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The New Coffee Room

  1. TNCR
  2. General Discussion
  3. Telehealth

Telehealth

Scheduled Pinned Locked Moved General Discussion
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  • JollyJ Offline
    JollyJ Offline
    Jolly
    wrote on last edited by
    #1

    Here to stay?

    https://www.realclearhealth.com/articles/2020/08/21/telehealth-_do_i_have_your_attention_now_111088.html

    “Cry havoc and let slip the DOGE of war!”

    Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

    1 Reply Last reply
    • MikM Offline
      MikM Offline
      Mik
      wrote on last edited by
      #2

      I certainly hope so. It's absolutely necessary for very rural areas.

      “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

      1 Reply Last reply
      • L Offline
        L Offline
        Loki
        wrote on last edited by
        #3

        I didn’t realize it was a question?

        Zoom has normalized such interactions and kids will demand it.

        1 Reply Last reply
        • jon-nycJ Online
          jon-nycJ Online
          jon-nyc
          wrote on last edited by
          #4

          I’ve always thought it would be a permanent change.

          Only non-witches get due process.

          • Cotton Mather, Salem Massachusetts, 1692
          1 Reply Last reply
          • George KG Offline
            George KG Offline
            George K
            wrote on last edited by
            #5

            Back in 1994 when MIL was dying, she lived with us. Mrs. George took care of her, and longed for the time when we could do a "video visit" with the doc. We had CU-See-Me installed on our computer, but none of the docs who were taking care of her were interested, or had the capability for this kind of thing. Remember, this is still in the days of dial-up, and connections were slow and unreliable. She actually went to a telemedicine conference held in DC in 1995 looking for help as to how to get this implemented.

            In retrospect, without the infrastructure and software, it was a hopeless task.

            Also, there was really no market for it at the time. After all, if the patient comes to me, why should I invest the time, energy and money for all this.

            And now, boom! Everything's changed and the docs need to do this to survive. One of Mrs. George's docs does only televisits now (he doesn't really have to examine her - it's all history).

            Those things said, there's something of value in the "laying on of hands." D2's endocrinologist was able to feel a couple of small thyroid nodules which, on biopsy, were revealed to be a papillary carcinoma of the thyroid. She had the gland removed about 2 months later, and has been fine since. I wonder if her course would have been as benign if the endocrinologist were looking at lab work.

            "Now look here, you Baltic gas passer... " - Mik, 6/14/08

            The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

            1 Reply Last reply
            • jon-nycJ Online
              jon-nycJ Online
              jon-nyc
              wrote on last edited by
              #6

              In person visits have their place and always will. But there are certainly times when a televisit suffices.

              For me it’s been useful not having to go to Duke every three months. I could see doing every other visit in person once Covid is over, as long as I’m doing well.

              Only non-witches get due process.

              • Cotton Mather, Salem Massachusetts, 1692
              George KG 1 Reply Last reply
              • jon-nycJ jon-nyc

                In person visits have their place and always will. But there are certainly times when a televisit suffices.

                For me it’s been useful not having to go to Duke every three months. I could see doing every other visit in person once Covid is over, as long as I’m doing well.

                George KG Offline
                George KG Offline
                George K
                wrote on last edited by
                #7

                @jon-nyc you're right.

                For cases like D2, the televisit-only approach could have been lethal. OTOH, I could see a hybrid type of patient care. Come in once a year for the actual physical, and let the others be via Zoom or whatever if there's not a change in status. Mrs. George, as I said, has a monthly televisit with one of her docs. He's never examined her (pain clinic) and there's no reason to start now. It works great. My internist, whom I see semi-annually does the most perfunctory physical exam (he was much more thorough when we were interns together, LOL), and I'd be just as happy with telemedicine for him.

                "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                1 Reply Last reply
                • L Offline
                  L Offline
                  Loki
                  wrote on last edited by
                  #8

                  I never thought of telehealth as replacement but as another avenue.

                  1 Reply Last reply
                  • JollyJ Offline
                    JollyJ Offline
                    Jolly
                    wrote on last edited by
                    #9

                    One of the things LSU tried a few years ago and something I wish had succeeded more, was a hybrid situation where the patient was followed traditionally by a family practice doc, but would do telemed visits with a specialist.

                    “Cry havoc and let slip the DOGE of war!”

                    Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

                    1 Reply Last reply
                    • HoraceH Offline
                      HoraceH Offline
                      Horace
                      wrote on last edited by
                      #10

                      Like online school, it is informative to go back over one's own experiences with the in-person version and reflect on whether it could have been done online instead. And for those parts that couldn't have been done online, how important were they.

                      Education is extremely important.

                      1 Reply Last reply
                      • jon-nycJ Online
                        jon-nycJ Online
                        jon-nyc
                        wrote on last edited by
                        #11

                        I think pretty important. I give this a lot of thought what with the boy and all. I can replicate his academic school day easily and in comparatively little time. The social aspect I can’t replicate at all.

                        He’s very much an autodidact. Frankly social learning will likely be his main takeaway from his entire K-12 experience. And the credentials of course.

                        Only non-witches get due process.

                        • Cotton Mather, Salem Massachusetts, 1692
                        1 Reply Last reply
                        • L Offline
                          L Offline
                          Loki
                          wrote on last edited by
                          #12

                          People with privilege can replace academic learning. Lots of luck to the vulnerable, the gap widens.

                          1 Reply Last reply
                          • jon-nycJ Online
                            jon-nycJ Online
                            jon-nyc
                            wrote on last edited by
                            #13

                            Oh yeah, we’ve done a great deal of that in the last few months. I’ve basically got him ready for 8th grade algebra (he’s entering 6th grade now), he knows more history than 85% of adults, codes in Python, and is reading YA novels daily with his mother and writing answers to essay questions she writes for him.

                            And we have kept it up all summer.

                            Only non-witches get due process.

                            • Cotton Mather, Salem Massachusetts, 1692
                            brendaB Aqua LetiferA 2 Replies Last reply
                            • jon-nycJ jon-nyc

                              Oh yeah, we’ve done a great deal of that in the last few months. I’ve basically got him ready for 8th grade algebra (he’s entering 6th grade now), he knows more history than 85% of adults, codes in Python, and is reading YA novels daily with his mother and writing answers to essay questions she writes for him.

                              And we have kept it up all summer.

                              brendaB Offline
                              brendaB Offline
                              brenda
                              wrote on last edited by
                              #14

                              @jon-nyc said in Telehealth:

                              Oh yeah, we’ve done a great deal of that in the last few months. I’ve basically got him ready for 8th grade algebra (he’s entering 6th grade now), he knows more history than 85% of adults, codes in Python, and is reading YA novels daily with his mother and writing answers to essay questions she writes for him.

                              And we have kept it up all summer.

                              That's excellent, Jon. He'll be ready for AP courses any time now.

                              1 Reply Last reply
                              • jon-nycJ jon-nyc

                                Oh yeah, we’ve done a great deal of that in the last few months. I’ve basically got him ready for 8th grade algebra (he’s entering 6th grade now), he knows more history than 85% of adults, codes in Python, and is reading YA novels daily with his mother and writing answers to essay questions she writes for him.

                                And we have kept it up all summer.

                                Aqua LetiferA Offline
                                Aqua LetiferA Offline
                                Aqua Letifer
                                wrote on last edited by
                                #15

                                @jon-nyc said in Telehealth:

                                codes in Python

                                What's he like to do with it?

                                Please love yourself.

                                1 Reply Last reply
                                • jon-nycJ Online
                                  jon-nycJ Online
                                  jon-nyc
                                  wrote on last edited by
                                  #16

                                  We’ve been following the Codecademy class and I give him assignments.

                                  Only non-witches get due process.

                                  • Cotton Mather, Salem Massachusetts, 1692
                                  1 Reply Last reply
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