Dear Amy: I am a happily married, 54-year-old woman. I have a great primary medical provider.
Adobe Media Encoder is an encoding engine released by Adobe to function with programs like Adobe Premiere Pro, Adobe After Effects, Adobe Audition, Adobe Character Animator, and Adobe Prelude. It is also useful as a standalone encoder. You can encode audio, video, and different formats to suit your social media and professional filmmaking needs. Professional audio and video editors use Adobe Media Encoder to streamline their work. If you are facing issues with Adobe Media Encoder, this guide has some fixes to help you. Let’s see how we can fix the Adobe Media Encoder not installed error in Premiere Pro or After Effects.
Adobe Media Encoder is not installed. Please obtain and install it to use this feature. Go to https://creative.adobe.com/apps
If you see Adobe Media Encoder not installed error message in Premiere Pro or After Effects, here are some suggestions to resolve the issue.
Let’s get into the details of each method and fix the issue.
Adobe products that work interdependently require updated versions to function smoothly. Adobe Media Encoder is used by both Premiere Pro and After Effects to render outputs. You need to update them to the latest versions using the Creative Cloud program. After updating them, restart your PC and see if it has fixed the error.
You need to install Adobe Media Encoder manually using the Adobe Creative Cloud or by downloading it from the Adobe website. Run the downloaded file to install and don’t change the default location of its installation.
If the problem is not yet fixed, you need to uninstall Creative Cloud products like Premiere Pro, After Effects, Adobe Audition, Adobe Character Animator, Adobe Prelude, and Adobe Media Encoder leaving Photoshop and Illustration aside. After uninstalling them, you need to restart your PC and reinstall them from the Creative Cloud. See if it has fixed the error.
Read: Premiere Pro crashing or stops working on Windows
These are the different ways you can use when you see Adobe Media Encoder not installed error on Premiere Pro or After Effects.
If you are seeing Adobe Media Encoder not installed error in After Effects, you need to install Adobe Media Encoder using the Adobe Creative Cloud or by downloading the executable file from the Adobe website. If you’ve already installed the Adobe Media Encoder and still facing the error, you need to update After Effects and Adobe Media Encoder using the Creative Cloud to the latest versions or reinstall them if none of the other methods fixed it.
If Premiere Pro and Adobe Media Encoder are not the latest versions, you might see this error. You need to update them to the latest versions using Creative Cloud. Uninstall both programs and reinstall them, if updating them does not fix the issue.
Related read: Fix Error Code 3, Error compiling movie, Export error on Premiere Pro.
Adobe Acrobat is a professional PDF editing and viewing program developed by Adobe. They have been in the market for many years which a huge user base around the world. You can view, create, edit, print, and manage PDFs using Adobe Acrobat. To use Adobe Acrobat, you need to subscribe to it by paying monthly or annually. You can only get Acrobat Reader DC as freeware. Some users of Adobe Acrobat are seeing a blank screen while they try to save PDF files. In this guide, we have a few solutions to fix when Adobe Acrobat Save As screen is blank.
If you see a white blank screen when you try to use Save As option on Adobe Acrobat, the following methods can help you fix it.
Let’s get into the details of each method and fix the issue.
Adobe Acrobat works on the cloud as well as locally. If you are working on documents from the cloud and see a white blank screen, you need to check your internet connection. If there is any issue with the internet connection, it will not load. Then, you will see only a white blank screen. Run a speed test using the online tools and see if your internet connection is working fine.
Read: Fix Network & Internet connection problems in Windows
The error might also have been caused by a bug in the previous update or a corrupted file. You need to update Adobe Acrobat to the latest version to fix it. Use the Help option in the Adobe Acrobat menu and select Check for Updates to find new updates and install them.
Read: Adobe Acrobat Reader DC not showing bookmarks in Windows PC
Since you are working on a cloud-based program, you need to disable Show online storage when saving the files options if you don’t want to save them online. You can enable or disable it at any time you want. It will fix the Save as blank screen issue on Adobe Acrobat.
To disable Show online storage when saving the files,
This should fix Save As blanks screen issue on Adobe Acrobat.
If none of the above methods can fix the issue, you need to reinstall Adobe Acrobat. For that, you need to uninstall the program using the Start menu or from the Installed apps in the Settings app. Then, obtain Adobe Acrobat from Adobe and install it on your PC.
These are the different ways using which you can use when you see Adobe Acrobat Save as screen blank.
Read: Fix Adobe CEF Helper High Memory or CPU usage
Adobe works on the cloud as well as locally. When the files you are working on are from the cloud and you have a bad internet connection, you might see a screen blank. The bugs in the previous updates can also cause it. You need to check the internet connection, disable online file options in the Preferences, and update Adobe Acrobat to the latest version to fix the issue.
Make sure your internet is working fine and see if the file is from a local disk or from the cloud. Then, go to Preferences from the Edit menu and change the storage settings. Disable Show online storage when saving the files in the preferences to save them locally.
If your PDF is saved as blank, there might be corruption occurring with the file. The plugins of the software you are using to save PDFs might be causing it, or the file is not saved fully due to a bad internet connection. You need to see if they are working fine and save the PDF again.
Related read: Adobe Acrobat Reader DC has stopped working in Windows.
California’s nursing agency has approved rules that will allow nurse practitioners to treat patients without physician supervision. It’s a move that aims to expand access to care in the Golden State at a time when workforce shortages plague just about every corner of health care.
The vote earlier this month is one of the last major steps necessary to fully implement a 2020 law that will allow nurse practitioners to practice more freely. Nurse practitioners, who have advanced degrees and training, currently must enter into a written agreement with a physician who oversees their work with patients.
Despite some earlier concerns about potential delays, nurse practitioners say they are now confident that applications to start the certification process will go live early in the new year as planned.
“Hopefully we don’t crash the website, but we are very excited,” said Cynthia Jovanov, president of the California Association of Nurse Practitioners. “This means that if I want to do a mobile clinic in Skid Row, I don’t have to be held hostage by paperwork to get a partnering physician who may not have the same desire.”
Nurse practitioners are a cost-effective way of bringing more primary care providers to communities that need them, particularly in rural areas, said Glenn Melnick, a health economist at the University of Southern California.
“And that can benefit the consumer as long as the quality of care is acceptable,” he said. Still, there are a limited number of them.
Nurse practitioners in California have been fighting to break free of physician oversight for years. The biggest pushback came from physicians. During legislative debate, the California Medical Association said nurse practitioners have less training than physicians, so allowing them to practice independently could lessen the quality of care and even pose a risk to patients.
In 2020, Gov. Gavin Newsom signed into law Assembly Bill 890, which was authored by Assemblyman Jim Wood, a Santa Rosa Democrat. To go into full effect, the Board of Registered Nursing had to first iron out details, including how nurse practitioners would transition into their more independent role and what type of additional training or testing, if any, would be needed to obtain certification.
The law essentially created two new categories of nurse practitioners. Starting in January, nurse practitioners who have completed 4,600 hours or three years of full-time clinical practice in California can apply for the first category. This first step will allow them to work without contractual physician supervision, but only in certain facilities where at least one doctor or surgeon also practices. The idea is nurse practitioners would still be able to consult a doctor when needed.
“So that does not supply them (nurse practitioners) the carte blanche that I think some people were fearful of,” said Loretta Melby, executive officer of the state’s Board of Registered Nursing. “And then, when they are there for three years in that group setting with a physician or surgeon, only then can they advance to the (second category).”
This second designation will allow nurse practitioners full practice authority, without any setting restrictions. And in theory, nurse practitioners would be able to open their own medical practice. Given the phased-in approach, eligible nurse practitioners will likely obtain full independence around January of 2026.
California’s requirements for nurse practitioners to transition into full independence will be among the most robust in the country, according to one analysis by the California Health Care Foundation.
Nurse practitioners can perform physical exams, order lab tests, diagnose ailments and prescribe medication, but in California it had to be under the oversight of a doctor. Of the 31,000 nurse practitioners in California, an estimated 20,000 will be eligible to apply for expanded authority in 2023, according to the California Association of Nurse Practitioners.
Kenny Chen, a family nurse practitioner in South Central Los Angeles, exemplifies the type of clinicians researchers say California needs more of: He is interested in primary care; he speaks multiple languages, including Spanish and his native Mandarin; and he enjoys working with underserved populations.
Chen said that while he doesn’t expect major changes to his current role at Martin Luther King, Jr. Outpatient Center, the new law would allow his clinic to hire more nurse practitioners without having to meet physician-to-nurse practitioner ratios.
“It can be very difficult to recruit physicians to come work in South Central LA,” Chen said.
Giving nurse practitioners more authority, he said, can also attract more of them to California. All other western states, for example, already allow nurse practitioners greater independence. California’s restrictions could be a deterrence, he said.
Ahead of the vote, the California Medical Association sent a letter to the Board of Registered Nursing stating that the nursing board’s rules for nurse practitioners to transition into their independent roles lacked clarity and didn’t provide any more meaningful guidance than what was already stated in the text of the law.
Melby, the nursing board’s executive officer, said she has also heard concerns that the law would expand the scope of services that nurse practitioners can provide, but clarified that the law doesn’t actually change the type of work nurse practitioners will be doing.
“What was updated was the supervision requirement,” Melby said. “And so it’s not like the nurse practitioner is now going to have the freedom to go out and perform surgery; that has never been a nurse practitioner scope of practice.”
According to workforce researchers, allowing nurse practitioners more flexibility is a small but key piece of the puzzle in alleviating California’s provider shortage.
Even prior to the pandemic, California was experiencing a shortage of medical providers. A 2019 report by a commission of health care experts estimated that by 2030, the state would need an additional 4,100 primary care clinicians. About 7 million Californians already live in provider shortage areas with a need for primary, mental and dental care, according to the report.
Rural counties tend to have the greatest shortages — in counties like Glenn, Trinity, San Benito and Imperial, more than 80 percent of people live without sufficient access to care. And when patients do find care, they often rely on nurse practitioners. Some studies have shown that although physicians still make up the biggest proportion of primary care providers in rural areas, nurse practitioners are choosing to work in rural settings at a faster rate.
Alexa Curtis, a family and psychiatric mental health nurse practitioner at a substance use disorder facility in Nevada County, said the need in rural communities has driven most of her career. Curtis, who is also an associate dean at the School of Nursing at the University of San Francisco, plans to develop a rural street medicine program with a focus on unhoused people with mental health needs and substance use disorders.
Once she is granted greater authority, “I will be able to pursue that goal without the barrier and expense of needing to secure a physician supervisor,” she said.
But working with other types of providers, including physicians, will always be part of her practice. “It is how we are trained and how we function as nurse practitioners,” she said.
Earlier this year, Newsom also signed into law Senate Bill 1375, which authorizes nurse practitioners to provide reproductive care and first trimester abortions without doctor supervision.
These two wins were huge for nurse practitioners, said Jovanov, the president of the nurse practitioner lobby. “I can tell you that this will lead to many more bills for regulations that need to change. We’re on this momentum and that is really exciting.”
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by Harvey L. Neiman Health Policy Institute
A new Harvey L. Neiman Health Policy Institute study found when patients are treated in the Emergency Department (ED) by non-physician practitioners (physicians assistants and nurse practitioners), there were 5.3% more imaging studies performed than if patients were seen only by physicians. This JAMA Network Open study was based on a nationally representative demo of Medicare fee-for-service beneficiaries with 16,922,274 ED visits between 2005 and 2020.
The increased imaging associated with non-physician practitioners was due to both a greater likelihood of an ED visit having imaging (3.4% increase). "While our study notes the correlation between the presence of non-physician practitioners in the ED with more imaging, it does not make any judgment about the efficacy of this increase in imaging," stated Eric Christensen, Ph.D., director of Economic and Health Services Research at the Neiman Institute. "The variation we found in practice patterns between physicians and non-physician practitioners highlights an opportunity to ensure the judicious use of imaging. These efforts need to address both when and what imaging is appropriate."
"To put this 5.3% imaging increase in context, it equates to more than one million imaging studies per year when applied to the roughly 20 million annual ED visits for the entire Medicare fee-for-service population," Christensen noted. "Although we focused on Medicare, there are approximately 130 million annual ED visits in the United States, so this figure could be substantially higher."
When the research team examined the specific imaging modalities, "We found that the presence of non-physician practitioners in the ED was associated with increases of 3.2% for radiography, 7.3% for CT, and 14.2% for other modalities (MRI and ultrasound)," stated co-author Richard Duszak, MD, professor and chair of the Department of Radiology at the University of Mississippi Medical Center. "Thus, the higher imaging associated with non-physician practitioners was most pronounced in these modalities in which we and others have observed rapidly increasing ED utilization."
The study noted that the share of ED visits managed by non-physician practitioners had steadily risen from 6.1% in 2005 to 16.6% in 2020.
"From an overall cost perspective, services rendered by non-physician practitioners have the potential to lower health care costs given that the Medicare Physician Fee Schedule pays for these services at 85% of what it pays physicians," stated co-author Timothy Swan, MD, Diagnostic and Interventional Radiologist, Marshfield Clinic Health System, Marshfield, WI.
"However, the increased imaging and other associated costs generated by these practitioners would offset these lower reimbursements. We did not address this cost question, but future research should explore the total cost impact of non-physician practitioners in the ED, considering both reimbursement and imaging orders."
Provided by Harvey L. Neiman Health Policy Institute
Citation: Non-physician practitioners in the ED associated with 5.3% more imaging use (2022, November 11) retrieved 9 December 2022 from https://medicalxpress.com/news/2022-11-non-physician-practitioners-ed-imaging.html
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From day one, I leave every medical appointment wanting to be friends with her. We just seem to have a compatible energy and sort of “click.” At my most exact pre-op appointment, she greeted me with a huge smile and a very enthusiastic, “I’m SO glad you’re finally able to have this surgery! I’m SO happy for you!”
I have no idea if this is just her typical “bedside manner,” but I was quite touched. I have a good group of girlfriends, and I deeply value friendship as one of life’s great joys. If Rebecca were not my doctor, I would invite her to coffee, and be open to either making a new friend — or not.
But given the boundaries of this relationship, is there any way to figure out if we could be friends, or if this is just how she is with all her patients? And ethically, CAN a doctor and patient become friends?
If so, it would be worth switching to a different provider in the practice, but I don’t want to make that switch for nothing.
Checked: The most “appropriate” and ethical stance is for everyone to stay in their boxes; “Rebecca” remaining your excellent and humane health-care provider, and you remaining her grateful patient.
The warm personal rapport you two share enhances your medical care: You feel comfortable and communicate well — she obviously listens, remembers details about your life, and cares about you.
Despite the standard of maintaining boundaries, practitioners and patients do step out of these boxes because they are human beings and sometimes human beings just click. The OB who delivers the premature baby becomes a family friend; the oncology nurse administering chemo connects with a survivor.
Making a bid for friendship with your health-care provider is somewhat risky because doing so might shift the dynamic between you. If you want to take a stab at friendship outside the office, do not ask her for coffee (that’s a little too intimate). Contact her via email (not through the patient portal), and invite her to a group event along with other friends — a fundraiser, hike, or performance.
She can then accept or demur based on her own comfort level, and your professional rapport will be preserved.
Dear Amy: My mother-in-law and I have not always seen eye-to-eye on everything, but we are cordial and appreciate one another. As the grandkids have gotten older and there is less of a reason to communicate, I find I am unsure when or if to call her.
When I have called in the past to chat, she seems happy to talk to me, but she never calls me. I feel like I should assume if she never calls me, she must not want to talk to me. In fact, once when she was going through a tough time, she actually told me that I didn’t “need” to call her.
However, she lives alone and is getting older, and I occasionally wonder how she is doing. I do remind my husband to call from time to time, and he does.
We see her in-person once every month or two, and she has other family members and friends who live closer and see her more frequently.
Caller: I think these calls you make are important — even if you always initiate. As she gets older, they will be vital ways to check in.
Your mother-in-law may be shy, or a little intimidated. Some people have an genuine aversion to making telephone calls — it’s a sort of inertia that can be hard to overcome. From what you write, it seems that she also doesn’t call her son. Keep it up; it’s the right thing to do.
Dear Amy: “Concerned in Suburban Chicagoland” wrote that her 13-year-old daughter burst out laughing and left the room when these parents told her that they were divorcing.
I thought I was the only teen who laughed at the worst possible moment. When my folks dramatically told me my grandmother died, I burst out laughing.
A short time later I realized that this weird response was mainly because I was overwhelmed. I still miss Nana.
Missing: Laughing in response to loss seems strange, but it does happen.
©2022 by Amy Dickinson distributed by Tribune Content Agency
NEW YORK (PIX11) — Monday was World Diabetes Day, and November is Diabetes Awareness Month.
It’s estimated that more than 10% of people in the United States have some form of diabetes. Those with diabetes can’t properly regulate their body’s sugar levels and Type 2 diabetes is the most common diagnosis.
While the causes are unclear, two contributing factors are obesity and inactivity. There is no cure but it can be managed, according to nurse practitioner Camila Levister and her patient Siobhan Armstead. The pair joined PIX11 Morning News on Tuesday to share more information on the disease.
Watch the video player above for the full interview.