Monthly Archives: May 2015

ignorance and confidence

“All you need is ignorance and confidence and the success is sure”

                                                                                         Mark Twain


I hope there is some element of truth in this quote from Mark Twain.

On one hand we have companies like McKesson, ABC(ABSG), Altos, FlatIron and Varian, who have team of super talented people building cancer related solutions. Besides talented people, they are big, have long history and credibility in the industry (not to mention the access to cash to make anything happen).

On the other hand, we have my tiny company trying to build the cancer related solutions and compete in the same market place. As you can tell, I have plenty of ignorance and confidence. Going by Mark Twain’s quote, I do have chance for success Smile

Kidding aside, what we have in our product PIIKER ( is really amazing. In order to build a comprehensive cancer solution many things have to be place (agent management, cancer site and ICD 9 & 10 management, side effects, ability to manage regimens, EMR, chemo therapy administration, scheduling, security, user management, scalability, multi-tenancy, performance, patient portal and plenty other factors). How do you architect a product which has seem less integration of these factors yet very simple to use and provides best UX (user experience)? We have done it, it is hosted in Microsoft Cloud (Azure).


Before iPhone, we had BlackBerry and PocketPc as smartphone options. I used to own PocketPc. Microsoft did manage to shrink the whole OS onto this small device. Then came the iPhone, they took subset of what was there and focused on simplicity, UX and ease of use. Rest is history.

Similar things are going to happen in the oncology solutions. Cancer regimen is complicated. How do provide all the important information to the decision maker at the point of care? How can we do this  an effective and simpler way? How can we still maintain a great user experience?


Like BlackBerry and Pocket, we have had some great solutions from McKesson, Varian and Altos. There is no end for innovation. People are seeking to make things better. Recent news of Varian and FlatIron  collaborating to build oncology solution is a big step in that direction.

We ( are a very small company compared these companies I have mentioned above. But, we are not short on innovation. The way we present the regimen information at the point of care, the kind of UX we are providing is awesome.

Cancer world needs better tools and solutions. I am glad to be part of the innovation driving this.



Logic will get you from A to B. Imagination will take you everywhere.

Albert Einstein


Back in the early 1980’s, if you did any “design” or “drafting” work, you were most likely working on a physical drawing board and tracing your ideas out on Vellum, Paper, or Mylar sheets using various kinds of mechanical pencil materials or maybe a Rapidograph ink applicator.  Maybe you used templates and lettering guides, or shape tracers or flexible curves.In the mid-1980’s came the first real significant influx of computerized design technologies.They were collectively termed “CAD” for Computer Aided Design.  If they were connected to manufacturing machinery, they were called “CAD/CAM” for CAD + “Computer Aided Manufacturing”. They were magical for their time. These technologies changed the landscape of designing and manufacturing.

Let us talk about oncology. Cancer is one of the major diseases of our times. Regimen used to treat this disease are very complex in nature. For some unknown reasons, there is no easy way to “design” a chemotherapy regimen (protocol). Four years ago, I told myself, “this has to change”. Here we are, after four years (so many ups and downs) we have one of the world’s finest regimen designer. We want to make a difference in the world of cancer treatment. We want to provide better tools to fight this disease.

What started as a small creative imagination four years ago is becoming a reality.

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