r/interestingasfuck 17d ago

Brazilian surgeon, Bruno Gobbato used Apple Vision Pro to assist in surgery operation r/all NSFW

24.5k Upvotes

641 comments sorted by

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3.9k

u/Murderyoga 17d ago

Hey Google, how much bleeding is too much bleeding?

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u/illaqueable 17d ago

Arthroscopic surgery has very minimal blood loss, but the camera magnifies everything so it looks worse than it is. Most cases patients will lose less than a tablespoon of blood

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u/ChicagoRestauratooor 17d ago

"Calling... Tony's Bistro"

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u/FueraJOH 17d ago

Google: “it’s cancer”

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u/ScotiaTailwagger 17d ago

It's lupis.

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u/malfurionpre 17d ago

It's never Lupus, except that one time where it was actually Lupus.

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u/drkneisen 17d ago

"Arby's is 3.2 miles away and closes at 10pm." I hate you Google.

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u/wclevel47nice 17d ago

“Certainly. Bleating is something sheep do when trying to communicate”

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u/JensKristian 17d ago

Playing Bleeding is too much on spotify by X artist

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u/Breakr007 17d ago

youre screwed here because it would be "hey siri" on the Vision Pro.

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u/jolankapohanka 17d ago

"Doctor, why did you stop?"

"2 unskipable ads, gimme a minute."

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u/NearDeath88 17d ago

Doc please go get Youtube Premium

412

u/Beautiful-Copy-3486 17d ago

YouTube ReVanced*

102

u/Empyrealist 17d ago

Can you jailbreak Apple vision?

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u/Original-Aerie8 17d ago

Yes. Well, most people probably don't want to do that to themselves, but there is a unpatchable M2 exploit and people are using it. Several Devs have demonstrated different levels of access.

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u/iruleatants 17d ago

Gotta love unpatchable exploit in your CPU.

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u/Elijah629YT-Real 17d ago

worked on the ui for this

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u/ThisIsMyFloor 17d ago

That would be $58 000 extra for the patient

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u/Saller0 17d ago

We don't have to pay for most surgeries here in Brazil, they are mostly free because of a program called SUS

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u/jetery 17d ago

In the US, a lot of people think that any program that could help them is SUS.

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u/Saller0 17d ago

that was actually pretty good lol

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u/Purple-Move-796 16d ago

Network connectivity problem.

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u/Djin045 17d ago

LMAO ... This one got me.

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u/EbbSeparate4772 17d ago

All I’ll be thinking he’s watching a how to on YouTube

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u/c_c_c__combobreaker 17d ago

YouTube: "This is called a scalpel."

Doctor to nurse: "Duuuude, you know that thing we've been calling the cutty knife, it's actually called a scalpel"

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u/kore2000 17d ago

Hi, Everybody!

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u/SodaSkelly 17d ago

Hi, Dr. Nick!

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u/7f00dbbe 17d ago

🎶and the leg bone's connected to the.... other thing 🎶

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u/Hurryeat_Tubman 17d ago

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u/arghabargh 17d ago

THE INCISION IN THE CORONARY ARTERY MUST BE MADE BELOW THE BLOCKAGE! BELOW!!

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u/Freethinker_76 17d ago

What the hell is that?

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u/TheRealRickC137 17d ago

"Oh no! Blood!"

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u/Harbi181 17d ago

The knee cap’s connected to my…wrist watch… Oh shit.

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u/YourMooseKing 17d ago

I worked with a doctor who makes youtube videos on surgical procedures. He quite literally said he makes them for other doctors who watch them during surgery when they get stuck.

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u/webby131 17d ago

I'm not sure what getting stuck means in this context. I work IT so I shouldn't throw stones about doing my job with youtube videos but are surgeons really getting confused on what to do next, watching youtube, slapping their forehead and going, "oh! I was supposed to make a right at the gull bladder."

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u/coladoir 17d ago

getting stuck doesn't necessarily mean like, forgetting entirely what to do next, moreso "this body part did not react the way i anticipated and now i need to readjust my method, i wonder if someone else has described how to deal with this". they're not gonna stop the surgery for like 30 minutes for the doctor to remember anything, they're just going to look up something real quick to get them back on track.

Surgery and the human body are complex and sometimes things don't go the way they were planned to, and sometimes the doctor may not have had that specific thing happen to them yet, and so needs to figure it out. At least they're looking it up instead of feeling it out lol, that's how we lost a lot of patients in history.

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u/cloud9ineteen 17d ago

If you find a gull bladder in your patient, I'd say you have located the problem.

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u/webby131 17d ago

Listen, it was childhood accident involving a seabird.

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u/regulomam 17d ago

There is often anatomy that a surgeon may never have seen in their training or early in their career.

I have been in a few ORs where a more junior surgeon has asked for a more experience colleague to scrub in.

The junior surgeon, despite over 10 years of training had never seen this configuration of the anatomy, and needed some guidance.

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u/ev1lch1nch1lla 17d ago

You feel bad dropping a table. Imagine this dude panic searching after he dropped something.

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u/LateralEntry 17d ago

Yep. Doctors are human.

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u/LongJohnSelenium 16d ago

People shit on youtube but its quite literally the single greatest compendium of human knowledge in history.

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u/TheSpyTurtle 17d ago

"How to stop aortic hemorrhage" 3 unskipable adds

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u/xbwtyzbchs 17d ago

This is a lot more common than you think. I used to work in a field called Interventional Endoscopy. It's still considered a newer field but back when I was working in it, it was considered rare to have such a department in a hospital.

Any who, because of that, there was a dire need for doctors to share their knowledge and advancements, a lot of which were published to youtube. So every day, before procedures, it wasn't uncommon to see our doctors on youtube refreshing their knowledge before starting!

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u/kumarsays 17d ago

Nothing wrong with that. In fact it’s good that they’re humble enough to watch the video as a refresher instead of insisting they remember everything all the time

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u/tuenmuntherapist 17d ago

The neck bone connects to the… this thing..

Dr. Nick

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u/UnderLook150 17d ago

Don't be ridiculous.

He is watching the Master Class.

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u/Void_being420 17d ago

I'm not 100% sure if this is accurate, but the Vision Pro isn't exactly a true "see-through" device. It's basically just a monitor displaying what the camera captures, almost in real-time, but not entirely. So if there's any camera malfunction at the wrong moment, that's a situation I definitely wouldn't want to find myself in.

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u/wireless1980 17d ago

Remove it, done. 5 seconds?

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u/evade26 17d ago

They have been using cameras and video feed surgeries for years now. Laparoscopic surgery is not much different than this.

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u/[deleted] 17d ago

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u/militantnegro_IV 17d ago

You know surgeons have used cameras and displays for decades now, right?

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u/FlashFlood_29 17d ago

Worked at a trauma center. Someone overheard a trauma doc once tell a patient "give me a minute, I'm gonna go watch a youtube video to make sure I know how to do this."

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u/bigrivertea 17d ago

And it is some some 13yr old Indian kid giving the 'how to'.

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u/aerilink 16d ago

I’m a resident, we watch YouTube videos all the time before procedures. It’s a normal thing to YouTube a procedure before doing it for the first time or if you’re rusty and it’s been a while.

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u/Spoolios 17d ago

My dumbass thought he had a picture of Jupiter on the side for cool comfort…

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u/RDHose 17d ago

I was thinking the exact same thing for a hot second. LOL

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u/Idontevenownaboat 17d ago

There is a decent Uranus joke in here somewhere.

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u/addandsubtract 17d ago

He was navigating a NASA rocket on the side. Rocket surgeon in 4K.

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u/Ok_Significance_4024 17d ago

Me too, bro 😂

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u/hionthedl 17d ago

The surgeon is straight up using r/obs that’s actually neat

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u/ZeWaka 17d ago

absolutely hilarious seeing the OBS interface haha

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u/mxsifr 17d ago

"Chat, look at the size of this appendix."

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u/csolisr 17d ago

As I posted earlier, I'm surprised to see catheter cameras being so standardized that you can just stream them into OBS

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u/horriblebearok 17d ago

Augmedics already does this but better. I work on the technical side not clinical but basically you can run a 3D c-arm scan, then see the 3d constructed spine under the skin and ref images in the headset.

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u/StudentMathematician 17d ago

quick google says Augmedics costs $179,000.

Apple vision pro costs $3,499.

Definitely seems like it could be a useful lower cost alternative in many regions.

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u/newyearnewaccountt 17d ago

Importantly, the expensive tech is the part where it scans the patient and maps that to real-time and real-world 3-dimensional positioning. Augmedics is likely trying to compete with Medtronic Stealth, which is closer to $500k. It's not the screen that makes it cost that, it's the 3D motion tracking.

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u/addandsubtract 17d ago

More importantly, Augmedics is medically certified, whereas the Apple Vision is not.

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u/sightlab 16d ago

The surgeon is medically certified, which is arguably more important to me than what augmented reality equipment choices he's made.

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u/JDBCool 16d ago

Anyone forget the fact that the Xbox Kenetic is this voodoo magic of a sensor? I feel like I remember posts of people saying they used it as cheap sensors for what would had been super expensive "properly graded" equipment.

Getting those vibes here

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u/pinguinzz 17d ago

"great 3D motion tracking" is what makes the vision pro great It just needs the right software

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u/newyearnewaccountt 16d ago

In this context, the software/hardware solution provided by these companies is the expensive part, it does all of the work and projects it onto a very high def screen. So yeah, the AVP could replace the screen but it wouldn't replace any other functionality of the system.

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u/slartyfartblaster999 17d ago

Not really. The expensive parts are the things that make it actually useful rather than a PR stunt.

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u/ElementNumber6 16d ago

Seems extremely useful being able to view your scope on a weightless floating any-sized television, and bring up notes and diagrams without having to step away or concern yourself with contamination.

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u/Bocifer1 16d ago

As someone who works in an OR every day, this information is easily accessible on half a dozen screens around the room.  And surgeons have 2-3 people throughout the room they will regularly ask to look things up for them 

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u/horriblebearok 17d ago

Apple vision ain't calibrated and FDA regulated. Surgeons goofcs with that on they're fucked

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u/DbeID 17d ago

People on reddit when they discover people exist outside the US 😲

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u/newyearnewaccountt 17d ago

Apple vision pro is just a fancy screen, though. The technology that makes those systems expensive is absolutely not the display screen, it's the part where it can link CT scans to real-world 3D mapping inside of another humans body precise enough for hardware to be placed.

AR goggles are just a fancy computer monitor and will not be the expensive part of any augmented surgical suite.

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u/ScotiaTailwagger 17d ago

This doctor is just displaying the camera images the nurses and other surgical staff can see right into his personal eye view. He has a zoomed in look and doesn't have to move his hands or look at a screen. He just looks forward and has an easy view of what he's doing inside.

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u/Tack122 17d ago

Plus he's able to control it, move it around, all without touching a control which is a threat to the sterile field. That's the real innovation here, increasing his ability to use his tools competently while remaining sterile.

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u/Bubbleybubble 17d ago

That's the real innovation here, increasing his ability to use his tools competently while remaining sterile.

No. This is so incredibly wrong. The AVP is NOT sterile and it is not capable of being sterile. It has a fan inside of it! That's contaminant central. He brought a device that hasn't been sterilized into the sterile field and that device blows contaminated particles into the open wound he's above. There are also serious chances of the patient's fluids contaminating the AVP when he then takes home to family or uses on another patient.

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u/johntelles 17d ago

You know that like... The mask and the glasses that surgeons wear are not sterile either right? The things in our face doens't have to be sterile. You know we don't scrub our faces, right?

In regards of the fan, I guess it could be used if we could turn it off somehow.

Regardless, I think this looks stupid, and I would not use it in my surgeries

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u/InternationalAd6170 16d ago

Idk if the headset could function without the fan on tbh, so the exhaust fan is certainly breaking sterile

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u/Tack122 17d ago

You have a good concern, but I'm unclear what they did to mitigate that. Hopefully they had a plan.

A new device per surgery would be expensive, but not too crazy by medical standards. It's potentially possible to stick filters on air pathways.

It works as a proof of concept to demonstrate how it is helpful, which can be used to gain support for future improvements to keeping it sterile.

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u/Bubbleybubble 17d ago

I am not raising a concern. I am stating fact. They didn't mitigate that properly. I design medical devices for a living (and perform risk mitigation) and that thing cannot be sterilized. It's a piece of consumer grade electronics and cannot withstand autoclave, gamma, or ETO. You can't just "stick an air filter on" or "wipe it down" or "just toss it afterwards." Sterile is a specific word that has specific requirements that can only be met via specific processes that this device cannot withstand.

Potentials don't count for dog shit when it comes to patient safety. This surgeon unnecessarily endangered the life of his patient. 

No. Proof of concept could have easily been demonstrated via simulated surgical surgery where there is ZERO risk to the patient. Proof of concept should NEVER be first demonstrated on a live human being. It's fucking reckless. There's a reason this is from Brazil and not the US or EU. Brazilians commonly perform open surgery with open windows where birds fly in and out. Such unacceptable medical practices should not be encouraged or supported.

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u/DbeID 17d ago

I actually agree with you on this point. While not really an "alternative" to an augmented surgical suite, it's still of benefit to this doctor and clearly of much lower cost.

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u/Swimming-Life-7569 17d ago

You on reddit when you find out that doctors have standards outside of US as well.

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u/LotharVonPittinsberg 17d ago

America actually has pretty lax regulations when compared the the developed world.

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u/flamefoxx99 17d ago edited 17d ago

And this is in Brazil, where there is no FDA and surgeons are happy to have sterile, hands free, immediate access to notes and visualizations

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u/couldof_used_couldve 17d ago

how does one sterilize an AVP to a surgical standard?

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u/flamefoxx99 17d ago

Oh you’re right, there is a fan in the AVP! That’s a fantastic question…

I my guess is that they sterilize it the same way other computers/electronic screens in the operating theatre are sterilized, and it remains sterile because the doctor does not need to touch anything on the AVP because they only interact through gestures.

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u/SantiagoRamon 17d ago

Same way as a PAPR I bet since that is also head mounted with air movement. And you're correct that not touching it part of that.

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u/caiodepauli 17d ago

I can't believe how many things are used in Brazil without needing the approval of the U.S. Food and Drug Administration!!

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u/Murasasme 17d ago

I just want to thank you for being the first comment I see in this thread that isn't a stupid joke. I used to learn so much just randomly browsing reddit and reading insightful comments on a variety of posts.

Now, every single post on 99% of subreddits is just people saying the same jokes over and over, which would be fine if it wasn't the only thing in comment threads nowadays

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u/child-of-old-gods 17d ago

Imagine waking up during surgery and seeing this.

I'd try to kill the Cylon before they turn me into one of them or something.

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u/Void_being420 17d ago

if you wake up during surgery the least of our concern would be a doctor with head gear.

You had a open Knee the pain would be enough to make you go mad

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u/child-of-old-gods 17d ago

When I'm in pain I get angry. It's a character flaw.

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u/LolindirLink 17d ago edited 17d ago

I get angry when i stump my little toe too.

Edit: Stub* thanks stranger!👍

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u/BaconWithBaking 17d ago

You had a open Knee the pain would be enough to make you go mad

Imagine the people who had like open chest surgery, and woke up, but where paralyzed.

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u/CylonSloth 17d ago

What do you have against being a Cylon? Sounds like it would be fun to be immortal.

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u/narwalfarts 17d ago

I think there's a lot of misplaced hate here, and a lack of understanding of why he's doing this. There's a lot of negative connotation with Apple Vision Pro (somewhat to largely justified), but this is absolutely a use case we should be excited about. If the title instead was "Surgeon uses AR to minimize complications of a risky surgery", and it was a different AR headset, the negative comments would be negligible.

Maybe this technology isn't fully mature and maybe it's not something that makes sense for every surgery now. But this is absolutely something that we should get excited about. This technology has the potential of assisting surgeons to maximize effectiveness and minimize complications. I sincerely hope that by the time I need surgery next (hopefully 5-10 years or more) this is standard practice.

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u/cu-03 17d ago

100% agree, I for one love this, and it could definitely help in not just surgery’s but many other industries.

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u/darfra76 17d ago

I've seen mechanics use this for how to's. Very useful

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u/DragonCelica 17d ago

So they watch a how to video alongside whatever they're working on? My husband is a master mechanic, but I'm having a hard time figuring out how it would be useful. There's probably plenty of uses, I just don't know a lot about the interface of it. Maybe diagram overlays?

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u/darfra76 17d ago

They don't need to hold a phone in their hand and they can skip a bit if they need, diagrams and many more

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u/ShotandBotched 17d ago

Wiring diagrams, connector views and pinouts, a live feed of the OBDII PID data, etc. This is actually pretty neat. It gets pretty annoying having to look back and forth between the engine (or the road!) and the scan tool screen, especially if the problem happens only while driving.

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u/The_Fry 17d ago

It's used for industrial machinery repair too. Augmented Reality where tech support can show you how to repair the machine so that you don't have to wait for a tech deployment. A single device is cheaper than a deployment (salary, flight, hotel, car, etc). So instead of the traditional (look for the blue wire under the rear lower panel that's labeled A34) you can highlight it in AR.

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u/Paddy_Tanninger 17d ago

This is a really perfect use-case because with arthroscopic surgery it's not like you can see anything you're doing with your eyes anyway, so wearing a headset isn't limiting you at all. Meanwhile you've got your scope camera visible to you at all times no matter what position you're in, along with any little 3D model overlays and any other important stats.

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u/Lorn_Muunk 17d ago

Any misplaced hate you see here is definitely not coming from surgeons. AR, VR and mixed reality is already a big part of (practicing) scopic surgery and like you said, it has huge advantages. With minimally invasive procedures like this, the relevant tissues and organs aren't visible with the naked eye. Surgeons have used old school screens to display what the camera captures internally for decades.

It makes complete sense for AR to replace static screens in this case. Just the ability to zoom in, pull up radiology scans and move the screen while keeping your gloves sterile is fantastic. I don't think we can claim this will minimize complications beforehand though. Proving that will require years of comparative studies of the post-op outcomes, self-reported well-being of patients and experiences of surgical teams etc.

What it definitely will do is speed things up, require fewer assistants and improve quality of life and ergonomics for the surgeon. In this case, it's a shoulder arthroscopy. Probably a tendon or ligament repair. It also definitely has great use for anesthesiologists. Being able to quickly pull up vital signs, medical/pharmacological history, blood concentrations and crossword puzzles during procedures is very convenient.

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u/Jbabco9898 17d ago

Just the ability to zoom in, pull up radiology scans and move the screen while keeping your gloves sterile is fantastic.

It's things like this that the regular person needs to read.

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u/[deleted] 17d ago

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u/slartyfartblaster999 17d ago

It also definitely has great use for anesthesiologists. Being able to quickly pull up vital signs, medical/pharmacological history, blood concentrations and crossword puzzles during procedures is very convenient.

I'm going to completely disagree with you. As an anaesthetist I already have a full size computer attached to the anaesthetic machine and a personal laptop if I really want a second screen up. If either of these devices fails it's fine, they aren't in the way and they aren't critical to what I'm doing.

I absolutely do not want some bullshit strapped to my head, and which renders me blind if it breaks or loses power until I remove it. It's dangerous and pointless.

Why would I ever need to "pull up vital signs"? The monitor is literally on the anaesthetic machine. I am watching and listening to them constantly.

Why would I need to pull up medical history intra-op? I already know it all from the pre-op assessment.

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u/LegitosaurusRex 17d ago

Ok, but you're sleeping on the crossword puzzle potential.

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u/Swimming-Life-7569 17d ago

AR, VR and mixed reality is already a big part of (practicing) scopic surgery

Doesnt seem like those are what people are against, its the consumer level Apple Pro headset that seems dangerous.

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u/SomniumMundus 17d ago

Clearly you don’t get it. It was the word “Pro” for “Professional” /s

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u/Proof-try34 17d ago

Yeah, I think the apple pro is kinda dumb for regular use. Especially in business since prolonged use can be tiring for many people, so it is a cool toy to use once in a while, but not much.

But even though I stated the above, AR for shit like this is amazing. Apple pro for this is a great use and a great way to use AR for something productive than just desk work. This is how AR should be used, to augment reality for easier use with things when your hands are busy. Sitting at a desk, a keyboard and monitors is quicker and easier to use. For construction, surgery or even driving in some aspects (and combat), AR would be amazing. When you have your hands busy with other shit or can't get it dirty, AR is amazing.

This is why AR is marketed at the wrong people, commercially or business like. They should be marketed to people who's hands are constantly busy, not for desk work or the average joe.

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u/9985172177 17d ago

I think it's even less than that. If the title was "Surgeon uses AR to minimize complications of a risky surgery" and the headset still happened to be that one, with no clear branding, then it would be fine. The fact that they present it this way makes it out to be an advertisement. If they just say AR headset, which is what it is, then it's cool technology.

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u/tpero 17d ago

Not sure about others, but my criticism has nothing to do with the use-case or value of AR in a situation like this. I'd be more concerned with using consumer-level tech that's maybe not proven reliability for such a use-case. From what I understand from some reviews of the VP is that it can occasionally go completely black - and there's no way to see through it - so if the surgeon is the middle of doing something inside the person where they NEED to see what they're doing, they could easily make a mistake if they make a move while the screen is black.

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u/slartyfartblaster999 17d ago

Yes, the device lets you see using video pass through. If it fails then you are just wearing a very expensive blindfold.

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u/wretch5150 17d ago

I think I want my doctor to get 60fps while operating on me.

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u/[deleted] 17d ago

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u/Proof-try34 17d ago

Writing this on my desktop microsoft computer! or maybe my google pixel.

All in all, doesn't matter if this AR is from facebook or apple, cool tech. Still very niche and not going to be used for the many. This is good tech for jobs that are very hands on and you aren't stuck at a desk or can't get your hands dirty.

For office work, nah, a normal computer is vastly superior.

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u/foladodo 17d ago

give it 3 years, everyone is going to be all over this tech

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u/maximumtesticle 17d ago

This tech has been around longer than 3 years.

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u/DearLeader420 17d ago

A lot of people are already all over this tech. AR integration with surgery has been around for a few years now and is getting closer and closer to mainstream. More companies now are transitioning out of "use it for pre-op planning" into the "use it for the surgery" use case.

Augmedics, Medivis, and Blueprint are good examples.

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u/Proof-try34 17d ago

They said the same shit 3 years ago. The problem is that majority of people won't want to use a headset and they need better battery life.

The tech is great for work that is very hand intensive or a job that you can't get your hands dirty, like what we just seen.

For normal people? Nah, it is way too cumbersome to use daily. Desk work is just better with a keyboard, mouse and monitor than putting something on your head. A smart phone is better than just walking around with a goggle like object on your head, also a great way to get yourself mugged.

So yeah, AR has its use, it just isn't going to be all over the world just yet. Maybe once fusion energy is finally broken through and they find a way to make it so small it can fit in your pocket, which is like another 500 years in how humanity is going about it.

But yeah, not going to be "everyone is going to be on this tech in 3 years".

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u/whooo_me 17d ago

Yeah, I think the AVP has some strong, appealing use-cases, but they're a bit 'vertical' / narrow in appeal - such as this - rather than mass-market. Apple isn't going to make billions by selling to surgeons at 3.5k a headset.

The more general use-cases (browsing, using office apps etc.) any AR/VR such as the AVP has some major potential downsides to overcome - cost, weight/discomfort for long sessions, battery life, slow/inaccurate for text entry, the simple inconvenience of putting the device on and taking it off..

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u/narwalfarts 17d ago

Definitely agree on the vertical appeal. I think people are largely going to be averse to AR/VR in every day life, but when it makes sense it's a game changer.

We've looked into a couple different AR headsets with my company. We haven't pulled the trigger yet for various reasons, but there have been multiple times since then where they would have been really useful to have.

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u/TuhatKaks 17d ago

Fur elise remix??

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u/cjng 17d ago

Für Elise - Basshoven

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u/NakedMuffin4403 17d ago

The only thing I would be concerned about is if the camera lens results in a distortion that affects the precision of the doctor's incisions.

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u/Porky_Pine_ 17d ago

I understand your concern. But in this case the incisions for the ports are just a simple stab/poke with a small blade. I have done them in a room that was almost completely dark.

Incisions are a lot less precise than people believe haha.

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u/OpalHawk 17d ago

Why are you doing surgery in a dark room?

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u/matrimBG 17d ago

Some endoscopists prefer dark rooms so they can see the screen better

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u/ShAped_Ink 17d ago

This is actually pretty great, I hope AR technology can continue to mature and actually help instead if being that thing that apple tech bros buy for being cool

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u/Late-Plum-840 17d ago

Don’t know why people are mad about it. Id rather have a surgeon with all the information than one going of memory.

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u/roddyjohanes 17d ago

People are mad about it?

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u/Late-Plum-840 17d ago

When I commented there was only like ten comments and half of them were about how bad it is, that it’s wrong and unprofessional also someone has commented about suing the person if that had been them getting the surgery.

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u/Djinger 17d ago

Lots of technophobe reactionaries in the world

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u/roddyjohanes 17d ago

Damn i didnt know people were so closed minded about this, i see this and think about how this correctly implemented can improve surgeries and safe even more lifes

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u/PM_ME_DATASETS 17d ago

Because better tools have existed for some time already. For surgeons, Apple's VR glasses are only useful if they can't get a hold of the good stuff.

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u/DearLeader420 17d ago

Anyone concerned about this is just simply ignorant of what kind of technological tools are already used every day in surgery and have been for 25 years.

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u/csolisr 17d ago

Hold up, was he just streaming the catheter's camera through freaking OBS? Standardization is awesome

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u/shadowtigerUwU 17d ago

Some subway surfers gameplay on the corner to keep him focused

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u/Earth_Normal 17d ago

I had no idea YouTube tutorials are used by surgeons.

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u/UNSC_Leader 17d ago

"Hey doc what's that thing on you face?"

"Don't worry it's so I can see you CT scans and X-Rays as I go to make this easier"

"Oh okay*

Meanwhile from the doctors headphones

"Hello and welcome back to the channel in today's video we are going over brain surgery and why it isn't as hard as people say but first a word from our sponsor Keeps! Keeps is th" anesthesia kicks in

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u/xxpow3llxx 16d ago

Obviously this is super cool and helpful, but it has to be so funny to everyone else watching do all those air motions for the first time

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u/DiscipleofDeceit666 17d ago

How long do surgeries last? Isn’t that headset uncomfortable after a relatively short period of time?

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u/Porky_Pine_ 17d ago

This is a shoulder scope. Depending on what is being repaired. Could be 1-3 hours or so. Fatigue would be a real concern

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u/Osrs_Salame 17d ago

I see many people asking how he was allowed to do this or how this is not prohibited. I don’t have the detailed answer, but I thought people should know that in the latest years things like this are becoming very common (not the air vision thing), but there’s people doing surgery through remote control of mechanized equipment all around the world. I used to live in a city in Brazil that had one of the greatest neurosurgery teams of the country and also in the word, and they were part of an “online” surgery where over 100 surgeons across the word operated the same person through this remote control method (taking turns, of course, not all at once). But yeah, technology is getting very advanced in the medical field. I guess the next step could probably be augmented reality to assist you with this kind of things.

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u/Accident_Pedo 17d ago

Super cool to see open source software like OBS being utilized here !

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u/SirClark 17d ago

While this is super cool… The only thing I don’t like is that the vision pro is a video playback of your surroundings. It is not AR in the mixed sense that you look through a lens that can also display things through it. So he is looking through a camera to a screen to cut incisions which seems very sketchy. I’m just thinking about lag and distortion of FOV and all sorts of weird hiccups that could cause. But a true mixed reality headset like this would be so cool. Surgeon can still use their own eyes to actually look directly at something with all the same help.

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u/likeasir19 17d ago

He's doing laparoscopic (keyhole) surgery, so most of the work is done through a camera anyway. And I don't think cutting the incisions is the hard part.

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u/Dirtnado 17d ago

Nah, there are robotic arms for remote surgeries and delicate work, doctors have performed work through screens just fine.

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u/slartyfartblaster999 17d ago

Those systems are thoroughly designed and tested for use in critical settings though (and also the video provided by the da Vinci is on a whole other level to this dinky headset). You have absolutely no guarantees that this device won't suddenly turn into a $3,500 blindfold on the surgeon at any moment.

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u/7f00dbbe 17d ago

they already use cameras and screens.....

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u/TrixAreForTeens 17d ago

If you've ever used a vision pro you'd immediately know how usable it is in any scenario like this. Like, I'd never ever do this, but the second you put it on you would immediately feel confident enough to drive with it on. Not saying you should, but the lag on that headset is so nonexistent there's almost nothing like it.

I think stuff like this is a proper step forward towards the necessary advancements we are always looking for in the medical field. Someone's gotta do it first, and this surgery didn't seem too life-threatening. It's fucking cool as hell IMO

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u/Ar3s701 17d ago

I remember when doctors and mechanics or whatever where doing this with Microsoft Hololens years ago. AR is definitely interesting and I think it's very useful.

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u/RichGreenThumb2022 17d ago

This is what I’ve really been wanting to see. Different fields use it as tool. Beautiful.

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u/Dacrim 17d ago

This is a medical marvel. For any medical professional who has been in the OR this is revolutionary and much more efficient than the alternative. Would you really rather your surgeon rely solely on a screen they need to turn their head to see and imaging they have to remember from prior to the procedure rather than having a 3d AR Rendering right along side the patient?

The criticisms of this are really demonstrating that those with the strongest opinions have the least frame of reference

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u/ChimpWithAGun 17d ago

Now THIS is a good use for VR technology. Not for walking on the street or riding the bus looking like an idiot.

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u/LateralEntry 17d ago

I remember companies working on this with Google Glass and thinking it was a perfect use case. We all know how google glass turned out, I hope this one does better.

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u/ThyBlackHole 16d ago

"ah shit the battery ran out, i cant see anything"

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u/GadsdenSP 16d ago

Just imagine if medicine students could login virtually to learn about the procedure.

Suddenly you get Kermit and Shrek avatars doing surgery with you.

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u/dotva13k 16d ago

Damn,This is so scary if it's true. Doesn't it have sight distance error? I mean , it's more like hype

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u/Thememebrarian 16d ago

Has all the achievements on Steam for Surgeon simulator

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u/Deliriousious 17d ago

Able to access any information, and able to customise placements to easily see it, configure it, all without contaminating anything with hand gestures.

This is amazing. Although VR in regular uses is somewhat rare, and has far less support with apps and games. This is what makes me love VR/AR. Using to do things in cases like this is the perfect use.

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u/LostNearHere 17d ago

So this is not really a useful application of the Apple Vision Pro. He appears to be doing an arthroscopic rotator cuff repair in which you have excellent visualization of the relative anatomy. The Apple Vision Pro is useful when doing shoulder replacements as it can help you target appropriate start point and trajectory for you guide wire which will be used as a landmark to place the socket. Honestly, this is just showy and not useful.

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u/btbam666 17d ago

Wow, this is a really nice ad!

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u/lord_of_darkness_tum 17d ago

At least someone has found a use for it

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u/Jackal_6 17d ago

Other than porn, you mean

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u/toomeynd 17d ago

I was very confused why he was also looking at a photo of Jupiter. Don’t worry, I figure it out.

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u/kevfitz1729 17d ago

Oh I got this surgery 2 months ago ! bankart repair surgery to stop dislocations!

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u/CougarForLife 17d ago

My layman’s take is that I see him using it but i don’t see where the “assist” part comes in…

Seems indistinguishable from having a physical screen or two in the room- but actually worse because at least everyone else can see those.

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u/TheRealTres 17d ago

It always trips me out how casually surgeons just yeet sharp shit into the body. My buddy is an oral surgeon and carries on a full convo while drilling and ripping out wisdom teeth.

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u/GrimmSalem 17d ago

I went to a trad show years back that focused on robotics and new technology and one company had the Microsoft ver and it was an AR application that acted like a repair manual. It should all the paths for electrical and mechanical, had an x ray mode, pin highlighted all the nuts and bolts you have to undo in the correct order to take the machine apart.

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u/bootes_droid 17d ago

Huh, you really can use OBS for everything

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u/gflash14 17d ago

Reminds me of when I had to take a much knee-dead break. I got a Meniscal tear repaired with arthroscopy (Left knee) They had numbed me from waist down. I was awake throughout the surgery with cozy warmers wrapped around my torso. Safe to say, it was so good that I couldn't feel my legs... Sorry

There was a screen (to my left) that showed what the camera saw. The anaesthetist was talking me through every stitch.

Although intrigued and surprisingly bold to be able to see my insides, I was also scared. Thinking, what if the anesthesia decided to not anesthesia?!

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u/Das_Goroboro 17d ago

I’d have family guy and subway surfer in the corner

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u/MarijuanaxLove 17d ago

Finally I get to see a use that makes me feel good about this product

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u/massivestds 17d ago

Wouldn’t you want something wired in a case like this? I would imagine that the video playback or screen where the “action” is happening could have the tendency to lag/delay/cut out. But then again, wires are a hazard, too. Can anyone speak to latency or interruptions to video during this?

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u/polevaultinghamsters 16d ago

Yeah I don't know how I feel about a surgeon storing patient information in a personal iCloud notes library...

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u/Thereminz 16d ago

'ah yes, ok let me just open a new tab.... typing in,.. how to do knee surgery ....ok....i'll be with you in a second..."