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Novadaq Technologies Inc. Message Board

splaintome 6 posts  |  Last Activity: Dec 10, 2014 3:51 PM Member since: Feb 20, 2010
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  • splaintome splaintome Dec 10, 2014 3:51 PM Flag

    Thanks for the warning Captain Capitals...

  • Reply to

    ISRG remote Dr compensation?

    by emtking48240 Nov 14, 2014 11:05 AM
    splaintome splaintome Nov 17, 2014 1:08 PM Flag

    "My #3 rant is a question about ISRG and "remote" surgery. Isn't that one of the things this is used for? "

    No. It's not really used for telesurgery and that's why I was confused. It could be used that way, and they have performed successful remote procedures (i.e., Operation Lindbergh being the first) to demonstrate that capability, but that mode of operation is very rare at this time.

    "For instance, a Dr in New York performs a remote robotic surgery on a child in Mumbai?"

    Any doctor performing an operation, in this direction, is very likely to be doing it pro-bono (or close to it). The opposite has been brought up before where lower cost surgeons from, say India, perform operations for wealthier countries for lower costs. Kinda like some companies here in the US outsource software development to other Asian countries.

    "How does the compensation work?"

    Not really sure because it's not very common. Either way, telesurgery still requires an anesthesiologist and a backup surgeon ON location in case there are communications issues or a malfunction in the robot.

    ISRG does NOT make any money on the operation itself. ISRG does make considerable money selling the machine, from the disposable attachments used during the operation, and the service contracts for the system.

    "I am honest in my opinions and respect the same."

    My initial intent was not to necessarily insult you but one does have to leap pretty far to conclude that just because a company grants some of their equipment to teaching facilities is in no way an indication that they are having trouble selling their machines and have to "give them away".

    To the contrary, it's very smart given my previous statements about training and to further "lock-in" more surgeons to their technology - which subsequently results in more sales for the company down the road. If those facilities can train hundreds of surgeons and those same surgeons require/demand a da Vinci when they join a hospital - who wins here?

  • Reply to

    ISRG remote Dr compensation?

    by emtking48240 Nov 14, 2014 11:05 AM
    splaintome splaintome Nov 16, 2014 8:41 PM Flag

    Well, let's just say that these types of technology grants are long overdue in my opinion. ISRG is in no way obligated to train surgeons to use the system, but I do think that they placed too much reliance on the hospitals to perform the necessary training - even though ISRG has hosted a plethora of training sessions in conjunction with choice teaching hospitals. Up to this point, the demand has overpowered the ability to make sure surgeons migrating from lap and open surgery are properly trained. This lack of training (teaching old dogs new tricks) is the ONLY thing that has held ISRG back to any degree and has provided fodder for critics to question the system. Most of the underlying critics are the older surgeons that have refused to migrate but feel threatened by the newer technology and the younger generation that are proficient with the robotic systems.

    But let me say this because I'm a software engineer. When I first started my career it was a time when COBOL developers were in high demand. I had to take COBOL classes in college and I almost dropped out because I hated the environment it represented. However, I persevered, graduated and found that I loved developing PC/Web type applications. Over the course of my career, and like most in my field, we sought out and migrated towards tools that provide the best ability to deliver quality systems to our customers. For each and every tool migration that I tackled, never did I look back and wish to return to the older tool set. In the same manner, once these surgeons are adequately trained, they will NEVER want to return to the outdated modes of operating procedures - it's that simple. ISRG is THE "Microsoft" of this generation of surgeons and the COBOL surgeons are withering away.

    That explanation covers your #1 and #2. In regards to your #3 rant, I have no idea what question you are really trying to ask.

  • Reply to

    ISRG remote Dr compensation?

    by emtking48240 Nov 14, 2014 11:05 AM
    splaintome splaintome Nov 14, 2014 4:26 PM Flag

    "I was just reading ..."

    In your case, reading and comprehension appear to be at opposite ends of the spectrum.

  • Reply to

    another gem from the cc

    by e11ndofwar Nov 7, 2014 3:32 PM
    splaintome splaintome Nov 7, 2014 5:26 PM Flag


  • Reply to

    another gem from the cc

    by e11ndofwar Nov 7, 2014 3:32 PM
    splaintome splaintome Nov 7, 2014 4:13 PM Flag


    "There is nothing about this news that is bad for the shorts other than that the longs are bidding the stock up like crazy"

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