Telehealth: In the New Millennium

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Telehealth In the New Millennium
Part 2 - The Practical Palm Pilot
ISN Informatics Symposium

• Stephen Z. Fadem, M.D., FACP
• Houston Kidney Center
• Houston, Texas

Dubai, UAE
February 5, 2001
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Gadgets are smaller

• 1. The PC
• 2. The INTERNET
• 3. Combos TV CD DVD with WEB
• 4. Small Gadgets pager phone beeper WEB
• Dream Technology REALITY

Source US News and World Report
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Technology

• Chips are smaller
• .18 to .03 microns
• Less heat and power
• Focus has been from
• Speed and power
• Size and energy consumption

• IBM and Intel

Source US News and World Report
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The hand held device

• 1971 Hoff - Microprocessor
• 1972 Alan Kay - PARC - Dynabook
• 1993 Newton MessagePad
• 1994 Jeff Hawkins block of wood
• 2001 palm OS fastest growing platform in
  history

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• PALM VII
• Same OS
• Built in antenna
• Access mobile web sites
• e-mail transfer
• May not work everywhere
• Expensive

• PALM III
• Same OS
• 2 aa batteries
• Thicker
• Color possible

• PALM V
• Same OS
• Rechargable
• Light
• Slim

• Also, Visor, Sony and Palm m100

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Who needs a hand held device?

• Keep addresses and phone numbers
• Keep appointments
• Keep formulas and do calculations
• Keep a PDR and reference list
• Keep and update patient records
• Take notes, read books, edit papers
• Share your information

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Addresses and Phone numbers

• Add on the fly
• Synchronize with your computer
• Beam and get beamed
• Transfer business card
• Store e-mail addresses
• Paste into other programs

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Appointments - Calendar

• Enter meetings and conferences
• Repeating weekly meetings
• To do lists
• Intuitive
• Beam events
• Share on a network

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Formulas

• SynCalc algebraic programmable advanced
  scientific calculator
• Synergy Solutions
• www.synsolutions.com
• MedMath calculators
• Pcheng_at_post.harvard.edu
• MedCalc calculators
• www.medscape.com

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Pharmacology refs

• Epocrates
• www.epocrates.com
• Automatic updates
• Free
• Tarascon ePharmacopoeia
• Medscape www.medscape.com
• Not licensed outside US

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Patient records

• Rounder a powerful free Palm database
  coordinated with MS Access
• Flexible
• Complicated
• Configure
• ThinkDB www.thinkingbytes.com
• JFile www.Land-j.com
• HanDBase www.ddhsoftware.com

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Notes and Books

• Take notes with MemoPad
• QuickWord (SmartDoc) www.cesinc.com
• Import or create - edit and bookmark, MS Word
  docs
• MakeDocW
• Makes Palm docs for word and text files
• TealDoc Download Medscape articles
• Documents To Go document shuffler
• www.memoware.com - download and read books

http//www.palmgear.com
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Sharing

• JP Systems BeamLink
• Move files between pager and Palm
• Beam to printer other Palm
• Hotsync Direct Serial or Network
• Wireless
• Palm VII Internet browsing
• Minstrel Novatels Omnisky
• Modem add on
• JP Systems OneTouch Mail
• Integrate several POP servers on Palm

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Information Transfer

• Writing - Graffiti
• Onscreen keyboard
• Enter text into Palm Desktop and hotsync to Palm
• Tap in forms
• Beam
• Wireless connectivity

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Palm Travel
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Palm Travel
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Palm Travel

• Expense account
• Currency converter
• E-mail
• Portable charger
• Portable Hotsync
• Travel info
• International clock

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Sites

• Medical
• www.medscape.com
• www.medicalpiloteer.com
• www.franklin.com/medical
• www.zapmed.com
• http//uhimrp.hawaii.edu/pilotpublic/pilot.htm
• http//www.doctorspalm.com
• http//www.nephrotogo
• http//andyyee.tripod.com/
• http//www.healthypalmpilot.com/

• General -
• www.palm.com
• www.palmgear.com
• Pharm - www.epocrates.com
• Syncalc - www.synsolutions.com
• Rounder - www.synapsesoft.com
• MakeDoc - http//www.palmgear.com
• SmartDoc - www.cesinc.com
• ThinkDB - www.thinkingbytes.com
• handDB - www.dbhsoft.com

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• The Palm
• Easy to master
• Hard to live without
• Fun
• Practical
• Saves time
• Enhanced accuracy