I see about 40-45 pts/day, about 15 of which are new. I find myself waiting in front of the computer for between 4-10 seconds (yes, I have timed it) transitioning between tabs, such as past encounters, imported items etc. The Reminds tab in particular takes between 15-25 seconds to pop up. When you multiply that by the pt's a day I see and the number of times I click between tabs it is becomming maddening. This adds at a minimum an hour to two hours a day I am standing in front of the computer waiting. I have almost 5,000 pt's and have not yet been using AC for a year. I have a high end server (windows 2003)with a xenon chip, six workstations w XP pro Lenovo 1 gig ram each, and we are hard wired network. Is this just a function of Access or the mass of material I have already accumulated? IS there any solution? Will the eventual change to SQL make a difference. My backup is already about 30 gigs with imported items (lots of pictures). HELP!