You may remember how our lives changed during the COVID-19 pandemic. There was a time when we were afraid to even step out of the house. At a time like this, especially for someone with a chronic illness like breast cancer, seeing a doctor became a big problem. So with this challenge, there was a big change in the way medical care was provided. Today, we are going to talk about a special method that was introduced that is still used in breast cancer treatment today.
What is Telehealth?
Simply put, telehealth or telemedicine is the use of technology to receive medical advice and treatment from the comfort of your own home, without having to go to a hospital, clinic, or doctor's clinic. Imagine talking to a doctor from your smartphone, tablet, or computer and discussing your health issues.
This method is now used for many things, such as diagnosing breast cancer, discussing treatment, and monitoring you after treatment (follow-up care).
What are these online methods like?
This telehealth service can be accessed in various ways. Let's look at a few of the main methods.
Video/Audio Calls
This is the most popular method. Just like you would make a WhatsApp video call to a friend, you can connect with your doctor at a scheduled time via video call. Just like a regular channel, this also requires a time slot. During this time, the doctor can ask about your symptoms, look at your appearance, and do a basic assessment. However, if the doctor feels that he or she needs to examine you physically, he or she will ask you to come to the hospital.
Online Patient Portals
What happens is that your doctor or hospital gives you access to a secure website or a special app. You can upload your medical reports, scan images, etc. to it. The doctor can then review these at his/her convenience and send you any advice, prescriptions, or other information you need.
Remote Patient Monitoring
Imagine that you are in a difficult, remote area. But you need to get the services of a specialist doctor in Colombo. This method is very useful in such a situation. A nurse or other health worker in your area can take your blood pressure and other body tests and send that information to that specialist doctor.
Email or Text Communication
Sometimes, the doctor's office can send you simple information, such as the results of your reports and the date of your next visit, via email or SMS.
If you are using Telehealth for breast cancer treatment, keep these things in mind:
If you are receiving online treatment for breast cancer in this way, it is very important to keep these points in mind.
- Don't delay if you feel a lump or something unusual: If you notice a lump, a lump , or any other unusual change in your breast, don't delay. Contact your doctor right away, even online. But remember, in such cases, you will most likely be asked to come in for a check-up.
- Afraid to talk alone? Bring someone along: If you feel a little scared or uncomfortable talking to a doctor online, have a family member or a trusted friend with you during the time. If they can't make it, ask if they can join you on the video call as well. That will put your mind at ease.
- Don't hesitate to get a second opinion: This is the same whether you're online or in person. If you have any concerns or concerns about the treatment you're receiving, don't hesitate to get a second opinion from another specialist. It's your right.
- Consider your mental health : Living with cancer is not easy. If you are experiencing feelings of depression or anxiety, talk to your doctor about that as well. Many psychiatrists and counselors now offer online services.
- Don't skip essential appointments: Chemotherapy, radiation therapy, and surgery cannot be done at home. If your medical team tells you to come to the hospital for such treatments, follow those instructions exactly. It's essential to get the best care.
What are the advantages and disadvantages of the telehealth method?
Like anything, this method has its advantages and limitations. Let's see these clearly in a table.
| Benefits | Disadvantages / Limitations |
|---|---|
| Saving travel time, effort, and money. Saving time and money on commuting to and from the hospital. | The doctor may not be able to physically examine you. This may result in missing some symptoms. |
| Even those living in remote areas have the opportunity to seek advice from specialist doctors in cities like Colombo. | This requires a good smartphone or computer and stable internet access. This can be a problem in very remote areas. |
| Being able to protect yourself from infectious diseases (e.g. COVID-19, other viruses) when going to the hospital. This is especially important because someone undergoing chemo has a weakened immune system. | Some sensitive, personal matters may feel awkward to discuss over a video. |
| Being able to easily contact a doctor for simple follow-up tasks, such as taking regular medications and showing reports. | Not suitable for emergencies at all. If you experience chest pain or excessive bleeding, you should go straight to the nearest Emergency Department (ETU). |
| Easy access to services such as mental health and nutritional counseling. | Some insurance companies may not cover these online services. Be aware of this in advance. |
The important thing is that telehealth is a great tool to have in addition to seeing a doctor, but it is not always a complete replacement. It is best to talk to your doctor and decide whether this method is right for you.
Take-Home Message
- Telehealth is a useful way to talk to a doctor from home, but be aware of its limitations.
- If you notice an unusual lump or change in your breast, don't delay. See your doctor as soon as possible.
- You must go to the hospital for treatments like chemotherapy and radiation. Follow the doctor's instructions carefully.
- Even online, if you are not satisfied with the treatment you are receiving, don't be afraid to seek a second opinion from another doctor.
- Do not rely on Telehealth in an emergency. Go directly to the nearest Emergency Treatment Unit (ETU).
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