(Snippets from the frontline)
COVID-19: Telemedicine – making it perfect
I had to do a housecall.
A patient called complaining of hand and wrist pain. She had open heart surgery several months before, but our phone conversation did not yield an etiology for her potential threatening discomfort. On my visit, I recognized her left wrist was swollen which she had not noticed, leading to further questioning and a diagnosis.
With COVID-19, not seeing a patient, yet communicating though telemedicine is a necessity. There can be limitations, so patients and healthcare professionals must be aware it is not perfect.
We are taught to do a thorough “history and physical.” The physical exam sometimes confirms what we obtained by the history, or other times might give us a diagnosis.
An abnormal sound in a carotid artery, a growth on the thyroid gland, or an enlarged liver or spleen. For now, we cannot get this information over the phone or online.
The physical exam has always been essential in making or confirming a diagnosis. Telemedicine limitations does not allow this, yet.
One day though, while resting at home, I will send my interactive communicating robot with technology examining tools to visit you on a housecall.
Then for me, telemedicine will be perfect.
Gene Uzawa Dorio, M.D.
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