We've been tasked with developing a file upload module as part of our wider system, storing scanned documents against a patients profile. Our Intersystems manager suggested storing those files in the DB as streams would be the best approach and it sounded like a solid idea, it can be encrypted, complex indexes, optimized for large files and so on. However the stake holder questioned why would we want to do that over storing them in windows folders and that putting it in the DB was nuts.