hi this is dr. Bertalan Mesko the
medical futurist and now I want to talk about what should be in a medical bag
today and how portable and innovative diagnostic tools will sheperd us into a
new era where you will be the point-of-care in its basic form the
stethoscope was invented by a French physician dr. Laennec who published a
description of the instrument in 1819 at the time dr. generally listened to
patient’s heart beats and lung sounds by pressing their ears against the
patient’s chest and back however when Laennec had to examine a young woman
complaining of heart problems he thought this would be improper so he rolled up a
piece of paper and put one end to his ear while the other end to the chest of
the patient and just like this the stethoscope was born and in a few years
instead of using pieces of paper he turned the idea into a wooden hollow
tube although it was a simple and brilliant innovation it took time and
effort until the medical community accepted it and started using it widely
listen to what English physician John Forbes said about it I have no doubt
whatever from my own experience of its value that it will be acknowledged to be
one of the greatest discoveries in medicine by all those who are of a
temper and in circumstances that will enable them to give it a fair trial that
it will ever come into general use notwithstanding its value I am extremely
doubtful because it’s beneficial application requires much time and gives
a good deal of trouble both to the patient and the practitioner and because
its whole hue and character is foreign and opposed to all our habits and
associations think about it we are only talking about a wooden tube here
physicians thought it was either a burden or debt by having the distance
from the patient they would simply lose the art of Medicine
it took three decades for a status quo to become viola accepted but today if
the universal symbol of being a physician when I talk about digital
health the fellow medical professionals sometimes I have the impression that I
have to convince those nineteenth-century doctors about a
status code they are difficult to proceed they are reluctant to accept you
to her technologies and patient empowerment the sheer amount of
innovation on the field can be overwhelming in the 19th century
physicians had 30 years to adopt a technological innovation while now there
are 30 innovations coming out in a single day what digital health
technologies do is that they make you the point-of-care healthcare without an
address today the point of care is usually a hospital or a doctor’s office
in the old days doctors took their famous leather bags and went out to
treat upper-class people later on their care extended to the general
population as well when hospitals and practices first
appeared the point-of-care shifted from the patients to these places so patients
started to meet their physicians at their offices that shift in health care
happened only because hospitals had the opportunity to offer access to big and
expensive diagnostic devices which our entire system relies on the shift taking
place now driven by digital health technologies is how the point of care
comes back to us and with it they could solve a major problem looming over
health care such as the robust shortage of physicians if adoption of new
technologies fast hands up we could redesign the medical bag for a new
century so let’s see what we could put in the medical bag of the 21st century
handheld ECG do you remember those huge devices on those carts printing out ECG
on paper well a life core has already made those obsolete with their line of
ECG devices called kardea they are the textbook example of technology shaping
health care empowering and supporting otali patients but medical professionals
as well they are FDA cleared medical grade ECG
devices are as big as a credit card do an ECG in 30 seconds even on six
channels and they connect your smartphone
plus they that can easily be shared blood pressure
additional cuffs are over 150 years old technologies now the company called eye
health has a line of FDA cleared products that brings us a long overdue
upgrade their products are light and mobile while they provide the fastest
measurement I’ve ever seen in the digital device you can see your results
within 20 seconds and it’s able to compare your readings to previous
measurements to help you make better decisions on prevention and treatment
multi diagnostic devices the medical tricorder from Star Trek is the dream of
every medical student via Tom’s check me promises to bring that dream into
reality by measuring ECG blood oxygen level body temperature blood pressure
heart rate step count and many other health parameters with a single device
needless to say it is portable with light transfers data wirelessly and it’s
FDA approved the digital status code we have already talked about the
stethoscope and of course it has a 21st century upgrade as well the Eco core
digital stethoscope allows physicians to listen to long and hard sounds in a
crystal clear way and digitize the results within seconds this way they can
also discuss those with among peers portable ultrasound devices like the
Philips to my thigh or the Claudius ultrasound scanner bring advanced
diagnostic devices to homes only a few years ago
it would have been unimaginable to get ultrasound any other place than a
doctor’s office but this is where the promise of digital health comes through
no need for a doctor’s appointment no waiting time no travel costs these
pocket-sized user friend I agnostic devices can quickly give you a scan and
show the results on a smartphone the otoscope with the help of a built in
nano camera the Wisc med otoscope keeps clear views of the eardrum in even small
or partially obstructed ear channels making exams easier and
more accurate and the original images can be further examined comfortably on a
computer monitor without troubling the patient
vision test the newer based i q– has an MIT patented technology based on
instruments and charts used in vision testing they offer two products enabling
low-cost and accessible eye test for everyone the personal vision tracker
measures an individual’s refractive status including near or farsightedness
and astigmatism by the IQ inside determines visual acuity
so both products are portable easy to use and relatively low-cost solutions
that would fit very well with a modern medical pack of course putting together
a medical bag like this is not an all-around solution we will still need
hospitals where we can get more substantial care than needed but if we
adopt these technologies we have a chance to alleviate the pressure on
doctors and solve the worldwide shortage of physicians even a non physician
healthcare professional could perform a basic examination on the patient with
these and if they require further analysis the data can be sent to a
hospital to physicians who can decide if the patient is in need of hospital care
that’s what the digital health revolution is all about keeping up with
technology is not going to kill the art of medicine or replace medical
professionals but it is simply going to lighten the artists burdens but then why
don’t we see these devices in practice or in a medical bag but first many
physicians simply don’t know about these technologies and if they do they think
they are not available they think they exist as moonshots and prototypes in
China or the Silicon Valley while as I mentioned most of these are fda-approved
and readily available worldwide if physicians do know about these things
then another preconception is that they can’t afford them but frankly they are
not more expensive than the traditional versions and as technology progresses
they are getting cheaper by each year and even if a physician is validated of
all these I still regularly see reluctance to change their way of
working as I said something new technologies might end the art of
medicine that they grew up studying they believe that putting the distance was
telesco between doctor and is making their work less efficient
frankly these tools are here to help them to create better relationships with
their patients and to get faster results with more data so what we can do to wash
our physicians into a new era of innovative diagnostic tools lawmakers
need to introduce practical policies that provide incentives for physicians
to adopt new technologies why patients need to raise awareness by bringing
their own devices and the data to their doctor patient meetings and we all need
to support a development of digital hub devices that are based on scientific
evidence you can see what digital health is capable of and we are in the early
days of this evolution we need to continue on this path of progress to
adopt innovative technologies to change the point of care to manage our health
until one day the medical bag will be obsolete and even a digital tattoo we’ll
be able to monitor everything at once because trust me in the future your data
will arrive at the point of care before you do no waiting times or delays just
diagnosis and treatment right away this is the way if you want to hear more
about innovative devices in the 21st century just subscribe to this channel you