Need IT help. Internet slow at work.

   / Need IT help. Internet slow at work. #31  
If you saw 16mbps just by using one of the computers on your network, that doesn’t seem that slow to me.

Internet bandwidth is just one of the possible culprits. It could be something at the other end that is slow, or several other things. Unfortunately, I think it needs someone that understands the total picture.

Do you know of other offices that use the same services? It would be useful to know whether your experience is unusually slow.
 
   / Need IT help. Internet slow at work. #32  
I'm going to take a shot across the bow here: It seems to me that the bandwidth may NOT be the problem at all. I suspect that the actual back-end server (running Athena) that is processing all of these transactions is either A) Low on resources (i.e. not built robust enough to handle all of the data simultaneously) or B) actually has poor bandwidth at its location meaning no matter how fast you are attempting to exchange data with it, it cannot get it back to you.
 
   / Need IT help. Internet slow at work. #33  
You've said your internet is slow... but you never really said how you know its slow.

Is it just your medical software that is slow to respond, or is it all things, like surfing the internet, watching youtube, etc... that's also slow?

And you also have to find out if you're on a VPN (virtual private network) type connection back to your home office, and if ALL traffic goes through that VPN, or just your medical software goes through that VPN.

If you are on a VPN back to your office, then your home office is acting like your internet service provider, and they are the ones controlling the speed, not your local telecom company.

You could have a 50 pipe and only being allowed 15 by the home office.... and that's my guess as to what's happening.

One more thing.... if the home office is your ISP, they could also have a packet shaper on you. If that's not a familiar term, its a device where they can throttle the bandwidth for various applications, websites, etc... For example, my old employer's parent company took over I.T. and put a packet shaper on us. THEY thought it was a good idea to throttle back internet speeds on sites with streaming video.... we were a news gathering organization! Pretty much all news is in video format! But THEY knew better.... took months to convince them we needed to watch news videos.

Anyhow, it goes like this...
You have an I.T. department. I.T. is a cost center, as they don't bring in any money.

So, the corporate I.T. director convinces his superiors to charge the child properties for I.T. services rendered by corporate I.T..... and just like that, overnight, corporate I.T. has switched from a cost center to a revenue center that brings in money (by canibalizing his own children)...... someone at corporate I.T. is kingdom building. :rolleyes:
 
   / Need IT help. Internet slow at work. #34  
I'm going to take a shot across the bow here: It seems to me that the bandwidth may NOT be the problem at all. I suspect that the actual back-end server (running Athena) that is processing all of these transactions is either A) Low on resources (i.e. not built robust enough to handle all of the data simultaneously) or B) actually has poor bandwidth at its location meaning no matter how fast you are attempting to exchange data with it, it cannot get it back to you.

That's a very good possibility. However, until he confirms that its just Athena that's running slow, or everything is running slow, he can't prove it's the Athena system, or a slow network.
 
   / Need IT help. Internet slow at work. #35  
One more thing you can do N80 is Google "Insert ->Name of your Internet Provider + throttling"
See what turns up.
 
   / Need IT help. Internet slow at work. #36  
When I go to my doctor here he doesn't even write anything down unless it is serious, and I hardly ever have anything serious. You make an appointment through his answering service, go see him and it is just him, no nurse, not support staff just him. He pokes his head into the waiting room to call you in, he sits behind his desk and asks what you are there for and after listening you step into like a little alcove and hop on his exam table and he examines you. Afterwards you go back to his desk and he writes out his orders. I mean really what is the point of writing up, "She has a urinary infection" into a record that nobody is ever going to read anyway. He just writes a prescription or maybe an order for a lab test and that is it. When we get lab tests here, all done through private labs that are as plentiful as pharmacies, you go pick up your own lab results. You only even bring them back to the doctor if there is something really out of wack on them. The lab tests tell you what is normal and then shows you your results. All the patients keep their own records of lab tests and if you need to when you go to the doctor, you just bring them with you. In other words the patients themselves keep their own records. I like it this way, there is no waste in this system. Labs do not send results to the doctor, patients go get them themselves. I know it is a wee bit off topic but since this is your profession thought you might be interested.

When I went to see the orthopedic surgeon for my bad hip I brought my x-rays with me (patients even keep their own x-rays & ultasound records) and he didn't even want to see them, he siad they don't tell you that much. He examined me by moving my leg around asking if it hurt (it hurt!). Then he said I should have a hip replacement any time I wanted it. I could have one now or I could have one later, everything was on me when I was in enough pain that I wanted it done. I made the surgical appointment during the exam and that was that. I had it done about 6 weeks later. It's beautiful, no insurance companies get involved at all it's just what you and your doctor decide is best. AND I get no bills at all, never ever a bill from the doctor or the hospital or the labs, I have my medical card that has a chip in it, and they just slide that credit card like thing into their macines and that is it. Can you imagine life without ever seeing a doctor bill or a hospital bill or an ambulance bill? It's real nice. I have a supplemnatl policy for around 400 Euros a month that covers both Nico & I and that covers us 100% for everything even pharmacy. the supplemental insurance is some how inside that chip, even when you change supplemental companies it's all recorded somewhere through that chip and everything just runs smooth.

My mother in law in the last year of her life lived in a brand new full service nursing home, brand spanking new with great food and activities throughout the day, cost 2,000 a month and she didn't even have to pay that since she was poor. My mom who just went into a very nice nursing home, $11,000 a month. Okay yeah we do have high taxes here but at LEAST we get something out of it. I live my life without ever worrying that a major illness will put me in bankruptcy. Yup full pharmacy included.
 
   / Need IT help. Internet slow at work.
  • Thread Starter
#38  
Nothing. Management says they are going to double our speed through the ISP but no one has actually done anything. Lots of messages between IT folks but not one single thing has been done and now my daily speeds are down around 12 Mbps. But, these are the same IT people who are replacing my current laptop because of a software problem in Dragon that they can't figure out. This level of slackness and incompetence is a new experience for me. Never seen anything like it.
 
   / Need IT help. Internet slow at work. #39  
What is going on with Dragon? I must have over 20 users with Dragon and no drama. Two guys claim drama and went with the expensive $70 a month Dragon Medical One cloud offering. If you are using a SpeachMic you do not want to hold down the red button when setting up your profile the first time. I gather it causes all kinds of issues. You know when you read the first two boxes and maybe the third box of 5 minutes. Note that best performance if everything is on the laptop or desktop. No storing of profile off on some server off premise or even in your server closet. I have some users with SSD hard rives and others with spinning disks. I of course like the SSD drives as everything works faster, but the end users rarely seem to appreciate the SSD upgrade when I do it.
 
   / Need IT help. Internet slow at work.
  • Thread Starter
#40  
I've been using Dragon for years now. I consider it a remarkable product that still isn't ready for prime time. At least not for medicine. Too many mistakes that it will never overcome without the speaker himself being trained to speak in a very unnatural fashion or spending a great deal of time proofreading. But, since mandate of the electronic health record thanks to the ACA and tightwad management have made actual human transcription a thing of the past, Dragon is my only alternative. The only other alternative is me typing my notes or using idiotic pick lists that generates notes that sound like they were written by a moron. I'm not a typist and while this might sound arrogant, my time (and my patient's time) is more valuable than to be spent by me typing. I didn't spend 4 years in med school and 3 in residency to be a typist. In any case, human transcription is the only truly safe and efficient form or dictation but that ship, sadly, has sailed.

Anyway, the problem is not entirely with Dragon. It is the interaction between Dragon and Athena, our new EHR (or possibly Chrome which is what Athena runs in). Dragon works fine with everything else. So IT is going to get me a new laptop to solve a software compatibility issue. I can tell you right now that it probably won't work.
 

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