How do you feel about telemedicine?

"I require a patient's physical presence and an exam to document signs and symptoms that are applicable to the chief complaint or the present illness. Since most of my involvement will be with serious issues and/or admitted patients, telemedicine becomes irrelevant. However, if the patient is established with me and I am familiar with his or her case, I can discuss and manage symptoms or medications via telemedicine if management is nothing more than refilling a medication or continuity of an established treatment. An infectious disease, however, often involves rapid deterioration of a patient, and there is very little I can really do via telemedicine."