Confessions from a doctor from the 21st century: how doctors travelled from low tech to high tech (but actually might consider going back again a bit)
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KEYNOTE | DAY 2 - 1 NOV 2016 Raymond Borger, Medical Doctor Vitaalplus+ (NL) Games for Health Europe 2016
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Confessions from a doctor from the 21st century: how doctors travelled from low tech to high tech (but actually might consider going back again a bit)
- 1. Confessions from a doctor from the 21st century: how doctors travelled from low tech to high tech (but actually might consider going back again a bit) Raymond Borger M.D. Vitaalplus “The physician is only nature's assistant” -Galenus- 129 AD – c. 200/c. 216
- 4. Who’s in for some happy endings ?
- 5. What about some free, low risk, easy and pleasurable health promoting interventions (that even might prolong your life a bit?) contibute to prevention of several diseases increase of vitality raise mental health, mood and quality of life
- 6. Dutch Society for lifestyle medicine www.avlg.nl info@avlg.nl
- 7. Ultra-short history of modern medicine we’ve come a long way: low tech to hight tech
- 8. Rational research of Galen’s nature: zooming in Diagnostics Knowledge & Skills Rational treatments
- 9. Evidence Based Medicine Rational interventions protocollized medicine based on high quality RCT’s
- 10. Ned Tijdschr Geneeskd. 2010;154:A1910. The role of epidemiological evidence in providing care for individual patients. Smulders YM1, Levi M, Stehouwer CD, Kramer MH, Thijs A. Proven efficacy of treatments based on high quality research
- 12. Decline in cancer deaths death per 100.000 citizens FemalesMalesCases Year
- 13. New Big stakeholders in healthcare 2015 2016
- 14. Confession No 2
- 15. We’ve come a long way: low tech to high tech an ultra-short history of modern medicine
- 16. We ourselves have come a long way too Average lifespan 25-30 years 40 years 80 years 1860 2016Stone age
- 20. Lifespan vs Healthspan Healthspan Age related diseases Total lifespan € $
- 23. Artificial Intelligence Lab on a stick genome editing CRISPR-cas Personalized medicine Some great promises for an everlasting heaven of health Eternal youthful living Quantified selfBig data analysis Genome sequencing
- 25. Gene editing: who wants to live forever?
- 27. 1 Science: The good, The bad and The ugly
- 28. Confession No 3 Working with protocols based on best available evidenced base medicine 2
- 30. What about….. placebo smoking placebo diet…, placebo exercise…, Placebo clean air placebo laughter…, placebo friendship…, placebo meaningful life…, etc, etc. major problems with RCT’s3
- 31. Substituting approaches in health care…? Zooming out in (rat)race and time
- 32. Zooming out: Time 140.000? 6-10.000 150 50 Homo Sapiens
- 33. Zooming out: Race (human race)
- 34. 4 healthy life-style factor 23.153 participants aged 35-65 jaar followed during 7,8 - 93% less chance at becoming diabetic - 81% less chance on myocardial infarct - 50% less chance on cerebrovascular accidents - 36% less chance on cancer Healthy living is the best revenge: findings from the European Prospective Investigation Into Cancer and Nutrition-Potsdam study.
- 35. Confession No 4 Hippocratic oath
- 36. Healing environment Evidence based Medicine Resolving loneliness TLC Detoxification Bio-hacking Nutrition Bibliotherapy Phytotherapy Biorythm Stress-copin plied physiology Electrotherap Biofeedback Being in Nature Cryo & thermo therapy Nutraceuticals Big Data based interventions Laughter App’s Games Sociotherapy Placebo-effect Pre-/probiotics Hormesis Sense of Coherence Systems biology Mindfulness Hypnosis Salutogenesis Health promoting therapies Enviromental interventions (Pulsed) Electromagnetic fields therapy Effective life-style interventions
- 37. Confession No 5 Hippocratic oath Primum non nocere
- 38. 2013
- 39. ? Decline ? of -shared meanigful narrative -sense of coherence -social cohesion ($/€ crisis) -existential skills
- 40. Confession 7: I morphed into a health architectR
- 41. Examples for serious games for health Games that facilitate compliance to healthy lifestyle habits -diet -exercise -stress-reduction / stress coping -sleep quality -beating addictions -beating loneliness / creating connectivity -cultivate meaningful narratives -patient education in general -many many more
- 42. Rational research of economical data other rational medical diagnostics & interventions ? High tech High knowledge / skills High patent ??
- 44. Business model current Medical model Games model Aimed at (curing) / treating diseases + promoting health & Quality of Life High evidence +++++ / ? - - / ++++ High tech +++++ - - / (+++) Highly patentable +++++ - - / ? High skill +++++ - / (+++) High knowledge +++++ ++++ (creativity) High risks +(+++) - - - / (+) High patient autonomy - - +++ Pleasant - - +++ High costs +++++(+++) - - - patient involvement - - - +++(+++)
- 45. Now before we go out ….
- 46. ….and co-create rational health-care substitutes aimed at a more healthy, meaningful, awe-inspiring and possibly even numinous future….
- 47. …what about that promised happy endings with some free health longevity-hacks?
- 48. Thank you for your attention! r.borger@vitaalplus.com www.avlg.nl www.vitaalplus.com