I’m credentialled with multiple telemedicine services.     One does not want me to manage tick bites but will allow me to prescribe muscle relaxants.     On the spectrum of risk, that makes no sense.     Use each telemedicine services list of “don’ts” as the foundation of your care plans. Then, rely on a generally recognized resource such as Up To Date for your care plan decisions.      ...

      This is a common chief complaint.     Usually a pretty benign problem, but in rare cases, it can evolve into Transient Epidermal Necrolysis (TEN).     TEN is catastrophic.     When it occurs, the pain and concomitant morbidity make for a perfect malpractice action.     From a pathophysiologic standpoint, once the cascade of events from drug exposure to TEN begins, there is nothing that can be done to interrupt...

    Sometimes, when credentialling with your telemedicine partner, you will be asked to perform one or more sample scenarios to assess your ability to perform telemedicine safely and effectively.     This is not a red flag.     And though you’d think this would be a marker of a telemedicine partner that’s going to over-manage your care decisions, it turns out these systems actually are more likely to leave you alone—probably because they’ve...