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I gotta admit that I love these bloopers. 

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

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!

I am on cable internet right now and it is always going out.  I was on Verizon DSL prior to cable and if I could switch back to DSL I would, but it is not offered where I live, only cable, so I am stuck.  There is not a huge difference in speed between DSL or cable.  I know you can pay a little more for the faster DSL package.  I don't know what your paying now, but I pay $50 a month for cable internet and I was told i could get a way faster speed on DSL for less than that per month.  Personally, I prefer DSL over cable just for the fact it only went out on me once in the 1-1/2 years I was on DSL.  I have been on cable 1-1/2 years and I was down just the other day for over 4 hours.   I lose cable connect every month. 

Hi,

As the author and publisher of MPWord / MPLite / MPTools I will state categorically that each and every user comment that we have posted on the various pages of the website are actual comments we've received.

(We do have more to post, including about the new MPLite, but posting those will have to wait till there is time.)

vJoe

Speech recognition (i.e. Dragon) is not for everyone.

If you are an expert at templates and programs such as ST and IT (IOW, you have the capability of memorizing thousands upon thousands of abbreviatons), and you're a reasonably fast typist, then I'd recommend against using speech recognition software unless you have to (i.e. CTS, broken wrist). When the need arises, the program can make the difference between making a decent salary and making practically nothing. Otherwise, keep doing what you're doing.

However, there are those of us who don't understand how to create templates with pop-up boxes, who don't have the capability of remembering thousands of abbreviations (AutoCorrect is about the limit for us), and who don't fly across the keyboard "with the greatest of ease." For us, speech recognition (SR) can boost our production to a level higher than what we would with a keyboard.

I feel that those who give the thumbs down to SR have not been sufficiently trained on the proper use of the product (i.e. how to speak correctly, the proper way to correct errors, using the global commands features), and/or the department utilizing the program has not used the features to allow the product to learn enough about the terminology and context of phrases (out of box, into computer, and off you go). NOT!!!   

I've been working with SR consistently since November 2001. Some days I use it all day and other times just for a specific specialty, It all depends upon my mood - whether I would rather vocalize more to produce more or prefer "The Sounds of Silence" and would rather keep my fingers limber and type, even if it means a lower production.

Either way ... I rarely have more than two errors per page, and sometimes even less than that. And for the record, I'm doing acute care reports with a wide variety of dictators and specialties.

So, if you want the "real story" behind SR, I think you need to speak with more people who have been successful with product and compare their stories against those who chastise the product ... and find out the specific differences. I'll guarantee you that it's not the product that is to blame.

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

I keep remembering how much faster you said it is than typing and I am wondering how one would go about learning how to use one?  Is it something that can be self-taught with a book?  Would I likely be able to find a good used machine?  Also, will they work with any transcribing software?

I am a slow MT and need all the help I can get!    Thanks for any further information you can give me.

I just started using Transcription Gear/FTP and have some questions.

Do you keep TG open all the time? Do you keep Gear Export open all the time?

How do you send your work to the doctor? Right now I create my document in Word XP, save it, exit, and then go through several steps to paste the document to the medical records FTP site.  Seems like too many steps.

Any help with this and/or with TG in general would be most welcome.

Thank you.