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Affect is an Action (or psych state)..Effect is a rEaction

Posted By: nm on 2005-08-08
In Reply to: Mass affect on brain or mass effect on brain? - which is it? (NM)


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affect v. effect
Effect is noun in the instance noted. Affect is a verb most of the time. Anything else?
Affect can be a noun in psych - patient having a "flat affect" - no expression. Effect usually is used as an action word and in this case it is effecting a response or a cause.
effect or affect?

Here is a rule of thumb my boss taught me: 

Affect - (a verb) "to change or alter".

Effect - ( a noun) "a result".

You will very rarely use "affect" in the context of a sentence, but it will come into play every once in a while.


Affect can also be a noun, as in "patient's affect", effect can also be a verb as in "to effect a result".


your affect has an effect.
Does this person think that English usage doesn't matter in MT work?  Some of the worst medical errors got that way by misuse of plain English words.
Effect is not always a noun, and affect is not always a verb. When you "effect" a change, effect becomes a verb. When someone has a flat "affect," affect becomes a noun.
Affect vs. effect

Hopefully this will help, although I guess everything is subject to interpretation: 

AFFECT is a verb meaning "to influence" or "to pretend or imitate".  EFFECT can be a noun OR a verb.  As a noun, it means "result".  As a verb it means "to produce a result". 

In your particular sentence, it is being used as a verb...so which one to pick?

Without knowing the rest of the record, I would have to go with "effect" because I'm guessing (again..limited knowledge) that the doctor is indicating that if the bleeding doesn't stop, he has to do a hysterectomy.  If the hysterectomy has already been done, or it is planned, than surely, further bleeding could "affect" the planned surgery or something that happened during the hysterectomy.

Without more information, it's a crap shoot!... I'm sure that was as clear as mud. 


affect/effect. nm
To clarify affect/effect, here is what a friend said:(emphasizing the first syllable and pronouncing it with a "long E"):

"I affect the Effect"

This really helped me.
Affect is a verb, Effect is a noun, DUH
Affect is a verb and Effect is a noun, DUH nm
Definately affect/effect! Hate those!
Also, any action you eventually may take will have to happen in her state - not yours. nm
Prevacid/Protonix Reaction. Anyone ever had a reaction to these mediciations? (sm))

My dad was placed on Prevacid/Protonix for chronic Coumadin anaphylaxis and it makes him very agitated or tearful.  Anyone ever experience this?

Mass affect on brain or mass effect on brain?
Leuden affect / luden affect

Hi.  I am doing the H&P portion of a dictation and it states that the "Leuden affect is appropriate".  Has anyone ever heard of this? Leuden or Luden.  Thanks for the help!!


That was my first reaction, too (sm)
But then I thought about it and that he earned the win, why share it? Also, what benefit would it be to her if she constantly had the stigma of the person who really didn't win but had to have a handout? He had a split second decision to make, and he managed to do some impressively quick thinking. I'm not thrilled with donald for putting him on the spot like that. It was Donald's decision, and ultimately Randall will take the blame in most people's minds.
My first reaction was that perhaps the sm
dictator made some corrections and changes to the original report transcribed by you by dictating a partial report somewhere else and that QA "spliced" and corrected the information and you got the whole thing back by mistake. (whew--run-on sentence!).

QA should always initial reports they change.

YW! I had the same reaction....n/m
MTs trying to get a reaction
When people post of their high earnings, I think it is just a ploy to see what others are going to say/react.

It's like when you watch the Suzie Ormond show and this 30-something makes $80K a year, has 300K in their 401K, 20K in savings and owns a house worth 250K.

It makes you wonder how in the H... somebody so young cold have gotten so far head in such a short time in this tough economy????

Take it with a grain of salt. It's not how much you earn, it's how much you spend.
His reaction was even funnier.:)
Just someone trying to get a reaction out of people again.
possible allergic reaction to something--sm
You also sound like you think it may be psychosomatic, which is always a possibility, but don't think so. possibly mumps, which is going around again these days. Get to a doctor. soon. jmo
My initial reaction would be the same as yours, but...
then years of guilt trips from my mother and grandmother would kick in and I would probably at least send a gift.  Not saying that's what you should do, because I think it takes nerve to blow off your family like she seems to have done and then send invitations to her own shower.
Did you expect this reaction? n/m
It does sound like an allergic reaction...
What did he eat or drink prior to breaking out?  As long as it doesn't get any worse, I would just ride it out.  But if it does, I would follow the advice of the other poster.
his next allergic reaction will be quicker and worse.
get thee to an allergist.
That is the most childish reaction I have ever heard. My 10-year-old wouldn't come up with that.
The class action against MQ by MTs should be about

forget about Ricca laws and tying it to hospitals and line counts.

They have lied and done smoke and mirrors to the point that there

probably could be a case made for that alone. 

And why do we never hear anything more about the SEC case?

And the FBI case against MQ for sending military information over

unsecured lines?

What happened to all that?


Legal action
First of all, my condolences to you and your wife. I feel for you. I lost an adult child 14 years ago. Among the many aspects of grief, the realities of your deceased child's legal affairs can be a nightmare. I am not a legal expert and I don't know if any legal changes have been made in the past years. At the time our son died he left behind a student loan for $13,000.00 and a personal loan for about $5,000.00. He was over the age of 21 when he signed for these loans. It was a nightmare for me and my husband. These creditors hounded us and threatened to get the money from us even though our son was 23 at the time of his death. One creditor even tainted our credit report because my son and his father had the same name. It was a complete nightmare for a couple of years. We sought legal advice, send copies of the death certificate to the creditors several times, and eventually things got straightened out. In your case you have an individual who claims money is owed to him. Did you daughter have a will? I assume she was still legally married. I would definitely seek legal advice. I doubt this individual can force you to pay on her debt if there indeed was one. However, you can stop the harassment by legal means. Seek legal counsel. The last thing you need is this aggravation. My thoughts and prayers are with you.
Class action...
I was involved in several of these suits - most of them with Medquist - and the biggest check I ever got was $3.61.
Miss all the action too. Not like it used to be.

Used to work for an old country GP. Had a guy stagger in with the tip of his finger hanging from a close encounter with a table saw. Blood everywhere. We gave him a roll of paper towels and went to fetch "the mop" out of the garage. It was 20 below out and the mop was frozen solid so we ran it under hot water in the kitchen sink and cleaned up the blood spills. No gloves. No worries.

Many stories from that place. My favorite was the patient in the waiting room with a paper bag full of baby chickens that he had to bring in because it was too hot in the car and he had to stop in on his way home for his weekly BP check.

Court action

I am not sure what your limit is for small claims court, it used to be $3500 here but know it has changed.   If it is more than one doctor in practice, you need to find out how they are listed through their business license, etc. through the state.  They helped me at the courthouse how to do this as it had to be listed exactly.  If you want to make a last ditch effort and make sure it isn't just the office manager that is not paying you, send a certified letter to each doctor that has to be signed by them and them only outlining what you will be doing and why.  You can act as your own collection agency instead of paying someone a commission to collect the money from you.   That is why I always keep on file a copy of their checking account number that they pay me on as I did sue once and we used it to collect the funds.  Also if the 7K is over the amount of small claims, then perhaps breaking out each individual doctor is under the amount.  But that is a pretty big amount and cannot believe that you let it go that high unless it is a large account and that is only one to two month's worth.  But again, try to get the correspondence directly to the docs as sometimes they do not know that the bill is going unpaid.   Good luck, let us know what happens.   Hopefully you are no longer providing service to this clinic.  Do some digging and get home address phone numbers if you are that gutsy and for that amount I would probably do it. 

Again, good luck.



Ask to see the software in action, if
possible. Ask if there is a spellchecker, and whether it checks medical terms. Oddly enough, the supervisor may be oblivious to the fact that the MT has to enter all the terms into just a standard English spellchecker, but at least ask the question. Ask if it is compatible with ShortHand or other program like that. Hopefully you will be allowed to talk to an MT who is using it. You want to see how efficient or backwards the software might be, and hear the sound quality. Do you get to make your own normals, or share them with another MT, so that you can't correct any errors you might find (but don't say that about errors out loud). Most radiologists are the opposite of psych dictators (from my experience). Radiology dictators tend to be fast and very efficient and need somebody who can give 100% accuracy. And if you can catch misspeaks and tactfully correct them or blank them, that will help. (But they are so smart that they are always shocked if they misspeak, so it has to be handled very carefully). Always think about where in the body you are and don't make anatomical errors for all of those sound-alike parts.
Take Further Action On Offshoring

Please, PLEASE people, especially all who left posts on the news story below, call the White House.  It is your right.  I do it all the time and I have not been abducted by the FBI yet.  They do not ask for your name or phone number or anything.  They usually are pretty decent to talk to. 

Tell them:  I AM CALLING CONCERNING THE OFFSHORING OF AMERICAN JOBS, ESPECIALLY OUR MEDICAL REPORTS LEAVING AMERICA WITH SENSITIVE INFORMATION ON THEM SUCH AS OUR NAMES AND SS# . Then take it from there.  Tell them that you MUST make your feelings be heard and you want the President to take action on this situation. 

As one person, I am only making a peep with my calls and emails, but if we all start calling and emailing in droves, we will make a roar.  Please, don't be afraid, we have to start taking action here folks.  Time will not wait.   

The White House Phone: 202-456-1111


The Capitol Switchboard:  202-224-3121

Obama and Biden:

Middle Class Task Force Questions:  Tell them to save jobs and stop all offshoring:
Your senator: Upper right hand corner, "find your senator"
Your congressperson: 

Let's do this together people

What I SAID was, "...there is NO WAY that can't have any affect...," and I ...

stand by that.  Sure, an MT under the influence may get it right, but I certainly would never want to take a chance on that. 

It's all about resposibility and realizing the critical nature of medical transcription.  As an MTSO, I would not want an MT drinking while working.  Period. 

If I hired someone and found out they drank while working, they would be out the door. 


it would be affect as in...
Rheumatic fever can affect the heart.

Your sentence would be:
Further bleeding, Per Dr. ___, will affect a hyerectomy.
Work for a company in a state that has no state income tax
I think there are 3 or 4 out there (Florida, Texas, and a few others.)  Then you really avoid the tax situation. 
It is not a class action suit as of yet
It is not certified class action because MQ filed for the proceedings to be held in NJ with all the other law suits. Therefore, this is stalling the certification of the suit to class action. They have received numerous calls over the checks.

Of course they cannot offer legal advise as they are not representing all MQ MTs as of yet, it is still the original 3 that filed, but I don't think it would be wise to cash it. That is just me. I know there are those that will disagree and call me names, but thats my two cents.
Does the class action include the DEP
platform? Somewhere, don't remember where now, I thought I read the class action was about the old platform MedRite and was for a certain range of years. Is there info out there that the class action pertains to DEP also?
emails for action plan
and now they send out emails wanting to know our action plan for wkends, whether we are working, so they are cvd. no extra $$, just remind you to "get the lines while you can"
I was in a class action suit once & got $600
Legal action when not getting paid. sm

Hello fellow MTs,

I knew this was bound to happen.  I was an IC for a company and left after giving contracted one-week notice. Now I'm not getting paid for the work I did.

What is the first step to take?  I am prepared to get an attorney if need be but would like to take other steps before this. 

Anybody else have experience in this?  There are state differences.  I'm not sure which court to start with to start any court proceedings.  I guess that's where the attorney will help.

Thank you all so much for any advice.

Do most of us work the day shift, M-F? Action
I received an opt-out of a class action

lawsuit involving a certain MTSO and the other party involved (think it was formerly AAMT).  Anyway, since I won't get a dime even after having been ripped off all those years, I just threw it in the garbage.  AAMT, or whatever they call themselves now, plans on keeping ALL settlement monies for their greedy little selves.

When I worked for the MTSO there were rumors flying around about the 90 character line count that was then converted to 55 characters before going to the client.  The MTSO pocketed the rest.  Guess it really wasn't a rumor after all.  How sad. 

Definitely effect. nm
effect (nm)
Something to the effect of what a (sm)
great job we do, etc. It was really more the tone than the actual words that were said. Ever have someone speak to you with such animosity that it kind of gives you a chill? That's what this was like.

I'm probably just being too sensitive about it, but it was hateful.
what makes you think it will affect us?

I was involved in a class action suit
against PayPal, probably 2 years ago, haven't seen a penny.  I was in a class action suit another time, can't remember who, and I did get some $$, I think about $15.00.   I don't initiate anything, just get e-mails or letters about them.