Medical Briefcase For In-Flight Patient Evaluation
Makarand writes "On average one plane a day makes an unscheduled landing somewhere around
the world when a passenger unexpectedly falls ill and requires medical
attention. Diversion costs for an airline, related to fuel
expenses and cost of putting people in hotels, can be anywhere between
$50,000- $100,000 for each diversion. Now Airbus, in collaboration
with the French Space agency, has come up with a solution in the form
of a satellite-connected medical briefcase to determine if the patient needs urgent medical attention on the ground before making a diversion
according to this
BBC News article. A crew member
with proper training can use the device to complete a medical examination
of the patient in 2 minutes and download the data using satellite in
real time to a hospital. A diversion is made if the emergency physician feels that the patient needs medical attention on the ground. Airbus believes that as planes
get bigger, fuel efficient and fly longer hours with more number of
people the chances of someone needing medical attention will increase
creating a market for this device."
It's the little paper bag that they give out
satellite connection huh?
Good thing I'm not in charge of it...
"this man needs urgent medical attention!"
"yeah yeah, hang on, just wait for this mp3 to finish downloading."
Be you Admins? nay, we are but lusers!
A complete medical examination in 2 minutes?!? My doctor spends more time than that checking my nutsack!
Hamster-fighting Starship Venom...
...
Only you in your righteous indignation could possibly have designed planes so utterly large and voluminous so as to cart around several dozen people for days at a time!
Indeed it was your sister who pointed out the perils and Subspace pitfalls of the work you were involved in...
Even now - my 12 inch Battlefield soldiers of Umptaleeny Super Space Doom are proceeding into your nest of laser defence grids with the intent to not only render - but also Destroy!
*Draws a deep breath*
Nevermind, I'm feeling much better now.
Anyone agree the new Hooters airline might need one of these?
Of course, if they do get one, how many guys are going to fake it in order to be examined?
"In two minutes you have a complete examination of the patient, you send this via the computer to the doctor, who is now able to make a complete assessment of the patient's status."
Especially compared to the data the device actually collects:
A crew member with proper training can now take basic heart, blood, temperature and sugar level readings.
Not much info to provide a complete examination, isn't it?
One plane a day on average diverts? The average diversion costs $50k-$100k to orchestrate?
Let's assume $80k, and one plane a day. That totals $29,200,000. Is adding and maintaining this system to every major plane in the world going to cost more than $29 million a year? You bet!!
Either the BBC is spouting incorrect statistics here, or is this is another union/Mason orchestrated contract.
I don't know how many major airlines there are in the world, but even if it's just 20.. are you saying that each airline would spend $X gazillion on this super medical system, or just $1.46 million each on annoying diversions?
Something does not add up here.
mogorific carpentry experiments
Nowhere in the article is there any mention of how this benefits the potentially about-to-die passenger, and probably with good reason - there is no benefit to the potentially about-to-die passenger. Seriously - the article mentions the inconvenienced "other passengers"!
Has our lifestyle actually come to the point where getting to the meeting on time is more important than getting medical attention to another human? This tool is nothing more than a way to play the odds and increase profitibility.
Airlines want to reduce the costs, right.
... How big savings can it make?
"The technology is not cheap - it costs about $50,000 - but the long-term savings for an airline could be enormous. "
Right...
"On average one plane a day has to make an unscheduled landing somewhere around the world because a passenger has fallen ill and requires medical treatment."
We have thousands of flight companies. And most of them have at least a hundred planes. "Airlines want to keep costs to a minimum." One landing for a medical emergency costs 50 - 100 000;
So, putting a 50 000 $ equipment for the hundreds of planes of the hundreds of companies because of 1 landing daily for all the airlines
I can imagine only companies of the size of British Airways being interested in this technology, and even those on the intercontinental flights only, and on the new planes only.
Then, in case the 2 minute online checkup shows the patient is ok but the online analysis goes wrong, will they be blaming a fallen internet connection, technical fault, or generally who will have the responsability for the analysis, the doctor or airline or the crew?
A crew member with proper training can use the device to complete a medical examination of the patient in 2 minutes
Hopefully this will not be the "proper training" which lets people believe that a newly trained MCSE should have "root" access.
What are they going to do about the CHUPACABRA?!!
Nothing. That's what they are going to do. Why? Because Mexico is so poor compared to the UK and US.
If the infos of that "complete" 2 minutes medical checkup consists only of that kind of info (basic heart, blood, temperature and sugar level readings etc) the crew should already know how to do that.
So all they need is a phone. So the equipment they need is already on board.
So i have to buy a plane ticket to get a quick doctors appointment? I hear the waiting time for this thing is very small ;)
=If life was easy, i would be out of a job=
The first time that one of these systems is used and a passenger/patient dies because his/her plane was not diverted to the closest possible landing site where the appropriate medical aid could have saved their life is the day that the airlines will ditch these devices.
Can you just imagine what kind of field day the lawyers, press and politicians would have in that scenario? Can you see how fast the relevant airline's stock would plummet? And how hard a blow it would make to their future bookings?
Nothing cripples a business faster than a reputation for putting profits before the safety and lives of their customers - just ask Firestone.
The day that airlines start rolling out these devices is the day to start dumping your airline (and other aviation) stock. Oh yeah, you might think about changing your choice of carrier too - or perhaps even taking a slower, more eco-friendly and safer form of transport (hint: trains).
"Accept that some days you are the pigeon, and some days you are the statue." - David Brent, Wernham Hogg
Looks like the Aerospace is once again following the footsteps of Naval operations. If planes get [naval adjective eg big efficient etc] enough, I'm sure we'll see actual sick bays, full kitchens instead of those little galleys, and maybe even a ten-forward.
~A'Ëq'i4d)^'$ÊSÈòB
I'm a co-pilot, not a doctor!
When I see a situation with people in charge of someone else's medical care in any way, I see the potential for a lawsuit. If the use of these medical kits amount to a medical diagnosis, then the person in charge of administering the diagnosis may be at risk of being sued for malpractice.
With the already sky-high rates of malpractice lawsuits and the incredibly high cost of malpractice insurance, I don't see this a cost effective or practical way to determine if medical care is needed. The random "is there a doctor on the flight" may be much more effective.. or even hiring a doctor for each flight may be more cost effective as well, if one considers all the possible lawsuits from an undertrained flight attendant using a medical device such as this.
Besides, combine the chance of misdiagnosis with the chance that the person doesn't understand how to correctly use the machine (this is a technological device, folks) and it's a lawsuit waiting to happen.
-Matt
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Till the comet do us part, Steve in Portland
I see two ways that this technology will be used:
1) As a life-saving medical technology --> lives will be saved by remote medical care, esp. when there isn't a doctor on a flight already.
2) As an excuse for airlines to keep sick people in the air. Sure, they might reduce costs and avoid inconvienence (for other passangers) in the process, but I could see a situationw where someone really needs to be off the plane, but isn't allowed because of a faulty or inappropriate diagnosis from 2,000 miles away - in the intrest of the airline, who is paying the doctor in the first place...
I can't wait to get a complete 2-minute medical online checkup the next time i fly!!
Of course, I want those checkup results to have the normal 5 years validity B)
So, for the next flight reservation i'll ask for "a window seat, veggie meals and the check-up to do a commercial pilot please..."
UPLOAD the data using satellite.
DOWNLOAD is when you GET data.
UPLOAD is when you SEND data.
Almost as irritating as "begs the question" and misused at least as frequently.
LadyStar - Your Magical and Mysterious Adventure Awaits
Well, its all well and good having a case that can do a diagnosis in 2 minutes..
But, what about lag?
Or worse still.. Your patient get's the "Ping of death"..
Or worse still.. somebody posts a link to the medical case on Slashdot and your examination is not only viewed by thousands of people but the only useful information returned to the mobile terminal is "In russia.. You examine your mobile medical case!"
Reason of death: -2 Redundant
-- If at first you don't succeed, lie!
in the old days, all flight attendants had to be registered nurses. Even recently, hiring preference was given to medically-trained applicants. Is this still the case? Does anyone have the statistics of what percentage of flight attendants have formal medical training (LPN, RN, etc)? From that we could figure the probability that one of the attendants is already capable of accurately checking vital signs, or using one of these telemedicne devices.
Despite the fact that this is spun as a way for airlines to save money, this is a good thing for airline passengers. Making a physician responsible for emergency medical care will expand the care that the flight attendants will be allowed to give. Where they currently don't have much available beyond traditional CPR now, they will be able to dispense drugs that the physician "prescribes" after doing the remote examination.
This would solve the cause of the problem. Having high tech medical gadgetry or doctors on board only addresses the results.
against arilines, if the system fails, and the person dies.
Which in turn mean more money for the lawyers. and who want that to happen (except the lawyers).....
Consensus is good, but informed dictatorship is better
Announcing the new Windows ER.
2 minutes broken down thus:
1 min 50 sec to determine if you've got sufficient health insurance coverage
10 sec for mouth-to-mouth by really hot flight attendant (Whaddya mean she ain't qualified?)
WARNING: Smartphones have side effects--most of them undocumented.
The best sex I have ever had was with an Israeli exchange student. Goddamn that girl sucked and fucked my cock like there was no tomorrow.
Whatever happened to the idea of super- and hypersonic airliners? It seems to me that if you reduce the time spent in an airliner, you reduce exposure to whatever stresses the body experiences.
Having flown over the pacific 11 times now, even I (extreme miser) would fess up an extra $200 for, say 5-6 hour flight rather than the 10-12 hours it takes now.
Back on topic, trans-oceanic flights do pose an interesting problem for this: Where exactly do you divert to if you are flying from SFO to Narita?
In Philip K. Dick's Novel The Three Stigmata of Palmer Eldritch, there's a robot psychiatrist called Dr. Smile, the size and shape of a suitcase.
Carry on luggage? Could save a lot of panic-induced heart attacks.
-kgj
SCTV, of course, had their own show called Emergency Caterer, where the emergencies were gatherings that ran out of food and the guests collapsed from hunger. The Emergency Caterers showed up with their tackle boxes stocked with snacks, which they stuffed into unconscious party goer's mouths with what looked like oil-can funnels. Coming from an immigrant household where food hospitality was a big deal, trust me, that skit was funny.
Of course 9-11 is an excuse for airlines not to offer more than 90 calories worth of food to anyone paying less than 2 grand for their ticket, so we need Emergency Caterer more than the medical telemetry setup.
For God's sake don't fall into this trap! Luring us white people into having sex with the zionists or - even worse - with the mud people is Satan's plan to corrupt and dilute the God's pure white race.
I don't see why you need this.
"A crew member with proper training can now take basic heart, blood, temperature and sugar level readings."
As an EMT I do these things all the time. One doesn't need a machine to take a pulse and infact the machines are often wrong. I can see having blood pressure cuffs and a stethescope on board but again a machine will give you incorrect readings. For temperature, sure have a thermometer but how big/expensive is that really going to be? A glucometer is certainly a good idea but they are also tiny these days. What I really don't understand is why do they need a sattelite phone? Don't airliners have radios? Why not just have the nearest tower relay the info to an emergency room on the ground? EMTs have specific protocols for this kind of "on-line" medical direction.
Really all that is needed is a small box about 12"x6"x6" and a bit of training to do everything this "briefcase" can do and it would only uses tested, reliable technology.
The PATIENTS evaluate the BRIEFCASE! After digging them up.
Dispense horse medicine; broken leg = shoot, toothache = shoot, splinter = shoot.
Let's be conservative and say there's 10,000 flights worldwide a day. I know there's probably that many at the two Chicago airports combined, but remember we're being conservative. This means if it coast $80,000 for one of these diversions and there's one a day, then for these 10,000 flights it cost 8 bucks a flight. This is hardly a major expense for the airlines; we're talking pocket change here.
Step 2: Place back of hand on forehead. Does it feel warm? If so, go to step 3.
Step 3: To take a more accurate temperature reading, the use of a rectal thermometer is recommended. Tell the passenger to "assume the position". If the passenger is flying coach, they may need to have this position explained to them. If the passenger is flying first class, they will understand right away since they bent over when they bought their tickets for this flight.
Step 4: Was temperature reading above 98.6 F? If so, send passenger back to their seat. If not, go to step 5.
Step 5: Evidence suggests that passenger is dead. Tell pilot to land plane immediately.
Planes get sick instead of people.
What makes you think they'll pay to have these on board every airliner?
I once had to keep company with a heroin addict for the final 6 hours of a 10 hour flight from Tokyo to Vancouver. The guy had gone nuts and done the whole air rage thing, almost taking out one of the flight attendants in the process.
Myself and a couple of Aussies managed to get him calmed down and I kept him under control by playing the understanding friend.
Because of this the plane was able to continue direct to Vancouer instead of diverting to Anchorage as the pilot was ready to do.
So what did JAL give me for saving them $50K-$100?
A mini-pocketwatch worth about $20 and a couple of bottles of wine.
Cheap bastards.
The funny thing about the whole situation was that the addict was caucasian and when he got out of control the flight attendants were running all over looking for white people to help. This on a 747 full of asians some of whome were a hell of a lot bigger than me. Go figure.
If you don't want to repeat the past, stop living in it.
Also, the numbers quoted of 'one diversion per day' and the '50-100 thousand dollars' just doesn't sound significant. I am not sure how many flights are made a day, but I believe the airline revenue is in excess of 300 million dollars a day, which makes a diverted flight at most 0.03% of revenue. And what is the liability to the airline for misdiagnosis. I can't imagine that airlines are going to risk a lawsuit to keep a plane in the air. Anyone remember the guy who recently died because the train would not stop to let him go to a hospital?
It might be nice to keep these devices on planes just in case. But is not like a defibrillator that might actually save a persons life.
"She's a scientist and a lesbian. She's not going to let it slide." Orphan Black
People are moderated down, not their posts.
Hehe, I thought that read "Medical Briefcase For In-Flight Patent Evaluation" ;-)
There must have been a lot of patent applications recently...
-- Wibble
I'd do it just to infuriate religious assholes like you!
I read evaCuation.. stuff the patient in a "briefcase" and throw him out of the plane. Briefcase has a satellite beacon (and hopefully a parachute) so personnel on the ground can find him... Oh well...:)
"Well, we don't want to divert and land and save the guy, but we have this box our lawyers say will save his life.... oh, he died? Oh well, at least we're off the hook and were only the standard two hours late"
the potential of such a device for remote medical diagnoses is incredible, depending on the expense per briefcase over time, these things could be placed in busses, homes, boats, cars, ski-lifts, and all sorts of places ... even inside hospitols themeselves.
This is a pretty potent invention if used right, and with some slight modifications it could be used to give directions on how to perform first-aid mid-flight... If the device contanined a two-way mechanism for talking with the doctor recieving the medical data, as opposed to calling them seperatly... youd have damn near a doctor on demand... plus.. if the device could make some basic analyzations itself (in case of no access to satelite / doctor)... it could suggest some life-saving first-aid response techniques to the victim or the one helping them.
truly a good device with great potential, i hope it doesnt fall to the wayside.
--Enter The Sig--
--Idiots, Every single one of YOU, A flaming mass of conglomerated morons, hey wait a second, isnt that how RAID works?
Now see emergency physicians sued when they decide to divert an airplane (never mind good samaritan laws; rabid lawyers will barge ahead through anything at all).
So you get onto a plane, hand your patent claims to the flight attendant and they give you the result before you land? Kool, I mean that is going to cut down on the number of bogus patents getting filled, at least they will have been reviewed by a flight attendant, that can only be an improvement on the current USPTO scheme.
Oh patient examination
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Even within a continent, time is money, and taking a 2 hour plane flight beats a 7 hour train, if you can even get a train that goes where you need to go, when you need to go.
Aside from the BBC's numbers being a little suspect, it seems that it would just be cheaper and more effective to put a real physician on every flight - either by giving a free ticket/incentives to doctors, or by giving flight crew members EMT training.
I have been on 6 flights where the "is there a doctor on board" call has come. On 4 of those flights, there was a physician present. And in each of those 4 cases, the plane did not need to be diverted, and the doctor was able to make a quick diagnosis of a minor ailment (like heartburn confused to be a heart attack). On the other two flights where no physician was present, the plane was diverted and landed at the closest airport. In all cases the medical condition was trivial, but the most important element that kept the plane aloft in the first four cases was having an 'expert' there to calm the patient and reassure the flight crew. I don't think a machine can replace that.
Lets address much of what has been said point by point. Before I get flamed, my qualifications are: eleven years in the flight operations department (ever get your flight cancelled? -- that was me). Also married to a flight attendant (she of twelve years experience, and yes, a hottie :)
I have specifed the comment ID so you can see more context if required.
# 4971908
Where they currently don't have much available beyond traditional CPR now, they will be able to dispense drugs that the physician "prescribes" after doing the remote examination.
FACT- Airliners now have `physicians medical kits` that contain prescription only drugs. It is sealed and only allowed to be used when under the supervision of an MD.
# 4972049
It might be nice to keep these devices on planes just in case. But is not like a defibrillator that might actually save a persons life.
FACT- Airliners now are acquiring auto-defibrillators that are user-friendly and that the cabin crew is trained to use. These units only will provide a shock if their sensors detect a correctable anomaly.
# 4971949
Don't airliners have radios? Why not just have the nearest tower relay the info to an emergency room on the ground? EMTs have specific protocols for this kind of "on-line" medical direction.
FACT- Yes, aircraft have radios. The frequencies are mightily congested, meaning that if one flight monopolizes the airwaves, other important communications get put on hold. When a plane is declaring a mechanical emergency, it makes sense to give way. But as noted, this type of event happens often , meaning that there would be too much communications disruption systemwide.
Also, asking the tower/approach/center to proxy the messages to a hospital adds the chance for miscommunication. Further, ATC would now be 'in the loop' and would have to have plans and protocols for what to do when the crew asks for help. (Some of this may be in place now, but not to the level that you suggest). A sat-link takes all this mess away and gets the real data into the hands of someone who can interpret it.
# 4972002
Step 5: Evidence suggests that passenger is dead. Tell pilot to land plane immediately
FACT- Uh, he's dead, Jim. Why in hell would you land now? As a flight chief, I say press on. Only land if other passengers are starting to freak out. Whimpy management might over-ride this call, but its the one I make.
# 4971986
This means if it coast $80,000 for one of these diversions and there's one a day, then for these 10,000 flights it cost 8 bucks a flight. This is hardly a major expense for the airlines; we're talking pocket change here.
FACT- I think this $80K figure is grossly low. (Then again, so is your total worldwide flight count.)
The downline effects of a single flight diversion can ruin an aircraft's schedule for an entire day, and the crew being out of place can affect other lines of flight. That totals possibly thousands of aggregate passengers who are now upset. Due to the cause of the diversion, the airline might choose to hold or reroute planes that were scheduled to carry the pax onboard the diverted flight, snowballing the damage to the schedule. Moreover, airlines are bleeding at the wallet currently. They can ill afford to alienate the remaining passengers who are continuing to fly.
Also, emergency diversions such as this are often into provisional or other non-standard airports. This can create huge logistic or engineering headaches when it comes time to leave (i.e., fuel availability, runway length, local firefighting staff, etc etc.)
Further, there may be unknown accounting benefits w.r.t these units. When a flight diverts the losses are just operational losses. These boxes likely can be acquired as a capital expense, thus subject to many accounting and financing advantages.
Finally, there are no `co-pilots` (a non-word perpetuated by the ignorant press). There are only pilots. Some are Captains, and some are First Officers, but they can all fly the aircraft without oversight or assistance.
Posted AC due to insider information.
sub let_the_briefcase_decide {
$chance_of_living = rand();
if ($chance_of_living > 0.5) { print "Just heartburn!"; };
elsif ($chance_of_living > 0.2) { print "Just heartburn!"; };
else { print "Don't worry, just heartburn!"; }
}
Comment removed based on user account deletion
For them, there probably IS no tomorrow. But I agree, they are the hottest women on the planet when gorgeous. But when ugly...
"Please state the nature of the medical emergency."
We need a bald guy with lots of confidence that pops out of thin air. The EMH would be great for this application. We could use the satellite link to communicate with the large ground computers that simulate the guy.
Comment removed based on user account deletion
Comment removed based on user account deletion
Repeat after me: never date someone who has a thicker, more lustrous uni-brow than yours.
The last time I took a 6 hour CPR course, we were given basic instructions on how to operate a public access defibrillator. IIRC, it went something like this:
1) Open case,
2) Follow instructions
a) press button: machnie tells you to connect wires
b) connect wires to machine
c) press button: machine tells you to attach sensors
d) attach sensors to patient; grease paddles
e) press button: machine scans for fibrillation; if it cannot detect a valid hearbeat that is fibrilating, it turns off
f) machine warns to prepare for first shock
g) press button: shock administered
(repeat e, f, g up to three times)
The unit we were shown had cute diagrams to help you along in case you didn't speak English, etc. They seemed to have taken great pains to prevent it from firing when it is not absolutely neecessary.
Each one cost several grand. I think they also were selling ones for individual/home use, or trying to get the license hurdles past so that they eventually can.
"God is dead." - Frederik Nietzsche
Seems to me if the pax no longer a problem, there is no need to inconvenience the others.
I sure love where the airlines are going. The pilots will have guns, the crew are telling a person having a heart attack that he'll be okay for the next 2 hours, and the kid sitting next to you, playing a gameboy is jamming all the communication systems.
I think I'll drive.
Slashdot gets worse every day... Pipedot: News for nerds, without the corporate slant
A diversion is made if the emergency physician feels that the patient needs medical attention on the ground.
Which physician? An insurance company stooge like Dr. Frist? Wrongful death lawsuits are cheaper than malpractice suits where the patient lives.
In Japan, there are no public access defibrillators. One of the relatives of the Emperor passed away suddenly this year due to heart trouble during sports. It is said that he could have been saved if a defibrillator was applied in time. They are now considering changing the law to allow non-medical-doctors to use the equipment, and to install them in public areas.
Perhaps. Even so, most flights are outside the US, and could still use this device.
...it will be confiscated as a possible terrorist weapon.
...in that I have 3 1/2 years of medical school, a degree in Anatomy with distinction and I own my own law firm and am a trial lawyer in Canada.
Although the airlines are welcome to use these kits for diagnostic purposes, larger aircraft usually have either a physician or nurse travelling as part of the passenger list. A properly equipped emergency medical kit with catheters, scalpels, surgical garb, anaesthetics and a spectrum of drugs, including drugs used in the immediate post heart attack phase as well as the usual stethescope, sphygmomanometer and otoscope could be used by such incidental physicians, except for the fear of lawsuits. In Canada, most provinces have a "Good Samaritan" law that makes it more difficult to sue passersby, including physicians, who stop to assist without complete diagnostic and therapeutic equipment and supplies.
The IATA signatory countries (ie every country with regular passenger aircraft scheduled) should adopt such "midair Good Samaritan" laws. As well, having such drugs onboard (narcotics could be locked in a separate cabinet with the key provided only to the chief pilot) as the immediate post-stroke drug would alleviate the situation while the affected passenger was still in the air.
Two of my medical classmates from the University of Saskatchewan in Canada failed to help affected passengers in domestic American aircraft because they feared being sued in the U.S. Neither affected passengers on either flight died, but they both spoke to me about these incidents and about how lawyers can kill you!
In fairness, it's not the technology or training that holds us back, but the failure of most of us to affect the laws of the societies in which we live. Which explains why I became a lawyer in Canada and both of them practice medicine in Minnesota and Illinois, I suppose.
For God's sake don't fall into this trap!
For God's sake? But, why can't He take care of Himself? He's as old as Eternity, he really should be grown up by now.
Do things for your own sake: if God can't take care of His own affairs, He's not really trying.
Luring us white people into having sex with the zionists or - even worse - with the mud people is Satan's plan to corrupt and dilute the God's pure white race.
If God can't deal with a few people having sex, His grand schemes are pretty fragile, aren't they?
Don't you find that strange, given His purported infinite might and power, that a little thing like sex can weaken His grand designs? If I were God, I'd make Satan work harder for victory than that.
--
AC
now how about they do something about the food.
According to these moronic christians, this god person they love to go on about waved his magic wand and farted out everything in the universe. Therefore, he must have also created his little buddy satan. So if he's so fucking powerful that he can do this, but can't keep a tight leash on his bum-buddy satan, he's a pretty useless fucktard of an individual! If we're all headed to this hell place every time we get it on with somebody,
Two questions to a typical fundamentalist christian...
1. Do you believe that your god is all loving, all forgiving and all powerful?
Typical fundie answers Yes.
2. Why is there a hell?
Typical fundie is trapped in his own lies. If there's a hell that he sends people to, he's neither loving nor forgiving. If he's got no control over hell, he's not all powerful,
Make up your mind, fundies, or get the fuck lost!
EMH
Donate background CPU time to fight cancer.
"Nicolas Poirot, a doctor with French Space Agency, said: "In two minutes you have a complete examination of the patient, you send this via the computer to the doctor, who is now able to make a complete assessment of the patient's status."" Very soon they will be able to misdiagnose you at the speed of light. I wonder if the crew member doing the diagnostics will be required to have mal practice insurance. =)
Und die Tastaturabrdücke auf Ihrer Wange unterstreichen seeeeeehr
vorteilhaft ihr unterschütterliches Vertrauen in die moderene
Technologie
-- Agent Gully in "Die eXakten"
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