A community of 30,000 US Transcriptionist serving Medical Transcription Industry

horrible dictators - at what point do you give up trying to understand

Posted: Jan 11, 2014

it's not just foreigners. :p

When you no longer need a paycheck. - Rose

Guess I meant to say - at what point

[ In Reply To ..]
do you stop trying to be perfect and understand - and correct - everything the doctors and VR spit out? A good deal of it invariably comes out as nonsense. :p

Yes, certainly do need that paycheck, and I applaud everyone who does this work.

SR is a robot - OTOH...

[ In Reply To ..]
sometimes docs let their dictation pile up and just talklikethistogetitcaughtup.

some docs think it's "smart" to talklikethisbecauseitshowshowclevertheyare

or i'mbusyandwanttogetoutoftheofficesosoi'lldictatebetweenexamrooms

oh, would that medical schools have a 1-day class--a 1-HOUR class--dictation--where they'd have to listen to themselves.

Whytheytalklikethat - sm

[ In Reply To ..]
They don't do that because they let things pile up, because they think it sounds smart, or because they want to annoy you.

They start doing it because for one or another very valid reasons that are not their fault, they are overwhelmed by their patient loads, and because they learn to do it from observation of other physicians. They are, in fact, "trained" to do it that way.

They continue doing it because there ARE MTs who can understand it.

Worst dictators - Alice

[ In Reply To ..]
I agree with those who say that these dictators have been poorly taught. Many of the worst are not ESL, just don't seem to know better or don't care, or maybe they are paying by the minute and want to save money by fast talking? They generally don't seem to like to ask for help or instruction, but sit next to each other and learn by observation. If no one ever "corrects" them, how do they know that their methods are causing us trouble?

I used to feel bad about having to leave blanks, but no more. I also applaud any MT or QA who can understand what these bad dictators are saying, but I gave up on being perfect. I do listen at least 3 times and adjust speed and any other control available for the specific platform/software in use. AFter that, I can't guess, so I have to blank it. So, that's how it will be for now. I don't get paid for my time. I actually look forward to really good VR, which can sometimes give clues on what is being said when I can't figure it out on my own. I'm currently working on a "new" account which is straight typing, but will go to VR someday (and then probably will be shipped offshore). Again, some of the worst are totally English-speaking and I do not make excuses for them. They give me garbage and they end up with blanks, as I conclude that's what they want. I feel that it is totally appropriate for them to reap what they sow, and my responsibility only goes so far. I feel bad that other MTs and QA strain to fill in the blanks, as they are simply enabling the bad dictators to continue the same.

YES! Some of the worst offenders are the English docs - SM

[ In Reply To ..]
It has been my experience they are the speed talkers and mumblers. I had one that would speak clear as day at certain points is the dictation, but slur his words and mumble through the rest of it...hated typing him.

I gave up listening 3 times to bad crap since SM - Kitty

[ In Reply To ..]
I'm only paid to listen once and type once. I think far too many docs or dictators think they are too good to be even doing dictation bec. they have a few letters behind their names, that they're somehow above it, not considering our situation.

Half of them sound drunk to me. no msg - MTgone

[ In Reply To ..]
xxx

Yes, some sound drunk as a skunk - or heavily medicated. :p

[ In Reply To ..]
:p

OMG, funny and oh so true - frustrated

[ In Reply To ..]
this is the BEST thing I have read all year

or each other - pamt

[ In Reply To ..]
I've often said I would love for residents to have to listen to each others dictation just once and try to transcribe it. And I think some kind of dictation instruction would be great for med students.

There is one med school professor who does that (sm) - Rose

[ In Reply To ..]
He was one of my clients in the 80s. He included dictation in his class, had them dictate on a case and then exchange tapes to transcribe another students dictation. He said he has never seen so many irritated people in one room before.

Deciphering difficult dictation and - correcting ASR

[ In Reply To ..]
Is what MTs do. Difficult dictation is a reality of this job and if ASR was perfect they wouldn't need us. I agree sometimes it can be frustrating, but like the above poster said, you will be dealing with it until you either quit or retire.

I had a doc dictate like Donald Duck once. I've also - MTdone

[ In Reply To ..]
had docs "compete" to see how fast they could talk. I only know this because they were in the room dictating at the same time and I heard them discuss this. Jerks.

Similar Messages:

Jul 09, 2012

Absolutely the bottom of the barrel today...terrible dictators and one after another after another short reports. Line count will surely take a hit today. ...

Jun 10, 2014

Let me preface this by saying that I know that ultimately this is what we're here for, to train the systems to understand every dictator. With that being said, has anyone else noticed that some of the dictators who have been purely straight transcription for years (while all of their colleagues are on speech wreck) are now on speech as well? These are doctors that without several paragraphs stored in your expander program, there is no way you could understand what they are say ...

May 17, 2014

Today I will make less than half of what I normally get because all I've gotten today are crappy, hard to understand dictators, both ESL and English-speaking. Seems like all I get lately are the hard to understand, mush-mouth dictators. Guess Nuance doesn't want their MTs making quota. Sorry. I just had to vent. ...

Apr 17, 2013

One crappy dictator after another. Poor sound quality and ESL. I want somebody who can talk clearly. ...

May 08, 2015

What goes on in India should stay in India. All that is there is horrid, absolutely a sin to ask anyone to make sense out of any of that. It is NOT English...surely NOT as I know it...nor anyone else. Believe me...I worked with an East Indian and she could not understand them either. Total waste of time. This work should be given triple pay and NO count for errors. Lucky anyone tries. ...

Mar 23, 2010

OMG, what a horrible time I'm having. This pay I'm not even averaging my minimum. All around the country again. What happened to lock down? I thought I sent 2 reports to QA but forgot to mark the QA box. Not my fault for the blanks but according to what I've been told, if we just can't understand the dictator, we have to send it to QA. MOST of the work I send to QA they can't get either, but its counted against us anyway. W ...

Jun 07, 2010

I know there are a lot of comments on here about M-modal being horrible and I have to definitely agreed, it is the only VR I have used so nothing to really compare it to but cannot do many more lines per hour than I transcribe (usually about 275 lph or so), anyone willing to share how much they do on M-modal and how long the account has been on VR? Just my curiosity since I don't seem to make any progress in increasing my lines per hour. Thanks in advance. ...

Jun 08, 2010

Hey everybody, I just needed to vent a little bit. I started my first day on my first job, and it went absolutely horrible. I was using the Emdat InScribe platform, which seems easy enough, but they have sooo many templates that the doctor should be using and isn't. My first few reports were okay, but then everything went downhill. I'm supposed to use the templates, but half the time, I had to erase 3/4 of them because it wasn't what he was saying. The wrong templates would load, ...

Jul 13, 2011

I have read these boards for the past 3 days, ever since I received word my pay would be cut...again...and that upper management was changing...again. I read through the MedQuist board last night, and then worked this morning. What a horrible day at work I had, the sounds of everybody grumbling in my ears, making me wonder if I should look elsewhere for work. My production was at an all-time low, by my own fault. Then I saw the company board this evening, and read throug ...

May 24, 2013

Starting rates range from 5- 5.5 cpl for transcription and 2–2.5 cpl for VR editing. This has become unreal. ...

Jan 03, 2014

I would just like to say that Nuance is ABSOLUTELY HORRIBLE! If you are thinking about working for this company, DON'T! Second, I was wondering if anyone knows who I can call about my pay check. I was lead to believe that everyone got paid on 12/27/2013. That would have been my first and ONLY pay check with them as I quit a week after I started, but I have yet to recieve that pay check. I need to find out when they plan on paying me for the absolutely absurd training that they have you do a ...

May 19, 2010

Sounds like "horrible pincer repair" ? ...

Dec 02, 2010

Since I got laid off from Webmedx in September I've been on unemployment. I tried to work for Alltype and couldn't do it. The pay was alright but the support was awful, they just threw me into the job with no training, hardly any information on my accounts, no contact whatsoever from supervisors. I didn't even know who my supervisor was! Has anyone else had a bad experience with them? I worked 2 days and quit. No QA feedback or anything. I don't know if I can MT again. I' ...

Mar 14, 2011

HEART: Normal sinus rhythm. No S/L tympanus murmur was ordered. TIA ...

Jul 22, 2011

whatever you do, don't work here. they give you work, take it away, you sit here with no jobs all day and then they want you to work on your days off, or want you to work when it is not your shift. support is horrible, won't even give you a phone number to call. have to email and wait, losing time you could be working. just don't do it. ...

Apr 10, 2012

Here's a good one for the day. Just got hold of an Asian dictator, who proceeded to whisper and mumble through the whole dictation, with another American dictator standing right next to her dictating. Can you take a guess which doctor I understood more clearly? I'm sooooo sick of this screwed up mess!!!!! ...

May 30, 2012

Is it just me or has the sound and tone of most reports become almost unbearable? I adjust everything and have two headsets and the sound still is not as good as it was before. ...

Feb 12, 2014

Nuance is horrible for giving references needed for new job but should have figured. Now they are holding me back from getting another job how nice, glad they can manage ti pay their bills but hold others back frim doing the same!!! ...

Dec 22, 2014

Mickey Ds and I was SO happy. Well, I do have panic disorder, but maybe all these years what I thought was panic was something much more serious. I had all the symptoms of panic, but it would always start with the heart pounding. I am on something for anxiety and still my heart has been pounding. I am probably going to have to quit my job as bad as I hate to. I LOVED getting out and seeing people, making new friends (even met a guy!), but there is not one job there ...

Mar 13, 2015

out so thin that everyone only gets a couple of them a day lest we go completely insane, or at least pay a good hourly wage while tackling it, and still spread it around thin. It's beyond horrible. Of course the other solution would be to have a meeting with the worst ones, let them hear what we're hearing, and try to coach them on even halfway trying to speaking clearly if they don't want a million blanks, but that'll never happen. I also love the ones w ...

May 31, 2015

I quit with NO notice 3 months ago and sent a scathing resignation letter, the BEST thing I ever did!!! The letter I wrote was completely accurate, reason why I probably did not receive a response. I am so grateful I was able to find a job 5 minutes from my home paying me an hourly rate of $15.00. Does not sound like much but considering that my salary had steadily decreased with "Screwance", it's awesome! No stress, no crappy emails letting me know I made an error, ...

Oct 12, 2009

You must be fingerprinted and tell them what you've been doing since the day you were born. Whoever said it is just a cursory background check was lying to us. ...

Feb 28, 2011

I tried to listen to the file provided for an orthopedic test for a job with Documed. It was a horrible recording. Forget this! ...

Oct 14, 2012

Seems like it just happened overnight. Wasn't this bad yesterday. Sounds like they are talking through a big old thick sock. ...

Jul 17, 2013

Search doesn't seem to be working. I see the ad for WordMed.Biz has 14 negs. Is it a fake ad or a horrible company. TIA. ...

Sep 15, 2013

I begin to wonder if the reports of them sending the good stuff overseas and leaving the junk for us are true. Honestly, today nothing but horrible cell phone or who knows what audio and 15 minute long non ISR by new dictators who are bad too, and the ISR ones have such awful audio the time it takes to figure them out is redonculous. My line count is a joke and they want OT? Not if I continue to get this crap, thank you very much. ...

Dec 15, 2014

Most of the dictations I'm getting sound raspy and crackling, with sound weaving in and out. I'm so on edge from straining to hear, I can't wait for this to be over. ...

Jun 23, 2015

nm ...

Jun 16, 2011

I am on working right now and had to get away and vent on her for a second because the editing with voice wreck is SOOOO bad right now, I am putting way more effort into the reports than what I am getting paid for. There are amazingly stupid mistakes, whole sentences missing, other sentences made up that are nothing like the dictator is saying. If this is going to be the way it is tonight, it's gonna be a short night for me. I refuse to make crap pay for this kind of work. ...

Aug 11, 2013

I got a rather lengthy dictation by the most horrifying ESL physician who happened to be dictating next to the emergency room radio for traumas or something similar (bad dictator + lots of radio noise + already noisy emergency room). I was so flustered and frustrated by the time I finally managed to finish editing it that I could've cried. I spent an enormous amount of time in the report, and yet I was still not careful enough not to make 2 very stupid mistakes. Yes, they ...