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Patient Heal Thyself

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In most developed nations the proportion of old people is increasing along with their demands on healthcare services as they transit toward their eventual exit from this life. People no longer, live, work, retire and die in short order! Far more likely, they experience a series of complex, and often protracted, episodes an a concatenation of individual organ failure.

We therefore see a growing healthcare crisis across the First World with politicians resorting to very simple/similar ‘spend more, train more, and support more’ solutions. But this lacks any deep analysis. Reality is that no amount of money or people will cure this - it is a self sustaining loop of medical advance, improving survival rates, longer life spans, falling birth rates, fewer young people of sufficient talents, and reducing tax returns!

“This is an complex (non-linear) problem & there are no simple solutions”

Doing more with less, but far better, at a lower cost, by continually exploiting the latest technology is something already been pioneered/experienced by industry. It is the basic mechanism that now powers our progress - including many supporting healthcare technologies. This general principle is now a long overdue essential for healthcare professionals and patients; and absolutely necessary, if are to see any significant improvement in services.

Here we present examples of technologies that are available toady and most likely to be available in the next decade along with some necessary and key behavioural and responsibility changes.

Published in: Healthcare
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Patient Heal Thyself

  1. 1. PAT I E N T H E AL T H YS E L F The next decade of technology and patient engagement Prof Peter Cochrane OBE p e t e r c o c h r a n e . c o m S e n t i e n t S y s t e m s A S P I R E Research Showcase 2 0 N o v 2 0 1 9 School of Medicine
  2. 2. The problem sets are almost universal: -Ageing populations -Poor diet/discipline -Sedentary lifestyles -Rising expectations -Accelerating demand -Growing complexity -Professional shortages -Increasing care costs +++ G l o b a l D i a g n o s i s A l l h e a l t h c a r e s y s t e m s s t r u g g l i n g -Finite budgets/facilities -Limited # of professionals -Knowledge/Tech Tsunami -I n c r e a s i n g t r e a t - a b i l i t y -Prolonged demise/death -More disability/disabled -Degraded education system -Demise of self sufficiency -Limited after care services -Zero risk/litigious societies +++
  3. 3. The problem sets are almost universal: -Ageing populations -Poor diet/discipline -Sedentary lifestyles -Rising expectations -Accelerating demand -Growing complexity -Professional shortages -Increasing care costs +++ G l o b a l D i a g n o s i s A l l h e a l t h c a r e s y s t e m s s t r u g g l i n g -Finite budgets/facilities -Limited # of professionals -Knowledge/Tech Tsunami -I n c r e a s i n g t r e a t - a b i l i t y -Prolonged demise/death -More disability/disabled -Degraded education system -Demise of self sufficiency -Limited after care services -Zero risk/litigious societies +++ More and More People and money won’t Fix it Change is now far faster than Society can respond
  4. 4. -More with less -Increasing costs -People shortages -Rising complexity -Accelerating demand -Fixed/reducing budgets -Knowledge/Tech Tsunami -Facility/capability shortages -Static/failing education systems ++++ U n i v e r s a l T r u i s m All professional sectors suffering similarly Globalisation is a macro-consequence of mutual dependence
  5. 5. D e a t h o f S i m p l i c i t y Countries/commerce/peoples no longer disconnected
  6. 6. D e a t h o f S i m p l i c i t y Countries/commerce/peoples no longer disconnected THEre are no simple solutions to complex problems THE world is no longer slow and disconnected
  7. 7. THIS THIS“will never understand” M e d i c a l C h a l l e n g e Human body/function appears infinitely complex
  8. 8. A l l s o o b v i o u s I t w i l l t a ke a l o t o f t e c h n o l o g y Proven by Thermodynamics “will never understand” THIS THIS
  9. 9. A l l s o o b v i o u s I t w i l l t a ke a l o t o f t e c h n o l o g y Proven by Thermodynamics Engineering and Sciences can bring a lot of new/help to the health/care table! “will never understand” THIS THIS So much time and energy wasted on an impossble dream
  10. 10. Te c h n o l o g y M i g h t J u s t ? ? For certain technology always gives a better/deeper picture Microscope Stethoscope Thermometer X-Rays/scanners +++ Genome Decode 3D Printing Tissue Engineering Next Decade: AI + IoT VR + AR Robotics Smart Materials Human Modelling Quantum Computing Human Modelling Artificial Organs Invasive Testing Chip Implants +++++++
  11. 11. Te c h n o l o g y M i g h t J u s t ? ? For certain technology always gives a better/deeper picture Microscope Stethoscope Thermometer X-Rays/scanners +++ Genome Decode 3D Printing Tissue Engineering Next Decade: AI + IoT VR + AR Robotics Smart Materials Human Modelling Quantum Computing Human Modelling Artificial Organs Invasive Testing Chip Implants +++++++ Quantum Computing may - may not arrive in the next decade
  12. 12. C h a n g i n g T h e H e a l t h M o d e l The old systems/mode, ways of working, have to change - Free at point of use = Abuse ! - Cost has to be visible/applied ? - Closed shop working has no future - Collaboration/Networking is essential - All systems and records have to go digital - Staff and Professionals have to master the tech - More efficient working practices have to be adopted - Connecting patient monitoring and info into the net vital - Networking all professionals, equipments, resources a must - Many new and diverse professions to contribute tech/data wise - Healthcare must bracket patient diet, exercise and behaviours … ..not just medical care and treatments!
  13. 13. C h a n g i n g T h e H e a l t h M o d e l The old systems/mode, ways of working, have to change - Free at point of use = Abuse ! - Cost has to be visible/applied ? - Closed shop working has no future - Collaboration/Networking is essential - All systems and records have to go digital - Staff and Professionals have to master the tech - More efficient working practices have to be adopted - Connecting patient monitoring and info into the net vital - Networking all professionals, equipments, resources a must - Many new and diverse professions to contribute tech/data wise - Healthcare must bracket patient diet, exercise and behaviours … ..not just medical care and treatments! constant political twiddling at the periphery has to stop Budgets/Funding have to be consistent assured and stable
  14. 14. N o n e o f u s a r e ave r a g e We are all individual entities/patients/bodies Medicine for the mythical average Medicine for ME t h e i n d i v i d u a l T h i s i s a n e x p e n s i ve ( i m p o s s i b l e ? ) challenge for any healthcare system
  15. 15. -Must be made aware of cost -Provide financial contribution options -Self-harm/addiction consequences visibility -Destroy illusions of universal ‘fix it’ pills -Apply greater importance to education -Amplify public awareness to all threats -Make all records available to patients -Apply behaviour monitoring 24 x 7 -Employ private public mix to: Get patients back to work asap Offset public costs Optimise Utility Maximise RoI Provide a better service for all Encourage more DIY/Self Sufficiency P a t i e n t R e s p o n s i b i l i t y Must assume and play their part in their own health
  16. 16. BIO-TECH nano-TECH AIRoboticsMulti-Disciplinary hot spot for the 21C New materials New industries New processes New capabilitiess Lower energy Lower waste Less friction I 4 . 0 + I o T + Ro b ot i c s - P r o l o g u e I n c o n t e x t : S e t t i n g t h e S c e n e a n d E x p e c t a t i o n
  17. 17. BIO-TECH nano-TECH AIRoboticsMulti-Disciplinary hot spot for the 21C New materials New industries New processes New capabilitiess Lower energy Lower waste Less friction I 4 . 0 + I o T + Ro b ot i c s - P r o l o g u e I n c o n t e x t : S e t t i n g t h e S c e n e a n d E x p e c t a t i o n p o lis h in g a ll o u r o ld in d u s t r ies T ec h a n d P r o c es s is n o t en o u g h
  18. 18. IoT 3G 4G 5G Blue Tooth WiFi GSM EGSM LTE Mesh-Nets ZigBee UNBLoRa RPMA BLE UNB UWB W-P Manufacture R&D BIO- nano AIRobotics For Free - Gratis I4.0 C r e a t i n g s u s t a i n a b l e f u t u r e s IoT = The future n e r v o u s s y s t e m o f t e c h & n e t s - a n E c o s p h e r e f o r u s a n d t h e p l a n e t H e a l t h c a r e t o b e c o m e a n e l e m e n t o f t h e I o T w i t h a l l t h e b e n e f i t s o f t h e t e c h d e v e l o p m e n t s o f t h e e n t i r e E c o s y s t e m
  19. 19. I n t e r n e t o f p e o p l e P e r s o n a l l y , l o c a l l y , g l o b a l l y c o n n e c t e d Tagged Food Prepared/Consumed Food What we Do Are We Well ? AnalysysInformed Diagnosis The Out
  20. 20. I n t e r n e t o f p e o p l e P e r s o n a l l y , l o c a l l y , g l o b a l l y c o n n e c t e d Tagged Food Prepared/Consumed Food What we Do Are We Well ? AnalysysInformed Diagnosis The Out
  21. 21. F u t u r e m o n i t o r i n g N o n - I n v a s i v e t o I n v a s i v e t o i m p l a n t Non Invasive Invasive(ish) Invasive User Driven Doctor/User Doctor Driven ’n’ hours/day 24/7 Melts Away
  22. 22. F u t u r e m o n i t o r i n g N o n - I n v a s i v e t o I n v a s i v e t o i m p l a n t Non Invasive Invasive(ish) Invasive User Driven Doctor/User Doctor Driven ’n’ hours/day 24/7 Melts Away
  23. 23. High precision, greater success rate, better quality, lower cost R e p l a c e m e n t P a r t s F r o m p a s s i v e t o l i v i n g c o m p o n e n t s
  24. 24. R e p l a c e m e n t P a r t s W i t h a w o r k i n g v a s c u l a r s y s t e m
  25. 25. R e p l a c e m e n t P a r t s O v e r v i e w o f b i o a n d s y n t h e t i c s
  26. 26. Ro b ot s at Wo r k Ta k e o v e r o r b u d d y - b u d d y ? “Networked surgical/medical robots learn in parallel not serial like humans”
  27. 27. Ro b ot s at Wo r k C o n t r o l l e d I n s i d e t h e b o d y
  28. 28. A n d o u t o f t h e B o x N e w a p p r o a c h e s t o ( b r a i n ) s u r g e r y
  29. 29. S i m p l e S o f t w a r e N e w m o n i t o r i n g a n d t e s t i n g
  30. 30. VR & AR: In 1990 P r o o f o f p r i n c i p l e t e s t s • H o t • H e a v y • N o v e l • G e e k y • E y e S t r a i n • H e a d a c h e s • L a t e n c y • P o o r A u d i o • Te c h n o p h o b i a • L o w B a n d w i d t h • L o w R e s o l u t i o n • U s e r Te c h n o p h o b i a • R e s i s t a n c e t o C h a n g e b
  31. 31. Augmented Reality JIT Training P r o b l e m s o l v i n g a n d s o l u t i o n d e l i v e r y r e a l t i m e
  32. 32. VR and AR Saving Lives E x p e r i e n c e s h a r i n g a c r o s s t h e p l a n e t
  33. 33. S t e m C e l l Tr e a t m e n T A f f e c t i n g a g o o d h e a l / r e p a i r f a s t e r
  34. 34. S t e m C e l l Tr e a t m e n t A f f e c t i n g a g o o d h e a l / r e p a i r f a s t e r
  35. 35. A I A t w o r k B u d d y - b u d d y, h e l p e r Search/Find; Pertinent Publications O r g a n i s e ; A n a l y s e D a t a / S i t u a t i o n s F o r m u l a t e a D i a g n o s i s f r o m D a t a P re s e n t P ro - C o n A r g u m e n t s + + + +
  36. 36. A I A t w o r k B u d d y - b u d d y, h e l p e r Search/Find; Pertinent Publications O r g a n i s e ; A n a l y s e D a t a / S i t u a t i o n s F o r m u l a t e a D i a g n o s i s f r o m D a t a P re s e n t P ro - C o n A r g u m e n t s + + + +
  37. 37. P a t i e n t P o w e r W h e n a l l l o o k s h o p e l e s s
  38. 38. P a t i e n t P o w e r W h e n a l l l o o k s h o p e l e s s
  39. 39. TV HBO Radio Music YouTube Social Nets Communities Communications Conferencing Employment Education Shopping Working +++ B e c a u s e We C o u l d B e i n g c o n n e c t e d i s b e i n g a l i v e !
  40. 40. TV HBO Radio Music YouTube Social Nets Communities Communications Conferencing Employment Education Shopping Working +++ Tablet £200 - £400 Mechanical Arm and Holster £250 Speech Software £100 Loudspeakers gives the illusion of speech from the head to promote eye contact B e c a u s e We C o u l d B e i n g c o n n e c t e d i s b e i n g a l i v e !
  41. 41. 6 July 2015 Crash @ 25mph M y W i f e Cycling accident
  42. 42. 6 July 2015 Crash @ 25mph Ultra-Sound bone growth stimulation treatment at home + extensive physiotherapy privately M y W i f e Cycling accident
  43. 43. 6 July 2015 Crash @ 25mph Ultra-Sound bone growth stimulation treatment at home + extensive physiotherapy privately M y W i f e Cycling accident
  44. 44. 6 July 2015 Crash @ 25mph Ultra-Sound bone growth stimulation treatment at home + extensive physiotherapy privately M y W i f e Cycling accident
  45. 45. 6 July 2015 Crash @ 25mph Ultra-Sound bone growth stimulation treatment at home + extensive physiotherapy privately M y W i f e Cycling accident
  46. 46. Thank You petercochrane.com 2 0 N o v 2 0 1 9 A S P I R E Research Showcase S e n t i e n t S y s t e m s

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