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.


Duterte foes cry foul as Philippine police push sedition charges

Updated 33 min 49 sec ago
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Duterte foes cry foul as Philippine police push sedition charges

  • Thirty-six opposition figures are accused of cyber libel and sedition
  • A series of online videos ahead of May’s mid-term elections alleged that Duterte and his family members were involved in the illegal drugs trade

MANILA: Opponents of Philippine President Rodrigo Duterte expressed shock and outrage on Friday at police moves to charge dozens of them with sedition, calling it persecution aimed at stamping out scrutiny of his increasingly powerful rule.
Thirty-six opposition figures are accused of cyber libel and sedition for orchestrating a series of online videos ahead of May’s mid-term elections. The videos feature a hooded man alleging that Duterte and his family members were involved in the illegal drugs trade, which they deny.
The man, who had said he was a witness, later surrendered and appeared with police on television to say his claims were false and that he was cajoled into making the videos by opposition members. They included the vice president, lawyers, Catholic priests, a former attorney general, and incumbent and former lawmakers, the man said.
The justice department is looking into the complaint, which is the latest move against Duterte’s detractors who say the aim is to create a power monopoly for a president who already enjoys a legislative super-majority and a public approval rating of about 80 percent.
Duterte insists he is open to challenges but has shown no qualms about threatening high-profile critics, several of whom he said last month he would jail if they tried to impeach him.
Presidential spokesman Salvador Panelo said Duterte had no involvement in the police sedition complaint.
“We have nothing to do with this case, not at all, absolutely nothing,” he told news channel ANC. “Let the judicial process do its work.”
Antonio Trillanes, a former senator and Duterte’s strongest critic, described the complaint as “political persecution and harassment” intended to stifle democratic dissent.
A spokesman for Vice President Leni Robredo, who was not Duterte’s running mate and was elected separately, called the complaint “completely baseless.” Her party ally Senator Francis Pangilinan said it was part of a series of moves toward removing her from office.
Leila de Lima, an anti-Duterte senator detained on drugs charges, said it was “hogwash, pure hogwash,” and Samira Gutoc, a candidate in recent Senate elections, urged the police not to become partisan.
“I really am baffled,” Gutoc said of being accused of involvement.