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"I realized there was a heavy-duty change coming in biology, and I could write a really compelling novel about catastrophic evolution, punctuated equilibrium."
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Telefactor devices are beginning to appear in the practice of medicine. The medical mantis provides a well-written glimpse at something we may all encounter someday.
This sequence is great fun in the novel. It hints a little at the paranoid mindset of some of the characters.
In the real world, a variety of devices have appeared to assist physician's in the performance of their duties. For example, RoboDoc Robotic Surgical Assistant from Integrated Surgical Systems has been providing assistance to physicians doing hip replacement surgery since 1992. The device
"... mills a cavity in the femur for the placement of a prosthetic implant. The system is designed to accurately shape the cavity for a precise fit and precise positioning of the implants in the cavity for optimum biomechanics."
For the first reference (anywhere! as far as I know) to a machine that would allow a physician to examine a patient at a distance, see the telemedicine apparatus from E.M. Forster's The Machine Stops, published in 1909.
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