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Telemedicine


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Unfortunately, telemedicine is a pandemic flare for the most part and pops up like roofing companies after a hurricane.

Everyone is doing it these days - existing practices and corporate medicine, work comp clinics and even urgent cares. 

Pop up companies and ads looking for "investors" are not likely to last or be of high quality.

I just got an email for a high dollar 4 hour CME on "Maximizing Telemedicine". 

Telemedicine will be stronger after COVID and utilized more often - it isn't going away. 

I still have mixed feelings about what all it can do and how well.

PAs can own practices in many states but the leash to an MD/DO is not going away.

You have to pay a doc to be the "medical director" and review charts, etc.

So, I wouldn't get too excited or invest your retirement funds.

Do right by the patient, do a good job and be smart.

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  • 2 weeks later...

It's amazing, because most of my (forced) telemedicine appointments (and I'm sure Reality Check will agree) go like this:

...can you hear me?...no? ..how about..what?...no?...

or

please put your shirt on...

or:

tell me about the headache with the unilateral vision loss that was scheduled for a video visit

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2 minutes ago, thinkertdm said:

It's amazing, because most of my (forced) telemedicine appointments (and I'm sure Reality Check will agree) go like this:

...can you hear me?...no? ..how about..what?...no?...

or

please put your shirt on...

or:

tell me about the headache with the unilateral vision loss that was scheduled for a video visit

In my excitement, I forgot the coup de gras:

"are you @#$ driving a @#$ truck?"

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Patient:

"I can see you but can't hear you --- can you hear me?"

 *waving arms at camera that is maladjusted and showing me his couch*

"Wait.... gd it..... gd f'ing phone..... Wait, doc - I'm getting it"

Me: *deep breath*, pause.....*deep breath*

OR

Me: "no sir, I can't see that mole behind your scrotum clearly on the phone"

Some days it is really ok and we see each other - most days it is an exercise in futility, technology and patience - something I wasn't blessed with in abundance

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