The Technology Review Site for Primary Care Providers
Advances in technology have improved healthcare providers' ability to rapidly diagnose patients at the point of care, screen for common conditions, and provide a variety of effective treatment options. Providers need to be aware of what innovations are available - or will become available in the near future. It is the purpose of Medgizmos to educate and inform healthcare providers regarding the latest and greatest technologies.
ScopeAround Wifi Otoscope, new inexpensive digital otoscope!
Medgizmos.com is proud to introduce our new “sister” site – Medgizmosmarket.com This is an affiliate marketing site that provides discount codes to encourage providers to adopt technologies that will improve care!
The Acoustic Otoscope is back. This inexpensive device quickly determines if there is fluid behind the tympanic membrane. Please click here to see our review and click here to register to receive discount codes toward purchase of the device and disposable tips!
Over the next few months you will have the opportunity to read my article in Contemporary Pediatrics, that details a “Battle Plan for Combating COVID-19”. One of the topics discussed is the importance of selecting the best Telehealth (TH) application/platform for your practice. For many physicians and associate providers this is now a “no-brainer” as the Doximity Dialer Video application for IOS and Android smartphones was just released. Not only is the application (a sub-application within the Doximity application itself) free of charge, it is probably the easiest to use of all the TH applications I have used. Doximity provides a Business Associates Agreement to users, which permits practices to use the Doximity Dialer application as an official HIPAA compliant TH platform for their practice.
As Dr. Peter Alperin, Doximity’s Vice President, Product says in the video, “The application just works!” The application masks the phone number of your smartphone and presents the patient with a phone ID which presents the Practice name and phone number, so the patient will never view your private number. To initiate a video call, you input the phone number, hit the video call button, and a text link is sent via message to the patient. They simply click on the link and the video visit begins. There is no need for the patient to load a web page or download an application.
In the future Dr. Alperin indicates there will be a desktop version of the Doximity Video Dialer as well as a version for Tablets. It’s great that Doximity has fast tracked the release of this essential tool during the COVID-19 pandemic when there has been a rush to integrate TH services into our practices. We have more than enough to worry about. If you trial the Doximity Video Dialer I am confident you will adopt it for your practice – because “it just works!”
I’ve had a great time reviewing medical devices for primary care physicians for the past 30 years. Every device has a fascinating origin story and takes years to develop, refine and bring to the market. This interview with Jim Berbee MD, engineer and emergency room physician relates the past, present and future, of WiscMed’s digital otoscope, called the Wispr.
I’ve been using the device for over a year and have found it very useful, even more so during the pandemic when face masks and face shields have made it difficult to use a standard otoscope to view the tympanic membrane and ear canal.
I have been using Welch Allyn’s Macroview Otoscope for years. While I like the magnified view of the tympanic membrane and ear canal it provides, in my experience it’s depth of field makes it sometimes difficult to visualize foreign bodies within the ear canal. WiscMed’s Wispr enables you to visualize, with amazing clarity, the ear canal and tympanic membrane. It also enables a provider to capture a video or image and discuss the findings with a patient. If one is so inclined you can also transfer the images/videos to a usb stick so you can include these in your EHR.
Many primary care providers have discovered that they can expedite completion of EHR notes by using Nuances Dragon Medical One (DMO), voice recognition software. Dragon Medical One has 99% recognition accuracy, and proficient users can dictate at 160 words per minute, easily three time faster than most of us can type. By using DMO one can spend more time with patients and avoid needing to complete your unfinished charts at home (known affectionately as “pajama time”).
The magic behind Nuances software is Artificial Intelligence enabling computers to recognize patterns in words and phrases. Nuance is slowly rolling out what they are calling the Dragon Ambient Experience (DAX). Nuance software listens via a smartphone running the DAX application as a medical provider interviews a patient. After the provider performs an examination (vocalizing findings) the DAX application produces a structured medical note that can be incorporated directly into Electronic Healthcare record. No dictation is required, and providers can spend more time with patients as they no longer have the burden of dictating notes following a patient visit or completing these at the end of the day. Given the AI algorithms that power the DAX software will incorporate 3rd party extensions, I speculate that not only will DAX facilitate note completion but will, one day incorporate a clinical decision support system that will assist in offering diagnosis suggestions, recommend workup and treatment as well. Perter Durlach from Nuance, discusses the development and rollout of the DAX system in the interview. I can’t wait until I can use this in routine practice. Please stay tuned!