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This post is sponsored and contributed by Banner Health , a Patch Brand Partner.

Health & Fitness

How to make the most of your telehealth visit, banner telehealth offers safe and convenient video visits in hospitals, emergency rooms and from the comfort of home..

Banner Health , Brand Partner

This post is sponsored and contributed by a Patch Brand Partner. The views expressed in this post are the author's own.

Telehealth makes health care more accessible to patients regardless of location or circumstance. With the new coronavirus continuing to spread, telehealth allows patients to visit primary and specialty doctors without having to leave the comfort or safety of their homes. In-hospital video visits are also available to accelerate time-sensitive treatments and provide safe care.

With Banner Telehealth for primary, specialty and urgent care, you can remotely manage the services and care you and your loved ones need. Video visits can be used to refill a prescription, ask questions about symptoms you’re experiencing and so much more.

And as Matthew Anderson, MD, clinical innovation lead at Banner Health, points out , Banner Telehealth services are designed to be helpful for everyone, not just younger generations. Dr. Anderson tells Banner Health's blog , “All types of people have benefited from this capability, especially older generations, which have found video visits to be convenient and safe.”

Here's what you need to know in order to make the most of your next telehealth visit.

If you or your loved one are experiencing an emergency, call 911. Do not use telehealth for emergency care.

Find The Right Telehealth Service For You

Nearly all Banner doctors and health care providers are able to provide telehealth care. If a visit requires lab work or hands-on treatment, you'll need to schedule an in-person appointment.

Banner Health offers the following telehealth services :

Telehealth Primary Care: For general at-home health care, you'll likely want to schedule a telehealth visit with your primary care provider's office. According to Banner Health , many common conditions can be treated virtually by your primary care provider. These include:

• Nasal congestion
• Respiratory infections
• Sinus infections
• Skin infections
• Sore throat
• Urinary tract infection
• Yeast infection

Telehealth Urgent Care: For medical needs that are not life-threatening, you can book your telehealth urgent care visit appointment through Banner Urgent Care . Check available services and view appointment times online to schedule your next video visit.

Telerehab Services: Banner Health's telerehab program offers physical, occupational and speech therapy from the convenience of home. Telerehab sessions may be offered in place of or in addition to in-person sessions, depending on the patient's condition and preference.

TeleBehavioral Health: Banner Health's TeleBehavioral Health program allows emergency department patients with behavioral health issues to visit virtually with a behavioral health provider. With this service, an emergency physician can request a consultation from a behavioral health provider. When the secure video link is established, the behavioral health provider works with the physician to assess the patient and create a treatment plan.

Telehealth Cancer Care: Patients can safely receive care with Banner Health's experts on their cancer journey. Although some visits require testing or hands-on care, many consultations and follow-ups are able to happen virtually.

Banner iCare™: Banner iCare™ is a high-tech in-home care delivery model that allows Banner Health Network members with complex, chronic illnesses to receive treatment from home. Through the use of a tablet-like device, patients interact directly with their health team to track and address medical concerns.

Other Telehealth Services: Banner Health also offers virtual care for patients with Alzheimer's and TeleICU care for patients and for families with a loved one in the intensive care unit. Other telehealth services include telehealth consultations, telehealth neurological care and telehealth wound care.

Schedule An Appointment

Most physicians offer an option to schedule and book an in-person appointment online. If you prefer, you can call the provider's office directly to set a time for your video visit. With Banner Telehealth services, you'll receive a confirmation and invitation to your appointment via email. The provider will also send over reminders and notifications as your appointment date nears.

Prepare For Your Video Visit

In order to have a successful virtual visit, you'll need a device such as a mobile phone, computer, laptop or tablet with video and audio capabilities. Dr. Anderson, Banner Health's clinical innovation lead, recommends downloading and logging into the video call services that you will be using before your appointment.

Many Banner Health providers use a video conferencing tool called eVisit. If this is what your doctor will be using for your virtual visit, you'll receive an email prompting you to set up an eVisit account. On average, this takes 5-10 minutes.

How To Join A Video Visit With Your Doctor

After you schedule an appointment, your provider's office will prompt you via email to complete a patient intake form. There will be a box for you to check to confirm the information entered is accurate and that you're granting electronic consent for the provider to treat you. You should receive a confirmation email to let you know you're all set for your scheduled telehealth appointment.

To join your appointment, Banner Health suggests logging in 15 minutes before it is scheduled to begin and clicking the "Join Now" button. This will take you to a virtual waiting room. (If you log in more than 15 minutes prior to your appointment, you won't be able to join the virtual room.) When entering the virtual waiting room, click "allow" for camera and audio so your provider can see and hear you through your device. Make sure you're in a room with a strong Wi-Fi signal so you're able to communicate clearly with your provider.

Once you're in the virtual waiting room, your telehealth care provider will receive a notice that you're there. When the provider is ready to see you, they'll ask you to click "join now" again. This will bring you virtually face to face with your provider, allowing you to see and hear them in real time during your appointment.

What To Do After Your Telehealth Appointment

Many providers and support staff will send a brief survey after your visit asking about your virtual experience. Completing this survey gives your providers valuable feedback to help improve future telehealth visits.

If you were prescribed a medication during your virtual visit, the office will send the script to your preferred local or online pharmacist. Depending on your pharmacy, you may have the option to have your prescription delivered or arrange a no-contact curbside pickup. If you are picking up a medication in person, make sure to wear a mask, practice social distancing and follow any other precautions advised by the Centers for Disease Control and Prevention .

Learn More About Telehealth Services Offered At Banner Health

Sources: Banner: FAQs About Telehealth Banner Health: Is Telehealth The Present And Future Of Healthcare? Banner: How To Schedule And Join A Video Visit Banner Telehealth: What Is Telehealth?

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Preparing for Your Video Visit

You must be physically located in the State of Michigan at the time of your scheduled Video Visit due to state law and regulations. If you cannot be in Michigan at the time of your appointment, you will be asked to reschedule.

To receive the maximum benefit of your  Video Visit  without delays, please review and follow the below instructions.

Video Visit video tutorials:

• How to connect to your Video Visit using a smartphone or tablet
• How to connect to your Video Visit using a computer

*Views and images displayed in these videos may differ from what you see on your device due to upgrades. Notable changes are listed in the description of the videos on YouTube.

Printable instructions with pictures illustrating the steps:

• Desktop or laptop computer instructions with pictures
• Smartphone or tablet instructions with pictures
• Video camera and audio patient instructions
• Video visit visual guide

You will need a strong internet or cellular data connection to participate in a Video Visit. If you are in need of an internet connection, use the  State of Michigan Online Map of Free Wi-Fi Hotspots  to find a public Wi-Fi hotspot location near you.

Failure to prepare for your Video Visit may mean you cannot connect for your appointment.

When your appointment is confirmed

Confirm that you can log in to your  MyUofMHealth  Patient Portal account and that Zoom is installed on your computer or mobile device 2–3 days before your appointment. Ideally you should do this at least 2–3 days before your appointment, or as soon as possible if you are scheduled for a same-day appointment.

Chromebook: Install Zoom

• Go to the  Google Play Store  (click the link, or search for ‘Zoom PWA’ or ‘Zoom for Chrome PWA’ in the Google Play Store). Click Install and download to your device. NOTE: You do NOT need to set up a Zoom account.
• Once Zoom Progressive Web App (PWA) has been installed, from the home screen of your device go to Settings. Select Zoom and be sure the microphone and camera permissions are turned on.
• We strongly encourage users to update their Chrome OS for the best possible experience.
• Check your device to ensure your webcam and microphone are functioning properly by visiting  https://zoom.us/test .

Desktop computer: Install Zoom

• Open your web browser and go to  zoom.us . We recommend Google Chrome or Apple Safari web browsers, if available.
• Click on the Resources drop down, and select Download Zoom Client.
• Click to download the first option in the list, Zoom Client for Meetings. Follow the on-screen, prompts provided by your web browser to successfully complete the download. NOTE: You do NOT need to set up a Zoom account or sign in.
• Once Zoom has been downloaded, check your computer to ensure your webcam and microphone are working properly by visiting  https://zoom.us/test .

Mobile device: Install Zoom

• From your smartphone or tablet, go to the app store ( Apple App Store  or Google Play Store) and search for the “Zoom Cloud Meetings” app. Click Get (Apple devices) or Install (Android devices) and download to your device. NOTE: You do NOT need to set up a Zoom account.
• Once Zoom has been installed, from the home screen of your device go to Settings. Select Zoom and be sure the microphone and camera permissions are turned on.
• Check your device to ensure your webcam and microphone are functioning properly by visiting   https://zoom.us/test .

The day of your appointment

You can login to your visit no sooner than 15 minutes prior to the scheduled appointment time. Please allow more time to complete eCheck-In and any required clinic questionnaires in advance of your appointment.

Desktop computer: Log into your Video Visit

• Go to  MyUofMHealth.org  to log into your MyUofMHealth Patient Portal account.
• Click the “Visits” icon at the top of the screen.
• From the “Visits” icon, select “Appointment and Visits.”
• From this screen, locate your scheduled Video Visit and click “eCheck-In.” Watch the video " How to check-in for a Video Visit " for step-by-step instructions.
• Review and update the information on each screen. Once the information has been updated or verified as correct, click “This information is correct,” and then click the “Next” to proceed to the next screen. When you have finished, click “Submit.” NOTE: eCheck-In must be completed before the Video Visit can begin. You should allow for extra time to complete this step before your scheduled appointment. Be sure to continue through the prompts until you receive the “Submit” option.
• Once eCheck-In is complete, click the “Begin Video Visit” from the Appointment Details screen as shown in the image below. The option to begin the Video Visit will not be available until 15 minutes prior to the appointment.
• MyUofMHealth will open Zoom to connect to the Video Visit. Be sure to click “Open Zoom Meetings” if prompted. Wait for your host (your health care provider) to join and start the meeting.
• Once the host (your health care provider) joins, select “Join with Video” to turn the camera on so you and your health care provider can see each other.
• During the Video Visit, you can control whether your audio (sound) and video (picture) are on by clicking the up arrows next to the microphone and video camera icons at the bottom left of your screen.
• You should now be connected with your health care provider. At the end of your Video Visit, select the “Leave” button in the upper right hand corner of the screen.

Mobile device: Log in to your Video Visit

• Open the MyUofMHealth app on your smartphone or tablet and log in.
• Tap the Appointments icon.
• Find your scheduled Video Visit and tap “eCheck-In.” Watch the video " How to check-in for a Video Visit " for step-by-step instructions.
• Review and update the information on each screen. Once the information has been updated or verified as correct, click “This information is correct.” Select “Close” to complete eCheck-In. NOTE:  eCheck-In must be completed before the Video Visit can begin. You should allow extra time to complete this step before you scheduled appointment. Be sure to continue through all the prompts until you receive a message thanking you for completing eCheck-in.
• Once eCheck-In is complete, tap “Begin Visit.” The option to begin the Video Visit will not be available until 15 minutes prior to the appointment. If you attempt to join the video meeting without downloading Zoom, you will be prompted to download the Zoom app. Follow the on-screen prompts to successfully complete the download. If you already have Zoom downloaded on your device, you may still see a screen that appears to be prompting you to download the Zoom app, but below the blue download button you will see the option to select “Launch the meeting.” Select “Launch the meeting.”
• Once you are connected to the Video Visit, you may need to wait for the host (your health care provider) to start the meeting.
• Once the provider joins, enter your name.
• Select “Call via Device Audio” when prompted, and “Join with Video” to turn on the camera and start the Video Visit. NOTE:  Do NOT select “Dial in,” or you will leave the Zoom app and your health care provider will not be able to see your video.
• You should now be connected with your health care provider. At the end of your Video Visit, select the “Leave” button in the upper right hand corner of the screen.
• Smartphone or tablet instructions with pictures  

Inviting a Guest to Your Video Visit  

You may wish to invite additional family members, foster parents or caregivers to join your Video Visit. There are two ways you can invite a participant to your Video Visit

1. In your MyUofMHealth Patient Portal account before your visit:

• Select your appointment in your MyUofMHealth Patient Portal
• Under “Manage who will participate in this video visit” select “View and Invite Participants”
• Select “Invite a New Guest” and again, select “Invite a New Guest”
• Complete the form and send the invitation using the button at the bottom of the form
• Your guest will receive either an email or text message with the link to the visit, depending on your selection. Please remind them to download the Zoom app in advance and not to hit the link before the visit time.
• Please note that if a visit is rescheduled or changed, you will need to re-send the invitation(s).

2. Within Zoom, once you have started your video visit:

• Click the “Participants” icon at the bottom of the Zoom wind.
• Click “Invite” at the bottom of the Participants pan.
• Click “Copy Invite Link” in the lower left-hand side of the Invite People to Join Meeting window.
• You can now paste the link in a text message to those who you would like to join the Video Visit if using a smartphone or tablet, or send an email if using a computer or laptop.
• The additional participant(s) can join the Video Visit by clicking the link. They will be entered into the waiting room.
• Let your provider know you have invited an additional participant to the visit. The provider will then admit your requested participant to the Video Visit.

For instructions with pictures to illustrate the steps for inviting a guest to join your Video Visit, please click here

More information

For more information about Video Visits, check out our  Virtual Care FAQs .

If you have technical troubles connecting to your Video Visit, please email  [email protected]  or call  (734) 615-0872 , during business hours, to speak with a patient portal representative.

Palestinians visit cemeteries and pray outside destroyed mosques at Eid – video report

Muslims in Gaza attended Eid prayers outside the ruins of a mosque in Rafah on Wednesday to mark the end of the holy month of Ramadan. Some displaced worshippers knelt on plastic tarpaulin outside tents where they are living after Israeli offensives destroyed their homes and infrastructure

Israel-Gaza war: latest updates

Source: Reuters | AP

Wed 10 Apr 2024 12.05 BST Last modified on Thu 11 Apr 2024 11.26 BST

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Florida pre-med student stabs mother more than 70 times, killing her during visit, authorities say

A Florida pre-med university student killed his mother by stabbing her over 70 times without saying a word when he visited her from college over the weekend, authorities said.

After Emmanuel Espinoza, 21, killed his mother on Saturday, he perplexedly told detectives that he loved her and that they had a good relationship — but that he had wanted to kill her for years because she irritated him, Polk County Sheriff Grady Judd said.

Espinoza has been charged with first-degree murder in the death of his mother, 46-year-old Elvia Espinoza, the sheriff's office said.

The student at the University of Florida in Gainesville had traveled to Frostproof, Florida, for a family event Saturday and was going to stay with his mother, Judd said .

He arrived at her home around 2 p.m., knocked on the front door, and seemingly without provocation stabbed her "many times" after she opened the door, Judd said.

On Sunday, Judd shared doorbell camera video from Elvia's home that showed Emmanuel approach with a small knife in his right hand, hidden behind his back, and knock on the door. Judd said that Emmanuel had put AirPods in his ears and was playing Kanye West and Jay-Z's song “No Church in the Wild” when he drove up to the house and knocked on the front door. 

“His beautiful mother, who was so excited to see her son, opened the door. The second she opened the door, he charged in and started stabbing her,” Judd said.

The mother ran from him, but "he stabbed her until she fell down and died."

Judd said Emmanuel confessed to stabbing his mother repeatedly, even when he noticed her hands were still moving. He told detectives that he knew where to stab her for maximum effect because of his biology classes. 

Emmanuel told detectives that he had cut his hand in the stabbing. When he went to the kitchen sink to wash himself and the knife off, "he wanted to ask his mother for the Neosporin for the cut on his hand, but he noticed she was dead," Judd said.

Emmanuel immediately dialed 911 and confessed to operators. 

Audio of the dispatch call was played for reporters Sunday.

“I killed someone,” Emmanuel is heard telling dispatch. “I stabbed my mom.”

When Emmanuel spoke with detectives, he told them he loved his mother and had a good relationship with her but that she irritated him.

“We talked to him and he confessed. He said, 'You know, I have wanted to kill my mother for many, many years because she got on my nerves,'" Judd said.

When asked, "What’s your relationship with your mother?" Espinoza replied: "About a eight out of 10."

"He really loved her, but she irritated him and he made up his mind today on his way from Gainesville that he would murder her, and that’s exactly what he did," Judd said Saturday.

The sheriff said Emmanuel told detectives he wasn't on drugs or alcohol at the time of the stabbing — nor did he have any history of such abuse or mental health issues, no arrest record and there was no record of calls under the Baker Act (which focuses on crisis services for individuals with mental illness) to the home.

Emmanuel was known to be introverted and quiet, with zero issues, Judd told reporters. He was the Class of 2020 valedictorian at his high school and was "described as being a genius."

"[Elvia] wanted to come see him because she hadn’t seen him in a while. They text every day, every other day, they stay in constant contact. No issues over money. She would send him money to make sure she appropriately funded his ability to go to college and enjoy his college life. No argument that day. He never said a word to her," Judd said.

Elvia Espinoza was a mother of three and beloved second-grade teacher at Ben Hill Griffin Elementary in Frostproof, and was "well-loved" by the community, the sheriff's office said, calling the incident "an inexplicable vicious murder."

“I want you to understand this lady who was a school teacher for 20 years actually moved around and taught at different schools while her kids were in school so she could be close to them,” Judd said. “I want you to understand that she was the perfect mom. I want you to understand that she was very proud of his accomplishments.”

“Then I want you to understand that he viciously murdered her and confessed to it,” he added.

Polk County Public Schools said in a statement: “Her students and colleagues greatly loved her, and her sudden, unexpected death is a devastating loss. She was a very special part of her school family.”

Grief counselors have been made available at her school and another school where she previously worked. 

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