Civil War Generals, Twitter friends, Mom & Dad, oils
Civil War Generals, Twitter friends, Mom & Dad,  in oils.  And wife’s pottery on shelves

I am an Internal Medicine Physician, now in my 23rd year in Private Practice in Great Falls, Montana.  I received my Bachelor of Science in Animal and Veterinary Science and Medical Degree from West Virginia University, Morgantown.  After three years of Internal Medicine residency in Madison at the University of Wisconsin, moved west.  After much consternation, eventually took the plunge into the electronic record world at the end of 2011.  I have gathered a few lessons along the way and would like to share with those interested.  I am grateful to those who developed many of the solutions discussed, and hope to continue doing what I love, and that is caring for my patients who continue to inspire and instill new ways of learning.  I have over 150 individual, unique blogs and some paintings.  I will be very honored if you take a peek.  I am convinced the electronic health record (EHR) needs to be shared as a visual interactive medium at the point of care.  The primary role of the EHR should be educational, all other uses secondary.  I discuss this approach #ProjectedEHR on twitter.

Videos of #ProjectedEHR I Periscoped to You Tube

  1. https://www.youtube.com/watch?v=moTXADdpHtU (me being interviewed)
  2. https://www.youtube.com/watch?v=HOlKbl1dAWE (interviewing a patient)
  3. https://www.youtube.com/watch?v=EA5X_LP5_PQ (Wall mounted TV/chromebook)
  4. https://www.youtube.com/watch?v=kz9rVtRpuI0 (Dual monitored desktop/chromebook in office carried to exam room)

#ProjectedEHR–User friendly EHR that projects well, 14 inch Chromebook, 24 inch TV, 10 foot HDMI cord, 8 inch HDMI extender, wall mount, remote access application made for chrome & encrypted (VNC viewer made for Chrome, Enterprise Version).  The chromebook simulates my dual monitored desktop, so I take my “virtual desktop” into the exam room and plug in the HDMI cord to extender and the learning begins.  Always check with your IT support to make sure everything is HIPAA compliant and secure.

I use Periscope and up load to You Tube for later viewing. I ‘scope Montana scenery, my wife’s pottery and integration of technology in the office with #ProjectedEHR.   Here is the You Tube link:


With the #save feature of Periscope, I can now save my ‘scopes on my Periscope link too, here is the link:


I have started painting again after a twenty plus year dry spell.  Thanks to Vidya Viswanathan for her article.   http://www.doctorswhocreate.com/whats-it-like-for-a-doctor-to-restart-painting-after-22-years/

Below are two links of my most recent paintings:



I love both Medicine and Art and wish to share my passion for both.  Thank you for taking the time to visit.

James B. Legan MD



6 thoughts on “About

  1. Hi James,
    It was fabulous meeting you a few weeks back and talking about diabetes. But when the conversation went into Patient Portals, I was fastinated. Thanks for taking the time to share a sample patient (Lisa Zoones from In the Trenches MT)
    Can you send me a email (you may still have my card)? I’ll put my email address in the field below the comment field. I’m looking for one of your blogs or review articles that provides the best summary of the technology you showed me. I want to run this by a medical colleague of mine who has an interest in technology. I would like to get you more visability within our company. Keep up the passion…it’s INFECTIOUS!


    1. Dear LD102,
      I would certainly check with your local IT support staff. The reason I chose the enterprise version of VNC viewer made for chrome, is the maximum 256 bit encryption, dual monitored support and long track record of the VNC viewer product. I hope this helps. Thank you for your very kind comments.


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