I can take the ESLs...

So I'm having a irritating, low-production day with ESLs which leads to my question of "Why are these foreigners here?" They can't communicate effectively when no one understands them. What encouraged them to come over to the US in the first place? Were they offered a free education? Did somebody invite them? If so, it sure wasn't by anyone I know. There are hardly any clear English-speaking doctors anymore. I'm getting tired of stutt ...

Why, oh why, do I put up with making 7 cents a line trying to understand languages I don't speak? I do the best I can trying to decipher their garbled mess of dictation and then 90% of the time my ESLs dictate in what sounds like what surely must be an underground tunnel, or whisper, or take 3 minutes between words. I long for all English (American) speaking doctors again, making a decent line count, and getting glowing reviews and periodic raises (which I haven't seen in ...

I know everyone complains about ESL dictators - I do also, and have been to the point of tearing my hair out at times. I always try to stop and remember that we need to give them the same respect we give English speaking physicians. The foreign docs have come here to make a better life for themselves, and also to fill some pretty big gaps in health care coverage for both larger and smaller hospitals. What if we tried to communicate with them in - Hindi, German/Eastern Eu ...

Currently I'm working with more ESLs than ever before. Just curious who you find the most polite? The East Indian dictators are pretty easy to understand once you get used to their emphasis on different sylabels. I also find them the most polite dictators, with many "sorry's" and "thank you's". I have one who must not know that humans edit him as he is afraid to leave dead air space. As he is thinking he dictates: "um, thinking...thinking... so sorry. ...

I hit a patch of syllables and felt the usual frustration. I decided to work my way backwards. I went a few words past the part I could not figure out and transcribed that bit and worked my back towards the indecipherable part, and it worked really well. I was able to get it through context, and it also did sound correct as well at this point. Just wanted to share in case anyone else may be struggling and not know about this. It probably won't work every time, but every little bi ...

I am actually in the middle of a report right now for the most horrible ESL doctor ever. Besides the fact that her accent is so ridiculously thick, she speaks so softly that it is impossible to figure out what she is saying. Even though she is straight typing, I still can't make money on it because I keep rewinding to try to figure out what she is saying. What's funny is she is doing a medical consult for a psych patient. Like these patients dont' have enou ...

I'd like to ask a favor please. When people post what their LPH is, like one poster below saying 500 LPH, would you also post what work types you are working on and the percentage of ESLs. Acute care or clinic, radiology, ER. It is not that I am doubting, but just comparing it to my work. The numbers I have seen people post are unimaginable to me if they are doing acute care with 80% ESLs and all work types and exceeding 99% accuracy. A lot of normal templates in your ...

time spent trying to get out a decent product with these guys. With technology on one hand and India on the other getting the good guys, ESLs are pretty much the norm for MTs with any given company these days and we know how to leave blanks and move on. "Afraid" of ESLs? Oh, no, no, no, no, no. You don't put that one on the MTs. It's the bill collector that drives us, and you will get what you pay for based on the premise that time is money. enough said. ...

I quit in early 2014 because there was a sudden switchover of doctors in the acct I was typing, and they were the worst I've ever encountered. The sound quality was atrocious at Nuance. It was like scraping the bottom of the barrel. I work for a different company now that doesn't make you jump through stupid FIESA hoops, etc, and it's nice. Just wondering if the same crap dictation continues at Nuance. I liked Transcend. ...

to dump these reports so the owner doesnt have to pay QA for them because they cant do them at all. They QA the whole report almost. I am totally burnt out with this and not sure what to do. Any ideas out there. ...

I work in a 15-physician multi-speciality practice. I have one particular ESL doctor whose English is decent, but he's always using "i.e." in places that really don't need anything. A good example would be Patient was given Toprol XL, i.e. 50 mg q.d. I've gotten to the point I just put Toprol XL 50 mg.....mainly because the next thing out of his mouth will also have an "i.e." in it somewhere. In a paragraph (or HPI part of the document), I'd be willing ...

I can take the ESLs... - What?

They dont seem to get it that "15" and "50" - sound almost exactly alike! nm

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