Baptist Health Madisonville: Technological Advances in Neurology
Doctor Kevin Williams, MD, explains how telehealth physicians evaluate patients for stroke and other neurological conditions using video monitors, providing urgent specialty care in rural areas.
Technological Advances in Neurology Health Talks Transcript
Kevin Williams, MD, Hospitalist Medical Director
When patients present with weakness, one side more than the other, or difficulty speaking, slurred speech or confusion, we consider evaluating them for neurologic diseases, specifically stroke. The specialist on call is a telehealth service that we use specifically for neurology. They can provide urgent and emergent neurologic evaluations, help us with diagnostic decisions, treatment decisions and disposition decisions. The telemedicine cart is set up with a camera and a monitor. The neurologist will take a fairly extensive history and then direct the nurses in the room to perform certain physical exam steps that are then evaluated by that neurologist. Once those things are done, the neurologist will discuss with a patient the findings and recommendations. They will then provide to us a written consult note giving their recommendations and will contact the Emergency Department provider and give those recommendations verbally. Telehealth, in general, offers the ability for folks who live in fairly rural places to have access to specialists. It allows some patients to be able to stay in town, close to their families and get treatment in their local hospital. I think it gives us another tool to provide better care to our patients.