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(NPR)   Gynecologists question the efficacy of robotic surgery. TAKE ME TO YOUR UTERUS   (npr.org) divider line 44
    More: Strange, hysterectomy, JAMA, womb, latex, blood loss, out-of-pocket costs, laparoscopic surgery, surgery  
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2446 clicks; posted to Main » on 23 Apr 2013 at 4:24 PM (1 year ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2013-04-23 11:50:46 AM
www.100megsfree3.com

"now, if you'll just lie down on the table."
 
2013-04-23 11:59:55 AM
pluckyoutoo.files.wordpress.com

Wishes they'd talked to her before designing this system.
 
2013-04-23 12:28:48 PM
Nu uh!  I saw Prometheus!
 
2013-04-23 01:54:03 PM
Now that's a pickup line.
 
2013-04-23 03:37:50 PM
Doing a GIS for "take me to your uterus"  probably isn't a good idea to do at work.
 
2013-04-23 04:27:23 PM
Sounds like a good idea, you'd be able to run, jump and outrace rolling spaceships after getting your abdomen split open and then stapled back together.
 
2013-04-23 04:29:01 PM
You will feel small pain...
encrypted-tbn2.gstatic.com
 
2013-04-23 04:30:43 PM
farm4.staticflickr.com
 
2013-04-23 04:32:27 PM
Yeah, spread 'em, baby....
gremlindog.com
 
2013-04-23 04:34:22 PM
I'm not sure Asimov's Three Laws were intended to cover this.
 
2013-04-23 04:37:35 PM
"Query status: negative. We. Do not. Accept. Humana."

www.cclapcenter.com
 
2013-04-23 04:39:16 PM
And then Sybian introduced a robotic gynecology medical bot and everyone lived happily ever after
 
2013-04-23 04:39:35 PM
farm9.staticflickr.com
Cold, metal robot hands.
 
2013-04-23 04:41:14 PM
Something I wonder about gynecologists, and I bet we have at least one on Fark...do you get sick of looking at vaginas?

Assuming you're a straight male I mean. I ask because when I was in college I has a couple food service jobs and without fail once I worked a 10 hour shift cooking steaks or burgers, I couldn't even look at a piece of meat once I got home.

So is being a gynecologist like that except with vaginas instead of steak? Like if your wife or significant other is in the mood when you get home, can you just not bear to look at yet another vagina?
 
2013-04-23 04:42:57 PM
And people give me shiat when I tell them an ovariohysterectomy in my office costs $250.  Same instruments, same technique, just happens to be a dog.
 
2013-04-23 04:43:50 PM
At your cervix
upload.wikimedia.org
 
2013-04-23 04:47:03 PM

js34603: Something I wonder about gynecologists, and I bet we have at least one on Fark...do you get sick of looking at vaginas?

Assuming you're a straight male I mean. I ask because when I was in college I has a couple food service jobs and without fail once I worked a 10 hour shift cooking steaks or burgers, I couldn't even look at a piece of meat once I got home.

So is being a gynecologist like that except with vaginas instead of steak? Like if your wife or significant other is in the mood when you get home, can you just not bear to look at yet another vagina?


Not a gyno here, but during a local school benefit, with drinks, I posed that exact question to a Harvard-trained gynecologist.  Short answer to your question: yes, he was sick of looking at poons.  He got very graphic on some of the diseases so one could say the magic tunnel had lost most/all of their appeal.  To him, not me.
 
2013-04-23 04:47:44 PM
encrypted-tbn2.gstatic.com
//disagrees
 
2013-04-23 04:50:50 PM

js34603: Something I wonder about gynecologists, and I bet we have at least one on Fark...do you get sick of looking at vaginas?

Assuming you're a straight male I mean. I ask because when I was in college I has a couple food service jobs and without fail once I worked a 10 hour shift cooking steaks or burgers, I couldn't even look at a piece of meat once I got home.

So is being a gynecologist like that except with vaginas instead of steak? Like if your wife or significant other is in the mood when you get home, can you just not bear to look at yet another vagina?


I think the smell would be worse than the visual overload.
 
2013-04-23 05:15:45 PM
Gynecologists probably would like to keep this "hands on" and not robot handled.  Why, one can only guess.
 
2013-04-23 05:23:17 PM
i270.photobucket.com
 
2013-04-23 05:50:18 PM

Darkrover2: [encrypted-tbn2.gstatic.com image 191x264]
//disagrees


Came for this, leaving satisfied.
 
2013-04-23 06:08:22 PM

js34603: So is being a gynecologist like that except with vaginas instead of steak


STEAK VAGINAS!
 
2013-04-23 06:10:11 PM
static.neatorama.com
 
2013-04-23 06:11:07 PM
Your ovareees... give dem to meee.
 
2013-04-23 06:14:32 PM
They took the job to be elbows deep in your twat, why do you think they would allow this surrogate?
 
2013-04-23 06:26:23 PM
Right now its the robot-assisted prostatectomy that is hot.
Its less invasive because the robot can hold a much-smaller scalpel.
 
2013-04-23 06:33:32 PM
There are good reasons to do robotic surgery in appropriately chosen cases, but by and large plain laparoscopy is a better choice.  If you talk to any of the product reps they'll give you lots of reasons that don't hold up to any scrutiny, become admitting "Yes, it will cost you and the hospital both time and money, but what I'd the patient really, really wants it?"
 
2013-04-23 06:58:01 PM

js34603: Something I wonder about gynecologists, and I bet we have at least one on Fark...do you get sick of looking at vaginas?

Assuming you're a straight male I mean. I ask because when I was in college I has a couple food service jobs and without fail once I worked a 10 hour shift cooking steaks or burgers, I couldn't even look at a piece of meat once I got home.

So is being a gynecologist like that except with vaginas instead of steak? Like if your wife or significant other is in the mood when you get home, can you just not bear to look at yet another vagina?


I'm a general practitioner, and at least for me, there's a very sharp divide between work and home. I've had some patients who were quite attractive, but I don't even let that play into my head. Even now, trapped on OB where I see, smell and hear (ever wonder about the sounds a thoroughly infected pair of labia can make when the woman moves?) things no one should, the home life is solid as ever.

Work is work. Once I'm done and home, if sex is on the menu, my wife's all that matters.
 
2013-04-23 07:02:05 PM

Yes please: There are good reasons to do robotic surgery in appropriately chosen cases, but by and large plain laparoscopy is a better choice.  If you talk to any of the product reps they'll give you lots of reasons that don't hold up to any scrutiny, become admitting "Yes, it will cost you and the hospital both time and money, but what I'd the patient really, really wants it?"


I think probably the problem is that there is a doctor running the thing and it still comes down to skill and experience.  These things are newish and once a good doctor gets a bunch under his belt, the quality should go up.  I would be just as concerned if I was going under the knife of a doctor who was doing his fifth operation as if it was a doctor doing his fifth robotic surgery.
 
2013-04-23 07:09:38 PM

MemeSlave: js34603: Something I wonder about gynecologists, and I bet we have at least one on Fark...do you get sick of looking at vaginas?

Assuming you're a straight male I mean. I ask because when I was in college I has a couple food service jobs and without fail once I worked a 10 hour shift cooking steaks or burgers, I couldn't even look at a piece of meat once I got home.

So is being a gynecologist like that except with vaginas instead of steak? Like if your wife or significant other is in the mood when you get home, can you just not bear to look at yet another vagina?

I think the smell would be worse than the visual overload.


Yeah, you don't wanna be in the room when this woman comes in for some work...

Link

/Sorry
 
2013-04-23 07:11:26 PM
Make sense.  A robot doctor wouldn't be able to numb the patient as well as a real one.
 
2013-04-23 07:25:16 PM

Benjimin_Dover: Yes please: There are good reasons to do robotic surgery in appropriately chosen cases, but by and large plain laparoscopy is a better choice.  If you talk to any of the product reps they'll give you lots of reasons that don't hold up to any scrutiny, become admitting "Yes, it will cost you and the hospital both time and money, but what I'd the patient really, really wants it?"

I think probably the problem is that there is a doctor running the thing and it still comes down to skill and experience.  These things are newish and once a good doctor gets a bunch under his belt, the quality should go up.  I would be just as concerned if I was going under the knife of a doctor who was doing his fifth operation as if it was a doctor doing his fifth robotic surgery.


All true points, but that's not really the issue.  It's basically the equivalent of making toast in a pizza oven.  It's much more expensive to buy and use, takes longer to get ready, and offers no improvement in the outcome.  If you're making pizza, absolutely, use the pizza oven.  But if you're making toast you're wasting time and money.
 
2013-04-23 07:28:46 PM
All Your Womb Are Belong To Us
 
2013-04-23 07:42:32 PM

BrotherEarth: All Your Womb Are Belong To Us


It's funnier as "Someone Set Up Us the Womb."
 
2013-04-23 09:59:12 PM
heh

"...The JAMA study of more than 260,000 hysterectomy patients found that the median hospital cost for robot-assisted surgery was $8,868, compared with $6,679 for a laparoscopic hysterectomy. It also found that although patients who got robotic hysterectomy were less likely than laparoscopic patients to be hospitalized for more than two days ..."

so it costs 2200 more to do the surgery with the robot, and patients are out faster...

and how much does it cost per day to tie up a bed that are in short supply everywhere, not to mention the staff that have to keep an eye on you etc.

That's why they are doing it.

$2200 dollars is ass wipe money compared to the cost of tying up a bed for a day.

The faster they get the patients discharged, the faster new patients can be served.

Gyno's who don't like the robots can suck one.
 
2013-04-23 10:28:36 PM

Yes please: Benjimin_Dover: Yes please: There are good reasons to do robotic surgery in appropriately chosen cases, but by and large plain laparoscopy is a better choice.  If you talk to any of the product reps they'll give you lots of reasons that don't hold up to any scrutiny, become admitting "Yes, it will cost you and the hospital both time and money, but what I'd the patient really, really wants it?"

I think probably the problem is that there is a doctor running the thing and it still comes down to skill and experience.  These things are newish and once a good doctor gets a bunch under his belt, the quality should go up.  I would be just as concerned if I was going under the knife of a doctor who was doing his fifth operation as if it was a doctor doing his fifth robotic surgery.

All true points, but that's not really the issue.  It's basically the equivalent of making toast in a pizza oven.  It's much more expensive to buy and use, takes longer to get ready, and offers no improvement in the outcome.  If you're making pizza, absolutely, use the pizza oven.  But if you're making toast you're wasting time and money.


Definitely.  And your points also point to a feedback loop to why it would take longer for a doctor to even get the experience on these things.  A slow learning curve.

Tangentially related: Healthcare has become 1/6th the economy but I don't think it is 1/6th the value.  I suspect that it is another bubble growing.  Maybe it will burst before the student loan bubble or after. Meh.
 
Rat
2013-04-23 10:31:07 PM
We're doing about 1 in 10 laparoscopic hysterectomies as day-surgery (23hr) and go home.  Recover in your own home type of philosophy.  Its been working, with many patients whose labs and urine output are back to normal, discharged around 7pm the same day.

Of course, choosing candidates is of the utmost importance here.  There are a lot of women with adiposely enhanced bellies that would benefit greatly from a robotic approach (I'm just sayin).

The greatest benefit of the robot so far has been the prostatectomy and the tubal reversal.  Worth every penny.

©  And yes, I can't wait to get home to my farkettes poodypoot after a long day of taco-gazing.
 
2013-04-23 10:50:29 PM

Benjimin_Dover: Yes please: Benjimin_Dover: Yes please: There are good reasons to do robotic surgery in appropriately chosen cases, but by and large plain laparoscopy is a better choice.  If you talk to any of the product reps they'll give you lots of reasons that don't hold up to any scrutiny, become admitting "Yes, it will cost you and the hospital both time and money, but what I'd the patient really, really wants it?"

I think probably the problem is that there is a doctor running the thing and it still comes down to skill and experience.  These things are newish and once a good doctor gets a bunch under his belt, the quality should go up.  I would be just as concerned if I was going under the knife of a doctor who was doing his fifth operation as if it was a doctor doing his fifth robotic surgery.

All true points, but that's not really the issue.  It's basically the equivalent of making toast in a pizza oven.  It's much more expensive to buy and use, takes longer to get ready, and offers no improvement in the outcome.  If you're making pizza, absolutely, use the pizza oven.  But if you're making toast you're wasting time and money.

Definitely.  And your points also point to a feedback loop to why it would take longer for a doctor to even get the experience on these things.  A slow learning curve.

Tangentially related: Healthcare has become 1/6th the economy but I don't think it is 1/6th the value.  I suspect that it is another bubble growing.  Maybe it will burst before the student loan bubble or after. Meh.


After would be preferable to me, being a fairly recently graduated pharmacist. If I can ride this wave another five years, I can get most of my loans and both my vehicles (stupid divorce) paid off. Then I can pursue my dream: avant-garde taxidermy.
 
2013-04-23 11:01:17 PM

C_Canuk: heh

"...The JAMA study of more than 260,000 hysterectomy patients found that the median hospital cost for robot-assisted surgery was $8,868, compared with $6,679 for a laparoscopic hysterectomy. It also found that although patients who got robotic hysterectomy were less likely than laparoscopic patients to be hospitalized for more than two days ..."

so it costs 2200 more to do the surgery with the robot, and patients are out faster...

and how much does it cost per day to tie up a bed that are in short supply everywhere, not to mention the staff that have to keep an eye on you etc.

That's why they are doing it.

$2200 dollars is ass wipe money compared to the cost of tying up a bed for a day.

The faster they get the patients discharged, the faster new patients can be served.

Gyno's who don't like the robots can suck one.


Before or after the robot is used?
 
2013-04-23 11:04:26 PM

C_Canuk: heh

"...The JAMA study of more than 260,000 hysterectomy patients found that the median hospital cost for robot-assisted surgery was $8,868, compared with $6,679 for a laparoscopic hysterectomy. It also found that although patients who got robotic hysterectomy were less likely than laparoscopic patients to be hospitalized for more than two days ..."

so it costs 2200 more to do the surgery with the robot, and patients are out faster...

and how much does it cost per day to tie up a bed that are in short supply everywhere, not to mention the staff that have to keep an eye on you etc.

That's why they are doing it.

$2200 dollars is ass wipe money compared to the cost of tying up a bed for a day.

The faster they get the patients discharged, the faster new patients can be served.

Gyno's who don't like the robots can suck one.


So it's worth $44000 for every woman that would avoid a "prolonged" hospital stay of over two days?  Statistically speaking, of course.  That doesn't sound like a very good use of healthcare dollars to me.
 
2013-04-23 11:23:02 PM
B.O.B.s now fearful of job loss.
 
2013-04-24 09:07:58 AM
i33.tinypic.com

"So you got your tongue down her throat and just got her leg on the mantelpiece..."
 
2013-04-24 03:40:45 PM

calm like a bomb: And people give me shiat when I tell them an ovariohysterectomy in my office costs $250.  Same instruments, same technique, just happens to be a dog.


i75.photobucket.com
 
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