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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."

57 of 242 comments (clear)

  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. 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.

  4. 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

    --
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    1. 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
  5. 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 LrdDimwit · · Score: 2, Funny

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

  6. 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!"

  7. 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.

  8. Soo... by Chairboy · · Score: 5, Funny

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

    1. Re:Soo... by mathx314 · · Score: 5, Funny

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

      It's quite simple, really.

    2. 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.
    3. Re:Soo... by mikael · · Score: 5, Funny

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

      --
      Vintage computer adverts: http://www.vintageadbrowser.com/computers-and-software-ads
    4. 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.

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

      WAAH!! "Caller" bone!

  9. 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 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.
  10. 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.

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  11. 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!

  12. 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.

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  13. 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.
  14. Re:interestingly the text message device could be by Malevolyn · · Score: 3, Funny

    idk my bff jill?

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  15. 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.
  16. 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

  17. 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.

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

    --
    Any sufficiently advanced intelligence is indistinguishable from stupidity.
  18. 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.

  19. 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?

  20. 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!

  21. 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...

    --
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  22. 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.
  23. 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!
  24. 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.

  25. 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.

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    1. 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.

      --
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  26. Re:interestingly the text message device could be by mikael · · Score: 5, Informative
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  27. Please don't tell Blue Cross... by Skater · · Score: 4, Interesting

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

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

    lol. Mint condition.

  29. 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;
  30. 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;
  31. 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...

  32. Re:interestingly the text message device could be by lysergic.acid · · Score: 3, Funny

    he must be using one of those analog texting services.

  33. 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.

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  34. 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*

  35. Don't.. by BigGerman · · Score: 3, Interesting

    .. give HMOs any ideas!

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

    Butt Fuck Friday?

    --
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  37. 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.
  38. 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"

  39. 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?

    --
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  40. 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.

    --
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  41. 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.

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

    Vowels, bowels, what's the difference?

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

    Biblically Forbidden Fornication?

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