ROJ-TMC-am-Breast Cancer

ROJ-TMC (ROJoson Telemedical Consultation)

Concern: Pain related to breast cancer

Teleconference with family members in a separate room

An advantage of a Telemedical Consultation

WIthout rushing to a hospital - don't rush to hospital

Lessons Learned in ROJoson Telemedical Consultation (for the public)

To my patients and friends who trust me as a physician, DO NOT RUSH TO GOING TO HOSPITALS WITHOUT CONSULTING ME UNLESS THERE IS A LIFE AND DEATH SITUATION.

Case in Point today - March 28, 2020

A patient with advanced breast cancer with pain rushed to PGH this morning at about 10 am. While on the way, texted me they were on their way to PGH. I asked them why the family did it as they would encounter a lot of inconvenience and without informing me first. True enough, they did encounter checkpoints in PGH. They were told there were 2 COVID patients in the consultation room and asked them if they really wanted to take the risk. They called me up again. With difficulty, I facilitated their transfer to OMMC and asked the OMMC residents I know to just give parenteral pain meds and then discharged. They are now home at 6 pm. At 7pm, I conducted a telemedical consultation to check her status and educated the patient and the family on what they should do.

It is a hassle for the patient and the family and myself. I have to cancel several telemedical consultations just to help this patient - looking for doctors to see them.

SO, AGAIN, to my patients and friends who trust me as a physician, DO NOT RUSH TO GOING TO HOSPITALS WITHOUT CONSULTING ME UNLESS THERE IS A LIFE AND DEATH SITUATION. This is my patient-centered care and advice to you.

FEEDBACK FROM PATIENT:

Thank you very much doctor joson for your telemedical consultation it was a big help specially this lackdown time, we dont need to go to the clinic it saves the health of your patient as we have a covid 19.. you make your consultation same as face to face consultation, and also give a discount for your patient like us that has financial problem.. god bless...

ROJ@20mar28