The Palmdoc Chronicles

March 17, 2006

Memoleaf II

Filed under: Uncategorized — palmdoc @ 7:49 pm

Back in 2004, I mentioned using Memoleaf as your “peripheral brain”.
You might be interested to know that Memoleaf has recently been updated in Palmgear. Version 4.3 adds even more features and from version 4.2 onwards, the Treo’s Dpad navigation is well supported.
So if you are keeping your clinical notes in a haphazard fashion in your Palm’s Memo, get organized today! Get Memoleaf!

March 16, 2006

Pulmonary Functions and Vital Capacity Calculator

Filed under: Uncategorized — palmdoc @ 6:39 am

RPN CalcSeries Pulmonary Functions and Vital Capacity Calculator 1.0 has been released in Palmgear.
Application Description:
The pulmonary function and vital capacity calculator provides computations of the predicted and percent predicted values for:
• Vital Capacity (VC)
• Forced Expiratory Volume after 1 second (FEV1)
• Maximum Exploratory Flow Rate (MEFR)
• Maximum Ventilatory Volume after 12 seconds (MVV12)
• Residual Volume (RV)
• Total Lung Capacity (TLC)
• Functional Residual Capacity (FRC)
• Forced Expiratory Flow from 25% to 75% (FEF)
• on-line User Guide
• Hi-Resolution (320×480) support
• User-friendly interface
• RPN stack display
• 90 independent storage registers
• Upgrades / updates are life-time free of charge
• Many examples are provided to teach using the calculator
– Calculations are performed for either male or female patients, given the patient’s height and age. Data inputs are patient’s height (in either ,metric or English units) and age in years.
– This calculator also performs computations of body surface area (BSA) by either Dubois or Boyd formula, allowing your choice of the preferred method. If cardiac output (CO) is known, cardiac index (CI) may also be calculated. Data inputs are patient’s height and weight, in either metric or English units, and if desired, the cardiac output.


March 15, 2006

USBMIS Sale of the Week

Filed under: Uncategorized — palmdoc @ 11:01 pm

USBMIS Sale of the Week is on again:

Purchase Schwartz Principles of Surgery or Just the Facts in Emergency Medicine this week, March 13 – March 19, and save. Purchase both applications and save BIG!

Schwartz Principles of Surgery is one of the world’s most well known references in general surgery. Just the Facts in Emergency Medicine is one of the most valuable and trusted PDA references available for this area of specialty. Now, and for a limited time only, purchase both valuable applications and save more.

* Save 10% – Schwartz Principles of Surgery.
* Save 10% – Just the Facts in Emergency Medicine.
* Save 20% Off Each – Buy Schwartz Principles of Surgery and Just the Facts in Emergency Medicine and save BIG.

For more details, visit

Handhelds in the health literature

Filed under: Uncategorized — palmdoc @ 7:27 am

Assessment of Clinical Tools
Bochicchio GV, Smit PA, Moore R, Bochicchio K, Auwaerter P, Johnson SB, Scalea T, Bartlett JG; POC-IT Group.
Pilot study of a web-based antibiotic decision management guide.
J Am Coll Surg. 2006 Mar;202(3):459-67. Epub 2006 Jan 19.
… Little is known about the impact of mobile medical information tools on physician learning or improvement in decision-making.

Handhelds in Patient Care & Management
Rudkin SE, Langdorf MI, Macias D, Oman JA, Kazzi AA.
Personal digital assistants change management more often than paper texts and foster patient confidence.
Eur J Emerg Med. 2006 Apr;13(2):92-6.
… Personal digital assistants are feasible in an academic emergency department and change management more often than texts. EMRs accessed personal digital assistants more often than paper texts. Patient perceptions of physicians who use personal digital assistants are neutral or favorable….

Kearney N, Kidd L, Miller M, Sage M, Khorrami J, McGee M, Cassidy J, Niven K, Gray P.
Utilising handheld computers to monitor and support patients receiving chemotherapy: results of a UK-based feasibility study.
Support Care Cancer. 2006 Mar 9; [Epub ahead of print]
… Recent changes in cancer service provision mean that many patients spend a limited time in hospital and therefore experience and must cope with and manage treatment-related side effects at home. Information technology can provide innovative solutions in promoting patient care through information provision, enhancing communication, monitoring treatment-related side effects and promoting self-care. …

Hanauer DA, Wentzell K, Tovar A, Zeuhlke J, Kumar V, Laffel LM.
Parent and youth assessments of a handheld wireless device to enhance diabetes mellitus management.
Arch Pediatr Adolesc Med. 2006 Mar;160(3):321.
… Diabetes mellitus is a complex disease that requires both the patient and the family to focus on many medical management tasks such as checking blood glucose (BG) levels and administering insulin. Careful adherence to these tasks can often result in better outcomes.1 Several studies have shown that the use of emerging technologies by adolescents and youths can have a positive impact on diabetes care2 and reduce healthcare utilization without adversely affecting outcomes.3 It is becoming increasingly important to explore both interest in and usability of patient-centered implementations using new tools to determine how best to engage hard-to-reach populations such as youths, especially with the proliferation of wireless transmission technologies. …

Jamison RN, Raymond SA, Slawsby EA, McHugo GJ, Baird JC.
Pain Assessment in Patients With Low Back Pain: Comparison of Weekly Recall and Momentary Electronic Data.
J Pain. 2006 Mar;7(3):192-199.
…Past research has shown that electronic diaries improve the timeliness of receipt of data, contribute to higher rates of compliance, and are preferred by patients over paper diaries, and this research suggests that electronic diaries that capture current pain at the moment of reporting result in more reliable ratings than recalled pain ratings. …

Handhelds in World Health
Drury P.
The eHealth agenda for developing countries.
World Hosp Health Serv. 2005;41(4):38-40.
… developing countries can fully exploit the potential of handheld computers and wireless connectivity …

MJ Stoddard

March 14, 2006

Advanced Nursing Fellowship Program uses Skyscape

Filed under: Uncategorized — palmdoc @ 7:04 am

Press release:

St. David’s Healthcare Partnership & Austin Community College Deploy Skyscape PDA-Based Medical References in Advanced Nursing Fellowship Program

AUSTIN, TEXAS and MARLBOROUGH, MASS. – March 13, 2006 – Armed with Skyscape medical references on their PDAs, nurses at St. David’s HealthCare Partnership in Austin, Texas, are delivering more efficient, effective, and timely care to patients. The Skyscape mobile medical references are supporting an advanced nursing fellowship program conducted by Austin Community College for the healthcare system.

Program consultant Dr. Susan Smith believes PDAs loaded with mobile medical references are transforming the nursing profession, helping to deliver more efficient and effective patient care.

The institutions received a $2 million U.S. Department of Labor grant as part of the Bush Administration’s High Growth Job Training Initiative. About 70 registered nurses participate as fellows in the program, plus clinical coaches serve as expert resources to the fellows.

Under the program, in its second year, the funding is used for the purchase of 120 PDAs for the nurse participants and the clinical coaches.

The nurse participants and their coaches are given Dell PDAs pre-loaded with four popular Skyscape reference titles.

The students are provided instructions on the use of PDAs and how to access the pre-loaded Skyscape nursing reference software, but most participants taught themselves how to use the devices.

“Let’s say someone is questioning a medication, or there is a change in a patient’s
condition, or a laboratory result comes back that needs review, the nurse may need to do fast research before calling the physician to tell them what might be happening,” said Smith. “Our PDAs and their Skyscape medical references really facilitate a much quicker reaction time. Plus, it puts the information at the practitioner’s finger tips. The nurse can respond faster to the physician, or someone else, when using the PDA, instead of returning to the nursing station to reference a medical book,” she said.

Skyscape is the leading provider of medical references formatted specially for mobile
devices. The four Skyscape references purchased were very familiar to the students and covered a broad scope of nursing requirements. “Taber’s Medical Dictionary is a nationally known reference; Davis’ Drug Guide for Nurses and ABCs of Interpretive Laboratory Data are very popular; and RNFastFacts (Nurse’s Fast Facts: The Only Book You Need for Clinicals, 2nd edition) was used and recommended by another agency,” said Smith. “Also, the content covered the age span and specialty areas of Medical-Surgical, Gerontological Care, Maternal Infant, Pediatric, Mental health, Long Term Care, Home Health Care, Nutrition, and Emergency and Critical Care.”

“The grant is a unique opportunity to try to shorten or measure a nurse’s transition from novice toward expert,” said Smith. “We are trying to shorten that transition period by applying different educational strategies. This is one opportunity to demonstrate the value of hand-held computers and mobile medical references at the bedside,” she said.

Now that’s exploiting a large untapped market – the nurses. I know of very very few nurses myself who use PDAs. The only one I helped set up a PDA wanted to use it to access her Bible and mostly non-medical stuff! I did try to get one of my nurses here to use a PDA as a data collection tool but that plan fizzled out too.
I think it’s a mental block or something!

March 13, 2006

Advanced calculator tip

Filed under: Uncategorized — palmdoc @ 7:19 am

This thread in the MPC forums reminds me to blog about a feature in your Treo650 or newer Palm like the T5/TX/Lifedrive. When you need to (I am sure you would have encountered situations like that during work) perform some conversion like Temperature (CF), Length, Weight or even some basic statistics function, you can switch the Palm’s Calc to Advanced mode which has lots of other features. Just tap on the Menu: Options/Advanced, and you are good to go! Medcalc, the best medical calculator for PDAs, does of course do more conversions, but your humble Palm Calculator is actually quite powerful too!

March 10, 2006

Must have freeware for your Treo

Filed under: Uncategorized — palmdoc @ 10:23 am

Ryan in PIC has written a very good article highlighting Must have freeware for your Treo
While these are not strictly medically related PDA apps, it is a useful resource for any doctor starting off using a Treo650.
He left out Haemoncrules 😉

Care Plan Oversight Log

Filed under: Uncategorized — palmdoc @ 9:34 am

Care Plan Oversight Log has been released in

Care Plan Oversight is a term used to describe primary care provider activities (other than direct patient contact) for patients receiving home care or hospice services.

For such patients, all major insurers, including Medicare, will reimburse primary care providers for the time spent performing paperwork, talking on the phone and related activities.

Complexity of the documentation process and choice of billing codes has prevented many providers from billing for such work.

In addition, the Office of Inspector General, the investigative arm of Medicare, recently increased its scrutiny of physician documentation to support billing for Care Plan Oversight, as described in a report from Puerto Rico.

As a nationally recognized leader in home care medicine and end of life care, Dr. Edward Ratner, President of Infingo, LLC recognized the difficulties of tracking and billing for Care Plan Oversight.

To overcome the challenges of the required time tracking over a month, CPO Log provides a handheld computer user a menu driven method to document each 5-minute increment of time spent on Care Plan Oversight.

At the end of the month, a linked personal computer program calculates the appropriate billing code and prints medical record documentation and a billing fee ticket.

March 9, 2006

USBMIS Sale of the Week

Filed under: Uncategorized — palmdoc @ 4:56 am

USBMIS is currently having 20% off Medical Imaging Consultant PDA Edition until midnight on March 12th.
Medical Imaging Consultant PDA Edition is the ordering physician’s quick reference for diagnostic imaging exams. It provides portable, fast access to extensive information that will help determine whether image testing is necessary, and if so, assist in choosing the most appropriate exam.

With interlinked content and a custom designed user interface, the Medical Imaging Consultant PDA Edition provides the most convenient and accurate way to select the single, best exam.

Features include:

* Current information for over 350 clinical conditions
* Data on diagnostic procedure
* Clinical benefit
* CPT Code
* Medicare reimbursement
* Radiation in chest X-ray equivalents
* Overall risk factors
* Clearly divided pediatric and adult sections
* Easy-search index

The Medical Imaging Consultant PDA Edition is supported by over 160 references as the best way to weigh the risks versus rewards of using and misusing diagnostic imaging in the most common clinical care situations.

March 8, 2006

RSM Handhelds Workshop

Filed under: Uncategorized — palmdoc @ 6:23 am

Dr. Chris Paton writes to inform that he is running a workshop on Handheld Computers in Medicine with Dr Mo Al-Ubaydli at the Royal Society of Medicine in London on April 6th.

The workshop is a day long hands-on event, split into two streams Beginner and Advanced.

For more details of the sessions, costs and registration, visit

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