Televisit instructions

Dear Patients

We are now completing televisits for all patients. Please note there are some requirements for proper set up. Sometimes a televisit not appropriate for certain medical conditions and an office visit may be required- We will let you know. Please review the below instructions to see if any apply to you and be prepared. You will get a phone call on the day of your appointment from my office staff to obtain all the below information. For established patients, please keep your appointment even if pre-visit labs are not completed as the doctor must still have a tele-visit with you for compliance purposes, in order to receive continued medication refills, and to triage when procedures and certain testing can be done. Click here to see details of how we will conduct televisits for certain patient types

1.  Patient Portal awareness:
We will be sending updates and asking questions of you via portal. Please also update us with any new pharmacy information. Pre-visit phone calls from medical assistants to ask questions- please have every medication bottle ready with information for us about strength and frequency of dosing. Make sure you have done lab testing- It is safe to get labs done at Labcorp and Quest and CPL


2.  Patients with diabetes mellitus  -  We need to connect with your devices:

3.   Blood pressure readings, heart rate,  height, and weight readings from home devices. 
We would like recent information from ALL patients. If not already done, please try to purchase a device for the below but we understand if this is not possible in which case we will schedule an office visit for follow up:
a. Blood pressure using and Above-The-Elbow arm cuff from a pharmacy. Check values once per day for the week prior to the visit and the day of the visit. Write down the top and bottom numbers. We will ask you for a range on the top and bottom for the previous 1 week.  Also we will want to know the heart rate. We can try to send a pharmacy question as a prescription, but please send us a portal message subject " can you send a blood pressure monitor to pharmacy?"  NOTE: normal blood pressures are a top number less than 139 and a bottom number less than 79. Heart rate at rest should be more than 60 and less than 100
b. Weight scale - we want to know a recent weight in pounds. 

4. Records you want to MD review:
If we have not received records at least 3 days prior to your visit, then will not be reviewed in the televisit and we will reschedule to another visit to review if you want me to think about it all. Best place way to upload is with this link.
We cannot wait for you to read me the relevant records and I cannot easily review by looking at the televisit screen. We will need time and clear copies in my chart to make informed and accurate decisions

5. Orders for labs and imaging:
Usually we would hand patients current and future lab orders, imaging orders, and special medication orders directly to patient at an office visit. 
Instead,  0-2 business days AFTER the televisit  we will:
a. via secure email send lab and imaging orders and instructions 
b. electronically send lab orders to labcorp and quest lab locations 
c. Set up Prolia and ACTH stim testing orders via portal 

6. Thyroid Nodules:
We will delay FNA thyroid biopsies if possible. For ultrasounds we will plan to schedule in the future or send to imaging centers. We will discuss what is best for each patient during a televisit. 

7. Nuclear procedures
If already scheduled for an in-office nuclear procedure we will keep it, otherwise will we will schedule at a hospital 

For those without insurance, please see our low cash-rates for doctor visits and for lab testing
http://www.houstonendocrine.com/selfpay

Thank you for your understanding,

Medhavi Jogi MD
Fareed Elhaj MD
Diana Desai MD
Cristina Dumitru MD
Dina Winograd MD
Mehwish Ismaily MD
Katie Spence CDE