so it is a actually fascinating time for the president in the way forward for well being care and I believe a part of the theme of this speak might be that the following steps are that each one of us can play a task in the way forward for of well being and medication but when we take into consideration healthcare right now it is actually truly extra like sick care we’re extra like reacting to when we have now a illness we’re not Lee our techniques are set as much as deal with the sick to not actually preserve us wholesome and our care is usually form of reactive we find yourself in a system the place we await the guts assault or the stroke or the most cancers be found and the info that we get within the healthcare system may be very intermittent we await the occasional blood strain examine or lab worth check or very important signal examine or EKG and that makes well being care very costly and discontinuous in reality probably the most cutting-edge know-how for speaking most healthcare knowledge right now continues to be the fax machine most prescriptions are nonetheless written on paper and most of our information are turning digital we’re nonetheless form of caught in siloed well being care techniques and digital medical information and paper charts so the suggestions loops of well being are sometimes form of very damaged and intermittent and that is the place issues get costly and that is what takes us time we spend an hour ready for the physician for a ten minute go to and I as a doctor you already know I get rewarded for seeing extra sufferers not for doing a greater job with my sufferers and when my sufferers come to see me they do not typically bear in mind all the things about their knowledge or their situation so well being care is intermittent and reactive it must turn into steady and proactive and our healthcare techniques are nonetheless sort of set again within the 1800’s within the previous silos and definitions and packing containers that they have been positioned in for a protracted very long time and on this new age of related well being genomics digital cell we are able to begin to rethink healthcare exterior of the spectrum the place we spend most of our healthcare greenback eighty % or extra on the sick care aspect of the equation we are able to use our know-how and our personal initiative to maneuver ourselves to the left aspect of the equation as a result of if we do not do this we’ll bankrupt our nations right here in Germany your assume quantity 4 on the checklist of the GDP within the u.s. primary on healthcare spending per capita so if we begin to shift our considering shift our incentives from form of reimbursement primarily based medication to evidence-based medication and begin altering how we reward ourselves as people and as docs we are able to make an enormous change one change might be that you already know not is the the physician the God who tells you what to do because the affected person you are going to be the brand new form of CEO of your personal well being a brand new drug is absolutely the engaged and powered affected person who lives and owns their info and stays on high of it and a part of that’s being enabled by this complete new fast-paced world of know-how throughout us in 2005 that was the the final Pope being inaugurated there is a subsequent pope in 2013 you may see the distinction in the identical scene and that is largely been enabled by our sensible cell applied sciences which can be driving Moore’s legislation you already know the computational energy retains doubling each two years or so and will get quicker and cheaper that is why our smartphones are actually changing into medical units they’ve a couple of billion occasions the worth and velocity and efficiency of the very best supercomputers within the 70s your tablets are the equal of a Cray supercomputer and it’s essential begin considering in no matter discipline you are in healthcare in any other case exponentially as a result of as these applied sciences double they get very disruptive and it is nobody know-how it is the place they arrive collectively which is the place they converge it is that is the purpose the place reinvention can occur in healthcare and in lots of different fields so we’re seeing this mix of applied sciences and every of you can begin to make use of that in your personal healthcare platforms and as we reinvent the following steps in healthcare as a result of as we have seen with applied sciences just like the iMac it now matches on an iPhone and possibly subsequent week the announcement from Google will match in your eye watch and corporations like Apple did not actually invent these applied sciences they form of reimagined how they may very well be used identical to we’re reimagining how we pay for issues how we learn for books how we learn books these have been now moved to Kindles how we guide our journey how we get our motion pictures all streaming to us that is been very disruptive for sure different firm nation corporations even right here within the US and in Germany corporations like uber which is a San Francisco primarily based firm the place I come from is valued at eighteen billion {dollars} after 4 years they did not invent the cell phone they’d invent GPS on-line maps on-line funds they simply layered it up collectively and naturally that is disrupting the taxi business to the purpose the place I believe it has been outlawed this is or two days in the past so generally progress wants the assistance of the regulatory our bodies and forward-thinking to maneuver ahead so what would the uber uber if occation of well being care appear to be makes it is extra streamlined simpler to make use of truly I tweeted that out a couple of months in the past and two corporations got here again saying we’re constructing that you simply press a button and a physician involves your home so this form of disruption is beginning to happen and it is partly via new considering from people who will not be historically physicians or medical units or in pharma and actually should you’re not considering disruptively our buddies and pharma are skilled in some instances issues like Farmageddon now I am a doctor I additionally occur to share the medication monitor at a brand new establishment primarily based within the coronary heart of Silicon Valley referred to as singularity and college the place we take a look at the cross-pollination and tempo of fast paced applied sciences from medication biotech robotics synthetic intelligence 3d printing and past and in our 10-week summer season packages in our one-week govt packages we glance to ask how are you going to use know-how to affect the world in highly effective methods and lots of of these platforms have truly been within the medical realm I’ve run a convention particularly at singularity College for 4 years referred to as exponential medication the place we take people from each completely different discipline we combine them up we mash them up and we ask the place can we reinvent how can we take the following steps in reinventing well being and medication and I encourage you to return be part of us in November so let’s look now at some components of know-how and the way that may in reality are our personal well being our Diagnostics our therapeutics and the way we are able to all contribute to healthcare innovation so to start with everyone knows we’re purported to you already know train and eat proper we needn’t have our personalised genomes to tell us that however right now the worth and velocity of sequencing and genome is dropping at twice the speed of Moore’s legislation to the purpose the place it is solely a couple of thousand {dollars} right now and that provides us quite a lot of alternative to grasp and do sensible prevention for the illnesses we may be vulnerable to genetically and it is not simply genetics that is getting cheaper these proteomic knowledge environmental knowledge our microbiome that is in our and our GI tract there are nano noses that may take a take heed to our breath and possibly detect most cancers however once more that is driving an exponential wave all of us although can do our half to follow healthcare not sick care we are able to notice that transferring appropriately half-hour of train is the very best drug that you could take a part of getting sufficient sleep all these issues are actually actually essential and if we follow them in easy methods and leverage know-how which we now have ubiquitously we are able to take advantage of affect on our personal well being out of our neighborhood and our nation now there’s an explosion now of those form of exponential applied sciences we’re carrying on our wrists I am carrying like six of them proper what number of right here have some form of Fitbit a wearable machine a couple of of you proper it could make a distinction when you may form of see and perceive your knowledge one thing so simple as your steps or your sleep could be very impactful and these applied sciences have exploded on the scene you may go into an Apple retailer now and discover twenty or thirty on the shelf there’s 40,000 or extra well being associated apps within the Android and Apple retailer and so they’re not all terrific however should you use a few of them simply choose one it could actually make it easier to keep up to the mark which can be actually essential like your sleep proper should you do not handle your sleep well being that may actually affect your well being downstream and these applied sciences have began form of easy on this concept of quantified self however they’re transferring to this period of quantified well being it may be a toothbrush that tracks your youngsters after they brush their enamel or the dimensions that tweets your weight to your mates could be new applied sciences that may inform how a lot you are ingesting and what you are ingesting whether or not that is authorized or not or should you’re authorized or to not drive all these issues are rising in a short time changing into a path I would some may even measure what number of energy you are consuming or ingesting and do not look to the sensors of right now the sensors of tomorrow we’ll begin disappearing and layering completely different components even Google’s constructing a brand new smartphone that has a number of built-in elements one may be a glucometer should you’re a diabetic one may assist monitor your cardiac points should you’re a coronary heart affected person these new sensors will begin to turn into embedded in our garments in our vehicles the Web of Issues in our properties they’re even coming to our kids that is the concept of a wise diaper from Wired journal however truly it is now actuality there’s tweet P from Huggies you may determine it out what that does I will let you determine what this one does quantity two you already know generally an excessive amount of knowledge so we are able to get all kinds of knowledge even from our youngest residents together with a there’s my two month previous contributing to the medical institution so when we have now this knowledge and it begins to vanish and be built-in into what tattoos that may be given to us after we depart the hospital or the wearables primarily turn into contained in the Buhl’s instruments that can begin to swallow that is an built-in eye tablet that may change an endoscopy to take a look at your GI tract so we’re now going to be surrounded by heaps and many huge knowledge however the trick is to make that actionable info private info we are able to use so we’ll be layering analytics predict oolitic s– the concept of what your automobile has right now a examine engine gentle that allows you to know primarily based on 100 or 200 sensors that your BMW wants to enter the store could have these sort of mentalities coming in to our healthcare techniques to grasp you and provide you with your personal early warning gentle or should you hit the tree if you crash your automobile can name the emergency providers and providers like Google now will begin to remind you oh it is time to go do your run or to go have a wholesome breakfast versus your regular realm and we’ll get different reminders like wanting sooner or later mirror you will see future you a view of tomorrow okay you could have tomorrow you sort of work out actually understanding you could have tomorrow okay you are doing p90x you could have tomorrow proper what should you conserving having streudel for breakfast effectively that is what occurs proper now you needn’t await the magic mirror you may obtain apps right now this is me now this is me a thousand strudels later proper so I I believe I give it some thought earlier than I’ve that further Trudel I really like screw proper or for these of you in Europe who smoke proper what is going on to occur to your pores and skin should you’re smoking what should you might present somebody what their skins gonna appear to be in the event that they spend an excessive amount of time on Fb alright so this concept of understanding our well being earlier than you smoke after your smoke could be actually highly effective levers to alter your conduct and we’re seeing new applied sciences like oculus rift which was simply purchased by Fb for 3 billion {dollars} it is gonna be a robust option to see our surroundings and practice our brains so we wish to optimize our brains in new methods proper there’s new methods to grasp and skim our brains that is the the previous Again to the Future approach however there’s now an explosion of shopper units that you could put on that may give you insights into your personal brainwaves I can put on this headset primarily and check out my brainwaves I can be taught to focus if I have to focus taking part in a recreation for teenagers who’ve consideration deficit dysfunction that may be very helpful we are able to use this to coach people to meditate this is my mind sign after I’m truly calm for a couple of minutes we’re seeing people begin to open-source these applied sciences and hack them to make use of mind waves and new methods and actually some teams at MGH and different locations the place I practice are beginning to create units that can put vitality into your mind to possibly make you smarter have extra focus or deal with Parkinson’s or different issues so it is a actually new world now only for prognosis and well being but additionally for prognosis most of you if you go to the physician that is when you could have entry to sure diagnostic kits now as a doctor I’ve a digital physician’s bag I’ll have a tool I can connect to my smartphone to look in a baby’s ear for pediatric go to or once more on our telephones we have now an entire new model of related applied sciences just like the smartphone case I can maintain the case and it’ll give me my EKGs instantly I might display screen the room right here and cross this round and discover people might need medical points and should you do not learn EKGs you may press a button on the app and growth your EKG rotors all involves you and your doctor immediately so it is a actually fascinating world the place we are able to begin to get steady knowledge anybody on the planet in reality I am carrying slightly patch possibly we are able to change over to the dwell display screen proper now I am carrying slightly disposable patch proper right here and if the AV people can assist out who there’s my dwell knowledge speaking from this patch I am carrying to my telephone you may see my EKG form of my stress is simply 99 % thanks if I run round or if I fall down it is aware of my posture and it could inform and name my mom or emergency providers if I do not rise up in time all proper I will change again and so that is an instance of massive knowledge coming to us who’s going to grasp this knowledge who’s going to investigate it we’ll want to make use of this in sensible methods different methods to take a look at my coronary heart this can be a know-how from Stanford the place you are able to do a five-minute cardiac MRI fully reconstruct the guts operate and it will change the ultrasound in a couple of years or should you’re a affected person that you simply’re making an attempt to that may have epilepsy or different neurologic issues we are able to measure and defend predict when you are going to have epileptic episodes or should you’re a affected person with superior illness or sophisticated illness like a number of sclerosis what if we have now a dashboard to take a look at the mixing of alerts and provides your medicines earlier than you could have the MS flare-up so numerous methods to start out integrating this knowledge we’ll have to put this collectively for the patron for you at residence I have been concerned with group referred to as the XPrize for a couple of years and we have designed a medical tricorder X PRIZE like from Star Trek the medical tricorder and over 200 groups have entered this competitors certainly one of them began on the first exponential medication program and so they’re have already got developed a handheld medical machine for the house that you simply maintain your brow it provides your coronary heart fee temperature oxygen saturation respiratory fee talks to your smartphone which is related IBM Watson it could make it easier to as a shopper and your medical crew make higher diagnoses and that can possibly change or go to to the emergency room or we are able to use instruments now to dip your urine and take an image of the urinalysis so I dip the urine stick I take an image with the app and growth it provides you your evaluation instantly or should you might need influenza or swine flu you may spit in a tube and have that evaluation performed at residence so new methods of doing related prognosis from residence are going to allow all of us hopefully be more healthy and do smarter triage and decrease prices what’s actually fascinating about this firm is that they raised a lot of the cash for the medical trial 10,000 of those will ship subsequent month via on-line crowd sourcing so new methods to fund medical innovation are actually coming as effectively again to the mind how about diagnosing issues which can be very costly and arduous to deal with like Alzheimer’s we are able to now put somebody in a scanner and utilizing a particular method decide if they are going to get Alzheimer’s or different illnesses about 10 years forward of time possibly then we could be extra proactive now there’s new blood primarily based checks that might be able to diagnose Alzheimer’s 10 years early and even now visible checks an app and slightly sensor that appears your eye movement can monitor i am actions and decide 10 years or 20 years early who’s prone to get illnesses like Alzheimer’s so numerous new methods to consider prognosis utilizing these related instruments and new and highly effective methods okay hopefully we’re wholesome hopefully performed good prognosis however we’re nonetheless going to want remedy whereas they’re worse know-how taking well being care therapeutics effectively quite a lot of the way forward for medical visits might be mediated by telemedicine about six corporations have launched within the final six months which can be providing form of on-line visits instantly out of your smartphone or pill for lower than 20 euros and I believe a superb proportion possibly 50% of physician visits or different healthcare visits might be mediated by these apps you may have completely make it easier to make appointments can have in my case idle lump on my neck I used a dermatology app that related to an actual dermatologist helped diagnose slightly lump then I made an appointment with a plastic surgeon and in a single go to with two apps I had my little mole eliminated so growth proper decrease price and higher expertise and in some instances that is reducing prices we’re seeing proof now that these apps will stop coronary heart sufferers who’ve tough sophisticated illness from coming backwards and forwards to the hospital or utilizing therapeutics utilizing synthetic intelligence techniques to possibly even do a greater job than your psychiatrist some generally all proper we’re mixing therapeutic modalities this concept now of ultrasound which you utilize for Diagnostics could be blended with MRI so a lady for instance with a uterine fibroid or tumors of their liver or their mind can have centered an ultrasound to knock out these lesions and that may be the main focus of much less invasive surgical procedures as we go ahead so numerous methods which can be occurring in therapeutics my discipline I am skilled as a oncologist a most cancers physician is getting very thrilling as a result of now with decrease price genomics we’ll begin sequencing each single tumor utilizing synthetic analytics and different providers to foretell what medication are particularly best for you there are new courses of medication like this one which was simply accepted this week which can be leveraging the immune system and are way more focused and fewer poisonous we’re seeing new interventions which can be like our pacemakers however they’re getting smaller and extra highly effective they are often positioned by much less expert docs we’re seeing pacemakers not only for the guts however for the mind for the GI tract in an entire new set of modalities even some pacemakers or implants that can modulate long-term contraception you may flip it on and off along with your app may be handy so once more from wearables externals to contained in the balls and a part of therapeutics prefer it or not might be mediated by synthetic intelligence and robotics we’re already seeing robotic anesthesiologist embedded with synthetic intelligence you may take into consideration just like the taxi drivers right here who’s who’s not very blissful about this proper so robotics is coming we’re seeing the period of wearable robotics the girl on the left there may be paralyzed from the waist down she’s carrying a wearable exoskeleton with elements of it which can be 3d printed to truly match her anatomy and 3d printing by the way in which is absolutely exploding and actually is beginning to affect well being care should you’re a fracture your orthopedic affected person you are going to have issues that match your anatomy should you want a brand new hip or new joint these may be printed precisely for you I’ve been scanned and I have been printed this is slightly mini me carry my my pocket now it is enjoyable to have mini me however what if God forbid I had most cancers on my face and I might print a part that matches and replaces that so new methods to consider these 3d printing realms as we transfer ahead and together with new methods to coach and assist the doctor whether or not they’re within the working room utilizing applied sciences like Google glass what are the very best use instances and most typical apps which can be being developed or these are on this planet of healthcare so the surgeon can see the very important indicators or be in communication with a senior surgeon or a medical pupil we’re seeing new methods of Schooling the place physicians and nurses and college students and you may share your photographs and and assist the entire means of medical discovery so talking of discovery all of us can play a task if we are able to crowdsource our our well being and our info in reality simply there was an earthquake in close to San Francisco about two weeks in the past and so they might inform all the oldsters who’re carrying this jaw bone machine they will inform who awakened primarily based on how shut they had been to the earthquake fairly wonderful proper in order that was form of crowd supply details about sleep what if we might begin to crowdsource our genetic info should you begin to share your genetic info and volunteer it with sensible privateness legal guidelines in place that might be highly effective or now for 100 US {dollars} you may have your microbiome sequenced and you may share that knowledge quickly we’ll be prescribing micro organism to interchange our GI tract and do different issues and at last identical to after we fly we are able to monitor all of the airplanes we are able to now have dashboards of our knowledge and share our info identical to after we drive now with Google Maps or Waze you share slightly little bit of your privateness this can be a map of Rome being inbuilt a day simply from the google map knowledge proper what should you can then get some info again like the very best route to high school or to work and also you crowdsource and share your info and notice that we’re all related we’re all a part of a social community it is our social networks which can be typically most essential in our healthcare outcomes we are able to mine our social community knowledge with privateness in thoughts we are able to then decide who to possibly shake palms with or not shake palms with that day and we are able to all turn into not simply organ and blood donors however doubtlessly knowledge donors so in closing take into consideration all of the applied sciences which can be merging they’re transferring very in a short time the brand new innovators in well being care aren’t the normal physicians anymore their new accelerators and incubators I visited one in right here right here in Berlin simply yesterday we are able to all have a world affect simply not simply right here within the West however within the creating world by leveraging cell and well being and new methods by taking applied sciences like this $35 Android pill which may very well be utilized in well being and schooling and highly effective realms we might take new applied sciences like drones from an organization from singularity College referred to as matter web that is taking drones to ship medication and vaccines and shortly we’re now seeing huge gamers just like the Amazons and the googles get on this room residence so even for actual there’s an organization in San Francisco that is going to be delivering medication from the pharmacy to you in San Francisco undecided what sort of medication however they will be delivering the my drone so that is occurring so bear in mind well being care shifting from one which’s been episodic and reactive to an space that is extra steady and proactive know-how is usually right here earlier than we count on it and one of the simplest ways for us to take the following step and create the way forward for well being and medication is to go and create it ourselves so I would like all of you to be the following step in the way forward for well being your self and for the world with that I will say