Wednesday, July 10, 2013

Telemedicine for second opinions

SecondOpinions.com is offering telemedicine-based second opinions to patients looking for more reassurance or an alternate opinion of their medical condition or their radiological studies. What's really innovative is the ability to upload your radiology films (digital copies of x-rays, CTs, MRIs, or ultrasound) to their HIPAA secure server and then get a second opinion of your images.
This is fascinating and awesome. There's currently no easy or affordable way to get a second radiologist to review your films with such a fast turn-around (as far as I know).

Friday, July 5, 2013

Clinical practice protocols - the future of medical decision making

The future of medicine is in standardizing medical decision pathways for both diagnosis and therapeutics. Some resources that are valuable for helping find evidence-based medical guidelines include the National Guideline Clearinghouse from US Department of Health and Human Resources and OpenClinical.
The American College of Physicians also has a great list of Clinical Practice Guidelines. Tobacco cessation guidelines can be find here.
AHRQ has a fabulous list of Clinical Preventive Services guidelines, which includes recommendations for all sorts of screening exams, including diabetes, cancer (lung, breast, ovarian, prostate...), depression, and AAA.

Telemedicine comes of age

The telemedicine industry is expanding very rapidly and it's hard to keep up with all the new products out there. One very interesting service is CloudVisit that provides a nearly turn-key solution for doctors to be able to easily set up their own telemedicine service. CloudVisit provides a SAAS solution for physicians to be able to easily set up HIPAA compliant video-based telemedicine with appointment scheduling, billing, notes, and secure session recording all built in.

My piece on my experience with the healthcare system as an Emergency Medicine physician

My piece on the challenges and failures of the US healthcare system is being featured on the front page of Medium today. Would love to hear...