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Wednesday, April 29, 2020

Telemedicine vist

Telemedicine visit

Your doctor does not want to see you in his/her office. At least your doctor should not want to see you in his/her office. Not now.

We are in the middle of a pandemic – goes without saying. Covid-19 stands for coronavirus disease 2019. Its novel because it is new and something the human immune system has not previously encountered.  We have experience with other deadly coronavirus infections. SARS had a mortality rate of around 15% and MERS was scary deadly with a mortality rate in the smallpox range, 30+ percent. Covid-19 is less deadly but much more contagious. The true numbers of those infected and the mortality rate are to date unknown.

Covid-19 is the dreaded pandemic, more than an epidemic.

An epidemic occurs with rapid dissemination of an infectious illness through a susceptible population. It may be worldwide as occurs yearly with influenza.

A pandemic is worldwide dissemination of a new deadly infectious disease. This is the stuff of sci-fi movies.

A friend’s parents live in a Maryland Assisted Living facility and tested positive for Covid.  Both presented with diarrhea and without fever or cough. Unusual presentations may not be unusual.

A typical physician’s medical examination room is an 8X10 or somewhat larger rectangle with relatively poor circulation. It is a perfect incubation chamber for coronavirus. Infectious particles may persist in air – droplets and aerosols and on incompletely sterilized surfaces. I am more concerned about transmission to patients from asymptomatic medical staff.

Covid is present in at least two thirds of our state’s nursing homes. Family members are barred. The virus is invariably introduced by unwitting staff members.

When possible, and it mostly is, stay at home and stay safe.

Telemedicine in Maryland is defined as a medical encounter with the use of an audiovisual aid such as a computer using a HIPPA approved platform. Telephone calls are excluded from the definition of telemedicine.

State licensure rules regulate the use of this technology for out of state patients. Most states have loosened the rules. But changes in regulations vary tremendously from state to state.

Telemedicine is more personal than phone medicine and feels more like a normal doctor-patient visit. I can get a sense of the patient’s general overall health based on his/her appearance. Objective data is missing but patients can help fill in some of the blanks.  Patients have easy access to home BP devices, oximeters, scales and thermometers. I can look at a throat, rash or swelling. I can see where pain is without having to guess. I can get a general sense of breathing based on observation. And many patients can get an EKG with a wristwatch or other portable device and show me the tracing on the screen. Prescriptions are electronic.

If a patient needs more advanced care, at an ER for example, the platform is extremely helpful vs a phone call. 

Please use the or another similar platform. It’s easy to use and does not require an app. And I can hear much better as well.


John Grace said...

Just wanna say a big thank you Neme Amber for introducing me to Dr Emmanuel the great HERBALIST that helped me prepare home remedies that cured my herpes (HSV 2).
I was infected with HSV 2 for the past two years and i was unable to get a better job cos all the company i was to get employed checked our blood test and found out that i was positive to GENITAL HERPES and i loosed employment.
So i was desperate to get a cure so that i can live normal and get my job training.
i earlier made some research and i contacted some doctors online but they keep on asking for money for courier after that they'll tell you that tax and so more so i became broke and frustrated.
One day i was less busy so i decided to make latest research on herpes cure and i found a site  were everyone was talking about DR Emmanuel and herbs ability to cure herpes.
So i discussed with Neme Amber and she explained to me that its very easy working with Dr Emmanuel so i contacted DR Emmanuel via email ( ) and he helped me just as he has helped others now im cured and different medical centers has tested me and approved me cured.
so i decided to thank Neme Amber cos she made it possible for me.
and i can also assure you that he can also help you. so if you need the service of DR emmanuel, ill put his details here so that you can easily get in touch wif him.
his email: or WhatsApp him at +2348140073965.
my Name is Grace from US,once again thanks to Neme Amber. im fucking hapy....  

John Grace said...

After having a persistent cough for over a year, I was diagnosed with COPD
in March 2015. In 2016 my COPD got worse to the point where not only do I
have trouble sleeping at night, I also struggle to get air into my lungs. I
read in a health forum of a herbal centre (native health clinic) who have successful treatment to COPD/Emphysema, i immediately
contacted the herbal centre via their website and purchased the COPD herbal
remedy, I used the remedy for 2 weeks, all my symptoms were reversed, i did
another test for confirmation, i was declared COPD free. email ( or WhatsApp/Call him on +2348140073965

Malika Jane said...

God bless Dr. Omolowa for his marvelous work in my life, I was diagnosed of HERPES since 2018 and I was taking my medications, I wasn't satisfied i needed to get the HERPES out of my system, I searched out some possible cure for HERPES i saw a comment about Dr. Omolowa, how he cured HERPES,DIABETES,HIV,and CANCER with his herbal medicine, I contacted him and he guided me. I asked for solutions, he started the remedy for my health, he sent me the medicine I took the medicine as prescribed by him and 14 days later i was cured from HERPES, Dr. Omolowa truly you are great, do you need his help also? Why don’t you contact him through his EMAIL: call or whatsApp him on +2347014035034  

Job Pedro said...

ALL THANKS TO DR , EBHOTA WITH HIS HERB MY WIFE WAS COMPLETELY CURED FROM DIABETES .Is my pleasure to comment on this site and i thank the admin of this site for his/her great work so of the happiest moment in my life was when the doctor confirm that my wife is been free from this illness. this awesome moments makes me the happiest man on earth, I really don't know how to thank DR Ebhota for helping my wife get cured of over how many year of suffering from diabetes. i came across DR Ebhota contact through a headline news on internet about how DR  Ebhota help a woman to get cured of her diabetes,and so many other with similar body problem ,i contacted him and he told me how to get his herb,few day later he sent me the herbal portion which my wife take every morning for 28 days, and his medicine was able to cure her completely from diabetes. and now she very mush okay without any side effects whatsoever, If you have any form of diabetes., you can always contact him on his email address or Whatsapp number +2348089535482 for advice and for his product.

Tom Grant said...

Is any one here suffering from any kind of STD or STI ? , Now this is to everyone out there with different health challenges, as I know there are still a lot of people suffering from different health issues and are therefore looking for solution. I bring you Good news. There is a man called Dr. Tokubo a herbal practitioner who helped cure me from Genital herpes, this i had suffered from for the past 2years and have spent so much money trying to survive from it. I got my healing by taking the herbal medicine he sent to me to drink for about 9days . 3days after completion of the dosage, I went for a medical checkup and I was tested Genital Herpes NEGATIVE. I'm sharing this so that other people can know of this great healer called Dr Tokubo because I got to know him through a friend he cured from HIV. I was made to understand that he can cure several other deadly diseases and infections. Don't die in ignorance and don't let that illness take your life. Contact Dr. Tokubo through: You can also call/whatsapp him on:+2349037990322 Thank you dr tokubo. Be kind enough to share your testimonies as you received your cure.