Abstract: The invention relates to a method and process for providing a high quality multimedia presentation using a standard Internet dial up connection without any specialized broad band connectivity. The process and method uses a combination of compression and coding techniques that permit a user to view the initial segments of a multimedia presentation while simultaneously downloading subsequent segments of the multimedia presentation. The placement of specific commands within the multi media presentation provides a seamless and high quality multimedia presentation. The method may be used to provide high quality and seamless multimedia presentations of medical case histories and other medical topics without the need for specialized broadband connectivity.