North American Network Operators Group

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Re: PAIX/industry specific exchange pts

  • From: David Diaz
  • Date: Mon Nov 18 12:53:46 2002


Actually I got to sit with a company deploying this as a product, and I was impressed. Right now, it's all run over *gulp* dsl. But they are moving towards tunnels on the open internet.

My cousin actually does work in the field and when it's working, it's impressive. When there is a glitch such as a power failure (U can tell something isnt setup right if this affects their network) they have MIS issues and have to volkswagon it over to the main location.

On the one had it makes me nervous that it's not rock solid, on the other hand if it means a senior doctor has a shot at looking at me pics, ultrasound videos etc, before they do something, then Im happier. Somehow I think it's really used in some locations to cut back on expensive staff.

Still, not a need for an exchange pt. Perhaps a medical exchange point??? Perhaps that's the next thread? Goes against my philosophy of aggregation is the key to life.... But could there be medical or industry specific exchanges just like there are industry networks???

dave


At 11:42 -0600 11/18/02, Daniel Golding wrote:
Is this sort of radiology data sent over private lines or the public
internet? What are the bandwidth demands?

Not a good reason for extensive local peering, but a very interesting
application.

- Dan

On Mon, 18 Nov 2002, Stephen Sprunk wrote:


Thus spake "David Diaz" <[email protected]>
> I agree with everything said Stephen except the part about the
> medical industry. There are a couple of very large companies doing
> views over an IP backbone down here. Radiology is very big on
> networking. They send your films or videos over the network to where
> the Radiologist is. For example one hospital owns about 6 others
> down here, and during off hours like weekends etc, the 5 hospitals
> transmit their films to where the 1 radiologist on duty is.

I meant my reply to be directed only at "telemedecine", where the patient is at
home and consults their general practitioner or primary care physician via
broadband for things like the flu or a broken arm. While there's lots of talk
about this in sci-fi books, there's no sign of this making any significant
inroads today, nor does it qualify as a "killer app" for home broadband.

I do work with several medical companies who push radiology etc. around on the
back end for resource-sharing and other purposes. This is quite real today, and
is driving massive bandwidth upgrades for healthcare providers. However, I
don't think it qualifies under most people's idea of telemedecine.

S