Join Early Retirement Today
Reply
 
Thread Tools Search this Thread Display Modes
This doctor does e-mails, not house calls...
Old 01-30-2008, 11:47 PM   #1
Moderator Emeritus
Nords's Avatar
 
Join Date: Dec 2002
Location: Oahu
Posts: 26,616
This doctor does e-mails, not house calls...

Hey, Rich, here's your chance to get in on the ground floor of the latest medical trend:

Internet helps doctor get back to basics

Quote:
Stark has moved most of his practice, based in Washington, onto the Internet and he couldn't be happier. Since he started his Web-based service two years ago, he has received 14,000 e-mails.
__________________

__________________
*
*

The book written on E-R.org, "The Military Guide to Financial Independence and Retirement", on sale now! For more info see "About Me" in my profile.
I don't spend much time here anymore, so please send me a PM. Thanks.
Nords is offline   Reply With Quote
Join the #1 Early Retirement and Financial Independence Forum Today - It's Totally Free!

Are you planning to be financially independent as early as possible so you can live life on your own terms? Discuss successful investing strategies, asset allocation models, tax strategies and other related topics in our online forum community. Our members range from young folks just starting their journey to financial independence, military retirees and even multimillionaires. No matter where you fit in you'll find that Early-Retirement.org is a great community to join. Best of all it's totally FREE!

You are currently viewing our boards as a guest so you have limited access to our community. Please take the time to register and you will gain a lot of great new features including; the ability to participate in discussions, network with our members, see fewer ads, upload photographs, create a retirement blog, send private messages and so much, much more!

Old 01-31-2008, 12:57 AM   #2
Full time employment: Posting here.
 
Join Date: Oct 2007
Location: Willamette Valley, Oregon
Posts: 831
That is great for lots of patient questions. But how can the doc make remote diagnoses all the time? At some point it seems like the doc has got to see things "live and in living color".
__________________

__________________
Dreams Worth Dreaming are Dreams Worth Planning For. I Spent a Career Planning for Early Retirement.
RetireeRobert is offline   Reply With Quote
Old 01-31-2008, 07:14 AM   #3
Moderator Emeritus
Rich_by_the_Bay's Avatar
 
Join Date: Feb 2006
Location: San Francisco
Posts: 8,827
I imagine that license issues will arise shortly. I can't even give one of my own patients advice across state lines when they are travelling (at least officially). Of course if they don't tell me where they are, you would assume they're local...
__________________
Rich
San Francisco Area
ESR'd March 2010. FIRE'd January 2011.

As if you didn't know..If the above message contains medical content, it's NOT intended as advice, and may not be accurate, applicable or sufficient. Don't rely on it for any purpose. Consult your own doctor for all medical advice.
Rich_by_the_Bay is offline   Reply With Quote
Old 01-31-2008, 07:44 AM   #4
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
travelover's Avatar
 
Join Date: Mar 2007
Posts: 9,879
I had a doc for a while at a local university affiliated clinic that would give advice via email. It was great and saved me a lot of time and expense. For simple stuff, I think it should be reimbursed and encouraged.

His replacement doesn't do the email thing and I've since drifted to a closer clinic that is more patient friendly.

I'd add that my insurance company has a 800 number or email chat with nurses that is free, though I have not used it. Seems like a good idea.
__________________
Yes, I have achieved work / life balance.
travelover is online now   Reply With Quote
Old 01-31-2008, 07:55 AM   #5
Moderator Emeritus
Rich_by_the_Bay's Avatar
 
Join Date: Feb 2006
Location: San Francisco
Posts: 8,827
I have toyed with the idea of a post-FIRE medical coaching web site, not too different from some of the semi-serious replies I occasionally give here: general information, what to ask your doctor, sound evidence, working through decisions, etc.

It would be fun, but concerns about liability and licensing are too great. Maybe you can get around it with waivers, consents, etc. but despite all that, it would take only one user who did poorly and claims it was because of something I advised, etc.

Then again, there are lots of medical columnists doing just that...

Doing it within the confines of a practice and restricting it to patients you know seems do-able, though -- really little different from a phone call.
__________________
Rich
San Francisco Area
ESR'd March 2010. FIRE'd January 2011.

As if you didn't know..If the above message contains medical content, it's NOT intended as advice, and may not be accurate, applicable or sufficient. Don't rely on it for any purpose. Consult your own doctor for all medical advice.
Rich_by_the_Bay is offline   Reply With Quote
Old 01-31-2008, 08:51 AM   #6
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
 
Join Date: Nov 2007
Posts: 7,526
I noticed through our health insurance website (aetna), some doctors can send/receive emails from patients. My docs don't use this yet, but they might someday soon.
__________________
FUEGO is offline   Reply With Quote
Old 01-31-2008, 09:32 AM   #7
Full time employment: Posting here.
sailor's Avatar
 
Join Date: May 2005
Location: Atlanta suburbs
Posts: 881
I see it more and more.
You can send a message to any of our Kaiser doctors through Kaiser web page.
Also our pediatrician responds to emails (which we frequently use instead of follow-up calls).
__________________
sailor is offline   Reply With Quote
Old 01-31-2008, 10:16 AM   #8
Thinks s/he gets paid by the post
 
Join Date: Jul 2005
Location: Los Angeles area
Posts: 1,432
Quote:
Originally Posted by RetireeRobert View Post
That is great for lots of patient questions. But how can the doc make remote diagnoses all the time? At some point it seems like the doc has got to see things "live and in living color".
This could lead to some funny incidents / positions with the scanner or webcam.
__________________
learn, work, save, invest, fire
CyclingInvestor is offline   Reply With Quote
Old 01-31-2008, 10:34 AM   #9
Recycles dryer sheets
pfpelican's Avatar
 
Join Date: Jun 2006
Posts: 229
"Now make an incision...."
__________________
Old Guys Rule
pfpelican is offline   Reply With Quote
Old 01-31-2008, 10:39 AM   #10
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
HFWR's Avatar
 
Join Date: May 2005
Location: Lawn chair in Texas
Posts: 12,964
Quote:
Originally Posted by CyclingInvestor View Post
This could lead to some funny incidents / positions with the scanner or webcam.
Your x-ray came back, and we think we've found a problem...
Attached Images
File Type: jpg broke.JPG (10.1 KB, 6 views)
__________________
Have Funds, Will Retire

...not doing anything of true substance...
HFWR is offline   Reply With Quote
Old 02-04-2009, 05:30 PM   #11
Moderator Emeritus
Nords's Avatar
 
Join Date: Dec 2002
Location: Oahu
Posts: 26,616
Quote:
Originally Posted by sailor View Post
I see it more and more.
You can send a message to any of our Kaiser doctors through Kaiser web page.
Also our pediatrician responds to emails (which we frequently use instead of follow-up calls).
A year later, looks like the concept is spreading:
Is There A Doctor In The House? Yes, Just Use Your Mouse | MidWeek Cover Story | Midweek.com

Quote:
It’s HMSA’s Online Care, and it’s the first system of its kind in the nation. [...] And while there are those who hail it as a revolutionary new step, the program is drawing its share of critics. The Hawaii Medical Association, which represents the state’s doctors, has yet to take an official position on the program, but individual doctors are speaking out about their concerns about this new physician-patient relationship.
The Hawaii Medical Board, which licenses Hawaii’s doctors, also has its questions, although executive officer Connie Cabral didn’t want to go into details as the board is still in discussions with HMSA about how to resolve those issues.
Quote:
With Online Care, you can connect with a doctor right away, with no waiting in waiting rooms or juggling appointment schedules. First, log on to Hawaii Medical Service Association and click on the link to Online Care. Choose the doctor you wish to speak with. You can search by specialty, the language the doctor speaks and even review the doctor’s education background and patient-satisfaction ratings. Before logging on, you type the nature of your concern, choose if you want to make your health history available to the doctor, indicate which pharmacy you would like any prescriptions sent to and enter your credit card information. When you’re ready, click connect, and your consultation begins either via videoconference, secure chat or telephone. HMSA members pay a $10 co-pay for a 10-minute consultation (non-members pay $45). During test runs, the 10-minute time block has proven more than ample, says Michael Stollar, HMSA’s vice president for corporate communications. If you want to extend the consultation, another five minutes costs $5 (or $12.50 for non-members).
__________________
*
*

The book written on E-R.org, "The Military Guide to Financial Independence and Retirement", on sale now! For more info see "About Me" in my profile.
I don't spend much time here anymore, so please send me a PM. Thanks.
Nords is offline   Reply With Quote
Old 02-04-2009, 06:07 PM   #12
Thinks s/he gets paid by the post
 
Join Date: Jul 2004
Posts: 1,072
While working at Kaiser, we were furiously building infrastructure and using technology for this type of 'telehealth' - and based on my last consulting gig and upcoming ones, this is the future. Lots of issues to resolve for wide adoption, however, if just half of those issues are fixed, then this will expand greatly. It's basically having the consumer market push the medical market using the existing and near future networking infrastructures.
__________________
Deserat aka Bridget
“We sleep soundly in our beds because rough men stand ready in the night to visit violence on those who would do us harm.” - George Orwell/Winston Churchill
deserat is offline   Reply With Quote
Old 02-04-2009, 07:09 PM   #13
Moderator Emeritus
Rich_by_the_Bay's Avatar
 
Join Date: Feb 2006
Location: San Francisco
Posts: 8,827
It's better than the phone because it self-documents.

It's worse than the phone cause you can't use your intuition to know when this patient "just doesn't sound right."

Sometimes patients get annoyed when you tell them this is not something we can safely deal with via email. It's not always just to generate more office visits.

It needs to be reimbursable at some point, or you'd spend unpaid hours a day (or practice with a "capitated" panel where you are reimbursed by the number of patients, and the email is an efficiency tool).

It's liability issues are unexplored.

You cannot legally do this if the patient is out of state, for licensing reasons.

But still, I think it will be overall positive.
__________________
Rich
San Francisco Area
ESR'd March 2010. FIRE'd January 2011.

As if you didn't know..If the above message contains medical content, it's NOT intended as advice, and may not be accurate, applicable or sufficient. Don't rely on it for any purpose. Consult your own doctor for all medical advice.
Rich_by_the_Bay is offline   Reply With Quote
Old 02-05-2009, 11:01 AM   #14
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
 
Join Date: Nov 2007
Posts: 7,526
Rich, what is reciprocity like for MD's between multiple jurisdictions? Can you hold multiple state licenses concurrently?
__________________
FUEGO is offline   Reply With Quote
Old 02-05-2009, 12:54 PM   #15
Moderator Emeritus
Rich_by_the_Bay's Avatar
 
Join Date: Feb 2006
Location: San Francisco
Posts: 8,827
Quote:
Originally Posted by FUEGO View Post
Rich, what is reciprocity like for MD's between multiple jurisdictions? Can you hold multiple state licenses concurrently?
You can hold licenses from any number of states, but you have to apply separately for each one. They are expensive to obtain and to renew. I held 3 at one point.

There is no reciprocity other than that the fed accepts any valid state license for practice in a federal facility.

It's a royal pain, and the requirement for every state are 99% the same. Some take 6-9 months from completion. It should be federal by any logical argument, but not so.
__________________
Rich
San Francisco Area
ESR'd March 2010. FIRE'd January 2011.

As if you didn't know..If the above message contains medical content, it's NOT intended as advice, and may not be accurate, applicable or sufficient. Don't rely on it for any purpose. Consult your own doctor for all medical advice.
Rich_by_the_Bay is offline   Reply With Quote
Old 02-05-2009, 01:01 PM   #16
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
 
Join Date: Nov 2007
Posts: 7,526
So you could staff an email/internet based medical practice if you were to get each of the docs licensed in multiple states and they were to only handle issues from the states in which they were licensed? It would be an interesting business model.
__________________
FUEGO is offline   Reply With Quote
Old 02-05-2009, 10:39 PM   #17
Thinks s/he gets paid by the post
BunsGettingFirm's Avatar
 
Join Date: Jan 2004
Posts: 1,502
Quote:
Originally Posted by HFWR View Post
Your x-ray came back, and we think we've found a problem...
Yes, I see the problem. The problem is that you're a monkey because humans don't have bones in that area -- unless you meant to depict that the implant broke. In that case, my condolence to the patient.
__________________
BunsGettingFirm is offline   Reply With Quote
Old 07-11-2009, 01:02 PM   #18
Moderator Emeritus
Nords's Avatar
 
Join Date: Dec 2002
Location: Oahu
Posts: 26,616
A few months later, I think we've found a downside to the telemedicine concept:

http://www.starbulletin.com/news/20090711_Former_dial-a-doc_on_Kauai_pleads_guilty_to_5_drug_charges.html

Considering the controversy swirling around Michael Jackson's death, I bet the doc's lawyer advised him to plea-bargain.
__________________

__________________
*
*

The book written on E-R.org, "The Military Guide to Financial Independence and Retirement", on sale now! For more info see "About Me" in my profile.
I don't spend much time here anymore, so please send me a PM. Thanks.
Nords is offline   Reply With Quote
Reply


Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
 
Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
Don't be afraid to see a Doctor kumquat Health and Early Retirement 21 06-03-2007 01:56 PM
White House: As Many As 5 Million E-mails Possibly Missing FinallyRetired Other topics 7 04-15-2007 09:42 PM
SUMMARY OF MY LAST YEAR OF E-MAILS Alex Other topics 0 12-07-2006 06:07 PM
I can retire---and my doctor can't?!? tangomonster Hi, I am... 53 07-27-2006 11:07 AM
15 Minutes of This - Keeps The Doctor Away Danny Other topics 17 02-28-2006 01:39 PM

 

 
All times are GMT -6. The time now is 06:49 PM.
 
Powered by vBulletin® Version 3.8.8 Beta 1
Copyright ©2000 - 2017, vBulletin Solutions, Inc.