Thanks for the support, although I was halfway through Jon's note and three-fourths packed for the cabin before I got to his punch line. We actually had been doing EHR little bits at a time.. an e-prescribing program, with a homebrew database that stored dictations from Dragon and a practice mgt program. Then my partner said "let's just go all the way" (she does things like that.) Well, that was a substantial leap. My previous dataprocessing experiences have left me unbelievably paranoid about data loss, so our server farm got pretty fancy. Our billing person's husband is IT for the hospital, and he and his partner want to start their own IT business, so they pretty much have a cot and a toothbrush set up in my office.

You are all correct that AC itself it really good, but the permutations and combinations of the whole system start to multiply faster than bunnies. My magic computer trick (see above) I think could be traced to bluetooth and my partner's computer interacting with mine from the next exam room. Yesterday was ugly. Today was better.


David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands