The value of video in a telehealth consultation

Dr Rami explains why using video in a telehealth consultation is considered better than a phone call or text message.

Here are two scenarios to illustrate his point!


Scenario 1: Video is superior to other forms of telehealth assessment

•  A mother calls for child with rash
•  The mother uploads photos during call set up
•  The doctor looks at the picture before starting the video chat
•  The doctor speaks to the mother while child is there

The doctor observes the child’s general activity, general behavior and manners. Based on that he can tell if the rash is an isolated skin condition such as an insect bite or an allergic reaction or part of a bigger problem. For example, Rheumatic Fever is a condition that is caused by a bacteria but affects multiple systems at the same time. Video is important to recognize and separate syndromes from isolated conditions.


Scenario 2: Video consultation can even be superior to a face to face consultation

• A young professional female calling because she feels exhausted and fatigued and wants a sick leave from work.
• The doctor sees that she is at home, it is dark, sees clothes thrown around everywhere and the room is a mess, she is overweight and is calling at 11 am on a weekday.

After taking a concise history and ruling out an organic illness, the doctor picks up that it might be a psychological problem such as depression. The diagnosis is supported by subtle clues from the home environment, that can’t be picked up if the patient visits a clinic, but can be picked up via video.

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Dr Rami Said

General Practitioner

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