How are those holding up in the outpatient setting during covid-19?

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Transitioning to a lot of telemedicine visits.

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Well our urgent care turned into a resp care. Now urgent care pts can't see pcps. Kind of crazy.

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It’s been rough. Especially doing telemedicine with COVID outpatients who are experiencing dyspnea and finding creative ways to assess their breathing without a pulse ox. For others, I find it harder to cut telemedicine visits short because it’s obvious that people are desperate for human interaction. I do like seeing people’s home environments via video because it gives me better context

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Our practices are partnering with certain Home Health companies to be present with patients to support the Telehealth PCP visits with a 2 day advanced notice of appt when possible. Some Home Health companies have a Telehealth program that can drop off equipment like a pulse ox , scales, BP monitoring equipment that can be evaluated remotely with any abnormal values reported to the PCP. This has been very helpful!

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Outpatient surgery is a challenge. Many of my pain patients are so grateful for continued care. Our GI lab is running two days per week now and the upper GI patients are getting better. There is a certain calm now in these two populations as they are getting unhurried and focused care.

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