Instructions for patients with thyroid concerns prior to ROJoson Telemedical Consultation

Instructions for patients with thyroid concerns prior to ROJoson Telemedical Consultation:

1. Take pictures as instructed below and send through FB messenger or Viber ----

Pictures to be taken prior to telemedical consultation

Patient is asked to take still pictures and video showing the following and submitted to the physician for inspection (this will complemented by the webcam):

Patient has to have water to drink and to swallow to enable the trachea to move up and down during the picture taking.

There must be an adequate lighting in the room where picture-taking is to be done.

Still Pictures

Front view of the whole neck (with no dressing or coverage) with neck extended or stretched upward, from the level of the lower lip and ears to just below the collar bone.

Front view of the whole neck (with no dressing or coverage) but with neck turned to right side, from the level of the lower lip and ears to just below the collar bone.

Front view of the whole neck (with no dressing or coverage) but with neck turned to left side, from the level of the lower lip and ears to just below the collar bone.

Right side view of whole neck (with no dressing or coverage) with neck extended or stretched upward, from the level of the lower lip and ears to just below the collar bone.

Left side view of whole neck (with no dressing or coverage) with neck extended or stretched upward, from the level of the lower lip and ears to just below the collar bone.

Videos

1st set of video – front view with positions described in the still-picture instructions but with patient swallowing at least 6 times.

2nd set of video – right side view with positions described in the still-picture instructions with the patient swallowing at least 6 times and head turning side to side.

3rd set of video – left side view with positions described in the still-picture instructions with the patient swallowing at least 6 times and head turning side to side.

See attached file.

2. Take pictures of pertinent old medical records and send through FB messenger.

3. Download ZOOM apps (https://zoom.us/). [As much as possible. If unable, tell ROJoson.]

4. Stay in a quiet (no noise) private room (as patient may be asked to undress during physical examination) with good lighting (natural light or white light) for the telemedical consultation with video medical examination.

5. Have a companion who has friended me in my Facebook and who has a smartphone with camera and video capability to take pictures as requested by ROJoson and to assist in the video medical examination. He/she will assist patient in:

• understanding my explanations and recommendations.

• ROJoson's tele-examination of body parts using still and video pictures.

• doing examination of body parts.

• other things that ROJoson may instruct him/her to do.

6. Have a marker pen and a tape measure or ruler ready for use when needed.

Other things to prepare may include the following (depending on the situation):

• Alcohol if possible (otherwise, wash hands with soap and water)

• Gauze

• Cotton balls

• Sanitary napkins

  • Plasters

7. Text me – 09188040304 – once done and wait for further instructions.