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        New Message Board Archives >> 2005 General Board Posts >> Outsourcing the Treatment of Vascular Headache
        
(Message started by: floridian on Feb 7^th, 2005, 10:30pm)

Title: Outsourcing the Treatment of Vascular Headache
Post by floridian on Feb 7^th, 2005, 10:30pm

Oh, great ... the writing is on the wall.

Quote:

Telemed J E Health. 2004 Winter;10(4):449-54.

A pilot study of feasibility and efficacy of telemedicine-delivered psychophysiological treatment for vascular headache.

Arena J, Dennis N, Devineni T, Maclean R, Meador K. Department of Veterans Affairs Medical Center,and Medical College of Georgia, Augusta, Georgia.

Headache is a common complaint. Psychological treatment has been effective in managing the symptoms of vascular (migraine and combined migraine-tension) headache. Traditional office-based treatment may be inconvenient for many patients in terms of time and travel constraints, thereby limiting access. Telemedicine has emerged as a promising delivery medium to address these barriers to access. However, the efficacy of remotely delivered treatment for vascular headache remains untested. This case series is a preliminary evaluation of effectiveness and feasibility of an analogue telemedicine system for delivery of psychophysiological treatment for vascular headache. Three of four subjects showed improvement. These findings are encouraging for follow-up study of the clinical utility and broader viability of headache treatment via distance technology.

Title: Re: Outsourcing the Treatment of Vascular Headache
Post by E-Double on Feb 7^th, 2005, 10:41pm

ring ring....

If you'd like to abort your CH please press 1

All other's stay on the line and the next available representative will be right with you....

Your call is very important to us!

Title: Re: Outsourcing the Treatment of Vascular Headache
Post by purpleydog on Feb 7^th, 2005, 10:55pm

Somehow I don't think that telemedicine will be the new wave of treatment for vascular headaches of any kind. While I believe that there is a psychological component to dealing with CH, I can't see it being treated, or managed succesfully via the phone line. Tension headaches, yes. CH, no way.

Title: Re: Outsourcing the Treatment of Vascular Headache
Post by Donna_D. on Feb 8^th, 2005, 12:10am

Maybe they mean we can help our CH via telemedicine by picking up the telephone receiver and bashing it into our aching skulls...

[smiley=laugh.gif]

It could happen...

DD

Title: Re: Outsourcing the Treatment of Vascular Headache
Post by Lizzie2 on Feb 8^th, 2005, 12:18am

That's kinda funny... Telemedicine, in reality, is a really awesome thing. But I've never actually heard it used for therapy! I mean seriously...what's the point? Are there no therapists worth talking to in the immediate vicinity? And if not, no friends or anything either? hehe

Normal use of telemedicine is for doctors to help treat patients who have no doctors available. Or for teleconferences with specialists all over the globe.

Therapy? Interesting...

Personally, I like Donna's idea! :)

Title: Re: Outsourcing the Treatment of Vascular Headache
Post by Gator on Feb 8^th, 2005, 3:23am

My luck, I'd be put on hold.

Title: Re: Outsourcing the Treatment of Vascular Headache
Post by Frank_W on Feb 8^th, 2005, 10:07am

Man, if I get routed to some non-English speaking biyotch in New Delhi, I am going to be soooooo pissed!!

Title: Re: Outsourcing the Treatment of Vascular Headache
Post by nani on Feb 8^th, 2005, 10:10am

on 02/08/05 at 00:18:16, Lizzie2 wrote:

That's kinda funny... Telemedicine, in reality, is a really awesome thing.

Normal use of telemedicine is for doctors to help treat patients who have no doctors available. Or for teleconferences with specialists all over the globe.

:)

That's the part I like!

Title: Re: Outsourcing the Treatment of Vascular Headache
Post by john_d on Feb 8^th, 2005, 11:02am

I guess a good portion of our American doctors will get to go home to India now. ;)

Title: Re: Outsourcing the Treatment of Vascular Headache
Post by floridian on Feb 8^th, 2005, 1:05pm

I think we should all be billing each other for the support services rendered on this board - provided insurance will pay. I think we do a good job, much more personal, in-depth, and timely than the average doctor ... but it aint gonna happen. The promise that we would be able to work from home is replaced with the reality that someone else will be doing our job if they are willing to work for 1/10 of what we expect. So I guess we'll keep helping each other because it is the right thing to do ...

Title: Re: Outsourcing the Treatment of Vascular Headache
Post by notseinfeld on Feb 8^th, 2005, 1:18pm

The 'psychological' part seems to me that the medical community, who have failed MISERABLY in our regard, are passing the proverbial buck.

Perhaps the reason we esteemed dr's have not found effective relief is because in actuality it's not within our purview. This is a psychological condition to a large degree...

Ugh.

Title: Re: Outsourcing the Treatment of Vascular Headache
Post by Kirk on Feb 8^th, 2005, 1:24pm

Take a gander at this http://www.health-evet.va.gov
Something I signed up for.

Title: Re: Outsourcing the Treatment of Vascular Headache
Post by floridian on Feb 8^th, 2005, 2:12pm

on 02/08/05 at 13:24:01, Kirk wrote:

Take a gander at this http://www.health-evet.va.gov
Something I signed up for.

That looks interesting, Kirk,

I'm not against progress, and being able to access our medical records quickly online (or by a 'credit card' with a chip) could save lives. Likewise, using the net to maintain regular contact with some patients makes sense - if diabetics participate and keep their blood sugar under better control through an on-line program, that is worthwhile.

I'm not sure what they meant in the article by 'psychophysiological' treatment. Maybe its a great new thing to help people, or maybe its a cost-saving route for big organizations.

Does psychophysiological mean 1-900-meditate?

Title: Re: Outsourcing the Treatment of Vascular Headache
Post by Kirk on Feb 8^th, 2005, 2:48pm

on 02/08/05 at 14:12:16, floridian wrote:

Does psychophysiological mean 1-900-meditate?

I can show you how to catch King Crab in the Bering Sea in Winter, and come back alive to tell about it. How to navigate by wind, wave and a wrist watch. How to post here, while dodging the ice pack off the Pribilof Islands.
But psycho babble is way beyond me.
[smiley=confused2.gif]

Title: Re: Outsourcing the Treatment of Vascular Headache
Post by floridian on Feb 8^th, 2005, 3:10pm

on 02/08/05 at 14:48:16, Kirk wrote:

King Crab fishing in Alaska waters ...? The most dangerous occupation in the world! Damn, bro, glad you made it back. Got all your fingers still? I read an article about that a few years ago (in a mag called POV) - some friends of ours know the skipper that was profiled (but then again, in Iceland, there are only 3 degrees of separation!)