"Baba what would be the future of surgery?"
"The ultimate of surgery would be No surgery, my
child" I said.
This is 2030 AD. When you will come to my age, these glass chambers
will also be gone. Now a days your father operates with robotic hands.
See, right now he is operating upon a patient, who is 40 kms away from
this place. Your daddy's friend is assisting him from another corner
of the city. Your father is holding a joy stick, looking at the monitor,
his movements are being converted into the electrical signals, which
are decoded and transformed into the movements again for the robotic
hand, moving in the glass chamber, operating upon the patient lying
There are 8 such glass chambers, with a central cabin where 8 monitors
are displaying the job that they are carrying out. This is being observed
by H.O.D of Surgery. He will take over if your father doesn't do well.
If the H.O.D also has any doubts, the Internet web, world wide, to all
libraries for theoretical problem, links him. If he has difficulty in
operating he can get the job done by any stalwart of that field. Any
body from the other corner of the world can operate upon this patient
through satellite, no problems, only the insurance company will have
to bear a little more, that's all.
This is the present status, in 2030 AD.
Before I go to the future, it will be interesting for you to listen
about- what your father is missing as a surgeon, that we enjoyed in
our times i.e. 40 yr. ago. It gives me pain because I have witnessed
this in my lifetime. Your father will not repent, because he never had
the taste of it!
There is no body around him to praise him for the wonderful job he is
doing, there are no challenges of surgery, which he has no choice but
to tackle himself, there is no limitation of the time, he can have a
nap if he is tired and again finish the remaining surgery, because now
the medicines are so safe, that they can prolong surgery to any extent.
Our anaesthetist used to inject drug in the spinal canal and give us
an hour and half to complete the job, anyhow. Our anaesthetists and
OT Staff praised us. What is the fun if you are playing so well, but
do not have audience to applaud you? Money can well earned by making
recorded cassettes but great artists crave for that applaud, and we
surgeons are no different.
It was a great feeling to hand over the new born to it's grand mother,
your father will never have the joy to witness the tears of immense
happiness and achievement, sliding down the corners of the patient's
eyes after caesarean operation, when we declared that you have given
birth to a cute baby boy. Just to see that, our anaesthetist used to
wait, before he gave a good dose of sedation to make her sleep. Your
father will never have the greetings and praise of the relatives, standing
outside the theatre.
Your father will never be able to declare with pride - that "
The operation was successful" because now a days all the operations
Your father will never enjoy that cup of coffee over smoke, with his
anaesthetist and assistant.
We have enjoyed our time, when surgeons were considered next to God.
Now about future - as I said, we would have conquered all problems
related to bacterial infections; the bacteria ofcourse will be kept
preserved somewhere in the Siberia, for either research purpose, or
to make vaccines. When I was young, we had conquered the Small pox,
and a sole sample of its virus is still preserved since then.
Drugs related to the immune system will completely replace all antibiotics.
Getting the insight of its reason for haphazard multiplication will
conquer Cancer. A simple pill will change the genetic code of the malignant
cells and either they will die their own death, or kill each other.
Aids vaccine will be available.
The average age will go up to 140 yr. Because of the longevity, the
largest % of population would be of elderly, and more and more work
and research will be done on geriatric problems. When I was young, we
faced the problem of population explosion. We had 50% children of whole
population. Then doctors were attracted to specialise in Paediatrics.
The future focus will be on the surgical problems of old age. In spite
of ageing, the quality of life will not go down.
People will rarely have to get admitted for surgery. They will know
their diagnosis by feeding specific information to their computers;
it will also guide them for whom to contact through Internet. The specialist
will examine them on Internet, suggest few investigations and decide
Surgery related to infections, worm infestations, which used to be
a major chunk would be out.
Wound healing problems due to deficiencies and infections will be no
Congenital problems will not be seen, because they will be predicted
fore hand in the genes and the gene will be rectified before conception.
Surgeons will continue to serve traumatology, as accidents will continue,
I will not say that they will increase, because by then the road traffic
will reduce, since there would be no human driver of the vehicle, accidents
due to tiredness, a sudden bout of sleep or due to alcoholism, will
not occur. The humans, if they have a desire to drive, even in full
senses, will not be able to cope up that speed of traffic. People who
are fond of driving will go for driving in country side, and few sports
models of vehicles will be available for them on rent, as we take the
ski on rent, to enjoy skiing.
Electronic warning gazettes of safety will reduce the accidents on
one side and the speed of traffic may tend to increase the accidents
on the other end. What I predict is, the injuries will be less in numbers,
people will rarely survive in any accident.
All surgical procedures will be non-invasive and simplified.
You will have a radioactive solution to drink, for your prostate. The
substance will specifically get deposited in the prostatic adenoma,
due to its affinity for that tissue. The patient will pass his necrosed
prostate through urine, next morning and get rid of his prostatic enlargement.
Appendix, Ectopic pregnancy, etc will be evaporated in the surgeons
O.P.D by focussing the laser beams on them, without giving any skin
incision. The gas under diaphragm will certify his job to be successful.
In our days gas under diaphragm used to be the grievous sign.
Caesareans will not be necessary, because mothers will give birth to
their children at third month, after which they will grow in jars. If
they develop any congenital anomalies, they will be taken out of the
jar, operated and again placed in the jar.
At the age of 3 yr. in every girl Pubic bone will be spit and a silastic
material, which will expand during labour, widening the pelvic outlet
and obviating the problem of narrow outlet syndrome, will replace the
Endoscopies will be obsolete. A capsule swallowed by the patient will
have a chip, which will give you the whole information from mouth to
anus. As such the endoscopy became obsolete, when I was young, after
the development of CT and MRI endoscopy. The CT and MRI could give the
picture of G.I Tract just as that of the scopy.
Organs will be available in market, for transplantation. Rich segment
of the society will have the luxury of making their Connie and sacrifying
it in case they needed any organ in emergency.
Then no one will die of cirrhosis liver.
No one will remain blind due to corneal opacity, because silastic cornea
will be available.
Synthetic skin will be available, and you would be able to choose the
colour and texture as you do for your suit length.
All bones & Joints made up of durable light synthetic material
will be available in plenty, and one will get all his joints replaced
after the age of 80 and then after every 10 yr. thereafter.
In case of fractures, you will get plasters as thin as socks and as
light. The plasters will breath, and the patient will have no sweating
or itching under it.
Many persons lying in the liquid nitrogen, for the last 80-90 yr.,
waiting for the remedy will have solution for most of their problems.
Just to tell you, when I was young, an interesting incidence took place,
which gave mankind an interesting possibility. A child lost his way
into the deep wood in a winter night. The temp outside went into minus
degrees as the night progressed. They could find the child next morning,
almost frozen with cold, without any breathing or heart. But I doubt
whether they will prefer to continue to live in this mechanised world!
He was supposed to be dead. One of the physicians said why not gradually
warm up his body and see, whether the life returns in it or not! To
everybody's utter surprise, the heart and breathing returned. That gave
birth to the thought that if the person is gradually cooled and maintained
in that state, he can be kept alive till warmed up again. In this way
one could live unto eternity. No one was interested to live in that
hibernated form without any life, practically, but those who were certain
to die of incurable illness, like cancer, thought of going into this
hibernation, till we would achieve the cure of his problem. It was very
costly affair to maintain these tanks, but rich people paid for that.
Though they will get well but most of the thing i.e. present culture
will be shocking to them. They will not be able to bear this way of
life and the present world. I am sure they will curse their decision
to go against nature, to live longer. Many of them would prefer to go
back to their tanks again.
-And many more things I cannot even imagine.
One thing is sure my dear. I am fortunate to belong to that last generation
of the surgeons, who got tremendous regards and affection from the society
and his patients, because after me, came the era of transition. People
started giving regards to those doctors, who were well equipped. But
till then the machine did not dominate over the human. Then came the
era when Human became secondary to the machine. Now in future you will
see the era where machine will do everything, the breed of Surgeons
will become extinct.
I was roaming in 1990's as I was saying it