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#47833
08/13/2012 10:28 PM
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I know about logmein: it allows access to my office pc from anywhere. However, when i am in the office accessing my wireless network, logmein will still access the office computer via the internet, making it unnecessarily laggy. I am looking for a program that would allow my ipad to access my office computer via wireless network. I have seen several RDP programs for the Ipad but I was wondering if anyone had any experience with any of them.
Gerardo Carcamo Surgeon San Antonio, TX
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Thanks. Do you have to download vnc or something similar to your office computer?
Gerardo Carcamo Surgeon San Antonio, TX
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And does it support a bluetooth keyboard?
Gerardo Carcamo Surgeon San Antonio, TX
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Thanks Sandeep. I already have remote desktop enabled and it works just fine with Jump and the ipad. Interestingly, it does not seem to be any faster than using logmein. In fact, I found logmein to be even faster most of the time although I can't understand why since it is going through the internet, or so the folk at logmein say. However, if I did not already use logmein I would certainly use jump. U can't beat $15 with no monthly recurring charges (I use logmein pro as I need to be able to print locally)
I also tried another program called PocketCloud which is free. Again, seems to be slower than logmein and logmein just works better for me. Can't beat free though.
Both Pocketcloud and jump use your gmail account to help locate the computers, which I find interesting.
In the end I do not think the ipad will be really useful, although the patients like it; make me look sophisticated one said. However, It is just too slow. I keep having to look for places to put it down and I find myself looking at the screen instead of talking to the patient. It often locks itself so I keep having to keep pressing the home button and then logmein disconnects.... I previously set up 3 old notebooks in my exam rooms but they are so slow (because they are old). I think I just need to bite the bullet and get new lap tops or small desktops. My exam rooms are small and there is little place to put a desktop. Maybe if I mount the screen on the wall and use wireless mouse and keyboard...
I tried carrying a lap top connected wirelessly to network & amazingcharts. I kept getting disconnected and was more of a nuisance than helpful. The search continues for an exam room solution for me...
Gerardo Carcamo Surgeon San Antonio, TX
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Remote Desktop should be using your internal network. The IP Address should be 192.168.x.x. You should have the full wireless bandwith available. Do you load the wallpaper with it? It should be very fast. Are you sure the computer that you're remoting into isn't slow?
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They make all-in-one computers that are touchscreens. Those are pretty good. Some PC Cases have wall mounting options too. Laptops aren't bad but are usually more pricey and don't last as long.
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Remote desktop is going via internal network with an ip 192.168.x.x. The box I am RDing into is new, just purchased this year. Runs windows 7 pro in a windows server 2003 network environment(vmware). I have a gig router watchamacallit. I considered all-in-one computers but they are much more expensive. Touchscreen? I had not even though of it...! It may end up being the most economical solution for me in the end run. Certainly more elegant than what I have now. I am still thinking about it. Any recommendations for all-in-ones? I have old, tired eyes so I need big screens.
Gerardo Carcamo Surgeon San Antonio, TX
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How does AC run directly on the Windows 7 Pro Computer?
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Jump allows me to print locally from my iPad. I love the iPad form factor, carry it in a case that mimics a leather bound chart. It weighs less than many of my old paper charts. It allows me to sit WITH the patient, reviewing labs, x-rays etc.. It does accept bluetooth keyboard, although I do not do any charting with the patient. I sit down with my desktop between each patient and chart using Dragon Medical, Dragon templates, AC templates, free-texting, cranks, levers, block and tackle, and hand signals. Thinking about installing organ pedals for CPT coding and modifiers.
There are 500 physicians in my county and only one using the iPad as a chart. (The IT group that connects our clinics/lab/x-ray/hospital together initially refused to consider an iPad installation). I have seen a number of new patients over the last couple of years that complained that their previous doc had his head buried in his laptop and didn't make eye contact. I use the iPad just like a paper chart. Obviously I never inputted on a paper chart so to me it's all the same, except for internet access, email access, growth curves, weight graphs, lab trends and access to all the great medical apps. (Pts really like Nova's Skeleton Pro and Muscle Pro for visualizing anatomy)
Just my 2 cents on how I've chosen to use AC for now. The great thing about AC is you can use it any way you feel comfortable. Try that with any of the fat boys.
Dave FP
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All good points Dave. You are right, maybe my problem is that I am trying to chart in the room. I should just give up and use the Ipad as a reference, to look up a previous visit or old labs. I like the idea of keeping eye contact with the patient. Walking back to my office and charting between patients is not such a bad thing. Only thing is I keep reading of these super docs that can do it all: chat with the patient, crack jokes, examine the patient, chart, bill, and do it all in the exam room... I just don't see how
Gerardo Carcamo Surgeon San Antonio, TX
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Sandeep: How does AC run directly on the Windows 7 Pro Computer? Depends. Just typing in the H&P section is the same. Adding medications, allergies, writing prescription, and opening up import items is slower than XP, particularly when opening office 2003 word documents imported. I have computers running xp and running windows 7 pro so I can compare. I know I should upgrade office, but that costs money!
Gerardo Carcamo Surgeon San Antonio, TX
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I mean when you remote desktop into the computer. How much different is it compared to working on it locally? Gigabit switches improve loading times for II substantially.
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Sandeep:
I will try again tomorrow and I will let you know.
Gerardo Carcamo Surgeon San Antonio, TX
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Imported Items can be pretty bad over WiFi and even 100 Mbit wired depending on the number of computers and users you have. IIs are getting larger when you start including large PDFs and images. If you have 5 users accessing 2MB PDF files, you've swamped a 100 Mbit connection, and probably overpowered WiFi. That's why we recommend gigabit switches. Files are getting bigger and bigger as time goes on. Best to be ready. You can grab a Cisco Small Business 16 Port Gigabit switch for $180 ( http://www.newegg.com/Product/Product.aspx?Item=N82E16833150078&Tpk=SR2016). You can find them for less than $100. ( http://www.newegg.com/Product/Product.aspx?Item=33-704-064). Cisco is the premium brand out of these 2 and that costs a bit more. They do live up to the name though (most of the time). Gigabit has 10 times the bandwith of a 100 Mbit switch for maybe a 20% higher price tag. For things to operate at gigabit speeds, you need a gigabit NIC. Pretty much standard on all devices nowadays.
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I noticed no difference between working in front of the computer running windows 7 or RDP into the same computer using a windows 7 "ultrabook" over wi-fi. Which, by the way, is probably the way I should have been doing this to begin with. I like it a lot and this will be the way I will be doing this from now on. Much better than using the ipad, bigger screen and bigger keyboard. Ultrabooks weigh just as little as the ipad as far as I am concerned. The SSD comes on super fast also. From flipping over the screen to working is less than 10 seconds! I do have to type the password twice (once to unlock computer, another to unlock the remote computer) but a necessary evil for security / hipaa purposes.
Gerardo Carcamo Surgeon San Antonio, TX
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I will get a gigabit switch but most of my computers do not have a gigabit NIC at this point. Eventually, as they are necessarily replaced, they will.
Gerardo Carcamo Surgeon San Antonio, TX
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At least the server would be able to take advantage of the gigabit speeds. Clients would be able to have the full 100 Mbit bandwith available instead of being shared. (Server's upload is 1 Gigabit) Which is still a good setup.
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I noticed no difference between working in front of the computer running windows 7 or RDP into the same computer using a windows 7 "ultrabook" over wi-fi. So then RDP is as fast as it can be. If you want it to be faster, you'll have to make the computer you're remoting into faster. Perhaps throw in an SSD.
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I use a free app Rdp and have different settings for inoffice using the wireless. Able to connect remote desktop to server 2008 or 2003.
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