Catherine Quintana's father has been in and out of the hospital for a few weeks and his family knows he's running out of time. Her 78-year-
Old Father Ernest Quintana had lung disease and it was difficult to breathe alone.
He was admitted to Kaiser Permanent hospital in Fremont, California, in March 3.
This is the third time in 15 days. Quintana said.
His wife and other family members have been with him for nearly 60 years.
When they wait for the results of the CT scan, Ms.
Quintana, 54, and her mother decided that they would go home and take a shower soon. Ms.
The daughter of Quintana, annalicia Wilham, stayed by his bed. Ms.
Wilham, 33, said a tall machine with wheels eventually entered the room.
It comes with a screen that plays real-time videos of doctors wearing headphones.
"I just think it's a routine . "
Wilham said Saturday.
"I don't think he will be sentenced to death here.
The doctor on the screen said he was seriously hurt.
The lungs of Quintana
"Unfortunately, there is nothing we can treat very effectively," he said, according to Ms.
Wilharm shot on her phone and later shared the details of the conversation with her family.
The doctor suggested to Sir.
Although it can make breathing more difficult, the morphine in Quintana.
When the problem of hospice came up, the doctor shared a grim prospect: "I don't know if he will go home.
In the whole conversation, sir.
Ms. Quintana couldn't hear the doctor. Wilharm said.
She said the machine was next to her father's ear, so she had to repeat the doctor's news.
"I want to vomit.
"It feels like someone has taken my air away," she said . ".
"I said," Do you want morphine?
He looked at me and said, "What choice do I have? ’”When Ms.
Quintana and her mother returned to the hospital and the family was angry at Mr Quintana.
Through a video conference, Quintana was told he couldn't live long.
"It should be one person," she said.
His daughter, Quintana.
"It should be a doctor who walks to his bed. ”Mr.
She said Quintana died on Tuesday two days after talking to the doctor.
Telemedicine is an increasingly popular tool in the healthcare industry.
Experts say it is expanding access to care in rural areas, while also allowing patients to communicate with experts they normally cannot reach.
But in this case, such as the case involving the Quintana family, the doctor is communicating sensitive information about the terminalof-
John Barnia, a medical ethicist at Emory University in Atlanta, said Saturday that life therapy, health care providers may have to change their approach to deal with patients and their families.
Professor Banja said that in these cases, telemedicine technology may not be sensitive enough to capture subtle social cues such as body language and tone at moments of emotional excitement.
In response to the situation in Quintana,Barbara L.
McAneny, president of the American Medical Association, said that delivering bad news electronically should be the "last choice" for doctors ".
"We should all remember the power of touch --
Simple human contact
"I can communicate and care better than words," she said . ".
Michelle Gaskill
Hamms, senior vice president of Kaiser, Alameda County, South, said in a statement that doctors and nurses at the hospital have been communicating regularly with Mr. Hamms
Since he arrived at the hospital, Quintana and his family.
The video meeting with the doctor that night was a follow-up
Until earlier.
Personal visits by other medical staffGaskill-
Hames said his initial diagnosis was not communicated via video.
It is not clear the doctor's body position on the video screen.
Ms. telemedicine technology allows emergency doctors in small hospitals at any timeGaskill-
Hames said he added that there was always a nurse or other doctor in Kaiser's room explaining to the patient the purpose of the technique.
"We do not support or encourage the use of technology to replace the personal interaction between our patients and their care team," she said . ".
The doctor in the video is not identified, and Catherine Quintana says she hasn't seen him before.
The telemedicine ethics of the American Medical Association in addition to the loss of intimate relationships among patients, also raised possible ethical issues
Doctor relationships such as data security.
While telemedicine may sound futuristic, it is not a new practice in healthcare.
Shivan Mehta, physician and deputy chief innovation officer, Penn Medicine, Philadelphia.
Telemedicine can be as simple as a doctor communicating with a patient over the phone, he said.
Some patients receive telemedicine because they want to get test results quickly via phone or video chat.
Other people want a face. to-
Face-to-face conversation
"We can't have one. size-fits-
"All the mentality," he said.
"We have to meet the expectations of our patients. ”Ms.
Wilharm said she did not object to doctors communicating with patients using telemedicine.
But for someone who has a terminal illness like her grandfather
The technology doesn't feel right, says Wilharm.
"I just don't think the screen should be seen by critically ill patients," she said . ".
"It should be a compassionate person.