Looking at this (and some prior threads on the same topic) there are several ideas floating around: a bug or limitation in AC, a networking issue, the size of the II, wireless. Although it has been discussed, I don't see the answer to this: Leslie and David, if you sit at your server and open a patient's II on the server, is it equally slow? (If so, that should eliminate all the discussion about network slowdowns, cards, and wireless, right)?