Telemedicine advice at the endocrinologist. How does it look in practice?
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The coronavirus outbreak has forced patients to switch from traditional visits to doctors to teleporting. Now no one is surprised that a specialist diagnoses, refers for tests and writes out a prescription during a telephone conversation or a video conference. And what does it look like in the case of consultation with an endocrinologist? We asked the drug about it. med. Joanna Ciołek from the Damian Medical Center.

Sylwia Stachura, Medonet: After the coronavirus epidemic began, has it been noticed that fewer patients with endocrine problems are reported? Were telemedicine advice very popular?

Bow. med. Joanna Ciołek: In the initial phase of the epidemic, during the period of quarantine restrictions, the number of patients presenting for endocrinology consultations to medical facilities temporarily decreased significantly. But in a short period of time, the number of people receiving endocrinology counseling remotely began to grow rapidly.

Now, after a few months of the epidemic, is everything back to normal? What are the ratios between online and traditional visits?

Traditional visits are slowly increasing, but online visits are still the majority.

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What are the greatest difficulties in diagnosing thyroid disease through teleporting? Or maybe it doesn’t really matter if the patient is live or at home?

Definitely a stationary visit has an advantage over teleportation, especially in the case of people who have not been treated with endocrinology for the first time, are receiving endocrinology consultation for the first time at all or who have been previously treated in another center, are undergoing endocrine diagnostics or determining the treatment method, have additional diseases or are in poor condition. general condition.

On the other hand, visits of patients in stable health, already under the constant care of an endocrinologist, can be boldly carried out in the form of telepaths. If necessary, the doctor, if necessary, will suggest the patient to come for a traditional visit.

Which problems are most often reported by patients for telemedicine advice?

The problems with which patients report to teleporces are the same as the reasons for inpatient visits – continuation of therapy, the appearance of disturbing health symptoms, abnormal test results, and medications running out.

Can an endocrinologist issue a prescription for each drug during such a visit?

The final decision is made by the doctor during the teleportation, but if he deems it right, he can issue a prescription for any medication needed.

Can a doctor issue a referral for tests during a TV visit?

Yes, during the visit, the doctor may issue a referral for all necessary examinations.

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For what endocrine problems is a “live” visit necessary?

A live visit may be necessary for people who have not received treatment from an endocrinologist before. Personal contact may be needed if the patient has previously received treatment in a different center, has other diseases or is in a worse health condition. In case of problems with registering for a traditional visit, you can initially arrange a teleportation, and the doctor will decide whether a traditional visit is necessary in the facility.

What are the greatest advantages of teleportation from the perspective of a doctor-endocrinologist?

Patients who, for various reasons, have limited access to in-patient visits at a given moment can be helped. Teleporting also gives the doctor the comfort that he can provide his patients with uninterrupted care regardless of the situation, setting the frequency of consultations as required by the patient’s health situation.

I think that from the patient’s point of view, teleportation has many advantages, including the possibility of continuing therapy, starting diagnostics or treatment, regardless of the limitations resulting from health, epidemiological and personal reasons.

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