How do I make a video consultation appointment with Dr Samuel ?

Patients can book in for a video consultation by either contacting us via phone or email the contact page on our website. If you require the support of your local family doctor it's best that your doctors clerical staff contact our rooms to set up an appointment to ensure both doctors are scheduled.

  

How do I prepare for a video consultation?

1. Dr Samuel performs all video consultations using the free "Vsee messenger" application.  Your username will be the email address you have supplied to our rooms on the above "new patient registration form". If video audio is poor, please ensure you are available on a telephone line number that you supplied to the practice on your patient information sheet. If you are not connected at the time of your consultation, the practice staff or Dr Samuel will contact you within 20 minutes via email or telephone.

2.  Please contact our rooms for fees for private telehealth services (namely for consultations for patients located in Sydney, other Australian metropolitan areas or outside Australia), or for those experiencing duress as a result of COVID19. If you are eligible for a bulk bill payment, at the end of your consultation the rooms staff will ask you to authorise your bulk bill payment (via email with your email address provided or by signature if in the doctors surgery). Please ensure we receive your response as soon as possible. If you are not eligible then you will be required to pay for your consultation in advance. Some consultations are eligible for a medicare rebate.

3.  It is your choice to have a video consultation. Video consultations can help you avoid travelling to see the doctor and save you time and money. They can happen in a place with privacy on:

a) your own desktop computer or laptop or tablet/ipad or smartphone
b) a family or friend's desktop computer or laptop or tablet/ipad or smartphone
c) your GP/doctor's surgery computer/laptop

Ask a friend or family for help or your family doctor/GP's practice if they support video consultations at their surgery. If so they may provide a nurse or doctor to sit with you during your consultation with Dr Samuel. Please let my staff know if you do not have all requirements. They will help to suggest alternative arrangement or book you a standard face-to-face consultation.

What are the requirements for video consultation?

1) Computer ("Windows" or Apple Mac)  or  tablet (android or ipad) or smartphone (android or iphone) and
2) Video via a webcam or forward-face smartphone camera
3) Audio via a microphone with speakers/or headset or telephone (mobile or fixed near device)
4) Internet connection with upload speed: above 0.25 Mbps
5)  "Vsee messenger" application/program (Free) installed on your device

How do I install Vsee messenger?

Click on the green button below that says "Click here: to get free Vsee messenger."

Enter the email address you have supplied to Dr Samuel's rooms

You will then receive an email invitation to connect with you on VSee.

Follow the instruction in your email to accept the Dr Samuel’s invitation and sign up for a free account.

Follow the instructions on the screen to download the application and complete the installation on the desktop, tablet or smartphone

If you already have a VSee Messenger account, you can download the latest software here and

click "Get Free VSee Messenger" and then "EXISTING USER? DOWNLOAD HERE"

Did not get the email? Try checking the spam folder or click here to resend."

2) Click on "Vsee test call" to test your equipment (if not already done prior to your appointment)
3) When making a call ensure microphone is not on mute. Sign out and exit all video and instant messaging programs (i.e., Skype, Messenger, etc.) in order for Vsee to connect without conflicts.

How do I check my upload speed?

Go to: www.speedtest.net and click on "BEGIN TEST".  Confirm your upload is > 0.25 Mbps (0.5 Mbps recommended)

What are the requirements for a medicare rebated service?

Please note that Dr Samuel's private practice charges fees for the telehealth services. Consultation fees are payable on the day. We accept cash, cheque, EFTPOS, Visa and MasterCard.  While you may be eligible for a medicare rebate during our usual room consultations or via telehealth to a regional area, you may not be eligible if you are in the Sydney or another metropolitan area at the time of your consultation. If you are experiencing financial duress, please inform Dr Samuel's room's in advance or during your consultation. He runs a weekly free public hospital IBD clinic and you may be eligible for this service.

Patients may be eligible to receive free video consultations using the

i) Temporary Medicare COVID19 Telehealth Program (until September 30)

if you are :

a) living within Major Australian Cities, and 

b) a holder of Commonwealth concession card holders

OR

i) Medicare Rural Telehealth Program:

if you are :

a) located in an eligible regional, rural and remote area (ie ASGC-RRMA 2-5MBS) at the time of the consultation, namely outside of RA1! – Major Cities (ie if you are in the green zone during the consultation  you can have a consultation but you will not be eligible for government medicare subsidy) OR,

b) a resident of an eligible Residential Aged Care Facilities OR

c) a patient of eligible Aboriginal Medical Service OR

PLUS

2) you have a valid medicare or DVA card
3) you have a valid referral from an Australian doctor
4) you assign your right to a Medicare benefit to Dr Samuel via an Email or signed written agreement.

Note: You can check if your location is telehealth medicare eligible at https://www.health.gov.au/resources/apps-and-tools/health-workforce-locator/health-workforce-locator. Enter the address of the location you will be at during the consultation and click the box under Other remoteness classifications

Please note Gosford, Canberra, Sydney Inner and Outer Metropolitan are not eligible (namely all Australian Inner and Outer Metropolitan Areas ) for the medicare rural telehealth program; However, Wollongong,  Toronto, Newcastle and Noosa are  eligible

Why have a video consultation?

Video consultations allow patients to have a secure consultation using an internet-based video and audio platform. It will be the similar to seeing Dr Samuel for a consultation in our rooms without being physically present. Some of the benefits include:

  • Bringing quality healthcare directly to the patient.
  • Increased access to specialty services and second opinions for rural and isolated patients.
  • Allowing the patient to stay in their own home or community rather than travelling.
  • Allowing for other caregivers to participate in the consultation, including family or friends, teachers, youth workers, or home care staff who would otherwise not be free to travel.
  • Reducing the time, cost and environmental consequences of travel.
  • Reduces time for investigation, diagnosis and treatment through shorted waiting times for video consultations

Troubleshooting:

a) Dr Samuel does not connect with you at the appointment time.
Every effort is made to keep to time. However, due to the nature of medical care and the technical nature of video consultations, this is not uncommon. If you have no contact within 20 minutes of your appointment please send an email to gastroadmin@gmail.com. A new appointment can be made at another time if you are unable to wait or you might be contacted with a revised appointment time during the same session.

b) Video call quality is poor
If problems persist check the speed of your internet connection particularly if you have an ADSL connection. To do this click on "begin test" on www.speedtest.net and you get an download and upload result:

speed guide for UPLOAD (not download):
below 0.21 Mbps: unsatisfactory
above 0.25 Mbps: satisfactory
above 0.4Mbps: good enough
above 0.5Mbps: ideal for standard definition video
above 1.5Mbps: ideal for high definition video.

Skype can be used as a backup if Vsee is not working.

Upload speed is critical and download speed is usually not a concern. Since video conferencing involves two way interaction, and the upload speed on a "normal" ADSL connection is 6-10 times slower than the download speed, upload speed will often impact on the quality of video or audio or both. Even if your download speed is 1.5 Mbps but your
upload speed is 0.2Mbps, you will connect at 0.2Mbps or less. This is under the required 0.26 Mbps so you are ineligible unless you can get a better connection. One of the biggest challenges of the videoconsultation is even if one party has 6Mbps upload/download speed but the other has 0.2Mbps, we in theory could still travel the same speed on the internet.ie. Think of your ADSL connection as a private freeway on-ramp directly from your house to the freeway but the internet is the actual freeway. Your on-ramp will be free and clear however you have no control of the amount traffic on the actual freeway.

RECOMMENDATIONS TO IMPROVE VIDEO QUALITY

  • Adjust your video resolution and frame rate. See https://help.vsee.com/kb/articles/adjust-video-resolution-and-frame-rate
  • Consider upgrading your internet plan to a higher bandwidth.
  • Use wired connection (LAN cable) instead of Wi-Fi.
  • Move your device closer to the Wi-Fi hotspot or router.
  • Consider upgrading your computer or mobile device especially if using older ones.
  • Make sure you are not running other video conferencing software (e.g. Skype, Facetime)
  • Ensure your webcam hardware is of good quality. Clean webcam lens from time to time.
  • If working in an office, please have your IT team check https://vsee.com/firewall to see the port numbers to be opened.

c) Vsee messenger doesn't connect in the usual way

If it has worked before, try reapplying via the "click here: to get free Vsee messenger" so that you have an invitation from Dr Samuel to join. Try a test call. On occasions when the system is overloaded with users, the management cancels accounts that were not introduced by a doctor.

c) Despite all this, if Vsee messenger fails - use the "Dr Samuel's Virtual meeting room"

Enter your name (then click continue)

Click the green Video icon (b)- Give permission to your camera and microphone

Enter 4033772 in the "Search to call" window

You will see "Welcome to the meeting"

and click the green button - "Join" (leave blank "enter your PIN here")