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To: Voltaire who wrote (54763)12/17/1999 2:10:00 PM
From: Ruffian  Respond to of 152472
 
A Wireless Cure For Doctors

By John Edwards

The illegible prescription jotted down by a harried physician has become an old joke to many–but not to those poisoned by
improperly dispensed medication, the sixth leading cause of death in the United States.

Making sure that prescriptions are filled quickly and accurately is the goal of PocketScript, software that turns a handheld
computer into a wireless prescription pad. Developed by Way Over the Line, a Cincinnati-based software startup, the product
is designed for physicians to make sending a prescription to a pharmacy as easy as e-mail. “The PocketScript system fits into
physicians' pockets, so it will fit into their daily workflow,” says Todd Helmink, Way Over the Line's vice president of sales
and marketing.

The system eliminates the need for a handwritten prescription and, thus, its proponents hope, confusion that leads to illness or
death. Given the number of practicing physicians in the United States, the market is potentially lucrative.

PocketScript runs on a Windows CE-compatible handheld computer equipped with a Proxim wireless local area network
card. (Way Over the Line recommends Hewlett-Packard Co.'s Jornada.) To prescribe a medication, the physician simply
selects the appropriate patient name and drug from menus on the handheld's touch-screen. The system then links to a Windows
NT server–located up to 500 feet away–that transfers the complete prescription from an SQL database to a participating
pharmacy via fax, e-mail or electronic data interchange. Storing the prescription data on a server lowers the handheld's
processing and storage overhead while protecting confidential patient data.

According to Helmink, the system helps everyone involved: physicians, pharmacies and patients. “Physicians save valuable
time, pharmacies don't have to decipher cryptic scribblings and patients can receive medication much faster.” The software
automatically screens prescriptions for formulary compliance, plus drug-drug and drug-allergy interactions.

Another advantage is that the handheld computer gives physicians limited Web-browsing capabilities. “By visiting
a pharmaceutical company's Web site, for example, a doctor can answer a patient's question about a particular medication on
the spot,” Helmink says.

He says one of the biggest development challenges was finding a way to keep the Proxim card from sucking all the power out
of the handheld computer in less than 30 minutes. “Our proprietary software allows us to get up to 10 hours out of a unit.” The
extra operating time is critical, he says. “If doctors have to recharge the unit all the time, they won't use it because it will disrupt
their workflow.”

PocketScript is being tested in the Cincinnati area, where most local pharmacies are now accepting PocketScript-generated
prescriptions. A nationwide rollout is planned for early next year.

Way Over the Line has also partnered with Rx.com, a Web-based pharmacy headquartered in Austin, Texas, to fill electronic
prescriptions on a national basis. “PocketScript gives us the potential to provide safer, faster and more cost-effective service to
our customers,” says Roger Phillips, Rx.com's executive vice president of corporate development. “There will no longer be the
issue of misreading prescriptions or, at the very least, phone calls back and forth to interpret handwriting.”

Way Over the Line is still working out PocketScript's business model. The company is looking to pharmacists and insurance
providers for revenue. It also plans to sell some of the drug usage data collected by the software–without patient names–to
pharmaceutical companies, insurers and other interested parties. “We might have to charge physicians for the software, but right
now our business model is to give it away,” Helmink says.



To: Voltaire who wrote (54763)12/17/1999 2:41:00 PM
From: Ruffian  Read Replies (2) | Respond to of 152472
 
450.00 eom.



To: Voltaire who wrote (54763)12/17/1999 2:50:00 PM
From: Jill  Read Replies (1) | Respond to of 152472
 
OT OT

Voltaire,

Reaven's work is superb, and the fact is, insulin resistance is linked to a host of degenerative diseases, including heart disease, diabetes, cancer. Work at Rockefeller University (I interviewed the fellow personally) show that insulin spikes are linked to the stress response (cortisol is the stress hormone) and that it can derail that response or visa versa (stress increases insulin response) and you get curves that look very much like the curves of Alzheimer's. Stress/aging/insulin resistance are all linked. You can't just avoid insulin resistance by a pill. You have to get sugar out of your diet. People go around eating low fat diets but therefore incrasing their simple carbohydrates (snackwells etc) because they're hungry and they're screwing themselves up. Instead they should have high amounts of satisfying healthy fats such as those in fish, or in healthy oils like olive oil or flaxseed oil, and get away from too much saturated or fake fats (margarine) and completely reduce sugar and simple carbs out of their diet. Triglycerides would go down, insulin curves would be steady, and much degenerative disease would be avoided.

It's more complex than that but that's a simple version anyway.

JIll