Wireless In Healthcare

And now for something completely different!

Life has thrown me a curve ball this month, which helps explain my recent absence.  Without getting into any gorey details, suffice it to say that my relationship and living situation status has abruptly changed, which is also putting my financial status into an unknown state.  Still, happily, life goes on and I’ve been concentrating more on a big project at work and putting my studies on a temporary hold.  This project is a huge one, involving a large hospital campus and surveying for a completely new 802.11n wireless deployment which will be VoIP grade.  I feel lucky to have been involved with this project early on and to be doing so much of the leg work on it as it’s been a huge learning experience.

Working in IT in Healthcare always presents unique opportunities and challenges and nowhere is this more apparent to me than when it comes to wireless.  It seems like every day a new application is found for wifi or RFID and it really does have the power to make a huge impact on the day to day workflow of physicians and nurses.  Whether it’s improving communication to staff on a critical care floor, allowing remote assistance in the OR for special surgeries, or even tracking babies and making sure they aren’t taken out of the nursery by the wrong people, or tracking temperatures of refridgerators so that staff don’t have to, wireless is going everywhere.

Unfortunately, just like the wild wild west, this frontier isn’t always understood by those pushing us to explore it.  Most people think wireless networks are all just as easy to set up as their network at home, but enterprise wireless networks require very careful planning and a lot of surveying.  Then add to that the unique architecture of a hospital campus.  Before I worked at a hospital, I thought they were just buildings with some different walls and such.  Nope.  Hospitals almost grow like organic organisms, with old buildings merging into new ones, the lines between blurred and constant change and construction.  Then there are all the building systems in the walls, from lines for oxygen and water, to lead walls to protect an X-ray room that hasn’t been there for 20 years.  Then you have hallways that are a constantly changing landscape of beds, carts of food trays, IV poles, and other obstructions.  Finally, you have the shiny floors, stainless steel, and glass.  Why is all this important?  Because it all adds up to an environment that is probably the least suited to clean RF signal propigation!  I’ve actually talked to an engineer at another hospital who resorted to bringing in a company that specialized in deploying wireless networks in coal mines to get their wireless network to work.

What this all boils down to is that you have to become intimately familiar with each and every building that you are going to be deploying wireless in.  You survey and tweak and survey again, walking each and every square foot you can get into, whether that means putting on scrubs to walk around the Operating Rooms, or dodging your way through a busy Emergency Room.  You get to know it all and you design a network tailor made to fit it.  Then, when things change, as they will before you even finish, you survey again and adjust with the changes.  I’d recommend a good pair of walking shoes and some weekend weight lifting to anyone considering such a career.

What makes it worth it?  A network that helps doctors and nurses do their job even better than they already did, which means patients might get taken care of just a bit better because of you…how often does a network engineer get to play hero or pretend to be Dr. House?

BGP Burnout!!!!

Yep, I’ve hit that wall this weekend.  There’s that point in studying where your brain almost stages a revolt, spewing back anything more you try to force into it.  It just stubbornly refuses to take any more in!  Luckily, I’m still doing well with my study timeline for this month, so for me this just means that it’s time to pack my family into the car and go do something fun somewhere for the rest of the day and let my brain rest a bit.  I’m thinking either beach time or else a hike in the woods.

I’m so close to having my reading completed for BSCI I can taste it.  I did a couple of practice tests off Cisco’s website for fun this week and was amused to see how much better I did on IS-IS than EIGRP.  I’m chalking that up to IS-IS being fresher in my mind.  I asked the original Amazon seller I bought my BSCI lab portfolio book to send me a refund since although they say they shipped it right after I ordered, it isn’t here yet and they won’t give me a tracking number.  In the meantime, I’ve already ordered another copy from another seller.  Note to self - ALWAYS check seller feedback before ordering!  I hope to be labbing like crazy by the end of the week, hopefully getting some good time in on July 3rd since it is a day off from work.  I run my first 5k on July 4th, so that day will pretty much be relaxation, recovery, and fireworks and burgers!   :D  I can’t wait to get BSCI done and be properly studying for the CCIE R&S written!

Term of the Day - Atomic Aggregate!

I think I might be the type that is easily amused, but I love a good networking term.  My latest one is Atomic Aggregate, which refers to a “well-known discretionary” attribute that can be attached to a BGP route.  That all is just a fancier way of saying that this is a route attribute that all routers running BGP should understand and that it is not necessary to set that attribute on a route if it doesn’t need it.  An Atomic Aggregate attribute set on a route means that the routers sending that route have lost some of the path information for that route, so it might not be as reliable as another route learned elsewhere.  Often this happens when more specific path information is lost in the process of aggregating routes.  Aggregation is just the fancy BGP term for summarization.  It seems BGP has a lot of very fancy terms.

So, this week I’ve been working some with multicast at work and reading about BGP.  I hope to watch my videos on BGP this weekend and then all I’ll have left are some of the bits and pieces left to read and watch and, hopefully, my lab portfolio will arrive in time to do some hard-core lab work.  I’m already thinking a certain Amazon seller is going to get some poor feedback on this one, though…I’ve ordered 3 other things off Amazon since I ordered that lab portfolio and all have arrived before it.  I’m thinking it’s about time to contact the seller and request a refund since they haven’t contacted me at all to explain why the order is taking this long.  Ugh…the things we do to save some money on books!

The Ants Go Marching Into BGP!

I saw a car this morning with the license plate BGP4 and I couldn’t help but wonder if it was another network geek on his way to work.  If he was, perhaps he is in more need of a hobby than I am!

After an early start on some wireless survey work and a long day of walking to do it, I started my reading for BGP.  I can easily tell why this topic has its own exam in the CCIP track and it’s going to be tough to know what depth to cover it in.  It would be easy to dive in and not come up for air for a few months!  As always, the devil is in the details.

I have opted not to purchase the study guide or the exam guide for this exam, instead using my slowly growing CCIE library to study for it, using the exam blueprint as a guide.  I’m hoping to get some further guidance as far as what depth some of these topics are covered in from the lab protofolio.  I ordered the BSCI lab portfolio over 2 weeks ago from Amazon.com, but it has yet to show up on my doorstep.  Such is life when you’re trying to save a few pennies on books!  The “estimated” delivery date hasn’t yet passed, so I guess I’ll just have to be patient a few more days before giving up and canceling it and getting it from another seller.

Work has picked up a bit, so I may have to confine my studies to nights and weekends.  Still, I don’t think that will be a bad thing since 2 of my current projects relate directly to BSCI exam topics!  There’s nothing like having to make something work in production to make you learn in a hurry.  I’m very lucky that I have an employer that is so supportive of my studies.