[stephenlchen]

Thank you for your comments. We agree that in the situation you described it is likely that woman would get treated with empiric antibiotics regardless of what her test results show since false negatives are still possible. This is why the telehealth visit always combines test results with additional information from the patient. From our experience, not every person presents with all of the classic UTI symptoms. Having the positive leukocyte/nitrite results provide the telehealth clinicians the confidence they need to treat these patients. For patients with negative results, it provides another data point to recommend in-person evaluation. We also recognize the challenge of obtaining a midstream sample, which is why we have spent a lot of time and effort (including user interviews and focus groups) to create simple to follow instructions in our app.

We would love to chat further about any additional concerns you may have. Feel free to contact us at [e-mail]. Thanks for taking the time to review our product and leaving your comments!