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<DIV><FONT face=Garamond size=4>I agree that low cost , low tech, open source e-health/telehealth apps is the best way to go in remote areas of the world as written about and demonstrated by Paul's partner in crime over at Partners Health Care, Dr Joe Kvedar. In those settings the above is ideal, but I can also make a case for a more powerful platform at the major medical centers or hubs. One of the problems in the US and to lesser extent the rest of the world, is that the vendors of telehealth/e-health are pushing te high end eqiupment and apps and thats part of the disconnect in what we really want to do , i.e provide low cost telehealth solutions to the world.</FONT></DIV>
<DIV><FONT face=Garamond size=4>imho,</FONT></DIV>
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<DIV style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: black"><B>From:</B> <A title=paul.heinzelmann@gmail.com href="mailto:paul.heinzelmann@gmail.com">Paul Heinzelmann</A> </DIV>
<DIV style="FONT: 10pt arial"><B>To: </B><A title=bens@alum.mit.edu href="mailto:bens@alum.mit.edu">bens@alum.mit.edu</A>
<DIV style="FONT: 10pt arial"><B>Cc: </B><A title=repyke@infionline.net href="mailto:repyke@infionline.net">Bob Pyke Jr.,RN,CPNP</A>; <A title=Health@lists.laptop.org href="mailto:Health@lists.laptop.org">health</A>; <A title=grassroots@lists.laptop.org href="mailto:grassroots@lists.laptop.org">Grassroots OLPC</A>; <A title=devel@laptop.org href="mailto:devel@laptop.org">OLPC Devel</A>; <A title=greebo@pipka.org href="mailto:greebo@pipka.org">Pia Waugh</A></DIV>
<DIV style="FONT: 10pt arial"><B>Sent:</B> 10/13/2008 4:46:31 PM </DIV>
<DIV style="FONT: 10pt arial"><B>Subject:</B> Re: [Health] VideoChat is working now - hooray!</DIV>
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<DIV>I think its very exciting to see telemedicne applications being developed for this platform. But I also think you need to be very careful here. There are multiple studies on resolutuion of images and utility for various telemedicine purposes. (ie Still images from a 2 megapixel camera are likely mimimal for wound care, follow up, etc.) In that scenario, video at 1 or 2 fps wouldnt be very good for assessing wounds. I think Bob is on target when it comes to the value add of video when it comes to doing evidence-based telemedicine. </DIV>
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<DIV>For example, if you are assessing a movement disorder, or trying to assess non-verbal cues in a psych patient, this will not be possible at 1-2fps. It certainly adds a 'gee whiz" factor to "see" the doctor from the patient's perspective, but the value to the doctor in terms of diagnosis will be minimal in my opinion.</DIV>
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<DIV>That being said, the challenge is to find low bandwidth applications that make sense for patients and health workers and I think this will be very case-specific. Cudos to those seeking to develop them! <BR><BR></DIV>
<DIV class=gmail_quote>On Mon, Oct 13, 2008 at 4:31 PM, Benjamin M. Schwartz <SPAN dir=ltr><<A href="mailto:bmschwar@fas.harvard.edu">bmschwar@fas.harvard.edu</A>></SPAN> wrote:<BR>
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<DIV class=Ih2E3d><BR>Bob Pyke Jr.,RN,CPNP wrote:<BR>| It aappears to be interestimg. But if your doing remote telehealth you<BR>need to have 30 fps for video.<BR><BR></DIV>I think this is a misunderstanding.<BR><BR>We are not talking about robotic remote surgery here, or anything<BR>requiring low-latency feedback. "Telehealth" in this context refers to an<BR>interview between a patient and a medic. For example, a patient might<BR>hold up an injury and ask the doctor if it looks infected.<BR><BR>In fact, for health applications, I would make the unusual tradeoff of<BR>sending the full resolution of the camera (640x480) at high quality, even<BR>if this means that we can only achieve 1 or 2 fps.<BR><BR>- --Ben<BR><BR><BR>-----BEGIN PGP SIGNATURE-----<BR>Version: GnuPG v2.0.9 (GNU/Linux)<BR>Comment: Using GnuPG with Mozilla - <A href="http://enigmail.mozdev.org/" target=_blank>http://enigmail.mozdev.org</A><BR><BR>iEYEARECAAYFAkjzsAoACgkQUJT6e6HFtqQ95wCfW3tZ5Yq/bojohVwfWjI9Dpyc<BR>Qa8An2jyUmIpz1P6vgKyI9oQ1SycrzHc<BR>=CROV<BR>-----END PGP SIGNATURE-----<BR>
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<DIV class=Wj3C7c>_______________________________________________<BR>Health mailing list<BR><A href="mailto:Health@lists.laptop.org">Health@lists.laptop.org</A><BR><A href="http://lists.laptop.org/listinfo/health" target=_blank>http://lists.laptop.org/listinfo/health</A><BR></DIV></DIV></BLOCKQUOTE></DIV><BR><BR clear=all><BR>-- <BR>Paul Heinzelmann, MD<BR><BR><BR></DIV></FONT></DIV></BLOCKQUOTE></BODY></HTML>