Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues

Serving Over 20,000 US Medical Transcriptionists

Citrix/Speech Q

Posted By: Jen on 2008-06-20
In Reply to:

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!

Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu

Other related messages found in our database

Just pray they don't use a Citrix server. MAJOR problems have come from Meditech+Citrix.
Front-end speech is "talking;" back-end speech is flatulence. :-)
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!
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.
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. 
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?
When I used this combo, we had this problem. IT had to replace Citrix with something else.
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.

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.
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

Are you using Speech EXT or something else? nm
Transcription,Technology,and Support is supposed to be implementing this in the near future.
speech rec
It really does suck. No punctuation, wrong headings, puts in he instead of she or vice versa, lists numbered wrong, doctors names wrong. If you ask me, lets get back to what worked!!!!
speech rec
I absolutely hate speech rec. I see it as a way of utterly dumbing down the profession and paying us even less than we're already getting paid over time, like factory work. With our system (not Dictaphone but a major player), they have enabled essentially all the dictators (even those who are horrible), meaning that the proofreading is a killer, and it's not getting better, some dictations are absolute gobbelty-gook. These days, it ain't my wrists but my neck and left shoulder muscles that get the workout from the stress of how hard I have to concentrate. We've been told that the physicians must never see what the report would look like if we weren't charged with making absolutely certain it's picture perfect, as though we'd typed it! And yeah, I'd just as soon delete the whole durned report on some of these and just transcribe it. To heck with production, which is the constant mantra where I work. Again, I absolutely HATE it and pray it will somehow collapse, but I don't see it happening, not with jobs being so hard to come by.

I can foresee where speech rec could be "perfected" to the extent that there will come a time when an intelligent person could conceivably just sit down and read through these reports and actually learn medical terminology and the whole process by just doing speech rec. Again, like factory work. Think about it.
On speech rec
The company I work for pays 4 cents a line for speech recognition and the minimum for speech rec is 11,000 a pay period. That comes out to $5.50 an hour. I believe the minimum wage in Texas is $6, so I do not make minimum wage doing only SR. To get minimum wage I have to do 12,000 lines a pay period. Actually I do more than that because of the cost of living!
MQs speech recognition.
speech recognition
I worked with speech recognition at my last job and I didn't like it.  It took longer and alot of mistakes came through.  You were editing, but I found I could do a better and faster job typing it myself.  Everyone's production went down and error rates went up because you become complacent and when you are reading along with the words playing in your ears your eyes have a tendency to overlook a lot of little things that should be edited.  I did not find it productive or helpful just a mess. 
Speech recognition
I am on speech recognition as it comes up. Don't have it all the time and it is on the DQS platform. I enjoy the break from typing but can be slow as you really have to listen to every word and make the corrections where necessary. The fastest typists just erase the entire report and retype. I just listen and make corrections. I have not had a pay reduction as of yet since this is not all I do. I am still paid my regular per line rate for SR but rumor has it that this will change but this is only a rumor, nothing in writing. If you do not like editing, can always tell them that you just want to type and not edit. I am on high speed internet also. Hope this helps.
Ah, a figure of speech. (sm)
Like a burden or baggage from a person that will not take the time to learn or understand?  One who doesn't want to fix it or get off his/her duff to understand?  One who generally doesn't care?  Anyway, I thought my original post was perfectly understandable and if they didn't understand it that is not my problem!
speech vs. transcription
Thanks...I appreciate the input--I may just give it a try and see how it goes!:)
I want to do VR (speech) editing - sm
which companies should I contact? I do not care whether they outsource or not (please no flaming). Just want to learn the new technology.
speech files
Sorry for confusion, my company has switched from plain typing to basically editing speech files, so my lines have dropped, so pay has dropped. Is there anyway of edit any faster to increase line production? any tips or tricks?
Speech files
Can you speed up the voice file without distorting it too much? Is there a way to move the cursor along with you as you edit, rather than using a mouse (if that's anything you are doing)?
speech files
Thanks for replying. I am working with EXText and am using the foot pedal as I would in text typing, speeding up the files, etc. Don't know why I am in a slump.
thanks anyway.
Speech Recognition
Does anyone use speech recognition software for better transcription productivity?  If so, I am interested in learning more about it & would like to talk.  Thanks.
Speech recognition
I absolutely love editing speech recognition.  After typing for 20 years, it definitely gives my hand a break.  I like the pay as well.
Enterprise speech
No, currently working in-house at a local hospital.  The hospital recently leased the program and we are all having troubles.
ExText speech
My company plays up the speech rec part, saying it takes an average 150 lph MT to 250 to 300 lph. They do admit if you are a fast MT, speech rec doesn't really help you. I know I will eventually train for that part, but I'm not looking forward to it!

Used to do speech therapist also
and that is big business - stroke rehabilitation, kids with problems, oral cancer surgeries - found it boring but pretty easy once you learned the terminology. 
A number have gone to speech rec - sm
because Radiology is so repetitive that it's easy convert to speech/voice rec via programs like Dragon or PowerScribe. I was so frustrated with the lack of work that I went into Acute Care (in-house for a hospital).

Beth HT is a speech pathologist..sm
I am unsure what her husband does. She is staying in the same room Natalee stayed in. I imagine that a lot of the hotels and restaurants on the island are offering their services to the Holloway-Twitty family. I wouldn't go so far as to say they are spending their billions 'vacationing in Aruba.' Thats rude to assume.
Does anyone work with speech recognition? sm

We are currently learning this, and I hate it.  It's not editing others' work, its doing your own transcription with speech rec.  Does anyone else do this, and like it?  Anyone had success with it, or failures?    I'm seriously thinking of quitting my company, as we have to give this three months trial to get used to it, before we are considered for being taken out of the program.     

    All I hear from work is how wonderful it is, how positive, how everyone hates it at first but once you get used to it how you love it.  I don't think so.  This just isn't for me.   There are others who feel the same way, but you never hear about them, unless you happen to stumble across those particular people somehow; which I have. 

speech recognition sucks
They are selling it to docs and hospitals based on one thing only, it will cost them less money. Guess why?

It will cost US more money.

The only good thing I have to say about it is this: I know one of the major hospitals in my area is trying it and failing miserably.

They came out of the barn with this donkey a wee bit too early.
Automatic Speech Recognition (nm)
Freedom of speech is still a part of the

constitution.  I once had a supervisor tell me he knew that his secretary and I had been talking about him, and he would terminate me if I ever talked to ANYONE about him again.   I actually laughed in his face (and never got terminated). 

This is really stupid that anyone or any company thinks they have the right to control what people can and cannot talk about.  Now, company information that can be damaging if disclosed is another issue.  However, salary info doesn't fall into that category.  It falls under the "How much do you make, because I want to be sure I'm getting a fair deal" category.   

ASR question (speech recognition). sm TIA
For someone who transcribes roughly 250 LPH on acute care, what would the introduction of ASR due to her line count?  Could she potentially increase it? 
QA Mgr's email w/picturesque speech

Notice the missing words and "excuse" instead of "reason" ???  Give me a break   LOL

Due escalated number of quality issues with __, we are having a mandatory conference call tomorrow, Thursday, at 4:30 p.m. EST.  This call should not last more than 30 minutes.
If you are unable to make this, you are required to email __ with the excuse of why you cannot make it.

speech versus transcription

Hoping to find some input/wisdom here---I have been offered a positon where may of the accounts are partially voice rec--I have never edited this speech stuff--but I am wondering if you can make the same amount of $$ doing that as you can transcribing it--all the speech rates seem very low, around 4 cents a line--is it actually that much faster than transcribing?  I would think it would be a lot quicker to actually do the transcription--has anyone any experience to share in this regard? thanks for any insight.....

Speech Editing question for anyone who has done this..sm

Can editing voice recognition from hospital be as lucrative as straight medical transcription...Is it more difficult and time consuming to edit a doctor's voice than editing another transcriptionist's work?



productivity for speech files

does anyone have any pointers that can help my productivity with voice files.  Voice recognition board not working and productivity board says go to main board.  Help if you can.


Maybe because right now we are training them, sort of like speech rec?
Just a thought.
Back end speech recognition.

Can anyone tell me if this is a difficult job?   Would this be much different than proofreading my own reports while listening to the sound file?  What is the going line rate for something like that?  Is it better pay than regular transcribing?

Thank to all who can soothe my nerves!!!!

question about speech recognition. sm
Do you need high speed internet for speech recognition?  I've been informed by a company I edit for that they are going to incorporate speech recognition into ASP.  I was also recruited by a company I recently left to rehire to do speech recognition.  I can only get dial-up where I live.  No DSL or cable.  Could get satellite, but so many companies say no to satellite.  Thanks!
Speech recognition platform. sm
The company is called MultiModal. They said they're going to integrate it with ASP. The other company I don't know.
Speech, or voice, recognition
Has anyone tried Vista speech recognition?
speech recogn. question
Wondering if you guys when doing VR use the feature where the highlighter moves along with the words and attaches the cursor for editing?  Maybe all VR programs don't do this... only have experience with 2 that did. Feeling pressure to use this feature and for the life of me I just can't function when it is on. I end up editing where I don't want to and spend more time trying to figure out where my cursor is or isn't than worrying about the text I am editing.  I can do about 300 to 325 an hour without. Wondering if working through the frustration of trying to use this feature will gain me anything?  Any thoughts??
Dictaphone EXText Speech

Are there any MT companies doing Dictaphone EXText Speech.