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#25697
11/08/2010 10:35 AM
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Hello, I am wondering if there is any way to add a medical dictionary to the spell check. Avery
Avery Wood MD Family Medicine North Bennington, Vermont
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No. Not unless you have the acual list of words and then want to do an awful lot of work. That is unless you have someone who can write a script that would enter them correctly.
Bert Pediatrics Brewer, Maine
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Thanks for your reply. Has anyone written a script that you know of? Do you know if this is something that will be improved with the next update? Thanks, Avery
Avery Wood MD Family Medicine North Bennington, Vermont
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I would doubt it.I have Stedman's. I haven't checked to see if I can tear it down and get the actual words. Stedman's generally installs and incorporates with Outlook and Word. Highly recommended.
If you can find a list of thousands of words, I can tell you the next step. Finding a script would likely be easy.
Bert Pediatrics Brewer, Maine
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Hi, I have a list of about 10,000 medical words. Shall we give it a try? Avery
Avery Wood MD Family Medicine North Bennington, Vermont
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You know Bert, once you're done you could probably write a short bat file to be loaded on login which would update the dictionary file in their AC to the one shared on the server. Though you probably figured to do this already.
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Any way to use this to "teach" spell check to ignore mixed case words? This was always an issue, but is much worse with the use of Tall Man lettering for drugs. If my spell checker could learn that GoLYTELY is acceptable, it would have learned it long ago, and saved me from hitting "ignore" each time.
And Avery....love your labels. :-)
Jon GI Baltimore
Reduce needless clicks!
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Jon, is Add not working for you? If not try going into the options. There is a check box for "Ignore mixed case". 
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Yes, you can go into the options and have it ignore mixed case. Although I have seen it not stick.
Bert Pediatrics Brewer, Maine
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"You know Bert, once you're done you could probably write a short bat file to be loaded on login which would update the dictionary file in their AC to the one shared on the server. Though you probably figured to do this already."
Very true. Although I still don't know why it doesn't save to the server. Basically, Wintertree Software is a horrible spell checker.
Bert Pediatrics Brewer, Maine
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Jon, There is a check box for "Ignore mixed case".  Checking it never seemed to "stick" as Bert says above. I just checked it again and will see how long it lasts. I have not tried adding the mixed case words one by one since it seemed pretty tedious. I may try to add the repeat offenders. Thanks for the suggestions.
Last edited by JBS; 11/09/2010 8:35 PM.
Jon GI Baltimore
Reduce needless clicks!
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OK, how to add 10,000 words at once, well kinda. Go to the Amazing Charts folder and open your userdic.tlx file. There are a few other files such as tech.tlx which contains prepopulated technical words. I have no idea why they have their separate file unless you can get them that way. Your ssceam.tlx and ssceam.tlx7 are identical and do not need the "i" for ignore. Don't know why. Once in userdic.tlx file, go to the bottom and copy and paste your 10,000 medical words. I have found you have to use the "i" for ignore at least originally. The key is you have to TAB over from the end of the word to put the i. So, some "i"s will be one or two spaces over and other "i"s will be seven or eight characters over. Once finished, close and save the file. Restart AC. You should be all set. Tip: I would do four or five first to see if it works for you.  This would be where someone may be able to write a script so that the file recognizes where the tab would be and put the "i" there.
Bert Pediatrics Brewer, Maine
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Hi, So, really, I have a text file of 9883 medical words, I don't know what they all mean but looked for an assortment of ones I use often and they were there. Can we somehow add them? Do you think they will slow the checker down a bunch? Thanks, Avery
Avery Wood MD Family Medicine North Bennington, Vermont
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Yes, you should be able to add them. See above post for detailed instructions. Whether they slow things down, I don't know, but I doubt it.
Again, I would start with ten words to make sure you get it to work.
Bert Pediatrics Brewer, Maine
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Sorry, I missed that post - I'll see what we can do. Thanks.
Avery Wood MD Family Medicine North Bennington, Vermont
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You have to work with it. It can be complicated at first. I basically used words like: asdles and bbbbb, then added them to the userdic.tlx file. The two things is that after you add them, you MUST tab over from the end of the word. Wherever that leaves the cursor, pur the "i."
Then you have to restart AC for it to find the file again. Just do it with two words. One that will tab to the first place and another that is longer.
If you notice when you open that file, you will see the "i" in one column, then the other "i" in a further to the right column.
Bert Pediatrics Brewer, Maine
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Jon, There is a check box for "Ignore mixed case".  Checking it never seemed to "stick" as Bert says above. I just checked it again and will see how long it lasts. I tried this and it did not stick at all. Ben, or anyone else... open a note, hit F7 to spell check, and hit options. Click on "ignore mixed case". Finish spellchecking, close the chart and go to a different one. Re-open options and it isn't checked. So I guess you could check it for each and every note, but that kind of defeats the purpose, doesn't it?
Jon GI Baltimore
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I know. But, when was the last time you heard of Wintertree Software, Inc. Exactly. Or the first time for that matter.
Here is one of those places where paying less gets you less. Or maybe I am blaming the wrong company. Maybe it is our software.
All, I know is Stedman's is a company we all know. And, Word has a great spell check that you simply add Stedman's too. Now, I know that Microsoft Office is a billion dollar company, but the technology must be there. Until then, I would just stay with all lowercase, lol. But, on the other hand, if it is just a bug, it should be fixed.
Bert Pediatrics Brewer, Maine
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Maybe after everything is certified and accredited so those of you that are seeing medicaid and medicare patients can get the extra compensation, they can spend time working on some of these little things that all of us think are easy fixes...maybe they aren't as easy as we all think. . .or maybe they are but right now all focus is making sure AC has the creditation. . .
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I doubt it. And, bugs should be top priority. I had to look twice when I saw who wrote the post.
Bert Pediatrics Brewer, Maine
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Bert:
Lol. . .i agree with you but I realize that with the clock ticking with the EHR certification maybe it was a reasonable explanation. I think that week i was frustrated with a few things all at once. I am looking forward to the new version and I think I am gonna make a list of things that I think could be easily fixed and just see what they have to say. A lot are more conviences rather then bugs but I think in the end it would be great to have them fixed at some point you know?
Hey with the increase in price too, maybe they will have more people?
I also am part of an organization that has 1750 primary care sports medicine docs who I think if AC worked out some kinks would have a new market to work on. . .And i think if AC is willing to work with some of the things to make it sports med/ortho friendly there are a lot of those guys in private practice and looking to get EMR and looking to go into private practice from academics or big groups. .. .
Ketan
p.s. i realized that i am a very small minority of the specialist that uses AC.
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Ketan , Great post. Lots of merit. Thanks for taking my comment in the spirit it was intended. 
Bert Pediatrics Brewer, Maine
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and you thought i was just a angry kid who liked to bitch alot ! lol
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No, just an angry kid, lol. And, you wonder how I get so many posts.
Bert Pediatrics Brewer, Maine
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And, if you are on the spell check thread you have to spell "a lot" correctly. 
Bert Pediatrics Brewer, Maine
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well if this thing was as good as the spell check i have on my emr it would have found it!
for the record I have never used spell check, and don't even know how to do it! lol...i am sure there is a button somewhere. . .
also since this is a real thread, does it automatically check every box or do i need to click in each box (hpi, ros, meds, plan, pe) and run spell check
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F7 It does every box. If you use Firefox, it will spell check your posts on here.
Bert Pediatrics Brewer, Maine
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