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Serving Over 20,000 US Medical Transcriptionists

Laptop user question... please advise...

Posted By: tbpmt on 2007-06-22
In Reply to:

Well, it's time to put the old one out to pasture and get a new one.  Computer, that is.  I really want a laptop so I may travel with husband to clinics and now follow games and a daughter (cheerleader) going to college.  But my primary use will be at home.  Do any of you laptop users have any trouble with the monitor going out from over use?  I was told it would be best to hook up to another monitor (already going to hook up another keyboard) for everyday use at home. 


Any feedback on this would be great!  Thanks




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To all of you Escriptionist out there...Laptop question. Have any of you found a laptop that you can
thing. I tried one of those adapter that goes from the 9-pin to the USB but when I plugged in the USB my foot pedal did not work right. I know supposedly there is a help section on the escription website that says the adapter may work and how to make them compatible etc but it never worked for me. Has any of you find a solution or a laptop that this foot pedal with work with. I'd like to work while traveling and get a laptop but it never worked on my old one. Ideas??
Thanks for the advise...

I appreciate the good tips about the company board, but my situation is unique. I currently have more than enough work to keep me busy; however, I may be interested in getting a business license and picking up a few more clients and having my cousin (who just graduated as an MT) work under me where I can supervise her work.


If I were to start my own small business, I would like some sort of website and would need a method for my clients digital files to be sent back and forth which is HIPAA compliant (my MD now insists on using email, which I have told him is not secure).


I emailed sitefever earlier today and they showed me an online demo of this file management system they have under development, which they said should get released before Jan 2006. It seems really easy to use, and it is designed for MT's and their digital files. They said the cost is only $60 per year, which seems like a really good option. And, best of all, it's HIPAA compliant!


So, just sharing with you all some things I learned today just by asking a simple question!


You should never advise someone
I agree that she should get proof if she can. However, I think it's very irresponsible of you to tell her to "push his buttons". What if he fatally harms her this time? You don't know this woman and neither do I. If she is a person who normally does not instigate things, by her suddenly doing so could possibly REALLY set him off.

I say if he abuses her on a regular basis, the next time it happens, if she doesn't leave before, to call the police and make sure that photos are taken. You really need to calm down.
My advise to you is

I learned the hard way years ago out in my garage with no AC on a Royal typewriter, stacks of black carbon paper, a typewriter eraser, the aid of a good medical dictionary plus a kleenex or two to wipe the sweat off my brow and you know what?  I'M STILL TICKING!  I have so many accounts and doctors screaming to sign up I can't find girls fast enough but I would say to you to save your money and time about school.  Invest in a good computer, a medical dictationary, learn to use google as a backup and for any questions but ..... DO invest in a good AC unit!  Hee Hee!


Best of luck to you,


Old timer in Arizona


I would advise this -
Do not change anything right now. Keep working and spending like always. Let it sink in and then make responsible decisions with that money. I am not even sure how many people I would tell at first. The people you hear about who have nothing left a short time after a big windfall are nearly always those who quit their jobs and began spending like they were Bill Gates.
Fed up - Going on my own! Advise please!
Ok, I've had it!  I'm going on my own.  I need advise about how to find local clients, what to charge, simple dicatation systems, etc.  Essentially, I need to know everything about starting my own business.  I'm confident in my skills and am tired of being put up down and told when and how much I need to work.  I'm dependable to the point that I have been tottally taken advantage of.  I know there are better ways to make money doing transcription than what I'm currently doing.  Please Help!
best advise is to go to Help on the start
menu, type in copy as the question, and then follow the directions.
Would respectfully advise you to do some SM
serious research before you choose a school. CS may not be the school you need.
I have worked for him and would advise you to look elsewhere. sm

If you are asking because you were approached about a job please feel free to e-mail me for details of reasons not to do it.


advise to atty
To begin with, a GOOD attorney is going to ask another doctor where mistakes are made, not us. The person who takes a deposition is the one who may ask for interpretation of the transcrtiption because most of them are not able to accurately transcribe medical dictation and our opinion is only worth what we interpret from listening to the doctor's tape. We are not medical experts but we are considered experts in interpretation and transciption. Belive me, I know. I've been in court twice relating to transcription and interpretation of a "tape" NOT making a judgment call on something that is only transcribed and has no tape to back it up. We are not allowed to make diagnoses. A good court reporter will ask for assistance in cases where this are problems with an ESL or similar. I have several that I assist with this part and since I am certified and have many years' experience, I am able to hold some weight with the court as an "expert". This is also part of our job and it has nothing to do with a Transcriptionist working against another transcriptionist, so your attitude is way out of line.
I would advise a little caution

First, send your grievances to your employer in writing. Give them a chance to rectify them. (Yes, I know you may already have done this, but there is a procedure for these things.)


Sever people have mentioned starting blogs. That would be a good place to share the answers everyone receives (if any) from the employers. THEN would be the time to talk strike, if the employers' response does not address the issues.


It's easy to get carried away with enthusiasm, but you don't what to shoot yourself in the foot.


Just call me - Gimpy


SPi "strongly advise against"
All the tech folks I've spoken to at SPi (also the Cymed tech people before) strongly DIScourage anyone from installing Vista. Everyone I've spoken to has said that it will cause major problems. (We use Chartnet platform, btw)
Advise needed

I really enjoy reading the posts here.  I am getting back into transcription after being in for over 15 yrs and out for about 2.  I have a new (1st) grandchild that I love to death and babysit quite a deal for my son.  She is 16 months old and loves me to spend all my time with her.  Now that I am going to be busy transcribing; how do those of you with small children keep them busy or balance working around them.  This is my main concern with coming back to transcription; how to let her know Grandma cannot occupy her every waking moment now.


I can advise her from here. Don't go on television and dog the people who are looking for
your daughter and investigating the people who may have seen her last.  Wipe off some of the makeup and go grieve.  Hire a private investigator.  Let your Aruban attorney versed in the laws and possibly with more knowledge of what is going on in the system speak for you.  Go help the searchers from Texas.  Be more like your ex-husband.  Maintain a low profile and quietly go about your business and don't second guess anyone who has more knowledge than you. 
Advise you discuss this with your doctor. Soon.
11
Need help, QA says no to type-2 diabetes, please advise????nm
nm
Guess you NEVER advise your children, do you?
x
Yes, i advise my "children" he is an adult now. sm
He accepted the job as it was and can quit or accept the terms. my dh and i run a construction business. he runs around and spends 2 hours a day just picking up help. we do not pay travel time. you either choose to go or you don't. we do, however, buy their lunch when it is a longer than usual travel. when they are ICs as usually with any manual labor field, labor law and travel time doesn't constitute for their positioning. turn the situation. if someone was coming to your house to do some work, would you be willing to pay every person on that crew travel time? probably not because that would significantly raise the price which you probably already think it too high to do the work you need. you have to realize they are ICs as we are and have all the expenses of trucks, tools, gas, taxes, etc. and have to cut their prices because foreigners are taking over the manual labor fields as well and working for pennies just as transcription is doing but manual labor isn't going to overseas, overseas is coming to the US for pennies. i would have him ask the man he works for about it but it the guy accepts either live with it or quit. i doubt he will get it as with 18yo he can't have a lot of experience to constitute the extra pay, etc.
When people put "please advise" at the
x
I would advise you to continue teaching! nm
x
Advise on important questions to ask on job interview
I have applied at a company and they are to contact me. I'm really not sure even what to ask. This is a new experience for me. Any help would be appreciated. Any warning signs to watch for?
I would just advise to present your situation clearly w/o 'whining' (sm)
as my DH went several years back and there was a lady who worked on her farm picking crops, her husband was disabled, and she sold at market on the weekend - the judge actually bought from her - and judge refused to excuse her and said it was a 3-day trial, was her civic duty and would be over soon.. DH did QA at the time and didn't say anything after that :(
Any IC charge late fees? Please advise.
I have been contracted with a hospital for almost 13 years and never had a problem with getting paid every two weeks.  I email my invoice on Monday and receive check via mail by Thursday or Friday.  Within the last three years I have had a little trouble, not often, but usually critical times for me, with receiving payment during that time.  Does anyone charge a late fee and if so, do they pay it?  I thought about putting at the bottom of my invoice "Payment is due within 5 days or a late fee of $ will be charged. 
Need advise/guidance from experienced MTSOs. See inside.
I am an MTSO currently using a call in system for docs to dictate.  The transcriptionists also use the call in system to access their work and the call in system is becoming rather congested.  Want to save the call in system for the docs and put the transcriptionists on the internet.  Can someone give me advice/guidance on how to go about this?  Thank you in advance.
Off topic but need STAT ADVISE on deviled eggs

Hi,


I need help as I don't want to make anyone sick LOL.  Baby shower tomorrow night, my co-host who was making the deviled eggs along with other things broke her wrist this morning...soooo, I am in a time crunch and would like to know if I can make these things tonight (36), just boil them tonight, maybe do the prep just fill them tomorrow??  I usually make them & take them or serve them, but don't know about preparing them this 24 hrs ahead of time.


Thank any of you experts in advance for your opinions..this is so much easier than trying to call Betty Crocker


For the person who thinks Codex is no threat. I advise you read



HON. RON PAUL OF TEXAS
BEFORE THE US HOUSE OF REPRESENTATIVES
July 11, 2005

Henry Lamb- A Great Freedom Fighter Documents how your Dietary Supplements are Under Attack

Mr. Speaker, I urge my colleagues to read "Your dietary supplements: Under attack again" by Henry Lamb, which I am inserting into the record. Mr. Lamb explains the threat to American consumers of dietary supplements and American sovereignty by the Codex Alimentarius commission, commonly referred to simply as Codex. The United Nations created Codex to establish international standards for foods and medicines. Just last week, representatives of the United States government agreed to a final version of Codex's standards on dietary supplements which, if implemented in the United States, could drastically reduce Americans' ability to obtain the supplements of their choice. Members of the American bureaucracy may be hoping to achieve via international fiat what they cannot achieve through the domestic law-making process--the power to restrict consumers' access to dietary supplements. American bureaucrats may gain this power if the World Trade Organization, which considers Codex "guidelines" the standard by which all other regulations are judged, decides that our failure to "harmonize" our regulations of dietary supplements to meet Codex's recommendations violates international trading standards! This could occur despite the fact that American consumers do not want to be subjected to the restrictive regulations common in other parts of the world, such as the European Union.

This article is typical of Henry Lamb's work. For almost twenty years, beginning at an age when most Americans are contemplating retirement, Mr. Lamb has worked to expose and stop threats to American liberty, sovereignty, and prosperity. Mr. Lamb became involved in the battle for liberty when, as the CEO of a Tennessee construction company, he founded a state association of contractors to work against excessive regulations. In 1988, Henry Lamb founded the Environmental Conservation Organization to defend true environmentalism, which is rooted in the truth that there is no better steward of the environment than a private property owner, from those who used the environment as a cover for their radical statist agendas. Since 1992, Mr. Lamb and ECO have focused on the threat to economic liberty and self-government posed by the radical global environmental agenda.

Henry Lamb works to further the cause of liberty by giving speeches around the country, editing an on-line magazine, making numerous television and radio appearances, and writing a weekly column to inform his fellow Americans of the latest scheme to undermine their freedoms. Mr. Lamb is the model of a citizen-activist, and all who wish to become involved in the battle for freedom can learn from his example. In conclusion, I once again urge my colleagues to read Mr. Lamb's article to learn about the need to protect American consumers from Codex, and I thank Mr. Lamb for his tireless devotion to the cause of freedom.

YOUR DIETARY SUPPLEMENTS: UNDER ATTACK AGAIN (from WorldNetDaily, June 11, 2005)

(By Henry Lamb)

The Codex Alimentarius Commission sounds like one of those shadowy, sinister organizations conjured up by one-world-government nuts to scare people.

Truth: It is!

The Food and Agriculture Organization and the World Health Organization created this commission in the early 1960s to set standards for food safety and to ``harmonize'' the laws of member nations. The commission was endorsed by U.N. Resolution 39/248, which says:

``When formulating national policies and plans with regard to food, governments should take into account the need of all consumers for food security and should support and, as far as possible, adopt standards from the ..... Codex Alimentarius. .....''

The Codex Alimentarius Commission consists of delegates from 163 member nations representing 97 percent of the world's population. It meets every two years, either in Rome or Geneva. Between meetings, the commission is governed by an executive committee that directs the activities of its many committees.

Of immediate concern is the ongoing effort to bring dietary supplements in America under the control of standards set by this commission. Dietary supplements generate a $17 billion industry in the United States, which affects more than 150 million consumers, according to Congressional findings (H.R. 2485). Proposed procedures and standards could virtually destroy this market and deprive millions of Americans of the supplements they want to use.

The European Union Directive on Dietary Supplements, which becomes law in August, severely restricts the types and quantities of supplements that may be legally sold. Most forms of vitamins C and E, for example, are not available, or are available only in extremely small doses. If current plans proceed on course, American consumers are in for a shock.

How can this little-known international commission control what consumers buy in the United States?

An even less-known agency, deep within the bowels of the U.S. Department of Agriculture is responsible for U.S. participation in the Codex Commission and designates delegates to each of the commission's committees. Barbara O. Schneeman is the delegate to the Codex Committee on Nutrition and Food for Special Dietary Uses.

The effort to regulate dietary supplements has been under way for more than a decade. In 1994, Congress adopted the Dietary Supplement Health and Education Act, which kept supplements beyond the reach of the drug police. In the past, Codex recommendations have been non-binding. Now, however, the Codex Alimentarius Commission is teaming up with the World Trade Organization to bring international enforcement to the dietary-supplement battle.

Ironically, it was primarily the U.S. that brought the WTO into existence in 1994, as the successor to GATT, the General Agreement on Tarriffs and Trade. The WTO agreement specifically requires that the member nations--including the U.S.--conform its laws to meet the requirements of WTO decisions. Failure to conform results in stiff financial penalties. The Codex Commission and the European Union want the WTO to enforce Codex standards, which fly directly in the face of the Dietary Supplement Health and Education Act.

Pascal Lamy of France was just selected as director general of the WTO. Lamy served as a member of the French Socialist Party's steering committee and was chief of staff and representative of the European Commission for President Jacques Delors. Since 1995, he has served as a member of the Central Office of the Mouvement Européen (France) and as a member of the European Commission, responsible for trade.

The Codex Commission will be meeting in Rome July 4-9 to adopt the final rules on dietary supplement use. Dr. Carolyn Dean, president of Friends of Freedom International, will attend this meeting and return to the U.S. just in time to present her report to the Sixth Annual Freedom 21 Conference in Reno, July 14-16.

The Codex Alimentarius Commission's reach is much broader than dietary supplements. Its committees are also working on standards for pesticide residue, labeling of all kinds of foods, food additives and nutrients, veterinary medicine and drugs, as well as standards and methods for analysis. The function of this organization is to establish standards for all food worldwide and to enforce those standards through the power of the World Trade Organization.

Few people know that there is such a thing as the Codex Alimentarius Commission. It was created to promote food safety in international trade. It is on the brink of becoming an Orwellian bureaucracy--far worse than the worst fantasies of the one-world conspiracy theories.

The Codex Alimentarius Commission is neither fantasy nor theory; it is real.

http://www.house.gov/paul/congrec/c...05/cr071105.htm

__________________

You can't go wrong with Suze and take her advise, cut up cards but do NOT close accts. Just don&#
:I
Speaking of rip-offs, anyone have any advise on how to get back money paid for a product you never
received?  I needed a Dictaphone C-phone for my job (was using a loaner) and put a note on the equipment board pertaining to this back in May.  A woman contacted me stating she had one for $100 (I only needed the phone, power supply and phone cord).  She said she was going away for 3 weeks and to Western Union the money to her that night and she'd send it out the next day.  I did not like the high pressure and was still shopping around anyway so I told her I'd wait the 3 weeks and contact her then.  About a week later she emailed me stating she cut her trip short but was going away again that Friday (It was Tuesday), I had by this time decided to buy her phone.  I mailed out that day via Priority mail a M.O. for $100.  She was very anxious for the money, and thought I'd sent it Express Mail, which I of course informed her I did not.  She stated that it should be there by Friday and if she did not see her mail that day that she'd have her mom check the mail and then mail the C-phone to me.  After 2 weeks I emailed her as I had no phone as yet, no response.  A week later still no phone, emailed again, no response. Then I called her (looked it up) and she claimed her email was "broken" and she had not received my emails but would email me back as she was on her way out the door to a baseball game.  I asked her how can she email me back if it was broken??? So then she backpedaled and said she'd call me.... I held my breath at that point.  So the next day by some miracle I get an email from her stating her mother had mailed it regular mail, no way to track it, etc.  So supposedly it is lost.  I emailed her back which it appeared she did not get as she did not respond to my questions but she did email me again saying she'd return my money.....again I am holding my breath.  That was 8 days ago.  She is in OK, I am in VA.  If she sent me a refund promptly it would have been here by now.  Now when I call her, she does not pick up, and no answering machine either.  I am planning now to mail her a copy of her email and my response to getting my money back.  I am assuming at this point that I was taken for a sucker and was obviously too trusting.  Right now I don't have $100 to burn (who does?) with my drives to the hospital (60 miles round trip) for my daughter's chemo, doctor visits, etc, on top of only making about 1/2 what I used to make due to the changes in my life right now.  In the meantime I got kicked off the account for which I needed the C-phone for (add insult to injury here) due to problems at the company I was working for, so that does not sweeten my disposition any.  So does anyone have any idea how I can squeeze her and get my money back?  Contact the police there for fraud? Small claims court in OK?  I am a persistent pain in the butt and will keep at her until I get my money back, if it is fraud then she picked the wrong person to screw with, if it is on the up and up then it is unfortunate but she should have insured it to cover her own (and mine) butt, and sent in with a delivery confirmation too....but you know what they say about hindsight.  Any ideas???
sorry - just used a new user name
didn't know it was taken by somebody else who everybody seems to think so little of. I am NOT whatever MTMommy you all are referring to. Sorry. Just looking for a little knowledge here about what I might be reasonably be able to charge when I am asked... would not want to shortchange myself.
USER too! NM
x
new Cox user need help sm
I will be having cox installed next week, I understand I can get a wireless router for one computer but they said I would have to purchase a wireless "card" for my others. I have an Acer and a Gateway, plus a Dell laptop aside from the one I am having Cox installed on. How can I get a wireless card for each of these computers and are they hard to install? They are "older" but still work fine for the kids, etc. Thanks for any help.
Ex-MJ user (sm)
Is there anyone who has had phone cards work for them?  The ones I have seen are at least 4 cents a minute.  But, has anyone found that phone cards is the answer to ULD?  I am new to this and scrambling to find something to replace MJ. 
as a user of VR with my job

I gotta admit that I love these bloopers. 


 


VR is only as good as the user,

and it won't pick up background noise if you have a noise-cancelling microphone (like I do).

Here's a report I dictated yesterday. I think it had one error (it typed breed instead of bleed), but that was because it was the end of the day and I was getting tired. Judge VR for yourself (and see my note after the report)-


The patient is a 57-year-old male with a history of hypertension, who was found on the floor by his son.  The son heard the patient fall and then heard banging on the floor.  At the time of initial evaluation, the patient was verbalizing although the patient could not understand what he was trying to say.  The patient had a left hemiparesis.  The paramedics were called but by the time they arrived the patient was unresponsive, however, he was reported to have a gag reflex and he was breathing spontaneously.  The patient was transported to our facility for further evaluation and management.

On arrival in the emergency department the patient was found to be entirely unresponsive, therefore, he underwent tracheal intubation for airway protection and to provide ventilatory support.  He was found to be hypertensive at the time of his evaluation in the emergency department.  The patient subsequently underwent a CT scan of his head.  This revealed a hemorrhage into the basal ganglia and ventricles.  There was mild ventriculomegaly and the basal cisterns were tight.  Additional evaluation in the emergency department demonstrated that the patient had left ventricular hypertrophy on electrocardiogram but without evidence of acute myocardial ischemia.  He was noted to have severe renal failure with a BUN of 95 and a creatinine of 9.8.  The patient's blood sugar was 229. The patient had placement of an EVD and was transferred to the intensive care unit for further management.

Since admission to the intensive care unit the patient has remained hypertensive.  His systolic blood pressure has been as high as 190.  His current blood pressure is 140/80.  The patient is receiving a propofol infusion.  He has not required any additional hypertensive therapy at the present time.  The propofol was used because the patient did become agitated, although he was not awake enough to adequately protect his airway.

Since admission the patient's intracranial pressure has varied between 8 and 16.  He has required CSF drainage of about 10 mL per hour.  His cerebral perfusion pressures have remained satisfactory.  He has been in sinus rhythm with a heart rate of 80.  He has not had any ectopy despite the acute intraventricular bleed.

The patient remains intubated and mechanically ventilated.  With slow ventilatory support, his gas exchange has been satisfactory.  We are providing assist-control ventilation to optimize his gas exchange, but we will attempt to keep his pCO2 between 30 and 35.  Lung fields are clear and there is no evidence that he had aspiration at the time of his bleed.

The patient was also noted to be hyperglycemic.  He is receiving an insulin infusion to optimize his glucose control, and the insulin infusion will be adjusted as needed.

Because of the patient's severe uremia he will require dialysis.  Currently, his potassium is not elevated and his intravascular level appears satisfactory.

The nephrologists have spoken to the patient's personal physician.  By history, the patient has had progressive renal failure although he has not require dialysis.  He is also known to have hypercholesterolemia and cardiomyopathy.  He has had deteriorating mental status over the past few weeks, which may reflect his progressive uremia.  He will require dialysis in addition to continued ventilatory support and management of his intracranial pressure.


P.S.  For the record, I dictated this report, if you will excuse the cliche, like a bat out of hell. All I know is I completed 36:23 of dictation in about 1 hour 15 min, and it had 626 lines.

Still think VR is such a bad product? 


Go to New User Registration
If you will notice, the two items that want you subscription number, etc., are NOT required fields. You do not actually need a print subscription to get the web site subscription.

Does that help you?
Just an FYI when buying it from another user
Be sure to notify Textware Solutions that you purchased it & who you purchased it from so we can update our records showing that you are now the licensed owner. This will ensure that you can receive technical support, discounted upgrades in the future, etc.
phen user
I've taken phentermine off and on for the last 15 years after quiting smoking and gaining 25 pounds. The only problem is,  once you stop taking it the weight comes back on. I have had no health problems from this medication, SO FAR.
Is there a way to search by user name? (sm)
Is there a way to search MTStars by user name?  For instance, if I want to search my past posts?  I tried using the search at the top but it didn't work. 
I have WP 10 and I like it. User friendly. sm

I've used MS Word too, but there really isn't that much difference and its easy to learn.


 


Shorthand user who needs help.
nm
User software

user software


shorthand user here -
love it!
Very user friendly
Although I was a newbie at the time, after finishing a MT course, they first had me on Dictaphone and then trained us on Escription/Edit Script. It was much, much easier than Dictaphone and any MT with experience would find it very easy to use. There really is not that much training needed---just to learn the commands, which is included in the tutorial. It really is a great platform.
Not a c-phone user, however here's something

YOU FOUND IT!


MTSTARS FALL SCAVENGER HUNT!


EMAIL THE BLUE "that might be beneficial (sm)" link to ENTER.  Keep in mind you are only entering the contest.  A winner will be drawn and a post will be made.


Full details about the Scavenger Hunt can be found by reading the Sticky Ad posted at the top of the Main board.


GOOD LUCK!


How user friendly is it really?
nm
eScription user (sm)
Win XP, MS Word 2003 is required since 2000 is not supported by eS any longer.  At least 512 for memory.  You're going to love it.
It is very user friendly...
...I think you'll like it.  Good luck!
Yep, VERY user friendly...
You'll be up and running into no time. :-)
I don't think it is very user friendly - sm
I used it for a day I think and then quit, hated it. Too many steps up to actually working and it was just a pain in the butt to use. There are many platforms that are much better than EMDAT.
very user friendly, productive ...
i was disappointed my lines didn't increase more dramatically over old system -- but there was an increase. I like it well enough i hope i never have to use another system. Maybe the 'decrease' in lines others report is due to messing around on the internet instead of working, as 2 minutes here and there really can add up...