Start with identity, privacy, and telemedicine consent.

You confirm Ny. M’s identity, age, current location, and the relationship of the people assisting her during the consultation. You also confirm that the village midwife and her daughter are present with her consent.

You check whether the consultation can be conducted privately and ask permission to continue by video.

You explain that telemedicine can help assess the urgency of her symptoms, but it cannot replace a complete in-person neurological examination or diagnostic testing. Because sudden weakness and difficulty speaking may indicate a serious neurological condition, an urgent face-to-face assessment may still be required.

You obtain consent and proceed with the assessment. How do you proceed after explaining?