The critical link in most telemedicine systems is the last mile — the final stretch of copper wire between a remote facility and the telephone company’s local central office. Communicating in the world of the Bells requires learning their unique lingo, and here’s a crash course on how to savvy ISDN.

“Our involvement in telemedicine became more important after the operating room LIM alarms went off when an IS guy plugged the telemedicine cart into the isolated power system without consulting us,” recalled J. Tobey Clark, director of Information and Technical Services at the University Of Vermont.

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