INTERCONTINENTAL LIVE TWO WAY INTERNET BASED INTERACTIVE VIDEOCONFERENCE FOR PATIENT EDUCATION FIRST TIME IN THE WORLD- "GLOBAL DIABETES ONLINE-2003" INDO-US HEALTH EDUCATION PROGRAM

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ON FRIDAY JULY 4TH 2003 5PM IST, A LIVE INTERACTIVE INTERNET BASED VIDEOCONFERENCE TOOK PLACE IN THIRUVANANTHAPURAM, KERALA, SOUTH INDIA. PATIENTS AND RELATIVES WERE ABLE TO INTERACT WITH LEADING DIABETES EXPERTS FROM USA. ORGANISED BY INDIAN INSTITUTE OF DIABETES AND ALL KERALA DIABETES PATIENTS ASSOCIATION

On July 4, 2003 India and USA, witnessed an online three-hour diabetes health education programme, first of its kind in the world.

World experts on diabetes at a developed nation (Rochester, Minnesota, USA) spoke to diabetes patients in Trivandrum, Kerala, South, India in an online video conferencing event. The event was conducted just for health education of the masses on a 100% nonprofitable basis.

This programme is a perfect example of how an intercontinental event can be organised with minimal resources in a developing nation and how to facilitate the health care requirements utilising the expertise of a developed nation like USA. The advice and comments from world experts were received by patients in India whole heartedly with due respect and regard.

Expensive facilities like ISDN/ satellite services were not used.A high speed (1.5Mbps) cable internet (charter in USA and Asianet in India) connection were used at either ends. Yahoo messenger served as the free ware for 3 hour trouble free, crystal clear , broadcast of both audio and video . Apart from ordinary web cams, Sony DCR TRV 19 handy camera was used in USA for web casting of 10 minutes of a recorded video to India in between the programme.*

The time at Rochester was 6.45 am and in India 5.15 pm.The health minister of Kerala P.Sankaran, inaugurated the event which was seen and heard in Rochester live.

The event was organised by Indian Insititue of Diabetes (IID) and All Kerala Diabetes Patients Association(AKDPA). India has the maximum number of diabetes patients now in the world. In India the southern state of Kerala, tops the list. Kerala is unique in the country to have 100% literacy and longest longivity of up to 74 years. Diabetes and its complications have become a major concern in this part of the country.

Health education is the key for the sucess in the treatment of diabetes, since patient himself should be made aware of the advantages of self monitering and regular modification of medications.

Rajmohan, (president, AKDPA), Dr.Ekbal(Kerala University-Vice Chancellor), Dr.Rajasekharan Nair (Neurologist), Radhakrishnan Nair IPS (Asianet) were in India on the dias. Dr.MV Pillai, world renowned physician from India working in the USA, participated in the inaugural ceremony on line from the USA.

More than 120 patients with diabetes took part in India. Of these more, than 20 patients got an oppotunity to directly ask questions to experts in the USA and listen to them.

They asked several questions of Endocrinologists in the USA. Translation to local language Malayalam was done as and when required.

The whole event was made possible by two doctors in India, who are also computer wizards. Dr.Jothydev Kesavadev, MD (IID) and Dr.Sameer, MBBS (mednet Kerala). Dr.Jothydev is now in the USA at the Mayo Clinic in Rochester, NY, and he coordinated the event from the USA.

The experts on the panel in the USA included:

1.Dr.Robert Rizza, MD* (Vice-President American Diabetes Association, and Consultant Mayo Clinic, USA),

2.Dr.Steven Smith, MD (Consultant in Endocrinology, Mayo Clinic and Chair Council on Clinical Endocrinology, Health Care Delivery & Public Health, American Diabetes Association )

3.Dr.Sreekumaran Nair* (Chair- World India IDF, Consultant in Endocrinology and Director-GCRC, Mayo Clinic)

3.Dr.Yogish Kudva (Consultant in Endocrinology, Mayo Clinic and Assistant Professor of Medicine - Mayo Medical School)

4.Dr.Laura Greenlund, Endocrinology Fellow, Mayo Clinic

5.Laura Odel* (Pharmacist in charge of ambulatory care and diabetes patient education at Mayo)

5.Jothydev Kesavadev , Endocrinology Fellow, Mayo Clinic (co ordinator of this on line programme and IID official in USA)

Dr.Sameer and Jose Francis coordinated the event from India.

It is forseen that this effective and inexpensive online patient health education program will evolve as a model in future for meaningful communcation between patients and doctors across the globe.

Dr.Jothydev Kesavadev (USA)

Dr.Sameer Badarudeen (India) mobile number +919447055023

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Dr Jothy Dev MD, Dr Sameer