If computers were cars, the Macbook Pro 13 inch Retina Display is an M3. Fast but practical. The screen -oh my the screen, you can’t peel your eyes away. Here , I’m loading Windows XP on Virtualbox.
Tag Archives: Apple
Samsung Galaxy Tablet 2 7.0 -brief review
The annoyingly named Samsung Galaxy Tablet 2 7.0 came out last month and I couldn’t hold off picking it up because my other 7 inch Android tablet has been appropriated by my 3 year old for video watching. Turns out, while traveling, the 7inch tablet is easier to hold than an iPad. I have become a fan of the 7 inch form factor, and because most of my work is done in email, Evernote, and Dropbox, across multiple platforms, it really doesn’t matter what gadget I’m on, as long as these cloud services and apps are available.
I was first struck by this device as being more business oriented than previous tablets, having charcoal grays that would look good in a boardroom. The front is Gorilla glass, the back is a high quality plastic that feels good in the hands. There are front and back cameras and Instagram works fine from either sides. It is thin enough. The 7 inch tablets work well for me in the hospital because it fits in my pocket. All the medical apps work, and in a pinch, Citrix is usable for accessing the hospital and office data. I can also read my Kindle books and watch Netflix and Hulu, listen to Pandora and Spotify, and via Google Play can cloud base my iTunes for my Android devices, or as I have done, park the non-DRM files on a 64 gigabyte microSD card with room left for over 25 feature length films.
It runs well, has between 6-8 hrs of battery life. It is much more user friendly that it used to be, but really, if you can’t set up your own email account, you shouldn’t be given a computer. Amazon sells a faux leather book cover which works and keeps things corporate.
It will run Amazon media via Flash, but who has time to watch Downtown Abbey when you have four seasons of Mad Men to catch up on? Flash kills your battery life (we know, we know), but there are times that it is convenient although every year it is less so as Apple and Microsoft have abandoned Flash.
Ice Cream Sandwich (ICS) is much more touch friendly than Honeycomb which killed the 10inch Android Tablet in the crib. The Tablet 2 designation is correct in that Samsung is positioning itself as an Apple alternative in the post PC world. I like ICS because you can customize. The problems Android had when I had my Droid 2 from Motorola/Verizon are note apparent -contacts come up fast on emails, and Facebook and Twitter are laced into the OS. It doesn’t crash. Individual apps may but the whole OS no longer dies. I see no need for a task killer so far.
Why did Steve Jobs hate the 7 inch form factor? It didn’t jibe with his four square grids on his keynote presentation. As he said, you’d have to file your fingers down to nubbins to reach the right size – this is not true. I think it was a mistake on his part. The fact is that industrial gadgetry is market begging to be filled by the void being left by BlackBerry. Doctors want a tablet, but one that doesn’t need a murse or a satchel to carry.
This tablet at 249.99 at Best Buy is more expensive than the Fire, but I think it does more. Even if you are wed to iOS, the fact that most of the big apps like Instagram and Angry Birds are available means that it doesn’t matter which one you have. I am preferring subscription services like Netflix and Spotify because of their ubiquity on multiple devices. Subscriptions make more sense because you don’t need to take up precious storage space for media when you can have it in the cloud -the tradeoff being the need for a broadband connection.
Other neat stuff -it features a universal remote and IR blaster, letting you turn it into a very cool feature rich remote. The app also tells what’s on TV -it would be wonderfully convenient if it just displayed the TV as well, no?
It’s a good time to be into tech. You have options. When Apple does come it with a 7inch iPad, you’ll have even more.
Apple’s Impact on CES
It seems CES is all about reacting to Apple -Ultrabooks that are indistinguishable from MacBook Airs, smartphones that try to beat iPhone on features, cloud services that plagiarize Steve Jobs presentation slides, TV’s you talk to that try to preempt a Siri hosted Apple TV. The best stuff is when they try to be themselves, like Windows Mobile which is not very Microsoft in that it is stylish and easy to use, again like Apple.
When irony is so obvious, it no longer is ironic. It’s just sad. It’s just a bunch of small fish in a small pond. A tall hobbit contest.
Why Keyboards Matter and Why They Must Go Away
Tablets are often denigrated as being merely consumption devices, and there is some truth to it. For actual work -or what we call work in this latter day, we do need keyboards, but that is because of the infancy of touch UI, and its likely successor, the voice UI (Siri). In healthcare, not having keyboards is a big deal -the ones in hospital hallways are generally filthy, but accessing Windows via Citrix on a tablet is not fun -just not set up for touch. Being able to talk to a device like it was your ever-present first assistant -like a caddy but less bulky, would be ideal.
“Give me Mrs. Jones vitals for today. What is her potassium level? Order a bolus of saline, CBC, Chem 7 in morning labs, and schedule for surgery on Friday -what? oh..an exploration with possible resection.”
One day. until then, watching The New Girl on Hulu rocks.
Intersection of Healing and Technology
So much has been written in the short time since Steve Job’s death, that I will refrain from expressing my personal grief at his passing. I just finished his biography by Walter Isaacson. I read between cases and into the night. The most recent memory I have of Steve (he is now all of ours to refer to personally) is watching his introduction of the iPad2, which I watched on-line this past spring. The final image was what stuck with me –the intersection of the liberal arts and technology. That is why Apple products are so wonderful –they liberate the individual to perform insanely great things with computers that were frankly difficult or impossible before. It has also inspired me to think about health care’s relationship to technology.
Modern health care is about delivering technology. I can now repair an abdominal aortic aneurysm with stent grafts delivered via two small incisions smaller than the width of my pinky where traditionally, I had to make a long incision on the belly. These patients go home the next day. Small computers embedded in pacemakers can sense arrhythmias, correct them, and send reports to physicians by internet. Drugs can be tailored to the genetic makeup of tumors. You can have your genome scanned for disease risk.
But in the practice, on the back end, health care is very analog, very dependent on paper and pen, dictation, and text. The best medical notes read like compelling tone poems but can only be composed by direct speech or penmanship. The notes generated with the assistance of computers end up formatted for other computers and insurance companies. I generally skip to the human generated summary section and plan of care, yet even here, most EMRs (electronic medical records) try to parse meaning by stuffing what is analog into digital cubbies. Electronic medical records are ripe for reimagining.
When I want to know the temperature in Orlando, where my father lives, I can ask my smartphone, “What is the weather in Orlando, Florida?” and the temperature pops up along with weather forecast for today, this week, and so on. My email, my contacts, my friends are instantly available. When it comes to my patients, it is an entirely different story.
The problem is that hospital information services serve many needs and therefore devolve into the least common denominator in order to be used in an infinite variety of scenarios. Often, during the course of decades, legacy systems and databases serving different aspects of patient care create an alphabet soup of programs, each with their own security needs and access methods.
For example, in most hospitals, to look up blood tests, you have to log into the computer, then log into several layers of programs then look up the patient, select the correct admission, then select the laboratories -all the while remembering multiple long and complex passwords which you are not allowed to write down. You repeat the process to look up x-ray images, and chart notes from other physicians if they happened to have been scanned in. I can find out the location of every Starbucks in Manhattan and have them mapped out, but checking patient information is a trip back to 1985 in terms of technology. On top of all of this, hospital computer programs are simply ugly. Steve would not approve.
Steve’s philosophy of vertical integration -of creating the software, hardware, store, and services, created simplicity for the end user. It made the technology work magic by being carefully thought out from top to bottom. Simple takes a great deal of effort, but the returns are clear. What a great day it would be if I could just ask my smartphone, “What is Mrs. Smith’s potassium over the past week?” and get an answer.
The answer, of course, is to begin the work needed to get to that point. And that is the great lesson in Steve Job’s life -not fortune, nor influence, but that beautiful simplicity takes a great deal of focus and effort. Thank you Steve for showing us how.
Apple M-Series
Apple needs to create a premium product line. BMW has their M series. McDonalds gives you the option to supersize their fries. You can now pay an extra 20 bucks to get seated in the exit aisle on your next flight. So why can’t we have serious upgrade options.
I know that when you buy a Mac, you can upgrade the processors and RAM, tweak the screen, and add software, but what I really want is the stuff out of Apple’s skunk works, some imbalance, a heaping load of cognitive dissonance. You see, the problem I’m having with Apple right now is that it is headed towards becoming General Computers.
Why can’t we have a Macbook Pro Premium with the DVD drive slipped out and the space filled with more battery, maxed out i7 processor, and 16 gigs of RAM with a retina display screen? In matte black. Why can’t we have a limited edition micro-Macbook Air suitable for pocketing with a 7 inch letterbox screen and small but full keyboard (like Psion’s), 24 hour battery life, and an SD card slot. Why can’t we have a limited edition iPod Touch with a 5 inch retina display and impossible thinness? How about an iPod nano phone with a separate, flawless bluetooth headset, that also functions as a wi-fi hotspot for all your iGadgets.
There is a market for these items, in much the same way that there is a market for Ferrari’s and personal submarines. When the overweight lady with crazy hair and too many shopping bag carry ons is poking around on an iPad -it’s not so fun.
Windows 7 on Macbook Air: Finally A Windows PC that I Like
From Evernote: |
Windows 7 on Macbook Air: Finally A Windows PC that I Like |
This grainy photo above shows my shiny new Macbook Air running (GASP) Windows 7. While this feature has been available via a utility called Boot Camp, I had always run Windows XP in virtualization, first in Parallels, and currently in the open-source (free) Virtualbox. That said, I wanted a faster option, particularly to see if this set up would run 3D CT analysis software well. My current home workstation, a Dell desktop replacement laptop, slows to a crawl when I run this software, but something told me it may run better with the flashdrive enabled Macbook Air.
Buying a shrinkwrap Windows 7 was not fun -an initial trip to Best (not) Buy revealed that they were happy to sell you an empty box, but after they took your money realized the whole store was empty of actual Windows 7 disks. I therefore went to Amazon and was happy to find Windows 7 Ultimate for 40 dollars off the Microsoft price. It arrived two days later and away I went…
To the Apple Store to buy a Superdrive. I tried various ways of creating a bootable USB flash disk, but after several hours, decided to take the plunge and purchase the MacBook Air Superdrive. The Boot Camp setup was a little annoying -you had to download Boot Camp drivers and burn a CD to load onto your Windows drive. You then had to partition the hard drive -I initially set aside 25 Gb but now find that I am running out of space as I load up with necesary software.
After a few days of fiddling, and running it in Windows, I have to say I am surprisingly pleased. Windows 7 is as beautiful as Windows XP is mofugly. It anticipates your needs and just works -for example, drivers for my network printer were automatically downloaded upon adding it to the printer list. This sort of ease of use used to be associated with Mac OS only, but Microsoft has finally bit the bullet and realized that the “for business” label was just an excuse for keeping things arcane and difficult. Getting XP to recognize a network printer is a Sisyphusian task. Windows 7 does it with elan.
Strangely enough, I am enjoying working on Windows 7. Sure -the fonts aren’t as good looking, but the OS is polished and refined. Frankly, I love it. The 3D CT software runs as well from my home as it does in the office on its server (a Dell Xeon PC which is monstrously huge). I am loading Office on it. During the late ’00′s, Microsoft seems to have gotten the message that their software was preferred by geeks, but generally despised by an increasing number of people. What always kept be away from Windows 7 was the terrible hardware available -I had miserable experience with Sony and Dell, and am dubious of any of the large PC makers. Boot Camp and Macbook Air changes all that.
Oh, the virus thing -Microsoft now offers a free download called Microsoft Security Essentials which does a decent job of policing the computer. Kudos to Microsoft and here’s to hoping much luck and fortune to that other iconic American company.
For Business
From Evernote: |
For Business |
This is an excuse given by anti-Apple types who like to say their device is “for business.” It means their way of doing things is for adults. It’s meant to justify complexity and difficulty and excuse monumental blandness.
It originates from the time the first Macintoshes came out with windows and mouse interface, and IBM was DOS only. The idea promulgated at that time was that the command line based computers with their arcane keyboard functions were for the adults, “for business,” while the easier to learn and master Macs were for non-adults, ie the kids. This basic lie has been perpetuated despite the fact that just about every user-interface and design innovation by Apple has been co-opted by the “business” computing industry, starting with Windows 3.1.
That is why I roll my eyes when RIM says their new Playbook tablet is “ready for business,” when many businesses are in the process of adopting iPhones and iPads. When I speak to the medical device sales people, all of them have been begging their IT departments, usually full of people whose lives are invested in this business vs kids divide. Most IT shops are still fixed on managing Windows XP -I suspect because of the costs of upgrading to Windows 7, but also job security involved with managing the bazillion issues surrounding these “business machines.”
I think there should be no such divide. Computers are so weaved into our lives that the devices should easily glide between work and play, like a mullet -business in the front, party in the back.
Addendum: Deutsche Bank shifted its corporate phone from Blackberry to iPhone (link)
The Macbook Air Pinewood Derby Car
It’s that time of year again, and after some effort, we have created our pinewood derby car inspired from one of my favorite gadgets. iPhone car was discussed, but ultimately felt to be less aerodynamic.
12 Gifts for the Surgeon to Get for Him/Herself.
- iPad. I can’t say enough about this device. It’s changed the way I approach technology. I use it every day to check email, to browse the web, and to write blog entries such as this. Using the Citrix app, I can access my practices EMR in large format glory. I can remotely attend meetings and watch the slides on the GoToMeeting app. I snuggle in the easy chair with my son and watch movies on rainy weekend days off via my Netflix app, and he uses it to play a bazillion games -none of which cost more then ten dollars., most for a buck which is a substantial savings over Nintendo DS games. I can keep up with my favorite tv show, The Walking Dead, downloaded weekly directly to the iPad. I can watch every Yankees game this season on my MLB app, live and in high definition. What really makes this device rock is Keynote –I use it to create a presentation of preop imaging studies, particularly the stunning 3D reconstruction of CTA imaging, and add intraop photography to it using the iPad Camera Connection Kit. The whole process takes a few minutes, but makes a patient family discussion incredibly effective. I feel that we are only scratching the surface of this category of device. I purchased a 64GB iPad with wifi only because of the next reason. (www.apple.com)
- Mobile Wifi. This comes in many different forms and is offered by most carriers. It can be purchased as USB stick for a computer –I don’t recommend this as it is the most limiting form of mobile Wifi. The mobile Wifi hotspot can be purchased as a small cigarette boxed sized item (in how many years will that description become obsolete?), and allows for up to 5 devices to be on the network. While this is nice, it requires a separate contract, and doesn’t make sense if you already have a data plan for a smartphone. Most Android phones allow Wifi tethering and this is the most compelling reason to get an Android phone despite its inferiority to the iPhone in most other ways. I have a Droid 2 on Verizon, and despite its failings as a smartphone, it is a wonderful Wifi hotspot, allowing me to use my Macbook Air, iPad, and iPod Touch 4g. I’ve even used Skype on my iPod Touch 4g to make international calls which were clear as a bell and cost only pennies per minute. How nice is it? Going to our rural clinics, the 2 hour drive is made productive and bearable with Wifi in the car (with my assistant driving, of course).
- MacBook Air 11 inch. While I do most of the my work on my 2 year old Macbook Pro 15 inch, I was frustrated by the limited battery life in that laptop. It is only good for about 3 hours, and I had to carry an extra battery. Several days ago, I hurt my back carrying the laptop bag on my shoulder, and I decided to take the plunge. While the Macbook Air 13 inch does have the longer battery life, it is very close to having a 15 inch laptop which I already have. I wanted something substantially smaller. The best analogy would be someone with a 5 Series BMW wanting a sporty 2 seater for occasional use –that person would not get another 3 Series sedan. The MacBook Air does not fail to satisfy. I have owned two prior netbooks in an attempt to go ultraportable and while the battery life was excellent (using lumpy extended batteries), they were slow and the keyboards were miserable, but what really drove me away from netbooks were their trackpads. I had an Acer Aspire One and more recently a Dell Mini 10V which I hackintoshed. Even with OS X running on the Dell netbook –and it ran very well, the trackpads on both machines left me feeling wretched after short usage. The MacBook Air does not have this problem with a full-sized keyboard and a giant trackpad that takes multitouch commands. I am writing this article on the Air, and I have a shit-eating grin on my face right now. Why the Air, and not the iPad. I do have a bluetooth keyboard for the iPad –I found an old Palm bluetooth keyboard that works very well and is even more portable than the Apple Bluetooth keyboard. While text entry is okay at the desk, and even better with the iPad keyboard dock, both bluetooth keyboard and even keyboard dock fail to connect with the iPad. While I haven’t tried since the iOS 4.2.1 update, I found this to be bothersome trying to type on the iPad, and feel better for coming back to a laptop. That said, the 11 inch air is weighs about the same as the iPad. Apple, despite its addition of a limited subset of iWork apps for iPad, does not see it as a content creation device, and I agree. Ergonomically, the laptop still has its use. Most notably, iWeb and other web management applications run exclusively on the laptop for now. Also, despite my dislike of Microsoft Office on Windows, I am very pleased with Office for the Mac, and Word for Mac 2011 is the first piece of Microsoft software to leave me happy in a long time. (www.apple.com)
- iPod Touch 4th Generation –This is basically the iPhone 4G without the phone part. Because the telephone elements are gone, what is left is an insanely slim and light iPod Touch with a back and front facing camera and FaceTime capabilities. While I haven’t explicitly tried it yet, Facetime has incredible potential as a telemedicine platform. In a hospital with fast Wifi, it’s a no-brainer. The iPod Touch is my mini-iPad. Even better, the GV Mobile + app lets me dial out via my Google Voice number which is forwarded to my cell phone. One thing about the Droid 2, the latest and greatest from Motorola –it freezes or slows down tremendously when you look up contacts. My iPod Touch acts as a dialer for my phone and through Google Voice, all my voicemails get transcribed as emails. The Line2 app is even greater –it turns my iPod Touch into a VoIP (voice over internet) phone. It’s an important function because in the bowels of most hospitals and in my basement, cell reception is nonexistent but wifi is present, and because my answering service calls to my Google Voice number, it forwards to my Line2 number and I can get important calls in dead cell zones as long as there is wifi. And being a iPod Touch, you get access to all the wonderful games and media apps. Did I mention Retina display and the A4 processor? The display on the iPod Touch 4th Generation is a modern marvel. 4 point font is perfectly discernible and there are not jaggies or fuzzies in the text. Movies pop on this screen, and it is my front pocket computer and my in the bed computer –my wife is less bothered by my reading from the iPod Touch than from my iPad. My only complaint about the iPod Touch 4th Generation is battery life. Multitasking, particularly having the Line 2 app on to take incoming phone calls, kills the battery in about 8-10 hours –but remember, it was not meant to be a cell phone. (www.apple.com)
- USB recharging batteries –These are largish lithium ion batteries equipped with USB ports specifically for the recharging of gadgets that recharge via USB cables. There are many varieties and flavors, but I recommend the largest you can get for the price –you will never regret it. I found an Energizer branded cell that will recharge my iPad and still have half the power left. It is great not having to plug in at the airport. I can recharge with both battery and gadget in the carryon. One company even had a battery that would recharge the Macbook via repurposed charger cables, but Apple got a cease and desist and these batteries are no longer available. The reason why they should be large large capacity is because the charging adapters for them tend to be bulky and I leave mine home.
- Laptop Bag –These vary from bulky bags that go to the maximum limits of carry-on-ability to to slender sleeves. I own a range of very functional bags that allow for just enough capacity while not being bulky. The best of them is the Brenthaven backpack (link) which allows for bulletproof protection while having more than enough compartments for a laptop, a second laptop, an iPad, a digital camera, an iPod, headphones, memory cards, a smartphone, a backup battery, the cables and chargers, pen and paper. The most stylish bag (my wife calls it the man purse) is a Kenneth Cole laptop bag in black leather. While the Brenthaven bag says, “GEEK,” the Kenneth Cole bag reeks of style (link).
- Watch –Watches are indispensible tools for a physician. First and foremost, the date and time are required elements of a doctor’s note. A watch with a second hand is indispensible for checking heart rate. And a surgeon has to look presentable in scrubs, and the watch is one of the few personalizing items that I think a surgeons should choose with some thought. The problem with premium watches and surgeons is that the surgeon has to take them off while scrubbing for an operation. There must be at any given time some combination of Rolexes, Tag Heuers, and Omegas in hospital laundries across the country. I have become a big fan of the great looking, highly functional, cheap watch. The two best are the Timex T45951 Expedition series alarm watch which is a big chronograph with a handsome leather band –other colors are available, but the cream faced one with tan leather band is only 50-65 dollars and cheaper on sale at Amazon. It has the Indiglo feature, and a nice beeping alarm that wakes me without waking my wife. It is comfortable enough to wear to bed. The other watch is the Casio MDV102-1AV Sea Analog Illuminator Dual LED Dive Watch. This is a beautiful watch that could be mistaken for a Rolex Submariner or the James Bond Omega. Even better, the LED on it is so bright, I use it as a flashlight. Cost? Currently $42 on Amazon.
- Pens –The surgeon can never have enough pens. The problem with expensive pens is exactly the same as expensive watches –they are waiting to be lost in the hospital tucked into a chart or left in the laundry. The best pens leave a permanent record in the chart and has blue or black ink. They have to be roller ball if carbon paper duplicates are still used in the hospital. My favorite? A box of UniBall Onyx pens in fine point. I used to prefer Micro, but found the Micro points to be less durable. The ink flows smoothly and authoritatively from these pens which I don’t mind losing. The other pens are personalized pens to give away. The federal rules do not allow for drug companies to give away pens, but there is no such impediment to physicians giving away pens. There are many companies on the internet that will personalize bulks of very nice and usable pens.
- Moleskine notebooks –These handsome faux leather (no moles in moleskine)notebooks are the original PDA’s. I keep one handy for a case-log and another as a personal journal and writer’s notebook. I like the 3.5×5.5 inch sized journal because it is large enough to write comfortably in but not so much that it won’t fit in my pockets. I preferred lined pages, but unlined is nice for those who like to sketch. (http://www.moleskines.com/)
- CME on disk –The problem with CME conferences is that it’s hard to get the CME’s on short notice and air travel makes it fairly miserable to hike across country to get the 30-50 annual CME hours required by most state boards. There are many CME products available, but my favorite are SESAP for general surgery (link) and the UCLA update on Vascular Surgery (link). Both are available as print material and handy MP3 and video MP4 files, allowing you to take them on your iPod or in your car. And that is where your CME time is well used. I frankly enjoy the 30 minutes listening in the car.
- Chestnuts –I grew up with chestnuts. They were a wintertime treat. Roasted, they were a savory and sweet snack that went well with the frigid wintertime air. In New York, that great melting pot, chestnuts would be served roasted on the streets from carts by older Italian gentleman, but now you hardly ever see them. It’s hard to find a good batch of chestnuts because they don’t travel well, being prone to fungus because of the high sugar content. I came across a batch of locally grown chestnuts and pounced on them because they were fresh. That said, you can get a jar of shelled and cooked (by steaming) chestnuts from France at Williams-Sonoma. It’s seasonal and once you open the jar, you have to refrigerate them, but they are delicious plain or in a stuffing –anywhere sweet potato would go in a dish, the chestnut does better. (link)
- Legals Seafood Fish Chowder –There is no better chowder than fish chowder and arguably, Legals of Boston has, if not the best, at least the most convenient. You can go on their website (link) and order a gallon or a quart, and you’ll get it shipped chilled and ready to heat up and eat. If you can’t consume it all at once, you can split freeze it, or split the package into smaller portions and freeze. A bowl of fish chowder on a winter day after playing out in the snow is something special. You can try making it yourself, but you won’t get the correct combination of fish and flavor that was featured in the Bush (pre) inaugural.
