[MUSIC] Telemedicine is for all of us. And telemedicine is a tool to be able to connect us to our health care and connect us to our patients. And while we physically may not be in the same location, telemedicine lets us give care over digital needs. So I think telemedicine has unlimited potential. I think that we're going to have providers come to us year after year with new and innovative ideas. And as medicine as the frontier of medicine goes out, telemedicine will be right there, enabling it. >> Hello, I'm Jessica. And welcome back. During this lecture, we will be discussing an introduction to telemedicine. To begin will be reviewing three key concepts throughout the lecture. They are, Synchronous, Asynchronous and Remote Patient Monitoring. So what do we mean by synchronous? An example of this would be if you were to make an appointment with your primary care physician. And rather than going into the clinic, you opt for a video visit. This could be scheduled and achieved by accessing the video visit through a personal laptop, a desktop or a mobile device. The appointment occurs real-time. So during the appointment, scheduled time you would be logging into the system and accessing the video visit. And both you or a designated proxy or a family member would be signing into an appointment and making a true connection with the clinician, where both parties are able to see and hear the other by a video. >> I'm Nurse Practitioner Judy Greengold, a primary care provider at Johns Hopkins. I'd like to help you prepare for your telemedicine or video visit. For many people, this is a new way to connect with their medical professional. So we thought we'd share some tips. Did you know that there are important ways for you to help us make the most of your visit? First, think about the reason for your visit. Are we talking about long term health issues and medications? Are we feeling sick? It can be helpful to write down a list of the items you'd like to address during the visit and give us important details. For example, when did the problem start? Has it gotten better or worse? What have you tried to make it better? We want to help and appreciate the information you share during these visits. Next, understand the technology. You will receive detailed instructions from your provider. We recommend reviewing this at least the day before your visit, if possible, so you can easily follow the steps and connect to your visit. When you come to the office, we collect important information, but you can collect that information at home before your visit. For example, make a list, including your current weight temperature, heart rate and blood pressure. Let's discuss common ways to collect this information. First, check your weight. Be sure that the scale is resting on a hard, flat surface. Next, check your temperature. Then, if you have a blood pressure monitor, you can collect your blood pressure on heart rate. Attach your home machine. Slide the cuff up your arm position so that the arrows and the tube line up correctly. Velcro the cuff so it's snug. Sit quietly for five minutes with your feet flat on the floor on arm elevated. After a five minute rest, hit the start button. If you have a home pulse oximeter, apply it to your finger. Rest your hand on a flat surface. Take 3 deep breaths and write down the numbers. If you're not able to collect this information, don't worry your provider will proceed with the visit. Another important item is a list of every medication vitamin and supplement you're taking now. We recommend keeping all medication and vitamin containers nearby so we can review during the visit. This is very helpful so we can see exactly what was provided at the pharmacy and make sure you're taking all the correct medicines. Sometimes, video visits focus on specific health problems. If you're experiencing any rashes or areas of irritation like a sore throat, you can take a photo and send in a message before your visit or show the photo on another device during the appointment. Now, let's get ready for the visit. Importantly, think about the space we will be meeting in. We recommend a quiet, private space with good lighting. If there's a window behind you, close the shades or curtains. Computers with webcams tend to be the best way for us to see and hear each other, but smartphones or tablets work as well. Set the camera at eye level so we can see each other well during the visit. Position yourself so that your provider can see your face and a view from the waist up if possible. You are welcome to invite a family member or caregiver to join and assist during your visit. It can also be helpful, to have enough space so you can stand up and walk during the examination. If there are any problems using the technology, your provider and care team, will help work with you to make sure your visit is completed in the safest way possible. Thank you for inviting us into your home and staying connected to your care team. Our goal is to help you continue to have the very best medical care safely and from the comfort of your home. >> What do we mean by Asynchronous? So as with synchronous where it was a really time connection, Asynchronous is not a really time connection between a provider or family, or the patient. This is more of a collection of data, that's input into the system for a provider to review more often and frequently than if you were to have recurring appointments. So that your provider in between appointments, can review information that could be specific to a medical condition or concern. The provider would review this information as time permits, and it allows them to continuously monitor their patients status, which is a really wonderful thing. So far, our final key concept, we'll discuss remote patient monitoring. It's a remote patient monitoring can be achieved through Apps that sync up with a remote device, such as an iPhone or Smartphone, and monitor that patient. It really serves as a tool to remotely observe a patient in a given state when they're not at an appointment with the provider so that the provider can continue to monitor them from afar. No any changes patient awareness, and it's a really great tool. To recap, we reviewed three key concepts in relation to introduction to telemedicine. Those three key concepts were Synchronous, Asynchronous and Remote Patient Monitoring. [MUSIC]
