U.S. CitiesCity-Data Forum Index
Go Back   City-Data Forum > General Forums > Health and Wellness
 [Register]
Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
View detailed profile (Advanced) or search
site with Google Custom Search

Search Forums  (Advanced)
Reply Start New Thread
 
Old 03-13-2019, 09:20 AM
 
Location: Nantahala National Forest, NC
23,624 posts, read 4,879,403 times
Reputation: 27701

Advertisements

Quote:
Originally Posted by platon20 View Post
https://www.cnn.com/2019/03/10/healt...GaLuObczdFeCYs

Sadly, this is the future.

Hospitals are trying to make more money by having no doctors in their ICU at night. Instead they hire 1 doc at a reduced rate who monitors hundreds of patients at multiple ICUs via the internet. When something goes south, he isn't in-house so he has to relay the news by video link.

Telehealth has its place if you are talking about a clinic location for routine illnesses or for stuff like dermatology or even psychiatry. But it has no business being in an ICU.

I agree, it's the future. This sensitive info should have been in person though.....
Reply With Quote Quick reply to this message

 
Old 03-13-2019, 09:27 AM
 
11,164 posts, read 6,266,719 times
Reputation: 11718
Quote:
Originally Posted by USNRET04 View Post
You nailed it. Sure it was a live doctor on the robot screen today, but in a few years, how will we really know? Heck the graphics of humans in video games are very, very realistic. I can't see why in a couple of years that it will be virtually indistinguishable to tell the difference. We already can speak to a robot advisor on the phone or Alexa, who can answer just about any question in a totally human conversational way. They just have to merge the two together and most people will be oblivious.


And most people probably won't care.

Apparently despite all the money we pay in premiums and deductibles we are supposed to be grateful for sub-par service and treatment.
Reply With Quote Quick reply to this message
 
Old 03-13-2019, 09:59 AM
 
2,552 posts, read 1,425,481 times
Reputation: 2978
They should have had this doctor tell one present at the facility the news who then went in in person to talk to the family. But since itís Kaiser it doesnít surprise me and tele-medicine is the wave of the future so itís only going to become more common as insurers try to control costs. Itís a lot cheaper to have a Doctor in a central location than in 10 different hospitals. 1 doctor salary versus 10 salaries...
Reply With Quote Quick reply to this message
 
Old 03-13-2019, 10:33 AM
 
Location: Mid-Atlantic
23,932 posts, read 22,915,505 times
Reputation: 29322
Quote:
Originally Posted by dynamicjson View Post
for the purpose, that doesnt really do a **** of a lot of good.

hes a physician on his side-- hes a "robot" on the side talking to the patient. youre quibbling. this is like a breakup by text message, except worse. except in the example, the guy already knew he was dying, maybe? its not a good direction for healthcare to go in.

while im technically fine with it as an option, these options are often used to grandfather in non-options. slippery slope isnt a fallacy here, it isnt being presented as proof of anything-- but as a possibility that should be considered. would you really prefer that option if the situation was as serious as in the story?
I didn't say that I liked it. I was born in the 1950s and have learned to adjust. I used to watch The Jetsons when I was a little kid, so that may have helped.
Reply With Quote Quick reply to this message
 
Old 03-13-2019, 02:24 PM
 
5,256 posts, read 6,466,312 times
Reputation: 8235
Quote:
Originally Posted by bluedevilz View Post
It was absolutely a "robot"....

Why is this even a question, the company that manufacturers the device calls it a "robot"...

The hospital refers to it as a "robot"....

Every news story correctly references the device as a "robot"....
But they were talking to a real, live doctor, not a robot. It was basically a video phone call. An actual physician was asking and answering questions, not a robot. The only thing the robot does is carry the screen that you can see the doctor on.
Reply With Quote Quick reply to this message
 
Old 03-13-2019, 02:27 PM
 
5,256 posts, read 6,466,312 times
Reputation: 8235
Quote:
Originally Posted by annabanana123 View Post
They should have had this doctor tell one present at the facility the news who then went in in person to talk to the family. But since itís Kaiser it doesnít surprise me and tele-medicine is the wave of the future so itís only going to become more common as insurers try to control costs. Itís a lot cheaper to have a Doctor in a central location than in 10 different hospitals. 1 doctor salary versus 10 salaries...
The patient and his family had been told many times by many doctors in his actual presence that his condition was terminal. This was not new news to them. I think the family was just hoping that this other doctor would tell them something different than everyone else and were upset when he didn't. They are looking for someone to be angry at.
Reply With Quote Quick reply to this message
 
Old 03-13-2019, 02:34 PM
 
Location: Raleigh
7,767 posts, read 5,723,809 times
Reputation: 10729
To play Devil's advocate, I wonder how much of this was repeating what had already been told to them? Meaning, they kept pressing for a different answer, to do more, when there wasn't anything that could be done.

I'll also say this. At least in North Carolina, smaller and rural Hospitals are having a horrible time making it, and are closing left and right. If you live in Raleigh or Charlotte or wherever you're fine, even in medium cities of 20,000 or 30,000, are fine. But the Rural hospitals can't make it. So they close. And if you need a specialist, you likely to need to go to one of a handful of major population centers.

Something like this teleconference isn't ideal. Not by a long shot. But if it means that a hospital can keep its ICU and be open for a community then that's something that ought to be considered.
Reply With Quote Quick reply to this message
 
Old Yesterday, 10:48 PM
 
131 posts, read 104,834 times
Reputation: 335
Quote:
Originally Posted by JONOV
Something like this teleconference isn't ideal. Not by a long shot. But if it means that a hospital can keep its ICU and be open for a community then that's something that ought to be considered.
Let me be crystal clear about what this is --greed, pure greed, on the part of Kaiser Permanente.

ICUs make a LOT of money. Each patient there generates thousands of dollars of revenue per day.

These patients are in CRITICAL condition. This isn't some dermatologist looking at a rash from a computer. This is a doctor on video relaying LIFE AND DEATH information to a patient/family.

KP could easily pay to keep an ICU doctor in house 24/7. Up until 2 years ago, that's exactly what they did.

But KP got greedy. They'd rather have one ICU doc on the internet monitor 20 different ICUs instead of paying to keep docs in house.

Again, this is an ICU. ICUs need doctors. All the time.
Reply With Quote Quick reply to this message
 
Old Yesterday, 10:52 PM
 
131 posts, read 104,834 times
Reputation: 335
Quote:
Originally Posted by CarnivalGal View Post
The patient and his family had been told many times by many doctors in his actual presence that his condition was terminal. This was not new news to them. I think the family was just hoping that this other doctor would tell them something different than everyone else and were upset when he didn't. They are looking for someone to be angry at.
Being told your condition is terminal and being told that you are going to die in a few hours are very, very different things.

I know this because I've worked in ICUs before.

We have patients all the time that come in with terminal cancers and they know that their life span is not long. However, it's still important to have docs available to discuss those final days/hours.

Dying patients deserve that.

Also, the family states that this doctor on the video link was NOT the same doctors they had been talking to earlier. As usual, KP is trying to operate on the cheap by having shift work doctors who are there during the day and then a different doc who doesn't know the patient covering at night.

So even though the day shift doctor probably told the family that the prognosis was dire and death was probably approaching soon, I sincerely doubt he told the family that the patient was going to die that night.
Reply With Quote Quick reply to this message
 
Old Today, 07:55 AM
 
Location: Williamsburg, VA
2,769 posts, read 1,244,198 times
Reputation: 7046
My initial reaction was there must have been a time issue. The doctor couldn't get to the patient in time to give the news personally, and he didn't want someone else to do it. You can still give a personal touch over a video link, even if you aren't physically in a room. I think it would have been colder to send someone else to tell the patient.
Reply With Quote Quick reply to this message
Please register to post and access all features of our very popular forum. It is free and quick. Over $68,000 in prizes has already been given out to active posters on our forum. Additional giveaways are planned.

Detailed information about all U.S. cities, counties, and zip codes on our site: City-data.com.


Reply

Quick Reply
Message:


Over $104,000 in prizes was already given out to active posters on our forum and additional giveaways are planned!

Go Back   City-Data Forum > General Forums > Health and Wellness
Follow City-Data.com founder on our Forum or

All times are GMT -6.

© 2005-2019, Advameg, Inc. | Please obey Forum Rules | Terms of Use and Privacy Policy

City-Data.com - Archive 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 - Top