"I said, 'Do you want the morphine?' He looked at me like, 'What choice do I have?'" When the family returned to the hospital, they were furious that Quintana was told via video conference that he did not have long to live. "I was going to lose my grandfather". "Unfortunately, there's nothing we can treat very effectively", he said, according to a video recording that Wilharm shot on her cellphone.
"I think they should have had more dignity and treated him better than they did", Wilharm told CNN.
The video exchange that Wilharm gave to USA Today showed the machine being used on that Monday to tell grandfather and granddaughter that the hospital had run out of effective treatments.
The machine could only reach the right side of the bed but Mr Quintana was hard of hearing in his right ear, requiring his granddaughter to repeat everything the remote doctor said.
This is the robot that informed 78-year-old Ernest Quintana that he only had days to live.
She filmed the interaction on her phone as the doctor relayed the results of her grandfather's tests. That evening, Wilharm told her mother and grandmother - Quintana's wife of 58 years - that the pair should go home and get some rest.
Catherine Quintana had just left her father's bedside when this occurred.
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Senior vice president of the Kaiser Permanente Greater Southern Alameda County, Michelle Gaskill-Hames, has defended the use of the machine, saying that it's usually used for follow-up visits where an initial face-to-face visit was made.
Wilharm told CNN that her family was under no illusions about her grandfather's condition.
After arriving at her husband's bedside, Mr Quintana's wife was told by a nurse "this is our policy, this is how we do things". She says it did not replace previous conversations with patients and family members.
"We regret falling short in meeting the patient's and family's expectations in this situation and we will use this as an opportunity to review our practices and standards with the care team".
"This guy can not breathe, and he's got this robot trying to talk to him", she said.
She continued that the technology allows a small hospital to "have additional specialists" assist with patient care around the clock.
"It does not, and did not, replace ongoing in-person evaluations and conversations with a patient and family members". "It felt like someone took the air out of me", she said.