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I, Dr. Reynaldo O. Joson, have been doing telemedical consultation when I started private practice in 1981 through telephones, pagers (Pocketbell, Easy Call), cellphones, emails, and through facebook (starting June 16, 2011) and Viber.
I decided to formalize it into ROJoson Telemedical Consultation starting March 17, 2020 when enhanced community quarantine in Luzon was imposed because of the COVID19 crisis.
I have to stay home and patients have to stay home. I have to work from home to treat my patients and the only way is through a TELEMEDICAL CONSULTATION.
ROJoson's Way (objectives / intentions)
To preserve continuity of ROJoson Medical Clinic services to the Filipino people.
To protect the Filipino patients from being put at risk of COVID-19 infection when they go to ROJoson Medical Clinic for consultation because of the COVID-19 epidemic.
To offer online medical consultation services to the Filipino people who cannot or have difficulty going to clinics and hospitals because of the community quarantine and who have no physicians to consult because of closure of clinics during the COVID-19 epidemic.
Telemedical Consultation is not a face-to-face medical consultation where the physician directly sees and touches a patient to evaluate his / her medical concern, then to make a clinical diagnosis and then recommendations for treatment.
In Telemedical Consultation, interactions between the physician and patient for purposes of medical evaluation and medical recommendations are made through information technology or gadgets such as telephone, cellphone, email, Facebook, Viber, Hang-outs, Zoom, and other online apps with no face-to-face interaction.
I offer telemedical consultation on my declared medical specialties:
Medical Specialties of Dr. Reynaldo O. Joson
General Medicine; General Surgery; Surgical Oncology;
Head and Neck, Thyroid, Breast, Abdomen, Gallbladder, Stomach, Intestines, Hernia, Skin and Soft Tissue Disorders
What is a Medical Consultation?
Medical consultation, whether tele (virtual) or face-to-face, is defined as a patient or a relative of the patient voluntarily seeking out a physician to get professional ADVICES on certain medical concerns.
ROJoson Face-to-Face Medical Consultation
ROJoson Telemedical Consultation
The physician, as a matter of basic routine, interviews and does physical examination on the patient to get to a clinical diagnosis. If the patient has previous medical records, these are reviewed with the interview and physical examination data to get to a clinical diagnosis.
After the clinical diagnosis, the physician explains his clinical diagnosis to the patient or relative and then advises on the subsequent steps in the management. The advice on subsequent steps of management may include medications, diagnostic and treatment procedures, or just a watch and wait or monitoring approach.
A medical consultation strictly speaking ends on the physician giving advice. It does not include prescription of medications and performance of diagnostic and treatment procedures on the patient. However, prescription of medications and request for diagnostic procedures can be included in a medical consultation usually with no additional or extra service charges to the patients.
Performance of diagnostic and treatment procedures is entirely separate from medical consultation and carries additional service charges to the patients.
There are a lot of telemedical consultation services being offered by various physicians, medical clinics and hospitals.
How ROJoson Telemedical Consultation differs from other telemedical consultation services
ROJoson's Telemedical Consultation approximates ROJoson's conventional Face-to-Face Medical Consultation!
ROJoson Telemedical Consultation approximates the standard ROJoson's face-to-face medical consultation with patients in his ROJoson Medical Clinic.
- Greeting
- Getting to know the patient (personal data)
- Eliciting concern or reason for consultation
- Gathering data to be used in arriving to a primary clinical diagnosis [symptom data; data on previous and past medical treatment; sign data - inspection (looking at the patient's body and pointed area/s of concern with still photos and videos) and physician-guided patient-self-palpation reinforced by a companion-palpation of areas of concern with still photos and videos]
- Reviewing patient's previous and past medical records
- Doing medical recording in a stationary or digital platform (digital document, white board, paint board, etc.) which contains primary clinical diagnosis; explanations; recommendations
- Discussing with patient to come out with shared decision-making and informed consent on treatment plan
- Educating patients
A scanned or digital medical record will be given to the patient. Patient shall acknowledge understanding and receipt of the medical record.
ROJoson takes time to interview, ask and gather data meticulously.
He takes time to examine patients meticulously using physician-guided with patient-relative-assisting physical examination aided by still pictures and videos to promote accurate findings.
He patiently takes time to teach patients to empower them on how to diagnose medical conditions and diseases and how to do physical examination on themselves which is needed for self-monitoring purposes after the consultation.
He always gives his primary clinical diagnosis followed by clear and extensive explanation, recommendations and discussions on subsequent steps to take and what to expect after the consultation.
He takes time to discuss with patients and relatives to come out with shared decision-making and informed consent on treatment plan.
He provides patients with a digital medical recording of what transpired during the telemedical consultation for them to review and to keep for future reference.
ROJoson Telemedical Consultation
Quality time with relevantly complete and accurate data gathering with clear and extensive explanation and discussion on diagnosis and prognosis with shared decision-making and informed consent on treatment plan with empowerment and with compassion!
See samples of actual ROJoson Telemedical Consultations on the side bar.
Samples of scanned medical record given to all patients after the ROJoson Telemedical Consultation
March to June 2020
Started June 2020
Digital copies of medical records, prescriptions, lab requests and referral letters started around September 2020 - no more hard copies then scanning of these hard copies
Sample of ROJoson teaching and guiding the patient and relative to do palpation.
Sample of ROJoson-guided patient-self-palpation
Sample of ROJoson-guided patient-self-palpation
Sample of ROJoson-guided companion palpation
See Feedback on ROJoson Telemedical Consultation on the side bar.
Platforms used for ROJoson Telemedical Consultation:
Facebook Messenger alone or cum Zoom (started May 17, 2020 with Zoom) (usual platforms as of January 13, 2021 - FB Messenger complementing Zoom)
Viber alone or cum Zoom (started May 17, 2020 with Zoom)
Facebook Messenger (Since March 17, 2020)
Zoom (officially started May 17, 2020)
Google Hangouts (started in March 17, 2020 then put on hold in May 17, 2020 shifting to Zoom)
Facebook Account:
Request Facebook Friendship in https://www.facebook.com/rojoson.telemedicalconsultation.9
Zoom Account: to be given prior to ROJoson Telemedical Consultation
Booking for ROJoson Telemedical Consultation
Text or SMS ROJoson - 09188040304 - with the following messages and data:
I have read the Primer on ROJoson Telemedical Consultation and have agreed to the terms and conditions set in this Primer.
Complete name, age and sex
Concern to consult ROJoson:
I like to set an appointment for ROJoson Telemedical Consultation on DATE (specify the date).
My cell number is:
My email address is:
My Facebook account is:
Then, wait for ROJoson to respond through text or SMS. He may give further instructions aside from the appointment date and time.
Text or SMS with incomplete data will not be entertained.
Examples of correct SMS to ROJoson requesting for appointment:
ROJoson Telemedical Consultation Fees
FOR FORMAL STRUCTURED COMPREHENSIVE CONSULTATION (with medical recording)
15-min session = P1500
20-min session = P2000
30-min session = P3000
45-min session = P4000
60-min session = P5000
more than 60-min session = P6000+
FOR INFORMAL QUESTION-AND-ANSWER CONSULTATION using FB Messenger, Viber, Email or Cellphone (without formal medical recording) [Note: an initial FORMAL STRUCTURED COMPREHENSIVE CONSULTATION with medical recording is required.]
not more than 15-minute session = P1500
not more than 10-minute session = P1000
ADJUSTABLE TELEMEDICAL CONSULTATION FEES
NOTE: I will adjust the consultation fees accordingly to PFD - Patients with Financial Disability or People with Financial Disability.
NOTE 2: I will adjust the consultation fees (meaning give discount) to senior citizens and persons with disability.
NOTE 3: I will adjust the consultation fees (meaning give discount) to returning loyal and compliant (masunurin) patients.
NOTE 4: HMO CARDS NOT ACCEPTED.
Initial Screening and Evaluation and Referral to Preferred Specialist
Policies:
ROJoson Telemedical Consultation services include initial screening of concerns even if at first glance, they are not within the specialty of Dr. Joson.
After evaluation, proper referral to competent and compassionate specialists is facilitated by Dr. Joson, either for another telemedical consultation with the referred specialist or face-to-face medical consultation.
Looking for the ROJoson's preferred specialists is part of ROJoson Telemedical Consultation.
Thus, there is a consultation fee involved. Fee will depend on complexity of case; length of telemedical consultation; degree of difficulty of referring to preferred specialists, etc.
Telemedical consultation through Facebook Messenger, Viber, Email and Cellphone
Some friends on Facebook assume they can consult me anytime any case on Facebook for free.
Asking questions on ROJoson Facebook Messenger, Viber, Email and Cellphone on health concerns automatically constitutes telemedical consultation. NOT FREE all the time.
Fee will depend on complexity of case; length of questions and answers; etc.
The general fee schedule will be as stipulated under informal question-and-answer consultation (see below) but may go higher depending on the complexity of the concerns and length of questions and answers:
FOR INFORMAL QUESTION-AND-ANSWER CONSULTATION using FB Messenger, Viber, Email or Cellphone (without formal medical recording) [Note: an initial FORMAL STRUCTURED COMPREHENSIVE CONSULTATION with medical recording is required.]
not more than 15-minute session = P1500
not more than 10-minute session = P1000
Methods of Payment (HMO CARDS NOT Accepted)
(Please send a screenshot or picture of your deposit as payment confirmation with name of patient on it)
Metrobank Deposit - REYNALDO ONG JOSON - 0443005588294
BPI Deposit - CAMILLE JOSON - 837-921-9293
GCASH – JACQUELINE JUDITH JOSON – 09178365178
Payment may be done before or after the ROJoson Telemedical Consultation.
Name, address and contact number shall be obtained for purpose of payment invoice.
ROJoson Telemedical Consultation Disclaimer
Medicine is not an exact science!
Medicine is a science of uncertainty and an art of probability! (Sir William Osler)
I practice my medical profession factoring in the above precepts.
I don’t guarantee or give warranty for successful outcomes in my medical management.
Nevertheless, I do my utmost best in managing my patients so as to promote successful outcomes (resolution of the health problem with minimal side-effects as much as possible).
Reynaldo O. Joson, MD
March 17, 2020
NOTE: ALL PATIENTS GOING FOR ROJOSON TELEMEDICAL CONSULTATION MUST AGREE TO THE TERMS AND CONDITIONS SET IN THIS PRIMER BEFORE THE START OF THE CONSULTATION.
Before the start of the ROJoson Telemedical Consultation, the patient will be asked to manifest agreement to the terms and conditions set in this primer through SMS and Facebook Messenger.
Copy and paste but type your complete name and date first.
"I have read the Primer on ROJoson Telemedical Consultation and have agreed to the terms and conditions set in this Primer."
Type Complete Name and Date
ROJ@20apr29;20may20;20jul8;20aug17;20sept17;21jan13;21mar12:22mar31
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