How Mobile Apps Have Revolutionized Telemedicine

As telemedicine has evolved from a reality into a necessity, the role of mobile phone applications in connecting doctors to their patients in far flung areas has become inevitable. It does not come as a surprise either for smartphones have become an inescapable part of every person’s life. With easy access to internet, it was only a matter of time before mobile phones and mobile phone apps took over the health industry too.

WHY ARE THE MOBILE APPS THE NEXT BIG THING?

Mobile phone apps have made a wealth of medical information available to the people right in the palm of their hand. These apps allow the doctors to remotely communicate with their patients, eliminating the need for the patients to take a trip down to the doctor’s clinic.

Not only has it made the life easier for the public, it also solved one of the major problems that almost every government has to suffer-high doctor to patient ratio. The problem of overcrowded hospitals, overworked doctors and underprivileged people in far flung areas can easily be tackled with the growing use of mobile phone apps.

The next generation of mobile phone applications do not comprise merely of general health information. Disease specific applications have also been launched. The “Eye Handbook” is a classic example. It was developed at the University of Missouri Kansas City, USA and provides free eye health information. People have, therefore, obtained easy access to the treatment of their health problems, however diverse they may be.

Another contribution that mobile phone apps have made towards telemedicine is that distant learning has been facilitated to a great extent with teachers extending a helping hand to their student quite conveniently. Apart from that, these applications have reduced research and audit processes to a piece of cake with bedside data collection and analysis features.

Mobile apps have proved to be heaven sent for virtual clinics as they have made 24/7 access to healthcare for the public quite easy. These apps have put tale health right in the physicians’ pockets with remarkable features like billing, e-prescribing, bookings, coordination, E-visits and follow-up. Apart from the obvious benefit of improving the healthcare standards, these apps have also caused a boom in the health sector economy.

WHAT DO STATISTICS SAY?

In the year 2012, Apple announced 20 billion health apps to have been downloaded with the figure doubling to 40 billion in 2013. The rate of adoption of telemedicine and of mobile apps is growing exponentially.

In 2012, the telemedicine market in India was estimated at $7.5 million and it has shown an annual 20% growth rate. With such rapid expansion, the telemedicine sector is expected to rise to $18.7 million by the year 2017. India’s concrete IT, mobile technology and telecommunication infrastructure has helped transform the dream of telemedicine into reality and the telemedicine and virtual clinics businesses are flourishing at a fast pace.

THE FUTURE PROSPECTS

Mobile apps have already proven their beneficial role in imparting quality healthcare to people, especially in emergency situations, helping to reduce the time of provision of primary care to patients. Besides, these apps have also made it possible for doctors to discuss important medical cases with other health professionals for a multidisciplinary approach. The day is not far when virtual clinics will completely overtake the outpatient department for the provision of superior and affordable healthcare services to the public right at their doorstep.

CQC Community Living Policies and Procedures Which Care Centres Follow

To have a healthy living situation certain standards should be followed which is set by Care Quality Commission (CQC). Through community living policies and procedures an individual can get all the information he/she requires. However, taking help from a consultancy is the ideal way of receiving information as well as assistance which one requires.

Nonetheless, one should know what community living is before going in-depth into fundamentals and more.

What is community living?

It refers to understanding the right of living within a community. The right to live within community means to go to work, school, enjoy recreation, and also be active after retirement.

To uphold this right of people, various organizations are working dedicatedly these days. Their care can’t go below the fundamentals set by CQC as every individual has the right to experience these.

Note: Care Quality Commission ensures that social and health care services for people are effective, safe, compassionate, etc.

Take a look at the different fundamentals of Care Quality Commission for understanding in depth.

An individual should be treated with respect – A person is entitled to be treated with respect and dignity while he/she receives care. This means everyone gets equal treatment irrespective of their background. Moreover, privacy should be a top-most priority. One should be able to enjoy it whenever one wants or needs it. Also, a person getting care receives any aid necessary to remain independent.

Tailored Personal Care – One must have adequate treatment and care which is tailored to one’s requirement and preference.

Safety – Treatment, and care received by an individual must be safe. Care providers should assess all risks regarding a person’s safety and health. The staff should possess necessary qualifications, skills, experience and competence to keep one safe.

Consent First – People or their legal guardian must give consent before professional offers any required treatment or care.

Adequate Nutrition – An individual should have enough for eating and drinking to be in good health, during the time of treatment and care.

Property and Equipment – One should receive the required services which are in a suitable and clean premise. Also, the equipment one requires should be secure.

No abuse of any kind – Not a single individual should suffer from any improper treatment or abuse. This means not getting neglected, no disproportionate or unnecessary restraint, no degrading treatment, and total freedom.

Ideal Governance – Care providing organization should have effective system and governance for checking care’s quality as well as safety. Their primary objective should be to improve their service and reduce health risks.

Complaint Department – There should be a system through which a person can submit a complaint about the treatment or care. The provider/organization must install this facility for managing complaints and thoroughly investigate it. Also, a firm must take proper actions after identifying the problem.

Healthy and Proper Staff – Organizations providing care should have a stern recruitment procedure. Moreover, they should perform necessary background checks like an applicant’s work history, criminal records, etc. Also, they should employ people who suit the role of a caregiver.

Display CQC Ratings – A company should present their rating in a way that an individual can see it. Displaying on website is an ideal way for everyone to notice it. Also, they should include CQC’s latest report about their service, so that everyone knows about it before hiring them.

Transparent and Open – Every care provider must be transparent and open about their services to an individual. If something wrong takes place then, they must convey to the person about what happened and provide support after apologising.

All policies and procedures of community living are based on the fundamentals which are mentioned above. It is essential for every organization to follow these for functioning adequately.

So, while going to a consultancy for social care, make sure they have a high CQC rating and also read the report on their latest services. Only after ensuring these, hire a care providing organization.

No More Manual Processes in Healthcare! Web Applications Serving Flawlessly

In the age of mobile and web networking when most businesses and services sectors are going digital, healthcare sector is left no more. They are deploying web portals, mobile applications or software systems to cut down manual processes and streamline day-to-day operations. Expert developers with forte in PHP and other web frameworks are creating complex online applications to computerize major processes and create an effective database. Such apps act as online portals, through which healthcare organisations, doctors, staff can manage patients data, set up data standards and channel information from department to department.

Read below the following points to know how desktop applications build with customisation help healthcare sector to develop an information infrastructure.

#1 One-stop point to store all patient information

For healthcare institutes, keeping up-to-date patient information is very essential. Hence, it should be made easily accessible anytime. The clinical web applications are specifically made to help institutions store securely, access data and handle the vital records of the patients. Everything, from diagnostic reports to medication and treatment details, all get saved safely.

#2 Online appointments

Big health centres and clinics can take appointments easily online through their website portal. Hence, there’s no need for manually taking calls and keeping separate appointment register. Clinic managers can simply book the appointments, schedule them on different time slots and even get paid advanced online.

#3 Efficient Reporting

With powerful data analysis system over online, medical institutions can now have efficient reporting systems. With all real-time data of patients available at one place, they can easily generate reports to study the trends like increase in patients visits, most diagnosed diseases, medicines most demanded and prepare progress charts of patients.

#4 Easy dispensing of diagnostics reports

Web applications even enable the clinics’ managers to dispense diagnostics reports to patients online, and allow them to download and print them. This actually turned useful because it’s seen in many cases, the patients’ family didn’t have enough time to visit the centre to collect the reports

#5 Offline capability

Web application portals are customised in a way to offer offline facilities to the healthcare. They are specifically made with minimal offline capability, so that staff and physicians could access clinical records safely, view docs of different departments, and know about any recent claims.

Hospitals and healthcare management have always been labour-intensive and complex. Apart from handling wide-ranging departments, what bothered the hospital management is keeping a vast amount of patients record safely and securely at one point so they can be easily retrieved when needed by either party.

A complete clinical desktop application, tailored to healthcare services takes care of all that! It is cutting back the time taken in manual systems i.e. recoding patients data, dispensing reports, prescriptions, Besides, it is also helping patients to avail some prior services online, which saves a lot of their time.

Which C-Arm Should I Buy?

Today you can be faced with many choices when deciding to purchase a mobile c-arm. Although most are appropriate for the majority of procedures, some may be particular good for the procedures you perform. Of course, the first consideration must be financial. You certainly can’t purchase a $150,000 unit if your budget is maximized at $50,000. Let’s look at some of the choices.

If you have decided that you will only consider a new c-arm, the field is limited to the major manufactures such as GE-OEC, Philips, Siemens and Ziehm, all who produce excellent products. Also, secondary manufactures including companies such as Genoray and Comed, both Korean organizations with US presence who offer excellent products. Although you may not be as comfortable considering one of these products, millions of Americans now drive Hyundai’s and Kia’s – the reason is, they have a good product at a more competitive price that performs similar to its US and Japanese competitors.

These new full sized mobile c-arms range in price from $70,000 to $275,000. Your choices of features range from units that provide basic fluoroscopy for pain management procedures to units designed to accommodate cardio-vascular and/or neuro-vascular procedures. The new high end units are now equipped with flat panel digital detectors in place of traditional image intensifiers. View fields range from 9″ to as large as 15″. Image monitors are also high resolution flat screens used in conjunction with high performance software. Obviously, as the features become more robust, so does pricing, therefore it is important to determine exactly what is required and how much you can spend prior to begin looking.

Models you may want to consider are the GE-OEC 9900 series, the Philips Veradis Neo, BV Pulsera and the BV Endura, the Siemens Arcadis line and the Compact L and the Ziehm Vision line and the Solo. The Genoray line includes the ZEN-2090 Pro and the ZEN-7000. Comed offers the KMC-950.

If you have decided that you do not want to make a substantial investment in a new system, you may want to consider a fully refurbished pre-owned unit. The truth is, not much has really changed with the c-arm fluoroscopy technology. You can purchase units produced in 1990 for a little as $12,000 or late model units built in 2008 for $90,000 and up depending on features and software. The only difference between these units is they may have CRT monitors, images may not be a crisp as a new unit but certainly adequate to handle most procedures. They either produce Dicom information or can be retrofitted with devices that enable both extended storage and distribution of both patient information and images.

There are many units to choose from. The most popular include the OEC 9800, OEC 9600, OEC 9400, OEC 9000, OEC 7700/Compact. The Philips BV Pulsera, BV Endura, BV 300, BV Libra, BV 29, BV 25. The Siemens Arcadis, Siremobil Compact L, Siremobil Iso-C, Siremobil Compact, Siremobil 2000. The Ziehm Quantum, Vista, Exposcop 7000, Exposcop CB7-D.

Choosing a supplier for a refurbished system may be almost as important as choosing the correct unit. Important issues include receiving a detailed proposal with specifications, having a tech set up the unit and provide training on how to operate it. Make sure system manuals are included, estimate for inside delivery charges and warranty information. Service contracts generally range from $8,000-$15,000 per year substantiating the value of the warranty coverage. Make sure the supplier provides a FDA 2579 form showing the system information to be provided for US, state and local regulatory agencies.

An imaging table may also be required if purchasing a c-arm for a facility that has not used a c-arm in the past. There are many different to choose from ranging from 4-leg economy tables to multi movement with diving board (cantilever) style top tables. These c-arm tables range in price from $2,500 to upwards of $35,000.

Lastly, it would be wise to choose a member of the International Association of Medical Equipment Resellers and Servicers (IAMERS) to provide your equipment. Members of this organization subscribe to providing quality products, honest representations while upholding the highest level of ethics and customer service. If you are considering a supplier whom is not a member, you just may wonder why they don’t or can’t participate? Not everyone can qualify and there are about 150 members worldwide.

Medical Billing Software is an Integral Cog in the Healthcare Machine

Medical billing and coding is a vital healthcare process that allows hospitals and other healthcare providers to receive compensation for services rendered. Healthcare providers receive the majority of their compensation from insurance companies, but a complete medical billing solution must also be able to manage payments from other types of organizations and even individuals. In modern healthcare, medical billing software is used to achieve this complete solution in a user-friendly and efficient manner.

How Software Streamlines the Medical Billing Process

The interaction between an insurance company and a healthcare provider is highly structured, and almost all insurance companies in North America use the same protocol. This consistency lends itself to automation, and the main way that software streamlines the process is through automation and batch processing. In fact, most transactions between insurance companies and healthcare providers are completed with no human interaction at all. For the healthcare provider, software has reduced the challenge of medical billing to basic data entry, which is typically accomplished organically as the patient is admitted into and moves through the healthcare system.

Choosing Medical Billing Software

Despite standards among the insurance companies, there are differences among the software. Medical software applications are often built on different philosophies. In addition, they often include support for billing processes beyond just the insurance companies, such as direct billing, co-pay, co-insurance and so forth. The first step in choosing a platform is ensuring that it has an interface that will allow it to blend seamlessly with the standards and technology used by the institution. Other factors include user-friendliness, customization, future proofing and support.

EMR vs. EHR

The two main classifications of medical billing software are EMR (electronic medical records) and EHR (electronic health records). In most ways, EMR and EHR are interchangeable, but there are important differences. EHR connects to a greater network of electronic health systems, which allows it to pull information that is not available locally. EMR, on the other hand, is smaller scale and only has access to a digital version of the chart that has been created in the institution. Most hospitals require EHR software, but an EMR platform is likely more practical for a doctor’s office or small clinic.

Medical billing software has revolutionized the way the healthcare industry operates. Healthcare institutions are able to receive most payments promptly, which allows them to run more efficiently. The influence of billing software, however, extends beyond just payment. It has provided the backbone via which hospitals throughout the world are able to share information to better care for their patients.

Six Reasons Why Preventive Health Checkups Should Not Be Ignored

Did you know that healthcare expenses in India account for 4.1% of national GDP? In addition, private spending on healthcare (which means costs that the government will not bear) increases up to 70.8% of all country’s health expenditure, according to The Guardian. The alternative then for the common people is quite simple – investing in a small amount of preventive health checkups (which could be totally covered by your insurance) than shelling out large amounts during health crises.

A preventive health checkup can help you in many ways. Not only you save yourself from the trouble of having to suffer through the symptoms of the disease, but it also saves money that you would otherwise be spending on hospital expenses. Continue reading to know why a preventive health checkup is worth the effort.

Why Preventive Health Checkups?

Most health experts agree that the best way to watch out for your health is annual health checkups. Here are some reasons to support the fact why this is important:

Even your car is also serviced twice in a year. No one asks why time, effort, and money are spent on ensuring that their car is being serviced with all the necessary checks, on a regular basis. Our body also needs to be serviced regularly and checked for better functioning. Do you value your health as much as you do that of your vehicle?

You are living a sedentary lifestyle. The reality is that today people are so hooked up to the digital gadgets & computers that even when you aren’t at work, you are surfing the web and basically spending both your leisure time and working hours sitting in front of some type of screen. Then there are those who drink, smoke and tremble at the very thought of daily exercise.

Even healthy people can get sick. While we are young we feel invincible. But as we age, it all begins with random aches, pains and progresses to cholesterol increase, high blood pressure, diabetes and heart attack, to list the very few serious disorders. If we soon started caring about our health, most diseases can be prevented before they could even occur.

Early diagnosis could lead to a cure. There are many diseases and illnesses that have a better prognosis when diagnosed early. This is particularly true for chronic and terminal illnesses, such as diabetes, cancer, and heart attack. Regular preventive health checkups help you find the best treatment alternatives as soon as possible, but also give you better chances of quickly recovering back to health.

Family history tells more about your future health. Family history means you have more chances to end up suffering from a disease like your immediate family. For example, if your father has a history of heart problems or your grandmother has a high blood sugar level, you are likely to experience the same conditions sooner or later.

You Get tax benefits. You also get tax benefits for such health checkups in accordance with Section 80-D of the Income Tax Act. In addition to all other benefits, you may get tax deductions up to 5,000 Rs for health checkups for you and your immediate family.

Needless to say, today life is chaotic and stressful, which increases the likelihood of lifestyle disturbances.

Despite the necessary care we take for our better health, uncertainties increase with our age, lifestyle and not to mention the habit to take our health for granted. Regular preventive health checkups can set a guideline for our health and help us keep tabs on how time progresses. For those who have major diseases running in their family, health checkups become crucial to have control or to slow down the progression of the disease and prepare a holistic approach to ensure healthy future ahead.

Medical Transcription Tools and Equipment

Medical transcription industry has evolved over the years and has always made use of the cutting edge technologies. Many different tools/equipment are used during the medical transcription process. In general one can say that the digital audio technology has been greatly revolutionizing different transcription industries that include other sectors besides medical transcription like legal and business transcription.

Besides the basic requirements like a desktop with the required operating system and software, there are many specifically developed tools and brands that are used today and manufactured by companies around the world. Here is a list of the different tools/ software and equipment that may be used either for home based medical transcription or at a bigger work unit that usually consist of many level of staff like transcriptionists, editors, Quality Assurance, leaders etc. This list of equipment and tools is not exhaustive.

  • MP3 playback software
  • Document processor software
  • Version Control software
  • Time markers
  • Bud microphone
  • Digital voice recorder
  • Headphone
  • Computer with Internet/Printer
  • Desk and comfortable chair
  • AAMT Book of Style
  • Encryption software
  • File/Documents management software
  • Blue Cross/ Shield Directory.
  • Electronic Medical Dictionary
  • Fax machine
  • Document shredder
  • Word processing program
  • Audio playback software
  • Anti virus program/
  • Thesaurus/dictionary for windows
  • System recovery software
  • Drug/pharmaceutical reference guide
  • Foot pedal
  • Ad blocker
  • Medical specialty books
  • Spyware removal Utility
  • Monthly newsletter
  • Telephone line
  • Editing software
  • Conference recorder
  • Voice recognition software
  • Dictation recording equipment
  • Text counting software (for home based work)

Voice recognition is one technology area that is being actively researched upon and one can expect a near perfect voice recognition software in the future that will make the transcriptionist’s job much easier. While most medical transcriptionists hope that the voice recognition technology does not develop fast enough to replace the human factor, research in this field is very challenging and it is only a question of time before voice recognition software is perfected. However the medical transcription industry can breathe easy for a few generations as the demand for medical transcription professionals is on the increase. One can choose to take up medical transcription as a career and get a job easily. Using the best of technologies and tools, transcription professionals can be more productive, earn more and deliver a more perfect transcript.

Do You Have Soul Stress?

In my thirty-some years in practice, I’ve treated people from all walks of life, for a laundry list of symptoms. While most conditions have several causes, the singular most common cause I’ve seen is stress. One common example is migraines, which can be caused by food sensitivities, hormonal imbalances, cranial structural misalignments, and relationship discord, to name a few – yet, invariably stress is part of the clinical picture.

The pervasive effects of stress are our minds, bodies and spirits is nothing new. In the 1920s, Hungarian endocrinologist Hans Selye described what he called “General Adaptation Syndrome,” or the body’s response to demands placed upon it. He detailed how stress induces hormonal autonomic responses which, over time, can lead to high blood pressure, arteriosclerosis, arthritis, kidney disease, and allergic reactions. At the time, the notion that there is a connection between stress and physical disease was groundbreaking, and controversial.

From the earliest days of my career, I saw evidence of this connection. In those days, I only treated back pain, neck pain, and headaches, and when I gave a patient a full spinal adjustment and applied some physical therapy modality, I helped release their stress and initiated physical relief.

Since that time, stress has increased exponentially. But why? Back in the 1980s, people had financial stress, just as they do now. People suffered from relationship stress since the beginning of time. After 9/11, however, I noticed a dramatic uptick in stress that has only seemed to get more intense and deeper as time passed. And, as I became a better practitioner, I also began to attract harder cases, meaning those with more complex symptoms and disorders. I learned how to do emotional adjustments to counter the underlying triggers that keeps the stress stuck and the body holding onto it. Then I discovered how to turn off chronic stress. People who have prolonged stress get to the point where the cortisol from their adrenals is elevated not only in “fight or flight” situations, but continuously – meaning it never rests. This causes weight gain, lousy sleep, anxiety, and chronic restlessness. It also contributes to all the disorders I see, such as depression, diabetes, autoimmune disease, fatigue, fibromyalgia, Irritable Bowel Syndrome (IBS), chronic pain, acid reflux, and vertigo, to mention a few.

Again this reaction to stress is not new, so why are people getting these ailments with increasing regularity? What has really changed is the pace of society and attitudinal polarization. When we were kids, we would hear periodically about some tragedy in our city or town. Now we are spoon fed global misery and tragedies on a minute-by-minute basis via the twenty-four-hour news cycle and social media. I could go on and on, but you already know this. Angst has become a staple in the American diet, and nearly every person today suffers from some degree of stress and anxiety. The commercial, I will listen, states one in four Americans are experiencing mental health challenges!

According to a 2012 nationwide study, one in 20 teens suffers from anxiety or depression. One in three of our children have illness such as ADHD, asthma and allergies. One in sixty has autism; this is up from one in 10,000 in the 1960s. America’s kids have fifty vaccines by the age of six, so why are they so sick? One likely reason is that they are internalizing the negative energy of a world they have little control over. Their illnesses, in turn, affect their parents’ mental and physical health.

Prescriptions for medications that suppress symptoms (but do not touch the underlying cause(s) of them) have exponentially and dramatically increased, and opioids have become an epidemic, killing more people than our current wars. It is not just America, either; a recent study from Ontario shows that in 2015, one in every six deaths of people aged twenty-five to thirty-four was opioid-related.

We claim to understand that chronic stress is harmful and must be reduced, yet we still tend to underestimate its effects on us. We may take a yoga class here and there or try some other relaxation technique, but at the end of the day we still accept anxiety as a part of life. We look at brain scans, MRIs, and blood tests to find a tumor or other pathology, yet oftentimes we overlook the chronic stress that just might be the cause of the unexplained symptoms. The medical tests can show changes in the brain and in the heart, but we’re not seeing the source of those changes.

DNA doesn’t really change, but epigenetics – the study of the effect environmental and other factors have on our genes – can explain why we manifest illness. For instance, children of holocaust survivors may get cancer even though there is no cancer in the family tree. The stress and trauma of being in a concentration camp prior to the children’s birth altered the parents’ DNA and “turns on” the cancer gene. Another factor is the food we eat, which over time has become more artificial and processed with sugar in everything, plus more genetically modified food with more pesticides, herbicides, and insecticides on and in it. Such chemicals can turn on symptoms such as gastrointestinal distress; Several factors can lead to epigenetic stress that is pass down to future generations.

The good news is that just as these genes could be turned on, they can be turned back off. In this situation, I combine two techniques – EMDR (eye movement desensitization and reprocessing) and NAET (Nambudripad’s allergy elimination technique)

First I muscle test a patient’s strong arm response to stress. If it weakens, I put stress vials (cortisol) in their hands and do a slow motion EMDR maneuver, which takes two minutes. Often I’ll see the patient’s eyes quiver, which indicates stress is affecting their nervous system and thought processes. Then I retest the patient’s strength to make sure there is no weakness in the muscles due to stress. It usually takes twenty-four hours for the patient to completely process the treatment and for the nervous system to integrate the treatment. As a result the patient will start to be more relaxed in everyday situations and the myriad of symptoms healing is initiated. Stress may not cause the approximately 7000 known rare diseases, but having a rare disease is stressful. Having any disease causes stress, therefore addressing stress without medicating it – is beneficial. That said, there are natural remedies that can help (i.e. science has shown dark chocolate (70% cacao) reduces stress and inflammation).

Our changing world necessitated my going deeper to figure out why some folks don’t respond to treatments. In the process I discovered that this isn’t a mental thing, but at the core of our humanity, the soul. I believe the soul is sacred and for a long time avoided confronting any therapeutic intervention. But now it has evolved naturally, and I utilize a gentle approach to release stress that is affecting a patient’s soul. Patients seem to be responding well, and the only side-effects being decreased anxiety, improve relaxation, and a feeling of joy. You can’t ask for a better and gentler procedure than that!

Telemedicine Services – Empowering Patients and Improving Lives

The healthcare and IT tie-up is a major breakthrough in the healthcare sector that has been a great boon for the general public and the service providers. RPM or Remote Patient Monitoring has been its most significant contribution which is basically a cloud-based digital interface to address all healthcare needs. Telemedicine providers are the key players in this field who have revolutionized healthcare practices all over the world.

Benefits:

RPM along with telemedicine providers play a pivotal role in the management of chronic conditions like diabetes, and cardiovascular ailments by allowing patients access healthcare services from the comfort of their homes. They enable a person to take control of all their healthcare needs and thus empower them by putting them in charge of their own health. The associated risks are negligible as it involves a one-on-one digital interaction between the patient and the clinician.

Mode of operation:

The patient has to upload health data recorded on a regular or irregular basis (depending on the health concern) on a web-portal through an app on their PC or smart device. The web portal, usually managed by a telemedicine provider has a network of doctors and clinician who can access the uploaded data. These doctors then diagnose the patient as and when required and help them keep a tab on their health status. This mode of health monitoring is very effective for the chronically ill and the geriatric population who have to frequently go for checkups. Some conditions like dementia and congestive heart failures require continuous surveillance; telemedicine providers have a solution for that as well, in the form of round-the clock surveillance services.

A summary of the services is provided below:

1) Provision of instructions

2) Answering of health related queries.

3) Monitoring of vital signals

4) Video consultation.

E-health services are utilized by hospitals and doctors on a massive scale. This fact is backed by the numerous surveys and polls which indicate the popularity of these services. A study on RPM devices has anticipated the global market value of these devices alone to reach US$0.98 billion by the end of 2020.

The following facts have led to the increasing popularity and demand of telemedicine providers and RPM solutions:

1) Efficiency in services

2) Simplicity. (The simplicity of these cloud-based telemedicine provider services makes them increasingly user friendly; even the elderly can use them with great ease)

3) Cost minimization

4) Geographic limitations can be addressed easily as the person does not need physically visit a doctor.

5) Round the clock service

6) More than one condition can be diagnosed on the same platform.

7) Reduces unnecessary hospital admissions.

Telemedicine providers have made significant contributions towards the improved health conditions of people globally and will surely continue to do so with each passing day.

Pet Diagnostic Test – A Comparison of the Positives and Negatives of It in Oncology

It can be safely said that the medical field has wholeheartedly embraced the PET scan test. The invention of computerized axial tomography has increased the popularity of PET even more. PET CT test had forever altered the way lymphoma is staged and consequently treated. This especially true for the kinds that can be potentially cured, for example:

  1. classical Hodgkin’s lymphoma
  2. large cell or aggressive lymphoma

When viewed in just Hodgkin’s and non-Hodgkin’s lymphoma, PET scans are literally universal. They have been adopted for treatment worldwide and even transformed the way we perceive care given during these conditions.

A Comparison with Traditional Test

One of the earlier tests used in oncology were gallium scans. Today, they have been wholly replaced by PET scans because the latter are:

  1. extremely convenient
  2. highly sensitive

Furthermore, PET CT imaging is capable of revealing the condition even when the lymph nodes are average in size. In gallium scans, this was considered as of no consequence. This sensitivity is one reason why PETs are commonly used during the staging of the disease.

A Different Approach to Treatment

It is not just the testing phase that has seen a paradigm shift due to the technology, even the way healthcare practitioners approach treatment of lymphoma has changed. Take for example large masses that are often seen as scar and residual mass even after being sterilised of the condition. If a traditional method of diagnostic is utilised, it is near impossible to discern if the residual mass has an active form of the disease or not.

The consequence of a conventional test is further irradiation to treat the mass even when a biopsy proves it to be scar tissue because there could be a sampling error. With PET the thought process has reformed, if there are no apparent active cancer cells in the mass irradiation is not given.

Another area where treatment of cancer has been altered is a genuinely negative PET scan. After the completion of therapy, if the scan is entirely negative, it is considered that the disease has gone into remission. The statistics of relapse occurring after a negative PET imaging is in single digits. Additional data and analysis show that a response seen in a PET scan after 2 to 3 cycles of chemotherapy is even more dependable, prognostically, as compared to one that is taken when therapy finishes.

As a result, in classical Hodgkin’s lymphoma and large cell lymphoma cases, an early stage trial has begun that is considering if it is advantageous to alter therapy based on the results of an interim PET scan.

Caution Should Be Practiced

For those who have been diagnosed with lymphoma, PET technology was Godsend. But like any other tool we use, there is a need for caution. Some parts of PET scan are still unclear such as:

  1. What constitutes a negative study and what a positive is still indistinct.
  2. Which assessment is more precise – eyeball or the semiquantitative SUV scores?
  3. In the case of semiquantitative SUV scores, at what level of SUV activity should the test represent negativity?

Besides these unanswered questions, there are issues like the difficulty with which data from one PET machine gets transferred to another. There is no standardisation of the time between the injection of radioisotope and the measurement of the activity. The difference can affect the result of the scan. Moreover, lymphoma is not the only condition that results in a positive scan. Infection, delayed infiltration of inflammatory cells and thymic rebound, all can show up in pet scan oncology

The last but the most significant drawback of PET scans is their interpretation. Observers see different things on the same scan especially if there is a subtlety in the imaging. When the scan is crystal clear, as in unambiguously positive or negative, diagnosis is the same by all viewers. When there are grey areas, the interpretation of the scan may change with the viewer.

What Can be Answered in the Future

It has been seen that a positive scan after or halfway through chemotherapy is a prediction of treatment failure. If this turns out to be a fact, then researchers need to find out if an alternative therapy would prove more beneficial. The decision can be substantiated with biopsy results. Finding the answer to this can:

  1. Spare a patient an ineffective and painful treatment
  2. Give the patient to try a different measure that might show positive effects
  3. Determine if the positive scan was the consequence of drug resistance

Another area that needs to be though over is the number of chemotherapy cycles when interim PET scan is negative. The tradition is six cycles with two given after complete remission. But if the imaging comes out to be negative, is it possible to lessen the number of chemotherapy treatments. This can be thought over because data shows that relapses far and few in between when PET is negative.

The Hope Is Strong

Despite the difficulties and in spite of the answered questions, there is no denying that PET scans are the best technology for detecting lymphoma. They make a significant advancement in the care given to cancer patients and will remain so for a long time.

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