I finally got the physician to switch to a proper client/server architecture using .NET WinForms and ASP.NET RPC calls. All issues went away, and I was even able to allow staff members to edit the interface to set what mattered to them most at the top of the application, by building the lab testing form in XML so they could move the X/Y coordinates to where they wanted them. It wasn't even a feature I had thought of, just a physician looking through the technology and figuring out how it worked (luckily the business and security logic were on the server, so a bad actor could only have destroyed their own local copy of the app).