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Please help!!!

I am given .wav files, through a VPN connection, from a hospital that uses DVI/Fusion.  I have an enormous amount of static on the files and it seems that no matter what I do, nothing helps.  I have even been able to let the gal at the hospital listen over the phone to what I am dealing with and she says that her files sound nothing like what I am getting.  I am assuming it has something to do with Fusion and I have called Dolbey numerous times to try to get them to help to no avail. 

Does anyone have any suggestions?

FYI:  I have tried playing the files through 4 different software programs and always get the same static.

Thanks much for trying!

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Does anyone know where I can get a good price on a Lanier Stethoscope style headset (metal) - LX-10-35???   I have found these for $70, but maybe you might know of a better deal.   THANKS....

Hello everyone ....  I've been using MS Word's auto correct feature as my expander.  Is it 'just as good' as using an Expander ?   Of course my line count is lousy per hour - but I don't do the same account regularly, and I don't get many ops (standard formats).  

Please tell me if / why I should change to an expander - and which one works best.  Remember PRD for DOS - I loved it.  Is there a Windows version?

Thanks, Susie

Is MDI-FL the same company as "Medical Dictation Inc." out of Brooksville, FL?  Also, do they offer independent contractor positions or only employee status?  Looked on their website and didn't see anything about IC.  Thanks!

1.  For me, when a person I used to babysit from infancy until school age has completed his internal medicine residency and is in a private medical practice.

2.  When I get up in the morning my knees and back crack so much that you can hear them at times in the next room (daughter asks "what's that cracking noise" will confirm this!)

on Larry King made by Collin Powell. He said how the US has more than doubled financial aid to other countries (third world) and many other generous things the US has done since Bush being in power (Clinton was also moving in this direction). Along with this (helping other countries) he mentioned world fair trade and how that was helping the economies of the other countries of the world, like it was a great thing.

I believe charity begins at home.

Why do myself and my neighbors, friends, etc., have to send our jobs to third-world countries and in what way is that benefitting me? Now I hear that the apple growers in this country are bracing for China to take over the apple market. They can't sell their apples as cheap as the ones from China.

Lately pet food was contaminated and pets died, toys have lead in them from China and were recalled (Fisher Price, among other brands), tires being unsafe (people have died from blowouts, we imported thousands and thousands of unsafe tires from China), and now this morning on the news seafood (China is our largest supplier of seafood they said) is unsafe with antibiotics that are proven to cause cancer and are illegal to use in this country.

So their (the rich politicians' treaties) world trade treaties are really benefitting other countries, but not us.

I just have to vent and get some opinions on this.  I have started a job at a hospital.  I have done clinic notes for about 4years about 3 different specialities. I type normally 175 lines -200 at the most on a good day.  Since I started the hospital one week ago, I cannot get past 550-600 in a 7 hour day.  They told me until I get my line count up to 1000, I cannot go home to work, which is what I am suppose to be doing.  There are so many specialities, operative reports and procedures that I have never done and so many things to learn, I am losing so much of my speed looking stuff up. Does this take a long time learn?  Was I crazy to think I could do acute care vs clinic these past 4 years.  I am starting to doubt my intelligence here and thinking I am way out of my ballpark taking this on.  Has anyone else gone from clinic to acute care? Help!!

I have had a problem with swelling in my lower legs and feet and also my hands for the past few years now.  When this first started I had problems with headaches, went to the doctor and found my blood pressure was high.  So now I take HCTZ 75/50 once a day and do pretty well on it.  It is a pretty good diuretic and my B/P is very well controlled on it. 

In the mornings I have no swelling at all, but I notice though that by the end of my workday my hands and legs are really swollen.  My doctor says to just start exercising regularly and elevate my feet whenever possible.  I also try to avoid salt.  I'm a bit overweight so I'm sure that is not helping either. 

I'm just curious if any of you other MTs have this problem also and how you deal with it.

I have been a MT for 19 years. I have started having a major problem with tinnitus lately.  I know it is directly related to working because it eases up some after a couple of days off.  At the end of my shift, the ringing much louder and I am very noise sensitive.  Normal "kid" noises (I have 3 of them) are painful, and I find myself very short with my kids and constantly telling them my ears hurt and to please be quieter. 

About 6 months ago I starting using JVC marshmallow earbuds like you would use with an IPOD.  These are great because they block out almost all background noise and the sound is crisp and clean. About 5 months ago I started editing VR reports, in which the dictation is greatly speeded up, making the tone of the doctors voices much higher pitched. I keep the volume as low as I possibly can. 

Has anyone ever experienced similar problems. I'm really becoming concerned I am doing permanent damage. I welcome any insight and suggestions. I am trying to go back to my "old-fashioned" headset and see if this helps.  Thanks!

If anyone works for them, has worked for them or has any info (pay, flexibility, good to work for, equipment, etc.) I would appreciate it.   Thanks!

This sinus cold has been dragging on for nearly 2 weeks now..going on day 5 of absolutely no sense of taste or smell....soooooooo tired of this

I thought I posted this message, but I do not see it.

THis is for anyone that can help with digital recorders that they would recommend.  Thanks for all the help with the digital information, which I have researched FTP sites and so on.  I now know how it works and what I need to do. I now need help on the best digital recorders that you have experience with. I have a few Olympus DS4000, they seem expensive, and I will need 3 for each office, so I need cheap, but of good quality.  DS2 sounds good since you cannot edit, which a few state is not a good thing to have as Docs have problems with this. Any help is greatly appreciated.

Thanks Again  

Hi all,

I have been offered a MT job with another company that requires me to call into the hospital's Meditech system.  I have never worked on Meditech so I don't have the slightest idea how to use it.  I am used to signing onto my computer and getting right into the system, not having to dial in anywhere.  I'm sure I would get used to it but my phone may be the problem.  I have my phone bundled in with my cable/high speed internet through Time Warner and the MTSO thinks this won't work, that I need something like Fair Point as a dedicated phone line.  Does anyone out there in MT land know anything about this?  The MTSO is anxious to hire and I'm anxious to start a job where I can finally make $ again and I don't want to miss out on this all because of the wrong phone!

I'm just wondering about how the company pays and is this company okay to work for?

Boy, I love that this board is available.  I'm an IC and only have catastrophic insurance so there's no mental health access available for me.

Anyway, here it is:

1.  I've noticed over the years that my boyfriend has periods of what seems to be a depression. It impacts his treatment of me, it then kind of upsets our routine and, of course, it upsets me. It seems that NOTHING I do or say can get him out of it.  In fact, the perkier or more cheerful I try to be, the more he withdraws (I must pretty get annoying, too, do ya think? with all that perkiness).  So I just try to stay out of his way and it usualy doesn't last more than about 10 days, usually more like 3-4.  Sometimes he can go up to as long as a month or two without one of these episodes. 

2.  When I try to talk to him about my concerns he generally goes into a denial thing.  It's usually a given, with him, that anything wrong in our relationship or even sometimes in his relationships with others, is absolutely my fault, but that's another story.  So when I mention casually or carefully that he seems down, is everything all right it kind of makes him get mad and aggressive and usually he will say "yeah, WHY?" kind of in an ugly way.  So as I said, usually I say nothing.  On occasion, he has admitted that he gets down at times but that's all he'[ll say, and then later he doesn't seem to remember that he admitted this. 

3.  A while back I approached him about his depressed mood and he got kind of defensive.  I mentioned that he acts particularly down around his brother and that his brother had said that he noticed he seemed depressed quite a bit lately and thought he was "suicidal" although I think the brother was just kind of exaggerating on the suicidal thing.  I only mentioned the brother commenting on his being down because, as always, my boyfriend usually denies any problem, and says it just my making things up. 

4.  Today my boyfriend got very angry that I had told him that his brother said he thought he seemed depressed - what kind of a girlfriend would mention something like that.  I said "a caring one" and should I just "pretend nothing is wrong" and no one else sees this either?  I said it wasn't meant to be an attack but a reaching out.  A couple other folks have seen my boyfriend in his depressed state and commented on it also (I have never told him that).  I said one of the reasons I mentioned his brother's comment was because he always negates what I say, tells me it's basically all in my head, nothing is wrong with him....blah-blah-blah. 

5.  He asked me how I would feel if my family talked to HIM about them thinking I was depressed.  I said I would be touched and concerned and most of all would feel like they really cared about me.  I certainly wouldn't be enraged.  He says I am lying about that.  He said it over and over that I couldn't possibly feel that way.  I said that depression is not like calling someone dishonest or cruel, that it's out of that realm completely.  That when people ask about how you are doing that they care about you.  He laughs cruelly at me when I say these things.  He also says this has driven a wedge into our relationship, that he can't trust me and that all I want to do say mean things about him.  I say "huh, what in the heck are you talking about?"

6.  Incidentally his sister committed suicide after cycles of depression for many years.  The family knew she had problems but didn't really get involved or try to contact her or do an intervention in the weeks before her suicide.  Most of all, they didn't talk to each other about what was going on either.   I was thinking this was perhaps family tradition to turn away from highly charged emotional issues?  I don't know, as I said, I don't operate like that.  I'm more from the school of "hey, there it is - let's talk about it.  But everytime I try to talk about it he denies it or tells me I'm lying.

HELP!!!!

What would be reasonable to charge for H&P reports. I recently resigned from the doctor I currently work for to start a new job as a school secretary. 

They have asked if I am willing to type all H&P reports and possibly help out while they train their new girl. 

What would be a fair rate for that? I want to help him out since he was the one who gave me the wonderful opportunity and my first job ever in MT. I will always be so grateful to him for that. I was about to give up!

Thanks!

How disappointing to have received such poor service from Martel -- a company we all rely upon for their great products!

The new headset I ordered arrived damaged/defective with an improperly coated wire making the headset useless.  When I called I was informed that not only would I be charged a restocking fee, I would have to pay to have the defective product returned.  Only after inspection would a new one be sent -- and that would be another wait of 10 to 14 days.

Repeated requests to speak with a supervisor got me nowhere.  I ultimately disputed the charge on my credit card and wrote to the Better Business Bureau. 

How unfortunate that the only supplier of the Lanier headphones is so unresponsive to their customers!

Sounds like a really good package deal, anyone using it?  I am thinking of using the digital recorder and buying the gear player package.

TIA,

Sunny

I've been an MT for 12 years now.  The Drs I worked for used WordPerfect so that's what I used.  Well, new job uses Word.  That's fine except I'm having 1 glitch...I have it set so that the 1st ltr/1st word of sentence is CAPS.  However, when ending a sentence with a number, this doesn't happen.  One of the Drs I now type for uses dates to end sentences ALL THE TIME.  What am I missing? 

Thanks.

I hear a lot of bad things about MQ and Spheris, but why is Spheris that bad?

I am thinking of switching phone carriers.  I was told by some people that Vonage does not work w/this platform.  MTs that have used them together get kicked out of Scribe when a phone call comes in.  Is Vonage through the cable wires?  So if I have Vonage and cable internet that would not work?  Just curious if any of you use the two together.

TIA.

      You QA in your post, I quote:

' ..I will see the patient in 2-day's time. NOPE, and this pisses me off! BOTH the hyphen and the apostrophe are wrong. ...'

The apostrophe is in the wrong place, I agree, but why do you want to delete the hypen?  It should read: 

 I will see the patient in 2-days' time. 

 I am VERY positive that the hyphen has to stay in, as it is a modification to 'time'. 

Electronic Health Record Users

Beginning in 2011, physicians and hospitals can receive bonus payments under Medicare and Medicaid if they are found to be "meaningful EHR users." But with all the talk surrounding "meaningful," what does it all mean from the physician's point of view?
 
The federal government has said they might publish criteria for the definition of "meaningful use" of electronic health records as early as June 16, according to the HIMSS Electronic Health Record Association, a trade group for EHR firms. And with June 16th right around the corner, this survey is meant to explore the value of the physician narrative as it relates to electronic documentation and the meaningful use of an EHR, as well as shed light on what meaningful EHR use is.