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During the telemedicine conference, doctors and nurses use the computer to look at and talk to patients. H., associate professor of Emergency Medicine, Community and Preventive Medicine, and Geriatrics/Aging at URMC.

They can take vital signs, listen to the heart and lungs through an electronic stethoscope, assess pain, order blood work, and have a prescription faxed automatically to a preferred pharmacy. “And from our perspective, it is gratifying to be able to identify a pneumonia early on, which can avert a hospitalization, or treat something described as a ‘rash’ or ‘foot pain’ that turns out to be a diabetic ulcer or cellulitis.”In some instances, Shah said, a patient may be experiencing significant pain but will minimize it to family and friends because he or she does not want to go to the hospital.

After a planning phase, researchers began enrolling participants in November 2010. “But I love it because you stay right in your room and they come to you and do what they have to do.”Co-investigators of Health-E-Access for Senior Living Communities include Dallas L. D., medical director of The Strong Health Geriatrics Group, and Suzanne M. D., assistant professor in the Department of Medicine, Geriatrics/Aging.

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(The Golisano Children’s Hospital operates the Health-E-Access program.) In the case of older adults, once a person is enrolled, he or she (or family, or caregivers) can call The Strong Health Geriatrics Group any time they are concerned about a new health issue.

A nurse specialist triages the complaint and a trained technician travels to the patient’s home with the appropriate software and sets up a live video conference between the patient and a physician.

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