Foreign body ingestion is a common occurrence in children and in specific high-risk  groups. It is usually diagnosed based on a history of ingestion given by the patient  or an observer. However, children and mentally retarded adults may be unable to  give an accurate history, and a high index of suspicion must be maintained in these  groups. We report a rare case of foreign body stone in an mentally retarded adult  which presented with drooling and impaired feeds, thence enabling for high index  for suspicion.  Health Renaissance 2014;12(2): pp: 140-142

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In a time of increasing demands on physician productivity, computer and communication technologies allow health professionals to experiment with many applications that may provide opportunities to meet clinical demands while still participating in educational and research activities. "Telehealth" is a comprehensive term for the support of long distance clinical healthcare, patient and professional health-related education, public health, and health administration. Educational opportunities are growing exponentially for those who cannot attend traditional courses because of limited time or geographic considerations. Research and medical information and medical consultations are being delivered instantly across wide geographic areas. Telehealth, therefore, includes telemedicine and reflects the multidisciplinary nature of the field and the rapid growth of telecommunications and web-based healthcare resources 1 .Telehealth can improve access to healthcare. The initial thrust of telemedicine has focused on linking primary care physicians with medical specialists located at distant sites and is being utilized by health providers in a growing number of medical specialties (including dermatology, oncology, radiology, surgery, cardiology, and psychiatry). Benefits include 2-3 : 1. Improved access and faster diagnosis and treatment 2. Improved quality of care through increased consultation and collaboration and increased patient involvement 3. Reduced professional isolation and the promotion of collaborative consultation partnerships 4. Reduced costs from the centralization of resources, reduced travel, and the avoidance of the duplication of servicesCommunications technologies available today (though dependent on individual systems' capacities) are able to connect healthcare professionals (with patients and other healthcare professionals) and information systems (for data and information exchange) located at distant sites. Emerging medical applications that can occur between geographically dispersed locations include initial and continuing medical education, clinical services delivery and consultation, patient education, and healthcare management and administration.With increasing demands on physicians with regards to their knowledge base and productivity, distance learning and telehealth may provide an opportunity for busy clinicians to meet clinical responsibilities to a more dispersed and diverse population while still participating in educational activities. These "tele" programs may take more time and be more expensive in the short term; however, as the technology becomes more prevalent and the number of users increases, these programs may offer an efficient alternative to meet the escalating demands of a rapidly changing healthcare environment. With interactive telemedicine the physician can interact in real-time with a patient at a remote location through videoconferencing and technology-enabled medical instrumentation. Physical examinations are performed using portable video units fitted with special scopes that...

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