Faces of Digital Health

In 2014, Shafi Ahmed removed a tumor from the liver and bowel of a patient in what was the first operation streamed live online using Google Glass. The procedure to remove was watched live via computer or mobile phone by 13,000 surgical students, healthcare professionals and members of the public in more than 100 countries. Two years later Shafi performed an operation on a British cancer patient using virtual reality technology, again with a large global online audience. He is undoubtedly a driver of change in healthcare with his next big project of leading the First-Ever Fully Digital Hospital in Bolivia. You heard it right, Bolivia - the South American country with 12 million people, where only 6.3% of the GDP goes to healthcare. Can a country like this become the global digital health leader?

Shawna Butler in an entrepreNURSE. She had a wide range of experiences in emergency medicine, cardiac, critical care, international medical flight transport, and workplace wellness. She is part of the Exponential Medicine where the focus is on the opportunities presented by robotics, AI, VR, machine learning, supercomputing, genetic sequencing, blockchain, 3D printing, drones. With her curiosity and drive towards a better health she has shaped and launched various initiatives: the EntrepreNURSE-in-Residence role in the Netherlands, an enterprise-wide digital radiology solution, an international emergency medicine training rotation between a US medical school and a New Zealand hospital system, and the Cancer XPRIZE focused on early detection.  Listen also to episode 16 with Rebecca Love, the co-founder of hirenurses.com.   Recap of the topic: https://medium.com/faces-of-digital-health/f016-why-arent-nurses-included-in-innovation-process-more-2a24ffc94e68

Nurses and midwives account for nearly 50% of the health workforce. While being an important group of healthcare stakeholders, they are often overlooked, especially when talking about innovation. However, they are very innovative and creative. According to Rebecca Love, an experienced Nurse Entrepreneur, nurses do around 27 workarounds per shift. This means 27 times per day they use technology or care differently from the innovator's expectation. But to be efficient and deliver the best care possible this is a must. Questions addressed: What are the difference between doctors and nurses regarding salary and liability?How can entrepreneurship be encouraged among nurses?Where can nurses be most entrepreneurial?If nurses get a seat at the table, what power shift could that bring?Hirenurses.com is a mother-daughter company. How does that collaboration look like?

Esther Wojcicki is an accomplished journalist and a teacher with a very successful family. Her husband Stanley is Stanford University professor of physics and together three daughters: Susan (CEO of YouTube), Janet, a Fulbright-winning anthropologist, epidemiologist and an Assistant Professor of Pediatrics and researcher, and Anne (co-founder of 23andMe). In the short discussion during the Webit festival in Sofia, Bulgaria, Esther talked about how we learn, changes in the way we interact due to technology, the role of parents in education and of course 23andme, a little bit of politics and how the US healthcare system affects society. Esther holds an honorary doctorate from Palo Alto University (2013) and from Rhode Island School of Design (RISD) 2016. Among many many other things she is the founder of the Moonshots in Education Movement (MiE). Learn more: http://www.moonshotsedu.com

John Nosta has been holding a strong position as the number one influencer in the digital health space for quite a few years. His career started in a research lab at Harvard Medical School, until he redirected his creative energy into marketing. About six years ago John founder of NostaLab — a think tank helping life sciences companies navigate change by addressing their problems through unconventional thinking and leveraging creativity. Before that he worked for MedTech and Pharma companies to help them communicate the right idea to the right audience. Some questions addressed:  Are we losing control over the data?What’s the potential of voice recognition software? Can we avoid data gathering today? What are companies doing wrong when communicating their vision? Can innovation be born in large clinical institutions or do they mostly work as echo chambers?

AI is the buzzword startups are very keen on using when describing their products. For decades, movies are full of ideas on what artificial intelligence could do in a positive and negative way. What is AI, deep learning or a simple algorithm? What is the dream and what current reality around AI? How does AI look in practice? In this episode, you will hear from Sally Daub - the CEO of Enlitic talk about the market potential of AI, the current state of the market and more. Enlitic is a San Francisco based startup using deep learning to distill actionable insights from billions of clinical cases and help doctors leverage the collective intelligence of the medical community. At the moment, the use of AI is highest in the field of medical imaging and diagnostics, drug discovery and therapy planning, but Accenture predicts that by 2026 150 billion US dollars could be saved annually due to applications to robot-assisted surgery, virtual nursing assistants, followed by administrative workflow assistance, fraud detection and dosage error reduction, to name the first few areas with most significant savings.

In this episode, two Americans share their insight in the healthcare development of the land with 1,4 billion people. Bay McLaughlin, Forbes contributor on tech in China and the co-founder of Brinc.io, part incubator, part accelerator, part investment fund with headquarters located in Hong Kong, Shenzhen, and Guangzhou and satellite offices in mainland China, also London, Berlin, Helsinki, Amsterdam & soon in the USA. Miranda Gottlieb, Master’s student from Beijing, pursuing a career in global health policy and health security in the Asia-Pacific region.

According to dr. Walter Greenleaf, behavioral neuroscientist and a medical technology developer working at Stanford University, interactive virtual environments significantly reduce pain from as much as 44% during the most painful procedures (ex: burn wound treatment), diverts patient attention away from perceiving and feeling pain, decreases pain-related brain-activity, reduces need for anesthesia, opioid medication. With the decrease in price, VR is getting mainstream. The technology giants such as Facebook and Samsung are making huge investments, according to Statista, 12.4 million units will be shipped worldwide in 2018, more than 5 times as much in 4 years in 2022. Listen to a conversation with dr. Walter Greenleaf, Medical Director for AppliedVR at Stanford University. He is considered a leading authority in the medical VR field with over three decades of research and development experience in the field of digital medicine and medical virtual reality technology.

Virtual reality has a long history. Its applications precede pure fun, by today, many therapies for medical purposes have been designed. Virtual reality has many medical applications, which you can learn about from two experts featured in Facs of digital health podcast. In episode 10 listen to dr. Albert “Skip” Rizzo, the Director of Medical Virtual Reality at the Institute for Creative Technologies at University of Southern California, and episode 12 features dr. Walter Greenleaf, the Medical Director for AppliedVR at Stanford University. Topics: addressed: How does VR differ from exposure therapy, is it more effective? What are the dangers of VR use on perception? How do you treat ADHD or PTSD with VR?  Will FDA regulate VR treatments? What danger do consumers currently face?

The two largest determinants of health are the zip code and credit scores. What does that have to do with precision medicine and genetics? Big data combined with AI hold a lot of hope on prevention and more effective disease treatments. The current reality though is that large a lot of gathered data is not actionable yet. How far is precision medicine then, today? How does precision medicine based medical care look like? Tune in episode 9 of Faces of digital health with dr. Subha Madhavan. Dr. Madhavan is the Director of the Innovation Center for Biomedical Informatics (ICBI) at the Georgetown University Medical Center in the States. She is active in several national and international research projects, and one of her latest projects is a partnership with the Food & Drug Administration (FDA) to develop evidence bases for pharmacogenomics and vaccine safety.