Bringing people like me along takes a while. I'm digesting, having engulfed quite a lot last weekend. But I now understand a lot about domains and servers that I never really had any clue about or interest in. The problem for me now is things like which hardware, what hard drives, how much RAID, whether SSD, and can I put Medware on the same server -- and will the office staff revolt if something goes wrong in the transition.
The future clearly is servers -- I've been doing P2P since Windows I, and it is outdated, though it certainly still works. On the other hand, my wife will NEVER go with any form of EMR. So, we figure out how to run the whole thing with a paper duplicate.
Every once in a while all the power goes off, and we are glad we have paper and flashlights -- we can still practice.