Sunday, February 6, 2011

A cool feature with OSCAR

I just had to state something very cool about OSCAR that you can't get with any other EMR.

I connect to OSCAR using my laptop, which I carry with me from room to room as I move around the office. I also drag my laptop with me down to the pharmacy, to my personal office and the lunch room, etc.

I use a Macbook Air, because it is simply the best portable laptop out there. There are simply no better machines for use with an EMR. Sure, you can cheap out and buy a windows machine. They certainly cost a lot less. Mac's are expensive - but let's face it. If you want OSCAR, chances are that you are an M.D. If the cost difference between a (high end) Mac and a (low end) PC is something that makes you lose sleep - then Medicine as a career is possibly not meeting your financial objectives. That is a huge potential can of worms that is beyond the scope of this blog.

Suffice it to say - if you want the best possible experience with using an EMR with OSCAR - then use Mac's. I chatted with my support guy about this, and he pointed out that >95% of his "support calls" are a result of some strange quirk of windows that is messing something up for one reason or another. He rarely gets a request for support from a Mac user.

Mac's just work. Always. For mission critical operations like the business of a Physician - that should say a lot.

.....so: back to my story.....

With the Macbook Air, I run OSCAR on Mac's browser: Safari. This works seamlessly and is very smooth. Works also on my ipad and iphone. But even cooler: I can configure safari to display a "ticker tape" at the top of the browser that gives me up to the minute weather/temperature reports in Calgary....as well as the time/date and a rolling RSS feed from the Calgary Herald and any other RSS feed I like.

Yes, I know what you are thinking - I do pay attention to my patients and I do not stare at my computer screen while they are talking. But with the few seconds I have between patients - it is an amazingly cool way of "keeping up" with the world.

I also have "Facetime" on my Macbook Air. This means that my wife and kids can reach me directly and personally with a direct audio/video chat directly on my air instead of me having to pick up my phone. If I'm with my patient - they know that I will answer and then put them on hold.....then I simply walk out of the room and we have our quick chat.

They never call me about anything insignificant - I only get the infrequent call like, "hey Dad, does this wound on my arm look like it needs stitches", or "Hey Honey, I'm at Grandpa's, and his left calf is swollen and red and looks like this....should I bring him in?....".

Something beyond PG-14 video chats from my wife - though MORE than welcome....seem to not have been coming my way. It would seem that she doesn't entirely trust the digital medium all that much. Ah well....time may mend that.

Just in the process of validation of the labs and billing.....should't be long now......




4 comments:

  1. From an earlier post you mention that, "The Linux servers running OSCAR are mirrored to each other and back up automatically every morning at 03:30. The servers are completely silent and have no hard drives (we're using the new Intel SSD's)."

    Could you elaborate on what you mean by mirrored? Do you have 2 servers that are completely redundant or are you using one that backs up to the other once a day? Or are you using 2 servers that back up to a third server once a day?

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  2. 1 server is exactly copied to another server, incrementally. So if one dies, I just start using the other one with no down time. The 1st server is also backed up to a third server at a remote location in exactly the same way. No downtime if I lose a server.

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  3. I use two servers, where one copies itself to the other server several times per day. When I lose my primary server, I just point my browser to the backup server and I'm in business....while I send the 1st server in for repairs. I also have a daily APS backup that is offsite so that I'm still in business when the asteroid takes out my office building. There is complete redundancy

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