The Advancement of the Robot Surgeon

I learned from the article "The Slow Rise of Robot Surgeon" by Emily Singer that doctors are not satisfied with the evolution of robots used for surgery. The main issue is that only one company makes the robot (called the da Vinci robot) so there is no competition from other companies. This allows the company to price the robot very high since they're the only company producing the robots. It costs hospitals $2.5 million to buy this robot in order to make their procedures less invasive. The robot also allows for less surgery and recovery time. The point is that doctors are not happy that this is the only robot out there. They want other companies to start building cheaper and better robots.

It's amazing to me that a robot that can do surgery on human beings is not advanced enough. That sounds extremely advanced to me. In the medical world, technology changes very quickly (every 3-4 years) so when it doesn't change doctors are surprised. They expect there to be new medicines and products available to them. Robot surgeons seem to be one area when the biomedical engineers are lacking on

"The Checklist"-Gawande

Thankfully I don't visit the hospital very often, and I've never been to an Intensive Care Unit. The reading by Gawande gives the reader a peek inside what goes on in an ICU. I can only imagine how busy and stressful it must be for doctors and nurses. It's not had to understand how doctors could forget one specific part of a procedure when they need to work so quickly. It has always amazed me how doctors know so much information. They not only know the names of thousands of sicknesses but also names of the medical instruments and procedures. They also know what all these names mean and what to do in order to treat the problems. And all this information is in their heads because, in the ICU, if doctors took the time to look something up their patient may very have died in those few moments. So clearly it's not difficult to see how something could slip their mind.

I think checklists even for medical procedures is a great idea. I make lists all the time for tasks I need to get done, and it allows me to make sure I don't forget anything since everyone does forget things including doctors. Years and years of medical school cannot make someone's memory better; forgetfulness is just human nature.

The story about the little girl that fell into the ice cold pond and recovered due to the doctors' impeccable work is truly amazing. I was shocked that the human body could actually revive itself with the help of medical technology. It's fitting that the reader finds out that a checklist was used in this specific situation at the end of the reading. Gawande is trying to show that this little girl survived because of the checklist which may or may not be the case. Although, the statistics Gawande gives throughout are very convincing in that they show that less mistakes are being make and therefore more lives are being saved thanks to the checklists.

I don't think the doctors themselves should have to worry about the checklists because they are the ones actually performing the surgeries, but a nurse or some other qualified person should be watching the doctors making sure they execute every step on the checklist. If the doctors miss a step then the nurses need to let it be known immediately. This may take some getting used to, but if the checklist really has such a large effect as the stats show, then this needs to be implemented into all ICUs. Perhaps in the future, there will be a specific position designated to the checklist. There will be doctors, nurses, and "checkers" in the ICU surgery rooms.

Infertility

My 1000 word essay is about infertility and new technologies that will hopefully allow infertile couples to conceive a child. One of my articles took on the question of whether or not these services should be publicly funded. I personally don't think they should be publicly paid for because it's only a small percentage of people that actually need these services. There aren't enough people in need of this service to make it publicly funded. Although I do hope that these services will become less expensive in the years ahead. Most new technologies are very expensive, but then over time their value drops making them less expensive. It is very sad to think that some middle and lower class couples may not have to opportunity to have a child due to the cost of assisted human reproduction technologies, but this is the way our world works unfortunately.

Another article is about the new human reproductive technologies causing major birth defects in the babies. Although the percentages are low, there still is a difference between naturally conceived newborns and newborns created with the help of this technology. But I question the amount of data collected and whether enough research has been done on this subject to make it true. I always tend to question scientists and researchers because their findings are incorrect so frequently. This research is important because it could be the deciding factor in a couple's decision to use human reproductive technologies in order to conceive or not. If a couple knew the chance was high that their child could have a major defect, then they may opt out of using that service. This shows how important scientific research can be to ordinary people.