<article>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#article09_12_21_1748220</id>
	<title>Virtual Visits To Doctors Spreading</title>
	<author>ScuttleMonkey</author>
	<datestamp>1261382940000</datestamp>
	<htmltext>tresho writes to tell us that <a href="http://www.nytimes.com/2009/12/21/technology/start-ups/21doctors.html?hpw">virtual doctors visits</a> seem to be on the rise.  A new service, most recently deployed in Texas, from "NowClinic" is allowing doctors to make virtual house calls and prescribe anything short of controlled substances.  <i>"For $45, anyone in Texas can use NowClinic, whether or not they are insured, by visiting NowClinic.com. Doctors hold 10-minute appointments and can file prescriptions, except for controlled substances. Eventually they will be able to view patients&rsquo; medical histories if they are available.  The introduction of NowClinic will be the first time that online care has been available nationwide, regardless of insurance coverage."</i></htmltext>
<tokenext>tresho writes to tell us that virtual doctors visits seem to be on the rise .
A new service , most recently deployed in Texas , from " NowClinic " is allowing doctors to make virtual house calls and prescribe anything short of controlled substances .
" For $ 45 , anyone in Texas can use NowClinic , whether or not they are insured , by visiting NowClinic.com .
Doctors hold 10-minute appointments and can file prescriptions , except for controlled substances .
Eventually they will be able to view patients    medical histories if they are available .
The introduction of NowClinic will be the first time that online care has been available nationwide , regardless of insurance coverage .
"</tokentext>
<sentencetext>tresho writes to tell us that virtual doctors visits seem to be on the rise.
A new service, most recently deployed in Texas, from "NowClinic" is allowing doctors to make virtual house calls and prescribe anything short of controlled substances.
"For $45, anyone in Texas can use NowClinic, whether or not they are insured, by visiting NowClinic.com.
Doctors hold 10-minute appointments and can file prescriptions, except for controlled substances.
Eventually they will be able to view patients’ medical histories if they are available.
The introduction of NowClinic will be the first time that online care has been available nationwide, regardless of insurance coverage.
"</sentencetext>
</article>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517622</id>
	<title>Re:I am a med student, and I am horrified</title>
	<author>Chonnawonga</author>
	<datestamp>1261394100000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Let's not jump to conclusions. They may have come up with a technology for palpating people's nodes over the internet. I'd be surprised, though: I always figured that if any industry developed a device for feeling up my gnads online, it would be the porn industry.</p></htmltext>
<tokenext>Let 's not jump to conclusions .
They may have come up with a technology for palpating people 's nodes over the internet .
I 'd be surprised , though : I always figured that if any industry developed a device for feeling up my gnads online , it would be the porn industry .</tokentext>
<sentencetext>Let's not jump to conclusions.
They may have come up with a technology for palpating people's nodes over the internet.
I'd be surprised, though: I always figured that if any industry developed a device for feeling up my gnads online, it would be the porn industry.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516516</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30529160</id>
	<title>Re:I would be quite interested...</title>
	<author>thePowerOfGrayskull</author>
	<datestamp>1261477020000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p><div class="quote"><p>I would be very curious to see an experiment with an alternate model: Instead of having patients see real, MD, doctors over video conferencing, what about having patients see, in person, cheaper nurse/tech types, who would be supported by a mixture of diagnostic software and teleconference with doctors?</p></div><p>That's becoming more and more the trend lateley - and in my own experience, it's a turn for the worse.  Previously, I'd schedule an appointment (in a triple-booked slot) with an MD/DO, get five minutes of his time during which he didn't really listen to what I said, order 15 different tests, then come back with a hasty diagnosis.  </p><p>
Then I was required to schedule my appts with a PA.  She would give me 15 minutes of time during which I was actually heard, order 30 different tests, confer with the physician, then come back with the <i>wrong</i> hasty diagnosis
</p><p> Now that they'v edecided this is the Way to Go, I schedule an appointment in a triple-booked slot with a PA, get 5 minutes of her time during which she doesn't really listen to what I say, orders 15 different tests, then comes back with the wrong hasty diagnosis.
</p><p>
i missed the part where this is supposed to help the patient.</p></div>
	</htmltext>
<tokenext>I would be very curious to see an experiment with an alternate model : Instead of having patients see real , MD , doctors over video conferencing , what about having patients see , in person , cheaper nurse/tech types , who would be supported by a mixture of diagnostic software and teleconference with doctors ? That 's becoming more and more the trend lateley - and in my own experience , it 's a turn for the worse .
Previously , I 'd schedule an appointment ( in a triple-booked slot ) with an MD/DO , get five minutes of his time during which he did n't really listen to what I said , order 15 different tests , then come back with a hasty diagnosis .
Then I was required to schedule my appts with a PA. She would give me 15 minutes of time during which I was actually heard , order 30 different tests , confer with the physician , then come back with the wrong hasty diagnosis Now that they'v edecided this is the Way to Go , I schedule an appointment in a triple-booked slot with a PA , get 5 minutes of her time during which she does n't really listen to what I say , orders 15 different tests , then comes back with the wrong hasty diagnosis .
i missed the part where this is supposed to help the patient .</tokentext>
<sentencetext>I would be very curious to see an experiment with an alternate model: Instead of having patients see real, MD, doctors over video conferencing, what about having patients see, in person, cheaper nurse/tech types, who would be supported by a mixture of diagnostic software and teleconference with doctors?That's becoming more and more the trend lateley - and in my own experience, it's a turn for the worse.
Previously, I'd schedule an appointment (in a triple-booked slot) with an MD/DO, get five minutes of his time during which he didn't really listen to what I said, order 15 different tests, then come back with a hasty diagnosis.
Then I was required to schedule my appts with a PA.  She would give me 15 minutes of time during which I was actually heard, order 30 different tests, confer with the physician, then come back with the wrong hasty diagnosis
 Now that they'v edecided this is the Way to Go, I schedule an appointment in a triple-booked slot with a PA, get 5 minutes of her time during which she doesn't really listen to what I say, orders 15 different tests, then comes back with the wrong hasty diagnosis.
i missed the part where this is supposed to help the patient.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516518</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517658</id>
	<title>Re:Don't worry about the quality, feel the cost</title>
	<author>Anonymous</author>
	<datestamp>1261394340000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>You aren't too bright, are you?  This is a direct response to consumer complaints of "health care is too expensive."  As usual, the private sector has responded with a solution well-before the bloated turd of a government we're saddled with can even dream of acting.  There are plenty of cases where a brief consultation with an R.N. followed by a prescription will do nicely (e.g. antibiotic eye drops for pink eye).</p></htmltext>
<tokenext>You are n't too bright , are you ?
This is a direct response to consumer complaints of " health care is too expensive .
" As usual , the private sector has responded with a solution well-before the bloated turd of a government we 're saddled with can even dream of acting .
There are plenty of cases where a brief consultation with an R.N .
followed by a prescription will do nicely ( e.g .
antibiotic eye drops for pink eye ) .</tokentext>
<sentencetext>You aren't too bright, are you?
This is a direct response to consumer complaints of "health care is too expensive.
"  As usual, the private sector has responded with a solution well-before the bloated turd of a government we're saddled with can even dream of acting.
There are plenty of cases where a brief consultation with an R.N.
followed by a prescription will do nicely (e.g.
antibiotic eye drops for pink eye).</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516334</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516478</id>
	<title>Look at whose backing this</title>
	<author>LockeOnLogic</author>
	<datestamp>1261388220000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>3</modscore>
	<htmltext><p><div class="quote"><p>OptumHealth, a division of UnitedHealth Group, the nation&rsquo;s largest health insurer, plans to offer NowClinic</p></div><p>When the devil hands me a gift I'm wary of opening it...</p></div>
	</htmltext>
<tokenext>OptumHealth , a division of UnitedHealth Group , the nation    s largest health insurer , plans to offer NowClinicWhen the devil hands me a gift I 'm wary of opening it.. .</tokentext>
<sentencetext>OptumHealth, a division of UnitedHealth Group, the nation’s largest health insurer, plans to offer NowClinicWhen the devil hands me a gift I'm wary of opening it...
	</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516272</id>
	<title>Finally moving into the "public sector"</title>
	<author>ubrgeek</author>
	<datestamp>1261387200000</datestamp>
	<modclass>Informativ</modclass>
	<modscore>2</modscore>
	<htmltext>A dozen years ago I was a reporter in the Texas Panhandle and the Texas Department of Criminal Justice used "telemedicine" extensively. Interesting to see them finally moving it to the general population (no pun intended.) IIR, the patients/inmates were of mixed opinion on it, but the remote doctors seemed to prefer it<nobr> <wbr></nobr>;)</htmltext>
<tokenext>A dozen years ago I was a reporter in the Texas Panhandle and the Texas Department of Criminal Justice used " telemedicine " extensively .
Interesting to see them finally moving it to the general population ( no pun intended .
) IIR , the patients/inmates were of mixed opinion on it , but the remote doctors seemed to prefer it ; )</tokentext>
<sentencetext>A dozen years ago I was a reporter in the Texas Panhandle and the Texas Department of Criminal Justice used "telemedicine" extensively.
Interesting to see them finally moving it to the general population (no pun intended.
) IIR, the patients/inmates were of mixed opinion on it, but the remote doctors seemed to prefer it ;)</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30520060</id>
	<title>Prescriptions for non-controlled substances?!</title>
	<author>alleycat0</author>
	<datestamp>1261413060000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>What the heck does the ability to  "prescribe anything short of controlled substances" mean when only controlled substances require prescriptions in the first place??!!??</p></htmltext>
<tokenext>What the heck does the ability to " prescribe anything short of controlled substances " mean when only controlled substances require prescriptions in the first place ? ? ! ! ?
?</tokentext>
<sentencetext>What the heck does the ability to  "prescribe anything short of controlled substances" mean when only controlled substances require prescriptions in the first place??!!?
?</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30518042</id>
	<title>simpsons did it</title>
	<author>Joe The Dragon</author>
	<datestamp>1261396860000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Lisa:        Maybe I ought to check with the doctor.<br>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; [Lisa, Bart, and Homer gather around Lisa's<br>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; computer.  She starts a program that displays a<br>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; medical logo -- the one with two snakes wrapped<br>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; around a staff]<br>Snake 1:    Welcome to "Virtual Doctor."<br>Snake 2:    From the makers of "Dragon Quest," and<br>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; "SimSandwich."<br>Snakes 1 + 2:    Enter symptoms now.<br>Lisa:        Let's see.  [types on keyboard] Crusty sores?<br>Homer:        Yes.<br>Lisa:        Horrible wailing?<br>Homer:        Yes, yes!<br>Lisa:        Any exposure to unsanitary conditions?<br>Bart:        Duh!  We're pigs.<br>Lisa:        [finishes typing] Okay.  And<nobr> <wbr></nobr>... diagnose.  [pushes<br>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; a key]<br>Virtual Doc:    You've got:  leprosy.<br>Homer +<br>
&nbsp; Bart:        Leprosy?!  Aaah!  [point at one another] Unclean!<br>Bart:        Unclean!<br>Homer:        Unclean!  Help us virtual Doc!  Look at me -- I'm on<br>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; my knees.<br>Virtual Doc:    Goodbye.  [leaves the virtual office]<br>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; [Homer and Bart whimper]</p></htmltext>
<tokenext>Lisa : Maybe I ought to check with the doctor .
                [ Lisa , Bart , and Homer gather around Lisa 's                 computer .
She starts a program that displays a                 medical logo -- the one with two snakes wrapped                 around a staff ] Snake 1 : Welcome to " Virtual Doctor .
" Snake 2 : From the makers of " Dragon Quest , " and                 " SimSandwich .
" Snakes 1 + 2 : Enter symptoms now.Lisa : Let 's see .
[ types on keyboard ] Crusty sores ? Homer : Yes.Lisa : Horrible wailing ? Homer : Yes , yes ! Lisa : Any exposure to unsanitary conditions ? Bart : Duh !
We 're pigs.Lisa : [ finishes typing ] Okay .
And ... diagnose. [ pushes                 a key ] Virtual Doc : You 've got : leprosy.Homer +   Bart : Leprosy ? !
Aaah ! [ point at one another ] Unclean ! Bart : Unclean ! Homer : Unclean !
Help us virtual Doc !
Look at me -- I 'm on                 my knees.Virtual Doc : Goodbye .
[ leaves the virtual office ]                 [ Homer and Bart whimper ]</tokentext>
<sentencetext>Lisa:        Maybe I ought to check with the doctor.
                [Lisa, Bart, and Homer gather around Lisa's
                computer.
She starts a program that displays a
                medical logo -- the one with two snakes wrapped
                around a staff]Snake 1:    Welcome to "Virtual Doctor.
"Snake 2:    From the makers of "Dragon Quest," and
                "SimSandwich.
"Snakes 1 + 2:    Enter symptoms now.Lisa:        Let's see.
[types on keyboard] Crusty sores?Homer:        Yes.Lisa:        Horrible wailing?Homer:        Yes, yes!Lisa:        Any exposure to unsanitary conditions?Bart:        Duh!
We're pigs.Lisa:        [finishes typing] Okay.
And ... diagnose.  [pushes
                a key]Virtual Doc:    You've got:  leprosy.Homer +
  Bart:        Leprosy?!
Aaah!  [point at one another] Unclean!Bart:        Unclean!Homer:        Unclean!
Help us virtual Doc!
Look at me -- I'm on
                my knees.Virtual Doc:    Goodbye.
[leaves the virtual office]
                [Homer and Bart whimper]</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517012</id>
	<title>Re:Don't worry about the quality, feel the cost</title>
	<author>Anonymous</author>
	<datestamp>1261390980000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>This is America, where everything can be fixed if you just find the right drug! Hyperactive kids? Stressed out? Feeling sad? Have a headache? A cold? A runny nose? A small scrape? Not having any problems at all? It can all be fixed thanks to the wonders of drugs!</p><p>Hippies never grew out of drugs, they just changed the type they use and decided the next generation could use the same thing.</p></htmltext>
<tokenext>This is America , where everything can be fixed if you just find the right drug !
Hyperactive kids ?
Stressed out ?
Feeling sad ?
Have a headache ?
A cold ?
A runny nose ?
A small scrape ?
Not having any problems at all ?
It can all be fixed thanks to the wonders of drugs ! Hippies never grew out of drugs , they just changed the type they use and decided the next generation could use the same thing .</tokentext>
<sentencetext>This is America, where everything can be fixed if you just find the right drug!
Hyperactive kids?
Stressed out?
Feeling sad?
Have a headache?
A cold?
A runny nose?
A small scrape?
Not having any problems at all?
It can all be fixed thanks to the wonders of drugs!Hippies never grew out of drugs, they just changed the type they use and decided the next generation could use the same thing.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516334</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30521326</id>
	<title>Paypal won't mind the Doc-in-the-Box</title>
	<author>Anonymous</author>
	<datestamp>1261514220000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p><div class="quote"><p>"But, *of course*, $45 for a *guaranteed* ten minutes of access to an *actual* MD [or nurse practitioner or physician's assistant]is probably well... worth it (?)"</p></div><p>I used to joke with friends who worked in hospital about the fact that somewhere, out there, the world's least qualified doctor was practicing medicine. We all hoped that he improved without serious incident. All of a sudden, I have a prescient feeling that I know how to access his service without ever having him ask me to turn my head and cough. (Cue the sound of a throat clearing.)

</p><p>Oh, and at $270/hr with virtually no overhead, the profits will be rolling in. And being that no one working for these companies need be located anywhere in particular, the wages and quality of service can go the way of all other off-shored business. I wonder if the docs will speak American English any better than the rest of their countrymen... in Bangalore or wherever the "talent" will be located? And what will they be called, Doctor 1U? Ironically, we can't import drugs from other countries legally, but that's because it interferes with profitable, established business models that the stockholder friends of congressmen pay to preserve. In this new case, the 'efficiencies' will be good for us all.

</p><p>If this is new model is successful, someday you'll be able to lease time in a tele-medicine clinic and perform your own surgery, on yourself, from a distance. And if there's malpractice, you can still have a fool for an attorney, up close and personal, providing you survive.

</p><p>They'll call the new service, <b>Suture Yourself!</b></p></div>
	</htmltext>
<tokenext>" But , * of course * , $ 45 for a * guaranteed * ten minutes of access to an * actual * MD [ or nurse practitioner or physician 's assistant ] is probably well... worth it ( ?
) " I used to joke with friends who worked in hospital about the fact that somewhere , out there , the world 's least qualified doctor was practicing medicine .
We all hoped that he improved without serious incident .
All of a sudden , I have a prescient feeling that I know how to access his service without ever having him ask me to turn my head and cough .
( Cue the sound of a throat clearing .
) Oh , and at $ 270/hr with virtually no overhead , the profits will be rolling in .
And being that no one working for these companies need be located anywhere in particular , the wages and quality of service can go the way of all other off-shored business .
I wonder if the docs will speak American English any better than the rest of their countrymen... in Bangalore or wherever the " talent " will be located ?
And what will they be called , Doctor 1U ?
Ironically , we ca n't import drugs from other countries legally , but that 's because it interferes with profitable , established business models that the stockholder friends of congressmen pay to preserve .
In this new case , the 'efficiencies ' will be good for us all .
If this is new model is successful , someday you 'll be able to lease time in a tele-medicine clinic and perform your own surgery , on yourself , from a distance .
And if there 's malpractice , you can still have a fool for an attorney , up close and personal , providing you survive .
They 'll call the new service , Suture Yourself !</tokentext>
<sentencetext>"But, *of course*, $45 for a *guaranteed* ten minutes of access to an *actual* MD [or nurse practitioner or physician's assistant]is probably well... worth it (?
)"I used to joke with friends who worked in hospital about the fact that somewhere, out there, the world's least qualified doctor was practicing medicine.
We all hoped that he improved without serious incident.
All of a sudden, I have a prescient feeling that I know how to access his service without ever having him ask me to turn my head and cough.
(Cue the sound of a throat clearing.
)

Oh, and at $270/hr with virtually no overhead, the profits will be rolling in.
And being that no one working for these companies need be located anywhere in particular, the wages and quality of service can go the way of all other off-shored business.
I wonder if the docs will speak American English any better than the rest of their countrymen... in Bangalore or wherever the "talent" will be located?
And what will they be called, Doctor 1U?
Ironically, we can't import drugs from other countries legally, but that's because it interferes with profitable, established business models that the stockholder friends of congressmen pay to preserve.
In this new case, the 'efficiencies' will be good for us all.
If this is new model is successful, someday you'll be able to lease time in a tele-medicine clinic and perform your own surgery, on yourself, from a distance.
And if there's malpractice, you can still have a fool for an attorney, up close and personal, providing you survive.
They'll call the new service, Suture Yourself!
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516692</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517334</id>
	<title>Re:Don't worry about the quality, feel the cost</title>
	<author>stefanlasiewski</author>
	<datestamp>1261392600000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p><div class="quote"><p>Except in the US it has to be a doctor who does it, because nobody would settle for a nurse.</p></div><p>Blue Shield/Blue Cross of California and Kaiser Permanente both have a nurse available on the phone, 24/7. I've used it a couple times and it worked out well... many simple things can be diagnosed over the phone with a simple questionnaire. If not, they'll tell you to come and see the doctor, often with a priority appointment the next morning.</p></div>
	</htmltext>
<tokenext>Except in the US it has to be a doctor who does it , because nobody would settle for a nurse.Blue Shield/Blue Cross of California and Kaiser Permanente both have a nurse available on the phone , 24/7 .
I 've used it a couple times and it worked out well... many simple things can be diagnosed over the phone with a simple questionnaire .
If not , they 'll tell you to come and see the doctor , often with a priority appointment the next morning .</tokentext>
<sentencetext>Except in the US it has to be a doctor who does it, because nobody would settle for a nurse.Blue Shield/Blue Cross of California and Kaiser Permanente both have a nurse available on the phone, 24/7.
I've used it a couple times and it worked out well... many simple things can be diagnosed over the phone with a simple questionnaire.
If not, they'll tell you to come and see the doctor, often with a priority appointment the next morning.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516502</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30518182</id>
	<title>Re:I am a med student, and I am horrified</title>
	<author>Anonymous</author>
	<datestamp>1261397700000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>You're acting as if doctors in America are anything more than prescription pads with a pulse.<br>People aren't going to doctors to get better, they're "consulting their physician" because the fast talking lawyer at the end of commercials are telling them to.</p></htmltext>
<tokenext>You 're acting as if doctors in America are anything more than prescription pads with a pulse.People are n't going to doctors to get better , they 're " consulting their physician " because the fast talking lawyer at the end of commercials are telling them to .</tokentext>
<sentencetext>You're acting as if doctors in America are anything more than prescription pads with a pulse.People aren't going to doctors to get better, they're "consulting their physician" because the fast talking lawyer at the end of commercials are telling them to.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516516</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516772</id>
	<title>This is just unethical</title>
	<author>Anonymous</author>
	<datestamp>1261389900000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>There is no way in hell that a doctor can accurately and safely prescribe medicine after a 10 minute virtual visit with a patient, especially without a medical history or records of any kind.  This is nothing more than a scheme to make money off of hypochondriacs and those who are uninsured.</p></htmltext>
<tokenext>There is no way in hell that a doctor can accurately and safely prescribe medicine after a 10 minute virtual visit with a patient , especially without a medical history or records of any kind .
This is nothing more than a scheme to make money off of hypochondriacs and those who are uninsured .</tokentext>
<sentencetext>There is no way in hell that a doctor can accurately and safely prescribe medicine after a 10 minute virtual visit with a patient, especially without a medical history or records of any kind.
This is nothing more than a scheme to make money off of hypochondriacs and those who are uninsured.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30519550</id>
	<title>Offshoring.</title>
	<author>plopez</author>
	<datestamp>1261408800000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>A couple of posters, tongue in cheek, have mentioned offshoring. This is actually possible. Medical tourism has already begun and remote surgeries is beginning as well. It's only a matter of time before offshored medical care becomes common, probably driven by the health insurance companies.</p><p>Looks like medicine may be the next profession to tank.</p></htmltext>
<tokenext>A couple of posters , tongue in cheek , have mentioned offshoring .
This is actually possible .
Medical tourism has already begun and remote surgeries is beginning as well .
It 's only a matter of time before offshored medical care becomes common , probably driven by the health insurance companies.Looks like medicine may be the next profession to tank .</tokentext>
<sentencetext>A couple of posters, tongue in cheek, have mentioned offshoring.
This is actually possible.
Medical tourism has already begun and remote surgeries is beginning as well.
It's only a matter of time before offshored medical care becomes common, probably driven by the health insurance companies.Looks like medicine may be the next profession to tank.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517034</id>
	<title>I have a bad feeling about this</title>
	<author>Anonymous</author>
	<datestamp>1261391100000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext>So the company is setup in texas but where are the doctors?  I have a bad feeling that you are actually calling doctors in india.</htmltext>
<tokenext>So the company is setup in texas but where are the doctors ?
I have a bad feeling that you are actually calling doctors in india .</tokentext>
<sentencetext>So the company is setup in texas but where are the doctors?
I have a bad feeling that you are actually calling doctors in india.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516502</id>
	<title>Re:Don't worry about the quality, feel the cost</title>
	<author>ceoyoyo</author>
	<datestamp>1261388400000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>I don't think this amounts to anything that much different.  The online doctor's visit will likely almost always boil down  to some variation on:</p><p>1) You've got a cold.  Get plenty of rest and fluids and take an aspirin.  If it doesn't get better in 5-7 days, go see a doctor in person.</p><p>2) You've got something I can't diagnose over the Internet.  You need to make an appointment to go see a doctor in person.</p><p>So like you said, triage.  Except in the US it has to be a doctor who does it, because nobody would settle for a nurse.</p><p>The prescribing seems to be a bit of a red herring.  Maybe the definitions are different in the US, but if the drug is not controlled, couldn't you just buy it without a prescription anyway?  The only reason for having a prescription would be to get it covered under a drug plan.</p></htmltext>
<tokenext>I do n't think this amounts to anything that much different .
The online doctor 's visit will likely almost always boil down to some variation on : 1 ) You 've got a cold .
Get plenty of rest and fluids and take an aspirin .
If it does n't get better in 5-7 days , go see a doctor in person.2 ) You 've got something I ca n't diagnose over the Internet .
You need to make an appointment to go see a doctor in person.So like you said , triage .
Except in the US it has to be a doctor who does it , because nobody would settle for a nurse.The prescribing seems to be a bit of a red herring .
Maybe the definitions are different in the US , but if the drug is not controlled , could n't you just buy it without a prescription anyway ?
The only reason for having a prescription would be to get it covered under a drug plan .</tokentext>
<sentencetext>I don't think this amounts to anything that much different.
The online doctor's visit will likely almost always boil down  to some variation on:1) You've got a cold.
Get plenty of rest and fluids and take an aspirin.
If it doesn't get better in 5-7 days, go see a doctor in person.2) You've got something I can't diagnose over the Internet.
You need to make an appointment to go see a doctor in person.So like you said, triage.
Except in the US it has to be a doctor who does it, because nobody would settle for a nurse.The prescribing seems to be a bit of a red herring.
Maybe the definitions are different in the US, but if the drug is not controlled, couldn't you just buy it without a prescription anyway?
The only reason for having a prescription would be to get it covered under a drug plan.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516334</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516702</id>
	<title>Eliza</title>
	<author>prgrmr</author>
	<datestamp>1261389480000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><a href="http://www-ai.ijs.si/eliza/eliza.html" title="www-ai.ijs.si">It's just Eliza repackaged</a> [www-ai.ijs.si]</htmltext>
<tokenext>It 's just Eliza repackaged [ www-ai.ijs.si ]</tokentext>
<sentencetext>It's just Eliza repackaged [www-ai.ijs.si]</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30520474</id>
	<title>Re:I am a med student, and I am horrified</title>
	<author>ajlisows</author>
	<datestamp>1261417080000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Good luck as a med student.  I'm sure you understand the medical industry better than I do, but let me tell you what I have experienced going to the doctor.  I look in my little HMO packet and am told to go to one of the doctors on the list.  I had a doctor I liked that would spend time with me but alas, he was not on the list. </p><p> I tried about three doctors and it was all pretty much like...they weighed me (really...I pay attention to my weight.  If I dropped a bunch of weight when not trying to I'd discuss it.  Same with gaining a bunch of weight).  Then they would take my blood pressure.  Again...I take my own blood pressure frequently at Walgreens.  If I noticed a trend upwards or downwards I would discuss it.  At that point....he'd ask me why I was there, I'd tell him, he'd take a look if it was visible (I had a rash on my arm once that showed up for three months a year for about 6 years.) and just think for awhile if it was not visible.  Then he would take a stab in the dark..tell me to stretch, tell me to change my diet a little, or give me some medication.  All that usually took me 20 minutes to drive there, 30 minutes waiting in the waiting room, 15 minutes waiting in the patient room for him to show up, 10 minutes to see him, 20 minutes to drive back.  At least an hour and a half for something that could have been done easily over the internet.</p><p>Another time it was early Monday morning.  I have some serious food allergies and had hives all over my body.  I didn't want to have to go to the ER so I phoned the doctor.  "The Doctor can see you next Monday."  Seriously?  I called a different doctor. "You have not been seen here and the next appointment is in three weeks."  This wasn't the first time I had hives.  I needed a dose of steroids.  They wouldn't give them over the phone...so it cost me an ER visit, a $150 co-pay and 10\% of the ER costs.</p><p>Especially for things like the full body hives that I have a history of...I don't NEED to be seen by a doctor.  I know precisely what treatment I need.  A quick web cam meeting would pretty much confirm that I did in fact have hives.  I Would LOVE a virtual doctors visit for such cases.  If something a bit more extreme was wrong with me (but not ER worthy) a quick consultation and a reference for a Specialist is what the regular doctor would do.  I think that could be done online as well.</p></htmltext>
<tokenext>Good luck as a med student .
I 'm sure you understand the medical industry better than I do , but let me tell you what I have experienced going to the doctor .
I look in my little HMO packet and am told to go to one of the doctors on the list .
I had a doctor I liked that would spend time with me but alas , he was not on the list .
I tried about three doctors and it was all pretty much like...they weighed me ( really...I pay attention to my weight .
If I dropped a bunch of weight when not trying to I 'd discuss it .
Same with gaining a bunch of weight ) .
Then they would take my blood pressure .
Again...I take my own blood pressure frequently at Walgreens .
If I noticed a trend upwards or downwards I would discuss it .
At that point....he 'd ask me why I was there , I 'd tell him , he 'd take a look if it was visible ( I had a rash on my arm once that showed up for three months a year for about 6 years .
) and just think for awhile if it was not visible .
Then he would take a stab in the dark..tell me to stretch , tell me to change my diet a little , or give me some medication .
All that usually took me 20 minutes to drive there , 30 minutes waiting in the waiting room , 15 minutes waiting in the patient room for him to show up , 10 minutes to see him , 20 minutes to drive back .
At least an hour and a half for something that could have been done easily over the internet.Another time it was early Monday morning .
I have some serious food allergies and had hives all over my body .
I did n't want to have to go to the ER so I phoned the doctor .
" The Doctor can see you next Monday .
" Seriously ?
I called a different doctor .
" You have not been seen here and the next appointment is in three weeks .
" This was n't the first time I had hives .
I needed a dose of steroids .
They would n't give them over the phone...so it cost me an ER visit , a $ 150 co-pay and 10 \ % of the ER costs.Especially for things like the full body hives that I have a history of...I do n't NEED to be seen by a doctor .
I know precisely what treatment I need .
A quick web cam meeting would pretty much confirm that I did in fact have hives .
I Would LOVE a virtual doctors visit for such cases .
If something a bit more extreme was wrong with me ( but not ER worthy ) a quick consultation and a reference for a Specialist is what the regular doctor would do .
I think that could be done online as well .</tokentext>
<sentencetext>Good luck as a med student.
I'm sure you understand the medical industry better than I do, but let me tell you what I have experienced going to the doctor.
I look in my little HMO packet and am told to go to one of the doctors on the list.
I had a doctor I liked that would spend time with me but alas, he was not on the list.
I tried about three doctors and it was all pretty much like...they weighed me (really...I pay attention to my weight.
If I dropped a bunch of weight when not trying to I'd discuss it.
Same with gaining a bunch of weight).
Then they would take my blood pressure.
Again...I take my own blood pressure frequently at Walgreens.
If I noticed a trend upwards or downwards I would discuss it.
At that point....he'd ask me why I was there, I'd tell him, he'd take a look if it was visible (I had a rash on my arm once that showed up for three months a year for about 6 years.
) and just think for awhile if it was not visible.
Then he would take a stab in the dark..tell me to stretch, tell me to change my diet a little, or give me some medication.
All that usually took me 20 minutes to drive there, 30 minutes waiting in the waiting room, 15 minutes waiting in the patient room for him to show up, 10 minutes to see him, 20 minutes to drive back.
At least an hour and a half for something that could have been done easily over the internet.Another time it was early Monday morning.
I have some serious food allergies and had hives all over my body.
I didn't want to have to go to the ER so I phoned the doctor.
"The Doctor can see you next Monday.
"  Seriously?
I called a different doctor.
"You have not been seen here and the next appointment is in three weeks.
"  This wasn't the first time I had hives.
I needed a dose of steroids.
They wouldn't give them over the phone...so it cost me an ER visit, a $150 co-pay and 10\% of the ER costs.Especially for things like the full body hives that I have a history of...I don't NEED to be seen by a doctor.
I know precisely what treatment I need.
A quick web cam meeting would pretty much confirm that I did in fact have hives.
I Would LOVE a virtual doctors visit for such cases.
If something a bit more extreme was wrong with me (but not ER worthy) a quick consultation and a reference for a Specialist is what the regular doctor would do.
I think that could be done online as well.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516516</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516516</id>
	<title>I am a med student, and I am horrified</title>
	<author>tpjunkie</author>
	<datestamp>1261388460000</datestamp>
	<modclass>Informativ</modclass>
	<modscore>4</modscore>
	<htmltext>This is a bad idea. No, this is a TERRIBLE idea. With a virtual doctors visit you are missing out on a very important component of data collection leading to a diagnosis; the physical exam. Without ascultation, you are missing out on a ton of information about a patient's cardiovascular, gastrointestinal and pulmonary systems. Without physical contact, you cannot perform any kind of neurological or musculor skeletal exam, or even really determine a patient's mental status, especially if you are using just a instant messenger style window for communication. I think it is highly irresponsible and certainly opens up a practitioner to a lot of liability to be diagnosing and prescribing meds in such a manner.

As a doctor, I'd say this is not for me. And as a patient, moreso.</htmltext>
<tokenext>This is a bad idea .
No , this is a TERRIBLE idea .
With a virtual doctors visit you are missing out on a very important component of data collection leading to a diagnosis ; the physical exam .
Without ascultation , you are missing out on a ton of information about a patient 's cardiovascular , gastrointestinal and pulmonary systems .
Without physical contact , you can not perform any kind of neurological or musculor skeletal exam , or even really determine a patient 's mental status , especially if you are using just a instant messenger style window for communication .
I think it is highly irresponsible and certainly opens up a practitioner to a lot of liability to be diagnosing and prescribing meds in such a manner .
As a doctor , I 'd say this is not for me .
And as a patient , moreso .</tokentext>
<sentencetext>This is a bad idea.
No, this is a TERRIBLE idea.
With a virtual doctors visit you are missing out on a very important component of data collection leading to a diagnosis; the physical exam.
Without ascultation, you are missing out on a ton of information about a patient's cardiovascular, gastrointestinal and pulmonary systems.
Without physical contact, you cannot perform any kind of neurological or musculor skeletal exam, or even really determine a patient's mental status, especially if you are using just a instant messenger style window for communication.
I think it is highly irresponsible and certainly opens up a practitioner to a lot of liability to be diagnosing and prescribing meds in such a manner.
As a doctor, I'd say this is not for me.
And as a patient, moreso.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516328</id>
	<title>Its nice to see</title>
	<author>djfuq</author>
	<datestamp>1261387500000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>1</modscore>
	<htmltext><p>Its nice to see the medical industry take steps to modernize finally.</p><p>Problems with visiting the doctor in person:</p><p>If you are sick you have to make an appointment - and wait. If you cant wait and you need answers you go to the ER (bad for many reasons)</p><p>If you are sick you have to drive to the doctor when the appointment comes, or get a ride or ride public transit and share the germs etc (bad for many reasons)</p><p>When you get to the doctors office, you wait with other sick people. (spread the germs - bad on many levels)</p><p>You speak to 2 people before you speak to the doctor (cost of receptionist, cost of nurse, miscommunication possible)</p><p>Skipping all of those steps may be a good idea for things where physical testing etc isn't needed.</p></htmltext>
<tokenext>Its nice to see the medical industry take steps to modernize finally.Problems with visiting the doctor in person : If you are sick you have to make an appointment - and wait .
If you cant wait and you need answers you go to the ER ( bad for many reasons ) If you are sick you have to drive to the doctor when the appointment comes , or get a ride or ride public transit and share the germs etc ( bad for many reasons ) When you get to the doctors office , you wait with other sick people .
( spread the germs - bad on many levels ) You speak to 2 people before you speak to the doctor ( cost of receptionist , cost of nurse , miscommunication possible ) Skipping all of those steps may be a good idea for things where physical testing etc is n't needed .</tokentext>
<sentencetext>Its nice to see the medical industry take steps to modernize finally.Problems with visiting the doctor in person:If you are sick you have to make an appointment - and wait.
If you cant wait and you need answers you go to the ER (bad for many reasons)If you are sick you have to drive to the doctor when the appointment comes, or get a ride or ride public transit and share the germs etc (bad for many reasons)When you get to the doctors office, you wait with other sick people.
(spread the germs - bad on many levels)You speak to 2 people before you speak to the doctor (cost of receptionist, cost of nurse, miscommunication possible)Skipping all of those steps may be a good idea for things where physical testing etc isn't needed.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517878</id>
	<title>Re:I am a med student, and I am horrified</title>
	<author>redneckHippe</author>
	<datestamp>1261395780000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>I'm horrified that you're a med student.</htmltext>
<tokenext>I 'm horrified that you 're a med student .</tokentext>
<sentencetext>I'm horrified that you're a med student.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516516</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516146</id>
	<title>Nationwide, for anyone in Texas?</title>
	<author>FooAtWFU</author>
	<datestamp>1261386720000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>It's like a whole 'nother country.</htmltext>
<tokenext>It 's like a whole 'nother country .</tokentext>
<sentencetext>It's like a whole 'nother country.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517062</id>
	<title>Re:Virtual Medical License</title>
	<author>chromas</author>
	<datestamp>1261391160000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>I'm sorry  but Slashdot will not allow me to send a Unicode check nor its reasonable approximation, the root symbol. Therefore, please accept the attached Unicode point reference in its stead. Thank you.</p><p>U+2713</p></htmltext>
<tokenext>I 'm sorry but Slashdot will not allow me to send a Unicode check nor its reasonable approximation , the root symbol .
Therefore , please accept the attached Unicode point reference in its stead .
Thank you.U + 2713</tokentext>
<sentencetext>I'm sorry  but Slashdot will not allow me to send a Unicode check nor its reasonable approximation, the root symbol.
Therefore, please accept the attached Unicode point reference in its stead.
Thank you.U+2713</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516242</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517254</id>
	<title>Re:I am a med student, and I am horrified</title>
	<author>physicsphairy</author>
	<datestamp>1261392180000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Yes, well, do you need to need to perform a neurological and skeletal exam to re-fill someone's acne medication?

</p><p>Obviously there are some things this works well for and others that it doesn't.  I don't see why you automatically assume this will be used for the latter.  Presumably a doctor is conscious of the holes in the information obtained this way and thus if able to state if he requires a personal visit.

</p><p>On that note, you are also assuming you have the given patient at your mercy. The truth is a lot of people simply do not visit the doctor unless they can no longer help doing so.  For all its possible deficiencies, a cheap, fast, unobtrusive examination process that people will actually use is a million times better than no examination at all.</p></htmltext>
<tokenext>Yes , well , do you need to need to perform a neurological and skeletal exam to re-fill someone 's acne medication ?
Obviously there are some things this works well for and others that it does n't .
I do n't see why you automatically assume this will be used for the latter .
Presumably a doctor is conscious of the holes in the information obtained this way and thus if able to state if he requires a personal visit .
On that note , you are also assuming you have the given patient at your mercy .
The truth is a lot of people simply do not visit the doctor unless they can no longer help doing so .
For all its possible deficiencies , a cheap , fast , unobtrusive examination process that people will actually use is a million times better than no examination at all .</tokentext>
<sentencetext>Yes, well, do you need to need to perform a neurological and skeletal exam to re-fill someone's acne medication?
Obviously there are some things this works well for and others that it doesn't.
I don't see why you automatically assume this will be used for the latter.
Presumably a doctor is conscious of the holes in the information obtained this way and thus if able to state if he requires a personal visit.
On that note, you are also assuming you have the given patient at your mercy.
The truth is a lot of people simply do not visit the doctor unless they can no longer help doing so.
For all its possible deficiencies, a cheap, fast, unobtrusive examination process that people will actually use is a million times better than no examination at all.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516516</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30519916</id>
	<title>Re:I am a med student, and I am horrified</title>
	<author>demonlapin</author>
	<datestamp>1261411740000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Have you considered bargaining beforehand? If you're paying cash up front, you need not pay full price to get a face-to-face with an MD.<br> <br>As for what we spend, well, yes, the US system is expensive, and no, we don't live as long as some do.  Of course, there is very little that doctors can do to affect the overall life expectancy.  There are a large number of conditions that do not lead to shorter lifespans, but do restrict what you can do with that time - Alzheimer disease is perhaps the most obvious, but it is not alone.  Saving people from cancer does relatively little.  I'm an anesthesiologist, and at most 5\% of the surgeries that I perform anesthesia for have the potential to increase lifespan.  The rest do nothing for it - but they allow people to avoid going blind, to stop having chronic tonsil infections, to walk without pain, to play the sport they got a college scholarship in, to stop having chronic back pain.  These are valuable things, no?</htmltext>
<tokenext>Have you considered bargaining beforehand ?
If you 're paying cash up front , you need not pay full price to get a face-to-face with an MD .
As for what we spend , well , yes , the US system is expensive , and no , we do n't live as long as some do .
Of course , there is very little that doctors can do to affect the overall life expectancy .
There are a large number of conditions that do not lead to shorter lifespans , but do restrict what you can do with that time - Alzheimer disease is perhaps the most obvious , but it is not alone .
Saving people from cancer does relatively little .
I 'm an anesthesiologist , and at most 5 \ % of the surgeries that I perform anesthesia for have the potential to increase lifespan .
The rest do nothing for it - but they allow people to avoid going blind , to stop having chronic tonsil infections , to walk without pain , to play the sport they got a college scholarship in , to stop having chronic back pain .
These are valuable things , no ?</tokentext>
<sentencetext>Have you considered bargaining beforehand?
If you're paying cash up front, you need not pay full price to get a face-to-face with an MD.
As for what we spend, well, yes, the US system is expensive, and no, we don't live as long as some do.
Of course, there is very little that doctors can do to affect the overall life expectancy.
There are a large number of conditions that do not lead to shorter lifespans, but do restrict what you can do with that time - Alzheimer disease is perhaps the most obvious, but it is not alone.
Saving people from cancer does relatively little.
I'm an anesthesiologist, and at most 5\% of the surgeries that I perform anesthesia for have the potential to increase lifespan.
The rest do nothing for it - but they allow people to avoid going blind, to stop having chronic tonsil infections, to walk without pain, to play the sport they got a college scholarship in, to stop having chronic back pain.
These are valuable things, no?</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516892</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517994</id>
	<title>Re:I am a med student, and I am horrified</title>
	<author>izomiac</author>
	<datestamp>1261396560000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>I'm a medical student as well (not a doctor though... I'm not sure how you can be both), and I like the idea.  The physical exam is unlikely to show much for the type of case this should be applied for, namely borderline subclinical stuff that doesn't warrant a visit.  If it's something more serious then the patient will be told to come in.  Furthermore, lots of people get iatrogenic infections by coming into a clinic just to be told to drink plenty of fluids and get some rest for their viral cold.  For the physician, the time savings on the simple cases should allow more time to be spent on the complicated ones.</htmltext>
<tokenext>I 'm a medical student as well ( not a doctor though... I 'm not sure how you can be both ) , and I like the idea .
The physical exam is unlikely to show much for the type of case this should be applied for , namely borderline subclinical stuff that does n't warrant a visit .
If it 's something more serious then the patient will be told to come in .
Furthermore , lots of people get iatrogenic infections by coming into a clinic just to be told to drink plenty of fluids and get some rest for their viral cold .
For the physician , the time savings on the simple cases should allow more time to be spent on the complicated ones .</tokentext>
<sentencetext>I'm a medical student as well (not a doctor though... I'm not sure how you can be both), and I like the idea.
The physical exam is unlikely to show much for the type of case this should be applied for, namely borderline subclinical stuff that doesn't warrant a visit.
If it's something more serious then the patient will be told to come in.
Furthermore, lots of people get iatrogenic infections by coming into a clinic just to be told to drink plenty of fluids and get some rest for their viral cold.
For the physician, the time savings on the simple cases should allow more time to be spent on the complicated ones.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516516</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30520906</id>
	<title>Also a med student (somewhat more cynical)</title>
	<author>Goraek</author>
	<datestamp>1261422120000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>dude, it's a script writing service<nobr> <wbr></nobr>:p anything more and would get sued into the stone-age.<br>looking at the how health operates in the US, they're giving the razor for free and charging for the blades. $45 for a con-sult and here's the repeats on 50 different drugs. You know who's pockets are going to be padded from this.</p><p>The sad thing is that they'll be going after the people that can't afford to see a "real-doctor" and will simply be promoting pill-popping.<br>A couple of GOMERs will get killed by some kid straight out of internship using this system, there'll be lawsuits, crying, hugging. Maybe some kind of new oversight or regulations and a bunch of executives will go for a swim in their money bin.</p><p>what can you say? it's not as though the "real" medical system in the US can handle the steaming-masses..</p></htmltext>
<tokenext>dude , it 's a script writing service : p anything more and would get sued into the stone-age.looking at the how health operates in the US , they 're giving the razor for free and charging for the blades .
$ 45 for a con-sult and here 's the repeats on 50 different drugs .
You know who 's pockets are going to be padded from this.The sad thing is that they 'll be going after the people that ca n't afford to see a " real-doctor " and will simply be promoting pill-popping.A couple of GOMERs will get killed by some kid straight out of internship using this system , there 'll be lawsuits , crying , hugging .
Maybe some kind of new oversight or regulations and a bunch of executives will go for a swim in their money bin.what can you say ?
it 's not as though the " real " medical system in the US can handle the steaming-masses. .</tokentext>
<sentencetext>dude, it's a script writing service :p anything more and would get sued into the stone-age.looking at the how health operates in the US, they're giving the razor for free and charging for the blades.
$45 for a con-sult and here's the repeats on 50 different drugs.
You know who's pockets are going to be padded from this.The sad thing is that they'll be going after the people that can't afford to see a "real-doctor" and will simply be promoting pill-popping.A couple of GOMERs will get killed by some kid straight out of internship using this system, there'll be lawsuits, crying, hugging.
Maybe some kind of new oversight or regulations and a bunch of executives will go for a swim in their money bin.what can you say?
it's not as though the "real" medical system in the US can handle the steaming-masses..</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516516</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30520142</id>
	<title>Re:I am a med student, and I am horrified</title>
	<author>aleph</author>
	<datestamp>1261413720000</datestamp>
	<modclass>Informativ</modclass>
	<modscore>2</modscore>
	<htmltext>Are you serious? More than $100? A visit to a non-<a href="http://en.wikipedia.org/wiki/Bulk\_billing" title="wikipedia.org" rel="nofollow">bulk billing</a> [wikipedia.org] Doctor here in Aus will usually set you back $40-60. Typically you get ~$30 back from Medicare, but that's the rate for a 15-20m consult. Random person from street can rock up for that, no government subsidy involved.</htmltext>
<tokenext>Are you serious ?
More than $ 100 ?
A visit to a non-bulk billing [ wikipedia.org ] Doctor here in Aus will usually set you back $ 40-60 .
Typically you get ~ $ 30 back from Medicare , but that 's the rate for a 15-20m consult .
Random person from street can rock up for that , no government subsidy involved .</tokentext>
<sentencetext>Are you serious?
More than $100?
A visit to a non-bulk billing [wikipedia.org] Doctor here in Aus will usually set you back $40-60.
Typically you get ~$30 back from Medicare, but that's the rate for a 15-20m consult.
Random person from street can rock up for that, no government subsidy involved.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516892</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30518050</id>
	<title>Virtual medicine</title>
	<author>amightywind</author>
	<datestamp>1261396920000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Get used to a lot of "virtual" medicine with Obamacare, like in it won't be there. The taxes will be real though.</p></htmltext>
<tokenext>Get used to a lot of " virtual " medicine with Obamacare , like in it wo n't be there .
The taxes will be real though .</tokentext>
<sentencetext>Get used to a lot of "virtual" medicine with Obamacare, like in it won't be there.
The taxes will be real though.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516330</id>
	<title>Anonymous Coward</title>
	<author>Anonymous</author>
	<datestamp>1261387500000</datestamp>
	<modclass>Offtopic</modclass>
	<modscore>-1</modscore>
	<htmltext><p>Hi.  Just checkin your comment feature.</p></htmltext>
<tokenext>Hi .
Just checkin your comment feature .</tokentext>
<sentencetext>Hi.
Just checkin your comment feature.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516270</id>
	<title>Paying cash always helps</title>
	<author>demonlapin</author>
	<datestamp>1261387200000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>If you call around asking doctors' offices if they'll see you for $45 cash at the time of service for an uncomplicated visit, you will not have to make many calls before you have a taker. This is already an option, "whether or not they are insured".</htmltext>
<tokenext>If you call around asking doctors ' offices if they 'll see you for $ 45 cash at the time of service for an uncomplicated visit , you will not have to make many calls before you have a taker .
This is already an option , " whether or not they are insured " .</tokentext>
<sentencetext>If you call around asking doctors' offices if they'll see you for $45 cash at the time of service for an uncomplicated visit, you will not have to make many calls before you have a taker.
This is already an option, "whether or not they are insured".</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517984</id>
	<title>Herd health</title>
	<author>kaliann</author>
	<datestamp>1261396500000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>This could actually be beneficial: getting people with highly communicable diseases "seen" without exposing to a whole bunch of other people in waiting rooms.<br>If they aren't sick, they aren't risking picking up something in a crowded hospital.  If they are sick, they aren't going to be giving their funk to anybody or picking up a superinfection on top of their original problem.  Empirical treatments like first line antibiotics don't require lab tests in most cases, and can drastically reduce the infectious potential of an affected individual.</p><p>To say nothing of the appointments for being prescribed birth control! As long as a woman has had a yearly, a basic interview is usually all a doc needs to prescribe birth control (though some places will want a pregnancy test).</p><p>Of course there will be cases that can't be diagnosed by this method, but by using this technology appropriately we could provide people with a service that could improve both their health and the well being of others while reducing some of the burden on in-person services.</p></htmltext>
<tokenext>This could actually be beneficial : getting people with highly communicable diseases " seen " without exposing to a whole bunch of other people in waiting rooms.If they are n't sick , they are n't risking picking up something in a crowded hospital .
If they are sick , they are n't going to be giving their funk to anybody or picking up a superinfection on top of their original problem .
Empirical treatments like first line antibiotics do n't require lab tests in most cases , and can drastically reduce the infectious potential of an affected individual.To say nothing of the appointments for being prescribed birth control !
As long as a woman has had a yearly , a basic interview is usually all a doc needs to prescribe birth control ( though some places will want a pregnancy test ) .Of course there will be cases that ca n't be diagnosed by this method , but by using this technology appropriately we could provide people with a service that could improve both their health and the well being of others while reducing some of the burden on in-person services .</tokentext>
<sentencetext>This could actually be beneficial: getting people with highly communicable diseases "seen" without exposing to a whole bunch of other people in waiting rooms.If they aren't sick, they aren't risking picking up something in a crowded hospital.
If they are sick, they aren't going to be giving their funk to anybody or picking up a superinfection on top of their original problem.
Empirical treatments like first line antibiotics don't require lab tests in most cases, and can drastically reduce the infectious potential of an affected individual.To say nothing of the appointments for being prescribed birth control!
As long as a woman has had a yearly, a basic interview is usually all a doc needs to prescribe birth control (though some places will want a pregnancy test).Of course there will be cases that can't be diagnosed by this method, but by using this technology appropriately we could provide people with a service that could improve both their health and the well being of others while reducing some of the burden on in-person services.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516892</id>
	<title>Re:I am a med student, and I am horrified</title>
	<author>BlueBoxSW.com</author>
	<datestamp>1261390380000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Uhm. Maybe the doctors you go to work like they do on House, but for the rest of us, the deal is simple: You get 10 minutes of a doctor's expertise and you pay a least 100 bucks. No references will be consulted, not too many notes will be taken. No follow up is guaranteed unless there's a charge to go with it.</p><p>This is the same business model Hookers use, and we're sick of it.</p><p>The medical industry here in the US is pathetic. We spend the most pre capita, 2-3 times what most industrialized nations spend, and have the life span of a third-world country. Our system was built by lobbyists looking out for Doctors and the Pharma industry. Almost no one is looking out for the patients.</p><p>We need better access to information so we can help ourselves. We need portable electronic records that we can view and amend without the assistance of a doctor (gain or lose weight? Sprain your ankle? Put it in there.). We need a proactive electronic model of our health that looks for trends and potential upcoming issues (Want to know the likelyhood of developing diabetes based on you age, weight, and history? It'll tell you. Having symptoms related to a kidney problem? Let's schedule you an appointment.). We need access to "tier-1" doctors such as the one in the article for a reasonable cost, and escalation should there be a need for it.</p></htmltext>
<tokenext>Uhm .
Maybe the doctors you go to work like they do on House , but for the rest of us , the deal is simple : You get 10 minutes of a doctor 's expertise and you pay a least 100 bucks .
No references will be consulted , not too many notes will be taken .
No follow up is guaranteed unless there 's a charge to go with it.This is the same business model Hookers use , and we 're sick of it.The medical industry here in the US is pathetic .
We spend the most pre capita , 2-3 times what most industrialized nations spend , and have the life span of a third-world country .
Our system was built by lobbyists looking out for Doctors and the Pharma industry .
Almost no one is looking out for the patients.We need better access to information so we can help ourselves .
We need portable electronic records that we can view and amend without the assistance of a doctor ( gain or lose weight ?
Sprain your ankle ?
Put it in there. ) .
We need a proactive electronic model of our health that looks for trends and potential upcoming issues ( Want to know the likelyhood of developing diabetes based on you age , weight , and history ?
It 'll tell you .
Having symptoms related to a kidney problem ?
Let 's schedule you an appointment. ) .
We need access to " tier-1 " doctors such as the one in the article for a reasonable cost , and escalation should there be a need for it .</tokentext>
<sentencetext>Uhm.
Maybe the doctors you go to work like they do on House, but for the rest of us, the deal is simple: You get 10 minutes of a doctor's expertise and you pay a least 100 bucks.
No references will be consulted, not too many notes will be taken.
No follow up is guaranteed unless there's a charge to go with it.This is the same business model Hookers use, and we're sick of it.The medical industry here in the US is pathetic.
We spend the most pre capita, 2-3 times what most industrialized nations spend, and have the life span of a third-world country.
Our system was built by lobbyists looking out for Doctors and the Pharma industry.
Almost no one is looking out for the patients.We need better access to information so we can help ourselves.
We need portable electronic records that we can view and amend without the assistance of a doctor (gain or lose weight?
Sprain your ankle?
Put it in there.).
We need a proactive electronic model of our health that looks for trends and potential upcoming issues (Want to know the likelyhood of developing diabetes based on you age, weight, and history?
It'll tell you.
Having symptoms related to a kidney problem?
Let's schedule you an appointment.).
We need access to "tier-1" doctors such as the one in the article for a reasonable cost, and escalation should there be a need for it.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516516</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516970</id>
	<title>Re:Nationwide, for anyone in Texas?</title>
	<author>EvanED</author>
	<datestamp>1261390740000</datestamp>
	<modclass>Funny</modclass>
	<modscore>2</modscore>
	<htmltext><p>Hell, I remember when Dell was ranked at the top of customer service ratings in PC magazines.</p></htmltext>
<tokenext>Hell , I remember when Dell was ranked at the top of customer service ratings in PC magazines .</tokentext>
<sentencetext>Hell, I remember when Dell was ranked at the top of customer service ratings in PC magazines.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516898</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516524</id>
	<title>non-controlled substances</title>
	<author>Anonymous</author>
	<datestamp>1261388460000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Aren't all prescription medications "controlled"?</p></htmltext>
<tokenext>Are n't all prescription medications " controlled " ?</tokentext>
<sentencetext>Aren't all prescription medications "controlled"?</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516232</id>
	<title>Lawsuits galore?</title>
	<author>Anonymous</author>
	<datestamp>1261387080000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>1</modscore>
	<htmltext><p>It sounds like a good idea.</p><p>I hope the physicians are covered by some sort of indemnity so that they won't be sued for something that they cannot possibly figure out via a video phone and 10 minutes.  Otherwise you'll see doctors figure out that it's just not worth the risk.</p><p>As a physician, I'll be happy to participate in something like this so long as my exposure to lawsuits is limited.</p></htmltext>
<tokenext>It sounds like a good idea.I hope the physicians are covered by some sort of indemnity so that they wo n't be sued for something that they can not possibly figure out via a video phone and 10 minutes .
Otherwise you 'll see doctors figure out that it 's just not worth the risk.As a physician , I 'll be happy to participate in something like this so long as my exposure to lawsuits is limited .</tokentext>
<sentencetext>It sounds like a good idea.I hope the physicians are covered by some sort of indemnity so that they won't be sued for something that they cannot possibly figure out via a video phone and 10 minutes.
Otherwise you'll see doctors figure out that it's just not worth the risk.As a physician, I'll be happy to participate in something like this so long as my exposure to lawsuits is limited.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30519964</id>
	<title>Re:Yet another prescription mill</title>
	<author>demonlapin</author>
	<datestamp>1261412160000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Why not get her primary MD to prescribe a box of B12 injections and just do it yourself when you need to?</htmltext>
<tokenext>Why not get her primary MD to prescribe a box of B12 injections and just do it yourself when you need to ?</tokentext>
<sentencetext>Why not get her primary MD to prescribe a box of B12 injections and just do it yourself when you need to?</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517330</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516724</id>
	<title>Better than no visit at all...</title>
	<author>Anonymous</author>
	<datestamp>1261389600000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>3</modscore>
	<htmltext>Most commenters have only mentioned that a web diagnosis is likely to be inferior to an in-person diagnosis.  I generally agree with that statement.
<br>
What I feel people are failing to catch is that a web diagnosis, conducted by a qualified individual is better than no diagnosis at all.
<br>
How many people skip or put off doctor visits because they don't have the desire or time to block 2+ hours of their day for a 5 minute visit with a doctor?  How many others can't afford $150+ for a visit?  Now that you're thinking about those numbers consider how many people miss out the on the potential benefits of an early diagnosis.
<br>
If this service can expand access to medical care and encourage more people to seek care when they need it I think it could have significant benefits.  I think it also has the potential to limit unnecessary doctor/ER visits.
<br>
As long as the doctors stay within the bounds of what they can really do on the web I think there is upside potential in this model.</htmltext>
<tokenext>Most commenters have only mentioned that a web diagnosis is likely to be inferior to an in-person diagnosis .
I generally agree with that statement .
What I feel people are failing to catch is that a web diagnosis , conducted by a qualified individual is better than no diagnosis at all .
How many people skip or put off doctor visits because they do n't have the desire or time to block 2 + hours of their day for a 5 minute visit with a doctor ?
How many others ca n't afford $ 150 + for a visit ?
Now that you 're thinking about those numbers consider how many people miss out the on the potential benefits of an early diagnosis .
If this service can expand access to medical care and encourage more people to seek care when they need it I think it could have significant benefits .
I think it also has the potential to limit unnecessary doctor/ER visits .
As long as the doctors stay within the bounds of what they can really do on the web I think there is upside potential in this model .</tokentext>
<sentencetext>Most commenters have only mentioned that a web diagnosis is likely to be inferior to an in-person diagnosis.
I generally agree with that statement.
What I feel people are failing to catch is that a web diagnosis, conducted by a qualified individual is better than no diagnosis at all.
How many people skip or put off doctor visits because they don't have the desire or time to block 2+ hours of their day for a 5 minute visit with a doctor?
How many others can't afford $150+ for a visit?
Now that you're thinking about those numbers consider how many people miss out the on the potential benefits of an early diagnosis.
If this service can expand access to medical care and encourage more people to seek care when they need it I think it could have significant benefits.
I think it also has the potential to limit unnecessary doctor/ER visits.
As long as the doctors stay within the bounds of what they can really do on the web I think there is upside potential in this model.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30519648</id>
	<title>Sounds great to me</title>
	<author>Fished</author>
	<datestamp>1261409580000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Sounds great to me.  Of course, I go to the doctor for one reason and one reason only: he has a prescription pad.  I find that I'm usually better informed than he is about what's actually ailing me--something to do with him getting most of his continuing education courtesy of drug reps.  Case in point... I'm a diabetic.  My treatment?  Low-carb diet and Metformin.  His treatment?  Low-fat diet and Metformin, then Metformin and Byetta, then I quit listening to him and went on a low-carb diet.  Guess which one worked?</p><p>Another case in point... chronic asthma.  His treatment?  Steroids, inhalers, etc. etc.  My treatment?  Prilosec, as I thought it was being caused by Gastric Reflux (at the time a prescription med.)  Guess which one worked?</p><p>In this day of Google, it's amazing how much a smart, critical thinker can find out about their own health.  I just wish the law would recognize that with drugs that don't have high abuse potential, maybe I have the right to buy whatever I think would help me.  Or maybe even with drugs that do have abuse potential.</p></htmltext>
<tokenext>Sounds great to me .
Of course , I go to the doctor for one reason and one reason only : he has a prescription pad .
I find that I 'm usually better informed than he is about what 's actually ailing me--something to do with him getting most of his continuing education courtesy of drug reps. Case in point... I 'm a diabetic .
My treatment ?
Low-carb diet and Metformin .
His treatment ?
Low-fat diet and Metformin , then Metformin and Byetta , then I quit listening to him and went on a low-carb diet .
Guess which one worked ? Another case in point... chronic asthma .
His treatment ?
Steroids , inhalers , etc .
etc. My treatment ?
Prilosec , as I thought it was being caused by Gastric Reflux ( at the time a prescription med .
) Guess which one worked ? In this day of Google , it 's amazing how much a smart , critical thinker can find out about their own health .
I just wish the law would recognize that with drugs that do n't have high abuse potential , maybe I have the right to buy whatever I think would help me .
Or maybe even with drugs that do have abuse potential .</tokentext>
<sentencetext>Sounds great to me.
Of course, I go to the doctor for one reason and one reason only: he has a prescription pad.
I find that I'm usually better informed than he is about what's actually ailing me--something to do with him getting most of his continuing education courtesy of drug reps.  Case in point... I'm a diabetic.
My treatment?
Low-carb diet and Metformin.
His treatment?
Low-fat diet and Metformin, then Metformin and Byetta, then I quit listening to him and went on a low-carb diet.
Guess which one worked?Another case in point... chronic asthma.
His treatment?
Steroids, inhalers, etc.
etc.  My treatment?
Prilosec, as I thought it was being caused by Gastric Reflux (at the time a prescription med.
)  Guess which one worked?In this day of Google, it's amazing how much a smart, critical thinker can find out about their own health.
I just wish the law would recognize that with drugs that don't have high abuse potential, maybe I have the right to buy whatever I think would help me.
Or maybe even with drugs that do have abuse potential.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30518518</id>
	<title>Re:Virtual Medical License</title>
	<author>CannonballHead</author>
	<datestamp>1261400160000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>
Hmmm.  I don't think Eliza counts as a virtual doctor.  She appears to be clueless.</p><blockquote><div><p>You: Can I get a prescription for Vicodin?<br>
Eliza: Do you want to be able to get a prescription for vicodin?<br>
You: Yes!<br>
Eliza: You are sure?<br>
You: Yes, I am sure. I'm in pain!<br>
Eliza: You are sure?<br>
You: Just give me my pain medications already!!<br>
Eliza: Why do you say your pain medications already?<br>
You: I just wasted $45. Goodbye.<br>
Eliza: Can you elaborate on that?</p></div>
</blockquote></div>
	</htmltext>
<tokenext>Hmmm .
I do n't think Eliza counts as a virtual doctor .
She appears to be clueless.You : Can I get a prescription for Vicodin ?
Eliza : Do you want to be able to get a prescription for vicodin ?
You : Yes !
Eliza : You are sure ?
You : Yes , I am sure .
I 'm in pain !
Eliza : You are sure ?
You : Just give me my pain medications already ! !
Eliza : Why do you say your pain medications already ?
You : I just wasted $ 45 .
Goodbye . Eliza : Can you elaborate on that ?</tokentext>
<sentencetext>
Hmmm.
I don't think Eliza counts as a virtual doctor.
She appears to be clueless.You: Can I get a prescription for Vicodin?
Eliza: Do you want to be able to get a prescription for vicodin?
You: Yes!
Eliza: You are sure?
You: Yes, I am sure.
I'm in pain!
Eliza: You are sure?
You: Just give me my pain medications already!!
Eliza: Why do you say your pain medications already?
You: I just wasted $45.
Goodbye.
Eliza: Can you elaborate on that?

	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516242</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517412</id>
	<title>Re:Say goodbye</title>
	<author>pwfffff</author>
	<datestamp>1261393080000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Yeah, the government totally fucks over any and all innovation. I mean, look at what those commies in England thought up: <a href="http://en.wikipedia.org/wiki/Nhs\_direct#History\_and\_background" title="wikipedia.org">http://en.wikipedia.org/wiki/Nhs\_direct#History\_and\_background</a> [wikipedia.org]</p><p>Those bastards totally cut out the innovation by prenovating!</p></htmltext>
<tokenext>Yeah , the government totally fucks over any and all innovation .
I mean , look at what those commies in England thought up : http : //en.wikipedia.org/wiki/Nhs \ _direct # History \ _and \ _background [ wikipedia.org ] Those bastards totally cut out the innovation by prenovating !</tokentext>
<sentencetext>Yeah, the government totally fucks over any and all innovation.
I mean, look at what those commies in England thought up: http://en.wikipedia.org/wiki/Nhs\_direct#History\_and\_background [wikipedia.org]Those bastards totally cut out the innovation by prenovating!</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516470</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516738</id>
	<title>Re:Nationwide, for anyone in Texas?</title>
	<author>Anonymous</author>
	<datestamp>1261389660000</datestamp>
	<modclass>Funny</modclass>
	<modscore>5</modscore>
	<htmltext><p><div class="quote"><p>It's like a whole 'nother country.</p></div><p>Actually I have a funny story about that.  I called Dell once upon a time to get a warranty replacement for a power supply that had gone up in smoke.  My company has a support agreement with them and is supposed to receive priority support from Americans.  Somehow I wound up in the queue talking to the morons from New Delhi.  That went something like this:
</p><p>Heavy Indian Accent: Thank you so much for calling Dell, my name is "Bob" (yeah, I bet it is buddy....), how many I assist you?
<br>Me: *sigh* (well, might as well give it a shot) "Yeah, I have a bad power supply here and I need to get a replacement for it."
<br>Tech Guy: Yes, yes, I am understanding that you have a bad power supply.  Please insert the system diagnostics CD into the CD-ROM drive.
<br>Me: I can't do that.  When I plug the system in sparks come out of the back.
<br>Tech Guy: Yes, yes, I am understanding your problem, please insert the system diagnostics CD into the CD-ROM drive.
<br>Me: No, you don't understand, I can't plug the system in, the power supply failed.
<br>Tech Guy: Please insert the system diagnostics CD into the CD-ROM drive.
<br>Me: (trying different tack) I can't get the CD-ROM drive to open.
<br>Tech Guy: Yes, I understand, is the computer plugged into the wall outlet?
<br>Me: (back to square one) No, sparks will come out of it.
<br>Tech Guy: Please insert the system diagnostics CD into the CD-ROM drive.
<br>Me: *click*
</p><p>So I call them back and go through the same exact menu system.  Somehow I wind up with an American this time.  He had the thickest Texan drawl that I've ever heard in my life.
</p><p>Tech Guy: Thanks for calling Dell, my name is John, how may I help you?
<br>Me: John, are you in the United States?
<br>John: No sir!  I'm in Texas.
</p><p>Needless to say I knew I had somebody on the phone that I could do business with<nobr> <wbr></nobr>;)
</p><p>Amazingly enough he didn't ask me to use the system diagnostics CD either.  I don't know how he was able to troubleshoot my "sparks are coming out of the back of it" problem without the assistance of the system diagnostics CD, but somehow he managed.....</p></div>
	</htmltext>
<tokenext>It 's like a whole 'nother country.Actually I have a funny story about that .
I called Dell once upon a time to get a warranty replacement for a power supply that had gone up in smoke .
My company has a support agreement with them and is supposed to receive priority support from Americans .
Somehow I wound up in the queue talking to the morons from New Delhi .
That went something like this : Heavy Indian Accent : Thank you so much for calling Dell , my name is " Bob " ( yeah , I bet it is buddy.... ) , how many I assist you ?
Me : * sigh * ( well , might as well give it a shot ) " Yeah , I have a bad power supply here and I need to get a replacement for it .
" Tech Guy : Yes , yes , I am understanding that you have a bad power supply .
Please insert the system diagnostics CD into the CD-ROM drive .
Me : I ca n't do that .
When I plug the system in sparks come out of the back .
Tech Guy : Yes , yes , I am understanding your problem , please insert the system diagnostics CD into the CD-ROM drive .
Me : No , you do n't understand , I ca n't plug the system in , the power supply failed .
Tech Guy : Please insert the system diagnostics CD into the CD-ROM drive .
Me : ( trying different tack ) I ca n't get the CD-ROM drive to open .
Tech Guy : Yes , I understand , is the computer plugged into the wall outlet ?
Me : ( back to square one ) No , sparks will come out of it .
Tech Guy : Please insert the system diagnostics CD into the CD-ROM drive .
Me : * click * So I call them back and go through the same exact menu system .
Somehow I wind up with an American this time .
He had the thickest Texan drawl that I 've ever heard in my life .
Tech Guy : Thanks for calling Dell , my name is John , how may I help you ?
Me : John , are you in the United States ?
John : No sir !
I 'm in Texas .
Needless to say I knew I had somebody on the phone that I could do business with ; ) Amazingly enough he did n't ask me to use the system diagnostics CD either .
I do n't know how he was able to troubleshoot my " sparks are coming out of the back of it " problem without the assistance of the system diagnostics CD , but somehow he managed.... .</tokentext>
<sentencetext>It's like a whole 'nother country.Actually I have a funny story about that.
I called Dell once upon a time to get a warranty replacement for a power supply that had gone up in smoke.
My company has a support agreement with them and is supposed to receive priority support from Americans.
Somehow I wound up in the queue talking to the morons from New Delhi.
That went something like this:
Heavy Indian Accent: Thank you so much for calling Dell, my name is "Bob" (yeah, I bet it is buddy....), how many I assist you?
Me: *sigh* (well, might as well give it a shot) "Yeah, I have a bad power supply here and I need to get a replacement for it.
"
Tech Guy: Yes, yes, I am understanding that you have a bad power supply.
Please insert the system diagnostics CD into the CD-ROM drive.
Me: I can't do that.
When I plug the system in sparks come out of the back.
Tech Guy: Yes, yes, I am understanding your problem, please insert the system diagnostics CD into the CD-ROM drive.
Me: No, you don't understand, I can't plug the system in, the power supply failed.
Tech Guy: Please insert the system diagnostics CD into the CD-ROM drive.
Me: (trying different tack) I can't get the CD-ROM drive to open.
Tech Guy: Yes, I understand, is the computer plugged into the wall outlet?
Me: (back to square one) No, sparks will come out of it.
Tech Guy: Please insert the system diagnostics CD into the CD-ROM drive.
Me: *click*
So I call them back and go through the same exact menu system.
Somehow I wind up with an American this time.
He had the thickest Texan drawl that I've ever heard in my life.
Tech Guy: Thanks for calling Dell, my name is John, how may I help you?
Me: John, are you in the United States?
John: No sir!
I'm in Texas.
Needless to say I knew I had somebody on the phone that I could do business with ;)
Amazingly enough he didn't ask me to use the system diagnostics CD either.
I don't know how he was able to troubleshoot my "sparks are coming out of the back of it" problem without the assistance of the system diagnostics CD, but somehow he managed.....
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516146</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517226</id>
	<title>Re:I am a med student, and I am horrified</title>
	<author>Anonymous</author>
	<datestamp>1261392000000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Just to get something out of the way first:</p><p><div class="quote"><p>I am a med student[...]<br>As a doctor,</p></div><p>You're not a doctor. You're a med student. One of the first things you should have had beaten into your head as a med or law student is that you are not either a doctor or a lawyer until you've completed the programme of learning and training.</p><p>This aside, you are completely right. There is a lot of "I don't want to wait 30 minutes going to an appointment!" in this thread - if such people cannot spend 30 minutes on their health, but are happy to idle time away on Slashdot, they are bringing on their own demise.</p></div>
	</htmltext>
<tokenext>Just to get something out of the way first : I am a med student [ ... ] As a doctor,You 're not a doctor .
You 're a med student .
One of the first things you should have had beaten into your head as a med or law student is that you are not either a doctor or a lawyer until you 've completed the programme of learning and training.This aside , you are completely right .
There is a lot of " I do n't want to wait 30 minutes going to an appointment !
" in this thread - if such people can not spend 30 minutes on their health , but are happy to idle time away on Slashdot , they are bringing on their own demise .</tokentext>
<sentencetext>Just to get something out of the way first:I am a med student[...]As a doctor,You're not a doctor.
You're a med student.
One of the first things you should have had beaten into your head as a med or law student is that you are not either a doctor or a lawyer until you've completed the programme of learning and training.This aside, you are completely right.
There is a lot of "I don't want to wait 30 minutes going to an appointment!
" in this thread - if such people cannot spend 30 minutes on their health, but are happy to idle time away on Slashdot, they are bringing on their own demise.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516516</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516574</id>
	<title>Prescriptions for non-controlled substances?</title>
	<author>swb</author>
	<datestamp>1261388760000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>What would be the point?  Aren't all medications that require prescriptions before dispensing "controlled" substances, or are we talking about Schedule II only?</p><p>Or will they write "prescriptions" for overpriced formulations like Ibuprofen 800 (just take 4 of the over the counter 200s)?</p><p>I like the idea of telemedicine, I think it holds a lot of promise for reducing costs and increasing access (both in terms of speed and breadth of access), but it sucks we have to let our moronic prohibitionist mentality get in the way.</p></htmltext>
<tokenext>What would be the point ?
Are n't all medications that require prescriptions before dispensing " controlled " substances , or are we talking about Schedule II only ? Or will they write " prescriptions " for overpriced formulations like Ibuprofen 800 ( just take 4 of the over the counter 200s ) ? I like the idea of telemedicine , I think it holds a lot of promise for reducing costs and increasing access ( both in terms of speed and breadth of access ) , but it sucks we have to let our moronic prohibitionist mentality get in the way .</tokentext>
<sentencetext>What would be the point?
Aren't all medications that require prescriptions before dispensing "controlled" substances, or are we talking about Schedule II only?Or will they write "prescriptions" for overpriced formulations like Ibuprofen 800 (just take 4 of the over the counter 200s)?I like the idea of telemedicine, I think it holds a lot of promise for reducing costs and increasing access (both in terms of speed and breadth of access), but it sucks we have to let our moronic prohibitionist mentality get in the way.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30523634</id>
	<title>IN SOCIALIST AMERIKA</title>
	<author>Anonymous</author>
	<datestamp>1261497300000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Doctor virtually visits you</p></htmltext>
<tokenext>Doctor virtually visits you</tokentext>
<sentencetext>Doctor virtually visits you</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517084</id>
	<title>Re:Self operation</title>
	<author>Monkeedude1212</author>
	<datestamp>1261391280000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>I'm more concerned about all the people who want to do an over the internet Full Physical. I'm not really into that Goatse stuff.</p></htmltext>
<tokenext>I 'm more concerned about all the people who want to do an over the internet Full Physical .
I 'm not really into that Goatse stuff .</tokentext>
<sentencetext>I'm more concerned about all the people who want to do an over the internet Full Physical.
I'm not really into that Goatse stuff.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516240</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30522084</id>
	<title>Re:Nationwide, for anyone in Texas?</title>
	<author>selven</author>
	<datestamp>1261481340000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>That sounds like the Emacs psychotherapist. Try asking for source.</p></htmltext>
<tokenext>That sounds like the Emacs psychotherapist .
Try asking for source .</tokentext>
<sentencetext>That sounds like the Emacs psychotherapist.
Try asking for source.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516738</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30520560</id>
	<title>Online gynecologist</title>
	<author>Santzes</author>
	<datestamp>1261418160000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Could I open one like this and claim to be a gynecologist? If I'd get paid for watching webcam porn I'd be rich</htmltext>
<tokenext>Could I open one like this and claim to be a gynecologist ?
If I 'd get paid for watching webcam porn I 'd be rich</tokentext>
<sentencetext>Could I open one like this and claim to be a gynecologist?
If I'd get paid for watching webcam porn I'd be rich</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30521212</id>
	<title>Good- it isn't replacement for a doctor</title>
	<author>Anonymous</author>
	<datestamp>1261512720000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Doctors shouldn't fear this. All it does is keep patients from feeling pain. I was in major pain last night and all I needed to know was if i could take thee pain killer pills instead of two. Ended up going to the emergency room. Ended up with a better solution- but the emergency had to get an exception for me to be treated The severe pain I was kept me from sleeping and wasn't going away. I had been one different meds, seen lots of doctors, and had severe pain for over a month, and it was something that was on and off for several months. I had an appointment scheduled in a far away land (big city with a hospital with specialized division) 10 days away and this was the third time in the ER. They finally called that big far away hospital with the special division and found out how to treat me and it was so simple that they just did it on the spot. It took one hour.</p></htmltext>
<tokenext>Doctors should n't fear this .
All it does is keep patients from feeling pain .
I was in major pain last night and all I needed to know was if i could take thee pain killer pills instead of two .
Ended up going to the emergency room .
Ended up with a better solution- but the emergency had to get an exception for me to be treated The severe pain I was kept me from sleeping and was n't going away .
I had been one different meds , seen lots of doctors , and had severe pain for over a month , and it was something that was on and off for several months .
I had an appointment scheduled in a far away land ( big city with a hospital with specialized division ) 10 days away and this was the third time in the ER .
They finally called that big far away hospital with the special division and found out how to treat me and it was so simple that they just did it on the spot .
It took one hour .</tokentext>
<sentencetext>Doctors shouldn't fear this.
All it does is keep patients from feeling pain.
I was in major pain last night and all I needed to know was if i could take thee pain killer pills instead of two.
Ended up going to the emergency room.
Ended up with a better solution- but the emergency had to get an exception for me to be treated The severe pain I was kept me from sleeping and wasn't going away.
I had been one different meds, seen lots of doctors, and had severe pain for over a month, and it was something that was on and off for several months.
I had an appointment scheduled in a far away land (big city with a hospital with specialized division) 10 days away and this was the third time in the ER.
They finally called that big far away hospital with the special division and found out how to treat me and it was so simple that they just did it on the spot.
It took one hour.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30519210</id>
	<title>Re:I am a med student, and I am horrified</title>
	<author>Anonymous</author>
	<datestamp>1261406340000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>I don't see the issue.  I take it you've never picked up the phone and had a doctor call in a prescription for you.  (They didn't see you! You could have blood pouring out your eyes like Niagra!)  Yes there are things you should be physically seen for, such as a broken arm, but some stuff is perfectly doable without being face to face.</p><p>For as Liability... really?  With the current course we're on, doctors will have to biopsy every organ you have for a hang nail, just to be safe.  Screw it.</p><p>$45 isn't that much more than my co-pay and I don't have to sit around for an hour waiting to see someone for 30 seconds.</p></htmltext>
<tokenext>I do n't see the issue .
I take it you 've never picked up the phone and had a doctor call in a prescription for you .
( They did n't see you !
You could have blood pouring out your eyes like Niagra !
) Yes there are things you should be physically seen for , such as a broken arm , but some stuff is perfectly doable without being face to face.For as Liability... really ? With the current course we 're on , doctors will have to biopsy every organ you have for a hang nail , just to be safe .
Screw it. $ 45 is n't that much more than my co-pay and I do n't have to sit around for an hour waiting to see someone for 30 seconds .</tokentext>
<sentencetext>I don't see the issue.
I take it you've never picked up the phone and had a doctor call in a prescription for you.
(They didn't see you!
You could have blood pouring out your eyes like Niagra!
)  Yes there are things you should be physically seen for, such as a broken arm, but some stuff is perfectly doable without being face to face.For as Liability... really?  With the current course we're on, doctors will have to biopsy every organ you have for a hang nail, just to be safe.
Screw it.$45 isn't that much more than my co-pay and I don't have to sit around for an hour waiting to see someone for 30 seconds.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516516</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30518796</id>
	<title>Re:Don't worry about the quality, feel the cost</title>
	<author>Anonymous</author>
	<datestamp>1261402920000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>This actually reminds me of a <a href="http://www.mailonsunday.co.uk/news/article-1206908/Swine-flu-diagnosis-phone-scrapped-says-father-daughter-died-tonsillitis.html" title="mailonsunday.co.uk" rel="nofollow">story</a> [mailonsunday.co.uk] I read a little while ago from the UK where a girl was misdiagnosed with swine flu by an over the phone diagnosis system employed in the UK.  Apparently she actually had tonsillitis and ended up dying from it due to complications that arose.</p><p>There is a significant difference between describing your symptoms to someone who may or may not be qualified to diagnose you, and actually seeing a doctor.</p></htmltext>
<tokenext>This actually reminds me of a story [ mailonsunday.co.uk ] I read a little while ago from the UK where a girl was misdiagnosed with swine flu by an over the phone diagnosis system employed in the UK .
Apparently she actually had tonsillitis and ended up dying from it due to complications that arose.There is a significant difference between describing your symptoms to someone who may or may not be qualified to diagnose you , and actually seeing a doctor .</tokentext>
<sentencetext>This actually reminds me of a story [mailonsunday.co.uk] I read a little while ago from the UK where a girl was misdiagnosed with swine flu by an over the phone diagnosis system employed in the UK.
Apparently she actually had tonsillitis and ended up dying from it due to complications that arose.There is a significant difference between describing your symptoms to someone who may or may not be qualified to diagnose you, and actually seeing a doctor.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516334</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30518358</id>
	<title>Re:I am a med student, and I am horrified</title>
	<author>SakuraDreams</author>
	<datestamp>1261398900000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>You should know that the history gives you 90\% of the diagnosis, the physical examination 5\% and 5\% comes from diagnostic tests (imaging, lab tests, EKG, etc).

This service is a joke however, it should give you a disclaimer stating that it's not fit for any purpose and is not a replacement for a doctor consultation.</htmltext>
<tokenext>You should know that the history gives you 90 \ % of the diagnosis , the physical examination 5 \ % and 5 \ % comes from diagnostic tests ( imaging , lab tests , EKG , etc ) .
This service is a joke however , it should give you a disclaimer stating that it 's not fit for any purpose and is not a replacement for a doctor consultation .</tokentext>
<sentencetext>You should know that the history gives you 90\% of the diagnosis, the physical examination 5\% and 5\% comes from diagnostic tests (imaging, lab tests, EKG, etc).
This service is a joke however, it should give you a disclaimer stating that it's not fit for any purpose and is not a replacement for a doctor consultation.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516516</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516282</id>
	<title>Virtual Visits To Virtual Doctors In A</title>
	<author>Anonymous</author>
	<datestamp>1261387260000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p> virtually non-existent U.S.A.</p><p>Have a weekend.</p><p>Yours In Moscow,<br>K. Trout</p></htmltext>
<tokenext>virtually non-existent U.S.A.Have a weekend.Yours In Moscow,K .
Trout</tokentext>
<sentencetext> virtually non-existent U.S.A.Have a weekend.Yours In Moscow,K.
Trout</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516268</id>
	<title>let me be the first to say</title>
	<author>nimbius</author>
	<datestamp>1261387200000</datestamp>
	<modclass>Offtopic</modclass>
	<modscore>1</modscore>
	<htmltext>grabbin' pills!</htmltext>
<tokenext>grabbin ' pills !</tokentext>
<sentencetext>grabbin' pills!</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517330</id>
	<title>Re:Yet another prescription mill</title>
	<author>Anonymous</author>
	<datestamp>1261392600000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Sure, some people will be idiots looking for prescriptions. But think of the number of people who every year show up at doctors' offices and emergency rooms across the country because they have cold/flu symptoms. How many millions of doctor visits can you filter out with T1 support every year?</p><p>Imagine if every user incident was immediately sent to a developer. Even if the incident was that the user didn't have their PC plugged in. It wastes the developer's time, it could have been handled much faster by a T1 support person, and it would have left more time for the developer to focus on critical issues that are beyond the scope of T1 support.</p><p>Heck, my wife has a vitamin B12 deficiency. She can feel certain symptoms act up when her B12 starts getting low. If she could just go down to clinic and get a B12 test, she could schedule an appointment for a shot. Unfortunately, our insurance will only cover the test if it is recommended by a doctor. So in order to get the shot, we have to deal with a doctors appointment to get the lab referral, then the lab, then an appointment for the shot, then a follow up.</p><p>Each of those appointments are billed at $125, and the lab appointment is even more. And we pay a $25 co-pay on every one of them. Over $500 ($100 after insurance) to cover a $0.20 shot. Cutting the referral and follow up appointments to 10 minute virtual visits (which is already longer than we actually see the doc in person) drops that to $390+ and saves us 2 trips across town.</p><p>-Rick</p></htmltext>
<tokenext>Sure , some people will be idiots looking for prescriptions .
But think of the number of people who every year show up at doctors ' offices and emergency rooms across the country because they have cold/flu symptoms .
How many millions of doctor visits can you filter out with T1 support every year ? Imagine if every user incident was immediately sent to a developer .
Even if the incident was that the user did n't have their PC plugged in .
It wastes the developer 's time , it could have been handled much faster by a T1 support person , and it would have left more time for the developer to focus on critical issues that are beyond the scope of T1 support.Heck , my wife has a vitamin B12 deficiency .
She can feel certain symptoms act up when her B12 starts getting low .
If she could just go down to clinic and get a B12 test , she could schedule an appointment for a shot .
Unfortunately , our insurance will only cover the test if it is recommended by a doctor .
So in order to get the shot , we have to deal with a doctors appointment to get the lab referral , then the lab , then an appointment for the shot , then a follow up.Each of those appointments are billed at $ 125 , and the lab appointment is even more .
And we pay a $ 25 co-pay on every one of them .
Over $ 500 ( $ 100 after insurance ) to cover a $ 0.20 shot .
Cutting the referral and follow up appointments to 10 minute virtual visits ( which is already longer than we actually see the doc in person ) drops that to $ 390 + and saves us 2 trips across town.-Rick</tokentext>
<sentencetext>Sure, some people will be idiots looking for prescriptions.
But think of the number of people who every year show up at doctors' offices and emergency rooms across the country because they have cold/flu symptoms.
How many millions of doctor visits can you filter out with T1 support every year?Imagine if every user incident was immediately sent to a developer.
Even if the incident was that the user didn't have their PC plugged in.
It wastes the developer's time, it could have been handled much faster by a T1 support person, and it would have left more time for the developer to focus on critical issues that are beyond the scope of T1 support.Heck, my wife has a vitamin B12 deficiency.
She can feel certain symptoms act up when her B12 starts getting low.
If she could just go down to clinic and get a B12 test, she could schedule an appointment for a shot.
Unfortunately, our insurance will only cover the test if it is recommended by a doctor.
So in order to get the shot, we have to deal with a doctors appointment to get the lab referral, then the lab, then an appointment for the shot, then a follow up.Each of those appointments are billed at $125, and the lab appointment is even more.
And we pay a $25 co-pay on every one of them.
Over $500 ($100 after insurance) to cover a $0.20 shot.
Cutting the referral and follow up appointments to 10 minute virtual visits (which is already longer than we actually see the doc in person) drops that to $390+ and saves us 2 trips across town.-Rick</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516594</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516834</id>
	<title>$9.95 per minute</title>
	<author>Anonymous</author>
	<datestamp>1261390200000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>10 minutes?!  Shit, I am sold!  Here in BFE Indiana, you are lucky to get 30 seconds of your doctor's time for $65 and that is after waiting in the waiting room for two hours.  Physical exam?  You might get a whole minute of your doctor's time if they actually listen to your chest, look at your throat, nose, ears... Usually, it is just the 30 second "what hurts?  Oh.  Okay..take this OR, more commonly, it is a viral thing...drink plenty of fluids, rest, call me next week."</p><p>Why allow 10 minutes?  Completely unnecessary!  This online crap should only take a minute, not 10 and should be billed at $9.95/minute (limit of one minute to be enforced under ObamaCare).  $600 an hour from the beach in the Bahamas is plenty...hell, make it a beach in a country without an extradition treaty and you can skip medical school!  And you never need to go face to face with the contagious...how AWESOME is that?!  Another Mai Tai please!</p></htmltext>
<tokenext>10 minutes ? !
Shit , I am sold !
Here in BFE Indiana , you are lucky to get 30 seconds of your doctor 's time for $ 65 and that is after waiting in the waiting room for two hours .
Physical exam ?
You might get a whole minute of your doctor 's time if they actually listen to your chest , look at your throat , nose , ears... Usually , it is just the 30 second " what hurts ?
Oh. Okay..take this OR , more commonly , it is a viral thing...drink plenty of fluids , rest , call me next week .
" Why allow 10 minutes ?
Completely unnecessary !
This online crap should only take a minute , not 10 and should be billed at $ 9.95/minute ( limit of one minute to be enforced under ObamaCare ) .
$ 600 an hour from the beach in the Bahamas is plenty...hell , make it a beach in a country without an extradition treaty and you can skip medical school !
And you never need to go face to face with the contagious...how AWESOME is that ? !
Another Mai Tai please !</tokentext>
<sentencetext>10 minutes?!
Shit, I am sold!
Here in BFE Indiana, you are lucky to get 30 seconds of your doctor's time for $65 and that is after waiting in the waiting room for two hours.
Physical exam?
You might get a whole minute of your doctor's time if they actually listen to your chest, look at your throat, nose, ears... Usually, it is just the 30 second "what hurts?
Oh.  Okay..take this OR, more commonly, it is a viral thing...drink plenty of fluids, rest, call me next week.
"Why allow 10 minutes?
Completely unnecessary!
This online crap should only take a minute, not 10 and should be billed at $9.95/minute (limit of one minute to be enforced under ObamaCare).
$600 an hour from the beach in the Bahamas is plenty...hell, make it a beach in a country without an extradition treaty and you can skip medical school!
And you never need to go face to face with the contagious...how AWESOME is that?!
Another Mai Tai please!</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517102</id>
	<title>ascultation</title>
	<author>Anonymous</author>
	<datestamp>1261391400000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Get with the times, doctor, we're up to unicocultation now.</p></htmltext>
<tokenext>Get with the times , doctor , we 're up to unicocultation now .</tokentext>
<sentencetext>Get with the times, doctor, we're up to unicocultation now.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516516</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516594</id>
	<title>Yet another prescription mill</title>
	<author>hwyhobo</author>
	<datestamp>1261388880000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>This is simply taking it to another level. Why make a pretense of actual examination when one can write a prescription serving as a bandaid to mask symptoms sight unseen and move on to the next "patient"? That's what most doctors do today anyway, except they go through a 5 minute theater of taking your vital signs.</p><p>This may be a good step, however, if it results in computers one day diagnosing patients. They will possess vast medical knowledge and will actually attempt to correlate multiple symptoms. Today most doctors seem utterly incapable of not only telling a cause from effect, but also of looking systemically at more than one symptom at a time. If anyone, god forbid, has a complex issue, most will diagnose it as 5 unrelated issues, and will treat them separately, at best helping none, and usually making it worse.</p><p>So for now, let's cut the pretense, and one day let's move to a system that may help patients instead of just separating sick people from their money.</p></htmltext>
<tokenext>This is simply taking it to another level .
Why make a pretense of actual examination when one can write a prescription serving as a bandaid to mask symptoms sight unseen and move on to the next " patient " ?
That 's what most doctors do today anyway , except they go through a 5 minute theater of taking your vital signs.This may be a good step , however , if it results in computers one day diagnosing patients .
They will possess vast medical knowledge and will actually attempt to correlate multiple symptoms .
Today most doctors seem utterly incapable of not only telling a cause from effect , but also of looking systemically at more than one symptom at a time .
If anyone , god forbid , has a complex issue , most will diagnose it as 5 unrelated issues , and will treat them separately , at best helping none , and usually making it worse.So for now , let 's cut the pretense , and one day let 's move to a system that may help patients instead of just separating sick people from their money .</tokentext>
<sentencetext>This is simply taking it to another level.
Why make a pretense of actual examination when one can write a prescription serving as a bandaid to mask symptoms sight unseen and move on to the next "patient"?
That's what most doctors do today anyway, except they go through a 5 minute theater of taking your vital signs.This may be a good step, however, if it results in computers one day diagnosing patients.
They will possess vast medical knowledge and will actually attempt to correlate multiple symptoms.
Today most doctors seem utterly incapable of not only telling a cause from effect, but also of looking systemically at more than one symptom at a time.
If anyone, god forbid, has a complex issue, most will diagnose it as 5 unrelated issues, and will treat them separately, at best helping none, and usually making it worse.So for now, let's cut the pretense, and one day let's move to a system that may help patients instead of just separating sick people from their money.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517096</id>
	<title>Virtual Doctors Visits - Look Out</title>
	<author>twmcneil</author>
	<datestamp>1261391340000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Next stop India.  "Is there anything else I can help you with today?"</htmltext>
<tokenext>Next stop India .
" Is there anything else I can help you with today ?
"</tokentext>
<sentencetext>Next stop India.
"Is there anything else I can help you with today?
"</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516374</id>
	<title>Re:Lawsuits galore?</title>
	<author>Idiomatick</author>
	<datestamp>1261387740000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>More worrying perhaps than lawsuits galore is the health risks. If this gained popularity I think we'll see a lot of people skipping going to the clinic so they can do this. And pretty much anything not common and obvious will be misdiagnosed or impossible to diagnose. If you were going to be limiting diagnosis to simple things over voice then a simple app could take place pretty easily and likely do a better job. It could work like 20 questions for maladies. (So long as it doesn't do guessing)<br> <br>When combined with your point it is a bit scary. The doctors participating will be those with nothing to lose(can't hold clients), idiots(willing to risk lawsuits) or the dishonest(if they are too closely linked to pharmacies). So we'll have shitty doctors with no tools, and little information giving out drugs and diagnosing people. Yikes.</htmltext>
<tokenext>More worrying perhaps than lawsuits galore is the health risks .
If this gained popularity I think we 'll see a lot of people skipping going to the clinic so they can do this .
And pretty much anything not common and obvious will be misdiagnosed or impossible to diagnose .
If you were going to be limiting diagnosis to simple things over voice then a simple app could take place pretty easily and likely do a better job .
It could work like 20 questions for maladies .
( So long as it does n't do guessing ) When combined with your point it is a bit scary .
The doctors participating will be those with nothing to lose ( ca n't hold clients ) , idiots ( willing to risk lawsuits ) or the dishonest ( if they are too closely linked to pharmacies ) .
So we 'll have shitty doctors with no tools , and little information giving out drugs and diagnosing people .
Yikes .</tokentext>
<sentencetext>More worrying perhaps than lawsuits galore is the health risks.
If this gained popularity I think we'll see a lot of people skipping going to the clinic so they can do this.
And pretty much anything not common and obvious will be misdiagnosed or impossible to diagnose.
If you were going to be limiting diagnosis to simple things over voice then a simple app could take place pretty easily and likely do a better job.
It could work like 20 questions for maladies.
(So long as it doesn't do guessing) When combined with your point it is a bit scary.
The doctors participating will be those with nothing to lose(can't hold clients), idiots(willing to risk lawsuits) or the dishonest(if they are too closely linked to pharmacies).
So we'll have shitty doctors with no tools, and little information giving out drugs and diagnosing people.
Yikes.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516232</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30519182</id>
	<title>Re:Better than no visit at all...</title>
	<author>jacqdesign</author>
	<datestamp>1261406100000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Totally agree. More options are always better. Let the consumer decide in general. I don't like most my options I have now, especially with all the traveling I do. This is very cool, if it turns out to be bad, people will turn away quickly. If it turns out to be good, we just reduced the cost of healthcare, good deal. And like the parent says, probably increased access to atleast some type of health care.</htmltext>
<tokenext>Totally agree .
More options are always better .
Let the consumer decide in general .
I do n't like most my options I have now , especially with all the traveling I do .
This is very cool , if it turns out to be bad , people will turn away quickly .
If it turns out to be good , we just reduced the cost of healthcare , good deal .
And like the parent says , probably increased access to atleast some type of health care .</tokentext>
<sentencetext>Totally agree.
More options are always better.
Let the consumer decide in general.
I don't like most my options I have now, especially with all the traveling I do.
This is very cool, if it turns out to be bad, people will turn away quickly.
If it turns out to be good, we just reduced the cost of healthcare, good deal.
And like the parent says, probably increased access to atleast some type of health care.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516724</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516496</id>
	<title>tubgirL</title>
	<author>Anonymous</author>
	<datestamp>1261388400000</datestamp>
	<modclass>Offtopic</modclass>
	<modscore>-1</modscore>
	<htmltext>maintained that too I thought it was my OEpenBSD wanker Theo obvious that there create, manufacture at this point AMERICA) might be Lizard - In other</htmltext>
<tokenext>maintained that too I thought it was my OEpenBSD wanker Theo obvious that there create , manufacture at this point AMERICA ) might be Lizard - In other</tokentext>
<sentencetext>maintained that too I thought it was my OEpenBSD wanker Theo obvious that there create, manufacture at this point AMERICA) might be Lizard - In other</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30520088</id>
	<title>Re:Paying cash always helps</title>
	<author>afaik\_ianal</author>
	<datestamp>1261413360000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>I have a similar problem with my girlfriend.  Well, except she's a prostitute.</p></htmltext>
<tokenext>I have a similar problem with my girlfriend .
Well , except she 's a prostitute .</tokentext>
<sentencetext>I have a similar problem with my girlfriend.
Well, except she's a prostitute.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517594</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30518712</id>
	<title>Cleveland Clinic offers virtual 2nd opinions</title>
	<author>cbunix23</author>
	<datestamp>1261402140000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>2</modscore>
	<htmltext>Related to that, the Cleveland Clinic offers "Remove Medical Second Opinion".

<a href="http://www.eclevelandclinic.org/myConsultHome" title="eclevelandclinic.org" rel="nofollow">http://www.eclevelandclinic.org/myConsultHome</a> [eclevelandclinic.org]

It is a bit pricey, but this is one of the best medical centers in the world.</htmltext>
<tokenext>Related to that , the Cleveland Clinic offers " Remove Medical Second Opinion " .
http : //www.eclevelandclinic.org/myConsultHome [ eclevelandclinic.org ] It is a bit pricey , but this is one of the best medical centers in the world .</tokentext>
<sentencetext>Related to that, the Cleveland Clinic offers "Remove Medical Second Opinion".
http://www.eclevelandclinic.org/myConsultHome [eclevelandclinic.org]

It is a bit pricey, but this is one of the best medical centers in the world.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517176</id>
	<title>Re:Virtual Medical License</title>
	<author>mcgrew</author>
	<datestamp>1261391760000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Maybe it's Janeaway's holographic Johnnycab doctor?</p></htmltext>
<tokenext>Maybe it 's Janeaway 's holographic Johnnycab doctor ?</tokentext>
<sentencetext>Maybe it's Janeaway's holographic Johnnycab doctor?</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516242</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516568</id>
	<title>Re:Lawsuits galore?</title>
	<author>LockeOnLogic</author>
	<datestamp>1261388700000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Regardless of any indemnity, a clever tort lawyer has got you at the very least with strict liability.</htmltext>
<tokenext>Regardless of any indemnity , a clever tort lawyer has got you at the very least with strict liability .</tokentext>
<sentencetext>Regardless of any indemnity, a clever tort lawyer has got you at the very least with strict liability.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516232</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516604</id>
	<title>Re:Self operation</title>
	<author>natehoy</author>
	<datestamp>1261389000000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Hold a firecracker, lit with an 8-second fuse, in your left hand and count to ten on your fingers.  One finger per second.  If you need both hands, you can temporarily place the firecracker between your legs while you finish the count.</p><p>$45 please.  Please be sure to pay up BEFORE you perform the operation.</p></htmltext>
<tokenext>Hold a firecracker , lit with an 8-second fuse , in your left hand and count to ten on your fingers .
One finger per second .
If you need both hands , you can temporarily place the firecracker between your legs while you finish the count. $ 45 please .
Please be sure to pay up BEFORE you perform the operation .</tokentext>
<sentencetext>Hold a firecracker, lit with an 8-second fuse, in your left hand and count to ten on your fingers.
One finger per second.
If you need both hands, you can temporarily place the firecracker between your legs while you finish the count.$45 please.
Please be sure to pay up BEFORE you perform the operation.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516240</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516718</id>
	<title>Re:Don't worry about the quality, feel the cost</title>
	<author>mea37</author>
	<datestamp>1261389600000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Uh, actually, a lot of people <i>do</i> settle for nurses to do triage.  My insurance offers me a phone number where I can reach a nurse at any time of day or night to determine if I have a medical concern that needs a doctor's attention.</p></htmltext>
<tokenext>Uh , actually , a lot of people do settle for nurses to do triage .
My insurance offers me a phone number where I can reach a nurse at any time of day or night to determine if I have a medical concern that needs a doctor 's attention .</tokentext>
<sentencetext>Uh, actually, a lot of people do settle for nurses to do triage.
My insurance offers me a phone number where I can reach a nurse at any time of day or night to determine if I have a medical concern that needs a doctor's attention.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516502</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517148</id>
	<title>Re:I am a med student, and I am horrified</title>
	<author>shrimppesto</author>
	<datestamp>1261391640000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>To be fair, there are a significant number of conditions seen in the primary care setting for which the physical exam is of little or no value.  Many conditions are diagnosed by the clinical interview alone.  A responsible way to run this virtual clinic thing would be to treat only this set of conditions over the internet, and bring the rest into the clinic for an exam.  Whether this is actually what takes place is another story.
<br> <br>
For patients who have an established relationship with a primary care doctor, virtual clinics can be a valuable adjuvant in managing many chronic medical conditions between visits.  This is particularly valuable in conditions for which some level of self-testing is available at home (e.g. hypertension, diabetes, chronic congestive heart failure).  Incorporating the virtual clinic model into chronic disease management can even improve the management of such conditions beyond what can be achieved through regular face-to-face doctor visits.  Telemanagement programs have long had success keeping CHF [congestive heart failure] patients out of the hospital, and moving such programs from the phone to the internet is a reasonable next step for computer-savvy patients.
<br> <br>
Unfortunately, most acute conditions <i>that are seen in the ER</i> are a bit more serious, and tend to require some level of physical exam for proper diagnosis.  Additionally, the management of most chronic medical conditions also requires some level of examination at regular intervals.  <strong>If the goal of expanding access to primary care is to provide better chronic disease prevention/management and relieve ER crowding, the virtual clinic is unlikely to achieve those goals without coexisting access to face-to-face primary care</strong>.  For this reason, while virtual clinics can (and will) become an important adjuvant in primary care, they cannot replace an established relationship with a primary care doctor.</htmltext>
<tokenext>To be fair , there are a significant number of conditions seen in the primary care setting for which the physical exam is of little or no value .
Many conditions are diagnosed by the clinical interview alone .
A responsible way to run this virtual clinic thing would be to treat only this set of conditions over the internet , and bring the rest into the clinic for an exam .
Whether this is actually what takes place is another story .
For patients who have an established relationship with a primary care doctor , virtual clinics can be a valuable adjuvant in managing many chronic medical conditions between visits .
This is particularly valuable in conditions for which some level of self-testing is available at home ( e.g .
hypertension , diabetes , chronic congestive heart failure ) .
Incorporating the virtual clinic model into chronic disease management can even improve the management of such conditions beyond what can be achieved through regular face-to-face doctor visits .
Telemanagement programs have long had success keeping CHF [ congestive heart failure ] patients out of the hospital , and moving such programs from the phone to the internet is a reasonable next step for computer-savvy patients .
Unfortunately , most acute conditions that are seen in the ER are a bit more serious , and tend to require some level of physical exam for proper diagnosis .
Additionally , the management of most chronic medical conditions also requires some level of examination at regular intervals .
If the goal of expanding access to primary care is to provide better chronic disease prevention/management and relieve ER crowding , the virtual clinic is unlikely to achieve those goals without coexisting access to face-to-face primary care .
For this reason , while virtual clinics can ( and will ) become an important adjuvant in primary care , they can not replace an established relationship with a primary care doctor .</tokentext>
<sentencetext>To be fair, there are a significant number of conditions seen in the primary care setting for which the physical exam is of little or no value.
Many conditions are diagnosed by the clinical interview alone.
A responsible way to run this virtual clinic thing would be to treat only this set of conditions over the internet, and bring the rest into the clinic for an exam.
Whether this is actually what takes place is another story.
For patients who have an established relationship with a primary care doctor, virtual clinics can be a valuable adjuvant in managing many chronic medical conditions between visits.
This is particularly valuable in conditions for which some level of self-testing is available at home (e.g.
hypertension, diabetes, chronic congestive heart failure).
Incorporating the virtual clinic model into chronic disease management can even improve the management of such conditions beyond what can be achieved through regular face-to-face doctor visits.
Telemanagement programs have long had success keeping CHF [congestive heart failure] patients out of the hospital, and moving such programs from the phone to the internet is a reasonable next step for computer-savvy patients.
Unfortunately, most acute conditions that are seen in the ER are a bit more serious, and tend to require some level of physical exam for proper diagnosis.
Additionally, the management of most chronic medical conditions also requires some level of examination at regular intervals.
If the goal of expanding access to primary care is to provide better chronic disease prevention/management and relieve ER crowding, the virtual clinic is unlikely to achieve those goals without coexisting access to face-to-face primary care.
For this reason, while virtual clinics can (and will) become an important adjuvant in primary care, they cannot replace an established relationship with a primary care doctor.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516516</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516242</id>
	<title>Virtual Medical License</title>
	<author>StikyPad</author>
	<datestamp>1261387140000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Doesn't a "virtual doctor visit" necessarily imply that there are virtual doctors?  If so, please send me a check for $45 and proceed to <a href="http://www-ai.ijs.si/eliza/eliza.html" title="www-ai.ijs.si">http://www-ai.ijs.si/eliza/eliza.html</a> [www-ai.ijs.si]</p><p>Thanks.</p></htmltext>
<tokenext>Does n't a " virtual doctor visit " necessarily imply that there are virtual doctors ?
If so , please send me a check for $ 45 and proceed to http : //www-ai.ijs.si/eliza/eliza.html [ www-ai.ijs.si ] Thanks .</tokentext>
<sentencetext>Doesn't a "virtual doctor visit" necessarily imply that there are virtual doctors?
If so, please send me a check for $45 and proceed to http://www-ai.ijs.si/eliza/eliza.html [www-ai.ijs.si]Thanks.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30518418</id>
	<title>Re:I am a med student, and I am horrified</title>
	<author>SakuraDreams</author>
	<datestamp>1261399380000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Why do you need such a medical record? You don't need such records. A basic medical student should know how to take a thorough medical history. The patient can bring in empty pill bottles and prescriptions. Any additional tests should come with a referral letter from the patient's previous doctor (for blood test results, previous angiography results etc). This isn't rocket science and having patients fill the record with useless rubbish (sprained ankle, weight gain) is hardly productive.</htmltext>
<tokenext>Why do you need such a medical record ?
You do n't need such records .
A basic medical student should know how to take a thorough medical history .
The patient can bring in empty pill bottles and prescriptions .
Any additional tests should come with a referral letter from the patient 's previous doctor ( for blood test results , previous angiography results etc ) .
This is n't rocket science and having patients fill the record with useless rubbish ( sprained ankle , weight gain ) is hardly productive .</tokentext>
<sentencetext>Why do you need such a medical record?
You don't need such records.
A basic medical student should know how to take a thorough medical history.
The patient can bring in empty pill bottles and prescriptions.
Any additional tests should come with a referral letter from the patient's previous doctor (for blood test results, previous angiography results etc).
This isn't rocket science and having patients fill the record with useless rubbish (sprained ankle, weight gain) is hardly productive.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516892</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516188</id>
	<title>Prescriptions</title>
	<author>Rob Riggs</author>
	<datestamp>1261386900000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Hell, most online pharmacies will find you a doctor to prescribe non-controlled substances!</htmltext>
<tokenext>Hell , most online pharmacies will find you a doctor to prescribe non-controlled substances !</tokentext>
<sentencetext>Hell, most online pharmacies will find you a doctor to prescribe non-controlled substances!</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516692</id>
	<title>Re:Paying cash always helps</title>
	<author>natehoy</author>
	<datestamp>1261389420000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>This does seem rather expensive for a "dial-a-doc" service.  The insurance company I use provides free "dial-a-nurse" services, charging $45 to add prescription capabilities seems a little pricey.</p><p>But, of course, $45 for a guaranteed ten minutes of access to an actual MD is probably well worth it.  I've been with my current doctor for 6 years now, and I've met her once when one of the RNs wanted to do an in-office biopsy (and she observed while a med student did the actual cutting and stitching).  All other business I've done with the office has been with a nurse.</p><p>The actual doctor rarely gets involved for an "uncomplicated" visit, so you probably WOULD get a lot of takers for $45 to spend 15 minutes with a nurse/practitioner.</p></htmltext>
<tokenext>This does seem rather expensive for a " dial-a-doc " service .
The insurance company I use provides free " dial-a-nurse " services , charging $ 45 to add prescription capabilities seems a little pricey.But , of course , $ 45 for a guaranteed ten minutes of access to an actual MD is probably well worth it .
I 've been with my current doctor for 6 years now , and I 've met her once when one of the RNs wanted to do an in-office biopsy ( and she observed while a med student did the actual cutting and stitching ) .
All other business I 've done with the office has been with a nurse.The actual doctor rarely gets involved for an " uncomplicated " visit , so you probably WOULD get a lot of takers for $ 45 to spend 15 minutes with a nurse/practitioner .</tokentext>
<sentencetext>This does seem rather expensive for a "dial-a-doc" service.
The insurance company I use provides free "dial-a-nurse" services, charging $45 to add prescription capabilities seems a little pricey.But, of course, $45 for a guaranteed ten minutes of access to an actual MD is probably well worth it.
I've been with my current doctor for 6 years now, and I've met her once when one of the RNs wanted to do an in-office biopsy (and she observed while a med student did the actual cutting and stitching).
All other business I've done with the office has been with a nurse.The actual doctor rarely gets involved for an "uncomplicated" visit, so you probably WOULD get a lot of takers for $45 to spend 15 minutes with a nurse/practitioner.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516270</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30518612</id>
	<title>Better than no tests at all...</title>
	<author>Anonymous</author>
	<datestamp>1261400940000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>This service could work in conjunction with those Wal-mart clinics. I can also see were consumer medical equipment is instrumented for internet access thereby providing an online doctor with more information.</p></htmltext>
<tokenext>This service could work in conjunction with those Wal-mart clinics .
I can also see were consumer medical equipment is instrumented for internet access thereby providing an online doctor with more information .</tokentext>
<sentencetext>This service could work in conjunction with those Wal-mart clinics.
I can also see were consumer medical equipment is instrumented for internet access thereby providing an online doctor with more information.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516724</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517836</id>
	<title>Great!! I've got a Virtual Health Insurance Plan</title>
	<author>Bob\_Who</author>
	<datestamp>1261395480000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>...Its guaranteed to virtually pay for virtually everything with virtual money!  Wooohooo!</htmltext>
<tokenext>...Its guaranteed to virtually pay for virtually everything with virtual money !
Wooohooo !</tokentext>
<sentencetext>...Its guaranteed to virtually pay for virtually everything with virtual money!
Wooohooo!</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516140</id>
	<title>Slashvertisement</title>
	<author>Anonymous</author>
	<datestamp>1261386720000</datestamp>
	<modclass>Troll</modclass>
	<modscore>-1</modscore>
	<htmltext><p>There, said it. I AM SICK AND TIRED of this garbage.</p></htmltext>
<tokenext>There , said it .
I AM SICK AND TIRED of this garbage .</tokentext>
<sentencetext>There, said it.
I AM SICK AND TIRED of this garbage.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30518662</id>
	<title>Re:Nationwide, for anyone in Texas?</title>
	<author>Anonymous</author>
	<datestamp>1261401480000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>The problem isn't the people, actually.  It's the contract that some numbfuck from Dell laid down in an attempt to get the cheapest price possible on labor.  In return, they got a service that will fire anyone who deviates from a one-track script that runs straight through a diagnostic cd.  That poor bastard likely realized what was going on just fine, but was one common sense suggestion away from homelessness at the time.</htmltext>
<tokenext>The problem is n't the people , actually .
It 's the contract that some numbfuck from Dell laid down in an attempt to get the cheapest price possible on labor .
In return , they got a service that will fire anyone who deviates from a one-track script that runs straight through a diagnostic cd .
That poor bastard likely realized what was going on just fine , but was one common sense suggestion away from homelessness at the time .</tokentext>
<sentencetext>The problem isn't the people, actually.
It's the contract that some numbfuck from Dell laid down in an attempt to get the cheapest price possible on labor.
In return, they got a service that will fire anyone who deviates from a one-track script that runs straight through a diagnostic cd.
That poor bastard likely realized what was going on just fine, but was one common sense suggestion away from homelessness at the time.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516738</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30519144</id>
	<title>Re:Nationwide, for anyone in Texas?</title>
	<author>dbIII</author>
	<datestamp>1261405800000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>The Indian guy is probably more qualified and experienced and knows the whole thing is stupid but if his boss plays back the recording and he isn't sticking to the script he's lost his job.<br>It's Dell and micromanagement that is the problem.</htmltext>
<tokenext>The Indian guy is probably more qualified and experienced and knows the whole thing is stupid but if his boss plays back the recording and he is n't sticking to the script he 's lost his job.It 's Dell and micromanagement that is the problem .</tokentext>
<sentencetext>The Indian guy is probably more qualified and experienced and knows the whole thing is stupid but if his boss plays back the recording and he isn't sticking to the script he's lost his job.It's Dell and micromanagement that is the problem.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516738</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516898</id>
	<title>Re:Nationwide, for anyone in Texas?</title>
	<author>jcr</author>
	<datestamp>1261390440000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>3</modscore>
	<htmltext><p>Dell Support is a business-school case study in how cutting corners and trying to save costs can piss away tens of billions of dollars of shareholders' equity.   There was a time when Dell support was as good or better than the average in their industry.</p><p>-jcr</p></htmltext>
<tokenext>Dell Support is a business-school case study in how cutting corners and trying to save costs can piss away tens of billions of dollars of shareholders ' equity .
There was a time when Dell support was as good or better than the average in their industry.-jcr</tokentext>
<sentencetext>Dell Support is a business-school case study in how cutting corners and trying to save costs can piss away tens of billions of dollars of shareholders' equity.
There was a time when Dell support was as good or better than the average in their industry.-jcr</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516738</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516626</id>
	<title>Virtual doctors</title>
	<author>dvh.tosomja</author>
	<datestamp>1261389060000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>I assume these virtual doctors cure only virtual diseases.</p></htmltext>
<tokenext>I assume these virtual doctors cure only virtual diseases .</tokentext>
<sentencetext>I assume these virtual doctors cure only virtual diseases.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30529220</id>
	<title>Re:Yet another prescription mill</title>
	<author>thePowerOfGrayskull</author>
	<datestamp>1261477200000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p><div class="quote"><p>Today most doctors seem utterly incapable of not only telling a cause from effect, but also of looking systemically at more than one symptom at a time.</p></div><p>I largely agree with you, but in this case I've found that seeing a DO instead of an MD makes all the difference.  The DOs I've seen ask questions beyond the narrow focus of the symptom(s) at hand, and will draw their conclusions  based on this broader spectrum of data.  MDs tend to move directly into treating the specific symptoms as you describe.</p></div>
	</htmltext>
<tokenext>Today most doctors seem utterly incapable of not only telling a cause from effect , but also of looking systemically at more than one symptom at a time.I largely agree with you , but in this case I 've found that seeing a DO instead of an MD makes all the difference .
The DOs I 've seen ask questions beyond the narrow focus of the symptom ( s ) at hand , and will draw their conclusions based on this broader spectrum of data .
MDs tend to move directly into treating the specific symptoms as you describe .</tokentext>
<sentencetext>Today most doctors seem utterly incapable of not only telling a cause from effect, but also of looking systemically at more than one symptom at a time.I largely agree with you, but in this case I've found that seeing a DO instead of an MD makes all the difference.
The DOs I've seen ask questions beyond the narrow focus of the symptom(s) at hand, and will draw their conclusions  based on this broader spectrum of data.
MDs tend to move directly into treating the specific symptoms as you describe.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516594</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516952</id>
	<title>Prescriptions are....</title>
	<author>mtmra70</author>
	<datestamp>1261390620000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Prescriptions are controlled substances...otherwise you wouldn't need a prescription to get them!</p></htmltext>
<tokenext>Prescriptions are controlled substances...otherwise you would n't need a prescription to get them !</tokentext>
<sentencetext>Prescriptions are controlled substances...otherwise you wouldn't need a prescription to get them!</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516826</id>
	<title>Also disciplinary hearings</title>
	<author>Mastodon</author>
	<datestamp>1261390140000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Depending on your state, your medical board may not approve.<br> <br>
Per TFA, the Texas board seems to have a problem with it if doctor and patient have never met in person.</htmltext>
<tokenext>Depending on your state , your medical board may not approve .
Per TFA , the Texas board seems to have a problem with it if doctor and patient have never met in person .</tokentext>
<sentencetext>Depending on your state, your medical board may not approve.
Per TFA, the Texas board seems to have a problem with it if doctor and patient have never met in person.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516232</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516470</id>
	<title>Say goodbye</title>
	<author>Azghoul</author>
	<datestamp>1261388220000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Say goodbye to this type of innovation if things continue down the pathetic road we're on.  Thanks, politicians!</p><p>Why the hell should I have to take time out of my day to go sit in a doc's office for a hour, for a 30 second consult, to get my prescription meds?  If I can do it from the privacy of my own home, and the doc already has access to my charts, why not?</p></htmltext>
<tokenext>Say goodbye to this type of innovation if things continue down the pathetic road we 're on .
Thanks , politicians ! Why the hell should I have to take time out of my day to go sit in a doc 's office for a hour , for a 30 second consult , to get my prescription meds ?
If I can do it from the privacy of my own home , and the doc already has access to my charts , why not ?</tokentext>
<sentencetext>Say goodbye to this type of innovation if things continue down the pathetic road we're on.
Thanks, politicians!Why the hell should I have to take time out of my day to go sit in a doc's office for a hour, for a 30 second consult, to get my prescription meds?
If I can do it from the privacy of my own home, and the doc already has access to my charts, why not?</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516566</id>
	<title>Re:Don't worry about the quality, feel the cost</title>
	<author>dr\_labrat</author>
	<datestamp>1261388700000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Not just the UK...</p><p>France has a very good system for this, apparently.</p><p>My personal experience with NHS Direct was actually (all things considered) pretty damn good. Mind you I am a strong proponent of the NHS, despite its neglect over the past decade, Its still a valid and potent solution, and one which I am grateful for! And have been a lot throughout my life!</p><p>Driving a motorbike, having a son, and an accident prone girlfriend makes you very happy that a relatively small proportion of your income goes to those fellas!</p></htmltext>
<tokenext>Not just the UK...France has a very good system for this , apparently.My personal experience with NHS Direct was actually ( all things considered ) pretty damn good .
Mind you I am a strong proponent of the NHS , despite its neglect over the past decade , Its still a valid and potent solution , and one which I am grateful for !
And have been a lot throughout my life ! Driving a motorbike , having a son , and an accident prone girlfriend makes you very happy that a relatively small proportion of your income goes to those fellas !</tokentext>
<sentencetext>Not just the UK...France has a very good system for this, apparently.My personal experience with NHS Direct was actually (all things considered) pretty damn good.
Mind you I am a strong proponent of the NHS, despite its neglect over the past decade, Its still a valid and potent solution, and one which I am grateful for!
And have been a lot throughout my life!Driving a motorbike, having a son, and an accident prone girlfriend makes you very happy that a relatively small proportion of your income goes to those fellas!</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516334</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30521952</id>
	<title>Re:Paying cash always helps</title>
	<author>Anonymous</author>
	<datestamp>1261479540000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Wow!</p><p>Whenever I  'dial-a-nurse' it costs me at least $200!</p></htmltext>
<tokenext>Wow ! Whenever I 'dial-a-nurse ' it costs me at least $ 200 !</tokentext>
<sentencetext>Wow!Whenever I  'dial-a-nurse' it costs me at least $200!</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516692</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517512</id>
	<title>Creates a new market</title>
	<author>Anonymous</author>
	<datestamp>1261393560000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>This kind of service will blow the market open for an array of USB medical sensors.  Subscribe to the service at a certain level and receive various gizmos for temp, BP, EKG, pulse Ox, and thoracic "listening." A simple webcam with a light would allow for visual inspection of just about any body part. In Belgium, one can get a doctor to make a housecall for about this much and they don't carry much more for diagnostics than what fits into a little black bag. Could work well for most.</p></htmltext>
<tokenext>This kind of service will blow the market open for an array of USB medical sensors .
Subscribe to the service at a certain level and receive various gizmos for temp , BP , EKG , pulse Ox , and thoracic " listening .
" A simple webcam with a light would allow for visual inspection of just about any body part .
In Belgium , one can get a doctor to make a housecall for about this much and they do n't carry much more for diagnostics than what fits into a little black bag .
Could work well for most .</tokentext>
<sentencetext>This kind of service will blow the market open for an array of USB medical sensors.
Subscribe to the service at a certain level and receive various gizmos for temp, BP, EKG, pulse Ox, and thoracic "listening.
" A simple webcam with a light would allow for visual inspection of just about any body part.
In Belgium, one can get a doctor to make a housecall for about this much and they don't carry much more for diagnostics than what fits into a little black bag.
Could work well for most.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516516</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517594</id>
	<title>Re:Paying cash always helps</title>
	<author>Anonymous</author>
	<datestamp>1261393920000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>4</modscore>
	<htmltext><p><div class="quote"><p>$45 for a guaranteed ten minutes of access to an actual MD is probably well worth it. I've been with my current doctor for 6 years now, and I've met her once when one of the RNs wanted to do an in-office biopsy</p></div><p>Wow - be glad you're not in one of those "socialist" countries that has government-run healthcare, or you might actually have to see the doctor <i>every</i> visit!  And it would be 100\% covered by your insurance!  (Oh, the horror!)</p><p>Seriously though - I had a girlfriend who was a nurse, and I had some earwax impacted in one ear... I couldn't see the doctor until the next day, so I bought an ear syringe and asked her if she'd do it.. she said technically she wasn't allowed to, as it was a medical procedure.</p><p>I hate to think of what the hell goes on in the US, where RNs will perform friggin biopsies by themselves.</p></div>
	</htmltext>
<tokenext>$ 45 for a guaranteed ten minutes of access to an actual MD is probably well worth it .
I 've been with my current doctor for 6 years now , and I 've met her once when one of the RNs wanted to do an in-office biopsyWow - be glad you 're not in one of those " socialist " countries that has government-run healthcare , or you might actually have to see the doctor every visit !
And it would be 100 \ % covered by your insurance !
( Oh , the horror !
) Seriously though - I had a girlfriend who was a nurse , and I had some earwax impacted in one ear... I could n't see the doctor until the next day , so I bought an ear syringe and asked her if she 'd do it.. she said technically she was n't allowed to , as it was a medical procedure.I hate to think of what the hell goes on in the US , where RNs will perform friggin biopsies by themselves .</tokentext>
<sentencetext>$45 for a guaranteed ten minutes of access to an actual MD is probably well worth it.
I've been with my current doctor for 6 years now, and I've met her once when one of the RNs wanted to do an in-office biopsyWow - be glad you're not in one of those "socialist" countries that has government-run healthcare, or you might actually have to see the doctor every visit!
And it would be 100\% covered by your insurance!
(Oh, the horror!
)Seriously though - I had a girlfriend who was a nurse, and I had some earwax impacted in one ear... I couldn't see the doctor until the next day, so I bought an ear syringe and asked her if she'd do it.. she said technically she wasn't allowed to, as it was a medical procedure.I hate to think of what the hell goes on in the US, where RNs will perform friggin biopsies by themselves.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516692</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516240</id>
	<title>Self operation</title>
	<author>geeper</author>
	<datestamp>1261387140000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Hi, is this NowClinic? Yes, I'd like to inquire about your special for the self-vasectomy.</htmltext>
<tokenext>Hi , is this NowClinic ?
Yes , I 'd like to inquire about your special for the self-vasectomy .</tokentext>
<sentencetext>Hi, is this NowClinic?
Yes, I'd like to inquire about your special for the self-vasectomy.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517858</id>
	<title>Re:Self operation</title>
	<author>couchslug</author>
	<datestamp>1261395600000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>"Yes, I'd like to inquire about your special for the self-vasectomy."</p><p>I think you'd want the BMWzine folks for that advice.<nobr> <wbr></nobr>:P</p></htmltext>
<tokenext>" Yes , I 'd like to inquire about your special for the self-vasectomy .
" I think you 'd want the BMWzine folks for that advice .
: P</tokentext>
<sentencetext>"Yes, I'd like to inquire about your special for the self-vasectomy.
"I think you'd want the BMWzine folks for that advice.
:P</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516240</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516344</id>
	<title>Re:Lawsuits galore?</title>
	<author>Anonymous</author>
	<datestamp>1261387560000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>3</modscore>
	<htmltext><i>I hope the physicians are covered by some sort of indemnity so that they won't be sued for something that they cannot possibly figure out via a video phone and 10 minutes. Otherwise you'll see doctors figure out that it's just not worth the risk.

As a physician, I'll be happy to participate in something like this so long as my exposure to lawsuits is limited.
</i>
<br>
<br>
As a lawyer, I'd hope that if a doctor risks harming a patient by practicing through video phone, then maybe they shouldn't practice through videophone.</htmltext>
<tokenext>I hope the physicians are covered by some sort of indemnity so that they wo n't be sued for something that they can not possibly figure out via a video phone and 10 minutes .
Otherwise you 'll see doctors figure out that it 's just not worth the risk .
As a physician , I 'll be happy to participate in something like this so long as my exposure to lawsuits is limited .
As a lawyer , I 'd hope that if a doctor risks harming a patient by practicing through video phone , then maybe they should n't practice through videophone .</tokentext>
<sentencetext>I hope the physicians are covered by some sort of indemnity so that they won't be sued for something that they cannot possibly figure out via a video phone and 10 minutes.
Otherwise you'll see doctors figure out that it's just not worth the risk.
As a physician, I'll be happy to participate in something like this so long as my exposure to lawsuits is limited.
As a lawyer, I'd hope that if a doctor risks harming a patient by practicing through video phone, then maybe they shouldn't practice through videophone.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516232</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516668</id>
	<title>I can see this coming a mile away</title>
	<author>Anonymous</author>
	<datestamp>1261389300000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>1</modscore>
	<htmltext>America will shortly have a large influx of Docs from China doing virtual visits. This will be another form of outsourcing. the difference is that when docs screws up and kills someone, there will not be lawsuits. Instead, China will say that the doc did not have right to practice medicine even if they had been embraced by the Chinese gov. for the last 20 years.
<br> <br>
The good news on this, will be that now, more professionals will re-think through what is happening with regard to the outsourcing back to China. I am just waiting for politicians to be outsourced. They will be just as corrupt, but at least will cost America less.</htmltext>
<tokenext>America will shortly have a large influx of Docs from China doing virtual visits .
This will be another form of outsourcing .
the difference is that when docs screws up and kills someone , there will not be lawsuits .
Instead , China will say that the doc did not have right to practice medicine even if they had been embraced by the Chinese gov .
for the last 20 years .
The good news on this , will be that now , more professionals will re-think through what is happening with regard to the outsourcing back to China .
I am just waiting for politicians to be outsourced .
They will be just as corrupt , but at least will cost America less .</tokentext>
<sentencetext>America will shortly have a large influx of Docs from China doing virtual visits.
This will be another form of outsourcing.
the difference is that when docs screws up and kills someone, there will not be lawsuits.
Instead, China will say that the doc did not have right to practice medicine even if they had been embraced by the Chinese gov.
for the last 20 years.
The good news on this, will be that now, more professionals will re-think through what is happening with regard to the outsourcing back to China.
I am just waiting for politicians to be outsourced.
They will be just as corrupt, but at least will cost America less.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517638</id>
	<title>Re:Don't worry about the quality, feel the cost</title>
	<author>drinkypoo</author>
	<datestamp>1261394220000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>If you paired this concept with some sort of remote diagnostic package and mail-in testing of bodily fluids and the like (which is already done every day, after all) then it could be a useful tool for remote diagnosis that, yes, has the potential to eliminate many needless visits to doctor's offices. You don't want to be prescribing potentially dangerous drugs, but the idea is not entirely without merit.</p></htmltext>
<tokenext>If you paired this concept with some sort of remote diagnostic package and mail-in testing of bodily fluids and the like ( which is already done every day , after all ) then it could be a useful tool for remote diagnosis that , yes , has the potential to eliminate many needless visits to doctor 's offices .
You do n't want to be prescribing potentially dangerous drugs , but the idea is not entirely without merit .</tokentext>
<sentencetext>If you paired this concept with some sort of remote diagnostic package and mail-in testing of bodily fluids and the like (which is already done every day, after all) then it could be a useful tool for remote diagnosis that, yes, has the potential to eliminate many needless visits to doctor's offices.
You don't want to be prescribing potentially dangerous drugs, but the idea is not entirely without merit.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516334</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516312</id>
	<title>Good idea</title>
	<author>RudyValencia</author>
	<datestamp>1261387380000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>1</modscore>
	<htmltext><p>This sounds like a good idea.</p><p>A lot of the immigrants from Mexico and Somalia that have settled here (northern Colorado) could use this. We have a local clinic that is always so busy that you have to call first thing in the morning to get an appointment. I'd think that if they did offer this service, it'd be a big help.</p></htmltext>
<tokenext>This sounds like a good idea.A lot of the immigrants from Mexico and Somalia that have settled here ( northern Colorado ) could use this .
We have a local clinic that is always so busy that you have to call first thing in the morning to get an appointment .
I 'd think that if they did offer this service , it 'd be a big help .</tokentext>
<sentencetext>This sounds like a good idea.A lot of the immigrants from Mexico and Somalia that have settled here (northern Colorado) could use this.
We have a local clinic that is always so busy that you have to call first thing in the morning to get an appointment.
I'd think that if they did offer this service, it'd be a big help.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517614</id>
	<title>Online Triage Tags . . .</title>
	<author>PolygamousRanchKid </author>
	<datestamp>1261393980000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Another brilliant idea!  For those who have never seen a triage tag: <a href="http://en.wikipedia.org/wiki/File:Deconference-2002-triage-tag.jpg" title="wikipedia.org">http://en.wikipedia.org/wiki/File:Deconference-2002-triage-tag.jpg</a> [wikipedia.org]
</p><p>The four color-coded groups at the bottom determine how long you can wait for treatment.
</p><p>So think about doing this online:
</p><p>Triage: Sir, are you breathing?
</p><p>Patient: No, I am not.
</p><p>Triage: Sir, do you have a pulse?
</p><p>Patient: No, I do not.
</p><p>Triage: Please print out the tag, select "Morgue," and tie it to your wrist.  A hearse will be by to pick you up shortly.
</p><p>Patient: Zombie gets ride in car . . . with braaainns!</p></htmltext>
<tokenext>Another brilliant idea !
For those who have never seen a triage tag : http : //en.wikipedia.org/wiki/File : Deconference-2002-triage-tag.jpg [ wikipedia.org ] The four color-coded groups at the bottom determine how long you can wait for treatment .
So think about doing this online : Triage : Sir , are you breathing ?
Patient : No , I am not .
Triage : Sir , do you have a pulse ?
Patient : No , I do not .
Triage : Please print out the tag , select " Morgue , " and tie it to your wrist .
A hearse will be by to pick you up shortly .
Patient : Zombie gets ride in car .
. .
with braaainns !</tokentext>
<sentencetext>Another brilliant idea!
For those who have never seen a triage tag: http://en.wikipedia.org/wiki/File:Deconference-2002-triage-tag.jpg [wikipedia.org]
The four color-coded groups at the bottom determine how long you can wait for treatment.
So think about doing this online:
Triage: Sir, are you breathing?
Patient: No, I am not.
Triage: Sir, do you have a pulse?
Patient: No, I do not.
Triage: Please print out the tag, select "Morgue," and tie it to your wrist.
A hearse will be by to pick you up shortly.
Patient: Zombie gets ride in car .
. .
with braaainns!</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516334</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30518728</id>
	<title>$45 for a virtual doctor!?!</title>
	<author>Anonymous</author>
	<datestamp>1261402380000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Thats a disgrace. For zero dollars I can go see a REAL GP.</p><p>Of course, I live in a country with decent health care (Australia).</p></htmltext>
<tokenext>Thats a disgrace .
For zero dollars I can go see a REAL GP.Of course , I live in a country with decent health care ( Australia ) .</tokentext>
<sentencetext>Thats a disgrace.
For zero dollars I can go see a REAL GP.Of course, I live in a country with decent health care (Australia).</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516334</id>
	<title>Don't worry about the quality, feel the cost</title>
	<author>Anonymous</author>
	<datestamp>1261387560000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>3</modscore>
	<htmltext><p>Seriously is this a good thing?</p><p>In the UK we have a service "NHS Direct" which is effectively a triage service which tells you whether you need to go to a doctor.  Its in no way shape or form a replacement for a direct doctors appointment its just there to filter out cases that aren't overly serious or are serious enough to need an emergency visit. This service is staffed by nurses and its pretty good and does help with people who are concerned about medical issues.</p><p>The idea of someone prescribing drugs via this sort of service is just insane.  It would be smarter to delegate prescriptions, or at least re-issuing prescriptions, to pharmacists who will at least see the patient.  Or are we going to a world where you don't see the doctor and you get your drugs shipped direct so you never ever see anyone with any sort of medical training who can just briefly add a sanity check to the whole thing.</p><p>Its hard to imagine a better example as to why the US system is completely and utterly fucked than this being considered a good thing.</p></htmltext>
<tokenext>Seriously is this a good thing ? In the UK we have a service " NHS Direct " which is effectively a triage service which tells you whether you need to go to a doctor .
Its in no way shape or form a replacement for a direct doctors appointment its just there to filter out cases that are n't overly serious or are serious enough to need an emergency visit .
This service is staffed by nurses and its pretty good and does help with people who are concerned about medical issues.The idea of someone prescribing drugs via this sort of service is just insane .
It would be smarter to delegate prescriptions , or at least re-issuing prescriptions , to pharmacists who will at least see the patient .
Or are we going to a world where you do n't see the doctor and you get your drugs shipped direct so you never ever see anyone with any sort of medical training who can just briefly add a sanity check to the whole thing.Its hard to imagine a better example as to why the US system is completely and utterly fucked than this being considered a good thing .</tokentext>
<sentencetext>Seriously is this a good thing?In the UK we have a service "NHS Direct" which is effectively a triage service which tells you whether you need to go to a doctor.
Its in no way shape or form a replacement for a direct doctors appointment its just there to filter out cases that aren't overly serious or are serious enough to need an emergency visit.
This service is staffed by nurses and its pretty good and does help with people who are concerned about medical issues.The idea of someone prescribing drugs via this sort of service is just insane.
It would be smarter to delegate prescriptions, or at least re-issuing prescriptions, to pharmacists who will at least see the patient.
Or are we going to a world where you don't see the doctor and you get your drugs shipped direct so you never ever see anyone with any sort of medical training who can just briefly add a sanity check to the whole thing.Its hard to imagine a better example as to why the US system is completely and utterly fucked than this being considered a good thing.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516820</id>
	<title>Re:Don't worry about the quality, feel the cost</title>
	<author>natehoy</author>
	<datestamp>1261390080000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Yeah, the addition of "can issue prescriptions" does make it a little scary.  I would hope that any qualified doctor would reserve their actual diagnosis for easy and obvious cases ("what, the over-the-counter hayfever medications aren't working for you?  OK, let me send you a scrip for Claritin-whatever\_letter\_they\_are\_at\_now").</p><p>But, of course, that means that the utility of such a service is limited.  It's rather expensive for 10 minutes with someone who is either horribly overqualified to diagnose your condition in-person or horribly under-equipped to diagnose something they ARE qualified to diagnose because they can't get enough information.  If I need to try out an asthma med or help with the diagnosis of athlete's foot or hayfever, any trained nurse can do that for me.  If I need something more complicated, a doctor might be hard-pressed to diagnose it accurately over a webcam.</p><p>It's especially expensive if you have to pay for a referral to an in-person doc, unless the $45 includes the office visit if one becomes necessary.</p></htmltext>
<tokenext>Yeah , the addition of " can issue prescriptions " does make it a little scary .
I would hope that any qualified doctor would reserve their actual diagnosis for easy and obvious cases ( " what , the over-the-counter hayfever medications are n't working for you ?
OK , let me send you a scrip for Claritin-whatever \ _letter \ _they \ _are \ _at \ _now " ) .But , of course , that means that the utility of such a service is limited .
It 's rather expensive for 10 minutes with someone who is either horribly overqualified to diagnose your condition in-person or horribly under-equipped to diagnose something they ARE qualified to diagnose because they ca n't get enough information .
If I need to try out an asthma med or help with the diagnosis of athlete 's foot or hayfever , any trained nurse can do that for me .
If I need something more complicated , a doctor might be hard-pressed to diagnose it accurately over a webcam.It 's especially expensive if you have to pay for a referral to an in-person doc , unless the $ 45 includes the office visit if one becomes necessary .</tokentext>
<sentencetext>Yeah, the addition of "can issue prescriptions" does make it a little scary.
I would hope that any qualified doctor would reserve their actual diagnosis for easy and obvious cases ("what, the over-the-counter hayfever medications aren't working for you?
OK, let me send you a scrip for Claritin-whatever\_letter\_they\_are\_at\_now").But, of course, that means that the utility of such a service is limited.
It's rather expensive for 10 minutes with someone who is either horribly overqualified to diagnose your condition in-person or horribly under-equipped to diagnose something they ARE qualified to diagnose because they can't get enough information.
If I need to try out an asthma med or help with the diagnosis of athlete's foot or hayfever, any trained nurse can do that for me.
If I need something more complicated, a doctor might be hard-pressed to diagnose it accurately over a webcam.It's especially expensive if you have to pay for a referral to an in-person doc, unless the $45 includes the office visit if one becomes necessary.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516334</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517196</id>
	<title>Can you order me some Viagra without seeing me?</title>
	<author>Anonymous</author>
	<datestamp>1261391880000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Really, that's all that's important.</p></htmltext>
<tokenext>Really , that 's all that 's important .</tokentext>
<sentencetext>Really, that's all that's important.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516516</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30518380</id>
	<title>Re:Better than no visit at all...</title>
	<author>bretticus</author>
	<datestamp>1261399140000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>I see your point, but if the diagnosis is wrong because the evaluator had incomplete data, I fail to see how this is better. If someone diagnoses GERD (acid reflux) rather than a peptic ulcer with the potential to bleed because the person would never come in for an endoscopy, I see that as worse.<br> <br>

*Disclaimer: I'm not sure if endoscopy is warranted for suspected PUD off the top of my head - treat as a hypothetical that could apply to many situations*</htmltext>
<tokenext>I see your point , but if the diagnosis is wrong because the evaluator had incomplete data , I fail to see how this is better .
If someone diagnoses GERD ( acid reflux ) rather than a peptic ulcer with the potential to bleed because the person would never come in for an endoscopy , I see that as worse .
* Disclaimer : I 'm not sure if endoscopy is warranted for suspected PUD off the top of my head - treat as a hypothetical that could apply to many situations *</tokentext>
<sentencetext>I see your point, but if the diagnosis is wrong because the evaluator had incomplete data, I fail to see how this is better.
If someone diagnoses GERD (acid reflux) rather than a peptic ulcer with the potential to bleed because the person would never come in for an endoscopy, I see that as worse.
*Disclaimer: I'm not sure if endoscopy is warranted for suspected PUD off the top of my head - treat as a hypothetical that could apply to many situations*</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516724</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516400</id>
	<title>Re:Nationwide, for anyone in Texas?</title>
	<author>Anonymous</author>
	<datestamp>1261387860000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p><div class="quote"><p>It's like a whole 'nother country.</p></div><p>Apparently it has its own interweb as well;  http://www.webmd.com/ ?  http://www.medhelp.org/ ? http://various.others.etc ?</p></div>
	</htmltext>
<tokenext>It 's like a whole 'nother country.Apparently it has its own interweb as well ; http : //www.webmd.com/ ?
http : //www.medhelp.org/ ?
http : //various.others.etc ?</tokentext>
<sentencetext>It's like a whole 'nother country.Apparently it has its own interweb as well;  http://www.webmd.com/ ?
http://www.medhelp.org/ ?
http://various.others.etc ?
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516146</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516618</id>
	<title>Re:Don't worry about the quality, feel the cost</title>
	<author>fuzzyfuzzyfungus</author>
	<datestamp>1261389060000</datestamp>
	<modclass>Informativ</modclass>
	<modscore>2</modscore>
	<htmltext>When they say "controlled", in this context, they mean something distinct from "by prescription only".<br> <br>

You have over-the-counter drugs, which you can purchase freely(unless, like Sudafed, they've been caught up in the War on Drugs(tm) in which case you still don't need a prescription; but you will face a hassle).<br> <br>

Then you have prescription drugs, which you'll need a doctor's OK to buy, and you'll only be able to get from a pharmacist.<br> <br>

Then you have "controlled" substances, which are generally prescription; but are also of interest to the DEA, generally because they are either exciting narcotic painkillers, or amphetamines, or suchlike. Those tend to have additional restrictions in terms of how much can be supplied per unit time(ie. 1 month supply only, vs. 3 month supply) and doctors are more likely to face investigation if they are perceived to be oversupplying the stuff.<br> <br>

Then, of course, there are "dietary supplements" which are subject to almost no regulation whatsoever.</htmltext>
<tokenext>When they say " controlled " , in this context , they mean something distinct from " by prescription only " .
You have over-the-counter drugs , which you can purchase freely ( unless , like Sudafed , they 've been caught up in the War on Drugs ( tm ) in which case you still do n't need a prescription ; but you will face a hassle ) .
Then you have prescription drugs , which you 'll need a doctor 's OK to buy , and you 'll only be able to get from a pharmacist .
Then you have " controlled " substances , which are generally prescription ; but are also of interest to the DEA , generally because they are either exciting narcotic painkillers , or amphetamines , or suchlike .
Those tend to have additional restrictions in terms of how much can be supplied per unit time ( ie .
1 month supply only , vs. 3 month supply ) and doctors are more likely to face investigation if they are perceived to be oversupplying the stuff .
Then , of course , there are " dietary supplements " which are subject to almost no regulation whatsoever .</tokentext>
<sentencetext>When they say "controlled", in this context, they mean something distinct from "by prescription only".
You have over-the-counter drugs, which you can purchase freely(unless, like Sudafed, they've been caught up in the War on Drugs(tm) in which case you still don't need a prescription; but you will face a hassle).
Then you have prescription drugs, which you'll need a doctor's OK to buy, and you'll only be able to get from a pharmacist.
Then you have "controlled" substances, which are generally prescription; but are also of interest to the DEA, generally because they are either exciting narcotic painkillers, or amphetamines, or suchlike.
Those tend to have additional restrictions in terms of how much can be supplied per unit time(ie.
1 month supply only, vs. 3 month supply) and doctors are more likely to face investigation if they are perceived to be oversupplying the stuff.
Then, of course, there are "dietary supplements" which are subject to almost no regulation whatsoever.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516502</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517510</id>
	<title>This fills a need for sure</title>
	<author>nilbog</author>
	<datestamp>1261393500000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>This definitely fills a need - sometimes you just need a little consultation or prescription without needing a full blown appointment.  Or sometimes you don't know if your symptoms require a full blown appointment or not - this would let you talk to a doctor without going through all the rigamarole. $45 seems a bit steep for 10 minutes though.</p></htmltext>
<tokenext>This definitely fills a need - sometimes you just need a little consultation or prescription without needing a full blown appointment .
Or sometimes you do n't know if your symptoms require a full blown appointment or not - this would let you talk to a doctor without going through all the rigamarole .
$ 45 seems a bit steep for 10 minutes though .</tokentext>
<sentencetext>This definitely fills a need - sometimes you just need a little consultation or prescription without needing a full blown appointment.
Or sometimes you don't know if your symptoms require a full blown appointment or not - this would let you talk to a doctor without going through all the rigamarole.
$45 seems a bit steep for 10 minutes though.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516518</id>
	<title>I would be quite interested...</title>
	<author>fuzzyfuzzyfungus</author>
	<datestamp>1261388460000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>To see how effective this is as a diagnostic mechanism(and I don't mean some bullshit anecdote/contra-anecdote thing, I mean a genuinely rigorous study).<br> <br>

On the one hand, there are definitely lots of conditions that can be diagnosed, with fair accuracy, by basically asking the patient questions and traversing a decision tree. Heck, that slice of the population(and it is a large one) could probably be handled by an expert system no more complex than the one that makes calling most support lines an exercise in pain.<br> <br>

However, when you go to see the doctor, there are also a number of signs that the doctor looks for that a (cheap, nasty, web)camera isn't going to capture. Really shitty cameras aren't even going to let you see if the patient is flushed, pale, or an odd yellowish color. Even the nicest camera isn't going to tell you what the patient's breath smells like, or allow you to palpate some gland that may or may not be inflamed.<br> <br>

That's the real trick. While <i>diagnosis</i>, in the sense of traversing a decision tree based on symptom data, might very well be amenable to substantial automation(it might even be better as well as cheaper: computers don't get tired, don't suffer lapses of memory, and don't form snap social judgements based on primitive primate instincts); <i>gathering</i> the symptom data is going to be pretty tricky without good old fashioned face time. Suitably trained humans are <i>really good</i> at picking up social cues while talking with the patient, as well as the routine(but difficult to do with robots) work of taking temperatures, palpating organs, swabbing throats, and the like.<br> <br>

Whether or not this service is a good thing, it seems to me, will depend largely on one (empirically testable) point: There are conditions that are easy to diagnose over video chat. There are conditions that are hard to diagnose over video chat. How many conditions <i>look</i> easy to diagnose over video chat; but are actually something else entirely? If, 90\% of the time, the doctor can say "Yeah, colds suck, sleep it off and get lots of fluids" or "Sounds like strep, fill this prescription and take as directed" and the other 10\% say "Christ, man, get yourself to an ER right the fuck yesterday!" then this should save a lot of time and money. If, though, they can't usefully distinguish between these two categories, there will be trouble.<br> <br>


More generally, since humans are so good at gathering data face to face, I would be very curious to see an experiment with an alternate model: Instead of having patients see real, MD, doctors over video conferencing, what about having patients see, in person, cheaper nurse/tech types, who would be supported by a mixture of diagnostic software and teleconference with doctors? Still cheaper than seeing a doctor in person; but also allows a large number of common/safe tests, examinations, and sampling procedures to be done in person.</htmltext>
<tokenext>To see how effective this is as a diagnostic mechanism ( and I do n't mean some bullshit anecdote/contra-anecdote thing , I mean a genuinely rigorous study ) .
On the one hand , there are definitely lots of conditions that can be diagnosed , with fair accuracy , by basically asking the patient questions and traversing a decision tree .
Heck , that slice of the population ( and it is a large one ) could probably be handled by an expert system no more complex than the one that makes calling most support lines an exercise in pain .
However , when you go to see the doctor , there are also a number of signs that the doctor looks for that a ( cheap , nasty , web ) camera is n't going to capture .
Really shitty cameras are n't even going to let you see if the patient is flushed , pale , or an odd yellowish color .
Even the nicest camera is n't going to tell you what the patient 's breath smells like , or allow you to palpate some gland that may or may not be inflamed .
That 's the real trick .
While diagnosis , in the sense of traversing a decision tree based on symptom data , might very well be amenable to substantial automation ( it might even be better as well as cheaper : computers do n't get tired , do n't suffer lapses of memory , and do n't form snap social judgements based on primitive primate instincts ) ; gathering the symptom data is going to be pretty tricky without good old fashioned face time .
Suitably trained humans are really good at picking up social cues while talking with the patient , as well as the routine ( but difficult to do with robots ) work of taking temperatures , palpating organs , swabbing throats , and the like .
Whether or not this service is a good thing , it seems to me , will depend largely on one ( empirically testable ) point : There are conditions that are easy to diagnose over video chat .
There are conditions that are hard to diagnose over video chat .
How many conditions look easy to diagnose over video chat ; but are actually something else entirely ?
If , 90 \ % of the time , the doctor can say " Yeah , colds suck , sleep it off and get lots of fluids " or " Sounds like strep , fill this prescription and take as directed " and the other 10 \ % say " Christ , man , get yourself to an ER right the fuck yesterday !
" then this should save a lot of time and money .
If , though , they ca n't usefully distinguish between these two categories , there will be trouble .
More generally , since humans are so good at gathering data face to face , I would be very curious to see an experiment with an alternate model : Instead of having patients see real , MD , doctors over video conferencing , what about having patients see , in person , cheaper nurse/tech types , who would be supported by a mixture of diagnostic software and teleconference with doctors ?
Still cheaper than seeing a doctor in person ; but also allows a large number of common/safe tests , examinations , and sampling procedures to be done in person .</tokentext>
<sentencetext>To see how effective this is as a diagnostic mechanism(and I don't mean some bullshit anecdote/contra-anecdote thing, I mean a genuinely rigorous study).
On the one hand, there are definitely lots of conditions that can be diagnosed, with fair accuracy, by basically asking the patient questions and traversing a decision tree.
Heck, that slice of the population(and it is a large one) could probably be handled by an expert system no more complex than the one that makes calling most support lines an exercise in pain.
However, when you go to see the doctor, there are also a number of signs that the doctor looks for that a (cheap, nasty, web)camera isn't going to capture.
Really shitty cameras aren't even going to let you see if the patient is flushed, pale, or an odd yellowish color.
Even the nicest camera isn't going to tell you what the patient's breath smells like, or allow you to palpate some gland that may or may not be inflamed.
That's the real trick.
While diagnosis, in the sense of traversing a decision tree based on symptom data, might very well be amenable to substantial automation(it might even be better as well as cheaper: computers don't get tired, don't suffer lapses of memory, and don't form snap social judgements based on primitive primate instincts); gathering the symptom data is going to be pretty tricky without good old fashioned face time.
Suitably trained humans are really good at picking up social cues while talking with the patient, as well as the routine(but difficult to do with robots) work of taking temperatures, palpating organs, swabbing throats, and the like.
Whether or not this service is a good thing, it seems to me, will depend largely on one (empirically testable) point: There are conditions that are easy to diagnose over video chat.
There are conditions that are hard to diagnose over video chat.
How many conditions look easy to diagnose over video chat; but are actually something else entirely?
If, 90\% of the time, the doctor can say "Yeah, colds suck, sleep it off and get lots of fluids" or "Sounds like strep, fill this prescription and take as directed" and the other 10\% say "Christ, man, get yourself to an ER right the fuck yesterday!
" then this should save a lot of time and money.
If, though, they can't usefully distinguish between these two categories, there will be trouble.
More generally, since humans are so good at gathering data face to face, I would be very curious to see an experiment with an alternate model: Instead of having patients see real, MD, doctors over video conferencing, what about having patients see, in person, cheaper nurse/tech types, who would be supported by a mixture of diagnostic software and teleconference with doctors?
Still cheaper than seeing a doctor in person; but also allows a large number of common/safe tests, examinations, and sampling procedures to be done in person.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516876</id>
	<title>I smell...</title>
	<author>Anonymous</author>
	<datestamp>1261390320000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>...a lawsuit in the making.</p></htmltext>
<tokenext>...a lawsuit in the making .</tokentext>
<sentencetext>...a lawsuit in the making.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516754</id>
	<title>Re:Don't worry about the quality, feel the cost</title>
	<author>Registered Coward v2</author>
	<datestamp>1261389720000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p><div class="quote"><p>Seriously is this a good thing?</p><p>In the UK we have a service "NHS Direct" which is effectively a triage service which tells you whether you need to go to a doctor.  Its in no way shape or form a replacement for a direct doctors appointment its just there to filter out cases that aren't overly serious or are serious enough to need an emergency visit. This service is staffed by nurses and its pretty good and does help with people who are concerned about medical issues.</p><p>The idea of someone prescribing drugs via this sort of service is just insane.  It would be smarter to delegate prescriptions, or at least re-issuing prescriptions, to pharmacists who will at least see the patient.  Or are we going to a world where you don't see the doctor and you get your drugs shipped direct so you never ever see anyone with any sort of medical training who can just briefly add a sanity check to the whole thing.</p><p>Its hard to imagine a better example as to why the US system is completely and utterly fucked than this being considered a good thing.</p></div><p>I agree - better to staff a clinic with a Physician / Nurse Practitioner and Nurses  who confer with an MD, even virtually to ensure quality of care.  A PA/NP is quite capable of delivering primary care (or even specialty care) in a safe and cost effective manner; but there is no real substitute for being seen where they can detect subtle things, that may get unnoticed otherwise, which might indicate a more serious or additional problem. </p><p>Now, followup visits or routine test results can often be handled virtually (or even by email); but there is no real substitute for a real examination.</p></div>
	</htmltext>
<tokenext>Seriously is this a good thing ? In the UK we have a service " NHS Direct " which is effectively a triage service which tells you whether you need to go to a doctor .
Its in no way shape or form a replacement for a direct doctors appointment its just there to filter out cases that are n't overly serious or are serious enough to need an emergency visit .
This service is staffed by nurses and its pretty good and does help with people who are concerned about medical issues.The idea of someone prescribing drugs via this sort of service is just insane .
It would be smarter to delegate prescriptions , or at least re-issuing prescriptions , to pharmacists who will at least see the patient .
Or are we going to a world where you do n't see the doctor and you get your drugs shipped direct so you never ever see anyone with any sort of medical training who can just briefly add a sanity check to the whole thing.Its hard to imagine a better example as to why the US system is completely and utterly fucked than this being considered a good thing.I agree - better to staff a clinic with a Physician / Nurse Practitioner and Nurses who confer with an MD , even virtually to ensure quality of care .
A PA/NP is quite capable of delivering primary care ( or even specialty care ) in a safe and cost effective manner ; but there is no real substitute for being seen where they can detect subtle things , that may get unnoticed otherwise , which might indicate a more serious or additional problem .
Now , followup visits or routine test results can often be handled virtually ( or even by email ) ; but there is no real substitute for a real examination .</tokentext>
<sentencetext>Seriously is this a good thing?In the UK we have a service "NHS Direct" which is effectively a triage service which tells you whether you need to go to a doctor.
Its in no way shape or form a replacement for a direct doctors appointment its just there to filter out cases that aren't overly serious or are serious enough to need an emergency visit.
This service is staffed by nurses and its pretty good and does help with people who are concerned about medical issues.The idea of someone prescribing drugs via this sort of service is just insane.
It would be smarter to delegate prescriptions, or at least re-issuing prescriptions, to pharmacists who will at least see the patient.
Or are we going to a world where you don't see the doctor and you get your drugs shipped direct so you never ever see anyone with any sort of medical training who can just briefly add a sanity check to the whole thing.Its hard to imagine a better example as to why the US system is completely and utterly fucked than this being considered a good thing.I agree - better to staff a clinic with a Physician / Nurse Practitioner and Nurses  who confer with an MD, even virtually to ensure quality of care.
A PA/NP is quite capable of delivering primary care (or even specialty care) in a safe and cost effective manner; but there is no real substitute for being seen where they can detect subtle things, that may get unnoticed otherwise, which might indicate a more serious or additional problem.
Now, followup visits or routine test results can often be handled virtually (or even by email); but there is no real substitute for a real examination.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516334</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30517532</id>
	<title>Re:I am a med student, and I am horrified</title>
	<author>rossdee</author>
	<datestamp>1261393620000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Most of that stuff isn't done by a doctor anyway. An LPN will check your weight, height, blood pressure, heartrate, and so on.</p></htmltext>
<tokenext>Most of that stuff is n't done by a doctor anyway .
An LPN will check your weight , height , blood pressure , heartrate , and so on .</tokentext>
<sentencetext>Most of that stuff isn't done by a doctor anyway.
An LPN will check your weight, height, blood pressure, heartrate, and so on.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_12_21_1748220.30516516</parent>
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