Tip:
Highlight text to annotate it
X
welcome back this segment is yet another discussion
and the impact of information technology reading from you reading two biggest
discussions be prepared in a great an elaborate and the impact the information
technology after you watch
very exciting get talks video from Daniel Kraft
I'm your structure might ask you to discuss the economic impact it
information technology
it is purely increases in productivity said
as you watch the video think about what generates pretending
yes we know outputs divided by your plans but be prepared to discuss what
these outputs I'm what these inputs are
try to identify with one of these new innovations
the craft talks about and be prepared to discuss the contributing factors
that is driving this product in the marketplace also
think about the involvement technology no longer is the prime focus on hardware
companies are changing rapidly takes only for exams
lunch spot to be the pinnacle of quality for televisions
Sony no longer dominates the market why
because many companies can now manufactured television
that provide quality pictures at a substantially lower price
another example is IBM
once a leader in the PC industry they no longer manufactured
personal computers why because information technology is changing
and shifting business models for manufacturing
do more work knowledge base concepts
theme granison the presentation will share some innovative hardware
but if not the hardware its and knowledge in understanding
informatics there's ultimately improving the delivery of health related
needs
to patients so let's go and take a look at this video
like talk about today is understanding is exponential technologies
know we often singled in yearly but if you think about it if you have a lily
pad
and just divided every single day 24 aid 16
my fifteen deja 32,000 what do you think you have in a month
were at a billion so he starting exponentially
because he had sustained effect all the technologies around us and many these
technologies
speaking as a position an innovator we can restructure leverage
impact the future on health and on health care and to address many the
major challenges
that we have a health care today ranging from the really extends our costs
to the aging population the way we really don't use information
very well today the fragmentation of care and often the very difficult course
adoption innovation and where the major things you can do we talked a bit about
here today is
leaving the crib the left easternmost money on the last 20 percent of life we
can spend
incentivize physicians and healthcare system in our own self
to move the car to left improve our health leveraging technology as well
now my favorite technology example expedition technology we all have in our
pocket
so if you think about it did a really dramatically improving I mean this the
iPhone
4 imagine what the iPhone 8 will be able to do
now I gain some insight into this I've been the track share for the medicine
portion and the new institution called Singularity University
based in Silicon Valley and we bring together it's summer about a hundred
very town students around the world
and look at these extension technologies from medicine biotechnology intelligent
robotics nanotechnology space
and address happy cross-train and leprosy is jam-packed
major Merkel's we also have seventy executive programs
and coming up next month is actually future matter program
to cross train a leverage technologies into medicine now
I mention the phone is mobile phones have over I think twenty thousand if a
mobile app's available
to the point where there's one at the UK where you can p.m. a little chip
connected to the iPhone and
check your suffer an STD and if I tried it yet but that's available
on their up the search applications merging your phone and diagnostics for
example
nation your blood glucose on your iPhone and sending that potentially to your
physician
so they can better understand and you can better understand your blood sugars
as a diabetic
so let's see now how external technologies are taking health guess
that was faster
well it's no secret the computers to Moore's Law are speeding up faster and
faster with the ability to you
more powerful things within the really approaching in many cases surpassing
the ability of the human mind the way I think competitions be is most applicable
is not have imaging on the ability now to look inside the body in real time
with very high resolution is really becoming incredible or layering multiple
technologies PET scan CT scans
and molecular diagnostics defined in and see things at different levels
here you can see the very highest resolution MRI scan
done today reconstructed apart who touched the curator TechNet
now concede inside of the brain at a resolution to believe that was never
before available
and essential had to reconstruct maybe even reengineer
a backwards engineer the brain so we can better understand pathology disease
and therapy we can look at side with real-time fMRI in the brain real time
and by understanding this was a part is using his connections
we can understand if XA medication or meditation
and better personalize make effective for example psychoactive drugs
the scanners for these are going smaller less expensive and more portable
and dissident data explosion available from these is really
almost becoming a challenge the scanner today takes about a hundred books
of 20 gigabytes the scanner just a couple years will be one terabyte
for eight hundred thousand bucks had leverage the information let's get
personal
I won't ask who cares had a colonoscopy but if you averaged 50 it's time for
screening colonoscopy
how would like to avoid the pointy end of the stick well now there's a such
thing
virtual colonoscopy compare those two pictures and now is a radiologist
units as you fly three occasions calling and augmenting that with artificial
intelligence
identify potential issues here lesion that up we might have missed it
but using AI on topic radiology we can find the zone this before
and maybe this will encourage people to get gonna ask is that would have
otherwise
this is able to paradigm shift moving to this integration biomedicine
information technology why list and I would say mobile now this year
digital medicine so in my stethoscope is now digital of course
there's an app for that we're moving object to the RUV
the tricorder so the handheld ultrasound especially surpassing in
supplanting the stethoscope his arm out a price point of what used to be
hundred thousand euros a couple hundred thousand dollars about five thousand
dollars and the power
the very powerful diana's device in my hand and merging this now with the
at that electronic medical records in the united states are still less than 20
percent
electronic here in the Netherlands I think it's more than eighty percent
another we're switching to merge in medical data making it available
electronically we can process information
and I was a position I can access my patience data from wherever I am
just to my mobile device and now of course when the era the iPad
even iPad 2 and just last month the first FDA approved application was
approved
to our radiologists to actual reading on the such devices
so certainly the positions at the Dane Cook myself are completely live on iOS
devices
as you saw just about a month ago Watson from IBM
be the two champions in jeopardy itself only imagine what a couple years
we start apply this club is information we will have the day I physician
and leverage our rains and connectivity to make decisions and diagnostics
11m done Rd today you don't need to go to this your physician many cases only
that
20 percent national business you need to lay hands on the patient we're now near
a virtual
visits from through the sky type is that you can do with american well
to Cisco that's developed a very complex health present system
Italy interact with your health care providers different and is running on it
even buyer devices again today
here my friend Jessica summit picture for head laceration so I can save a trip
to the main issue mike candys & diagnostics not way
or met with you to leverage today's gaming technology like Microsoft Connect
and hack that to enable that's a diagnostics for example diners in stroke
using simple motion detection using hundred-dollar devices
we can actually now visit our patience robotically
this is the ERP 7 I'm here dollars that other clinics for the hospital
these are the comment i buy whole sweet old actually in the home now
so imagine we already have why list scales you can step on the scale you can
treat you ate your friends and
they can keep you in line way out why this blood pressure cuffs whole gamut
these technologies are being put together
so instead of wearing this closure devices we can possible pass this
developed by colleges Stanford I with them
completely supplant the practicality and a much lower price point
with much more effective iti now rawson here today have quantified self
consumers now can buy officially hundred-dollar devices like this it'll
fit
I can measure my steps my clerk out-take I can get inside to that on a daily
basis to ensure that my friends with my position
this watch is coming out on this your heart rate z/os the miners
all sweetie tools I can able to leverage and insight into your own health
it is art integrate this information we know better what to do with it
now better to have inside into our own pathologies
health and wellness there's even mir's today can pick up your pulse rate
and argue in the future will have wearable devices in our clothes modern
ourselves 24/7
and just like we have the OnStar system in cars you read like my go on there was
a check engine light as can be
check your body like thing going it didn't take care of and probably in a
few years I'll check into mere
that skinny diagnosing you
for those in the US a with kiddos at home how you like to have the the widest
I professor
support sir
too much information think that you might need but it's a it's gonna be here
now
this remotely but technology and connection and I think actually some
basic knowledge on a bus to be more connected
whether patients and take more time she do the important human touch on its own
medicine
as augmented by the search technologies no talk that augmenting the patient
to some degree how bout amending the position we're down here super
enabling the surgeon who cannot go inside the body and do things with
robotic surgery which is here today
a level that was not really possible even five years ago
now this is the augmented further layers a technology like augmented reality
to the surgeon can see inside the patient through their lands
where the tumor is where the blood vessels are this can be integrate with
decision support
a surgeon in new york can be helping a surge in Amsterdam for example
and we're entering your literally Scala surgery called notes
where the endoscope robotic endoscope and come out the stomach and plot the
gallbladder
on a scholar sway and robotically and Scott notes and this is coming
is the Scala surgery is mediated by robotic surgery
now have a controlling other elements for those who have
disabilities the paraplegic is the era brain-computer interface for BC I
where chips give input on the motor cortex have completely quadriplegic
patients and the control
a cursor or a wheelchair or officially robotic arm
and these devices are getting smaller and going into more more the station's
talk on the trials but
imagine we can connect these for example to the amazing bionic limbs such as
those at the Dec arm
by Dean came in and colleagues which has 17 EB is a motion and freedom
and kill other persons lost a limb just much higher levels of dexterity
or control they've been they've had in the past so really entering the RUV
wearable robotics actually if you haven't lost a limb he had a stroke for
example
you can wait is augmented lambs Ivy if you're a paraplegic like I visit the
folks
at Berkeley bionics they've developed he'll accept this for the last week is a
terrible education actually walking by strapping on his ex a skeleton sees
other was complete wheelchair-bound
and as early era wearable robotics and I think
by letting the such a technologies will that change the definition of disability
to some cases be super ability show for enabling us as a team on two larger
lower limbs as as a young child and you her was a professor at MIT
hoopla systems in a climbing accident another both these can climb better move
faster swing differently
with prosthetics than us normal able persons
now have another exponential say the obesity trend is exponentially
going along direction including the huge cost but the trend in medicine anxious
to get exponentially
smaller so few examples are now in here is fantastic voyage the I tell
you can swallow this completely integrated device it take pictures of
your GI system
help diagnose and treat as it moves CGI track went even smaller
Micah robots intellectually autonomously move to your system again
and people to do things that surgeons can to in much less invasive manner
sometimes he's my self-assembled nugs system and the
augmentin that reality on the cardiac side pacemakers
again smaller much easier to play so you need to train international
cardiologists to place them
and again in wireless E time-honored again to mobile devices so you can go
places
and Andy monitored remotely is a shocking even further
is one its in protecting by Medtronic it's smaller than a penny
artificial retinas to believe that these arrays on the back at the eyeball allow
the blind to see
again in early trials but moving in the future is gonna be game-changing
or for those of us were cited about having the assisted living contact lens
Bluetooth WiFi have a little beams back in just the right now
if you travel maintaining your diet
might help to have some extra imagery try you have the calories
a
I can become a legend how about enabling the pathologist to use their cell phone
again to see at a microscopic level
and deliver that data back to the clout to make better diagnostics in fact the
whole hereof
laboratory medicine is completely changing we can out leveraging
microfluidics like this
that *** made by Steve quake at Stanford by catholics can replace entire
lab technicians
computer chip enable fails to test to be done at the point-of-care
anywhere in the world and he's really gonna leverage technology to the rule
and the underserved
and unable what used to be thousand-dollar tests to be done at
pennies
and at the point of care the good on the small
pathway little bit further what you're doing the era of nanomedicine Italy make
devise a super small
the point where we can design red blood cells or Micah robots that will monitor
blood system nor mean system
or even those that might even clear out the class from iris to have a
exponentially cheaper that's something we should think about in the area of
medicine that are just used to be thirty four hundred dollars
for a 10 megabytes ecstasy cheaper in genomics now the genome cost about a
billion dollars
about ten years ago when the first one came out we're now approaching
Sasha thousand-dollar genome public next year in two years about 100 RGM
what we gonna do with hundred dollar Gino's and soon will have millions at
these tests available
and that's when it gets interesting we saw the crowd sourcing information and
we enter the era
a personalized medicine the right drug for the right person at the right time
to say what we're doing today
which is anxious same drug for everybody so blockbuster drug medications
many cases which don't work for you the individual in many many different
companies are working on
are leveraging these approaches another show you a simple sample from 23 me
again
my data indicates that I've got but average risk for developing macular
degeneration kinda blindness
but I take that same data a political me
I can look at my wrist for simple type 2 diabetes I'm at almost twice the risk
for type 2 diabetes
I might want to watch a much-deserved I have at the lunch break for example
and I change my behavior leveraging might knowledge my final question is how
my jeans modulate
what my drugs to you what does is anything I can become increasingly
important
and what's in the hands of the individual that the patient will make
better drug dosing selection available
so against not just jeans it's multiple
details are habits our environmental exposures was last time your physician
asked you
where you live GMs and where you live we've been exposed to
can dramatically affect your help we can capture that information to genomics
proteomics environment all this data streaming at us
individually and as a support position how we manage it
for now an earlier systems medicine systems biology we get started
in Grails information and by looking at the patterns for example in our blood of
10,000 biomarkers a single test
we can start a little unusual patterns and detect disease in a much
earlier stage and this is being called by Lee who the father the field
tea for medicine will be predicted we know you are likely to have we can be
preventative that eventually personalized and more partly it's going
to come officially participatory
to web sites like patients like me or managing your date on
a Microsoft HealthVault our Google Health levin's together participatory
ways can become increasingly important
substantial exponentially better would like to get there is better and more
effective now
today we treat high blood pressure mostly hotels what we take a new device
and knock out the your vessel's that help me delay but pressure
a single therapy this week your hypertension this is a new device
essentially is doing that
that should be on the market within a year to you have a more targeted
therapies for cancer
right I'm gonna colleges their team us what we give his assertion poison
we learned at Stanford and other places at we can discover cancer stem cells
want to seem to really be
responsible for disease relapse so if you think cancer's a weed
we have african black the weed away it seems shrink that often comes back
so attacking the wrong target the cancer stem cells remain
and the tumor can return months or years later we're now learning to identify the
cancer stem cells
and identify those targets and go for the long-term picture
and when you're a personalized oncology the little effort all the state it
together
analyze the tumor and come up with a real specific cocktail for the
individual patient
now close with a general medicine such that a lot about stem cells
embryonic stem cells a particularly powerful we also the adult stem cells
throughout her body we use those
and I thought Obama transplantation J run just last year started the first
trial
using human embryonic stem cells to treat spinal cord injury still phase 1
trial
but evolving with Ash using adult stem cells now in clinical trials for about
15 years
to push a whole range of topics particularly in treating cardiovascular
disease we take
our own dahmer cells and treated with a heart attack we can see
much improved heart function and actually better survival is in our own
dahmer dry cells
after a heart attack I and then a bicycle the Mara minor much less
invasive way
for harvesting no malice have an FDA approved an offer be on the market next
year so
thinking appreciate the device a curving through the patient's body
and moving the ball mounts over 200 countries which is a single puncture
under local anesthesia the worst insult every really going
if you think about it every cell in your body has the same DNA as you had
when you were an embryo we can reprogram your skin cells
actually act like a three-part embryonic stem cell in Eli's those potentially
treat multiple organs
in that same patient making your own personalized himself lines and I think
will be a new era
I V on stem cell banking to you have in the freezer on cardiac cells monocytes
neural cells
to use in the future should you need them and we're integrating us now with
all your cellular engineering
and including expensive technologies for sushi 3d or converting replacing
Inc with cells and city building and reconstructing 3d organ that's when
things are gonna head
still very early days but i think is integration extension technologies
this is the example so in close as you think about technology trends and how to
impact health and medicine
or and ringing here at miniaturization decentralization
and personalisation I think by pulling the strings together restart to think
about
have understand leverage these we're going on power station enable the doctor
enhance wellness and begin to cure the well before they get 6
because I know as a doctor if someone comes to me with stage one disease I'm
thrilled we cannot insure them
often is too late has stage three or four cancer for example
by leveraging these technologies together I think will enter a new era
but I like to cost 80 medicine and as a cancer doctor
i'm looking for to being at a job thanks very much
the
exciting
this device is shown lot of promise now
you as a leader in policymaking how would you distribute these
devices consider the investment in skills and training needed
to take full advantage of this innovative technology well as economists
like to say
the organizational capital or the human beings
market on
information technology is improving the speed at which go to waste delivered
and this year buying dated it is being delivered
this is called big data that is driving business models for example
Google and Amazon are prime examples
where they're making their decisions on data
compared to making business decisions hippos
morning rules founders dreams
it tells you ask hit by those at the highest paid
persons opinion in the organization's
give me a lot to think about and hopefully less brutal
discussions as well as employees to write about and hopefully you base your
decisions
on information and knowledge thank you again
end