The future of healthcare at home | Sonny Kohli | TEDxToronto



there is a fundamental human right that 1 billion people on this earth still don't have and every year another hundred million are driven into poverty just paying for it I'm talking about access to health care and it's not just a third-world problem you can feel it affects all around us there are still 25 million uninsured Americans and in our country where we pride ourselves on universal health care the number two leading cause of personal bankruptcies unpaid medical bills how does that make any sense why when it's medicine I want to help solve this problem it was very important to me to solve this problem but I realized that I was part of the problem that in some ways I was part of the machinery that was causing this problem so I'm going to tell you a story about how I realized I came to this conclusion how we can solve this problem it started in port-au-prince Haiti in October 2010 right after the earthquake that rocked this island nation 250,000 died instantly 1 million more instantly homeless many more will die in are still dying in fact because lack of access to medical care it is truly in apocalypse I'm here volunteering in a hospital run by project manager although it's tiny by our standards it was making massive contributions as Haiti's only functioning trauma hospital at the time the problem with being the only place in the block though is you had to get to the hospital and you had to knock on that door and it was in that kind of neighborhood that it was manned by an armed security guard in a triage nurse and you never know what you may find behind that door in this case it was a flatbed truck full of victims from a nearby car accident and it was at that moment I realized that's why I was part of the problem I was perched in my ivory tower that was a hospital having people come to be people already had so many obstacles that make getting care difficult but making them come to me it's just meaning we couldn't care that much harder in fact it impossible for some and we were fundamentally in the same predicament right here at home living in North America and getting the care you need here is also like an obstacle course you still alternately need to go to see a doctor and that involves waiting on the phone to make your appointment then waiting to get time off work then waiting in Toronto's traffic mageddon I'm sure nothing you've ever seen this before then waiting in that packed waiting room because there's all these coughing patients around you because a doctor like me is really behind I know this because I'm always behind and then our little trick we movie to an exam room where we think that maybe it'll take the heat off yeah here on to the trick and then I tell you to go get some blood tests or some imaging so you have to go wait there and then you have to come back to the same packed waiting room with all the coughing patients to wait for me to discuss those results and it's not over yet you still have to wait for your prescription and then if it's not enough you have to wait for that bill or you have to wait for that battle you're about to wage with your insurance provider for some of the steps that weren't reimbursed unbeknownst to you have you all experienced this before yeah I thought so look I get it I may be a doctor but I'm a patient too I'm often caught swimming upstream trying to get the care that I need just a few months ago in the ER and my wife's in the crowd she will tell you I was a total peach when I was told I'd have to wait six months to see my specialist and the crazy part was I was standing next to a guy who was keeled over in abdominal pain and the nurse came along and said you're gonna have to wait another four hours I shouldn't be laughing but it was just a comical scene and if he's watching I really I do feel your pain and trust me we simply live in an imperfect healthcare system and it's in desperate need of an overhaul but what if you had a dog a digital doctor in the palm of your hand imagine the power of getting the medical advice you need when you need it and I'm not talking about how many steps you take I'm talking about real advice what if all of our elderly and chronically ill could be kept at home with technology that allowed them to age gracefully at home instead of in an institution or in a long-term care facility not surprisingly we're not the only ones that is imagine what the future of medicine could look like many of you may remember dr. McCoy from the hit TV show Star Trek he would use a handheld vice called a tricorder make many diagnoses from the palm of his hand the concept was fifty years ahead of its time well thanks to the XPrize foundation that future could be here now an XPrize is a global competition to inspire independent teams to turn science fiction into reality if many of you know menos X right and if you don't the first XPrize spurred on private human spaceflight now thanks to SpaceX and many other companies we have a multi-billion dollar private space industry well the Qualcomm tricorder X Prize they imagined a future where we had a seamless device that could monitor all your vital signs continuously to the cloud where it could be mined and on top of that it could help you autonomously diagnose a number of different conditions and on top of that it would give you advice and what to do next luckily for me I was asked to lead a Canadian team to vie for an X Prize we started in earnest in October of 2014 so a few years ago and we had 9 months to deliver 30 functioning tricorders you can imagine how insane that was we went we went from 330 companies down to 6 and fortunately for us we are the only Canadians left in the competition well today I'm going to demonstrate our tricorder for you I'd like to introduce you to vitality a virtual digital doctor engineered by cloud DX it's powered by an artificial intelligence and it's designed to help you escape the waiting game [Applause] so I'd like to start by introducing Robert call my co-founder and the CEO and president of cloud DX this is a sidebar he normally does not dress like Steve Jobs he's not him and I want to be it just made the equipment easier so we've all seen what a hospital bed looks like your loved one tethered to the bed monitors hooked up to them in fact some of these monitors and wires make them feel even more miserable so we're not doing our job but how do we enter the Rob from these monitors and just for perspective this equipment costs upwards of fifty thousand dollars just for some of the modern cover the abed is a hundred hundred fifty thousand dollars so as you can see he's putting on our wearable we paid homage to the original trike tricorder by having three components to our device a wearable that he puts it on his neck that monitors all of his vital signs and additionally and there are Robb's vital signs [Applause] it is utilizing multiple sensors to calculate a number of variables that we need in the hospital a heart rate temperature breathing rate continuous blood oxygen levels the electrical rhythm of his heart and on top of that continuous blood pressure this level of physiological monitoring is unprecedented outside of an ICU sunny the blood pressure looks a little elevated what's going on Rob you're doing a TEDx talk but seriously though doctors have never been faced or bombarded with this amount of data we don't even know what to think about this amount of data but what is important is that the vitality system is non-invasive to get continuous blood pressure in an ICU requires that you insert a catheter inside an artery so what can vitality do so say Rob is feeling a bit unwell to say his ears hurt and he has a fever vitality will prompt him through a number of steps without a doctor there without anybody with any level of healthcare sophistication to self diagnosis problem you can see he's holding the spur otoscope device it's in his hand it's now going to pair with the smartphone it's detected yeah we're good to go Rob is now going to use this device to image his inner ear so you can see it's getting a good picture of his inner ear there's no doctor there and now we'll compare that image to stock images and as we evolve will be using automated image recognition to help the diagnosis without his human eye and voila Rob's ears normal by callaloo vitality will now teach Rob what to do next if you did have the condition and given some meaningful actionable advice but now we're gonna bout to show you the most powerful tool this this is amazing now imagine you're at TEDx you have a coffee have a fever you're in Toronto just to provide some perspective we all know that there was an epidemic of respite or epidemic in Toronto a little while ago so Rob is now being prompted to do a cough test you ready we're now analyzing this data the informations going to a cloud where our algorithms and servers are processing this cloud and lo and behold he has a healthy coffee falls into the control group none of the other diagnoses are identified [Applause] the fact of the matter is the ability to detect with sparkly diseases with a simple app on your phone is real it works and we are striving to make it better every day by next year this incredible tool will be just to download a way for over a billion people on this earth it's only the first of our tricorder innovations that we plan to improve and validate and bring to your home and that is how we fundamentally want to change and transform our healthcare is delivered not only in North America but around the globe thank you [Applause] you

3 Comments

  1. Is it available in the United states, is it covered by insurance and how much is it

  2. How much does the device cost?

  3. 💝 Bem interessante. 👍

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