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Here's an update for those interested.
Yes, the 3rd part note aps are unusable on the Note Air because of the tremendous lag time. I just had to try it out for myself.
I have found a solution of sorts. Exporting to PNG then importing it into a blank page of the patient notes does work quite well. Since the template is A5, I wind up taking 5+ pages of notes per session (30 sessions per week) that have to be exported one by one. BUT the final product looks really good. I suppose if Onyx were to enable multi-page PNG export, this would be a usable workaround.
But still more of a hassle than just writing on paper and scanning that.
I do like the technology and very much long for the day I can stop killing so many trees with my note taking. I write 30 or more 8"x10" pages per week. I know that is not the worse thing in the world, but I do have giant bags of shredded paper to take to the curb.
I feel I am so close to that paperless office I've been reading about since the 1980s.
One day for sure!
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