El doctor Jeffrey S. Augenstein examina a la paciente Dolores Gustafson con la ayuda del robot Chico en el Jackson Memorial. (MIAMI)
El doctor Chico es un robot que funciona con un joystick, tiene tres ruedas, un estetoscopio y podría ser la solución para la escasez de médicos y enfermeros que afecta a los hospitales.
Chico (sigla en inglés de Operador Computarizado de Cuidados Intensivos) permite que los médicos y enfermeros examinen virtualmente a los pacientes, les hablen, tengan acceso a las historias clínica digitalizadas y diagnostiquen enfermedades.
El rostro del robot es una pantalla plana.
No es que Chico haga el trabajo de los médicos, sino que les facilita la labor supervisando a los paciente. Y cuando el médico está junto al paciente, permite conseguir una segunda opinión a distancia.
O si el médico y el paciente hablan idiomas diferentes, Chico hace de intérprete.
"En la historia de la medicina moderna hemos evaluado a los pacientes viéndolos y hablándoles. Esto sería una forma de cambiar ese sistema'', dijo Augenstein. "Nos sentamos en la sala con el robot y tenemos acceso a toda la información del paciente sin importar que esté junto a nosotros o al otro lado del mundo''.
El robot del Jackson es el único en su clase que se usa en el centro de traumatología, según el creador del aparato, In Touch Technologies, con sede en California. Hay otros cuatro en hospitales del Ejército: uno en Seattle, dos en Texas y uno en Alemania, pero esos hospitales no tienen centros de traumatología.
Docenas de unidades similares, llamadas RP-7 Remote Presence Robots, se usan en hospitales de todo el país para evaluar embolismos, infartos cardíacos y cuidados intensivos.
El Centro Ryder de Traumatología del Jackson maneja 4,000 casos al año.
El Ejército espera que los robots permitan el acceso de los especialistas al frente de combate. ‘‘El Ejército tiene escasez de cirujanos... con una necesidad cada vez mayor en el campo de batalla... esto puede ayudar'', dijo el Dr. Donald Robinson, teniente coronel y jefe del Centro de Capacitación del Ejército en el Jackson.
Los funcionarios del hospital dicen que el robot es un gran beneficio para la población.
"¿Qué pasa si alguien se lesiona en Cayo Hueso o en una zona rural del condado?", pregunta Augenstein.
Respuesta: Si el hospital tiene conexión de banda ancha el robot puede ayudar a los médicos a diagnosticar desde el Jackson si el paciente debe ser trasladado al centro de traumatología.
El robot fue creado por el Dr. Yulun Wang, de In Touch Technologies. A esta versión de última generación la precedieron otras seis.
Los robots no requieren mantenimiento regular pero están supervisados permanentemente, cada dos minutos, por equipos de servicio técnico.
"El robot le informa a sus servidor informático correspondiente si opera debidamente'', Wang.
Unos 25 médicos, cirujanos y técnicos del centro de traumatología han aprendido a usar el robot.
El Dr. Antonio Marttos Jr., profesor adjunto de Cirugía, es conocido como el operador más diestro del robot, cuyos sensores evitan que choque con personas u objetos.
"Para mí es fácil'', dijo Marttos riendo. "Antes dedicaba mucho tiempo a los juegos de video''.
El robot es nuevo, pero los médicos dicen que el origen de su operación no lo es.
"Todos nosotros hemos practicado telemedicina, sólo que no tan avanzada'', dijo Augenstein. ‘‘Uno recibe una llamada de otro médico, se envía una fotografía... esto lo hacemos a diario. Practicamos la asesoría a distancia''.
Los médicos no creen que los robots los reemplacen completamente.
"En la práctica de la medicina la presencia del médico es necesaria para el contacto humano''.
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Chico Robot
The Boy is a robot doctor who works with a joystick, has three wheels, a stethoscope and could be the solution to the shortage of doctors and nurses that affects hospitals.
Chico (abbreviation for Computer Intensive Care Attendant) allows doctors and nurses to virtually examine patients, they speak, have access to digitized medical histories and diagnose diseases.
The robot's face is a flat screen.
Not that Chico do the work of doctors, but facilitates their work supervising the patient. And when the doctor is with the patient can get a second opinion from a distance.
Or if the doctor and patient speak different languages, Chico acts as an interpreter."In the history of modern medicine we have assessed the patients seeing and speaking.
This would be a way to change this system,''said Augenstein." We sat in the room with the robot and have access to all patient information without Whether you're with us or across the world.
''The robot of Jackson is one of a kind used in the trauma center, according to the operator of the device, In Touch Technologies, based in California. Four other Army hospitals: one in Seattle, two in Texas and one in Germany, but these hospitals are trauma centers.
Dozens of similar units, called RP-7 Remote Presence Robots are used in hospitals around the country to assess embolisms, heart attacks and intensive care.
Ryder Trauma Center at Jackson handles 4,000 cases a year.
The Army expects that robots will allow specialists access to the front line. ''The Army has a shortage of surgeons ... with a growing need in the battlefield ... this can help,''said Dr. Donald Robinson, Lieutenant Colonel and head of the Army Training Center in Jackson.
Hospital officials say the robot is a great benefit to the population.
"What happens if someone is injured in Key West or in a rural county," asks Augenstein.
Answer: If the hospital has a broadband connection the robot can help doctors diagnose from Jackson if the patient should be transferred to the trauma center.The robot was created by Dr. Yulun Wang, In Touch Technologies. This latest version of the preceding six others.
The robots do not require regular maintenance but are permanently monitored every two minutes, technical service teams.
"The robot informs its corresponding computer server if operated properly,''Wang.
Some 25 doctors, surgeons and trauma center technicians have learned to use the robot.
Dr. Antonio Martta Jr., Associate Professor of Surgery, is known as the most skilled operator of the robot, which sensors avoid colliding with people or objects.
"For me it's easy,''said Martta laughing." Before I spent much time playing video games.
''The robot is new, but doctors say that the origin of its operation is not."
All of us have practiced telemedicine, just not as advanced,''said Augenstein.
''You get a call from another doctor, send a picture ... we do this every day. We practice distance mentoring.
''Doctors do not believe that robots will replace them completely."In the practice of medicine physician presence is necessary for human contact.''
Chico (abbreviation for Computer Intensive Care Attendant) allows doctors and nurses to virtually examine patients, they speak, have access to digitized medical histories and diagnose diseases.
The robot's face is a flat screen.
Not that Chico do the work of doctors, but facilitates their work supervising the patient. And when the doctor is with the patient can get a second opinion from a distance.
Or if the doctor and patient speak different languages, Chico acts as an interpreter."In the history of modern medicine we have assessed the patients seeing and speaking.
This would be a way to change this system,''said Augenstein." We sat in the room with the robot and have access to all patient information without Whether you're with us or across the world.
''The robot of Jackson is one of a kind used in the trauma center, according to the operator of the device, In Touch Technologies, based in California. Four other Army hospitals: one in Seattle, two in Texas and one in Germany, but these hospitals are trauma centers.
Dozens of similar units, called RP-7 Remote Presence Robots are used in hospitals around the country to assess embolisms, heart attacks and intensive care.
Ryder Trauma Center at Jackson handles 4,000 cases a year.
The Army expects that robots will allow specialists access to the front line. ''The Army has a shortage of surgeons ... with a growing need in the battlefield ... this can help,''said Dr. Donald Robinson, Lieutenant Colonel and head of the Army Training Center in Jackson.
Hospital officials say the robot is a great benefit to the population.
"What happens if someone is injured in Key West or in a rural county," asks Augenstein.
Answer: If the hospital has a broadband connection the robot can help doctors diagnose from Jackson if the patient should be transferred to the trauma center.The robot was created by Dr. Yulun Wang, In Touch Technologies. This latest version of the preceding six others.
The robots do not require regular maintenance but are permanently monitored every two minutes, technical service teams.
"The robot informs its corresponding computer server if operated properly,''Wang.
Some 25 doctors, surgeons and trauma center technicians have learned to use the robot.
Dr. Antonio Martta Jr., Associate Professor of Surgery, is known as the most skilled operator of the robot, which sensors avoid colliding with people or objects.
"For me it's easy,''said Martta laughing." Before I spent much time playing video games.
''The robot is new, but doctors say that the origin of its operation is not."
All of us have practiced telemedicine, just not as advanced,''said Augenstein.
''You get a call from another doctor, send a picture ... we do this every day. We practice distance mentoring.
''Doctors do not believe that robots will replace them completely."In the practice of medicine physician presence is necessary for human contact.''
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