The problem with "teleanesthesia", as I see it, is that medical knowledge is only a part of what my presence in the OR provides. The ability to physically intervene is something that can't be done by telepresence (not yet, anyway). If the endotracheal tube comes out during surgery, then you're relying on a technician to replace it. If you need a central line (big IV access in the neck or groin), you need a technician or the surgeon to place it. The hundreds of little things like that are what keep an anesthesia care provider with patients in the OR for the entirWell, as a practicing anesthesiologist at a major academic center on the West Coast, I'd call this interesting but not medically practical at the moment. As a technological breakthrough, it's not really all that novel. So they transmitted vital signs around the world along with a video feed? Okay...but how is that any different from a teleconference?
The problem with "teleanesthesia", as I see it, is that medical knowledge is only a part of what my presence in the OR provides. The ability to physically intervene is something that can't be done by telepresence (not yet, anyway). If the endotracheal tube comes out during surgery, then you're relying on a technician to replace it. If you need a central line (big IV access in the neck or groin), you need a technician or the surgeon to place it. The hundreds of little things like that are what keep an anesthesia care provider with patients in the OR for the entire duration of each and every surgery that goes on.
The other issue as I see it is that monitoring the vitals is important, but there are a lot of things that happen in an operating room that you can't monitor as well over a video feed. How much blood is really being lost? Can I visually sweep the floor, the surgical drapes, and the suction canisters easily and get an estimate? A patient can lose a third to half of their blood volume in some cases before you're going to see that reflected in vital signs, by which time you're way behind.
I suppose there is a place for this kind of thing in battlefield medicine and maybe remote third-world locations, but in those cases the anesthesiologist should be considered a consultant to the people on the ground and not "the primary provider", as it were. In order to make this real-world applicable, you'd need a robot on the far end with visual, audio, and tactile feedback, the ability to move around the room, etc - really a surrogate you that you could reliably control as well as your own hands and eyes. Of course, then you've got the issues with dropped connections, security of the feed, etc. What happens when a script-kiddie hacks your anesthesiabot-3000 and goes nuts with the drug delivery system?
Don't get me wrong, like everyone else I'd love to do my job sitting on my couch in my undies via video feed to the "office", but I'm not really sure this much more than a bit of a publicity stunt at this point.e duration of each and every surgery that goes on.
The other issue as I see it is that monitoring the vitals is important, but there are a lot of things that happen in an operating room that you can't monitor as well over a video feed. How much blood is really being lost? Can I visually sweep the floor, the surgical drapes, and the suction canisters easily and get an estimate? A patient can lose a third to half of their blood volume in some cases before you're going to see that reflected in vital signs, by which time you're way behind.
I suppose there is a place for this kind of thing in battlefield medicine and maybe remote third-world locations, but in those cases the anesthesiologist should be considered a consultant to the people on the ground and not "the primary provider", as it were. In order to make this real-world applicable, you'd need a robot on the far end with visual, audio, and tactile feedback, the ability to move around the room, etc - really a surrogate you that you could reliably control as well as your own hands and eyes. Of course, then you've got the issues with dropped connections, security of the feed, etc. What happens when a script-kiddie hacks your anesthesiabot-3000 and goes nuts with the drug delivery system?
Don't get me wrong, like everyone else I'd love to do my job sitting on my couch in my undies via video feed to the "office", but I'm not really sure this much more than a bit of a publicity stunt at this point.
Actually, I'm optimistic about this in Civ V. The AI has been split up into layers, IIRC, with each opponent actually coming up with a strategy to victory based on personal preferences and game conditions. So one civ (Ceasar, maybe) might lean towards military action regardless of game conditions, but another could find itself in a strong cultural position and then aggressively persue that goal. This is a bit different from previous versions in that the AI is taking account of the ongoing game and the player activity better, and I'm hoping it makes the "one true path" harder to follow (since the AI will adapt better).
IGN has a write up with a lot of the AI details: http://pc.ign.com/articles/107/1075587p1.html
IANAP, but I've read quite a bit over the years, and my understanding was that the uncertainty principle wasn't a limitation in our "measurements" per se, but rather how the world itself works. To take the classic example of momentum and position, for example: the problem isn't that we can't measure both the speed and position of an electron (like our tools aren't "fine" enough or something), but rather that an electron doesn't have both speed and position in the sense that we think about it. If we attempt to measure one of those two aspects, by that measurement we define the electron in a particular way and therefore blur the meaning of the other measurement.
My money is on Heisenberg, but then, I'm just a caveman.
This is exactly why I don't bother with newspapers anymore. I can get the same data with a quick scan of google news' homepage, and more timely to boot.
But I also shell out a little over a hundred bucks every six months to keep the Economist coming - because the quality of their articles is much higher than the norm. Even articles I have no interest in I typically read because I learn a lot from them. Whether I agree with all of their stories or not is a separate issue; the fact remains that they're intelligently written and thought out.
The problem Murdoch faces is that journalism can be done effectively by anyone willing to do it and with access to information. That gives an 18 year old blogger on the ground in Greece as much capacity to produce good "journalism" on the political situation there as a paid correspondent. Essentially, if you expect people to pay for your product in an environment literally flooded with similar products, you better have a really, really high quality to justify the extra cost.
If you want Eskimos to buy your Ice, you better have *fantastic* ice to sell.
In every hierarchy the cream rises until it sours. -- Dr. Laurence J. Peter