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In Defense of Telling Patients They're Dying via Robot

Slate

At 2 a.m. in February, I found myself speaking with the family of a dying man. We had never met before, and I had only just learned of the patient. As an ICU doctor, I have been in this situation on many occasions, but there was something new this time. The family was 200 miles away, and we were talking through a video camera. I was staffing the electronic intensive care unit, complete with a headset, adjustable two-way video camera, and six screens of streaming data. The eICU at Emory University in Atlanta provides care by physicians trained in critical care medicine to a number of hospital locations within the large Emory system.


Why hospitals shouldn't use telepresence robots to deliver devastating news

#artificialintelligence

A doctor speaking through a telepresence robot in California gave a dying patient and his family devastating medical news, raising questions about when the convenience of telemedicine should be skipped in favor of a face-to-face conversation. According to KTVU, Ernest Quintana was in the intensive care unit of the Kaiser Permanente Medical Center in Fremont, California, when a doctor on a video screen told Quintana that he wasn't likely to survive. "We knew that this was coming and that he was very sick. But I don't think somebody should get the news delivered that way. It should have been a human being come in," Quintana's granddaughter Annalisia Wilharm told KTVU.


Why hospitals shouldn't use telepresence robots to deliver devastating news

#artificialintelligence

A doctor speaking through a telepresence robot in California gave a dying patient and his family devastating medical news, raising questions about when the convenience of telemedicine should be skipped in favor of a face-to-face conversation. According to KTVU, Ernest Quintana was in the intensive care unit of the Kaiser Permanente Medical Center in Fremont, California, when a doctor on a video screen told Quintana that he wasn't likely to survive. "We knew that this was coming and that he was very sick. But I don't think somebody should get the news delivered that way. It should have been a human being come in," Quintana's granddaughter Annalisia Wilharm told KTVU.


Brainstorm Health: 23andMe and Diabetes, Death by Video Chat, Trump Budget

#artificialintelligence

I hope you enjoyed your weekend. Would you want to be told you're dying over a video screen attached to a robot? A 78-year-old California man received news of his demise in exactly that fashion, the BBC reports. A robotic unit used to conduct telemedicine visits came into Ernest Quintana's hospital room, where he was with his granddaughter and a friend of his daughter's, and a doctor on its video screen (sitting at an unknown remote location) reportedly told him that his lungs were irrevocably damaged and he would soon die. Quintana passed away the following day.


Man told he has days to live via robot video; hospital defends use of telemedicine

Los Angeles Times

Ernest Quintana's family knew he was dying of chronic lung disease when he was taken by ambulance to a hospital, unable to breathe. But they were devastated when a robot machine rolled into his room in the intensive care unit that night and a doctor told the 78-year-old patient by video call that he would probably die within days. "If you're coming to tell us normal news, that's fine, but if you're coming to tell us there's no lung left and we want to put you on a morphine drip until you die, it should be done by a human being and not a machine," his daughter Catherine Quintana said Friday. Ernest Quintana died Tuesday, two days after being taken to the Kaiser Permanente Medical Center emergency department in Fremont, Calif. Michelle Gaskill-Hames, senior vice president of Kaiser Permanente Greater Southern Alameda County, called the situation highly unusual and said officials "regret falling short" of the patient's expectations.


Man told he's going to die by doctor on video-link robot

BBC News

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.


Machine Learning, Robotics & Python Hack Session

#artificialintelligence

This is the hard skills development open hack session. Experts will be available to assist with a variety of things from Tensor Flow to Docker to Microsoft Cognitive Services and Azure. There are several projects in motion as well as folks taking several online classes. Come to learn about Python, Machine Learning, Robotics, how they work together and start getting some hands on experience. There will be pointers to guided tutorials as well as other experts.


Making the Implicit Explicit: Issues and Approaches for Scaffolding Metacognitive Activity (Invited Talk)

Quintana, Chris (University of Michigan)

AAAI Conferences

But moreover, the implicit nature Metacognitive activity is a core aspect of many multifaceted of metacognitive activities makes the goal of supporting practices, but supporting such activity in educational contexts metacognition perhaps an even larger challenge. When we is a complex endeavor. One example of such a practice think about the two major learning goals described above includes the substantive inquiry practices that different in the science inquiry example and other learning goals educational policy groups (for example, National Research put forth in many educational policies, we can the central Council 2000) recommend for K-12 student curricula, including challenge that we want to address with metacognitive support: those practices that involve more authentic types of (1) supporting novice learners to mindfully engage in scientific inquiry along with online inquiry activities that incorporate the metacognitive activity necessary to successfully participate a growing number of digital libraries and other in complex, multifaceted practices, and (2) supporting information resources. There are many characterizations novice learners to learn good metacognitive practiceswhat of inquiry, but we can succinctly describe inquiry as a set metacognitive activities are, why they are important, and of activities that involve: (1) asking and developing questions how to engage in them. Supporting metacognition is vital to investigate; (2) searching for and gathering relevant to essentially help make these implicit activities more explicit data and information; (3) reading, evaluating, and analyzing to learners, yet we continue to see how difficult it is to the gathered data and information; and (4) synthesizing provide such support.