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HCIT has limitations in treating an individual patient by K. Ganapathy


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HCIT has limitations in treating an individual patient by K. Ganapathy, President, Apollo Telemedicine Networking Foundation, India

Published in: Healthcare
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HCIT has limitations in treating an individual patient by K. Ganapathy

  1. 1. Just because technology helps us solve a “problem,” does not mean it was a problem in the first place.
  2. 2. Fortune 100 CEO’s used their gut feeling as much as complex Data Analytics ----- meditation encourages divergent thinking (coming up with the greatest number of possible solutions to a problem), a key component of creativity “ -------clearly shows that emotional intelligence is the sine qua non of leadership. Without it, a person can have the best training in the world, an incisive, analytical mind, and an endless supply of smart ideas, but he still won’t make a great leader -----”.
  3. 3. The Empathising Clinician Communicate, communicate, communicate Clinical judgement & Wisdom No intervention, Delayed / Less aggressive Intervention Treat the family, treat the individual with the Sol, not the SoL or the image 2008 2016Hearing preserved
  4. 4. 6/1998 VA VF Illustration of Clinical Judgement Wisdom Primum non nocerum
  5. 5. Giant Cerebral AVM partial SRS in 7/99. 2nd stage in 2001. Followed up June 2016 still has giant residual AVM – only occasional headache - Paracetamol – Excellent QoL resist temptation to use Technology for management 1999 1999 2016 2016 2016
  6. 6.  Do we want to know if our unborn children will develop Alzheimer’s @ 70  Insurance discrimination ? Is ST too much of a good thing  Don’t trouble trouble, until trouble troubles you - still an option ?
  7. 7. Where is the patient and this was in a NNICU in 2012
  8. 8. Essay Sequence Template We are in a stage of Transition What is normal (biological parameters, images) 70 to 100 y unknown Diagnostic technology so advanced outliers picked up Management decisions should emphasise CLINICAL, CLINICAL natural history Not use a Bell Curve used for younger previous generations Technology for Healthcare , a means to achieve an end, not an end by itself Technology should not go in search of an Application
  9. 9. The Future of Health Care – A Big Thank You from the Unborn
  10. 10. Balance Good & Evil not get rid of all evils - Evil required to do Good Management plan customised, factoring History, Geography, socio economic status, natural history vis a vis different interventions and clinician competence EBM, Algorithms, Flow Charts, Protocols, SoP, Big Data Analytics, access to Dr Watson gives suggestions – to be used by an empathising clinician who alone should take the final call - EQ programmed in AI, can never ever substitute the God given Limbic System The Yunkap Kwankams of the future while necessary, cannot, should not and will not replace the Ganapathys trained primarily as clinicians with some exposure to technology TAKE HOME MESSAGE