California man learns he’s dying from doctor on robot video

This 2009 photo provided by Catherine Quintana shows her father, Ernest Quintana, in Fremont, California. (Catherine Quintana via AP)
Updated 09 March 2019
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California man learns he’s dying from doctor on robot video

  • Hospital exec calls the situation highly unusual and said officials “regret falling short” of the patient’s expectations
  • But the hospital also defended its use of telemedicine and said its policy is to have a nurse or doctor in the room at the time of remote consultations

SAN FRANCISCO, California: 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 he would likely 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.
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.
But the hospital also defended its use of telemedicine and said its policy is to have a nurse or doctor in the room at the time of remote consultations.
“The evening video tele-visit was a follow-up to earlier physician visits,” Gaskill-Hames said in a written response. “It did not replace previous conversations with patient and family members and was not used in the delivery of the initial diagnosis.”
Hospital officials say the technology doesn’t replace in-person conversations with the patient and loved ones.
Granddaughter Annalisia Wilharm, 33, was alone with Quintana when a nurse popped in to say a doctor would be making his rounds. A robot rolled in and a doctor appeared on the video screen.
Wilharm figured the visit was routine. She was astonished by what the doctor started saying.
“This guy cannot breathe, and he’s got this robot trying to talk to him,” she said. “Meanwhile, this guy is telling him, ‘So we’ve got your results back, and there’s no lung left. There’s no lung to work with.’“
Wilharm said she had to repeat what the doctor said to her grandfather, because he was hard of hearing in his right ear and the machine couldn’t get to the other side of the bed.
“So he’s saying that maybe your next step is going to hospice at home,” Wilharm is heard saying in a video she recorded of the visit. “Right?“
“You know, I don’t know if he’s going to get home,” the doctor says.
Steve Pantilat, chief of the palliative medicine division at University of California, San Francisco, said he doesn’t know the details in the case but that the robot technology has done wonders for patients and their families, some of whom are too far away for in-person visits.
The video meetings are warm and intimate, he said, adding that not all in-person discussions have empathy and compassion.
“No matter how well we deliver very difficult news, it’s sad and it’s hard to hear,” he said.
Wilharm said her grandfather, a family man who kept every childhood drawing he ever gave her, deserved better. She said that after the visit, he gave her instructions on who should get what and made her promise to look after her grandmother.
“He was such a sweet guy,” she said.


Seoul: North Korea withdrew staff from liaison office

Updated 22 March 2019
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Seoul: North Korea withdrew staff from liaison office

  • The second US-North Korea summit in Vietnam collapsed due to disputes over US-led sanctions on the North
  • The South Korean statement calls the North’s decision “regrettable”

SEOUL: North Korea abruptly withdrew its staff from an inter-Korean liaison office in the North on Friday, Seoul officials said.
The development will likely put a damper on ties between the Koreas and complicate global diplomacy on the North’s nuclear weapons program. Last month, the second US-North Korea summit in Vietnam collapsed due to disputes over US-led sanctions on the North.
Seoul’s Unification Ministry said that North Korea informed South Korea of its decision during a meeting at the liaison office at the North Korean border town of Kaesong on Friday.
The North said it “is pulling out with instructions from the superior authority,” according to a Unification Ministry statement. It didn’t say whether North Korea’s withdrawal of staff would be temporary or permanent.
According to the South Korean statement, the North added that it “will not mind the South remaining in the office” and that it would notify the South about practical matters later. Seoul’s Vice Unification Minister Chun Hae-sung told reporters that South Korea plans to continue to staff the Kaesong liaison office normally and that it expects the North will continue to allow the South Koreans to commute to the office. He said Seoul plans to staff the office with 25 people on Saturday and Sunday.
The South Korean statement calls the North’s decision “regrettable.” It said South Korea urges the North to return its staff to the liaison office soon.
The liaison office opened last September as part of a flurry of reconciliation steps. It is the first such Korean office since the peninsula was split into a US-backed, capitalistic South and a Soviet-supported, socialist North in 1945. The Koreas had previously used telephone and fax-like communication channels that were often shut down in times of high tension.
The town is where the Korea’s now-stalled jointly run factory complex was located. It combined South Korean initiatives, capital and technology with North Korea’s cheap labor. Both Koreas want the US to allow sanctions exemptions to allow the reopening of the factory park, which provided the North with much-needed foreign currency.