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Referrers

What it means to be a Referrer

  • you are a licensed health professional.
  • you are comfortable with email & smartphones

Sending in Medical Questions & Getting Access to Expert Knowledge

  • all cases are handled on a confidential basis and no unauthorised person can gain access to communicated details or notes
  • every question you send in will be categorized by system operators and matched to a relevant specialist consultant
  • you and the relevant consultant will be introduced into a private online discussion with the goal of best answering or resolving the question

How to Make Best Use of the Expert Consultants

  • be concise
  • provide your understanding about the question & issue you are asking about
  • explain what resources are available in your clinical setting
  • maintain professional decorum and please understand that all consultants are volunteering their time

Preparing Photos for uploading onto Swinfen System

Apple Mac 

The Mac has a reasonably good photo-editor included with the Operating system

Right click on the photo in Finder or on desktop and select ‘get info’.  If the image is the correct way up and <250Kb it will probably upload OK.  If not proceed as below

Right click on photo in Finder or on desktop and select ‘Open with’ and then iPhoto, if iPhoto isn’t listed click on ‘other’ then and you will find it by scrolling down through the applications.  When loaded click on photo (when selected it will have a yellow border) and then click on Edit (bottom right corner)

Of the three tabs at top right choose ’Quick fixes’.  Now you can rotate if necessary (often needed!), this will rotate the image anticlockwise 90 degrees at a time, or straighten can be used to rotate smaller amounts.  Crop can often be used; getting rid of unnecessary parts of the image will reduce file size, often by a worthwhile amount.

Effects’ are not normally required, but ‘Adjust’ will allow you to fine tune the image; be careful not to overuse this facility.

Finally, under the File menu click on Export, ensure that the format is set to JPG and medium quality.  The image size has a very great effect on file size: Image at saved at original size (100%).  Using the Large setting it will be about 82% of the size and using Medium about 30%.  Small is available but does have a notable effect on resolution

Windows PC

Gimp is a free program that will run on Windows or Mac.  Go to https://www.gimp.org/downloads/download initiate the download, either ‘direct’ or by ‘BitTorrent’).  Install the program, open it.

Click on File then Open, find and select the file to be edited.

To rotate go to Image > transform (!) where you will find the various options.  Most radiology images have a name on them so it’s easier to check that they are right way round and right way up.

To crop (see comments above under Mac) select the rectangle tool that you will find under the tools dropdown menu / selection tools /; it is also in the top left corner of the ‘Toolbox’ or. Simpler still simply hit R and draw your selection on the image to be retained; then go to the Image drop down menu again and click on ‘Crop to selection’.

To scale the image click image/scale image.  In the dialog box to the right of the width / height boxes there is a button labelled pxv; click on it and select percent and then adjust the size in the adjacent box to 60.  Height and width are linked so that proportions are preserved, dropping image size to 60% has a minimal effect on quality and a very useful reduction in file size.  Click ‘Scale’ and you will see the image shrink to 60% of its size; check that the image is still OK for interpretation.

To save the image click ‘Export As’ under ‘File’ menu.  At this point you can adjust the file name and check the destination and ensure that the file extension the JPG.  If not and especially if the file extension shows TIF or BMP, click on ‘Select file type (By extension), just above the Help button, bottom left., and select JPEG.  After clicking on “Export’ you will get a slider for quality, this can safely be reduced to 85%.  To complete the edit click Export.

Finally, to upload, initiate a Sysop Message.  Add a brief bit of text in the box e.g. “Here are the images of {patient name} or the 15yr old boy”; hopefully this would alert someone in case the images are up against the wrong patient.  Next click on add images and select the image to be loaded.  Ensure that the file name appears in the dialog box and then click ‘Upload’, and you will then see another small box appear with flashing blue arrows and ‘File uploading is in progress’.  When it has uploaded the file name will appear in blue near the top of the box with a message above ‘[N] Attached files’.  You can add multiple files.

When all files are uploaded click finished and wait a few seconds (The message will abort if you are too quick).  You will then get ‘Upload finished for this case.  You have successfully sent your file(s) to the server. Wait a moment again before clicking ‘Continue’. Finally, select the possible recipients and ‘Submit’

 

Shooting and sending video clips

  • Keep videos short: 5 seconds is often adequate; 10 seconds Maximum.
  • Transfer video file (on iphone it will be an IMGxxxx.Mov) to computer.
  • Access http://www.videosmaller.com
  • Load the video file into the program
  • Select scaling to 640 (or even 480 if file >5secs)
  • Click on ‘Upload Video’
  • Download processed output file
  • Do not try and load direct onto the Swinfen App; it won’t!
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For additional information about us contact us or call us on 01227 721001.

Contact Details

01227 721001

telemed@swinfentrust.org

Freepost Swinfen Telemedicine,
Canterbury,
CT3 1NU

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