I am in a hotel room in silicon valley. It smells like money. I am here to learn how to operate using a robot. The surgeon sits in a console away from the patient and looks through a 3D monitor and controls three ooerating arms and a camera. Four limbs. It feels like playing an organ connected to an octopus that is working inside a human. It is like working at the table with all the range of motion of my wrists but through 1/4 inch incisions. One can even just do all the work through one incision hidden in the belly button, making it look like…nothing. Like I wasn’t there.
When I started in surgery I thought I would always be enamored with being inside someone. This is like being a thief and stealing organs while the person gently sleeps. When they awaken something is a little off, something missing here. Hey! Where’s my gallbladder!
In spite of the unbelievably intense technology that brings an enormous hydra-like console into a person with me ten feet away it really is as easy as riding a bike in that the movements feel instinctive, balanced, familiar. For a guy who blew every last quarter of his high school busboy income on asteroids and felt bad about it, I feel vindicated. Something in me knew what skills I was looking for. And another several thousand people were working away to bring me and a robot to you to quietly and joyfully remove something that isn’t working quite right. I gotta say, I am amazed. Feels like I am in the next century. Spock, go get Bones. We are beaming down.



Not that I’m a ludite, but I have greater faith in the human touch when it comes to certain things. Especially cutting on my innards. Technology is amazing in that it works so well 99.99% of the time and humans, by nature, less so. Yet there is still that connection between a surgeon and patient that technology cannot replace. I have faith in the human condition, flawed as it is.
Very cool. You are the future. The geeks inherit the earth.
One of the things I am most grateful for is that you, even if you are removed from a patient by some kind of remote apparatus during surgery, you are never really removed. You care — that is about as close as you can get. No, not a thief — an advocate. Thank you.
I do love a good Luddite. Also I have never heard anyone express love for the human condition, but I am with you
I like that this post combines humility and confidence, awe of and appreciation for technology.
Every time I surf the web, a part of me is amazed and delighted that my seven year old computer can do what the Enterprise’s computer could do as far as accessing information goes…
Thanks for commenting. It is amazing, all of it, what we are doing with ourselves and the world…