Khosla assured the audience that being part of the health care system was a burden and disadvantage. To disrupt health care, entrepreneurs do not need to be part of the system or status quo. He cited the example of CEO Jack Dorsey of Square (a wireless payment system allowing anyone to accept credit cards rather than setup a more costly corporate account with Visa / MasterCard) who reflected in a Wired magazine article that the ability to disrupt the electronic payment system which had stymied others for years was because of the 250 employees at Square, only 5 ever worked in that industry.
Khosla believed that patients would be better off getting diagnosed by a machine than by doctors. Creating such a system was a simple problem to solve. Google’s development of a driverless smart car was “two orders of magnitude more complex” than providing the right diagnosis. A good machine learning system not only would be cheaper, more accurate and objective, but also effectively replace 80 percent of doctors simply by being better than the average doctor. To do so, the level of machine expertise would need to be in the 80th percentile of doctors’ expertise.
Health and medical care is an incredible intersection of technology, science, emotions, and human imperfections in both providing care and comfort. As conference speaker Dr. Aenor Sawyer, an orthopedic surgeon from UCSF noted, we need to figure out how to have our different cultures of doctors, gamers, designers, and technologists interact. Fixing health care is more than simply “we know the problem and we know the solution”. She reflected that the level of dedication, perseverance, and a willingness to make impact among the different groups demonstrates more similarities than differences.
Perhaps Kholsa’s call to action was simply an entrepreneurial mindset, but simply ignoring those who have chosen a field to improve and safe lives and who meet humanity everyday on the front-lines is problematic and dangerous. There are some things that may never be codified or driven into algorthims. Call it a doctor’s experience, intuition, and therapeutic touch and listening. If start-ups can clear the obstacles and restore the timeless doctor-patient relationship and human connection, then perhaps the future of health care is bright after all.
A University of Alabama at Birmingham (UAB) surgical team has performed one of the first surgeries using a telepresence augmented reality technology from VIPAAR in conjunction with Google Glass.
The combination of the two technologies could be an important step toward the development of useful, practical telemedicine.
VIPAAR (Virtual Interactive Presence in Augmented Reality) is commercializing a UAB-developed technology that provides real-time, two-way, interactive video conferencing.
UAB orthopedic surgeon Brent Ponce, M.D., performed a shoulder replacement surgery Sept. 12 at UAB Highlands Hospital in Birmingham. Watching and interacting with Ponce via the VIPAAR technology was Phani Dantuluri, M.D., from his office in Atlanta.
The VIPAAR technology allowed Dantuluri to see exactly what Ponce saw in the operating room and introduce his hands or instruments into the virtual surgical field.
At the same time, Ponce saw Dantuluri’s hands and instruments in his Google Glass display, along with his own field of view, as a merged-reality environment.
The two surgeons were able to discuss the case in a truly interactive fashion since Dantuluri could watch Ponce perform the surgery and simultaneously introduce his hands or instruments into Ponce’s view as if they were standing next to each other during the case.
“It’s real-time, real-life, right there, as opposed to a Skype or video conference call, which allows for dialogue back and forth but is not really interactive,” said Ponce.
UAB physicians say this kind of technology could greatly enhance patient care by allowing a veteran surgeon to remotely provide valuable expertise to less experienced surgeons.
Preventing childhood obesity is an important issue to parents, educators, physicians, public health professionals and others. Dealing with this complicated issue is multifaceted and requires a wide range of efforts.
In 2001 a small group of Edmonton-based health care practitioners and lay people who had been on two previous medical missions to Ecuador formed the Canadian Association of Medical Teams Abroad (CAMTA) to provide orthopedic surgery to pediatric and adult patients and to provide continuing education on detection and treatment practices for medical personnel in Ecuador. Every year since, CAMTA has sent growing numbers of volunteers to Ecuador. The teams include pediatric and adult orthopedic surgeons, anesthetists, family medicine doctors, anesthetic technicians, physiotherapists, operating room, recovery room and ward nurses, residents, nursing and medical students, lay people, general students and translators who work with local hospital staff.
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