.’ The bill I’m introducing today will help stop this dangerous trend from continuing.”


The bill Rep. Markey introduced today, the “Personal Data Offshoring Protection Act of 2004” (HR 4366), would prohibit companies from transferring personal information to any person outside the United States without notice and consent. Specifically, the Markey bill:



  • Requires any business enterprise that transfers personally identifiable information regarding a US citizen, such as the citizen’s name, address, financial information, medical records, or other personal information to first provide prior notice to the citizen;

  • Requires such businesses to allow consumers to block (or “opt out”) of information transfers to any countries that the Federal Trade Commission (“FTC”) has determined provide adequate and enforceable privacy protections, such as the European Union (EU);

  • Requires such businesses to obtain the prior consent of the consumer (or “opt in”) before personal data can be sent to other countries that the FTC determines do not provide adequate and enforceable privacy protections;

  • Bars companies from refusing to provide goods or services to consumers who elect to exercise their “opt out” or “opt in” consent rights, or from charging consumers more if they chose to exercise such rights;

  • Provides for enforcement of the bill’s restrictions by the FTC by defining violations of the bill as a violation of the Federal Trade Commission Act’s prohibition on unfair and deceptive acts or practices, thereby allowing the FTC to seek injunctions against violators and to impose financial penalties of up to $11,000 per violation;

  • Provides for additional civil remedies against violations, including authorization to the state attorney’s general to bring civil actions to enjoin violations and impose monetary penalties of actual monetary losses or up to $10,000 per violation, whichever is greater; and,

  • Provides a citizen whose privacy rights are violated with a private right of action to sue a business who has violated the act for actual monetary damages or up to $10,000 per violation, whichever is greater.

Rep. Markey noted that Senator Hillary Clinton (D-NY) recently introduced similar legislation in the Senate (S. 2312).


 


It is a few years old, but I thought someone might be able to use this as a place to start.  I also attend college and am going to try to use the school library resources to find out some more information.


Off topic
Did anyone seen the Today show this morning? I have seen and heard it all now.... The Ultimate Outsourcing- people going to India for surrogate mothers!!! OMG.... compared to about 80 grand they would pay here in the US, they would pay only 30 grand (This includes travel for the perspective parents to india).
Off your topic, but
x
On Topic
Well aware of that - just in a rush while typing - but thanks - so do you have an answer to my question?
Off topic -- but regarding the CMT behind your name, SM

what does this mean and what does one have to do to get it?  I am also a CMT and just wondered how this works.  You may email me if you want.  Thanks.


This is a different topic really and I don't
IMO, newbie MTs should not work on ASR. They typically do not have the knowledge base required, at least with regard to acute care, to be able to discern when what they are seeing and/or hearing is incorrect in the context of the report.

ASR editing requires a different skill set than straight transcription and new MTs need to focus on developing their knowledge base.

The problem is that the experienced, quality MTs that should be working on ASR and properly training the platform should never take the crummy wages wages paid for ASR editing. So the MTSOs have created a catch-22. They don't pay enough to attract quality MTs that will improve the quality of the ASR platform which would in turn improve production across the board so the settle for newbie or subpar MTs who will work for the measly pay they offer, but the quality of the ASR never improves or even gets worse, which slows production causing MTs to speed up to make more money and miss errors, which the ASR adopts as correct, etc., etc.,
The topic is about
whether or not one "can" or "should" transcribe in public. Was just pointing out that I cannot because of a written policy. I am very happy in my stable hospital work-at-home job thank you very much.
Isn't that the truth? We are medical language specialists and should be
dd