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TEDx Talks
Published: 2014-10-01
Source: https://www.youtube.com/watch?v=zrW3-yzWt5Q
the really interesting time for the present and the future of healthcare I think part of the theme of this talk with at the next steps are that all of us can play a role in the future of of health and medicine but we think about healthcare today it's really actually more like sick care remorse like reacting to when we have a disease %HESITATION we're not only
our systems are set up to treat the sick not to really keep us healthy and our care is mostly sort of reactive we end up in a system where we wait for the heart attack or the stroke or the cancer be discovered and the data that we get in the healthcare system is very intermittent we wait for the occasion blood pressure check or lab value test
or vital sign check the EKG and that makes health care very expensive and discontinuous and that the most cutting edge technology for communicating most healthcare data today is still the fax machine most prescriptions are still written on paper and must buy records are turning electronic we're still sort of stuck inside a load healthcare systems and electronic medical records and paper charts so the feedback loops of
health are often sort of very broken and intermittent and that's where things get expensive and that's what takes us time we spend an hour waiting for the doctor for a a ten minute visit and I as a physician you know I get rewarded for seeing more patients not for doing a better job with my patients in my my patients come to see me that often remember
everything about their data or their condition so health care's intermittent reactive it needs to become continuous and proactive and our healthcare systems are still kind of set back in the eighteen hundreds in the old silos and definitions and boxes that they've been up placed in for for a long long time and this new age of connected health genomics digital mobile we can start to rethink health
care outside of the spectrum we spend most of our healthcare dollar eighty percent or more on the sick care side of the equation we can use our technology and our own initiative to move ourselves to the left side of the question because if we don't do that we're gonna bankrupt our countries here in Germany here that number four on the list of the GDP in the
US number one on healthcare spending per capita so if we start to shift our thinking shift our incentives from so if a reimbursement based medicine evidence based medicine start changing how we reward ourselves as individuals and as doctors we can make a big change one change will be that you know no longer as the the doctor the god who tells you what to do as a
patient you're gonna be the new set of C. E. O. of your own health and new drug is really the engaged and power patient who lives in owns their information and stays on top of it and part of it is being enabled by this whole new fast paced world of technology all around us in two thousand five that was the the last pope being inaugurated as
the next pope in twenty thirteen you can see the difference in the same scene and that's largely been enabled by our our smart mobile technologies that are writing Moore's law you know the computational power keeps doubling every two years of selling gets faster cheaper that's why our smartphones are really becoming medical devices they have about a billion times the price and speed of performance of the
best supercomputers in the seventies your tablets are a little bit of a Cray supercomputer and you need to start thinking in whatever field you're in health care otherwise exponentially because as these technologies double to get very disruptive and it's no one technology it's where they come together with where they converge if that's the point where reinvention can happen in healthcare and in many other fields so
we're seeing this combination of technologies and we each of you can start to use that in your own health care platforms and as we reinvent the next steps in health care because as we've seen with technologies like the I mac in now fits on an iPhone and poly next week Nelson who will fit on your I watch and companies like apple didn't invent these technologies they
serve re imagine how they could be used just like or re imagining how we pay for things how we read for books that we read books as a bit and now move to candles how we book our travel how we get our movies all streaming to us has been very disruptive for certain other company country companies even here in the in the U. S. and in
Germany companies like uber which is exempt disco based company where I come from is valued at eighteen billion dollars after four years didn't invent the mobile phone then invent GPS online maps %HESITATION online payments they just layered up together and of course that disrupting the taxi industry to the point where I think it's been outlawed here's a two year two days ago so sometimes progress needs
the help of the regulatory bodies and forward thinking to move forward so what would the member who verification of health care look like makes it's more streamlined easier to use actually I tweeted let out a few months ago wants to companies conducting we're building that you press a button and a doctor comes your house so this sort of disruption is starting to occur and it's partly
through new thinking from folks who are not traditionally physicians are medical devices on pharma and a fact if you're not thinking destructively our friends our farm our experience in some cases things like farm again now I'm a physician I also happen to share the medicine track and a new institution based in the heart of Silicon Valley called singularity university when we look at the cross pollination
and pace of fastening technologies for medicine biotech robotics artificial intelligence three printing and beyond and in our ten week summer programs in our one week executive programs look to ask how can use technology to impact the world and in powerful ways and many of those %HESITATION platforms have actually been in the medical room I've run a conference specifically singular university for four years called exponential medicine
where we take folks in every different field we mix them up we mash them up and we ask where can we reinvent how can we take the next steps in reinventing health and medicine and attributed come join us %HESITATION in November so let's look now at some elements of technology and how back in fact our our own health %HESITATION diagnostics I therapeutics and how we can
all contribute healthcare innovation the first of all I'm we all know we're supposed to exercise and eat right we don't need to have our personalized genomes to let us know that but today the price and speed of sequencing the genome is dropping at twice the rate of Moore's law to the point where it's only about a thousand dollars today and that gives us a lot of
a Virginia understand and do smart on prevention for the diseases we might be prone to genetically and it's not just genetics this getting cheaper this proteomic data environmental data our microbiome that's in our in our GI tract %HESITATION their nano noses a can I take it with us listen to our breath and maybe detect cancer but again that's writing exponential wave all of us though can
do our part to practice health care not sick care we can %HESITATION but realize that moving a properly thirty minutes of exercise is the best drug that you can %HESITATION take part of getting enough sleep all those things are really important and if we practice them in simple ways and leverage technology which we now have ubiquitously and we can make the most impact on our own
health of our community and our and our nation now there's an explosion now the sort of expect financial technologies wearing on our wrists and morning like six of them right how many here have a list of some sort of Fitbit wearable device yeah a few of your right it can make a difference when you consider see and understand your data something as simple as your steps
or your sleep alchemy very compatible and these technologies have exploded on the scene you can go into an apple store now and find twenty or thirty on the shelf there's forty thousand or more health related apps in the android and apple store and they're not all terrific but if you use some of them just pick one it can really help you stay on top of things
are really important like your sleep right %HESITATION if you don't take care of your sleep %HESITATION health that can really impact your health downstream and these technologies have started with a simple on this idea of quantified self but they're moving to this era of quantified healthy can be a toothbrush the tracks your kids when they brush their teeth or the scale that tweets your weight to
your friends a a can be a new technologies that can tell how much you're drinking and what you're drinking whether that's legal or not %HESITATION or if your legal or not to drive all those things are emerging very quickly but coming up a five some can even measure how many calories you're eating or drinking and don't look to the sensors of today the sensors are tomorrow
gonna start disappearing and leering different elements even Google's building a new smartphone the has multiple integrated components one might be a good Connor if you're diabetic one might help track your cardiac issues if you're a heart patient these new sensors will start with embedded in our clothes in our cars the internet of things in our homes the even coming to our youngsters this is the idea
of a smart diaper from wired magazine but actually it's now reality there's tweet P. from Huggies you can figure out what that does I'll let you figure out what this one does number two sometimes too much data so we can get all sorts of information even from our our youngest US citizens including a others my two month old are contributing to the medical %HESITATION establishment so
we have this data and started disappearing be integrated into wearable tattoos that %HESITATION can be given to us we leave the hospital or the wearables is actually become inside doubles tools that will start to swallow this is an integrated I pill that we can replace an endoscopy to look at your GI tract so we're not gonna be surrounded by lots a lots of big data the
trick is to make that actionable information personal information we can use so we're gonna be wearing analytics predict Olympics the idea of what your car has today a check engine light that lets you know based on a hundred or two hundred centers that your BMW needs to go into the shop will have those kind of mentality is coming in to our healthcare system to to understand
you and give you your own early warning light or if you hit the tree when you crash a car I can call the emergency services and services like Google now will structure mind you know it's time to go do you run or to go have a healthy breakfast as opposed to your normal round and we'll get other reminders like looking in the future mere you'll see
future you %HESITATION view of tomorrow okay you've tomorrow you can have worked out really were gonna you've tomorrow okay you're doing P. ninety X. you tomorrow right what are you keeping having struggle for breakfast well that's what happens right now you don't need to wait for the magic mirror you can download apps today here's me now has me a thousand struggles later right so I I
think I think about it before I have an extra %HESITATION should I live right or for those of you in Europe who smoke right prints gonna happen to your skin if you're smoking what if you could show someone with their skins and look like if they spend too much time on Facebook so this idea of understanding our health before you smoke after smoke can be really
powerful levers to change your behavior and we're seeing new technologies like oculus rift which is just bought by Facebook for three billion dollars as can be powerful with C. our environment and train our brains so we went up optimize our brains in new ways writers new ways to understand and read our brains that's the old back to the future way but there's now an explosion of
consumer devices that you can where they can give you insight into your own brainwaves I can wear this hat said essentially and I take a look at my brain waves I can learn to focus if I need to focus playing a game for kids of attention deficit disorder that can be very useful harm we can use this to train folks to meditate here's my brain signal
when I'm actually calm for a few minutes %HESITATION we're seeing folks start to open source technologies and hack them too I use brain waves in new ways in fact some groups ads %HESITATION M. G. H. and other places where I train our string to create devices that will put energy into your brain to maybe make you smarter have more focus or treat Parkinson's rather disorders so
it's a really New World now just for diagnosis and health but also for diagnosis %HESITATION most of you when you go to the doctor that's when you have access to certain diagnostic skits now as a physician I have a digital doctor's bag I may have a device that can attach to my smartphone to look in a child's ear for pediatric visit or again on our phones
we have a whole new %HESITATION version of connected technologies like the smartphone case I can hold the case and will give me my EKG directly I could scream the room here passes around fine folks might have medical issues and if you don't read EKG is you can press a button on the up and boom Yukichi was all comes to you in your position right away so
it's a really interesting world where we can start to get continuous data anyone the planet in fact I'm wearing a little patch you can switch over to the wide screen right now unreadable disposal patch right here and if eighty four can help but who is my life data talking from this patch I'm going to my phone I can see my EKG sort of a my stress
is only ninety nine percent thank you %HESITATION if I run around %HESITATION five fall down it knows my posture and it can tell %HESITATION and call my mother or emergency services if I don't get up in time alright I'll switch back and so this is an example of big data coming to us who's gonna understand the state who's gonna analyze it would lead to uses a
smart ways other ways to look at my heart this is a technology from Stanford we could do a five minute cardiac MRI completely reconstruct the heart function and this will replace the ultrasound and a few years or if you're patient but you're trying to do of that might have epilepsy or other neurologic disorders we can %HESITATION measure and protect predict when you can have epileptic episodes
or if you're patient with advanced disease or complicated these like multiple sclerosis what a hoot with a dash board to look at the integration of signals and give your medicines before you have the MS flare up so lots of ways to start integrating this data we need to put this together for the consumer for you at home I've been involved with an organization called the X.
prize for a few years we've designed a medical tricorder ex prize like from Star Trek the medical tricorder and over two hundred teams entered this competition one of them started at the first expansion medicine program and they're already have developed a hand held medical device for the home that you hold your forehead it gives your heart rate temperature oxygen saturation respiratory rate talks your smartphone which