Something to the effect of what a (sm)

• Mean-spirited dictator... (sm) - MT
  • Me too, had a few do that.... - I left the MTSO
  • yes... - sm
    • Our docs will do that, too, but won't call anyone in mgt to complain. sm - R
  • can you say what the comment was? - longtimeMT
    • Something to the effect of what a (sm) - MT
      • One time I had a doc - KB
        • I am very fortunate! - mary
        • I actually have a couple ESLs who say "thank you for transcribing this report" - !!!
          • Thanks for helping me to get a different (sm) - MT
            • Wow. We've all heard it takes about 5 positive comments to overcome 1 neg. Great example. We ne - hvlmt
              • Guess I am lucky.. - everydaymt
              • snide comments - scriber
                • I'm lucky too - have a sm - Planoscribe
                  • Me too! - Happy MT

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How something WILL "affect" you;   this cough DID "effect" my lungs.  Sorry, but graduated high school in 1964 back when people really cared about grammar!!! 

AFFECT means to have an influence ON; EFFECT is the change that occurs!!! 

You see, effect is something that is brought about by a "cause", that is the affect part;  "The antibiotics were effective in treating the infections."    Hope this helps.  Also, it seems mostly in the medical field affect deals "mostly" with psychiatry and emotions.  It does however, most certainly, have a place in "normal usage".  

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".

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. 

My experience with trying to remain alert during 3rd shift:  I was trying to perk myself up with caffeine and sugar, but also found that I actually became MORE tired as a result.  Apparently, there's a biochemical explanation for this, due to the effect of caffeine and sugar on my insulin/blood sugar response.  Both caffeine and sugar cause an initial rise in blood sugar, but then a serious slump in blood sugar occurs, causing me to be even more tired than before.  So, I gave up the coffee and, after 3 days of withdrawal symptoms with horrendous headaches and fatigue, am having much more success staying awake during 3rd shift.  I have also found that a protein drink or snack is a much better solution.  Also, I am told that there are stimulants that do not affect the central nervous system as caffeine does, such as guarana, which I have not tried yet.

Also, it took me at least six weeks to adjust my body clock.  I figured out that I had to sleep at the same time every day for several hours, at least 7, and couldn't just take a few naps during the day and then expect to stay awake at night. 

The only reason I choose to work at night is because the pay is better; otherwise, I wouldn't do it.  I look forward to someday having a decent account with a decent pay with a 24-hour turnaround time.  I realize this is a fantasy.