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Doctor Performs Amputation By Text Message

Peace Corps Online writes "Vascular surgeon David Nott performed a life-saving amputation on a boy in DR Congo following instructions sent by text message from a colleague in London. The boy's left arm had been ripped off and was badly infected and gangrenous; there were just 6in (15cm) of the boy's arm remaining, much of the surrounding muscle had died and there was little skin to fold over the wound. 'He had about two or three days to live when I saw him,' Nott said. Nott, volunteering with the medical charity Medecins Sans Frontieres, knew he needed to perform a forequarter amputation requiring removal of the collar bone and shoulder blade and contacted Professor Meirion Thomas at London's Royal Marsden Hospital, who had performed the operation before. 'I texted him and he texted back step by step instructions on how to do it,' Nott said."

242 comments

  1. interestingly the text message device could be use by yagu · · Score: 5, Insightful

    I long ago discovered my text-messaging device allows me to talk directly to another person through his or her text-messaging device. Amazing!

    And, not only is this more efficient and accurate, it costs far less. Imagine the lives that could be saved if doctors were given instructions for talking through these text-messaging devices. I, for one welcome the emergence of these devices and their new-found features.

  2. Costly by mmxsaro · · Score: 4, Funny

    Must have been an expensive operation considering the price of text messaging today.

    1. Re:Costly by Goldberg's+Pants · · Score: 2, Funny

      Yes, and his words most have been really cutting.

    2. Re:Costly by Anonymous Coward · · Score: 3, Funny

      Yes if you remember the cost of retrieving data from the Hubble Space Telescope vs. the cost of sending a text message you'll see that it costs an arm.

  3. I wonder by Endloser · · Score: 0

    if this submission was sent by text... "sent my text"

  4. However, it should be noted by Anonymous Coward · · Score: 5, Funny

    He intended to do a prostate exam, so it's not quite as good as it sounds.

  5. Re:interestingly the text message device could be by Anonymous Coward · · Score: 1, Insightful

    Because you want the doctor to be operating on you one-handed. Yea...

  6. How do you fit complex instructions in text? by GrpA · · Score: 5, Funny

    Taken from the text logs:

    MK UR FST CT ALNG CLR BON WTH STRLZD RZR K?

    Things got a little dangerous when another text message came in from his wife mid operation.

    U WANT LEG OR SHOLDER CUT FOR DINR?

    Heh, but still some great work. It's tragic though that there's still a dearth of medical facilities in some countries and life-saving make-do operations like this are common. Kudos to Medicines Sans Frontiers for doing what our own governments should be doing.

    GrpA

    --
    Enjoy science fiction? "Turing Evolved" - AI, Mecha, Androids and rail-gun battles. What more could you want?
    1. Re:How do you fit complex instructions in text? by Anonymous Coward · · Score: 1, Funny

      --->8---CUT HERE--->8---

    2. Re:How do you fit complex instructions in text? by Zibblsnrt · · Score: 2, Insightful

      A lot of medical jargon is (A) incredibly standardized and (B) designed to abbreviate.

      Ever hear a doctor reciting a prescription over the phone to a pharmacist? They can compress a substantial amount of information about dosages, timing, when to take/avoid something, etc., into maybe a dozen characters. It'd be a bit moreso when you're talking about *removing someone's shoulder blade* (gah!), but if people on both sides know the jargon for anatomy and techniques, you'd probably be surprised at how much information you can condense without causing confusion.

      --
      "All that is necessary for evil to succeed is for good men to do nothing." - Edmund Burke
    3. Re:How do you fit complex instructions in text? by Anonymous Coward · · Score: 0

      With all of the abbreviations you've used,
      I was sure GrpA was short for "Grandpa"...

    4. Re:How do you fit complex instructions in text? by KiloByte · · Score: 1

      On a recipe I got just a month ago: $(DRUG) 1mg 1/0/1
      The doc forgot to explain it to me that this means: 1 pill in the morning, 1 in the evening.

      --
      The creatures outside looked from Alt-Right to Antifa; but already it was impossible to say which was which.
  7. You want all the instructions before starting. by Ungrounded+Lightning · · Score: 4, Insightful

    else you are in deep trouble when the patient is open and the battery runs down or the net fails.

    --
    Bantam Dominique roosters crow a four-note song. Once you've heard it as "Happy BIRTHday" you can't NOT hear it that way
    1. Re:You want all the instructions before starting. by dotancohen · · Score: 5, Funny

      WASSUP CUT ARM STCH SKN ! BL0D. LOL

      a b c d e f g
      slashdot filter

      --
      It is dangerous to be right when the government is wrong.
    2. Re:You want all the instructions before starting. by mysidia · · Score: 1

      You want to understand the full directions, before you start anything important, anyways, so you clarify any points of confusion and check your full understanding well in advance.

    3. Re:You want all the instructions before starting. by Anonymous Coward · · Score: 0

      I'm embarrassed to admit I laughed maniacally at that.

    4. Re:You want all the instructions before starting. by LrdDimwit · · Score: 2, Funny

      Sticks and stones may break my bones, but words will never -- my arm!!!

    5. Re:You want all the instructions before starting. by davidsyes · · Score: 1

      THAT was a text(book) operation....

      --
      Previously: "Linux... Toward the Sunrise..." Now: "Linux... Toward the-- No, now, part of Every Sunrise"
    6. Re:You want all the instructions before starting. by Anonymous Coward · · Score: 0

      the "joke" should've been written:

      that was a txtbook operation.

  8. Re:interestingly the text message device could be by RollingThunder · · Score: 5, Insightful

    Spoken like somebody who's never needed to pay the astronomical roaming charges or put up with the hideous interference and quality loss on a voice call.

    Sometimes text is faster and cheaper, because you're not spending 90% of the call going "What? Please repeat!"

  9. Re:interestingly the text message device could be by bjorniac · · Score: 5, Insightful

    Text message will ensure that all the details get there, not some garbled, half-heard phone call. You also get all the information already available if you need to look back at it quickly and it's in neat understandable writing (anyone who's ever read a doctor's scrawl will know what I mean). For this purpose (transmitting a technical procedure step by step) it's the better of the two media.

  10. Computing in the developing world by ciaohound · · Score: 1

    Stories like this make me wonder if cell phones will be the devices that actually deliver on the promise of OLPC.

    --
    Oh, yeah, it's not easy to pad these out to 120 characters.
  11. Soo... by Chairboy · · Score: 5, Funny

    What exactly _is_ the emoticon for 'cut off limb X'?

    1. Re:Soo... by Anonymous Coward · · Score: 0

      I believe it goes something along the lines of:

      >-|O = >-|O - 0.5*(|)

    2. Re:Soo... by Eudial · · Score: 1

      That is ambiguous.
      (|) looks suspiciously a lot like a mouth, a butt, female genitalia, etc. Wouldn't want to remove the wrong extremity.

      I believe this one is clearer for the amputation of an arm:

      8-@!-<

      --
      GAAH! MY PRINTER IS ON FIRE!!! PUT IT OUT! PUT IT OUT!
    3. Re:Soo... by mathx314 · · Score: 5, Funny

      :->-<
      ..^..
      this
      one

      It's quite simple, really.

    4. Re:Soo... by HTH+NE1 · · Score: 1

      >-|O = >-|O - 0.5*(|)

      So, remove half of the sleeping head? OK.

      --
      Oh, say does that Star-Spangled Banner entwine / The myrtle of Venus with Bacchus's vine?
    5. Re:Soo... by Anonymous Coward · · Score: 0

      X => Y_
      Duh

    6. Re:Soo... by mcpkaaos · · Score: 2, Funny

      I believe this one is clearer for the amputation of an arm:

      8-@!-<

      Or a Prince Albert gone horribly wrong.

      --
      It goes from God, to Jerry, to me.
    7. Re:Soo... by mikael · · Score: 5, Funny

      o|-< + 8< 8< -> o,-<

      --
      Vintage computer adverts: http://www.vintageadbrowser.com/computers-and-software-ads
    8. Re:Soo... by tubegeek · · Score: 1

      If only I had mod points, you would be getting some. Well played.

    9. Re:Soo... by gregbot9000 · · Score: 2, Funny

      3=/= for arm, 0=/= for foot. As a side note, )S) is the emoticon for a tape worm.

    10. Re:Soo... by Thaelon · · Score: 0, Offtopic

      How the bloody hell did you get that past slashdot's filters?

      --

      Question everything

    11. Re:Soo... by torsmo · · Score: 2, Funny

      WAAH!! "Caller" bone!

    12. Re:Soo... by Anonymous Coward · · Score: 0

      ... Somehow, that made me think of Haskell.
      amputateArm :: o|-< + 8< 8< -> o,-<

    13. Re:Soo... by jonaskoelker · · Score: 1

      I'm gonna get rich when I invent a machine that lets you cut someone's arm off over the internet.

    14. Re:Soo... by Archimonde · · Score: 1

      That is the best joke I've seen in the last few weeks.

      I for one admire your text-mode imagination Sir.

      --
      Trolls are like broken clocks. They show the truth two times a day. The rest of the day they talk nonsense.
    15. Re:Soo... by Lijemo · · Score: 1

      How the bloody hell did you get that past slashdot's filters?

      the entities would have included lower-case characters.

    16. Re:Soo... by Anonymous Coward · · Score: 0

      funniest goddamn thing I have seen all week...

    17. Re:Soo... by mikael · · Score: 1

      I use the <tt;> and </tt > to get the text in monotype ASCII, and use
      the html & lt ; and & gt ; to get the less than and greater than signs.
      Everything else is based on ancient USENET writing.

      --
      Vintage computer adverts: http://www.vintageadbrowser.com/computers-and-software-ads
  12. Amputation by text message? by Anonymous Coward · · Score: 2, Funny

    See? That's why I don't want a cell phone.

    1. Re:Amputation by text message? by ciaohound · · Score: 1

      Yes, that's why I traded mine for a bone saw long ago, because, well, you never know.

      --
      Oh, yeah, it's not easy to pad these out to 120 characters.
    2. Re:Amputation by text message? by rhyder128k · · Score: 2, Funny

      Now we need this innovation to come full circle so that we can surgically remove cell phones with txting capability from British teenagers.

      --
      Michael Reed, freelance tech writer.
  13. Re:interestingly the text message device could be by Hatta · · Score: 5, Funny

    Text message will ensure that all the details get there

    But none of the vowels.

    --
    Give me Classic Slashdot or give me death!
  14. I wonder what it sounded like... by Laser_iCE · · Score: 5, Funny

    DN: hai r u awake?? im wrkn, ths guys missn heaps of his arm, wwyd?
    MT: lol sup? tru tru... kk well ur guna need 2 do a 4 1/4 amp. req rm of the cola bone n shlda blde.
    DN: yea nm nm...... ok so txt me how
    MT: ok is he there now?
    DN: no im at home
    MT: txt me wen u get there k?

    1. Re:I wonder what it sounded like... by sdpuppy · · Score: 5, Funny

      LOL! wrong arm!

    2. Re:I wonder what it sounded like... by naz404 · · Score: 0, Offtopic

      k



      ------ anti-lameness filter

    3. Re:I wonder what it sounded like... by Anonymous Coward · · Score: 0

      DN : oh hai, need ur hlp w/ amputat
      MT : lolwut?
      DN : ...i'm in ur operatin' room, amputatin' kidz armz.
      MT : o rly?
      DN : ya rly.

  15. In the US you will likely be billed $1 per text + by Anonymous Coward · · Score: 1, Interesting

    In the US you will likely be billed $1 per text + your rate each way + other doctors rate and you hmo says we don't pay for texts so we will pay $0 as we don't don't part pay for operations

  16. whole story by The+Clockwork+Troll · · Score: 5, Funny

    I heard the doctor actually texted full instructions on how to reattach the arm but after 151 characters it got cut off.

    --

    There are no karma whores, only moderation johns
    1. Re:whole story by Anonymous Coward · · Score: 0

      Ho ho!

    2. Re:whole story by Luyseyal · · Score: 1, Flamebait

      That was awesome. You win 4 internets.

      -l

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    3. Re:whole story by Samah · · Score: 1

      Where's the +100 Funny when you need it? Best joke I've heard all week dude. :)

      --
      Homonyms are fun!
      You're driving your car, but they're riding their bikes there.
    4. Re:whole story by Anonymous Coward · · Score: 0

      I heard the doctor actually texted full instructions on how to reattach the arm but after 151 characters it got cut off.

      So...? The object was to cut it off in the first place.

      y u btchn?

    5. Re:whole story by jonaskoelker · · Score: 1

      "Look!"

      "It's just a text wound"

  17. Old News by nEoN+nOoDlE · · Score: 5, Funny

    Verizon takes an arm and leg for text messages every month, so amputation by text message isn't anything new.

    --
    Don't trust a bull's horn, a doberman's tooth, a runaway horse or me.
    1. Re:Old News by Iced_Eagle · · Score: 0

      I have no words. Easily one of the best comments in a while! And due to your complaints, Verizon has decided that next month they will only take your appendix. I mean, it's useless, right?

    2. Re:Old News by compro01 · · Score: 1

      The appendix is actually quite useful as spare tissue for various reconstructive surgeries, such as on the bladder.

      </offtopic>

      --
      upon the advice of my lawyer, i have no sig at this time
    3. Re:Old News by Iced_Eagle · · Score: 0

      It's also quite useful for making me horribly sick. :-P Good riddance to it I say!

    4. Re:Old News by jonaskoelker · · Score: 1

      The appendix is actually quite useful as spare tissue

      It's where you put the things that wouldn't fit the main body of the text?

    5. Re:Old News by ReedYoung · · Score: 1

      I say you win humor competition on this thread.

      --
      "I can't imagine how things could get any worse!" (some guy) "That could just be failure of imaginatioÂn on your p
    6. Re:Old News by Lijemo · · Score: 1

      I have no words. Easily one of the best comments in a while! And due to your complaints, Verizon has decided that next month they will only take your appendix. I mean, it's useless, right?

      Actually, I've read that for about the first 20 years of your life, your appendix helps train your immune system. It collects nasty gunk, and uses it to build anti-bodies against whatever trace elements of pathogens are in the nasty gunk. So it's propensity for collecting nasty gunk and letting it sit there actually has a valid purpose.

  18. Re:interestingly the text message device could be by Chris+Burke · · Score: 1

    Yeah, haha. Now think for a couple seconds about actually performing phone-directed surgery, and maybe you'll see an advantage or two to using text instead of voice.

    --

    The enemies of Democracy are
  19. oh noes i cut teh art3ry by circletimessquare · · Score: 0

    no wai reely? kid is 8-X X-P brb

    k thx lol

    --
    intellectual property law is philosophically incoherent. it is your moral duty to ignore it or sabotage it
  20. Re:interestingly the text message device could be by Linux_ho · · Score: 0

    And sometimes there's enough garbling of the text to render it illegible...

    --
    include $sig;
    1;
  21. Re:interestingly the text message device could be by Malevolyn · · Score: 3, Funny

    idk my bff jill?

    --
    Your ad here.
  22. Who else already learned how to do this through... by pizzach · · Score: 1

    ...MySpace? I especially like the embedded video clips.

    Seriously, teaching someone how to do an operation through text messages will do the opposite of instilling trust in patients. I wonder if he came out of the operating room and said to the worried family, "Mrs Robinson, The operation went great, just like was written in the text message! I am going to stay at my Holiday in Express now."

    --
    Once you start despising the jerks, you become one.
  23. This reminds me of the commercial... by MsGeek · · Score: 3, Funny

    ...where this guy's doctor was talking him through doing an appendectomy. "It's very straightforward."

    --
    Knowledge is power. Knowledge shared is power multiplied.
  24. seriously... by Cyrus20 · · Score: 4, Insightful

    we joke about this.. but it really is amazing that this was possible. can you imagine taking directions for something like that through a text and doing it. to me it would be like someone texting me directions on how to build an engine and me truly making it run

    1. Re:seriously... by gujo-odori · · Score: 1

      Well, not really. At least, not unless you are very familiar with engine assembly already.

      The guy sending the text messages was an experienced surgeon who had performed the type of amputation that needed to be done. The guy receiving the texts was also an experienced surgeon, but not in that area of medicine.

      If you are very good at assembling small block Chevy engines and you're sitting in your garage with a disassembled Mopar 340, I could probably tell you how to put it together. At least, once upon a time; it's been a while and I might need one in front of me as a model, or at least a shop manual, these days. If you couldn't even put a valve cover on by yourself, the task would be a lot harder.

      OTOH, assembling a carbureted overhead valve V-8 isn't that hard. A typical four-cyclinder engine today, with its four valves per cylinder, overhead cam(s) and computer-controlled fuel injection, is a lot more complicated. Someone who was both a real expert and good at remove instruction probably could talk a novice mechanic through assembling a 1960s American car engine and have it actually run.

    2. Re:seriously... by mysidia · · Score: 1

      It's more like texting someone who already has a basic knowledge about engines and how to build/repair them.

      With specialized instructions on how to repair a specific component of a certain engine, to an engineer with practically experience with the procedure under unique circumstances.

      The thing is, while the less-experienced individual can attempt a repair, and they may have a fair chance of performing the repair/replace with no complications,

      It's much better for them to get some detailed notes from a guy who has installed that part a few times.

      The engineer would probably figure out how to repair the part on their own, eventually, but when it's a matter of life and death... it's 1000%+ better if success is likely with as few problems (and as little harm) as possible.

      And as little hesitation as possible (i.e. ideally no ad-hoc guesses should need to be made during a procedure at a time-sensitive moment).

      The cost of failure, isn't merely $$$ to replace damaged parts, versus the cost of hiring another consultant.

    3. Re:seriously... by im_thatoneguy · · Score: 1

      ...if you're a mechanic.

      People on both sides of the lines have a thorough understanding of the anatomy involved.

      This is more akin to someone texting the wiring pattern for a foreign network cable. You might have done cable wiring before... you just need to know which order this particular operation is done in.

    4. Re:seriously... by cjh79 · · Score: 1

      Yes, and the network will kill a small boy in front of your very eyes if you don't do it right.

    5. Re:seriously... by Anonymous Coward · · Score: 0

      If you are very good at assembling small block Chevy engines ....

      Oh, God -- thank you, thank you. I was one message from the end of this thread and was sobbing at the prospect of ending without an automotive analogy. I am forever in your debt.

  25. Re:interestingly the text message device could be by Hurricane78 · · Score: 2, Funny

    I don't know where you're from, but I (in Germany) get a text message at the price of a minute of voice, and the first 50 in every month are included in the plan price.

    In other countries it's much cheaper.

    .
    .
    .
    Yeah. Other counties! Haven't you heard of them? ;)
    .
    .
    .
    Are you French or American? ;)

    --
    Any sufficiently advanced intelligence is indistinguishable from stupidity.
  26. Re:interestingly the text message device could be by bane2571 · · Score: 2, Interesting

    But really, what makes this news?

    Basically what happened was the guy got bob on the phone and said, "yeah bob, can you fax me over page 113 of surgery for dummies?"

    Sending what amounts to textbook instructions to trained personnel in the field is hardly a noteworthy achievement.

  27. Re:interestingly the text message device could be by ShakaUVM · · Score: 5, Funny

    >>I long ago discovered my text-messaging device allows me to talk directly to another person through his or her text-messaging device. Amazing!

    You mean those wireless devices which replaced the devices which ran over wires which were originally built to text messages to each other in morse?

  28. Man... by gparent · · Score: 3, Funny

    I'm kinda glad we have to pay for incoming text messages now. At least that guy who wants to ampute me will have to think twice before pressing send!

    1. Re:Man... by Builder · · Score: 2, Insightful

      Only the US pay for incoming texts AFAIK... So never go anywhere with a civilised communications infrastructure - there, they'd be able to amputate bits of you for free!

  29. Re:interestingly the text message device could be by Anonymous Coward · · Score: 0

    You only need a vowel if you're vet

  30. Re:interestingly the text message device could be by glavenoid · · Score: 5, Informative

    This is one of my favorite things about SMS. *When* the data arrive, they arrive intact.

    I got my first cell phone about one year ago. I know, I know, but I really don't need one for normal communications. I just need it to place emergency calls. However (and since my prepaid arrangement allows free incoming texts), I was curious about this whole "texting" thing (which I would probably never use with another person), so decided to figure out just what is really happening. I discovered that most USA cell carriers have a text to email gateway.

    Since the text messages are essentially email, I first decided to hack up a Python script that would alert me via text of any inclement weather. A simple NOAA weather data gatherer, parser, and sender to my SMS to email gateway has saved my ass numerous times. Really. And for a $10 TracPhone, that's not too bad. Of course this is not on par with doing surgery, but I thought it was pretty cool. I didn't stop there, though.

    Since my carrier *does* in fact have a text to sms gateway, the communication can go two ways. Is it possible to create an *unsecure* remote shell so that I can give my home computer commands while away? Why not..? And so friends, in brief, text messages *do* in fact have use other than LOLing ur BFF, and doing remote surgery... You can monitor your torrents, and fetch new ones, kick your pesky friend off your wireless connection, write a new cron job, the possibilities are arbitrary... Just don't let anyone use your phone...

    --
    I, for one, am looking forward to the inevitable /. beta rollout fallout.
  31. yes! yes! yes! by Anonymous Coward · · Score: 0

    We are almost getting to the point where it will be possible to stab people in the internet!

  32. Re:interestingly the text message device could be by mikesd81 · · Score: 2, Informative

    Not only that, but there are times it takes a half hour or longer for me to get a text message from my friend on another carrier. And we're both in the same bar room.

    --
    That which does not kill me only postpones the inevitable.
  33. Re:interestingly the text message device could be by dotancohen · · Score: 1

    Sometimes text is faster and cheaper, because you're not spending 90% of the call going "What? Please repeat!"

    Apparently, you can land a plane with it (I can't find the /. link. Anyone?)

    --
    It is dangerous to be right when the government is wrong.
  34. Re:interestingly the text message device could be by TubeSteak · · Score: 2, Insightful

    Text message will ensure that all the details get there, not some garbled, half-heard phone call.

    If you're somewhere that calls are garbled, what assurance do you have that text messages will get through?

    Text is given a very low priority on the wireless network and there is no guarantee that it will ever arrive.

    --
    [Fuck Beta]
    o0t!
  35. In Soviet Russia... by InSovietRussiaTroll · · Score: 0

    ... the party amputates you!

  36. Anyone keeping tally? by Anonymous Coward · · Score: 0

    Lives saved by texting: 1

    Loves lost by texting: ???

  37. Re:interestingly the text message device could be by Anonymous Coward · · Score: 2, Funny

    In other countries it's much cheaper.

    .
    .
    .
    Yeah. Other counties! Haven't you heard of them? ;)
    .
    .
    .
    Are you French or American? ;)

    I don't know about France, but here in America we celebrate a diverse selection of counties.

  38. Did you miss the part where he's IN AFRICA? by Valdrax · · Score: 5, Insightful

    Did you somehow miss the part where he was calling from Africa to the UK? Have you never priced an international call?

    Assume that you're an Orange customer. (It's the first UK cell phone provider I could think of off the top of my head.) Roaming in Africa and calling England costs £1.20/minute (or over $1.75/minute) if you have the Orange Travel plan.

    Texting is much, much cheaper. In fact, in Africa, it's the dominant form of cell phone communication because voice rates are so ridiculously high in comparison even among local carriers, according to a family member who spent several months there on a mission trip.

    --
    If it's for-profit but free, you're not the customer -- you're the product (e.g., the Slashdot Beta's "audience").
    1. Re:Did you miss the part where he's IN AFRICA? by UltraAyla · · Score: 1

      Exactly - I'm glad to see someone pointed this out already. In Africa, texting is far cheaper than talking on the phone. While the absolute cheapest I could get calls to DEVELOPED parts of Africa was 25 cents per minute, an international text message costs the same. Congo's rates would be far worse (plus the cost of airtime) so that it makes sense that this was conducted by text message - the surgery probably took hours as it was - voice calling in Africa is simply too spotty for that.

    2. Re:Did you miss the part where he's IN AFRICA? by moosesocks · · Score: 1

      £1.20/minute (or over $1.75/minute

      Offtopic, but holy crap.... what happened to the pound!? Back when I paid attention to these things, a year ago, that £1.20/minute would have equated to over $2.52/minute USD.

      --
      -- If you try to fail and succeed, which have you done? - Uli's moose
    3. Re:Did you miss the part where he's IN AFRICA? by Valdrax · · Score: 1

      Shocking, isn't it? I have no idea what's been going on. The US dollar has apparently rallied against most major world currencies except the Japanese yen. Here's an article speculating about why. Apparently, risk adverse investors are dumping less "reliable" currencies in favor of "safe" ones like the US dollar and the yen. No, I don't get it either.

      --
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    4. Re:Did you miss the part where he's IN AFRICA? by Aladrin · · Score: 1

      Right, because when someone's life is on the line, the unknowledgeable doctor's first concern should be his cellphone bill, rather than having instant feedback from the doctor that knows what is going on.

      --
      "If you make people think they're thinking, they'll love you; But if you really make them think, they'll hate you." - DM
    5. Re:Did you miss the part where he's IN AFRICA? by jonbryce · · Score: 1

      Basically the same thing that happened to the US Dollar about a year beforehand. Both currencies have now fallen by much the same amount and the exchange rate is back to what it usually is.

    6. Re:Did you miss the part where he's IN AFRICA? by ciaran.mchale · · Score: 1

      Roaming in Africa and calling England costs £1.20/minute (or over $1.75/minute) if you have the Orange Travel plan. Texting is much, much cheaper.

      1. A life is saved with the aid of text messages.

      2. Text messages are cheap.

      1 plus 2 means that (saving a) life is cheap.

      It's ironic when you consider that the phrase "life is cheap" normally means that life is not valued highly.

    7. Re:Did you miss the part where he's IN AFRICA? by Valdrax · · Score: 2, Interesting

      Apparently you and the AC below you have still managed to miss the fact that he's IN! AFRICA!

      This is a doctor doing aid work in a third world WAR ZONE, at a hospital less than 20 miles from the border with Rwanda. This is volunteerism; he doesn't even have sufficient *blood* to do the surgery safely, much less someone to reimburse him for what might end up as a several hundred dollar phone bill. You work with the tools you have, and the fact that he was able to pull this off given the resource and budget constraints that were put on him is something to be commended.

      Commended. Not denigrated by some privileged jackass who has NO FREAKING CLUE what the world is like outside of his wealthy Western lifestyle and doesn't know (or probably even care) what kind of resources these doctors are working with. This guy takes a month off each year to go work for FREE to save lives, working 24-hour trauma shifts, and you gripe him out because his method of checking with his colleagues isn't high class enough for you -- because he isn't emptying his pocket fast enough.

      You make me sick.

      --
      If it's for-profit but free, you're not the customer -- you're the product (e.g., the Slashdot Beta's "audience").
    8. Re:Did you miss the part where he's IN AFRICA? by cthulhu11 · · Score: 0

      Have *you* never seen a surgeon's bill? $3000 for an hour of work. Reliability not cost makes more sense.

    9. Re:Did you miss the part where he's IN AFRICA? by Aladrin · · Score: 1

      Gripe? I'm stating an opinion: That surgery should be done properly, no matter who the person is. Thankfully, this time it -was- done properly, despite a bad decision on the part of the doctors involved.

      You? You're saying that it's okay to give them cut-rate surgery because the doctor is volunteering his time.

      Now who makes who sick?

      --
      "If you make people think they're thinking, they'll love you; But if you really make them think, they'll hate you." - DM
    10. Re:Did you miss the part where he's IN AFRICA? by Valdrax · · Score: 1

      Gripe? I'm stating an opinion: That surgery should be done properly, no matter who the person is. Thankfully, this time it -was- done properly, despite a bad decision on the part of the doctors involved.

      You call it a "bad decision." I call it the only decision available at the time.

      Also, you have no idea just how much information he needed at what point, yet you insist that the choice to use text messages was wrong. While he'd never done this particular surgery before, the man was obviously not an unskilled and inexperienced doctor to be able to pull it off in the conditions he was working with. He's a 52 year old vascular surgeon, not some fresh out of med school intern. You complain that he didn't bother to get "instant feedback," but who (other than your holy highness) says he actually *needed* it instead of just some general guidelines? Apparently, all he needed was two long messages before starting surgery to know enough to do it himself without assistance. (See this version of the story.)

      In other words, you're talking out of your ass -- armchair quarterbacking someone with superior knowledge of what they actually needed and raining venom all over someone who saved a doomed young boy's life because he didn't meet the expectations of some internet jackass sitting in comfort and ignorance in his own home in a well-to-do country.

      You? You're saying that it's okay to give them cut-rate surgery because the doctor is volunteering his time.

      Now who makes who sick?

      I bet you're the kind of person who sneers at someone for "only" putting a dollar in the holiday Red Cross donation buckets instead of twenty while walking on by yourself without giving a damned thing. It is a mark of privilege to sneer at all assistance rendered if it is not done to one's own exacting and unrealistic standards and to suggest that someone would be better served by having nothing. If you had your way, people like this boy would simply be dead from lack of volunteers to help.

      --
      If it's for-profit but free, you're not the customer -- you're the product (e.g., the Slashdot Beta's "audience").
    11. Re:Did you miss the part where he's IN AFRICA? by Valdrax · · Score: 1

      See my responses to Aladrin above. They pretty much cover why your post is sheer silver spoon idiocy.
      (Hint: What did he bill the boy's family?)

      --
      If it's for-profit but free, you're not the customer -- you're the product (e.g., the Slashdot Beta's "audience").
    12. Re:Did you miss the part where he's IN AFRICA? by Aladrin · · Score: 1

      You accuse me of talking out of my ass and armchair quarterbacking when you are doing EXACTLY the same thing. Your only logic is 'he's a doctor, so he must have been right.'

      And you'd lose that bet. People can do whatever they want with their money, it doesn't bother me one bit if they give $1 or a million. Or nothing.

      --
      "If you make people think they're thinking, they'll love you; But if you really make them think, they'll hate you." - DM
    13. Re:Did you miss the part where he's IN AFRICA? by Valdrax · · Score: 1

      You accuse me of talking out of my ass and armchair quarterbacking when you are doing EXACTLY the same thing. Your only logic is 'he's a doctor, so he must have been right.'

      1) Most people typically consider "armchair quarterbacking" to be second-guessing someone and saying how they would've done it better.

      2) My logic is displayed in the above post. He not only successfully carried out the surgery (proving that his decision was right), but the type of information he chose to get from his colleague -- two long messages before the surgery and none during -- put to lie the idea that he needed instant feedback.

      If he was asking a nurse to constantly text messages while the kid was under the knife, you might have a point that verbal communication would be superior, but for the type of information he needed, it was a pointless waste of money. However, he's a surgeon with decades of experience, and obviously more knowledgeable about his needs than *you*.

      3) You also disregard the advantages to having the information in text format -- reviewability, for one -- in lieu of the criteria you find most desirable as an ignorant bystander. Second, the other surgeon might not even be *available* for a multi-hour phoen call from Africa. But, hey, if you aren't running up a several hundred dollar phone bill to be babysat by another surgeon who is now unable to operate on anyone back home, you must be a "bad doctor," right?

      And you'd lose that bet. People can do whatever they want with their money, it doesn't bother me one bit if they give $1 or a million. Or nothing.

      And yet you don't see the parallel between that and sneering at the doctor for not being willing to spend the money on a phone call to get the same information -- for being fiscally responsible.

      People like you are why medical costs are so high. Why spend $20 for something when you can spend $2000 and get marginally better service? Who cares if that makes care unavailable for some people; if you don't do that, then you're giving cut-rate medicine, right? It's caviar or starve. Feh.

      --
      If it's for-profit but free, you're not the customer -- you're the product (e.g., the Slashdot Beta's "audience").
  39. It's the eend... the eeend... by Hurricane78 · · Score: 1

    ...to my karma. ;)

    If only they knew, that I posted it as a joke, because unlike some other folks, I actually know that it's a funny stereotype.

    --
    Any sufficiently advanced intelligence is indistinguishable from stupidity.
    1. Re:It's the eend... the eeend... by Anonymous Coward · · Score: 0

      Germans should not attempt humor.

    2. Re:It's the eend... the eeend... by Hurricane78 · · Score: 1

      You're right. I hang my head in shame.

      (In realty I'm mostly Luxemburgish, with a Afghani father, living in Germany 2/3 of my life. No idea what rules apply to me. ;)

      --
      Any sufficiently advanced intelligence is indistinguishable from stupidity.
  40. Re:interestingly the text message device could be by mikael · · Score: 5, Informative
    --
    Vintage computer adverts: http://www.vintageadbrowser.com/computers-and-software-ads
  41. Re:interestingly the text message device could be by repvik · · Score: 1

    If you can connect a call, you can be pretty sure that a text can come through. Even though the call can be so garbled as to be unintelligible, the text only needs a tiny bit of data to come through. Setting up a call is more "expensive" data-wise.
    Also, a text doesn't need a working connection for more than an "instant", while a call requires a long, continuous connection.
    Oh, and if the network nears its limit with traffic, sms is given higher priority while voice calls are dropped.

  42. Please don't tell Blue Cross... by Skater · · Score: 4, Interesting

    They'll be all over this method of reducing healthcare costs!

    1. Re:Please don't tell Blue Cross... by mysidia · · Score: 1

      They'll be all over this method of reducing healthcare costs!

      It doesn't reduce costs.

      It's cheaper to exchange e-mail.

      That is, unless sender/recipient has no internet connection (not very likely these days).

    2. Re:Please don't tell Blue Cross... by Grimbleton · · Score: 1

      You know, unless you're in the Congo.

    3. Re:Please don't tell Blue Cross... by Skater · · Score: 1

      The joke was that Blue Cross will have an office full of doctors, texting "technicians" on how to do surgeries, instead of actually having a doctor in the operating room. Sorry you missed the joke.

    4. Re:Please don't tell Blue Cross... by mysidia · · Score: 1

      Why not have an office full of doctors e-mailing technicians? Fewer $$ per text-message charges.

      Then they can archive the conversations and outsource the team of doctors to a single Indian man who can figure out which archived instructions to play, including some random spam for flavor.

  43. Re:interestingly the text message device could be by thegnu · · Score: 1

    Plus, I'm not sure how reading a typed message from someone is any different from reading it out of a textbook.

    Except that you can ask the person to clarify. I mean, yes this is funny. But it's not that goddamn funny. Or alarming at all.

    Here's a headline:
    "Person learns engineering by reading messages downloaded from the Internet."

    --
    Please stop stalking me, bro.
  44. Re:interestingly the text message device could be by oljanx · · Score: 1

    It's a neat story. You're so not invited to my birthday party, you party pooper.

  45. And the first 10 minutes went like this: by XSpud · · Score: 1

    > Thank you for taking the time to assist me Dr
    >> np

    > What do you mean?
    >> No problem, its textspeak, shrtn words by mssng vowels, abbrvtin words etc its sppsd 2 b qckr

    > Great! Time is of the essense
    >> You mnt gr8 ;-)

    > :-) iv hrd bt ths txtspk - gttng th hng f ths nw
    >> So, wuts th prblm

    > hv b hr wth gngrn
    >> b??

    > boy
    >> whr?

    > cng
    >> ??

    > congo
    >> no, i mnt whr is gngrn

    > in rm
    >> n room n cng?

    > no, n arm f by n cng
    >> is hs hd ffctd?

    > no, jst hs rm
    >> soz - fngr trbl, mnt hnd

    etc

     

    1. Re:And the first 10 minutes went like this: by compro01 · · Score: 1

      Eh, medical terminology tends to compress quite well (take a look at how most doctors write prescriptions or notes). I think medicine uses at least as many acronyms and initialisms as IT does, only difference being the medical ones are frequently in Latin.

      --
      upon the advice of my lawyer, i have no sig at this time
    2. Re:And the first 10 minutes went like this: by ReedYoung · · Score: 1

      only difference being the medical ones are frequently in Latin

      & consistent & unique & platform-independent & portable &c.
      IT is not having growing pains, it is having birthing pains. Whether it's still being born or giving birth to something better I cannot say, but hopefully the latter of course.

      --
      "I can't imagine how things could get any worse!" (some guy) "That could just be failure of imaginatioÂn on your p
  46. Huh? Why the heck is this news? by naz404 · · Score: 1

    What is this, a "The Onion" article?

    Are you guys kidding?

    Why is this news and a front page article?

    I mean we've been using SMS/txting on a regular basis for over 10 years now here in the Philippines! It's our primary means of communication as it's so much cheaper than voice calls.

    "Indonesia Shariah law declares that husband may now divorce wife by texting 'I divorce you' thrice" is news.

    This is like putting "Employee at McDonalds cooks burger" as front page news

    wtf.

    Not to sound like a troll, but what's so amazing with this incident? How is any more amazing than sending urgent instructions via fax?

    Cost of SMS is not even a factor coz those guys are doctors from FIRST WORLD countries, and as for tech in the bush, setting up cel towers is way cheaper than laying down miles of cable which could be stolen by thieves looking to sell metal to scrap heaps.

    Wtf, even poor folk shanty-town dwellers here in Manila regularly SMS with their family back in far-flung remote mountains in the provinces.

    Wtf why is this news? Here in the Philippines, overthrowing entire governments with txt messages is like a boring everyday thing.

    What is this, the stone age?

    1. Re:Huh? Why the heck is this news? by vawarayer · · Score: 1

      Ok trollman, I would kindly suggest two things to put on your to do list.

      • Visit Congo
      • RTFA

      (in any order)

    2. Re:Huh? Why the heck is this news? by naz404 · · Score: 1
      Sure vawarayer.

      *RTFA

      Yeah, before I posted.

      *Visit Congo

      Why should I? We already have our own remote mountain-jungles and dirt-cheap poor communities who live on way less than a dollar a day, thank you.

      Why don't you come over and volunteer here? We could use the help with medical missions to our less fortunate countryment who can't afford medicines and don't have access to basic medical needs.

      Try living in a third-world country for a change.

    3. Re:Huh? Why the heck is this news? by ZERO1ZERO · · Score: 1

      may I add, 'Look up procedure to amputate some ones arm'

    4. Re:Huh? Why the heck is this news? by networkBoy · · Score: 1

      no I think in that order will do.
      May cut his assignment in half.
      if you travel by way of Darful then may not even have to visit the DRC.
      -nB

      --
      whois gawk date unzip strip find touch finger mount join nice man top fsck grep eject more yes exit umount sleep dump
    5. Re:Huh? Why the heck is this news? by naz404 · · Score: 1

      FTFA: "I knew exactly what my colleague meant because we have operated together many times."

      Big whoop. They were expert doctors from the UK who've operated together many times.

      Now on the other hand if the Brit volunteer doctor in the Congo was simultaneously txting with one hand and performing surgery with the other...

      :D!

    6. Re:Huh? Why the heck is this news? by vawarayer · · Score: 1

      Sure naz404.

      Try living in a third-world country for a change.

      Yeah, before I posted.

      Why should I? We already have our own remote mountain-jungles and dirt-cheap poor communities who live on way less than a dollar a day, thank you.

      Philippines, Human Development Index

      • HDI Value: 0.771
      • GDP per capita: 5137 US$

      DRC, Human Development Index

      • HDI Value: 0.411
      • GDP per capita: 714 US$

      Of course, these are just stats and I don't mean I know everything. I've never visited Philippines and I'm sure that you're right about life and technological conditions there.

      All I'm doing, is inviting you to face the extent of poverty in DRC and realize that it might be far less advanced than Philippines.

      Cell phones, it's most that Congo has for technologies. I'm sure I could never comprehend the situation this doctor (and patient!) were in. Sit back and relax, are you really saying that saving someone's life in one of the poorest country in the world, with the ONLY technology available is no news?

    7. Re:Huh? Why the heck is this news? by Valdrax · · Score: 1

      The story is that this was a procedure which is difficult even in a fully equipped hospital with bountiful access to donated blood which the doctor performing the surgery wasn't 100% familiar with and yet the kid lived in spite of being in a third world country with minimal tools and very little blood to work with -- all thanks to the ability to fact check with a more skilled surgeon several thousand miles away (and a pretty talented physician on the ground).

      20 years ago, this would not have been possible. Hell, I don't know how well cell phone networks were set up in the DRC a mere 10 years ago.

      It's a human interest story and a story about how modern life has given us solutions to difficult problems. Cheer up, emo kid -- at least it's not a story about the latest photogenic blond white girl in trouble.

      --
      If it's for-profit but free, you're not the customer -- you're the product (e.g., the Slashdot Beta's "audience").
    8. Re:Huh? Why the heck is this news? by naz404 · · Score: 1

      Hey bro. Yeah, regarding the UNDP statistics, it's a bit skewed because the gap between the rich and the poorest of the poor is so large that those numbers don't really paint a complete picture.

      are you really saying that saving someone's life in one of the poorest country in the world, with the ONLY technology available is no news

      Sadly, yes, because it happens on a daily basis and one gets inured to it, and I've heard much worse horror stories than the condition that patient was in from family and friends who are doctors over here.

      Anyway, I guess it's news to me that these kind of things and this kind of tech usage is news for you guys :)

      Thanks for the UNDP links!

  47. Re:interestingly the text message device could be by jhol13 · · Score: 1

    Besides, the messages can be sent by a nurse who can then read the replies - no need for the doctor to hold the phone, he might have something else to do with his hands ...

  48. Is "Amputation by text message" better or worse. . by tubegeek · · Score: 1

    . . . than "trial by ordeal" or "death by bulu"?

  49. RTFA by vawarayer · · Score: 1

    And, just for the sake of clarity and because it does seem to have been forgotten: they were both doctors! There was probably no need for a step by step take-your-knife-and-cut-exactly-there-then-cut-there-and-there typa thing. Just a set of quick instructions to help for this typical type of intervention would have been good, i'd assume.

  50. Re:interestingly the text message device could be by Anonymous Coward · · Score: 0

    IDK wat ur operator ds, but my datas nvr intact.

  51. Re:Haha, I. R. Funny! by Anonymous Coward · · Score: 2, Funny

    lol. Mint condition.

  52. Re:interestingly the text message device could be by Hal_Porter · · Score: 4, Funny

    cracka stole my arm.

    --
    echo -e 'global _start\n _start:\n mov eax, 2\n int 80h\n jmp _start' > a.asm; nasm a.asm -f elf; ld a.o -o a;
  53. Re:interestingly the text message device could be by Hal_Porter · · Score: 4, Funny

    vwlls r vl. thts why thr r n vwlls n hbrw.

    --
    echo -e 'global _start\n _start:\n mov eax, 2\n int 80h\n jmp _start' > a.asm; nasm a.asm -f elf; ld a.o -o a;
  54. Re:interestingly the text message device could be by Hal_Porter · · Score: 1

    It is possible to send messages by sound without using any electronic equipment. If your muscles are developed enough for you to be able to walk to the bar, you may still have working vocal chords. If you exercise them, they won't atrophy away by the age of 20 like they do in most people.

    --
    echo -e 'global _start\n _start:\n mov eax, 2\n int 80h\n jmp _start' > a.asm; nasm a.asm -f elf; ld a.o -o a;
  55. Re:interestingly the text message device could be by Achromatic1978 · · Score: 1

    anyone who's ever read a doctor's scrawl will know what I mean

    Well, I admit that not all doctors write well, but much of this comes from people being unable to decipher the language of prescriptions. A doctor doesn't write:

    Take two tablets under the tongue twice a day before meals until finished

    They write:

    2T SL BID AC UF

  56. Re:interestingly the text message device could be by Not_A_Jew · · Score: 1

    Juggling chainsaws one-handed again, Yagu?

    Not A Jew

  57. Doctors Without Frontiers by Anonymous Coward · · Score: 0

    ... is what we call it in the real world...

  58. Re:interestingly the text message device could be by mysidia · · Score: 1

    And sometimes there's enough garbling of the text to render it illegible...

    The text is sent over a digital carrier; there's no chance of RF noise or poor reception causing the text received to actually be garbled.

    Each text part is either received or not received.

  59. Re:interestingly the text message device could be by wikinerd · · Score: 3, Interesting

    Text message will ensure that all the details get there, not some garbled, half-heard phone call.

    There is a serious problem, though: text messages may never get to the destination or may get there late, in case the text server is busy or unavailable, and the most serious problem is that you won't know that someone had tried to text you. With phone calls, at least, you know when the line gets cut off by network problems, but with text messages you can never know unless you were expecting a particular message. There is also no guarantee that you will receive the text messages in the order they were sent, if the server has problems.

    Essentially texting has very similar problems to email when the email servers and intermediaries don't work correctly.

    So, imagine getting the instructions for reattaching the arm before the instructions for removing it, while the instructions for cutting the bone were never delivered at all...

  60. Re:interestingly the text message device could be by Anonymous Coward · · Score: 0

    Sometimes text is faster and cheaper, because you're not spending 90% of the call going "What? Please repeat!"

    Also, a voice call of any significant length is more likely to be dropped. Once the system has received a text message, it can store it and forward it in a burst, so short communications have a better chance of getting through during a given slice of connectivity. This applies even when cell systems are congested.

    Not that I use texting, but I guess I should at least learn to use it. I live in California. My daughter recently told me about the more certain delivery of text messages when the Big One hits.

    In a way, the better delivery of text vs. voice is vaguely analogous to the better delivery of IP vs. UDP.

  61. Google does this by corbettw · · Score: 1

    Just text "amputation instructions" to 466453. I've used it twice, it works pretty well.

    --
    God invented whiskey so the Irish would not rule the world.
    1. Re:Google does this by prestomation · · Score: 1

      Sorry, 'amputation instru...' did not return any results. For HELP on Google SMS, please reply with 'help' or go to http://sms.google.com./

      :(

  62. Re:interestingly the text message device could be by Anonymous Coward · · Score: 0

    Perhaps you should bother to learn what UDP and IP are before you use them in an analogy, since you obviously only have a VERY vague idea of what you are talking about.

  63. Re:interestingly the text message device could be by iron-kurton · · Score: 1

    I remember before text messages when BFF meant something slightly different... It always makes me laugh a little on the inside

    --
    Change is inevitable, except from a vending machine -- Robert C. Gallagher
  64. Re:interestingly the text message device could be by lysergic.acid · · Score: 3, Funny

    he must be using one of those analog texting services.

  65. Re:In the US you will likely be billed $1 per text by westlake · · Score: 1
    In the US you will likely be billed $1 per text

    So use a laptop with an IM client. Magnify the text to make it more readable. Might even be useful to exchange photos or videos.

  66. Re:interestingly the text message device could be by gaderael · · Score: 5, Funny

    What the article fails to mention is that all the plane's electrical systems failed because the pilot was using his cell phone.

    --
    Anyone got a light for my sig?
  67. Re:interestingly the text message device could be by sexybomber · · Score: 5, Insightful

    Plus, I'm not sure how reading a typed message from someone is any different from reading it out of a textbook.

    Except that you can ask the person to clarify. I mean, yes this is funny. But it's not that goddamn funny. Or alarming at all.

    The doctor in England had done the procedure before, presumably successfully, whereas the textbook could make no such guarantee. Plus, as you said, the doctor in the DRC could ask him to clarify.

    And you're right, it's not that funny, or alarming. What it is is fraking badass and awesome. I mean, they both had the skills to pull off an amputation by text message. That's some serious medical street cred right there, on both sides!

    Plus, they saved a kid's life. Good for both of them! *raises glass*

  68. In other news.. by Barryke · · Score: 1

    *sigh* its news like this that makes me weep like a little girl..

    In other news;

    Moon Impact Probe Launched By Caveman's Stick.

    --
    Hivemind harvest in progress..
  69. Don't.. by BigGerman · · Score: 3, Interesting

    .. give HMOs any ideas!

  70. Full Recovery!? by 58797A7A79 · · Score: 1

    "Mr Nott, from Fulham, west London, had just one pint of blood and an elementary operating theatre, but the operation, performed in October, was a success and the teenager made a full recovery."

    The term "full recovery" for an amputation seems like a bit of dark humor when you think about it too long.

  71. Re:interestingly the text message device could be by Anonymous Coward · · Score: 0

    Perhaps you should bother to learn what UDP and IP are before you use them in an analogy, since you obviously only have a VERY vague idea of what you are talking about.

    Or, perhaps you should learn to accept people make mistakes and realize the original poster almost certainly meant TCP (high reliability) vs. UDP (unreliable). Of course, I'm sure you've got everything there is to know about networking, routers, and switches memorized.

  72. Re:interestingly the text message device could be by Plaid+Phantom · · Score: 1

    Not a problem as long as you code in perl ;)

    --
    All comments are properties and trademarks of the voices in my head. Not like I'm gonna claim them.
  73. Re:interestingly the text message device could be by Z34107 · · Score: 1

    In other countries it's much cheaper.

    Yes, but coverage is cheap if you have two countries splitting the cost of your cell phone tower. :P

    --
    DATABASE WOW WOW
  74. Re:interestingly the text message device could be by JonTurner · · Score: 1

    Unless this is the Local Mime Club's Pint Night, I'd have to rate this one "+5, Sad".

    for me to get a text message from my friend on another carrier. And we're both in the same bar room.

  75. Re:interestingly the text message device could be by stonedcat · · Score: 2, Funny

    Butt Fuck Friday?

    --
    You can't take the sky from me.
  76. Surgeon able to follow instructions from surgeon! by dangitman · · Score: 3, Insightful

    I don't get what the big deal is. One would expect a surgeon to be able to follow instructions from another surgeon. Are people amazed that a medical professional is literate, or something?

    --
    ... and then they built the supercollider.
  77. Re:interestingly the text message device could be by Anonymous Coward · · Score: 3, Funny

    "rite nw u slice of da 3rd tndn"

    "wtch 4 da musl"

  78. Re:interestingly the text message device could be by Anonymous Coward · · Score: 0

    idk my bff jill?

    U mean I nd 2 cut my arm? Pls clrfy.

  79. Re:interestingly the text message device could be by Anonymous Coward · · Score: 0

    They write:

            2T SL BID AC UF

    They may do so, but I can rarely even read the name of the med, even if I know what it is.

              FWIW, "2T SL BID AC UF" means 2 tablets, sub lingua, bis in dia, ante cenam, until finished.

  80. God I wish I had mod points by BiggerBadderBen · · Score: 1

    I nearly peed my pants I was laughing so hard!

  81. Re:interestingly the text message device could be by Anonymous Coward · · Score: 0

    That's about as legible as your sig.

  82. Re:interestingly the text message device could be by initialE · · Score: 1

    so sms is like hebrew?

    --
    Starbucks, Harbuckle of Breath.
  83. Re:interestingly the text message device could be by Zencyde · · Score: 3, Interesting

    Vowells [sic] are evil. That's why there are no vowells in Hebrew.

    That was really hard. But I'm REALLLY stoned. Did I win?

    --
    What day is it? Could you please tell me?
  84. Re:interestingly the text message device could be by Anonymous Coward · · Score: 0

    Or, perhaps you should learn to accept people make mistakes and realize the original poster almost certainly meant TCP (high reliability) vs. UDP (unreliable).

    Thank you -- that's exactly what I meant (the IP instead of TCP part) and the distinction between reliable and unreliable. This bozo probably also thinks the entire Constitution is invalid because of the phrase "a more perfect Union" since, as any worthy pedant knows, "perfect" is an absolute and does not admit of comparisons like "more" or "less".

  85. Re:Who else already learned how to do this through by Free+the+Cowards · · Score: 2, Insightful

    You did notice the part where it said that he was in Africa without access to advanced medical facilities and that the boy was only days away from dying without this operation, right? But hey, better to let a kid die when you can save him than embarrass your profession through expediency, I guess.

    --
    If you mod me Overrated, you are admitting that you have no penis.
  86. Re:interestingly the text message device could be by Hal_Porter · · Score: 1

    Vowells [sic]

    srry cnt spllchck dsmvwld nglsh, spclly f t ss md p wrds.

    --
    echo -e 'global _start\n _start:\n mov eax, 2\n int 80h\n jmp _start' > a.asm; nasm a.asm -f elf; ld a.o -o a;
  87. next thing you know, by Anonymous Coward · · Score: 0

    they'll be using short wave radio and morse code.

    (which would actually have some distinct advantages).

    but i guess you make do with what you got.

  88. Re:interestingly the text message device could be by myth_of_sisyphus · · Score: 1

    It seems he applied the old surgeon's maxim:

    Watch one, Do one, Teach one.

  89. Re:Surgeon able to follow instructions from surgeo by Photon · · Score: 1

    It's about the complexity of the task involved. You'd assume concert pianists to typically be literate, but I doubt another pianist could play a Scriabin etude off of a text message from Horowitz.

  90. A dangerous precedent? by baudbarf · · Score: 0

    [22:49] Kramer: "Doctor Performs Amputation By Text Message" - http://science.slashdot.org/science/08/12/03/2345206.shtml
    [22:49] Kramer: This time they've gone too far. Doctors are going mad with power! This is scary stuff, I'm gonna turn off my cell phone!!
    [22:49] Brianna: lol.
    [22:50] Brianna: Well, it worked...
    [22:50] Brianna: If it hadn't been available, the person could've bleed out.
    [22:50] Brianna: bled*
    [22:50] Kramer: That's what scares me! What happens if doctors start randomly texting amputations to random numbers!? I COULD BE NEXT!!
    [22:50] Brianna: LOL
    [22:51] Kramer: This could spark a whole new phenomenon of "Crank Amuptations" performed by bored and half-drunk doctors at 2 AM!
    [22:51] Brianna: OMG LOL
    [22:52] Kramer: One of these days you could wake up to find a limb or two missing, an unexpected insurance co-pay bill, and a message on your phone saying "PWNED! ROFL - M.D."

    --
    You can run but you can't hide, except, apparently, along the Afghan-Pakistani border.
  91. Re:interestingly the text message device could be by Builder · · Score: 1

    I've done a lot of work in that neighbourhood, and believe me, there's no such thing as stable reception out there. You're luck on the odd occasion that you can get a call through.

    Then you get screwed by your home operator cutting you off when you hit some predefined limit that you weren't aware was on there, and you can't call home to tell your wife that you weren't in the hotel that was shelled. Good times....

  92. Re:interestingly the text message device could be by Anonymous Coward · · Score: 0

    but I really don't need one for normal communications

    I feel sorry for you and your lack of social skills.

  93. Re:interestingly the text message device could be by NIckGorton · · Score: 5, Insightful

    What it is is fraking badass and awesome.

    Actually that is awesome. And somewhat badass. Though not fraking badass and awesome.

    Fraking badass and awesome would be for example when Dr Leonid Rogozov removed his own appendix at Vostok Station in Antarctica in 1961. Of course when your own ass is on the line, your ability to perform suck fraking badass and awesome feats generally increases exponentially.

  94. Re:interestingly the text message device could be by TeknoHog · · Score: 2, Funny

    Vowels, bowels, what's the difference?

    --
    Escher was the first MC and Giger invented the HR department.
  95. Re:interestingly the text message device could be by Fred_A · · Score: 1

    Yeah. Other counties! Haven't you heard of them? ;)
    .
    .
    .
    Are you French or American? ;)

    I don't know about France, but here in America we celebrate a diverse selection of counties.

    Here in France we have no counties whatsoever. I think the Swiss have some though.

    --

    May contain traces of nut.
    Made from the freshest electrons.
  96. Re:interestingly the text message device could be by vegiVamp · · Score: 1

    "medical street cred", now there's a phrase with interesting visuals.

    --
    What a depressingly stupid machine.
  97. Re:interestingly the text message device could be by johny42 · · Score: 1

    We're talking long distance here.

  98. Re:Surgeon able to follow instructions from surgeo by TeknoHog · · Score: 1

    On the other hand, imagine a surgeon following handwritten notes from another surgeon.

    --
    Escher was the first MC and Giger invented the HR department.
  99. Big deal! by ReedYoung · · Score: 1

    It's actually impressive, but based on the headline I was expecting a fully SMS-controlled robot. Relative to that, the real story was a let-down. Bad headline, good story.

    --
    "I can't imagine how things could get any worse!" (some guy) "That could just be failure of imaginatioÂn on your p
  100. Re:interestingly the text message device could be by et764 · · Score: 1

    To be a tad bit pedantic, there is a small chance that RF noise could cause your text message to be garbled. The digital carrier is still modulated over something that's analog, which means you might receive a 1 when you were sent a 0. Checksums and other error coding can help you detect when stuff like this happens, but it will always be possible that enough bits will flip in just the right way that you won't be able to detect the error.

  101. Re:interestingly the text message device could be by Archimonde · · Score: 1

    The voice calls to another country are extremely expensive, and in the case of DR Congo I would imagine that call would cost more than the value of the town they were in.

    So why sms messages? Because when you send a message to another country you get charged the same as you were texting anyone else in the country you are in (which is not expensive). This is the reason why they've used sms messages.

    --
    Trolls are like broken clocks. They show the truth two times a day. The rest of the day they talk nonsense.
  102. Re:interestingly the text message device could be by Anonymous Coward · · Score: 0

    If you're doing surgery, I believe you need both of your hands to do the operation. Choosing between having the guideline on how to perform a forequarter amputation as text is a much better option than having an assistant trying to request the step by step instructions through a shitty phone line.

    Yeah and as RollingThunder mentioned, roaming costs are great. Probably we'd now have one less doctor helping the people of Kongo as he couldn't afford volunteering anymore.

  103. Re:interestingly the text message device could be by Anonymous Coward · · Score: 0

    Is it possible to create an *unsecure* remote shell so that I can give my home computer commands while away?

    Yeah, I helped knock up a C implementation of this ages ago : SmS (I'm "Bob"). It's passworded, but I make no guarantees that it's secure ... in particular CJK made the max password length 5 for some reason, that really should be changed.

  104. Re:SMS Pwnage by TaoPhoenix · · Score: 1

    Damn that's a close call of which series of messages Pwned the most.

    A. Surgery
    B. Landing Aircraft.

    --
    My first Journal Entry ever, in 8 years! http://slashdot.org/journal/365947/aphelion-scifi-fantasy-horror-poetry-webzine
  105. Doctor's time vs cell phone minutes by Anonymous Coward · · Score: 0

    I think you'd be hard pressed to find a doctor to work for less than $1.75 per minute.

    Your priorities in saving money are a bit skewed if you're monopolizing a surgeon's time for several hours but your primary concern is the airtime costs.

  106. Re:interestingly the text message device could be by Defector!!! · · Score: 1

    There is a serious problem, though: text messages may never get to the destination or may get there late, in case the text server is busy or unavailable

    You mean like when the TUBES get full on the Internet? Then someone can send you an Internet, and you'd have to wait a few days....

    --
    We are the all singing, all dancing crap of the world....
  107. Re:interestingly the text message device could be by mikesd81 · · Score: 1

    I'm sure you're being funny. And I do actually walk around the bar. But some of the bars I go too w/ my friends it's easier to text them and ask where they are in the bar than try to call them w/ the music blaring or walk around drunk in a place aimlessly looking for them.

    --
    That which does not kill me only postpones the inevitable.
  108. Re:interestingly the text message device could be by mikesd81 · · Score: 1

    Should have been more specific. Same club. Hunting them down isn't always that easy when you're trying to meet up for a reason.

    --
    That which does not kill me only postpones the inevitable.
  109. Re:interestingly the text message device could be by beckerist · · Score: 1
  110. Re:interestingly the text message device could be by Muad'Dave · · Score: 1

    Or "vowells are oval" or, ...

    --
    Tiller's Rule: Never use a word in written form that you've only heard and never read. You will end up looking foolish.
  111. Re:interestingly the text message device could be by mysidia · · Score: 1

    Yes, and there's a probability that your phone spontaneously explode in a big puff of smoke, because it misinterprets the received text message as a self-destruct.

    SMS messages transmitted over GSM are protected not only by >3 bytes of checksum at the Connection Management layer, but also by the signalling method itself, and the 2-byte frame check sequence (FCS) provided by the LAP-D protocol at the datalink layer.

    These checksums are good enough to foil any errors of the physical link.

    The errors that remain are ones intentionally introduced by a malicious third party.

  112. Ow? by UNKN · · Score: 0

    Am I the only one that cringed when reading the part about taking off the collar bone and shoulder blade?

  113. Re:interestingly the text message device could be by Pope · · Score: 1

    Remove either for a real stinker.

    --
    It doesn't mean much now, it's built for the future.
  114. satellite phone by Martin+Spamer · · Score: 1

    Chances are he needed to use a satellite phone with charges of 20-40 euros/dollars a Minute.

  115. Re:interestingly the text message device could be by jonbryce · · Score: 1

    Strange seeing people finding the need to justify having a cell phone, or saying they only got one a year ago.

    In Europe, everyone has a cellphone, and there are more cellphones than people. I got my first one about 11 years ago.

  116. Re:interestingly the text message device could be by Anonymous Coward · · Score: 0

    Can I have a copy of that script?

  117. Re:interestingly the text message device could be by jonbryce · · Score: 1

    You have départments, which are essentially the same thing.

  118. Re:interestingly the text message device could be by Anonymous Coward · · Score: 0

    not to mention the flying spaghetti monster out of the quantum foam!

  119. Re:interestingly the text message device could be by iwan-nl · · Score: 2, Funny

    Biblically Forbidden Fornication?

    --
    I'm trying to improve my English. Please correct me on any spelling/grammar errors in this post.
  120. Re:interestingly the text message device could be by Rastl · · Score: 1

    This is one of my favorite things about SMS. *When* the data arrive, they arrive intact.

    You used the proper pronoun for 'data', which is the plural. You are my new hero.

  121. ARMOK=1 by TheObruniSpeaks · · Score: 1

    ...but it does sound like more fun than Boatmurder

  122. Medecins Sans Frontieres by Anonymous Coward · · Score: 0

    Or... translating the name, that would be "Doctors Without Borders", which has a presence in the USA as well.

  123. Medical mis-treatment due to abbreviations by ciaran.mchale · · Score: 1

    There is a famous story of a patient in hospital complaining of an earache. The doctor doing the rounds wrote a prescription for a nurse to fulfill. The prescription stated that several drops of a particular drug should be put in "R ear" ("R" being an abbreviation for "right").

    The nurse dutifully put the earache drops in the patients anus.

    Yes, I know this has nothing to do with texting, but abbreviations are common in text messages so I was reminded of this story.

  124. Re:interestingly the text message device could be by Lobster+Quadrille · · Score: 1

    The dots transmit fine, but the dashes can be tricky.

    --
    "The cup is in turn designed for holding hot or cold liquids, and has an open rim and closed base." --US Patent #5425497
  125. Re:interestingly the text message device could be by Lobster+Quadrille · · Score: 1

    I know a guy who amputated his own arm when it got jammed in the works of an oil rig. He's pretty hardcore.

    --
    "The cup is in turn designed for holding hot or cold liquids, and has an open rim and closed base." --US Patent #5425497
  126. Re:interestingly the text message device could be by Lobster+Quadrille · · Score: 1

    That was beautiful.

    *sniff*

    --
    "The cup is in turn designed for holding hot or cold liquids, and has an open rim and closed base." --US Patent #5425497
  127. Re:interestingly the text message device could be by sootman · · Score: 1

    Is it possible to create an *unsecure* remote shell so that I can give my home computer commands while away?

    Yes. Mail rules + AppleScript = fun. I'm linking to those because I just so happen to have heard of them; I'm sure similar things could be done with other scripting languages and operating systems. Bonus fun: if you have a Mac, you can use Apple's "say" command.

    <tt>echo "Get off the phone, Susie, I need to talk to mom" | say

    --
    Dear Slashdot: next time you want to mess with the site, add a rich-text editor for comments.
  128. Oblig by Anonymous Coward · · Score: 0

    Wow, talk about phoning it in...

  129. Re:interestingly the text message device could be by sootman · · Score: 1

    I consider data to be a mass noun, like money. "All this money is useful." "This data is inconclusive."

    http://en.wikipedia.org/wiki/Data#Usage_in_English
    http://en.wikipedia.org/wiki/Mass_noun

    Not that there's a single right answer--I'm just sayin'. :-)

    --
    Dear Slashdot: next time you want to mess with the site, add a rich-text editor for comments.
  130. How do you remotely display text messages? by tompaulco · · Score: 1

    I mean, you can't have a cell phone powered on in the hospital. It damages the equipment. Or at least that's what all the hospitals I have been to in the last ten years have indicated. Certainly if it is so horrible to have a cell phone on in the lobby, then it must be that much worse in the actual surgery room. Surely, they are not just lying to us about how bad cell phones are for the equipment.

    --
    If you are not allowed to question your government then the government has answered your question.
    1. Re:How do you remotely display text messages? by retchdog · · Score: 1

      Maybe it was once true, and they kept the ban under the same auspices mostly for confidentiality and sanity.

      --
      "They were pure niggers." – Noam Chomsky
  131. Medecins Sans Frontieres aka by Anonymous Coward · · Score: 0

    Doctors Without Borders for all you English speakers out there.

  132. Re:interestingly the text message device could be by Cowmonaut · · Score: 1

    You must live under a rock. BFF ment "best friend forever" since at least the 80's.

  133. Re:interestingly the text message device could be by PitaBred · · Score: 1

    Or you could pay for a data plan and just have all that stuff native and even secure. I SSH from my phone all the time, and even use it as a bluetooth modem when I need a real computer.

  134. Re:interestingly the text message device could be by Anonymous Coward · · Score: 0

    With a satellite phone (as a modem) and a laptop with web camera and you have teleconference. The doctor could have saved some shoulder blade bone if he scraped the bone. The gangrene affects the bone but it can be scraped or bleached to save the man's shoulder.

  135. A sad commentary on surgica education by az-saguaro · · Score: 1

    The responses to this item support the worthiness of text messaging - Amen. But there is a bleaker side to this - reflecting the deterioration of quality in surgical education, at least here in the USA, but probably elsewhere. Any vascular surgeon should know how to do a forequarter amputation, or any amputation. It's not that hard, and it is a basic concept in General Surgery, the grandaddy and pre-requisite of Vascular Surgery. It's not like this was a brain tumor or pancreatectomy, where some specialized knowledge and experience is needed. So, while the story sounds heroic, and it had a happy outcome for the patient, and it demos the value of text messaging and instant world-wide communication, even into the most remote bush or outback, please consider what this story sounds like to a seasoned surgeon:

    Hi, I'm a baker. I run our local bake shop. We make pies and cakes, bread and cookies all day long . . .
    Wow, I am so glad to be a finalist in the Food Network Pro Baker's Bake-Off, what an honor . . .
    What's that you say? Our secret bake-off challenge is to bake a muffin? Holy crap Batman, I don't know how to bake a muffin. Quick, how can I text message the Iron Chef?

    Puleeeze . . . .

    1. Re:A sad commentary on surgica education by WeirdJohn · · Score: 1

      I'm not saying you're wrong, but as someone who came close to having this op done to me, this is a tricky job. Care has to be taken with the brachial plexus, as cutting the wrong nerves leaves a patient who would rather the gangrene had done its worse.

  136. Re:interestingly the text message device could be by Golddess · · Score: 1

    Better than text-sanitize-operate-repeat.

    --
    "I'm not sure I like the fugnutish tone you used in your post!" -RogL (608926)-
  137. Re:interestingly the text message device could be by TheThiefMaster · · Score: 1

    Sure there is. Data IS a mass noun these days, no-one uses "datum/data" any more. Data is a mass noun, "37 items of" or "435 bytes of" are the units.

  138. Re:interestingly the text message device could be by Hordeking · · Score: 1

    That makes sense...
    Couldn't he just have called him on the same phone?
    Maybe I'm missing something critical here like reliability of vox vs txt in that area, but cellphone+speakerphone/wired headset/bluetooth would make more sense to me than txting.

    --
    Disclaimer: The opinions and actions of the US Gov't are in no way representative of those held by this author or its ci
  139. Re:interestingly the text message device could be by Fred_A · · Score: 1

    You have départments, which are essentially the same thing.

    Maybe. Although I'm mostly saying this because I'm not sure what counties are :)

    Departments (départements) were supposedly originally designed so they were 1 day*horse wide. There's a bit over 90 of them in mainland France but there are a few that are further away. Of course with those you presumably *could* push the horse more and try and get it to swim a bit. If it can hang on to a cluster of coconuts (it could grip it by the husk), it might even make it to the next department.

    --

    May contain traces of nut.
    Made from the freshest electrons.
  140. Re:interestingly the text message device could be by retchdog · · Score: 1

    http://www.thehardway.com/stories/survival.htm

    `I ... started sawing back and forth. But I didn't even break the skin. I couldn't even cut the hair off of my arm, the knife was so dull.'

    Wednesday he punctured the skin but realized he couldn't cut through the bone... Ralston realized he would have to break his arm.

    `I was able to first snap the radius and then within a few minutes snap the ulna at the wrist and from there I had the knife out and applied the tourniquet and went to task. It was a process that took about an hour.'

    --
    "They were pure niggers." – Noam Chomsky
  141. Re:interestingly the text message device could be by Von+Helmet · · Score: 1

    How about the woman who managed to perform a rough and ready Ceasarian section on herself. That's pretty hardcore.

  142. Re:interestingly the text message device could be by Anonymous Coward · · Score: 0

    Almost everyone in the US has had a cell phone for the last couple years. Anecdotally I'd guess they hit 50% penetration among everyone between 12 and 60 somewhere between '99 and '02. My 80 year old grandparents for some reason have three between the two of them. Granted our networks aren't nearly as integrated as yours and I suspect we therefore have bigger holes in coverage...

    GP poster is in the slim minority. Not that there's anything wrong with that.

  143. Re:interestingly the text message device could be by memprime · · Score: 0

    That article mentioned 'April 31st'. There is no 'April 31st'. I call BS.

  144. Re:interestingly the text message device could be by PingPongBoy · · Score: 1

    Now replace th doctor with a machine that passes the Turing test...

    Ergo all cell phones shold have epert sstems built in, at least as a source of knowledge on all things related to the common person: survival, first aid, cooking, dating, etc.

    --
    Know your pads. One time pad: good for cryptography. Two timing pad: where to take your mistress.
  145. Re:interestingly the text message device could be by retchdog · · Score: 1
    --
    "They were pure niggers." – Noam Chomsky
  146. Excerpt from the texting. by Anonymous Coward · · Score: 0

    Doctor: Now that the blade is clean, put on the choke and pump the primer 6 times.
    Surgeon: Okay.
    Doctor: Now pull the starter handle as fast as you can.
    Surgeon: It stopped.
    Surgeon: NM got it going. What now?
    Doctor: Wait. Give it some time to warm up a bit first.
    Doctor: Okay, let it rip. Remember, start at the fourth rib, and go up to the collarbone. DO NOT OVERCUT.
    Surgeon: OMG THERES BLOOD EVERYWHERE
    Doctor: How's it going?
    Surgeon: Good! Everything worked out great.

  147. Re:interestingly the text message device could be by DigitalCrackPipe · · Score: 1

    Please submit your comment again in voice format. I'll listen to it when I have the chance.

    Seriously, both formats have advantages in different situations. If you had even read the summary you'd see that one doctor was in the UK, one was in the Congo in a 3rd world situation. I doubt that a phone call was an option. Other advantages of text include not needing to be awake at the same hour (asynchronous communication), and being able to reference the typed text several times to ensure you got it right. Also, your claim that talking is universally more accurate than text is suspicious at best.

  148. Can't use "say" command w/o Mac? What about Linux? by KWTm · · Score: 1

    Bonus fun: if you have a Mac, you can use Apple's "say" command.
    echo "Get off the phone, Susie, I need to talk to mom" | say

    Don't go rushing off to buy a Mac just for that reason alone, now. You can easily use "espeak" on Linux to do the same thing. I've got a script that runs DCOP calls to KDE (yeah, yeah, I haven't upgraded to the DBUS-using KDE4 yet) that reads out the subject headings email messages when they arrive so I know what email has/has not arrived.

    echo "Get off the phone, Susie, I need to talk to mom" | espeak

    Of course, you might have to "sudo apt-get install espeak" (or equivalent) before that.

    --
    404555974007725459910684486621289147856453481154 in hex is "You sank my Battleship?"
    [GPG key in journal]
  149. Re:interestingly the text message device could be by StikyPad · · Score: 1

    Right, *when they arrive*.. I've had messages to/from my SO arrive as much as 2 days later. Not sure how that happens exactly, but it's been "better" since we switched to the same carrier.

    By the way, Weather.com will send you text alerts for free. http://www.weather.com/mobile/customtextmessaging.html

  150. In a Project... by Anonymous Coward · · Score: 0

    I did for my MLS program, I was reading how in Disaster planning, Texting is considered a godsend in disaster situations. It can make messages where normally phone calls can't make it, it can convey information fast, the network is all ready in place, and it's cheap. Also it's pretty generic - if a friend asked you to borrow his phone for a text, would you say no?

    After the gulf coast storm disasters, at least one big company (I'm thinking starbucks for some reason) used Texts to get in touch with scattered employees. It saved them a lot of time and money, and got them operating faster.

  151. Re:interestingly the text message device could be by Anonymous Coward · · Score: 0

    Is it possible to create an *unsecure* remote shell so that I can give my home computer commands while away? Why not..? And so friends, in brief, text messages *do* in fact have use other than LOLing ur BFF, and doing remote surgery... You can monitor your torrents, and fetch new ones, kick your pesky friend off your wireless connection, write a new cron job, the possibilities are arbitrary... Just don't let anyone use your phone...

    xkcd material right there

  152. Comment removed by account_deleted · · Score: 1

    Comment removed based on user account deletion

  153. Re:interestingly the text message device could be by glavenoid · · Score: 1

    Thank you, AC. Between your suggestion and the "pumpkin thing" from earlier today, you just lifted my spirits a little higher :-)

    --
    I, for one, am looking forward to the inevitable /. beta rollout fallout.
  154. Re:interestingly the text message device could be by Anonymous Coward · · Score: 0

    Just the other day I got a text message from my wife ("will be home soon") literally 12 hours later.

  155. Re:interestingly the text message device could be by BoothbyTCD · · Score: 1

    Yeah, it's even like there must have been a reason they couldn't talk to one another... Snark aside I'll admit I cheated and saw the report on BBC World news, since the details aren't actually in TFA. Being in the middle of nowhere Congo, he was getting really shitty signal on his phone and couldn't hear anything the guy in London was saying, so they texted the instructions instead.

    --
    snig
  156. Text message itself by iworm · · Score: 1

    The Telegraph has an interesting article on this, plus the actual text message itself. Story is at: http://www.telegraph.co.uk/health/healthnews/3565928/British-surgeon-tells-of-how-he-carried-out-amputation-via-text-message.html

    Text message was:

    Start on clavicle. Remove middle third. Control and divide subsc art and vein. Divide large nerve trunks around these as prox as poses. Then come onto chest wall immed anterior and divide Pec maj origin from remaining clav. Divide pec minor insertion and (very imp) divide origin and get deep to serrates anterior. Your hand sweeps behind scapula. Divide all muscles attached to scapula. Stop muscle bleeding with count suture. Easy! Good luck. Meirion