SAN FRANCISCO, California: Ernest Quintana’s family knew he was dying of chronic lung disease when he was taken by ambulance to a hospital, unable to breathe.
But they were devastated when a robot machine rolled into his room in the intensive care unit that night and a doctor told the 78-year-old patient by video call he would likely die within days.
“If you’re coming to tell us normal news, that’s fine, but if you’re coming to tell us there’s no lung left and we want to put you on a morphine drip until you die, it should be done by a human being and not a machine,” his daughter Catherine Quintana said Friday.
Ernest Quintana died Tuesday, two days after being taken to the Kaiser Permanente Medical Center emergency department in Fremont.
Michelle Gaskill-Hames, senior vice president of Kaiser Permanente Greater Southern Alameda County, called the situation highly unusual and said officials “regret falling short” of the patient’s expectations.
But the hospital also defended its use of telemedicine and said its policy is to have a nurse or doctor in the room at the time of remote consultations.
“The evening video tele-visit was a follow-up to earlier physician visits,” Gaskill-Hames said in a written response. “It did not replace previous conversations with patient and family members and was not used in the delivery of the initial diagnosis.”
Hospital officials say the technology doesn’t replace in-person conversations with the patient and loved ones.
Granddaughter Annalisia Wilharm, 33, was alone with Quintana when a nurse popped in to say a doctor would be making his rounds. A robot rolled in and a doctor appeared on the video screen.
Wilharm figured the visit was routine. She was astonished by what the doctor started saying.
“This guy cannot breathe, and he’s got this robot trying to talk to him,” she said. “Meanwhile, this guy is telling him, ‘So we’ve got your results back, and there’s no lung left. There’s no lung to work with.’“
Wilharm said she had to repeat what the doctor said to her grandfather, because he was hard of hearing in his right ear and the machine couldn’t get to the other side of the bed.
“So he’s saying that maybe your next step is going to hospice at home,” Wilharm is heard saying in a video she recorded of the visit. “Right?“
“You know, I don’t know if he’s going to get home,” the doctor says.
Steve Pantilat, chief of the palliative medicine division at University of California, San Francisco, said he doesn’t know the details in the case but that the robot technology has done wonders for patients and their families, some of whom are too far away for in-person visits.
The video meetings are warm and intimate, he said, adding that not all in-person discussions have empathy and compassion.
“No matter how well we deliver very difficult news, it’s sad and it’s hard to hear,” he said.
Wilharm said her grandfather, a family man who kept every childhood drawing he ever gave her, deserved better. She said that after the visit, he gave her instructions on who should get what and made her promise to look after her grandmother.
“He was such a sweet guy,” she said.
California man learns he’s dying from doctor on robot video
California man learns he’s dying from doctor on robot video
- Hospital exec calls the situation highly unusual and said officials “regret falling short” of the patient’s expectations
- But the hospital also defended its use of telemedicine and said its policy is to have a nurse or doctor in the room at the time of remote consultations
World copper rush promises new riches for Zambia
CAPE TOWN: Five years after becoming Africa’s first Covid-era debt defaulter, Zambia is seeing a dramatic turnaround in fortunes as major powers vie for access to its vast reserves of copper.
Surging demand from the artificial intelligence, green energy and defense sectors has exponentially boosted demand for the workhorse metal that underpins power grids, data centers and electric vehicles.
The scramble for copper exposes geopolitical rivalries as industrial heavyweights — including China, the United States, Canada, Europe, India and Gulf states — compete to secure supplies.
“We have the investors back,” President Hakainde Hichilema told delegates at the African Mining Indaba conference on Monday, saying that more than $12 billion had flowed into the sector since 2022.
The politically stable country is Africa’s second-largest copper producer, after the conflict-ridden Democratic Republic of Congo, and the world’s eighth, according to the US Geological Survey.
The metal, needed for solar panels and wind turbines, generates about 15 percent of Zambia’s GDP and more than 70 percent of export earnings.
Output rose eight percent last year to more than 890,000 metric tons and the government aims to triple production within a decade.
Mining is driving growth that is forecast by the International Monetary Fund to reach 5.2 percent in 2025 and 5.8 percent this year, which places Zambia among the continent’s faster-growing economies.
“The seeds are sprouting and the harvest is coming,” Hichilema said, touting a planned nationwide geological survey to map untapped deposits.
But the rapid expansion of the heavily polluting industry has also led to warnings about risks to local communities and concerns of “pit-to-port” extraction, in which raw copper is shipped directly abroad with little domestic refining.
’Dramatic new chapter’
“We need to be aware of the potential for history to repeat itself,” said Daniel Litvin, founder of the Resource Resolutions group that promotes sustainable development, referring to the colonial-era scramble for Africa’s resources.
There is a risk that elites will be enriched at the expense of the broader population, while “narratives of partnership” offered by major powers can mask underlying self-interest, he said.
Chinese firms have long dominated the sector in Zambia and control major stakes in key mines and smelters, cementing Beijing’s early-mover advantage.
Another major player is Canada’s First Quantum Minerals, Zambia’s largest corporate taxpayer.
Investors from India and the Gulf are expanding their footprint, and the United States is returning to the market after largely pulling out decades ago.
Washington, which has been stockpiling copper, this month launched a $12 billion “Project Vault” public-private initiative to secure critical minerals, part of an effort to reduce reliance on China.
In September, the US Trade and Development Agency announced a $1.4 million grant to a Metalex Commodities subsidiary, Metalex Africa, to expand operations in Zambia.
“We are at the beginning of what is going to unfold to be a dramatic new chapter in the way that the free world sources and trades in critical minerals,” US energy secretary adviser Mike Kopp said at Mining Indaba.
Sweeping US tariffs introduced last year helped send copper prices soaring to record highs, as companies rushed to buy both semi-finished and refined stocks.
Cost of rush
“The risk is that this great power competition becomes a race to secure supply on terms that serve markets and not the people in producer countries,” said Deprose Muchena, a program director at the Open Society Foundation.
Despite its mineral wealth, more than 70 percent of Zambia’s 21 million people live in poverty, according to the World Bank.
“The world is waking up to Zambia’s copper. But Zambia has been living with copper and its consequences for a century,” Muchena told AFP.
Environmental damage caused by mining has long plagued Zambia’s copper belt.
In February 2025, a burst tailings dam at a Chinese-owned mine near Kitwe, about 285 kilometers (180 miles) north of Lusaka, spilled millions of liters of acidic waste.
Toxins entered a tributary feeding the Kafue, Zambia’s longest river and a major source of drinking water. Zambian farmers have filed an $80 billion lawsuit.
“Whether this boom is different depends on whether governance, rights, and community agency are at the center, not just supply chain security,” Muchena said.
