Telemedicine in the city


Make text smaller Make text larger


How virtual connections to medical professionals can help New Yorkers deal with certain health issues


Photos



  • Telemedicine via NewYork-Presbyterian’s ED Express Care is offered in the emergency room at NewYork-Presbyterian/Weill Cornell Medical Center. Photo courtesy of NewYork-Presbyterian



5 ways to beat the heat

• Avoid drinking excessive amounts of alcohol, caffeine, soda or fruit juice, which contribute to dehydration.

• Check in on your elderly or debilitated neighbors. People at extremes of age — the very young or very old — are more prone to heat-related illness and dehydration.

• Limit exercise and other forms of exertion to cooler periods of the day, either early morning or in the evening.

• Be aware that some medications may make you more vulnerable to dehydration from heat exposure.

• If the air temperature is more than 95 degrees Fahrenheit, fans may be ineffective at cooling. Use air conditioning instead.

Tips from Dr. Alexis Halpern, Emergency Medicine physician at NewYork-Presbyterian/Weill Cornell Medical Center



The concept of telemedicine — a doctor-patient consultation conducted remotely via technology — was once thought of as a solution for providing rural communities with health care. Telemedicine has come to include phone calls, text messages, and video and audio components, explains Innovations Manager Jessica Zhang at NewYork-Presbyterian. Now telemedicine is enabling NYC residents to deal with questions about health issues in innovative ways:

• In the ER — For non-life-threatening situations that may bring people into emergency rooms, telemedicine can reduce waiting time. As an example, Zhang said, someone who gets a cut from a pedicure can be seen quickly in the ER using telemedicine. By zooming in on a patient with a hi-res camera, physicians on site or at a related hospital can make a recommendation for treatment.

• Urgent care — Telemedicine could replace certain types of visits to urgent care locations. Some conditions that physicians can examine visually – eye problems, rashes — people can do from home through an app. “I used it for myself in February when I thought I had the flu,” said Zhang. “A physician asked me to describe my pain, asked me to push on certain areas and did the entire exam virtually.” The doctor was then able to prescribe medication for her through the app.

In January and February 2018, NewYork-Presbyterian started a kiosk program with Duane Reade/Walgreens in Manhattan and Brooklyn. The program was “rolled out in phases,” said Zhang. There are now six such kiosks, equipped with an HIPAA-compliant internet connection, high-definition video cameras, forehead thermometers, blood-pressure cuffs and pulse oximeters that measure the amount of oxygen in the body. The busiest kiosk, at 40 Wall Street, has had 50-60 consultations to date, according to Zhang. (All patients who use NewYork-Presbyterian’s telemedicine platform, NYP OnDemand, are evaluated and treated by board-certified emergency medicine physicians.)

At this time of year, telemedicine kiosks may be helpful for dealing with heat-related illness or dehydration in young children and the elderly that can be addressed remotely by board-certified ER doctors (see box).

For more information about kiosks: www.nyp.org/ondemand/urgent-care-kiosk

• Virtual visits — includes primary care as well as outpatient follow-up visits after surgery or hospitalization. Patients can have a FaceTime visit with physicans without leaving home.

• Second opinion program — The program reviews medical charts and puts patients in touch with NY-Presbyterian specialists. “We found that some of these cases result in a different course of treatment,” said Zhang.

Zhang also mentioned other ways in which telemedicine can help patients. In emergency rooms in outer NYC boroughs that may not have a full complement of specialists — where one would otherwise, for instance, “have to wait for a psychiatrist to come on site,” says Zhang, “now we can connect that emergency room with a specialist” remotely.

And for critical cases involving mobile stroke units — ambulance vans with CT scanners — telemedicine can “connect stroke patients with neurologists to decide [whether] to administer medications while you’re en route to the hospital,” says Zhang. “Time is of the essence” in treating strokes, she adds — “you can get a quick physician consultation before the patient gets to the hospital. You can make that decision about a life-saving treatment.”

There are medical emergencies for which telemedicine is NOT recommended — chest pain, trouble breathing, severe abdominal pain, heavy bleeding and other symptoms that require an immediate visit to the emergency room or calling 911. For a full list of medical emergencies, see <URL destination="https://www.nyp.org/ondemand/urgent-care/faqs-about-digital-urgent-care">www.nyp.org/ondemand/urgent-care/faqs-about-digital-urgent-care






Make text smaller Make text larger

Comments



MUST READ NEWS

Image Homeless for the holidays

Complicated stories that defy expectations — and resources to help the most desperate in their times of need

Image Holiday package boom

How residential buildings are adjusting to the new normal of online shopping

Image EXCLUSIVE: Two fabled UES churches sold

“Bedpan Alley” marches north into Yorkville as a medical school buys a religious institution — which turns around and purchases another church

Image A shifting landscape

From the Brooklyn Navy Yard to the outskirts of Rome, Pamela Talese captures stories of cities in transition on canvas

Image Tribeca’s P.S. 150 dodges eviction

School to remain in Independence Plaza until 2022

VIDEOS



Subscribe to our mailing list

* indicates required
Neighborhood Newsletters





MOST READ

Local News
EXCLUSIVE: Two fabled UES churches sold
  • Dec 17, 2018
Local News
Birdland spreads its wings
  • Dec 14, 2018
Local News
Tribeca’s P.S. 150 dodges eviction
  • Dec 10, 2018
Local News
Doors of Manhattan
  • Dec 17, 2018
Local News
A shifting landscape
  • Dec 11, 2018

MOST COMMENTED