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Serving Over 20,000 US Medical Transcriptionists

Turning off Indexing will drastically improve speed.

Posted By: sm on 2009-02-19
In Reply to: A couple of Vista tips... - TechSupport

Vista loads a ton of "services" that you won't ever use so turn those off as well. A Google search will give you exact instructions on the ones you don't need.


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Did your speed improve?
Did you get faster with this or is it just more comfortable? How long did it take to get used to it?

Thanks for the info!
indexing?
That is probably it! I don't know what window indexing is or how to fix/check it.
It isn't easy to do this anymore. Laws have changed drastically.
dd
work out an indexing system that works for you and copy (almost) every report into it.

while Ops offer lot of challenges -- that's a good thing, imho, REALLY ...


I keep my op stored in WORD sorted by


(1) client


(2) specialty (general surgeon, ortho, plastic, podiatrics, ENT, GYN, GI , urology, neurosurgery etc) .... and then in word folders


(3) within speciality, within client I name individual reports like this:


470 hernia vental simple


470 hernia umbilical


470 small bowel resection 


=========================================================


470 would be that doctor's id number -- the file holding 470's reports would be named with doctor's last name 


=========================================================


works for me, although I do usually do big time "indexing" until I've gota bunch of copied reports.


=========================================================


It's really important to NOT consider these NORMALS until you are more familiar with the dictator ... however... this is worthwhile ANYWAY because the joy of OPs is that most doctors say pretty much the same thing in 80% of their reports ... sometimes more. Gastroenterology and GYN  are excellent "easy money" most of the time but you MUST pay attention and change every difference ...


 


All these saved reports need to be updated when you review your QA ... those phrases that doctor mumbled yesterday are probably mumbled 24/7/365 ... follow up and record this information.


=========================================================


I use Emedicine for my go-to for a lot of things... while they don't have op reports they are stellar at terminology and spelling, hyphens, and capitalization as far as I can tell.


One of the fabulous things about op reports is usually NO MEDICATION LOOKUPS!!!! (although you will spend time finding out the latest heart stents, hip replacemetn component marketing  names, etc. ) Most medical device manufacturers have "pretty good" web sites -- use them, rather than relative Google popularity wrt spelling, caps, etc.


Good luck -- there is a learning curve but imho it is more than worth it -- Surgeons understand that their dictation is in essence their "BILL" when it comes to Medicare and insurance -- they have a vested interest in it being intelligible and complete ... they may talk really fast but most of the time, if you have samples, you will find they are saying variations of the "same thing" using the same words/terminology. 


Oh, and OP pay better.


Sincerely, good luck.!


Why VR can not improve.....
You write...
'... And of course VR cannot do the difficult ESLs ...'

The problem is that ESL do use VR and this results in reports full of mistakes.
Put an excellent dictator on VR and the report that VR produces will be good, except maybe for the punctuation.
If only good dictators are allowed to use VR, the good dictations will go to VR and will be done fast by the MTs, and bad dictations will stay on standard transcription, for the experienced MTs.
This is the trend. Inspite of everything VR is here to stay.
Only if bad dictators stay off VR, the system can improve.
I'm sure it will be a race to improve on it!
Thanks! Learned something new!

Your line count will improve
I am fairly new myself, but have worked for two different companies and found with both of them that - believe it or not! - even the ESL and slurry speakers will become more intelligible after time.

Sometimes I can't believe that I actually understand what they are saying.

You will see your line counts go us as you become more comfortable with the speakers and as you learn more shortcuts.

good luck to you!
Any idea on how to improve quality.

This could be a spin off on another post.  I started with a national 3 weeks ago and they sent me a QA score of 95.5%.  I need 98%.  They did make a note there were no major patient care errors mostly minor errors in formatting and some omitted words.  What passes at my regular FT job won't pass at the MTSO though.  One of my errors is I forgot to put a period after q.  I wrote q 4 hours.  At my FT job that would have passed but  MTSO wants q.4 h.  It is stuff like that that brought my score down.      I like a challenge but gosh when I have already typed 1300 lines in-house then I have to come home and type some more at the MTSO.  Not as easy as I thought.


You cant make someone learn or improve their
x
increase speed 3, decrease speed 2...sm
increase backspace 9, decrease backspace 8. At least that's what mine does.
Walking will not only improve your physical health

but probably your mental health too.  You'll get fresh air, take time to smell the roses, meet your neighbors, etc. 


Unfortunately I live in the county and we are 8+ miles from anything. 


 


I don't think the present Voice Systems will improve
I believe it is best not to name names, as others have pointed out in this message board. So, instead, I will simply post the job as listed on MTjobs.com and say that the same person is posting this job as when I was bilked. 'Nuff said.

Voice Systems, LLC
Contact: Cindy Adams
PO Box 72046
Albany, Georgia 31721
voicesystems@mchsi.com
Telephone: NO CALLS, Fax: 877-883-9873

Title of position: Transcriptionist
Experience: 10 years as a transcriptionist.
Location of position: Georgia
At home or company: Work from home
Full or Part time: Full-time position
Type of Transcription: Many types of transcription.
Specialty: Orthopedics
Job Description: 10 years experience with orthopedic operative notes and discharge summaries.
Hardware/Software: High speed internet, Pentium IV computer, XP Pro, Word platform, familiary with VXP player, and typing into hospital system.
Method of sending/receiving dictation: Internet based
Compensation Information: competitive, 65 cpl, IC status only, great opportunity
Date Posted: 2005-10-17 12:49:12


You might need to report the problem to IT. They may be able to improve it, but I'm not positive
We use Winscribe wav player when we help out other offices, and at one of them the sound was not good. After I sent an e-mail to the IT guy it seemed like he may have improved it, but that's just a theory because he didn't tell me that. Good luck.

Oh, ouch! I hope things improve soon!
That's the very reason I've never took that plunge into independent...it's just so HARD for you guys. Hats off to you for all your hard work. Good luck.
MTSO wont tell dr to improve dictation. Too
x
Absolutely! Wonderful hobby and your skills will only improve.
I started knitting, quit for a year when I got discouraged because I couldn't fix my mistakes easily, then went back, determined to learn the craft. For me, what was wonderful was when I automatically could recognize what was right and wrong, and fix it easily. Now, I have more yarn than I could ever use, and more projects started than I'll ever finish. It's a lifetime hobby. There'll never be enough yarn.
No, not offended and not turning on you sm
I think some of us are frustrated and concerned for you because we know it will happen again--and there's nothing we can do.

We also see the things that you're saying and see them as typical problematic statements, classical of someone who's being abused and will be abused again.

Statements like these:

"I have neglected to mention that when he is calm, he is actually okay." What? What difference does that make? He's probably very sweet and wonderful when he's not hitting you, yes.

and

"The incident two weeks ago was because I was forcing a trip to see my daughter's family." In other words, you caused it, right? That's so typical of an abused woman. "I made him mad" or "I egged him on." See, we on this board read things like this and see what you're not seeing, which is why we are SCARED for you and urging you firmly to see them. You're interpreting this as turning on you or that we're offended. No -- we are seeing something and trying to get you to see it, and really worried that you're not. And yes, frustrated that you're going to live with this man under the same roof while you try counseling and religion.
things are turning around?

I have some relatively good news fellow transcriptionists!  I am seeing a change for us in small doses.  Seems several of the larger hospitals who have outsourced to "companies" are now bringing back in the MT and paying decent wages with all benefits.  Look around, they are popping up everywhere.  I know of several "compaines" that I have worked part time for that the hospitals are dropping like flies because of various reasons, but the truth of the matter is that it is always better to have regular typists working for the same doctors as we "learn their lingo" and know how to baby them, which in a nutshell is what gives us the job security that we look for.  I work for a hospital as an IC that now is having big problems because they dont want to give raises or benefits(therefore people are quitting), but they are finding out very fast that no one else can or wants to do their work.  I can't wait for them to try the offshore companies.. will just be too rich...  As fussy as my group of doctors are, well, I smell raise on the horizon and benefits to boot.  they will just have to fall flat on the ground before they can walk the walk!! 


Just remember, what goes around comes around.  I have a new job with a hosptial that has made me full employee and decent wage.  I am so looking forward to seeing this change that has been long coming. 


I am just glad that it really is starting to turn around.  Just goes to show these offshore cheaper prices are not being "bought" for long by many.   I know of one hospital that had outsorced all their work, after a while (maybe a couple of years) they found that it was CHEAPER to bring the Transcriptionist back in and train to send home with all equipment and benefits and really decent pay, I am talking more than what any "company" has ever offered me, except for opt notes.. Just too cool.  I am so excited..  


Will keep you posted as I start my new job - really belonging again!  :)


 


 


Maybe you are accidentally turning it
on by hitting Ctrl-B or a combination of keys to turn it on. I am always accidentally making words all CAPS.
Have you tried turning it off and then back on? nm
x
turning off computer at night

I leave mine on -- just do a "control, Alt, delete" and "log off" instead of shut down.  It works fine.  I have to enter my password the next day, but thats okay. 


I've heard the machine will not last as long if it's turned off every night.


 


 


Yes, turning Celine OFF works even better! LOL

He will be turning on the charm 100%. Don't listen to it. sm
And you've never tried God as an option before? Well, if you wish, tell him to get some God on his own while you and your children are safe someplace else.

You're stoked right now, which is great, but don't let it fizzle out with husband's pleas and lack of abuse in the meantime. It WILL happen again if you stay. Anybody who knows anything about abuse will tell you that. The center you contacted will tell you that, too. Listen to the experts.

Bravo on actually contacting your parents and Swan. However, you said they can hide you out if you actually need to go. Hello? You actually need to go. Now. You were just hit 2 weeks ago. You're feeling in control and all, but it WILL happen again. Yes, you are in danger. Your husband is scared right now. He senses the loss of control. However, this is a cycle. When you stay, and things get a bit more distant, they'll resume some sort of normalcy. It'll build up, and he'll blow. What will happen next? You know you've got someone who has abused you as recently as 2 WEEKS ago, and you say you're not in danger and you're willing to let your CHILDREN LIVE under the same roof as someone who WILL eventually blow again, and maybe hurt them next time?

It's not just about being hid out when (not if) things get ugly again. You need to work toward a permanent plan, not just a crisis plan. There are other places besides this one you've called, ones who can give you some counseling and advice on how to leave and make it on your own with your children.

I wish you would listen and leave, but I have a feeling you're going to wait til next time. Do you know it takes women an average of SEVEN times leaving their abusive spouses before they finally leave for good? How many times will you let it take you? And what will be the cost to you and your children before you finally "get it?"
Turning numbering on and off for lists
Does anyone know the keystroke commands or if they even exist to turn numbering off and on for lists?  I hate having to use the mouse to point at the menu and going that route!
Turning the control off did the trick. sm

I don't even need the convertor now.  The plug-in downloaded and my GP plays the dvf files just fine.  Wow!!!  I can't thank you enough. 


Thanks, thanks, thanks!!!!


It seems turning that off sorta turns it into XP. LOL! nm
x
You might also try turning off the suggestion window SM
or whatever it is you have for a while. I use Shorthand, but it's pretty much the same thing. That way you could give yourself a list of often-used abbreviations to memorize and get very comfortable with and/or a rule that tells you what a lot of your abbreviations are going to be. As you get comfortable with those few, you'll end up loving them and wanting MORE, MORE, MORE. With that attitude, you can turn the window back on or give yourself yet another list and another rule or two to get used to.

Just think, if you only used abbreciations for the words "the patient" (tp or ?), "hydrochlorothiazide" (hycx or ?), and "blood pressure" (bp or ?) you'd never type those three out again and would be saving that much time with each of them. Start small and unspook yourself.
Join the club on being confused. With turning us

things are charged, billed, or anything any more.


It just seems like they wanted me to work for nothing to clean up ASR reports.  It was pitiful what they wanted, considering what they needed me to clean up.  I could have typed it faster and better using my word expanders.


Go with your gut, Patti - my gut is turning and screaming Indian - sm
but then again, it could just be increased peristaltic activity... but I doubt it
Try turning off the User Account Control. nm
x
Are you turning the volume using the home typist icon
or your regular volume control icon on the tool bar?

I have had that problem with some whispering dictators, so I mute the program itself just for that dictator.

It's a shame if you can't use it. I get a real rhythm going and my day just flies. I don't think I can type without it now.
I hear ya. I'm a natural blonde turning white sm

At first the box stuff worked pretty good. Now I have a huge "skunk stripe" on the left side of my forehead and I'm starting to grow another "skunk stripe" on the left side.


After a while the box stuff only calms down the different texture of the white stuff for a few weeks so if you wear a few bangs, you need to cut them to match after dying. 3 weeks later the bangs with the white stuff are suddenly a good half inch shorter again.


Needless to say, for the time being I have the "off the forehead"  look that makes my head look like two breakdown lanes on a highway.


I'm saving my money. The initial shock for the "makeover" is scary, but my 2 sisters told me to go for it as the upkeep isn't too bad at all. They would both be snow white in their late 40's if it weren't for visits to the salon.


I'm headed in the same direction and I'm early 40's. My husband, who went white by 38, told me to just go natural.


I told him to kiss my natural behind.


 


Try turning off User Account Control in Vista. (nm)
x
Mine is working fine and turning purple...
.
C-phone speed help! PLEASE! Speed key!
I am in tears - typing speedy gonzalez - a total knee replacement, not a standard, dictated in under 1 minute - FULL REPORT!  Can you imagine? I have a C-phone that is just hanging in there, but lost all its programming.  Isn't there a # key on the number part of the phone that reduces speed?  I need it way slooooooooooow!! I'm afraid to just start hitting numbers, though, cause I've lost reports that way!! Anybody have a # to hit for me???
I would feel like people would think I was an infertile woman turning my cat into a baby.
x
You're turning this lighthearted thread into something entirely too deep. Lighten up.
p
Try turning the volume down, it works. Celine is superior by far. No contest. NM

Raintree County, Cross Creek, The Turning Point nm
x
Speed when it comes to DSL

I would love to cut my bills, with my DSL carrier have to have land phone in order to have internet. I do both VR and straight typing, mostly VR. Has anyone had any issues with similar, using the fastest DSL (which costs more) and then going to the lower rate (which costs less). I might be interested if I can find is there really that much difference in your speed?


Probably will! Maybe we could speed it along - sm
by sending the link to our local TV stations!
speed
your processor is what adds speed or diminishes speed. being as that your computer is 4-5 years old, your processor probably just cannot keep up with the expectations you have of it. With increased files and using an online platform, you probably need an updated processor. Also depends on how much you have *open* at the time of working on the online platform.
Speed

Definitely have to have a split keyboard.  My wpm went up considerably with the split keyboard plus your hands don't get as tired because it is in a more natural position. 


Speed

I have found that timing myself with a stopwatch makes me get more done.  Otherwise, I take my time and then I do less work.  I make a limit for each transcription, and then I try to beat that time. 


Abby


Speed
what speed do you all keep your dictations on? normal or chipmunk style?
I did this, what did it say your speed was?
It said mine averaged 180.
speed it up
I am in the same situation. My computer is fine, just slow, and I don't want to buy a new one, especially not with Vista. I bought 1GB of RAM from an ebay seller (new) for $35, watched a YouTube video on how to install it (super quick and easy), and now it is running a lot faster. I also ran a Scan Disk and Defragmenter to clean it up. I had hundreds of thousands temporary internet files that got cleared out.
MT'ing isn't all about speed, although...

of course it helps to type fairly fast.  However, there is sooooo much more to it than just typing speed.


That being said, my own speed without using any text expansions isn't nearly as great as some mention here.  I tested using expansions recently and hit well over 200 wpm.  Thankfully, I am able to use a text Expander while working . . . otherwise I might starve to death. 


how to test for speed ?
is there an online test we can take? I'd love to take one nowadays ... it's been a while since I have !

JoJo
How long does it take to get up to speed at a new job?
Also, which is better, acute or clinic?  I can't seem to get my production up to where it used to be.  The reports are super short, about a minute or less.  The header info is a tedious process of checking this, checking that, verifying everything.  I don't know if this is going to work out, but I can't afford to be changing jobs again this close to Christmas.  The work itself is super easy.
Had a speed-demon doc whose
nurse, whom I could hear in the background, asked him, "Geez, how can they understand you when you talk so fast?", and he replied, "Oh that's they way they like it!"  Wonder where he got that idea?  At least he talked to her so she could understand him...LOL.