I’m refreshing our IP telephony baseline and want real-world QoS and codec settings that move MOS, not lab folklore. Today we mark RTP EF=46, SIP CS3, Opus 20 ms across WAN with PLC on, G.711u on LAN, and adaptive 30–60 ms jitter buffers at the SBC; happy to trade my rollout checklist if you’ve got a concise template or doc you trust.
Caught an asymptomatic 40-something with early DME only because we dilated and ran OCT — , quick screens miss this and it drives me nuts. > with OCT and intraocular pressure; if findings are borderline or symptoms change, — totally agree on timing; we batch OCT right after dilation and use iCare for fast IOP so clinic flow doesn’t jam. When access is tight, a same-day retina e-consult with uploaded OCT helps, but I still lock in a formal slot if anything drifts.
We pinned Opus to 10 ms on WAN; ‘police EF about 25%’ fixed our MOS swings.