There is also an undercurrent here that disturbs me.

As you may remember, after years of complaining about the letter writer with no results, Lawrence Burris began work on a letter writer plug in for AC. He had the initial encouragement of AC, and several of us here supported his efforts. Then, rather suddenly and with no notice, they announce their OWN new letter writer for version 6.5. A lot of work and some money went down the tubes because AC finally decided to get off their B*** and do what had been asked for years. Now, they are "definitely going to add a patient portal", after years of having UpDox support AC and doing a fine job, with features that AC will not be able to approach. In short, they are no longer acting like the product for the little guy, nimble and responsive, but are now starting to swagger like the bully in the room.

I don't like this. If I want to be bullied, I will go to some huge corporation that has every feature I already want and does not ask for years of patience while they develop it. I will not have to worry if e-clinicalworks is going to fold next year. AC has always been nimble, fluid, and reasonably humble. I don't want to stay if they change.


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