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Mexican Surgeon Uses VR Headset To Distract Patients During Surgery (bbc.com)

dryriver writes: The BBC has a longish story on a Mexican surgeon who makes his patients wear a VR headset that distracts them from the surgical procedure being performed on them. While Dr Mosso cuts and removes and stitches, the patient flies through a 3D VR re-creation of Machu Picchu or other fantastical places, oblivious to being in an otherwise -- for many patients -- stress inducing surgical setting. This removes the need to give patients powerful sedatives or painkillers to keep them calm and prevent their blood pressure from fluctuating. The surgeon only anesthetizes the part of the body where the surgery is performed, while the patient is absorbed in colorful and immersive VR worlds. An excerpt from the report: "The surgeon makes his first cut and blood spills down Ana's leg. She's surrounded by medical equipment -- stools, trolleys, swabs, syringes -- with super-bright surgical lamps suspended above the bed. Her vital signs are displayed on monitors just behind. But Ana is oblivious. She's immersed in a three-dimensional re-creation of Machu Picchu. She begins her journey with a breathtaking aerial view of the ancient city clinging to the mountainside, before swooping down to explore the details of stepped terraces, moss-covered walls and tiny stone huts. Mosso watches her carefully. A 54-year-old surgeon at Panamerican University in Mexico City, he's on a mission to bring virtual reality into the operating room. Mosso is using VR as a high-tech distraction technique, allowing surgeons to carry out operations that would normally require powerful painkillers and sedatives, with nothing more than local anaesthetic. He's trying to prove that reducing drug doses in this way not only slashes costs for Mexico's cash-strapped hospitals, but cuts complications and recovery times for patients too."

115 comments

  1. Sure. by Anonymous Coward · · Score: 0

    A virtual aerial tour of an archeological site is going to make me forget that someone is going all Ginsu knife on my appendix. OK.

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

      Notice that his heart rate has slowed somewhat. He is becoming accustomed to the horrors he is witnessing. So, we change horrors.

    2. Re:Sure. by Imrik · · Score: 4, Insightful

      You might not forget, but it plus the local anesthetic makes it easy to ignore.

    3. Re:Sure. by Ol+Olsoc · · Score: 5, Interesting

      You might not forget, but it plus the local anesthetic makes it easy to ignore.

      You can definitely ignore it.

      After one of my many Hockey accidents, I had to get a bunch of metal put into my lower leg and near my ankle. During prep for surgery, they gave me a nice shot of "I don't give a damn". It wasn't a pain killer, but I gotta tell ya, I was one unconcerned person. With that, and a spinal tap. I was awake for the whole procedure. A little foggy, but I was conversing the whole time with the surgeons.

      It was actually kinda cool, because I had questions about the various machinery they were using. They told the wife I must either be a scientist or an engineer for all my yapping. Regardless, without the shot of happy juice, I wouldn't have had such an enjoyable experience. Wish I knew what it was.

      But if we want to talk about the Icewater boot on me that sprung a leak in the middle of the night, and dumped a few gallons of really cold water on the family jewels - that part of the hospital visit sucked.

      --
      The shepherds did so well protecting the flock that the sheep no longer believed that wolves existed.
    4. Re:Sure. by Anonymous Coward · · Score: 0

      Probably a benzo

    5. Re:Sure. by Carewolf · · Score: 1

      You might not forget, but it plus the local anesthetic makes it easy to ignore.

      You can definitely ignore it.

      After one of my many Hockey accidents, I had to get a bunch of metal put into my lower leg and near my ankle. During prep for surgery, they gave me a nice shot of "I don't give a damn". It wasn't a pain killer, but I gotta tell ya, I was one unconcerned person. With that, and a spinal tap. I was awake for the whole procedure. A little foggy, but I was conversing the whole time with the surgeons.

      It was actually kinda cool, because I had questions about the various machinery they were using. They told the wife I must either be a scientist or an engineer for all my yapping. Regardless, without the shot of happy juice, I wouldn't have had such an enjoyable experience. Wish I knew what it was.

      Morphine or another strong opiods, That's what they do that make them valuable dispite being addictive. They make you not care about pain or unpleasant things. It is also why they are still used in caugh syrup. It is much better at making you ignore tickling or soreness in the throat than any other medication.

    6. Re:Sure. by Anonymous Coward · · Score: 0

      Err, no. Opiods directly control pain, not make you not care about it. That only happens if you get high.

    7. Re: Sure. by Anonymous Coward · · Score: 1

      I could certainly use some shots of this so called "I don't give a damn" for my day job. That prescription seems about right and not too strong like the "I don't give a single flying fuck" that I think others have taken instead.

    8. Re:Sure. by rainmouse · · Score: 1

      Assuming you aren't allergic or just avoiding the operation from fear of general anaesthesia.
      Sorry for the old article, but worth considering.
      http://healthland.time.com/201...

    9. Re:Sure. by demonlapin · · Score: 1

      Opioids aren't really sedatives in that sense. That was almost certainly a benzodiazepine, probably midazolam if done in the past twenty to thirty years, or diazepam before that. There was probably a bit of morphine in the spinal anesthetic, though, because it's good for about 24 hours of pain relief if given spinally.

    10. Re:Sure. by Ol+Olsoc · · Score: 1

      Morphine or another strong opiods, That's what they do that make them valuable dispite being addictive. They make you not care about pain or unpleasant things.

      Not in this case at least. Opioids and I don't get along well, they dull the pain a little, then a momentary rush of euphoria, followed immediately by the room taking a 90 degree shift, and me breaking out in a sweat and puking.

      Not certain why, but I'd be the last person to develop a opiate addiction.

      --
      The shepherds did so well protecting the flock that the sheep no longer believed that wolves existed.
    11. Re:Sure. by Anonymous Coward · · Score: 0

      Morphine or another strong opiods, That's what they do that make them valuable dispite being addictive. They make you not care about pain or unpleasant things.

      Not in this case at least. Opioids and I don't get along well, they dull the pain a little, then a momentary rush of euphoria, followed immediately by the room taking a 90 degree shift, and me breaking out in a sweat and puking.

      Not certain why, but I'd be the last person to develop a opiate addiction.

      Hmm, could be liver failure.

    12. Re:Sure. by jdharm · · Score: 1

      I went to the ER once with what was probably a pinched nerve. I was having a pain that, at that time, was the worst pain I'd ever felt in my life. After the ER finally decided I wasn't a drug seeker they gave me a shot of something. I remember laughing out loud and telling my wife that it didn't do a thing for the pain because I could tell it was a bad as it ever was but I just didn't care any more. It was awesome.

    13. Re:Sure. by shaitand · · Score: 1

      Opiates disrupt nerve signals reducing pain sensations but they also make you not care about the pain as much and that is the piece that has the biggest impact. Ever have a strong headache and at some point get distracted for a spell by a TV show or something else that absorbs your attention? During that spell you experience zero pain and the minute your attention comes back to the headache it all comes back. The direct pain relieving aspect of opiates reduce the "volume" of the acute pain while the "high" part if you will makes it very easy to get absorbed in a distraction, enough of it and the distraction can just be a train of thought or at the extreme the warm dozing calm state it provides. This is why other drugs which trigger similar pain reducing effects but that don't get you high are ineffective for serious pain. Nothing that works by directly acting on pain also leaves you able to exercise motor control. The drugs which work well enough to do this for the kind of pain opiates are prescribed for are used to anesthetize you for surgical procedures.

      Some pain killers are other classes of drug entirely and meant to reduce inflammation and that sort of thing, reducing inflammation helps to make pain manageable with opiates but is not a substitute.

      The prevalence of opiate addiction in the US is absolutely no justification for the pressure on doctors not to prescribe opiates. The drugs meant to replace opiates are fine supplements but worthless as replacements. It's sad there are addicts in the world and it is a real medical problem, we shouldn't deny even one person who an opiate would be marginally more effective at managing their pain that opiate to reduce the number of addicts. Especially because those measures don't work.

    14. Re:Sure. by shaitand · · Score: 1

      Sounds like taking them on an empty stomach, taking too much (which is completely personal), or taking the wrong ones like Tramadol. Tramadol is not supposed to be addictive, although it has been found it is still addictive doctors still ignore that revelation and treat it like it is a safer alternative. Tramadol is a poor painkiller, maybe on level with tylenol with codeine and carries the worst of what can happen with too much hydrocodone as a normal side effect. With correct dosing you'll be a little warm or cold and periodically itchy.

      If it is taking too much while still only taking what the doc suggested take them anyway for a few days and you'll quickly adjust. Also, you can be active on opiates but their pain relieving effect is minimal that way. The right answer is to cuddle up in a bed with the light off and don't stress or fight the fading in and out.

    15. Re:Sure. by Ol+Olsoc · · Score: 1

      Morphine or another strong opiods, That's what they do that make them valuable dispite being addictive. They make you not care about pain or unpleasant things.

      Not in this case at least. Opioids and I don't get along well, they dull the pain a little, then a momentary rush of euphoria, followed immediately by the room taking a 90 degree shift, and me breaking out in a sweat and puking.

      Not certain why, but I'd be the last person to develop a opiate addiction.

      Hmm, could be liver failure.

      Considering that the operation was in 1996, I'd dead by now.

      --
      The shepherds did so well protecting the flock that the sheep no longer believed that wolves existed.
    16. Re:Sure. by Ol+Olsoc · · Score: 1

      I went to the ER once with what was probably a pinched nerve. I was having a pain that, at that time, was the worst pain I'd ever felt in my life. After the ER finally decided I wasn't a drug seeker they gave me a shot of something. I remember laughing out loud and telling my wife that it didn't do a thing for the pain because I could tell it was a bad as it ever was but I just didn't care any more. It was awesome.

      Ahh - good times! 8^)

      I know for the short time I had the burst of euphoria before geiing ill, it felt damn good.

      --
      The shepherds did so well protecting the flock that the sheep no longer believed that wolves existed.
    17. Re:Sure. by Ol+Olsoc · · Score: 1

      The prevalence of opiate addiction in the US is absolutely no justification for the pressure on doctors not to prescribe opiates. The drugs meant to replace opiates are fine supplements but worthless as replacements. It's sad there are addicts in the world and it is a real medical problem, we shouldn't deny even one person who an opiate would be marginally more effective at managing their pain that opiate to reduce the number of addicts. Especially because those measures don't work.

      Which by the way, brings up one of the major failures of the war on drugs. Opiates. Many of the people who are now hooked on heroin, were once vicodin et al patients. So they get cut off from relatively benign drugs (the acetaminophen in Vicodin is more harmful) and turn to cheaper and illegal heroin. It's not the only group of course. But if people are using something like vicodin for a long time, th euse needs monitored and a withdrawal program needs to start.

      One ting is for certain, there are two groups that want as many drugs as possible to be illegal. That's drug cartels and politicians. On this matter, they are on the same side.

      --
      The shepherds did so well protecting the flock that the sheep no longer believed that wolves existed.
    18. Re:Sure. by Anonymous Coward · · Score: 0

      After one of my many Hockey accidents, I had to get a bunch of metal put into my lower leg and near my ankle....

      Not really same experience, but when I had my wisdom teeth removed they put me under laughing gas. I understand now why they call it that. I personal felt pretty talkative all things considering with what I think you mean by "I don't give a damn" sprinkled on top. I am pretty tolerant to bio (blood, crap, etc) but when my blood sprayed all over nurse standing in front of me I most certainly felt a lot less concerned than expected. Even entertained I would say.

      Point is laughing gas and whatever they gave you may act using similar mechanism. Not that I feel the need to repeat your experience, I would have to say that being aware during operation in the similar manner could be an interesting one. Given a choice, I would probably opt in to stay conscious.

    19. Re: Sure. by Anonymous Coward · · Score: 0

      Without a doubt you had midazolam, or it's trade name Versed. It's what we give our patients right before we leave preop an head to the OR. I like to tell them it's like a six pack that his you in 60 seconds. And by the way, you didn't have a Spinal tap". You had a "Spinal", short for Spinal anesthetic. Like an epidural, but only a single shot without the continuous catheter.

    20. Re:Sure. by minstrelmike · · Score: 1

      Opium has been illegal for thousands of years so "obviously" that's a solved problem (sarcasm).

      Read a history of opium and it's an expensive drug to produce by hand without technology. The reason it's been around for so long is because it actually works on many used-to-be-common diseases such as TB. With the rise of new anitbiotic-resistant superbugs, perhaps a resurgence in opium is to be expected.

      On a political note, I wonder how much money Afghanistan could make if opium were legal and they were allowed to grow it there instead of having Tasmania be the only place they grow legal opium poppies.

    21. Re:Sure. by shaitand · · Score: 1

      "But if people are using something like vicodin for a long time, th euse needs monitored and a withdrawal program needs to start."

      Not necessarily. We say "addicted" like it is this terrible and harmful thing that must be stopped at all costs. Everyone is addicted to sugar, most are addicted to caffeine, a huge portion of your insurance rates are because of people addicted to the endorphins your body generates in response to exercise.

      Someone who takes Vicodine for a long time will be physically addicted to it without question. So long as the amount they take is limited to reasonable levels there is no particular reason to force them off it and frankly there is no moral justification for pretending you are their parent and have a right to even limit to those reasonable levels let alone restrict like we do now. We'd do far better spreading information about the risks, safe dosing, etc along with changing this attitude we spread to support addiction clinic business models. Quitting an addiction is damn hard and nobody has the right to judge but telling these people they can't do it on their own and have to give in to a higher power is just feeding into the self-reenforcing delusion that they can't quit or control their behavior. The only way to quit an addiction is to find the mental and psychological strength to break fight the part of yourself that doesn't want to quit and finds any excuse including "its too hard" to give in.

    22. Re:Sure. by Carewolf · · Score: 1

      Morphine or another strong opiods, That's what they do that make them valuable dispite being addictive. They make you not care about pain or unpleasant things.

      Not in this case at least. Opioids and I don't get along well, they dull the pain a little, then a momentary rush of euphoria, followed immediately by the room taking a 90 degree shift, and me breaking out in a sweat and puking.

      Sounds like my reaction. If your body reacts like mine, you could have been given Ambian or another hypnotica sleep-medication. If it fails to work on me, it just makes me chatty and weird instead. I know in one procedure where they gave me something to drift of shortly, it didn't work but instead made me curios about what was going on and very chatty.

  2. Everyone is different by burtosis · · Score: 1

    I would probably be less comfortable with a vr headset on.

    I've watched myself be cut open once and stitched up 7 times, always with a keen sense of curiosity and interest. It's never freaked me out in the slightest, probably the same reason I've needed to be patched up so much. Well, the one time I was only getting five stitches and the ER was really busy so I got left for an hour and a half after being anesthetized, the doctor said to just suck it up even though it had basically worn off.

    1. Re:Everyone is different by lucm · · Score: 1

      I've watched myself be cut open once and stitched up 7 times

      Do you work as a bouncer in a road house, or are you just a mean drunk?

      --
      lucm, indeed.
    2. Re:Everyone is different by Anonymous Coward · · Score: 1

      His name is burt and he has halitosis. Guys just instinctively want to beat him up.

    3. Re:Everyone is different by Ol+Olsoc · · Score: 1

      I would probably be less comfortable with a vr headset on. I've watched myself be cut open once and stitched up 7 times, always with a keen sense of curiosity and interest. It's never freaked me out in the slightest, probably the same reason I've needed to be patched up so much. Well, the one time I was only getting five stitches and the ER was really busy so I got left for an hour and a half after being anesthetized, the doctor said to just suck it up even though it had basically worn off.

      I thought I was going to be the only one who was more curious than freaked out. The one time I had a more major operation I was asked, and I said I damn well wanted to be awake. So a happy shot and spinal, and I bugged the surgeons the whole time. I don't think they are used to their patients carrying on conversations with them.

      --
      The shepherds did so well protecting the flock that the sheep no longer believed that wolves existed.
    4. Re:Everyone is different by Immerman · · Score: 5, Funny

      Yeah, I'm on the fence about getting knocked out for surgery.

      On the one hand I'm not squeamish, and find it interesting to watch them work.

      On the other hand, if the doc is doing something delicate I'd just as soon there not be some doped-up engineer in the room distracting them while they work.

      --
      --- Most topics have many sides worth arguing, allow me to take one opposite you.
    5. Re:Everyone is different by demonlapin · · Score: 3, Interesting

      You can't really watch them work - surgeons want a sterile field, and anesthesiologists prefer not to run the risk of getting splattered with bodily fluids. So we put up drapes to isolate the sterile field, and that's about all you can see as a patient. I can stand up and look over them to see how the operation is going, but you can't.

      My wife broke her arm four or five years ago after tripping over the cat (cats are Satan's minions, I tell you), and she watched me do her nerve block under ultrasound. She (neurologist) thought that was pretty cool. But that was for post-op pain relief, not for the surgery - she was under general anesthesia during the case. Side note: if offered a nerve block, take it. A former partner in my group broke his ankle some years back and used to call one of his friends to come do a nerve block every afternoon so that he could sleep all night without pain. If I had been able to get one of the ultrasound machines home when my wife broke her arm, I'd have done the same.

    6. Re:Everyone is different by Wycliffe · · Score: 1

      I've watched myself be cut open once and stitched up 7 times

      Do you work as a bouncer in a road house, or are you just a mean drunk?

      My guess would be some sort of high risk hobby like skateboarding, motorcross, or MMA cage fighting.

    7. Re:Everyone is different by sconeu · · Score: 1

      For C-sections, they will put a mirror up over the drape, if the mother wants to watch.

      My wife watched, I didn't.

      --
      General Relativity: Space-time tells matter where to go; Matter tells space-time what shape to be.
    8. Re:Everyone is different by demonlapin · · Score: 1

      Never seen that, but I guess you could. Not really much to see from that angle, though. Our OB's hang the baby over the top of the drape before handing them off for the initial checkout.

    9. Re:Everyone is different by sconeu · · Score: 1

      My wife was a nurse. She wanted to see everything. Me? Not so much.

      And with our first, I didn't have time to get dressed and in the delivery room anyways... Baby went into distress and... WHOOSH ... out of the labor room in into the delivery room for an emergency section. She was pissed that they didn't have time to put up the mirror.

      --
      General Relativity: Space-time tells matter where to go; Matter tells space-time what shape to be.
    10. Re:Everyone is different by demonlapin · · Score: 1

      You made a wise choice. Every once in a while, we will have a father who wants to watch the C section. "Have you ever seen surgery before?" is the immediate question. If the answer is "no", we advise them to stay seated, lest they pass out.

      There are always several med students who pass out during their first surgical rotation, even though they've all been through the process of carving up an entire human during gross anatomy.

    11. Re:Everyone is different by sconeu · · Score: 1

      Heck, it was so fast, it was over before I even finished gowning up.

      For our second, there was time for the mirror. I just didn't look.

      --
      General Relativity: Space-time tells matter where to go; Matter tells space-time what shape to be.
    12. Re:Everyone is different by CanadianMacFan · · Score: 1

      Hockey player.

    13. Re:Everyone is different by sir-gold · · Score: 1

      If it's anything like my experiences, local anesthetic removes the feeling of pain, but doesn't remove sensation entirely, so you can still feel what the doctor is doing somewhat. Normally your only options are to either watch what they are doing, or close your eyes and try to ignore it all (or the more dangerous 3rd option, sleep through it via general anesthetic). VR fits into the second category, by both blocking hearing and vision, and by making it far easier to ignore everything going on in the outside world.

  3. Substitute "Acupuncture" for "VR" by mykepredko · · Score: 1

    I'm old enough to remember when acupuncture was brought in for basically all the reasons listed in TFA. Same hype, same claimed benefits and successes.

    Maybe there's something to the idea of distracting the brain to reduce the need for anesthetic during surgery, but it's been 40+ years since the first "breakthroughs" using acupuncture and how many surgeons today are using acupuncture during various procedures to eliminate the need for anesthetics?

    1. Re:Substitute "Acupuncture" for "VR" by Anonymous Coward · · Score: 0

      No, that had a different purpose. The acupuncture replaced the painkiller, but the VR headset replaces the sedative. They still use anaesthetic.

    2. Re:Substitute "Acupuncture" for "VR" by sir-gold · · Score: 1

      VR is there to keep the patient distracted from the small amount of pulling/tugging sensation that is left over after the anesthetic kicks in.

      It's meant to treat the mental pain of being cut-into while still awake.

  4. I could have used this ... by CaptainDork · · Score: 1, Redundant

    ... when I got my vasectomy.

    Guys at work had been pulling on surgical tubing all week, making my nuts draw up into my jaw.

    The doctor put me on a slab with a curtain blocking my view of him. All I could think of was that damned surgical tubing and suddenly ... ... it was a warm, sunny day and I was opening a gate of a picket fence and I was feeling very glad to be going into a cottage where my wide was waiting.

    When I came to, the slab was tilted where my head was near the floor and my feet were way up.

    The doctor said I had passed out. He said he believed I held my breath the whole fucking time he was working on me!

    Then he tells me he needed to patch me up and we could do the other one next time.

    I told him, do the other side. If I leave here, I'm never coming back.

    And remove that goddam curtain!

    And get the nurse to come over and talk to me.

    He did all that and I chatted up the nurse with small talk.

    So, this idea would have been really helpful, especially if the VR was porn and stuff.

    --
    It little behooves the best of us to comment on the rest of us.
    1. Re:I could have used this ... by lucm · · Score: 1

      ... when I got my vasectomy.

      Why bother with a vasectomy

      Now that AIDS and hep c can be treated, a bastard child that knocks at your door twenty years down the road is the only risk in bareback sex with a prostitute or intern. Vasectomy solves that.

      --
      lucm, indeed.
    2. Re:I could have used this ... by Anonymous Coward · · Score: 0

      yikes, triggered much?

    3. Re:I could have used this ... by Anonymous Coward · · Score: 0

      Now that AIDS and hep c can be treated, a bastard child that knocks at your door twenty years down the road is the only risk in bareback sex with a prostitute or intern. Vasectomy solves that.

      Since you mentioned AIDS, I seriously want to know the demography of 40-year-old virgins, because it's been 35 years since AIDS was discovered, and there have to be at least some bastard children out there who were raised to believe sex is too risky because of that incurable disease.

    4. Re:I could have used this ... by Anonymous Coward · · Score: 0

      As a 30 year old virgin, the only sex education our school gave us was poor quality diagrams with fill-in-the-blank labels for all the parts. Then we had to watch high resolution pictures of all the horrible ways your dick can get infected and fall off and how you'll be broke spending the rest of your life eating pills with bad side effects while society shuns you. AIDS wasn't too bad, you only died from that one. Heaven help you if you got the clap.

      Fuck those 'educators' and the school boards who decided on it.

    5. Re:I could have used this ... by Dahamma · · Score: 3, Funny

      So, this idea would have been really helpful, especially if the VR was porn and stuff.

      I'm pretty sure porn is the one thing you don't want to watch while getting a vasectomy. (Maybe the other would be botched vasectomy surgeries)

    6. Re:I could have used this ... by Anonymous Coward · · Score: 1

      Wow, what a fucking wimp. Tell me again about your problems when you have a doctor putting a chest tube in you with only local. Now that, that will make you freak out.

    7. Re:I could have used this ... by CaptainDork · · Score: 1

      I'm from Texas.

      "Porn," in this context, would have been a soothing VR experience of a tin roof and porn down rain.

      --
      It little behooves the best of us to comment on the rest of us.
    8. Re:I could have used this ... by Dahamma · · Score: 1

      I'm from Texas.

      "Porn," in this context, would have been a soothing VR experience of a tin roof and porn down rain.

      If you say so. Though from my understanding golden showers were more of interest to (certain) New Yorkers...

  5. Cheap Bastard by Anonymous Coward · · Score: 0

    He's just trying to perform surgery on the cheap. He doesn't want to split the bill with an Anesthesiologist .

    1. Re:Cheap Bastard by Anonymous Coward · · Score: 0

      Actually it's a lot easier to verify the VR equipment is working properly than it is to verify the anesthesiologist isn't drunk and high and incompetent.

    2. Re:Cheap Bastard by lucm · · Score: 4, Insightful

      A lot of people die because of miscalculated anesthesia. Not a lot of people die of bad VR.

      --
      lucm, indeed.
    3. Re:Cheap Bastard by clickety6 · · Score: 1

      A lot of people die because of miscalculated anesthesia. Not a lot of people die of bad VR.

      Have you never seen The Lawnmower Man? ;)

      --
      ----------------------------------- My Other Sig Is Hilarious -----------------------------------
    4. Re:Cheap Bastard by demonlapin · · Score: 1

      It's more that the surgeries that can be done under local only are much smaller, much less invasive, and generally the sort of thing that is done on healthy people. Much different from the 85-year-old with complete kidney failure and a bad heart who has a ruptured bowel.

      I don't often do it, but I have on occasion told people that there was a substantial risk of death during surgery. They went ahead because, well, the risk of death without surgery was even bigger.

      Anesthesia isn't really about calculation - it's about preparation and quick reaction. Everyone is different, and you have to be ready to jump on whatever is wrong with them. Also, surgeons sometimes throw us under the bus.

  6. It's the WORST DEAL of all time! by Anonymous Coward · · Score: 0

    People going to Mexico to have surgery done by incompetents. Total disaster. The entire world is laughing at us. I alone can fix this!

    1. Re:It's the WORST DEAL of all time! by Anonymous Coward · · Score: 0

      A wall to solve it all!

  7. Bleeding edge? by Anonymous Coward · · Score: 0

    Wow, talk about being on the cutting edge!

  8. Great idea by Anonymous Coward · · Score: 1

    Look, think about if you were at the dentist. All you have to do is keep your mouth open, right? Watching some stuff on a vr headset would be great. The dentist needs the bright light above you so he can't just suspend a TV (plus you could still see the distractions) but a vr headset isolates the view.

    I think it's genius.

    1. Re:Great idea by lucm · · Score: 1

      I think it's genius.

      The guy is being at best inventive or resourceful. Sagacious would also be acceptable. Genius? No. Maybe you need to re-calibrate your sense of amazement.

      --
      lucm, indeed.
    2. Re:Great idea by grumbel5969 · · Score: 1

      It's not exactly a new idea, people have been doing that since the 90's. Selling VR headsets to dentists was one of the way VR companies kept themselves afloat after the consumer market couldn't really get any traction.

    3. Re:Great idea by Anonymous Coward · · Score: 1

      Look, think about if you were at the dentist. All you have to do is keep your mouth open, right? Watching some stuff on a vr headset would be great. The dentist needs the bright light above you so he can't just suspend a TV (plus you could still see the distractions) but a vr headset isolates the view.

      I think it's genius.

      Well, actually, at the kids' dentist, they DO have a tv suspended above the chair, playing disney movies.

  9. What about nausea? by Michael+Woodhams · · Score: 4, Informative

    Many people get motion sickness when in a VR with a moving viewpoint. Having your patient suddenly sit up and vomit would probably not be a good idea during surgery. The simplest solution would probably be to test them on the VR first to see if they are nausea-prone, and choose the surgery VR experience based on that.

    --
    Quattuor res in hoc mundo sanctae sunt: libri, liberi, libertas et liberalitas.
    1. Re:What about nausea? by Dutch+Gun · · Score: 2

      Given that the patient is "watched carefully", I'm guessing this is one of the things that they're looking for. You'll also notice that a relatively benign VR program was chosen - not a virtual rollercoaster ride, for instance.

      They're in a hospital, so I'd imagine they have access to some reasonably effective anti-nausea medicine, even if the patient is slightly prone to that. Anecdotally, I've heard that most people don't seem to suffer from motion sickness, so it still seems worthwhile even if you have to exclude one out of ten patients or so.

      --
      Irony: Agile development has too much intertia to be abandoned now.
    2. Re:What about nausea? by AmiMoJo · · Score: 1

      Motion sickness tends not to happen if you carefully limit the VR experience. Stationary camera, or one that only moves slowly in one direction like a TV camera on rails. It's the disassociation between the body's sense of acceleration and what the eyes are seeing that causes problems, so if there is no acceleration (i.e. change of direction) in the VR sim it's usually fine.

      --
      const int one = 65536; (Silvermoon, Texture.cs)
      SJW, n: "Someone I don't like, and by the way I'm a fuckwit" - AC
    3. Re:What about nausea? by decipher_saint · · Score: 1

      If you get nausea simply focus on the pain

      --
      crazy dynamite monkey
    4. Re:What about nausea? by Anonymous Coward · · Score: 0

      Many people get motion sickness when in a VR with a moving viewpoint. Having your patient suddenly sit up and vomit would probably not be a good idea during surgery.

      Fair enough. That however is pretty subjective. I expect they make sure patient can take it. From personal experience, as someone who worked on ships and helicopters, I felt almost no discomfort in the first 15 min of using Occulus DK2. Whatever discomfort I did feel went away pretty quickly. I think if VR is used on a regular basis little bit at a time, it has a potential to cure any type of motion sickness. Brain just needs to compensate.

  10. I Wanna Watch by rally2xs · · Score: 1

    Distractions? H no, if its not such a big deal as to require a general anesthetic, then I want to watch in as much detail as possible. Open heart surgery or maybe a prostatectomy? Nope, too big a deal, and would trigger unhelpful actions if they went wrong 'cuz that'd scare me, but, say, surgery to repair broken bones, or remove something not in vital organ areas, yeah, I wanna see...

    1. Re:I Wanna Watch by lucm · · Score: 1

      remove something not in vital organ areas, yeah, I wanna see...

      I would be curious to see your Youtube history.

      --
      lucm, indeed.
  11. general vs local anesthesia? by Anonymous Coward · · Score: 0

    ive been under general anesthesia once at which time i had a cardiac issue so they started to wake me up, as i understood it, in the semi-revived state i was not as numb and felt a lot of pressure...think gastro and colon inspection with a mandingo camera. i wouldve liked to fall asleep and wake up in blissful ignorance...unless they were showing some POV porn it was awful. my experience with local anesthesia(more then a dental appt) was an oral surgery wisdom teeth removal on one side. they shot me up and let it settle in, i got so dizzy and nauseous that i crawled out of the chair..only lying on the office floor did i start to get relief. i ok'd moving on without issue as i started to feel better after a while(they didnt notice i was on the floor for a while). so what exactly is this saving? maybe for c-sections nd perhaps brain surgery where they must be awake unless tv is wrong.

    1. Re:general vs local anesthesia? by Immerman · · Score: 1

      If you have adverse reactions to anesthesia, then maybe this isn't a good idea for you. But what does that have to do with the other 90% of the population?

      --
      --- Most topics have many sides worth arguing, allow me to take one opposite you.
  12. high tech mind tricks by swell · · Score: 3, Interesting

    Nice for those hospitals who can afford high tech entertainment devices and the attendant communication systems required. Could be iffy though if there is a bad connection.

    There is a better way to 'distract' the patient. Hypnosis. It's free aside from the need for a skilled operator. No equipment or communication devices required. The operator doesn't even have to be present in the arena.

    Not only can hypnosis distract the patient, it can allow the patient to participate in the procedure. Being fully aware, the patient can move muscles, control blood flow and report to the surgeon various sensations.

    Countless births and surgical operations have been enhanced with hypnosis. I personally had three teeth pulled with only a mild hypnotic sedation. There was no pain, no bleeding at the time or after although I was fully aware of the crunching of bone during the extraction and the vigorous muscle applied to get those molars out. I spit chunks of bone for several days after.

    Hypnosis is associated with magic in the uneducated mind. It's a shame. There is no more natural way to be in tune and in control of our bodies and minds.

    --
    ...omphaloskepsis often...
    1. Re:high tech mind tricks by gwolf · · Score: 3, Interesting

      Nice for those hospitals who can afford high tech entertainment devices and the attendant communication systems required. Could be iffy though if there is a bad connection.

      Right. I am a Mexican. I laughed when I read the summary's Mexico's cash-strapped hospitals (copied straight from TFA)... Yes, our public health care system is cash-strapped. Our private hospitals? I don't think a first-world hospital has much to offer than what we do here. Although the article mentions very poor regions in Guerrero state (South), I really doubt the described case happened there.

      Not only can hypnosis distract the patient, it can allow the patient to participate in the procedure. Being fully aware, the patient can move muscles, control blood flow and report to the surgeon various sensations.

      Ugh. By far, not my cup of tea.

      I personally had three teeth pulled with only a mild hypnotic sedation. There was no pain, no bleeding at the time or after although I was fully aware of the crunching of bone during the extraction and the vigorous muscle applied to get those molars out. I spit chunks of bone for several days after.

      You should change your dental specialist. I have a molar pulled out. A mild shot of local anesthesia, and I was completely aware of everything happening throughout the procedure. Yes, the crunching during extraction is... Quite impressive. But the tooth goes out easily. I had a swollen gum for some days, no t a single residual piece of tooth.

    2. Re:high tech mind tricks by Jeremi · · Score: 1

      Nice for those hospitals who can afford high tech entertainment devices and the attendant communication systems required.

      According to the article, one of the benefits of the VR is that it is cheaper than the additional drugs that would have to be given without it. i.e. you buy one Gear VR and keep using indefinitely, rather than having to buy more sedatives for every patient.

      As for hypnosis, the requirement for a skilled operator is the catch. How many doctors are also sufficiently good at hypnosis that they could rely on it to sedate a patient?

      --


      I don't care if it's 90,000 hectares. That lake was not my doing.
    3. Re:high tech mind tricks by Immerman · · Score: 1

      Why would you expect the doctor to be good at hypnosis? You'd want to bring in a good hypnotist, just like you currently bring in a good anesthesiologist. It's a good bet the hypnotist is a lot cheaper, and is far less likely to kill the patient if they screw up.

      VR though would be radically cheaper even than that. $2000 would get you considerably better equipment than you need, which over the course of a year that would probably work out to roughly $0 per patient.

      --
      --- Most topics have many sides worth arguing, allow me to take one opposite you.
    4. Re:high tech mind tricks by umafuckit · · Score: 1

      I personally had three teeth pulled with only a mild hypnotic sedation.

      No local anesthetic?

    5. Re:high tech mind tricks by Anonymous Coward · · Score: 0

      Hypnosis is associated with magic in the uneducated mind. It's a shame. There is no more natural way to be in tune and in control of our bodies and minds.

      Unfortunately hypnosis just doesn't work on some people.

    6. Re:high tech mind tricks by Oligonicella · · Score: 1

      There is a better way to 'distract' the patient. Hypnosis.

      Actually, that's pretty much backwards: 'Another name for distraction is hypnosis'.

      Nothing empirically special can be found to identify hypnosis. Indeed, from the above article:

      The upshot is there's no consistent and agreed-on set of procedures among practitioners. Any therapeutic incident can be considered hypnotherapy--as long as a therapist says it is.

      So, a therapist calling VR "hypnotherapy" meets the goal simply by naming it so. But, I agree with you , I just say it differently - "Health care givers need to learn better and more varied assurance techniques."

      Again, from same article:

      Roughly 15 percent of the population is held to be highly hypnotizable. About 25 percent are thought to be not hypnotizable at all.

      One quarter of us can't be hypnotized and 60% are on a scale between. Don't throw out the juice or knockout gas just yet.

    7. Re:high tech mind tricks by dfm3 · · Score: 1

      Right. I am a Mexican. I laughed when I read the summary's Mexico's cash-strapped hospitals (copied straight from TFA)... Yes, our public health care system is cash-strapped. Our private hospitals? I don't think a first-world hospital has much to offer than what we do here. Although the article mentions very poor regions in Guerrero state (South), I really doubt the described case happened there.

      This says a lot about the state of the health care system in the USA, but as a US citizen who has traveled to Mexico for medical care at a private hospital, I can say that the quality of care and the cost were far better than what we could get here in the states. My wife and I traveled to Mexicali to have an elective surgery performed by a doctor who was one of the top surgeons in the world for this particular procedure, and the cost of flights, hotels, a "mini vacation" in Baja California, plus the hospital bill was LESS than our insurance deductible had we stayed in the US. I train pre-nursing students for a living, and am very familiar with our health care system, and I'll just say that I was very impressed with the whole experience. We even had a chance to meet many folks from California who traveled across the border regularly for routine procedures, including one family who told us that they drive all the way from Los Angeles every 6 months for dental checkups. I admit I'm very ignorant of Mexico's public hospital system, but when you have a whole "medical tourism" industry that attracts a steady steam of patients from the states, does not speak well of the current health care system in the US...

    8. Re:high tech mind tricks by Anonymous Coward · · Score: 0

      Being fully aware, the patient can move muscles, control blood flow

      Oooh, that's a neat trick....

      and report to the surgeon various sensations.

      "F*CK THAT HURTS!"

    9. Re:high tech mind tricks by Bryan+Ischo · · Score: 1

      Bullshit. I don't believe it. I just simply cannot believe that another person can TALK to you in a certain way and completely change your state of consciousness. I refuse, absolutely refuse, to believe that it's any more than quackery that people will believe because they really, really want to believe it.

      Close minded I may be, but I'm not easily fooled either.

  13. depends on the VR by Anonymous Coward · · Score: 0

    It would really depend on what was showing in the VR...What if someone was scared of heights yet are shown huge rock cliffs.
    Or for that fact ANY type of phobia??? Plus VR headsets are really not the most comfortable for long periods of time.

    1. Re:depends on the VR by NoZart · · Score: 1

      Just ask the patient what he wants to see?

    2. Re:depends on the VR by Anonymous Coward · · Score: 0

      Two chicks at the same time.

  14. Insurance by lazy+genes · · Score: 0

    "Sorry, That's not covered in your policy. It's too expensive for you. Try this blindfold instead"

  15. Could be worse... by nick_davison · · Score: 1, Insightful

    At least the title isn't:

    "US President uses Mexicans to distract populace during $hit$how."

  16. Same thing over here. by kamapuaa · · Score: 3, Interesting

    I used to go to a dentist who offered patients those stupid Sony TV glasses where you could watch a movie.

    Actually, I really liked it.

    --
    Slashdot: providing anti-social weirdos a soapbox, since 1997.
  17. I wish US hospitals would innovate more by Anonymous Coward · · Score: 0

    yep. turns out when you use Anesthesia, you can easily kill someone, so an expensive Anesthesiologist is used. Theoretically, a free market surgeon would offer the option of paying more for anesthesia, but not in America. At least they innovate in small stuff, like laser eye surgery.

  18. Low end doctors a good thing by Anonymous Coward · · Score: 0

    I think that America (or nearby medical tourist destination) should have low end doctors, whom will be less competant. The poor, 80 year old can try her luck with a Cuban heart surgeon. India innovates on heart surgery.

    1. Re:Low end doctors a good thing by Anonymous Coward · · Score: 0

      Hi, Doctor Nick!

    2. Re:Low end doctors a good thing by umghhh · · Score: 1

      It has been some time since I was looking at statistics but Cuba had better medical service in many areas than US. The Cubans were not free but had good medicine and provided it for others. Part of it was necessity caused by US sanctions and p art of it was luck to have leadership making right decisions. This is not to say dictatorship is a good thing but there are good systems out there which are not based on demagogy of free market fixes it all. Something that so called free press/media could acknowledge (if it were not sold to whoever owns them now).

    3. Re:Low end doctors a good thing by sir-gold · · Score: 1

      A Cuban medical degree is accepted in many countries (but not the US). Cuban doctors are highly sought-after all over the world.

  19. Comfort dog by Anonymous Coward · · Score: 0

    https://entertainment.slashdot.org/story/17/02/02/2251214/mexican-surgeon-uses-vr-headset-to-distract-patients-during-surgery

    As long as the dog is clean enough, an option is to use a trained comfort dog.

    As a trained comfort dog, JoJo calms patients in the hot seat. She sits on their laps, tenderly rests her face on their bodies, and patiently distracts them from anything unpleasant happening in their mouths.

  20. Comfort bitch by Anonymous Coward · · Score: 0

    gives a nice distracting blowjob.

  21. Depends on how you react to VR by Anonymous Coward · · Score: 0

    I don't like 3D movies because the disorientation can literally give me an uncomfortable adrenaline surge. This would be a bad thing if I were under local anesthesia and I saw something in VR that made me feel like the world was spinning. I'd get that surge, and sometimes you can't help but move in your seat, or in this case on the table. That's not what you want when you're under the knife.

    OTOH, if they let me pick some music and put on headphones that might help quite a bit. The one time I had local, there was nothing for me to do but chit-chat with the doc while he worked on my hand. The worst part was actually the initial shot. The doctor explained to me that the anesthetic is actually an acid. Before it numbs, it stings. It'd be nice if they could come up with something that's pH balanced and doesn't do that.

  22. Will my anesthesiologist cousin be out of a job? by Anonymous Coward · · Score: 0

    I'm jealous that he makes $400K.

  23. Re:prescribe a pacifier by umghhh · · Score: 1

    These devices actually existed and were the reason lots of innovation in small machinery was done, first steam powered then electrical. Nice chapter in history of engineering and all this due to vaginal hysteria or whatever they called this back then as doctors applying medical procedures to relieve suffering from the affected individuals had to do this manual rubbing and push-pull procedures which was in some cases difficult hence the innovation. The only thing I wonder is how the engineers came about to know all this steamy details in an era not known for its ease on such subjects.

  24. Re: Yeah but it's Mexico... by Anonymous Coward · · Score: 1

    Truth is treason in an empire of lies.

  25. Nitrovirutal Reality by XNormal · · Score: 1

    It should be pretty easy to fit the VR headset to provide some nitrous oxide to augment the experience. Actually, and this feature could be great for non-medical VR applications, too...

    --
    Stop worrying about the risks of nuclear power and start worrying about the risks of not using nuclear power.
    1. Re:Nitrovirutal Reality by Oligonicella · · Score: 1

      I can assure you, someone somewhere has that rigged up. And most likely with a hooka tube attached below.

  26. As long as it's not too funny by hackertourist · · Score: 1

    My dentist used to have a large cartoon poster stuck to the ceiling above the chair. That was a nice distraction, until I burst out laughing while having various dental tools in my mouth. After that, I closed my eyes instead.

  27. "cash-strapped hospitals"... now why would that be by Anonymous Coward · · Score: 0

    Surely not because of the GENES of the people who live in Mexico! It must be the LAND MASS itself, that magically makes Mexico less successful than some other countries, and it must be their LAND MASSES that magically afford anybody who stands on them 'magic powers', like being more intelligent and more law abiding than Mexicans. That's it, isn't it, it can't be their DNA, the TV told me. Over and over and over again.

  28. Re: Yeah but it's Mexico... by Anonymous Coward · · Score: 0

    10 foot wall = 11 foot ladder, or better a yuge long glorious El Chapo tunnel. Murrica!!

  29. The Matix by Tyrannicsupremacy · · Score: 0

    This is the beginning of The Matrix.

    --
    http://i.cubeupload.com/T6cyLu.png
  30. Resident Evil 7 by Anonymous Coward · · Score: 1

    A lot of people die because of miscalculated anesthesia. Not a lot of people die of bad VR.

    Then they haven't tried the VR version of Resident Evil 7 yet.

  31. Soylent Green by Anonymous Coward · · Score: 0

    ... it's already been done. Solomon was quite happily turned into little green wafers after watching beautiful orange scenes of tulips.

  32. Machu Picchu always reminds me... by drewmoney · · Score: 1

    Of that time the Doc removed my arm at the elbow. Good times.

  33. I have to say... by tlambert · · Score: 1

    I have to say... my surgeon wearing a VR headset during the surgery would distract the bejesus out of me, too!

    Oh.

    The patient wears it?

    Never mind.

  34. People already ignore surgery is going on for... by kria · · Score: 1

    ... a C-section. I'm eight months pregnant, so this is kind of upwards in my mind (because, well, it scares me as a possibility and my baby is measuring big, so it IS a possibility), but even without VR, women make it through having a c-section all the time, with a spinal block in place to numb the whole area. Heck, women who are much braver than I am actually watch the whole thing in a mirror. (That one still just leaves me aghast that someone can pull that off.) Admittedly, they have a big goal in doing so - being able to interact with their baby as soon as possible, rather than having to come out of a general anesthetic, in addition to the risks of a general that are noted here.

  35. I can't wait! I'm sure approval is... by Anonymous Coward · · Score: 0

    ...right around the corner by whatever random US agency believes they have jurisdiction over this kind of thing.
    Because it's got to be dangerous in some way right? Won't someone think of the children?

  36. Re:prescribe a pacifier by shaitand · · Score: 1

    Not only did they exist vibrators were invented as treatment for vapors and hysteria. Women would pretend to have the vapors so the doctor would give them orgasms.