Years from now, the notion of simple telemedicine will seem quaint. Keep in mind that as recently as a decade ago, most physicians would have denied that telemedicine could ever play a role in the medical profession. Physicians would have argued that this would dismantle the fundamental unit of medical care – the in-person office visit.
Physicians would have rigidly maintained that they had to be
face-to-face with their patients. Doctors
would need to observe their demeanor and body language and other non-verbal
signals. The physician would need to
perform a physical examination to discover additional clues that might help to
explain the patient’s symptoms. Indeed,
medical professionals and others have expressed that the act of touching itself
served as a bonding experience between patients and their doctors. The very definition of ‘bedside manners’
implies that the patient and physician are in the same location.
Today, there are physicians who practice telemedicine
exclusively. Moreover, this new paradigm
is accepted both by medical professionals and the public who have come to value
other priorities such as convenience and efficiency. Many physicians have also come to accept that
medical quality can be maintained during most virtual visits, although
exceptions exist.
What will the practice of medicine look like ten years from
now? It may be deeper and farther into
the technoverse than we can imagine today.
The patient may relate symptoms from home to an artificial
intelligence (AI) platform and send over a scanned body image or results of a
saliva specimen or biometric information which will contain thousands of data
points for analysis. Leading diagnostic
considerations will be generated in seconds along with a proposed algorithm for
proceeding with diagnostic testing, which may be able to be conducted at that very
moment using technical accessories that would make one of today’s Apple Watch
seem like an abacus. And therapeutics
then may be light years beyond picking up a one-size-fits-all prescription at a
pharmacy. If AI determines that a
patient has appendicitis, then a driverless car will arrive in minutes to transport
the patient to a facility where surgery can proceed robotically under AI
guidance with no human at the controls.
If you think this is fanciful, would you have believed 10 years ago that
cars and trucks would be able to be operated in a driverless fashion?
This science fiction prophecy transcends medicine. Indeed, nearly all professions and trades
will be affected. How important will
actual humans be in our lives? I
acknowledge that the quality of many of the functions and activities currently
done by members of the human species will improve. But the overall quality of our lives – our
humanity – may fare differently.
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