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Coronavirus - Telemedicine

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(@deborah)
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Telemedicine doesn't waste a crisis

In this illustration, a stethoscope becomes a USB outlet

Illustration: Sarah Grillo/Axios

We're going to see more medical care delivered remotely — both during the pandemic and after.

The big picture: Health care has always been one of our most regulated industries, which slows the pace of innovation. But the emergency nature of COVID-19 is taking the shackles off telemedicine.

As part of the $2 trillion CARES Act passed last week by Congress to respond to COVID-19, the Federal Communications Commission plans to spend $200 million to support telehealth programs.

  • It's one of a number of efforts to leverage remote technology to expand health care at a moment when the demand for services is high but face-to-face contact presents its own risks for patients and providers.

Be smart: Telemedicine isn't just about patients speaking to a remote doctor via a smartphone app like Teladoc, which last month reported virtual visits increasing by 50% because of the pandemic. Hospitals can take advantage of remote doctors by outsourcing specialities, such as radiology.

  • Collaborative Imaging is an alliance of radiologists who remotely view X-rays or CT scans from a hospital and confer with attending physicians on patient care via a smartphone app.
  • Besides allowing for hospitals to tap a wider range of sub-specialists than they might be able to bring on board in person, remote work is also safer in the time of COVID-19. "In case I'm infected, I don't have to worry about infecting others, and vice versa," says Dhruv Chopra, CEO of Collaborative Imaging.

Regulations that required radiologists to be licensed in the states of the hospitals they were reading for, even if they were working remotely, held back the practice. But after President Trump declared a state of emergency on March 13, the Centers for Medicare and Medicaid Services provided blanket waivers for telemedicine providers to practice across state lines.

  • There are still complexities around private insurance networks that vary from state to state, but Chopra expects remote radiology to continue to grow. "This is going to change the industry dramatically. You won't go back to the days of lots of radiologists under one roof."

The bottom line: Crises have a way of knocking aside the barriers to innovation — even in a practice as regulated as medicine.

 

 
 

 


   
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(@deborah)
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I think this way of communicating not only with Dr's but other markets is going to become popular. I saw tonight on the news that the clergy is available using this same method to help people. 


   
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(@deborah)
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It is a good idea but some people have issues that a Dr must be able for instance hear the congestion in the lungs or listen to the heart and this can't be done with a face to face online or phone appointment. Then you still have to pay for this visit and still go to a clinic or hospital


   
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(@gabriellemrasiectskin-com)
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I feel like this is good for very common illnesses that the doctor can be told the symptoms and know exactly what it is and prescribe something. I know my brother has used teladoc and it is very easy. You take a survey of what your symptoms are and then they have a doctor call you within the next 15 min. You answer the questions they ask and if needed they prescribe a prescription. Very helpful especially now with the Covid. 


   
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(@lindseycoganiectskin-com)
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I really love the idea of telemedicine. I hope it's here to stay. Because we are military, I get a new doctor every few months. I've had some that want to have me come into their office to go over test results and others that say they will call with test results. Like not serious tests and they would have me come in just to tell me that everything is fine. I prefer the phone call... all day everyday. 


   
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(@deborahwatersiectskin-com)
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I agree Lindsey. Seeing different Dr's every time is difficult. They do want the patient to come in just to let you know something they could have asked over the phone. What I do not like is when you need to have something listened to as with lungs and the Dr just wants to ask questions. This happened a month ago to my husband. He had bronchitis and the Dr just wanted to talk to him. 


   
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(@lindseycoganiectskin-com)
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@deborahwatersiectskin-com yes Debbie, that kind of thing has happened too many times or they just want to write you a script and see how you are doing in a month instead of running a test to confirm you are given the right medication. 


   
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(@sydneymissaleiectskin-com)
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Now that its been well over a year that we have been doing telemedicine and allowing people to be seen in person, I feel that telemedicine was good for people that did not need to be physically seen. Telemedicine is good for needing prescription refills and for basic follow ups. As far as dermatology goes, i think telemedicine is not good for skin checks and diagnosing skin conditions. Having worked in the dermatology field most physicians did not enjoy the telemedicine process as connections could be bad, patients do not feel like they are getting that one on one connection with the doctor, and again it is very hard to see someones skin issue or concerns over a camera. Most of the physicians at the practice I worked at steered away from this as soon as they could. 


   
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(@keyonnastarksiectskin-com)
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I don't feel like talking to a doctor via smartphone is a good idea with every concern you may have regarding your health. Check-up, questions, needing a prescription filled, common cold, etc. are things that I feel are good to use telemedicine for.


   
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(@keyonnastarksiectskin-com)
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If you're having severe health problems, you should physically go to the doctor or hospital to get checked.

This post was modified 2 years ago 2 times by Keyonna Starks

   
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(@camiryndavisiectskin-com)
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I believe this is a great idea for the small or minor health issues that need a simple prescription. As in sore throat, pink eye, some rashes. Things that can be described or see on the camera. This can cut down some urgent care visits but should always be followed up with their primary physican. 


   
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(@camiryndavisiectskin-com)
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@deborah yeah i also think many other markets will began to use this. I think it can be used for consultations for hair, makeup and lash appoinments. 


   
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(@camiryndavisiectskin-com)
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@keyonnastarksiectskin-com I also agree anything that would involve labs being ran, x-rays or possibly seeing a specialist you should totally go in person and be see. 


   
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(@cameranriddleiectskin-com)
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This is a great way for patients and doctors to get ahold of other doctors for other questions. With the pandemic around it good to be on the phone rather than talking in person.


   
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(@cameranriddleiectskin-com)
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@camiryndavisiectskin-com I agree. Having urgent care online would be awesome no waits or sitting in a germ infected lobby.


   
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(@cameranriddleiectskin-com)
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@keyonnastarksiectskin-com yes you should. I have never even heard of the teledoctor before but its pretty cool.


   
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(@deborahwatersiectskin-com)
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@camiryndavisiectskin-com 

I agree that in some cases the telehealth visit is a good option. During COVID this became very popular as some Dr's were closed to in person visit. My Dr was very responsive and called in medication to the pharmacy. Telehealth is still a good choice for some conditions


   
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(@deborahwatersiectskin-com)
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@camiryndavisiectskin-com 

I agree that in some cases the telehealth visit is a good option. During COVID this became very popular as some Dr's were closed to in person visit. My Dr was very responsive and called in medication to the pharmacy. Telehealth is still a good choice for some conditions


   
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(@deborahwatersiectskin-com)
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@camiryndavisiectskin-com 

I agree that in some cases the telehealth visit is a good option. During COVID this became very popular as some Dr's were closed to in person visit. My Dr was very responsive and called in medication to the pharmacy. Telehealth is still a good choice for some conditions


   
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(@deborahwatersiectskin-com)
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@cameranriddleiectskin-com 

Now that telehealth visits are popular it will be in the future where an app on the phone can serve as diagnostic testing


   
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