Telehealth: In the New Millennium Stephen Z. Fadem, M.D., FACP Houston Kidney Center Houston, Texas ISN: Informatics Symposium February 5, 2001 Dubai, UAE Part 2 - The Practical Palm Pilot

Gadgets are smaller Source: US News and World Report 1. The PC 2. The INTERNET 3. Combos TV + CD+ DVD with WEB 4. Small Gadgets: pager + phone + beeper + WEB Dream + Technology = REALITY

Technology Source: US News and World Report 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

The hand held device 1971 Hoff - Microprocessor 1972 Alan Kay - PARC - Dynabook 1993 Newton MessagePad 1994 – Jeff Hawkin’s block of wood 2001 – palm OS – fastest growing platform in history

PALM V Same OS Rechargable Light Slim PALM VII Same OS Built in antenna Access mobile web sites transfer May not work everywhere Expensive PALM III Same OS 2 aa batteries Thicker Color possible  Also, Visor, Sony and Palm m100

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

Addresses and Phone numbers Add on the fly Synchronize with your computer Beam and get beamed Transfer business card Store addresses Paste into other programs

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

Formulas SynCalc – algebraic programmable advanced scientific calculator –Synergy Solutions – MedMath calculators edu MedCalc calculators –

Pharmacology refs Epocrates – –Automatic updates –Free Tarascon ePharmacopoeia –Medscape – –Not licensed outside US

Patient records Rounder – a powerful free Palm database coordinated with MS Access –Flexible –Complicated Configure –ThinkDB – –JFile – –HanDBase –

Notes and Books Take notes with MemoPad QuickWord (SmartDoc) – –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 - download and read books

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 – Novatel’s Omnisky –Modem add on JP Systems – OneTouch Mail –Integrate several POP servers on Palm

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

 Graffiti  Write letters and numbers in separate areas on Palm  Alphabet can be learned in minutes and is similar mainly simple English strokes  Hacks available to simplify

Palm Travel

 Expense account  Currency converter   Portable charger  Portable Hotsync  Travel info  International clock

Sites General - – – –Pharm - Syncalc - Rounder - MakeDoc - SmartDoc - ThinkDB - handDB - Medical – – – – – ublic/pilot.htm – – – – m/

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