David Diaz >>> Actually the way it seems to work is head over to the local server, and the radiologist goes through several patients at a time, taking not of any notations the techie made on the film. I do not think most are emergencies or code blues, just someone coming in with a pain etc. 5min probably wont make a difference. If they are really showing those kind of problems then of course the doctor is called in from home by the attending. Still for remote clinics etc, it's a powerful resource. Maybe for second opinions when something isnt clear when surgery is needed immediately or not. I also know that certain places do not have good health care like indian reservations say in Alaska. This way an expert can really help even if not local. The internet.... it's not just for spam anymore.... ;-)<<< In Internet2, we're starting to see the Internet used for real time distributed "tumor board" meetings. The way this works, you have some oncologists (cancer specialists) and radiologist, and the attending physicians for some cancer patients. The group consults on the appropriate treatment program for the patients. Using the Internet, it is possible to bring some pretty heavy expertise to the discussion, which is important for smaller communities that do not have access to these experts.