What happens during a Video Spine consultation?
Video Consultations can be done in the comfort of your own home after a prearranged appointment. You will be given an opportunity to have a Telephone or Face to Face consultation. However in certain instances a Telephone or Face to Face consultation may not be very appropriate. I take great care about your safety during this current pandemic and will ensure there are no compromises.
Video Consultation is similar to a Telephone or Face to Face Consultation. Each new patient consultation session last for 30 minutes with a follow up session for 15 minutes. Each session follows a structured process to ensure efficiency, quality and safety.
NEW PATIENT CONSULTATION
This is a very formal structured process. These are the following steps:
Introduction:
Presenting Problem:
History of Current Problem:
Past Medical History:
Clinical examination:
Review of blood results, X-rays and MRI scans:
Discussion of the diagnosis:
Plan a Treatment Strategy:
INTRODUCTION:
We introduce to each other by confirming your
Name
Age
Occupation
PRESENTING COMPLIANT:
This is what you tell me – the current problem that you are concerned about and what prompted you to book the appointment.
HISTORY OF CURRENT PROBLEM:
This is get more information on your current problem. For example in a back pain problem, I will be most interested in knowing:
About the location of the pain
When the pain started
How long was the duration of pain
If the Back pain is associated with any leg pain
Any pins and needles or numbness in your leg
What makes your pain better or worse
How bad is your pain on the score of 1-10
PAST MEDICAL HISTORY:
Previous treatment
Physiotherapy
Injection
Surgery
Diabetes
Blood Pressure
Heart Problems
Medications
Blood thinning tablets
Steroids
Immunotherapy
CLINICAL EXAMINATION:
General Examination
Walking Ability
Back Examination
Location of pain
Neurological Examination
Numbness in leg
Strength in the leg
Special Tests
REVIEW OF INVESTIGATIONS:
Blood Test Reports
X-rays
MRI Scans
DISCUSSION OF DIAGNOSIS:
Explain the diagnosis
What I think is the problem
Further Management Options
Documentation of the Diagnosis
PLAN A TREATMENT STRATEGY:
Arrange MRI scan
Further Appointment with dates
Physiotherapy sessions
Spine Injections
Surgery
COST OF VIDEO SPINE CONSULTATION
