August 2013

 


 

 

Name Of Column Author Title Article Type
News Views Pat Sanders 6 Stress Relievers for Larys News & Events
VoicePoints Dr. Edward J Damrose Extended Surgical Reconstruction Education-Med
Between Friends Donna McGary Life in HD Commentary
Speaking Out Members Quality Laryngectomee Care Opinion
This Lary Life Donald Brewer Retired Secret Service Agent Story
Travel With Larys Lynn Epsman Silver Lining Commentary
The Speechless Poet Len A Hynds The Royal Babe Prose & Poetry
Bits, Bytes & No Butts! Frank Klett Inquiring Minds Want To Know Computers

 

 

INDEX AND LINKS TO EACH ISSUE MAY BE FOUND AT: http://webwhispers.org/news/WotWIndex.asp

COMMENT HERE
FEEDBACK

 

 

 

 

Six Stress Relievers for Larys

 

1. Don't rely on your memory. 

    Get a calendar where you can make notes and then, make sure you do write it down.

    Doctor appointments

    Schedule of medications

    Prescriptions refilled

    Changed prosthesis or bought new batteries

    Support group meetings

2. Have special items on hand.

    Be sure your local fire station knows you are sometimes without any voice at all

    Program a message for 911 into your cell phone or recorder

    Keep a list of latest health info that can go with you if you have an emergency

    Keep a first aid kit and a Lary aid kit

    Keep an extra "voice", just in case

    Carry extra water and a roll of paper towels in the car

    Give a neighbor or a nearby relative a key to your home

3. Plan ahead.

    Keep your car in driving condition

    Always get gas if the tank lowers to 1/4 full

    Keep a food shelf with items you can eat if you have swallowing problems and rotate them
    so they are not too old.

    Have extra drinking water and keep yourself hydrated

4. Turn needs into opportunities

    If you have to go for an appointment or visit, stop to think if there is another stop in that neighborhood that you need...drug store, cleaners, grocery, library. Plan for it and save time, and gas, by combining it into one trip.

5. Don't set unreachable goals. Set small steps for improvement in voice or care.

    Learn as you go, so you are not guessing what is working for you.  Set the goal as something you can start on today. If you are learning to speak again, try a few phrases and say them until they become natural to you. If you are trying to say, "Have a happy day.", you have selected 2 "h" words, which are difficult to say.  Consider changing the phrase to, "Have a great day." You will still be saying 'ave instead of Have but it is more understandable. "May the sun shine on you today." sounds a little overdone but notice that each word can be said more clearly and understood by itself or in combination.  Practice builds confidence.

6. Remember.  Things turn out the best for the people who make the best of the way things turn out. That is what we do.

 
Enjoy,
Pat W Sanders
WebWhispers President

 

 

 

 


 


Extended Surgical Reconstruction in Total Laryngectomy


Total laryngectomy is a reliable and oncologically sound operation to extirpate advanced cancer of the larynx, particularly when conservative options have failed. The defect in the pharynx is usually simple to close with sutures or staples. When cancer has spread outside the larynx and involves the pharynx or esophagus, then simple closure is no longer an option and more complex reconstructive options must be considered.


The goal of reconstruction is the restitution of an ample conduit through which a patient can swallow efficiently, while preserving pliability to facilitate esophageal or tracheoesophageal speech. The addition of these reconstructive options incurs additional surgical time, cost, and postoperative risks, which must be weighed against the advantages of reconstruction.


When additional tissue is required to repair the defect created by laryngectomy, the size and length of the defect, and therefore of the amount of tissue needed to repair the defect, will determine the reconstructive method. The tissue borrowed is generally called a flap. Flaps can be regional (meaning harvested near the defect) or distal (taken from some distance away and transported to the site needed). The blood supply to the tissue may be kept intact, or the artery and vein to the flap may need to be connected to a donor blood supply at the site needed. In the later case, we refer to these types of flaps as “free flaps”.


The pectoralis myocutaneous flap (PMC) is a time-honored and reliable flap based on the muscle of the chest and the overalying skin. The blood supply is robust, the amount of tissue that can be borrowed is significant, and its close location to the neck makes this a favorite for patching defects or providing coverage. The flap is hardy and its blood supply reliable. Its disadvantages include its bulk, the cosmetic deformity of transposing this under the neck skin, and in some cases weakness of the arm. We call the problems created at the site of origin “donor site morbidity” and use this information to help determine which reconstructive option is best.


The deltopectoral flap (DP) is thinner and more closely approximates the thin tissue of the pharynx. There is little donor site morbidity, but the flap may need to be completed in stages, and sometimes the amount of tissue that can be given by this type of flap is limited. It works very well as a patch.


When all of the pharynx is removed, or even some of the esophagus, then a larger, more pliable flap is required. We often turn to the radial forearm free flap (RFFF) which is taken from the inside surface of the arm near the wrist. Because it is a free flap, the artery and vein will need to be sewn to an artery and vein in the neck (called a microvascular anastomosis). The donor site is usually covered with a skin graft. There is a small risk of compromising the blood to the hand in some patients who do not have good circulation, and the surgeon will evaluate this risk prior to considering the RFFF. Like all free flaps, the first two weeks after surgery are the most vulnerable– the new blood supply may clot off during the healing phase, and if this is not addressed promptly, the flap can die. Once healed, voice and swallowing are usually excellent.


An alternative to the use of the RFFF is the jejunal free flap (JFF). It comes already formed as a conduit or cylinder, and there is plenty of intestine that can be harvested. This is particularly helpful when much of the esophagus must be removed, more than can be reasonably replaced with the RFFF or another flap. Swallowing is usually good, but voice may not be as good as with the RFFF. Also, because we are harvesting intestine, and incision into the abdomen must be made.


When all of the pharynx, larynx, and esophagus must be removed, then it is possible to connect the stomach directly to the throat. The stomach is mobilized, tubularized, and then passed up through the chest and into the neck, where it is sutured to the remaining pharynx and base of tongue. Because the chest cavity is traversed in the process, there is the potential for infection near the heart and major blood vessels – called “mediastinitis” – which can be lethal. Therefore, this type of procedure is generally used in the most advanced cases where no alternative for reconstruction is possible.


The reconstructive options now available to patients and to surgeons can allow us to treat more advanced tumors, with a greater likelihood of successful restoration of voicing and swallowing than has been possible in the past. The best reconstructive option for the patient depends on the extent of the tumor, the risks of each reconstructive option, and the overall health of the patient. A thorough discussion of the risks and benefits of these options can help to clarify any questions a patient may have before surgery, and most surgeons appreciate having this level of understanding with their patients.

Edward J. Damrose, MD, FACS
Associate Professor & Chief, Division of Laryngology
Department of Otolaryngology/Head & Neck Surgery
Stanford University School of Medicine
Stanford University Hospital & Clinics

Dr. Edward Damrose, MD, FACS, is Associate Professor and Chief, Division of Laryngeal Surgery, Department of Otolaryngology/Head and Neck Surgery, Stanford University Medical Center. He graduated from Yale University in 1991 cum laude, earning a bachelor’s of science degree in biology. He attended the UCLA School of Medicine, earning his MD in 1995 and completing a thesis in the field of head and neck surgery. He remained at UCLA for training in general surgery from 1995 to 1997, and completed his residency Otolaryngology/Head and Neck surgery in 2001. He remained with UCLA from 2001 to 2003, serving as clinical instructor in surgery and completing a two-year clinical and research fellowship in laryngeal surgery under Gerald S. Berke, MD. Dr. Damrose joined the Stanford faculty in 2003.

Dr. Damrose’s clinical interests include conservation laryngectomy, voice rehabilitation of the total laryngectomy patient, endoscopic therapy for head and neck cancer, and Transoral Robotic Surgery (TORS).

Dr. Damrose is a diplomate of the American Board of Otolaryngology/Head and Neck Surgery. He is a member of the American Academy of Otolaryngology/Head and Neck Surgery, the American College of Surgeons, the American Head and Neck Society, and The Triological Society. He currently serves as medical director of the International Association of Laryngectomees, medical advisor to the Foundation for Voice Restoration, and councilor at large for the American Bronchoesophagological Assocation.

 


 
 

 

 

 

 

 

 

Life in HD


I had my first cataract surgery last week and I am still marveling at the difference. It’s like I went from watching a tired old TV to a brand new large screen HD. Everything seems to sparkle. The first 24 hours after the patch came off were extraordinary. I just couldn’t get over how bright the colors seemed from the neighbor’s blue spruce to yellow day lilies to even my old blue eyes! I went for my first week check-up post-op and my “new eye” has gone from 20/400 to practically 20/25. I can’t wait to get the other one done in August. Right now it is somewhat disconcerting to have such disparity in my vision but I am still thrilled.

Well, mostly thrilled. HD vision also reveals the ravages of time in a way I wasn’t quite expecting but that’s a small price to pay. It’s not like the surgery created those wrinkles and sags it’s just that I can’t be in denial about their existence anymore. I should have been prepared though since my four year old granddaughter who has eagle eyes has been gravely informing of these things for a while now. First it was her startling discovery that, “Nanny, you have hairs in your nose!” then the solemn question “Nanny, why is the skin on your arm all tangled up with lines?” “I’m old, honey, and that’s just what happens when you get old.” I wait with trepidation for her next pronouncement on my aging process.


In the meantime I will enjoy not having to put my glasses on the minute I get up. I still find myself reaching to take them off as I climb into bed and I have already misplaced my new reading glasses several times including the time they were on the top of my head!


That first night I was so thrilled I sent out an e-mail to a number of friends crowing about this new vision. I sent a special message separately to one dear friend, younger than I, who is going blind due to a genetic condition. It is a constant struggle for her just to read her bills, coordinate an outfit or even navigate a sidewalk. Her condition is irreversible and progressive and there is no known cure as of now. I wondered how she might feel learning that suddenly I had such new vision. Of course I knew she would be happy for me but it raised a question. Would she trade places with me? Or would I with her?


My oldest and dearest friend has her own serious health issues, in this case a very nasty back that has required multiple surgeries, immeasurable pain and permanent disability. I asked her the same question. None of us have an answer. Is the devil you know better than the one you don’t? I think we all agreed that of all the senses/abilities losing one’s mind either through disease or injury was the worst and that losing smell, taste and touch was less awful than losing sight, hearing, voice or mobility. After that all bets are off.


I ask this question as I watch my friends struggle with the hand that life has dealt them. I struggle myself sometimes and there are days I hate my voice and that hole in my neck. But then are redeeming moments like when my newest granddaughter picks up my Servox, presses it against my neck and starts laughing and crowing to get Nana to talk. And her four year old sister knowingly says, “No, you need to find her spot before she can talk.” This is the same child who can read my lips and, when she wants to be difficult, will say, “ Nanny, I can’t hear you. Use your loud voice.”


So this is my question. Would I rather talk and read and sing to my girls the way I did to their father or not ever see their sweet faces and goofy first steps or hear them singing and humming as they play together? I cannot answer.

Frankly, I don’t think anyone could. We play the hand we are dealt. So given a choice would you trade something?


 

 

 

 

 


QUALITY LARYNGECTOMEE CARE

WAR STORIES

 


 

Jack Henslee

Ok folks here's a question I know a lot of you would like to comment on, so bring it on! Speak Out and tell us your favorite story/experience.

I brought this up because of a recent experience I had at a major teaching hospital and I had told them my main concern was a qualified anesthesiologist. That part went fine but on my second night an obviously concerned/confused respirator tech came into my room. Didn't say anything other than switching me from cool mist to warm air but I could tell something was bothering him. He came back later and fumbled around with stuff but never said anything and left. The he returned at1 AM with anassistant, woke me up and said they had to do a pulmonary function test and they wanted to make sure it was ok to tape my stoma closed so no air escaped. It's enough to make you scream!

 


 

Ron Fonte, PA

My story starts in Vietnam in 1966 when I was a chopper mechanic in the Army. There was tons of Agent Orange sprayed to kill the foliage. Agent Orange wound up in our water for showers, washing clothes, drinking water and so on. The VA has found out that Agent Orange causes throat cancer as well as many other diseases.

In 2009 I found out I had throat cancer and was treated with radiation. The cancer returned in 2011 on my epiglottis which I had to have removed. I was good to go until 2012 the cancer returned on my voice box and I had to have my voice box removed. Who would have thought I would still be fighting the Vietnam War 40 years later.

Early in 2013, I had to have my bladder and prostate removed due to cancer. For the record I had a bypass in 2000, 3 hernias fixed and my gallbladder removed in 19 something. I’ve had 3 collapsed lungs due to medical issues, COPD as well as emphysema. What a ride…

I’m 66, still walking and talking. My healthy sister, 68 was just in a head on car crash last week. She has 10 broken ribs, 2 broken legs and one was almost cut off. She is doing ok so far and still has both legs. Long recovery, they say, is ahead. You just never know. Like I always say – there is someone out there that would trade you for your problems in a New York minute.

You can WATCH things happen - MAKE things happen - or wonder WHAT'S HAPPENED !

 


 

Loyd Enochs, Evansville, IN - December 2009


My story is about an anesthesiologist. I went in for a day-surgery stoma revision and the "gas-passer" stopped by my pre-op room and talked for 15 minutes or so. He said it was his first time working with a Lary and wanted to get as much knowledge and experience as he could. We had a great show-and-tell session, and he was very pleased that I would share my experiences with him.

At the end, I asked him if this qualified me for a discount. You can guess his answer :)

 


 

 

Dr. Bertrand Bell, NY, NY - 2009

The problem is related to how well the surgeons have been trained & whether they know how to place a TEP (trans esophageal prosthesis) & how good is the speech therapist.

I belong to “New Voices” In New York & have referred people with problems post laryngectomy to where I had my surgery & the people I have referred have invariable done well!


 


 


Dave Ross, Edgewater, FL -

Some years back I was having a colonoscopy. As always, before before being “put under”, I was having a one on one discussion with the anesthesiologist. After a thorough conversation about my laryngectomy surgery and TEP the anesthesiologist said he fully understood and would be sure to follow the proper protocols. Then as we were standing up he shook my hand and asked “So, you still have your voice box, right?”


Of course I should not have been surprised. I live in the Greater Daytona Beach area and there is not a single ENT or SLP that can or will service laryngectomees.

 


 

John Haedtler, New Mexico, USA  - 2001

 

I am one of the fortunate ones that had no problems when I went through my 3 surgeries, but I can shed some light on the question as to why!


I had my Surgery in a teaching hospital and no patient ever saw a staff member that was not supervised. This is one of the reasons I volunteer to speak to Patients and students there. It is very important for all of us as Laryngectomies, to pass on our experiences to the uneducated. It may save someones life!


 


 

Jim Maloney,

I bet if if you poll Webbies, MANY can dupticate that lack of hospital clear understanding and by "Professionals".

A smartly uniformed but naive tech nurse came in to place an Ox.cup . over my mouth and I, without my hand speaker, lifted my stoma coverlett to point a finger at Stoma. AIR HERE...... I thought maybe I should get a tattoo?

Again, another time.. same thing but my Dee was bedside... same serious mistake. Imagine only if I was needle sedated, could be some weird accident!

Good idea for all of us to notify our local rescue squad .... in case they are called to the home.

(Editors note...a Medic Alert bracelet might help, too)

 


 

Travis Benton, Florida - 2002

Everyone thinks losing your vocal cords is a terrible tragedy. Believe me there are much worse things could happen to us. Had I not had cancer I would not have quit alcohol and tobacco, would still have hangovers and be coughing my life away. Today I can still talk and communicate and feel great. I'm still able to work in my yard and garden and go fishing at least once a week. I look at friends who still smoke and drink and think to myself, "You poor soul." You won't hear me complain at all. Life is good.

 


 

Len A. Hynds, The Speechless Poet, 2004. Ashford, Kent, England

Having left school at the age of twelve, through three houses and all nearby schools being bombed during the war, I started adult life very early by pretending to be three years older and lying to achieve the wearing of khaki military uniform. I taught myself everything in the school of hard knocks, and after military service in the desert, became a London Bobby, finishing up on the CID Flying Squad at Scotland Yard. Upon retiremen, I worked running my own business until I was 74. Then the dreaded cancer struck, and I became a laryngectomee. For some months I was unable to utter aound so sought adult education merely to speed up my writing. I went on to University and graduated in creative writing, poetry and writing for stage and screen at the age of 77.


One of the first things I noticed, is that my writings were causing normal people to laugh or cry, something I could never have done with my old voice, and something that I could no longer do myself, laughing out loud, sobbing, or crying with sound. So I get the greatest pleasure when I can affect emotions by making people laugh or cry.


This has made me mischievous in so many ways. I have had nine operations over the years, and had so many replacement parts, that there is very little left of the original me. A typical example was my pacemaker being replaced, where I was wide awake to control breathing, and chatting to the two doctors, and the heart technicians keeping an eye on the metallic heart valves, and at the end sitting on the edge of the operating table, waiting for my bed to be wheeled in, when I said to the whole team," Could I have your attention for a moment." They all stopped and looked at me, and I said, " I must compliment you all on doing a first class job. Have any of you ever thought about doing this for a living?"  After a shocked silence, they all burst into laughter . You are forever remembered, and I had created laughter.

 


 

Mike Rosenkranz - VP Web Information

The library is very well organized, and broken down by category which makes it a simple matter to find the information you need. To access the library, simply go to http://webwhispers.org/library/library.asp Scroll down the left side of the page and click on the subject of your choice. One of the most popular subjects is the one on Stoma Care. Click on Stoma Care and you will find:


Stoma Care - Basics,
Stoma Care - Do's & Don'ts,
Stoma Care - Equipment,
HME (Heat/Moisture Exchange),
Stoma Covers and Patterns,
After Care
Mucus Problems.
There are many other subjects, all with sub-categories as in Stoma Care, but if you don’t find what you want, scroll to the bottom of the left hand list to the WW Google search engine.

The WW Search is pre-set to search our website, but can be changed to search the World Wide Web. Remember, we are our own best advocates. When I go for a procedure, I never let them take my Servox until I have personally talked to the anesthesiologist and know that he is fully aware that I am a neck breather. Why? I’ve had that oxygen shoved up my non-functioning nose one too many times. We have all seen too many medical professionals who just do not recognize a total neck breather when they see one, and we’ve seen some of the tragic results. To be our own best advocate, we must educate ourselves. The WW Library is the place to learn what we must know to continue to be our own best advocate.

Make a visit to the library a daily habit. Educate yourself today. You will reap the reward tomorrow, with the knowledge you need to be your own best advocate.

 


 

Thank you for your submissions. Edits are used for length, clarity and to keep comments on subject of the month. 

Staff of Speaking Out

 

 

 

 

 

 

 

 

Donald Brewer

My name is Don Brewer. I've been a lary since 2002 and the doctors say I'm cured. I speak with a Cooper Rand electro larynx. I'm a retired Secret Service Agent and I recently had a fictional western book published by Total Recall Press. The book is about a Secret Service counterfeit currency case back in 1898. I would like to spread the word among the WebWhispers members if possible.

Book

In Don Brewer's latest book, Worthy of Trust and Confidence, a trio of cousins, researching a family history project, encounter a leprechaun who gives them a badge to a Magical Mouse Gate. The Mouse Gate is in Walt Disney World, and will transport them to an old West Secret Service counterfeiting case. The trio is embedded in the consciousness of the three main characters in the book and follow the case from beginning to end, while experiencing life through their character's eyes, heart and mind.


Author

Don Brewer has a B.A. from Furman University and an M.S. in Criminal Justice from Georgia State University. He is a member of the Association of Former Agents of the United States Secret Service, the National Association of Eagle Scouts, the National Association of Peruvian Horses of America, and the Cataloochee Ranch Dinosaur Club. Don and his wife, Linda (pictured above), are the proud owners of two Peruvian horses (SRR Animoso and LEA Torreon), and have ridden in a number of shows and parades.

Don is a throat cancer survivor, and after 10 years, has been declared cured. Such victories do not come without a price; Don now speaks with an electronic artificial larynx. The couple split their time between St. Simons Island, GA, and Cotopaxi, Colorado.

 

You can read about Don and the book at:

http://www.donbrewerbooks.com

 


 

 

 
 


 

 

Silver Lining

Lynn Epsman

Life certainly is a winding road, full of surprises and challenges. In April 2009, my husband of thirty five years passed away after a 12 year battle with a degenerative disease. We often talked about the ‘silver lining” that came with serious illness, the ability to get your priorities straight and truly appreciate every day that you have. Little did I know then that two years later, I would set off on my own journey of dealing with a serious diagnosis!

In August, 2011 I went to the Dr complaining of bloating in my abdomen, I remember sitting in the car before going in and thinking “Gosh, I hope it’s not Celiac, I don’t think I could stand having to give up bread & pasta”.... You guessed it, it wasn’t Celiac! Turned out to be advanced stage Ovarian cancer (Stage IIIC). I had no other symptoms. In a little over two weeks, I had surgery (radical hysterectomy, debulking of the tumor, removal of the Omentum, appendix, lymph nodes and a few other things). About a month after surgery, I had ports put in my abdomen & chest and started an aggressive Chemo regime. I finished up my treatment in February 2012... less than a week before my 60th birthday. It was one of my best birthdays ever.... When you survive something like cancer, getting old takes on a whole new meaning... a very positive one!

Throughout my journey, I was overwhelmed at the support & love from my family & friends. At every bump in the road they were there for me, cheering me on, making me laugh, fixing me food, cleaning my house, putting up with me when I was tired and/or cranky... they truly “loved me through it” as Martina sang. I still get goosebumps when I hear that song.

I am still in the every three month Dr visit cycle, and will be for the next three or four years, but I am 16 months out of treatment and doing well. I figure God just isn’t through with me yet and I try my best to “pay it forward”. Life is settling into the “new normal” and I have come out of this journey a stronger person... I mean let’s face it, after you battle cancer, you can handle anything that life throws at you. I also think I am a calmer, more patient & nicer person. So while I never would have chosen to get cancer, I like the person I am now, better than the old me... It’s that silver lining!

~~~~~~~~~~~

I met Lynn through an "All Cancers" group that meets once a month in Birmingham, AL.  I love what she has written and wanted to share it with you.  In August, she is going to attend a women's survivors convention in Nashville, TN http://www.survivorsconvention.com/index.asp

She will be on The WebWhispers Cruise in October

http://webwhispers.org/activities/2013ECaribbean.asp

Pat Sanders

 

 

 

 

 


 

 

The Royal Babe

 

Several months ago here in Great Britain it was reported on TV that Kate, Princess Catherine, The Duchess of Cambridge said ( allegedly), that she would like a son, whereas William would like a daughter. I thought that poor young lady will be so disappointed not to have a son so in my poetic fashion I granted her wish, and wrote a poem for her. I thought it good enough to send her and posted it off to Buckingham Palace, fully expecting to be carted off to The Tower Of London for audacity, but she sent me a lovely letter, saying how much she loved the poem.

So here in honor of HRH Prince George Alexander Louis of Cambridge:

The Royal Babe

Welcome my young prince, to the human race,
your sweet innocence, plain to see.
Life’s long journey, starts at this gentle pace,
as you begin your own family tree .

Each day you will see, and slowly learn,
to recognise those around you.
See their warmth and love, as each in turn,
with their eyes, show their feelings true.

Every step of the way, they will guard you,
as the precious babe that you are.
Every step of the way, they will guide you,
Those near, and those afar.

And so young prince, you will slowly grow,
learning so many wondrous things.
Of astronauts and Eskimos,
of cabbages and kings.

But, babe, you will always remember,
your mother and father’s love.
Something you will always cherish,
and why sent from God above.

 

 

 

 

 

 

 

 


Inquiring minds want to know!

 

How do I get the most life from my device's battery?
In our gadget filled lives we all have batteries in our various phones, laptops, tablets and, for those of us who use ELs. our voice. How long the battery will last in each device will vary by usage. General guidelines for any battery driven device is to minimize use in order to extend battery life.
Cell phones will hold a charge longer if you have turned off non-essential features like blue-tooth, WiFi connections, dimming the screen lighting, and leaving it alone during the day rather than constantly checking for messages and updates.
Laptops and tablets are very similar to cell phones for maintaining battery life. Obviously turning off the device when not in use is number One and just as with your cell phone minimize the number of features you have running.
Leo from Ask Leo has written this excellent article on extending your battery’s life:
https://tinyurl.com/pge5866

If you are interested CNET has a short video on “our 5 Top money sucking technologies at:
https://tinyurl.com/pug345t

Does it help if I remove the battery from my laptop?
Another good question and if you are like me I very seldom use my laptop when it is not plugged in. I leave it plugged in even when it is off...just in case of an alien invasion or some other urgent need.
Once again Leo has an answer for us:
https://tinyurl.com/pbwlqys

Do you use a tablet?
Tablets are very much like laptops in their use of the battery Most of today's tablets have a power setting option that allows us to set the screen power lower and higher, as well as shutting down the display after a specified number of minutes. I keep mine set to shut off after 5 minutes of not being used. More than that would be waste...you can judge your needs for yourself and adjust the time if you feel it is too long or too short. Also, with a tablet I run the screen at 50% of the available power and it is still just as useful.

You spent all your lottery winnings on a new PC and hate Windows 8...now what?
Since Windows 8 is now the default OS on new PC's you may be stuck with it for now. Then again a bit of shopping around before hand could make your life better.
Buying a reconditioned PC or laptop manufactured prior to Oct. 2012 will still have Windows 7 installed. Buying reconditioned equipment is generally a good way to go since they are reworked by the maker and sold with a 90 day to one year warranty. Best of all you'll save a boatload of cash over the same item sold new...if not buy the new one!!
You can also ask the dealer if they will offer to downgrade the OS to Windows 7 (this will depend on the size of the retailer and how willing they are to make a sale). They may offer to make the change for an “up charge” to “downgrade” the PC.
Another option I Ike even better is to keep Win8 but go to Software USA :
https://tinyurl.com/oaw5l7d  and buy a new license number for Windows 7 for about $55. and then go to the official Microsoft download site and download a copy of Win 7. Once you have your copy you can install it with your new license number. You can keep Win 8 and run this as a dual boot setup. This gives you the option of using Win 8 as you want to gain familiarity with it.
And still you could go to a Linux distribution. I would not recommend this for the average user but It is certainly a viable option for the patient ones out there.

Do you use an EL?
Buying replacement batteries for our ELs can be a capital budget item. Servox batteries run from $25 to $35 each and general last less than 12 months with average use. I have pretty well shelved mine in favor of my Trutone that takes a nice little 9 volt battery. I have a recharger for mine and they last a week or more with average use. I find it very nice if I am out and about and the Trutone is dying I can simply by a new battery and I am good to go again for less than $5.
I have found that there are different prices for our Servox batteries between the vendors with at least one offering their own Servox battery for considerably less than the Servox branded ones.

Hot Tip
Do you find yourself wanting to have a cup of coffee with a favorite friend? Be sure to check into the Webwhispers Forum during the week and join the rest of us in sharing information in a coffee in the morning sort of way. All sorts of “hot” news and tips that make our lives richer and just plain fun. You'll find everything from Lary issues, life lessons, Marlene's greatest tips ever, Mike's wonderful words of wisdom and just plain fun. If you're not using this great little bit of high tech you are missing one of the best things in our Lary life. And be sure to enter our drawing for a brand new EL 1000 from InHealth tech. See you in the forum!
FORUM: http://forums.delphiforums.com/webwhispers/start

 

 

 


 

 

 

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