Cleveland Clinic neurologist says virtual second opinions fill a widening gap

The clinic by Cleveland Clinic, an initiative with the Technology and Remote Services Company, AMWell, has results to change life from the leading virtual care.
The clinic provides second virtual views by many major healthcare professionals. The platform connects patients with more than 3,500 specialists in Cleveland Clinic without having to travel to a major medical center.
The wrong diagnosis Contribute to more than 800,000 deaths or disabilities Every year in the United States, Johns Hopkins – cost hundreds of billions of billions to exceed human cost.
The clinic data written by Cleveland Clinic appears in 67 % of casesPatients receive a new diagnosis or treatment after looking for a second opinion.
The opinions of the second nerve through health care
“Over the past five years, dozens of virtual virtual nervous opinions have been conducted, and from the patient’s point of view, the most valuable is the interaction with the provider and the report that ultimately comes with our advice,” said Dr. Robert Permel, a neurologist and director of the Melin Center for Nervous Sclerosis at the Institute of Neurology in Cleveland and Eveland.
Bermel provides second virtual views throughout the country through the clinic by Cleveland Clinic.
“To reach this point, there is a lot of work in the background and interaction with many doctors who build the patient’s confidence in our recommendations – whether it is a diagnosis or a change in treatment, or just confirm that they are on the best path already,” continued.
“We liken these second opinions to” pressing the easy button “for patients, thanks to the smooth work that was accomplished on their behalf.”
Bermemel said the second virtual opinions are working to transform nervous care in the country.
“The second virtual opinions raise care throughout the country to patients who suffer from these cases,” he explained. Imagine how this works: the patient suffers from some symptoms, and gets an MRI examination for their brain locally, and an MRI scan is due to some distortions. The patient immediately goes to his network of his friends or doctors asking: “What does this mean? “
“They usually go online and start searching for answers,” he added. “Do I need to be concerned about this? Do I need to do something now? Are these deformities related to my symptoms, or is this something completely separate?”
More patients, the same number of specialists
This happens in an environment where the average average awaiting a neurologist is very long in the country. Nervous disease has become more common, but the number of neurologists is still relatively stagnant. The patient may get an MRI test that determines the potential multiple sclerosis in the report. Nowadays, people can quickly access reports in their patient gates, and they don’t want to wait for action.
“The differentiation when the information is available to the patient and when the locally specialized resources can be accessed, it can be months,” Bermel pointed out. Will someone wait for six, eight, or 12 weeks of nights without sleep wondering: “What will I do about this? What does this mean? Do I have multiple sclerosis, as this report says? “
“Patients are looking for other options while they are waiting to see a neurologist,” he added. “They are looking to involve the resources of sub -specialization as quickly as possible for the opinion of experts.”
Multiple sclerosis is one of the most common neurological conditions that Bermel sees, and the frequency increases. People do not know exactly the reason for this – if this is exclusive due to environmental factors such as diet and lifestyle, or if this is because of the so -called hypothesis hypothesis, as all people lead more clean lifestyles. Whether that leads to a higher tendency to develop autoimmune conditions such as MS is still being studied.
The car certainly has some geographical spread. The climates around the Great Lakes and in the Middle West tend to have higher accidents. In the northwest of the Pacific Ocean where there are less sunlight in the winter, people tend to decrease vitamin D levels, which is associated with increasing the risk of multiple sclerosis.
There is also a population in sunny and warm climates such as the Middle East, as the spread of multiple sclerosis is still very high. There are many question marks about multiple sclerosis and why this happens to certain people. Bermeel said the answer is likely a mixture of genetic and environmental factors.
Multiple sclerosis and virtual care
“Multiple sclerosis can benefit from the second virtual opinion because first, it is a diagnosis that changes life with very high risk.” Second, it does not usually change or advance day after day, a week after a week, so you often feel things are going well when they are not.
“You need to make therapeutic decisions with an early expert to get good long -term results,” continued. “And thirdly, the field has changed a lot. Both neuroscience began to do so. MS started with effective treatments from the FDA in the early 1990s, and it has now developed into more than twenty accredited treatments, some of which are very effective.”
There are a lot of options about the time for starting the drug, which begins and then how to monitor and make sure it works and safe. Because of the availability of information, patients are more sophisticated and want to participate more than high -level experts about their care. Multiple sclerosis is the initial model, and other neurological diseases may follow the same path.
“Alzheimer’s disease very quickly It evolved into a biological diagnosis This is not just an expert who scratches their chin in a room thinking about whether this is Alzheimer’s. “They are diagnosing and treating on the basis of biological tests in the blood, forklined fluids, and the brain wiping. This is relatively new and it is driven by the fact that biological treatments are available to adjust the course of the disease now.
“Parkinson’s disease is another disease where access to high -level experience is really important.” “If you are in a local area that does not contain a large number of advanced service providers, Parkinson’s patient may go without high -level treatments such as stimulating the deep brain when they can benefit from this treatment in a limited time window. No patient wants to miss that window.”
A good candidate for special care?
In these cases, patients need to know if they are a good candidate and if this should be done. It is the place where the second virtual opinions come.
“The removal of spinal miles is an autoimmune seizure that can indicate the emergence of multiple nerve sclerosis and can be caused by other autoimmune conditions – either regular conditions such as lupus or infectious conditions such as Lyme disease,” Perm explained. “The pathological process often exposes numbness or weakness of the trunk or waist down, and perhaps on one side, and sometimes on both sides of the body.
“You can feel that someone tightens a tape or belt around you with a function of weak motor, and can be served with very frightening conditions such as bladder or bowel defects.” “This is because all the nerves that control that region come through the spinal cord. It is important to determine the cause because MS, lupus or infectious condition can have similar symptoms and require various treatments.”
Cleveland clinic has experts in all these different areas. It even contains a full -time expert in sarcoid, which is a beloved disease that can affect the spinal cord and cause pests similar to the removal of the spine. The second virtual opinion cases are directed to the most qualified experts to provide accurate assessments and reliable recommendations.
Help in combating the arrival problem
Another major issue that can be addressed with the second virtual opinions is access. Normal and simple, takes a long time to see the doctor. Waiting time for any neurologist is measured in months, not weeks and certainly not days. Then what if the patient finally saw a neurologist and first studying stroke or epilepsy? Neuroscience is a wide field.
Bermeel concluded that “patients need to reach a person with experience in a case of their own.” “The second virtual opinion program helps to bridge these two gaps – access and experience – and brings both the patient’s home, and reduce costs by reducing travel expenses and and
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