Archive for the ‘iPhone’ Category

Pocket Guide to Diagnostic Tests 5/e

Wednesday, July 8th, 2009

The latest 5th edition of the pocket guide to diagnostic tests is now available from Unbound Medicine for all mobile platforms.

Here’s an iPod Touch example:

Here’s a Windows Mobile example:

The cost is $39.99 for all versions here is a list of links;

This is one of the rare occasions where we see an Unbound Medicine title that can be directly purchased in App Store rather than a free template to be filled by the contents when we subscribe.

The new edition has several updates of the contents but no new sections seen. Of note, is that the free copy that comes with Merck Medicus is not updated [Merck Medicus told me that it's not likely in the near future and they'll keep the fourth edition for now].

With the new edition we still have the same wishes that we had about the previous edition which are:

  • Some more images to accompany the imaging tests.
  • Age based normal reference values will be greatly appreciated in pediatric practice.

The Medical iPhone

Wednesday, July 8th, 2009

If you are not already an “iPhone Doctor” then you are possibly thinking to switch to it. So let me help you make a more informed decision

iPhone

The following points summarize some of the advantages and disadvantages of the iPhone versus the other Smartphones such as Palm, Blackberry, and Pocket PC

The Pros:

Cool: You will join the cool community! having an iPhone has grown to give the impression that you are cool, bright, updated, tech-minded, and fashion-oriented doctor. However, I have too say, that there are more and more “cool” devices coming in the other platforms, like for example  T Mobile’s myTouch and Palm Pre and they all basically talk iPhone in that they have a large touch screen, slim design, supporting finger flips, fluidy smooth transitions of screen objects and pages ….etc

App Store: You will get an App Store that simply holds all the medical and non-medical applications in one shop. For Palm and Pocket PC you’d have to shop around for that particular software you are interested in. Blackberry, however, learned the trick and they recently created the Blackberry App World.

Medical Library: As opposed to few months ago, you are not going to miss any major medical app. Everybody is on board now, Epocrates, Skyscape, Unbound Medicine, Pepid, Medical Wizards and a host of all major medical PDA software developers. In fact, in certain examples, you will get apps that are not yet available in other platforms. This stems from the fact that there are now individual developers for the iPhone who have never thought of developing an app before the iPhone blast, take for example Mediquations, Medimath, and Lytes.

Ease of use: The iPhone OS is designed from the ground up to be simple to learn and to use. My niece told me that when she got her BB she spent hours trying to understand it and eventually she threw it away for the next day while when she got her new iPhone 3GS she learned everything she needs to do in less than an hour. I even believe that Apple intentionally missed some of the more advanced features in the initial generations to make it simpler for people to get acquainted with it and then to add those extras later on like MMS, blue tooth pairing, GPS, copy and paste.. etc. That’s smart isn’t it? Speaking of the simplicity, you now have medical schools pushing their students and residents to use it [for example the University of Virginia Mobile health system].

Cost effectiveness: Despite the fact that the iPhone costs more when you first buy it compared to others, on the long run you may spend less. Here’s why: First, there is a tremendously increasing trend of free and low cost apps in the App Store, take for example Skyscape Medical Bag and Pepid Elements, both of these two apps are not available for the other platforms. Second, in my personal experience, iPhone tends to crash far less than the others and so you are less likely to pay for your tech repair bills.

No stylus: I regard this as an advantage. Most of us would like to take the PDA out from the white coat, find out something quickly, and then putting it back. Obviously, this is more cumbersome if you have to use both hands and much easier done single handedly with the tip of the thumb doing the action only. Yet, Palm Pre and the newer Pocket PC devices have started to support more and more the single hand functionality.

The Cons:

No file support: Doctors tend to write their notes and drafts on MS Word and their clinical trial data on a spreadsheets such as MS Excel and would like to read journal articles that are usually PDF files and perhaps want to rehearse their MS Power Point presentation. Unfortunately, none of these file extensions are supported by the iPhone OS. In addition, the iPhone OS is configured in such a way that makes file storage and sharing inherently difficult. For example, iSilo documents are very difficult to transfer to the iPhone.

Not all medical apps: Yes, I said that most developers have already established their iPhone apps but this does not holds true for all. Still the Palm and Windows Mobile libararies are significantly larger than the medical iPhone library. Even some major developers such as USBMIS and UpToDate are not yet there on the iPhone.

AT&T Exclusive: So far, in the US, the only carrier that provides iPhone is AT&T. This is a great limitation when it comes to freedom of choice. For Palm, Blackberry, and PPC we can virtually choose any of the major US carriers to carry our smartphone of choice. See I want an iPhone without AT&T post.

Limited storage capacity: Although there are 32GB iPhone devices but still the storage is limited. You don’t have a memory card expansion. This will translate into unwanted cost should you need only 2 GB or limitation in case you’d like to have more than 32GB to store videos and images [although 32 gigs is extremely high and more than enough speaking of medical apps only].

The Medical iPhone

Wednesday, July 8th, 2009

If you are not already an “iPhone Doctor” then you are possibly thinking to switch to it. So let me help you make a more informed decision

iPhone

The following points summarize some of the advantages and disadvantages of the iPhone versus the other Smartphones such as Palm, Blackberry, and Pocket PC

The Pros:

Cool: You will join the cool community! having an iPhone has grown to give the impression that you are cool, bright, updated, tech-minded, and fashion-oriented doctor. However, I have too say, that there are more and more “cool” devices coming in the other platforms, like for example  T Mobile’s myTouch and Palm Pre and they all basically talk iPhone in that they have a large touch screen, slim design, supporting finger flips, fluidy smooth transitions of screen objects and pages ….etc

App Store: You will get an App Store that simply holds all the medical and non-medical applications in one shop. For Palm and Pocket PC you’d have to shop around for that particular software you are interested in. Blackberry, however, learned the trick and they recently created the Blackberry App World.

Medical Library: As opposed to few months ago, you are not going to miss any major medical app. Everybody is on board now, Epocrates, Skyscape, Unbound Medicine, Pepid, Medical Wizards and a host of all major medical PDA software developers. In fact, in certain examples, you will get apps that are not yet available in other platforms. This stems from the fact that there are now individual developers for the iPhone who have never thought of developing an app before the iPhone blast, take for example Mediquations, Medimath, and Lytes.

Ease of use: The iPhone OS is designed from the ground up to be simple to learn and to use. My niece told me that when she got her BB she spent hours trying to understand it and eventually she threw it away for the next day while when she got her new iPhone 3GS she learned everything she needs to do in less than an hour. I even believe that Apple intentionally missed some of the more advanced features in the initial generations to make it simpler for people to get acquainted with it and then to add those extras later on like MMS, blue tooth pairing, GPS, copy and paste.. etc. That’s smart isn’t it? Speaking of the simplicity, you now have medical schools pushing their students and residents to use it [for example the University of Virginia Mobile health system].

Cost effectiveness: Despite the fact that the iPhone costs more when you first buy it compared to others, on the long run you may spend less. Here’s why: First, there is a tremendously increasing trend of free and low cost apps in the App Store, take for example Skyscape Medical Bag and Pepid Elements, both of these two apps are not available for the other platforms. Second, in my personal experience, iPhone tends to crash far less than the others and so you are less likely to pay for your tech repair bills.

No stylus: I regard this as an advantage. Most of us would like to take the PDA out from the white coat, find out something quickly, and then putting it back. Obviously, this is more cumbersome if you have to use both hands and much easier done single handedly with the tip of the thumb doing the action only. Yet, Palm Pre and the newer Pocket PC devices have started to support more and more the single hand functionality.

The Cons:

No file support: Doctors tend to write their notes and drafts on MS Word and their clinical trial data on a spreadsheets such as MS Excel and would like to read journal articles that are usually PDF files and perhaps want to rehearse their MS Power Point presentation. Unfortunately, none of these file extensions are supported by the iPhone OS. In addition, the iPhone OS is configured in such a way that makes file storage and sharing inherently difficult. For example, iSilo documents are very difficult to transfer to the iPhone.

Not all medical apps: Yes, I said that most developers have already established their iPhone apps but this does not holds true for all. Still the Palm and Windows Mobile libararies are significantly larger than the medical iPhone library. Even some major developers such as USBMIS and UpToDate are not yet there on the iPhone.

AT&T Exclusive: So far, in the US, the only carrier that provides iPhone is AT&T. This is a great limitation when it comes to freedom of choice. For Palm, Blackberry, and PPC we can virtually choose any of the major US carriers to carry our smartphone of choice. See I want an iPhone without AT&T post.

Limited storage capacity: Although there are 32GB iPhone devices but still the storage is limited. You don’t have a memory card expansion. This will translate into unwanted cost should you need only 2 GB or limitation in case you’d like to have more than 32GB to store videos and images [although 32 gigs is extremely high and more than enough speaking of medical apps only].

Skyscape’s Medical Bag @ $1.99

Monday, June 29th, 2009

When I first downloaded Skyscape’s Medical Bag for only $1.99, I was telling myself OK this would be very simple for sure. Telling myself that this must be a shrunken version of Skyscape’s titles seducing us to buy the fuller versions, a standard marketing strategy still valid in the tech world. Much like getting a tiny free sample of an expensive perfume.

However, and stunningly, it was not! Play this video for details;

Skyscape’s Medical Bag features a reasonable portions of the original titles namely the Archimedes 360, Labs 360, and Life Support 360.

In fact if you see the video above it shows clearly that the life support content is exactly as the original version and the selected calculators are closer to Archimedes 360 than it is to the free Archimedes. Only the lab section is perhaps significantly trimmed down from the original Labs 360, but in any case still they include what is commonly asked for in clinical practice.

But anyway this is a great deal. The combined prices of the original components is over $80 in Skyscape’s Website and you get them all for only $1.99! Are they serious?

This is not the first time Skyscape is giving away their titles in such a low price. They have done it before in their first iPhone app, the Skyscape Medical Resources. Probably, they realized that selling thousands [may be hundreds of thousands] of low priced apps is more profitable than selling hundreds of high priced apps.

Note that both Skyscape Medical Resources and Skyscape Medical Bag are not offered in the Skyscape website only in iTunes App Store, and there are no Palm or WM or BB versions, only iPhone version. Why? may be they want to take advantage of the alarmingly increasing number of “iPhone” doctors!

Ultimately, this is good for us consumers. We certainly love lower prices.

So here’s my advice; if you have an iPhone or iPod Touch, Do not buy Life Support 360, And perhaps Don’t buy Archimedes 360 and Labs 360 either.

Instead go to iTunes App Store and download the Skyscape Medical Bag for only $1.99.

And if you don’t have an iPhone or iPod Touch, get yourself one of them soon.

Of note, Skyscape is using their properiatory titles in these “subsidized” collections because otherwise they would have to pay royalties if they for example include the Harriet Lane or Davis’s Drug Guide.

I Want an iPhone without AT&T!

Monday, June 29th, 2009

I was talking to a friend that I recently met and she knew that am a tech savvy person and so she asked me whether it’s possible to get an iPhone without having to sign up with AT&T and the reason is that she just dislikes their network offering and prices yet she’s so eager to own that cool Apple device.

After thinking for a while, I gave her three options:

  • Get an iPod Touch [aka iTouch]
  • Or Get a jailbroken iPhone
  • Or Wait for a while as there are big rumors that iPhone is coming to Verison next year

Her answers were:

  • I still want to make phone calls
  • I don’t want to engage in something “illegal”
  • I don’t want to wait and I don’t believe in rumors!

So obviously I could not help her out and she left me unhappily…

When I came back home I was still thinking of her question, and finally I’ve got a better idea ;)

You can still use the iPod Touch as a phone

iPod Touch is equipped with WiFi and there is a dedicated free Skype app that you can install on it and it would allow making FREE and LOW COST phone calls both country wide and even internationally.

All you need is:

1) A second generation iPod Touch: this is important because the first generation devices has no microphone support. Note that we are talking here about the device itself [hardware] not the new iPhone 3.0 OS. How to tell the difference? Second generation devices has contoured design and oval shaped antenna over the left upper back corner compared with a squared one of the first generation.

Second generation iPod Touch Second generation iPod Touch

2) A simple mic and head phone: pretty much all compatible with iPod as it has the standard 3.5 mm jack, check this Amazon page for a long list of these. Moreover, if you upgrade your iTouch’s OS to the latest iPhone 3.0 OS you can even pair it with a wireless bluetooth headset [check Amazon options] making calls conveniently without the hassle of wires.

3) Install the free Skype or TruPhone for iPod Touch that gives similar functions.

That’s it you are good to go…

Even more:

  • If you are worried about receiving calls not only making calls then Skype can give you an online number that people can dial and call you on. You can do that from within the app itself;
  • You can even use your iPod Touch to send SMS text messages! Yes, most carriers support email to SMS. So you can email your text and your friends will receive it in their SMS Inbox. The email address is in this format [your friend's 10 digit phone number including the area code@your friend's carrier messaging domain];

Here are examples of the most common US carriers.
AT&T: 1234567890@mobile.att.net T-Mobile: 1234567890@tmomail.net Verizon Wireless: 1234567890@vtext.com Sprint 1234567890@messaging.sprintpcs.com Nextel: 1234567890@messaging.nextel.com

Finally my friend was convinced as she has Wifi both at the hospital where she works and at home :)

DocGuide, your journal community on the iPhone

Sunday, June 28th, 2009

DocGuide a website that provides individualized insight into the latest updates and literature filtered from over 200 well recognized national and international journals has recently released an iPhone app that allows access to our account on the go.

One of the great features of DocGuide is that subscribers can star an interesting article they have just read which translates into a voting system enabling us to see which articles have shaken the boat recently.

DocGuide is a physician only community in that they check the license of each and every subscriber. This is good in ensuring a pure doctors rating of the articles.

Another great feature of DocGuide App is that it’s highly individualized and tailored to our needs. For example when you choose pediatrics you get to see only those articles that are of interest in pediatrics and even you can segment that into what type of articles you want to see such as pure research, clinical, news and press and others.

Not only that, but you get to choose what journals, diseases, and drugs [see screenshots above] you want to keep an eye on!

The app is free [download in iTunes] and subscription to DocGuide is also free.

The only missing feature from this great journal app is the ability to earn CME credit. Nowadays, it’s hard to convince a physician to read an article on the go without simultaneously earning CME on the fly.

Don’t let Skyscape fool you!

Friday, June 26th, 2009

Skyscape, the largest medical library for the mobile and the company that we all thrive on when it comes to our handhelds in clinical practice has a puzzling marketing strategy.

I postponed writing about this issue for a while thinking that it’s an error and they’ll will soon rectify it. But even after asking them about it they did not fix it until the time am writing this post.

So let me tell you what is it;

Skyscape first introduced their first native iPhone app “The Skyscape Medical Resources” which is their mother app on which we can install all of their titles.

That app comes free with four resources these are: Archimedes, Outlines in Clinical Medicine [OCM], RxDrugs, and MedAlerts.

Now, if you go to Skyscape Website and check for these resources you’ll find that RxDrugs, and OCM are being sold for and $34 and $23 respectively! Am not talking here about the other platforms [Palm, WM, BB, and others] am talking exactly about the iPhone version.

What’s even funnier is that OCM and RxDrugs are individually being given away for free in the App Store!

I hand checked the versions that you get from the website with those that you get from the App Store and they are exactly the same, I repeat, they are exactly the same.

Moreover, they insisted on this policy and released Skyscape’s Medical Bag which again features trimmed versions of Archimedes 360, and Labs 360 and an exact version of LS 360. All of these are being sold for a total price of over $80 in the Skyscape’s website [click on them above] while in fact you can get them all for only $1.99 from the iTunes App Store!

So dear colleagues, if you have an iPhone or iPod Touch, Don’t buy those apps that I just mentioned from Skyscape website. Instead get them for free or at a very low price from iTunes.

And if you don’t have an iPhone or iPod Touch; well, this is another good reason to switch!

The new Red Book 2009

Monday, June 22nd, 2009

The American Academy of Pediatrics has just released the latest 28th edition of the most trusted infectious disease reference, The Red Book 2009.

Concomitantly, it was released from Unbound Medicine for the mobile platforms.

For iPhone/iPod Touch version play this video;

And this time with landscape support;

For the Windows Mobile version play this video;

Unbound Medicine’s Red Book is also compatible with all other platforms including Palm (but not Palm Pre), Blackberry, and even Android.

The AAP book store is offering the same Unbound Medicine Red Book and interestingly at a higher price for non-members!

Skyscape’s and other developers versions will be available in the near future as per the AAP.

Although not as rich as the AAP’s Red Book online, the UM’s web version of the Red Book is offered for free when we subscribe to any of the mobile platforms and so we can access it offline on the handheld and also online on the desktop and wirelessly.

The Red Book is undoubtedly a must-have reference for any pediatrician and we should all upgrade to this latest version, by the way UM provide free upgrade if you’ve been a valid subscriber of the previous version.

It can better

UM’s Red Book is great but still there’s room for improvements;

  • Wish to see images included.
  • Wish to see search history.
  • More linking to external resources.
  • A “what’s new” section would be great.

Also some problems were found in this first iPhone version;

  • There’s a bug in which the home page does not tilt to landscape only after switching to landscape from within the contents.
  • Some links are broken and others are dead as seen here;

However, since this is the first release we expect to see fixes in the near future.

Some useful links

Pepid does not fit into the iPhone!

Friday, May 22nd, 2009

When Pepid first launched their new native application on the iPhone and iPod Touch we all cheered. However, unfortunately, the app came pretty much to our disappointment.

Turn your audio on and see the next couple of videos for details;

The very reason that we need a native app is to avoid all the hassles with Internet connection such as the horrible 3G connection of At&T and the often missing WiFi inside our hospital corridors and ERs [where we use Pepid the most].

This Pepid native app does not do three of the most important dynamic functions that we frequently use on the bedside, namely, the drug dose calculator, the calculators, and the drug to drug interactions! They hosted these functions on their server and we can’t access them without active Internet connection.

What’s the point of this app? If we have Internet connection we can then visit Pepid mobile [read this post for details] and have a fully functioning Pepid.

In addition to this great shortage, there are also a number of design problems as seen in the videos above. They just copied and pasted what was there in Palm and Pocket PC into the iPhone which of course has horrible sequences.

There’s only one good thing with this app which is the new toxicology reference Pepid Elements provided for free when the app is downloaded.

Pepid native app simply does not fit into the iPhone and iPod Touch.

Our message to Pepid, we love Pepid, we love the wonderful ER info and the great content but if you don’t fix these design and connection issues expect to refund most of your iPhone subscribers, if not already did!

Swine Flu on your handheld!

Thursday, April 30th, 2009

So not only the TV and the Internet has been flooded by Swine flu news. Medical PDA developers quickly responded and posted updates right into our handhelds.

Meistermed published a new updated iSilo document that can be downloaded into any mobile here’s an iPod Touch example;

The above iSilo document is also available for all other platforms a free download from this page http://www.meistermed.com/swineflu and the iSilo reader is available for all platforms here and for your iPhone/iPod Touch download it from iTunes here.

It includes last hour information updates as it’s released from the CDC. However, it’s not automatically updated and you’d have redownload the file should it gets updated.

If you are subscribed to Skyscape MedAlerts then you’ll also get some updates about Swine flu here’s some screen shots;

Micromedex also sent emails that their Clinical Xpert is now update with the latest swine flu info.

So let’s closely monitor the pandamic on our PDAs …