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I am suspicious it is the Citrix because I remember it slowed down a hospital program I used to use

Posted By: Me on 2006-08-08
In Reply to: They can't figure out if its Citrix or Meditech but regardess - sm

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.


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Just pray they don't use a Citrix server. MAJOR problems have come from Meditech+Citrix.
x
I do remember a program once
where they did a secret 'sting' kind of operation to see if people were being discriminated against due to weight and they absolutely were, at least 75 percent of the time. People tend to form a snap opinion of an overweight person as being a "slob" or having no self control, or not caring about themselves. It is so infuriating that this attitude continues to go unchallenged. We are the last group that it is still legally okay to discriminate against, and why? I keep hearing the percentage of Americans who are overweight now, you would think we would be the majority now!
I remember back in my hospital days...
when we had the more personal contact aspect with the docs. The ones who cared could/would actually walk back to where we were and you could ask them questions, have them correct something, etc., or the MR director could tell the heavy ESL docs to enunciate their English better, ha-ha, which sometimes actually worked. Our county coroner would tell us some interesting stories late in the evening. One lady plastic surgeon loved what she did so much, if you asked her a question, she would draw you pictures of what she did. I once handed an awful resident doc my earphones so he could hear what he was dictating; he was so embarrassed he slowed down from then on, so it made a huge difference. For a few years, to get the docs to get their charts done faster, the MR director held a contast; the winning doc would get a free trip somewhere. You would not believe how some of these guys would compete for this prize, cracked us up.
Yeah, those days are gone, but I hope to live to see the work goes back to the local hospital level. A hospital system the next town over to me did post 5 full-time Transcriptionist jobs last fall; I applied, just wanted an interview. I never heard back so I don't know how this panned out. I think I'd apply to return to in-house work if that ever happened. The job was definitely more interesting then.
I had to call my supervisor to get the hospital to program those settings.
nm
suspicious?
Yeh, it's like if one does not know one should not be here. Oddly-worded question.
And anyone who is THAT controlling and suspicious
.
Suspicious of redirection
I guess the Democrats think their immigration and offshoring stands aren't going to help them win the presidency, so they are trying to redirect our attention to something else - how about desegregation of the schools! Hello! Don't you think the American public is going to notice you are trying to distract us with an old issue that isn't what we need to focus on? We need to work TOGETHER on the important issues of the day, not dissect how far we've gotten with racial equality. If we could concentrate on jobs, outsourcing, and offshoring, which we US citizens all have in common, problems between us would all smooth over and start to disappear, IMO. Working together IS the cure, isn't it? Am I wrong?
FIND EVERYTHING HERE SUSPICIOUS
I have never in my life had to have such exams for work or driver's license. This person did not say which state and I think that is for a reason. I find it questionable a physician would have a mother leave a room so he can give a breast exam and even more unbelievable a mother would let a physician do this without her being in the room of a minor! I find it unbelievable just out of nowhere physician would suggest the shot for cervical cancer. The mother says the child having no sex. Sounds like she is to me otherwise why, if this actually happened, would he say anything. This is a minor, remember. Anything would have to go through the mother first. I think her statements are all phoney.
Depends on what kind of hospital? Large urban hospital or small community hospital? SM

Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.


I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis.  But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl. 


Slowed down for 1 day and now
back to full swing. I'm tired, wish it would slow down.
oriental ESL said when I slowed him way down . . . "
People are not oriental. They are Asian. Things can be oriental, for example, oriental rugs.

It's just one of those useful things to know.
Mine never slowed down
I've been swamped for months. Too much work to do, but I guess that's good considering some of the posts I see of little or no work. I should consider myself lucky.
No we have been slammed ! Slowed down last week some but now - sm
its gone nuts. I took on a little extra this weekend to help....usually do 90 minutes over the weekend, took 120 minutes though to help out, plus I missed a day this week due to throwing out my back. Fun.
Tell her your account slowed down and you don't need her at this time.
When it picks up, you will call her. Or you lost a client and don't need her services any longer.

You have to fend for yourself!!

Good Luck in whatever you decide.
I could see much better but the settings slowed down my computer..sm..
I didn't have any trouble getting it back though.  Hope you find something that works. 
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!
I did and it slowed my productivity down. I thought I had gotten used to them after a few months.sm
but when I took them off, I sped up a lot.  I've thought about doing it again and decided against it. 
Had a feeling it was low, my work has slowed way down, just starting looking around.. nm
xx
My pace has really slowed down since I've gotten older...
Sorry to tell you that - I know it is not good news. It has definitely not been for me. I hate having to work longer hours to make the same money just because my fingers won't move right all the time. I am only 40 and have been doing this for almost 17 years. Have had to learn to use Expanders like crazy!

Also, I am going to school now so that I can get out of transcription before time to retire so that I can have some kind of future in my old age instead of sitting in front of a screen all day.
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.


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


I have never found a program shorthand does not work with, it works outside the program (I think tha
nm
PRD is a DOS program. I don't think it work with Word, a Window's program.
x
It will count everything if you go in the settings and program it to. Good program!
Sylcount is an awesome and accurate counting program also. That will count everything if you "tell it to".
Has anyone on this board's work slowed down this January. MT work that is.
Got several friends with slow-down of work but they are MQMTs   Wondered how the rest of the MT world is doing.
You can use Shorthand in ANY program, it works outside your program
I have never found a platform it did not work with and I have worked on several different versions of Meditech. Just start using it.
M-TEC has a Basic program (12 month) and a Premier program (18 month). To WAH, you should take the P
:)
Shorthand works with every program, it works outside the program you use, does not interfere.
nm
Hospital. I wish I'd never left my hospital job.
They'll only take me back if I start off working nights and weekends again at the bottom of the totem pole.
If you work for a hospital - how come no one from the hospital
called you?? Were they in the dark, as well?? How sad, that no one in your hospital communicates with the at home staff.
just please remember that....

science is a GOOD thing :) If anything, the ultimate gift of God. IMO


(shuttin up now)


OKAY, BUT REMEMBER
Remember, maybe your current employer would pay you a penny more a line (MAYBE), but what about the next employer. Things in this business change quickly, and just because your current employer may up your pay, the next one might not care.
Do you remember>>bet I'm
How about those HUGE transcription machines bigger than a desk>>>>I gravitated to MT from KEYPUNCH school...REMEMBER THOSE KEYPUNCH MACHINES!!!!!
I remember
I learned to type on a manual typewriter.  I actually won a county typing contest on one of those, when some of the contestants had brought their electric portables with them.  I won because I relaxed, thinking I did not have a chance on a manual, and had only two errors.  They counted off words for each error.  I got my A.S. in HIM, only then it was Medical Records Technology.   My first job was in a small physician's office, where I had an IBM Selectric.  Dictation was on this little thing with belts.  After that was a machine with small little discs that looked like film, that never came out of the machine, just stacked up like a juke box.  After that came tapes.  My references were a big Dorland's, a Taber's and a PDR.  Of course, like another poster said, I had the chart.  Even with all the bad things about the business, I don't think I would want to go back. 
ek, remember ET...


AND REMEMBER
Oct. 1 if you are ME, you get the "reward" of 20% decrease in pay.
just remember

remember
They used to think that about male nurses too.
I believe so, but can't remember what it is! nm


Don't remember where I was

I probably found out about it at night, when the newspaper arrived. It didn't phase me at all.  

In terms of my age at the time ... 27.


How do you ever remember them all?
That's my problem
Remember When? SM
I posted last evening and spent time this morning just chuckling over what people have written. I still have the red book, "A Syllabus for The Surgeon's Secretary." It is all beat up and the spine is broken but I will not part with it. Let me quote, "Only when a satisfactory degree of proficiency has been achieved should a student be given actual work assignments. She thus learns by POSITIVE TUTELAGE as contrasted with the outmoded method of trial and error." The 2nd edition, January 1965 is the date of publication. We had no electronic dictionary or medical speller. Everything we wrote had to be correct or it was literally "thrown back at us" to retype. We had to use our "Dorlands" or "Tabers" and one PDR for the use of the whole office. Believe me, these "one of a kind" books were tattered and torn but we used them or else. We "had" to get it right, no excuses. What a wonderful way to start the New Year. Somehow it seems all worth it now, sore back and tired fingers and all. Happy New Year, Everyone. Mary Mc
I remember when...

As a child;


Movies were 50 cents. We went at least every weekend...


We got cable TV...wow, more than 3 or 4 channels!


Our first VCR had a remote...with a cord running across the floor!


 


As a teenager;


Let me just say...leg warmers!


Big hair!


Wham! Boy George! Flock of Seagulls...


Those were the days...