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After ruling out anything more serious, she prescribed antibiotics for a sinus infection. When Elliott followed up later, she learned that the patient had been diagnosed with bleeding ulcers and needed urgent blood transfusions. In Texas, the state medical board passed regulations last year restricting such long-distance consults, a move that has sparked litigation. Proponents say telemedicine has the potential to improve access to care, lower costs and provide reliable, specialized care to patients who need it.

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