Clinic of pediatric heart surgery
"Telemedicine Clinic "
Dr. Abdoulah Mohsen
Sr. Consultant Pediatric and Adult Congenital Heart Surgery
Member of the European Association for Cardio-Thoracic Surgery
AFSA ,DU,DIU - Paris
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C.O.P.C.S
Introduction
It is a specialized telemedicine clinic - started in 2019. It provides medical consultations related to the specialty (congenital heart diseases in children and adults and their surgical treatment).
The clinic aims to provide medical-surgical consultation to pediatric cardiologists, pediatricians, and intensive care doctors who have a patient with congenital heart disease who needs surgical cardiac consultation or second opinion.
The clinic also provides medical and surgical consultation directly to the patient and family, to obtain all information related to the disease, its development and the best available treatment options, whether surgical or interventional, and answering all the questions that the family has.
Providing the family with a medical report in English language which summarizing the patient’s condition over the years and helps them in countries where they find it difficult to communicate with the medical staff.
Referral the patient to the hospital in emergency cases to receive appropriate treatment.
Archiving all information related to the development of the patient’s condition and the operations he performed in his life .
Continuous communication with the family to monitor the development of the patient’s health condition and take early action before the development of complications resulting from the nature of the heart disease.
Many patients with congenital heart diseases CHD live in areas with few or no pediatric cardiac surgeon, as a result they either see no specialist or must drive hours to receive specialized care. Telemedicine allows these individuals to get access to expert CHD doctors from afar .
Guide of telemedicine clinic
The first step - filling out the appointment form
There are six forms ( you need VPN program for Mobile use ) :
1. A normal request form - to schedule an appointment for a patient (whose health condition is stable) - visiting for the first time - click here
Where the child is at home and the parents want to book an appointment to check on the child’s condition or to know some details about the surgical procedure in terms of (the method of the surgical procedure, the risks of the surgical procedure and its complications, the costs of the surgical procedure, the expected results, and the development of the treatment and disease in the short term and far away). The request contains basic information related to the child’s illness and the examinations or operations that were performed during the previous period.
2. An emergency request form - to schedule an appointment for a child (whose health condition is unstable) - click here
Where the child is in the hospital for a reason related to heart disease, and there is no pediatric cardiologist supervising the child’s treatment, which requires the parents to seek advice after the approval of the doctor supervising the treatment and without interfering with the hospital’s treatment plan. The parents will fill out an application containing simple information about the child’s current condition and the reason for my presence in the hospital...
3. Request a medical consultation form - to schedule an appointment for a doctor (to discuss an unstable patient’s condition) - click here
The child is at home or in the hospital and needs a doctor to conduct a cardiac surgical consultation to discuss the child’s condition and determine the treatment plan. The doctor will fill out the application regarding the child's condition and the direct question he wants to ask.
4. Request medical follow-up form - for a patient ( whose health condition is stable) - Click here
The child has previously visited the clinic and received a file number at the clinic, and the parents want to conduct a medical consultation to follow up on the child’s health condition and determine the appropriate date for surgery in coordination with the cardiologist supervising the child.
Note
Please upload all documents related to the child’s condition (last cardiac echocardiography, surgical report, catheterization report...video of catheterization or echocardiogram, if available) so that they can be reviewed and you can be given some of the required directions before or during the session. This is to save session time.
If the patient does not have old documents - please write a summary of the child’s condition and upload it with the application (because the patient often needs a recent heart echocardiogram to evaluate the current heart condition).
The language of the report does not matter.
5. Request reschedule appointment form - for a patient ( whose received confirmation reply massage) - Click here
If you wish to postpone or cancel the appointment - you will send a reschedule form before 48 hours (specifying the patient’s MRN, patient’s name, then specifying whether you want to postpone the appointment to another appointment, or cancel the appointment completely).
6. Request a medical report form - for a patient ( whose registered before and has MRN ) - Click here
The child has previously visited the clinic and obtained the clinic's file number, and the parents want to obtain a medical report that fully explains the patient's condition and the appropriate recommendations for dealing with the patient, whether at school or when applying for any job or pre-marriage stage, or for treatment in another country.
The second step - receiving a response from the coordinator
The coordinator will send a massage via the email or WhatsApp that was included in the application form , indicating (the patient’s medical report number MRN in the clinic , the date and time of the interview , some recommendations before session time ).
The interview takes place daily from 6-10 pm , Damascus time.
The interview is conducted using Google meet, Zoom, and WhatsApp
The appointment may be cancelled by us if necessary - the coordinator will inform you.
If you wish to postpone or cancel the appointment - please send a message before 48 hours (specifying the patient’s MRN, patient’s name, then specifying whether you want to postpone the appointment to another appointment, or cancel the appointment completely).Click here
The third step - conducting the interview
Please open the interview program five minutes before the appointment.
Be sure that headphones and microphone are working before the session .
It is not necessary for the parents to open the camera - but the camera can be opened by us with the for sharing with you some pictures for clarification.
Please prepare all questions related to the child’s condition before the session ( parents are preferred to be present at the session).
During the session we will discuss , the child’s previous and current condition and the results of tests and whether there is a need for new tests (such as a repeat echocardiogram or cardiac catheterization...).also we will review the results of previous operations, and we will discuss the best appropriate treatment options for the patient .
If the patient needs surgery, the details will be discussed (necessity of surgery, time of surgery, cost of surgery, length of stay in the hospital, risks of surgery).
The session takes place in Arabic or English
Duration of session 15-25 min.
Fourth step - follow-up
The coordinator will send a medical report on the session summary and the treatment plan.
If the child needs another appointment, you will be notified at the end of the session.
If the patient needs to be admitted to the hospital, the doctor will refer him and follow up with the supervising doctors.
For consultations fees, details will be provided to you via WhatsApp or email.
Our surgical interventions including :
Complex congenital heart operations processes in children and newborns.
Congenital heart disease operations in adults.
Pacemaker implantation operations to regulate heartbeat.
Chest wall deformities repair operations.
Cardiac surgeries for adult heart diseases .
Clinic appointments
Since the doctor performs emergency surgeries that may take a long time, therefore he needs to organize clinic appointments according to the necessity and urgency of the patient’s health condition.
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