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#1 null

Posted 23 March 2020 - 12:57 PM

My child had a psychiatric appointment today over Zoom. I thought it went well but when I asked him how it went, he said he found it more difficult to connect with the doctor (noting he already struggles with ASD) and preferred having the appointment in the psychiatrist's rooms.

Has anyone else used telehealth services recently?

#2 CallMeFeral

Posted 23 March 2020 - 01:09 PM

I ran my first session about half an hour ago and it was a disaster. Video kept dropping out, switched to phone and that kept dropping too.
And all this is without all the schoolkids off school yet loading the network. I can't see our network being able to carry this off.

Sorry, that turned into a bit of a vent.
I think Telehealth will always be less good than face to face. I guess though that the hope is that it's still better than no appointment at all. The research shows effectiveness so there may be an aspect of adjusting to it initially?

#3 Chaotic Pogo

Posted 23 March 2020 - 01:09 PM

Had an easy phone call with GP to get script for an issue Ive had once before.

She called me, 6 mins and done.  I wish we could always do it that way.

#4 #mocha

Posted 23 March 2020 - 01:21 PM

Used Telehealth a few times.  Never had any trouble.  

My child has used it for psychiatric and regular    Psychology appointments as well.  Those have been Skype sessions.

To be honest I prefer Tele health if possible, so much quicker and easier

#5 born.a.girl

Posted 23 March 2020 - 01:37 PM

View PostChaotic Pogo, on 23 March 2020 - 01:09 PM, said:

Had an easy phone call with GP to get script for an issue Ive had once before.

She called me, 6 mins and done.  I wish we could always do it that way.


Let's hope it continues on if it's successful.  I suspect often things seem impossible, until they're inevitable, then we find we can do them after all.

I had three separate issues, couldn't get a long appointment so made three separate ones to get it all out of the road before isolation. Could all have been done over the phone.

#6 Lees75

Posted 23 March 2020 - 01:41 PM

I'm a community OT and have started offering Tele-health and phone appointments, email appointments, whatever is needed.  Some things a little tricky and will take working out, but other things can be easily sorted. NDIS is on board, as they have always had the flexibility for service delivery in whatever way the clinician and participant felt best.

DVA, on the other hand, we still don't have any Telehealth or phone codes to use :( Greg Hunt did say today that he is hopeful to have a full range of Telehealth services up and running by the end of the week. But I can't believe that our vulnerable elderly population have been left high and dry for as long as they have been.

#7 purplekitty

Posted 23 March 2020 - 02:03 PM

View PostLees75, on 23 March 2020 - 01:41 PM, said:



DVA, on the other hand, we still don't have any Telehealth or phone codes to use Posted Image Greg Hunt did say today that he is hopeful to have a full range of Telehealth services up and running by the end of the week. But I can't believe that our vulnerable elderly population have been left high and dry for as long as they have been.

Having dealt with DVA and Aged Care services for the last couple of years I am not at all surprised.

#8 SM3s Fight Song

Posted 23 March 2020 - 03:45 PM

I'd love our GP to offer these.  So much better than taking 3 kids in.  A lot of the OT and speech therapists here are switching to Skype or zoom.  I can't see it working for ds1, maybe if he already had a relationship but we're just starting.  I have first appointments booked in for mid April with both OT and speech.  But expecting a we're no longer doing face to face appointments email any day now.

#9 Amica

Posted 23 March 2020 - 04:10 PM

We had one this morning on Skype with a psych. It went ok. I won't agree to one with a doctor though under usual circumstances. They have been trying to push it on us in the regions for a while now so that we don't have to travel to Brisbane to see specialists or so that specialists no longer do regional clinics. I refuse. I would rather to travel to Brisbane if they won't come here. It is not first class health care in my opinion. It is second class last resort.

Our OT has offered Skype sessions starting this week. I have cancelled them instead. My child is tactile, and needs the movement and stimulation. Sitting in front of a computer to do his therapy is near pointless. Pretty much laughable.

Edited by Amica, 23 March 2020 - 04:20 PM.


#10 CrankyM

Posted 23 March 2020 - 04:13 PM

We’ve used it on and off for ages with a psychologist. He actually find the opposite, less stress and more able to connect then when in person. I think that is more about demands for him though. We live rural and it was the only way to access regular psych support for 6 months. It was a bit hard the first few sessions but it’s gotten better.

#11 FuzzyChocolateToes

Posted 23 March 2020 - 04:16 PM

Our paediatrician just notified that our appointment tomorrow will be by Zoom.

#12 SM3s Fight Song

Posted 23 March 2020 - 04:53 PM

I wouldn't want to Skype a specialist, unless it was simply for repeat prescriptions.  Ds1 paediatrican does that off a phone call.  $20 cost versus over $200 out of pocket for an appointment.  I think there's a role for Skype, but not in complex medical situations or for new patients for gp or specialist.  I need a new script from my gp this week.  But we discussed the next medication I'd be trialing if the one from a month ago got rejected by my body, which it did.  So it will be a very straightforward visit. I just need a prescription and to know at what rate to increase and when to come back for review. I think in situations like that telehealth has a role to play with medical doctors.  For mental health professionals who don't need to see you as part of diagnostics I think it could play a greater roll and help make access to mental health specialists more available in remote areas.

Edited by SM3s Fight Song, 23 March 2020 - 04:55 PM.


#13 null

Posted 28 March 2020 - 08:54 AM

My son has an infected toe and I just got a call that my GP will only do phone consultations. I guess I understand but I am not sure how this will go.

#14 Tinkle Splashes

Posted 28 March 2020 - 09:21 AM

My DP works in the area of telehealth for the public system.  Started a new role in January (how's the timing)!

I think there are many roles for telehealth, and in normal times those roles would be clearly expressed.  In the current times, I think many things we think can't happen, can.

There is definitely a role for some specialist appointments to be improved by telehealth.  For example, paediatric dietician appointments can benefit from seeing the specialist the child in their home environment, and seeing how they are actually eating, rather than trying to recreate that in a consultant's office.

#15 born.a.girl

Posted 28 March 2020 - 09:46 AM

View PostTinkle Splashes, on 28 March 2020 - 09:21 AM, said:

My DP works in the area of telehealth for the public system.  Started a new role in January (how's the timing)!

I think there are many roles for telehealth, and in normal times those roles would be clearly expressed.  In the current times, I think many things we think can't happen, can.

There is definitely a role for some specialist appointments to be improved by telehealth.  For example, paediatric dietician appointments can benefit from seeing the specialist the child in their home environment, and seeing how they are actually eating, rather than trying to recreate that in a consultant's office.

Didn't think of that, good point. How often have I spent at the physio/doctor etc describing something at home, that would have been handled far more efficiently if I could just have had them 'with me' in the house.

We just take for granted that all of this has to work by explaining in their rooms.

Vets, too. Fewer cars on the road with people going to appointments would be a bonus.

#16 Tinkle Splashes

Posted 28 March 2020 - 10:10 AM

Yes, my DP has spent a lot of time in discussions with specialists and generalists, identifying the types of consultations that would work as well, or better, with telehealth.

He has had to rapidly abandon that mission and focus on delivering telehealth across the board though.  There will be enormous learnings within the system, and hopefully when things go back to "normal" there will be some long-term improvements in the system.

#17 Demera

Posted 28 March 2020 - 10:22 AM

It's awesome for followup appointments.  I did one the other day for a specialist that is 4 hours travel away.  The whole thing including waiting time took about 40 minutes.  If I'd seen him in Melbourne it would have been 8 hours travelling, parking, navigating Melbourne, and a whole day off work.  I simply walked three minutes from work to the doctor's surgery.

I wish my husband's specialist would do the same. He has regular appointments and sometimes he has no option but to see him in Geelong. It's a whole day lost.  Otherwise it's Ballarat, which is half a day lost.

#18 Caitlin Happymeal

Posted 28 March 2020 - 10:34 AM

We had our first telehealth appt on Thursday and it was brilliant. Dd had OT via Zoom. We are doing the same for psychology today.

I'm hoping that when all this is over, all our parent sessions can be delivered this way. Maybe not the child parent sessions, because the actual physical interaction and activities might be better together, but for the time being it is a real, viable option.

We are trying to do all reviews at work that don't require a face to face this way too. I really hope we learn a lot about about how our health services can be delivered in more flexible ways from this experience - we can reach so many more people and help greater numbers if it is harnessed appropriately.

Whilst its crappy that we've been forced into using it, it may be a really revolutionary time for health care delivery. It won't fit every circumstance, but it's another tool in the arsenal.

#19 null

Posted 28 March 2020 - 12:37 PM

So we just finished the phone call with our GP. I explained the extent of the redness etc and he prescribed antibiotics on the basis of what I told him. He didn't ask to see a photo of the toe or anything. I hadn't weighed him recently but I wish I had weighed him and been prepared. There was a bit of messing around to make sure the pharmacy had received the prescription but I got it sorted quickly enough over the phone.

#20 MissHLH

Posted Yesterday, 02:59 PM

I had two Telehealth appointments last week.  The appointment with my psychologist (who I've seen for over 2 years, so have a relationship with her), went okay, although not great.  Very hard to make a good connection.  The appointment with my psychiatrist was terrible, and I don't feel like there was any connection.  I was hoping for an adjustment to my meds, and there wasn't even a discussion about it.

#21 *bucket*

Posted Yesterday, 06:01 PM

I've had a Telehealth appointment with psychologist, it went okay technically, but I didn't like it and didn't get nearly as much out of it as I would have a face-to-face appointment.

DS has one tomorrow, will see how it goes. And not covered at all by Medicare, as the new MBS numbers are only for if the provider bulk bills, and his won't. I might get something back from PHI.

At this stage paed appt next week is still in person, and I hope it stays that way.




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