Top of Mind
Telehealth has become immensely popular since the COVID-19 pandemic started. I know a lot of doctors do not like it, but they do not have my practice population. I practice in the urban inner city where just getting to the doctor’s office is just the first barrier. Too often appointments are missed because families not only cannot get to see me but cannot get home. If you get help on the phone, no more waiting in long lines at doctor's offices, or spending hours on public transportation just to get basic medical care.
I do think an in-person visit is valuable every once in a while, especially for acute symptoms. However, many visits with patients are simply just that, visits. Increasingly, I depend more on what I hear instead of what I see. Especially with so many streaming services can give you a peak at the patient. More extensive evaluation often requires a blood test or imaging to complete the diagnostic workup anyway.
I know that I will get some push-back from my colleagues and I understand. But during the pandemic, I was able to navigate that period without missing significant disease. Almost always, what you hear determines more about what moves I make than what you see. But to be sure it robs you of some essential information that makes medicine the specialty that it is.
I think that we need a hybrid model, some Telehealth and some in office visits. But I know that the issue will not be negotiated by third party payers on the basis of logic but on the basis of price.
Stay Healthy,
Dr. Mike
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