Telemedicine a novel way to fight a Pandemic

A success story from Pakistan

Professor W Angus Wallace, Dr Suhail Y Chughtai

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English

Filament Publishing Ltd
01 March 2021

Telemedicine; Medical screening

The Covid 19 pandemic took the world by surprise. Even those advanced countries with a well-established

healthcare infrastructure were caught out by the speed that the virus spread and took hold.

As a new virus, very little was known about its properties, how it was spread, and the short and long-term effects on health.

The death toll was growing fast. The world needed answers, and fast. What was clear from the beginning was that existing healthcare structures were not adequate to manage the situation. Every country reacted in different ways.

In Pakistan, The Punjab Government deployed

Smart Lockdown

as a policy to limit the Corona epidemic in March 2020. The essential services of the Patient-Doctor physical visit posed the risk of spreading the Corona epidemic. However, in addition to the growing numbers was a real danger that people rushing to the medical facilities (Hospital and Family Doctors) to obtain advice for suspected Corona virus symptoms, could have flooded the Government hospitals and private clinics.

No matter what the crisis, in the moment of most need a solution presented itself.

This is the story of what happened.

By: Professor W Angus Wallace, Dr Suhail Y Chughtai
Imprint: Filament Publishing Ltd
Country of Publication: United Kingdom
Dimensions: Height: 229mm, Width: 152mm, Spine: 15mm
Weight: 379g
ISBN: 9781913623210
ISBN 10: 1913623211
Pages: 280
Publication Date: 01 March 2021
Audience: General/trade , Professional and scholarly , ELT Advanced , Undergraduate
Format: Paperback
Publisher's Status: Active

Preface 3 Table of Contents 4 Foreword Prof Dr Jay Saunders 7 Prologue 9 Chaudhary Muhammad Sarwar 10 Mr Nafees Zakaria 12 Mr Charles Lowe 14 Epilogue 16 World Congress of Overseas Pakistanis - UK 17 Association of Pakistani Physicians & Surgeons, UK 19 Akhuwat, Pakistan 21 Jump Start Pakistan 23 Medical City Online UK 25 Allama Iqbal Medical College Alumni UK 28 Tribute to the Fallen Hero in the Fight against COVID 30 COVID-19 heroes remembered with Wall of Heroes in the Punjab Governor's House 33 About the Authors Prof (William) Angus Wallace 34 About the Authors Dr Suhail Chughtai 37 List of chapter authors 40 Acknowledgements 41 Telemedicine Helpline media coverage 43 Chapter 1 The Meeting of two Minds 46 Suhail Chughtai's journey 47 Angus Wallace's Journey 51 The meeting of minds - how it happened 54 Chapter 2 The University of Health Sciences, The Lahore connection 62 First Telemedicine course at UHS 68 Chapter 3 From Ground Zero to Doctors 24/7 Telemedicine Helpline 70 Chapter 4 Telemedicine Helpline - Scope and objectives 86 Chapter 5 An Introduction to Telemedicine 92 Benefits of Telemedicine 101 Chapter 6 Power of the Software Design of Doctors 24/7 Telemedicine Helpline 108 Summary of Software design 121 International Standards of security 127 Chapter 7 Covid-19 in Pakistan Common Symptoms 136 Clinical Classification of Disease 137 Chapter author Dr Somia Iqtadar FCPS 147 Chapter 8 International Comparisons of the Coronavirus Pandemic and the Rate of COVID-19 infection 150 Chapter author Dr Rana Jawad Asghar 170 Chapter 9 Analysis of the Impact of the Telemedicine Helpline 171 Chapter 10 The Philosophy behind our Telemedicine Success 180 Chapter 11 Interviews of Prof Dr Javed Akram & Dr Shehla Javed 189 Chapter authors Prof Dr Javed Akram 202 Dr Shehla Javed 203 Chapter 12 The Way Forward - Telemedicine to Revolutionise Healthcare 205 Chapter author Captain(R) Muhammad Usman Younis 209 Chapter 13 Evolution of Telemedicine in Pakistan 212 Chapter author Mr Saflain Haider 222 Chapter 14 COVID-19 and Social Determinants of Health 224 Chapter author Mr Jonathan M Fuchs 230 Chapter 15 How our Telemedicine Services Model can help other countries? 231 The Process of setting up a Telemedicine Service 241 Chapter authors Miss Jumel Grace 254 Dr Amir Michael 255 Mr Graeme Allen 256 Chapter 16 Getting together and working in Harmony for the Project 259 Chapter 17 Update on COVID-19 and Telemedicine to January 2021 273

Prof W Angus Walaace set up the Faculty of Health Informatics at the Royal College of Surgeons of Edinburgh in 2000 where he launched the first master's degree in health informatics, initially with the University of Bath and subsequently with the University of Edinburgh. During his five-year appointment as Dean of the Faculty of Health Informatics, he headed the team that developed the UK Surgical Electronic Logbook now used by all Trainee and Consultant surgeons in the UK to document their operations during training which has ensured good quality control of surgical training. He is passionate about delivering high volume, high-quality surgery through the NHS and has worked very hard in his own unit and, through his Regional Director work with RCS Eng, to make the NHS more efficient and productive. In 2011, after 17 meetings at Nottingham University Hospitals and negotiations with the Orthopaedic Business Manager (Will Monaghan), the Corporate Operations Manager (John Peach), the Information Governance Manager (Rory King), and the PCT Service Change Group (Dr Hugh Porter) he set up his first NHS Telemedicine Clinic using the Cisco Webex platform in April 2011. Dr Suhail Chughtai, is an orthopaedic surgeon with over 20 years of consultant level experience in the UK, Saudi Arabia and Pakistan. He felt there was a need for doctors to adapt to an increasingly technical, digitised world. This prompted him to study Computer Software and Hardware, receiving a Microsoft Specialist certification in 2001, and then going on to teach Medical IT across the globe. After taking a particular interest in Telemedicine as a vital bridge between the patient and the doctor, Dr Chughtai founded Medical City Online, a Telehealth Firm in the UK, which has designed over 20 International Telehealth and Medical IT projects. Part of this new approach views patients Telemedicine Software as solutions , rather than just products, and the firm has been actively engaged in helping to lessen the impact of Covid-19 in Pakistan

Reviews for Telemedicine a novel way to fight a Pandemic: A success story from Pakistan

I congratulate both authors of the book Telemedicine, a Novel to Fight a Pandemic for their initiative showing how Telemedicine can be used in other parts of the world where medical expertise in dealing with a crisis might be limited. In my personal view, Telemedicine should be viewed as an additional resource in the day-to-day practice of medicine, and of particular importance when time, distance, availability and convenience are factors in limiting a patient's access to the healthcare delivery system.Prof Dr Jay Saunders M.D., FACP, FACAA&I, ATA