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#59160
12/19/2013 7:14 PM
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It seems that after about every 40 or 50 CCD/patient summary documents I send to print (I print one after each encounter, in accordance with MU requirement), AC tells me that it cannot print the CCD(" CCD cannot be printed as it may be unreadable"), and after that, I cannot view any pdf file in imported items unless I shut down and restart AC. It has happened with both Adobe reader as well as Foxit reader. My ability to read PDF files outside of AC is unaffected. Is this a problem of memory consumption, or does anyone have any particular thoughts as to what might be causing it???
E. Luis Prieto, MD, FACP Internal Medicine Sebastian, FL
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Sorry this isn't getting much play. I doubt anyone has run into this before. I will just throw out a though, and I have no idea why it would take 40 or 50 times until it happened. But, you mentioned all readers. Why not try Acrobat. You can get the Acrobat XI Standard in a trial and see if the read/write version works any better. Also be careful if you have Office 64-bit on your computer. Probably not the problem as it would then just now work.
Bert Pediatrics Brewer, Maine
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Try to update your reader or repair your installation of your reader. Nearly all problems I encounter with pdf's relate to the need of either of these tasks.
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Bert, Just curious as to why you may have said on the post above "be careful if you have office 64-bit".... ?? I am still having the problem of episodic freezing up of adobe "There is a Problem with Adobe reader .. error 1014:1014" at least 6 times a day, requiring restart of AC (note that restarting Adobe does NOT fix the issue), often accompanied by "Error during CCD export...image may not be readable" when I try to print a CCD. ONce I restart AC, all these get better until a couple of hours later. I have upgraded operating systems on both my computer and main computer to 64 bit systems, and each has 12 g of RAM. I have tried foxit, same thing happens. I have the latest upgrade of Adobe reader. I was curious as to why you mentioned that thing about Office 64-bit..... could it have anything to do with AC getting frozen like this? Could this be an issue with AC saving temporary files into some memory repository, and once it gets to a critical mass it interferes with these processes?
E. Luis Prieto, MD, FACP Internal Medicine Sebastian, FL
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A followup to the above is.....
What exactly happens when I restart AC that would cause these errors of "insufficient memory" to cease? Is there a cache somewhere that is magically cleared by restarting AC?
E. Luis Prieto, MD, FACP Internal Medicine Sebastian, FL
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What does the error message say when you use FoxIt?
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Office 64-bit doesn't play well with Adobe. Not sure about other PDFs. In face, most people who use Office, use the 32-bit. There really is no advantage to using the 64-bit especially when Adobe doesn't work with it.
Bert Pediatrics Brewer, Maine
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Difficult to recall; I would have to go through the whole procedure of installing again.... something to the effect of "There is a problem with Foxit Reader", although couldn't be sure. Either way, the process of viewing PDFs in my imported items completely ceases after that, and without restarting AC, it will not work
E. Luis Prieto, MD, FACP Internal Medicine Sebastian, FL
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Try doing a clean uninstall using Revo Uninstaller for Adobe. Then try installing FoxIT.
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I did that; I forgot, however, how to get the pdf's to open with Foxit embedded in the II window.... right now they are opening in a separate foxit reader window, which I do not want...
E. Luis Prieto, MD, FACP Internal Medicine Sebastian, FL
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disregard, just had to restart AC; now its working.
I am trying to see what the Foxit reader error reads (if/when it occurs) to see if it provides any clues
E. Luis Prieto, MD, FACP Internal Medicine Sebastian, FL
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I did that; I forgot, however, how to get the pdf's to open with Foxit embedded in the II window.... right now they are opening in a separate foxit reader window, which I do not want... Not sure if this will work in Foxit or with your PDF viewer in general, but try right-clicking in the pane to the right, select Convert to "whatever PDF." This would open your pdfs in II. At least it does for me.
Bert Pediatrics Brewer, Maine
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OK, so I did the whole foxit reader thing (again), and it still crashes. By adding extra memory to the "main" computer, as well as my own, it perhaps did it less frequently, but so far its crashed twice today; It will either give me a dark grey box "Unhandled exception occurred" error when I try to print something. It doesn't crash at that point, but I cannot print what I am trying to print. Then, when I open up a new patient and try to print a new order, it gives a white box that says "Run-time exception, cannot load object", and then crashes.
Other than going through the last four years of orders and changing their status from "ordered" to "complete", which I have just started to do (very slowly)..... any other thoughts out there??
E. Luis Prieto, MD, FACP Internal Medicine Sebastian, FL
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Luis, I don't know this whole thread, but RAM is likely not the issue. The amount of RAM shouldn't be that much of an issue. If it is make sure your page file is 1.5 times the amount of RAM you have.
Those error messages are very non-specific. Google them anyway. If there a details button on the bottom left? If so copy and paste it here.
Have you Googled all of the pdf readers like Bullzip (sp?), etc. Also, have you used the actual Adobe Acrobat Pro?
Bert Pediatrics Brewer, Maine
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I have not yet tried Acrobat Pro, but was hesitant to do so, since the problem seems to happen with different readers, and even after the crash, I can use the reader to read other types of files in documents outside of a.c. without a problem.
I will try to paste the unhandled exception error, but the other error, when it occurs, causes everything to crash and shut down, so there would be no way to cut and paste. I have indeed try to Google them, but as you pointed out, they are nonspecific, and the potential causes are myriad depending on system, application, etc.
E. Luis Prieto, MD, FACP Internal Medicine Sebastian, FL
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I know the Adobe Acrobat Pro is pricey, but it is the Cadillac of PDFs. I think you get two copies. They may have a trial. If not, call sales and explain the situation and say you need a copy for a day.
Bert Pediatrics Brewer, Maine
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