Oddly enough, this setup is objectively slower than my office system with a 32 bit, dual core, 2GB server and a strung together network of way too many switches and wireless access points. I would expect it to be faster. I'll have to work on that some more.
Desktop vs Laptop? I'm guessing. Not really a comparison. Desktop processors are much faster. How much RAM do you have on the T61P? You'll want 4-8GB on an SBS 2011 Essentials Production Server.
I hate wireless. Basically use it for internet access. Never for file sharing or db access.
Yes, probably the T61 is slower. It has 4GB memory -- but that doesn't seem to be the difference -- my P2P "server" only has 2GB and is 32 bit. AC never even comes close to 2GB according to the Task Manager. I'm sure when I get around to building a server it will be faster than an old T61! But I am amazed by what that thing can do.
I don't hate wireless. I can move around in the exam room at will, sit next to the patient, sit across from the patient. Cross my legs, stand up -- I hate being tied to a desktop on a string.
I'm sure it is less secure, and probably a little slower -- but that is a tradeoff I have to make to allow patient interaction not to be focused on a machine. Just style, I suppose, but patients tell me how much they hate going to offices where the doctor is sitting across the room at a desk typing into his/her computer, and doesn't seem to pay them any attention.