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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.

26 of 223 comments (clear)

  1. 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 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.

    2. 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."
  2. 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: 4, Funny

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

  3. 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 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...
  4. Re:So, maybe not the best bedside manner by K.+S.+Kyosuke · · Score: 5, Funny

    Botside manner?

    --
    Ezekiel 23:20
  5. 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 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.

  6. 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 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.

    2. 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.

    3. 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.

  7. 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.
  8. 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"

  9. 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.

  10. 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...?

  11. 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.

  12. 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.

  13. 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.

  14. 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).

  15. 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.

  16. 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.