View Poll Results: Treo In Healthcare

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  • Invaluable

    112 75.68%
  • Occasionally Helpful

    33 22.30%
  • Doesn't do much but a cool toy

    2 1.35%
  • Useless...old pen and paper wins!

    1 0.68%
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  1.    #1  
    I am a physician who began using the Treo 90 and owned the 180, 270 and now the 650(Sprint). Interested in having a forum where other members of the medical community discuss how they use the Treo in their professional/personal lives. Unfortunately for many of us the line is not very distinct :-). Feel free to be as general or as specific as you like. I believe the Treo offers features that would allow this discussion to be somewhat different than what is often found in in a non smartphone Palm healthcare forum. Also please post questions/challenges in hopes that the discussion members can be of assistance!
    As an orthopaedic surgeon I utilize the Treo daily in recording notes, pictures of xrays to instantly share with colleagues, double check medications as well as several custom databases. With the addition of a couple programs the Treo has also allowed me to do away with my pager!! Let the discussion begin!
    __________________
    Jazz is life
    SharpWizard->Zaurusx3->PalmIII-PalmV->Vx->Treo180->270-->Bberry--T650--Treo 700p---Treo750
  2. DocGo's Avatar
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    #2  
    I have been a long time user of the Palm OS-based medical programs (since residency, and now as staff). I love the ease of use and now, with the Treo 650, I get an all-in-one package that is hard to beat (wish it has more RAM). I love the fact that I can take pictures/video clips of interesting cases that I can use in lectures/conferences. Also, I take pictures of my patient's scans (CT/MRI) so I can show them to the patients and their family members so they understand their medical conditions better.
    (I am a neurologist, btw)
    The Doctor is IN!
    Gadget: Rogers Treo 680 (unlocked) GSM
    Cases: Still deciding
  3. #3  
    I have been in medical device sales for 21 years, and was a Navy Corpsman for 7 before that. I have used PDA's and now smartphones since they hit the market and my boss told me to be more productive with my time. I feel it has been a bit of a curse actually. I am a lot more productive with my time, but when will I be allowed to stop squeezing? When is enough enough?

    Now that I got that rant out of my system, I want to say that I love my series of Treos and my one Samsung (The smart phones) and feel a converged device is the way to go. Sure the new 650 has some bugs, but everything new does. I dont see patients, my doctors, nurses and embryologists are my customers. I keep a running file to record every phone conversation, apointment data, samples sent, and time spent in the lab or OR together. I dont need to store data like xrays or scans, so dont find I need any programs to store this type info, but if any other sales people out there keeps track of thier calls and customers like I do, and uses any unique programs, let me know.

    Eventually I imagine that I wont be able to do more in an 8 hour day, and management will have to let me go, lets just hope it matches up with my retirement date, and I havent gone insane by then.......lol

    Jeff
    Jeff
  4. #4  
    I received my first Treo600 around Oct. 8, 2004. At that time, I was using a combination of a Nextel Blackberry, Clie UX50, a Toshiba PPC and a pager. The Treo 600 replaced all of those. I lost my way and in Nov 2004, switched to a Sprint Audiovox 6601. Quite a powerful device but it was arkward to use as a phone and complicated by the activesync issues.

    Four weeks ago, after following this forum, I took the plunge and got a Cingular 650. I have had a few problems (returned the 1st one the next day because of continous resets). I must say that I love this device. I have an occasional reset but can usually trace it to a software problem.

    I am using a customized windows template to enter some patient data. I ditched my premium Epocrates because it consumed too much memory. The mobile PDR runs from the SD card and is adequate. I have the skyscape version of the Washington Manual.
    Any reccs on patient tracking software. I noticed that the PDA version of the patient Keeper is no longer free. My job is 85% administrative so I do not see a large number of patients.
    Pocket Addict

    Clie UX50/Ti68/Nextel BB 6510/Treo600/SE T637/Audiovox 5600/HP 4700/Audiovox PPC 6601
  5. tcatnat's Avatar
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    #5  
    Great idea TreoDoc. I am not a doctor but am in the healthcare research industry and we actually deploy Treo 600-650's for our research. We have many deployed throughout the U.S. and one of the big things we are looking into is EMR/e-Prescribing as this looks to be the next big wave for portable devices.

    Many of the physicians we work with use their Treo/PDA's for applications like ePocrates, various PDR's, medical calculators, dictation, etc.

    On the e-Prescribing front I have seen several applications that can take advantage of the Treo's (or PPC) wireless web to electronically send prescriptions to almost any pharmacy in the U.S., some more robust than others.

    I would be interested in hearing what the medical community uses their Treo's for as we try to eductae our physicians on how to best leverage the technology of a portable device.
  6. nmrg's Avatar
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    #6  
    Hello
    I am an italian physician (allergology, internal, thoracic and occupational medicine), and I found very interesting this thread.
    I am a Palm user since 1999 (in Southern Europe it is not so common to see palms in ward and examination rooms), when I began to transer patients records, schedules and other useful informations to my pda's "volatile" memory.
    I bought my european GSM treo 650 couple of weeks ago and I am very satisfied (as a human being could be satisfied by a piece of iron and platic, of course), especially for the telephonic features that are more and more better than its predecessor. No reset at all and good compatibility with my old medical software, even the TB program of the American Thoracic Society.
    Just one question for my overseas collagues and friends, which program, by your experience, is more useful to track patients?I personally found ePatient quite confortable.
  7. #7  
    I just upgraded from a Samsung i500.

    I use Epocrates from time-to-time.

    This is my first phone with a camera. The camera came in handy the other day. There was a finding on the g/u exam in a place where the sun don't shine and that the pt. could not see. I snapped a picture and showed it to the patient, who was happy to see what I was talking about. (I immediatley deleted the pic, of course, afterward.)

    The instability of the phone is an issue. I wonder how many calls I am missing when the thing is resetting itself, which happens about 6-10x/day (no kidding), depending on its use.
  8. #8  
    I use it for my EMR , prescription writting, drug and clinical reference, after hours triage recording, billing, med calculating. I basically have all of my patients medical records in my handheld. I've been doing this since 1996.
  9. #9  
    Quote Originally Posted by PocketAddict
    Any reccs on patient tracking software. I noticed that the PDA version of the patient Keeper is no longer free. My job is 85% administrative so I do not see a large number of patients.
    PK was never free. It has trial versions for 30 days.
  10.    #10  
    A little more about me. I began using PDA's in medical school when I had the first Sharp Wizard units and stuck with them all the way to the Zaurus..had from an early age tried to push the thing past its limits...used a telephone book to store patients and patient data...bought the sidecar modem and used to fax my notes to a local fax machine at the nurses station and put on the chart (with much rebuking). Kept with the Zaurus through residency but found as a fellow when I was spending less time in scrubs and a white coat that the Zaurus was too bulky...which is when I switched to the Palm OS. Again...had wired modems and wireless modems for my Palm V and Vx and began using Epocrates and the early versions of Patient Keeper. As noted previously I have been with Treo's since the release of the 180 until my present 650. As an orthopaedic surgeon working with PA's it has really been invaluable to have them snap a pic of a fracture in the Emergency Room and send it to me wherever I am so I can decide if I need to go into the hospital or it is something that can simply be casted. As one of a few orthopaedic surgeons covering an Emergency Room to not have to rely on someone painting a verbal picture is invaluable and better care for my patients. I use Epocrates but secondary to space issues may need to move to PDR.
    My office utilize both the SMS capability and Verichat too keep in touch with me throughout the day and out of the office. Verichat is more of a real time interface that does not depend on needing to enter in an email address each time my administrative assistant wants to send me a message...
    What finally brought me to the Treo (previously was using a Nextel Blackberry...pager (as the blackberry was not loud enough nor did it have the capability to nag with a repeat beep if I missed a call or page) and a Sony Clie UX50 (still the best dedicated PDA IMHO) ), was the availability of "push email". Versamail was not soon enough nor flexible e nough...I use Chatter which pushes email to me directly without the need and interval of VersaMail or other clients which require periodic logging on. Chatter is a wonderful program with a very responsive and responsible developer.
    I have found HandDbase to be invaluable as a database of patient interactions...I have made my own cpt/icd dropdown lists and have created one database that allows me to record patient phone calls...clinical consultations in the hospital/ER and tasks that need to be followed...very flexible database and really allows you to customize to what Y OU as the caregiver feels they need.
    I utilize MDCoder to track and bill my surgeries...a very well written piece of software that automatically chooses the correct icd9 codes for a cpt code chosen...would like it to have a few more data fields but all in all is the best of what I have seen out there for charge capture.
    I use Docs To Go...to keep patient handouts/post-op protocols...which allow me to easily email to the patient or print out via IR or wi-fi network and hand to them directly...patients love feeling that their doctor has so much info at hand :-)! My assistant keeps my non-patient schedule in ACT! and I purchased companion link which allows me to sync meetings etc to my T reo but I can choose which categories to NOT SYNC so alot of my personal data does not make it to the ACT database and it all can be transferred to my home computer.
    Recently purchased Bluetooth dongle for my work computer so my PA can easily send to me any new consultations to either the Treo or my computer (from our HandDbase database) so that I can review them after a night on call.
    TreoAlert has allowed me to get rid of my pager as it allows the treo to continually to annoy after a missed sms message/email or phone call until you recognize it and of course the Treo does a much better job of tracking info/msgs than most pagers. I recently added voicedialing so I can dial on the road via my bluetooth head set..Sony HBH660. TreoTechnician with Pocket Tunes has allowed me to add some levity to my day as my phone ringer is now an MP3 as is my pager...at least now when it goes off while seeing a patient (oops forgot to put on vibrate) the dulcet tones of John Coltrane or Miles Davis come through vs some evil Midi or built in ringtone. Also use PocketTunes for streaming Audio via Shoutcast...like having satellite radio on the cheap :-)!!!!
    Wish list...a 1.strong interface for an EMR...I am purchasing EClinicalworks EMR (actually will lease to make sure I like it)...have also purchased 2 Motion Computing tablets to work with the EMR looking forward to having the Treo work with them. Would love to have an EMR that had a small program for the Treo for charge capture that could sync via bluetooth to the main database.

    2.Voice recognition software that works...

    3.A simple not FEE BASED prescription program integratedwith one of the prescribing databases...that would work via a fax server to the pharmacy...
    All in all I love the unit and truly believe it has helped me to be a better doctor....
    PS: The bolds do not imply endorsement but as I rambled aimlessly wanted to make it easy for folks to find key software/hardware that I utilize..Thanks!
    __________________
    Jazz is life
    SharpWizard->Zaurusx3->PalmIII-PalmV->Vx->Treo180->270-->Bberry--T650--Treo 700p---Treo750
  11. #11  
    Work as a travel ER nurse, with about 17 year of emergency medical experence. Not too many uses for a PDA yet. Using mostly for the drug references. Havent had the opportunity to use the camera on the phone just yet. Have used a digital camera on EMS calls a couple years back. Going hospital to hospital as I do alot of places have gone to computerized charting and pt tracking in their ER's. There is so many different programs out there and I have yet to see any that use or interface with PDA's at all.

    It would be awsome if there was for example- Dr doing his orders on PDA or even PC and then by bluetooth or Wi-Fi I were notified/downloaded those orders and finally allowed to chart care ie IV's started, labs done and meds given, vitals from the monitor via PDA as well. Also getting lab results sent to my device as well or at least notified when the results were back.

    RJ
  12. #12  
    Quote Originally Posted by EdTreo
    I use it for my EMR , prescription writting, drug and clinical reference, after hours triage recording, billing, med calculating. I basically have all of my patients medical records in my handheld. I've been doing this since 1996.
    Doubt the Treo 650 is HIPAA compliant for patient data storage. Not that I, or anybody I've ever met think that it was a good idea, but, nvertheless, it's the law, albeit a bad one, at least as its implemented, and you could get in trouble for that sort of thing, if you lost your phone and someone cracked into those records.
  13. #13  
    I've used PDAs since I was a 4th year med student in the old Palm III days. Used patientkeeper when I was an intern, but its unfortunately too "bulky" for work as an attending (and my residents are my peripheral brain anyway ) Have used epocrates for about 6 years and love it. Also have had a variety of different books for quick lookups but I use 5 minute clinical consult most often. I use an ICD9 coder program on occaision.
    In January, I moved from a ux50 (which proved to be the most unreliable PDA of the 5 I've owned through the years) to a 650. Love it for the ability to check email, I can do web serches quickly on the fly, and the great keyboard. I think I'd feel naked without a pda at work....

    Anyone have the epocrates essentials (the full version with the Dx portion)? Is it worth the upgrade?
  14. #14  
    I am an anesthesiologist and have been using a PDA for many years. First palm (Us robotics and now the TREO 650). Great device, small RAM is a problem, very limiting but still the best out in the market for multipurpose use.

    I use it for:

    1.Phone: with or without a bluetooth ear piece, and in the car with the Driveblue speakerphone bluetooth device. I use Voice Dial instead of dialing when driving.
    I dial Internationally by configuring a calling card in the phone and now I pay 1ct a minute almost anywhere I want to call.

    2.Verichat keeps me in touch with my office at all times using a Yahho messenger at the office. And of course keeps me in touch with other relatives all the time.

    3. Schedule: using yahoo calendar my office secretary posts my schedule with abreviations of the surgeon and procedures as well as the hospital( I worked at diferent hospitals) and I syncronize my Yahoo Calendar with MS outlook at home and then with my TREO. I use to be able to Sync directly from yahoo to my TREO 600 but not with the TRE 650. Now it takes an extra minute for Sync.
    I can tell what cases I have done for the last 3 years by checking my calendar.

    4. Medical Info and CME: I use epocrates, Harrison online, Stanford anesthesia, medline and others for Anesthesia Info, and I get CME by using among others "the answer page". I was using Merckmanual, but dont have anymore space.

    5.E-mail with versamail.

    6.Encyclopedia online with Ipedia.

    7.Internet Accesss for anyhting you wish: Google, NYT, reuters, etc, Avantgo., even for real time stock quotes and trading using Fidelity "anywhere".
    8.Games.Casino Nevada , chess and solitaire AND OTHERS.
    9.Music player with real player and pocket tunes with a 1 GB card and the "oog" files instead of mp3 you can get at least 50% more songs with the same quality.
    10.GPS. I was using DELORME with the maps. I returned it and waiting for the TomTom new edition.
    11. Audio books for audible.
    12. Airline schedules: Co and AA.
    13: the camera is handy as well as the video recorder.
    14: Albums of my family and others.
    15:and of course all my memos and personal info.

    There are many more applications but these are the ones that I use daily.
  15. DocGo's Avatar
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    #15  
    Quote Originally Posted by lomli

    Anyone have the epocrates essentials (the full version with the Dx portion)? Is it worth the upgrade?
    It WAS a good upgrade when I was still using a Tungsten T3 but with the limited memory of the Treo 650, I had to delete the program and use the Lexi-Comp series of databases (Lexi-Drugs and 5MMC, among others) instead because the latter is SD/MMC friendly.
    The Doctor is IN!
    Gadget: Rogers Treo 680 (unlocked) GSM
    Cases: Still deciding
  16. #16  
    as a 4th year med student i use it frequently for drug dosage and treatment reference, but it doesn't expand much beyond that other than keeping my schedule straight.
  17. #17  
    I have epocrates and iScribe. iScribe is from Caremark and until Blue Cross dumped them you get check most any formulary by using one of the two. But, both are required to run off internal memory so it leaves very little room for much else. epocrates is invaluable for interaction checking- does PDR work as well? And the epocrates ID is great.
    I use Mobile MerckMedicus for literature searches- my favorite price- free.
    Would love to get rid of my pager since I downsized from pager/phone/PDA, but our answering service does not have internet access for sending text messages.
  18. #18  
    hirschr,

    I use my Treo as a pager. Don't need to have internet access to do this. Call your carrier and ask them for the modem number and pin number. I know Sprint and Verizon can give this to you as other MDs I know do the same. Your answering service inputs these numbers in there software and sends a message just as they would to a alpha pager. Comes to you as SMS message. the best part is you can directly dial the return phone number from the message!!

    Hope this helps
    Last edited by TreoDr; 03/20/2005 at 06:17 PM.
    Treo 600 ---> 650 "Beta" Tester
    WHY DO I TORTURE MYSELF???
  19. #19  
    Quote Originally Posted by lghitis
    3. Schedule: using yahoo calendar my office secretary posts my schedule with abreviations of the surgeon and procedures as well as the hospital( I worked at diferent hospitals) and I syncronize my Yahoo Calendar with MS outlook at home and then with my TREO. I use to be able to Sync directly from yahoo to my TREO 600 but not with the TRE 650. Now it takes an extra minute for Sync.
    An easier way is to give your secretary privledges to view and edit your Outlook Calendar if using over a network. Skips the Yahoo step. Can also use Outlook web access through any web browser if you are using Exchange. I give my wife the password so she can add personal events to my Calendar and my office manager can see these to schedule around them if need be.

    If your are using Versamail, your can recive these changes "real-time" over air as Versamail downloads email, calendar events and contacts when you sync
    Treo 600 ---> 650 "Beta" Tester
    WHY DO I TORTURE MYSELF???
  20. #20  
    Hi I'm a second year med student looking into buying a treo 650 before hitting the floors 3rd year. But I was a little concerned about the memory issues. It seems a lot of you have had trouble fitting epocrates on the 650. Is there enough onboard memory for everything else? How much medical software must be run from internal memory rather then from a card?
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