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Serving Over 20,000 US Medical Transcriptionists

When I used this combo, we had this problem. IT had to replace Citrix with something else.

Posted By: Misha on 2006-08-25
In Reply to: Meditech/Citrix - OliveOyl

They had to do a lot of tweaking, and they were somewhat resistant. They had trouble understanding that letters need to appear immediately ... or sooner.




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Just pray they don't use a Citrix server. MAJOR problems have come from Meditech+Citrix.
x
Combo of laziness AND lack of knowledge! Deadly combo!
nm
combo MT/MC classes

I am thinking of taking a Medical Transcription class.  My sister who is a Physician's Assistant tells me I should do coding instead.  Does anyone know anything about the combo classes and whether they are a good idea and if they prepare you enough?


 


Thanks


You can assign any key combo you want to the
NextField command in the customize keyboard dialog box. You don't need a macro if you are inserting blank fields with Ctrl+F9. You can also assign a shortcut to the previous field command.
Meditech/Citrix
Meditech and Citrix "hate" each other for some reason. I have a radiology account where we all went through the same problems - losing reports, sluggish performance, getting kicked off, documents freezing up etc. The I.S. Departmet at the hospital I work for got so sick of hearing from us transcription gals, they finally set us all up with VPN connections and ALL problems were resolved. It is a tad bit slower with the VPN connection typing and saving documents, but to avoid all of the B.S using the Citrix platform, it is well worth it!
Meditech/Citrix
I am also having trouble with this and I also have Comcast digital ISP...but I am having trouble getting any website. I have worked in MediTech/Citrix for 2 years and it does tend to bog down when very many people are on it, plus I have had trouble off and on the whole 2 years doing exactly what you said.
Citrix/Speech Q
The hospital I work for just went live with the radiology platform Speech Q last week.  I can access via Citrix from home but cannot get the foot pedal to work.  Any ideas...........?  Thanks!
zero ego, high IQ. awkward combo.

yes it is but i have tried EVERYTHING to no avail. only this combo works for me. nm
;
Meditech Expander on Citrix
Hi all, I have searched the forums and can't find an answer. My hospital recently went to Meditech and I am typing on Meditech through a website on Citrix. None of my Expanders work with the Citrix website.

Any ideas? I have tried Shortcut, Flashtype and As You Type and nothing works. I am ready to pull my hair out. Hope someone can help.
Meditech Expander on Citrix
I have ShortHand 9X and when I press the spacebar for the expansion, I get the Meditech message, just like I pressed F12, asking me if I want to save the text. It doesn't expand.
? for Meditech/Citrix users

Okay, aggravation.  Still have dail-up.  Had appt. to have cable hooked up tomorrow morining they just discovered today they don't run cable where I live, which incidentally is only about 3 miles out of the nearest town!


Typing in Meditech via Citrix metaframe.  Due to current with delay from dail up I am typing body of report in Word and pasting into Meditech which has speeded things up a great deal.


I was planning to have satellite hooked up next week.  Before I chunk out that money, I know satellite is very slow with a VPN and that the Citrix metaframe may work similarly. 


Anyone out there working in Meditech via Citrix Metaframe ON SATELLITE without problems.  I read that it can slow it down 50-75%?


Cerner/Citrix and Shortand
I am fairly new to this hospital which uses Cerner with something called Citrix.  We type in Word within their program so can use Autocorrect and Autotext. I have asked around to a manager and a couple employee and it seems no one is aware of a word Expander program other than those with Word, that can be used without problems.  Apparently the hospital transcription department has tried Smarttype but that did not work right.  I'm wondering if anyone has had success with ShortHand for Windows and this program.  It seems to be a program that works with most systems.  Has anyone had any success with Cerner and shorthand?  Thanks. 
You can get a combo wireless AND plug in router sm
Linksys makes one and even Walmart has them. I would not go wireless for MT because it is too slow. If you have, say, a wireless laptop that you want to sit on the couch and play with or take to the bedroom or whatever, having a dual router is convenient. You still want to MT on a plug in Ethernet cord.

They are very easy to set up. Linksys has instructions and I have never had a problem. You don't really need to tell you cable company, they aren't going to know or care. Your modem has a set speed and having a router will not increase that speed. Routers make a kind of virtual partition of cable signals. If you have a 112 modem like we can get where I live, you'll find yourself very slowed down. I go up 2 notches and have a 512 speed cable modem and when my kids are here and they all plug into the router to play games over the internet, I can still MT because the signal is pretty fast (well okay until they piggyback another router and hook up 8 computers for a LAN party).
They can't figure out if its Citrix or Meditech but regardess
we are still stuck with the problem until they can find a fix. If they are even actually looking for one. You know how it is-- if it works for billing, filing, nursing, accounting, who cares if it works for transcription... Perhaps other Meditech users can comment?
Are there any other Meditech/Citrix users that are having trouble?
we are having terrible difficulties. System kicking us off, sluggish performance, losing reports. Any one else on Meditech accounts (accessed through Citrix)dealing with this?
In MT ads on the net, more and more I see ads for combo positions - MT/front desk, MT/secretary, etc
b
highlight the text and hit Ctrl Shft A or hit that key combo
before you type your text and hit it again when you're done. This works in any Word version.
Yep, I say a combo suit with the landscapers! And the baby pool owner!!

I am suspicious it is the Citrix because I remember it slowed down a hospital program I used to use
IT had to change from Citrix to something else to get it to speed up and work better. I don't know what Citrix is, but it must be bad, LOL.
Tessier's is great! Used in combo with the Sted's Ortho and you're good! nm
s
Instant Text and Stedman's are compatible. Not sure of any combo products that would work.
x
Our Meditech connects through a Citrix server, and kicks us off, freezes up, doesn't allow log on

If the system has a lot of users on, then it lags. You hit the keys but the letters don't appear right away. Try doing the backspace key with that. It does not have a word Expander and only certain ones will work with it. ShortHand does but some of the others do not.  It has archaic functions. The patient demographics are entered separately from the body of the report, so you don't get paid for those lines. It takes multiple key strokes to make font changes, etc.


But other than that, it is fine                         LOL


VR and ASR will never EVER replace MTs
I have done reports, in fact one just now, where the dictator jumped three or four different times from the hospital course to the diagnosis.  How is a voice rec machine going to pick this up and put it in the right format?  Also, the other day I had a doc that dictated a surgery on both the left and right foot....although in the diagnosis it was the right foot only. I get docs who are confuses as to gender of patient, says he...she...he...then she through the report.   And again, more than once a day, I get a doc who talks on the phone as loud as he is dictating.  Won't the machines pick this up?  What about period as opposed to the actual symbol period?  I don't care what you say, we will not be replaced!!!  Not possible.
Do a Replace.

Edit, Replace. Search for .(one space) and replace with .(two spaces) You can also write a macro to do this for you.


You may want to replace your

PS in example just replace Alt J with f3 if that is the you want to go
nm
Why replace them?? Don't you know
x
i used to replace them
just as soon as a new edition came out. Now, am only updating my most used ones, which include the surgical book. i've been at this 30 yr, and do use the I/N for lots of research, but prefer the books, where i can make notes, highlight, etc. I find them more reliable and quick than the I/N in may circumstances.
EMR will replace some
some MTSO. Our local hospital here is using eRecord which allows the doctor to dictate into certain fields and requires in-house transcriptionist/secretary to go in and transcribe directly into EMR. However, at my old group of hospitals in prior state I lived the EMR we had incorporated DolbeySTAT into the EMR so it depends on the hospital
Looking to replace my headset.
I'd like to hear what everyone prefers for these.  I've tried all kinds but am not sure what I think are the "best."  I want good sound quality whether it's from my computer or C-phone and will be using them for both (unless I should have 2 different kinds).  At any rate, I'm curious what you all use or what you think are the absolute best.  Thanks.
You get what you pay for. If you're willing to replace in

2 years might be okay.  


Sounds to me like he wants you to help him replace you. sm
These doctors are so clueless! They have no idea how many times we save all of them every day from looking and/or sounding ridiculous. They have no clue concerning the many, many mistakes they make in their dictation or the great lengths we go to in order to get it right when they can't, don't, or won't. After years of making our lives miserable with their completely rude and thankless approach to their dictation, they now would have us help them send us to the soup lines. Don't help him replace our industry. They all need to find out just how much we do for them, and it seems reasonable that they should start by being victimized by their own careless and often unintelligible dictation. If he plans on using VR himself to produce these reports, then let him deal with the frustration of watching the VR platform just sit there because of its inability to decipher and record what he just ditated. Let him reap the mistakes that will glare back at him due to his lack of understanding of the language of his own business. Let him catch his own mistakes and fix them if he can and let the rest go through to his own embarrassment. He may even be one of the better dictators, but that still doesn't eliminate the fact that he would burn us all tomorrow along with our profession if he could. Don't help him. He needs the rude awakening I'm hoping he'll experience without you. If he plans to replace you with another company and wants your macros to help them do a better job for him as they offer him a lower rate while benefitting from your hard work, I say let them do their own hard work in creating their own macros while they sell themselves and the rest of us down the river by cutthroating the price.
not sure on this, but maybe just delete and replace nm
nm
need to replace DAC phone

Hi all.  I need to replace my DAC phone and looking for recommendations.  I currently have two and both are on their last leg.  ONe is a DA-125 and the other is a DA-127.  I don't think I necessarily need the same exact one.  I just need to make sure it is good for VDI.


I have had the DA-127 worked on, but with time the issue is back and it is just plum worn out after almost 10 years of use.


Any suggestions are welcome.


 


Thanks!


you say ESL MTs have better quality and should replace US MTs?
Can you back up your claim? I do not believe for one second ESL MTs are better in qaulity than US-based MTs.

Have you had first-hand experience editing reports from ESL MTs?

Blaming the MT is almost ridiculous in my opinion. Blame the MTSOs and the managers for it is their responsibility to hire/train/mentor/teach and deliver ongoing support and supervision.

Blame the hospitals who demand we as MTs single-handedly carry the entire burden of quality all the while cutting nurses jobs (jobs that directly and adversely affect patient care), who got in bed with the devil (offshoring) to make their profits, who day in and day out come up with new ways to 'cheat' patients of care and make more money for themselves.

...and the MT is supposed to carry all the burden? we are not martyrs, we are working women most of which just trying to make a living on what are now becoming third-world wages thanks to every suit in this business that used to be more of a humanitarian effort rather than a cash cow.
does anyone know any natural way to replace estrogen?

I have to replace mine every 3 months or
so, but I use the cheapies, too. I found that the expensive ones got just as sticky and gummy and slowed me down, so in the long run, they cost me even more money because I would not replace them often enough.
Try cutting out soda and replace with
Green tea. I don't know if it will work but I cut out all diet pop this week and have been drinking diet green tea...Arizona brand, Lipton Citrus, and I've been making my own just with tea bags. I'm also 43, lost my dad in October, really depressed here in the Wisconsin winter, and a week ago I was at my highest nonpregnant weight. Well, let's see, actually I weighed about the same as I did at the end of my pregnancy with my first child back at age 21...and I gained 50 pounds during that pregnancy! So...not so good. I can't go all the way on induction again, but I have been watching my carbs this week, although I really believe that even without that, this green tea is helping curb my appetite. I used to sit here and grab a snack and always be munching on something all day long. I haven't been as hungry and have hardly been snacking during the day. I'm also not falling asleep in my chair at 2-3 every day. It might be a little change you could try and see if it works for you. One other thing I've done...I've actually gone outside and walked. I work all the time and never make time to exercise, but I was feeling at my wits end and very depressed at getting to that weight. So, on Sunday before anyone got up, I went outside and actually walked for nearly an hour..and it was 32 degrees, although sunny. I've done that 4 more times this past week, when weather has permitted, and I mentally feel better. I've lost 8 pounds this week with these little changes, but mentally feel much better and am just taking it one day at a time to keep it up.
How to replace letters on keyboard? (sm)

The letters on my keyboard get rubbed off within a couple of weeks of buying the darn things (just bought a new Microsoft ergonomic keyboard 2 weeks ago and already the A is half gone).  Is there anyway to buy replacement letters for these darn things?  Or do they make white sharpie markers?


I end up replacing the stupid keyboard at least yearly because after the letters are worn off, I find I wear grooves into the keys.  This is ridiculous.


 


Thanks in advance!


How to replace letters on keyboard
I have the same problem.  I have worn 11 of mine off and my keyboard is new too.  I am going to try that keyboard sticker idea.  Anything is worth a try.   My husband and son also use my keyboard from time to time and they fuss about those missing keys.  Thanks for the idea. I will try.  I do not use any lotion on my hands when I type.  They just do not make them like they used to.
How often do you replace your reference books, or (sm)
do you all strictly use medically acceptable internet sites for research now?  I've been using the internet a lot, but I'm thinking of getting a new Surgical Word Book.  Wondering if it is worth my $50 to do this.  Thoughts?  Thanks in advance.
How did they replace MTs that couldnt cut it as obviously some wont want the stress of it.
:
I've had GE for 35 years, getting ready to replace with
new GE as we are updating the kitchen.  
You can do a find and replace or even make a macro to

Crtl+F, in the find section enter a period and two spaces, in the replace section enter a period and one space.


Record this and make it a macro.


I guess if there is a 10th it's time to replace my 8th!
nm
I use autocorrect with Extext. Just have to check the replace sm
as you type box in the autocorrect box each time I start ExText.  Hope you find a solution! 
Macro for multiple find/replace
Please email me with some specific details of specific phrases in your list to find / replace - I will work out a macro for you that can run through the whole list. I'll also repost here if anyone else is interested


Yes, I am a complete computer dummy, but where is the battery and can I replace it myself?
x
I'd lose the comma after the male and replace with "who is".
Otherwise, the sentence is fragmented.  Do you have carte blanche to edit for clarity and style purposes?
I was just the opposite, I bought the Bose to replace a set of Shure E2c
The sound quality for both brands is excellent, but the Shure ear buds, because of the way they fit, seem to block out the ambient noise in my environment better and provide more focused audio. I like the Bose for my iPod for the opposite reason though, because they don't block out the ambient noise as well. A lot of people are bothered by the way the Shures fit though, so I know they aren't for everyone. I have a set of E3c's now and, although I am finally used to them, I think for transcription the E2c's are better.