Building a Multi-Cloud Strategy

Patient Tools

Read, save, and share this guide

Use these quick tools to make this medical article easier to read, print, save, or share with a family member.

Patient Mode

Understand this article easily

Switch between simple English and easy Bangla patient notes. This is for education and does not replace a doctor consultation.

In the past decade cloud computing has skyrocketed. What began as a limited set of computing services offered by an online retailer has become a highly sophisticated computing ecosystem that is rapidly becoming the de facto platform for enterprise IT. During that decade, most enterprise...

For severe symptoms, danger signs, pregnancy, child illness, or sudden worsening, seek urgent medical care.

বাংলা রোগী নোট এখনো যোগ করা হয়নি। পোস্ট এডিটরে “RX Bangla Patient Mode” বক্স থেকে সহজ বাংলা সারাংশ যোগ করুন।

এই তথ্য শিক্ষা ও সচেতনতার জন্য। এটি ডাক্তারি পরীক্ষা, রোগ নির্ণয় বা প্রেসক্রিপশনের বিকল্প নয়।

Article Summary

In the past decade cloud computing has skyrocketed. What began as a limited set of computing services offered by an online retailer has become a highly sophisticated computing ecosystem that is rapidly becoming the de facto platform for enterprise IT. During that decade, most enterprise IT groups approached cloud computing with caution and even suspicion, but today their stance is completely different. I’ve previously mentioned...

Educational health guideWritten for patient understanding and clinical awareness.
Reviewed content workflowUse writer and reviewer profiles for stronger trust.
Emergency safety firstUrgent warning signs are highlighted below.

Seek urgent medical care if you notice

These warning signs are general safety guidance. Local emergency numbers and clinical judgment should always come first.

  • Severe symptoms, breathing difficulty, fainting, confusion, or rapidly worsening illness.
  • New weakness, severe pain, high fever, or symptoms after a serious injury.
  • Any symptom that feels urgent, unusual, or unsafe for the patient.
1

Emergency now

Use emergency care for severe, sudden, rapidly worsening, or life-threatening symptoms.

2

See a doctor

Book a professional medical evaluation if symptoms persist, worsen, recur often, affect daily activities, or occur in a high-risk patient.

3

Learn safely

Use this article to understand possible causes, tests, treatment options, prevention, and questions to ask your clinician.

Before reading

RX Patient Tools

Use these quick guides before reading the article, or return to them when you need help preparing questions for a doctor.

Start here Choose the right pathway for symptoms, reports, medicines, or urgent warning signs. Disease article roadmap Read this topic step by step: meaning, symptoms, warning signs, diagnosis, treatment, prevention, and follow-up. Treatment planner Prepare questions about treatment choices, benefits, risks, side effects, and follow-up. Family & caregiver guide Organize symptoms, reports, medicines, questions, and follow-up safely. Nutrition & diet guide Prepare food, hydration, supplement, and medicine-timing questions safely. Prevention guide Organize risk factors, protective habits, screening, and warning signs. Recovery guide Prepare a safe plan for activity, rehabilitation, warning signs, and follow-up.
During that decade, most enterprise IT groups approached cloud computing with caution and even suspicion, but today their stance is completely different. I’ve previously mentioned the JP Morgan survey of enterprise IT organizations about their application deployment plans, but it bears revisiting to understand just how important cloud computing is to their future. As Figure 1 illustrates, by 2020 — four short years from now — enterprises will deploy a full 41% of their application portfolios in public cloud environments:

 

Left unexamined were IT plans after 2020; in other words, does the 41% deployment figure represent a ceiling on cloud adoption or just a near-term milestone, with even larger percentages likely the further out we look? From my perspective, the latter alternative is probable, since there is little evidence that the benefits of cloud computing are somehow limited to less than half of all enterprise applications.

The wholesale adoption of cloud computing by enterprises carries many implications, but one implication is clear: all enterprises will use multiple cloud providers, and they must plan for how they will operate in a multi-cloud environment. Today, most enterprises are dealing with this reality on an ad hoc basis, but over the long-term they will require an organizational strategy to be successful.

Here are the three key steps enterprise IT organizations should take to prepare for their multi-cloud strategy:

Understand the differences

The venerable IPS model (Infrastructure/Platform/Software-as-a-Service) was helpful when initially promulgated: it helped people understand the concepts of cloud computing and outlined how it differed from traditional IT infrastructure.

An unfortunate by-product of the model is how many people interpret it: they assume that offerings within a specific category must be pretty much the same. So they conclude that there are few differences between, say, AWS’s security mechanisms and those of Azure.

Nothing could be further from the truth. Each cloud provider implements core computing functionality quite differently, and each offers quite different services within each category. AWS, for example, has an extremely rich set of instance types, offering types oriented toward different application profiles, e.g., instances with massive amounts of memory to facilitate memory-hungry real-time analytics applications. Microsoft offers a rich set of instance types, but they differ from AWS and are instantiated and managed in a different fashion from AWS. The same goes for Google as well.

So the first step in creating a multi-cloud strategy is to recognize that the providers differ and those differences will steer application deployment choices. It’s likely that developers will alter their application design and architecture choices to better integrate with the specific features of the chosen cloud provider. It’s also a given that application operations will vary according to the specifics of the chosen cloud provider.

Choose your cloud management strategy

Enterprises have two general cloud management strategies available to them:

  • Use the cloud-provided consoles, command line interfaces (CLI), and APIs. These work well and expose the full functionality of the provider, but are limited to the individual provider. Worse, employee skills based on one provider’s management capabilities are not transferable to another provider, which means enterprises will end up with pools of cloud-specific skilled employees.
  • Use a third-party management product that provides a single console, CLI, and API to users, and encapsulates the individual provider differences within the management product. This simplifies management and allows greater skills transfer across specific provider applications; the drawback is that third-party management products provide a generalized set of functionality that fails to enable users to take advantage of cloud-specific features. In other words, cloud management products take a lowest common denominator approach to this requirement, and limit the ability of the organization to create more innovative applications.

The third-party approach has an intuitive appeal, and appears to address lock-in concerns, but in practice the vast majority of IT organizations use the native management functionality of the individual cloud providers. I don’t expect this will change in the future, so the working assumption should be that the IT organization will need to develop skills across all of the likely cloud providers it will use.

Prepare your organization

Given the reality that IT organizations will use multiple clouds and their individual services and management systems, it means that they need to prepare to develop and run applications in each environment. In turn, this means IT organizations need to develop deep skills in each of the cloud providers they will use.

In the past, many organizations relied on individuals to develop their own skills via experimentation, online content exploration, and conference attendance. That was great when cloud use was limited. For the coming world of 41% application portfolio deployment, this approach suffers from two drawbacks:

  • It creates an organization with inconsistent cloud computing foundation knowledge, technical skills, and best practices. Every person has his or her knowledge and the organization suffers as each application reflects the idiosyncrasies of the individuals who worked on it. This raises the long-term costs of running cloud-based applications, since money must be invested in bringing people up to speed to work on each application.
  • It doesn’t scale, either in number of people trained or in the speed at which the training can be accomplished. Only by leveraging packaged training that can be delivered to large groups of people can IT organizations prepare quickly enough for the quickly approaching cloud-centric world. Relying on self-education means that IT organizations will not be ready soon enough for that world.

Conclusion

Cloud computing is enterprise IT infrastructure of the future — the very near future. Enterprise IT groups must recognize that cloud computing will host nearly 50% of their applications in short order, and they don’t have time to waste in getting ready for the future.

That future will include multiple cloud providers and requires building skills for each. A structured training program that can educate large numbers of employees is fundamental to being ready to meet the multi-cloud future.

Doctor visit helper

Prepare before seeing a doctor

A simple rural-patient checklist to help you explain symptoms clearly, ask better questions, and avoid unsafe self-treatment.

Safety note: This is not a prescription or diagnosis. For severe symptoms, pregnancy danger signs, children with serious illness, chest pain, breathing difficulty, stroke-like weakness, or major injury, seek urgent care.

Which doctor may help?

Start with a registered doctor or the nearest qualified health center.

What to tell the doctor

  • Write when the problem started and how it changed.
  • Bring old prescriptions, investigation reports, and current medicines.
  • Write allergies, pregnancy status, diabetes, kidney/liver disease, and major past illnesses.
  • Bring one family member if the patient is weak, elderly, confused, or a child.

Questions to ask

  • What is the most likely cause of my symptoms?
  • Which danger signs mean I should go to hospital quickly?
  • Which tests are necessary now, and which can wait?
  • How should I take medicines safely and what side effects should I watch for?
  • When should I come for follow-up?

Tests to discuss

  • Vital signs: temperature, pulse, blood pressure, oxygen saturation
  • Basic physical examination by a clinician
  • CBC, urine test, blood sugar, or imaging only when clinically needed

Avoid these mistakes

  • Do not use antibiotics, steroid tablets/injections, or strong painkillers without proper medical advice.
  • Do not hide pregnancy, kidney disease, ulcer, allergy, or blood thinner use.
  • Do not delay emergency care when danger signs are present.

Medicine safety and first-aid guide

This section is for patient education only. It does not replace a doctor, pharmacist, or emergency care.

Safe first steps

  • Rest, drink safe water, and observe symptoms carefully.
  • Keep a written note of symptoms, duration, temperature, medicines already taken, and allergy history.
  • Seek medical care quickly if symptoms are severe, worsening, or unusual for the patient.

OTC medicine safety

  • For mild pain or fever, ask a registered pharmacist or doctor before using common over-the-counter pain/fever medicines.
  • Do not combine multiple pain medicines without advice, especially if you have kidney disease, liver disease, stomach ulcer, asthma, pregnancy, or take blood thinners.
  • Do not give adult medicines to children unless a qualified clinician advises it.

Avoid these mistakes

  • Do not start antibiotics without a proper medical decision.
  • Do not use steroid tablets or injections casually for quick relief.
  • Do not delay emergency care because of home remedies.

Get urgent help if

  • Severe symptoms, confusion, fainting, breathing difficulty, chest pain, severe dehydration, or sudden weakness need urgent medical care.
Medicine names, dose, and timing must be decided by a qualified clinician or pharmacist after checking age, pregnancy, allergy, other diseases, and current medicines.

For rural patients and family caregivers

Patient health record and symptom diary

Write your symptoms, medicines already taken, test results, and questions before visiting a doctor. This note stays on your device unless you print or copy it.

Doctor to discuss: Doctor / qualified healthcare provider
Tests to discuss with doctor
  • Basic vital signs: temperature, pulse, blood pressure, oxygen level if needed
  • Relevant blood, urine, imaging, or specialist tests only after clinical assessment
Questions to ask
  • What is the most likely cause of my symptoms?
  • Which warning signs mean I should go to emergency care?
  • Which tests are really needed now?
  • Which medicines are safe for my age, pregnancy status, allergy, kidney/liver/stomach condition, and current medicines?

Emergency warning signs such as chest pain, severe breathing difficulty, sudden weakness, confusion, severe dehydration, major injury, or loss of bladder/bowel control need urgent medical care. Do not wait for online information.

Safe pathway to proper treatment

Care roadmap for: Building a Multi-Cloud Strategy

Use this simple roadmap to understand the next safe steps. It is educational and does not replace examination by a doctor.

Go to emergency care if you notice:
  • Severe or rapidly worsening symptoms
  • Breathing difficulty, chest pain, fainting, confusion, severe weakness, major injury, or severe dehydration
Doctor / service to discuss: Qualified healthcare provider; specialist depends on symptoms and examination.
  1. Step 1

    Check danger signs first

    If danger signs are present, seek emergency care and do not wait for online information.

  2. Step 2

    Record the symptom story

    Write when symptoms started, severity, medicines already taken, allergies, pregnancy status, and test results.

  3. Step 3

    Visit a qualified clinician

    A doctor, nurse, or qualified healthcare provider can examine you and decide which tests or treatment are needed.

  4. Step 4

    Do only useful tests

    Do tests after clinical assessment. Avoid unnecessary tests, random antibiotics, or repeated medicines without diagnosis.

  5. Step 5

    Follow up and return early if worse

    If symptoms worsen, new warning signs appear, or treatment is not helping, return for review quickly.

Rural patient practical tips
  • Take a written symptom diary and all previous prescriptions/test reports.
  • Do not hide medicines already taken, even herbal or over-the-counter medicines.
  • Ask which warning signs mean urgent referral to hospital.

This roadmap is for education. A real diagnosis and treatment plan requires history, examination, and clinical judgment.

RX Patient Help

Ask a health question safely

Write your symptom story. A health professional or site editor can review it before any answer is prepared. This box is not for emergency care.

Emergency first: Severe chest pain, breathing trouble, unconsciousness, stroke signs, severe injury, heavy bleeding, or rapidly worsening symptoms need urgent local medical care now.

Frequently Asked Questions

Is this article a replacement for a doctor?

No. It is educational content only. Patients should consult a qualified clinician for diagnosis and treatment.

When should I seek urgent care?

Seek urgent care for severe symptoms, rapidly worsening condition, breathing difficulty, severe pain, neurological changes, or any emergency warning sign.