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News Roundup: What’s Happening In The World Of Telemedicine?

Telemedicine continues to make waves and to make the news. Many diverse groups have an interest in telemedicine, sometimes for very different reasons. For you, the consumer, the interest is obvious. How is telemedicine advancing and how is telemedicine relevant to you? Let’s take a look at some of the recent happenings in the world of telemedicine.

President Trump, while not always everyone’s favorite, seems to have come up “trumps” with his latest directive in helping to combat America’s growing opioid problem. He has effectively directed the HHS (Health & Human Services) to remove the embargo on prescribing controlled substances via telemedicine for patients with an opioid addiction. These substances include anti-addiction medicines such as naloxone. Three groups of patients will actually benefit from this important administrative change: those with addictions, children suffering from ADHD, and veterans with PTSD. These patients are all generally treated with a wide spectrum of controlled substances which, prior to this change in the law, were not able to be prescribed by telemedicine. Responding to the directive, the American Telemedicine Association’s President, Dr. Peter Yellowlees, observed: “Allowing physicians to prescribe controlled substances by telemedicine to treat patients with addictions, using medication assisted treatments, is a very positive move and one that will certainly help more patients to access high quality treatment.”

Divan Medical - X-ray on computer

Remote management of chronic conditions is set to improve with increased access to telemedicine.

The Senate also recently passed the CHRONIC (Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care) Act. Designed to improve the health outcome for Medicare patients with chronic conditions, the bill includes many provisions for Medicare to broaden its usage of telemedicine and gives Accountable Care Organizations (ACOs) more discretion in the use of telemedicine. Examples of these provisions include expanding the coverage of the remote diagnosis of a suspected stroke, and extending the geographical area where kidney dialysis patients can see their physician via a video call. A new provision is the Remote Patient Monitoring, which will particularly help older citizens suffering from chronic diseases. Medicare beneficiaries with one or more chronic conditions will have the choice to opt for monitoring at home, alongside their usual regular physician or specialist check-up. Another example of advances in telemedicine – this time aiding those who find any form of travel challenging.

The number of people benefiting from Medicare is expected to grow by 50% over the next 15 years. When you add in the fact that life expectancy will also increase, there will clearly be a growing demand for the monitoring and management of chronic illnesses. The more this can be achieved remotely, the less pressure there will be on an already over-burdened system. Sabrina Smith, interim Chief Executive Officer of the ATA, observed: “This is an important step in what ATA hopes will lead to additional federal action on telemedicine. We stand with those are committed to creating an accessible, responsive, and modern healthcare system.”

Medicare was again in the news recently when the CMS (Centers for Medicare & Medicaid Services) released some new payment rules. As of the start of 2018, CMS will support all clinicians who provide remote monitoring tools – which include smart devices and wearables that can be used in the home – and who use patient-originated health data for the purposes of care management and co-ordination. Qualifying activities include sending medication reminders, collecting, monitoring, and reviewing patient physiological data and patient education. The initiative has been praised by the Connected Health Initiative (CHI). Executive Director, Morgan Reed, commented: “These new rules are an important step forward for America’s connected health innovators, doctors, and, most importantly, patients. CHI pushed for newly enacted rules that finally level the playing field for innovators, giving doctors and patients the chance to take advantage of the best technologies available.”

Divan Medical - disabled veteran

Veterans are some of the people benefiting from advances in telemedicine.

Elsewhere in recent telemedicine news, the House Committee on Veterans Affairs passed a bill that will allow veterans to be treated via telehealth no matter where they live. It’s part of a two-pronged effort to promote telemedicine services to veterans, particularly in rural areas. In a recent survey, almost 90% of veterans currently availing of telemedicine benefits said they were happy with the service they were getting. As the number of vets using telemedicine increases, so the number of hospital admissions decreases.

Early November saw a plea raised by a coalition of healthcare providers, schools, libraries, and health centers in relation to broadband expansion. The group is requesting that the House committee boosts the Federal Communication Commission’s Rural Health Care (RHC) program, which is aimed at helping non-profit healthcare providers to access high-quality broadband connections in rural areas. They want the fund increased from $400 million annually to $800 million. Calling it a “life or death issue for rural America,” John Windhausen Jr., executive director of the Schools, Health & Libraries Broadband (SHLB) Coalition, stated in his letter to the House Energy & Commerce Committee: “Rural communities that encounter a severe shortage of doctors, aging populations, and a greater distance to medical experts are in dire need of easily accessible telemedicine services. The RHC program has the power to elevate the health of these communities, but only if the program is revamped to promote rural broadband.”

These are just some of the important issues surrounding telemedicine that are making waves at the moment. Talking about telemedicine and keeping it in the news will benefit us all in the long-term and, ideally, in the short-term too.

MMJ And Telemedicine: 6 Ways Medical Marijuana Patients’ Lives Just Got A Lot Easier

Over the last decade or so, both telemedicine and medical cannabis have exploded in popularity and viability. To the average layperson, “telemedicine” and “medical marijuana” were relatively unknown terms until well into the noughties, but both are now buzzwords, firmly established in the lexicon and synonymous with forward-thinking, cutting-edge health care.

Telemedicine is the catch-all term for any patient/health care professional consultations done remotely using modern communications technology. Telemedicine has been made not only possible, but easy, by the advent of super-fast broadband and powerful smartphone and mobile device technology. Thanks to telemedicine, it is now possible to consult with a health care professional anywhere in the world in seconds from the comfort of your own home.

Medical cannabis has become the treatment du jour for many medical conditions. Its meteoric rise over the last decade has roughly (and coincidentally?) paralleled the rise of telemedicine over the last few years. Medical marijuana is now legal in almost half of US states. It is used to treat a wide range of conditions and symptoms, from chronic pain to insomnia to anxiety.

Divan Medical - woman using smartphone app

Telemedicine has made access to MMJ so much easier for so many patients.

The rise of telemedicine has obvious and massive advantages for medical cannabis patients. And the rise of medical marijuana has surely helped to facilitate and fuel the rise of telemedicine. In telemedicine and MMJ, we can witness two glorious (and initially separate) revolutions melding together and merging into one, big, beautiful “new world order.” Hallelujah!

Here are six ways that telemedicine has made medical marijuana patients’ lives a lot easier.

Telemedicine Does Away With the Need to Queue in the Doctor’s Waiting Room

Many people end up ill (or double-ill) as a result of the time they have to spend waiting in a germ-filled doctor’s waiting room. For many cannabis card-holding patients whose medical conditions may be chronic or psychological (and who may otherwise be totally healthy), catching a flu or stomach bug is hugely inconvenient, but thanks to telemedicine, it’s now also totally unnecessary. Doing your MMJ consultations via telemedicine means you can stay out of the doctor’s waiting room and away from the contagious germs of other people.

Telemedicine Allows Much Greater Choice of Which Doctor to Consult With

Not all physicians have cottoned on to the benefits of medical marijuana card usage. Some conservative “dinosaur doctors” still believe cannabis is for stoners and would rather prescribe liver-dissolving, depression-inducing, libido-sapping synthetic drugs to their patients instead of natural, healthy medical herb. If your local doctors are mostly of this ilk, telemedicine allows you to bypass them and connect with more forward-thinking physicians in cyberspace.

Telemedicine Provides Ease of Access For Patients Who Struggle With Mobility

For medical cannabis card holders who have conditions that involve chronic pain, stiffness, or a lack of mobility, or for patients who require the use of very strong, indica-dominant MMJ strains that result in “couch-lock,” getting to the doctor’s office can be very difficult. So for people in this situation, being able to consult with a doctor using telemedicine from the comfort of their own home is a godsend.

Divan Medical - medical marijuana cigarette

If you’re a medical marijuana patient, you’ll experience a whole range of benefits due to the rise of telemedicine.

Telemedicine Means Massive Time Savings

Many medical marijuana card holders lead hectic and busy lives, juggling young families with high-octane careers that require a ton of time, energy, and dedication. For these folks, time is an extremely rare and valuable resource. Wherever they can save time they will, and telemedicine allows them to do this in a big way by avoiding the hour-munching chore of driving to the doctor’s office, twiddling their thumbs in the waiting room queue, and then making small talk with their dithering old family doctor – and all of this before finally getting down to business! A telemedicine consultation is much faster than a conventional, in-person consultation, and so it can save a patient with a hectic schedule valuable time.

Telemedicine is Best For Emergency Prescriptions

There is nothing worse than running out of MMJ at an inopportune time (over the holidays, for example). If you need an MMJ prescription in a hurry, or at a time when the local doctor’s office is closed, then the best way to do this is to use telemedicine. Using telemedicine, you can consult with a physician at any time of the day or night and get that valuable prescription you need. Unfortunately this does not guarantee that the local dispensary will be open, but at least you’re halfway there!

Telemedicine is Ideal For Patients Who Live in a Remote Location

For cannabis card patients who live in the wilderness, far from any doctor’s office, telemedicine makes life a heck of a lot easier. Consulting with a physician via smartphone from the comfort of your own Appalachian log cabin is so much easier than jumping into your jeep (or two-seater seaplane) and making the long trek to the nearest urban settlement to consult with a doc face to face!

How You Can Carry a Doctor In Your Pocket (With Telemedicine)

Modern technology has revolutionized our lives. With the advent of smartphones, we have access to a range of services in our pockets. Hungry? Order takeout via an app. Need your brows fixed or a quick mani/pedi? There’s definitely an app for that. We track our steps, monitor our diets, and interact with friends via the little machine in our handbags, but did you know that there’s a way to take mobile health care to the next step? Telemedicine is the next new frontier in health care.

While it’s been around for over a hundred years, telemedicine is having a contemporary renaissance thanks to mobile technology. Simply put, telemedicine is the diagnosing and treating of patients via telecommunications technology. It is empowering patients around the globe to seek excellent health care at a fraction of the cost and at far more convenience to them.

How can one access telemedicine? Luckily for patients, there are several options available. It is possible to sign up with certain services to avail of unlimited health care at a flat monthly fee. Other services charge per appointment but it is up to each patient to pick the option that works best for them. The best thing about telemedicine is that it is easy and convenient. Traditional doctors may often only see patients during office hours, which means that it can be difficult to schedule an appointment if you work a busy and demanding job. With telemedicine, you will be able to see a doctor as and when it suits you.

Divan Medical - smartphone

Most people have a smartphone these days – which means most people can benefit from the convenience of telemedicine!

While it may seem unorthodox, the process of a telemedical appointment is actually very simple. Depending on the service you choose, you will either make a pre-set appointment at a time that works best for you or hang out in a virtual waiting room until a doctor is ready to see you. When you’re both ready, you’ll begin a video or audio consultation where you’ll speak openly with your doctor about your issue, just as you would with an in-person doctor. Depending on the issue at hand, you will either finish your consultation with professional advice or you can ask your doctor to fax or email a prescription to the pharmacy of your choice. No muss, no fuss, and everything is taken care of for you.

A benefit of telemedicine is that it is usually cheaper than traditional doctor’s visits. Increasingly, many insurance companies are also covering telemedical appointments, but this will depend on the specific plan that you have. In addition, if you are infirm, it is far easier to access a doctor via telemedicine than to leave the house, risking further injury, or to pay an extra fee for a doctor to visit your home.

One of the main ways that telemedicine is currently being used is for the female contraceptive pill. The nature of the contraceptive pill requires women to undergo a simple blood pressure check when they need their prescription renewed after six months. However, with telemedicine, this arduous process no longer exists. Women can fill out a simple survey online and then visit their pharmacist for the blood pressure check and then get their contraception.

Divan Medical - pharmacist

Your pharmacist and telemedical professional can work together to make health care easier for you.

Another use of telemedicine comes in the form of counseling and therapy. While going to see a psychologist is necessary for many people in today’s stressful world, it is inaccessible to many due to the financial strain. However, there are now apps and websites that offer remote psychotherapy via phone calls, video chats, and instant messaging at reduced rates so that patients can access treatment as and when they need it. In this way, telemedicine is changing lives and making things far easier and convenient for patients.

The best thing to do if you’re thinking of beginning a journey on telemedicine is to pick a service that will allow you to keep all your medical records in one place. While you won’t always be able to see the same doctor, a centralized records system means that no matter which doctor you see, they will always have the correct information on hand from your past consultations to be able to offer you the best advice possible.

It may seem like telemedicine is a weird way to access medicine, but it truly is the way of the future. Why wouldn’t you pick an option that affords you flexibility and costs less? Telemedicine puts the power in the hands of the patient and removes the high cost of appointments and high stress that many patients face while visiting a traditional doctor’s clinic. The best thing to do is try it for yourself and see how it goes. You’ll be pleasantly surprised, with more money in your pocket and another app to add to your phone’s collection. What’s not to love?

Telemedicine and You: How the New Healthcare Initiative Affects You

You may not have heard of the term “telemedicine” before, but there’s a chance you might already be actively involved in it. Essentially, telemedicine describes the use of telecommunication and digital technology to provide clinical health care from a distance, i.e. not a regular face-to-face clinical visit that people are traditionally used to when they go and see a doctor. It started as a fringe service in the late 1960s and was first introduced in Massachusetts General Hospital by Kenneth Bird, originally to solve the patient backlog of employees and travelers at Logan International Airport, which was located three congested miles away from MGH. This primitive version of telemedicine incorporated a two-way audio-visual microwave circuit and treated over 1,000 patients.

These days, telemedicine is an entirely different ballgame. The advent of digital technology has spurred the movement on over the last ten years, and as it stands in 2018, we are on the cusp of telemedicine becoming a major factor in the vast and crowded arena of health care. From audio-visual microwaves, the format of communication switched to telephones, the first system of which was operational in 1989, and then finally digital communications, which include smartphones, tablets, laptops, and any other device that utilizes digital technology.

Divan Medical - man using tablet

Digital communications technology has advanced medicine in more ways than many can imagine.

For most people, the word “telemedicine” might sound intimidating or foreign; the question soon becomes “How does it affect me?” In truth, the question you should be asking yourself is “How does it benefit me?”, as telemedicine comes complete with a whole range of advantages for patients and doctors alike. The main benefit is unchanged from the initial need to introduce the concept into the health care system: remote treatments. This doesn’t mean a literal treatment by remote control (though we might get there someday) – it means giving medical professionals the means to treat patients who are far away from them. These include patients who live in rural areas, where a trip to the doctor’s office is a mammoth operation, or those who are physically or mentally incapacitated, and because of the status of their condition, can’t leave the house.

This is of great benefit to both doctors and the patients that they treat. Patients can get seen to without wasting their entire day, while doctors can consult with more patients during the day than they normally would if they were seeing them in person. Another benefit of telemedicine is a wider access to specialists; previously, people who lived in remote areas were referred to whichever specialist happened to be close to them, whether they had a good reputation or not. Telemedicine gives patents the freedom to select a specialist who suits them best, whether they live in the countryside or the city. It puts more power in the hands of the patients, who often communally complain of being disenfranchised with the U.S. health care system.

Another advantage of telemedicine is the ability to avail of certain medications or services online. If you’re handicapped and can’t physically leave the house without specific provisions, then you can avail of benefits like a handicap parking permit from Dr. Handicap from the comfort of your own home. This removes the catch-22 situation of having to drive somewhere to pick up the permit in the first place. Another increasing trend in the health care system is the use of medical marijuana to treat all manner of diseases and conditions. If you live in one of the 29 states that has legalized medical marijuana, then through a site like MMJ Recs, you can easily be prescribed a medical marijuana identification card, which will legally allow you to avail of the medicine at local dispensaries.

Divan Medical - woman using computer headset

There are so many benefits to telemedicine, both for patients and medical professionals.

Telemedicine also allows doctors to keep track of patients remotely and have the results of certain tests uploaded to them digitally. This removes the need for patients to stay in hospitals overnight for certain exams, freeing up hospital space for more intensive patients, and also allows doctors to get far more accurate results than they might if they were simply consulting with the patient for fifteen minutes. But despite all these advantages, the single biggest benefit of telemedicine for those in the modern age is the fact that it is immediate. Every single service or industry in our world is moving towards an on-demand system; we’ve seen Netflix practically extinguish traditional television format, and WhatsApp and other social messengers lay waste to old school telephone calls.

Telemedicine is aiming to do the same thing with traditional health care methods. Doing so will take more time and a more revolutionized approach than other industries, as the intricacies of health care are more nuanced. But the end result will be a better service and treatment for everyone involved, on both sides of the line. Taxpayers’ and patients’ money will be saved and better spent, while the quality of treatment will continue to increase as telemedicine becomes more prevalent. All in all, telemedicine will affect you, the potential patient, positively across the whole health care spectrum; it’s time to embrace the future!

Telemedicine in 2018: How Technology is Changing the World of Medicine

Technology impacts our lives in so many ways, and in no way is that more evident than in the world of health care. Telemedicine is a continually growing field in which electronic communication and software are used in the treatment of medical issues. Telemedicine in 2018 is definitely going to demonstrate how health care professionals and their patients can further use technology to improve medical care.

Telemedicine is currently being used in many different capacities, including communication between doctors and patients for follow-up visits and medication management, consultations with specialists, and other coordination of care efforts that can be done through email, live-chats, or video conversations. There are countless benefits to telemedicine for patients – everything from no travel expenses to visit a doctor’s office and less time away from work, to limiting exposure to other contagious patients. Read on for information on how telemedicine in 2018 is changing the health care world.

Changes in how patients are interacting with health care professionals

Originally, telemedicine was primarily used for patients living in rural areas to get additional medical attention. However, more and more patients are using telemedicine to help them get the medical care they need without disrupting their busy lives. Even if you live in an urban area, you can skip traveling to a doctor’s office or hospital and bypass the time you spend in a waiting room. With telemedicine, there are easier and more convenient ways to communicate with your doctor.

Patients living in rural areas can get proper care

In the past, individuals residing in rural areas far from doctor’s offices or hospitals faced limited treatment options. With telemedicine in 2018, patients can get consultations and diagnoses from the comfort of their homes. They have increased treatment options because they can get treated by specific specialists who would not otherwise be accessible to them. Plus, they can get proper aftercare and help with disease management by communicating remotely with health care professionals. Patients who don’t have access to a medical professional can still get services they need (like obtaining a handicap parking permit through a telemedicine website like Dr. Handicap).

Divan Medical - man using computer

The advancement of telemedicine in 2018 will provide benefits to patients and health care professionals alike.

Increased access to specialists and coordination of care

Individuals who don’t have immediate access to specialists can find the perfect doctor to treat them by using telemedicine options. Whether they need assistance treating a rare condition or are located far away from a specialist they need, telemedicine can assist in helping them get the proper care. Telemedicine can also help their whole team of doctors to coordinate their care (including determining what tests they might need or which medications they should try) with online communication. This increased communication between doctors can greatly help improve treatment.

Assist patients in better health care management

It can be challenging for people to manage their health. If they have any chronic conditions or are trying to obtain a healthy lifestyle, it can be difficult to take on these things by themselves. However, with telemedicine in 2018, doctors can help set up a plan to reach their goals if they don’t have the ability to make frequent office visits. Communicating with their doctor through telemedicine can help with everything from losing weight and quitting smoking to monitoring blood pressure and keeping track of symptoms. Sharing information with their doctor through email can help them track their progress and get instant advice if they have questions.

Additionally, there is another aspect of telemedicine that can help an individual improve their health. There are mobile technology options (like apps or software) that can assist patients in monitoring their vitals or logging exercise, as well as helping them remember to refill prescriptions or keep track of any upcoming appointments. These telemedicine options offer more control and increased options for better management of their health.

Help with rehabilitation

Patients can often find it difficult to recover if they require rehabilitation. If patients live far away from medical facilities, they can feel like they’re facing the rehabilitation process alone. However, with telemedicine, patients can follow up with their doctors or therapists remotely, while still receiving the treatment they need. Telemedicine can also assist in providing patients with online support groups, advice from other health care professionals, and help monitoring their progress.

Divan Medical - nurse looking at X-ray

Patient data is instantly and easily available when using telemedicine, improving processes for all involved.

Provide nurses with assistance

Telemedicine also provides the health care community with added benefits. This type of technology can help nurses or doctors monitor patients while they’re attending to other individuals. Patient data is instantly available (like doctor’s notes, lab results, etc.), and they have the option of using cameras to assess patients even if they’re not in the same room. This literally helps the medical professionals be in two places at once! Telemedicine in 2018 will also help with a shortage of staff. Specialists can treat more patients, since they can be seen and communicated with remotely.

Reduced health care costs

Another major benefit of telemedicine is a reduction in health care costs (for everyone – including patients, doctors, employers, and insurance companies). Patients can avoid costly check-ups or diagnosis of simple health conditions, because doctors can diagnose and offer treatment recommendations remotely. Employers don’t have to worry about their workers taking time off to drive to a doctor’s appointment. Plus, hospitals can release patients who can go home because they can monitor their progress remotely. Studies have shown that telemedicine technologies can save costs with lower admissions to the hospital, shorter stays in the hospital, and help in improving chronic conditions.

Telemedicine is definitely the future of health care. With all of these benefits, it’s no wonder this is such a growing field. Consider inquiring with your doctor or insurance company about how using telemedicine in 2018 can help make your life easier.

6 Ways To Improve Your Cardiovascular Health

Everybody, no matter what their current level of fitness may be, can improve their cardiovascular health. Whether you are overweight and out of shape, or an “exercise junkie” who hits the gym daily and enters bodybuilding contests, it is always possible to find ways to improve your cardiovascular health with gradual, incremental, worthwhile changes.

Improvements in cardio health, from whatever your starting point, will always lead to massive improvements in your quality of life. With better cardio you will be healthier, more energetic, happier and more emotionally stable, and your quality of sleep will improve. If you are at the high end of the fitness and mobility spectrum, improved cardio may mean the difference between a silver and a gold medal. If you are currently at the lower end of the spectrum, improved cardiovascular health might eventually mean you can retire your Zimmer frame or afford to use your disabled driving permit a little less.

No matter what your current level of health and fitness may be, making improvements in your cardio capability is guaranteed to bring huge benefits to your life. Here are six ways to improve your cardiovascular health.

Quit Smoking

This one seems (and is) so very obvious. But unfortunately there are still a great many people who succumb to puffing on “cancer sticks” on a regular basis. Nicotine is highly addictive, as anybody who has ever had a smoking habit can attest. Whether you smoke a whole pack a day, or only “the odd one or two” after meals or when relaxing with friends or a drink, every cigarette is making painful disease more likely, and ravaging your cardiovascular health. Smoking is heinous for your health and it destroys your quality of life. If you smoke, even “one or two,” quitting is one of the most beneficial ways to improve your cardiovascular health. It’s difficult, but you CAN do it!

Divan Medical - woman doing yoga

Yoga is a low-impact form of exercise that has a huge range of health benefits, including cardiovascular ones.

Take Up Yoga

Hitting the yoga mat is brilliant for stamina and flexibility, and is another of the most effective ways to improve your cardiovascular health. Holding a yoga pose – whether it’s something simple and basic that a beginner can do, or some bizarre contortion that only the bendiest of human beings can even begin to manage – builds strength and endurance. There is a big focus on deliberate, controlled, deep nose breathing in yoga, and this mixture of physical work and concentrated breathing is wonderful for cardiovascular health. Yoga is suitable for the very fit or the very unfit, and can bring a world of difference to your overall health.

Run

The beauty of running is that you can do it at any level of intensity and it will always be of benefit to you. Running is excellent cardiovascular training. Whether you take a slow, relaxing jog or embark on an epic marathon peppered with hill sprints, running at a level that feels appropriate and healthy for you will always be one of the best ways to improve your cardiovascular health. So don your running shoes and hop to it!

Go Walkies

A simple walk – whether a brisk march or a slow stroll – will work wonders for your cardiovascular health. Putting one foot in front of the other again and again and again for an extended period of time is one of the best things you can do for your heart, lungs, and entire cardio system. Get walking, folks!

Divan Medical - man cycling

Cycling, whether outdoors or at the gym, is one of the most effective ways to improve your cardiovascular health.

Pedal Cycling

Whether on a regular bicycle outdoors, or on a stationary bike in your home or local health club, cycling is one of the most epically effective ways to improve your cardiovascular health. Cycling at a decent clip puts just the right amount of strain on your heart and lungs, helping them to grow stronger and more functional. The beauty of cycling is that it is very low-impact, meaning your joints are put under little or no strain when you do it, so it is well-suited as a form of cardiovascular exercise to people of any age and fitness level. Even if you are relatively immobile, you can still drive to the gym or park and get some great cardio done on a stationary bike or hired bike.

Row, Row, Row Your Boat (or Rowing Machine)

Rowing is another low-impact exercise that is excellent for the cardiovascular system. Like cycling, rowing is very easy on the joints and so can be done by people of any age or fitness level. Even if you have no access to a lake or pond, you can always take a trip to your local gym and spend some time on their rowing machine – you won’t be accompanied by the delightful sound of oars on water, but you will be accompanied by the delightful sound of yourself panting… Which is always a sure sign that you are improving your cardiovascular system!

NASA Astronauts Use Telemedicine: Now You Can Too

Telemedicine has played a major role in the care of our astronauts at the International Space Station (ISS) since 2001, but the first pioneering telemedicine initiatives relating to space travel actually occurred in the 60s and 70s with the Mercury missions. The technology existed even back then to communicate an astronaut’s medical status, X-rays, and ECGs to a crew of professionals at the home base, ensuring that their health could be checked and monitored remotely.

2001 saw the first lengthy stay on the ISS and, since then, a new team of astronauts and cosmonauts has been dispatched to the Station four times a year. The duration of their stay can be anything from six months to a year, during which time they are required to perform engineering tasks, maintenance and upgrades, and so on. Access to medical care would be important for any group of people not within easy reach of physicians and specialists, but with astronauts in space, it’s even more vital that they are monitored regularly. The weightlessness that a lack of gravity causes can have demobilizing effects on the astronauts’ bodies – affecting in particular their immune system, fluid distribution, and the condition of their bones and muscles. The advancement of telemedicine technology means that the crew can be monitored and cared for throughout their stay. To help maximize the resources, a degree of training for medical emergencies and simple procedures is undergone by one or more of the astronauts during their pre-launch instruction period.

Divan Medical - International Space Station

Advances in telemedicine mean that astronauts hundreds of miles into space can receive medical monitoring and treatment.

One thing that the Mission Control staff have learned over the years is that good communication is crucial during situations involving telemedicine. All professionals involved in ISS expeditions – medical personnel, the astronauts, and Mission Control staff – undergo training in order to acquire excellent communication skills. In an emergency situation, the astronaut needs to convey clear and precise information on what is taking place, and the medical professional needs to be able to give definitive and speedy instructions on how to proceed.

There’s a story relating to an astronaut who had a history of a knee injury prior to his launch to the ISS. He’d been symptom-free throughout the training period before the launch, but, during his time at the station, his knee started to present with some problems. Spacecrafts are equipped with ultrasound imaging – a form of technology which is radiation-free, cost-effective, and reliable, and which requires less expertise from the operator than some other forms of technology. Perfect for use in space! An ultrasound NASA specialist on the ground guided the nominated crew member through the procedure of taking some X-rays of the offending knee. They were joined by a remotely located radiologist who was able to view the images and diagnose the problem. Treatment was prescribed and the astronaut went on to continue his stint in space without a further hitch. A perfect example of telemedicine working to its full potential.

It’s been proven that a lot of planning and training is required prior to any NASA launch and also, as previously mentioned, that good communication – along with the ability to learn essentials quickly – is vital in the use of telemedicine. This has had a positive impact on the potential for telemedicine’s role in care and treatment in other remote or extreme environments. And some of those remote and extreme environments exist on terra firma! It’s possible to be connected quickly and cheaply with health care providers without the need for travel. You save time and money – as does the health service, as they are able to treat more patients – and you’re in the hands of someone who not only has the necessary medical expertise but also appropriate communication skills. Just one more example of how you could benefit from telemedicine.

Divan Medical - knee X-ray

X-ray images can be taken on-board the International Space Station and transferred to Earth for examination.

Another clear result that has come from the NASA ventures is that shared knowledge and shared input work well in the diagnosing and treatment of conditions. Videoconferencing is used between an astronaut and a physician, either for a specific problem or for the general monitoring of health, and often a specialist will be called in to join the conference when further expertise is required. This communal meeting is beneficial to all concerned as it brings the top brains together simultaneously, thus saving time and money and giving the best odds for a positive outcome. It’s easy to see how this translates into everyday telemedicine, which can benefit us all.

A further vital point learned from NASA’s use of telemedicine is that a strong and secure communication link is essential. You wouldn’t want to lose connectivity in the middle of a consultation or the briefing of a minor procedure. The provision of better broadband facilities in rural areas is currently under discussion, thanks to a representation that has been made to the House Energy and Commerce Committee on behalf of a coalition of health care providers, schools, libraries, and health centers.

Ultrasound, as detailed above in the example of the astronaut’s knee problem, is currently still the most used and the most developed telemedicine procedure, but other “guidable” procedures – minor surgery being one of them – are in the process of being developed. Imagine how this will not only help people in remote areas, but will also reduce waiting times for minor operations anywhere in the States, thereby cutting down on time taken off work and the use of pain relief while waiting for the procedure. Health costs will be slashed and so too will insurance premiums. Ultimately, we will all be beneficiaries of the continued advancement and development of telemedicine, and NASA is playing an important role in showcasing exactly what can be achieved via telemedicine.

Which Areas of Health Care Use Telemedicine?

Telemedicine might seem like a relatively recent phenomenon in health care, but in actual fact, the idea has been around since the 1950s. Back in those days, of course, digital technology didn’t exist; the only mode that existed for housebound or rural patients to access continued health care resources was the telephone, hence the name. When it was first introduced, telemedicine was regarded as a fringe service for the next few decades, albeit one with huge benefits for patients living in remote areas. However, in 2018, telemedicine is being regarded as the next progressive enhancement to sweep through the American health care system.

The reason of this is all down to digital technology. Telemedicine, though it retains the analog name, is no longer an archaic technology benefitting only a few remote patients. With the advent and continued prevalence of the smartphone, it’s becoming so much more than that, and experts forecast that the telemedicine revolution will grow exponentially in 2018 and beyond. It’s no longer just beneficial to patients who have trouble getting to their doctor, either; while it still remains that, it’s so much more simultaneously. Telemedicine is making health care cheaper and faster for everyone involved, including patients, doctors, and specialists. The former can see a medical professional on their own terms, when and where they need to, while the latter can get through more patients in a day and provide better quality care for less cost.

Divan Medical - doctor

Patients can experience many benefits from telemedicine, and it can help doctors do their job more efficiently too.

So which areas of health care actually use telemedicine? A better way to phrase the question might be, which areas of health care don’t use telemedicine? The prevalence of smartphones and digital technology means that many areas of the expansive network that is the American health care system can benefit from the positives of telemedicine, regardless of whether they adopted telemedicine before. Here are a few of the areas that are receiving major boosts from telemedicine.

1. Mental health

According to statistics, a quarter of adults will battle a mental disorder of some type or another during their life, yet only fifty percent of these people will seek treatment. The reason for these low figures has a lot to do with the stigma surrounding mental health, and how some people who suffer from it spend their time in denial without ever actually acknowledging their issue. Mental illness is also more prevalent in isolated areas, which makes it harder for people to seek out proper care. Another barrier is the cost of mental health treatment, which usually involves a committed treatment program that some potential patients might be scared of committing to for whatever reason.

Telemedicine provides a remedy to many of these barriers, with the practice already having a successful track record in the mental health field over the last twenty years. As telemedicine becomes more widespread, mental health care is set to benefit even further, with the potential to be completely revolutionized by the nationwide adoption of telemedicine. Patients in remote areas will have the constant access to specialists that they require, while sufferers who feel shame and anxiety about stepping foot in a real-life doctor’s office can be eased into treatment from the comfort and security of their own home.

Divan Medical - doctor with medicine

Getting medication and treatments has been made a lot easier for some people through the advent of telemedicine.

2. Prescription services

Going to retrieve a prescription has always been a bit of a drag for most people, but for some, it’s a relative impossibility. Those who are disabled or housebound can’t always make it to a doctor to receive the prescriptions they need. Telemedicine makes it possible for any patient to easily avail of their required prescriptions, as well as making the whole process easier for everyone who takes medication. All you need to do in most cases is download a relative app that you use to keep in touch with your doctor or order your medicine, or alternatively you can order up your prescription from the internet.

“And when talking about “prescriptions,” don’t just think pills, either; prescriptions come in all shapes and sizes, and cover many different varieties of illnesses or conditions. Telemedicine can help with all of them. If you require medical marijuana, you can sign up for an MMJ card at MMJ Recs. If you suffer from a mental condition and think you’d benefit from an emotional support animal, you can get yourself verified at Moosh. Or if you’re disabled or handicapped in any way, and unable to reach a doctor, you can retrieve a disabled parking permit at Dr Handicap.

3. Specialists

Everyone knows that for any condition causing serious worry, your family doctor is merely a gateway to a specialist. Previously, if you lived in a rural or remote area, you’d have to be referred to the nearest specialist to your local area, who might not always be your preferred choice, or even the best option for your condition. With telemedicine, you can choose from a wide range of specialists and not get tied down to one just because they’re convenient. Telemedicine also reduces waiting times, which were previously inordinate, and helps patients see the specialist they require and want in much shorter order.

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