“A new study by Microsoft researchers suggests that persons who consult the Internet for self-diagnosis of medical conditions typically end up with the wrong conclusions. The report is the first to take a systematic look at “cyberchondria,” the practice of leaping to dire conclusions while researching health matters online, according to Eric Horvitz, an artificial intelligence researcher at Microsoft. Many people, he said, treat search engines as if they can answer questions like a human expert. Microsoft researchers note that they did not intend to send the message that people should completely ignore medical symptoms. But they do need to consider lesser illnesses as well as more deadly ones if they search online. “People tend to look at just the first couple results,” Horvitz said.”

My point is that the Internet will never be a physician. Microsoft has clearly stated that they are going to face difficulties in developing intelligent search engines that will resolve internet search patterns letting them look for at the right places; they want to enhance the actual search. But the real question is the following: Is enough to simply enhance the actual search to provide valid results for users?  The short answer is no, and the guys at Miscrosoft are honest enough to admit it. At Your TeleDoctor we are tackling the same problem, but instead of leading into a very hazardeous route, we prefer to use the internet for what it is for: An way to enhance communications and to add value to healthcare consumers by offering real services through this medium, remotely. We add a missing element to the value chain. People will keep looking for health information online, because it is a more convienient way to verify health issues and also a faster way as medicine is not an exact science and will never be. In the other hand, they want a more convinient way to confirm this information with a qualified physician.

Calling in sick may be a thing of the past, but not for the reason you might think: A poll by www.ehealthforum.com shows that more than 30 percent of people surveyed feel guilty about taking the time to attend a doctor’s appointment during office hours. According to the results, 29 percent of U.S. residents felt “mild to extreme” guilt, while 28 percent of Canadians and 35 percent of British respondents carried the same feelings. Mark Turkovic, co-founder of eHealth Forum, said people often want to be seen as the hardest, longest worker in an effort to preserve their jobs - especially in a down economy. “Sadly, taking the time out to visit the doctor all too often falls by the wayside,” Turkovic said.

At Your TeleDoctor, we believe that such a behaviour can lead to the following consequences:

-Increased Illness and death from stress, hearth disease, cirrhosis and suicide.

-Loss in competitivness due to lack of energy and lack of focus at work. Ultimatly, this situation can lead for you to lose your job.

As discussed in an earlier post, we believe that being able to consult your physician remotely can greatly reduce the likehood of missing a whole day to arrange a doctor visit. This is even more important in the current economic downturn where employers want to keep their jobs at any cost.

Since we are heading towards a possible economic recession, people will be very attentive at their spendings, by this means people will buy what they urgently need. And while healthcare is one of the priorities with food expenses and housing, we can expect that a cut on that budget occurs, especially for the category that pays for the visits.

In that sense how can we keep with health expenses when our overall budget is tightening? You cut on on your healthcare budget waiting for better times? This is certainly the immediate solution, still, it does not solve the problem, as ignoring your condition will just make it harder to diagnosis and to treat.   Afterall, and we all agree, our health is our most precious capital. What if you could access healthcare services from the comfort of your home, without having to take a day off for a doctor visit and most importantly at an affordable price?

In fact, when considering an online visit, we profit from the following benefits:

-The online consultation’s price is lower than a visit to the emergency room or at a doctor’s office. In the United States for instance, it costs as high as $140 per visit to the emergency room while teleconsultations can be priced as low as $50 without a loss in quality, as online doctors have the same formation as the doctors you visit at the office.

-Consulting a doctor implicates driving a distance, making you lose time and money while teleconsultations can be conducted immediatly and from the comfort and privacy of your home.

-When diagnosing a condition early on, the chances for a fast recovery are higher while avoiding complications. The overall recurring cost, although harder to materialise, from complications and complex diagnosis is reduced and in certain cases, eliminated. In that sense, telemedicine encourages preventive medicine by trying to understand the causes of the medical condition rather than trying to hide its symptomes with drugs; doctor being physically distant from his patient will take the time to circle the problem and propose an indepth solution.

How do you foresee telemedicine and remote consultations in the near future? Do you see yourself as a potential user of such a service? Do you think remote consultations will become mainstream any time soon?

Experience shows that doctors are far from being early adopters, electronic health records (ER) being one of the most recent cases. However, the publication of a study of 222 patients about how webcams can help in decision making when someone shows up in a rural emergency suffering from a stroke. Doctors made the right decision in 98% of the time when using a webcam while they would make the right decision only 82% of the time over the phone.This report should convince that telemedicine is important, as it is not more than a technology gadget but a necessity that can save lifes.  

The consulsion that can be drawn from these results is that using video conferencing helps doctors in decision making, the right decision that can save a life, while it decreases the risk for patients. At TeleDoctor, these facts conforts us and shows that we are heading to the right path as we are developping the most compelling tool to help doctors in decision making as well as offer the best medical service for patients.

Online auto diagnosis can be viewed as the use of the Internet to research for health related reasons, mainly for conditions. In Canada, and according to the NFO CFgroup, a study shows that 75% of Internet users use the Web to search for health-related information. Also, 50% of online Canadians claim that researching health information on the Internet makes them better able to discuss treatment options with their physician. Regarding the most visited Canadian health websites, we have on the top 3:

1. Official Health Canada website.
2. Health sections of Sympatico.ca
3. Health sections of Yahoo.ca 

Concerning the top medical conditions researched online by Canadians, the list is as follows:

1. Depression.
2. Arthritis.
3. Diabetes. 
4. Allergies. 
5. Migraine headaches.
6. Heart condition.

Yes those are lots of statistics.  Let’s take a minute and make a quick analysis.

People are naturally curious, and they tend to talk about their conditions within their close circles before heading to a physician. This comes from a fear of the unknown. There can be many factors that make us reluctant to go to see a physician right away. Among these factors, we can note the waiting time and the accessibility of a physician. So we tend to go online or ask our friends in order to get access to the medical information right away. I came accross the other day on Trusera’s website. I am fortunate enough to not have to sign in and “tell my story”. This website aims to connect people with the same problems. In a sense, they are trying to organize the health information on the web and make it patient/person wise. In my opinion, information should come from physicians. It is legitimate to look at the information online, but we will still be in doubt until we ask a real physician. Medicine is not an exact science and the expertise of a healthcare professional is and will always be, in most cases, the best source of information. 

With Your TeleDoctor, we want to address the void between the visit to a physician and the moment when we start questionning ourselves (online?) or entourage.  Note that the service will be used for minor conditions, only. We had a long talk with our lawyer, as well as with our medical advisor and the best way to avoid lawsuits is to use our service for conditions that are likely to be diagnosed remotely. When we know, that 70% of people that visit a general practionner have minor concerns, we can say that a market opportunity is right there for us. However, the critical question is how to acuratly address this market. 

More to come soon on this question…Please feel free to comment/ask/disturbe my positions.