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Posts from the ‘Healthcare’ Category

The First Prescribed Mobile Application Launches

Here is a mobile application that has health implications and is reimbursed by health insurance. With evidence behind the apps, this is how it should work:

“Docs write Rx for App to treat visually impaired children. Treatment and app get reimbursed by statutory health insurance.” This digital health vision is becoming true in Germany these days. Originally developed by University of Dresden, the purely Internet-based Caterna Vision Therapy (www.caterna.de) will be reimbursed by BARMER GEK, a nationwide statutory health insurance with 8.65m Germans insured, in partnership with Ocunet, a nationwide association of eye care centers and practices (www.ocunet.de). Starting 1. April  2014, eye specialists can prescribe a Caterna Vision Therapy.

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My CNN Article: 10 ways technology will save your life in the future

I was invited to write an article about 10 ways technology will save our lives in the future for CNN.com and I was happy to do so. It was featured today on the main page of CNN. I hope you will find it useful. Here is the introduction:

The medical and healthcare sectors are in the midst of rapid change, and it can be difficult to see which new technologies will have a long-lasting impact.

Ideally, the future of healthcare will balance innovative medical technologies with the human touch. Here, I’ve outlined the trends most likely to change our lives, now or in the near future.

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20 Predictions in Medicine And Healthcare for 2014: From DIY Biotech to Mind-Controlled Exoskeletons

Every January, I publish my predictions for the upcoming year regarding medicine and healthcare. Usually, the majority of these predictions turn out to be valid later on, although I prefer calling them apparent trends rather than actual predictions. Here are my 20 points for 2014.

1) Google Glass to be used in everyday healthcare: Google Glass has shown its potentials as demonstrated by forward-thinking medical professionals such as Lucien Engelen, Christian Assad and Rafael Grossmann, even the first clinical study came out focusing on the use of Glass in the clinic in 2013. Prepare to see the first real practical examples in 2014.

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2) IBM Watson’s first commercial use by hospitals: IBM’s supercomputer has been tested by US clinics for months and it has proven its validity and value in medical decision-making processes. The first hospitals that make their doctors understand that Watson does not replace them, instead, it assists them, will buy the service in 2014.

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3) Direct-to-consumer genomics to get new rules: The recent story about the FDA and 23andMe demonstrated how insufficient the regulation around DTC genomic testing is, therefore it is time to come up with standards that only the best services can achieve. By standard I mean the FDA should make sure only companies with deep scientific knowledge and expertise get the permission to perform genomic analysis online. Now it’s certainly not the case.

Close View of a DNA Strand

4) 3D printing artificial limbs and biomaterials goes mainstream: We have already seen some great examples when artificial limbs and different types of biomaterials such as kidney or heart tissues were printed out in 3D but in 2014 this industry becomes mainstream with the first home 3D printers in the market.

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5) The healthcare experience will be brought to the home: See the recently published “doctor chair” that can measure a user’s blood pressure, pulse, temperature, body motion, and other vital signs just by having the user sit in the chair as an example and expect more similar solutions which will, by time, make hospitals almost useless as we will measure everything about ourselves at home.

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6) LEGO Mindstorms to be applied for DIY biotech: The amazing concept behind LEGO Mindstorms that teach you how to build an actual robot at home could be applied to the biotech industry with people growing cells and performing even simpler biotech tasks at home resulting in a new generation of scientists.

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7) Home diagnostics to be the key trend: Not only Scanadu will ship the first prototypes early 2014, but other similar devices with which patients can measure simple health parameters at home will become available.

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8) Wearable MRI technology: What if we could use radiology imaging without those huge machines? A Swiss group has been working on a wearable magnetic resonance imaging (MRI) detector and sensor arrays. It would vanish long waiting lists and allow medical professionals to literally see through the patient in emergency situations.

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9) Optogenetics to be featured at major scientific journals: I’ve been following the latest developments related to optogenetics and I was amazed when scientists were able to create false memories in the hippocampus of mice which was the first time fear memory was generated via artificial means. We might see even more studies that will put its potential implications on display.

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10) Bigger role of MOOCs as medical schools change approach about digital literacy: By the time the majority of medical schools worldwide realize the potential and importance of teaching digital literacy for future medical professionals, we will need more and more massive open online courses such as The Social MEDia Course to serve their needs and train a new generation of doctors.

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11) More connected digital healthcare devices and services: This should be one of the key trends this year as for the last years, we have been seeing plenty of great solutions either as medical devices or unique online services, but the connectivity has been a major issue. John Nosta featured the imperative of connectivity in his recent Forbes column.

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12) The first steps of Google Calico to be public: When Larry Page announced the launch of Calico, their new venture focusing on reversing and stopping the process of aging and related diseases, nobody knew what to expect. They will announce the first steps in 2014 led by the former CEO of life sciences giant Genentech and a chairman at Apple.

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13) EEG controlled devices to appear: There have been little games available on Amazon which let you control a ball with your “mind”, but what about those devices that really use your thoughts to control things? I’ve used myself a wheelchair which was controlled by thoughts and will meet soon the team behind SynetIQ, a platform for neuromarketing.

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14) Exoskeletons will be featured worldwide: We have been talking about the potential use of exoskeletons for disabled people but this year the technology will become available for the masses. Also related to the EEG controlled devices, a mind-controlled exoskeleton will kick off the 2014 football World Cup watched by billions of people.

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15) First really useful food scanners to be released: While there are thousands of wearable devices and smartphone apps focusing on fitness, what about a healthy diet? Using a simple meal diary makes no significant change in a lifestyle. The device of a Toronto-based company, Tellspec, detects allergens, chemicals and nutrients in your food. We could also link such data to our own genomic background to make the truly best diet choices.tellspec-17

16) Gamifying the healthy lifestyle: HapiFork measures whether you eat properly, a smart bra spots cancer in time; FitBit, Shine and hundreds of wearable devices were meant to help us live a healthy life by measuring our health parameters/lifestyle and gamifying the steps required for making positive changes.

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17) Finally remote touch and simpler data input become possible: The technology behind designing touchscreens that can work on any surfaces has made crucial steps in the past 2 years therefore it’s time to make simple data input possible. Omnitouch seems to be a valid player in this area.

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18) Nanotechnology to be included in the medical curriculum: For years, nanotechnology has presented the potentials of using nanotech devices in treating diseases, but as bombing cancer cells and using less invasive diagnostics became possible in 2013, we can expect to see nanotech-based clinical trials soon which also means we must teach students about such solutions..

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19) Decision on newborn genome sequencing to be made: Although the recent FDA vs 23andme debate prolonged this, certain countries (mainly in Asia) might start providing newborn babies with their own genome sequences at birth. The decline of the cost of sequencing and the rise of genome centers in Chine could be the key factors in this.

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20) First results of Ray Kurzweil’s work at Google to be revealed: One of the most exciting collaborations of recent years is Google hiring Kurzweil to create the first artificial intelligence brain. While no details about his actual work have been released so far, 2014 could be the year when they present at least a roadmap, if not real results.

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Saving 170 Billion USD with Health IT: Infographic About Adherence

I recently worked as a consultant for a pharmaceutical company as they asked me to help them create a long-term digital strategy. In this work, I learnt about some new health IT developments and one of them seemed to be very interesting. It aimed at improving adherence through an online system.

They say the world could save 170 billion USD by using their patform based on survey-evidenced results and the estimated nonadherence-related health expenditures. Here is their brief description:

PraxisPlatform developed a proprietary, versatile, fully secure health care ICT platform on which it designs and manages patient adherence management programmes, pharmacy care programmes and non-interventional clinical studies for innovative and generic pharmaceuticals and medical devices. PraxisPlatform currently reaches 120.000 patients, 4.800 physicians and 100 pharmacies in Hungary.

PraxisPlatform has a proven track record of increasing patients’ adherence to medicinal treatment by 70-130 per cent (at 6/12 months) in chronic therapy areas such as hyperlypidaemia (high cholesterol levels), prostatic hyperplasia and breast cancer.

Here is the infographic they came up with (click on the image for larger size)

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I think there are some key conclusions of this:

  • It’s important to develop something that is scalable on many levels.
  • As adherence is a global problem, a locally proven method could work anywhere else.
  • The ICT behind a digital health development must be universal but flexible to local needs.
  • They are also ready to sell the know-how with legal wireframes, not only the service itself.

What do you think about it?

From “Patient to Person” and “From Hospital to Home”

Healthcare should be centered around the patient and the hospital experience should be entirely redesigned. Medical professionals should act as partners with their patients and as patients will measure any health parameters about themselves at home, the process of delivering healthcare will be totally different. Do you think it’s futuristic?

See what the Danish government came up with:

For those not tracking with the ambitious Danish experiment to leverage technology – specifically telemedicine – to restructure their community based and selectively ‘inefficient’ hospital centric delivery system see: ‘Restructuring & modernizing the hospital sector’,  ‘Potential gains from hospital mergers in Denmark‘ or ‘Widespread Adoption of InformationTechnology in Primary Care Physician Offices in Denmark: A Case Study.’

Top 12 Movies About The Future Of Medicine

After I published my white paper, The Guide to the Future of Medicine, the feedback was amazing and I had several really interesting (sometimes mind-blowing) discussions. One of these resulted in the idea of collecting those movies that predict, picture and demonstrate the future of medicine. Feel free to add your choices! Enjoy!

1) Elysium (2013)

A futuristic world where there is no sickness mostly due to the multi-functional radiology machine you can see in the trailer as well. It checks your body in seconds, tells you what disease you have and cures you immediately.

 

2) Gattaca (1997)

This movie demonstrated the dark future of genomics with genomically “inferior” people and what happens if we do not prepare the society for the opportunities and challenges genomics will provide in the future.

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3) Blade Runner (1982)

This Ridley Scott masterpiece analyzes the relationship between people and their bioengineered replicants. How will we live together? Will there be a hierarchy between us? Will there be differences between us?

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4) Brazil (1985)

Terry Gilliam’s film demonstrated the potential side effects of being able to live far longer than before and how people can become addicted to rejuvenating plastic surgery.

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5) Cloud Atlas (2012)

This very unique film shows the use of a real medical tricorder in action. This small device can analyze, spot and detect diseases as well as, obviously, cure them right there. It also discusses the deep philosophical details of using robots and clones for everyday tasks and what our responsibility will be.

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6) A.I. Artificial Intelligence (2001)

This Steven Spielberg film described perfectly what it is going to be like living with robots that look and live just like people but use artificial intelligence. How they will live together with us?

 

7) Eternal Sunshine of the Spotless Mind (2004)

What if we could erase parts from our memories? Or even add new memories? I’m pretty sure the makers of the film did not have optogenetics in mind back then, but now we are truly moving towards an era when these things become possible.

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8) Forbidden Planet (1956)

Yes, this movie was released in 1956 but you should really watch it as it gives a thoughtful picture of the future (and partially today’s world). The key part of the film is that people become capable of augmenting their own intelligence and it leads to serious consequences.

 

9) Inception (2010)

Will we ever be able to upload or download data from our minds? The movie is about the implantation of another person’s idea into someone else’s subconscious. A mind-blowing film.

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10) Prometheus (2012)

With the advancements of robotic interventions in surgery, it is expected that we will be able to develop robots that can perform operations themselves without human supervision or intervention. It was perfectly demonstrated in this sci-fi. The video contains disturbing scenes.

 

11) Robot & Frank (2012)

In an aging society, it is going to be more and more important and challenging to take care of the elderly population. This movie focuses on a robot with artificial intelligence that can do this job in almost a human way.

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12)  The Fifth Element (1997)

You think 3D printing is a trending topic these days? Now that researchers could print out biomaterials such as kidney or liver issue, we might soon print out organs or the whole human body based on the blueprint (DNA) as pictured by this Luc Besson movie.

Why Health Care is So Expensive: Award Winner Infographic

I was checking out the winning entries of the Kantar Information is Beautiful Awards when I came across this infographic focusing on why healthcare is so expensive. Stunning data and data visualization methods. Click on the image for the original size.

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