Dear George: You brought up an interesting subject. I attend comunication trade shows 2x a year and I have seen the prices drop of both software and hardware drop while the technology improves. I have seen telemedicine surgery through diagnosing of patients, all done at distance. We live in a time period when our technology is moving quite fast. The technology you brought up is definatly here to stay. Take care. Henry Guttentag [log in to unmask] George Lussier wrote: > > 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]