1 00:00:00,960 --> 00:00:05,320 e-health in practice 2 00:00:06,320 --> 00:00:13,120 When you have a lung attack you won't have any strength left. 3 00:00:13,240 --> 00:00:19,600 I have COPD. That's the disease I have. You have to learn to live with it. 4 00:00:21,800 --> 00:00:26,720 When I go to the hospital and I do it all by foot... 5 00:00:26,840 --> 00:00:30,160 that's physically very demanding. 6 00:00:31,760 --> 00:00:36,320 I can't walk the whole distance in one go, I have to pause now and then. 7 00:00:37,320 --> 00:00:43,320 The day before you have an appointment, you cannot be active. You'll do very little. 8 00:00:44,320 --> 00:00:48,040 And going to the hospital costs a lot of energy... 9 00:00:48,160 --> 00:00:52,760 so the next day you can do very little. You need to plan everything. 10 00:00:52,880 --> 00:00:59,720 I'm very happy with the video calls I can make with Isala now. 11 00:01:00,880 --> 00:01:04,760 It saves me two or three trips to the hospital. 12 00:01:04,880 --> 00:01:11,720 Good morning. Good to see you. -Yes, thank you. 13 00:01:11,840 --> 00:01:18,360 You filled in the questionnaire and I see you're doing much better. 14 00:01:18,480 --> 00:01:24,080 Video calling is a relatively new form of care for us. 15 00:01:24,200 --> 00:01:29,160 At this point we mostly use it to counsel COPD patients. 16 00:01:29,280 --> 00:01:34,800 We ask the patients to fill in a questionnaire on their iPad once a week. 17 00:01:34,920 --> 00:01:40,680 How often did you cough? Did you cough up mucus? Are you short of breath? 18 00:01:40,800 --> 00:01:47,600 It enables us to monitor the COPD. Is it stable, is it getting worse or better? 19 00:01:47,720 --> 00:01:54,080 I check for notifications. A notification means the patient is doing worse. 20 00:01:54,200 --> 00:01:58,600 Then I call them to ask how they're doing, what's going on. 21 00:01:58,720 --> 00:02:03,240 How often do you use it now? -I use it twice a day. 22 00:02:03,360 --> 00:02:06,640 Two puffs in the morning and two in the evening. 23 00:02:06,760 --> 00:02:13,120 Video calling offers them a different type of care. You become part of their daily lives. 24 00:02:13,240 --> 00:02:19,000 The patient can stay at home. And what I didn't expect, but what's really nice... 25 00:02:19,120 --> 00:02:25,120 is that communication becomes more normal, more accessible... 26 00:02:25,240 --> 00:02:28,040 more comfortable than at our location. 27 00:02:29,200 --> 00:02:35,760 They're more aware of their condition and have to call when it's not going well. 28 00:02:35,880 --> 00:02:39,800 Because they see how they're doing, and we see it too... 29 00:02:39,920 --> 00:02:45,400 you can intervene more quickly, if necessary, to prevent hospitalisation. 30 00:02:47,560 --> 00:02:52,480 For me, if I wouldn't have had access to these video calls... 31 00:02:52,600 --> 00:02:58,200 I would have been admitted to hospital much more often. 32 00:02:58,320 --> 00:03:04,720 Video calling works more efficiently. You can be more hands-on with the patient. 33 00:03:04,840 --> 00:03:10,360 In the questionnaire you can identify the problem and talk about it with them. 34 00:03:10,480 --> 00:03:13,760 Ultimately the patient will be more in charge. 35 00:03:13,880 --> 00:03:17,760 They won't need us as much and can do more for themselves.