Advertisement
  1. Health

Need to see a doctor? There's an app for that

Dr. Sherri DeHaas appears on an iPad talking with Tampa Bay Times reporter Sara DiNatale, right, via the new Virtual Care app being offered by Tampa General Hospital. DeHaas, who works in Vermont, is one of the doctors available for virtual house calls via the new telemedicine tool, which can be used with computers, tablets and smartphones. [CHRIS URSO | Times]
Published Aug. 27, 2016

Dr. Sherri DeHaas makes house calls without ever leaving her house.

The family doctor puts on her white coat, sits down at the desk in her Vermont home in front of a computer monitor and starts seeing her patients — virtually.

She's one of the doctors available via Tampa General Hospital's Virtual Care app. Patients can use their computers, tablets or smartphones to teleconference with a doctor.

Welcome to the telemedicine industry's fastest growing line of services: one-time, on-demand visits with physicians 24-hours day, seven days a week via phone, video or email.

BayCare Health System recently launched its own app that bay area residents can use, BayCare Anywhere.

"We've clearly passed the tipping point of this," said American Telehealth Association CEO Jonathan Linkous. "It's going into private practice as well.

"If your doctor doesn't have this available, you need to find one who does. Why would you want a bank that doesn't offer an ATM?"

The association estimates that last year about 1 million people had virtual doctors' appointments and projects 30 percent growth this year.

Video calls are the latest development in the growing field of telemedicine, which is any tool that allows doctors to exchange records or diagnosis patients electronically rather than in person.

The apps have limits, however. They're not designed to treat serious conditions or medical emergencies. Rather, they can offer patients a convenient alternative to treat minor ailments.

Tampa General was the first in the bay area to enter this growing market about four months ago; BayCare followed soon behind in July. Both apps were developed with American Well, a telehealth provider that provides communications systems for hospital systems across the country.

Anyone can use the app — even those who don't live in Florida or whose doctors don't work for Tampa General or BayCare. Both charge a flat-rate: Virtual Care is $49 and BayCare Anywhere is $45.

As of July, Tampa General said 2,319 people had signed up for the app and 395 had doctors' visits or "e-visits." The average user, according to Tampa General senior vice president Michael Gorsage, is a woman under the age of 50 using a smartphone.

Although the apps have obvious appeal to a generation of young users already comfortable with services and apps such as Uber and GrubHub, Linkous said virtual doctors appointments have the potential to appeal to a broader audience.

Older patients, for example, are already used to being able to call their doctor at night if they have a question.

"The range ages who are calling is across the map," Linkous said. "For millenials it's certainly a no-brainer. But for people who are older it's a no-brainer, too."

Gorsage said the goal of the Virtual Care app is to make obtaining basic health care more accessible: a video chat with a doctor while in bed battling the flu is easier than coughing and sneezing in a waiting room, waiting to see a physician.

"Telehealth or telemedicine was never designed to replace the relationship with your primary care physician," Gorsage said.

Both apps tap into a network of doctors provided by American Well. BayCare's physicians are available through its app. Gorsage said Tampa General hopes to soon add its own doctors to its app.

Users can use the services via a website or download the app. They register an account and enter a credit card. When they login, they'll see which doctors are available immediately, or how many people are waiting for a specific doctor. Patients aren't charged until they actually see the doctor.

But what ailments should be treated virtually? The patients and doctors need to figure that out together "using common sense," said Jay Wolfson, a health law and public health professor at the University of South Florida.

Doctors who talk to patients online know there's not much they can do for a bad cut or a broken bone. But for a patient who lives far from a hospital, say in a rural area, that virtual consult could help spur them to go to the doctor or hospital.

But digital physicians also have to be aware of the app's limitations, Wolfson said. They can't physically examine patients, which can be vital to making the right diagnosis. And there's an insurance issue: many of the malpractice policies that doctors carry do not cover video appointments.

Anyone using the app from the bay area will be matched with doctor licensed to practice medicine in Florida who can prescribe medication — like Dr. DeHaas.

The 51-year-old physician got her undergraduate degree and her medical degree from the University of Miami. For the last four years, she's been treating patients via video calls.

"I thought at the beginning that it would be very different; it's more similar than you'd imagine," DeHaas said comparing the service to an office visit.

"Of course, you can't touch the patient to do a physical exam but you develop skills so the patient can help you do the exam."

Using her computer screen, DeHaas said she can examine children with stomach aches and they don't have to leave their beds. She's prescribed medication for hundreds of sinus infections. She's diagnosed head colds, sore throats, rashes and the flu.

Once she diagnosed a case of appendicitis — then told the parents to rush that child to an emergency room.

She's learned some telemedicine tricks along the way. If someone else is in the room, they get to aim the smartphone's camera. She reminds patients they can use the flash on their phones to better illuminate themselves if the room is too dark.

She coaches patients on how to examine themselves. She'll stand up and move her hands along her own body, demonstrating so that the patients on the other end of the call can mirror her movements. She tells them how pressure on certain spots should feel; the patient will tell her if they feel any pain or discomfort.

Sometimes, she even has them do jumping jacks.

"If they laugh," she said, "they probably don't have appendicitis."

Contact Sara DiNatale at sdinatale@tampabay.com. Follow @sara_dinatale.

ALSO IN THIS SECTION

  1. Fifty-two percent of Americans support a ban on the sale of electronic cigarettes with fruit and other flavors, according to new Kaiser Family Foundation poll. TONY DEJAK  |  AP
    But a smaller percentage supports banning all forms of the product. Most younger adults oppose both ideas.
  2. FILE - In this Thursday, Dec. 20, 2018 file photo, Juul products are displayed at a smoke shop in New York. On Thursday, Oct. 17, 2019, the company announced it will voluntarily stop selling its fruit and dessert-flavored vaping pods. SETH WENIG  |  AP
    The flavored pods affected by the announcement are mango, crème, fruit, and cucumber.
  3. Travis Malloy who runs an 8-acre farm with his assistant Shelby Alinsky on the east side of Temple Terrace, raises organic beef, pigs, turkeys and chickens. Malloy has also set up a number of...
  4. Dr. James Quintessenza, left, will return as the head of the Johns Hopkins All Children's heart surgery program department. UNIVERSITY OF KENTUCKY HOSPITAL  |  Times
    The heart surgery program’s mortality rate spiked after the surgeon left, a 2018 Times investigation revealed.
  5. Stephanie Vold, a medical assistant and intake specialist for OnMed, holds the door while Austin White, president and CEO of the company, talks with a nurse practitioner during a demonstration of their new telehealth system at Tampa General Hospital on Tuesday. The hospital is the first to deploy the OnMed station and plans to install them at other locations. OCTAVIO JONES  |  Times
    The closet-size “office” with a life-size screen is another example of the changing face of medicine.
  6. Marijuana plants grow in a greenhouse environment in this room at the Curaleaf Homestead Cultivation Facility. This environment controls the amount of natural sunlight and artificial light the plants are exposed to, as well as the temperature. EMILY MICHOT  |  Miami Herald
    An Atlanta broker is listing one license for $40 million and the other for $55 million.
  7. A page from the Medicare Handbook focuses on Medicare Advantage plans, which have become increasingly popular in recent years. Medicare's open enrollment period for 2020 begins Oct. 15 and lasts through Dec. 7. PABLO MARTINEZ MONSIVAIS  |  AP
    New benefits are giving an extra boost to Medicare Advantage, the already popular alternative to traditional Medicare.
  8. The Tampa Bay Times' annual Medicare Guide explains how the program is set up, helps you compare options available in the Tampa Bay area, and points the way toward help, including free, one-on-one assistance. This illustration will grace the cover of LifeTimes on Oct. 23, when the guide will be published in print. RON BORRESEN  |  Tampa Bay Times
    As the open enrollment period begins, it’s time to review your coverage.
  9. The Medicare Handbook for 2020 is a good resource to have as the annual open enrollment period gets under way. The government usually mails beneficiaries a copy. Find a PDF version to print at medicare.gov/pub/medicare-you-handbook, or call 1-800-633-4227 (1-800-MEDICARE) to order a copy. THOMAS TOBIN  |  Tampa Bay Times
    The open enrollment period, which lasts into December, is a time for millions of beneficiaries to review, and possibly change, their coverage.
  10. Medicare's online Plan Finder has been redesigned and is available at medicare.gov/find-a-plan. THOMAS TOBIN  |  Tampa Bay Times
    The most-used tool on Medicare.gov will look different this year.
Advertisement
Advertisement
Advertisement