Name: 【TEDx】Future medicine: Daniel Kraft at TEDxAcademy
Uploaded: 2014-11-04T03:24:35.000Z
Duration: 20 min 37 s
Description: Thousands of YouTube videos with English-Chinese subtitles! Now you can learn to understand native speakers, expand your vocabulary, and improve your pronunciation...

(Greek): Good afternoon. Ιt's amazing to be here, in Athens,

the home of Asclepius,  the Greek God of Healing,

Adverbs of degree

and in Greece, where  so much of modern medicine

has been derived from Hippocrates  and others, Galen and beyond.

And the formation and the foundation  of modern medicine has been formed here

and it's really informed  the rest of the world

and it can form the future  of health care as well.

But before we look into the future  we often take a bit of back to the future look

and I had the chance to return to my roots,  to Massachusetts General Hospital,

where I did my medical training,  for its 200th anniversary.

That's very old in the United States,  very very young here.

And had a reunion  of the doctors I trained with,

and I found myself  after one of the receptions

at one of the most famous spots  of health care history.

This is called the Etherdome, the spot where in 1846,

this lucky patient was the very first patient  to get general anesthesia with the surgery.

it's frozen in time from 1846,  nothing has changed.

And it's a very historic spot, I wandered  about 4 minutes down the hall

to the ward where I spent my first  month as a brand new doctor.

And I found also in over 15 years,  that was frozen in time.

some of the same nurses,  some of the same patients.

The only difference was that  the young doctor was pushing around

a cart with an old computer  and printing out the electronic record

even at a great institution,  like Massachussets General Hospital,

medicine is still practiced like has been done  for hundreds or sometimes thousand of years,

in old definitions of how health care  has been organized, with waiting rooms.

And we are in the new age now,  new age of technology,

we can define medicine beyond  just body parts and specialties,

in new and powerful ways,  with connected health,

with digital health,  with the empowered patient.

And we need to change our definition,  instead of how we practice medicine today

with most of our dollars on sick care,  we can change our definition

to spending more of our focus  on healthcare

and using technology to enable  ourselves to be more empowered.

We can also change  where health care happens,

traditionally in the hospital,  in the clinic,

but increasingly the pressures  on the cost

are taking health care  out of the hospital to our homes

Now in the 10 years or so,  since I came back to Stanford

for fellowships in hematology  and oncology,

It's a very exciting age and it gives us  the opportunity to do brave new things.

Many technologies are moving  at an exponential rate,

The smartphones in your pockets  have more than a billion times

the price and speed and performance  of the best supercomputers in the 1970's.

And this Moore's law of IT and technology

is happening not just in computers,  it's happening in many fields.

And it's when those technologies  come together and they converge

and the opportunity to rethink  many elements of our society,

We thought we've reimagined  many things in the last decade,

Many companies have been  disrupted like Kodak,

and other companies like BlackBerry  have almost disappeared,

because technology can be disruptive  and it can be disruptive in health care.

One element that is getting disrupted  is the use of personal genomics.

The price of sequencing  your own human genome

has dropped from a billion dollars, it's  dropped to twice the rate of Moore's law

to about one or two  thousand dollars today.

The challenge is when a patience comes  to me with their genome on a hard drive,

we still don't know yet what to do with that. There's a lot of opportunities to learn

and converge that information  and it's beyond just genomics.

It is our proteome, it's the data from  our blood, our environmental data,

imaging the bugs in our gut,  our microbiome,

and as Hippocrates said, early  proponent of personalized medicine,

if you can get every individual the right  amount of nourishment and excercise,

not too little, not too much,  we have found the safest way to health

and the safest way to medicine  is to truly individualize that.

We are able to individualize care now  with high speed computing,

so a surgeon can appreciate  the anatomy of a specific patient.

not only to appreciate  the anatomy at high resolution,

but increasingly the connectome,  and mapping the brain,

We are using high speed computing  to disrupt and change old procedures,

to look at the heart can now be done  with a 30-second CT scan.

We can scan the heart, send it to the cloud,  analyze the blood vessel,

and determine, does that patient  need a stent or a bypass surgery,

where it used to take an operating room,  and a catheter, and lots of radiation,

And we can determine, does that patient  need a stent or other therapy?

So we are disrupting cardiology.  Soon we won't have echo cardiograms.

and analyze the function  and structure of the heart

on a tablet, a smartpad or your phone,  anywhere on the planet.

So, with faster technology  and smaller technology,

we're clearly changing the way  we practice health care.

The smartphones in your pocket  have become health care tools.

And it's only been three years  since the iPad came out.