{"id":"cfd69700-b6ad-44b3-ab0f-edcdfb00e9c9","slug":"response-to-two-telemedicine-consultants-miss-foot-drop-when-to-see-patients-in-person","title":"Response to: Two telemedicine consultants miss foot drop: when to see patients in person","authors":["Bradley Robert Richardson","Piers Michael Truter","Trevor G. Russell"],"abstract":"Background: The authors respond to a case report regarding missed foot drop during telemedicine consultations. They highlight the absence of clinical examination findings and a lack of comprehensive telemedicine treatment plans in the original case study. The authors argue that the issues raised reflect on the clinical reasoning of the general physician rather than the telehealth medium itself. Summary: The letter emphasizes the importance of thorough patient interviews in telehealth to identify potential motor deficits or neurological conditions. It discusses the validity of certain physical examinations via telehealth and suggests that failures in the case were due to oversight rather than technological limitations. The authors advocate for proper training in telehealth for both providers and patients to enhance clinical outcomes. Conclusion: The authors conclude that telehealth can be an effective tool for patient management when utilized correctly. They stress the need for practitioners to operate within their skillset and to adapt their clinical reasoning to the medium of consultation. Education and preventive advice should also be integral to telehealth practices. Keywords: telemedicine, clinical reasoning, patient interview, neuromusculoskeletal, telehealth training, physical examination, patient management","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/placeholders/specialty/general-neurosurgery.png","publishDate":"2021-01-20T00:00:00.000Z","doi":"10.25259/SNI_911_2020","categories":["General Neurosurgery","Letter to the Editor"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/cfd69700-b6ad-44b3-ab0f-edcdfb00e9c9/pdf"}