This is a structured online consultation service, not a one-off chat or a single query-and-answer exchange. It follows a defined clinical process — history-taking, examination, review of your reports, a documented plan, and structured follow-up — the same rigour you would expect from an in-person consultation, adapted for a virtual setting.
This service is intended primarily for internal medicine and its sub-specialties: complex, chronic, or hard-to-diagnose medical concerns that benefit from a detailed history and a structured, ongoing approach to care. Within this, there is a dedicated special clinic for chronic post-viral syndromes — including long COVID and ME/CFS — conditions that remain poorly understood by much of mainstream medicine and often call for a particularly careful, patient, and evidence-informed approach.
This service operates under the Telemedicine Practice Guidelines of India (2020). It is not a substitute for emergency care, and it is not appropriate for conditions that require immediate, hands-on, in-person assessment — the section below sets out exactly where those boundaries lie.
This document explains how your care will proceed from start to finish, what we ask of you, what you can expect from us, and where the limits of this service lie. Please read it in full before you register — it takes about ten minutes, and you're welcome to keep it for reference throughout your care. If anything here is unclear, or you have questions before you begin, email dr.ashwinrajeneshmd@gmail.com.
Scope of service and limitations
Online consultation, by its nature, has real limitations compared with being examined in person. It's important that you understand these before you begin.
What this service can do: take a detailed history; carry out a limited physical examination — either live on a video call or through photographs/videos you submit yourself; review your investigation reports and lab values; arrive at a working diagnosis and evaluation plan; prescribe medication within what current telemedicine regulation permits; and provide structured, ongoing follow-up for conditions suited to that kind of care.
What this service cannot do: capture findings that require the physician's own hands or instruments — such as auscultation or physician-performed palpation; manage a medical emergency; prescribe Schedule X drugs or any narcotic or psychotropic substance under the NDPS Act, 1985, under any circumstances; or replace an in-person examination where one is genuinely needed. Where your case calls for any of this, you'll be told clearly and directed toward the appropriate in-person or emergency care.
This service is not appropriate for acute emergencies, for conditions needing immediate hands-on assessment, or as a first opinion on a presentation that is evolving rapidly. If you are experiencing a possible medical emergency, please go to your nearest emergency department or call emergency services now, rather than registering for an online consultation.
Registering is a request for care, not a guarantee of it. Submitting the registration form begins the process — it does not mean your case has been accepted for online consultation. Whether it is accepted depends on the details of your history, the suitability of your presentation for a virtual consultation, and current availability. Some presentations aren't well suited to online care and will need in-person assessment or referral instead — if that's the case for you, we'll tell you clearly and point you toward the right place at the case review stage below, before your first full consultation. This is a routine part of intake, not a reflection on you or your concern.
The stages of your care
Your care moves through the following stages. Not every stage will take the same amount of time, and some steps (like further tests) may repeat as your care continues.
Registration — You fill in a short form with your basic details and how to reach you.
Patient-submitted details — You tell us, in your own words, your main concern, how it's affecting your day-to-day life, and a timeline of what's happened — plus a short safety screen to check nothing needs urgent, in-person attention right away.
Consent — You formally consent to online/tele-consultation, confirming you understand how it works and its limitations. You'll receive an email copy of your signed consent with a link to complete this step — clicking it is required to finish your registration.
Case review and decision — Once you've submitted your details and completed consent, we review your case for its suitability for online consultation. Depending on this review, your case is either accepted to proceed, or — if it isn't well suited to online care — declined, with guidance toward the right alternative. This usually takes 7–10 days, and we'll let you know either way by email. Registering and completing consent is a request for care, not a guarantee that a consultation will follow.
History-taking consultation — A video consultation where we go through your health history, current symptoms, and concerns in detail. This is usually the longest and most important session.
Physical examination — Depending on what's needed, this happens live on the video call, or through photos/videos you submit yourself; the choice of mode is generally yours, unless the doctor specifically requires a particular mode, or an additional examination, for your case. For self-submitted exams, you'll get a link to a step-by-step guide covering exactly what to capture, section by section, with a checklist so nothing gets missed. This is never a substitute for in-person examination when one is truly needed, but it helps us assess you thoroughly at a distance.
Sharing your reports — Any blood tests, scans, or other investigations — past or newly requested — are uploaded securely so we can review them alongside your history and examination.
Review and analysis — We bring together your history, examination findings, and reports to form a complete clinical picture.
Evaluation plan — If further tests are needed to reach a diagnosis, we'll outline exactly what's required and why.
Treatment plan — Based on the complete clinical picture, a treatment plan is drawn up for your case — this may include medication, lifestyle and self-management guidance, or referral to a specialist, along with a written prescription where appropriate.
Follow-up — A follow-up schedule is agreed based on your case, and you'll be asked to complete a simple monthly symptom tracker, so your progress can be reviewed over time and your plan adjusted as needed.
A note on your privacy
Everything you share as part of this consultation — your history, your reports, any photos or videos, and our notes — is kept confidential, in line with the Telemedicine Practice Guidelines of India (2020). You will be asked to formally consent to online consultation before your first session, and that consent form explains your privacy rights in full, including your right to withdraw consent at any time and to request a copy of your records.
Between scheduled visits
If something concerning comes up before your next planned session, let us know — there's a way to flag urgent concerns so they don't wait for your next scheduled visit. If you ever feel it's a medical emergency, please seek in-person emergency care immediately rather than waiting to hear back.
Your rights and responsibilities
What we ask of you
Share your history, symptoms, and medications as completely and accurately as you can — your care depends on it.
Submit requested reports and self-examination material in the way described, so we can assess them properly.
Follow through on your chosen mode of physical examination — live on video, or self-submitted photos/videos — as agreed, unless the doctor specifically requires otherwise for your case.
Keep up with your monthly symptom tracker once follow-up begins — it's a short, simple check-in that makes a real difference to your ongoing care.
Let us know promptly if your contact details change, or if you wish to pause or stop care at any point.
Seek emergency or in-person care without delay whenever you're advised to, or whenever your own judgement tells you something needs urgent attention.
Your rights, throughout
You can withdraw consent to online consultation at any time, without it affecting your right to future care.
You can request a copy of your medical records at any time.
You can ask questions and have any doubts about your care clarified at any stage — you don't need to wait for a scheduled visit to do so.
Online consultation has limitations — if in-person examination or referral is ever needed, we'll tell you clearly and help you take that next step.