Are telehealth visits the new doctor home visits?

A columnist explores the benefits of telemedicine

Caroline Gainer avatar

by Caroline Gainer |

Share this article:

Share article via email
Main banner for Caroline Gainer's column,

Growing up in rural central West Virginia, I can remember the doctor coming to the house with his black bag full of medicine and instruments. Now I have two providers that I consult with over Zoom, and I wonder if this is the new “home visit.”

For those of us with chronic obstructive pulmonary disease (COPD), time is often of the essence. Back when the doctor came to see me at home, it was a same-day visit — even if that meant he came late in the evening or at night. My pulmonologist has a same-day policy for many of his patients, but if they are too ill to go to the office, then they’ll usually end up in the emergency room (ER).

When nonemergency patients end up in the ER, it can lead to overcrowding and a situation called boarding, where patients are placed in hallways while waiting for a room. This is less than optimal for patients who are quite ill. Telemedicine may be a solution for some patients and ER staff.

Recommended Reading
COPD, hospital readmissions, telehealth rehab

Telehealth Rehabilitation Lowers Hospital Readmissions After COPD Exacerbation, Study Finds

Telemedicine has provided me with competent and convenient care. My recent and ongoing experience with MD Live, a virtual healthcare service, has been life-changing for me. I knew that I needed mental healthcare, and though I have a degree in health, I also live in the real world where there is sometimes a stigma attached to this type of care.

Finding a psychiatrist I could meet with over Zoom allowed me to receive the care I needed without visiting a mental health facility. Another advantage was that I got an appointment within one day and didn’t have to leave my home.

MD Live has multiple providers who cover a range of medical conditions. While I believed my mental health could be evaluated via Zoom, I remained uncertain about other health issues — until I missed an appointment with my primary care physician because of hip pain. Within minutes of canceling the appointment, I received a message from my insurance company about how Vori Health, a medical practice that offers virtual appointments, can help treat bone and joint issues. I don’t know if the timing was a coincidence, but at any rate, it was timely.

I ended up scheduling a televisit with an orthopedic doctor from Vori Health, and the appointment cost me nothing. I was impressed with how observant the doctor was as she watched me go through several movements. She determined that I would benefit from physical therapy.

I now meet virtually with a physical therapist every week, who watches recordings of exercises I’ve completed. This is pretty much the same routine as when I attended physical therapy in person, but without the hassle of going to the facility. I haven’t been enrolled in the program long enough to know the end result.

I don’t think telemedicine can be successful in every instance. I cannot imagine a telehealth visit with my pulmonologist, as he is so attuned to my lung sounds and can hear the slightest variation. But as technology advances, who knows what may be possible?

For people who live in areas where appointments are hard to come by, I suggest giving telehealth a try. It does seem to be the new doctor home visit and may allow for a more timely appointment. I am thankful my insurance pays for 100% of my telehealth calls.


Note: COPD News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of COPD News Today or its parent company, Bionews, and are intended to spark discussion about issues pertaining to chronic obstructive pulmonary disease.

David A Sylvester avatar

David A Sylvester

Great Information Caroline. Thanks

Reply
Adele Bell avatar

Adele Bell

I've been meaning to tell you how much I enjoy and appreciate your helpful posts. This one was especially helpful. I'm going to look into this route.
Thank!

Reply
Travis avatar

Travis

I HAVE TELEHEALTH WITH MY PULMONOLIGIST AS I HAVE SO LITTLE BREATH THAT I CANNOT REALISTICALLY GO TO HIS OFFICE. I STILL HAVE ENOUGH COMMON SENSE TO GO TO THE EMERGENCY ROOM IF NEED BE. WE HAVE BEEN DOING THIS FOR 14 MONTHS NOW. I LIKE IT.

Reply
SUSAN Bagley avatar

SUSAN Bagley

I don't even want to see a doctor for COPD. Medicine is purely transactional anymore. No more getting to know your doctor. 5 minute appointments where they say virtually nothing and tell the insurance company they spent 39 minutes with you. And doctors take the not-so-subtle opinion that, well, you did this to yourself. What do you expect? I no longer can stomach how little they care. I'll keep a primary for antibiotics, but the Pulmologist and Cardiologist are getting a pink slip from me. I would imagine telehealth visits give them even less interaction with you for probably the same money. Less work, less care, same or more money. Doctors only become doctors for status and money anymore. I've yet to meet a doctor truly concerned with being a healer.

Reply

Leave a comment

Fill in the required fields to post. Your email address will not be published.