This open, multidirectional sharing of knowledge and expertise creates new local capacity that didn't previously exist to treat devastating conditions like opioid addiction, rheumatoid arthritis, heart disease, HIV and hepatitis. In New Mexico, for example, the number of providers certified to treat opioid use disorder with buprenorphine has increased more than tenfold—from 36 in 2005 to 375 in 2014—following the launch of an ECHO for treating addiction.
Do you have a doctor who makes house calls? In the middle of the night and on holidays? Or one that comes to your office when you’re stuck working on a project? No? Well, you do now. With Medical City Virtual Care, you can access a trusted healthcare provider 24 hours a day, 7 days a week, 365 days a year from any mobile device or computer … from anywhere in Texas … no appointment necessary. Right this way: Your online doctor will see you now.
4. Your pharmacist will then tell you what medication you can have and how much you will have to pay for it. Based on your doctor’s recommendation, costs, and other personal factors, you can now decide what medication to use. It’s a good idea to consult with your doctor to determine what medication would be most effective for your health while staying within your budget.
Store and Forward – This is a form of telehealth consultation which uses images from the patients to come up with the medical diagnosis. The different types of Store and Forward services include dermatology, radiology and wound care. It may also include transferring of patients’ clinical data like ECG and blood test results from the patients’ site to the hospital’s site.
However, coverage, payment and other policy issues prevent full use of telehealth, remote patient monitoring and similar technologies. Medicare policy is particularly challenging, as it limits the geographic and practice settings where beneficiaries may receive services, as well as the types of services that may be provided via telehealth and the types of technology that may be used. Access to broadband services and state-level policy issues, such as licensure, also limit the ability to use telehealth.
Blue Sky Telehealth is committed to making specialty healthcare services more accessible to patients nationwide. We partner with hospitals to create a customized telehealth system that integrates with the facility’s existing processes and technology. Through our service, medical facilities can contact highly experienced medical specialists 24/7 to assist with patient care, diagnosis, and treatment. This saves hospitals the cost of keeping a medical specialist on-call full time and ensures that a qualified medical professional will always be available to tend to a patient with special care needs.
Likely one of the most popular specialities for telemedicine, mental health practices can increase revenue, streamline patient flow, and provide counselling sessions from anywhere. With telemedicine, patients in rural areas can now access mobile and web apps to speak with their therapist. In addition, cancellations and no-shows are less likely to occur. Mental health practices that implement telemedicine can also see more patients and still provide a high level of patient care. This leads to increased profitability and effective time management.
Unfortunately, there is no medication which removes the chance of contagion, but through careful planning, proper protection, and prescription medication men and women are able to live life normally once again. Prescriptions for Acyclovir and Valtrex can help to keep the virus from spreading or multiplying. Topical creams, and over the counter pain medication can also be used for the redness and discomfort associated with the illness.
Since the internet and mobile devices now pervade our lives, it is natural that people want to leverage telehealth technologies to improve care, offer convenience, promote access, and support sustainability. Telehealth services range from consultations and video conference mental health sessions to public health broadcast text messaging and on-demand provider education.

Ravyn Ramos has practiced medicine since 2009 and provided virtual care since 2014. She received her Doctor of Naturopathic Medicine degree from Bastyr University in 2004, and her Master of Nursing from Seattle University in 2007. In addition to her work in telemedicine, she serves as clinical faculty in Walden University's distance learning program, as well as practicing as a Family Nurse Practitioner in several local medical centers. In her spare time, she enjoys Bikram yoga, baking bread, traveling and watching the Sounders.


Alan Pitt, MD, is a neuroradiologist at Barrow Neurological Institute. He is the former chief medical officer of Avizia, which was acquired by American Well earlier this year. Dr. Pitt also serves as an advisor to several health IT companies and operates his own podcast. He offers a four-pronged framework to examine the current world of telemedicine: direct-to-consumer, self-service, clinician collaboration, and "spaces."
“I woke up Sunday morning with a dry cough and terrible headache,” Ben said. “Realizing I didn’t feel up to going to a clinic, I logged on to Medical City and selected the virtual option. Using the interface was straightforward. I answered several easy questions about my current condition and minutes later I received an email that my info was being examined. I was instructed to set up an account. A second email contained my prescription and expected recovery time. I sent the prescription to the pharmacy next to my house and good to go. In no time, I had the medication and was on my way to feeling better.”
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