Other side of the DaVinci robot...

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Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 5/31/2010 1:20 PM (GMT -6)   
Here at the AUA conference, I just had the unique experience of operating the DaVinci robot.  I told the reps of Intuitive Surgical, the makers of the DaVinci system, that I was operated on using the system.  They were excited to have me come to the units and operate the device.  Don't worry, it wasn't on one of the reps... :-)
 
They basically had a demonstration set up of tiny plyable posts and elastic rings.  The object was for me to pick up the rings and stretch them enough to fit them on the posts.  It felt very natural reaching to the rings and grabbing them, and it was kinda fun.  After about three minutes I was able to pick up several rings and place them easily.  The field of vision was remarkable and the process simple.   But I bet I could do it much better with more time on the machine...
 
We laughed as I told them I am probably better versed in having the robots arms in me that the controls in front of me...
 
Thought I'd share the experience...
 
Tony


Disease:
Advanced Prostate Cancer at age 44 (I am 47 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
LARP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

Status:
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

Blog : www.caringbridge.org/visit/tonycrispino

Post Edited (TC-LasVegas) : 5/31/2010 1:28:38 PM (GMT-6)


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 732
   Posted 5/31/2010 1:30 PM (GMT -6)   
Cool! That must have been the latest model, with 3D HD, Smell-O-Vision, and voice control in several languages, including Eastern European.

To paraphrase W.C. Fields, "I'd rather have a robot talk Czech to me than a prostatectomy." shocked

DJ
Diagnosis at age 53. PSA 2007 about 2; PSA 2008 4.3
Biopsy September 2008: 6 of 12 cores positive; Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter out on 7th day, replaced on 8th day, out again 14th day following negative cystogram
Pathology: pT2c; lymph nodes negative; margins involved; 41 grams, 8% involved by tumor; same Gleason 4+3=7
PSA 1/22/08 non-detectable! 8-)
4/23/09, 07/30/09, Oct 2009, Nov 09, Feb 10 still undetectable (<0.01)!


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 5/31/2010 1:32 PM (GMT -6)   
DJ,
I saw Tim Wilson from the City of Hope here as well. Great to see him again, and under such better circumstances. He was happy to see one of his patients as well...

Tony
Disease:
Advanced Prostate Cancer at age 44 (I am 47 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
LARP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

Status:
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

Blog : www.caringbridge.org/visit/tonycrispino


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 5/31/2010 1:35 PM (GMT -6)   
Tony, you may come in handy for anyone in the future here trying to save a little money on their robotic ops, or if they dont have insurance. You get to do all the fun stuff.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, next one:  July
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, 3/6 Cath #13 out - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, 5/24 put in Cath #17


zampilot
Regular Member


Date Joined Aug 2009
Total Posts : 152
   Posted 5/31/2010 5:09 PM (GMT -6)   
Did they give instruction on what to do when your Viewmaster goes red?

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 5/31/2010 5:51 PM (GMT -6)   
Hehe... flaps to 15 degrees and throttle up..if no throttle then look for the Hudson...
Disease:
Advanced Prostate Cancer at age 44 (I am 47 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
LARP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

Status:
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

Blog : www.caringbridge.org/visit/tonycrispino


English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2215
   Posted 5/31/2010 11:56 PM (GMT -6)   
Sounds like you're having a good time.
I didn't get to handle the Da Vinci, but before the op several patients & partners met up with the nurse practitioner for a lecture about the op and he passed round one of the operating arms so we could see how small it was and how it could move in three planes.
I really should be able to think of a good joke related to this, but I'm a bit tired.
Alfred
Age at Dx 48 No Family history of Prostate Cancer
Married 25 years, and I cannot thank my wife enough for her support.
April 2009: PSA 8.6 DRE: negative. Tumour in 2 out of 12 cores. Gleason 3+3.
RALP (nerve-sparing) at AVL-NKI Hospital Amsterdam on 29th July 2009. Stay 1 night.
Partial erections on while catheter still in. Catheter out on 6th Aug 2009.
Dry at night after catheter came out
Post-op Gleason 3+4. Tumour mainly in left near neck of bladder.
Left Seminal Vesicle invaded, (=T3b!)
no perineraul invasion, no vascular invasion. clear margins,
Erection 100% on 15th Aug 2009, but lots of leaking of urine
Stopped wearing pads on 21st Sept 2009
Pre-op style intercourse on 24th Oct 2009 !! No use of tablets, jabs, VED etc. but...
Nov 17th 2009 PSA = 0.1
Can still get erections okay, and almost no leaking of urine, but since December 2009 I don't have orgasms, instead I just have intense pain in place where prostate used to be.
Mar 17th 2010 PSA = 0.4!!! referred to radiation therapist
April 13th 2010 CT scan.
April 28th 2010 Started Radiation Therapy (66Gy - 33 sessions)

Post Edited (English Alf) : 6/1/2010 12:08:23 AM (GMT-6)


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 6/1/2010 6:13 AM (GMT -6)   
Boys with their video games...lol. Tony sounds like you have had a kick of a time.

Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1 pre cancer core
10/08 Nerve-Sparing open radical
Surgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clear

3 month: PSA <0.1
6 month: PSA <0.1
10 month:PSA <0.1
1 year: PSA <0.1
16 month:PSA <0.1

ED - Started Cialis at 3 months, tried all 3, 6 months added pump, 9 months Tried MUSE (YUCK) Bad experience.
1 year mark Found new Urologist visit was at 14th month post surgery
Started Injections, Caverject! (Success)
17 month: ED making improvements : Oral Meds gets me 85%


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 732
   Posted 6/1/2010 9:06 PM (GMT -6)   
Tony,

Since you're there and Tim is there, I guess I will be seeing Edwin at my appointment this week! Hope you told Tim hello for all of us.

DJ
Diagnosis at age 53. PSA 2007 about 2; PSA 2008 4.3
Biopsy September 2008: 6 of 12 cores positive; Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter out on 7th day, replaced on 8th day, out again 14th day following negative cystogram
Pathology: pT2c; lymph nodes negative; margins involved; 41 grams, 8% involved by tumor; same Gleason 4+3=7
PSA 1/22/08 non-detectable! 8-)
4/23/09, 07/30/09, Oct 2009, Nov 09, Feb 10 still undetectable (<0.01)!


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 6/1/2010 9:32 PM (GMT -6)   
Well I'm back, now...the show ends today...so you might see tim... if so tell him I said hi again...

Tony
Disease:
Advanced Prostate Cancer at age 44 (I am 47 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
LARP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

Status:
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

Blog : www.caringbridge.org/visit/tonycrispino


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 732
   Posted 6/3/2010 7:30 PM (GMT -6)   
Tony,

Staff didn't know if Tim Wilson was back yet. But I did say hi to Erwin for you, and he seemed happy about that. He said that sometimes the company sets up a trailer with the robot inside, that people can try out.

By the way, I missed how you happen to have gone to AUA in the first place. Sephie was guessing it was because you lead a patient group (whose name I should recall, but I don't). Erwin was also wondering.

Also, got another zero!

DJ
Diagnosis at age 53. PSA 2007 about 2; PSA 2008 4.3
Biopsy September 2008: 6 of 12 cores positive; Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter out on 7th day, replaced on 8th day, out again 14th day following negative cystogram
Pathology: pT2c; lymph nodes negative; margins involved; 41 grams, 8% involved by tumor; same Gleason 4+3=7
PSA 1/22/08 non-detectable! 8-)
4/23/09, 07/30/09, Oct 2009, Nov 09, Feb 10, June 10 still undetectable (<0.01)!


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 6/3/2010 10:17 PM (GMT -6)   
Hi DJ,
Thanks for saying hi to Erwin for me. I have heard of demo's out there for people to sit at the consoles once before. If you ever get the chance try it...

I was asked to come to the AUA conference by Prostate Cancer International. I have been working as a volunteer/guest since I joined the "New" Prostate Cancer InfoLink. I became friends with the founders ~ Mike Scott and Arnon Krongrad. It has proven valuable to my own education and it has been beneficial to the live support group that I run at UsTOO International. I run the largest prostate cancer support group in the state of Nevada.

Excellent news on the zero!!! Keep 'em coming my friend!

Tony
Disease:
Advanced Prostate Cancer at age 44 (I am 47 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
LARP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

Status:
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

Blog : www.caringbridge.org/visit/tonycrispino


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 6/4/2010 8:05 AM (GMT -6)   
TC-LasVegas said...
I have heard of demo's out there for people to sit at the consoles once before. If you ever get the chance try it...
 

I programmed my first articulating robot (similar to the DaVinci, but only one arm instead of three) in 1985, and have implemented dozens (mostly cartesian robots) into various factories in the years since then.  Those days were exciting!  Some here have speculated that I am an attorney working for ACS (snicker, snicker), but, alas, I am merely an inarticulate mechanical engineer.

My surgeon asked my permission to perform my robotic surgery for a Urologist’s conference, which would have been fed via live video to the session.  I gave my OK, thinking that the peer pressure would certainly have motivated him to do his best!!  Alas, I got bumped a couple days ahead of the scheduled date for a more “intriguing” case…one with only one nerve bundle saved.  My surgery moved out one day.

 

 

,

Post Edited (Casey59) : 6/4/2010 8:16:37 AM (GMT-6)

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