SlideShare a Scribd company logo
1 of 49
Download to read offline
1Todd Poley
T o d a y ’ s T a l k
EXCUSE ME, HEALTHCARE
THE EMPOWERED PATIENT WOULD LIKE TO DISRUPT.
2
TODD POLEY
Marketing Director
I n t r o d u c t i o n
3
Quinn & Emerson
M e e t M y T e a m
• Manage my schedule
• Ensure humility
• Demand personal care
• Digital health experts
Healthcare Blues
4
• Reimbursement Hungry
• Provider Centered
• Inefficient to change
• Overregulated
• Bureaucratic
First Sign of the Revolution:
For better or worse?
What	
  does	
  this	
  rash	
  mean?	
  Will	
  I	
  be	
  okay?
THE EVOLUTION OF THE DIGITAL AGE.
SOCIAL
NETWORK
PEOPLE BECAME CONNECTED. TRANSPARENCY BECOMES THE NORM. DEMAND FOR BETTER CARE INCREASES.
8
SOCIAL
NETWORK
THINK FORWARD FOR THE PATIENT
• Educate
• Simplify
• Integrate
OUR CURRENT STATE AND WHAT TO DO ABOUT IT
9
EDUCATE ACCESS INSPIRE TO
ACTION
SOCIAL CIRCLES AND COMMUNITIES PROVIDE OPPORTUNITIES TO LISTEN
10
PATIENTS ARE THE
KEYHOLDER
Health Tech Innovation
A LOOK INTO THE INDUSTRY
Wearable Tech
“mHealth”
Monitor your vitals at home
INSIDEABLES WILL ATTACK ADHERANCE ISSUES
3D Printing
TECHNOLOGY BRIDGING THE GAP – “UBERFICATION”
Disruptive
Lab Testing
Telemedicine
Associate Professor Bahlo said finding the
genes that cause disease is like finding the
needle in the proverbial haystack.
“Pinpointing the faulty gene that causes the
disease out of the 20,000 genes and three
billion DNA base pairs in human DNA is a
numerically daunting task,” she said.
-­‐ Melanie	
  Bahlo
“
WHERE  TO  START
HUMAN GENOME PROJECT – world’s largest collaborative biological project
21
1 PERSONALIZED
2 PREDICTIVE
3 PREVENTIVE
4 PARTICIPATORY
IT HAS GOT TO BE A PRIORITY TO ENSURE THAT MORE WOMEN CAN
ACCESS GENE TESTING AND LIFESAVING PREVENTIVE TREATMENT,
WHATEVER THEIR MEANS AND BACKGROUND, WHEREVER THEY LIVE.
-­‐ ANGELINA	
  JOLIE
“
THE SPARK
AWARENESS CATALYST
GENEAOLOGY TESTING
PROGNOSTICATION TESTING AND BIG DATA
PERSONALIZED MEDICINE
~150 approved FDA
medications with known
genetic markers
Personalized Medicine
Traditional Approach
“OneSizeFits All”
All patients with the same diagnosis
receive same treatment
Personalized Medicine Approach
Treatment strategy based on patient’s
unique genetic profile
GeneticProfileA:
Targeted Therapy
Based on Genotype
GeneticProfileB:
Standard Therapy
THE BENEFIT OF MEDICINE
THE RISKS
Getting Personal
Demand exists. Technology is
available. Awareness is an infant.
A Book Prescription
ERIC TOPOL, M.D.
“We are no longer beholden to
an impersonal and paternalistic
system in which ‘doctor knows
best’. Medicine has been
digitized. Now it will be
democratized.”
PARADIGM SHIFT
Prescribing Knowledge
ACTIONABLE
ACCESSIBLE
AFFORDABLE
DNA
DISRUPTION
THE PHARMACY
D o n ’ t c a l l i t a c o m e b a c k .
Getting Personal
Tell Their Story.
#inspire
She deserves
guided therapy.
Knowing can save a life.
Pain relief from the start
DIFFERENTIATE TO DISRUPT
The Road Less Traveled
40
CLEAR FOCUS ON VALUE
41
POINT OF PURCHASE
& AFFORDABLE
EASE OF ORDERING
AND DELIVERY OF
RESULTS
BEST IN CLASS
TURNAROUND
42
THE
SMART PATIENT
DELIVER OPPORTUNITIES TO ENGAGE
43
PHARMACY CONSULT PHYSICIAN AWARENESS SEO DIGITAL CONTENT
44
February 6th, 2014
45
YOUR MISSION
( i f y o u s o c h o o s e t o a c c e p t )
• Own your health information
• Ask “why” questions
• Share your ideas
• Embrace technology
• Challenge the system
When is patient empowerment worth
the risk?
46
When it benefits the patient’s care…
leading to a more productive patient/provider
relationship.
JUST THE BEGINNING…
47
NOW -TIP OF THE ICE BERG
48
Gutenberg Moment for Medicine:
There's no doubt the path forward will be
complicated: the medical establishment will resist
these changes, and digitized medicine inevitably
raises serious issues surrounding privacy.
Nevertheless, the result—better, cheaper, and
more human health care—will be worth it.
CHANGE STARTS WITH YOU
49
THANK YOU!
QUESTIONS?

More Related Content

What's hot

Palliative Care What Is Palliative Medicine
Palliative Care What Is Palliative MedicinePalliative Care What Is Palliative Medicine
Palliative Care What Is Palliative MedicineIndranil Khan
 
Hospice and palliative care
Hospice and palliative careHospice and palliative care
Hospice and palliative careHADI HMOUD
 
Understanding susbstance use disorder
Understanding susbstance use disorderUnderstanding susbstance use disorder
Understanding susbstance use disorderHatch Compliance
 
Hospice 101 Phases Of Grief Nov 3 2006
Hospice 101 Phases Of Grief Nov 3 2006Hospice 101 Phases Of Grief Nov 3 2006
Hospice 101 Phases Of Grief Nov 3 2006Kim Petty
 
Ethical, moral and legal issues in oncology
Ethical, moral and legal issues in oncologyEthical, moral and legal issues in oncology
Ethical, moral and legal issues in oncologyManali Solanki
 
Psychosocial aspects of cancer care by phillip odiyo
Psychosocial aspects of cancer care by phillip odiyoPsychosocial aspects of cancer care by phillip odiyo
Psychosocial aspects of cancer care by phillip odiyoKesho Conference
 
Psychology of cancer patient
Psychology of cancer patientPsychology of cancer patient
Psychology of cancer patientReem Alyahya
 
Palliative Care Presentation
Palliative Care PresentationPalliative Care Presentation
Palliative Care Presentationguestfed9d3
 
Decision making in end of life care
Decision making in end of life careDecision making in end of life care
Decision making in end of life careCatherine Holborn
 
Ethical Dilemmas and Interventions for Pain
Ethical Dilemmas and Interventions for Pain Ethical Dilemmas and Interventions for Pain
Ethical Dilemmas and Interventions for Pain Andi Chatburn, DO, MA
 
Palliative care and end of life care
Palliative care and end of life carePalliative care and end of life care
Palliative care and end of life careYouttam Laudari
 

What's hot (20)

Palliative Care What Is Palliative Medicine
Palliative Care What Is Palliative MedicinePalliative Care What Is Palliative Medicine
Palliative Care What Is Palliative Medicine
 
Hospice and palliative care
Hospice and palliative careHospice and palliative care
Hospice and palliative care
 
End of Life Care
End of Life CareEnd of Life Care
End of Life Care
 
Emma Mathias
Emma MathiasEmma Mathias
Emma Mathias
 
Death, dying and End of Life
Death, dying and End of LifeDeath, dying and End of Life
Death, dying and End of Life
 
Understanding susbstance use disorder
Understanding susbstance use disorderUnderstanding susbstance use disorder
Understanding susbstance use disorder
 
Hospice 101 Phases Of Grief Nov 3 2006
Hospice 101 Phases Of Grief Nov 3 2006Hospice 101 Phases Of Grief Nov 3 2006
Hospice 101 Phases Of Grief Nov 3 2006
 
End Of Life Care
End Of Life CareEnd Of Life Care
End Of Life Care
 
Capstone Final
Capstone FinalCapstone Final
Capstone Final
 
Impact of sexuality on cancer
Impact of sexuality on cancerImpact of sexuality on cancer
Impact of sexuality on cancer
 
Ethical, moral and legal issues in oncology
Ethical, moral and legal issues in oncologyEthical, moral and legal issues in oncology
Ethical, moral and legal issues in oncology
 
Psychosocial aspects of cancer care by phillip odiyo
Psychosocial aspects of cancer care by phillip odiyoPsychosocial aspects of cancer care by phillip odiyo
Psychosocial aspects of cancer care by phillip odiyo
 
Psychology of cancer patient
Psychology of cancer patientPsychology of cancer patient
Psychology of cancer patient
 
Facts & myths about palliative care
Facts & myths about palliative careFacts & myths about palliative care
Facts & myths about palliative care
 
Death & Dying: Clinical & Philosophical Perspective In Era of Dementia
Death & Dying: Clinical & Philosophical Perspective In Era of DementiaDeath & Dying: Clinical & Philosophical Perspective In Era of Dementia
Death & Dying: Clinical & Philosophical Perspective In Era of Dementia
 
Palliative Care Presentation
Palliative Care PresentationPalliative Care Presentation
Palliative Care Presentation
 
Speaker Sheet
Speaker SheetSpeaker Sheet
Speaker Sheet
 
Decision making in end of life care
Decision making in end of life careDecision making in end of life care
Decision making in end of life care
 
Ethical Dilemmas and Interventions for Pain
Ethical Dilemmas and Interventions for Pain Ethical Dilemmas and Interventions for Pain
Ethical Dilemmas and Interventions for Pain
 
Palliative care and end of life care
Palliative care and end of life carePalliative care and end of life care
Palliative care and end of life care
 

Viewers also liked

IMDB_Scalability
IMDB_ScalabilityIMDB_Scalability
IMDB_ScalabilityIsrael Gold
 
Srinivasan resume updated
Srinivasan resume updatedSrinivasan resume updated
Srinivasan resume updatedSrinivasan V N
 
Ei3 a apaza curo liliana lizeth produc.01
Ei3 a apaza curo liliana lizeth produc.01Ei3 a apaza curo liliana lizeth produc.01
Ei3 a apaza curo liliana lizeth produc.01lapazac
 
Josselyn Ruiz - Skill Based Resume
Josselyn Ruiz - Skill Based ResumeJosselyn Ruiz - Skill Based Resume
Josselyn Ruiz - Skill Based ResumeJosselyn Ruiz
 
Frank paradigm eng and qa resume 2015
Frank paradigm eng and qa resume 2015Frank paradigm eng and qa resume 2015
Frank paradigm eng and qa resume 2015Frank Rzeznikiewicz
 
Jason Limoges Resume
Jason Limoges ResumeJason Limoges Resume
Jason Limoges ResumeJason Limoges
 
Sanoplant lilaciplant reactivacion de cepas
Sanoplant   lilaciplant reactivacion de cepasSanoplant   lilaciplant reactivacion de cepas
Sanoplant lilaciplant reactivacion de cepasSanoplant
 
Sandeep Arora - Resume
Sandeep Arora - ResumeSandeep Arora - Resume
Sandeep Arora - ResumeSandeep Arora
 
Empowering Women in Energy Management and Environment
Empowering Women in Energy Management and EnvironmentEmpowering Women in Energy Management and Environment
Empowering Women in Energy Management and EnvironmentEMEX
 

Viewers also liked (12)

Base de datos
Base de datosBase de datos
Base de datos
 
Portofolio
PortofolioPortofolio
Portofolio
 
IMDB_Scalability
IMDB_ScalabilityIMDB_Scalability
IMDB_Scalability
 
Srinivasan resume updated
Srinivasan resume updatedSrinivasan resume updated
Srinivasan resume updated
 
Ei3 a apaza curo liliana lizeth produc.01
Ei3 a apaza curo liliana lizeth produc.01Ei3 a apaza curo liliana lizeth produc.01
Ei3 a apaza curo liliana lizeth produc.01
 
Josselyn Ruiz - Skill Based Resume
Josselyn Ruiz - Skill Based ResumeJosselyn Ruiz - Skill Based Resume
Josselyn Ruiz - Skill Based Resume
 
Frank paradigm eng and qa resume 2015
Frank paradigm eng and qa resume 2015Frank paradigm eng and qa resume 2015
Frank paradigm eng and qa resume 2015
 
Jason Limoges Resume
Jason Limoges ResumeJason Limoges Resume
Jason Limoges Resume
 
Sanoplant lilaciplant reactivacion de cepas
Sanoplant   lilaciplant reactivacion de cepasSanoplant   lilaciplant reactivacion de cepas
Sanoplant lilaciplant reactivacion de cepas
 
Sandeep Arora - Resume
Sandeep Arora - ResumeSandeep Arora - Resume
Sandeep Arora - Resume
 
Empowering Women in Energy Management and Environment
Empowering Women in Energy Management and EnvironmentEmpowering Women in Energy Management and Environment
Empowering Women in Energy Management and Environment
 
Venkatesh_Somarapeta_Resume
Venkatesh_Somarapeta_ResumeVenkatesh_Somarapeta_Resume
Venkatesh_Somarapeta_Resume
 

Similar to Excuse Me, Healthcare: The Empowered Patient Would Like to Disrupt - Todd Poley

e-Patient Dave IHS Best Practices Sacramento May 2016
e-Patient Dave IHS Best Practices Sacramento May 2016e-Patient Dave IHS Best Practices Sacramento May 2016
e-Patient Dave IHS Best Practices Sacramento May 2016e-Patient Dave deBronkart
 
Enable the Rise of the Participatory Patient
Enable the Rise of the Participatory PatientEnable the Rise of the Participatory Patient
Enable the Rise of the Participatory Patiente-Patient Dave deBronkart
 
How to Transition from Allopathic to Integrated Practice - IMM Brazil 2015
How to Transition from Allopathic to Integrated Practice - IMM Brazil 2015How to Transition from Allopathic to Integrated Practice - IMM Brazil 2015
How to Transition from Allopathic to Integrated Practice - IMM Brazil 2015Louis Cady, MD
 
How to be your own health advocate
How to be your own health advocateHow to be your own health advocate
How to be your own health advocateMarie Ennis-O'Connor
 
Popular Core 1 Questions
Popular Core 1 QuestionsPopular Core 1 Questions
Popular Core 1 QuestionsVas Ratusau
 
IA Summit Breast cancer presentation
IA Summit Breast cancer presentationIA Summit Breast cancer presentation
IA Summit Breast cancer presentationMargaret Hanley
 
Patient Engagement and Empowerment: A Culture War Begins
Patient Engagement and Empowerment: A Culture War BeginsPatient Engagement and Empowerment: A Culture War Begins
Patient Engagement and Empowerment: A Culture War Beginse-Patient Dave deBronkart
 
News breaking in critically ill
News breaking in critically illNews breaking in critically ill
News breaking in critically illManoj Vaidya
 
A Billion Little Experiments
A Billion Little ExperimentsA Billion Little Experiments
A Billion Little ExperimentsRajiv Mehta
 
Meet Your [Provider] Match
Meet Your [Provider] MatchMeet Your [Provider] Match
Meet Your [Provider] MatchMelissa Carpio
 
Raising Public Awareness of Clinical Trials: Tools for Engagement (H. Massett)
Raising Public Awareness of Clinical Trials: Tools for Engagement (H. Massett)Raising Public Awareness of Clinical Trials: Tools for Engagement (H. Massett)
Raising Public Awareness of Clinical Trials: Tools for Engagement (H. Massett)Esmeralda Casas-Silva, Ph.D.
 
Introduction to Medicine and Psychiatry
Introduction to Medicine and PsychiatryIntroduction to Medicine and Psychiatry
Introduction to Medicine and PsychiatryDrMdMainUddin
 
e-Patient Dave AF4Q South Central PA 01-11-2019
e-Patient Dave AF4Q South Central PA 01-11-2019e-Patient Dave AF4Q South Central PA 01-11-2019
e-Patient Dave AF4Q South Central PA 01-11-2019e-Patient Dave deBronkart
 
Sociology of health and illness wk 16 lay
Sociology of health and illness wk 16 laySociology of health and illness wk 16 lay
Sociology of health and illness wk 16 layAnthony Lawrence
 
Helping People Heal
Helping People HealHelping People Heal
Helping People HealCognizant
 
Getting the evidence the challenge of medicine in tough global environment
Getting the evidence the challenge of medicine in tough global  environmentGetting the evidence the challenge of medicine in tough global  environment
Getting the evidence the challenge of medicine in tough global environmentTrimed Media Group
 
MedicalResearch.com: Medical Research Exclusive Interviews February 4 2015
MedicalResearch.com:  Medical Research Exclusive Interviews February 4 2015MedicalResearch.com:  Medical Research Exclusive Interviews February 4 2015
MedicalResearch.com: Medical Research Exclusive Interviews February 4 2015Marie Benz MD FAAD
 
Digital Marketing Strategy for Cedars Sinai
Digital Marketing Strategy for Cedars SinaiDigital Marketing Strategy for Cedars Sinai
Digital Marketing Strategy for Cedars SinaiKnowcrunch
 
ODLs (Observations Of Daily Living) Chira M Hi091809
ODLs (Observations Of Daily Living) Chira M Hi091809ODLs (Observations Of Daily Living) Chira M Hi091809
ODLs (Observations Of Daily Living) Chira M Hi091809mHealth Initiative
 

Similar to Excuse Me, Healthcare: The Empowered Patient Would Like to Disrupt - Todd Poley (20)

e-Patient Dave IHS Best Practices Sacramento May 2016
e-Patient Dave IHS Best Practices Sacramento May 2016e-Patient Dave IHS Best Practices Sacramento May 2016
e-Patient Dave IHS Best Practices Sacramento May 2016
 
Enable the Rise of the Participatory Patient
Enable the Rise of the Participatory PatientEnable the Rise of the Participatory Patient
Enable the Rise of the Participatory Patient
 
How to Transition from Allopathic to Integrated Practice - IMM Brazil 2015
How to Transition from Allopathic to Integrated Practice - IMM Brazil 2015How to Transition from Allopathic to Integrated Practice - IMM Brazil 2015
How to Transition from Allopathic to Integrated Practice - IMM Brazil 2015
 
How to be your own health advocate
How to be your own health advocateHow to be your own health advocate
How to be your own health advocate
 
Popular Core 1 Questions
Popular Core 1 QuestionsPopular Core 1 Questions
Popular Core 1 Questions
 
IA Summit Breast cancer presentation
IA Summit Breast cancer presentationIA Summit Breast cancer presentation
IA Summit Breast cancer presentation
 
Fmcc Policy and Advocacy
Fmcc Policy and AdvocacyFmcc Policy and Advocacy
Fmcc Policy and Advocacy
 
Patient Engagement and Empowerment: A Culture War Begins
Patient Engagement and Empowerment: A Culture War BeginsPatient Engagement and Empowerment: A Culture War Begins
Patient Engagement and Empowerment: A Culture War Begins
 
News breaking in critically ill
News breaking in critically illNews breaking in critically ill
News breaking in critically ill
 
A Billion Little Experiments
A Billion Little ExperimentsA Billion Little Experiments
A Billion Little Experiments
 
Meet Your [Provider] Match
Meet Your [Provider] MatchMeet Your [Provider] Match
Meet Your [Provider] Match
 
Raising Public Awareness of Clinical Trials: Tools for Engagement (H. Massett)
Raising Public Awareness of Clinical Trials: Tools for Engagement (H. Massett)Raising Public Awareness of Clinical Trials: Tools for Engagement (H. Massett)
Raising Public Awareness of Clinical Trials: Tools for Engagement (H. Massett)
 
Introduction to Medicine and Psychiatry
Introduction to Medicine and PsychiatryIntroduction to Medicine and Psychiatry
Introduction to Medicine and Psychiatry
 
e-Patient Dave AF4Q South Central PA 01-11-2019
e-Patient Dave AF4Q South Central PA 01-11-2019e-Patient Dave AF4Q South Central PA 01-11-2019
e-Patient Dave AF4Q South Central PA 01-11-2019
 
Sociology of health and illness wk 16 lay
Sociology of health and illness wk 16 laySociology of health and illness wk 16 lay
Sociology of health and illness wk 16 lay
 
Helping People Heal
Helping People HealHelping People Heal
Helping People Heal
 
Getting the evidence the challenge of medicine in tough global environment
Getting the evidence the challenge of medicine in tough global  environmentGetting the evidence the challenge of medicine in tough global  environment
Getting the evidence the challenge of medicine in tough global environment
 
MedicalResearch.com: Medical Research Exclusive Interviews February 4 2015
MedicalResearch.com:  Medical Research Exclusive Interviews February 4 2015MedicalResearch.com:  Medical Research Exclusive Interviews February 4 2015
MedicalResearch.com: Medical Research Exclusive Interviews February 4 2015
 
Digital Marketing Strategy for Cedars Sinai
Digital Marketing Strategy for Cedars SinaiDigital Marketing Strategy for Cedars Sinai
Digital Marketing Strategy for Cedars Sinai
 
ODLs (Observations Of Daily Living) Chira M Hi091809
ODLs (Observations Of Daily Living) Chira M Hi091809ODLs (Observations Of Daily Living) Chira M Hi091809
ODLs (Observations Of Daily Living) Chira M Hi091809
 

Recently uploaded

Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...Sheetaleventcompany
 
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Namrata Singh
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Sheetaleventcompany
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Sheetaleventcompany
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Sheetaleventcompany
 
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Sheetaleventcompany
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Sheetaleventcompany
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Genuine Call Girls
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...Sheetaleventcompany
 
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Sheetaleventcompany
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...rajnisinghkjn
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Janvi Singh
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Sheetaleventcompany
 
tongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacytongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacyDrMohamed Assadawy
 
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Sheetaleventcompany
 
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Sheetaleventcompany
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana GuptaLifecare Centre
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxSwetaba Besh
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsMedicoseAcademics
 

Recently uploaded (20)

Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
 
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
 
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
 
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
tongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacytongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacy
 
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
 
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanisms
 

Excuse Me, Healthcare: The Empowered Patient Would Like to Disrupt - Todd Poley