[53584] in North American Network Operators' Group

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Re: PAIX

daemon@ATHENA.MIT.EDU (Jere Retzer)
Mon Nov 18 17:24:31 2002

Date: Mon, 18 Nov 2002 14:23:51 -0800
From: "Jere Retzer" <retzerj@ohsu.edu>
To: <nanog@merit.edu>
Errors-To: owner-nanog-outgoing@merit.edu


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Vadim Antonov wrote:

>I definitely would NOT want to see my doctor over a video link when I =
need
>him.  The technology is simply not up to providing realistic telepresense,=

>and a lot of diagnostically relevant information is carried by things =
like
>smell and touch, and little details.  So telemedicine is a poor substitute=

>for having a doctor on site;  and should be used only when it is
>absolutely the only option (i.e. emergency on an airplane, etc).

If you are really ill, this is true but there are always gray areas that =
go into the decision whether the 'illness' is worth a visit. Physicians =
often order things for patients they know based upon a phone call or even =
e-mail if they feel reasonably comfortable. I think that there are lots of =
situations that a physician would recommend "just keep Johnny home for a =
couple days, give him plenty of fluids and [fill in the blank] =AF call me =
in two days if he isn't feeling better." Having live video of Johnny is a =
pretty good supplement to voice, or for that matter the receptionist could =
record the video call for the physician and he could play it back when he =
has a few minutes. It's potentially even more important with elderly =
shut-ins, because bringing them in can be difficult and expensive and =
their immune systems are typically weaker so you should try to minimize =
their exposure to people with contagious diseases.

Jere

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<DIV>Vadim Antonov wrote:<BR><BR>&gt;I definitely would NOT want to see =
my=20
doctor over a video link when I need<BR>&gt;him.&nbsp; The technology is =
simply=20
not up to providing realistic telepresense,<BR>&gt;and a lot of diagnostica=
lly=20
relevant information is carried by things like<BR>&gt;smell and touch, =
and=20
little details.&nbsp; So telemedicine is a poor substitute<BR>&gt;for =
having a=20
doctor on site;&nbsp; and should be used only when it is<BR>&gt;absolutely =
the=20
only option (i.e. emergency on an airplane, etc).<BR><BR>If you are really =
ill,=20
this is true but there are always gray areas that go into the decision =
whether=20
the 'illness' is worth a visit. Physicians often order things for patients =
they=20
know based upon a phone call or even e-mail if they feel reasonably =
comfortable.=20
I think that there are lots of situations that a physician would recommend =
"just=20
keep Johnny home for a couple days, give him plenty of fluids and [fill in =
the=20
blank] &#8212; call me in two days if he isn't feeling better." Having =
live video of=20
Johnny is a pretty good supplement to voice, or for that matter the =
receptionist=20
could record the video call for the physician and he could play it back =
when he=20
has a few minutes. It's potentially even more important with elderly =
shut-ins,=20
because bringing them in can be difficult and expensive and their immune =
systems=20
are typically weaker so you should try to minimize their exposure to =
people with=20
contagious diseases.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Jere</DIV></BODY></HTML>

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