as a previous dial up user--sm

• How do you make dial up faster? - need more speed
  • reply to earthlink - gee
    • Modems/speeds different - CAMT
      • not the modem..sm - nn
  • as a previous dial up user--sm - nn
    • Dial up is my only option - need more speed
      • I understand your situation entirely..sm - nn
      • Dial-up is my only option too - Dial-up only

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I gotta admit that I love these bloopers. 

job at a doctors practice for a lunch with past co-workers and friends... after that I'm always glad that I left for transcribing at home.  Love alot the people I worked with and even my bosses but hated the rest of the crap that goes with an office, every day a new crisis, etc.  When I'm feeling down about transcribing and all the junk that can get you bogged down at home, I just need to make a visit back to the old job site and it makes me realize how lucky I am... not that there aren't things that could be better in the MT at home world, but it sure beats what I would have still been doing if I didn't make the move home.  Just wish I could bring a few of my friends with me, but I was the only Transcriptionist in that bunch.   Just trying to keep smiling!

http://forum.mtstars.com/misc/v/5/51920.html

http://forum.mtstars.com/misc/v/5/52044.html

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? 

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

user software

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