Eric Dishman: Health care should be a team sport

121,056 views ใƒป 2013-04-11

TED


ืื ื ืœื—ืฅ ืคืขืžื™ื™ื ืขืœ ื”ื›ืชื•ื‘ื™ื•ืช ื‘ืื ื’ืœื™ืช ืœืžื˜ื” ื›ื“ื™ ืœื”ืคืขื™ืœ ืืช ื”ืกืจื˜ื•ืŸ.

00:00
Translator: Joseph Geni Reviewer: Morton Bast
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ืžืชืจื’ื: Or Hazan ืžื‘ืงืจ: Ido Dekkers
00:13
I want to share some personal friends and stories with you
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ืื ื™ ืจื•ืฆื” ืœื—ืœื•ืง ืื™ืชื›ื ื›ืžื” ื—ื‘ืจื™ื ื•ืกื™ืคื•ืจื™ื ืื™ืฉื™ื™ื
00:17
that I've actually never talked about in public before
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ืฉื”ืืžืช ืฉืžืขื•ืœื ืœื ื“ื™ื‘ืจืชื™ ืขืœื™ื”ื ื‘ืคื•ืžื‘ื™ ืœืคื ื™
00:19
to help illustrate the idea
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ื›ื“ื™ ืœืขื–ื•ืจ ืœื”ืžื—ื™ืฉ ืืช ื”ืจืขื™ื•ืŸ
00:21
and the need and the hope
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ื•ืืช ื”ืฆื•ืจืš ื•ื”ืชืงื•ื•ื”
00:23
for us to reinvent our health care system around the world.
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ืฉืœื ื• ืœื”ืžืฆื™ื ืžื—ื“ืฉ ืืช ืžืขืจื›ืช ื”ื‘ืจื™ืื•ืช ืžืกื‘ื™ื‘ ืœืขื•ืœื.
00:26
Twenty-four years ago, I had -- a sophomore in college,
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ืœืคื ื™ 25 ืฉื ื” ื”ื™ื• ืœื™- ืกื˜ื•ื“ื ื˜ ืฉื ื” ืฉื ื™ื™ื” ื‘ืงื•ืœื’',
00:30
I had a series of fainting spells. No alcohol was involved.
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ืกื“ืจืช ื”ืชืขืœืคื•ื™ื•ืช. ืืœื›ื•ื”ื•ืœ ืœื ื”ื™ื” ืžืขื•ืจื‘.
00:33
And I ended up in student health,
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ืžืฆืืชื™ ืืช ืขืฆืžื™ ื‘ืžืจืคืืช ื”ืกื˜ื•ื“ื ื˜ื™ื
00:35
and they ran some labwork and came back right away,
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ื•ื”ื ื”ืจื™ืฆื• ื›ืžื” ื‘ื“ื™ืงื•ืช ืžืขื‘ื“ื” ื•ื—ื–ืจื• ืžื™ื“
00:38
and said, "Kidney problems."
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ื•ืืžืจื• "ื‘ืขื™ื•ืช ื›ืœื™ื•ืช"
00:40
And before I knew it, I was involved and thrown into
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ื•ืœืคื ื™ ืฉืฉืžืชื™ ืœื‘ ื”ื™ื™ืชื™ ืžืขื•ืจื‘ ื•ื ื–ืจืงืชื™ ืœืชื•ืš
00:43
this six months of tests and trials and tribulations
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ืฉื™ืฉื” ื—ื•ื“ืฉื™ื ืฉืœ ื‘ื“ื™ืงื•ืช ื•ื ื™ืกื™ื•ื ื•ืช ื•ืชืœืื•ืช
00:46
with six doctors across two hospitals
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ืขื ืฉื™ืฉื” ืจื•ืคืื™ื ื‘ืฉื ื™ ื‘ืชื™ ื—ื•ืœื™ื
00:49
in this clash of medical titans
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ื‘ืกื•ื’ ืฉืœ "ื”ืชื ื’ืฉื•ืช ื”ื˜ื™ื˜ืื ื™ื ื”ืจืคื•ืื™ื™ื"
00:52
to figure out which one of them was right
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ื›ื“ื™ ืœื”ื‘ื™ืŸ ืžื™ ืžื‘ื™ื ื™ื”ื ืฆื•ื“ืง
00:54
about what was wrong with me.
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ืœื’ื‘ื™ ืžื” ืœื ื‘ืกื“ืจ ืื™ืชื™.
00:56
And I'm sitting in a waiting room some time later for an ultrasound,
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ื•ืื ื™ ื™ื•ืฉื‘ ื‘ื—ื“ืจ ื”ืžืชื ื” ืžืชื™ืฉื”ื• ืื—ืจ ื›ืš ื‘ืฉื‘ื™ืœ ืื•ืœื˜ืจืกืื•ื ื“
01:00
and all six of these doctors actually show up in the room at once,
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ื•ื›ืœ ืฉืฉืช ื”ืจื•ืคืื™ื ื”ื•ืคื™ืขื• ื‘ื—ื“ืจ ื‘ื• ื–ืžื ื™ืช,
01:02
and I'm like, "Uh oh, this is bad news."
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ื•ืื ื™: "ืื•ื™ ืœื, ื–ื” ื—ื“ืฉื•ืช ืจืขื•ืช".
01:07
And their diagnosis was this:
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ื•ื”ืื‘ื—ื ื” ืฉืœื”ื ื”ื™ื™ืชื” ื–ืืช:
01:08
They said, "You have two rare kidney diseases
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ื”ื ืืžืจื•: "ื™ืฉ ืœืš ืฉืชื™ ืžื—ืœื•ืช ื›ืœื™ื•ืช ื ื“ื™ืจื•ืช
01:10
that are going to actually destroy your kidneys eventually,
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ืฉื”ื•ืœื›ื•ืช ืœื”ืจื•ืก ืืช ื”ื›ืœื™ื•ืช ืฉืœืš ื‘ืกื•ืคื• ืฉืœ ื“ื‘ืจ.
01:13
you have cancer-like cells in your immune system
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ื™ืฉ ืœืš ืชืื™ื ื“ืžื•ื™ื™ ืกืจื˜ืŸ ื‘ืžืขืจื›ืช ื”ื—ื™ืกื•ื ื™ืช ืฉืœืš
01:15
that we need to start treatment right away,
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ื›ืš ืฉืื ื—ื ื• ืฆืจื™ื›ื™ื ืœื”ืชื—ื™ืœ ื‘ื˜ื™ืคื•ืœื™ื ืžื™ื“
01:17
and you'll never be eligible for a kidney transplant,
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ื•ืืชื” ืœืขื•ืœื ืœื ืชื”ื™ื” ื–ื›ืื™ ืœื”ืฉืชืœืช ื›ืœื™ื”
01:20
and you're not likely to live more than two or three years."
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ื•ืœื ืกื‘ื™ืจ ืฉืชื—ื™ื” ื™ื•ืชืจ ืžืฉื ืชื™ื™ื ืื• ืฉืœื•ืฉ"
01:23
Now, with the gravity of this doomsday diagnosis,
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ืขื›ืฉื™ื•, ืขื ื”ื›ื‘ื™ื“ื” ื”ื–ื• ืฉืœ ืื‘ื—ื ืช ื™ื•ื ื”ื“ื™ืŸ
01:26
it just sucked me in immediately,
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ื–ื” ืคืฉื•ื˜ ืฉืื‘ ืื•ืชื™ ืคื ื™ืžื” ืžื™ื™ื“ื™ืช.
01:29
as if I began preparing myself as a patient
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ื›ืื™ืœื• ื”ืชื—ืœืชื™ ืœื”ื›ื™ืŸ ืืช ืขืฆืžื™ ื›ืžื˜ื•ืคืœ
01:31
to die according to the schedule that they had just given to me,
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ืœืžื•ืช ืขืœ ืคื™ ื”ืœื•"ื– ืฉื”ื ื”ืจื’ืข ื ืชื ื• ืœื™.
01:35
until I met a patient named Verna in a waiting room,
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ืขื“ ืฉืคื’ืฉืชื™ ืžื˜ื•ืคืœืช ื‘ืฉื ื•ืจื ื” ื‘ื—ื“ืจ ื”ื”ืžืชื ื”
01:38
who became a dear friend, and she grabbed me one day
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ืฉื”ืคื›ื” ืœื—ื‘ืจื” ื™ืงืจื”. ื•ื”ื™ื ืชืคืกื” ืื•ืชื™ ื™ื•ื ืื—ื“
01:40
and took me off to the medical library
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ื•ืœืงื—ื” ืื•ืชื™ ืœืกืคืจื™ื™ื” ื”ืจืคื•ืื™ืช
01:42
and did a bunch of research on these diagnoses and these diseases,
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ื•ืขืฉืชื” ืงืฆืช ืžื—ืงืจ ืขืœ ื”ืื‘ื—ื ื•ืช ื”ืืœื” ื•ื”ืžื—ืœื•ืช ื”ืืœื”
01:45
and said, "Eric, these people who get this
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ื•ืืžืจื” "ืืจื™ืง, ื”ืื ืฉื™ื ื”ืืœื” ืฉื—ื•ืœื™ื ื‘ื–ื”
01:48
are normally in their '70s and '80s.
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ื”ื ื‘ื“ืจืš ื›ืœืœ ื‘ืฉื ื•ืช ื”70 ื•ื”80 ืฉืœื”ื.
01:49
They don't know anything about you. Wake up.
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ื”ื ืœื ื™ื•ื“ืขื™ื ืขืœื™ื™ืš ืฉื•ื ื“ื‘ืจ. ืชืชืขื•ืจืจ.
01:53
Take control of your health and get on with your life."
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ืงื— ืฉืœื™ื˜ื” ืขืœ ื”ื‘ืจื™ืื•ืช ืฉืœืš ื•ืชืžืฉื™ืš ื‘ื—ื™ื™ื ืฉืœืš".
01:56
And I did.
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ื•ืขืฉื™ืชื™ ื–ืืช.
01:57
Now, these people making these proclamations to me
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ืขื›ืฉื™ื•, ื”ืื ืฉื™ื ื”ืืœื• ืฉืขืฉื• ืืช ื”ื”ืฆื”ืจื•ืช ื”ืืœื• ื‘ืคื ื™ื™
02:00
were not bad people.
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ืœื ื”ื™ื• ืื ืฉื™ื ืจืขื™ื.
02:01
In fact, these professionals were miracle workers,
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ืœืžืขืฉื”, ืื ืฉื™ ื”ืžืงืฆื•ืข ื”ืืœื• ื”ื™ื• ืžื—ื•ืœืœื™ ื ื™ืกื™ื.
02:03
but they're working in a flawed, expensive system that's set up the wrong way.
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ืื‘ืœ ื”ื ืขื•ื‘ื“ื™ื ื‘ืžืขืจื›ืช ืคื’ื•ืžื” ื•ื™ืงืจื” ืฉื‘ื ื•ื™ื” ื‘ืฆื•ืจื” ืฉื’ื•ื™ื”.
02:08
It's dependent on hospitals and clinics for our every care need.
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ื”ื™ื ืžืกืชืžื›ืช ืขืœ ื‘ืชื™ ื—ื•ืœื™ื ื•ืžืจืคืื•ืช ืœื›ืœ ืฆื•ืจืš ืจืคื•ืื™ ืฉืœื ื•
02:11
It's dependent on specialists who just look at parts of us.
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ื”ื™ื ืžืกืชืžื›ืช ืขืœ ืžื•ืžื—ื™ื ืฉืžืกืชื›ืœื™ื ืจืง ืขืœ ื—ืœืงื™ื ื‘ื ื•.
02:14
It's dependent on guesswork of diagnoses and drug cocktails,
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ื”ื™ื ืžืกืชืžื›ืช ืขืœ ื ื™ื—ื•ืฉื™ื ื‘ืื‘ื—ื ื•ืช ื•ืชืขืจื•ื‘ื•ืช ืชืจื•ืคื•ืช
02:18
and so something either works or you die.
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ื›ืš ืฉืื• ืฉื–ื” ืขื•ื‘ื“ ืื• ืฉืืชื” ืžืช.
02:21
And it's dependent on passive patients
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ื•ื”ื™ื ืžืกืชืžื›ืช ืขืœ ืžื˜ื•ืคืœื™ื ืคืืกื™ื‘ื™ื™ื
02:25
who just take it and don't ask any questions.
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ืฉืจืง ืžืงื‘ืœื™ื ืืช ื–ื” ื•ืœื ืฉื•ืืœื™ื ืฉื•ื ืฉืืœื•ืช.
02:29
Now the problem with this model
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ืขื›ืฉื™ื•, ื”ื‘ืขื™ื” ืขื ื”ืžื•ื“ืœ ื”ื–ื”
02:31
is that it's unsustainable globally.
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ื”ื•ื ืฉืœื ื™ื›ื•ืœ ืœื”ืชืงื™ื™ื ื’ืœื•ื‘ืœื™ืช,
02:33
It's unaffordable globally.
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ื”ื•ื ืœื ื ื™ืชืŸ ืœืžื™ืžื•ืŸ ื’ืœื•ื‘ืœื™ืช.
02:35
We need to invent what I call a personal health system.
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ืื ื—ื ื• ืฆืจื™ื›ื™ื ืœื”ืžืฆื™ื ืžื” ืฉืื ื™ ืžื›ื ื” : ืžืขืจื›ืช ื‘ืจื™ืื•ืช ืื™ืฉื™ืช.
02:38
So what does this personal health system look like,
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ืื– ืื™ืš ืžืขืจื›ืช ื”ื‘ืจื™ืื•ืช ื”ืื™ืฉื™ืช ื”ื–ืืช ื ืจืื™ืช,
02:41
and what new technologies and roles is it going to entail?
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ื•ืื™ืœื• ื˜ื›ื ื•ืœื•ื’ื™ื•ืช ื•ืชืคืงื™ื“ื™ื ื—ื“ืฉื™ื ื”ื™ื ื”ื•ืœื›ืช ืœื›ืœื•ืœ?
02:46
Now, I'm going to start by actually sharing with you
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ืขื›ืฉื™ื•, ืื ื™ ืืชื—ื™ืœ ื‘ืœื—ืœื•ืง ืืชื›ื
02:48
a new friend of mine, Libby,
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ื—ื‘ืจ ื—ื“ืฉ ืฉืœื™- ืœื™ื‘ื™
02:50
somebody I've become quite attached to over the last six months.
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ืžื™ืฉื”ื• ืฉื“ื™ ื ืงืฉืจืชื™ ืืœื™ื• ื‘ืฉืฉืช ื”ื—ื•ื“ืฉื™ื ื”ืื—ืจื•ื ื™ื
02:53
This is Libby, or actually, this is an ultrasound image of Libby.
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ื–ื”ื• ืœื™ื‘ื™, ืื• ื™ื•ืชืจ ื ื›ื•ืŸ, ื–ื”ื• ืชืžื•ื ืช ืื•ืœื˜ืจืกืื•ื ื“ ืฉืœ ืœื™ื‘ื™
02:56
This is the kidney transplant I was never supposed to have.
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ื–ื•ื”ื™ ื”ืฉืชืœืช ื”ื›ืœื™ื” ืฉืžืขื•ืœื ืœื ื”ื™ื™ืชื” ืืžื•ืจื” ืœื”ื™ื•ืช ืœื™.
02:59
Now, this is an image that we shot a couple of weeks ago for today,
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ืขื›ืฉื™ื•, ื–ื•ื”ื™ ืชืžื•ื ื” ืฉืฆื™ืœืžื ื• ืœืคื ื™ ื›ืžื” ืฉื‘ื•ืขื•ืช ื‘ืฉื‘ื™ืœ ื”ื™ื•ื,
03:03
and you'll notice, on the edge of this image,
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ื•ืชืฉื™ืžื• ืœื‘ ื‘ืงืฆื” ืฉืœ ื”ืชืžื•ื ื”
03:05
there's some dark spots there, which was really concerning to me.
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ื™ืฉ ื›ืžื” ื ืงื•ื“ื•ืช ื›ื”ื•ืช ืฉืžืžืฉ ื”ื“ืื™ื’ื• ืื•ืชื™.
03:08
So we're going to actually do a live exam
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ืื– ืื ื—ื ื• ื”ื•ืœื›ื™ื ืœืขืฉื•ืช ื‘ื“ื™ืงื” ื‘ื–ืžืŸ ืืžืช
03:11
to sort of see how Libby's doing.
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ื›ื“ื™ ืกื•ื’ ืฉืœ ืœืจืื•ืช ืžื” ืžืฆื‘ื• ืฉืœ ืœื™ื‘ื™
03:12
This is not a wardrobe malfunction. I have to take my belt off here.
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ื–ื• ืœื ืชืงืœืช ืžืœืชื—ื”, ืื ื™ ืฆืจื™ืš ืœื”ื•ืจื™ื“ ืืช ื”ื—ื’ื•ืจื” ื›ืืŸ
03:15
Don't you in the front row worry or anything.
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ืืœ ืชื“ืื’ื• ืฉื ื‘ืฉื•ืจื” ื”ืจืืฉื•ื ื” ืื• ืžืฉื”ื•
03:17
(Laughter)
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(ืฆื—ื•ืง)
03:18
I'm going to use a device from a company called Mobisante.
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ืื ื™ ื”ื•ืœืš ืœื”ืฉืชืžืฉ ื‘ืžื›ืฉื™ืจ ืžื—ื‘ืจื” ืฉื ืงืจืืช ืžื•ื‘ื™ืกื ื˜ื” (Mobisante)
03:22
This is a portable ultrasound.
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ื–ื”ื• ืื•ืœื˜ืจืกืื•ื ื“ ื ื™ื™ื“
03:23
It can plug into a smartphone. It can plug into a tablet.
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ื–ื” ื™ื›ื•ืœ ืœื”ืชื—ื‘ืจ ืœืกืžืืจื˜ืคื•ืŸ, ื–ื” ื™ื›ื•ืœ ืœื”ืชื—ื‘ืจ ืœื˜ืื‘ืœื˜
03:26
Mobisante is up in Redmond, Washington,
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ืžื•ื‘ื™ืกื ื˜ื” ื ืžืฆืืช ื‘ืจื“ืžื•ื ื“, ื•ื•ืฉื™ื ื’ื˜ื•ืŸ
03:28
and they kindly trained me to actually do this on myself.
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ื•ื”ื ื‘ืื“ื™ื‘ื•ืชื ืื™ืžื ื• ืื•ืชื™ ืœืขืฉื•ืช ืืช ื–ื” ื‘ืขืฆืžื™
03:32
They're not approved to do this. Patients are not approved to do this.
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ื”ื ืœื ืžื•ืกืžื›ื™ื ืœืขืฉื•ืช ืืช ื–ื”, ืžื˜ื•ืคืœื™ื ืื™ื ื ืžื•ืกืžื›ื™ื ืœืขืฉื•ืช ืืช ื–ื”
03:34
This is a concept demo, so I want to make that clear.
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ื–ื•ื”ื™ ื”ื“ื’ืžืช ื”ืจืขื™ื•ืŸ, ืื ื™ ืจืง ืจื•ืฆื” ืœื”ื‘ื”ื™ืจ.
03:37
All right, I gotta gel up.
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ืื•ืงื™ื™, ืื ื™ ืฆืจื™ืš ืœื”ืžืจื— ื‘ื’'ืœ
03:38
Now the people in the front row are very nervous. (Laughter)
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ืขื›ืฉื™ื• ื”ืื ืฉื™ื ื‘ืฉื•ืจื” ื”ืจืืฉื•ื ื” ืžืื•ื“ ืœื—ื•ืฆื™ื (ืฆื—ื•ืง)
03:42
And I want to actually introduce you to Dr. Batiuk,
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ื•ืื ื™ ืจื•ืฆื” ืœื”ื›ื™ืจ ืœื›ื ืืช ื“"ืจ ื‘ื˜ื™ื•ืง
03:46
who's another friend of mine.
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ืฉื”ื•ื ืขื•ื“ ื—ื‘ืจ ืฉืœื™
03:48
He's up in Legacy Good Samaritan Hospital in Portland, Oregon.
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ื”ื•ื ื ืžืฆื ื‘ื‘ื™ืช ื”ื—ื•ืœื™ื "ืžื•ืจืฉืช ื”ืฉื•ืžืจื•ื ื™ ื”ื˜ื•ื‘" (Legacy Good Samaritan) ื‘ืคื•ืจื˜ืœื ื“, ืื•ืจื’ื•ืŸ.
03:52
So let me just make sure. Hey, Dr. Batiuk. Can you hear me okay?
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ืื– ืชื ื• ืœื™ ืจืง ืœื•ื•ื“ื: ื”ื™ื™ ื“"ืจ ื‘ื˜ื™ื•ืง. ืืชื” ืžืฆืœื™ื— ืœืฉืžื•ืข ืื•ืชื™ ื˜ื•ื‘?
03:55
And actually, can you see Libby?
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ื•ืืชื” ื™ื›ื•ืœ ืœืจืื•ืช ืืช ืœื™ื‘ื™?
03:57
Thomas Batuik: Hi there, Eric.
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ื“"ืจ ื‘ื˜ื™ื•ืง: ื”ื™ื™ ืืจื™ืง
03:58
You look busy. How are you?
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ืืชื” ื ืจืื” ืขืกื•ืง. ืžื” ืฉืœื•ืžืš?
04:00
Eric Dishman: I'm good. I'm just taking my clothes off
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ืืจื™ืง: ืื ื™ ื‘ืกื“ืจ, ืื ื™ ืคืฉื•ื˜ ืžื•ืจื™ื“ ืืช ื”ื‘ื’ื“ื™ื ืฉืœื™
04:02
in front of a few hundred people. It's wonderful.
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ืžื•ืœ ื›ืžื” ืžืื•ืช ืื ืฉื™ื. ื–ื” ื ืคืœื.
04:05
So I just wanted to see, is this the image you need to get?
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ืื– ืจืง ืจืฆื™ืชื™ ืœืจืื•ืช, ื”ืื ื–ืืช ื”ืชืžื•ื ื” ืฉืืชื” ืฆืจื™ืš ืœืงื‘ืœ?
04:10
And I know you want to look and see if those spots are still there.
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ืื ื™ ื™ื•ื“ืข ืฉืืชื” ืจื•ืฆื” ืœื”ืกืชื›ืœ ื•ืœืจืื•ืช ืื ื”ื›ืชืžื™ื ื”ืืœื• ืขื“ื™ื™ืŸ ืฉื.
04:13
TB: Okay. Well let's scan around a little bit here,
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ื“"ืจ ื‘ื˜ื™ื•ืง: ืื•ืงื™ื™, ื‘ื•ื ื ืกืจื•ืง ื›ืืŸ ืงืฆืช ืžืกื‘ื™ื‘
04:16
give me a lay of the land.
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ืชืŸ ืœื™ ืชืžื•ื ืช ืžืฆื‘
04:17
ED: All right.TB: Okay. Turn it a little bit inside,
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ืืจื™ืง: ืื•ืงื™ื™ ื“"ืจ: ืชืคื ื” ืื•ืชื• ื˜ื™ืคื” ืคื ื™ืžื”
04:21
a little bit toward the middle for me.
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ื˜ื™ืคื” ื›ืœืคื™ ื”ืืžืฆืข ื‘ืฉื‘ื™ืœื™
04:23
Okay, that's good. How about up a little bit?
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ืื•ืงื™ื™, ื–ื” ื˜ื•ื‘. ืžื” ืœื’ื‘ื™ ืงืฆืช ืœืžืขืœื”?
04:28
Okay, freeze that image. That's a good one for me.
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ืื•ืงื™ื™. ืชืงืคื™ื ืืช ื”ืชืžื•ื ื” ื”ื–ื•. ื–ืืช ืื—ืช ื˜ื•ื‘ื” ื‘ืฉื‘ื™ืœื™.
04:31
ED: All right. Now last week, when I did this,
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ืืจื™ืง: ื‘ืกื“ืจ. ืขื›ืฉื™ื•, ื‘ืฉื‘ื•ืข ืฉืขื‘ืจ ื›ืฉืขืฉื™ืชื™ ืืช ื–ื”
04:34
you had me measure that spot to the right.
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ื‘ื™ืงืฉืช ืžืžื ื™ ืœืžื“ื•ื“ ืืช ื”ื›ืชื ื”ื–ื” ืžื™ืžื™ืŸ
04:37
Should I do that again?
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ืœืขืฉื•ืช ืืช ื–ื” ืฉื•ื‘?
04:38
TB: Yeah, let's do that.
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ื“"ืจ: ื›ืŸ, ื‘ื•ื ื ืขืฉื” ืืช ื–ื”.
04:39
ED: All right. This is kind of hard to do
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ื‘ืกื“ืจ. ื“ื™ ืงืฉื” ืœืขืฉื•ืช ืืช ื–ื”
04:43
with one hand on your belly and one hand on measuring,
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ื™ื“ ืื—ืช ืขืœ ื”ื‘ื˜ืŸ ื•ื™ื“ ืื—ืช ืžื•ื“ื“ืช
04:45
but I've got it, I think,
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ืื‘ืœ ืื ื™ ืืฆืœื™ื—, ืื ื™ ื—ื•ืฉื‘
04:46
and I'll save that image and send it to you.
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ื•ืื ื™ ืืฉืžื•ืจ ืืช ื”ืชืžื•ื ื” ื”ื–ืืช ื•ืืฉืœื— ืื•ืชื” ืืœื™ืš.
04:49
So tell me a little bit about what this dark spot means.
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ืื– ืชืกืคืจ ืœื™ ืงืฆืช ืœื’ื‘ื™ ืžื” ื”ื›ืชื ื”ื›ื”ื” ื”ื–ื” ืื•ืžืจ.
04:51
It's not something I was very happy about.
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ื–ื” ืœื ืžืฉื”ื• ืฉื”ื™ื™ืชื™ ืžืื•ื“ ืฉืžื— ืœื’ื‘ื™ื•.
04:53
TB: Many people after a kidney transplant
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ื“"ืจ: ื”ืจื‘ื” ืื ืฉื™ื ืื—ืจื™ ื”ืฉืชืœืช ื›ืœื™ื”
04:55
will develop a little fluid collection around the kidney.
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ื™ืคืชื—ื• ืžืื’ืจ ื ื•ื–ืœื™ื ืงื˜ืŸ ืžืกื‘ื™ื‘ ืœื›ืœื™ื”
04:58
Most of the time it doesn't create any kind of mischief,
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ืจื•ื‘ ื”ื–ืžืŸ ื–ื” ืœื ื’ื•ืจื ืœืฉื•ื ืกื•ื’ ืฉืœ ื”ืคืจืขื”
05:02
but it does warrant looking at,
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ืื‘ืœ ื–ื” ืœื ืžื–ื™ืง ืœื”ืกืชื›ืœ ืขืœื™ื•
05:04
so I'm happy we've got an opportunity to look at it today,
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ืื– ืื ื™ ืฉืžื— ืฉื™ืฉ ืœื ื• ื”ื–ื“ืžื ื•ืช ืœื”ืกืชื›ืœ ืขืœ ื–ื” ื”ื™ื•ื
05:07
make sure that it's not growing, it's not creating any problems.
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ื•ืœื•ื•ื“ื ืฉื–ื” ืœื ื’ื“ืœ, ื•ืœื ื™ื•ืฆืจ ืฉื•ื ื‘ืขื™ื•ืช.
05:10
Based on the other images we have,
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ื‘ื”ืชื‘ืกืก ืขืœ ืฉืืจ ื”ืชืžื•ื ื•ืช ืฉื™ืฉ ืœื ื•
05:12
I'm really happy how it looks today.
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ืื ื™ ืžืื•ื“ ืžืจื•ืฆื” ืžืื™ืš ืฉื–ื” ื ืจืื” ื”ื™ื•ื.
05:15
ED: All right. Well, I guess we'll double check it when I come in.
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ืืจื™ืง: ื‘ืกื“ืจ, ืื– ืื ื™ ืžื ื™ื— ืฉื ื‘ื“ื•ืง ืืช ื–ื” ืฉื•ื‘ ื›ืฉืื ื™ ืื’ื™ืข
05:17
I've got my six month biopsy in a couple of weeks,
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ื™ืฉ ืœื™ ืืช ื”ื‘ื™ื•ืคืกื™ื” ืฉืœ ื”ืฉื™ืฉื” ื—ื•ื“ืฉื™ื ื‘ืขื•ื“ ื›ืžื” ืฉื‘ื•ืขื•ืช
05:20
and I'm going to let you do that in the clinic,
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ื•ืื ื™ ื”ื•ืœืš ืœืชืช ืœืš ืœืขืฉื•ืช ืืช ื–ื” ื‘ืžืจืคืื”
05:21
because I don't think I can do that one on myself.
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ื›ื™ ืื ื™ ืœื ื—ื•ืฉื‘ ืฉืื ื™ ืื•ื›ืœ ืœืขืฉื•ืช ืืช ื–ื” ื‘ืขืฆืžื™.
05:24
TB: Good choice.ED: All right, thanks, Dr. Batiuk.
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ื“"ืจ: ื‘ื—ื™ืจื” ื˜ื•ื‘ื”. ืืจื™ืง: ืื•ืงื™ื™, ืชื•ื“ื” ื“"ืจ ื‘ื˜ื™ื•ืง.
05:26
All right. So what you're sort of seeing here
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ืื•ืงื™ื™, ืื– ืžื” ืฉืืชื ืกื•ื’ ืฉืœ ื™ื›ื•ืœื™ื ืœืจืื•ืช ื›ืืŸ
05:28
is an example of disruptive technologies,
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ื–ื• ื“ื•ื’ืžื ืœื˜ื›ื ื•ืœื•ื’ื™ื•ืช ืคื•ืจืฆื•ืช ื“ืจืš
05:31
of mobile, social and analytic technologies.
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ืœื˜ื›ื ื•ืœื•ื’ื™ื•ืช ื ื™ื™ื“ื•ืช, ื—ื‘ืจืชื™ื•ืช ื•ืžื ืชื—ื•ืช.
05:34
These are the foundations of what's going to make personal health possible.
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ืืœื• ื”ื ื”ื™ืกื•ื“ื•ืช ืฉืœ ืžื” ืฉื”ื•ืœืš ืœื”ืคื•ืš ืืช ื”ื‘ืจื™ืื•ืช ื”ืื™ืฉื™ืช ืœืืคืฉืจื™ืช.
05:37
Now there's really three pillars
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ืขื›ืฉื™ื• ื™ืฉ ืœืžืขืฉื” ืฉืœื•ืฉื” ืขืžื•ื“ื™ ืชื•ื•ืš
05:39
of this personal health I want to talk to you about now,
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ืœื‘ืจื™ืื•ืช ื”ืื™ืฉื™ืช ืฉืื ื™ ืจื•ืฆื” ืœื“ื‘ืจ ืืชื›ื ืขืœื™ื”ื ืขื›ืฉื™ื•
05:41
and it's care anywhere, care networking and care customization.
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ื•ื”ื: ืฉื™ืจื•ืชื™ื ื‘ื›ืœ ืžืงื•ื, ืฉื™ืจื•ืชื™ื ืžืจื•ืฉืชื™ื ื•ืฉื™ืจื•ืชื™ื ืžื•ืชืืžื™ื ืื™ืฉื™ืช
05:45
And you just saw a little bit of the first two
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ื•ื”ืจื’ืข ืจืื™ืชื ืงืฆืช ืžืฉื ื™ ื”ืจืืฉื•ื ื™ื
05:47
with my interaction with Dr. Batiuk.
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ื‘ืื™ื ื˜ืจืืงืฆื™ื” ืฉืœื™ ืขื ื“"ืจ ื‘ื˜ื™ื•ืง.
05:48
So let's start with care anywhere.
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ืื– ื‘ื•ืื• ื ืชื—ื™ืœ ื‘ืฉื™ืจื•ืชื™ื ื‘ื›ืœ ืžืงื•ื
05:51
Humans invented the idea of hospitals and clinics
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ื‘ื ื™ ื”ืื“ื ื”ืžืฆื™ืื• ืืช ื”ืจืขื™ื•ืŸ ืฉืœ ื‘ืชื™ ื—ื•ืœื™ื ื•ืžืจืคืื•ืช
05:54
in the 1780s. It is time to update our thinking.
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ื‘ืฉื ื•ืช ื”1780. ื”ื’ื™ืข ื”ื–ืžืŸ ืœืขื“ื›ืŸ ืืช ื”ื—ืฉื™ื‘ื” ืฉืœื ื•
05:58
We have got to untether clinicians and patients
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ืื ื—ื ื• ื—ื™ื™ื‘ื™ื ืœื’ืจื•ื ืœืงืœื™ื ืื™ื ื•ืžื˜ื•ืคืœื™ื ืœื”ืฉืชื—ืจืจ
06:01
from the notion of traveling to a special
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ืžื”ืจืขื™ื•ืŸ ืฉืœ ื ืกื™ืขื”
06:04
bricks-and-mortar place for all of our care,
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ืœืžื‘ื ื” ืžื™ื•ื—ื“ ืœื›ืœ ื”ืฉื™ืจื•ืชื™ื ืฉืœื ื•
06:06
because these places are often the wrong tool,
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ื›ื™ ื”ืžืงื•ืžื•ืช ื”ืืœื• ื”ื ืœืขื™ืชื™ื ื”ื›ืœื™ ื”ืœื ื ื›ื•ืŸ
06:09
and the most expensive tool, for the job.
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ื•ื”ื›ืœื™ ื”ื™ืงืจ ื‘ื™ื•ืชืจ, ืœืฆื•ืจืš ื”ืžืฉื™ืžื”.
06:11
And these are sometimes unsafe places to send our sickest patients,
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ื•ืืœื• ืœืขื™ืชื™ื ืžืงื•ืžื•ืช ืœื ื‘ื˜ื•ื—ื™ื ืœืฉืœื•ื— ืืœื™ื”ื ืืช ื”ืžื˜ื•ืคืœื™ื ื”ื—ื•ืœื™ื ื‘ื™ื•ืชืจ ืฉืœื ื•
06:15
especially in an era of superbugs
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ื‘ื™ื™ื—ื•ื“ ื‘ืขื™ื“ืŸ ืฉืœ ื—ืจืงื™ื ืขืžื™ื“ื™ื ื‘ืื ื˜ื™ื‘ื™ื•ื˜ื™ืงื”
06:17
and hospital-acquired infections.
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ื•ื–ื™ื”ื•ืžื™ื ืฉื ื•ืฆืจื• ื‘ื‘ืชื™ ื”ื—ื•ืœื™ื.
06:19
And many countries are going to go brickless from the start
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ื•ื”ืžื•ืŸ ืžื“ื™ื ื•ืช ื”ืŸ ื—ืกืจื•ืช ืžื‘ื ื™ื ืžืœื›ืชื—ื™ืœื”
06:22
because they're never going to be able to afford
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ื›ื™ ื”ืŸ ืœืขื•ืœื ืœื ื™ื•ื›ืœื• ืœืžืžืŸ
06:24
the mega-medicalplexes that a lot of the rest of the world has built.
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ืืช ืžื‘ื ื™ ื”ืขื ืง ื”ืจืคื•ืื™ื™ื ืฉืฉืืจ ื”ืขื•ืœื ื‘ื ื”.
06:28
Now I personally learned that hospitals
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ืขื›ืฉื™ื•, ืื ื™ ืื™ืฉื™ืช ืœืžื“ืชื™ ืฉื‘ืชื™ ื—ื•ืœื™ื
06:31
can be a very dangerous place at a young age.
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ื™ื›ื•ืœื™ื ืœื”ื™ื•ืช ืžืงื•ื ืžืื•ื“ ืžืกื•ื›ืŸ ื‘ื’ื™ืœ ืฆืขื™ืจ
06:34
This was me in third grade.
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ื–ื” ื”ื™ื™ืชื™ ืื ื™ ื‘ื›ื™ืชื” ื’'
06:35
I broke my elbow very seriously, had to have surgery,
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ืฉื‘ืจืชื™ ืืช ื”ืžืจืคืง ืฉืœื™ ืžืื•ื“ ืงืฉื”, ื”ื™ื™ืชื™ ืฆืจื™ืš ืœืขื‘ื•ืจ ื ื™ืชื•ื—
06:38
worried that they were going to actually lose the arm.
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ื—ื•ืฉืฉ ืฉื”ื ืื•ืœื™ ื™ืื‘ื“ื• ืืช ื”ื–ืจื•ืข
06:40
Recovering from the surgery in the hospital, I get bedsores.
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ื‘ื”ื—ืœืžื” ืžื”ื ื™ืชื•ื— ื‘ื‘ื™ืช ื”ื—ื•ืœื™ื ื—ื˜ืคืชื™ ืคืฆืขื™ ืœื—ืฅ
06:43
Those bedsores become infected,
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ืคืฆืขื™ ื”ืœื—ืฅ ื”ื–ื“ื”ืžื•
06:45
and they give me an antibiotic which I end up being allergic to,
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ื•ื”ื ื ืชื ื• ืœื™ ืื ื˜ื™ื‘ื™ื•ื˜ื™ืงื” ืฉืžืฆืืชื™ ืืช ืขืฆืžื™ ืืœืจื’ื™ ืืœื™ื”
06:48
and now my whole body breaks out,
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ื•ืขื›ืฉื™ื• ื›ืœ ื”ื’ื•ืฃ ืฉืœื™ ืงื•ืจืก
06:50
and now all of those become infected.
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ื•ืขื›ืฉื™ื• ื›ืœ ืืœื” ื”ื•ืคื›ื™ื ืœืžื–ื•ื”ืžื™ื.
06:53
The longer I stayed in the hospital, the sicker I became,
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ื›ื›ืœ ืฉื ืฉืืจืชื™ ื™ื•ืชืจ ื‘ื‘ื™ืช ื”ื—ื•ืœื™ื ื”ืคื›ืชื™ ืœื—ื•ืœื” ื™ื•ืชืจ
06:55
and the more expensive it became,
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ื•ื–ื” ื”ืคืš ืœื™ืงืจ ื™ื•ืชืจ
06:57
and this happens to millions of people around the world every year.
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ื•ื–ื” ืงื•ืจื” ืœืžื™ืœื™ื•ื ื™ ืื ืฉื™ื ื‘ื›ืœ ื”ืขื•ืœื ื‘ื›ืœ ืฉื ื”.
07:00
The future of personal health that I'm talking about
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ื”ืขืชื™ื“ ืฉืœ ื”ื‘ืจื™ืื•ืช ื”ืื™ืฉื™ืช ืฉืื ื™ ืžื“ื‘ืจ ืขืœื™ื”
07:03
says care must occur at home as the default model,
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ืื•ืžืจ ืฉื”ืฉื™ืจื•ืชื™ื ื—ื™ื™ื‘ื™ื ืœื”ื™ื•ืช ื‘ื‘ื™ืช ื›ืžื•ื“ืœ ื‘ืจื™ืจืช ื”ืžื—ื“ืœ
07:07
not in a hospital or clinic.
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ืœื ื‘ื‘ื™ืช ื—ื•ืœื™ื ืื• ืžืจืคืื”.
07:09
You have to earn your way into those places
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ืืชื” ื—ื™ื™ื‘ ืœื”ืจื•ื•ื™ื— ืืช ื“ืจื›ืš ืœืžืงื•ืžื•ืช ื”ืืœื•
07:10
by being sick enough to use that tool for the job.
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ืขืœ ื™ื“ื™ ืœื”ื™ื•ืช ื—ื•ืœื” ืžืกืคื™ืง ื›ื“ื™ ืœื”ืฉืชืžืฉ ื‘ื›ืœื™ ื”ื–ื” ืœืžืฉื™ืžื”.
07:14
Now the smartphones that we're already carrying
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ืขื›ืฉื™ื• ื”ืกืžืืจื˜ืคื•ื ื™ื ืฉืื ื—ื ื• ื›ื‘ืจ ื ื•ืฉืื™ื
07:16
can clearly have diagnostic devices like ultrasounds plugged into them,
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ื™ื›ื•ืœื™ื ืœืœื ืกืคืง ืœื”ื›ื™ืœ ืžื›ืฉื™ืจื™ื ืžืื‘ื—ื ื™ื ื›ืžื• ืื•ืœื˜ืจืกืื•ื ื“ ืฉืžื—ื•ื‘ืจ ืืœื™ื”ื
07:19
and a whole array of others, today,
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ื•ืžื’ื•ื•ืŸ ืฉืœื ืฉืœ ืื—ืจื™ื ื”ื™ื•ื
07:22
and as sensing is built into these,
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ื•ื›ืฉื—ื™ืฉื” ืชื”ื™ื” ืžื•ื‘ื ื™ืช ื‘ื”ื
07:23
we'll be able to do vital signs monitor
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ื ื”ื™ื” ืžืกื•ื’ืœื™ื ืœืขืฉื•ืช ืžื•ื ื™ื˜ื•ืจ ืกื™ืžื ื™ื ื—ื™ื•ื ื™ื™ื
07:25
and behavioral monitoring like we've never had before.
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ื•ื ื™ื˜ื•ืจ ื”ืชื ื”ื’ื•ืชื™ ื›ืžื• ืฉืžืขื•ืœื ืœื ื”ื™ื” ืœืคื ื™.
07:28
Many of us will have implantables that will actually look
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ืœืจื‘ื™ื ืžืื™ืชื ื• ื™ื”ื™ื• ืฉืชืœื™ื ืฉื™ื•ื›ืœื• ืœื”ืกืชื›ืœ
07:31
real-time at what's going on with our blood chemistry
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ื‘ื–ืžืŸ ืืžืช ืขืœ ืžื” ืฉืงื•ืจื” ื‘ื›ื™ืžื™ื™ืช ื”ื“ื ืฉืœื ื•
07:33
and in our proteins right now.
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ื•ืขืœ ื”ื—ืœื‘ื•ื ื™ื ืฉืœื ื• ื‘ืจื’ืข ื–ื”.
07:36
Now the software is also getting smarter, right?
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ืขื›ืฉื™ื•, ื”ืชื•ื›ื ื” ื’ื ื”ื•ืคื›ืช ืœื—ื›ืžื” ื™ื•ืชืจ, ื ื›ื•ืŸ?
07:38
Think about a coach, an agent online,
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ืชื—ืฉื‘ื• ืขืœ ืžืืžืŸ, ืกื•ื›ืŸ ืื•ื ืœื™ื™ืŸ,
07:41
that's going to help me do safe self-care.
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ืฉื”ื•ืœืš ืœืขื–ื•ืจ ืœื™ ืœืขืฉื•ืช ื˜ื™ืคื•ืœื™ื ืขืฆืžื™ื™ื ื‘ื˜ื•ื—ื™ื
07:43
That same interaction that we just did with the ultrasound
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ืื•ืชื” ืื™ื ื˜ืจืืงืฆื™ื” ืฉื”ืจื’ืข ืขืฉื™ื ื• ืขื ื”ืื•ืœื˜ืจืกืื•ื ื“
07:46
will likely have real-time image processing,
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ืกื‘ื™ืจ ืฉื™ื”ื™ื” ืœื ื• ืขื™ื‘ื•ื“ ืชืžื•ื ื•ืช ื‘ื–ืžืŸ ืืžืช
07:48
and the device will say, "Up, down, left, right,
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ื•ื”ืžื›ืฉื™ืจ ื™ื’ื™ื“: "ืœืžืขืœื”, ืœืžื˜ื”, ืฉืžืืœื”, ื™ืžื™ื ื”
07:50
ah, Eric, that's the perfect spot to send that image
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ืื•, ืืจื™ืง, ื–ื• ื”ืžื™ืงื•ื ื”ืžื•ืฉืœื ืœืฉืœื•ื— ืืช ื”ืชืžื•ื ื”
07:53
off to your doctor."
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ืœืจื•ืคื ืฉืœืš".
07:55
Now, if we've got all these networked devices
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ืขื›ืฉื™ื•, ืื ื™ืฉ ืœื ื• ืืช ื›ืœ ื”ืžื›ืฉื™ืจื™ื ื”ืžืจื•ืฉืชื™ื ื”ืืœื•
07:57
that are helping us to do care anywhere,
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ืฉืขื•ื–ืจื™ื ืœื ื• ืœืงื‘ืœ ืฉื™ืจื•ืชื™ื ื‘ื›ืœ ืžืงื•ื
07:59
it stands to reason that we also need a team
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ืžืชืงื‘ืœ ืขืœ ื”ื“ืขืช ืฉื ืฆื˜ืจืš ื’ื ืฆื•ื•ืช
08:01
to be able to interact with all of that stuff,
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ืฉื™ื•ื›ืœ ืœืขื‘ื•ื“ ืขื ื›ืœ ื”ื“ื‘ืจื™ื ื”ืืœื•
08:03
and that leads to the second pillar I want to talk about,
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ื•ื–ื” ืžื•ื‘ื™ืœ ืœืขืžื•ื“ ื”ืชื•ื•ืš ื”ืฉื ื™ ืฉืื ื™ ืจื•ืฆื” ืœื“ื‘ืจ ืขืœื™ื•-
08:06
care networking.
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ืฉื™ืจื•ืชื™ื ืžืจื•ืฉืชื™ื.
08:07
We have got to go beyond this paradigm
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ืื ื—ื ื• ื—ื™ื™ื‘ื™ื ืœืจืื•ืช ืžืขื‘ืจ ืœืคืจื“ื™ื’ืžื” ื”ื–ืืช
08:10
of isolated specialists doing parts care
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ืฉืœ ืžื•ืžื—ื™ื ืžื‘ื•ื“ื“ื™ื ืฉื ื•ืชื ื™ื ืฉื™ืจื•ืช ื—ืœืงื™
08:14
to multidisciplinary teams doing person care.
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ืœืฆื•ื•ืชื™ื ืจื‘ ืชื—ื•ืžื™ื™ื ืฉื ื•ืชื ื™ื ืฉื™ืจื•ืช ืื™ืฉื™.
08:18
Uncoordinated care today is expensive at best,
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ืฉื™ืจื•ืชื™ื ืœื ืžืชื•ืืžื™ื ื”ื™ื•ื ื”ื ื™ืงืจื™ื ื‘ืžืงืจื” ื”ื˜ื•ื‘
08:22
and it is deadly at worst.
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ื•ืงื˜ืœื ื™ื™ื ื‘ืžืงืจื” ื”ืจืข.
08:24
Eighty percent of medical errors are actually caused
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80% ืžื”ื˜ืขื•ื™ื•ืช ื”ืจืคื•ืื™ื•ืช ืœืžืขืฉื” ื ื’ืจืžื•
08:26
by communication and coordination problems
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ืขืœ ื™ื“ื™ ื‘ืขื™ื•ืช ืชืงืฉื•ืจืช ื•ืชื™ืื•ื
08:28
amongst medical team members.
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ื‘ืงืจื‘ ื—ื‘ืจื™ ืฆื•ื•ืช ืจืคื•ืื™.
08:30
I had my own heart scare years ago in graduate school,
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ื”ื™ื” ืœื™ ื”ืชืงืฃ ืœื‘ ื‘ืขืฆืžื™ ืœืคื ื™ ืฉื ื™ื ื‘ืื•ื ื™ื‘ืจืกื™ื˜ื”
08:33
when we're under treatment for the kidney,
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ื›ืฉื”ื™ื™ื ื• ื‘ืชื•ืš ื˜ื™ืคื•ืœ ื‘ืฉื‘ื™ืœ ื”ื›ืœื™ื”
08:35
and suddenly, they're like, "Oh, we think you have a heart problem."
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ื•ืคืชืื•ื ื”ื ืืžืจื•: "ืื”... ืื ื—ื ื• ื—ื•ืฉื‘ื™ื ืฉื™ืฉ ืœืš ื‘ืขื™ื” ื‘ืœื‘"
08:37
And I have these palpitations that are showing up.
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ื•ื”ื™ื• ืœื™ ื“ืคื™ืงื•ืช ืœื‘ ืฉืžื•ืคื™ืขื•ืช
08:39
They put me through five weeks of tests --
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ื”ื ื”ืขื‘ื™ืจื• ืื•ืชื™ 5 ืฉื‘ื•ืขื•ืช ืฉืœ ื‘ื“ื™ืงื•ืช
08:42
very expensive, very scary -- before the nurse finally notices
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ืžืื•ื“ ื™ืงืจื•ืช, ืžืื•ื“ ืžืคื—ื™ื“ื•ืช - ืœืคื ื™ ืฉื”ืื—ื•ืช ื‘ืกื•ืฃ ืฉืžื” ืœื‘
08:45
the piece of the paper, my meds list
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ืœืคื™ืกืช ื”ื ื™ื™ืจ- ืจืฉื™ืžืช ื”ืชืจื•ืคื•ืช ืฉืœื™
08:47
that I've been carrying to every single appointment,
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ืฉืกื—ื‘ืชื™ ืœื›ืœ ืื—ื“ ืžื”ืชื•ืจื™ื
08:49
and says, "Oh my gosh."
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ื•ืืžืจื” "ืื•ื™ ืืœื•ื”ื™ื"
08:51
Three different specialists had prescribed
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ืฉืœื•ืฉื” ืžื•ืžื—ื™ื ืฉื•ื ื™ื ืจืฉืžื• ืœื™
08:53
three different versions of the same drug to me.
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ืฉืœื•ืฉ ื’ืจืกืื•ืช ืฉื•ื ื•ืช ืฉืœ ืื•ืชื” ืชืจื•ืคื”
08:55
I did not have a heart problem. I had an overdose problem.
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ืœื ื”ื™ื™ืชื” ืœื™ ื‘ืขื™ืช ืœื‘. ื”ื™ื™ืชื” ืœื™ ื‘ืขื™ืช ืžื ืช ื™ืชืจ.
08:59
I had a care coordination problem.
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ื”ื™ื™ืชื” ืœื™ ื‘ืขื™ืช ืชื™ืื•ื ืฉื™ืจื•ืชื™ื.
09:02
And this happens to millions of people every year.
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ื•ื–ื” ืงื•ืจื” ืœืžื™ืœื™ื•ื ื™ ืื ืฉื™ื ื‘ื›ืœ ืฉื ื”.
09:05
I want to use technology that we're all working on and making happen
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ืื ื™ ืจื•ืฆื” ืœื”ืฉืชืžืฉ ื‘ื˜ื›ื ื•ืœื•ื’ื™ื•ืช ืฉื›ื•ืœื ื• ืขื•ื‘ื“ื™ื ืื™ืชืŸ ื•ื’ื•ืจืžื™ื ืœื”ืŸ ืœืงืจื•ืช
09:09
to make health care a coordinated team sport.
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ื›ื“ื™ ืœื”ืคื•ืš ืืช ืฉื™ืจื•ืชื™ ื”ื‘ืจื™ืื•ืช ืœืกืคื•ืจื˜ ืงื‘ื•ืฆืชื™ ืžืชื•ืื.
09:12
Now this is the most frightening thing to me.
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ืขื›ืฉื™ื• ื–ื” ื”ื“ื‘ืจ ืฉื”ื›ื™ ืžืคื—ื™ื“ ืžื‘ื—ื™ื ืชื™-
09:15
Out of all the care I've had in hospitals and clinics around the world,
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ืžืชื•ืš ื›ืœ ื”ืฉื™ืจื•ืชื™ื ืฉืงื™ื‘ืœืชื™ ื‘ื‘ืชื™ ื—ื•ืœื™ื ื•ืžืจืคืื•ืช ื‘ื›ืœ ื”ืขื•ืœื
09:19
the first time I've ever had a true team-based care experience
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ื”ืคืขื ื”ืจืืฉื•ื ื” ืฉื”ื™ื™ืชื” ืœื™ ื—ื•ื•ื™ืช ืฉื™ืจื•ืช ืฉืžื‘ื•ืกืก ืขืœ ืฆื•ื•ืช
09:22
was at Legacy Good Sam these last six months
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ื”ื™ื™ืชื” ื‘"ืžื•ืจืฉืช ื”ืฉื•ืžืจื•ื ื™ ื”ื˜ื•ื‘" ื‘ืฉืฉืช ื”ื—ื•ื“ืฉื™ื ื”ืื—ืจื•ื ื™ื
09:25
for me to go get this.
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ื‘ืฉื‘ื™ืœื™ ื›ื“ื™ ืœื”ืฉื™ื’ ืืช ื–ื”.
09:26
And this is a picture of my graduation team from Legacy.
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ื•ื–ื• ืชืžื•ื ื” ืฉืœ ืฆื•ื•ืช ื”ืกื™ื•ื ืฉืœื™ ืž"ืžื•ืจืฉืช".
09:29
There's a couple of the folks here. You'll recognize Dr. Batiuk.
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ื™ืฉ ืคื” ื›ืžื” ื—ื‘ืจ'ื”. ืืชื ืชื–ื”ื• ืืช ื“"ืจ ื‘ื˜ื™ื•ืง
09:32
We just talked to him. Here's Jenny, one of the nurses,
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ื“ื‘ืจื ื• ืื™ืชื• ื”ืจื’ืข. ื”ื ื” ื’'ื ื™, ืื—ืช ื”ืื—ื™ื•ืช
09:34
Allison, who helped manage the transplant list,
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ืืœื™ืกื•ืŸ, ืฉืขื–ืจื” ืœืขืฉื•ืช ืืช ืจืฉื™ืžืช ื”ื”ืžืชื ื” ืœื”ืฉืชืœื”
09:36
and a dozen other people who aren't pictured,
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ื•ืชืจื™ืกืจ ืื ืฉื™ื ืื—ืจื™ื ืฉืœื ืžืฆื•ืœืžื™ื-
09:39
a pharmacist, a psychologist, a nutritionist,
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ืจื•ืงื—, ืคืกื™ื›ื•ืœื•ื’, ืชื–ื•ื ืื™
09:41
even a financial counselor, Lisa,
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ืืคื™ืœื• ื™ื•ืขืฆืช ื›ืœื›ืœื™ืช, ืœื™ืกื”,
09:43
who helped us deal with all the insurance hassles.
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ืฉืขื–ืจื” ืœื ื• ืขื ื›ืœ ื”ื˜ืจื—ื” ืฉืœ ื”ื‘ื™ื˜ื•ื—.
09:46
I wept the day I graduated.
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ื‘ื›ื™ืชื™ ื‘ื™ื•ื ืฉืกื™ื™ืžืชื™.
09:49
I should have been happy, because I was so well
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ื”ื™ื™ืชื™ ืืžื•ืจ ืœื”ื™ื•ืช ืฉืžื—, ื›ื™ ื”ื™ื™ืชื™ ื›ืœ ื›ืš ื‘ืจื™ื
09:50
that I could go back to my normal doctors,
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ืฉื™ื›ื•ืœืชื™ ืœื—ื–ื•ืจ ืœืจื•ืคืื™ื ื”ืจื’ื™ืœื™ื ืฉืœื™
09:52
but I wept because I was so actually connected to this team.
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ืื‘ืœ ื‘ื›ื™ืชื™ ื›ื™ ื”ืชื—ื‘ืจืชื™ ืœืฆื•ื•ืช ื”ื–ื”
09:55
And here's the most important part.
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ื•ื”ื ื” ื”ื—ืœืง ื”ื›ื™ ื—ืฉื•ื‘,
09:57
The other people in this picture are me and my wife, Ashley.
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ืฉืืจ ื”ืื ืฉื™ื ื‘ืชืžื•ื ื” ื”ื ืื ื™ ื•ืืฉืชื™, ืืฉืœื™.
10:00
Legacy trained us on how to do care for me at home
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"ืžื•ืจืฉืช" ืื™ืžื ื• ืื•ืชื ื• ืขืœ ืื™ืš ืœืขืฉื•ืช ื˜ื™ืคื•ืœื™ื ื‘ืฉื‘ื™ืœื™ ื‘ื‘ื™ืช
10:04
so that they could offload the hospitals and clinics.
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ื›ื“ื™ ืฉื”ื ื™ื•ื›ืœื• ืœื”ื•ืจื™ื“ ืขื•ืžืก ืžื‘ืชื™ ื—ื•ืœื™ื ื•ืžืจืคืื•ืช.
10:07
That's the only way that the model works.
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ื–ืืช ื”ื“ืจืš ื”ื™ื—ื™ื“ื” ืฉื”ืžื•ื“ืœ ื”ื–ื” ืขื•ื‘ื“.
10:09
My team is actually working in China
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ื”ืฆื•ื•ืช ืฉืœื™ ืขื•ื‘ื“ ื‘ืกื™ืŸ
10:11
on one of these self-care models
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ืขืœ ืื—ื“ ืžื”ืžื•ื“ืœื™ื ื”ืืœื• ืฉืœ ื‘ืจื™ืื•ืช ืื™ืฉื™ืช
10:13
for a project we called Age-Friendly Cities.
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ื‘ืฉื‘ื™ืœ ืคืจื•ื™ื™ืงื˜ ืฉืื ื—ื ื• ืงื•ืจืื™ื ืœื• "ืขืจื™ื ื™ื“ื™ื“ื•ืชื™ื•ืช ื’ื™ืœืื™ืช"
10:15
We're trying to help build a social network
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ืื ื—ื ื• ืžื ืกื™ื ืœืขื–ื•ืจ ืœื‘ื ื•ืช ืจืฉืช ื—ื‘ืจืชื™ืช
10:17
that can help track and train the care of seniors
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ืฉื™ื›ื•ืœื” ืœืขื–ื•ืจ ืœืขืงื•ื‘ ืื—ืจื™ ืฉื™ืจื•ืชื™ ื‘ืจื™ืื•ืช ืœืงืฉื™ืฉื™ื ื•ืœืืžืŸ ืื•ืชื
10:19
caring for themselves
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ื›ื“ื™ ืฉื™ื˜ืคืœื• ื‘ืขืฆืžื
10:21
as well as the care provided by their family members
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ื‘ื ื•ืกืฃ ืœืฉื™ืจื•ืชื™ื ืฉื™ืกื•ืคืงื• ืข"ื™ ื—ื‘ืจื™ ืžืฉืคื—ื”
10:23
or volunteer community health workers,
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ืื• ืžืชื ื“ื‘ื™ ื‘ืจื™ืื•ืช ืงื”ื™ืœืชื™ืช.
10:26
as well as have an exchange network online,
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ื‘ื ื•ืกืฃ ืœืงื™ื•ื ืจืฉืช ื—ืœื™ืคื™ืŸ ืื•ื ืœื™ื™ืŸ
10:28
where, for example, I can donate three hours of care a day to your mom,
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ืฉื ืœื“ื•ื’ืžื, ืื ื™ ื™ื›ื•ืœ ืœืชืจื•ื 3 ืฉืขื•ืช ืฉืœ ื˜ื™ืคื•ืœื™ื ื‘ื™ื•ื ืขื‘ื•ืจ ืืžื ืฉืœืš
10:31
if somebody else can help me with transportation to meals,
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ืื ืžื™ืฉื”ื• ืื—ืจ ื™ื•ื›ืœ ืœืขื–ื•ืจ ืœื™- ืžืชื—ื‘ื•ืจื” ื•ืขื“ ืืจื•ื—ื•ืช
10:34
and we exchange all of that online.
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ื•ืื ื—ื ื• ืžื—ืœื™ืคื™ื ืืช ื›ืœ ื–ื” ืื•ื ืœื™ื™ืŸ.
10:37
The most important point I want to make to you about this
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ื”ื ืงื•ื“ื” ื”ื›ื™ ื—ืฉื•ื‘ื” ืฉืื ื™ ืจื•ืฆื” ืœื”ืขื‘ื™ืจ ืœื›ื ืœื’ื‘ื™ ื–ื”
10:39
is the sacred and somewhat over-romanticized
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ื”ื™ื ืฉื”ืื—ื“ ืขืœ ืื—ื“ ื‘ื™ืŸ ืจื•ืคื ืœืžื˜ื•ืคืœ
10:43
doctor-patient one-on-one
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ื”ืงื“ื•ืฉ ื•ื”ืื•ืœื™ ืจื•ืžื ื˜ื™ ื™ืชืจ ืขืœ ื”ืžื™ื“ื”
10:45
is a relic of the past.
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ื”ื•ื ื ื—ืœืช ื”ืขื‘ืจ.
10:48
The future of health care is smart teams,
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ื”ืขืชื™ื“ ืฉืœ ืฉื™ืจื•ืชื™ ื”ื‘ืจื™ืื•ืช ื”ื•ื ืฆื•ื•ืชื™ื ื—ื›ืžื™ื
10:50
and you'd better be on that team for yourself.
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ื•ื›ื“ืื™ ืฉืชื”ื™ื” ื‘ืฆื•ื•ืช ื”ื–ื” ื‘ืฉื‘ื™ืœ ืขืฆืžืš.
10:54
Now, the last thing that I want to talk to you about
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ืขื›ืฉื™ื•, ื”ื“ื‘ืจ ื”ืื—ืจื•ืŸ ืฉืื ื™ ืจื•ืฆื” ืœื“ื‘ืจ ืืชื›ื ืขืœื™ื•
10:56
is care customization,
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ื”ื•ื ืฉื™ืจื•ืชื™ื ืžื•ืชืืžื™ื ืื™ืฉื™ืช,
10:57
because if you've got care anywhere and you've got care networking,
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ื‘ื’ืœืœ ืฉืื ื™ืฉ ืœืš ืฉื™ืจื•ืชื™ื ื‘ื›ืœ ืžืงื•ื ื•ื™ืฉ ืœืš ืฉื™ืจื•ืชื™ื ืžืจื•ืฉืชื™ื
11:00
those are going to go a long way towards improving our health care system,
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ืืœื• ื”ื•ืœื›ื™ื ืœื”ืชืงื“ื ืฆืขื“ ืžืฉืžืขื•ืชื™ ืœืงืจืืช ืฉื™ืคื•ืจ ืžืขืจื›ืช ืฉื™ืจื•ืชื™ ื”ื‘ืจื™ืื•ืช ืฉืœื ื•
11:03
but there's still too much guesswork.
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ืื‘ืœ ืขื“ื™ื™ืŸ ื™ืฉ ื™ื•ืชืจ ืžื“ื™ ื ื™ื—ื•ืฉื™ื.
11:06
Randomized clinical trials were actually invented in 1948
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ื”ื ื™ืกื•ื™ื™ื ื”ืงืœื™ื ื™ื™ื ื”ืืงืจืื™ื™ื ื”ื•ืžืฆืื• ื‘ืฉื ืช 1948
11:10
to help invent the drugs that cured tuberculosis,
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ื›ื“ื™ ืœืขื–ื•ืจ ืœื”ืžืฆื™ื ืืช ื”ืชืจื•ืคื” ืฉืชืจืคื ืฉื—ืคืช
11:13
and those are important things, don't get me wrong.
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ื•ืืœื• ื“ื‘ืจื™ื ื—ืฉื•ื‘ื™ื, ืฉืœื ืชื‘ื™ื ื• ืื•ืชื™ ืœื ื ื›ื•ืŸ.
11:16
These population studies that we've done have created
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ืžื‘ื“ืงื™ ื”ืื•ื›ืœื•ืกื™ื™ื” ืฉืขืฉื™ื ื• ื™ืฆืจื•
11:17
tons of miracle drugs that have saved millions of lives,
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ื›ืžื•ื™ื•ืช ืฉืœ ืชืจื•ืคื•ืช ืคืœื ืฉื”ืฆื™ืœื• ืืช ื—ื™ื™ื”ื ืฉืœ ืžื™ืœื™ื•ื ื™ื,
11:20
but the problem is that health care
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ืื‘ืœ ื”ื‘ืขื™ื” ื”ื™ื ืฉืฉื™ืจื•ืชื™ ื”ื‘ืจื™ืื•ืช
11:22
is treating us as averages, not unique individuals,
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ืžื˜ืคืœื™ื ื‘ื ื• ื›ืžืžื•ืฆืขื™ื ื•ืœื ื›ืืœ ืื ืฉื™ื ื™ื™ื—ื•ื“ื™ื™ื,
11:27
because at the end of the day,
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ื‘ื’ืœืœ ืฉื‘ืกื•ืคื• ืฉืœ ื“ื‘ืจ
11:28
the patient is not the same thing as the population
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ื”ืžื˜ื•ืคืœ ื”ื•ื ืœื ืื•ืชื• ื”ื“ื‘ืจ ื›ืžื• ื”ืื•ื›ืœื•ืกื™ื™ื” ืฉื ื‘ื“ืงื”
11:31
who are studied. That's what's leading to the guesswork.
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ื–ื” ืžื” ืฉืžื•ื‘ื™ืœ ืœื ื™ื—ื•ืฉื™ื.
11:35
The technologies that are coming,
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ื”ื˜ื›ื ื•ืœื•ื’ื™ื•ืช ืฉื™ื‘ื•ืื•
11:36
high-performance computing, analytics,
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ืžื—ืฉื•ื‘ ื‘ื‘ื™ืฆื•ืขื™ื ื’ื‘ื•ื”ื™ื, ื ื™ืชื•ื—,
11:39
big data that everyone's talking about,
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ื ืชื•ื ื™ื ืจื‘ื™ื ืฉื›ื•ืœื ืžื“ื‘ืจื™ื ืขืœื™ื•
11:40
will allow us to build predictive models for each of us
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ื™ืืคืฉืจื• ืœื ื• ืœื‘ื ื•ืช ืžื•ื“ืœื™ื ืžื ื‘ืื™ื ืขื‘ื•ืจ ื›ืœ ืื—ื“ ืžืื™ืชื ื•
11:43
as individual patients.
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ื›ืžื˜ื•ืคืœื™ื ื™ื™ื—ื•ื“ื™ื™ื.
11:45
And the magic here is, experiment on my avatar
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ื•ื”ืงืกื ื›ืืŸ ื”ื•ื: ื ื™ืกื•ื™ ืขืœ ื”ืกืžืœ ืฉืœื™
11:50
in software, not my body in suffering.
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ื‘ืชื•ื›ื ื”, ืœื ืขืœ ื”ื’ื•ืฃ ืฉืœื™ ื‘ืกื‘ืœ
11:55
Now, I've had two examples I want to quickly share with you
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ืขื›ืฉื™ื•, ื”ื™ื• ืœื™ ืฉืชื™ ื“ื•ื’ืžืื•ืช ืฉืื ื™ ืจื•ืฆื” ืœื—ืœื•ืง ืืชื›ื ื‘ืงืฆืจื”
11:57
of this kind of care customization on my own journey.
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ืฉืœ ืฉื™ืจื•ืชื™ื ืžื•ืชืืžื™ื ืื™ืฉื™ืช ืžื”ืกื•ื’ ื”ื–ื” ืžื”ืžืกืข ืฉืœื™.
12:00
The first was quite simple. I finally realized some years ago
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ื”ืจืืฉื•ื ื” ื”ื™ื™ืชื” ื“ื™ ืคืฉื•ื˜ื”. ืกื•ืฃ ืกื•ืฃ ื”ื‘ื ืชื™ ืœืคื ื™ ื›ืžื” ืฉื ื™ื
12:03
that all my medical teams were optimizing my treatment for longevity.
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ืฉื›ืœ ื”ืฆื•ื•ืชื™ื ื”ืจืคื•ืื™ื™ื ืฉืœื™ ื™ื™ืขืœื• ืืช ื”ื˜ื™ืคื•ืœ ืฉืœื™ ืœืžืขืŸ ืืจื™ื›ื•ืช ื™ืžื™ื
12:07
It's like a badge of honor to see how long they can get the patient to live.
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ื–ื” ื›ืžื• ืชืขื•ื“ืช ื›ื‘ื•ื“ ื›ื“ื™ ืœืจืื•ืช ื›ืžื” ื”ื ื™ื›ื•ืœื™ื ืœื’ืจื•ื ืœืžื˜ื•ืคืœ ืœื—ื™ื•ืช.
12:09
I was optimizing my life for quality of life,
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ืื ื™ ื™ื™ืขืœืชื™ ืืช ื”ื—ื™ื™ื ืฉืœื™ ื‘ืฉื‘ื™ืœ ืื™ื›ื•ืช ื”ื—ื™ื™ื
12:13
and quality of life for me means time in snow.
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ื•ืื™ื›ื•ืช ื”ื—ื™ื™ื ื‘ืขื‘ื•ืจื™ ืžืฉืžืขื•ืชื” ื–ืžืŸ ื‘ืฉืœื’.
12:17
So on my chart, I forced them to put, "Patient goal:
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ืื– ื‘ืžืจืฉืžื™ื ืฉืœื™, ืื ื™ ื”ื›ืจื—ืชื™ ืื•ืชื ืœืฉื™ื: "ืžื˜ืจืช ื”ืžื˜ื•ืคืœ:
12:20
low doses of drugs over longer periods of time,
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ืžื™ื ื•ื ื™ื ื ืžื•ื›ื™ื ืฉืœ ืชืจื•ืคื•ืช ืขืœ ืคื ื™ ืชืงื•ืคื•ืช ืืจื•ื›ื•ืช ื™ื•ืชืจ
12:24
side effects friendly to skiing."
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ืชื•ืคืขื•ืช ืœื•ื•ืื™ ื™ื“ื™ื“ื•ืชื™ื•ืช ืœืกืงื™".
12:27
And I think that's why I achieved longevity.
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ื•ืื ื™ ื—ื•ืฉื‘ ืฉื–ื• ื”ืกื™ื‘ื” ืฉื”ืฉื’ืชื™ ืืจื™ื›ื•ืช ื™ืžื™ื.
12:29
I think that time-in-snow therapy was as important
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ืื ื™ ื—ื•ืฉื‘ ืฉืชืจืคื™ื™ืช ื”ื–ืžืŸ ื‘ืฉืœื’ ื”ื™ื™ืชื” ื—ืฉื•ื‘ื”
12:32
as the pharmaceuticals that I had.
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ื‘ืื•ืชื” ืžื™ื“ื” ื›ืžื• ื”ืชืจื•ืคื•ืช ืฉืœืงื—ืชื™.
12:34
Now the second example of customization -- and by the way,
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ืขื›ืฉื™ื• ื”ื“ื•ื’ืžื” ื”ืฉื ื™ื™ื” ืฉืœ ื”ืชืืžื” ืื™ืฉื™ืช, ื•ืื’ื‘
12:36
you can't customize care if you don't know your own goals,
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ืืชื” ืœื ื™ื›ื•ืœ ืœื”ืชืื™ื ืฉื™ืจื•ืชื™ื ืื ืืชื” ืœื ื™ื•ื“ืข ืžื”ืŸ ื”ืžื˜ืจื•ืช ืฉืœืš,
12:38
so health care can't know those until you know your own health care goals.
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ืื– ืฉื™ืจื•ืชื™ ื”ื‘ืจื™ืื•ืช ืœื ื™ื›ื•ืœื™ื ืœื“ืขืช ืžื”ืŸ ืขื“ ืฉืืชื” ื™ื•ื“ืข ืžื”ืŸ ืžื˜ืจื•ืช ื”ื˜ื™ืคื•ืœื™ื ื”ื‘ืจื™ืื•ืชื™ื™ื ืฉืœืš.
12:41
But the second example I want to give you is,
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ืื‘ืœ ื”ื“ื•ื’ืžื” ื”ืฉื ื™ื™ื” ืฉืื ื™ ืจื•ืฆื” ืœืชืช ืœื›ื ื”ื™ื -
12:43
I happened to be an early guinea pig,
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ืœื™ ื™ืฆื ืœื”ื™ื•ืช ืฉืคืŸ ื ื™ืกื™ื•ื ื•ืช ืžื•ืงื“ื
12:45
and I got very lucky to have my whole genome sequenced.
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ื•ื™ืฆื ืœื™ ืœื”ื™ื•ืช ื‘ืจ ืžื–ืœ ืฉื›ืœ ื”ื’ื ื•ื ืฉืœื™ ืจื•ืฆืฃ.
12:48
Now it took about two weeks of processing
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ื–ื” ืœืงื— ื›ืžืขื˜ ืฉื‘ื•ืขื™ื™ื ืฉืœ ืขื™ื‘ื•ื“
12:51
on Intel's highest-end servers to make this happen,
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ื‘ืฉืจืชื™ื ื”ืžืชื•ื—ื›ืžื™ื ื‘ื™ื•ืชืจ ืฉืœ ืื™ื ื˜ืœ ื›ื“ื™ ืฉื–ื” ื™ืงืจื”
12:53
and another six months of human and computing labor
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ื•ืขื•ื“ ืฉื™ืฉื” ื—ื•ื“ืฉื™ื ืฉืœ ืขื‘ื•ื“ืช ืื“ื ื•ืžื—ืฉื‘
12:56
to make sense of all of that data.
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ื›ื“ื™ ืœืคืขื ื— ืืช ื›ืœ ื”ืžื™ื“ืข ื”ื–ื”.
12:59
And at the end of all of that, they said, "Yes,
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ื•ื‘ืกื•ืฃ ื›ืœ ื–ื” ื”ื ืืžืจื•: "ื›ืŸ,
13:02
those diagnoses of that clash of medical titans
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ื”ืื‘ื—ื•ื ื™ื ื”ืืœื” ืฉืœ ื”ืชื ื’ืฉื•ืช ื”ื˜ื™ื˜ืื ื™ื ื”ืจืคื•ืื™ื™ื
13:04
all of those years ago were wrong,
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ืžื”ืฉื ื™ื ืฉืขื‘ืจื•, ื”ื™ื• ืฉื’ื•ื™ื•ืช
13:06
and we have a better path forward."
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ื•ื™ืฉ ืœื ื• ื ืชื™ื‘ ื˜ื•ื‘ ื™ื•ืชืจ ืงื“ื™ืžื”".
13:09
The future that Intel's working on now is to figure out
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ื”ืขืชื™ื“ ืฉืื™ื ื˜ืœ ืขื•ื‘ื“ื™ื ืขืœื™ื• ื›ืขืช ื”ื•ื ืœืคืขื ื—
13:11
how to make that computing for personalized medicine
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ืื™ืš ืœื’ืจื•ื ืœืžื—ืฉื•ื‘ ืฉืœ ืจืคื•ืื” ืื™ืฉื™ืช
13:13
go from months and weeks to even hours,
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ืœืขื‘ื•ืจ ืžื—ื•ื“ืฉื™ื ื•ืฉื‘ื•ืขื•ืช ืœืืคื™ืœื• ืฉืขื•ืช
13:17
and make this kind of tool available,
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ื•ืœื”ืคื•ืš ืืช ื”ื›ืœื™ ื”ื–ื” ืœื–ืžื™ืŸ
13:19
not just in the mainframes of tier-one research hospitals around the world,
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ืœื ืจืง ื‘ื ืชื™ื‘ ื”ืจืืฉื™ ืฉืœ ื”ืžื—ืงืจ ืžื”ืฉื•ืจื” ื”ืจืืฉื•ื ื” ื‘ื‘ืชื™ ื—ื•ืœื™ื ืžืกื‘ื™ื‘ ืœืขื•ืœื
13:22
but in the mainstream -- every patient, every clinic
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ืืœื ื‘ื ืชื™ื‘ ื”ืžืจื›ื–ื™ - ื›ืœ ืžื˜ื•ืคืœ, ื›ืœ ืžืจืคืื”
13:25
with access to whole genome sequencing.
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ืขื ื’ื™ืฉื” ืœืจื™ืฆื•ืฃ ื’ื ื•ื ืฉืœื.
13:27
And I tell you, this kind of care customization
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ื•ืื ื™ ืื•ืžืจ ืœื›ื, ืกื•ื’ ื›ื–ื” ืฉืœ ืฉื™ืจื•ืชื™ื ืžื•ืชืืžื™ื ืื™ืฉื™ืช
13:30
for everything from your goals to your genetics
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ืœื›ืœ ื“ื‘ืจ ืžื”ืžื˜ืจื•ืช ืขื“ ืœื’ื ื˜ื™ืงื” ืฉืœืš
13:33
will be the most game-changing transformation
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ื™ื”ื™ื” ื”ืฉื™ื ื•ื™ ื”ื›ื™ ื’ื“ื•ืœ ื‘ื›ืœืœื™ ื”ืžืฉื—ืง
13:34
that we witness in health care during our lifetime.
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ืฉืจืื™ื ื• ื‘ืžืขืจื›ืช ื”ื‘ืจื™ืื•ืช ื‘ืžื”ืœืš ื—ื™ื™ื ื•.
13:38
So these three pillars of personal health,
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ืื– ืฉืœื•ืฉืช ืขืžื•ื“ื™ ื”ืชื•ื•ืš ื”ืืœื• ืฉืœ ื‘ืจื™ืื•ืช ืื™ืฉื™ืช:
13:41
care anywhere, care networking, care customization,
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ืฉื™ืจื•ืชื™ื ื‘ื›ืœ ืžืงื•ื, ืฉื™ืจื•ืชื™ื ืžืจื•ืฉืชื™ื ื•ืฉื™ืจื•ืชื™ื ืžื•ืชืืžื™ื ืื™ืฉื™ืช-
13:44
are happening in pieces now,
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ืงื•ืจื™ื ืขื›ืฉื™ื• ื‘ื—ืœืงื™ื
13:45
but this vision will completely fail if we don't step up
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ืื‘ืœ ื”ื—ื–ื•ืŸ ื”ื–ื” ื™ื›ืฉืœ ืœื—ืœื•ื˜ื™ืŸ ืื ืœื ื ื™ืงื— ืขืœ ืขืฆืžื ื•
13:49
as caregivers and as patients to take on new roles.
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ื›ืžื˜ืคืœื™ื ื•ืžื˜ื•ืคืœื™ื, ืชืคืงื™ื“ื™ื ื—ื“ืฉื™ื.
13:53
It's what my friend Verna said:
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ื–ื” ืžื” ืฉื”ื—ื‘ืจื” ืฉืœื™ ื•ืจื ื” ืืžืจื”:
13:54
Wake up and take control of your health.
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ืชืชืขื•ืจืจื• ื•ืงื—ื• ืฉืœื™ื˜ื” ืขืœ ื”ื‘ืจื™ืื•ืช ืฉืœื›ื
13:57
Because at the end of the day these technologies
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ื‘ื’ืœืœ ืฉื‘ืกื•ืฃ ื”ื™ื•ื ื”ื˜ื›ื ื•ืœื•ื’ื™ื•ืช ื”ืืœื”
13:58
are simply about people caring for other people
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ื”ืŸ ืคืฉื•ื˜ ื›ื“ื™ ืฉืื ืฉื™ื ื™ื˜ืคืœื• ื‘ืื ืฉื™ื ืื—ืจื™ื
14:02
and ourselves in some powerful new ways.
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ื•ื‘ืขืฆืžื ื• ื‘ื›ืžื” ื“ืจื›ื™ื ืขื•ืฆืžืชื™ื•ืช ื—ื“ืฉื•ืช.
14:05
And it's in that spirit that I want to introduce you
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ื•ื‘ืจื•ื— ื”ื–ื• ืื ื™ ืจื•ืฆื” ืœื”ื›ื™ืจ ืœื›ื
14:07
to one last friend, very quickly.
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ื—ื‘ืจื” ืื—ืจื•ื ื”, ื‘ื–ืจื™ื–ื•ืช.
14:10
Tracey Gamley stepped up to give me the impossible kidney
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ื˜ืจื™ื™ืกื™ ื’ืžืœื™ ื”ืชื ื“ื‘ื” ื›ื“ื™ ืœืชืช ืœื™ ืืช ื”ื›ืœื™ื” ื”ื‘ืœืชื™ ืืคืฉืจื™ืช
14:13
that I was never supposed to have.
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ืฉืžืขื•ืœื ืœื ื”ื™ื™ืชื™ ืืžื•ืจ ืœืงื‘ืœ.
14:18
(Applause)
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(ื›ืคื™ื™ื)
14:34
So Tracey, just tell us a little bit quickly about what the donor experience was like with you.
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ืื– ื˜ืจื™ื™ืกื™, ืคืฉื•ื˜ ืชืกืคืจื™ ืœื ื• ื‘ื–ืจื™ื–ื•ืช ืœื’ื‘ื™ ืื™ืš ื”ื™ื™ืชื” ื—ื•ื•ื™ืช ื”ืชื•ืจื ื‘ืฉื‘ื™ืœืš
14:39
Tracey Gamley: For me, it was really easy.
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ื˜ืจื™ื™ืกื™: ืขื‘ื•ืจื™, ื–ื” ื”ื™ื” ืžืžืฉ ืงืœ
14:41
I only had one night in the hospital.
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ื”ื™ื” ืœื™ ืจืง ืœื™ืœื” ืื—ื“ ื‘ื‘ื™ืช ื”ื—ื•ืœื™ื.
14:43
The surgery was done laparoscopically,
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ื”ื ื™ืชื•ื— ื ืขืฉื” ื‘ืืžืฆืขื•ืช ืœืคืจื•ืกืงื•ืคื™ื” (ื‘ืขื–ืจืช ืžืฆืœืžื”)
14:44
so I have just five very small scars on my abdomen,
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ืื– ื”ื™ื• ืœื™ ื—ืžืฉ ืฆืœืงื•ืช ืžืื•ื“ ืงื˜ื ื•ืช ื‘ื‘ื˜ืŸ
14:48
and I had four weeks away from work
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ื•ื”ื™ื• ืœื™ ืืจื‘ืขื” ืฉื‘ื•ืขื•ืช ืžื—ื•ืฅ ืœืขื‘ื•ื“ื”
14:50
and went back to doing everything I'd done before
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ื•ื—ื–ืจืชื™ ืœืขืฉื•ืช ื›ืœ ืžื” ืฉืขืฉื™ืชื™ ืœืคื ื™ ื›ืŸ
14:52
without any changes.
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ื‘ืœื™ ืฉื•ื ืฉื™ื ื•ื™.
14:53
ED: Well, I probably will never get a chance to say this to you
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ืื“: ื•ื‘ื›ืŸ, ื›ื ืจืื” ืฉืœื ืชื”ื™ื” ืœื™ ื”ื–ื“ืžื ื•ืช ื ื•ืกืคืช ืœื•ืžืจ ืœืš ืืช ื–ื”
14:56
in such a large audience ever again.
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ืžื•ืœ ืงื”ืœ ื›ื–ื” ื’ื“ื•ืœ
14:58
So "thank you" feel likes a really trite word,
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ืื–- "ืชื•ื“ื” ืœืš" ืžืจื’ื™ืฉ ื›ืžื• ื‘ื™ื˜ื•ื™ ื ื“ื•ืฉ
15:01
but thank you from the bottom of my heart for saving my life.
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ืื‘ืœ ืชื•ื“ื” ืœืš ืžืขื•ืžืง ืœื‘ื™ ืขืœ ืฉื”ืฆืœืช ืืช ื”ื—ื™ื™ื ืฉืœื™.
15:04
(Applause)
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(ื›ืคื™ื™ื)
15:10
This TED stage and all of the TED stages
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ื‘ืžืช ื”ื˜ื“ ื”ื–ื• ื•ื›ืœ ื‘ืžื•ืช ื”ื˜ื“
15:12
are often about celebrating innovation
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ื”ืŸ ืœืขืชื™ื ืงืจื•ื‘ื•ืช ื‘ื ื•ื’ืข ืœืฆื™ื•ืŸ ื—ื“ืฉื ื•ืช
15:15
and celebrating new technologies,
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ื•ืฆื™ื•ืŸ ื˜ื›ื ื•ืœื•ื’ื™ื•ืช ื—ื“ืฉื•ืช
15:16
and I've done that here today,
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ื•ืขืฉื™ืชื™ ื–ืืช ื›ืืŸ ื”ื™ื•ื
15:18
and I've seen amazing things coming from TED speakers,
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ื•ืจืื™ืชื™ ื“ื‘ืจื™ื ืžื“ื”ื™ืžื™ื ืฉื‘ืื• ืžื“ื•ื‘ืจื™ ื˜ื“
15:21
I mean, my gosh, artificial kidneys, even printable kidneys, that are coming.
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ื›ืœื•ืžืจ, ืืœื•ื”ื™ื- ื›ืœื™ื•ืช ืžืœืื›ื•ืชื™ื•ืช, ืืคื™ืœื• ื›ืœื™ื•ืช ืžื•ื“ืคืกื•ืช ืฉืžื’ื™ืขื•ืช,
15:25
But until such time that these amazing technologies
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ืื‘ืœ ืขื“ ืœื–ืžืŸ ื”ื–ื” ืฉื‘ื• ื”ื˜ื›ื ื•ืœื•ื’ื™ื•ืช ื”ืžื“ื”ื™ืžื•ืช ื”ืืœื•
15:28
are available to all of us, and even when they are,
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ื™ื”ื™ื• ื–ืžื™ื ื•ืช ืœื›ื•ืœื ื•, ื•ืืคื™ืœื• ื›ืฉื”ืŸ ื™ื”ื™ื•,
15:31
it's up to us to care for, and even save, one another.
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ื–ื” ืชืœื•ื™ ื‘ื ื• ืœื˜ืคืœ ื•ืืคื™ืœื• ืœื”ืฆื™ืœ ืื—ื“ ืืช ื”ืฉื ื™.
15:35
I hope you will go out and make personal health happen
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ืื ื™ ืžืงื•ื” ืฉืชืฆืื• ื”ื—ื•ืฆื” ื•ืชื’ืจืžื• ืœื‘ืจื™ืื•ืช ืื™ืฉื™ืช ืœืงืจื•ืช
15:38
for yourselves and for everyone. Thanks so much.
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ืขื‘ื•ืจ ืขืฆืžื›ื ื•ืขื‘ื•ืจ ื›ื•ืœื. ืชื•ื“ื” ืจื‘ื”.
15:42
(Applause)
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(ืžื—ื™ืื•ืช ื›ืคื™ื™ื)
ืขืœ ืืชืจ ื–ื”

ืืชืจ ื–ื” ื™ืฆื™ื’ ื‘ืคื ื™ื›ื ืกืจื˜ื•ื ื™ YouTube ื”ืžื•ืขื™ืœื™ื ืœืœื™ืžื•ื“ ืื ื’ืœื™ืช. ืชื•ื›ืœื• ืœืจืื•ืช ืฉื™ืขื•ืจื™ ืื ื’ืœื™ืช ื”ืžื•ืขื‘ืจื™ื ืขืœ ื™ื“ื™ ืžื•ืจื™ื ืžื”ืฉื•ืจื” ื”ืจืืฉื•ื ื” ืžืจื—ื‘ื™ ื”ืขื•ืœื. ืœื—ืฅ ืคืขืžื™ื™ื ืขืœ ื”ื›ืชื•ื‘ื™ื•ืช ื‘ืื ื’ืœื™ืช ื”ืžื•ืฆื’ื•ืช ื‘ื›ืœ ื“ืฃ ื•ื™ื“ืื• ื›ื“ื™ ืœื”ืคืขื™ืœ ืืช ื”ืกืจื˜ื•ืŸ ืžืฉื. ื”ื›ืชื•ื‘ื™ื•ืช ื’ื•ืœืœื•ืช ื‘ืกื ื›ืจื•ืŸ ืขื ื”ืคืขืœืช ื”ื•ื•ื™ื“ืื•. ืื ื™ืฉ ืœืš ื”ืขืจื•ืช ืื• ื‘ืงืฉื•ืช, ืื ื ืฆื•ืจ ืื™ืชื ื• ืงืฉืจ ื‘ืืžืฆืขื•ืช ื˜ื•ืคืก ื™ืฆื™ืจืช ืงืฉืจ ื–ื”.

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