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
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

ExText Problems every day. Need some expert advice

Posted By: Getting older on 2006-07-26
In Reply to:

HELP! Does anyone else have this problem and what did you do to solve it?


I use ExText and if I do a Cntl-S then Cntl-T, ExText will close both the document I've been viewing AND the job I'm working on, then open a completely new BLANK document, no headers, etc. I still have the voice files, but no document. I lose the job I've been working on as there is no time to save it to disk. It  usually near the end of transcribing a job. It happens every day, usuallly near the end of my shift. My production is suffering because of it, too.


I'm getting so frustrated and don't know what to do anymore. ExText has been reloaded a couple times and that doesn't solve the problem. I've been told it's my Word causing the problem and I have to remove it and reload that program, which I had done months ago, but still have the same problem.


I don't know where else to turn or what to do. Am I destined to NOT work for any company that uses this program? If so, that leaves out a heck of a lot of jobs.


Other than this problem, I really love using ExText. I think it's great...when it works right.


 




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

Not an expert, but...

Hello


I am also in the process of going digital.  Some things I have learned along the way.....


1. I bought the Olympus DSS 330 for each of my docs.  It's reasonably priced, easy to use, and software works great.  I bought the recorders, because the doctors were completely happy with the tapes, and I am the one who wants to cut down on travel time and gas, so I felt like I should supply the recorders.


2. Audio files are too big (at least for my e-mail) to transport via regular e-mail, and they have to be secure or encrypted, so I bought space (personal/small business account) on CryptoHeaven for 2.49/month.  This is supposed to be HIPAA compliant and secure.  The files get uploaded to this site and can be transferred back and forth between you and the doctors' offices.  Keep in mind, if you or the docs have dial up, this process takes forever, so it is good to know what type of internet connection your docs have.  Cable and DSL are much faster.  If they have dial up, it could take up to 30 minutes for them to upload one day of dictation or even more.  Just a side note... I have found that audio files in DSS format are the smallest and thus the fastest to transfer.


3. I also use WinZip with this as an added protection.  The practice felt comfortable with the protection of WinZip, but WinZip alone does not provide the vehicle to transport the large DSS audio files, and DSS audio files cannot get compressed much more, so that is why I went with CryptoHeaven. 


You can e-mail me if you would like.  Keep in mind, I am no expert, and I am finding out things as I go along.  I will let you know how it goes.


Lynn  


I'm no expert, but...

Do you have a "sample" report of something you've already done in whatever format you're currently working in?  If you do, you could take your report and figure out how much you made doing that report in the format you're currently working in.  Then copy the report and put it in a new document with Times New Roman 11 and one-inch margins.  Then, using 0.9 gross lines, figure out how much you would make with the new format.  Compare it to the old.  Maybe do this with a few different reports to get an idea of a true comparison.


Hope this makes sense. :)


Not an expert here, but
I have had the same trouble, as well as having the longer files only play about a minute or two of an 8+ minute dictation (but does not go back to the beginning). I use the Olympus software, and have the trouble when I am playing .wav files rather than .dss. Two things that I have done are:

1. Download the Express Scribe free transcription module. (The trouble I have had with this is that my footpedal will not work with Express Scribe, but it works with hot keys also, so in a pinch this is what I've done.)

2. Downloaded a free trial of a program called GoldWave (I am sure there are probably others available.) This allows you to convert the file type (I convert to a .wma format -- Windows Media Audio, I think.) My Olympus plays the .wma files in full, but it seems to lose a little clarity on conversion.
Well, I am not an expert (sm)
in this area (not even close), but I would guess that anyone who installs Spyware on your computer can monitor your activity whether you are connected to a VPN or not.  What exactly is spyware, how would it get onto your computer, who put it there, why would they put it there are all questions I cannot answer.  When I was having security issues with my computer, I went to a great site (www.techsupportforum.com).  They have a 'General Computer Security' section that explains what you need to protect yourself in general.  You can also ask questions there and they will help you figure out if anything is already installed on your computer.
I'm no expert, but
are the headphones plugged into the speaker, or where?
Need some expert guessers, please sm.

Even my QA person can't get this one, so I thought maybe someone here might have an idea.  Podiatric.......the doc says, "The patient relates that approximately four months ago, the patient stepped into a hole and twisted his foot.  He heard a pop and has since had intermittent heel pain.  The patient does relate ______  dyskinesia with pain on extended periods of weightbearing." 


Once, it sounded more like prosthetic, only without the "r" sound, and the second time maybe even like postatic, which I know is not a word.  Any help would be much appreciated as he has gotten me on this twice already. 


Were it my personal account, I'd just call him and ask him! 


consulting expert

does anyone know of where I can find or how I can go about looking for a consulting person to help me out with trying to get local accounts and what I need and should do such as contract, how to go about charging the client, what software is needed and the ins and outs of various ways of getting the work back to the client?  any information would be so greatly appreciated.  I just need pointed in the right direction. 


Or can somone give me advice as to what they did to get up and running?


Have a beautiful day!


I'm not an expert in pathology

but it seems the experience that I have had with these, they are fairly short.  I guess they could be lengthy, but I would say on an average $3.00 a page should make you a mighty fine living.  You may want to see some samples before pricing this one out.  The experiences I've had were with a hospital, and these were fairly short reports.  The pathology department employed two full-time hourly MTs for a hospital that probably held about 650 beds.  The OR had about 12 rooms.  The ambulatory surgery department had about 5 rooms.  These are all just my opinions though.  Good luck to you! 


Need fax machine expert!
Can anyone tell me if you have ever had the problem of your fax machine not being able to fax only to one particular number?  I can fax anywhere else, but to this one particular number.  I have tried everything I know, even so far as calling the maker of my fax machine, but no one can tell me why I get a communication error when faxing to this one particular number.  I have changed my splitter on that line, my filter on that line and had the phone company check out my line, all to no avail. It will go through every now and then, but mostly it will not go through.  This has just started happening in the last few months. If anyone has every had this problem and can give me advice, I'd appreciate it immensely!  Thanks in Advance!
I'm no SH expert but you can make
an entry so that it expands A1c. 
I'm not even CLOSE to being an expert but..Have you tried this..

Going into the printer properties and checking your printing preferences. If your not sure how to do this....Go to your Control Panel, open up Printers...find the printer, right click on it, hit properties, and under the General tab, there should be an area at the bottom titled "Printer/printing Preferences (something like that)..hit that and check out all your settings. I'd play around in that areas with your settings to see if somehow something is in there wacko.. Just a thought. I hope it works..


EXPERT VISTA HELP, PLEASE!

I just downloaded the EditScript (Escription) program onto my computer but I'm not getting any prompts from the Installation Wizard to install it.  This is a brand-new computer and I'm kind of a Vista imbecile since I've never used it. 


Is there some other step I need to take to get the program to actually install onto my computer so I can use it, or have I done something wrong? 


I'm SOOOO confused and can't reach my supe to ask her, so I was hoping someone here would be able to offer some advice.


Thanks ever so much!!! 


Anyone an expert on Bayscribe software??
I just started a new job that uses Bayscribe, but the audio is so muffled I cannot hear the dications clearly.  The owners have no idea what is wrong, and I called Bayscribe, and they say it is on my end...either sound card or headphones.  I also work for another co. that uses Emdat, and I use express scribe, and the dictations are crystal clear.  Does anyone know what is going on? 
I have worked as a QA and as an MT which makes me an expert at SM

absolutely nothing, but I'm going to give my opinion anyway. 


Here's the problem with the whole QA process.  We (MTs) are told when interviewing that this or that service strictly adheres to the great and almighty, BIBLE of medical transcirption, the BS, er I mean BOS.  Then, when hired and given our assigned accounts, we are told the BOS applies, but .....  we do it this way for this client, that for that client, and the other way for another client. 


So, we as MTs are supposed to sift through all the crap and put out a flawless document and on top of all that, we now must also consider the egomaniacal QA person who has their "own style" of QA? 


So, now we must take an awful dictator who can scarcely put together a coherent sentence and make sense of what they are saying, then we have to make sure that whatever sentence we've constructed to articulate the dictator's thoughts strictly adheres to the rules of the BOS but WAIT then we must make sure that we've broken the correct BOS rules to suit the account specifics, and then we must now contend with the QA person who has decided we should dot our I's with little hearts cause that's the way she likes it?


And we do all of this for 8 cpl ?!?!?!?!?!


Somebody stop this crazy merry-go-round, I feel sick! 


Email me. I'm no expert, but I'll tell you what I know. nm
x
I can image that once we train the VR reports by our expert
editing and corrections, the VR software will start producing more accurate reports. Unfortunately, when that time does arrive, there will not be a need for as many medical editors/transcriptionists as there are now. I suspect at that point we will be competing for MT jobs, and our rates will go even lower than they are now. I hate to paint a somber picture here, but this is what the hospitals have been striving to accomplish since the mid-1980s, when they decided to outsource the transcription to MTSOs to avoid paying hourly rates and benefits.
I just started telling them I was a "medical language expert"
as you truly are one anymore trying to decipher all these docs and for some reason, that title seems to bear more acceptance
YOU may be a typist for a doctor but I'm a MEDICAL LANGUAGE EXPERT!

You can tell I'm not an expert but what is INXS? I mean the songs the bottom three sing are INSX

I have never heard of them and they sound kinda metal to me.  What category does INXS fall into?     I said I know very little about the music that these people are singing for the most part.  Is Nirvana metal? 


Thanks.


 


who died and left her boss and expert on nut-case MTs or freakish behavior?
sounds like one of the MQ supervisors all filled with herself.
It IS ExText, Word is simply the word proccessor used. ExText is marketed
by Dictaphone with Transnet and ESP is the expansion software incorporated into it. I used this platform when I worked for the hospital. I believe Wordclient is the speech recognition portion of this platform.
Advice to YOU..1st learn to spell before insulting poster and trying to give advice...sm

Sound advice from a fellow MT if you want advice or support (sm)

I have been an MT for over 10 years.  I also am getting burnt out, tired of my job, day in day.  However, I do love transcription and make excellent money at it, have grossed over $50,000 per year the last 5 years.  I decided to go back to nursing school and am very happy with my choice.  However, over these 10 years of transcription I have had my ups and downs.  My biggest issue with being at home working is lack of socialization, being home day in and day out with just the kids and the animals really gets to a person, sure hubby is home at night and thinks working from home is the easy life, thus the return to school and boy has my overall enjoyment of life changed once I realized I was the problem, not everyone else and I needed to find myself again.


Anyway, my biggest advice to you three-fold:


1.  Get into counseling for yourself, find out who you are and what your needs are, whether or not you think you need to, I sense you are feeling overwhelmed and need someone other than your family to talk to that can be nonjudgmental to your feelings and needs.


2.  If you're only making $100 after you pay preschool you can either keep doing it and be miserable, or quit because you are lucky enough to have a husband who can support the family without your income. (See how fast his mind changes just by losing the income you do have as to whether your job means anything.)  Or look for a different company or office that you like more and are more productive if you really want to do transcription (lots of fish in the sea as far as companies).


3.  Find a local "mom's" group where you can get out and socialize.  MOPS (mother's of preschoolers) is an excellent one that is nationwide, they have a website.  Also Mom2Mom is in a lot of areas.  They provide a once a week time for moms with kids the same age to get together, socialize, (some offer spirtual guidance some don't) and each week a different mom takes a turn watching everyone else's children at the facility that hosts it so the other moms can talk about things they have in common.  Every stay-at-home and work-from-home mom needs to socialize with adults, without their kids, or they will have a nervous breakdown eventually no matter how much they love their kids.


Sorry so long but it does get better but you have to take the first step at making yourself happy.


Extext

Does anyone like extext?  Any information on Extext would be helpful!  Does anyone like the word Expander better than shorthand?


TIA


Extext
I like Extext a lot and use it with Shorthand also. I didn't even know there was an Expander in Extext until a couple weeks after I started the job. So much for training! No, I don't work for Amphion.
ExTEXT

Is anyone familiar with this program?  I have been offered part time and she asked me if i had a dictaphone, and then said we use extext where it goes directly into the hospital.   Help!! 


Texas - sunny and 78 degrees!


Extext
I HATE ExText. There is NO foundation to build from. You have to start from scratch. I have Smartype which I currently am unable to use with a company I just signed up with, and I'm about ready to quit as ExText is the WORST word Expander I have ever seen. There are NO preloaded words or abbrevs. like there are in SmarType, so starting with the word "a" ... you have to create ALL of your shortcuts off the top of your head. Again, if I'm wrong about ExText, I hope someone will set me right, but for now, I detest it. Sorry; maybe some people like it, but if they do, ask them if they have ever used SmarType or some other Word Expander program.
extext
Thanks for everyone's input... I do use ShortHand now, and am glad i can continue to use it.   Now I KNOW i'm going to take the account! 
Has anyone ever had EXText and VPN

installed on their home computer and discovered that Control T or Control X won't work in Word any more?


If so, does anyone know how to fix it?  I really need help here and can't get it from anyone. 


i use extext
to stop expanding, i.e. if I just want PT, I've just created new "expansions". I create PTx for PT, MRSAx for MRSA, etc. It's much quicker.
ExText

I work on ExText, and have previously work on DQS;


Yes, it has a spellchecker (mine does anyway) and expander.  As compared to DQS, they are comparable...not really much difference that I can say right off the top of my head. For me, the program really doesn't seem to make a huge difference, it's more the dictators that seem to make the most difference, as well as the company you work for.  My company happens to be great! Loads of work, plenty of incentive, and nice nice supervisors and QA. I love it!!!


EXText
I am so glad I could help. I have been using EXT for about 5 years now and I did the same thing with the Control/T when I first started using it!! Its a great program. I wouldn't use anything else.
Extext
I agree with poster below and am wondering the same thing - why are you using Ctrl T??? That ends your documement you are working on.
EXText
You cannot access voice unless the company has given you listening rights, which is usually not available on the MT side .. only QA.
I mean exText nm
nm
HELP WITH EXTEXT
I had made macros to enlarge my view to 145% (Alt-B) while I type, and then another macro to shrink it down to 100% (Alt-S) before I send document.  All of a sudden, these macros will not work!  They have been working for months.  ANY SUGGESTIONS?
EXText

Ours is set up so that you have to search for the correct patient and correct encounter number. Hit select and that patient's name should come up on the demographics screen. When you open the document, the name should be changed to the correct one.


If the correct patient is not in your system, you have to create a new encounter.


Ellen S.


EXText
I checked my manual-nothing about deleting, but you can edit them: CTL R, select normal, then ALT T, edit, and CTL N to close. Hope this helps.
ExText
I use ExText and I can use my autocorrects etc... from MS Word. They have their own Expander in the program but I used my MS Word as I already had them all saved there. I didn't find it a hard program to learn at all. Hope this helps.
ExText

I use ExText.  Easy program to learn.  Great for searching for previous documents, etc.  It has its own Expander but you don't have to use it.  It is built-in, so if you leave the company you lose everything in it.  It supports the other expander programs just fine.  You can also make normals and save them in ExText in a different mode than in their expander.  There has been some talk here of low line counts with it (which I tend to agree with) and you may want to research that a bit, but they say it is the company you work for that programs how the lines/characters are counted and not the fault of ExText. 


Good luck to you!


ExText
I agree it's very "user friendly' and I am quite technically challenged so for me to say this, it really is!  I have only used a couple other platforms but this is definitely my favorite - very easy to use.  
Another Fan of EXText

I use it now and I love it.  I started out on eScription/EditScript and that was a breeze.  I was afraid EXText would be difficult, but it's very user-friendly and easy to adapt.  I don't care for the ESP, but EXText works great with my Instant Text.


One of my favorite features is the search.  If you don't know a doctor's name but can get the first 3-4 letters, you can type those letters and a ? and the search will give you a list.


ExText
All of a sudden my sentences are indenting.  I probably hit something I didn't mean to but how do I get the report be flush left again?  
Extext
Anybody out there work from home for a hospital, not a service,  as an employee using Dictaphone ExText, transnet and speech?  I'd like to ask  a few questions.  Thanks.
don't use EXText but...
I have seen this happen before in word when revising some hospital bilaws. They were typed in an outline format and if you tried to add back in it would type straight through the right margin. What is the Alt command you are using? Agree with previous poster, it may be in your company template. Are you starting in the header by any chance?
ExText
I used to work at Dictaphone and used speech. Now I work from home as a subcontractor for Nuance (they bought Dictaphone recently) for a hospital. I have not used speech since becoming a subcontractor but am hoping it is coming along soon. I can try to answer your questions. E-mail away if you like.
extext esp help please!!!

Hi,  New to this!!!!


Other than ctrl, ctrl, is there an easier way to use the ESP on Extext?  If I highlight what can I do after that to do it faster? 


Also, if I'm creating one....how do I set it up???  ....example..... {bold on}HISTORY AND PHYSICAL: 


Thanks!!!!


extext
Depending on the day, I have had problems with extext disconnecting in the middle of a report, dump file errors etc.  If I were being paid by the hour or paid for downtime it would not be a big deal.  However, yesterday I had to reboot my computer 3 times (wasted like 45 minutes... that I was not getting paid for).  I have Verizon DSL..  When it works, it's fine...  I think it's slow to open and retrieve reports, but like I say, it is the down time that's the problem.  I have an older Dell 2002 computer, so maybe that's it...  Anyway, I am not crazy about Extext.
EXText help
I can't get my Auto Text in Word to function properly, the box that needs checked "correct as you type" always ends up unchecked all by itself and I have to re-check it to get it to work.  I have started from scratch creating ESP files, but I like some of the aspects of the Auto Text in Word.  Does anyone know how to fix this if it has happened to you?  Thanks in advance.
ExText
I've only used ExText for about a month, but I like it a lot. I can easily transcribe 1200 lines/65 characters. I am not working on their speech program so I cannot comment on that.
ExText
We currently have the ExText at the hospital where I work.  I can easily get more than 1200+++ lines a day.  But, and this is a BIG BUT.  We are currently using their speech recognition program, Nuance.  I have been working with this for 1 1/2 months and currently get 600 lines in an 8-hr day.   I am doing nothing but draft text right at the moment.  Hopefully, my line count will go up when we type what comes up, speech or no speech.  It is very frustrating.  The system doesn't seem to be working properly and there is "too much" editing on our part.  Think something is wrong with it.   Good thing we get paid by the hour!