Discover and read the best of Twitter Threads about #telemedicine

Most recents (20)

Adventures in #telemedicine. Why it's important to have an Emergency Plan. I was seeing an elderly patient this morning with chronic medical problems for an annual visit. Pleasant visit, nothing exciting, refilled medications, ordered labs. As we are about to wrap up visit.../1
...patient says "I suddenly don't feel so well." What? "I feel like I'm going to pass out." Then BOOM. Face plant. Patient is home alone, I am the only witness. I yell out the door to my assistant to tell my next patient that I will be late. /2
Patient regains consciousness after 10 long seconds. Please call 911 now. "I don't want to call 911. I'm fine." She loses consciousness again and falls off screen. I can't see her. I call 911. /3
Read 8 tweets
Bird’s-eye view 👁 on what to look out for @WCGIC #WorldGI2020.
Opening remarks on important data 📺 @myESMO - by Dr. Eric Van Cutsem @UZLeuven.
🟩Good to see more #PrecisionMedicine🧬
🟥#Immunotherapy #Immuno-#oncology
🟦TNT & other chemo strategies
@Annals_Oncology #OncoAlert
🆕#ctDNA #liquidbiopsies 🩸🧬
👀 👇🏾at the number of #clinicaltrials cropping up in this space‼️
We have 2🇺🇸studies open. #CRCSM #WorldGI2020
#WORLDGI2020 This is 🆒 ☢️ 32-P EUS-guided implantation in #pancreascancer #PANCSM @myESMO @WCGIC @Annals_Oncology.

Still miles to go. OS median of 16 months pointing again to the systemic nature of disease. Need to piggyback these local approaches to better systemic. #OncoAlert
Read 55 tweets
THREAD: Decoding #AndhraPradesh success MODEL in crushing #Covid_19.
1️⃣TESTING: @ysjagan adopted MASSIVE POOLED TESTING strategy to stop ‘super-spreader’ phenomenon by 100% early detection (in an hour) of all positive cases using TrueNAT.
AP reported limited testing basis unavailability of TrueNAT cartridges on April 16. W/in a week, home based company MedTech Zone started manufacturing ~2000 such cartridges/d to ramp up testing. On 24 April #AndhraPradesh - 950 t/mil in comparison to national avg. 125 t/mil. 👏
As on 1st May #AndhraPradesh was conducting 9000 tests/day, bringing out all positive cases. On the same date, @IndiaSpend reported the state’s progress towards #flatteningthecurve. Rest is history.😌 Image
Read 13 tweets
As an #NHS cancer consultant , I have a public duty to raise the alarm that the Government is failing cancer patients during the #COVID19 crisis. A key cancer treatment that will be crucial to tackling the upcoming surge in cancer cases is still being rationed by NHS England 1/
Stereotactic radiotherapy (#SABR or SBRT) is a method of radiation delivery that can accurately deliver very high doses of radiation to localised cancers. It’s used to treat a wide variety of cancers including lung, prostate, kidney, and liver cancers. 2/
SABR requires fewer outpatient visits (typically 1-5) compared to conventional radiotherapy (20-30). It frees up radiotherapy capacity, reduces #COVID19 exposure, and is more cost-effective. This is crucial in #COVID19 era, because more patients are going to need radiotherapy 3/
Read 10 tweets
THREAD on cancer treatment in #COVID19 pandemic.
The @CovidSurg collaborative have estimated that in the UK, >500,000 operations have been cancelled, including 36,000 cancer surgeries. Globally, the figures are 28.4m and 2.3m. (During peak 12 weeks of disruption) #cancer 1/
Although surgical activity is increasing again and cancer surgery is being prioritised, we are far from returning to normal levels and there is going to be an enormous backlog of cases. This will be particularly detrimental to overall cancer outcomes 2/
It gets worse. We now have data via @CovidSurg (across a range of different types of surgery) that shows a 30-day mortality rate of 23.8% in patients who develop #COVID19 infections in the post-operative period. Mortality rates of 30% have been reported after cancer surgery 3/
Read 16 tweets
All right #dermtwitter & #medtwitter, it's time for the...

@MedDermSoc & @DermHospitalist Mini-Symposium on #COVID19 & #dermatology!!

I will be attempting to #livetweet the Zoom meeting!

Join along if you'd like. I will be using the h/t #COVIDDerm!

@RoxanaDaneshjou @dschless
Let's get started!!!!

Your cohosts are super excited to have you join. To give a little background, this meeting was planned in ~1 week, and we have over 500 RSVPs!

@MishaRosenbach now kicking us off with #COVIDDerm! Image
.@DrEstherFreeman is speaking and reminding us all to register our #COVID19 #dermatology cases in the @AADskin #COVID registry!

Reminder to do so here:

Read 39 tweets
.@ACOG hosted a virtual briefing on Thursday, where experts from ACOG, @MarchofDimes, and @ACNMmidwives briefed Congress about the unique challenges facing pregnant women in the #COVID19 pandemic. Watch the recorded briefing: Here are some highlights:
@acog @MarchofDimes @ACNMmidwives The expert panel acknowledged #BlackMaternalHealthWeek, urging Congress to mitigate the impacts of #COVID19 on communities of color, improve data collection, extend #Medicaid coverage to 12 months postpartum, and include pregnant women in #COVID19 research. 2/
Sens. & Reps. should share evidence-based #COVID19 information w/constituents & encourage pregnant women to continue prenatal care & maintain strong communication w/their obstetric care team. Hospitals & licensed, accredited birth centers remain safe places to give birth. 3/
Read 7 tweets
Wondering what's going on with your doctors' offices and clinics?

How are you supposed to see the doctor or other care provider if you're also supposed to #StayAtHome?

What even is #telehealth?

Let's talk a bit about what's going on in outpatient medicine during #COVID19.
You've heard a little (though probably not the worst parts) about what our frontline #healthcareworkers are experiencing. It’s harrowing at best, and in reality, it's a complete crumbling of our healthcare system to take optimal care of its patients and its workforce.
What you may not be hearing as much about in the media, but will affect every one of you, is what’s happening with clinics and outpatient care.

Because almost everything has changed.
Read 49 tweets
@BraveBosom @drdonsdizon @ePatientDave @VinceKuraitis @MightyCasey @draparente @AndreaCoravos @HealthPrivacy @emilykg1 @eperakslis @nickdawson WARNING: This might be a long response.
When it comes to all things, including the adoption of various technologies, each health system prioritizes different things in different orders.
It's not that some things are BETTER than others, they just can't do everything at once.
@BraveBosom @drdonsdizon @ePatientDave @VinceKuraitis @MightyCasey @draparente @AndreaCoravos @HealthPrivacy @emilykg1 @eperakslis @nickdawson Before #COVID19--like, years before--some health systems made telemedicine a key priority (e.g., KP Nor Cal). h/t to @RobertPearlMD & @davisliumd
I am no longer a KP Nor Cal pt, but I imagine they were ready to go w/telemedicine, and pts could make appts through the portal.
@BraveBosom @drdonsdizon @ePatientDave @VinceKuraitis @MightyCasey @draparente @AndreaCoravos @HealthPrivacy @emilykg1 @eperakslis @nickdawson @RobertPearlMD @davisliumd Also before #COVID19, health systems may have been piloting various telehealth platforms--some native to the health system platform w/their own docs, and some using 3rd parties like @teledoc.
I had a televisit in Dec. 2018 and my health system used a 3rd party platform.
Read 13 tweets
In an effort to conserve #PPE & increase #socialdistancing, many #dermatology services have switched to a heavily #telemedicine model. So today, I present to you:

HOW TO TAKE PHOTOS & CALL A #DERM CONSULT - a #covid19 era #tweetorial.

#MedEd #FOAMEd #dermtwitter #medtwitter
Let's start with appropriateness of consult. We are trying hard to limit nonurgent consults for the above reasons. The following can wait for when #coronavirus isn't everywhere.
- nonmelanoma skin CA
- old rashes with a known dx
- missed a derm appt and happens to be in house
If it's an urgent issue, it's helpful to start with the photo. Any camera phone should be fine. If on Epic, you can use Haiku to upload directly the the EMR.

NB: texting photos isn't HIPAA compliant. We'll usually refer to the EMR, or email the photos in a secure system.
Read 9 tweets
Day 2 after #COVID19 diagnosis.
My thoughts: cases like mine likely pose the greatest threat to society. I’m still quite functional, mobile and moderately symptomatic but COVID+.

The absolute truth:
YOU DONT KNOW WHO HAS #coronavirus

I’ve read so many #CardioTwitter nightmares that I feel like I’m waiting for other shoe to drop. Very grateful for benign course so far.
For those of you working and interacting with others outside your home, it is impossible to assess based on how someone looks/feels. #PPE
This is the reason social distancing and staying at home is so important. You can’t infect or be infected if you stay at your house.

You don’t know who has it. You cant.

Take pains to protect yourself and others in all of the places you go, as much as possible. #PPE
Read 6 tweets
There's been a lot of news and information surrounding #COVID19 this week. Here is a recap – follow this thread for information on the latest developments on the pandemic and actions we've taken on behalf of physicians. ⬇️
When it comes to critical resources, we've made it clear. Health care workers are in dire need of PPE & test kits to safely treat patients. #GetMePPE

AMA Statement:
3/18 letter to White House:
Equally as important, docs & health care pros need direct financial support to address this crisis's challenges.

Yesterday we joined @ahahospitals & @ANANursingWorld in asking that $100B be allocated to front line health workers.
Read 8 tweets
HOW TO TREAT ACTINIC KERATOSES AT HOME, a #tweetorial/#medthread

AKA:how to keep practicing #socialdistancing in the era of #COVID19 by staying at home and taking care of those precancers without having to come to clinic!

#dermtwitter #medtwitter #MedEd #FOAMed pc:@dermnetnz
1st, a caveat. Nothing subs for an in person exam, so this is not free license to tx things without a derm eval.

The reason for this #thread is that as the doctor seeing all urgent #dermatology pts today, I've gotten MANY calls from pts hoping to come get their AKs treated.
Before we get to txs, let's start with the basics. What is an AK?

Clinically they are erythematous papules & plaques with gritty (sandpaper-like) scale. Some can be quite big. Then we call them "hypertrophic AKs."

These are precursor lesions to squamous cell carcinomas.
Read 13 tweets
Pleased to announce key changes to @FCC's Rural Health Care and #ERate programs that'll make it easier for broadband providers to support #telehealth and #remotelearning. These services are more critical than ever given the #coronavirus pandemic. 1/4
Specifically, the #FCC has waived the gift rules until August 30, 2020 to enable service providers to offer, and RHC/#ERate program participants to solicit and accept, improved connections or additional equipment for #telemedicine or #remotelearning during this pandemic. 2/4
This waiver will let health care providers, schools, and libraries accept improved capacity, #WiFi hotspots, networking gear, or other equipment or services to support doctors and patients, teachers and students, and librarians and patrons during the #coronavirus outbreak. 3/4
Read 5 tweets
Increase use Telehealth as an during #COVID19pandemic Decided to share my 5 year experience as a TelePCP internist
Lessons learned from #telemedicine

✅Do not assume any demographic will love/hate it. Ask all patients/caregivers. You will be surprise. #ageisjustanumber
✅Rapport via video takes less time compared to telephone. Look for visual cues of engagement.

✅How and where we present ourselves matter. If we are teleworking be mindful of your surrounding background should appear professional.
✅Be on time. Depending on the service you use the link to the appointment might expire. Is up to you to keep track.

✅You might need to ask the pt/caregiver to reposition the camera or smartphone. Do not be afraid to ask.
Read 10 tweets
It took #COVID19 for telemedicine to get real respect.
"In this instance, it may be a virtually perfect solution"… @NEJM @JuddHollander @Dr_BrendanCarr @TJUHospital @MountSinaiNYC +1, well articulated, Judd and Brendan @EmeregencyDocs
Especially if we can rapidly send #COVID19 test kits to homes throughout the US…
@gatesfoundation @BillGates @seattleflustudy @UWVirology #Telemedicine @EmergencyDocs
Let's get this operational ASAP
“The use of telemedicine is going to be critical for management of this pandemic." @StephenParodiMD @PermanenteDocs… by @ReedAbelson
and via @mdmajmudar
Read 4 tweets
What is the importance of #palliativecare during a viral epidemic such as #COVID19? Surprised to see this critical need is not being openly addressed. Thread to follow about how we should prepare, and some of the expected challenges.

#publichealth #cdnhealth #medtwitter
1/ As the #COVID19 epidemic continues, ICU services could go from limited to unavailable. It is expected that the need for critical care could be 200% of capacity, or even much higher. More patients may be denied ICU than those who will receive it.
2/ Pts who are not going to survive #COVID19 still have an equal right to care. We can’t abandon them or their families. Hence, all pts who are denied ICU should be receiving #palliativecare- not optional but a basic human right, which should be included in all contingency plans.
Read 13 tweets
Our #VA07 Rural Broadband Summit is beginning shortly! Our panelists @akmeacham, @Ali_Christopher, and Richard Jenkins from @USDA are up first. Follow today’s conversation in the thread below 👇
Broadband is essential for business, education, agriculture, emergency response, telemedicine, and more. Lack of access impacts rural residents in #VA07 and across the U.S., creating a #DigitalDivide between communities. #VA07BroadbandSummit
1. Business and the Economy
2. Education
3. Healthcare
4. Democracy
5. Quality of Life
The five pillars of the rural broadband issue, according to our panelist @Ali_Christopher. #VA07BroadbandSummit
Read 11 tweets
Economics of Freelancing panel at the ready! @aajanewyork @cessemi @shakofilm @andrewseng_ @juliapshu
Some facts about #freelancing #freelancelife. Challenges + benefit: we always have to keep producing and creating. @aajanewyork #aajafreelance
"You've got to be a go-getter, a hustler." - @shakofilm Cold pitch. Go to networking events. Have patience. Keep networkimg. A lot of work comes via networks, catch-22 tough to start w/o portfolio or connect w communities e.g. @aajanewyork #aajafreelance. #freelancing
Read 20 tweets
Read 22 tweets

Related hashtags

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!