The Palmdoc Chronicles

Wednesday, November 30, 2005

A couple of Skyscape Press releases

Ferri's Clinical Advisor 2006 - Instant Diagnosis & Treatment" for Handheld Devices
MARLBOROUGH, MASSACHUSETTS, USA, November 29, 2005 – Skyscape, Inc., the leader in mobile health and medical information solutions, today announced the release of “Ferri's Clinical Advisor 2006 - Instant Diagnosis & Treatment” formatted specially for PDAs and smart phones.
“Ferri's Clinical Advisor 2006 - Instant Diagnosis & Treatment” is a fast, effective way to access important diagnostic and therapeutic information. The new edition features annual revisions for up-to-the minute patient care information, provides cost-effective referral and consultation guidelines, includes more than 200 lab tests with normal values and interpretation of results, incorporates the most common childhood diseases in the Diseases and Disorders section, provides billing codes, including ICD-9-CM codes to expedite insurance claims and reimbursements and much more.
“‘Ferri's Clinical Advisor 2006 - Instant Diagnosis & Treatment’ is ideal for internal medicine physicians,” said Sandeep Shah, Skyscape founder and CEO. “Skyscape’s intuitive and easy-to-use interface, smARTlink, provides practitioners with instant access to critical information at the point of care. This reference is a powerful decision support tool that helps in reducing errors and enhances the quality of patient care,” said Shah.
The reference is published by Mosby, an Elsevier Health Sciences Company, and joins Skyscape’s portfolio of more than 300 trusted references in over 35 medical specialties.
Practitioners can purchase the reference or download a free trial version by visiting

Skyscape Introduces "Lippincott Manual of Nursing Practice: Procedures," 2nd Ed. for Handheld Devices
MARLBOROUGH, MASSACHUSETTS, USA, Nov 29, 2005 – Skyscape, Inc., the leader in mobile health and medical information solutions, today announced the release of “Lippincott Manual of Nursing Practice: Procedures,” 2nd Ed. formatted specially for PDAs and smart phones.

Completely updated for its Second Edition, all of the procedures from the popular, standard-setting “Lippincott Manual of Nursing Practice: Procedures” are now available in a comprehensive reference for mobile devices. This resource provides step-by-step guidelines for more than 150 procedures in all areas of nursing practice and contains many color images.(Download photo at:
Content is organized by chapter/procedure number and alphabetically for quick access. Easy navigation features include searching capabilities by chapter or alphabetically. Cross-referencing enables users to find related procedures with just one tap of the stylus.
“‘Lippincott Manual of Nursing Practice: Procedures’ is ideal for nurses,” said Sandeep Shah, Skyscape founder and CEO. “Skyscape’s intuitive and easy-to-use interface, smARTlink, provides practitioners with instant access to critical information at the point of care. More than a reference, this is a powerful decision support tool that helps in reducing errors and enhances the quality of patient care,” said Shah.
The reference is published by Lippincott Williams & Wilkins and joins Skyscape’s portfolio of more than 300 trusted references in over 35 medical specialties.
Practitioners can purchase the reference or download a free trial version by visiting

Clinician’s PDA Project

The Children’s Hospital Boston is running a Clinician’s PDA Project whereby doctors are provided with PDAs in order to access information at the point of care. Excellent move. How I wish my hospital were so far sighted :P
Here's the story:

MARLBOROUGH, Mass. – Nov. 29, 2005 – Clinicians making their rounds at Children’s Hospital Boston are replacing charts, index cards, and heavy books with 6 1/2-ounce, handheld wireless computers that carry important patient information and mobile medical references from Skyscape, Inc., the leading provider of interactive mobile references for over 475,000 medical professionals.
While the stethoscope still remains an essential tool, the handheld computers (PDA) are ideal assistants for clinicians, who benefit from having access to real-time information and up-to-date medical references while making their rounds at the hospital, said Sandeep Shah, president and CEO of Skyscape.
The hospital-funded program, called “Clinician’s PDA Project,” was initiated in October 2004 with 150 clinicians each given wireless pocket PC devices. The key project objective was to give clinicians access to information when they want it, where they want it.
“When clinicians are at a patient’s bedside, they are benefiting from having immediate access to reference materials and quick reference guide books as well as laboratory results and any clinical data we have in-house,” says Alex Khayat, the hospital’s manager for architecture, standards and emerging technologies. “Now instead of waiting minutes to obtain the relevant patient information and decide on a
course of action, clinicians can access this information, as well as critical decision support references, directly at their fingertips, enabling faster, more informed decision making with fewer errors.”

After clinicians extensively reviewed references from various sources, Children’s Hospital decided on a core set of references that included three pediatric titles from Skyscape, the leading provider of trusted medical references for mobile and desktop devices. In addition, the Clinician’s PDA Project included software from many other vendors to round out the offering with Children’s Hospital specific formulary information and other clinical tools. The hospital worked very closely with the software vendors to bring their standards up to an enterprise-wide level to be able to automate, deploy, and manage very quickly and without user intervention.

I must point out that one of the most popular Pediatric references outside of North America is Frank Shann's Drug Doses. It's not available by Skyscape yet (hint hint) but there is a PDA version out already.
I blogged about it earlier this year in Frank Shann's Drugdoses for PDA

Tuesday, November 29, 2005

PalmPDF updated yet again

I am glad to report that the author of PalmPDF is continuing to develop and improve on PalmPDF. This is good news for those of us who like to read their journal articles on their PDAs!

0.7 (11/23/05, "Thanksgiving update")
- bug fix regarding UDMH and FtrPtrNew
- bug fix on Zire72
- bug fix with SnapperMail PDF attachment
- Updated GUI
- JogDial support on TH55
- Low-Res support
- added 65%, 85% and 95% as additional zoom factor
- remembers last scroll values for last visited document
- Basic rotation support using the 1st hard key (Function on Zodiac)
- smaller scroll values when using the 5-way for scrolling (better readable)

0.8 (11/26/05 "postponed Thangsgiving update")
- Basic memory manager to avoid fragmentation, might bring better performance on some devices
- Better installation, all fonts inside the app and extracted at first run
- ARMlet (1.2 MB) can be moved to memory card, leading around 38 kB PRC in main memory
to handle attachments and receive PDF files
- Beam/Send for PDF files
- Presentation mode, sends rendered pages as jpeg to any BT device (using Object Exchange)
together with a Bluetooth Media Adapter (BT->TV) you get a great presentation combo

I tried it out again and I can report a vast improvement over the earlier version. Now the zoom works faster and the Treo650's Dpad controls the movement around the document nicely. It still needs a fair amount of resources (cache memory) free.


Monday, November 28, 2005

Efficient Time Management with your PDA

Busy doctor? Don't know how to juggle so many appointments and procedures?
Let your PDA help you!

Time management with PDAs looks like a good place to get tips on how best to optimise the limited hours you have each day....
Great site Bruce. And indeed my prayers go to you and Vickie Lynn.

via Spinosum in the MMR IT Forums

Sunday, November 27, 2005

Clinical Cardiology 2007

Pacific Primary Care has released Clinical Cardiology 2007. I am amused that they have come out with a 2007 version when it is not even 2006.
I guess that's called "staying ahead of the competition"!

Thursday, November 24, 2005

Pedia Dosage Guide

IslandCoders have come up with Pedia Dosage Guide 1.0

Summary: A collection of pediatric medications with recommended doses and its preparations. Presented with a dosage calculator that will help clinicians in administering medications.

Blogroll update

Added TreoTodaywhich looks like a great Treo blog. Comes from a fellow countryman too ;) Ever dropped your PDA or smartphone in a toilet bowl? AJ did, and discovered 10 Things I can’t do without my Treo. The happy ending is the Treo650 survived the encounter with the toilet bowl!
I suggest those of you who like to read in the toilet with your Palm, please get eGrips!

Monday, November 21, 2005

Rumours of the next Treo again

Mobileread reports the following speculated time table:

* January 2006: Treo 700w (WM 5.0, ED-VO) exclusively from Verizon
* January 2006: Treo 700p (Palm OS) exclusively from Sprint
* March-May 2006: "Hollywood" - fancier 3G/GSM smartphone without external antenna to appeal to European customers; in US likely to be launched by Cingular
* March-May 2006: "Lowrider" - a sub-$300 device and entry-level PDA, compatible to previous-generation network radios

Well hurray for Hollywood! Looks like that'll be the Treo upgrade I am looking forward to!



I have been approached to develop a standalone version of the Myelodysplastic Syndrome International Prognostic Scoring System for the Palm. You might be aware there is already an IPSS module in Haemoncrules but this one is more elaborate and the interface has been redesigned a bit.

The item heading is now separate from the drop down box. You do not have to hit "Calc" as the values are filled in automatically once you have selected the required three variables.

A new feature is the addition of Survival Curves and AML Progression curves. Hitting on the Graph button after generating the score will take you to the appropriate image.

I actually found this IPSS program useful when I was discussing management plans with a patient of mine who has MDS. She wanted to know her prognosis and whether or not allogeneic stem cell transplantation was appropriate for her at this point in time.
I whipped out my Treo650 and tapped out her IPSS score and showed her the survival curve appropriate for her score. I think she and her husband were impressed ;)

Anyway, this program will be free and available to ASH attendees in Atlanta this year if they visit the Pharmion booth.

Friday, November 18, 2005

CME Watch

CME Watch has been updated in
This application enables you to keep track of your CME Hours on your Palm.
Update Description:
- Adds Certifications Manager
- Adds Alphabetical/Date Chooser/List
- Adds Filtering Options
- Categorize by Type and Event

Thursday, November 17, 2005

Health Assessment Through the Life Span

Skyscape Introduces Health Assessment Through the Life Span, 4th Ed. Bundle for Handheld Devices

MARLBOROUGH, MASSACHUSETTS, USA, November 16, 2005 Skyscape, Inc., the leader in mobile health and medical information solutions, today announced the release of Health Assessment Through the Life Span, 4th Ed. formatted specially for PDAs and smart phones. The reference is published by F.A. Davis and joins Skyscape's portfolio of more than 300 trusted references in over 35 medical specialties.

Health Assessment Through the Life Span, 4th Ed. is ideal for nurses to review condensed coverage of health assessment, said Sandeep Shah, Skyscape founder and CEO. Its intuitive and easy-to-use interface, smARTlink, provides practitioners with instant access to critical information at the point of care. More than a reference, Skyscape's Health Assessment Through the Life Span, 4th Ed. is a powerful decision support tool that eliminates errors and enhances the quality of patient care said Shah.

This information-packed, easy-to-use pocket guide serves both as a reference for nurses working in clinical settings and as a student text for programs that offer condensed coverage of health assessment. Organized by body systems, the focus of this updated edition remains on assessing, documenting, and reporting the current status and changes in the condition of patients for all age groups.

Key Features
- Added focus on pain assessment and documentation, which is now required by the Joint Commission on Accreditation of Health Care Organizations (JCAHO).
- Expanded coverage of dental history and problems, obesity and diabetes, assessment of mental symptoms and behavior, and abuse and/or neglect.
- Additional color figures further illustrate procedures. Tables and appendices are revised and updated.
- More pediatric coverage on breast development for children, abuse, and asthma.
- More geriatric coverage on assessing edema, circulation and skin problems, nutritional needs, medications, and vitamins.
- Focuses on health promotion and wellness, community resources, payment mechanisms, specialized communication techniques based on age, ethnicity, and culture, and the use of alternative and complementary therapies.
- Clinical alert sections detail, in color, special instructions for assessments or concerns related to findings.

Practitioners can purchase the reference or download a free trial version by visiting Skyscape

21 CFR Handheld

Press release:

CHARLOTTESVILLE, Va and ALBERTSLUND, Denmark, November 16, 2005
Today, Unbound Medicine, the leading provider of authoritative information designed for mobile professionals, and Tarius, the leading provider of global regulatory and compliance information for the pharmaceutical industry, announced the release of 21 CFR Handheld. Mobile regulatory professionals can now consult the complete Title 21 of the Code of the Federal Regulations (CFR) as well as Federal Register updates from any location using either a personal digital assistant (PDA) or a wireless device such as BlackBerry, Treo, or a Smartphone.

Regulatory and quality assurance professionals frequently consult current and relevant regulatory information to guide their decision making. Traditionally, these professionals carry a book of regulations with them and add notes manually whenever a change occurs. The book itself is only updated annually, so they must check regularly for updates and rely on their own notes in order to remain current.

For 21 CFR Handheld, Tarius inserts links that connect the user to amendments within hours of the daily release of new information by the U.S. Government Printing Office. Unbound Medicine’s unique platform delivers this daily update to 21 CFR Handheld users, either through PDA synchronization or over the Internet to a wireless device. Now regulatory professionals can always have the most up-to-date information in an integrated and portable format. .

“On-the-go pharmaceutical and regulatory professionals who need fast, authoritative answers to the constantly changing regulations that govern human drugs, biologics and medical devices will now be able to check the complete 21 CFR from any location, “ said Bill Detmer, MD, President and CEO of Unbound Medicine. “We are proud to partner with Tarius to serve this segment of the healthcare market, given their global reputation as a source of high quality information.”

“Unbound Medicine’s strength in information architecture and their versatile technology are a perfect complement to our capabilities at Tarius,” said Nina Lindholst, Vice President of Tarius. “Now our users can carry the essential 21 CFR in their pockets—complete with bi-directional links to the latest amendments.”

For more information about 21 CFR Handheld visit Unbound Medicine's Online Catalog or CFR Handheld Website.

Monday, November 14, 2005

Egrips review

Ever worry you might drop your PDA or smartphone whilst busy at work or rounding and trying to do three things at once?
Well, ever since I got my treo650, it has been a concern of mine, as the Treo is a slippery little thing in my hands.
Fear no more, as you can get peace of mind if you install non-stick decals: Egrips on your device.
I wrote a little Egrips Review which you might be interested to read.


Sunday, November 13, 2005

Blogroll update

Finally got round to updating my Palm blogroll - this is a list of Palm and Palm related Blogs I visit. I have removed the defunct ones but left the rest which work, even if some haven't been updated in a while.
My numero uno fav is Palmaddicts which is great for the very latest news. You literally have to check it several times a day or else you might miss something!
I have added two new blogs:
Maceyr's palm discovery

Pocket Guide Breast Cancer Drugs

Skyscape has released Pocket Guide Breast Cancer Drugs 8.0.3 in Palmgear

The Pocket Guide to Breast Cancer Drugs provides ready access to the essentials of breast cancer management, including information on prevention and screening, staging, and treatment regimens. Pertinent information for 26 cancer drugs is comprehensively covered, from dosage and preparation to administration and interventions for potential side effects. The inclusion of patient education points for each drug simplifies your patient teaching. A must-have companion resource for oncology nurses!

Friday, November 11, 2005

Docs2Go now supports Native PDF

Palminfocenter reports that Docs To Go v8 Released with Native PDF Support
Great news for the Palm PDA toting doctors who like to read PDFs like journal articles on the go.

Related post:
PDF Readers for Palm roundup

Wednesday, November 09, 2005

Another mobile Google

Via PalmAddicts: Apart from searching the net using Google PDA, you can also go to Google XHTML which has more features including a Mobile Web search.

More Free Stuff

Chris Helopoulos has written an article in, entitled More Free Stuff.
It's a good round-up of recent freebies for your PDA.
I have to mention he missed out Haemoncrules :P but I guess it's not new ;)

Tuesday, November 08, 2005

PalmPDF updated

Further to my mini-PDF Readers for Palm roundup, you might be interested to know that PalmPDF has now been updated to version 0.5
0.5 11/01/05
- Resets auto off timer
- doesn't disable power key (only happened on some devices)
- icon with transparent bg
- scroll bars added, only as info not for navigation
- Finally: landscape support
- directory on memory card is registered for .pdf (Hotsync)
- PalmPDF is registered as receiver for .pdf files over BT or IR (file transfer)
- Zoom select popup menu, Page select popup window
- TrueType support

Thanks to Palmaddicts for the headsup

Pocket Guide to Colorectal Cancer Drugs

Press release:
Skyscape Introduces Pocket Guide to Colorectal Cancer Drugs and Treatment for
Handheld Devices

MARLBOROUGH, MASS. – November 07, 2005 – Skyscape, Inc., the leader in trusted mobile
health and medical information solutions, today announced the release of an important
Oncology reference – Pocket Guide to Colorectal Cancer Drugs and Treatment – formatted
specially for use by healthcare providers on PDAs and smart phones.

Published by Jones and Bartlett Publishers, Pocket Guide to Colorectal Cancer Drugs and
Treatment is authored by Gail M. Wilkes, RNC, MS, AOCN, Boston Medical Center. This
reference reviews the current status of the management of colon and rectal cancers,
including: a review of the incidence, epidemiology, and trends; staging and primary surgical
management; adjuvant therapy; and treatment of advanced disease. In addition, specific
information about each of the chemotherapeutic agents used in systemic treatment as
adjuvant therapy of treatment of advanced disease is presented for both the nurse and
patient/family. The reference is easy to navigate and includes a brief overview of colorectal
cancer and patient education information for each of the drugs. A must-have companion
resource for oncology nurses!

Monday, November 07, 2005

A new Treo user

DrTony's got a new Treo650. Welcome to the convergence club ;)
I would have thought 23 MB is too little and that kept me from getting a Treo650 for some time. But with Zlauncher and moving files to SD card, it's tolerable - except that I have had to forgo Epocrates on the Treo650 (I have since installed it on my Dell Axim x50v which also runs UpToDate; but most of the time I rely on the Treo650 for everyday referencing)
It's good to hear of forthcoming Treo models - next year. I look forward to 64-128MB Ram, 3G support, a better camera and perhaps Wifi drivers please, Palm?

Using a PDA as a Medical Education Aid

I have been using the Treo650 and it's built-in camera as a simple patient education device. The camera may be only 1 MP but the pictures are reasonably sharp and the video is not too bad.
You may often need to explain to patients certain procedures and pictures and videos tell much more than words.
I think it is impressive if you whip out your PDA and play a short video clip or demo some pictures to aid in your explanation
Check out this little clip I took of a PICC using my Treo650:

The video is hosted on YouTube which seems to be a great place to upload and it makes it easy host your videos on your webpage or blog. Just click on the large play button and you are good to go.
Slashdot calls it the Flickr of Video and rightly so I think!

Doctors better be careful, your video may be surreptitiously shot by patients! e.g. in this one "My Gynae". Perhaps cameraphones should now be banned from the doctor's office? :P
Some medical student (apparently who also owns a Palm for sale - a Tungsten T on eBay)with too much time on her hands also came up with "Scandalous Student Doctors" ;)

Saturday, November 05, 2005

Skyscape connects you to Avian Flu

With the number of avian-flu cases in birds with the deadly H5N1 strain rising daily, health officials are warning of a possible pandemic in humans and world leaders are urging drug companies to speed development of a vaccine.

To help ensure you stay up-to-date with important developments on avian influenza, Skyscape has updated their FREE .911™ Resource (download .911 now) to incorporate the latest information from the Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) on the viruses, recent outbreaks and the risks to human health.

Move over iPods, here comes the HeartPod

Interesting story from Gizmodo

If you are looking for old Handspring Visors, then you're out of luck as someone has bought them all!
"So they bought up every last Handspring Visor from the junkyard they could find and slapped their software onto them. The result is the HeartPOD, a system designed to help monitor the patient via a sensor implated into the heart and an old-skool Palm"

Cool. Via PalmAddicts

Google Print

I think all this hullaballo about copyright issues and Google's new Print Search service is overblown.
I just took a look at what they have indexed and it is incredible. Just search for Stem Cell Transplant for instance and I'm amazed at the many titles it turns out.
Publishers and authors need not fear Google Print. In fact I think Google Print will do them a favor instead and help readers locate their books more easily.
I like Google services - their pages are so PDA friendly and you could search wirelessly right from your Palm literally.
Kudos to Google for yet another innovative idea.

Friday, November 04, 2005

More Oxford Titles

Skyscape has released a couple of updated Oxford titles:

Oxford Handbook of Acute Medicine, 2nd Ed.
Published by Oxford University Press Oxford Handbook of Acute Medicine is authored by Punit Ramrakha and Kevin Moore. The Oxford Handbook of Acute Medicine is an up-to-date, practical and comprehensive guide to the management of the acutely ill patient. The reference relates pathophysiology to clinical features to help the reader make the diagnosis quickly. It identifies priorities for treatment and leads the reader, step-by-step, through the management of the patient while awaiting specialist help. Wherever possible, published guidelines have been incorporated to ensure that the reference reflects current, recommended management of medical emergencies, with evidence-based treatments. Details of specialist treatments are included to inform readers about the patient's likely ongoing care.

Oxford Handbook of Accident and Emergency Medicine, 2nd Ed.
Published by Oxford University Press Oxford Handbook of Accident and Emergency Medicine is authored by Jonathan Wyatt, Robin Illingworth, Michael Clancy, Phillip T Munro, and Colin Robertson. This popular Handbook provides practical, accessible guidelines on a huge range of situations that present to the A & E department, and is the essential guide for junior doctors (including candidates for examinations in Accident and Emergency Medicine), specialist nurses, paramedics, and general practitioners. The text is deliberately precise and prescriptive. It gives up-to-date step-by-step advice on presentation, investigation, diagnosis, emergency treatment and further referral for adult and pediatrics patients, important practical procedures are covered in stepwise, easy-to-follow format with line diagrams illustrating anatomical landmarks.

Looks like these two titles are worthy additions particularly for an ER Doc's PDA reference collection.

Current Essentials of Medicine, 3rd edition

Unbound medicine has announced the release of Current Essentials of Medicine, 3rd edition

From the popular Lange series! Current Essentials of Medicine is optimized for mobile devices to bring you concise diagnosis and treatment for more than 500 medical disorders. Sharpen your clinical acumen with the Pearl included for every disorder! Completely updated throughout, this quick reference is perfect for medical students, residents, physicians, nurse practitioners, and physician assistants. New to this edition! Updated treatment recommendations. Expanded coverage of infectious diseases. Up-to-date references throughout.

Skyscape Introduces Oxford Handbook of Psychiatry for Handheld Devices

Press release:

MARLBOROUGH, MASS. – November 03, 2005 – Skyscape, Inc., the leader in trusted mobile health and medical information solutions, today announced the release of an important Psychiatry reference – Oxford Handbook of Psychiatry – formatted specially for use by healthcare providers on PDAs and smart phones.

Published by Oxford University Press, Oxford Handbook of Psychiatry is authored by David Semple, Roger Smyth, Rajan Darjee, and Andrew McIntosh. The Oxford Handbook of Psychiatry is a new reference directed at medical students, doctors coming to psychiatry for the first time, psychiatric trainees, and other professionals who may have to deal with patients with psychiatric problems. It is written by a group of experienced psychiatrists and is designed to provide easy access to the information required by psychiatry trainees on the wards or on-call. It closely follows the familiar format of the Oxford Handbooks series, and provides coverage that is comprehensive, evidence based and practical. The content of the handbook is written in the concise, note-based style characteristic of the series.

Wednesday, November 02, 2005

Need mobile email? It's here already

Leo of laments that he needs Mobile Email. I thought we have had it all along, and no we don't really need Blackberries everywhere.
I'm just back on vacation where broadband does not exist yet I could check my email with my Treo650. I use the default Versamail which supports POP and IMAP. You can actually schedule the Versamail client to check the mail at defined intervals (eg half hourly or hourly) and set it to collect only the headers and limit the size of data transfer (important if you are not on an unlimited data plan). For truly "push email" you can also use Chatopus (PalmOS only) - I don't need my email to follow me around that closely thank you!