Telemedicine Quotes

In the introduction, I wrote that COVID had started a war, and nobody won. Let me amend that. Technology won, specifically, the makers of disruptive new technologies and all those who benefit from them. Before the pandemic, American politicians were shaking their fists at the country’s leading tech companies. Republicans insisted that new media was as hopelessly biased against them as traditional media, and they demanded action. Democrats warned that tech giants like Amazon, Facebook, Apple, Alphabet, and Netflix had amassed too much market (and therefore political) power, that citizens had lost control of how these companies use the data they generate, and that the companies should therefore be broken into smaller, less dangerous pieces. European governments led a so-called techlash against the American tech powerhouses, which they accused of violating their customers’ privacy. COVID didn’t put an end to any of these criticisms, but it reminded policymakers and citizens alike just how indispensable digital technologies have become. Companies survived the pandemic only by allowing wired workers to log in from home. Consumers avoided possible infection by shopping online. Specially made drones helped deliver lifesaving medicine in rich and poor countries alike. Advances in telemedicine helped scientists and doctors understand and fight the virus. Artificial intelligence helped hospitals predict how many beds and ventilators they would need at any one time. A spike in Google searches using phrases that included specific symptoms helped health officials detect outbreaks in places where doctors and hospitals are few and far between. AI played a crucial role in vaccine development by absorbing all available medical literature to identify links between the genetic properties of the virus and the chemical composition and effects of existing drugs.

If you need further discussion or treatment, instead of an office visit, you might use telemedicine or an AI physician. And if you need medicine, a drone will deliver it to your door.

The high-def camera on your mobile phone is a decent diagnostic tool already, but it’s a small step to consumer-friendly diagnostic tools arriving on our doorsteps, used, and shipped back. Specialists will be consulted across town, across the country. Teladoc Health, the largest independent U.S. telemedicine service, is adding thousands of doctors to its network.6 The transition to electronic health records was a major thrust for Obamacare and may be the program’s most lasting and important legacy, as electronic records enable a dispersal of an industry ripe for disruption.

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It was only the independent doctors like Ryan Cole, who were not reliant on Dr. Fauci’s largesse and who threw themselves into hand-to-hand combat against COVID-19, who discovered readily available treatment modes: “We had hero doctors that really had to break with the academic ivory tower,” says McCullough. Finally, a group of independent organizations, including the Association of American Physicians and Surgeons, the Front-Line Critical Care Consortium, and America’s Front-line Doctors, galvanized to organize the country into four national telemedicine services, and three regional telemedicine services. Following

under the guise of calling themselves a “consultant” or “health coach” and by signing a consultant agreement. The agreement or disclaimer is between you and the patient. However, if the patient were to sue you for a bad outcome, the judge may consider that agreement unenforceable as a matter of public policy and allow the suit to proceed.

Asynchronous (sometimes called “store-and-forward”) communication is the opposite of synchronous communication. In other words, it consists of communications such as patient portal messages, lab results awaiting your review, or X-rays sent to a radiologist who reads them on their own time and then responds later. Email is also a good example of asynchronous communication. When you send an email, it is usually understood that the recipient will read it and respond at a later time. Asynchronous = not at the same time. Synchronous = same time.

Many states have passed laws or regulations that allow for out-of-state physicians (and other licensed professionals, in many cases) to obtain a special telemedicine-only license to practice in their state. Some states call them licenses, others call them registrations.

For example, you are a physician in Illinois, and a patient reaches out to you from North Carolina to consult remotely. You can work with a physician licensed in the state in which the patient is located (North Carolina) to coordinate care. However, the nature of the services provided should be in the form of a second opinion or consultation.

The out-of-state physician may then be eligible to provide care via telemedicine utilizing the physician-to-physician consultation exception described below. If the out-of-state physician agrees to diagnose, counsel, or treat the patient directly, the patient must travel to the state where the physician is licensed, or the physician must obtain a license to practice medicine in the state where the patient is located

The task of wealth generation for the nation has to be woven around national competencies. The Technology Information, Forecasting and Assessment Council (TIFAC) task team has identified core areas that will spearhead our march towards becoming a knowledge society. The areas are: information technology, biotechnology, space technology, weather forecasting, disaster management, tele-medicine and tele-education, technologies utilizing traditional knowledge, service sector and infotainment which is the emerging area resulting from the convergence of information and entertainment.

Keiko Shigeno, a board-certified Family Nurse Practitioner with licenses in 22 states, has shifted her focus to telemedicine in response to the changing healthcare landscape. Collaborating with leading telehealth companies, she delivers comprehensive care across various specialties, including urgent care, pediatric care, addiction health, mental health, weight loss management, women's health, men's health, skincare, and long-term health care.