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The doctor isn't in, but he can still see you now. Remote presence robots are allowing physicians to "beam" themselves into hospitals to diagnose patients and offer medical advice during emergencies. A growing number of hospitals in California and other states are using telepresence robots to expand access to medical specialists, especially in rural areas where there's a shortage of doctors. These mobile video-conferencing machines move on wheels and typically stand about 5 feet, with a large screen that projects a doctor's face. They feature cameras, microphones and speakers that allow physicians and patients to see and talk to each other. Dignity Health, which runs Arizona, California and Nevada hospitals, began using the telemedicine machines five years ago to diagnose patients suspected of suffering strokes — when every minute is crucial to prevent serious brain damage. The San Francisco-based health care provider now uses the telemedicine robots in emergency rooms and intensive-care units at about 20 California hospitals, giving them access to specialists in areas such as neurology, cardiology, neonatology, pediatrics and mental health. "Regardless of where the patient is located, we can be at their bedside in several minutes," said Dr. Alan Shatzel, medical director of the Mercy Telehealth Network. "Literally, we compress time and space with this technology. No longer does distance affect a person's ability to access the best care possible." Dignity Health is one of several hospital chains that recently began using RP-VITA, which was jointly developed by InTouch Health and iRobot Corp. It's approved for hospital use by the U.S. Food and Drug Administration. "Hospitals are now using this type of technology in order to leverage the specialists that they have even better and more efficiently," said Dr. Yulun Wang, CEO of Santa Barbara-based InTouch Health. Nearly 1,000 hospitals in the U.S. and abroad have installed InTouch telemedicine devices, including about 50 RP-VITA robots launched in May, according to company officials. The company rents out the RP-VITA for $5,000 per month. When a doctor is needed at a remote hospital location, he can log into the RP-VITA on-site by using a computer, laptop or iPad. The robot has an auto-drive function that allows it to navigate its way to the patient's room, using sensors to avoid bumping into things or people. Once inside the hospital room, the doctor can see, hear and speak to the patient, and have access to clinical data and medical images. The physician can't touch the patient, but there is always a nurse or medical assistant on-site to assist. On a recent morning, Dr. Asad Chaudhary, a stroke specialist at Dignity Health, beamed into a robot at the neuro-intensive care unit at Mercy San Juan Medical Center in Carmichael to evaluate Linda Frisk, a patient who recently had a stroke. With his face projected on the robot screen, Chaudhary asked Frisk to smile, open and close her eyes, make a fist and lift her arms and legs — common prompts to test a patient's neurological functioning. "If you develop any weakness, any numbness, any problem with your speech or anything else, let us know right away," Chaudhary told Frisk before the robot turned around and left the room. "It's just like being with the patient in the room," Chaudhary said. "Of course, nothing can replace seeing these patients in person, but it's the next best thing." Frisk, 60, who was flown into the hospital for treatment, said she was surprised when she first saw the robot, but quickly got used to the doctor's virtual presence. "You feel like he was right there," said Frisk, who lives near Merced. "Although I am a little spoiled and like to see him in person." Copyright 2013 The Associated Press. All rights reserved

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Suspected gunman in custody at Los Angeles airport 
JUSTIN PRITCHARD, Associated Press
TAMI ABDOLLAH, Associated Press

 

LOS ANGELES (AP) — A gunman armed with a semi-automatic rifle opened fire at the Los Angeles airport Friday, wounding a Transportation Security Administration employee and two others.

The attack frightened passengers across the bustling airport and disrupted flights nationwide.

LAPD Assistant Chief Earl Paysinger said the TSA employee was injured and transported to the hospital.

Paysinger says the suspect was armed with a semi-automatic rifle. He was apparently also injured when he exchanged gunfire, though it's unclear what his condition is.

 

Copyright 2013 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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Prosecutor reviewing facts in Ga. gym mat death 
KATE BRUMBACK, Associated Press

 

MACON, Ga. (AP) — A federal prosecutor said Thursday that he is conducting a formal review of facts and evidence in the death of a teenager whose body was found inside a rolled-up wrestling mat in his high school gym.

U.S. Attorney Michael Moore said that if he uncovers sufficient evidence to warrant a criminal or civil rights investigation into the death of Kendrick Johnson he will ask the FBI to conduct it.

"I will follow the facts wherever they lead. My objective is to discover the truth," Moore said.

Moore said he's reviewing a previous investigation by the sheriff's office and two autopsies done on Johnson, along with photos, videos and other evidence and information. He said he's met with investigators and the attorneys for Johnson's family to investigate the case.

"I am committed to do everything in my power to answer the questions that exist in this case, or as many of them as we can," Moore said.

The 17-year-old's body was found Jan. 11 stuck in an upright mat in the school gym after his parents reported him missing the night before. Lowndes County sheriff's investigators concluded Johnson died in a freak accident, but his family insists that someone must have killed him.

A southern Georgia judge on Wednesday ordered authorities to release all surveillance video that investigators reviewed. Johnson's father said after that ruling that he hoped the footage would contain clues to how he died.

Sheriff Chris Prine had previously released surveillance footage that showed Johnson entering the school gym the afternoon before his body was found. No one appeared to follow him inside.

Johnson's parents wanted to see video from the gym from the hours before their son entered until his body was discovered the next day. The sheriff had declined to release the footage without a court order because it shows other minor students who could be identified.

Johnson's body was stuck upside down in the middle of a wrestling mat that had been rolled up and propped upright behind bleachers.

The sheriff has said he suspects Johnson became trapped trying to retrieve a shoe that fell into the center of the large, rolled mat. A Georgia Bureau of Investigation medical examiner concluded that he died from positional asphyxia, meaning his body got stuck in a position in which he couldn't breathe.

Johnson's family had his body exhumed over the summer so they could get a second opinion from a private pathologist. Dr. William R. Anderson issued a report in August saying he detected hemorrhaging on the right side of Johnson's neck. He concluded the teenager died from blunt force trauma near his carotid artery and that the fatal blow appeared to be non-accidental. A lawyer for Johnson's parents filed court papers last week requesting a judge to order Lowndes County Coroner Bill Watson to hold a coroner's inquest after Watson declined the family's request to do so.

An attorney for Johnson's parents said in September that the autopsy's findings had been sent to local authorities and to Moore, as well as to the Civil Rights Division of the Justice Department.

The Georgia Bureau of Investigation has said it stands by the findings of the initial autopsy. The Justice Department said at the time that it had reviewed the state investigation file and didn't see "sufficient indication of a civil rights violation to authorize a civil rights investigation." But the Justice Department did say it was working with Moore and that his office was monitoring and evaluating the situation.

___

Associated Press writer Ray Henry in Atlanta contributed to this report.

 

Copyright 2013 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

 

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