Puerto Rican children who are insured through Reforma (equivalent to Medicaid), have only a single pediatric geneticist on the island to whom they may be referred. Wait times for new appointments with the geneticist can be up to 1.5 years. In some cases, children who live in remote parts of the island simply go without specialist consultation.
Linda Randolph, MD, Division Head of Medical Genetics, conducts detailed history taking and uses digital stethoscopes connected to state-of-the-art telemedicine stations to evaluate patients. This technology allows her to provide accurate diagnosis and treatment plans for patients thousands of miles away. To date we have evaluated well over 100 patients through this program.
In addition, we have partnered with a local laboratory to perform genetic testing. This allows patients in Puerto Rico the opportunity to benefit from our expertise in new medical developments and discoveries, including, for example, chromosome microarray testing.
Currently, Dr. Randolph provides a bi-weekly tele-genetics consultation to children in Puerto Rico.