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True but if they dictated in mother language, might not be AS bad. nm

Posted By: What did he say? on 2005-10-17
In Reply to: ?? Bad dictators are bad dictators regardless of their mother language. - its just part of the gig.


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True IC status - not dictated like that. sm

If you are a true IC, that basically means the company says "here's the work, have it back by x".  They cannot tell you (by federal law) what hours to work or when to work.  They can set a minimum line count that they would like to see met, and can use that as a reason to terminate a contract, but they cannot tell you when to do your job.  How to do your job, yes, as in account specifics and ways they want files put together.  Any company that tells you what hours to work and yet still refers to you as IC is doing so illegally, and basically is treating you like an employee to get out of paying taxes, or maybe, just maybe, they don't know the difference.

I have only ever been IC, and would not do Employee Status simply because I have to be able to set my own hours due to some outside work situations.  Now, if something happened and I needed Employee Status, say for health insurance or other benefits, I would have to switch, but I much prefer IC.

Sounds to me like the company you are with is either ignorant of federal law or is undeterred by it.  That alone would send up a red flag with me, but the decision has to be up to you. 

Good luck with whatever you decide. 


?? Bad dictators are bad dictators regardless of their mother language.

wonder when people will just get over it and do what they can and move on. 

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
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.
and think, the Dr. may have dictated that
At least you ARE concerned about it. Many wouldn't be. Hang in there!
Has she ever actually dictated a sm
report in the format that she is required to do.  I do forms for a cardiologist in this manner, but when I first started working for him, he actually dictated the letters.  I think all physicians need to include certain things for a new patient, and then can do follow-up letters without including past medical history, allergies, etc.  I wonder if she has any colleagues that would be willing to share samples of their reports, but that specialize in the same field.
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
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
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.
ROFL at what this MD just dictated...sm
NEUROLOGIC:  He does have diminished memory.  I did start him on Aricept for this last year, but he has forgotten to take it. 
They pay per minute dictated. Sux.
Especially when they assign the work. It's not fun when all your work is less than 1 minute, two line reports, ESL docs, etc.
dictated, not read
I'd take it as a compliment.
If the docs dictated like that, they would never get anything done, lol
H&Ps dictated by a very thorough dictator. nm

Doesn't have to be dictated...but he does
Exams Dictated But Not Done
I transcribe for a local multispecialty clinic and have seen many of my own reports. It just gripes my butt when the doctor dictates a standard physical exam and I know for a fact that he/she hasn't even touched me. Did not check my heart, lungs, abdomen, neuro, extremities, etc. The only things that are legit are the vital signs. It's like if I come in for a sore throat he looks at my throat but nothing else. My fibromyalgia clinic NP only talks to me - no exam at all - yet she dictates an exam, review of systems (that we didn't even talk about). She will say conjunctivae and lids are clear; PERLA, etc., and she hasn't even gotten within 6 feet of my eyes. This just doesn't seem right. And when you have labs or other tests, they NEVER call you back with the results. My PCP never suggests any preventive testing - I have to ask for it myself. I know they're not all like that but my eyes are opened much wider than they used to be. It's all about getting it done in under 15 minutes and on to the patient in the next room. 
I always leave these as dictated.

Let's say you're Asian and have a doc who seems to possibily have a bit of an ''attitude'' about your ethnicity.  In perusing your own medical records, you see that this doc uses the term Oriental instead of Asian.  There's some confirmation that your suspicions were correct, allowing you to make a more informed decision about your medical care and who you want providing it.  Especially true with the word Negro, IMO, which I haven't heard in quite some time but have actually had dictated and left as is, even if I had the leeway to change it.

IOW, I think it's a patient's right to know if a doc is using words like that, so I don't change them.

Doctor who dictated during the PE sm
I had a doc I used to do who treated a lot of brain injuries and strokes. He always dictated during the interview and PE. He would say, in front of the patient...the pt is completely obtunded...the pt is befuddled...the pt is extremely obese, just enormous...the pt's mom is once again out of touch with the pt's needs...and so it went.

The noise was sometimes out of hand, he was a grumbling gravely dictator and that IS all part of the job. It is the thought of being his patient and having him be so brutally honest, well it smacked of unprofessional behavior.

I had a podiatrist who was "too busy" to dictate the day of service, so he would dictate on Sundays. One weekend, he dictated 8 reports...from the bathroom...in the span of about 20 minutes. I got to hear the toilet flush no fewer than 6 times in 5 dictated reports. He kept pausing to concentrate and it wasn't on the report he was dictating!

If the noise is too bad, it gets a blank. I don't care what they say and I don't care where they are when the dictate, but please don't make me know that you have the crap$ while you are on the phone with me. Plainly, I don't want to know.
I would type it as dictated. nm
type as dictated

The word lesbian, unless used in a derrogatory manner, is simply stating the patient's sexual orientation, which could be quite relevant in a psych report.  It's the same as describing a patient as a heterosexual female.  Not intended to "label" someone, simply stating a fact.  I see no problem with typing it as dictated. 

I transcribe just what is dictated.
I do think, if the doctor dictated this
you should put it in the report.
transcribe as dictated...(sm)
Transcribe as dictated: "Patent shotty veins." This is perfectly acceptable as is and does not require rewording.
dictated / typed
Doctor says "jiddo, jiddo, jiddo" - what does this mean"  Why.... 0-0-0 - OMG. The things we put up with for no money.
Dictated Minute
There is/was a transcription service called Alert and Oriented that pays by the dictated/recorded minute.  You might try doing a search on that company to see if any MTs posted their experiences being paid by time using this method.
$2 per dictated minute would be around
$40 per hour. Very nice....
But they are not dictated when the IC has to work.
They are alerting the potential contractor to when the work is available. If the contractor does not wish to work when the contractee requires the work done, the the contractor should not seek that position.

Now if the contractor accepted the position and signed a contract committing to working those hours, and the company attempted to force a change in the agreed upon hours to make the contractor work a different schedule, that would be a violation.
My dictated funny for the day
Dictated: He lives with his third wife. First wife was a widow, second wife divorced.
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
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