Monday, January 26.1998 The University Daily Kansan Section A · Page 5 Med Center cures from a distance Pam Whitten, director of telemedicine services at the University of Kansas Medical Center, views a co-worker through telemedicine equipment. The Med Center is spearheading the nation's first school-based telemedicine program in four Kansas City, Kan., schools. The system is expected to be in operation by early February. Photo by Lisa Stevens John/KANSAN Telemedicine allows doctors to see patients via modern house calls By Lisa Stevens John jlohn@kansan.com Kansas staff writer If Johnny complains of an earache at school, a physician at the University of Kansas Medical Center can examine the inside of his ear — from several miles away. Under a pilot program at four elementary schools in USD 500 in Kansas City, Kan., the Med Center will open the nation's first school-based telemedicine program in February. "It's very exciting," said Pam Shaw, assistant professor of ambulatory pediatrics at the Med Center. Shaw said the program began as a way to provide immunizations and health-care access to children in Wyandotte County. The child sits in front of a personal computer that has a video camera attached to it. Using this telemedicine equipment, the child can see the physician at the Med Center, and the physician can see the child in the school nurse's office. The nurse uses a stethoscope to transmit the child's heart and breathing sounds to the physician. The physician can view the child's throat as the nurse uses a light with a camera attached to the end. The physician can observe the child's inner ear as the nurse carries out the hands-on exam ination using otoscope/camera unit. "This is an opportunity for us to do something that no one has done before, and it will help the children." Shaw said. Pam Whitten, director of telemedicine services at the Med Center, has been working on this project for almost a year. Whitted said when a child complained of illness, the school nurses would decide if physician care was needed. If so, the parent would be called for consent to have a pediatrician examine the child through the telemedicine system. When the school day ended, the child already would have been "seen" by the physician and may even have a prescription that had been faxed to the school nurse. Whitten said. Whiten said the visits would be billed to the child's family or insurance company, just as if the patients had come to the Med Center. But she noted that no students would be turned away because of a family's inability to pay. The Med Center pioneered its first telemedicine programs in the rural areas of Kansas in 1991, Whitten said. The Med Center has 25 telemedicine sites in Kansas. 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