Jim,

Break the paper habit! Currently I have a desktop and printer in each exam room. Refurbished computers and ebay laser printers and 17 in. CRTs can outfit an exam room for under $550. Yes, the ebay printer is sometimes quickly recycled, but when you find one that works, it's good for years. I see 20 to 25 patients a day and all but 5 notes are finished in the room before the patient leaves, that includes all lab orders, imaging orders, and prescriptions. It helps to type fast, but Dragon Naturally speaking was working fine with AC last time I tried it. I just like typing better. Wireless laptop would work well too, but you may have to go through a few routers until you find one that works well. I recommend Buffalo.


Kevin Miller, MD