---
title: | Les Trachtman, EE, JD, MBA
description: "As Managing Director of Purview, Les Trachtman drives Purview’s shared mission to improve medical outcomes and access to quality medical expertise for millions of people, regardless of geography. Les is a seasoned entrepreneur, educator, and author with over four decades of experience in strategy, consulting, and start-ups. Les is also an adjunct instructor at the Johns Hopkins University Carey Business School, where he shares his years of experience and insights with the next generation of business leaders. He is a frequent guest lecturer at Harvard Business School, MIT and other academic institutions, as well as a board member of The Metro Group. Les is also known as the author of the Amazon bestseller \"Don't F**K It Up, How Founders and Their Successors Can Avoid the Cliches that Inhibit Growth\", and a blogger on founder succession and other topics. He is passionate about sailing, traveling, and challenging the status quo."
---

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- [About](https://horosproject.org/about/)
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- [Support](https://www.horosproject.org/professional-support/)
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- [Blog](https://blog.horosproject.org/)
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## Les Trachtman, EE, JD, MBA

![Les Trachtman, EE, JD, MBA](https://blog.horosproject.org/hubfs/Les%20Trachtman%20Circle%20BW.png)

As Managing Director of Purview, Les Trachtman drives Purview’s shared mission to improve medical outcomes and access to quality medical expertise for millions of people, regardless of geography. Les is a seasoned entrepreneur, educator, and author with over four decades of experience in strategy, consulting, and start-ups. Les is also an adjunct instructor at the Johns Hopkins University Carey Business School, where he shares his years of experience and insights with the next generation of business leaders. He is a frequent guest lecturer at Harvard Business School, MIT and other academic institutions, as well as a board member of The Metro Group. Les is also known as the author of the Amazon bestseller "Don't F\*\*K It Up, How Founders and Their Successors Can Avoid the Cliches that Inhibit Growth", and a blogger on founder succession and other topics. He is passionate about sailing, traveling, and challenging the status quo.

Find me on:

<https://www.linkedin.com/in/lestrachtman>

### Recent Posts

### [Horos should not be used to store important images October 13, 2020 | by Les Trachtman, EE, JD, MBA We’ve had a flurry of emails and inquiries over the past few months of users that somehow lost their images that were stored in Horos. It turns out most of these are recoverable. However, it is both disruptive and expensive to make that happen. While Horos is a great tool for viewing and reviewing medical images, it was not intended to be a PACS. We always suggest the following:](https://blog.horosproject.org/horos-should-not-be-used-to-store-important-images)

<https://blog.horosproject.org/coming-soon-the-horos-user-guide>

<https://blog.horosproject.org/coming-soon-the-horos-user-guide>

### [Introducing The Horos User Guide January 11, 2019 | by Les Trachtman, EE, JD, MBA We are excited to announce that our latest project - **[the Horos User Guide](https://academy.horosproject.org/courses/horos-user-guide)** - is finally ready! This weekend, we will be publishing the long-awaited comprehensive manual for Horos.](https://blog.horosproject.org/coming-soon-the-horos-user-guide)

<https://blog.horosproject.org/sharing-medical-images-with-an-equine-veterinarian-cloud-pacs>

<https://blog.horosproject.org/sharing-medical-images-with-an-equine-veterinarian-cloud-pacs>

### [Using the Cloud to Share Equine Veterinarian Medical Images and Reports August 26, 2018 | by Les Trachtman, EE, JD, MBA Medical imaging is an important tool for the equine veterinarian. Whether it’s the x-ray of a sore foot or an ultrasound of a heart, imaging can be used in many aspects of equine evaluation and care. But equine vets have a challenge that is somewhat unique to them – they often have to [mobilize their equipment to meet or treat the patient](https://blog.horosproject.org/cloud-storage-for-equine-veterinarians-improves-mobility).](https://blog.horosproject.org/sharing-medical-images-with-an-equine-veterinarian-cloud-pacs)

### [How to Obtain, Share, and Display Medical Images as Evidence in Court August 17, 2018 | by Les Trachtman, EE, JD, MBA The use of digital medical imaging has become a pre-requisite for cases constructed by personal injury, workers' compensation, and criminal attorneys. This digital evidence is subject to the same discovery standards as hard copy documents and photographs. As such, the attorney has to be prepared to share these digital images with opposing counsel as they prepare for trial. But since medical images are just compilations of electronic bits, subject to strict privacy law and only as good as the medical image viewer on which they are analyzed, medical images create a special transport and sharing challenge.](https://blog.horosproject.org/how-to-obtain-share-and-display-medical-images-as-evidence-in-court-for-trial)

<https://blog.horosproject.org/presenting-medical-images-in-court-helps-attorneys-win-trials>

<https://blog.horosproject.org/presenting-medical-images-in-court-helps-attorneys-win-trials>

### [Presenting Medical Images in Court Helps Attorneys Win Trials August 9, 2018 | by Les Trachtman, EE, JD, MBA Ever since the case of [Smith v. Grant](https://www.mitpressjournals.org/doi/abs/10.1162/POSC_a_00085?journalCode=posc), presenting medical images in court has been an accepted tool in the arsenal of litigation attorneys. But understanding exactly how to use medical images, ensuring that you have them when you need them, and optimizing their presentation can be the difference between winning and losing at trial.](https://blog.horosproject.org/presenting-medical-images-in-court-helps-attorneys-win-trials)

### [4 Reasons Why You Shouldn’t Use Dropbox for DICOM Medical Image Storage August 8, 2018 | by Les Trachtman, EE, JD, MBA If you’ve ever thought of sharing medical images or any other Protected Health Information (PHI) using Dropbox, you are not alone. Dropbox is one of the most popular file sharing services and is on millions of desktop computers around the world. But just because you use it for many of your other tasks, does not mean you should use Dropbox for DICOM medical image storage. Here’s why...](https://blog.horosproject.org/4-reasons-you-shouldnt-use-dropbox-for-dicom-medical-image-storage)

<https://blog.horosproject.org/sharing-medical-imaging-studies-with-a-non-horos-user>

<https://blog.horosproject.org/sharing-medical-imaging-studies-with-a-non-horos-user>

### [Sharing Medical Imaging Studies With a Non Horos User August 3, 2018 | by Les Trachtman, EE, JD, MBA One question we have been asked many times is if sharing medical imaging studies with a non Horos user is possible.  The short answer is yes but it involves connecting your Horos with a Cloud.  Today, Horos integrates with a web based platform that can enable sharing functionality with a non Horos user through a cloud portal. By creating a [Horos Cloud Access account](https://horosproject.org/cloud-access-pricing/), you can view, analyze, and store images on any workstation, tablet, or mobile device…and [connect multiple accounts](https://blog.horosproject.org/how-do-i-connect-multiple-horos-workstations). ](https://blog.horosproject.org/sharing-medical-imaging-studies-with-a-non-horos-user)

### [How Do I Connect Multiple Horos Workstations? July 26, 2018 | by Les Trachtman, EE, JD, MBA You may not have realized that Horos is more than just a good desktop viewer. In fact, given the right configuration, Horos can become part of a very robust enterprise PACS environment. All that is needed is a centralized PACS with Horos configured to connect to that central location.](https://blog.horosproject.org/how-do-i-connect-multiple-horos-workstations)

### [How to Use Medical Images as a Litigation Tool July 24, 2018 | by Les Trachtman, EE, JD, MBA Everyone knows that litigation is an expensive process. Both the costs of engaging in litigation as well as the growing size of judgements are adding to the precision required when it comes to trail preparation and court appearances. Medical malpractice and personal injury claim awards in the US are soaring into double digit millions of dollars. ](https://blog.horosproject.org/using-medical-images-as-a-litigation-tool)

[All posts](https://blog.horosproject.org/all) [Next](https://blog.horosproject.org/author/les-trachtman/page/2)

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