Dear reader/listener, Don't touch that dial!! This is a serious posting.And TV or Teleconferencing or Telemedicine may be part of the answer but first we have to know how we wish to define the problem. Before we get to that I want to tell you how impressed I was with the quality of responses to the idea of a partnership with our HCPs and especially how much I was impressed with the words spoken by Rita Weeks. they were, to me, powerful, most notable the verse of 12/4. And now to more carefully define our problem. Does it have to do with the total absence of qualifed HCPs in a certain geographical area? Does it have to do with the total absence of certain specialities such as in neurology or "movement disorder" or physical therapy etc? OR does it have to do with the competence of a particular Individual HCP who may be the only "game in town" The big question here is who is calling the HCP noncompetent.If it is some state or professional organization/agency that may have at least a little clout then we may be able to access certain services. THe general idea is that a patient may be evaluated by a specialist many miles away by using teleconferencing/telemedicine technology. What it would take is : The patient The equipment and some one to run it [although there are certain functions a patient may control themselves] The MD or technical person to run the show at the patient location. The specialist at the other end.[Please no Proctologist's jokes] I've begun a review of the literature and found, as I scratched the surface, some encouraging news.For example, in Washigton state a telecommunication link has been established between Yakima Valley Radiologists and Prosser Memorial Hospital which allows Yakima V.R. radiologist's to interpret tests and direct exams done at Prosser M.H. from their Yakima office 55 miles down the road. In Pennsylvania a telemedicine system using video- and audio-conferencing allows cardiologists, radiologists and NEUROSURGEONS {Caps mine] to conduct a remote evaluation of patients who are at rural hospitals many miles away.Hospitals participating include Hershey M.C., Temple Univ. Hosp.in Phil. and the Univ. of Pittsburg M.C. A third and final example involves the Medical College of Georgia is {1994] installing an interactive two way television hook -up that will enable physicians to examine patients in their homes and in nursing homes.The Medical College will be part of a network that will link 58 medical facilities around the state [including Emory Univ Hosp.] Interesting?? I can think of many questions we may have including physician choice and who pays what to whom? But as a first cut what do you think?? My very best, george [[log in to unmask]] NTGAE [log in to unmask]