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17/Nov/2022

One of the most lasting and seemingly permanent aspects of the changes introduced to society in the 2020s is the way technology brought us closer together and changed aspects of how we relate and interact with each other. Part of this involves changes in healthcare, through which patients can now receive care and treatment remotely using video conferencing applications. This is known as telehealth, and due to its many benefits like greater convenience and accessibility, it’s an option that many patients prefer to use. 

Telehealth or telemedicine are largely two aspects of the same process – using technology to bring doctors, pharmacies, other care providers, and patients closer together. You may have already been using telemedicine or telehealth technology without even realizing it, as something as simple as sending a message to your doctor online or communicating with a healthcare provider over the phone falls into this category.

However, telehealth has evolved and grown dramatically since the beginning of the Covid pandemic and is usually used to refer to video calls. Concerns about infection control and the rise of video conferencing apps in other areas of life, like work and school, meant that suddenly telehealth was at the forefront of medicine and replaced in-person visits for many people. If you’re new to the world of telehealth, this article will prepare you with everything you need to know to make sure your first appointment is a success.  

Your Role in Telehealth

To begin with, there are a few different options used in telehealth:

Patient Portal

Logging onto your patient portal will require a username and password, keeping the process secure. Once logged in, you will be able to send and receive messages, obtain test results or other information, check your prescriptions, and likely schedule appointments.  

Virtual Visits

These are different from logging onto the patient portal in that they must be scheduled and involve a healthcare professional on the other end of the line working with you. The process will be roughly the same as an in-person visit, involving waiting for the doctor and discussing your health concerns and other issues. 

There are a few things you can do as the patient to make sure that you have a smooth experience:

  • Schedule the appointment ahead of time and make sure you are on time
  • Clarify with the office what type of technology or applications you will need to use
  • Download these or familiarize yourself with them before the appointment
  • Make sure you have a steady internet connection for the appointment
  • Conduct any tests your doctor will want, like a temperature, blood pressure reading, or blood sugar level
  • Find a quiet space where you can speak privately and not be disturbed
  • Make sure there is good lighting if the doctor needs to see you
  • Prepare any paperwork, test results, or prescriptions you will need for the appointment

If you follow these steps, you should have an easy experience with minimal issues. Remember to be patient, as the technology takes a little bit of work to get right and doctors can still be running behind, even for telehealth appointments. However, most people find that telehealth is a convenient, simple, and far easier method of receiving care than going in for appointments.  

Some healthcare offices use their own website as a portal for you to connect to, or some might use third-party apps like Zoom, Apple FaceTime, Skype, or Google Hangouts. The federal government loosened some HIPAA regulations around telehealth during the pandemic to make it easier to meet requirements without conducting in-person visits.  Skype and Zoom largely dominate the field, although there are many other options you might be using.  

How Does Telehealth Benefit You?

When the most vulnerable and needy among us are taken care of, we are a stronger, healthier society. Social safety nets are important because unfortunate accidents or health issues can happen to anyone at any time, and there is little that can be done. People with mobility issues, lack of transportation, or mental health concerns can access lifesaving care more effectively, creating a better world for all of us.  

Telehealth is not perfect, and it has limitations. For example, you can’t get most tests or physical examinations done over the internet, and anything like surgery is impossible. However, routine checkups and visits that can be done without physical contact are made much more efficient by telehealth, freeing up time for providers to focus on the cases that do need to come into the office. 

Telehealth and telemedicine are here to stay, as the benefits are numerous – from enhanced infection control to greater convenience for everyone. If you haven’t used video conferencing technology yet, you likely will at some point in your life, as the world grows ever more connected through technology. It’s simple and accessible technology that functions without issue for millions of people every day and will revolutionize the medical field for decades to come.  


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13/Oct/2022

Last Update Oct 16, 2022 @ 5:21 pm

One thing we have all heard a lot about in the last few years is virtual doctor visits, remote work, and family zoom calls. While much of society has returned to normal following the upheavals of 2020 and 2021, the field of medicine is still utilizing telehealth, due to the many benefits in accessibility, reduced spread of infections, and convenience. 

Telehealth, at its core, is a way to receive medical care without going in person to a doctor’s office. While the Covid pandemic increased the use of video calls specifically, we’ve been using telehealth in several different ways for a while, sometimes without even realizing it. For example, just sending secure messages through your patient website to a doctor is an example of telehealth, as is wearing a monitoring device like a Holter monitor to record your heart’s rhythm and send the signals remotely to your doctor. 

How Telehealth Helps the Most Vulnerable

That being said, when people talk about telehealth and telemedicine today, they are largely referring to video calls conducted through the internet that connect a doctor and patient face-to-face. This has been possible for a while but was brought to far greater prominence than ever before due to the restrictions and fears surrounding the Covid pandemic. The nature of medical practices facilitated the shift to telehealth more easily than other industries, for the following reasons:

  • Those with difficulty walking or impaired mobility could see their doctor more easily
  • Those with high risks like immunodeficiency syndromes can see the doctor without being exposed to the public
  • Virtual doctor’s visits reduced the need to take whole days off of work or schedule childcare to go to the doctor
  • Telehealth is more convenient, allowing people to get care in almost any location
  • Telehealth can bring specialists in from further away, where they might not have been able to meet the patient in person, sometimes from as far away as across the world. 
  • Telehealth allows the doctor or therapists to see patients function in their daily environment.
  • People with mental health issues can have an easier time with virtual visits

It’s easy to see why many doctors are continuing to offer telehealth virtual visits. They provide a crucial, life-saving service to those who need it the most, and who may have been unable or unwilling to attend a regular doctor’s appointment 

Virtual Visits and You

While telehealth may sound complicated, it’s really not. Let’s take a look at the basics of how telehealth works.  To get started, you’ll need two things: internet service and a device capable of accessing it like a phone, tablet, or computer. 

The next thing you’ll have to do is contact either your health insurance or your medical provider to set up a virtual visit appointment. Some insurances offer virtual visits for free on a same-day basis, but others might require you to wait for an appointment. Once you have your appointment set, you’ll need to get ready for the call.

To make sure that you are fully prepared and the telehealth visit goes smoothly, consider the following things:

  • Make sure your internet connection is reliable, as bad connections are the most common issue that derails telehealth visits.
  • In addition, make sure that your camera and microphone are working properly and that you have agreed to all permission requests for the provider to access them.
  • Try to find a quiet, private location where you can comfortably discuss medical issues in.
  • Make sure the lighting is good, especially if the doctor will have to see something like your skin.
  • If you are nervous or not sure about the technology, it’s ok to ask a friend or relative to help you or sit in on the appointment with you, as long as you are comfortable with it.

Types of Technology

The key aspect of telehealth medicine is convenience, and it will only get more convenient as time goes on and technology improves. Due to the extreme need for telehealth medicine during the Covid pandemic, the federal government issued updated HIPPA guidelines that now allow medical practitioners to use common apps like Zoom, Apple FaceTime, Google Hangouts, Skype, or Facebook Messenger video calls to provide services without risking any legal issues. 

However, many providers still use their own in-house websites and technology to conduct telehealth. The specifics vary from provider to provider and can depend on what the patient feels comfortable with. If you’re feeling nervous about the type of technology, always ask your provider for clarification and they will be happy to help find a way to communicate that you are comfortable with. 

Telehealth medicine is here to stay, and it serves some important functions in the field of medicine. Virtual visits and remote access technology benefit the most vulnerable among us by providing an easier way to receive life-saving treatment or care. If you’re interested in telehealth visits, talk to your healthcare provider today and find what works best for you!


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17/Aug/2022

Last Update Oct 16, 2022 @ 5:22 pm

One of the most exciting ways that the field of health and medicine has changed recently is the advent of remote services, conducted through telephone or video call technology. This is known as telehealth, and it has enabled medicine to become more widely accessible, especially to those who are most disadvantaged and underserved in society. The wider reach and accessibility of telehealth medicine correlate with a positive impact on mental health, due to the numerous benefits and advantages that it creates. 

What is Telehealth?

One thing that most people became quickly aware of during the advent of the Covid-19 pandemic was the ubiquitous video calls, Zoom meetings, and remote work. While there are drawbacks to experiencing less social and personal interaction, there are also many benefits that can be achieved using this technology. One of these is the ability to provide services more easily, affordably, and conveniently to those who have difficulty traveling, compromised immune systems, or are experiencing poor mental health and the negative effects that can have on an individual’s life. 

Before moving on to discuss the positive impact that telehealth has on mental health, it’s important to understand the distinction between telehealth and telemedicine. Telemedicine refers to the specific doctor/patient visits, while telehealth encompasses all of the various supportive roles that must be played to keep telemedicine running smoothly, from administrative work, to medical records, to accounting roles. While this distinction is important from a technical aspect, the terms are largely used interchangeably by the public and can be understood as two facets of the same process. 

The Many Benefits of Telehealth

It’s easy to see how a more widespread and accessible form of treatment for mental health can have a positive impact on the overall mental health of society. After all, if treatment for mental illnesses is hard to access, too expensive for the average person, or simply inaccessible due to physical or mental limitations, we all suffer. Society itself benefits from easier access to mental health services for those who are most vulnerable to them. 

Let’s go over some of the specific ways that telehealth protects and serves society as a whole when it comes to mental health treatment:

Telehealth is more affordable

An unfortunate truth is that mental illness more seriously affects those who lack the resources to deal with it adequately. Without treatment, those dealing with mental illness rarely, if ever, see their conditions improve and go into remission. Significantly, poverty itself has a majorly deleterious effect on mental health, from constantly worrying about bills, to food insecurity, to a lack of proper shelter and housing availability. 

Telehealth can mitigate this in several ways due to being cheaper and saving money. This means that those living in poverty who might not have health insurance can afford to seek treatment without breaking the bank or being forced to choose between treating their mental illnesses, or paying rent and buying food. 

Telehealth is easily accessible

Telehealth has been around for a long time, but before the Covid-19 pandemic, it wasn’t very common or widespread. However, the pandemic has caused a surge in mental health crises, such as rising addiction and suicide rates. This creates a two-fold problem: shutting down society causes mental health issues to spike, while simultaneously creating a lack of easy access to those who are most qualified to treat them. 

Telehealth can play a major role in fixing these issues. Medical professionals recognize that the major disruptions and changes in society due to the pandemic have caused “deaths of despair”, i.e. suicides, overdoses, and broken lives caused by fear, unemployment, and isolation. Some estimates place the number of these preventable deaths at 75,000, although the true number could be far higher.

Telehealth is the number one way to deal with this issue. While society must take precautions to slow the spread of diseases, there has to be a way for the most vulnerable among us to receive the treatment they need. The best way to provide these services to them while still maintaining safety and proper infection control is to conduct remote visits over video, which is precisely why telehealth and telemedicine saw such a surge in demand during the pandemic. 

Access is Key

Medical professionals have long recognized that one of the major difficulties of mental health treatment is that those who need it the most often don’t have access to it. From substance abuse disorder to cognitive behavioral therapy, the most underserved in our society often suffer the most and, unfortunately, their suffering has an impact on everyone else around them as well. 

Telehealth can play a major role in mitigating these issues, and will be explored and utilized even further as technology progresses to continue helping improve our society one person, and one telehealth visit, at a time.   


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08/Jul/2022

Last Update Oct 16, 2022 @ 5:22 pm

It should be common sense not to ignore any kind of health care, but people may not take telehealth care seriously after the Covid-19 pandemic.  People may believe that it is not a beneficial practice due to not seeing the doctor in person.  However, studies have shown that telehealth care has actually helped improve the number of people seeking help for emotional care.

What is Telehealth Care?

Telehealth care is a practice that is really gained traction since Covid-19 reared its ugly head.  Basically, it’s when you don’t go to a doctor’s office, but you see your doctor through a video chat or telephone call.  These kinds of visits were put into place to try to control the numbers of those getting infected and to protect the medical staff that was going to be in serious need.

Benefits and Drawbacks to Telehealth Care

The tricky thing about telehealth care is that one benefit could also be seen as a drawback.  By not seeing your doctor in person you are cutting down on the probability of infecting others, but you also may not be getting the most “hands on” and effective treatment.  This one is really a case of how serious your reason for the visit is and whether or not you should be seen in person.  Other pros and drawbacks include:

Pros:

  • You don’t have to wait in a waiting room.  Your doctor will make the call or video chat when it is time.
  • You don’t have to waste time and money on gas to get to the doctor
  • Faster service

Drawbacks:

  • If you have a physical ailment, the most you will be seen is on camera, so the doctor may not get the best look at the problem.
  • If you have to take any kind of tests, this cannot be done through telehealth services
  • Same with medicine, most doctors will not subscribe any medication to you unless you are physically seen.

As a rule of thumb, it may be best to conduct telehealth visits for when the issue is very small and you don’t have to be necessarily seen.  Telehealth visits are also very handy for when it is a visit of mental health, such as therapy and psychiatry appointments.

Telehealth Care’s “Big Splash” with Mental Health

One very big reason for telehealth care’s big success with mental health and mental health awareness is because patients don’t have to go physically see the doctor and it cuts down on the nervousness and shame that comes with the social stigma of seeing a professional.

The reality is that in this day and age we shouldn’t be having these negative feelings towards mental health.  Unfortunately, they are alive and well, however, telehealth care is helping with that burden by giving patients the opportunity to use their own home as a safe space to conduct visits.

Patients can safely and privately discuss conditions in their own home, such as:

  • Anxiety
  • Depression
  • Disease Counseling
  • Health Coaching
  • Other Mental Illnesses

Seeing the increase in the amount of people seeking mental help is a big reason why telehealth care is so important after the pandemic.

Changes

It was to be expected that we saw a lot of changes in health care when phasing in telehealth care services.  There were changes in payment, privacy, and the way you saw your doctor overall.  It is easy to understand how some of these changes made patients uneasy.

Changes in Payment

To put it simply, medical insurance companies were not ready for the telehealth care change.  Many insurances did not cover telehealth care simply because we never needed before.  Unfortunately, Covid-19 made it a necessity and therefore insurance companies had to scramble to put money into it to make it possible.

But, how do you pay for services when you’re not physically there?  You provide it via online forms and taking pictures of your cards.  It’s easy to see why some people would be uneasy with that.  However, it was a necessity and once the deed was done, you got to your doctor.

Changes in Privacy

Believe it or not some doctors were afraid of “Zoom bombing” once telehealth started to take effect. “Zoom bombing” is when disruptive, uninvited users force their way into a virtual meeting.  It is a scary thought , but strange things happen when utilizing the Internet.  Guardrails, such as periodic audits, have been suggested to keep up with security during these changes, but drastic issues have yet to be seen.

It would be very difficult for some patients to switch back from telehealth care to office care, especially in the area of mental health.  If not for any other reason at all, telehealth care should be taken seriously due to the good it’s done in the realm of mental health.  Making patients feel safe in any way is always a win.


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16/Jun/2022

Last Update Oct 16, 2022 @ 5:22 pm

The field of medicine has evolved and grown with the world around it, creating new ways in which we receive our care and interact with medical professionals. One of these ways is the advent of telemedicine, in which a patient receives care at a remote location over a video or telephone connection, a service contained within the broader field of telehealth, which provides all of the administrative and supportive aspects of the healthcare field. In this article, we’ll cover some of the defining characteristics of the two fields, as well as some pros and cons of both.

Telemedicine vs Telehealth

Through the Covid pandemic, we all got used to using video calls to perform what used to be ordinary functions of our lives. Many people saw their doctors’ visits transition to remote or video conferences, to slow the spread of the disease. This is a form of telemedicine, and it provides numerous benefits, as well as drawbacks, to in-person medical visits.  

Supporting the field of telemedicine is a litany of professionals, who perform functions known as telehealth. This can encompass all the necessary supportive aspects of telemedicine that must be performed alongside direct patient care. Some of these tasks are:

  • Doctor or provider training
  • Administrative meetings and support
  • Continuing medical education

While many use the term telehealth to encompass clinical care as well, it’s important to note the distinction between the terms. It may seem like they are synonyms, but telehealth can be understood more effectively as the “back of the house” that supports and scaffolds the “front of the house” direct care provided by telemedicine.  

Pros and Cons of Telemedicine

The ubiquitous video calls we all got used to during Covid were certainly more convenient and easy than leaving the house. However, in the field of medicine, that convenience could make the difference between life or death, or access to critical care or not. The accessibility and convenience of telemedicine are a huge benefit for some of the most vulnerable in society. 

In addition, there are other benefits as well. Employers find it cheaper to run telemedicine visits, as the operating and overhead costs of the building are lowered. In addition, there can be better access to specialists, and some providers report increased patient engagement due to the online format. 

However, this type of medicine is not without downsides, as well.   NPR reports that almost two-thirds of the population would prefer an in-person appointment. This is mainly due to increased personal connection and feeling that matters are taken and addressed more seriously and urgently in person than online.  

Telemedicine can lead to reduced care continuity as well, where a patient can feel like they are merely seeing a rotating and shifting cast of disconnected online personas, rather than a person who they meet regularly and feel is taking their care seriously. The technical training and equipment that telemedicine needs require extensive training, and are prone to malfunctions. Sometimes, video health conferences can lead to confusion when it comes to billing and insurance issues.

Overall, do the benefits outweigh the downsides? The answer varies from person to person, but video health conferences seem to be here to stay, at least alongside in-person doctor visits. In the court of public opinion, the convenience and accessibility seem to have won out over the potential loss of personal connection and communication.

Pros and Cons of Telehealth

Telehealth as a wider, more administrative field, divorced from clinical aspects of patient care covered under telemedicine, adapts well to video or remote work. Fields like this that are already largely technology and office-based, revolving around meetings and conferences, can work well in a technological and remote environment.

Most importantly, this supportive field doesn’t have to worry about the personal touch required of telemedicine, in which the doctor must personally interact with their patients. This personal touch can have a profound and powerful effect on the healing process of patients.  

Some of the cons of remote telehealth work could be a loss of personal interaction with the staff and potential decreased productivity. Many companies, since the Covid pandemic, have found that a mixed or partial remote/in-person work environment facilitates a high level of employee satisfaction and productivity.

Best of Both Worlds

Like most things in our world, different types of medical treatment will work best for different people. Some will never give up the personal connection, but others may have found an answer to their problems in remote medical visits. For those with mental health issues like agoraphobia or even just anxiety, leaving the house can be an arduous and difficult process.

If history has shown us one thing, it’s that the changes wrought by technology are here to stay. The way we interact with people and the world around us has evolved, and doctor’s visits and medicine are no exception. Telemedicine and telehealth can lead to a healthier, more accessible, and more inclusive world for us all.  


Copyright, 2024 by Dr. Lorie Poston. All rights reserved.