Hey Everybody!,

Dave has brought me in for the Strongangel project, I will be taking a few
weeks off school to be with some of you on site in Hawaii in June. Weeee!
There are many unanswered questions for me regarding the specific
mission that we are doing at SA. Dave, I think, has been busy trying to
render all this and is unable to answer some of my questions. I've studied
all the propaganda and am looking to coelesce the unwritten info so that I
can make a positive contribution to your efforts. If there exists a bulliten
board for the whole team to track other parts and progress I would love to
get the address, if not and y'all think it may be valuable, then I would be
happy to build it. If you are involved in SA, I would really appreciate a
couple of sentances on how by email: paleke@hotmail.com . If you have
the time or inclination, you may read my assumptions (orange)
thoughts (blue) , questions (purple), and how I may fit in (red), as based
on the text I've read. any answers or corrections from anybody will
be appreciated...Thanks so much! I can't wait to see you all again!
pk
The people involved are:
Dave Warner (Duh)
me ((-;
  An I3 DMI Research Team
     Matt Carbone
     Emily Keller
     Jill
     Mark
     Topper

  An ECU or TTC Telemed Team
     Dave Balch
     maybe the Bob's? on site?
     Ron, Gloria, and the guys back at ECU

Since I saw Markus and Jeff talking about a map of the site
I wonder if they are also involved, so that makes me wonder about Salamo, Jojo,
Corey Latham, and others, in short

Who else is involved?

The mission is to:
have
configured and systematically tested;
A medical communication matrix,
consisting of:
a heterogeneous array networked, roaming communication assets,
biosensors, distributed knowledge resources,
with
intermittent connectivity various bandwidths and protocols
IS there a list of specific devices to test?

I imagine two scenarios,
in one ECU and/or TTC demonstrate the wonders of telemedicine and
the DMI team observes this and other things going on in order to
come up with a better way to do it in the future.
If that's true then all I need to do is show up
and be a good brainstormer with the team and this message is
just an exercise in organizing thoughts.

In the second scenario, some techies from I3 are actually going to be
setting up and testing some new technologies in parallel with the telemed stuff, or
performing other more, structured research, in which case
there may be many things going on and it would be nice for everybody to know where
everybody else is so that we mesh well together, hense this message (-:


Possible Projects, that I would enjoy doing if you guys want.


1: Buy or borrow an INMARSAT service personal sat phone, I can set it up here in Israel (they are useable everywhere except the 48 states) with a laptop. We can use it at SA to test the efficacy of personal SAT systems for store and forward and low bandwidth realtime telemed . cost for purchace ~$1000 pluss $3/min airtime

2:find and test a palm top based patient record system, ( a test using cellular network may be appropriate for many places eg: Israel, Portugal, Suriname, much of the southern and northeastern African nations, etc.)
I know these exist for in hospital wireless lan applications but I have not researched it yet
cost:???

3:Test interfacing hand radios (motorolas) common in the military with TNG or modem type communications to facilitate a limited, cheap, simple network for med data when POTS and Cellcom don't exist.

(This will require someone superior to me in tech ability possibly Marcus or Ed)
If not the motorola's what about using RC frequencies for med data?
cost:???







Personal Notes from the last week or so...unimportant to the message only attached to keep my thoughts in order (:

ECU DOES THIS:
telemedicine consults in 10 different specialties
         test a variety of CODECS (real-time video, diagnostic imaging,
        
vital-signs monitoring, and anthrontronic controls)
         ECU will provide a functional Telemedicine Practice Suite at the remote site,
         and a Bridge capable of multi-site ISDN, T1, and ATM connectivity.
         The Telemedicine Practice Suite will consist of clinical tools,
         IP and conventional CODECS, and support software. IP video, NGI,
        
biosensors through telemetry, and store/forward clinical telemedicine applications .
         In essence, we are building a nomadic computing network matrix with links to the
         7 countries participating in the Strong Angel exercise through the ECU Bridge


NAVY DOES THIS:
multiple T-1 bandwidth channels for the first 20 days of June, 2000. Puu Paa to the Bridge at ECU
        2 Portable ground stations (full duplex 1.5 mb/s minimum)
        Power source (generator or solar) for remote operations
        Wireless 100mbps network with 5 mile range
        Ethernet router, hub, and network cards




ECU'S DATES June 1 through June 20

I probably could not make these dates
Dates I can make: April 18-30 June 7-18 and after July 10


It is expected that the lessons learned from Project Strong Angel will be utilized in the follow on project, in the fall of 2000, where, during the Humanitarian "Mission to the Americas", the MERCY


In what ways are they similar?

I percieve that:

STRONGANGEL is a command admin structure integrating NGOs and military exercises in a simulated complex emergent situation

MERCY is a surgical hospital which will deliver supplies to some established NGOs months after the emergency and support a short term surgical referal service

differences are FO
SA == big structure, heirarchy defined from the beginning,
        wholistic mission, (
infinite budget?), unspecified outcomes
        PubHlth research, tech fest test
{what tech? recordkeeping,
        specialist consults, triage data collection, enemy/friend
        /patient locator, what tests exist? what are our
        responcibilities?}

tech defined:
high-bandwidth video-teleconference

support, to the interviewing of refugees for
war-crimes documentation using digital transcription,
to solar powered computer systems.

MM == One boat, must fit in to prearranged civ heirarchy,
        finite mission, (
budget?), outcome known, research???
        tech???{don't they already have recordkeeping for this?
        what else do they need? specialists are on site, triage
        must have happened months ago, there is no enemy
        to detect
}

Similarities are more vague
        catalyze partnerships with governmental and private sector
(they are similar as political humanitarian missions)         Coordinate adoption of agreed working standards and common
         practices among participating institutions





Will these kinds of things be at MM?

Health services (screen, baseline, emergency care,
routine care, surveillance, vaccinations)