15 diseases that can be treated using telemedicine

With the onset of the cold season, the question of how to treat a cold becomes especially relevant. There is an opinion that the body must cope with such an illness on its own, and helping it is a pointless exercise. There is some truth here, but much depends on the severity of the manifestations.

Basics

Since the 1950s, the first remote consultations of 15 diseases began to appear in medicine, which can be treated using telemedicine over the phone, then video communications between hospitals.
Today, technology is so advanced that it allows patients to receive medical care from the comfort of their home, office, dorm room, hotel or any premises. Telemedicine first appeared on landline phones - you could call a doctor to clarify certain questions. With the development of technology, it began to offer a wider range of services. These include online portals operated by a physician, video software that allows for remote consultations, and applications operated by companies offering telemedicine services.

Telemedicine allows you to discuss symptoms, medical questions and more with a doctor or pharmacist or medical advisor in real time. Using telemedicine, a person can receive a diagnosis, learn about treatment options, and a doctor can write prescriptions. In cases where necessary, healthcare professionals can even monitor medical device readings remotely to monitor conditions.

Causes of VSD

The main debate occurs over the following question: “What are the causes of VSD? Bodily disturbances or neurosis? The strategy for defeating the disease depends on how we answer this question. My opinion is this: there is no need to separate. Human health is a holistic system.

Only those who have a harmonious state of mind and physical health can be called healthy.

1. Memory does not contain events, when remembering which a person feels mental pain. There is no hatred that arose as a result of the actions of other people (resentment), a feeling of loss, acute injustice or jealousy, etc.
2. The mind is tuned to positive thoughts about the common good. There is no desire to harm anyone, show cruelty, plot intrigue or take revenge on offenders.
3. Emotions are in balance. It's hard to piss a person off. He is devoid of fears, doubts, envy, anger and irritation and other negative emotions.
4. The person is energetic enough for an active life. He does not lose strength in unproductive activities.
5. The human body is complete. Processes in the body proceed as intended by nature. Every cell and every organ receives a timely signal from the nervous system to function properly. Blood delivers nutrition and removes waste products. Hormones are produced in the required quantities and in a timely manner.

How many completely healthy people do we know? Probably not very much.

How it works

Telemedicine is not suitable for emergency situations (heart attack, stroke, deep cuts, lacerations, broken bones. In these cases, X-rays, stitches or casts are necessary for diagnosis. Anything that requires immediate evaluation and emergency care should be handled in person However, telemedicine is very useful for simple questions and follow-up consultations.
If a person suspects a cut or wound may be infected, a virtual consultation with a doctor can be scheduled to discuss symptoms. If the patient is on vacation and thinks they have strep throat , you can contact your doctor.If you need contraceptives, you can discuss your questions with your gynecologist and get a prescription on the same day.

It is useful for a variety of other health problems, including psychotherapy and teledermatology, which offers consultations for moles, rashes. Colds and flu, insect bites, sore throat, diarrhea and red eyes are some other common problems that are treated through telemedicine.

What not to do when you have a cold

Do not take antibiotics unless your doctor prescribes them. Antibiotics are used to treat bacterial, not viral infections, so they are at least useless for colds. Remember that the green color of snot does not indicate the bacterial nature of the infection, but is caused by the accumulation of leukocytes. There is no need to try to strengthen your immune system with over-the-counter “immunomodulators” or “immunostimulants.” Interferons and other agents that affect the immune system are effectively used for serious diseases such as multiple sclerosis or melanoma. But the uncontrolled use of drugs “to strengthen the immune system” for a cold will, at best, not bring benefit, and at worst, it can harm the immune system.

There is no need to panic and call an ambulance, even if a high temperature in an adult or child persists for several days and decreases only for a while after taking antipyretics. This is a normal course of a cold, in which the body actively fights a foreign virus. You should seek emergency care if the fever persists for more than five days, does not go away with NSAIDs, or if your child has seizures or dehydration. Difficulty breathing and wheezing are also reasons to consult a doctor. Try not to endure ARVI, and especially flu, “on your feet,” because rest is one of the important conditions for a speedy recovery.

Cold or cough

Most colds do not require a visit to the doctor.
They are viral, and unless there are underlying problems, there is no reason for the patient to come to the clinic and potentially infect others. You can use virtual care for mild symptoms, such as a cough or runny nose, to help prevent the spread of germs. Health care providers may ask several basic screening questions to determine whether a patient has a more severe illness, such as the flu or pneumonia, or to rule out environmental factors such as allergens.

The first signs of a cold - what to do?

1. The main rule is to give yourself rest, because the disease puts a serious strain on all systems, and additional activity will only hurt.
2. There is no need to bring down a low temperature; antipyretics should be used when the temperature exceeds 38 degrees. In this case, the help of a doctor is necessary because there is a chance of a more serious illness.
3. How to treat the first signs of a cold, opinions differ - some believe that medications will not allow the body to develop a defense mechanism, others believe that providing support is mandatory. Both groups agree that it is necessary to alleviate debilitating symptoms.

Loss of voice due to a cold - how to treat it?

If problems of this type arise, then chronic tracheitis, which has worsened against the background of general weakness, should be blamed. Therefore, if your voice has disappeared due to a cold, your doctor should tell you how to treat this deficiency by prescribing antibiotics. If there is no high temperature, they are not needed; you can get by with auxiliary means.

• antihistamines;
• rinsing;
• oil inhalations;
• warming your feet in hot water with mustard is not a complete answer to the question of how to treat a cold, but it works well as a distraction procedure. You can use pepper patch on your calves.

Ears hurt when you have a cold - how to treat it?

Such sensations are caused by the penetration of negative microflora into the organ. How to treat an ear cold depends on the type of infection. The doctor may prescribe antibiotics or use drops (Otinum, Polydex) that will kill pathogenic bacteria. Can be used independently for instillation:

• thuja oil;
• camphor alcohol;
• calendula tincture diluted with water;
• alcohol solution of boric acid.

Hypertension

With remote monitoring technology becoming more advanced every day, virtual care may become the mainstay of care for patients facing blood pressure problems.
For chronic patients, this is more convenient than regular visits. Even if their home sphygmomanometer is very basic, the doctor can sometimes monitor cuff use and functionality during a virtual visit, review technique, ask key questions, and discuss symptoms. Keeping a patient's blood pressure normal is hard work. Why add the added stress of traveling to the clinic and then home for another quick blood pressure check and follow-up?

Colds and their prevention

1. Washing hands after visiting public places. Pathogenic microorganisms can linger on the fingers and palms, which can easily spread to the face and settle on furniture, making it possible to infect more people. Colds, the prevention of which is carried out in this way, have little chance of entering the body without direct contact with patients.
2. Reducing your stay in crowded places.
3. Periodically ventilate the room, especially if there is an infected person in it.
4. Physical activity. It promotes oxygen saturation, which makes the immune system more effective.

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Gastrointestinal problems

Most gastrointestinal diseases do not require major intervention.
Consulting with patients via telemedicine can address the cause of illness due to nutritional issues, stress, symptoms of other illnesses, or even a side effect of a new medication. In any case, the patient can be successfully treated using a virtual care platform. In addition, with a few carefully asked questions, a more serious problem can be identified and the patient can be referred to the right facility.

How to recover quickly if you have a cold

If you do get sick and feel chills, you need not to let the situation get out of control, but take immediate action.

1. Antiviral drugs are no longer used as prevention, but as treatment. The medications taken are the same as for prevention, only according to a different regimen. Typically, the dosage regimen is described in detail in the instructions or on the drug’s website. Sometimes, after treatment with antiviral drugs, the initial symptoms of ARVI stop and the person recovers very quickly. For pregnant women, we prescribe children's dosages of Viferon or Genferon from antiviral drugs.

2. Gargling 5-6 times a day with a decoction of chamomile or calendula, chlorhexidine, furatsilin. In the past, an effective but unpleasant-tasting remedy called “sea water” was often used. Take a glass of warm water, add 5 drops of iodine, a tablespoon of salt, and a tablespoon of soda. A couple of gargles and your throat is disinfected. Nowadays, iodine is not used so widely due to the increasing incidence of allergies. But a lot of throat lozenges appeared. They are convenient to use, but it is still better not to overuse them, because, unlike rinsing, they do not clean the surface of the pharynx, and some cause irritation because they contain a lot of essential oils and preservatives.

3. Rinse the nose with saline solutions. There are many ready-made hypertonic solutions for rinsing the nose on sale; you can make your own saline solution and rinse your nose with it from a teapot. Finally, there is “Dolphin” - a special jar and powders for rinsing the nose with salt and chamomile. When rinsing the nose, viruses are mechanically washed away with water and the disease does not develop. After rinsing, you can put turundas with aloe juice or Vitaon balm into your nose; these products not only relieve inflammation, but also stimulate local immunity.

4. Impact doses of vitamins. B vitamins improve immunity. Ascorbic acid helps fight the virus. Vitamins are now sold in a variety of ways, from expensive complexes to cheap ascorbic acid and rosehip syrup, familiar to us from childhood.

5. Folk remedies in addition to the main treatment to recover faster:

• milk with honey;
• Finely chop the onion and add sugar, drink the juice that has been released;
• warm your feet with mustard in a basin;
• brew herbs: oregano, St. John's wort, licorice, chamomile, sage, calendula. The herbs are infused in a water bath for 20 minutes, then covered with a heating pad and infused for 40 minutes, then, when cool, drained and stored in the refrigerator, when used, warm up a little or add boiling water. You can brew herbal infusions, or just one herb. Herbs are good because they have bactericidal, anti-inflammatory, and expectorant effects. That is, we get a complex effect on the body. You can add a spoonful of honey to the herbs. Chamomile and calendula are suitable herbs for pregnant women;
• carry a clove of garlic around your neck on a string, place saucers with garlic pulp around the apartment;
• drink ginger tea. Ginger tea is brewed from grated or dry ginger, you can add a little honey. Ginger tea can be recommended for pregnant women to treat colds.

6. Acupressure helps very well with the first symptoms of the disease. Below is a diagram. We use our thumbs or index fingers on biologically active points counterclockwise up to 21 times, for the best effect, in the morning and evening.

7. Golden star balm and similar ointments and patches with essential oils are usually applied to the area near the nostrils or to the sternum, where active points are located. These medications relieve nasal congestion well, and they also have a bactericidal effect.

6. Home physiotherapy. Now there are so many portable devices on sale that you can set up a real gym at home. These are UFO quartz (they have already been mentioned), magnet, denos, nebulizer. Before using them, you should carefully read the instructions and use them only if you have no contraindications to physiotherapy.

If we overcome the disease with these means, this is very good and will allow us to cure colds much faster. But if the symptoms remain after 5 days of treatment or intensify - cough with green sputum, purulent nasal discharge, pain and stuffy ears, general weakness, fever above 39 degrees, all this is an indication for the prescription of antibiotics.

Skin pathologies

By using two-way high-definition video during consultation, physicians can see dermatologic conditions in such detail that they can immediately identify the problem and prescribe appropriate treatment.
This is a big advantage when patients live in remote areas. Detection of simple rashes and more complex problems such as shingles can be done remotely.

Don't panic: Why colds don't need to be treated

Text: Olga Lukinskaya

It may seem that medicine simply stumbled over a cold. Organ transplantation has become routine, a new generation of effective drugs has been created to treat cancer, but every winter we continue to sneeze, cough, and lie around with a fever, and no effective treatment has appeared. Disputes are flaring up on the Internet about whether to lower the temperature of children, whether a new medicine with unproven effectiveness helps, or whether it is possible to bathe a child with a cold. Let's figure out what ARVI is, how modern medicine treats it, and why people in Russia are so afraid of colds.

Postoperative follow-up

The use of virtual care for a surgical patient discharged home saves time, promotes recovery at home, and reduces the potential risk of injury and secondary infections.
Patients will not be disturbed from resting, and there will be no inconvenience due to complex transportation needs. During an online consultation, it is easy to assess progress and share laboratory results. Studies have shown that the use of virtual care reduces hospital readmission rates.

Treatment of VSD and panic attacks

One of the most unpleasant symptoms of VSD can be considered panic attacks - an unreasonable animal fear that occurs in transport, in crowds of people, alone and in other unrelated situations. A person during PA cannot control his emotions and stop panic by force of will. As a rule, PA goes away within 20-40 minutes.

There is an opinion that the cause of panic attacks is purely psychological and its roots must be sought in childhood. Accordingly, there are 2 approaches to defeating PA - psychotherapy and tranquilizers.

In my humble opinion, the cause of panic attacks is different. Disruption of blood supply and innervation in the upper cervical region (often psychosomatic) causes disruptions in the blood supply to the deep parts of the brain responsible for the limbic system. Moreover, failures can be associated with a violation of blood flow (kinks in the vertebral or carotid arteries), or difficulty in the outflow of blood from the head (impaired venous outflow in the area of ​​the trapezius muscle).

The brain (more precisely, the middle or reptilian part of the brain) sends a signal in a way accessible to it, inherited from our human ancestors - by fear. Animal horror.

As my practice and the experience of my colleagues show, working through psychosomatic root causes and restoring cerebral circulation completely eliminates panic attacks.

Telemedicine in the treatment of mental problems

Online therapy sessions and consultations with a psychotherapist can help treat depression, panic attacks and anxiety.
Online therapy and counseling services offer the intimacy of an in-person visit from the comfort of your home. Patients can consult a doctor at short notice unless the situation is an emergency. Virtual communication also removes one of the biggest stressors in the clinic.

Use nasal drops

Nasal drops are different, because a runny nose is different.

Salt water drops. Saline solution 0.9% is a good way to moisturize the mucous membrane. It will help to gently rinse your nose and remove mucus. Some manufacturers offer sea water, but in general you can use regular saline solution, which is sold in a pharmacy: it is cheaper.

You can also prepare salt water at home. To do this, a teaspoon of salt must be dissolved in one liter of water. You can instill such water often, every half hour. Then you will really feel the full power of a simple remedy.

Oil drops. They help when the nose is not stuffy. They moisturize the mucous membranes and make breathing easier.

Vasoconstrictor drops. They remove swelling of the nose, which makes it impossible to breathe. Such drops should be used with caution: do not use them for more than five days, so as not to cause addiction, do not exceed the dosage specified in the instructions, so as not to provoke poisoning with the active substance (this is especially important for children).