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Doctors' house calls possible via technology

  • Dr. Jason Cunningham, left, talks with patient Tiffani Shirley, right, while registered nurse Rachel Shalaby takes part in the meeting through a video visit on an iPad at the Sebastopol Community Health Center on Monday, December 23, 2013.

    (Christopher Chung/ The Press Democrat)

Doctors' house calls, a common practice of a bygone era, are poised to make a modern-day comeback, thanks to much of the same mobile and handheld technology that has transformed the phone call.

Telemedicine, which lets doctors see patients remotely via technology similar to popular apps such as Skype and Face Time, has been around for decades but is undergoing a rapid evolution as handheld devices become more powerful and broadband communications networks become standard.

Modern telemedicine, like the telephone, has been around for a long time — at least since NASA scientists first began monitoring the heartbeats of astronauts in space.

And just as mobile technology and handheld computing has put a powerful computer in many people's pockets, telemedicine is maturing itself, bringing teleconferences out of the board room and into the doctor's office.

On the North Coast, the use of telemedicine is no longer the domain of big players like Sutter Medical Center or Santa Rosa Memorial Hospital. Smaller district hospitals such as Healdsburg and Palm Drive have been linking their patients with distant specialists for a few years, while the area's community clinics have recently begun to take advantage of more affordable technology.

At Sebastopol Community Health Center, operated by the West County Health Centers, doctors and nurses are using inexpensive desktop Web cameras and iPads not only to connect their patients to specialists but to participate in these medical consultations.

"I get to participate with the specialist and patient," said Dr. Jason Cunningham, medical director of West County Health Centers. "It's more of a collaborative visit, rather than just a single specialist visit. It's a dialogue."

The new portability of telemedicine could allow people and health care professionals to link to each other from wherever they are.

Cunningham said the health centers had previously used a substantial federal grant to purchase an expensive telemonitor unit. But advances in consumer digital technology have dramatically reduced the price of telemedicine.

"The software that's now available allows for very meaningful video connection without an expensive Polycom unit," he said.

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