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Response to: ‘Telemedicine will not keep us apart in the COVID-19 pandemic’ by Perniola et al
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Journal Article
Response to: ‘Telemedicine will not keep us apart in the COVID-19 pandemic’ by Perniola et al
2021
Overview
Correspondence to Professor Carlomaurizio Montecucco, Rheumatology, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy; montecucco@smatteo.pv.it We thank Perniola et al for their interest in our paper and the circumstantial details on their outpatient activity.1 Our service is a referral rheumatology department with more than 100 outpatients evaluated every day. Since the first Italian subject has been diagnosed with COVID-19 and transferred to our Hospital on 21 February 2020, a prompt reorganisation of our department and of the entire hospital facilities has been carried out in order to create a COVID-19 hub hospital and deal with the emergency at best.2 Starting 24 February 2020, we have severely restricted the access to our outpatient clinic. [...]patients had to undergo a three-step authentication in order to access the platform and shared data were stored in protected servers of our institution and automatically destroyed after 45 days. [...]a spike in deadly manifestations such as sudden cardiac death has been reported, due to the inaccessibility of routine care or fear to appeal to medical help.5 In the light of these reports, we have still to evaluate the usefulness of telemedicine in new patients requiring prompt diagnosis and very early referral as in the detection and fast tracking of large vessel vasculitides.6 It is likely that we will be able to better balance the consequences of such delays that occurred during the COVID-19 pandemic, in the future and we should get ready to manage them in the best possible way.
Publisher
Elsevier Limited
Subject
