Online Dermatology Clinic

Answer 1

The main points of an online skin consultation were as follows:

** I. Treatment process and precautions **
1. ** Choose a proper platform and trusted experts **
- He had to confirm the credibility of the website's organizers and the online experts. A registered doctor must have a doctor's license and a practicing qualification certificate. They must be from a legal medical institution. You can check the electronic license of a registered doctor.
2. ** Give detailed information **
- [Inform basic information: First, tell me your age, gender, and other basic information.]
- Medical History: Give a detailed medical history, including the initial symptoms of the disease.(time of onset, location, nature of damage, prodromal symptoms), development (order of occurrence of rash, speed of development, pattern, aggravation, relief or relapse), whether there is fever, itching, pain (including muscle pain and joint pain), medication before and after the onset, whether there is any special disease or allergic history, it is best to explain the cause or inducement of the onset (such as diet, occupation, medication, contact with objects, living environment, insect bites, emotions and other internal and external factors).
- Photographs: Since the Department of Dermatology was a discipline with strong morphologies, providing high-quality photos was very important for online consultation. The photos should be taken under natural light, and there should be no mosaic and no makeup. The long-range photo could provide the doctor with a macro model of the rash, and the close-up photo had to be close enough to reflect the microscopic condition of the rash. If there is a rash on multiple parts, the skin damage of each part should be photographed. Information and/or photos of the symmetrical parts on the left and right sides should also be provided (even if there is no rash, if there is a disease in the oral cavity, there should be vulva mucus. If there is a disease in the hand, the condition of both feet should be provided). When taking a photo, you must first focus on it, keep it stable, and don't shake it. After taking a photo, you must look back at it in time. If it is not clear enough, you must take a retake. When you look back, enlarge the photo. If it becomes clearer and clearer, it means that the focus is good.
- Additional information: It is also necessary to provide medical records from other institutions, including photos of self-purchased medicine boxes or instructions.
3. ** Avoiding inappropriate consultation methods **
- They could not only provide a simple description of the condition without providing photos of the skin damage, nor could they only send photos of the skin damage without a description of the condition, especially blurry photos.

** II. Limitations of online consultation and follow-up measures **
1. ** Limitations **
- Online consultation could not replace traditional consultation. Online communication was often limited, photos could be distorted, and disease diagnosis might require corresponding auxiliary examinations. Through one or two glances or a few simple conversations with the patient, a lot of information could be obtained and important clues for diagnosis and treatment could be detected. Therefore, it was not recommended for newly diagnosed patients to undergo online consultation.
2. ** Follow-up measures **
- If there were any problems after the online consultation, they had to go to the hospital as soon as possible.

** III. Cost and medical insurance (some examples)**
1. Different hospitals and doctors had different consultation fees. For example, some chief physicians might charge 280 yuan for consultation, while some attending physicians might charge 20 yuan. Moreover, the online medical insurance card was usually not available, and the registration fee was also charged at the original price.

** IV. Some examples of hospital doctor's visiting information (for offline consultation)**
1. Director Fan Yibin of the Dermatology Department of Zhejiang Province People's Hospital had August consultation hours: Zhaohui Road Hospital had Monday morning afternoon and Wednesday afternoon, where he would provide specialist consultation for skin and beauty specialists; Yuecheng Hospital had Monday morning afternoon and every Saturday morning, where he would provide consultation for famous medical centers. He would stop on August 9th and 10th, and every Wednesday morning.

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