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taught him one important fact about

the current battle over the future of

health care in this country: Nobody

really knows how it will turn out. He

is confident, however, that whatever

plan emerges needs to account for all

Americans who might require health

care services – now and in the future.

“The plan needs to have coverage

for everyone, regardless of chronic

diseases or

pre-existing

conditions,” he

said.

Speaking

of the future,

Downes sees

three major

trends in

health care: the

expansion of

telehealth, real-

time diagnostics

through an

ingestible

pill and an increase in surgeries in

outpatient clinics rather than in

hospitals.

Downes said telehealth will

expand access to primary care

physicians through smartphones

and other devices, but it will also

give patients immediate access to

specialists, possibly saving lives in

the process. For instance, he said

time is of the essence when a person

suffers a stroke, pointing out that

treatment within a two-hour window

is essential. Through telehealth, a

neurologist miles away can carry out

a quick exam and prescribe treatment

that can prevent long-term damage.

Real-time diagnostics gleaned

from a pill the patient swallows or

from a wrist band is still decades away,

Downes said, but the technology is on

the way.

And, on the business side of the

medical world, he predicted that

sometime soon, most surgeries will be

done in outpatient centers rather than

in hospitals. That’s not necessarily a

bad thing for hospitals, he said.

“Lots of elective surgeries are

already going outside the hospital,” he

explained. “So hospitals are investing

in ambulatory surgery centers, not

competing with them.”

He added that he sees another

trend in health care: Because they can

research various procedures on the

internet, patients know much more

than they once did. For instance,

patients who need a partial knee

replacement can learn all about

robotic surgery, then shop around for

surgeons who are experts in the field.

Downes pointed out that though

the future of the U.S. health care

system might be a bit cloudy right

now, medical care in the Mount

Pleasant area is on the right track:

East Cooper Medical Center has been

No. 1 in patient satisfaction among all

Tenet hospitals for 12 straight years.

“There are extraordinary surgeons

at this hospital. They’re fantastic,”

he said. “We pride ourselves on our

staff, doctors and nurses, and our

volunteers are important as well. First-

time visitors to the hospital get an

escort to wherever they need to go.”

“It’s a fun job. I really enjoy it,” he

added.

Downes and his wife, Ashley, live in

Mount Pleasant with their two young

daughters – Emily and Logan.

Where European chic

meets Southern style.

b

East Cooper Medical Center CEO Patrick Downes talks with Tom Fowler,

who been a volunteer at the hospital for five years.