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Surgical Robots Cut Training Time Down From 80 Sessions To 30 Minutes (theguardian.com)

From a report: It is the most exacting of surgical skills: tying a knot deep inside a patient's abdomen, pivoting long graspers through keyhole incisions with no direct view of the thread. Trainee surgeons typically require 60 to 80 hours of practice, but in a mock-up operating theatre outside Cambridge, a non-medic with just a few hours of experience is expertly wielding a hook-shaped needle -- in this case stitching a square of pink sponge rather than an artery or appendix.

The feat is performed with the assistance of Versius, the world's smallest surgical robot, which could be used in NHS operating theatres for the first time later this year if approved for clinical use. Versius is one of a handful of advanced surgical robots that are predicted to transform the way operations are performed by allowing tens or hundreds of thousands more surgeries each year to be carried out as keyhole procedures. The Versius robot cuts down the time required to learn to tie a surgical knot from more than 100 training sessions, when using traditional manual tools, to just half an hour, according to Slack.

113 comments

  1. GOOD! by 50000BTU_barbecue · · Score: 3, Interesting

    As someone who needs surgery in the deranged health care system in Quebec, anything that can remove these arrogant human doctors from the loop and make surgery perhaps a nurse-practitioner thing is GOOD.

    I've had it with the arrogant ignorant incompetent condescending doctors that fill the system here and anything that can threaten their hegemony is GOOD.

    Bring on the AI diagnosis, remote-viewed autosurgery please.

    Anything to kick these complacent doctor's asses!

    --
    Mostly random stuff.
    1. Re:GOOD! by Anonymous Coward · · Score: 0

      This could be a money maker, outsource the control of the robots to an India based call center.

    2. Re:GOOD! by 50000BTU_barbecue · · Score: 1

      And if I survive the system here and I'm done suing the series of buttfuck ignorant motherfuckers that didn't do their jobs, I'll use the money to start my own doctor-removing technology!

      --
      Mostly random stuff.
    3. Re:GOOD! by Anonymous Coward · · Score: 0

      Wait wait wait...you don't like your nationalized subsidized socialized health care?

      Michael Moore's heart exploded. This may be unrelated.

    4. Re:GOOD! by 50000BTU_barbecue · · Score: 2, Interesting

      There's a difference between how the system is organized, and what the doctors are like. Quebec seems to like copying the French as much as possible. We use the Civil Code, unlike the rest of Canada, our "national" library is FILLED with books from France. Utterly useless books like how to buy a house.... in France. Not useful in Quebec, but it's in French so...

      For some reason, French doctors from France seem to flock here. Why they can't move their cheese-eating asses back under the Eiffel tower, I don't know.

      Now if you want to be condescended to, infantilized, and generally treated like a subhuman, choose a French doctor. They expect you to come in on all fours, acknowledge their superior standing in life, avoid eye contact, and beg them to listen.

      If you make the mistake of having done your own research, that's it: it's over. They will repeat the SAME script, in a grating French accent "you hanven't done your medical studies, you must not go on the internet".

      I had the SAME spiel VERBATIM from two French cocksucking motherfucking medical assassins. It's like it's drilled in them at school. So much for "égalité", huh you sweaty condescending Gitanes-smoking brown-toothed lab-coated thugs.

      Not that local doctors are any better.

      So ANYTHING that can knock these arrogant motherfuckers down a peg or twelve is welcome!

      --
      Mostly random stuff.
    5. Re:GOOD! by Anonymous Coward · · Score: 0

      You're a moron, you deserve to die on the operating table with a robot in your guts.

    6. Re:GOOD! by 50000BTU_barbecue · · Score: 1

      I'll die anyway if I don't get the surgery. Thanks for the input, doctor.

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      Mostly random stuff.
    7. Re:GOOD! by Anonymous Coward · · Score: 0

      Excellent news! Since you don't trust doctors may God have mercy on your soul!

    8. Re:GOOD! by 50000BTU_barbecue · · Score: 1

      There's nothing to trust if they don't even listen. There is only one specialist here that has enough knowledge to help me. And I was only able to find his name on my own, no fucking help whatsoever from the doctors I saw here. I found a reference online from a medical journal article from Ethiopia. Why did I have to email a doctor in Ethiopia to get the paper the Montreal-based doctor wrote? It's not even registered at the university he attended, I had to get the abstract from the doctor in Ethiopia. That doctor apologized for not answering earlier...

      Why did a doctor in Ethiopia apologize to me? The doctors here have all been useless.

      The diagnostic test is simple: listen to the sound with a stethoscope.

      The surgery is simple, almost routine. Worst case, 6 weeks recovery with complete relief of all symptoms.

      I don't trust doctors here, they are the ones keeping me from the surgery I need.

      --
      Mostly random stuff.
    9. Re:GOOD! by Anonymous Coward · · Score: 0

      No one should ever listen to you. The doctors aren't all crazy, you very clearly are. I'm sure they pick up on that very quickly and it's the root cause of your ailments.

    10. Re:GOOD! by Anonymous Coward · · Score: 0

      May you die on the table you brainless clown.

    11. Re:GOOD! by Anonymous Coward · · Score: 0

      You truly deserve to die. If it weren't for their Oath I'm sure most doctors would avoid you like ebola. You're a lunatic and not just that, you're an asshole about it. Just let yourself drift off into that good night you ridiculous ass.

    12. Re:GOOD! by Anonymous Coward · · Score: 3, Funny

      Right on! I always do the same thing at restaurants. Chefs are just as arrogant! For example: I'll order the lasagna and send along a print-out of my favorite version from allrecipes.com. Inevitably, I'm informed that the pretentious Italians in the back refuse to even look at it!

      Bring on the robot chefs! Knock these arrogant motherfuckers down a peg!

    13. Re:GOOD! by Anonymous Coward · · Score: 0

      I'm white and I can't wait to kill more dumb nazi faggots just like you bitch traitor.

    14. Re:GOOD! by Anonymous Coward · · Score: 0

      Just buy a mirror and do it yourself. You already said it was simple. Don't be an incel pussy, chug half a bottle of whiskey, break the glass, pour the other half on your chest and carve it our youtself. Use a stamplegun to sloe it up when done.

      Only elitist pricks use scalpels, a glass bottle is fine.

      You can do it if you just have faith in yourself.

      For best results, make sure to barricade the door and take the battery out of your phone so no one interrupts you half way through if you decide to take a nap.

    15. Re:GOOD! by grep+-v+'.*'+* · · Score: 3, Insightful

      Bring on the AI diagnosis, remote-viewed autosurgery please.

      Agree, but:

      SystemW: Knife cut last muscle holding heart in place.
      SystemW: Remove knife.
      SystemW: Automatic WSS snapshot.
      SystemW: Hand successfully grasped, removed heart.
      SystemW: Old heart released over receiving bin.
      SystemW: New heart picked up.
      SystemW: New heart placed in patient.
      SystemW: Windows forced updates occurring. ETA: 20 minutes.
      SystemW: Windows forced updates occurring. ETA: 22 minutes.
      SystemW: Windows update failure. System restore in progress.
      SystemW: System restore successful, resuming operations. ;-)
      SystemW: Hand out of place! Reoriented.
      SystemW: Hand successfully grasped, removed heart.
      SystemW: Old heart released over receiving bin.
      SystemW: New heart picked up.
      SystemW: NOTE: heart is lighter than expected.
      SystemW: New heart placed in patient.
      ...

      --
      If the universe is someone's simulation -- does that mean the stars are just stuck pixels?
    16. Re:GOOD! by Anonymous Coward · · Score: 0
    17. Re:GOOD! by 50000BTU_barbecue · · Score: 1

      I see. Thank you, doctor.

      --
      Mostly random stuff.
    18. Re:GOOD! by 50000BTU_barbecue · · Score: 1

      You mean the chefs I can pay to cook exactly what I want and won't argue with me that I'm full already, or don't know what I want? Or that I didn't go to cooking school?

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      Mostly random stuff.
    19. Re:GOOD! by Maxwell'sSilverLART · · Score: 1

      ...I'll use the money to start my own doctor-removing technology!

      With hookers! And blackjack!

      --
      Moderate drunk! It's more fun that way!
    20. Re:GOOD! by 50000BTU_barbecue · · Score: 1

      I'm in a bad situation. Thanks for the insight.

      I'll let you know if I can get the surgery and what the pathology will say.

      Cheers!

      --
      Mostly random stuff.
    21. Re:GOOD! by dcw3 · · Score: 2

      Personally, I could give a shit if my doctor is an arrogant asshole, as long as he's a top notch surgeon, he can autograph is work of art for all I care. I'm not paying to have my him kiss my ass, I'm paying for as close to perfection as I can get, and there are a lot of arrogant perfectionists out there.

      --
      Just another day in Paradise
    22. Re:GOOD! by dcw3 · · Score: 1

      Sorry you're "in a bad situation". But, I have to ask, is this the wonderful Canadian healthcare that I see others rave about? I know it didn't work so well for my dead aunt from Ontario.

      --
      Just another day in Paradise
    23. Re:GOOD! by dcw3 · · Score: 1

      I'll die anyway if I don't get the surgery.

      If it's as simple as you indicated elsewhere, find a doc in another country. From what you've said, the alternative doesn't sound viable.

      --
      Just another day in Paradise
    24. Re: GOOD! by Anonymous Coward · · Score: 0

      Say, the next time a US-based socialist starts singing the virtues of single player "free" health care, I'll refer them to this post.

    25. Re:GOOD! by Anonymous Coward · · Score: 0

      No, retard, you don't even have the mental horsepower to determine your own status. You just assume because you're shitting at the moment that you'll soon able to eat again. You're a sack of moron that needs to die on the table.

    26. Re:GOOD! by Anonymous Coward · · Score: 0

      They're just doctors. They're only human and can make mistakes. Unfortunately, they seem to forget this themselves.

      Doctors can have mental issues too, as we can see by some replies here.

    27. Re:GOOD! by Anonymous Coward · · Score: 0

      It's what you deserve for eating so much BBQ, so it's what you get. For what it's worth I hope you die, you're fucking dumb.

    28. Re:GOOD! by Anonymous Coward · · Score: 0

      It's what I deserve for getting acute appendicitis misdiagnosed 18 years ago and treated with antibiotics? And left with a damaged appendix that was then misdiagnosed again later on as "IBS"?

      Even though NO ONE can tell me WHICH part of my intestines is irritated by WHAT?

      Doctors keep telling me it's a "diagnosis of exclusion", even though that's a meaningless phrase? WHAT has been excluded, by WHAT test? A single 24h Ph test of the stomach, ONCE, ten years ago, is enough to label your entire digestive system as "irritable"? The system so complex it has its own nervous system? The system so complex it houses thousands of different species of bacteria, and can tear down food and make human cells out of it?

      Eating BBQ? I'm on a diet so healthy my colonoscopy was perfect.

    29. Re: GOOD! by Anonymous Coward · · Score: 0

      You mean it will be based in Las Vegas?

    30. Re:GOOD! by Anonymous Coward · · Score: 0

      Personally, I could give a shit if my doctor is an arrogant asshole, as long as he's a top notch surgeon, he can autograph is work of art for all I care..

      Surgeon got in a *lot* of trouble for doing just that.

    31. Re:GOOD! by Anonymous Coward · · Score: 0

      Medical equipment doesn't run Windows. Not the stuff that interacts with patients. Most use a realtime OS.

  2. according to Slack by phantomfive · · Score: 5, Informative

    If anyone read the summary and is wondering why Slack is mentioned as an authority here, Slack is the last name of one of the doctors involved, not a crappy IRC replacement.

    --
    "First they came for the slanderers and i said nothing."
    1. Re:according to Slack by Anonymous Coward · · Score: 0

      thanks. That would've bugged me for a while. not enough to rtfa, so really thanks

    2. Re:according to Slack by Okian+Warrior · · Score: 1

      If anyone read the summary and is wondering why Slack is mentioned as an authority here, Slack is the last name of one of the doctors involved, not a crappy IRC replacement.

      That didn't bother me as much as reducing 80 sessions down to 30 minutes: How to compare two numbers when they measure different things?

      Slashdot is apparently not a tech-oriented website.

    3. Re:according to Slack by Anonymous Coward · · Score: 1

      couldn't even make it to the first bit of the tfs which uses 'hours' instead of 'sessions'? a knot-tying training session is, apparently, about an hour long.

      but, regardless of the 'unit of measurement' of the length of a training session... this does not account for the fact doctors will still need training in how to do things the 'old' way, PLUS this fancy 'new' way, PLUS for emergency procedures for when the fancy 'new' way goes wrong or breaks or there is some other complication that the 'new' way can't accomodate. all-in-all, the training time will probably double.. BUT, it will allow the proficient doctor and accompanying surgical team the opportunity to perform more procedures per day, at a higher success rate, with fewer complications, quicker recovery time for some procedures, and... in countries whose names do not end in 'states of america'... all at a lower cost, as well.

    4. Re:according to Slack by dohzer · · Score: 3, Funny

      That didn't bother me as much as reducing 80 sessions down to 30 minutes: How to compare two numbers when they measure different things?

      Slashdot is apparently not a tech-oriented website.

      They used to have eighty 20sec sessions. Now they need 30min, but we sold them a new bit of hardware so that's the important bit.

    5. Re:according to Slack by dcw3 · · Score: 1

      They should have gone with 15 colors, 42 flavors, and 93 gallons/second.

      --
      Just another day in Paradise
  3. Nano Doctor by fahrbot-bot · · Score: 1

    ... Versius, the world's smallest surgical robot,

    Still under development: Nano Doctor ...

    --
    It must have been something you assimilated. . . .
  4. How long is a session? by Anonymous Coward · · Score: 0

    Derp!

  5. Cutting and sewing is not what makes a surgeon... by demonlapin · · Score: 5, Insightful

    Cutting and sewing is the easiest part of being a surgeon. Knowing when and where to cut, what to sew, and what to do when you cut or sew the wrong thing - that's what's hard about it.

    I'm an anesthesiologist. i've watched a lot of surgeries, and I could do a few of them - if I had a surgeon on the phone to walk me through them. There's a reason that a general surgery residency is five years long, and it's not because it takes that long to learn how to tie a knot.

  6. Professional "training" is all show by Anonymous Coward · · Score: 0

    The purpose is to create a social narative that they all work hard and know things you don't and maybe can't, professionalism is just credentialism, it is mostly fraud to steal your money and your time, doctors lawyer all of it.

    most people are better off doing a search on pubmed than getting the opinion of their doctor.

    hours do not represent competance.

    1. Re:Professional "training" is all show by 50000BTU_barbecue · · Score: 1

      Yes, but don't mention it to your doctor. I may very well be dead of abdominal compartment syndrome within months if I don't get a simple 30 minute surgery. Good luck trying to get a doctor to listen to the research you've done yourself, however.

      My brain is good enough to get a job where 50% of my salary is removed so that money can be dumped by mining truck into hospitals, but my brain can not go through a list of conditions and eliminate the improbable ones and come up with highly probable ones.

      It also can not pull archives of my ER admission from years ago, and also not good enough to deduce the etiology after listening to hours of doctor podcasts, poring through medical journals and even encyclopedia articles that all point to the same thing.

      No, I'll sit on my thumbs and wait a year to see another "specialist" with less knowledge than me, and start my story again.

      If I last a year.

      --
      Mostly random stuff.
    2. Re:Professional "training" is all show by oic0 · · Score: 3, Interesting

      Ive had pretty good luck with doctors listening to me and running the tests I ask for. The trick is to ask leading questions that gets them to come to the conclusion you want instead of just telling them how it is. That only works if its within their knowledge range though. Most doctors stick to what they know and try to fit everything into that box. You need someone passionate about their job that expands their knowledge so its at least a big box.

    3. Re: Professional "training" is all show by Anonymous Coward · · Score: 0

      You sound like a nightmare patient. You didnâ(TM)t go to medical school and donâ(TM)t have more knowledge than the specialists. If you do, then why are you not a doctor?

    4. Re:Professional "training" is all show by Anonymous Coward · · Score: 0

      Yes, but don't mention it to your doctor. I may very well be dead of abdominal compartment syndrome within months if I don't get a simple 30 minute surgery.

      One can hope.

      On another point, Thanks for pointing out you are full of shit. Maybe lay off the barbecue.

      If it is simple, just do it yourself. It'll go great with your DIY haircut.

    5. Re: Professional "training" is all show by Maxwell'sSilverLART · · Score: 1

      On a specific condition, he very well might; even as specialists, doctors need to have a wide breadth of knowledge.

      This is true of a lot of fields: somebody with a personal interest in a very narrow field and the motivation to teach himself everything about that narrow subject can very easily know that subject better than someone with extensive formal education covering a much wider field of study.

      --
      Moderate drunk! It's more fun that way!
    6. Re: Professional "training" is all show by Anonymous Coward · · Score: 0

      Can appendicitis be treated with antibiotics? Yes or no.

    7. Re:Professional "training" is all show by Anonymous Coward · · Score: 0

      Wow someone really damaged your self-esteem, maybe irreparably. Why are you like this?

    8. Re: Professional "training" is all show by Anonymous Coward · · Score: 0

      The doctor puts about 10 minutes of thought into your diagnosis these days. By the time I go in for an appointment I have a list of symptoms and various conditions that I believe may be causing them. I present this information to the doctor and then see what they think. Then I research their official diagnosis and treatment plan.

      Just going in to the doctor and doing whatever the fuck is a great way to get a misdiagnosis. I spent my entire childhood completely fucked up on drugs over a little bit of badly managed adhd. I was on such a high dose I alternated between mania, hyperfocused daydreams about spaceships and dinosaurs, paranoid anxiety attacks, and other side effects. Which the doctors either dismissed as adhd and raised my doses as high as they could without questions from the DEA. They cycled me through various terrifying drug cocktails to try and control the mystery condition brought on by the high doses of stimulants. Each with side effects of their own.

      Many of my symptoms were listed right on the label and this shit legitimately ruined my childhood and has ruined my relationship with my parents even to this day. I trust my doctor but you're in for a bad time if you trust them blindly. Yes, my doctor says I sometimes know more about certain things than she does.

    9. Re:Professional "training" is all show by Anonymous Coward · · Score: 0

      Get a better doctor. Fire them and if you're in a position to have a smudge on your credit report, and have access to another hospital. I suggest not paying them another penny.
      At the very least leave him a bad review on yelp.

    10. Re:Professional "training" is all show by Anonymous Coward · · Score: 0

      www.ratemds.com

  7. Re:Cutting and sewing is not what makes a surgeon. by Anonymous Coward · · Score: 0

    Standing. Standing long hours. With a leak in your Depend undergarment. With A LEAK IN YOUR DEPEND UNDERGRAMENT!

  8. When people talk about Automation by rsilvergun · · Score: 1

    this is what they should be talking about. Robot helpers that take high skilled jobs and make them rather trivial. I saw this with wood workers too. I used to do IT work for a cabinet company where nobody was a carpenter. They had a CNC machine and they punched measurements into it and it cut the wood to the right shape. Then a couple of guys with screwdrivers would install it.

    --
    Hi! I make Firefox Plug-ins. Check 'em out @ https://addons.mozilla.org/en-US/firefox/addon/youtube-mp3-podcaster/
  9. They're working on AI's for that by rsilvergun · · Score: 1

    and they're getting better every day. Eventually we'll have Star Wars style medical droids. If our civilization doesn't regress I'd say within 100 years tops.

    --
    Hi! I make Firefox Plug-ins. Check 'em out @ https://addons.mozilla.org/en-US/firefox/addon/youtube-mp3-podcaster/
    1. Re:They're working on AI's for that by Anonymous Coward · · Score: 0

      you mean Expanse/Elysium/etc style autodocs? Gawd anything but retarded fake geek and toy franchise Star Wars.

  10. 60 more hours to learn that stuff by raymorris · · Score: 4, Insightful

    Your comment does not surprise me at all.
    It reminds me of people who mistakenly think that learning the vocabulary words of programming (a programming language) makes one a professional programmer. Lile most subjects, learning the vocabulary words (language) is rather a prerequisite to learning the art and science of what it's used for.

    In my field, reducing the time required to learn the mechanics means people can instead spend that time on learning the hard parts. Some languages are very consistent, and rather small, so they are easy to learn. Some are inconsistent, with functions like AddArray() paired with array_remove(). Time spent memorizing the eccentricities of the language is time not spent learning design patterns, or anti-patterns, or algorithmic analysis.

    I suppose if surgeons can spend 60 less hours learning to tie a knot blindfolded, they can instead spend that time learning something else.

    1. Re:60 more hours to learn that stuff by demonlapin · · Score: 5, Informative

      My point is that it doesn't take anything like 60 hours of training to learn how to tie a knot blindfolded. Surgical "robots" (really, they are just manipulator arms, or waldoes) make surgery a lot more expensive, but they really don't offer much. Standard laparoscopy is much faster and just as good for the vast majority of procedures. There are some cases where the extra expense might be justified (prostatectomies come to mind here), but usually? No.

      It's all about billing. Example: hysterectomies are a pretty common procedure. Unless you have abnormal anatomy, you can have your uterus removed through your vagina. Zero visible incisions, and it's a quick procedure. But it doesn't pay at all - the surgeon can get more money for doing it laparoscopically and leaving you with scars (and usually taking longer to do it). It also costs the hospital more money in supplies (and they don't get paid extra for that).

      Just an FYI, if your wife wants her uterus out (let's face it, if there ever were women here, they're almost all gone), find someone who will do it transvaginally. Easier recovery, no scars.

    2. Re:60 more hours to learn that stuff by Anonymous Coward · · Score: 2, Interesting

      My point is that it doesn't take anything like 60 hours of training to learn how to tie a knot blindfolded. Surgical "robots" (really, they are just manipulator arms, or waldoes) make surgery a lot more expensive, but they really don't offer much. Standard laparoscopy is much faster and just as good for the vast majority of procedures. There are some cases where the extra expense might be justified (prostatectomies come to mind here), but usually? No. It's all about billing. Example: hysterectomies are a pretty common procedure. Unless you have abnormal anatomy, you can have your uterus removed through your vagina. Zero visible incisions, and it's a quick procedure. But it doesn't pay at all - the surgeon can get more money for doing it laparoscopically and leaving you with scars (and usually taking longer to do it). It also costs the hospital more money in supplies (and they don't get paid extra for that).

      FYI: It is about billing--however, it's about billing insurance, which often doesn't believe in whatever newfangled surgical technique--it doesn't matter to them if it's better in every single possible way, change scares them so very much that they refuse to, and health care providers generally won't even bother mentioning a procedure your insurance won't cover.

      So, if you're trying to find, for example, a surgeon who'll do a transvaginal hysterectomy? Either already know your insurance will cover it (have proof here!), or be open that you will pay for it yourself if necessary.

    3. Re:60 more hours to learn that stuff by dcw3 · · Score: 1

      It reminds me of people who mistakenly think that learning the vocabulary words of programming (a programming language) makes one a professional programmer.

      Crap, I've been memorizing Gray's Anatomy, and was expecting to open my practice soon.

      --
      Just another day in Paradise
    4. Re:60 more hours to learn that stuff by Anonymous Coward · · Score: 0

      Don't offer much? Did you read the article?

      They may cause procedures to cost more because of the consumables required, but overall they lower costs by reducing surgical trauma and infection risks, speeding recovery times and necessitating less time in hospital. They also allow more precision and make work easier on surgeons as they can work in a more ergonomic position and have the machine reduce tremors in their hand movements, allowing surgeons to practice longer as their manual dexterity declines with age.

      Health systems look at system costs. What seems cheaper and easier at the individual level doesn't necessarily hold true at the system level. If you can lower the average time a patient spends in hospital recovering from a procedure by a day, you're saving thousands of dollars. Administrators use statistics when analysing things like this.

  11. Four Yorkshiremen by Okian+Warrior · · Score: 1

    As someone who needs surgery in the deranged health care system in Quebec, anything that can remove these arrogant human doctors from the loop and make surgery perhaps a nurse-practitioner thing is GOOD.

    You had a healthcare system?

    We used to *dream* of having a healthcare system!

    (Still do, actually...)

    1. Re:Four Yorkshiremen by 50000BTU_barbecue · · Score: 1

      Be careful what you wish for. I don't know what the solution is, but the larger a system becomes, the more rot sets in.

      --
      Mostly random stuff.
    2. Re: Four Yorkshiremen by phantomfive · · Score: 4, Insightful

      That's why I think the arguments about "public" or "private" are rather silly...... It's better to evaluate individual proposals to see what is better. Some people think "single payer" is magic that will make everything, better, but it's not. Some people think the free market is magic that will make everything better, but it's not. Clearly we need regulation, but what type of regulation exactly? Each regulation needs to be evaluated on its own merits (and good luck with your health problems).

      --
      "First they came for the slanderers and i said nothing."
    3. Re: Four Yorkshiremen by Anonymous Coward · · Score: 0

      All we know is that US system is a lot more expensive (2-3 times if I remember correctly) and its quality is less than the European average. So we can be pretty sure that free market is the wrong answer, but is there a better than public healthcare, that we don't know.

    4. Re: Four Yorkshiremen by Archangel+Michael · · Score: 1

      What we need is for Government to stop deciding what "health care system" ought to look and be like. Because what works for you, may not work for me, and visa versa. Government can't provide flexibility that individuals want. But then again, the "one size fits all" approach is exactly what the idiots who love and crave for Government Controls think is appropriate because it is "fair" (it isn't fair, it isn't even close to being fair).

      My proposal for health care would give the greatest flexibility to the greatest number of people. It isn't completely fair, because that is impossible. There is no such thing as "fair" (because it is 100% subjective)

      --
      Agent K: A *person* is smart. People are dumb, stupid, panicky animals, and you know it.
    5. Re: Four Yorkshiremen by Kjella · · Score: 4, Informative

      That's why I think the arguments about "public" or "private" are rather silly...... It's better to evaluate individual proposals to see what is better.

      No, that's exactly why a public system works better - they're your patients whether you like it or not, always and forever. The primary reason the US needs to spend twice as much to have the same level of healthcare is that everyone is trying to cherry pick profitable patients and get rid of unprofitable patients, with hospitals billing for things you don't really need while insurance companies work to avoid paying claims. Health insurance is not like fire insurance or auto insurance where you either had a fire/crash or you didn't. Bad health comes crawling with risk factors, precursors, complications, good and bad periods and chronic issues people live with and insurance companies are trying to pick up the warning flags and get rid of you.

      In the public system, single payer basically means it's a single bill. Doesn't matter if it's now or next year, at this hospital or that hospital, if you've got cancer we're going to end up paying for treating that cancer. The whole system is geared towards what's medically the most efficient way to treat it, we have a pool of money and it's constantly being evaluated if we spend it on the right things - from the patients' perspective. If there's a cheaper generic medicine we just decree it's the default and you only get other brand medicine if you experience side effects. The pharmacy industry hates this. There's still huge debates on say placements of hospitals and what treatments to support, but it's mostly based in medicine.

      It's still not funny... your child is going to die, there's a medicine that could help extend their life but it costs $1 million dollars. At some point somebody has to consider if not 100 $10k treatments or 10000 $100 prescriptions are better for the public health. But if we're doing it with the public's money at least we are considering it, not by what insurance plan you have. Unless you're in the small minority that has private health insurance that lets you get certain surgeries quicker or could afford crazy money out of pocket. But for the money you're getting good care in the public system. And it turns out fixing poor people's simple health problems often avoid big expenses later, we want you healthy enough to be a tax payer. Otherwise some other part of the system will get stuck with the bill.

      --
      Live today, because you never know what tomorrow brings
    6. Re: Four Yorkshiremen by phantomfive · · Score: 1

      No, that's exactly why a public system works better - they're your patients whether you like it or not, always and forever

      OK, let's see your specific proposal.

      The primary reason the US needs to spend twice as much to have the same level of healthcare is that everyone is trying to cherry pick profitable patients and get rid of unprofitable patients, with hospitals billing for things you don't really need while insurance companies work to avoid paying claims

      Oh, I see you haven't actually looked at data: you're just guessing and wishing.

      --
      "First they came for the slanderers and i said nothing."
    7. Re: Four Yorkshiremen by phantomfive · · Score: 1

      My proposal for health care would give the greatest flexibility to the greatest number of people

      I'm not entirely sure what you mean here. How would you make it more flexible?

      --
      "First they came for the slanderers and i said nothing."
    8. Re: Four Yorkshiremen by Kjella · · Score: 1

      Oh, I see you haven't actually looked at data: you're just guessing and wishing.

      No, those are the facts. You just don't like them.

      --
      Live today, because you never know what tomorrow brings
    9. Re: Four Yorkshiremen by phantomfive · · Score: 1

      ok, let's see if you are irrational or not, as well.

      Can you name any way the US system is better than Canada's?

      --
      "First they came for the slanderers and i said nothing."
  12. No nation wants a medical service with by AHuxley · · Score: 1

    Doctors and experts who cant work an ER.
    How to do a great ER:
    A day and night, all weather helicopter service. Educate your helicopter crews to fly at night.
    An ambulance service with experts.

    That gets a nations citizens to the best hospitals in shorter time.
    Once in such a hospital all doctors and staff should be selected on merit. Did not pass your exams to the best standards and cant study and learn? Try a different area of medicine.
    A university system should only accept a nations very best to become doctors and specialists. Not a citizen and want to work? Pass the same exams to the same top level.

    A nation that now needs tens or hundreds of thousands more surgeries on a set number of citizens has a problem.
    Why are so many people in a nation getting so sick so often that a normal number of medical graduates cant cover?
    Where are the extra tens or hundreds of thousands more surgeries needed? Who or what is adding to that work load every year vs past decades?
    Find some top experts and look back over and study that epidemiology. Is an entire nation of healthy normal people getting more sick inner ways every year?
    Some clusters of constant budget pressure by groups in the community?

    What has changed with a set population size of normal healthy citizens able to access free health care that has changed to needed so much more intervention every year?
    Teaching hospitals should be able to graduate the best experts every year to keep up an average healthy population growth.

    --
    Domestic spying is now "Benign Information Gathering"
    1. Re:No nation wants a medical service with by chadenright · · Score: 1

      People will generally choose the surgeon who graduated with a C+ over having no surgeon at all.

    2. Re:No nation wants a medical service with by AHuxley · · Score: 1

      Given ER use that might be who is on duty that shift. Most advanced nations can staff their ER system with the best graduates selected on merit.
      That is usually set by only allowing the very best to enter medicine every year.

      --
      Domestic spying is now "Benign Information Gathering"
    3. Re:No nation wants a medical service with by dcw3 · · Score: 1

      Carlin said it best - Somewhere out there is the world's worst doctor. The scariest part is that someone has an appointment with him tomorrow

      --
      Just another day in Paradise
  13. Makes sense by PopeRatzo · · Score: 0

    The feat is performed with the assistance of Versius, the world's smallest surgical robot, which could be used in NHS operating theatres for the first time later this year if approved for clinical use.

    Socialized medicine is good for innovation. Meanwhile, in the United States, the cost of prescription drugs has gone up again after President Trump announced new policies that would bring down drug prices.

    America, you played yourself.

    http://www.pewtrusts.org/en/re...

    --
    You are welcome on my lawn.
    1. Re:Makes sense by Anonymous Coward · · Score: 0

      Your link says that costs went up between 2011 and 2015. You're full of it.

    2. Re:Makes sense by PopeRatzo · · Score: 1

      Sorry, this was supposed to be the link:

      https://arstechnica.com/scienc...

      --
      You are welcome on my lawn.
    3. Re:Makes sense by Anonymous Coward · · Score: 1

      This link says that Trump said two months ago that there would be cuts in the coming weeks, but so far things are business as usual. Maybe you should let the policy be implemented before implying that they were implemented and backfired?

    4. Re:Makes sense by PopeRatzo · · Score: 1

      This link says that Trump said two months ago that there would be cuts in the coming weeks, but so far things are business as usual. Maybe you should let the policy be implemented before implying that they were implemented and backfired?

      Trump makes the announcement and THEN Pfizer raises prices on 100 drugs by 10%. They're playing him for a stooge, just like Kim Jong Un and Vladimir Putin. Trump thinks he's looking tough and he's being taken to the cleaners on a near-daily basis.

      --
      You are welcome on my lawn.
    5. Re:Makes sense by Anonymous Coward · · Score: 0

      Trump makes the announcement and THEN Pfizer raises prices on 100 drugs by 10%. They're playing him for a stooge, just like Kim Jong Un and Vladimir Putin. Trump thinks he's looking tough and he's being taken to the cleaners on a near-daily basis.

      So you're claiming that the increase in price of the 100 products wouldn't have happened without Trump? PwC seems to disagree and claims the following (https://www.pwc.com/us/en/health-industries/health-research-institute/behind-the-numbers.html):

      HRI projects 2019â(TM)s medical cost trend to be 6 percent. This is consistent with the previous five years, which have seen trends between 5.5 and 7 percent.

      As for Kim Jong Un and Vladamir Putin, the situation with the former can still go in any direction as nothing has happened beyond the meeting, and with the latter nothing has been demonstrated yet, though some argue that Russia is effectively losing money since Trump started mining natural gas and coal, forcing Russia to reduce the price of their energy exports.

    6. Re:Makes sense by PopeRatzo · · Score: 1

      So you're claiming that the increase in price of the 100 products wouldn't have happened without Trump?

      No, I'm saying the pharma industry thinks Trump can kiss their ass. They got their tax cut so fuck him and fuck you.

      HRI projects 2019â(TM)s medical cost trend to be 6 percent. This is consistent with the previous five years, which have seen trends between 5.5 and 7 percent.

      It was a 10% increase, which they have been doing twice a year since Trump got elected. Give it up, son. Trump won, you lost. So suck it up, buttercup.

      As for Kim Jong Un and Vladamir Putin, the situation with the former can still go in any direction as nothing has happened beyond the meeting,

      So, if I understand you correctly, you are confirming that Trump's great meeting with the all-important "handshake" had absolutely no effect except to lend Kim legitimacy and make Trump look like an absolute tool for getting taken to the woodshed by a boy. That's a compelling argument.

      --
      You are welcome on my lawn.
    7. Re:Makes sense by Anonymous Coward · · Score: 0

      It was a 10% increase, which they have been doing twice a year since Trump got elected.

      On 100 Pfizer products out of thousands... so the average increase in price is actually closer to 0% than it is to 10%.

      They got their tax cut so fuck him and fuck you.

      Job numbers seem to be at record highs, so so far I thank him and whatever he's doing to the economy to get those numbers.

      So, if I understand you correctly, you are confirming that Trump's great meeting with the all-important "handshake" had absolutely no effect except to lend Kim legitimacy and make Trump look like an absolute tool for getting taken to the woodshed by a boy. That's a compelling argument.

      A compelling argument of what? All I said it can't be categorized as a great win or a great fail as not much has actually happened. It might be true that it will blow up in Trump's face and it might be true that we'll get lasting peace out of this, who knows.

      Btw, I'm going to consider your lack of response to the part about Putin as agreement.

    8. Re:Makes sense by PopeRatzo · · Score: 1

      On 100 Pfizer products out of thousands... so the average increase in price is actually closer to 0% than it is to 10%.

      Yes, the 100 most-prescribed ones. And Pfizer has been raising the prices on ALL of their prescription drugs and average of 16% per year.

      Job numbers seem to be at record highs

      They are not. You will find that unemployment was lower in 1929, just before the crash that led to the Great Depression.

      Btw, I'm going to consider your lack of response to the part about Putin as agreement.

      I didn't think the part about Putin required a response. He's already gotten everything he wants from Trump.

      --
      You are welcome on my lawn.
    9. Re:Makes sense by Anonymous Coward · · Score: 0

      Yes, the 100 most-prescribed ones. And Pfizer has been raising the prices on ALL of their prescription drugs and average of 16% per year.

      You haven't provided a citation so I found my own. In January and June of 2016 Pfizer also had two price increases, of an average of 10.4 and 8.8%, respectively. Seems to me that up until now they're just doing business as usual, though it's 3.2% less than what you claim for this year's increases. https://www.statnews.com/pharm...

      They are not. You will find that unemployment was lower in 1929, just before the crash that led to the Great Depression.

      My apologies, the job numbers are not the best in history, just the best in nearly century. Are you implying that Trump is going to crash the economy or that it would crash despite of him? It's not clear to me. Either way, I can't see how increasing steel and microchip production (among a number of other things) is hurting it because then at least there'd be infrastructure devaluate the dollar and export goods.

      I didn't think the part about Putin required a response. He's already gotten everything he wants from Trump.

      Which is?

    10. Re:Makes sense by PopeRatzo · · Score: 1

      My apologies, the job numbers are not the best in history, just the best in nearly century.

      Half-century. Look again.

      Also, I notice that wage growth has slowed since Trump took office. More jobs were being created during Obama and wages were growing faster. In fact, since the passage of his highly-touted tax cut plan, wages for most US workers have actually shrunk.

      https://www.washingtonpost.com...

      https://www.bloomberg.com/news...

      --
      You are welcome on my lawn.
    11. Re:Makes sense by Anonymous Coward · · Score: 0

      Half-century. Look again.

      I was using your mention of 1929, you sure showed me not to take your comments at face value.

      Also, I notice that wage growth has slowed since Trump took office. More jobs were being created during Obama and wages were growing faster. In fact, since the passage of his highly-touted tax cut plan, wages for most US workers have actually shrunk.

      Wages might be shrinking for most workers (i.e. wages are growing slightly less than inflation), but your WaPo article claims that this also plagued the Obama administration, without mentioning any numbers. Wage shrinkage might be accelerating or decelerating, it's impossible to tell with your links. Keep in mind that the tax cuts were signed in December, and most individuals (who only file taxes once per year) won't see much of a difference until they file their taxes in April 2019.

      As for payroll growth going down, predictions since before Trump took office had those going down to 125-150k/month due to the US's aging population and the fact that more jobs are being created than people entering the workforce for a long time now, but they're still above 200k on average.

      Anyway, as fascinating as this has been, we've deviated from the initial discussion. Are we in agreement about Pfizer continuing business as usual for now? What about the North Korean situation still being able to go in any direction, and Russia actually losing money due to America's increase in energy production?

  14. Billing for this tech by djbckr · · Score: 1

    I have no doubt that when this device is used, the license will be something along the lines of $100 per stitch. This will get billed to insurance, which will then either be declined or reduced, then the recipient is on the hook for the rest. I love the health care system in the good-ole USA.

    1. Re:Billing for this tech by chadenright · · Score: 1

      If it cuts the surgery time down significantly it is money well spent, as the surgeon will then be able to do more surgeries and hopefully be less overworked (ha!), less fatigued and less likely to make a mistake on each surgery. Of course, ultimately it's probably a good idea to make the robot disposable and just have the robot BE the stitches, since it's inevitably going to get left in the patient some of the time anyhow.

  15. Re:Too late for surgery by Anonymous Coward · · Score: 0

    Yes. BSD really went down hill. Never thought it would come to this, but BSD died a slow ugly death.

  16. Not the Droids you are looking for by Aero77 · · Score: 4, Informative

    Surgical robots are electro-mechanical systems that are manually controlled by the doctor using controllers. They dampen movements to turn human hand movements into finely controlled robotic movements. This isn't Star Wars and surgical droids don't perform the operation autonomously. For the google-impaired: https://en.wikipedia.org/wiki/...

    1. Re:Not the Droids you are looking for by Anonymous Coward · · Score: 0

      Seriously this guy thinks he's going to have T1000 in his bowels pulling out the boots he ate "by mistake" - what a jabroni

    2. Re:Not the Droids you are looking for by 50000BTU_barbecue · · Score: 1

      I know, but anything that will make their "skill" less elite, the better.

      --
      Mostly random stuff.
    3. Re:Not the Droids you are looking for by 50000BTU_barbecue · · Score: 1

      You seem almost stupid enough to succeed your medical studies! Good luck!

      --
      Mostly random stuff.
    4. Re:Not the Droids you are looking for by Anonymous Coward · · Score: 0

      God you're a fuckwit. Good riddance.

    5. Re: Not the Droids you are looking for by Anonymous Coward · · Score: 0

      Agreed.

    6. Re: Not the Droids you are looking for by Anonymous Coward · · Score: 0

      No, he's right, doctors suck.

    7. Re: Not the Droids you are looking for by Anonymous Coward · · Score: 0

      "Doctors" is a big group of people. Morons like you deserve to die without aid, but most doctors wouldn't just give up on you because you're dumb pieces of shit. Most. I'm not a doctor and I already have.

  17. why tie by bugs2squash · · Score: 1

    I would have thought that a robot would find it easier to fuse the suture with heat or maybe bond it with glue or otherwise fasten it without using a knot.

    --
    Nullius in verba
  18. Arrogance by sjbe · · Score: 1

    As someone who needs surgery in the deranged health care system in Quebec, anything that can remove these arrogant human doctors from the loop and make surgery perhaps a nurse-practitioner thing is GOOD.

    Tell me that again when you are coding on the operating table. You don't need a surgeon for many routine surgeries. That's not why you want a surgeon. The value of a surgeon is for when something unexpected or particularly serious happens. And the fun thing about operations is that you never quite know when that is going to happen. So go right ahead and have someone less qualified do your surgery and pray nothing goes wrong. Frankly I think the arrogant one here is you.

    I've had it with the arrogant ignorant incompetent condescending doctors that fill the system here and anything that can threaten their hegemony is GOOD.

    As opposed to the arrogant, know nothing, rude patients that think they know more about medicine than the people actually trained in the practice of it. Let me guess, some doctor had the nerve to actually tell you you were wrong about something or *gasp* made a mistake. Medicine is one of the most difficult and complicated human endeavors and we've been wildly successful at it. No doctors aren't perfect and it is unreasonable to expect them to be, particularly if you have a challenging condition. The human body is too complicated and our technology is too primitive for that to be a realistic expectation.

    Bring on the AI diagnosis, remote-viewed autosurgery please.

    How about a Star Trek tricoder while you are invoking science fiction?

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

      " that think they know more about medicine"

      Not "medicine", just my particular condition. And are you telling me medicine is some sort of science like physics? Thirty years ago they tried to "cure" ulcers by CUTTING THE VAGUS NERVE.

      https://en.wikipedia.org/wiki/...

      Repeat that out loud to yourself.

      Yeah, we know better now, yeah? Think it was arrogant to suggest that ulcers could be cause by BACTERIA, "Doctor"??

  19. Re:Cutting and sewing is not what makes a surgeon. by misexistentialist · · Score: 1

    Knowing when and where to cut, what to sew, and what to do when you cut or sew the wrong thing - that's what's hard about it.

    Sounds like something that would be easy for a computer, if it has the data. Inventing new procedures and methods is another matter, hopefully when the day comes the machine doesn't decide it's best to grab a replacement part from the anesthesiologist.

  20. Comment removed by account_deleted · · Score: 1

    Comment removed based on user account deletion

  21. Robotic surgery by drnirhus · · Score: 1

    1) At this time and for the foreseeable few years. Robotic surgery for the most part it is a hyped up gimmick. Especially when a competent surgeon can do the same laparoscopically in less time, smaller incisions, and much cheaper. Only a few specific cases where it has merits. 2) There is no such thing as âoesimple surgeryâ. All surgery has an inherent risk and the number of deaths attributable to any specific surgery is greater than ZERO. 3) Everyone can be trained to tie a knot, but not everyone can become a competent surgeon.

  22. Windos 10 must now reboot by goombah99 · · Score: 2

    installing update. Windows 10 will now reboot.......... Licence manager error, please call Tech support during bussiness hours. Thank you.

    --
    Some drink at the fountain of knowledge. Others just gargle.
  23. Two things occur to me by Rastl · · Score: 1

    Two things occur to me as I read about this.

    It isn't 'robotic surgery'. It's robot-assisted surgery. There's still a trained human performing the surgery itself. The intention is to perform more types of surgery using less invasive, time consuming processes.

    The other thing is the concern that the doctors won't be able to perform the surgeries in this manner if they don't have the robot assistance if that's the only way they've been trained to do it.

    Overall the concept is great - less stress on the patient, less expensive surgery, ability to perform more surgeries which reduces wait times. The implications of being completely dependent on the robot to do the procedures this way is scary.

    1. Re:Two things occur to me by Anonymous Coward · · Score: 1

      The implications of being completely dependent on the robot to do the procedures this way is scary.

      Why? Surgeons are completely dependent on all sorts of tools to do their surgeries. This is just a new tool.

  24. Re:Cutting and sewing is not what makes a surgeon. by demonlapin · · Score: 1

    Sounds like something that would be easy for a computer

    Not really. The variation in human anatomy from person to person is substantial, even before you account for the changes that are due to prior surgical interventions. Not saying that it's impossible, but self-driving cars are a far simpler problem.