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#61004
03/06/2014 10:26 AM
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I apologize for rehashing an old topic, but... I continue to suffer for many months now from AC spitting out a variety of "unhandled exception" errors when I try to generate a letter, clinical summary, order, or script. The most common one is "system out of memory exception", although there are numerous others, such as "parameter not valid", "invocation", etc. They seem to occur in random order. When I close AC and restart, it will stop doing it, then somewhere after 5-10 orders/letters/scripts/summaries, it will happen again. I have effectively deleted the vast majority of "saved" and "pending" orders, so obviously this is not causing it....
In reading about many of these unhandled exception errors, the suggestion is made that they might be due to restriction of memory afforded to SQL. They have even discussed turning on a "3G switch" in SQL. I upgraded to v6.6.5, which has not resolved the issue (as a matter of fact, it might be a bit more frequent now). I have upgraded both my office computer and my main computer. My main computer has 12G ram and is 64 bit Windows Ultimate. My office computer , where I do most of my work, is windows 8.1 pro 12G ram. The problem also occurs in my exam room computers as well, so I think it is probably related to something within the main computer...
Is anyone else out there experiencing these, or is just me?? Any thoughts?? AC support is working on the issue, but as of yet, no solution....
E. Luis Prieto, MD, FACP Internal Medicine Sebastian, FL
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I can only imagine how frustrating this is for you. I do know how frustrating computers can be.
A lot of people seem to have main computers much less advanced than yours doing very well. I had memory problems when I upgraded clients to 64 bit machines. My server was unchanged 64 bit.
Your memory problems could be worse by running both AC and practice management databases at the same time on the clients. Are you doing that in your exam rooms for scheduling?
Is there an interfering program? Anti-virus might need to be switched. Is there another database program, or something that needs a lot of memory?
You might need to frequently reboot your clients to restore memory. If that helps, it's not your main computer.
You might be able to add more memory, especially if your clients are 64 bit. Often clients come with only one of two memory slots having a memory board, and it is best to have matched pairs of memory instead of just one slot working.
You could be dropping a lot of packets on your network, or a slow network with timing issues if there are bad NICs in your clients.
Sandeep has had threads on increasing memory and performance of clients.
If AC support can't find anything, you might need a second opinion from a different and hopefully smarter IT gal.
Dan Rheumatology
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Thanks for your response, Dan....
I don't run any other practice management program or database. The only other programs running on the PC are Dragon MPE, Outlook, Updox. I would imagine these should not be overwhelming the system, although I'm not sure I've ever tried running AC with Dragon turned off. If that worked, it would still leave me in a bit of a pinch as far as not being able to dictate. I think I have pretty much max'd out my memory slots (in pairs), so I agree that a next step might be to hire a programmer to come in person and review things, or just bite the bullet and go to the cloud...
E. Luis Prieto, MD, FACP Internal Medicine Sebastian, FL
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I would look at how much room there is on your hard drive--it may be close to being full. If this is the case, the problem might be multiple copies of back ups that AC stores as part of the back up program.
Rick
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Actually the computer that is freezing up is my office desktop, not the "main" computer. The "main" computer's hard drive (as well as mine) has plenty of space, over 300G. I tried actually increasing virtual memory, but that didn't help the situation either 
E. Luis Prieto, MD, FACP Internal Medicine Sebastian, FL
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Windows 8.1 is coming out with an update soon. http://arstechnica.com/information-...sions-that-still-wont-make-people-happy/They are trying to get the OS to use less resources to be able to work on weaker and cheaper tablets. Only 1 GB of ram needed. For me, it was moving from Win7 to 8.1 that solved my AC memory problems, but I'm the ugly duckling around here. You might be able to get a good used XP Pro box cheap real soon. You might update all your drivers, reinstall Windows, reinstall AC, go back to 6.3.3. Until this is figured out, I would close and restart AC after every or every other patient.
Dan Rheumatology
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Luis we have been having the same problem. We played with V.7.0 and then stepped back to 6.4 and got hit with all of this memory errors and exceptions. I would like to point out that we were "Beta testing", but we didn't contribute one bit to AC's development of Ver 7.0 and no one in our office,least of all me, has the IT chops to be an effective beta site. They let us test it because I am old and pitiful and I was a pest.
Anyway we had the problems, thought it would be a quick fix, (change a partition, add some RAM, delete some old copies of Back ups?) and it wasn't. My IT guys fiddled with it, then I called AC support and got a new guy I never heard of and I let him get on the server, and several hours later we needed to have our server re-formatted. This was a painful and very expensive experience.
What I figured out? What Dan said, it is just fine to restart AC after every couple of patients. In fact I like doing it, it's like a coffee break without all the annoying caffiene.
I suspect this is a bug in AC, it is definitely something that only happens with AC since we got the STUPID letter writer (that I don't like).
Martin T. Sechrist, D.O. Striving for the "Outcome Oriented Medical Record".
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Last week, the solution for us finally came down from heaven in the form of a gentleman named Anthony at AC level 3 support....
In my case, all it took was an SQL script to remove all Deleted Mailbox items (around 63,000 or so), and everything is back to working beautifully! Kudos to Anthony!
Obviously, I am not sure if this would be the solution for you, but I wanted to put it out there, since I know from the UB that many have been suffering from a variety of annoying and debilitating exceptions/errors....
Good luck,
E. Luis Prieto, MD, FACP Internal Medicine Sebastian, FL
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