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A Doctor Remotely Told A Patient He Was Going To Die Using A Video-Link Robot (bbc.com)

dryriver quotes the BBC: A doctor in California told a patient he was going to die using a robot with a video-link screen. Ernest Quintana, 78, was at Kaiser Permanente Medical Center in Fremont when a doctor — appearing on the robot's screen — informed him that he would die within a few days. A family friend wrote on social media that it was "not the way to show value and compassion to a patient". The hospital says it "regrets falling short" of the family's expectations.

Mr Quintana died the next day.

223 comments

  1. So, maybe not the best bedside manner by Anonymous Coward · · Score: 0

    But it ain't a crime either.

    1. Re:So, maybe not the best bedside manner by K.+S.+Kyosuke · · Score: 5, Funny

      Botside manner?

      --
      Ezekiel 23:20
    2. Re: So, maybe not the best bedside manner by Anonymous Coward · · Score: 2, Insightful

      How terrible for the doctor to do that. Much better to have told him to book an appointment to come in and get tests results thr next day...?

    3. Re: So, maybe not the best bedside manner by Anonymous Coward · · Score: 0

      Butt didd da rowbott likk therr tow cheez?

    4. Re:So, maybe not the best bedside manner by Anonymous Coward · · Score: 1

      This is the problem with Americans. They complain when the doctor won't give a 100% diagnosis. Then they complain when they do.

    5. Re:So, maybe not the best bedside manner by LifesABeach · · Score: 1

      I just thought of that scene in the movie Elysium where the robot says, "and thank you for your service"

    6. Re: So, maybe not the best bedside manner by Anonymous Coward · · Score: 0

      And maybe ask for payment first?

    7. Re: So, maybe not the best bedside manner by Anonymous Coward · · Score: 0

      The dying man was in the hospital dimwhit.
      I imagine that if the doctor had been standing beside the bed he would have said the same thing. Not an envious task, telling someone that there is no hope at all and that the end is near... Really near.

    8. Re: So, maybe not the best bedside manner by Anonymous Coward · · Score: 0

      That was the point, I think. The doctor could have told the man by robot, or presumably never told him or his family at all by waiting until it was "appropriate" and thus too late.

    9. Re: So, maybe not the best bedside manner by Darinbob · · Score: 4, Interesting

      Well, the doctor *did* speak to the patient in person earlier that day. I presume later when the doctor was at home he got the test results and decided to use the telepresence bot instead to get the news out more quickly rather than waiting a day (and the patient did die the next day).

    10. Re: So, maybe not the best bedside manner by Anonymous Coward · · Score: 0

      Who's that "we" you yak about?

    11. Re: So, maybe not the best bedside manner by Anonymous Coward · · Score: 1

      Come on douche bag. Doctors need a life. They already work crazy hours and I presume he did it via video link becos it is off hours. People die in hospital all the time.

      I see nothing wrong with Video link. As long as the message is delivered with sympathy and not with apathy.

      E.g. I'm sorry to inform you like this but this is important and I feel you should know as soon as possible. You need to prepare for the worst in the next few days and spend as much time as possible with your loved ones.

      Vs

      Hey, your results are out.... you're gonna die in a few days. Bye.

    12. Re: So, maybe not the best bedside manner by Anonymous Coward · · Score: 0

      So why not just phone call? I tell you why. Because a phone call doesn't warrant consultation fee like the video link to a doctor does. Plus the hospital gets to charge a fee for use of the robot as a medical device.

    13. Re: So, maybe not the best bedside manner by CrankyFool · · Score: 1

      Not relevant in this case -- Kaiser Permanente is an HMO. He was in a Kaiser hospital, with a Kaiser employee as his doctor -- it's one system.

    14. Re: So, maybe not the best bedside manner by ShanghaiBill · · Score: 4, Insightful

      So why not just phone call?

      This basically was a phone call. Phones are used to deliver bad news all the time. Just because this phone was called a "robot" doesn't make it evil.

    15. Re: So, maybe not the best bedside manner by Anonymous Coward · · Score: 0

      As an employee my time is my time, I would never expect a doctor to drive hours to tell me I will die. A text message is fine, and probably better for the doctors state of mind. All around win win

    16. Re: So, maybe not the best bedside manner by Anonymous Coward · · Score: 0

      The doctor get time off.

    17. Re: So, maybe not the best bedside manner by Anonymous Coward · · Score: 0

      No, Medicare and other insurances will only pay out on live telemedicine video consultations . They don't with just phone calls.

    18. Re: So, maybe not the best bedside manner by Anonymous Coward · · Score: 0

      Even though I'm in IT, I've worked with many doctors and have seen their daily routine, plus I'm intimately familiar with hippa and the anti-kickback statute. I well know that what you're saying is very false.

      But I will concede this: There are done doctors who only go for high volume work at family clinics. These are the clinics where you don't actually see the doctor until 2 hours after your appointment time, and often the doctors are pretty bad (though they don't spend any time with pharma reps.) The exception in these clinics tend to be the nurse practitioners, who tend to do a better job at those kinds of clinics than the doctors do.

      Fortunately I have private health insurance, so I don't have to go to these kinds of clinics. These are the kinds of clinics that medicare and medicaid people have to go to. And this is exactly why I bash Democrats who want to ban private health insurance and force all of us to go on shitty medicare. That, and medicare is an HMO, and HMOs are shit.

    19. Re: So, maybe not the best bedside manner by Dunbal · · Score: 1

      It's worse when it's a 30 year old mother with leukemia and she has her 5 year old daughter on her lap. True story.

      --
      Seven puppies were harmed during the making of this post.
    20. Re: So, maybe not the best bedside manner by Anonymous Coward · · Score: 0

      Yes but once all the people like you, who receive enough income and idirectly through the labor of others and partially through your own efforts, would then be in a situation where it would become practical for you to support better medical for all. you can't get what you need without helping others just as much as you're helping yourself, when you along with others like you then we'll end up supporting better healthcare for all and having the perception that you did it because you wanted to cuz it was the only way to get what you needed.
      Because at the moment it just doesn't make sense to support other healthcare than your own does it? And that's the problem

    21. Re: So, maybe not the best bedside manner by toadlife · · Score: 4, Informative

      And this is exactly why I bash Democrats who want to ban private health insurance and force all of us to go on shitty medicare.

      You are confusing Medicare and Medicaid and the vastly different reimbursement rates and coverage that they offer. Nearly every doctor and hospital accepts Medicare; in fact, if Medicare was abolished a large number of hospitals and doctors would go out of business.

      And the vast majority of actual doctors want Medicare for all, so there's that.

      --
      I don't always use unix-like operating systems; but when I do, I prefer FreeBSD.
    22. Re: So, maybe not the best bedside manner by NFN_NLN · · Score: 1

      > Or the doctor could have driven to the hospital and told them in person.

      Or the doctor could simply stop reading email at night and then he wouldn't have known until the next day when the patient died anyways. Then it's god's fault, not his, not the hospitals nor the video robots.

    23. Re: So, maybe not the best bedside manner by Anonymous Coward · · Score: 0

      There was a survey that found out that telling a patient that he will die, actually made them die in days compared to patients who did not had these "happy" news delivered. The reason was that they simply gave up and died.

      Anyway - we will all die... someday. However that is not the way how doctors should act - unless patient is uncurably sick and is experiencing agonizing pain and wants to die and hearing such message is good news.

  2. Mr Quintana died the next day. by Anonymous Coward · · Score: 0

    Correlation! I KNEW IT. Dastardly robots, have they no shame?

  3. Where's the surprise here? by mykepredko · · Score: 4, Insightful

    For years, here on /., there have been stories about how people use technology - I think the first time was Radio Shack laying off employees: https://slashdot.org/story/06/...

    I guess that you can see why people use technology to avoid unpleasant situations, but they should be highlighted as being inappropriate with the message being that like a Stark, "The man who passes the sentence should swing the sword."

    1. Re:Where's the surprise here? by Anonymous Coward · · Score: 1

      Does this make it any nicer? Is he supposed to bend over backward and cry while saying it? The person just died but they can only do that once. Medical professionals have to inform many people and as long as they care it will always be traumatic for them. The more they care the harder it is and taking extra steps likely does not help them a whole lot. An emotionless person would go thru the motions just to avoid a chat from management. You might feel they cared and acted properly when they didn't give a shit and might have killed your loved one trying out something new (a sociopath would play the social games better than average.) Me, I would interpret the avoidance as an indication of real concern... if not for my relative, for their professional failures.

      The family is naturally going to complain. From their perspective, they are going thru the grieving process and will be hypersensitive about their expectations.

      I don't see why they have to suffer any more than necessary just to meet family expectations. If you die at an OLD AGE you are lucky. Many die younger and many die without any forewarning at all. It's not like being told to die by the person shooting you and then bleeding out for hours. Knowing you have a few days and they can't do anything to ruin those last few days is a gift. Better than trying emergency things to break your finances and make your suffer before you die.

      I say this with a father who died from a doctor's mistake when I was a teen. The doctor didn't show up. The nurse was left to deal with it. The young doc wasn't so cocky after his 1st fuckup but regulations shouldn't have allowed last second scheduling for marathon operations because some young guy thinking he can perform 100% after a 10 hour work day because they don't want to risk waiting for another time slot to open (waiting costs the hospital $$$... yes this is the USA where money is always a factor. and in small ways you don't see until after somebody dies.)

    2. Re:Where's the surprise here? by Solandri · · Score: 3, Insightful

      but they should be highlighted as being inappropriate with the message being that like a Stark, "The man who passes the sentence should swing the sword."

      The doctor wasn't the one who gave him the disease. I'm having trouble finding out what this "chronic lung disease" was - it seems to be omitted in all the news reports (the quality of journalism has fallen markedly in the last few decades). If it was smoking-related, the guy did it to himself.

      The appropriate catchphrase here is "shooting the messenger." I get that the family and the guy were upset to find out he'd be dying so soon, but there's no reason to take it out on the doctor. The doctor was only the messenger.

      Put another way, would they rather have found out via video conference and had 48 hours to spend together and prepare for the end? Or would they have preferred to lose 10%-20% of that remaining time waiting until a doctor could deliver the news in person? Given the short timeframe of the diagnosis, I think informing them ASAP by any means possible should've been the priority.

    3. Re:Where's the surprise here? by grumling · · Score: 2

      So there's a total of one doctor in the whole hospital? I get it that "his doctor" wasn't available when the test results came in, but a visit from an associate who's on duty would still be more personal. The video conference could have happened between the two doctors so they could get the story right.

      --
      "Well, good luck finding a judge that doesn't run a bestiality site."
    4. Re:Where's the surprise here? by Anonymous Coward · · Score: 0

      No, they should have shot the robot. Seriously, I don't get piety. Somehow these people value their superstitions above getting important information as fast as possible.

    5. Re:Where's the surprise here? by Anonymous Coward · · Score: 0
      The nature and cause of the chronic lung disease is beside the point. The doctors cannot tell the press what the disease was, and the family has no obligation to describe the disease in detail.

      Maybe the proper solution is to have doctors (or non-doctor counselors of some sort) available to break bad news in less than 10%-20% percent of the patient's remaining time. This is something Kaiser should have given more thought to.

    6. Re:Where's the surprise here? by Anonymous Coward · · Score: 0

      but they should be highlighted as being inappropriate with the message being that like a Stark, "The man who passes the sentence should swing the sword."

      Yeah! The doctor that diagnoses a patient with a mortal illness should be the one to execute the patient in single combat. Who does it any other way?

    7. Re:Where's the surprise here? by Anonymous Coward · · Score: 0

      Your coddled little world sounds really nice to live in.

      Open your mind and your heart.

  4. wasn't a robot you tards by iggymanz · · Score: 2, Insightful

    A remotely controlled machine is not a robot. The voice telling him he would die was the doctors. He spoke the truth. If you can't handle the truth of someone near death's fate stay out of hospitals. Life is cruel and a bitch, then you die.

    1. Re:wasn't a robot you tards by Anonymous Coward · · Score: 1

      The robot still moves itself, it's a robot with a video conferencing system that humans use. Pedantry requires you be correct, sorry.

    2. Re:wasn't a robot you tards by iggymanz · · Score: 1

      Get a dictionary, then you can be a pedant.

      Robot: (noun) a machine resembling a human being and able to replicate certain human movements and functions automatically.

    3. Re:wasn't a robot you tards by Cipheron · · Score: 1

      Not quite, robots can be internally or externally controlled from a control unit. whether that control unit is a computer or a human is irrelevant to whether the thing itself is a robot. It's a tele-presence robot.

    4. Re: wasn't a robot you tards by Anonymous Coward · · Score: 4, Funny

      Pedant (noun): a person who reads definitions to other people from the dictionary

    5. Re: wasn't a robot you tards by Anonymous Coward · · Score: 0

      If a doctor will not tell me I am going to die in person, and then stick his penis in my butthole one last time, then he is NOT a good doctor.

    6. Re:wasn't a robot you tards by SirSlud · · Score: 1

      Life is cruel and a bitch

      That's certainly how it seems to dipshits.

      --
      "Old man yells at systemd"
    7. Re:wasn't a robot you tards by ArchieBunker · · Score: 1

      So which part of the spectrum are you on?

      --
      Only the State obtains its revenue by coercion. - Murray Rothbard
    8. Re:wasn't a robot you tards by Anonymous Coward · · Score: 0

      Life is cruel, therefore I must bitch about it like anyone else gives a fuck. #Updated for digital age

    9. Re: wasn't a robot you tards by Jane+Q.+Public · · Score: 1

      Pendant (noun): someone who hears truth from a pedant but doesn't listen.

    10. Re:wasn't a robot you tards by Anonymous Coward · · Score: 0

      No, that's how it seems to people who spend their lives around dipshits. Small difference.

    11. Re: wasn't a robot you tards by Anonymous Coward · · Score: 0

      Not very human looking to me...

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

    12. Re:wasn't a robot you tards by dunkelfalke · · Score: 1

      Exactly. Life is life (nana na nana), people make it cruel.

      --
      "It's such a fine line between stupid and clever" -- David St. Hubbins, Spinal Tap
    13. Re:wasn't a robot you tards by Anonymous Coward · · Score: 0

      Robot does not need to resemble human, a robot that resembles human is called an android.

    14. Re:wasn't a robot you tards by Anonymous Coward · · Score: 0

      A remotely controlled machine is not a robot.

      I gave up on that battle at least a decade ago. Back when they had those "robot wars" or whatever, where radio controlled cars smash into each other.
      My kid is on a robotics team where they drive such a thing around (with a joystick, cameras, etc). I agree it isn't a robot, but you're going to have to let this go.
      It's too late.

    15. Re:wasn't a robot you tards by thegarbz · · Score: 1

      Robot: (noun) a machine resembling a human being and able to replicate certain human movements and functions automatically.

      Idiot: (noun) a person who reads dictionary definition 1 and completely ignores the very much relevant definitions 2 and 3 from the same dictionary.
      Supreme Idiot: (noun) a person who wouldn't even need to go to definition 2 and instead would be proven wrong by definition 1.1.
      iggymanz: (proper noun) Pseudo-name of a supreme idiot who quotes one dictionary only to find he would be proven wrong by selecting another dictionary and still stopping at definition 1.

    16. Re: wasn't a robot you tards by Anonymous Coward · · Score: 0

      Just how many people from the dictionary were there?

  5. Well... by Anonymous Coward · · Score: 0

    I get on a screen ant the best way to do this but what should the doc have done gone the next day and tell the dead body he is going to die ?

    He was dead the next day had the doctor not said anything then he would have 0 chance of gett his passing in order.

    As tech advances this short of thing will and kinda should happen

    A few decades GAO I am sure people where just as devastated to hear a doctor over the phone tell them the person was going to die.

  6. Is it better than not to tell the patient at all? by Anonymous Coward · · Score: 0

    Either way the hospital and doctor gets paid.

  7. Doctor Joke #1 by PopeRatzo · · Score: 5, Funny

    I went to the doctor and he examined me and ran a battery of tests. His video link robot came back into the room and said, "Mr Ratzo, you're crazy." I told him I wanted a second opinion and he said, "You're ugly, too."

    But the video link robot did suggest that I start doing yoga. When I asked him why, he said, "So you can kiss your ass goodbye."

    --
    You are welcome on my lawn.
    1. Re:Doctor Joke #1 by Stormwatch · · Score: 1

      "Doctor, tell me the truth! How long do I have to live?"

      "You have... ten."

      "Ten what, doctor? Months? Weeks? Days?!"

      *checks wristwatch* "Ten... nine... eight... seven..."

    2. Re:Doctor Joke #1 by JustAnotherOldGuy · · Score: 5, Funny

      A dying man smells his favorite oatmeal raisin cookies cooking downstairs. It takes all the strength he has left but he gets up from the bed and crawls down the stairs.

      He sees the cookies cooling on the counter and staggers over to them. As he reaches for one, his wife's wrinkled hand reaches out, smacks his and she yells:

      "No, you can't have those! They're for the funeral!"

      --
      Just cruising through this digital world at 33 1/3 rpm...
    3. Re:Doctor Joke #1 by Anonymous Coward · · Score: 0

      The joke is that someone would like raisin cookies.

    4. Re:Doctor Joke #1 by rmdingler · · Score: 1

      A beautiful woman walks into a doctor's office one day and the doctor is bowled over by her stunningly good looks and all his professionalism goes right out the window.

      He tells her to take off her pants, she does, and he starts rubbing her thighs.

      "Do you know what I am doing?" asks the doctor? "Yes, checking for abnormalities." she replies.

      He tells her to take off her shirt and bra, she takes them off. The doctor begins rubbing her breasts and asks, "Do you know what I am doing now?", she replies, "Yes, checking for cancer."

      Finally, he tells her to take off her panties, lays her on the table, gets on top of her and starts having sex with her. He says to her, "Do you know what I am doing now?"

      She replies, "Yes, getting herpes - that's why I'm here!"

      --
      Happiness in intelligent people is the rarest thing I know.

      Ernest Hemingway

    5. Re:Doctor Joke #1 by Anonymous Coward · · Score: 0

      A dying man smells his favorite oatmeal raisin cookies cooking downstairs. It takes all the strength he has left but he gets up from the bed and crawls down the stairs.

      He sees the cookies cooling on the counter and staggers over to them. As he reaches for one, his wife's wrinkled hand reaches out, smacks his and she yells:

      "No, you can't have those! They're for the funeral!"

      This doctor joke leaves out one crucial fact: the dying man is dying because of complications from diabetes. If he eats that cookie, his blood glucose level will spike and he'll die right there on the kitchen floor, and his grand-kids who are driving in from Kansas City won't be able to say goodbye to him. Also, he's already sold his false teeth to afford the medical care that has enabled him to live this long, along with his car and his baseball card collection, and reverse-mortgaging the house, because...

      'Merica!

    6. Re:Doctor Joke #1 by Anonymous Coward · · Score: 0

      A beautiful woman walks into a doctor's office one day and the doctor is bowled over by her stunningly good looks and all his professionalism goes right out the window.

      He tells her to take off her pants, she does, and he starts rubbing her thighs.

      "Do you know what I am doing?" asks the doctor?
      "Yes, checking for abnormalities." she replies.

      He tells her to take off her shirt and bra, she takes them off. The doctor begins rubbing her breasts and asks, "Do you know what I am doing now?", she replies, "Yes, checking for cancer."

      Finally, he tells her to take off her panties, lays her on the table, gets on top of her and starts having sex with her. He says to her, "Do you know what I am doing now?"

      She replies, "Yes, getting herpes - that's why I'm here!"

      Isn't this technically Doctor Joke #2?

      Also... it's a well-known fact that all stunningly gorgeous women have herpegonasyphilaids. Tragic but true.

    7. Re:Doctor Joke #1 by HornWumpus · · Score: 1

      A woman goes to a new gynecologist for her yearly.

      When he sees her vagina, he's just shocked, despite having seen literally more than a hundred thousand vaginas over his career. Can't stop himself, he says: "God damn that's a huge hole, WTF have you been doing?'

      He then recovers his composure and spends the rest of the appointment apologizing.

      She's obviously disturbed, and self conscious about her vag. When she gets home she lays a mirror on the floor takes off her pants and stands over it, looking and wondering 'is it really that huge?'

      Just then her husband walks into the room, says 'What you doing?' She says 'Nothing' He says, 'Be careful you don't fall into that hole in the floor.'

      --
      John McAfee 'It was like that time I hired that Bangkok prostitute; to do my taxes, while I fucked my accountant'
  8. That story list... by SeaFox · · Score: 4, Funny

    I like the story immediately preceding this one is "Is Bad Customer Service More Profitable Than Good?"

    1. Re:That story list... by gweihir · · Score: 2

      Seems pretty relevant. Although to be fair, in this case here they already knew they would be losing the customer. They will probably not get any business from his family and friends in the future though.

      --
      Most ACs are not even worth the keystrokes to insult them. Be generically insulted by this and ignored otherwise.
    2. Re:That story list... by Anonymous Coward · · Score: 0

      If they didn't tell him and he died without info because of some unstated need for a familiar face, they couldd be suing for withholding information that resulted in a poor outcome. You're pretty single-minded in your race to conclusions.

      I guess your barcalounger is pretty high up for you to see all the relevant information and make your thoughtful deliberative narratives chock full of useful information. /sarc

    3. Re:That story list... by Anonymous Coward · · Score: 0

      A doctor that the guy never saw before gets to charge a consult fee just for walking in the door. Now, though, through the miracle of telemedicine, he doesn't physically have to even do that now. Plus, I'll bet there's a fee for the robot that's been added to the bill, too. My guess is that's the real reason why this was handled the way it was. Years ago, when I was getting ready to be discharged after I was hospitalized for a burst appendix, I had a slew of PA's and doctors that I'd never seen before come by and just ask how I was doing, which I thought was kinda weird. However, in the following days and weeks after I got the bills from the hospital and doctors' group (I was self pay) it became clear that these "consults" were just padding the bill. Most people who have insurance aren't even aware of it because they don't usually look at the itemized bill that the insurance companies do. It's the kinda shit that is really the problem with healthcare.

    4. Re:That story list... by Darinbob · · Score: 3, Informative

      The full story is that the doctors did see the patient earlier in the day, and the patient died the next day. The doctor said he had just received the MRI results. Unclear if the same doctor saw him earlier in the day or if it was other doctors.

      So, wait until morning to give the news, or give the news immediately? The fault here seems more with not having a nurse or other professional in the room at the time (which was the standard procedure).

      People need to read more than the headlines and summaries.

    5. Re:That story list... by Darinbob · · Score: 1

      It was being done because the alternative was a phone call or waiting until the next day. The "robot" was just a video phone on wheels is all.

    6. Re: That story list... by Anonymous Coward · · Score: 0

      Here in Oz we have a similar problem with GPs. They refuse to offer any advice, test results, or assistance over the phone at all. So I go in for a test, pay for the visit, no probs. Then I *must* pay for another visit to get the results, even if they are useless. Back in the UK the GPs are really good, in that everyone is working together to save costs. My GP and I had a great arrangement where he'd email me (with my permission) following tests with either: "all good, don't need to see me, only make an appointment if you want more information" or "please make an appointment to see me as soon as possible". No private information sent, no wasted appointment.

      The other thing they do here in Oz is force you to go back every 3-6 months for prescriptions, even for mild but chronic conditions like what I have. It feels like a bloody rort, most likely because it is one.

    7. Re:That story list... by Skubman · · Score: 1

      "I am very upset by how you told me"
      "It's a temporary feeling, sir."

      --
      -This signature is strictly to prevent comments ending with questions or propositions.-
    8. Re:That story list... by Anonymous Coward · · Score: 0

      There's nothing in TFA that supports the claim that they had no one available to personally deliver the bad news, just that the hospital had started using the videobot for some remote consultations, and by policy with a nurse or doctor present. They violated their own policy by not having hospital staff present for the remote. Besides, you really think no hospital staff doctors, including the one responsible for making rounds at that time, or even a PA was available to see the patient? I don't.

    9. Re:That story list... by hazem · · Score: 1

      They will probably not get any business from his family and friends in the future though.

      As if Americans have much choice about where they get their medical coverage. Most get the insurance their employer provides and can't afford to go "outside of network" because it's ridiculously expensive to do so. With this one being KP, they can only go to a KP facility and they'll get the providers KP decides they'll get.

    10. Re:That story list... by Anonymous Coward · · Score: 0

      And that the machine and its speaker was on the patients bad ear side, due to it not being able to get past equipment that blocked it from going to his good ear side. Family explained to the patient what was said by the doctor.

  9. Cowardice by gweihir · · Score: 3, Insightful

    Yes, I get that telling this to a patient is hard. But if you cannot do it in person, then do not be a doctor or do pathology were patients are already dead.

    --
    Most ACs are not even worth the keystrokes to insult them. Be generically insulted by this and ignored otherwise.
    1. Re:Cowardice by Anonymous Coward · · Score: 0

      Attention moron : The doctor wasn't in the building, wasn't in the same city. People get news like this over the phone currently. The fact that a "robot" phone on wheels delivered the news is inconsequential, the news is the news.

      And it was correct. If they had waited a day for the doctor to travel there to tell him, he'd be dead already. You fucking idiot lol.

    2. Re:Cowardice by alvinrod · · Score: 1

      I'll give the doctor the benefit of the doubt. Perhaps he was busy trying to save someone else who had a chance of living and didn't have time to sit around trying to comfort someone whose time was up.

    3. Re:Cowardice by Anonymous Coward · · Score: 1

      The doctor that appeared on the screen wasn't the doctor that had been attending the old guy. The hospital hasn't released information as to the location of the doctor that delivered the news, or where the doctor that had been in charge of his case was either.

    4. Re:Cowardice by stephanruby · · Score: 4, Insightful

      Maybe it was just pragmatism, not cowardice. The patient died the very next day. It's very possible that the patient was already in hospice care and that the doctor couldn't get to the patient in time to tell him the diagnosis in person.

      In the case of my mother, the homecare hospice nurse is the one that told us that she only had three days left to live (based on the discoloration of her skin). And her prediction was remarkably accurate. She had been battling lung cancer for the last three years, so it's not like this came as a surprise to any of us. But the headsup from the nurse is what allowed my brother to fly in to see her one very last time.

    5. Re:Cowardice by gweihir · · Score: 1

      The person that failed this guy was not the expert on the telepresence device, although he should probably have refused to do this in this way. The doctor that failed him was his own, on-site doctor.

      --
      Most ACs are not even worth the keystrokes to insult them. Be generically insulted by this and ignored otherwise.
    6. Re:Cowardice by gweihir · · Score: 1

      The whole thing was botched badly. The attending doctor should have been there. The expert on the telepresence device should have refused to do this without him.

      --
      Most ACs are not even worth the keystrokes to insult them. Be generically insulted by this and ignored otherwise.
    7. Re: Cowardice by misnohmer · · Score: 1

      So you're saying it would have been better for the doctor to not tell the video consult patient that he's about to die, rather tell him to make an in-person appointment knowing the patient is likely not going to live long enough to make the appointment?!? The patient in this case died the next day, so even if they had an appointment that day they wouldn't have made it.

    8. Re:Cowardice by Anonymous Coward · · Score: 0

      "The attending doctor should have been there." Too bad. They weren't available, and the guy would have died the next day without the information and the family would be even more justly upset by that decision. You're being stupid.

      Your decision could even have caused the hospital to get sued for withholding critical information that affected an outcome, potentially. You just love to fly into your blind conclusion jumping parades, don't you?

      "Everyone involved is an idiot, surely from my barcalounger we can see all relevant facts and know that for sure!" - YOU IDIOT!

    9. Re:Cowardice by alvinrod · · Score: 1

      The doctor that failed him was his own, on-site doctor.

      I'm sure there was absolutely nothing better he or she could be doing with his or her time than telling someone who had none left that same very fact. There's a finite number of doctors with a finite amount of time and that time is probably of more use elsewhere.

      In fairytale world, I'm sure the doctor could have come and spent several hours with the man giving him some life affirming realization so that he was able to come to terms with his own mortality and find peace in his final moments. Meanwhile in reality that doctor probably hasn't gotten decent sleep lately and is trying to keep the clock from running out on the other patients. Sometimes life sucks and we don't get the Disney version of the story.

    10. Re:Cowardice by Anonymous Coward · · Score: 0

      " There's a finite number of doctors "

      And whose fault is that?

    11. Re:Cowardice by sjames · · Score: 2

      Attention Idiot, the hospital was NOT completely un-staffed. The correct handling would be for the remote doctor to arrange for another doctor or nurse to be physically present when the news was delivered (note, according to TFA, that is also hospital policy). Also, they should have waited for the patient's wife to be there.

    12. Re:Cowardice by sjames · · Score: 1

      They could have had a nurse physically present when the robo-doc gave the news.

    13. Re:Cowardice by Ol+Olsoc · · Score: 1

      Yes, I get that telling this to a patient is hard. But if you cannot do it in person, then do not be a doctor or do pathology were patients are already dead.

      I dunno. I could really care less who told me I was going to check out. Way too much is made of the sensitivity aspect, and half of the other crap around death. I cringe when I read about how so and so "passed away peacefully surrounded by family". Screw that. I've done the other side of that equation enough times, and it's seldom all that peaceful, and I intend to check out all by myself.

      So if someone on Mars tells me I've only got a few hours, or in person - I'll thank them, have a shot of tequila, say goodbye to everyone, then tell them to get the fuck out of the room, and get ready for the ride.

      --
      The shepherds did so well protecting the flock that the sheep no longer believed that wolves existed.
    14. Re:Cowardice by ArchieBunker · · Score: 1

      The patient was in a hospital but there wasn't a doctor available?

      --
      Only the State obtains its revenue by coercion. - Murray Rothbard
    15. Re:Cowardice by Anonymous Coward · · Score: 0

      What's it like being shunned from 4chan?

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

      In the real world, that hospital must be a shithole. Because I've had some experience with losing a grandparent and parent to terminal illnesses while hospitalized, that can I guarantee you that other hospitals that have the same problems don't treat their terminal patients with such callous disregard as this one did.

    17. Re:Cowardice by Aighearach · · Score: 1

      " There's a finite number of doctors "

      And whose fault is that?

      Death. The same jerk responsible for the other part of the story.

      But he grants us Evolution in return, so it isn't all bad.

    18. Re: Cowardice by Aighearach · · Score: 1

      It is even worse than that, the decision that had been made was that nothing could be done except comfort care; waiting to tell him would have meant withholding the comfort care, too! He would have suffered more that way.

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

      >They could have had a nurse physically present

      According to another article, that was actually the hospital policy, but it didn't get followed.

    20. Re:Cowardice by Darinbob · · Score: 4, Informative

      Did you just read the headline, or only read the summary? Read the article maybe. The patient died the next day, the phone call was made apparently soon after getting the MRI results and the phone call was in the evening and the doctor had presumably gone home. So, wait until the next day to give an update to the patient, do a voice only call, or do a video call?

      For me I'd rather get the news sooner that the condition was inoperable. More time to get other family notified. The real fault was that this was done without having an additional medical professional in the room at the time which was standard procedure for the hospital.

    21. Re:Cowardice by phantomfive · · Score: 1

      It's more likely the doctor was pressed for time, constantly pushed by his employer to do more, especially now that a 'robot' was helping him.

      --
      "First they came for the slanderers and i said nothing."
    22. Re:Cowardice by thegarbz · · Score: 1

      Can I interest you in a jump to conclusions mat? Or did you out yourself as the doctor in question? It has to be one of those two since based on your ability to come up with that conclusion you either know, or think you know far more than the very little and only one sided information given in TFA.

    23. Re:Cowardice by Dog-Cow · · Score: 1

      Have you ever been in a hospital with more doctors than patients? I haven't.

    24. Re:Cowardice by Anonymous Coward · · Score: 0

      There is nothing cowardly about what he did.
      Full disclosure is the standard of care. The patient and family were informed about the prognosis and possible outcome from the begining.
      What is important is whether "end of life " counselling was done properly.

      FYI Pathologists do not deal with dead people.
      99% of their work is just biopsies, inflammation stuff and less frequently tumors.
      The best part of being a Pathologist is you do not have to deal with patients. Just like in real life many people are not nice to deal with and are a pain in the neck. Some are just assholes...

      Forensic Pathologists (a subspecialty and amounting to only less than 5% of all Pathologists; mostly work at the Medical Examiner) deal with autopsies. 90% of their work is with dead people.

      What the VP said is just being diplomatic.

    25. Re:Cowardice by tomhath · · Score: 1

      But if you cannot do it in person, then do not be a doctor

      This doc screwed up by not asking someone who was there to handle it. Hospitals all have end of life counselors, clergy and social workers available to help.

    26. Re:Cowardice by gweihir · · Score: 1

      That is ok, and I think I lean your way. But for many people it is different.

      --
      Most ACs are not even worth the keystrokes to insult them. Be generically insulted by this and ignored otherwise.
    27. Re:Cowardice by Anonymous Coward · · Score: 0

      If I knew I was going to die soon I'd have better things to do than spend quality time with a physician who can't help me anymore. What good is "finding peace in one's final moments"? Is this code for afterlife prepping?

    28. Re:Cowardice by Anonymous Coward · · Score: 0

      Maybe it was just pragmatism, not cowardice.

      The doctor was in the next room over.

    29. Re:Cowardice by Riceballsan · · Score: 1

      Well the question is, which is worse... if someone's got 48 hours to live... want to spend 12 of them tracking down the right guy?

      Maybe a better option would have been to fill in some other nurse, psychologist, or anyone else on staff to deliver the news.

      You can say all you want that 'the guys primary physician never should have left when he had someone in that level of condition'. Fact is he's a doctor, fact is it's a hospital. If I've heard any advice from people that have worked in hospitals it is... you leave when your shift is up, if you try and hold on there until nobody's dying... you are never going to leave, and the exhaustion is going to make you less helpful to your patients.

  10. It's Kaiser by TechyImmigrant · · Score: 3, Interesting

    It's Kaiser Permanente. What did you expect? Resources wasted seeing a patient in person, when they were going to quit paying fees in a few days anyway?

    --
    I should use this sig to advertise my book ISBN-13 : 978-1501515132.
    1. Re:It's Kaiser by Anonymous Coward · · Score: 0

      You're being silly. If the doctor (*who bills at like 1200 an hour) has to commute cross-country to give his expert diagnosis to a patient about to DIE THE NEXT DAY ANYWAY, he wouldn't even have made it in time! You just want to bag on Kaiser.

      Be honest.

    2. Re:It's Kaiser by Anonymous Coward · · Score: 0

      He didn't die the next day. TFA quoted got it wrong. The guy died two days after the conference. Secondly, the doctor that delivered the news was the guy's doctor in charge of his case. It was a doctor the family had never ever seen before. The location of his hospital doctor at the time has not been released by the hospital.

    3. Re:It's Kaiser by Anonymous Coward · · Score: 0

      You are asshat. I used Kaiser for 20 years and it is a great insurance and they provide great service. No matter how you are told you are going to die within few days the news will not be well received. There is nothing wrong with the doctor telling him the way he told him. We use teleconferencing all the time for all kinds of purposes. People get fired over the phone or video conferencing. In fact person I know was fired while on sick leave.
      It is sad the person died, but there was no problems with the way he was informed, other than clickbait article and people like you blaming it on the doctor.

    4. Re:It's Kaiser by Darinbob · · Score: 1

      Naw, Kaiser Permanente is a great system. Lower cost but with good care and preventative medicine.

    5. Re:It's Kaiser by TechyImmigrant · · Score: 1

      Naw, Kaiser Permanente is a great system. Lower cost but with good care and preventative medicine.

      I have a family member who worked for Kaiser and quit in disgust at their unsafe care practices.

      --
      I should use this sig to advertise my book ISBN-13 : 978-1501515132.
    6. Re:It's Kaiser by TechyImmigrant · · Score: 1

      Did you read my words? Clearly not. I didn't blame the doctor at all. I blamed Kaiser.

      --
      I should use this sig to advertise my book ISBN-13 : 978-1501515132.
    7. Re:It's Kaiser by Anonymous Coward · · Score: 0

      Carilion is worse and can generate insane additional charges for you having the audacity to die while in their incompetent care.

  11. More info by Anonymous Coward · · Score: 1

    First paragraph

    Ernest Quintana's family knew he was dying of chronic lung disease when he was taken by ambulance to a hospital, unable to breathe.

    And the headline reads "A California man learned he had only days to live from a doctor on robot video"

    False headline since he already knew it. The video diagnosis is a little cold but honestly this is just people bitching.

    Fuck the internet.

  12. Coincidence? I don't think so....... by Vinegar+Joe · · Score: 1

    The article immediately preceding: "Is Bad Customer Service More Profitable Than Good?"

    --
    "The average reporter we talk to is 27 years old......They literally know nothing." - Ben Rhodes
  13. I'da called that doctor a callous s.o.b. by Anonymous Coward · · Score: 0

    Then I would have told him to stick his head up his shiny metal ass.

  14. Got my first prostrate exam a few months ago by Snotnose · · Score: 1

    I'm in my gown, backside sticking out, got into the position, doc did his bit, said I looked good, and left.

    As the doc left the nurse came in and said "Who was that?"

    / here all week
    // actually told that joke to a friend who is a retired nurse
    /// she didn't laugh, said that kind of thing happened all the time.

    1. Re:Got my first prostrate exam a few months ago by Anonymous Coward · · Score: 0

      I'm in my gown, backside sticking out, got into the position, doc did his bit, said I looked good, and left.
      As the doc left the nurse came in and said "Who was that?"

        / here all week
      // actually told that joke to a friend who is a retired nurse
      /// she didn't laugh, said that kind of thing happened all the time.

      //// you think that was his finger

    2. Re:Got my first prostrate exam a few months ago by Anonymous Coward · · Score: 0

      That's-the-joke.jpg

    3. Re:Got my first prostrate exam a few months ago by PPH · · Score: 1

      I was diagnosed with a very contagious disease a while ago. The doctor told me that I would be put on a strict regimen of pizza and pancakes. I asked if that would really help my condition.

      "I don't know", he said. "But that's the only food we can slide under the door."

      --
      Have gnu, will travel.
    4. Re:Got my first prostrate exam a few months ago by Anonymous Coward · · Score: 0

      Now be honest.
      I bet you were in a isolation cell. Most of them in your local prison have feeding doors. ;)...

    5. Re:Got my first prostrate exam a few months ago by Whorhay · · Score: 1

      There's an old SNL skit like that but instead a guy is getting checked for a hernia. In the end he's surrounded by a crowd of people all with a hand cupping his bits and asking him to cough when the real doctor walks in and scares them off.

  15. O.K., But what were the other options? by robbak · · Score: 1

    What would have had to happen for the doctor to visit this patient in person? For instance, was he doing lift-saving surgery that afternoon in another hospital? Or just that he had many patients to make contact with in the short time between two other surgeries? There are many situations that would mean that this doctor could not have personally visited this patient.

    So, what should the doctor have done? Not used the tech would mean not making contact with the patient at all. Had a nurse go see them, a nurse that can't give full information because they don't know the full situation and aren't a doctor? Or made the personal visits, which would mean not doing something else, like save someone's life in the theater?

    Well, in this case, maybe the reaction of the patient means that not making contact at all would have been better. But I doubt all the other patients he talked with by video on that evening would have been happier with not seeing their doctor at all.

    --
    Prediction for end of Universe #42: Fencepost error in Quantum_bogosort.cpp
    1. Re:O.K., But what were the other options? by Hognoxious · · Score: 1

      was he doing lift-saving surgery

      Yes, on someone with elevatord blood pressure.

      TY,IHAW, etc.

      --
      Confucius say, "Find worm in apple - bad. Find half a worm - worse."
    2. Re:O.K., But what were the other options? by Anonymous Coward · · Score: 0

      >What would have had to happen for the doctor to visit this patient in person?

      The doctor the guy had during his hospitalization and in charge of his case was not the doctor that delivered the news. It was one that the family never met. So if the the news is going to be delivered by another doctor, the surely the hospital would have found one that could go and spare the 10-15 minutes to deliver the bad new personally. That would have been the compassionate thing to do.

    3. Re:O.K., But what were the other options? by sjames · · Score: 1

      So, what should the doctor have done?

      Gotten a nurse or even the hospital chaplain to accompany the bot when he delivered the bad news.

    4. Re:O.K., But what were the other options? by Anonymous Coward · · Score: 0

      Their gripe is that their original doctor wasn't the one to give them the news. Please learn to read. It's really not as difficult as you make it seem.

    5. Re:O.K., But what were the other options? by sjames · · Score: 1

      Incorrect, go read it again.

      Then learn to speak with civility.

    6. Re:O.K., But what were the other options? by Anonymous Coward · · Score: 0

      Their gripe is that their original doctor wasn't the one to give them the news. Please learn to read. It's really not as difficult as you make it seem.

    7. Re:O.K., But what were the other options? by Anonymous Coward · · Score: 0

      Their gripe is that some doctor sitting on his ass used a videobot to deliver the bad news and answer questions about his options instead of the hospital having a staff doctor or physician's assistant talk a dying man one on one. The patient couldn't even clearly hear what the doctor was saying over the video link because its volume wasn't loud enough. Plus, the hospital violated their own policy by not having a nurse or other doctor in the room when doing a remote consultation. That's their gripe.

    8. Re:O.K., But what were the other options? by HiThere · · Score: 1

      An earlier response from someone who appeared to have read the article said the doctor wasn't in the hospital at the time he got the MRI results. He not only wasn't someone the family had never met, he, himself, may never have met the patient. He was the MRI specialist. And he didn't get those results until he got home.
      So....(a plausible scenario)
      The guy's going to die soon, definitely within the next week, but could be before morning for all I know. Should I wait until I get in to work to pass on the news? Should I go through channels? What? Well, I've got a video conference capability, so why don't I tell them as quickly as I can, and as personally as I can.

      --

      I think we've pushed this "anyone can grow up to be president" thing too far.
  16. Good news, you've got 10 days to live.. by h33t+l4x0r · · Score: 4, Funny

    "what's the bad news?" he asked the robot doctor.
    "That number is in binary and I've been trying to get in touch with you since yesterday"

    1. Re:Good news, you've got 10 days to live.. by Anonymous Coward · · Score: 0

      Bravo, sir!

    2. Re:Good news, you've got 10 days to live.. by Anonymous Coward · · Score: 0

      that made my (final) day! thanks

  17. Usually govt control is bad, but health care by Anonymous Coward · · Score: 0

    is one place where I think the govt couldn't possibly do worse than private companies.

    Sign me up for optional welfare and charge me $100/month. I'm tired of my highest monthly bill being to some insurance company trying to save money on everything while all the reputable hospitals are charging $35 for a dose of Tylenol.

  18. Ethics matter by onyxruby · · Score: 1

    Just because we can do a thing, does not mean that we should do that thing. This is going to become more and more of an issue in the years to come.

    1. Re:Ethics matter by Anonymous Coward · · Score: 0

      There's nothing unethical whatsoever in this story. You're waxing philosophical which is fine, just try to keep it related.

    2. Re:Ethics matter by Anonymous Coward · · Score: 0

      He should have done it while playing Fortnite with the guy on X-Box live or possibly through the Grindr app.

  19. Nitpicking by hedge00 · · Score: 1

    Sounds like the bereaved family was looking for something to fuss about and latched on to this. Miserable people often do their best to make others miserable too. Good way to get the bill reduced.

  20. simpsons did it (kind of) by Joe_Dragon · · Score: 1
  21. Dangerous robots by Anonymous Coward · · Score: 1

    A Doctor Remotely Told A Patient He Was Going To Die Using A Video-Link Robot

    So did he die using a video-link robot? Maybe someone should look into the safety of using those things.

  22. Even by that definition, it's a robot. by Anonymous Coward · · Score: 0

    The robot in question is somewhat human-shaped, sorta. It has a screen where a "face" shows up from the telecommunication system, but it moves itself automatically around the place. It's a robot, you were wrong.

    Two choices : You admit you were wrong and didn't realize that, or you double down on being more wrong, again. Tic, toc.

    1. Re: Even by that definition, it's a robot. by Anonymous Coward · · Score: 0

      I'll take a stab at it for gp - it's a shitty robot ?

  23. Pure clickbait story by timholman · · Score: 5, Insightful

    This story is pure one-sided clickbait.

    There's no way that this man, and his family, were not aware that his condition was critical. The doctor (who might have been hundreds of miles away) made the correct decision to inform the patient immediately of his prognosis.

    Being there in person wouldn't have changed a thing. Quite the contrary - the patient very probably would have died waiting for the doctor to show up in person to tell him exactly what he and his family almost certainly already knew - that his life was about to end.

    This is a story designed to make an insurance company look evil. There may be plenty of valid reasons to hate Kaiser Permanente, but this incident was not one of them. Note from the article: ""The evening video tele-visit was a follow-up to earlier physician visits." The family in fact did have previous personal consultations, where I'm sure they were told what to expect if the test results came out badly. The tele-visit was the doctor following up with them in as timely a manner as possible.

    1. Re:Pure clickbait story by Anonymous Coward · · Score: 3, Insightful

      My oral surgeon used an ancient VHS tape to tell me having my wisdom teeth removed might fuck up all feeling in my jaw. Who do I see about being outraged?

      You're absolutely right. This story is another tempest in a teacup.

    2. Re:Pure clickbait story by misexistentialist · · Score: 1

      The doctor (who might have been hundreds of miles away

      so what is the fee for this Netflix-style medicine, $13?

    3. Re:Pure clickbait story by Anonymous Coward · · Score: 0

      My oral surgeon just tied me to a chair and cut my wisdom teeth out with a saw while I was still awake. I can still smell the burning teeth. They were so impacted that I didn't even feel the pain over the pressure being relieved in my jaw as they were removed. I spent the evening sucking on ice cubes and reassembling the teeth with airplane glue.

  24. You are not a doctor - for good reason. by Anonymous Coward · · Score: 0

    "The attending doctor should have been there." Too bad. They weren't available, and the guy would have died the next day without the information and the family would be even more justly upset by that decision. You're being stupid.

    Your decision could even have caused the hospital to get sued for withholding critical information that affected an outcome, potentially. You just love to fly into your blind conclusion jumping parades, don't you?

    "Everyone involved is an idiot, surely from my barcalounger we can see all relevant facts and know that for sure!" - YOU IDIOT!

    1. Re:You are not a doctor - for good reason. by gweihir · · Score: 0

      You should cut back on whatever it is you use to get high. It does affect your mental faculties.

      --
      Most ACs are not even worth the keystrokes to insult them. Be generically insulted by this and ignored otherwise.
    2. Re:You are not a doctor - for good reason. by Aighearach · · Score: 2

      Naw, they understand the situation and that time is a limited resource. You're just an asshole calling names.

      I don't mind assholes in the general case, but you should really own your ideas more; worry about your own "high" if that is the root of the problem.

      You'd rather some other patient get less care so that something that is routinely done over the phone could be done in person by the highest demand person available. I think that's disgusting. If you were in charge, you'd be a murderer with that directive.

    3. Re:You are not a doctor - for good reason. by Darinbob · · Score: 1

      This is slashdot. Everyone here is automatically an expert in all fields. We've got so much expertise that normally we can render a quality opinion based only on a headline. There's really not much reason to even hire scientists any more since any new scientific discovery will be shot down within minutes of appearing on slashdot.

  25. WHY? Don't Millenials live by the video phone? by bussdriver · · Score: 1

    The grandkids probably didn't have as much trouble with that until they should. Some people these days claim to date by smart phone... only meeting rarely. Dumping by just disconnecting / ignoring sounds like a common thing too.

    Communication tech doesn't seem to really be making people more connected on a human level. Technically they can send more data more often but it's hollow... I expect to hear more studies showing negative results as the younger generations continue to live in their bubbles. My generation lost the sense of community which died during the boomer era, but the next ones are losing more than that.

    1. Re: WHY? Don't Millenials live by the video phone? by Anonymous Coward · · Score: 0

      And if the patient was a Millennial it might be appropriate. The patient was 78.

      It wouldnâ(TM)t surprise me to see this as commonplace in the future. The difference will be that there would also be a person in the room skilled in dealing with the emotional fallout and helping the family deal with the patientâ(TM)s and their own reaction. Unfortunately the person will probably be from billing to work out payment instead.

    2. Re: WHY? Don't Millenials live by the video phone? by Bert64 · · Score: 1

      According to a quick google search, the average life expectancy in the US is 78.69 years, and this guy was clearly already in poor health so the news won't have come as a shock to him.

      Also just because he was 78 doesn't mean he's unfamiliar with technology, people of his generation started the information age. Donald Knuth is 81 for instance, while Ken Thompson is 76...

      --
      http://spamdecoy.net - free throwaway anonymous email - avoid spam!
    3. Re:WHY? Don't Millenials live by the video phone? by Anonymous Coward · · Score: 0

      The grandkids probably didn't have as much trouble with that until they should. Some people these days claim to date by smart phone... only meeting rarely. Dumping by just disconnecting / ignoring sounds like a common thing too.

      Nah, it isn't that common.

      Most people dates and breaks up normally. You know, in the private way you never hear about.

      The people you hear about are the nutjobs that has to bring the entire world into their relationship.
      They probably updated their Facebook status to single before they messaged their partner in a group chat with their "friends".

  26. Problem is the doctor, not the patient by Roger+W+Moore · · Score: 1, Interesting

    If you can't handle the truth of someone near death's fate stay out of hospitals.

    Likewise, if you cannot be bothered to take the time to tell your dying patient the truth in person then don't be a doctor. The problem here is not that the patient can't handle the truth it's that the doctor either didn't care enough to tell his patient in person or was, himself, unable to handle a serious conversation like this.

    1. Re:Problem is the doctor, not the patient by Anonymous Coward · · Score: 0

      > Likewise, if you cannot be bothered to take the time to tell your dying patient the truth in person then don't be a doctor.

      If we had to layoff employees, I've always done it in person, and it's hard, it takes a toll, and you have to be careful to balance compassion with the message so that you don't end up doing the wrong thing to placate upset people. Most managers avoid it.

      I find it hard to judge medical staff harshly on this given that the population in general can't deal with less complex, less traumatic and less final issues.

      But of course, you are perfect, from your mom's couch.

    2. Re:Problem is the doctor, not the patient by Roger+W+Moore · · Score: 1

      I find it hard to judge medical staff harshly on this given that the population in general can't deal with less complex, less traumatic and less final issues.

      The population in general also can't perform complex medical procedures. Would you likewise find it hard to judge medical staff who can't perform these procedures competently harshly too? My dad was a GP and telling people bad news like this is an important part of the job. I have a lot of sympathy for people not wanting to do something like that but then they should realise that this is something they cannot do and not sign up for a job that requires it.

    3. Re:Problem is the doctor, not the patient by Anonymous Coward · · Score: 0

      One is fundamental, one is not. Next you'll be arguing that all programmers be marketing gurus because customer focus is important..

      Hard to argue this is an important part of the job if the cost is eliminating 90% of candidate doctors.

    4. Re:Problem is the doctor, not the patient by Roger+W+Moore · · Score: 1

      One is fundamental, one is not.

      Unless you plan on being some sort of miracle worker who never loses a patient both are fundamental. There is also certainly no shortage of medical school applicants and way more than 10% of the current applicants are capable of doing this. Indeed perhaps if they included things like this as part of the selection factor (as they used to do in the past) instead of relying solely on grades we would actually have better doctors.

    5. Re:Problem is the doctor, not the patient by Anonymous Coward · · Score: 0

      > Unless you plan on being some sort of miracle worker who never loses a patient both are fundamental.

      Yes, by magic we will just have better doctors because you have the answers. Or not. Have you ever had to deliver such a message or do you just like pontificating?

  27. This could happen anywhere, you want to bag on KMS by Anonymous Coward · · Score: 0

    " The guy died two days after the conference." - Close enough for horseshoes. "It was a doctor the family had never ever seen before." So BFD? Shit happens, that's hardly 100% within Kaiser's control @100% of times.

    "location of his hospital doctor at the time has not been released" - The point being the assumptive asshats who think the doctor was sitting upstairs in his office playing around on a computer rather than "simply" going down a flight of stairs to deign to give them the news in person probably aren't accurately gauging how busy and diversely located Kaiser doctors are at any one time. This was a pragmatic decision. A doctor saw them and gave them news.

    He died the next day or the day after that. In the world of trying to get facetime with a particular doctor, within 48 hours is not always possible. That's just a fucking fact of life and reality, and not just Kaiser.

    The family has one gripe - Their personal physician was not available to give them life-altering news, that they got anyway from an attending physician. That's it.

    Cry me a fucking river, I've seen actual malpractice in person. This is nothing. Fuck the equivocation.

  28. Thank god you're not a doctor, Roger idiot. by Anonymous Coward · · Score: 0

    You're a moron. The news comes when it comes, the doctor was not available and another doctor delivered the news. You have no "right" to a familiar face telling you bad news. That's stupid crybaby shit. You're retarded.

    The entire gripe is retarded. Actual medical malpractice exists, this is "my feels, my doctor wasn't available" faggot shit. A DOCTOR SAW THEM AND GAVE THEM THE NEWS. If they didn't get it, they'd be even more pissed.

    1. Re:Thank god you're not a doctor, Roger idiot. by Dog-Cow · · Score: 1

      It's not even that. The guy died. This is his relatives complaining, not the patient.

  29. Kaiser-Permanente personal service by Applehu+Akbar · · Score: 2

    Had Mr. Quintana's insurance company been Humana, they would have just posted a comment on his Facebook page.

  30. remote conference in violation of policy by Anonymous Coward · · Score: 0

    >Michelle Gaskill-Hames, senior vice-president of Kaiser Permanente Greater Southern Alameda County, said in a statement that its policy was to have a nurse or doctor in the room when remote consultations took place.

    They should have at least a nurse or PA in the room during this time. Instead, a doctor he didn't know is giving this guy with hearing problems his death sentence. Thank goodness his daughter was there to repeat what the doctor was saying so that he understood. Imagine if his daughter stepped out momentarily, and the dying man would have had some gizmo enter with a screen showing a dork sitting in a chair with a headset on not even dressed in a hospital coat coming to tell him that there's no hope. Barbaric

  31. fuckin quintana by Anonymous Coward · · Score: 0

    that creep can roll, man

  32. Why is it even a problem? by Anonymous Coward · · Score: 0

    If you're being examined over a video link, then I don't think they're planning to see each other in person. So he can either tell them or not. He might not have the *time* for a follow-up here.

    So he could've just not told them and let them miss saying goodbye to their family? Is that really any better?

    1. Re: Why is it even a problem? by Anonymous Coward · · Score: 0

      Exactly. Telemedicine has significant limitations and the impact to bedside manner is one of them for sure, but it's possible that this patient got a diagnosis when, without telemedicine, he would've died without knowing. In a case like this, I think it's hard to argue "give the news in person, or don't give it at all" when the person has 24hr to live.

  33. INFINITY IS WHAT I WANT, AND I WANT IT NOW! by Anonymous Coward · · Score: 0, Troll

    Who's responsible for this finite universe! WHO!? I WANT A NAME, and don't you just tell me "God" or something... phoey! I want INFINITY, not EXCUSES!

  34. bluntly by Anonymous Coward · · Score: 0

    he is 78, you don't need a doctor to tell him he is dying!

  35. This isn't even high tech - just a phone call by ron_ivi · · Score: 4, Insightful
    This is just a teleconferencing video call.

    The fact that it was connected to a robot is just to make a clickbait headline.

  36. Should have texted it. by goombah99 · · Score: 1

    Or used a phone call?

    --
    Some drink at the fountain of knowledge. Others just gargle.
  37. What's the Emoji for by goombah99 · · Score: 1

    Your loved one is going to die.

    --
    Some drink at the fountain of knowledge. Others just gargle.
    1. Re:What's the Emoji for by dissy · · Score: 1

      Your loved one is going to die.

      Finger pointing at you - ghost - poop

    2. Re:What's the Emoji for by Anonymous Coward · · Score: 0

      finger pointing - skull/crossbones - ghost

  38. Well... by JustAnotherOldGuy · · Score: 1

    "Mr Quintana died the next day."

    Well at least he got that part of it right.

    I'm only surprised that the robot didn't hand him a "How To Cope With Your Impending Death" pamphlet.

    --
    Just cruising through this digital world at 33 1/3 rpm...
  39. LEARN TO READ SJAMES by Anonymous Coward · · Score: 0

    Die in a hospital of your choice, but make sure you give a good tug and verify your head is actually irretrievably stuck up your ass before you just give up like this. Their gripe is that the original doctor wasn't the one. LEARN TO READ

    1. Re:LEARN TO READ SJAMES by sjames · · Score: 1

      OH, you're the same AC. You need to have a talk with your meth dealer, he seems to have sold you a cheap substitute.

    2. Re:LEARN TO READ SJAMES by stephanruby · · Score: 1

      Actually, I read the full article. You may have read a different article.

      In any case, even the article seems to be contradicting itself. It shows a picture of the robot taken by the actual family, but in that picture, there is someone in blue with a stethoscope standing behind the robot. So the hospital seems to think that their policy was violated and they're apologizing for it, but based on the picture alone, that doesn't seem to really be the case.

      So you may be right about "Their gripe is that the original doctor wasn't the one." It's just that you must have picked up this fact in a different article because that fact is not in the original BBC article referenced.

  40. IT'S NOT A FLESHWOUND, IT'S A FUCKING ROBOT by Anonymous Coward · · Score: 0

    The pedant was wrong in this case... it's a fucking robot. Settled? Or does someone need their ass kicked over this all over again? I'll put on a pot of fucking coffee....

    1. Re:IT'S NOT A FLESHWOUND, IT'S A FUCKING ROBOT by iggymanz · · Score: 1

      No it is not a robot, does not meet the Oxford definition of one I posted. It is merely a remote controlled machine. Putting servos to control your car's rack and pinion steering rather than a direct mechanical connection doesn't make your car a robot either.

    2. Re: IT'S NOT A FLESHWOUND, IT'S A FUCKING ROBOT by Anonymous Coward · · Score: 0

      Hitler

    3. Re:IT'S NOT A FLESHWOUND, IT'S A FUCKING ROBOT by thegarbz · · Score: 1

      No it is not a robot, does not meet the Oxford definition of one I posted.

      Maybe you should try reading more than one line out of the dictionary.

  41. Re:Iggymanz, you're a moron. It's a robot. by iggymanz · · Score: 1

    That was from the Oxford dictionary. Someone is a moron, and it's you.

  42. Re:Iggymanz, you're a moron. It's a robot. by Anonymous Coward · · Score: 0

    Car-making robots are just huge arms. Do they closely resemble humans? Hint - You're still a moron. Even by your own (flawed) definition, the telepresence hospital robot? DOES sorta resemble a human, kinda. Face/screen, etc.

    And it moves itself. So you're wrong, it's a robot, and you're a fucking moron lol. Ahahaha. What a wasted life you must lead, so wrong, so constantly, because you're so dumb and think you're so clever for posting a link...

    And you can't even read it to know what it actually says, lol. You're so dumb. Of course it's a robot, you fucking moron lol.

    Ahh.. I needed that. Schadenfreude.

  43. Thanks for demonstrating how to fail, lol iggy by Anonymous Coward · · Score: 0

    Actually it does. It resembles a human and moves itself automatically. You're wrong, you continue to be wrong lol. You're a moron, not a pedant. Even a moron can post a link to something it obviously can't even read, lol.

    There's a reason they do in fact call them "telepresence robots" - they move around and do things automatically without anyone needing to directly control that. Maybe try to invent a new word for how dumb you are instead, lol.

    You could easily be replaced by a robot and be 100% more correct in evaluating basic things like this, lol. Turing test fail, womp womp.

    Better luck next time.

  44. SORRY IGGY, IT MEETS THE DEFINITION 100% RETARD by Anonymous Coward · · Score: 0

    The robot in question is somewhat human-shaped, sorta. It has a screen where a "face" shows up from the telecommunication system, but it moves itself automatically around the place. It's a robot, you were wrong.

    Two choices : You admit you were wrong and didn't realize that, or you TREBLE down on being more wrong, again, AGAIN! Lol. I know you're an idiot and can't accept that you're wrong, so guess what you'll do no doubt?

    You stupid, stupid fucking robot, lol.

  45. Greetings Humanoid by Anonymous Coward · · Score: 0

    "Greetings Humanoid. Your operational functions will be deactivated in 96 hrs. END TRANSMISSION."

  46. Why did we give robots lasers anyway? by Anonymous Coward · · Score: 0

    > A Doctor Remotely Told A Patient He Was Going To Die Using A Video-Link Robot

    Why did we give these Video-Link Robots lasers anyway?

  47. Could have been worse by Anonymous Coward · · Score: 0

    Could have used the price is right sad trombone meme.

  48. Alternatives? by mwvdlee · · Score: 1

    So what WOULD have been the proper alternative here?

    Disconnect the robot, take an hour to drive over while the patient waited and then tell her she was going to die in person? Somehow that doesn't sound all that good either.

    --
    Slashdot social media options: AIM, ICQ, Yahoo, Jabber and Mobile Text. Why no MySpace?
    1. Re:Alternatives? by Anonymous Coward · · Score: 0

      How about just have one of the doctors on-site inform him. The patient was in a medical center, after all.

    2. Re:Alternatives? by Anonymous Coward · · Score: 0

      So what WOULD have been the proper alternative here?

      Disconnect the robot, take an hour to drive over while the patient waited and then tell her she was going to die in person? Somehow that doesn't sound all that good either.

      To quote the article:
       

      Michelle Gaskill-Hames, senior vice-president of Kaiser Permanente Greater Southern Alameda County, said in a statement that its policy was to have a nurse or doctor in the room when remote consultations took place.

      So, my guess would have been for Kaiser Permanente to follow Kaiser Permanente stated policy.

      Also according to the article, when the wife told a nurse of the video robot notification without a nurse or doctor in the room:

      was told by a nurse "this is our policy, this is how we do things".

      So, we seem to have a conflicting story on what Kaiser Permanente's policy is. We have the empty claims of the Michelle Gaskill-Hames, VP of Kaiser Permanente, of what the policy is and then we have the statement by the nurse that should have been responsible for actually making the policy happen.

      If you have a website that claims "Custom care & coverage just for you" and "you're at the center of everything we do" then a nurse should never claim it is also policy to have no doctor or nurse in the room when delivering information of this magnitude.

      It seems fairly clear that Michelle Gaskill-Hames, VP of Kaiser Permanente, is grossly incompetent at getting the staff under him to follow what he claims the policies are. You have to wonder what other areas is Kaiser Permanente does not follow it's own stated policy. I also love how Michelle Gaskill-Hames tries to play down just how far Kaiser Permanente failed at matching the level of service they claim to provide by simply leaving it as "we fell short."

      It also seems clear that when they realized this specific cash cow would not be milk for more than another 24 hours it wasn't important to follow policy any longer.

    3. Re:Alternatives? by Anonymous Coward · · Score: 0

      All the movies I've seen where the lead says We are going to die featured ominous music and a multimillion dollar megastar.

      Even having Harrison Ford come over would not change things much.

  49. doctors are failing their role in society by Anonymous Coward · · Score: 0

    With all they study in their careers, they seem to fail to understand what society expects of them.

  50. the Dalek bedside manner by Anonymous Coward · · Score: 0

    "This humanoid's expiration date has arrived."

  51. What if the Doctor did NOT tell the patent? by Anonymous Coward · · Score: 0

    Would the patient have died when he did if the Doctor did NOT tell him? Was it a psychosomatic death brought on by a suggestion?

    There are so many stories of sick elderly people to hold on to life long enough to get past a major holiday or major family event (grand-daughter's wedding, etc)

  52. As usual technology is a red herring. by hey! · · Score: 1

    The problem isn't that the doctor used a video link to tell this guy he was going to die. The problem is the guy didn't have access to health care that would have told him he was seriously ill sooner than 24 hours before he was going to die.

    --
    Post may contain irony: discontinue use if experiencing mood swings, nausea or elevated blood pressure.
    1. Re:As usual technology is a red herring. by tomhath · · Score: 1

      The guy was 78 years old, he would have been on Medicare for at least 13 years. That seems like plenty of time.

    2. Re:As usual technology is a red herring. by Anonymous Coward · · Score: 0

      The problem is the guy didn't have access to health care

      Really? The dude was in the fucking hospital, talking to a "robot" and you say he didn't have access to health care?
      Living until you're 78 isn't bad at all.
      Just because you want to socialize healthcare, doesn't mean you should go around talking bullshit.

  53. Expectation, not right by Roger+W+Moore · · Score: 1

    You have no "right" to a familiar face telling you bad news.

    I never said that you did have a right to this. When you go to a doctor you expect to have someone who cares about treating you. As such it is not at all unreasonable to expect your doctor to care enough to deliver serious news like this in person. This is clearly not medical malpractice it is a doctor being an arsehole much like someone who breaks up over text or email.

    1. Re:Expectation, not right by Riceballsan · · Score: 1
      I'd say there's a pretty big difference though. Someone that breaks up over text or e-mails is an asshole because, that's something they in theory only deal with once every year or so. This doctor is a specialist, in what seems to be a disease that can kill rather quickly. While yes for the most part patients only have to hear "you are dying" once or twice in their life. Doctors have to deliver the speach 20 times a day.

      Reminds me of one of the few dead serious moments of scrubs,
      "Turn around. Turn around. You see Dr. Wen in there? He's explaining to that family that something went wrong and that the patient died. He's gonna tell them what happened, he's gonna say he's sorry and then he's going back to work. Do you think anybody else in that room is going back to work today? That is why we distance ourselves"

  54. Think about it by Roger+W+Moore · · Score: 1

    Yes, well it is rather hard to complain when you are dead.

  55. They clearly still don't get it by JustNiz · · Score: 0

    The hospital says it "regrets falling short" of the family's expectations.

    More like failing short of basic human decency. ...and note how they still tried to shift their mistake back on the family by smugly implying they somehow the family has unusual expectations.

  56. Death by DST by Anonymous Coward · · Score: 0

    This death was obviously caused by moving the clocks forward by an hour. Damn You, Daylights Savings Times!!!!!

  57. Needs an Uhura by clovis · · Score: 1

    So all that is needed to give the situation some humanity would be to have a nurse stand next to the robot and repeat what it says. It doesn't even need to be a nurse, it could easily be done by a desktop tech from IT who was in the area.

    1. Re:Needs an Uhura by Whorhay · · Score: 1

      A Nurse did escort the tele-presence device into the room. The hospital uses the machine for the late shift so they can have a Doctor, they can't afford to have one physically present on site.

  58. telefactor by HiThere · · Score: 1

    For some reason the term telefactor has never caught on. That's the correct name, if you don't want to just say computer screen, or video conference. (Did it have manipulators? Then it's a telefactor.)

    --

    I think we've pushed this "anyone can grow up to be president" thing too far.
  59. A Personalized Card by Anonymous Coward · · Score: 0

    Violets are blue
    Roses are red
    It sucks to be you
    You'll soon be dead

  60. Amazingly tone deaf decision by somebody by Anonymous Coward · · Score: 0

    Why don't you just beg your patients to sue you

  61. Was this interaction perhaps followed by... by DulcetTone · · Score: 1

    ... a screen inviting the patient to swipe a credit card?

    --
    tone
  62. What is HIS NAME? by Anonymous Coward · · Score: 0

    What that's sonabitch name? This doctor need to lose his license!

  63. Just think... by Hallux-F-Sinister · · Score: 1

    Yes, I get that telling this to a patient is hard. But if you cannot do it in person, then do not be a doctor or do pathology were patients are already dead.

    The doctor could have just not told him. The test results don't say, "patient will die in 2-3 days". They say things like, platelet count is 17, white blood cells are 26, serum albumin is 78.3, arterial blood gas panel pending... et cetera. The doctor could just say, if it comes up after the patient drops dead, "it was a judgement call. I didn't tell him he'd be dead in two or three days because I didn't want to cause him to freak out over nothing when he could have lived for months or even years still... I wanted to run another test," (or get a consult with another doc, or 50 other things,) "to confirm before just dropping THAT kind of news on the guy," and covered his AND the hospital's asses, and we'd never even have heard about this. No story, no scandal, no lawsuit... nada.

    ALSO... this is SLASHDOT! Why isn't everyone here all, "YAY!!! ROBOTS!!! SO FSCKING KEWL!!! WOOO!!!"

    I, for one, WELCOME our new telling-patients-they're-going-to-die-robot overlords!

    --
    Our reign has gone on long enough. Indeed. Summon the meteors.
  64. Can't win this one by atheos · · Score: 1

    At least he was diagnosed correctly.

  65. The "future" by p51d007 · · Score: 1

    Of SOCIALIZED Obamacare medicine. Take a pain pill and go home. You are elderly, a "drain" on the rest of our comrades.

  66. Was the specialist local? by Dereck1701 · · Score: 1

    I'd be a bit more concerned with the level of care rather than the method of delivering any bad medical news. One of the reasons (in theory) for telepresence is so that you can consult specialists nationally/internationally without them spending hours/days traveling for each patient when they could be lending their expertise to numerous patients in that same time period. I'm not sure if this specific situation fits that scenario, the specialist could live next door to the hospital for all i know, and even if he lived on the other side of the planet there are definitely ways to handle it a little better (having a generalist onsite to handle consults), but without knowing a bit more I'd cut the hospital a little slack.

  67. unkind... by webly · · Score: 1

    ...but he wasn't wrong tho

  68. Re:Iggymanz, you're a moron. It's a robot. by iggymanz · · Score: 1

    Car making arms work autonomously, no one remote controls them. They fit the definition of robot.

    An average car is not a robot. It moves.

  69. Not sure about Kaiser but my clinic asks by Anonymous Coward · · Score: 0

    I know I'm usually offered a video chat with a doctor with the chance of being seen sooner when I made an appointment once. I want to know if it was an option or mandatory. Keep in mind, even when optional it might've taken a lot longer for a regular face-to-face appointment... I'm not sure I see the unfairness, between the options of a doctor over a video call and no doctor at all... (I've usually had video call options with specialists, which are fewer on the ground than the others)