Re: Re: Amazing Charts Crash

[Guest guest]

Rahul

Were you installing the server to XP sp3?? This is an operating

system that is 7 years old now ... and presumably you were installing

windows SQL server 2008 express which is designed primarily to run

under Windows server OS and not client OSs.

So, I would guess it's not a supported configuration unless someone

knows contrary to this.

>

>

>

>

>

> Hope you were able to get AC up and running again.  I looked through the

Amazing Charts forums and noticed a handful of users complaining about frequent

crashes.

> While many people speak highly of Amazing Charts, I took it off my EMR

consideration list after it crashed my Windows XP SP3 virtual machine during

demo installation.

>

> Rahul Patel

>

>

>>

>> I cannot open Amazing Charts and I have AC tech support helping me figure it

>> out but so far no luck. Any alternatives to record keeping when your system

>> fails?  Thank you very much.

>>

>

>

>

> ------------------------------------

>

>

[Guest guest]

BTW, here's a 180 day eval of Windows server 2008 ... which is quite

long enough to do your 90 day eval of AC.

http://www.microsoft.com/windowsserver2008/en/us/trial-software.aspx

> Rahul

>

> Were you installing the server to XP sp3??  This is an operating

> system that is 7 years old now ... and presumably you were installing

> windows SQL server 2008 express which is designed primarily to run

> under Windows server OS and not client OSs.

--

Graham Chiu

http://www.compkarori.co.nz:8090/

Synapse - the use from anywhere EMR.

[Guest guest]

Here it is right off of AC's website Guys. As I knew XP is fine although almost everyone with experience strongly suggests not using lesser versions and to stick with the more stable PRO versions as it even stated here.... BTW, we used to us TrendMicro for internet security on all of our machines and for quite some time were very happy. Then one day AC refused to work with it... Tried AVG on AC's recommendation and absolutely hated it and took it off the same day. That is when we started using Kaspersky and have never looked back, certainly the strongest best protection package we have ever used. Anyway, AC is fine on small P2P networks including on XP Pro systems, as a matter of fact it was specifically designed to work on basic more P2P networks because AC's main targeted consumers are folks

like ourselves...

http://amazingcharts.com/support/hardware-os-requirements/

Rated #1 in User Satisfaction

"Amazing Charts saved my practice! My reimbursements increased significantly once I started using it."

— E. III, MD, Family Practitioner and Geriatric Physician

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Hardware & OS Requirements

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Amazing Charts

Support

Hardware & OS Requirements

System Requirements

One of the things that makes the Amazing Charts Electronic Health Record (EHR/EMR) system so affordable is the ability to run on off-the-shelf computers, which you can buy online or at any office supply or computer store. In fact, virtually any PC purchased within the past few years should be more than powerful enough to use Amazing Charts to its full capacity.

Amazing Charts can also be used on netbooks and tablet computers, and works on nearly all Windows Operating Systems (e.g., Windows 7, Vista, XP, Small Business Server, and others). Even Apple Macintosh users can use Amazing Charts on computers running Bootcamp, Parallels, or VMware.

Minimum System Specifications

If buying a new computer, we recommend you get one that meets or exceeds these specifications:

Processor: Intel or AMD processor running at 2 GHz or faster - most processors made in the last two years will do just fine.

OS: Windows 7, Windows Vista, Windows XP, Windows Small Business Server 2003, or newer (with latest Service Packs). We recommend the Pro version of these - especially for the "main" computer or server.

RAM: 2 GB or more for local/client computers - 4 GB or more for the main/server computer.

Screen Resolution: 1024 x 768 or higher - this means some netbooks with screens of 10.1" or less will cut off some windows.

Hard Drive: At least 160 GB of free space.

Connectivity: An active Internet connection is not required for regular use, but will be needed for certain features such as ePrescribing and drug/drug interaction checking.

To: Sent: Fri, April 15, 2011 12:19:08 AMSubject: Re: Re: Amazing Charts Crash

BTW, here's a 180 day eval of Windows server 2008 ... which is quitelong enough to do your 90 day eval of AC.http://www.microsoft.com/windowsserver2008/en/us/trial-software.aspxOn Fri, Apr 15, 2011 at 4:14 PM, Graham Chiu wrote:> Rahul>> Were you installing the server to XP sp3?? This is an operating> system that is 7 years old now ... and presumably you were installing> windows SQL server 2008 express which is designed primarily to run> under Windows server OS and not client OSs.-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

that may be true, but I just can't understand why one would want to run Sql server on such an old operating system when Microsoft has much newer and stable server operating systems available.  7 years of development does mean something for stability.

And if your server goes down, your business comes to a halt.PS: I'm not talking about the client workstations but where you install the server.

Here it is right off of AC's website Guys. As I knew XP is fine although almost everyone  with experience strongly suggests not using lesser versions and to stick with the more stable PRO versions as it even stated here....  

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

Thanks for the input Lynn,  Graham, and Rahul.  I am not able to revive AC--I was told problem with SQL; somehow my computer no longer recognizing AC.  I cleaned up my computer, restored to factory bought state, downloaded new AC as a new customer, worked last night but this am can't open AC. I need to continue working so I can either buy a new computer asap or use a free program Practice Fusion, I heard?, (also integrates with AC);  I am lucky I can have down time but this really has set me back a few days. Have you heard of similar SQL freeze/crash?  I use Windows Vista on a sole computer Vaio Sony 2009.

 

that may be true, but I just can't understand why one would want to run Sql server on such an old operating system when Microsoft has much newer and stable server operating systems available.  7 years of development does mean something for stability.

And if your server goes down, your business comes to a halt.

PS: I'm not talking about the client workstations but where you install the server.

Here it is right off of AC's website Guys. As I knew XP is fine although almost everyone  with experience strongly suggests not using lesser versions and to stick with the more stable PRO versions as it even stated here....  

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

Are you networked or not??? Are you running professional levels of your Vista operating system or not??? Have you posted details of your situation with the AC User board or not??? Like I said there are some really great people there who know computers, networks and AC in particular really, really well. Very important to get on there and get those people, fellow techincally savvy users involved with this trouble shooting. I have heard that Vista is a PIA supreme and if not running with a business or Pro version your operating system maybe your worst enemy. Also, the conflict in your anti-virus internet security package can not be ignored, nor can the idea that some packages most, DON'T know AC and so they label it as a questionable program with limited

access and resources when in fact it is a very trustable software that needs good access to much of your computer and your network... Lastly, with such stability problems the idea of hardware related problems come to mind, your RAM, your Harddrive especially could be just compromised enough, starting to get "achy" that is throws your system just a curve or two which is all it might take to make AC Puke.... These are all super important questions and concepts and without the answers it is hard if not impossible to even begin to assist you.

Please go to the AC users Board that you can find a link to at the AC website and start searching for old posts about problems like your own as well as post a good, really detailed (like the things I listed above for example, what is your set up, Solo computer, P2P windows ala home network, real server based network, Oh and Wired verses wireless network too, Anti Virus internet security package and the like) explaination of your problem and your set-up and what the board light up with some great responses to your problem.... And if you are especially P2P networked if you are runnning in a Mixed system set-up like one machine is XP home, while another is some form of Vista and so on, I have heard Bert and the gang bitch to the heavens about how these mixed networks, especially without Pro versions just do NOT play well together.... And Vista seems to be the bad guy in most of this, it just does not know how to play well with its sibs and

cousins....

http://amazingcharts.com/ub/

So go to this linked address and create an account if you have not already with the AC user board and I promise you will learn so much and feel so much more comfortable and supported by really nice fellow user friends. It was so nice back when we were in our learning curve too... Please promise to do this and then get back to us and let us know what happened....

To: Sent: Fri, April 15, 2011 12:57:20 PMSubject: Re: Re: Amazing Charts Crash

Thanks for the input Lynn, Graham, and Rahul. I am not able to revive AC--I was told problem with SQL; somehow my computer no longer recognizing AC. I cleaned up my computer, restored to factory bought state, downloaded new AC as a new customer, worked last night but this am can't open AC. I need to continue working so I can either buy a new computer asap or use a free program Practice Fusion, I heard?, (also integrates with AC); I am lucky I can have down time but this really has set me back a few days. Have you heard of similar SQL freeze/crash? I use Windows Vista on a sole computer Vaio Sony 2009.

that may be true, but I just can't understand why one would want to run Sql server on such an old operating system when Microsoft has much newer and stable server operating systems available. 7 years of development does mean something for stability.

And if your server goes down, your business comes to a halt.

PS: I'm not talking about the client workstations but where you install the server.

Here it is right off of AC's website Guys. As I knew XP is fine although almost everyone with experience strongly suggests not using lesser versions and to stick with the more stable PRO versions as it even stated here....

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

Thanks for the input Lynn,  Graham, and Rahul.  I am not able to revive AC--I was told problem with SQL; somehow my computer no longer recognizing AC.  I cleaned up my computer, restored to factory bought state, downloaded new AC as a new customer, worked last night but this am can't open AC. I need to continue working so I can either buy a new computer asap or use a free program Practice Fusion, I heard?, (also integrates with AC);  I am lucky I can have down time but this really has set me back a few days. Have you heard of similar SQL freeze/crash?  I use Windows Vista on a sole computer Vaio Sony 2009.

So your network configuration is the single PC on which you run AC and the AC server ( Sql server express 2005 ) ??That it worked when you reloaded your PC to factory state and then not later on suggests that it might be a MS update ( or other software installed after this) that kills things.

So, if the above assumptions are correct, try restoring your Vista to when it last worked eg when you entered your last patient into the new AC build, and then turn off all MS updates.If that works you should be able to restore your AC backup.

 -- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

Did you take all of your fresh MS Updates before or after installing AC??? Perhaps as Gram his getting at here the updates might have messed up the particular SQL AC sets up. An equally interesting idea would be to make sure that you have taken each and every last update, sometimes it takes two to four download, install, reboot sequences before all of the updates are complete, like one builds upon another is seems... Then and only then finally do a good clean install of AC so AC gets to do the final update convertion on SQL that it likes best.... I have heard of other SQL based programs EMR's wanting full or final control over SQL so like at one point something as common everday as Outlook was not able to function and share SQL with Chartware which we started with back in 2004. SQL is a strange beast

but I sure as heck would wish that those that program and work with it would make sure that any and all obvious and semi-normal programs that might need to make use of it, could do so cooperatively...

I presume you have run the usually Amazing Utilities to try and figure this out and the like as well. BTW, both of you going P2P in a small office means that any and all desktops can now serve as a server in a major hardware failure which one can not do in a real server based enviornment. For those of us of modest computer skills and even lesser budgets, P2P for the average IMP sized office I believe make a whole lot of more sense than the added expenses and complexity and lack of easy back-up plans as P2P allows you... Old tower is now again server so new tower can be repaired and taken off line without any major loss in office productivity as one really common and great example...

To: Sent: Fri, April 15, 2011 3:00:17 PMSubject: Re: Re: Amazing Charts Crash

Thanks for the input Lynn, Graham, and Rahul. I am not able to revive AC--I was told problem with SQL; somehow my computer no longer recognizing AC. I cleaned up my computer, restored to factory bought state, downloaded new AC as a new customer, worked last night but this am can't open AC. I need to continue working so I can either buy a new computer asap or use a free program Practice Fusion, I heard?, (also integrates with AC); I am lucky I can have down time but this really has set me back a few days. Have you heard of similar SQL freeze/crash? I use Windows Vista on a sole computer Vaio Sony 2009.

So your network configuration is the single PC on which you run AC and the AC server ( Sql server express 2005 ) ??

That it worked when you reloaded your PC to factory state and then not later on suggests that it might be a MS update ( or other software installed after this) that kills things.

So, if the above assumptions are correct, try restoring your Vista to when it last worked eg when you entered your last patient into the new AC build, and then turn off all MS updates.

If that works you should be able to restore your AC backup.

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

Thanks Graham and Your theory about the MS updates looks right as I restored to the factory state; did not download any updates and got the AC to work as a new customer.  The next day it did not work.  What I did the night before was download McAffee.  I restored again to factory state and then converted from Vista to Windows 7; got Norton as having problems with McAffee.  Now I have a new AC that is working but blank--I will have to figure out a way to get back the data which is kept by AC as a backup and on a disc and portable hard drive I got. What do you think?

1.  How do I extract the data from my backup portable hard drive?  It seems to need a special program to do that.  It copied my data in the beginning; took 2 hours with a USB port 2.2. I will try get the charts from AC, they copied everything.

3. I will get a backup computer--what do you guys think of a IPad with an interface for AC--are they less crash prone? compared to a PC. Learned my lesson about the whole clinic coming to a halt.4. Side issue:  the latest McAffee I had came with a free Acrobat Pro trial which I did not buy eventually.  I deleted the Acrobat Pro as is bullies me with popups to buy. I guess the Acrobat Pro was tied to the McAffee which I stopped too.  Wonder if you had any experience with these hounding programs that hijack every PDF you would like to read with popups that won't go away.  (I notice this with Acrobat).

5. In the midst of all these I needed to work and though of trying Practice Fusion which  was easy to set up except there will be ads while you are working on your chart; it is a free program.  The catch is they do not allow interfacing with other gateway programs and only exclusively use Kareo for billing interface at $200 a month. I told the rep I do my billing; he said no other program interface allowed. So I said no thanks. 

 

Did you take all of your fresh MS Updates before or after installing AC??? Perhaps as Gram his getting at here the updates might have messed up the particular SQL AC sets up. An equally interesting idea would be to make sure that you have taken each and every last update, sometimes it takes two to four download, install, reboot sequences before all of the updates are complete, like one builds upon another is seems... Then and only then finally do a good clean install of AC so AC gets to do the final update convertion on SQL that it likes best.... I have heard of other SQL based programs EMR's wanting full or final control over SQL so like at one point something as common everday as Outlook was not able to function and share SQL with Chartware which we started with back in 2004. SQL is a strange beast

but I sure as heck would wish that those that program and work with it would make sure that any and all obvious and semi-normal programs that might need to make use of it, could do so cooperatively...

 

I presume you have run the usually Amazing Utilities to try and figure this out and the like as well. BTW, both of you going P2P in a small office means that any and all desktops can now serve as a server in a major hardware failure which one can not do in a real server based enviornment. For those of us of modest computer skills and even lesser budgets, P2P for the average IMP sized office I believe make a whole lot of more sense than the added expenses and complexity and lack of easy back-up plans as P2P allows you... Old tower is now again server so new tower can be repaired and taken off line without any major loss in office productivity as one really common and great example...

 

To:

Sent: Fri, April 15, 2011 3:00:17 PMSubject: Re: Re: Amazing Charts Crash

 

Thanks for the input Lynn,  Graham, and Rahul.  I am not able to revive AC--I was told problem with SQL; somehow my computer no longer recognizing AC.  I cleaned up my computer, restored to factory bought state, downloaded new AC as a new customer, worked last night but this am can't open AC. I need to continue working so I can either buy a new computer asap or use a free program Practice Fusion, I heard?, (also integrates with AC);  I am lucky I can have down time but this really has set me back a few days. Have you heard of similar SQL freeze/crash?  I use Windows Vista on a sole computer Vaio Sony 2009.

So your network configuration is the single PC on which you run AC and the AC server ( Sql server express 2005 ) ??

That it worked when you reloaded your PC to factory state and then not later on suggests that it might be a MS update ( or other software installed after this) that kills things.

So, if the above assumptions are correct, try restoring your Vista to when it last worked eg when you entered your last patient into the new AC build, and then turn off all MS updates.

If that works you should be able to restore your AC backup.

 -- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

LizSince it is Sql server 2005 ( I presume ), then you can follow thishttp://msdn.microsoft.com/en-us/library/ms177429(v=SQL.90).aspx

though there may be specific guides for AC around.  Presumably since you're on some type of maintenance contract with AC, won't they do this for you?

Thanks Graham and Your theory about the MS updates looks right as I restored to the factory state; did not download any updates and got the AC to work as a new customer.  The next day it did not work.  What I did the night before was download McAffee.  I restored again to factory state and then converted from Vista to Windows 7; got Norton as having problems with McAffee.  Now I have a new AC that is working but blank--I will have to figure out a way to get back the data which is kept by AC as a backup and on a disc and portable hard drive I got. What do you think?

1.  How do I extract the data from my backup portable hard drive?  It seems to need a special program to do that.  It copied my data in the beginning; took 2 hours with a USB port 2.2. I will try get the charts from AC, they copied everything.

3. I will get a backup computer--what do you guys think of a IPad with an interface for AC--are they less crash prone? compared to a PC. Learned my lesson about the whole clinic coming to a halt.

IPad is Mac, and not windows.  It's a consumer device and software has to be designed specifically for it.My preference is to have a dedicated server to run server software, and that way I can control the updates.  My client connects to the server and if my client fails .. I can get another client easily.  Even an iPad can be used as a client thru remote desktop I think.

I recently bought a micro server from HP to see if it would host Synapse.  It might work for you too.  But I guess AC can advise you on that. 

4. Side issue:  the latest McAffee I had came with a free Acrobat Pro trial which I did not buy eventually.  I deleted the Acrobat Pro as is bullies me with popups to buy. I guess the Acrobat Pro was tied to the McAffee which I stopped too.  Wonder if you had any experience with these hounding programs that hijack every PDF you would like to read with popups that won't go away.  (I notice this with Acrobat).

Those popups only occur with the eval version of Acrobat Pro X.  Just uninstall it and install Acrobat X reader.  Though Acrobat Pro X is pretty cool stuff. 

5. In the midst of all these I needed to work and though of trying Practice Fusion which  was easy to set up except there will be ads while you are working on your chart; it is a free program.  The catch is they do not allow interfacing with other gateway programs and only exclusively use Kareo for billing interface at $200 a month. I told the rep I do my billing; he said no other program interface allowed. So I said no thanks. 

Presumably there is some exclusive arrangement that prevents other programs being interfaced.-- Graham Chiuhttp://www.compkarori.co.nz:8090/

Synapse - the use from anywhere EMR.

[Guest guest]

Thanks for the information, Graham.  I think I need more IT knowledge (which I don't have) to carry it out. I have a maintenance contract with AC so I will try that first.  How is your system set up?  Do you have a minimum number of computers and backup drives to protect against a crash?

 

LizSince it is Sql server 2005 ( I presume ), then you can follow thishttp://msdn.microsoft.com/en-us/library/ms177429(v=SQL.90).aspx

though there may be specific guides for AC around.  Presumably since you're on some type of maintenance contract with AC, won't they do this for you?

Thanks Graham and Your theory about the MS updates looks right as I restored to the factory state; did not download any updates and got the AC to work as a new customer.  The next day it did not work.  What I did the night before was download McAffee.  I restored again to factory state and then converted from Vista to Windows 7; got Norton as having problems with McAffee.  Now I have a new AC that is working but blank--I will have to figure out a way to get back the data which is kept by AC as a backup and on a disc and portable hard drive I got. What do you think?

1.  How do I extract the data from my backup portable hard drive?  It seems to need a special program to do that.  It copied my data in the beginning; took 2 hours with a USB port 2.2. I will try get the charts from AC, they copied everything.

3. I will get a backup computer--what do you guys think of a IPad with an interface for AC--are they less crash prone? compared to a PC. Learned my lesson about the whole clinic coming to a halt.

IPad is Mac, and not windows.  It's a consumer device and software has to be designed specifically for it.My preference is to have a dedicated server to run server software, and that way I can control the updates.  My client connects to the server and if my client fails .. I can get another client easily.  Even an iPad can be used as a client thru remote desktop I think.

I recently bought a micro server from HP to see if it would host Synapse.  It might work for you too.  But I guess AC can advise you on that. 

4. Side issue:  the latest McAffee I had came with a free Acrobat Pro trial which I did not buy eventually.  I deleted the Acrobat Pro as is bullies me with popups to buy. I guess the Acrobat Pro was tied to the McAffee which I stopped too.  Wonder if you had any experience with these hounding programs that hijack every PDF you would like to read with popups that won't go away.  (I notice this with Acrobat).

Those popups only occur with the eval version of Acrobat Pro X.  Just uninstall it and install Acrobat X reader.  Though Acrobat Pro X is pretty cool stuff.

 

5. In the midst of all these I needed to work and though of trying Practice Fusion which  was easy to set up except there will be ads while you are working on your chart; it is a free program.  The catch is they do not allow interfacing with other gateway programs and only exclusively use Kareo for billing interface at $200 a month. I told the rep I do my billing; he said no other program interface allowed. So I said no thanks. 

Presumably there is some exclusive arrangement that prevents other programs being interfaced.-- Graham Chiu

http://www.compkarori.co.nz:8090/

Synapse - the use from anywhere EMR.

[Guest guest]

Thanks for the information, Graham.  I think I need more IT knowledge (which I don't have) to carry it out. I have a maintenance contract with AC so I will try that first.  How is your system set up?  Do you have a minimum number of computers and backup drives to protect against a crash?

I rent a virtual server in the cloud from Amazon and backup also to the cloud.  If the server dies, I just provision a new one, restore my cloud backups and I'm running again.

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

The cloud was just out I heard in the news. So you keep it in a virtual server in the sky or Amazon Cloud.  I will look into this. Thanks.

 

Thanks for the information, Graham.  I think I need more IT knowledge (which I don't have) to carry it out. I have a maintenance contract with AC so I will try that first.  How is your system set up?  Do you have a minimum number of computers and backup drives to protect against a crash?

I rent a virtual server in the cloud from Amazon and backup also to the cloud.  If the server dies, I just provision a new one, restore my cloud backups and I'm running again.

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

LizaI have noting  useful to say except that having been through troubles I can sympathize.I am not sure you need  back up computer but  it is useful to have simple backup you know how to work.Been there done that. AN d probably multiple forms of back up

 sometimes you can put somethings on a  thumb drive?   I can put my  whole emr on one..Perhaps you can  have  face sheets or chart summaries or something go to a file that you export and can  keep on your desktop-NOT  in the EMR?

 and   as well use an online service like carbonite or mozty pro- see that way when there is trouble you call people and they help youALso your computer co. may let you buy suppor t time- dell had helped me alot It took some time and money but they fixed  some stuff fr me one weekend.(Lynn Ho told me to do that)

ALso HAving areal computer person  who can come and  sit with your stuff andhelp youThen over time you leanr to solve troubles. You can always work  with a phone and prescription pad( and I have ot say   when my FAX and email  go down I hate it more than the  emr being trouble!!) but it does tie you r hands to not have allergies meds you r  last plan of care etc

Sorry to hear about the troubles. Presume you know some appropriate bad words and have a supply of tissues.Jean.

 

The cloud was just out I heard in the news. So you keep it in a virtual server in the sky or Amazon Cloud.  I will look into this. Thanks.

 

Thanks for the information, Graham.  I think I need more IT knowledge (which I don't have) to carry it out. I have a maintenance contract with AC so I will try that first.  How is your system set up?  Do you have a minimum number of computers and backup drives to protect against a crash?

I rent a virtual server in the cloud from Amazon and backup also to the cloud.  If the server dies, I just provision a new one, restore my cloud backups and I'm running again.

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

--      MD          ph    fax

[Guest guest]

psalso this may be obvious but I forget it all the time As long as you can get the internet ask GoogleGoogle s tells you how to solve problems My computer guy  comes over and googles stuff!

LizaI have noting  useful to say except that having been through troubles I can sympathize.I am not sure you need  back up computer but  it is useful to have simple backup you know how to work.Been there done that. AN d probably multiple forms of back up

 sometimes you can put somethings on a  thumb drive?   I can put my  whole emr on one..Perhaps you can  have  face sheets or chart summaries or something go to a file that you export and can  keep on your desktop-NOT  in the EMR?

 and   as well use an online service like carbonite or mozty pro- see that way when there is trouble you call people and they help youALso your computer co. may let you buy suppor t time- dell had helped me alot It took some time and money but they fixed  some stuff fr me one weekend.(Lynn Ho told me to do that)

ALso HAving areal computer person  who can come and  sit with your stuff andhelp youThen over time you leanr to solve troubles. You can always work  with a phone and prescription pad( and I have ot say   when my FAX and email  go down I hate it more than the  emr being trouble!!) but it does tie you r hands to not have allergies meds you r  last plan of care etc

Sorry to hear about the troubles. Presume you know some appropriate bad words and have a supply of tissues.Jean.

 

The cloud was just out I heard in the news. So you keep it in a virtual server in the sky or Amazon Cloud.  I will look into this. Thanks.

 

Thanks for the information, Graham.  I think I need more IT knowledge (which I don't have) to carry it out. I have a maintenance contract with AC so I will try that first.  How is your system set up?  Do you have a minimum number of computers and backup drives to protect against a crash?

I rent a virtual server in the cloud from Amazon and backup also to the cloud.  If the server dies, I just provision a new one, restore my cloud backups and I'm running again.

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

--      MD          ph    fax

--      MD          ph    fax

[Guest guest]

The best analogy of what people are up against that I can think of right now .. is of an IMP doing a stress test on an aging smoker with diabetes and chest pain, without knowing exactly where the crash cart is, and never having tested the 2nd hand defibrillator.

That's my perspective of running business critical applications on consumer grade equipment and operating systems.

LizaI have noting  useful to say except that having been through troubles I can sympathize.I am not sure you need  back up computer but  it is useful to have simple backup you know how to work.Been there done that. AN d probably multiple forms of back up

 sometimes you can put somethings on a  thumb drive?   I can put my  whole emr on one..Perhaps you can  have  face sheets or chart summaries or something go to a file that you export and can  keep on your desktop-NOT  in the EMR?

 and   as well use an online service like carbonite or mozty pro- see that way when there is trouble you call people and they help youALso your computer co. may let you buy suppor t time- dell had helped me alot It took some time and money but they fixed  some stuff fr me one weekend.(Lynn Ho told me to do that)

ALso HAving areal computer person  who can come and  sit with your stuff andhelp youThen over time you leanr to solve troubles. You can always work  with a phone and prescription pad( and I have ot say   when my FAX and email  go down I hate it more than the  emr being trouble!!) but it does tie you r hands to not have allergies meds you r  last plan of care etc

Sorry to hear about the troubles. Presume you know some appropriate bad words and have a supply of tissues.Jean.

 

The cloud was just out I heard in the news. So you keep it in a virtual server in the sky or Amazon Cloud.  I will look into this. Thanks.

 

Thanks for the information, Graham.  I think I need more IT knowledge (which I don't have) to carry it out. I have a maintenance contract with AC so I will try that first.  How is your system set up?  Do you have a minimum number of computers and backup drives to protect against a crash?

I rent a virtual server in the cloud from Amazon and backup also to the cloud.  If the server dies, I just provision a new one, restore my cloud backups and I'm running again.

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

--      MD          ph    fax

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

Thanks Jean; will use the google suggestion. Right now AC is trying to give me the backup data.  I find this experience hard.Graham, I see how the a small IMP system can be vulnerable but these can be corrected. A bigger more complex system is not any less vulnerable bec many variables and moving parts that can mess up and break the system.  As they say the more complex the system the more vulnerable it is.  What was lacking in my nonsystem IMP is I did not have redundancy where if one thing breaks another takes over--I was too low overhead to get another computer but learned my lesson. 

 

The best analogy of what people are up against that I can think of right now .. is of an IMP doing a stress test on an aging smoker with diabetes and chest pain, without knowing exactly where the crash cart is, and never having tested the 2nd hand defibrillator.

That's my perspective of running business critical applications on consumer grade equipment and operating systems.

LizaI have noting  useful to say except that having been through troubles I can sympathize.I am not sure you need  back up computer but  it is useful to have simple backup you know how to work.Been there done that. AN d probably multiple forms of back up

 sometimes you can put somethings on a  thumb drive?   I can put my  whole emr on one..Perhaps you can  have  face sheets or chart summaries or something go to a file that you export and can  keep on your desktop-NOT  in the EMR?

 and   as well use an online service like carbonite or mozty pro- see that way when there is trouble you call people and they help youALso your computer co. may let you buy suppor t time- dell had helped me alot It took some time and money but they fixed  some stuff fr me one weekend.(Lynn Ho told me to do that)

ALso HAving areal computer person  who can come and  sit with your stuff andhelp youThen over time you leanr to solve troubles. You can always work  with a phone and prescription pad( and I have ot say   when my FAX and email  go down I hate it more than the  emr being trouble!!) but it does tie you r hands to not have allergies meds you r  last plan of care etc

Sorry to hear about the troubles. Presume you know some appropriate bad words and have a supply of tissues.Jean.

 

The cloud was just out I heard in the news. So you keep it in a virtual server in the sky or Amazon Cloud.  I will look into this. Thanks.

 

Thanks for the information, Graham.  I think I need more IT knowledge (which I don't have) to carry it out. I have a maintenance contract with AC so I will try that first.  How is your system set up?  Do you have a minimum number of computers and backup drives to protect against a crash?

I rent a virtual server in the cloud from Amazon and backup also to the cloud.  If the server dies, I just provision a new one, restore my cloud backups and I'm running again.

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse'>http://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

--      MD          ph    fax

-- Graham Chiuhttp://www.compkarori.co.nz:8090/

Synapse - the use from anywhere EMR.

[Guest guest]

Money and  time  do solve  everything pretty much.But do not spend money  on hardware if you do not have toI worked off only a laptop for 5 1/2 yrs. It is possible to be  a cheapskate and do well:)(now I have a desktop called a server +  the laptop)

 

Thanks Jean; will use the google suggestion. Right now AC is trying to give me the backup data.  I find this experience hard.Graham, I see how the a small IMP system can be vulnerable but these can be corrected. A bigger more complex system is not any less vulnerable bec many variables and moving parts that can mess up and break the system.  As they say the more complex the system the more vulnerable it is.  What was lacking in my nonsystem IMP is I did not have redundancy where if one thing breaks another takes over--I was too low overhead to get another computer but learned my lesson. 

 

The best analogy of what people are up against that I can think of right now .. is of an IMP doing a stress test on an aging smoker with diabetes and chest pain, without knowing exactly where the crash cart is, and never having tested the 2nd hand defibrillator.

That's my perspective of running business critical applications on consumer grade equipment and operating systems.

LizaI have noting  useful to say except that having been through troubles I can sympathize.I am not sure you need  back up computer but  it is useful to have simple backup you know how to work.Been there done that. AN d probably multiple forms of back up

 sometimes you can put somethings on a  thumb drive?   I can put my  whole emr on one..Perhaps you can  have  face sheets or chart summaries or something go to a file that you export and can  keep on your desktop-NOT  in the EMR?

 and   as well use an online service like carbonite or mozty pro- see that way when there is trouble you call people and they help youALso your computer co. may let you buy suppor t time- dell had helped me alot It took some time and money but they fixed  some stuff fr me one weekend.(Lynn Ho told me to do that)

ALso HAving areal computer person  who can come and  sit with your stuff andhelp youThen over time you leanr to solve troubles. You can always work  with a phone and prescription pad( and I have ot say   when my FAX and email  go down I hate it more than the  emr being trouble!!) but it does tie you r hands to not have allergies meds you r  last plan of care etc

Sorry to hear about the troubles. Presume you know some appropriate bad words and have a supply of tissues.Jean.

 

The cloud was just out I heard in the news. So you keep it in a virtual server in the sky or Amazon Cloud.  I will look into this. Thanks.

 

Thanks for the information, Graham.  I think I need more IT knowledge (which I don't have) to carry it out. I have a maintenance contract with AC so I will try that first.  How is your system set up?  Do you have a minimum number of computers and backup drives to protect against a crash?

I rent a virtual server in the cloud from Amazon and backup also to the cloud.  If the server dies, I just provision a new one, restore my cloud backups and I'm running again.

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse'>http://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

--      MD          ph    fax

-- Graham Chiuhttp://www.compkarori.co.nz:8090/

Synapse - the use from anywhere EMR.

--      MD          ph    fax

[Guest guest]

RE low overhead and redundancies

Oh, but you DID have redundancy, it just took you awhile to access it!

I'm debating now if I have bandwidth speed to use "virtual server" method for my EMR (SOAPware) vs local access.

I've had great success with Appointmentquest.com --> the advantage is that someone else does the software maintenance.

Cloud is easier if the "professional" database folks keep up --> but there's a price to that.

Do what you can afford and what the process allows.

Matt Levin, MD

Solo FP since 2004

Residency completed in 1988

Re: Re: Amazing Charts Crash

Thanks Jean; will use the google suggestion. Right now AC is trying to give me the backup data. I find this experience hard.Graham, I see how the a small IMP system can be vulnerable but these can be corrected. A bigger more complex system is not any less vulnerable bec many variables and moving parts that can mess up and break the system. As they say the more complex the system the more vulnerable it is. What was lacking in my nonsystem IMP is I did not have redundancy where if one thing breaks another takes over--I was too low overhead to get another computer but learned my lesson.

The best analogy of what people are up against that I can think of right now .. is of an IMP doing a stress test on an aging smoker with diabetes and chest pain, without knowing exactly where the crash cart is, and never having tested the 2nd hand defibrillator.

That's my perspective of running business critical applications on consumer grade equipment and operating systems.

LizaI have noting useful to say except that having been through troubles I can sympathize.I am not sure you need back up computer but it is useful to have simple backup you know how to work.Been there done that. AN d probably multiple forms of back up sometimes you can put somethings on a thumb drive? I can put my whole emr on one..Perhaps you can have face sheets or chart summaries or something go to a file that you export and can keep on your desktop-NOT in the EMR? and as well use an online service like carbonite or mozty pro- see that way when there is trouble you call people and they help youALso your computer co. may let you buy suppor t time- dell had helped me alot It took some time and money but they fixed some stuff fr me one weekend.(Lynn Ho told me to do that)ALso HAving areal computer person who can come and sit with your stuff andhelp youThen over time you leanr to solve troubles. You can always work with a phone and prescription pad( and I have ot say when my FAX and email go down I hate it more than the emr being trouble!!) but it does tie you r hands to not have allergies meds you r last plan of care etcSorry to hear about the troubles. Presume you know some appropriate bad words and have a supply of tissues.Jean.

The cloud was just out I heard in the news. So you keep it in a virtual server in the sky or Amazon Cloud. I will look into this. Thanks.

Thanks for the information, Graham. I think I need more IT knowledge (which I don't have) to carry it out. I have a maintenance contract with AC so I will try that first. How is your system set up? Do you have a minimum number of computers and backup drives to protect against a crash?

I rent a virtual server in the cloud from Amazon and backup also to the cloud. If the server dies, I just provision a new one, restore my cloud backups and I'm running again.

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

-- MD ph fax

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

AC told me to get a new computer as my current one is old.  It is now revived and I am able to get back my data from AZ. I am able to work again.  I am a low overhead cheapskate but will copy you and get a deskstop backup just in case.  Good that I had AC backup. 

This cloud server or virtual server, how is it different from the backup that AC offers where data is backed up to a location somewhere in Texas?

 

RE low overhead and redundancies

 

Oh, but you DID have redundancy, it just took you awhile to access it!

 

I'm debating now if I have bandwidth speed to use " virtual server " method for my EMR (SOAPware) vs local access.

I've had great success with Appointmentquest.com --> the advantage is that someone else does the software maintenance.

 

Cloud is easier if the " professional " database folks keep up --> but there's a price to that.

 

Do what you can afford and what the process allows.

 

Matt Levin, MD

Solo FP since 2004

Residency completed in 1988

Re: Re: Amazing Charts Crash

 

Thanks Jean; will use the google suggestion. Right now AC is trying to give me the backup data.  I find this experience hard.Graham, I see how the a small IMP system can be vulnerable but these can be corrected. A bigger more complex system is not any less vulnerable bec many variables and moving parts that can mess up and break the system.  As they say the more complex the system the more vulnerable it is.  What was lacking in my nonsystem IMP is I did not have redundancy where if one thing breaks another takes over--I was too low overhead to get another computer but learned my lesson. 

 

The best analogy of what people are up against that I can think of right now .. is of an IMP doing a stress test on an aging smoker with diabetes and chest pain, without knowing exactly where the crash cart is, and never having tested the 2nd hand defibrillator.

That's my perspective of running business critical applications on consumer grade equipment and operating systems.

LizaI have noting  useful to say except that having been through troubles I can sympathize.I am not sure you need  back up computer but  it is useful to have simple backup you know how to work.Been there done that. AN d probably multiple forms of back up sometimes you can put somethings on a  thumb drive?   I can put my  whole emr on one..Perhaps you can  have  face sheets or chart summaries or something go to a file that you export and can  keep on your desktop-NOT  in the EMR? and   as well use an online service like carbonite or mozty pro- see that way when there is trouble you call people and they help youALso your computer co. may let you buy suppor t time- dell had helped me alot It took some time and money but they fixed  some stuff fr me one weekend.(Lynn Ho told me to do that)ALso HAving areal computer person  who can come and  sit with your stuff andhelp youThen over time you leanr to solve troubles. You can always work  with a phone and prescription pad( and I have ot say   when my FAX and email  go down I hate it more than the  emr being trouble!!) but it does tie you r hands to not have allergies meds you r  last plan of care etcSorry to hear about the troubles. Presume you know some appropriate bad words and have a supply of tissues.Jean.

 

The cloud was just out I heard in the news. So you keep it in a virtual server in the sky or Amazon Cloud.  I will look into this. Thanks.

 

Thanks for the information, Graham.  I think I need more IT knowledge (which I don't have) to carry it out. I have a maintenance contract with AC so I will try that first.  How is your system set up?  Do you have a minimum number of computers and backup drives to protect against a crash?

I rent a virtual server in the cloud from Amazon and backup also to the cloud.  If the server dies, I just provision a new one, restore my cloud backups and I'm running again.

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

--      MD          ph    fax

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

Folks,

I'm not at the office right now so I can not confirm but as part of the new SQL server back end and AC finally having a real Back-Up utility if I'm not mistaken AC also have a Restore from your Back-Up files Utility. One of the things Jon was pretty good at was if I was in AC then it should work as described for the average not too IT savvy user... Easy to use easy to live with....

I just logged into the office main machine.... Open up your administrative options, big window opens up with lots of square buttons with various utilities and adjustments to your personal likings are there.... On top is the usually looking Windows based set of drop down menus things.... Drop Down "Tools" and within tools is the option to "Back-Up Restore Utility".... Now I don't want to mess things up too badly for myself here so this is where I am stopping but as what is probably an honest Utility, if you simply do what I asks and what it says, it should hopefully and basically Run Itself.... As with all things like this with AC I would strongly suggest being patient and Don't Interupt the process once it gets started so as to not corrupt your newly installing data and database...

Lastly, this is the type of thing that you do pay tech support for, to help you with these kind of restore issues post computer repairs... So I would suggest blocking some time during business hours and getting this done with a tech holding your hand on speaker phone or even having them fly your machine remotely as this is what they do and they are pretty good at it, and again it is what you have paid for in your support contract... Lastly, after your database is installed and seems to be running well, I would immediately make a fresh back with the back-up utility to a good safe drive or two at the office.... We back-up to two drives every night. One stays on site in a locked fire and water proof safe while the other comes home with us every night.... Offsite back up is a great fail safe to make sure even if you lose your office or main computers.... you still have your data... at about $100 bucks per 500 to a 1K gigs it sure

makes a great deal of inexpensive insurance to me.... Hope this gets you up and running.... let us know....

To: Sent: Sun, April 17, 2011 3:33:55 PMSubject: Re: Re: Amazing Charts Crash

Thanks Jean; will use the google suggestion. Right now AC is trying to give me the backup data. I find this experience hard.Graham, I see how the a small IMP system can be vulnerable but these can be corrected. A bigger more complex system is not any less vulnerable bec many variables and moving parts that can mess up and break the system. As they say the more complex the system the more vulnerable it is. What was lacking in my nonsystem IMP is I did not have redundancy where if one thing breaks another takes over--I was too low overhead to get another computer but learned my lesson.

The best analogy of what people are up against that I can think of right now .. is of an IMP doing a stress test on an aging smoker with diabetes and chest pain, without knowing exactly where the crash cart is, and never having tested the 2nd hand defibrillator.

That's my perspective of running business critical applications on consumer grade equipment and operating systems.

LizaI have noting useful to say except that having been through troubles I can sympathize.I am not sure you need back up computer but it is useful to have simple backup you know how to work.Been there done that. AN d probably multiple forms of back up sometimes you can put somethings on a thumb drive? I can put my whole emr on one..Perhaps you can have face sheets or chart summaries or something go to a file that you export and can keep on your desktop-NOT in the EMR? and as well use an online service like carbonite or mozty pro- see that way when there is trouble you call people and they help youALso your computer co. may let you buy suppor t time- dell had helped me alot It took some time and money but they fixed some stuff fr me one weekend.(Lynn Ho told me to do that)ALso HAving areal computer person who can

come and sit with your stuff andhelp youThen over time you leanr to solve troubles. You can always work with a phone and prescription pad( and I have ot say when my FAX and email go down I hate it more than the emr being trouble!!) but it does tie you r hands to not have allergies meds you r last plan of care etcSorry to hear about the troubles. Presume you know some appropriate bad words and have a supply of tissues.Jean.

The cloud was just out I heard in the news. So you keep it in a virtual server in the sky or Amazon Cloud. I will look into this. Thanks.

Thanks for the information, Graham. I think I need more IT knowledge (which I don't have) to carry it out. I have a maintenance contract with AC so I will try that first. How is your system set up? Do you have a minimum number of computers and backup drives to protect against a crash?

I rent a virtual server in the cloud from Amazon and backup also to the cloud. If the server dies, I just provision a new one, restore my cloud backups and I'm running again.

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

-- MD ph fax

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

PS, yes as a regular non super tech user.... KISS is always the best policy. Create and use what you can and will feel comfortable learning, using and keeping up.... A P2P windows based system with one or two extra machines and one router of some sort with good off the shelf software is almost always best.... KISS....

To: Sent: Sun, April 17, 2011 3:40:21 PMSubject: Re: Re: Amazing Charts Crash

RE low overhead and redundancies

Oh, but you DID have redundancy, it just took you awhile to access it!

I'm debating now if I have bandwidth speed to use "virtual server" method for my EMR (SOAPware) vs local access.

I've had great success with Appointmentquest.com --> the advantage is that someone else does the software maintenance.

Cloud is easier if the "professional" database folks keep up --> but there's a price to that.

Do what you can afford and what the process allows.

Matt Levin, MD

Solo FP since 2004

Residency completed in 1988

Re: Re: Amazing Charts Crash

Thanks Jean; will use the google suggestion. Right now AC is trying to give me the backup data. I find this experience hard.Graham, I see how the a small IMP system can be vulnerable but these can be corrected. A bigger more complex system is not any less vulnerable bec many variables and moving parts that can mess up and break the system. As they say the more complex the system the more vulnerable it is. What was lacking in my nonsystem IMP is I did not have redundancy where if one thing breaks another takes over--I was too low overhead to get another computer but learned my lesson.

The best analogy of what people are up against that I can think of right now .. is of an IMP doing a stress test on an aging smoker with diabetes and chest pain, without knowing exactly where the crash cart is, and never having tested the 2nd hand defibrillator.

That's my perspective of running business critical applications on consumer grade equipment and operating systems.

LizaI have noting useful to say except that having been through troubles I can sympathize.I am not sure you need back up computer but it is useful to have simple backup you know how to work.Been there done that. AN d probably multiple forms of back up sometimes you can put somethings on a thumb drive? I can put my whole emr on one..Perhaps you can have face sheets or chart summaries or something go to a file that you export and can keep on your desktop-NOT in the EMR? and as well use an online service like carbonite or mozty pro- see that way when there is trouble you call people and they help youALso your computer co. may let you buy suppor t time- dell had helped me alot It took some time and money but they fixed some stuff fr me one weekend.(Lynn Ho told me to do that)ALso HAving areal computer person who can

come and sit with your stuff andhelp youThen over time you leanr to solve troubles. You can always work with a phone and prescription pad( and I have ot say when my FAX and email go down I hate it more than the emr being trouble!!) but it does tie you r hands to not have allergies meds you r last plan of care etcSorry to hear about the troubles. Presume you know some appropriate bad words and have a supply of tissues.Jean.

The cloud was just out I heard in the news. So you keep it in a virtual server in the sky or Amazon Cloud. I will look into this. Thanks.

Thanks for the information, Graham. I think I need more IT knowledge (which I don't have) to carry it out. I have a maintenance contract with AC so I will try that first. How is your system set up? Do you have a minimum number of computers and backup drives to protect against a crash?

I rent a virtual server in the cloud from Amazon and backup also to the cloud. If the server dies, I just provision a new one, restore my cloud backups and I'm running again.

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

-- MD ph fax

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

I have used the backup a couple of times recently, as we had some pc problems resulting in me replacing PCs. It works great, but sometimes you get an error and need tech support to do it for yhou. Wayne CoghillPractice ManagerMidtown Primary Carewww.doctorcoghill.com

To: Sent: Sun, April 17, 2011 9:59:29 PMSubject: Re: Re: Amazing Charts Crash

Folks,

I'm not at the office right now so I can not confirm but as part of the new SQL server back end and AC finally having a real Back-Up utility if I'm not mistaken AC also have a Restore from your Back-Up files Utility. One of the things Jon was pretty good at was if I was in AC then it should work as described for the average not too IT savvy user... Easy to use easy to live with....

I just logged into the office main machine.... Open up your administrative options, big window opens up with lots of square buttons with various utilities and adjustments to your personal likings are there.... On top is the usually looking Windows based set of drop down menus things.... Drop Down "Tools" and within tools is the option to "Back-Up Restore Utility".... Now I don't want to mess things up too badly for myself here so this is where I am stopping but as what is probably an honest Utility, if you simply do what I asks and what it says, it should hopefully and basically Run Itself.... As with all things like this with AC I would strongly suggest being patient and Don't Interupt the process once it gets started so as to not corrupt your newly installing data and database...

Lastly, this is the type of thing that you do pay tech support for, to help you with these kind of restore issues post computer repairs... So I would suggest blocking some time during business hours and getting this done with a tech holding your hand on speaker phone or even having them fly your machine remotely as this is what they do and they are pretty good at it, and again it is what you have paid for in your support contract... Lastly, after your database is installed and seems to be running well, I would immediately make a fresh back with the back-up utility to a good safe drive or two at the office.... We back-up to two drives every night. One stays on site in a locked fire and water proof safe while the other comes home with us every night.... Offsite back up is a great fail safe to make sure even if you lose your office or main computers.... you still have your data... at about $100 bucks per 500 to a 1K gigs it sure

makes a great deal of inexpensive insurance to me.... Hope this gets you up and running.... let us know....

To: Sent: Sun, April 17, 2011 3:33:55 PMSubject: Re: Re: Amazing Charts Crash

Thanks Jean; will use the google suggestion. Right now AC is trying to give me the backup data. I find this experience hard.Graham, I see how the a small IMP system can be vulnerable but these can be corrected. A bigger more complex system is not any less vulnerable bec many variables and moving parts that can mess up and break the system. As they say the more complex the system the more vulnerable it is. What was lacking in my nonsystem IMP is I did not have redundancy where if one thing breaks another takes over--I was too low overhead to get another computer but learned my lesson.

The best analogy of what people are up against that I can think of right now .. is of an IMP doing a stress test on an aging smoker with diabetes and chest pain, without knowing exactly where the crash cart is, and never having tested the 2nd hand defibrillator.

That's my perspective of running business critical applications on consumer grade equipment and operating systems.

LizaI have noting useful to say except that having been through troubles I can sympathize.I am not sure you need back up computer but it is useful to have simple backup you know how to work.Been there done that. AN d probably multiple forms of back up sometimes you can put somethings on a thumb drive? I can put my whole emr on one..Perhaps you can have face sheets or chart summaries or something go to a file that you export and can keep on your desktop-NOT in the EMR? and as well use an online service like carbonite or mozty pro- see that way when there is trouble you call people and they help youALso your computer co. may let you buy suppor t time- dell had helped me alot It took some time and money but they fixed some stuff fr me one weekend.(Lynn Ho told me to do that)ALso HAving areal computer person who can

come and sit with your stuff andhelp youThen over time you leanr to solve troubles. You can always work with a phone and prescription pad( and I have ot say when my FAX and email go down I hate it more than the emr being trouble!!) but it does tie you r hands to not have allergies meds you r last plan of care etcSorry to hear about the troubles. Presume you know some appropriate bad words and have a supply of tissues.Jean.

The cloud was just out I heard in the news. So you keep it in a virtual server in the sky or Amazon Cloud. I will look into this. Thanks.

Thanks for the information, Graham. I think I need more IT knowledge (which I don't have) to carry it out. I have a maintenance contract with AC so I will try that first. How is your system set up? Do you have a minimum number of computers and backup drives to protect against a crash?

I rent a virtual server in the cloud from Amazon and backup also to the cloud. If the server dies, I just provision a new one, restore my cloud backups and I'm running again.

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

-- MD ph fax

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.