Andy Lester

Technology, careers, life and being happy

What I learned hanging out at the vascular surgery conference

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I spent a couple of days this month at Postgres Open in Chicago.  It was a fantastic conference with a ton of good technical information. (Here are my notes from the Postgres Open sessions). However, my favorite part, by far, was going to check out the vascular surgery conference at the other end of the hotel.

I’ve always enjoyed peeking into other subcultures.  I’ll devour any trade magazine I can get my hands on. If you’ve never read Pit & Quarry Magazine, you probably never considered the importance of maintenance of the belt system on your aggregate conveyor. For all the differences between programming and, say, running a brake and alignment shop, the core business principles are still there.  Everyone still wants to do a good quality job, do it cheaper, do it better, and without going crazy from unreasonable demands from customers or the bosses above. The wisdom of other groups can lead to insight to help our own.

I’d seen the signs for the conference in the hotel earlier that day, so I moseyed down to see what was going on. Inside a room full of exhibits, the vascular surgery community was having its opening get-together. I didn’t see anyone checking badges at the door, which was good because I sure didn’t have one.  I figured they would probably ask me to leave, since I was so out of place, the only one without a suit, but no harm could come from trying, so in I went.

The first difference in parties thrown by medical companies vs. open source database consultants is just how much money the medical guys have.  There was an open bar with a guy in a tux, and another guy was serving little roast beef sandwiches carved off the biggest piece of cooked meat I’d ever seen in my life.  I hope that someone from the kitchen staff got to take home the leftovers and feed his family for a few weeks.

A sales rep in a suit came up and asked if I was familiar with his company’s products.  I figured it was obvious I wasn’t one of the actual conference attendees, standing there in jeans with a laptop bag over my shoulder, so I said, “I have to confess, vascular surgery is just a hobby of mine, I just dabble on the weekends in the garage.”  Blank look. He didn’t get that I was making a joke. “I’m not really a vascular surgeon,” I confessed.  He lit up, “Ah, what’s your main area of practice then?”  I guess it wasn’t that obvious at all.  I said, “I’m not a doctor at all, I’m from the database conference down the hall.”  He huffed back to his circle of friends in suits.

The range of products and needs of the vascular surgeons is amazing.  There are instruments to go inside the vessels, and there are wrappers that go around them.  Some products are fabric, and some are coiled wire. Signs trumpeted the capabilities of one brand of wire mesh over another, allowing 60 degrees of angulation over a 10mm distance, or up to 75 degrees of angulation over a 15mm distance.  Who knew it was so tough to wrap blood vessels in wire?

At another booth, a rep started her spiel and I explained right off that I was from the database conference.  She thought that was the most amazing thing ever, laughing and saying “That’s incredible, I’ve never heard of that!”  I explained “Hey, we’re all geeks, we like science, we like learning.  How could I not?”

She was selling surgical tools, and she explained a little about the various doodads that the doctors put in and around the arteries during surgery, although she was light on tech details. I asked her about the buying process, and who makes the decisions about which tools from which companies get bought by the doctors. Purchasing processes are interesting to me because my company at my day job sells books to school libraries, and how those purchasing decisions have become more centralized over time. She was more eager to talk about the sales process, and explained that it each surgeon decides which tools and appliances he or she will be using during the surgery.

Finally, I talked to a guy who was selling his company’s form of thrombin. I told him right off that I wasn’t going to buy any because I was not a doctor at all, but he was more than happy to give me a crash course in thrombin.  Thrombin is a substance that helps close bleeds in blood vessels, and it’s in our blood normally, but sometimes during surgery the patient’s body needs help.  The two major forms of thrombin are from human blood and bovine blood, but his company sells thrombin from Chinese hamster ovaries, which is better than the other two for some reason I don’t recall.

I asked him about the purchasing decision behind thrombin, and he explained that it’s usually made at a hospital level, but with a lot of hospital-wide debate.  Some doctors only want human thrombin because they want as few potential complications as possible, and others want bovine for other technical reasons.  The doctors also have to coordinate with the hospital pharmacy because they have their lists of concerns, not least of which is dollar cost of the products.  Sounds like the eternal struggles between programmers and sysadmins, no?

I thanked him for his time and left the exhibit room to see…

… a dozen huge bulletin boards showing the research papers that were to be presented at the conference’s sessions.  Large full-color banners, 10′x3′, gave the details of the research, often with large full-color photos of blood and guts and “frank purulence”.  Clearly, when you’re presenting at a medical conference you can’t pull a Schwern and crank out the slides in the hallway the morning of your talk. They were so detailed, I wondered what would actually get presented in the sessions.  Would the doctors just restate what was already on the banners?  I guess I’ll have to crash another conference to find out.

I can’t overstate how important I think it is for us to branch out and learn about more than just the jobs we do every day.  We are all programming for some sort of business, and there is much to be learned from other businesses around us.  Even more, we can learn from other communities as well. For example, at this year’s OSCON, the convention hall also hosted the Sock Summit, a few thousand sock knitters getting together. Ricardo Signes paid a visit and found that they have a similar problem to the open source community: The sock knitter world is almost all female, and they want to attract more men to sock knitting, but the men that do show up often feel alienated.

What other communities and subcultures have you visited? What did you take away from them? Please post your stories in the comments.

7 Comments

  1. Interesting! In a way, it reminds me of BarCamp, where you might be presented to learn about things you might otherwise never learn about.

    I had vascular surgery last year, btw… and I didn’t learn quite the same stuff. I got some great photos of my insides though!

  2. I’m actually involved in both subcultures, being a doctor now, but dabbling in computers since I was 9. The posters on display are usually presented in ~5-10 min “poster presentations”, the sessions are about different topics. You usually submit your abstracts before the conference and it gets either rejected or accepted as a poster or a talk.

  3. Just my guess:

    CHO cells are superior because you can grow as much of them as you want and they produce recombinant (GMO) human thrombin. Bovine thrombin can pose allergy concerns although it’s plentiful, and thrombin from humans is just not plentiful.

  4. Hey, as far as I know poster presentations like you saw at that medical conference are standard practice at academic conferences. If you would go to http://www.vldb.org/2011/ (an academic databases conference) instead of Postgres Open, I bet you would encounter the same type of poster presentations but then on database systems.

    Maybe it would be cool to try to organize technological conferences near academic conferences on the same topic so perhaps the profs could mingle with the professionals and make theory be practice a little bit sooner :D

  5. I’m visiting said sub-culture right now (here)… ; )

  6. A poster proposing a treatment for suspected deep vein thrombosis? As in the disease you can get from sitting in an airplane seat for hours and hours? I want a high-resolution picture!

  7. The poster you show in the picture is normal practice in every research field.
    It is the equivalent of a BOF.
    If the presentation you submitted didn’t make it, you might still be accepted to create a huge poster which is a summary of your presentation, and then sit next to it and talk about it to anyone who’ll wander around.

    Maybe that’s the opposite, researchers in every field should learn from us, writing blogs, spreading the information for free and in realtime.

    But then a surgeon wouldn’t drive a porsche, he could only afford the same kind of car that a dev can (e.g. a BMW). So I guess it’s not gonna change.

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