Comments on: Marc Goldyne uses information technologies to deliver medical care http://earthsky.org/health/marc-goldyne-treats-his-dermatology-patients-via-email A Clear Voice for Science Fri, 10 Feb 2012 05:20:22 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Paul http://earthsky.org/health/marc-goldyne-treats-his-dermatology-patients-via-email/comment-page-1#comment-15156 Paul Fri, 15 Jan 2010 22:07:14 +0000 http://earthsky.org/?p=24079#comment-15156 Dr. Goldyne, I am an orthopaedic shoulder specialist in SF. Recently, I\'ve had several workers comp patients sent to me for very routine problems from distances as far as Eureka. One of which I conducted his post operative evals via a PT and the phone, to save him 11hours on the road. It is pretty clear that many patients both rural and urban would benefit for access via telemedicine to specialty care. It has become a project to help the frontlines sort out common problems early. Any further information you can share would be very useful. Glad you have taken up the topic which will help us all. Thx PBR Dr. Goldyne,
I am an orthopaedic shoulder specialist in SF. Recently, I\’ve had several workers comp patients sent to me for very routine problems from distances as far as Eureka. One of which I conducted his post operative evals via a PT and the phone, to save him 11hours on the road. It is pretty clear that many patients both rural and urban would benefit for access via telemedicine to specialty care. It has become a project to help the frontlines sort out common problems early. Any further information you can share would be very useful.
Glad you have taken up the topic which will help us all. Thx PBR

]]> By: Hank http://earthsky.org/health/marc-goldyne-treats-his-dermatology-patients-via-email/comment-page-1#comment-12993 Hank Thu, 10 Sep 2009 00:17:15 +0000 http://earthsky.org/?p=24079#comment-12993 Dr. Goldyne, Thank you for your thoughtful and informative reply. The medical center I work with is actively implementing web based technologies to enhance not only the interface between our doctors and referring physicians but also to allow patients to interact with the center from home as many of our patients must travel from surrounding states. Being much involved in the center's implementation of said technologies, I was much interested in hearing your experience. I forwarded a link to your podcast interview to my center's president, who, besides being one of the world leading perinatologists, is also a confessed techo-geek and main driver of the center's investigation into web technologies. I am convinced that tele/web medicine will do much to bring a host of specialized medical services to not only remote communities in our country but also to 2nd and 3rd world countries where medical care is even more inaccessible or non-existent. Thank you for sharing your experience and successes through E&S. Dr. Goldyne,

Thank you for your thoughtful and informative reply. The medical center I work with is actively implementing web based technologies to enhance not only the interface between our doctors and referring physicians but also to allow patients to interact with the center from home as many of our patients must travel from surrounding states. Being much involved in the center’s implementation of said technologies, I was much interested in hearing your experience.

I forwarded a link to your podcast interview to my center’s president, who, besides being one of the world leading perinatologists, is also a confessed techo-geek and main driver of the center’s investigation into web technologies.

I am convinced that tele/web medicine will do much to bring a host of specialized medical services to not only remote communities in our country but also to 2nd and 3rd world countries where medical care is even more inaccessible or non-existent. Thank you for sharing your experience and successes through E&S.

]]> By: Marc E. Goldyne, MD, PhD, FAAD http://earthsky.org/health/marc-goldyne-treats-his-dermatology-patients-via-email/comment-page-1#comment-12945 Marc E. Goldyne, MD, PhD, FAAD Mon, 07 Sep 2009 19:18:25 +0000 http://earthsky.org/?p=24079#comment-12945 Hank: There are actually hundreds of papers hidden in professional literature that tell the story of what telemedicine can provide. Unfortunately, there are hundreds of thousands of people whose livelihood depends on the old system. So there are the "not on my watch" people (including medical academics, politicians, and workers) who would rather fight than switch. They constitute a very strong force against change. Innovation, even if providing many answers to problems, often has to wait for the right environment to blossom. There's no better example than the stethoscope which is now the icon synonomous with doctors or other health care providers. No one would argue today that it not a valid medical instrument, but it took 100 years (1819-1920) before it gained world wide acceptance. In fact here is a statement regarding the stethoscope that was published in the London Times in 1834, 15 years after the stethoscope made its debut: “That it will ever come into general use, notwithstanding its value, is extremely doubtful; because its beneficial application requires much time and gives a good bit of trouble both to the patient and the practitioner; because its hue and character are foreign and opposed to all our habits and associations”. That says it all. You could say the same about Telemedicine today. All I can say is that I have practiced traditional in person medical dermatology at universities, two county hospitals, a VA Medical Center, and a private practice office over the past 30 years and I can say unequivocally that if appropriately practiced, telemedicine works! Marc Hank: There are actually hundreds of papers hidden in professional literature that tell the story of what telemedicine can provide. Unfortunately, there are hundreds of thousands of people whose livelihood depends on the old system. So there are the “not on my watch” people (including medical academics, politicians, and workers) who would rather fight than switch. They constitute a very strong force against change. Innovation, even if providing many answers to problems, often has to wait for the right environment to blossom. There’s no better example than the stethoscope which is now the icon synonomous with doctors or other health care providers. No one would argue today that it not a valid medical instrument, but it took 100 years (1819-1920) before it gained world wide acceptance. In fact here is a statement regarding the stethoscope that was published in the London Times in 1834, 15 years after the stethoscope made its debut: “That it will ever come into general use, notwithstanding its value, is extremely doubtful; because its beneficial application requires much time and gives a good bit of trouble both to the patient and the practitioner; because its hue and character are foreign and opposed to all our habits and associations”. That says it all. You could say the same about Telemedicine today.

All I can say is that I have practiced traditional in person medical dermatology at universities, two county hospitals, a VA Medical Center, and a private practice office over the past 30 years and I can say unequivocally that if appropriately practiced, telemedicine works! Marc

]]> By: Hank http://earthsky.org/health/marc-goldyne-treats-his-dermatology-patients-via-email/comment-page-1#comment-12898 Hank Fri, 04 Sep 2009 12:41:51 +0000 http://earthsky.org/?p=24079#comment-12898 "Dr. Goldyne: ... I called the University of California San Francisco Melanoma Center, and I was able to get her in not in eight weeks, but in two days to have it removed. That’s an example of where we saw a patient and it was determined we really needed to bring her from her hometown, to the city for more timely care." The testament of a Doctor who really cares for his patients! Any thoughts on publishing an abstract quantifying how telemedicine can improve patient care? It seems to me your work in telemedicine is a model that can improve other areas of health care. “Dr. Goldyne: … I called the University of California San Francisco Melanoma Center, and I was able to get her in not in eight weeks, but in two days to have it removed. That’s an example of where we saw a patient and it was determined we really needed to bring her from her hometown, to the city for more timely care.”

The testament of a Doctor who really cares for his patients! Any thoughts on publishing an abstract quantifying how telemedicine can improve patient care? It seems to me your work in telemedicine is a model that can improve other areas of health care.

]]> By: Chris http://earthsky.org/health/marc-goldyne-treats-his-dermatology-patients-via-email/comment-page-1#comment-12791 Chris Wed, 02 Sep 2009 10:34:57 +0000 http://earthsky.org/?p=24079#comment-12791 This seems now more important than ever! This seems now more important than ever!

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