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PDF Editor FAQ

What are my options if my doctor refuses to release my medical records to me?

The law, as I understand it, favors the patient. The doctor owns the paper on which the medical record is written, but the patient owns the information.In the age of EMR the patient owns the information, you are entitled to a copy. In the world of paper records the doctor’s office is entitled to charge per page. Here is a state by state link to check the different fees allowed by each state.State Medical Records Payment RatesIn addition the office is within its rights to insist you complete a form documenting the request.If you like and respect your doctor spend a few moments thinking about what might bother him about releasing the records. It might be concern for you. Some doctors get paternalistic which I am not supporting but it’s better than cold and uncaring.So to create a paper trail and to ease the concerns may I suggest the following letter to accompany whatever official form the office requires.Dear DoctorI want to explain why I want a copy of my medical record. First off I am not working with an attorney or planning a lawsuit. I just want these records with me when I go to a doctor at the Major State Academic Medical Center Upstate (or whatever reason you have). I realize that you did not write my records in a way intended for me to read and that there is a risk I may misinterpret something you wrote. I would give you the benefit of the doubt on that score.I know paper is expensive and so it the time of your employees, so let me tell you I really only need records from June 2016 to the present and if your EMR can produce PDF copies, that would be easier. I can bring an empty thumb drive or a blank CD if that would help. If postage is inconvenient I can pick up the records in person.I want you to know that I have a high respect for your skill and experience and if that were not the case I would not want copies of this record.Please note that the release attached specifies progress notes, lab reports, xrays, other special studies and letters from other doctors about me.Also I am going to the Major State Academic Medical Center Upstate on July 20 so I would appreciate if I can pick up the records a week before that date.Did I ever get a letter like this from a patient? Rarely. But some type of nice letter is much better than a cold medical records release that provokes concern and defensiveness.

What are your initial impressions of Dorico, the notation software by Steinberg?

Disclaimer: I am obviously quite biased in my opinion about Dorico, since I am part of the team that is building it at Steinberg. But I think there’s enough misinformed opinion in the answers given here that I’d like to try to set a couple of things straight.Firstly, although it’s certainly valid to take the position that you can form an impression of a product based on the blogs I have written about it while it’s been in development, it’s much more fair to base that impression on actually using it, and Victor’s answer doesn’t do that. The music examples that Victor has linked to are taken from old blog posts during Dorico’s development, and the program moved on a long way between the time I wrote those blog posts and the time it was released, and of course in the six months since the initial release it has moved on further still.Regarding dynamics between staves, taken from a December 2015 blog post, I’ve typed that same passage into Dorico again today, and this is the result:Victor asserts that the placement of the dynamics in the third bar is incorrect. Obviously in music engraving there are many possible solutions to any given situation, but the balance Dorico is trying to strike here is between moving the staves further apart and positioning the dynamics nicely. Dorico will centre the dynamics between the staves (as shown in the first three bars), but when the musical content is such that the dynamics cannot be centred, if it’s able to move the dynamics rather than moving the staves further apart, it does so; in general traditional engraving practice is to minimise the use of vertical space wherever possible, so this is at least a defensible thing for the program to do, even if it is not to your taste. If you move the staves further apart, then the dynamics will settle in the middle of the gap between the two staves. However, Dorico prefers not to increase that gap on its own if it doesn’t have to.I have changed an option in Engraving Options to prevent the hairpins from passing through the barline; this can be set globally or on a per-hairpin basis without dragging the hairpin around graphically. The justification for passing through the barline is that if the barline were not there, the hairpin would correctly stop on the left-hand side of the note after the hairpin, so Dorico by default does this at the start of the bar as well.As for the placement of the accent on the initial D flat in the left hand staff, settings in Engraving Options allow you to choose whether or not the accent should be allowed in the staff; many published editions do follow this practice, but if it’s not to your taste, it’s easily changed.Victor also shows a snippet of Bach, taken from a June 2015 blog post about the in-progress work on rhythmic spacing. Here’s how that looks in Dorico today:(I’ve taken the liberty of adding the fingerings shown in the original Peters engraving for good measure; Dorico does not yet have a dedicated feature for fingering but it is not hard to add fingerings as text, as shown here.)A couple of the settings in use here are different from the defaults the program normally uses: firstly, the program would not normally show rests for both up- and down-stem voices in the first bar; I have enabled an option to show rests for all voices in Notation Options to match the original engraving; and secondly, I have used shallower beam slants than Dorico’s defaults (which are based on the recommendations in Ted Ross’s book, The Art and Practice of Music Engraving), because I personally find the gentler slants more typically employed by European publishers more pleasing to the eye.However, there have been no tweaks made to the offsets of notes in opposing voices or to the vertical positions of rests, nor to the positions of ties, accidentals, or any kind of adjustment made to the rhythmic spacing. The current version of Dorico’s rendering of this passage – as opposed to a version that was still nearly 18 months away from being available – stands up pretty well against the original engraving, and I would put that system of music up against the default rendering of any other scoring application with a high degree of confidence that the graphical quality of the Dorico rendering is superior.Regarding the size of the offsets between the opposing voices in the first bar (the up-stem A4 and the down-stem D5, and the up-stem Bb4 and the down-stem Eb5), the poor quality of the scan of the Peters engraving (taken from IMSLP) makes it hard to see that there is a gap between the stem and the notehead; Dorico uses a larger gap by default, but of course this can be changed (on the Notes page of Engraving Options).To some degree the default settings in Dorico reflect my own personal taste and the look of the music I enjoy reading. I am (on the whole!) not precious about these defaults and am always open to a bit of robust debate about the merits of one approach versus another.To Victor Eijkhout, I invite you to download the trial version of Dorico and give it a try. Come and find me on the Dorico forum with your feedback, which I will give every consideration.Curtis’s impressions of Dorico were posted less than 24 hours after the software was first available, and I wonder whether he would change his assessment now that he has had the software for several months, and has had the benefit of three substantial updates, which between them have added hundreds of improvements and fixes.A number of the workflow nits that Curtis identifies have already been addressed or are in the process of being worked on. For example, he rightly identified that there was no quick way to select the contents of a bar in the initial release: this had to be done with a marquee selection; but this was addressed in Dorico 1.0.30, which allows you to simply click anywhere in a blank bit of bar to select its contents, and then Shift-click another bar to extend the selection, either within the same instrument or across multiple instruments.He also identified that dragging an item graphically in Engrave mode doesn’t propagate to other layouts, which is both true and by design: but what is missing is the ability to drag an item in Write mode in such a way that it snaps to other rhythmic positions (at the moment, you have to cut and paste an object to move it in Write mode, which is cumbersome). This shortcoming is addressed in the forthcoming free update, which includes a whole raft of editing improvements for Write mode. This includes not only being able to drag and snap items to new rhythmic positions, but also features for editing voices, filters (including the ability to both filter items in and out of the selection, which is very useful), and much more.Playback has moved on a long way from the initial release in October last year, with more expressiveness and support for a wider range of standard notations, not to mention support for VST Expression Maps, including a built-in editor that allows you to harness the capabilities of your VST instruments and sound libraries. There is of course much more to do in this area to catch up with comprehensive features like Finale’s Human Playback.Curtis also identified the lack of important notations like chord symbols, repeat endings, and fingerings. As you can see from the image above, it is possible to add fingerings using text, but we do plan a better feature for this. Chord symbols and repeat endings will be comprehensively addressed in the next update, available before the end of June 2017.I will leave you with another couple of examples of bits of music set in Dorico, to give you an idea of its current capabilities. Full PDF versions of these pages will soon be available on the Dorico product pages on the Steinberg web site.A system from Elgar’s “The Dream of Gerontius”, vocal scoreA page from Mahler, Symphony no. 6, third movementTwo systems from Chopin’s Nocturne, Op. 37 No. 2We are serious about making Dorico the ultimate tool for working with music notation, whatever the genre, historical period or idiom you are working in. The software is not yet fully mature, but it is maturing fast, and certainly it is progressing substantially faster than any of its competitors. I don’t think I am blowing our own trumpet too much to say that the Dorico team is the most experienced team of developers working on music notation software anywhere in the world, and we have a pretty great track record. We are setting out to surpass our previous work with Dorico, and I think in many areas we have already done so.It is my belief (and, again, lest you forget, I am most definitely biased in my assessment) that Dorico is the scoring software of the future, and for many musicians it can already be your tool of choice now, in the present.

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Microbiologist in Progress: Composition Notebook, Funny Birthday Journal for microscopic life Scientists to write onThere is something magical about a book waiting to be filled with your own work. Whether it’s a beautifully detailed sketch or a fun doodle drawing and Journaling, This unique Composition Notebook is perfect for Youth, Children, and People of All Ages to create their masterpiece on. Filled with 101+ blank standard 6”x 9” sized pages and a high-quality full-color SOFT glossy cover. Blank Notebooks are perfect for: Stocking Stuffers & Gift Baskets Birthday & Christmas Gifts College / School Notes Graduation & End of School Year Gifts Summer Travel Journaling Art Classes Doodle Diaries & much more…

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