Artifical intelligence; more sensitive, specific and affordable than doctors
1. Every human is unique; Thus the treatment also should be
individualized, tailored and customized!
Technology is changing the ways business would be done!!
2. It should be affordable.
More sensitive and specific in the context of
an individual.
Unbiased.
Fast and comfortable
3. Uber is just a software tool, they don't own any
cars, and are now the biggest taxi company in
the world. Airbnb is now the biggest hotel
company in the world, although they don't own
any properties.
In 1998, Kodak had 170,000 employees and sold
85% of all photo paper worldwide.
Within just a few years, their business model
disappeared and they got bankrupt.
What happened to Kodak will happen in a lot of
industries in the next 10 years.
4. I can personally attest to the dysfunction involved
with the so-called cowboy mentality when a
patient is being cared for by multiple
consultants. I recently had a family member
hospitalized and was shocked with how
dysfunctional and difficult it seemed to be to get
specialitsts to speak with one another. If a race
car driver relies on a team of mechanics to help
keep his car driving well, shouldn't the human
body with all its complex organs and systems
command the same, if not better teamwork?
5. Compare this to the management of a pit
crew and their car; efficient, structured, well
planned out. Pit crews operate with anywhere
from 5 to 25 mechanics, all with well-defined
roles; yet teamwork remains at the core of
these well-oiled crews.
6. The future of medicine is personalized,
preventive, participatory (patient
empowerment), process oriented and
predictable.
Let the patient decide best for him.
7. Physicians may be occasionally biased for a
specific treatment protocol.
Patient experience is something which is very
different from clinical outcomes and it has to
do with a sense of transparency, empathy and
empowerment.
8. Health questions
Diagnostic issues
Diagnostic confusion
Treatment selection
Prognostic prediction
Determining best investigative protocol (preventive, predictive,
personalized)
Identifying doctors / specialists
Integrative treatment and health care solution
Second opinions
9. To start with (which would be the basic function
of the site with electronic medical record); We
want to start a online second opinion site for
health and medical. People who need to seek a
second opinion (either due to undiagnosed /
unexplained medical issues or for confirmation /
exclusion of diagnosis) can upload the files and a
comprehensive opinion would be provided. We
would be different than others as we would
provide references, guidelines and standard of
protocols on which basis the opinion would be
derived.
10. Mode of onset: Acute / Subacute / Chronic
Severity: Severe / Moderate / Mild
11. a) severity of disease or symptoms or their
perception,
b) duration in hand,
c) money (finance),
d) insurance,
e) previous experience,
f) education and
g) knowledge.
Thus in acute, subacute and chronic conditions,
various people take different decisions for a
medical ailment. To optimize this; we need to
develop tools and an instant round the clock
help.
12. Development of best investigative protocol for an
individual (customized).
To provide best evidence based integrative medical
solutions.
Second opinion on; investigations, medical imaging,
biopsy, diagnosis and alternatives.
13. Their own virtual chamber; from appointment
to fee collection to all the support, which they
require.
Decision support system (most probable
diagnosis and differential diagnosis) for
doctors.
Best investigative protocol.
Chambers are going to be extinct. Most of the
services would be provided at home in near
future, including ICU care.
14. Training tools for doctors; virtual surgery,
training for medical imaging etc. We would
provide platform (doctors from all the
streams / pathies and medical workers);
allopath/modern medicine, homeopath,
ayurved, unani, naturopath, siddha, yoga,
acupuncture, chiropractor, physical therapist,
occupational therapist, nurses, medical
technician etc.
15. We would provide many functionalities for the
doctors, where the site can act as a real time
virtual office (providing Apps where vital
parameters, could be taken by customer and
in real time can help the doctor to infer, if
needed).
16. We would develop and provide Apps for
virtual physical exam (like hearing the heart
sound and lung sounds) in real time or
customers can record them. There would be
tools to ascertain tenderness on body areas.
Many investigations like EKG, spirometry can
be seen in real time.
17. Health risk assessment tools providing
preventive, personalized and predictive care.
Storage of health records.
18. where except procedures we can do
everything.
with robotic surgery, even procedures would
be possible remotely, via our site.
19. Contracting the labs, medical imaging
centers, medical equipment companies and
pharmacies providing businesses and
customers, a single platform.
21. Diet
Physical activity
Medicines;
a) Oral; action, efficacy, half life, duration of
action.
b) Insulin; short acting, intermediate acting,
long acting and mixed.
22. CASE TAKING AND EXAMINATION PROFORMA FOR BACK:
NAME:-
OCCUPATION:-
BACKACHE :- TRAUMA RADIATION PARAESTHESIAE IMPULSE SYMPTOMS
WEIGHT LOSS:-
G.I SYMPTOM:-
G.U.SYMPTOMS:-
MENTRUATION:-
PULMONARY SYMPTOMS:-
ONSET :- INSIDIOUS SUDDEN
HISTORY OF INJURY:- SUDDEN TWIST OR STRAIN/SNEEZE IN FLEXION
DURATION :- CLAUDICATION:-
PREVIOUS SIMILAR ATTACK:-
HISTORY OF ANY OTHER TROUBLE WITH SPINE:
PAIN:- SITE OF MAXIMUM PAIN:
RADIATION INTO LIMBS: EXTENT:
PARAESTHESIAE:
CONSTANT : VARY:
FACTORS AGGRAVATE OR IMPROVE PAIN: SITTING AGGRAVATES
23. INSPECTION :- CURVATURE : THORACIC AND LUMBER
(FROM THE SIDE/IN FLEXION/IN EXTENSION/SCOLIOSIS/LORDOSIS/KYPHOSIS
CAFE-AU-LAITS-SPOTS/FAT PAD OR HAIRY PATCH/SCARS)
PALPATIONS :- TENDERNESS: RENAL/SACRO-ILIAC JOINT/HIGHER IN SPINE
PALPABLE STEP :- SPONDYLOLISTHESIS
PERCUSSION :- LIGHTLY FROM UP TO DOWN
MOVEMENT :- FLEXION EXTENTION
LATERAL FLEXION ROTATION
SLR:-
FAJERSZTAJN TEST:-
REVERSE LASEGUE TEST:-
JERKS:-
MYOTOMES AND DERMATOMES:-
CHEST EXPANSION:-
S-I JOINT:-
ABDOMEN:-
CIRCULATION:-
ANY OTHER COMPLAINTS:-
24. You can look at the way that rich people
engage with the healthcare system right now.
Sheiks from Abu Dhabi, for example—folks
who have unlimited amounts of money have a
wide network of physicians. They basically
manage their own care. They talk to experts
all the time and they pay whatever it costs to
get access to them. They make really
informed decisions about their own care
management.
25. Future is all about empowering every person
in the world to have this ability, but in order
to do that, we have to take medical
knowledge out of the best physicians' minds
and somehow productize it as technology.
26. Our assumption is that what a really terrific
physician accumulates over decades of
experience is effectively an algorithmic
approach to thinking about a lot of diverse
scenarios regarding peoples' health. If we can
extract that knowledge from physicians and
democratize its accessibility to people by
turning it into scalable technology products—
this is all fairly general, "pie in the sky" talk,
but we think there are ways to do it.
