Surgical Technology Quotes

The problem is that doctors today often assume that something mysterious and unidentified has gone wrong with labor or that the woman's body is somehow "inadequate" - what I call the "woman's body as a lemon" assumption. For a variety of reasons, a lot of women have also come to believe that nature made a serious mistake with their bodies. This belief has become so strong in many that they give in to pharmaceutical or surgical treatments when patience and recognition of the normality and harmlessness of the situation would make for better health for them and their babies and less surgery and technological intervention in birth. Most women need encouragement and companionship more than they need drugs.

Exfiltrated metadata from internet service providers and social media platforms can be plugged into big data analytics and once the right algorithm is applied, can allow an adversary surgically precise psychographic targeting of critical infrastructure executives with elevated privileges. Why is no one talking about this?

The technology has proven so valuable that SpaceX’s competitors have started to copy it and have tried to poach some of the company’s experts in the field. Blue Origin, Jeff Bezos’s secretive rocket company, has been particularly aggressive, hiring away Ray Miryekta, one of the world’s foremost friction stir welding experts and igniting a major rift with Musk. “Blue Origin does these surgical strikes on specialized talent* offering like double their salaries. I think it’s unnecessary and a bit rude,” Musk said. Within SpaceX, Blue Origin is mockingly referred to as BO and at one point the company created an e-mail filter to detect messages with “blue” and “origin” to block the poaching. The relationship between Musk and Bezos has soured, and they no longer chat about their shared ambition of getting to Mars. “I do think Bezos has an insatiable desire to be King Bezos,” Musk said. “He has a relentless work ethic and wants to kill everything in e-commerce. But he’s not the most fun guy, honestly.

involved experiments with African Americans. These subjects were given experimental vaccines known to have unacceptably high lethality, were enrolled in experiments without their consent or knowledge, were subjected to surreptitious surgical and medical procedures while unconscious, injected with toxic substances, deliberately monitored rather than treated for deadly ailments, excluded from lifesaving treatments, or secretly farmed for sera or tissues that were used to perfect technologies such as infectious-disease tests.

But perhaps the newest and most exciting instrument in the neurologist’s tool kit is optogenetics, which was once considered science fiction. Like a magic wand, it allows you to activate certain pathways controlling behavior by shining a light beam on the brain. Incredibly, a light-sensitive gene that causes a cell to fire can be inserted, with surgical precision, directly into a neuron. Then, by turning on a light beam, the neuron is activated. More importantly, this allows scientists to excite these pathways, so that you can turn on and off certain behaviors by flicking a switch. Although this technology is only a decade old, optogenetics has already proven successful in controlling certain animal behaviors. By turning on a light switch, it is possible to make fruit flies suddenly fly off, worms stop wiggling, and mice run around madly in circles. Monkey trials are now beginning, and even human trials are in discussion. There is great hope that this technology will have a direct application in treating disorders like Parkinson’s and depression.

Theta programming, Phillips said, "involved the surgical implantation of sodium/lithium powered high frequency receiver/transducers coupled to a multi-range discharge capacitor that , when signaled by remote control would electronically stimulate designated parts of the brain to signal the victim to respond according to his or her hypnotic program. "These "Delgado" experiments were only partially successful," Phillips said, "with a high mortality and paralysis rate. However, the technical mind control equipment evolution has advanced to levels well beyond the grasp of most people. Non-implanted, non-programmed victims will hold the largest majority since, in the 1990's breakthroughs were made which allow mind control without either implant or trauma base". The new Theta programming," Phillips said, "operates by computer driven satellite directed energy. Now, anybody can become a target of the new technology.

A specialist might work for years only on understanding a type of plastic composed of a particular small group of chemical elements. Generalists, meanwhile, might start in masking tape, which would lead to a surgical adhesives project, which spawned an idea for veterinary medicine. Their patents were spread across many classes. The polymaths had depth in a core area—so they had numerous patents in that area—but they were not as deep as the specialists. They also had breadth, even more than the generalists, having worked across dozens of technology classes. Repeatedly, they took expertise accrued in one domain and applied it in a completely new one, which meant they were constantly learning new technologies. Over the course of their careers, the polymaths’ breadth increased markedly as they learned about “the adjacent stuff,” while they actually lost a modicum of depth. They were the most likely to succeed in the company and to win the Carlton Award. At a company whose mission is to constantly push technological frontiers, world-leading technical specialization by itself was not the key ingredient to success.

An inventor's depth and breadth were measured by their work history. The U.S. Patent Trademark Office categorizes technology into four hundred fifty different classes -- exercise, devices, electrical connectors, marine propulsion, and myriad more. Specialists tended to have their patents in a narrow range of classes. A specialist might work for years only on understanding a type of plastic composed of a particular small group of chemical elements. Generalists, meanwhile, might start in masking tape, which would lead to a surgical adhesives project, which spawned an idea for veterinary medicine. Their patents were spread across many classes. The polymaths had depth in a core area -- so they had numerous patents in that area -- but they were not as deep as the specialists. They aslo had breadth, even more than the generalists, having worked across dozens of technology classes. Repeatedly, they took expertise accrued in one domain and applied it in a completely new one, which meant they were constantly learning new technologies. Over the course of their careers, the polymaths' breadth increased markedly as they learned about "the adjacent stuff," while they actually lost a modicum of depth.

Abovitz is a technology entrepreneur with a background in biomedical engineering. He previously founded Mako Surgical, a company in Fort Lauderdale that makes a robotic arm equipped with haptic technology, which imparts a sense of touch so that orthopedic surgeons have the sensation of actually working on bones as they trigger the robot’s actions. Mako was sold to a medical technology company, Stryker, for nearly $1.7 billion in 2013. By night, Abovitz likes to rock out. He sings and plays guitar and bass in a pop-rock band called Sparkydog & Friends. And as he tells it, Magic Leap has its origins in both the robotic-surgery company and his life as a musician.

In the story, Ivan Ilyich is forty-five years old, a midlevel Saint Petersburg magistrate whose life revolves mostly around petty concerns of social status. One day, he falls off a stepladder and develops a pain in his side. Instead of abating, the pain gets worse, and he becomes unable to work. Formerly an “intelligent, polished, lively and agreeable man,” he grows depressed and enfeebled. Friends and colleagues avoid him. His wife calls in a series of ever more expensive doctors. None of them can agree on a diagnosis, and the remedies they give him accomplish nothing. For Ilyich, it is all torture, and he simmers and rages at his situation. “What tormented Ivan Ilyich most,” Tolstoy writes, “was the deception, the lie, which for some reason they all accepted, that he was not dying but was simply ill, and he only need keep quiet and undergo a treatment and then something very good would result.” Ivan Ilyich has flashes of hope that maybe things will turn around, but as he grows weaker and more emaciated he knows what is happening. He lives in mounting anguish and fear of death. But death is not a subject that his doctors, friends, or family can countenance. That is what causes him his most profound pain. “No one pitied him as he wished to be pitied,” writes Tolstoy. “At certain moments after prolonged suffering he wished most of all (though he would have been ashamed to confess it) for someone to pity him as a sick child is pitied. He longed to be petted and comforted. He knew he was an important functionary, that he had a beard turning grey, and that therefore what he longed for was impossible, but still he longed for it.” As we medical students saw it, the failure of those around Ivan Ilyich to offer comfort or to acknowledge what is happening to him was a failure of character and culture. The late-nineteenth-century Russia of Tolstoy’s story seemed harsh and almost primitive to us. Just as we believed that modern medicine could probably have cured Ivan Ilyich of whatever disease he had, so too we took for granted that honesty and kindness were basic responsibilities of a modern doctor. We were confident that in such a situation we would act compassionately. What worried us was knowledge. While we knew how to sympathize, we weren’t at all certain we would know how to properly diagnose and treat. We paid our medical tuition to learn about the inner process of the body, the intricate mechanisms of its pathologies, and the vast trove of discoveries and technologies that have accumulated to stop them. We didn’t imagine we needed to think about much else. So we put Ivan Ilyich out of our heads. Yet within a few years, when I came to experience surgical training and practice, I encountered patients forced to confront the realities of decline and mortality, and it did not take long to realize how unready I was to help them. *   *   *

finance remains an essential social institution, necessary for managing the risks that enable society to transform creative impulses into vital products and services, from improved surgical protocols to advanced manufacturing technologies to sophisticated scientific research enterprises to entire public welfare systems.

Legal You will learn that there are restrictions placed upon you in some areas. These restrictions are for your own protection. You will be prohibited from administering medications, recording sponge counts, or carrying out direct physician’s orders regarding treatment of a patient out of your scope of practice. As soon as you overstep your limitations and boundaries and perform any of these actions, you are placing yourself in legal jeopardy. Whether functioning under the supervision of a surgeon or a registered nurse, a CST is always part of the surgical team and you must carry out your responsibilities within the scope of your practice. Never try to do a task that does not fall within that realm. All counts are significant and have important legal ramifications. When performing a count, it is crucial to ensure that the count is correct for the patient’s well-being. When you are scrubbed, you count sponges while the registered nurse observes and records the count. At any given time during a surgical procedure, the CST may request a sponge, and possibly a sharps count to take place. If you are assisting the circulating nurse in a nonsterile role, you may assist with the counts as long as the nurse verifies it. In this scenario, the nurse is legally acting as the surgeon’s agent. It is the responsibility of the registered nurse to obtain the required medications for a case. The CST draws the drugs into syringes and mixes drugs when scrubbed; during this process, the proper sequence of medication verification and labeling must occur. In any phase of your responsibilities, there are possible grounds for legal breaches. Shortcuts may cause a patient to suffer tragic complications, even loss of life. Negligence must be avoided. Both as an employed CST and as a student, you carry the responsibility to do no harm. If you should become discouraged in your role or begin to feel this responsibility is overwhelming, it could simply mean that you need a change; it isn’t always the other team players or the place of employment that are at

The issue I have with most of what is written about the Metaverse is that the conventional wisdom narrows the focus on the Metaverse to the next increment to social media or a the next step beyond a Zoom call. Where's the vision? Think beyond. When Boeing leverages a digital twin for airplane design/modeling, is that a form of the Metaverse? How about Da Vinci which is a robotic surgical system? Have you ever been on Flight of Passage at Disneyworld? Conventional wisdom might say no, those are not Metaverse. I say, forget conventional wisdom and forget the social media use case for Metaverse. The use cases are there to extract value from the current state of Metaverse technology, but they are not within the scope of the current conversations.

The issue I have with the current discussions about the Metaverse is that the conventional wisdom narrows the focus on the Metaverse to the next increment to social media or the next step beyond a Zoom call. Where's the vision? Think beyond. When Boeing leverages a digital twin for airplane design/modelling, is that a form of the Metaverse? How about Da Vinci which is a robotic surgical system? Have you ever been on Flight of Passage at Disneyworld? Shouldn’t AI training (like for autonomous cars) be more like the Metaverse? Conventional wisdom might say no, those are not Metaverse. I say, forget conventional wisdom and forget the social media/office use case for Metaverse. The use cases are there to extract value from the current state of Metaverse technology, but they are not within the scope of the current conversations.

Silverglide's Jon Thorne learned that having a proprietary technology that solved a real problem—sticking tissue—was a perhaps necessary but insufficient ingredient in building a successful company. Doing so at Silverglide meant pivoting away from the surgical probe toward another surgical instrument, bipolar forceps, that was the bread‐and‐butter tool of choice for many surgeons. In my experience, it takes a pivot or two—sometimes more!—to match a new technology with an appropriate and genuine customer problem.

Even if I accept your bogus excuses for war, today we have the technology to fight wars without actually killing people - only reason we don't, is because it's not economical. Life is not economical, death is - peace is not economical, war is. It's far cheaper to kill enemy soldiers than take them prisoner, at the expense of the taxpayer. One bullet costs half a dollar, whereas one prisoner costs thousands per year. So, naturally, preserving life is not the priority, neither is peace. Besides, think of the rush of pride the primitive taxpayers get, from the headlines - "our nations' gallant forces took down several enemy soldiers in a bone-chilling surgical strike!" And more the primitives of a nation are exposed to this kind of blood-boiling headlines, more they get conditioned to believe, that in every war, they are on the right side of justice. World calls it Geopolitics - I call it Pavlovian Conditioning of Patriotism - where the citizen canines of a state are made to believe even the worst of stately atrocity to be just and righteous, by repeated exposure of a patriotic narrative. As I once said, whoever controls the narrative, controls the people. And fear is at the root of it all. Once the citizens conquer their fear and prejudice, and grow up into civilized thinking humans, that'll be the end of state, war and geopolitical tribalism.

The first step to being creative is to develop expertise in something. The more you know about a subject, the more likely you are to have some fundamental insight into that subject. Einstein didn’t invent the theory of relativity because he was a decent physicist. He developed it because he was an expert physicist who understood the field so well that facts, figures and fundamentals no longer required conscious thought. They became permanent denizens of parts of the brain that store rote knowledge, habits and routine. Freeing the conscious mind to work on refining and extending that knowledge. This is why expert musicians write great songs. And why expert physicians create new surgical techniques. It’s why expert chemists discover new medicines. It’s why technology companies hire great coders and law firms employ expert attorneys. Expertise guarantees results and maximizes the chance of brilliant insights. It's stacking the deck for creativity to occur.

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A Solution Waiting for a Problem Engineers tend to develop tools for the pleasure of developing tools, not to induce nature to yield its secrets. It so happens that some of these tools bring us more knowledge; because of the silent evidence effect, we forget to consider tools that accomplished nothing but keeping engineers off the streets. Tools lead to unexpected discoveries, which themselves lead to other unexpected discoveries. But rarely do our tools seem to work as intended; it is only the engineer’s gusto and love for the building of toys and machines that contribute to the augmentation of our knowledge. Knowledge does not progress from tools designed to verify or help theories, but rather the opposite. The computer was not built to allow us to develop new, visual, geometric mathematics, but for some other purpose. It happened to allow us to discover mathematical objects that few cared to look for. Nor was the computer invented to let you chat with your friends in Siberia, but it has caused some long-distance relationships to bloom. As an essayist, I can attest that the Internet has helped me to spread my ideas by bypassing journalists. But this was not the stated purpose of its military designer. The laser is a prime illustration of a tool made for a given purpose (actually no real purpose) that then found applications that were not even dreamed of at the time. It was a typical “solution looking for a problem.” Among the early applications was the surgical stitching of detached retinas. Half a century later, The Economist asked Charles Townes, the alleged inventor of the laser, if he had had retinas on his mind. He had not. He was satisfying his desire to split light beams, and that was that. In fact, Townes’s colleagues teased him quite a bit about the irrelevance of his discovery. Yet just consider the effects of the laser in the world around you: compact disks, eyesight corrections, microsurgery, data storage and retrieval—all unforeseen applications of the technology.* We build toys. Some of those toys change the world. Keep

It was also clear that although petabytes of data are captured daily during care delivery in the country’s ICUs, most of these data were not being used to generate evidence or to discover new knowledge. The challenge, therefore, was to employ existing technology to collect, archive and organize finely detailed ICU data, resulting in a research resource of enormous potential to create new clinical knowledge, new decision support tools, and new ICU technology. We proposed to develop and make public a “substantial and representative” database gathered from complex medical and surgical ICU patients.

Everyone knows that surgeons use instruments to operate and everyone sees on television, through the news and various other shows that medical technology is expanding by leaps and bounds with each passing year. Yet very few people realize that all this expensive new instrumentation needs to be cleaned and reprocessed following each and every surgery. And because of that, even fewer can fathom that there is an entire department that focuses on the cleaning and sterilization of surgical instruments. We are in effect an invisible department.

EFM certainly seems like a good idea. A machine that measures and records a baby’s response to contractions provides scientific data about a particular woman’s labor. Logic says—and many people assume—that EFM improves birth outcomes. Actually, three decades of research shows that EFM doesn’t improve birth outcomes. When EFM is used during labor, no fewer babies die and no fewer have problems at birth. However, more women have cesareans when EFM is used.21 If EFM doesn’t help babies and puts mothers at higher risk of surgical intervention, it is not safer care. In 1988, a Harvard Medical School report described EFM as a “failed technology” but also predicted that doctors wouldn’t stop using it because they fear being sued. Fear of malpractice litigation is pervasive in obstetrics. Doctors too often make patient-care decisions based on their fear of a lawsuit rather than on evidence-based standards of practice established by their profession.