Translator: Joseph Geni
Reviewer: Morton Bast I want to share some personal friends and stories with you that I’ve actually never talked about in public before to help illustrate the idea and the need and the hope for us to reinvent our health care system around the world. Twenty-four years ago, I had — a sophomore in college, I had a series of fainting spells. No alcohol was involved. And I ended up in student health, and they ran some labwork and came back right away, and said, “Kidney problems.” And before I knew it, I was involved and thrown into this six months of tests and trials and tribulations with six doctors across two hospitals in this clash of medical titans to figure out which one of them was right about what was wrong with me. And I’m sitting in a waiting room some time later for an ultrasound, and all six of these doctors actually show up in the room at once, and I’m like, “Uh oh, this is bad news.” And their diagnosis was this: They said, “You have two rare kidney diseases that are going to actually destroy your kidneys eventually, you have cancer-like cells in your immune system that we need to start treatment right away, and you’ll never be eligible for a kidney transplant, and you’re not likely to live more than two or three years.” Now, with the gravity of this doomsday diagnosis, it just sucked me in immediately, as if I began preparing myself as a patient to die according to the schedule that they had just given to me, until I met a patient named Verna in a waiting room, who became a dear friend, and she grabbed me one day and took me off to the medical library and did a bunch of research on these diagnoses and these diseases, and said, “Eric, these people who get this are normally in their ’70s and ’80s. They don’t know anything about you. Wake up. Take control of your health and get on with your life.” And I did. Now, these people making these proclamations to me were not bad people. In fact, these professionals were miracle workers, but they’re working in a flawed, expensive system that’s set up the wrong way. It’s dependent on hospitals and clinics for our every care need. It’s dependent on specialists who just look at parts of us. It’s dependent on guesswork of diagnoses and drug cocktails, and so something either works or you die. And it’s dependent on passive patients who just take it and don’t ask any questions. Now the problem with this model is that it’s unsustainable globally. It’s unaffordable globally. We need to invent what I call a personal health system. So what does this personal health system look like, and what new technologies and roles is it going to entail? Now, I’m going to start by actually sharing with you a new friend of mine, Libby, somebody I’ve become quite attached to over the last six months. This is Libby, or actually, this is an ultrasound image of Libby. This is the kidney transplant I was never supposed to have. Now, this is an image that we shot a couple of weeks ago for today, and you’ll notice, on the edge of this image, there’s some dark spots there, which was really concerning to me. So we’re going to actually do a live exam to sort of see how Libby’s doing. This is not a wardrobe malfunction. I have to take my belt off here. Don’t you in the front row worry or anything. (Laughter) I’m going to use a device from a company called Mobisante. This is a portable ultrasound. It can plug into a smartphone. It can plug into a tablet. Mobisante is up in Redmond, Washington, and they kindly trained me to actually do this on myself. They’re not approved to do this. Patients are not approved to do this. This is a concept demo, so I want to make that clear. All right, I gotta gel up. Now the people in the front row are very nervous. (Laughter) And I want to actually introduce you to Dr. Batiuk, who’s another friend of mine. He’s up in Legacy Good Samaritan Hospital in Portland, Oregon. So let me just make sure. Hey, Dr. Batiuk. Can you hear me okay? And actually, can you see Libby? Thomas Batuik: Hi there, Eric. You look busy. How are you? Eric Dishman: I’m good. I’m just taking my clothes off in front of a few hundred people. It’s wonderful. So I just wanted to see, is this the image you need to get? And I know you want to look and see if those spots are still there. TB: Okay. Well let’s scan around a little bit here, give me a lay of the land. ED: All right.TB: Okay. Turn it a little bit inside, a little bit toward the middle for me. Okay, that’s good. How about up a little bit? Okay, freeze that image. That’s a good one for me. ED: All right. Now last week, when I did this, you had me measure that spot to the right. Should I do that again? TB: Yeah, let’s do that. ED: All right. This is kind of hard to do with one hand on your belly and one hand on measuring, but I’ve got it, I think, and I’ll save that image and send it to you. So tell me a little bit about what this dark spot means. It’s not something I was very happy about. TB: Many people after a kidney transplant will develop a little fluid collection around the kidney. Most of the time it doesn’t create any kind of mischief, but it does warrant looking at, so I’m happy we’ve got an opportunity to look at it today, make sure that it’s not growing, it’s not creating any problems. Based on the other images we have, I’m really happy how it looks today. ED: All right. Well, I guess we’ll double check it when I come in. I’ve got my six month biopsy in a couple of weeks, and I’m going to let you do that in the clinic, because I don’t think I can do that one on myself. TB: Good choice.ED: All right, thanks, Dr. Batiuk. All right. So what you’re sort of seeing here is an example of disruptive technologies, of mobile, social and analytic technologies. These are the foundations of what’s going to make personal health possible. Now there’s really three pillars of this personal health I want to talk to you about now, and it’s care anywhere, care networking and care customization. And you just saw a little bit of the first two with my interaction with Dr. Batiuk. So let’s start with care anywhere. Humans invented the idea of hospitals and clinics in the 1780s. It is time to update our thinking. We have got to untether clinicians and patients from the notion of traveling to a special bricks-and-mortar place for all of our care, because these places are often the wrong tool, and the most expensive tool, for the job. And these are sometimes unsafe places to send our sickest patients, especially in an era of superbugs and hospital-acquired infections. And many countries are going to go brickless from the start because they’re never going to be able to afford the mega-medicalplexes that a lot of the rest of the world has built. Now I personally learned that hospitals can be a very dangerous place at a young age. This was me in third grade. I broke my elbow very seriously, had to have surgery, worried that they were going to actually lose the arm. Recovering from the surgery in the hospital, I get bedsores. Those bedsores become infected, and they give me an antibiotic which I end up being allergic to, and now my whole body breaks out, and now all of those become infected. The longer I stayed in the hospital, the sicker I became, and the more expensive it became, and this happens to millions of people around the world every year. The future of personal health that I’m talking about says care must occur at home as the default model, not in a hospital or clinic. You have to earn your way into those places by being sick enough to use that tool for the job. Now the smartphones that we’re already carrying can clearly have diagnostic devices like ultrasounds plugged into them, and a whole array of others, today, and as sensing is built into these, we’ll be able to do vital signs monitor and behavioral monitoring like we’ve never had before. Many of us will have implantables that will actually look real-time at what’s going on with our blood chemistry and in our proteins right now. Now the software is also getting smarter, right? Think about a coach, an agent online, that’s going to help me do safe self-care. That same interaction that we just did with the ultrasound will likely have real-time image processing, and the device will say, “Up, down, left, right, ah, Eric, that’s the perfect spot to send that image off to your doctor.” Now, if we’ve got all these networked devices that are helping us to do care anywhere, it stands to reason that we also need a team to be able to interact with all of that stuff, and that leads to the second pillar I want to talk about, care networking. We have got to go beyond this paradigm of isolated specialists doing parts care to multidisciplinary teams doing person care. Uncoordinated care today is expensive at best, and it is deadly at worst. Eighty percent of medical errors are actually caused by communication and coordination problems amongst medical team members. I had my own heart scare years ago in graduate school, when we’re under treatment for the kidney, and suddenly, they’re like, “Oh, we think you have a heart problem.” And I have these palpitations that are showing up. They put me through five weeks of tests — very expensive, very scary — before the nurse finally notices the piece of the paper, my meds list that I’ve been carrying to every single appointment, and says, “Oh my gosh.” Three different specialists had prescribed three different versions of the same drug to me. I did not have a heart problem. I had an overdose problem. I had a care coordination problem. And this happens to millions of people every year. I want to use technology that we’re all working on and making happen to make health care a coordinated team sport. Now this is the most frightening thing to me. Out of all the care I’ve had in hospitals and clinics around the world, the first time I’ve ever had a true team-based care experience was at Legacy Good Sam these last six months for me to go get this. And this is a picture of my graduation team from Legacy. There’s a couple of the folks here. You’ll recognize Dr. Batiuk. We just talked to him. Here’s Jenny, one of the nurses, Allison, who helped manage the transplant list, and a dozen other people who aren’t pictured, a pharmacist, a psychologist, a nutritionist, even a financial counselor, Lisa, who helped us deal with all the insurance hassles. I wept the day I graduated. I should have been happy, because I was so well that I could go back to my normal doctors, but I wept because I was so actually connected to this team. And here’s the most important part. The other people in this picture are me and my wife, Ashley. Legacy trained us on how to do care for me at home so that they could offload the hospitals and clinics. That’s the only way that the model works. My team is actually working in China on one of these self-care models for a project we called Age-Friendly Cities. We’re trying to help build a social network that can help track and train the care of seniors caring for themselves as well as the care provided by their family members or volunteer community health workers, as well as have an exchange network online, where, for example, I can donate three hours of care a day to your mom, if somebody else can help me with transportation to meals, and we exchange all of that online. The most important point I want to make to you about this is the sacred and somewhat over-romanticized doctor-patient one-on-one is a relic of the past. The future of health care is smart teams, and you’d better be on that team for yourself. Now, the last thing that I want to talk to you about is care customization, because if you’ve got care anywhere and you’ve got care networking, those are going to go a long way towards improving our health care system, but there’s still too much guesswork. Randomized clinical trials were actually invented in 1948 to help invent the drugs that cured tuberculosis, and those are important things, don’t get me wrong. These population studies that we’ve done have created tons of miracle drugs that have saved millions of lives, but the problem is that health care is treating us as averages, not unique individuals, because at the end of the day, the patient is not the same thing as the population who are studied. That’s what’s leading to the guesswork. The technologies that are coming, high-performance computing, analytics, big data that everyone’s talking about, will allow us to build predictive models for each of us as individual patients. And the magic here is, experiment on my avatar in software, not my body in suffering. Now, I’ve had two examples I want to quickly share with you of this kind of care customization on my own journey. The first was quite simple. I finally realized some years ago that all my medical teams were optimizing my treatment for longevity. It’s like a badge of honor to see how long they can get the patient to live. I was optimizing my life for quality of life, and quality of life for me means time in snow. So on my chart, I forced them to put, “Patient goal: low doses of drugs over longer periods of time, side effects friendly to skiing.” And I think that’s why I achieved longevity. I think that time-in-snow therapy was as important as the pharmaceuticals that I had. Now the second example of customization — and by the way, you can’t customize care if you don’t know your own goals, so health care can’t know those until you know your own health care goals. But the second example I want to give you is, I happened to be an early guinea pig, and I got very lucky to have my whole genome sequenced. Now it took about two weeks of processing on Intel’s highest-end servers to make this happen, and another six months of human and computing labor to make sense of all of that data. And at the end of all of that, they said, “Yes, those diagnoses of that clash of medical titans all of those years ago were wrong, and we have a better path forward.” The future that Intel’s working on now is to figure out how to make that computing for personalized medicine go from months and weeks to even hours, and make this kind of tool available, not just in the mainframes of tier-one research hospitals around the world, but in the mainstream — every patient, every clinic with access to whole genome sequencing. And I tell you, this kind of care customization for everything from your goals to your genetics will be the most game-changing transformation that we witness in health care during our lifetime. So these three pillars of personal health, care anywhere, care networking, care customization, are happening in pieces now, but this vision will completely fail if we don’t step up as caregivers and as patients to take on new roles. It’s what my friend Verna said: Wake up and take control of your health. Because at the end of the day these technologies are simply about people caring for other people and ourselves in some powerful new ways. And it’s in that spirit that I want to introduce you to one last friend, very quickly. Tracey Gamley stepped up to give me the impossible kidney that I was never supposed to have. (Applause) So Tracey, just tell us a little bit quickly about what the donor experience was like with you. Tracey Gamley: For me, it was really easy. I only had one night in the hospital. The surgery was done laparoscopically, so I have just five very small scars on my abdomen, and I had four weeks away from work and went back to doing everything I’d done before without any changes. ED: Well, I probably will never get a chance to say this to you in such a large audience ever again. So “thank you” feel likes a really trite word, but thank you from the bottom of my heart for saving my life. (Applause) This TED stage and all of the TED stages are often about celebrating innovation and celebrating new technologies, and I’ve done that here today, and I’ve seen amazing things coming from TED speakers, I mean, my gosh, artificial kidneys, even printable kidneys, that are coming. But until such time that these amazing technologies are available to all of us, and even when they are, it’s up to us to care for, and even save, one another. I hope you will go out and make personal health happen for yourselves and for everyone. Thanks so much. (Applause)

Eric Dishman: Health care should be a team sport
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77 thoughts on “Eric Dishman: Health care should be a team sport

  • April 11, 2013 at 6:15 pm
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    this was quite an emotional talk, it is good to see people who are emotionally attached to something try to make a difference

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  • April 11, 2013 at 6:17 pm
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    "putting the patient at the center of a treatment team"
    yes it should be this way, but it is not.
    Also politicians should put the people at the center of their decisions, but that will not happen either.

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  • April 11, 2013 at 6:22 pm
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    07:48 … hehe…

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  • April 11, 2013 at 6:39 pm
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    What and should astronomers put stars in the middle of our solar system?
    You sir are ridiculous! 😛

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  • April 11, 2013 at 6:48 pm
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    we already had that, it called follow the doctor instruction. dietitian and nurse shut up hahhaa

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  • April 11, 2013 at 7:12 pm
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    Haha! Yeah, I was pretty sure of it too

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  • April 11, 2013 at 7:13 pm
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    sounded good at first.besides pushing the smartphone wireless apps up agaist our vulnerable tissues for diagnosis at home, at 7:30 he says "soon many of us will have implantables" (the chip) and behavioral and blood protien monitoring sensors,ect. so…its just another TED talks vid pushing the implantable chip real neat ,if your with bill gates and the elite eugenics movement

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  • April 11, 2013 at 7:16 pm
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    and all of this will work conveniently with IBM's agenda 21 slavery cities(IBM smartplanet) where even your bowel movements will be monitored and controlled by you smartmeter

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  • April 11, 2013 at 7:16 pm
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    As long as we have places like Kindred, and Rick Scott as our Governor, we will never have a fair shake hear in Florida. Kindred is the death hospital and Rick Scott was convicted of the largest Medicare fraud in the history of the U.S. he was fined 1.8 billion dollars yet he still has his hands in our hospitals, destroying the lives of many people.

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  • April 11, 2013 at 7:24 pm
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    your view allows for no greatness, i agree that in our current world, that isn't happening, but we can work toward it happening

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  • April 11, 2013 at 8:07 pm
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    Someone should do something to get rid of those people.

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  • April 11, 2013 at 8:15 pm
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    Can you blame dmosiers view though, when protests happen a majority of people prefer to go on with their lives however disparaging rather than vocalise their frustration with a system that does not represent them.

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  • April 11, 2013 at 9:04 pm
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    As a 4th year year medical student who is to graduate in 1 month, I find this guy really disoriented. He does not realize that people with rare and complicated diseases like his need extensive testing. Also he thinks that he can incorporate medical technology into everyday life (never gonna happen because you need doctors to interpret all the data generated). He's right about personalized medicine because the aim is to treat the patient and not the population and this is the future of medicine.

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  • April 11, 2013 at 9:07 pm
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    From losing my father via Cancer in the Medial Industry of Canada; I have learned to ALWAYS GET A 2nd OPINION. Doctors are people, and they make mistakes. If my father had seen one of the other doctors sooner, the treatment would have gone completely different. Instead, they removed his lung, then found out that there was already other cancer in his system. We really should have sued, but that doesn't help health care for others if we do that. We lost my father, and we hope others learn

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  • April 11, 2013 at 10:06 pm
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    just need medical tricorder and a heal ray lol

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  • April 12, 2013 at 12:03 am
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    You have some shit genes bro.

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  • April 12, 2013 at 12:26 am
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    Not so sure about this

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  • April 12, 2013 at 12:48 am
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    If its coming from TED, you know it's part of a Globalist agenda

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  • April 12, 2013 at 12:55 am
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    placebo your way to health

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  • April 12, 2013 at 12:56 am
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    bill gates is watching you!! haha +1

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  • April 12, 2013 at 1:07 am
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    I definitely understand what you are saying. At the same time, I have to make the point that protests rarely accomplish things. Often they are composed of people who want to make noise, rather than people who want to change the course of history (to whatever degree). To accomplish things, an organization often works far better when it is a small group of people dedicated to creating a certain reality, rather than a group of people who are simply unhappy with the current state of affairs.

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  • April 12, 2013 at 1:10 am
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    Not to pick on you in particular but that is exactly the problem. "Someone should do something." If change is ever going to happen it is going to be in large part by expressed public demand.

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  • April 12, 2013 at 2:30 am
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    That" guy. talking true bottom of he"s heart an what a lovely woman to give that kindney to Him!

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  • April 12, 2013 at 2:34 am
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    So he's talking about holistic medicine rather than scientific medicine. This isn't revolutionary, it's been around for years.

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  • April 12, 2013 at 2:50 am
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    need to make laws on amount of children before we start playing as a team

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  • April 12, 2013 at 2:58 am
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    idiots should not be doctors.

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  • April 12, 2013 at 6:04 am
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    so the kids go off to war, and the elderly are kept alive by 20-30 year olds?

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  • April 12, 2013 at 6:06 am
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    but doing something for some group, means NOT doing something for another( familiar, political, or emotional-philosophic) i agree with you, though.

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  • April 12, 2013 at 6:12 am
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    This is a bit too sappy for my taste. I like TED talks with hard facts, not soft emotions.

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  • April 12, 2013 at 6:59 am
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    @Abedalhamid44 haha you don't need doctors to interpret data you need engineers who know how to think. I went to medical school after getting my professional degree as software computer science n w/o UpToDate or DynaMed docs esp med students r walking shells of there former selves numb to fact of how many medical mistakes kill people. I graduated and said no thank you and have my conscious back. Med School edu esp rotations is stuck in the dark ages.. I develop apps n make millions now go figure

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  • April 12, 2013 at 9:02 am
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    it won't happen because people give up and think that's the way the world is running. Unless you fight for the right thing for yourself, no one will fight it for you. Politicians and doctors fight well so far.

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  • April 12, 2013 at 9:03 am
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    I think the hard fact of this story is his(her) kidney and he being alive.

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  • April 12, 2013 at 10:14 am
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    This might work only if the tutorials are reviewed an approved by a large number of individual specialist.

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  • April 12, 2013 at 10:41 am
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    That wouldn't happen in a perfect world.

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  • April 12, 2013 at 2:09 pm
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    I dont believe that supplying every patient with a personal ultrasound device is cheaper than having people come to one building and sharing the same, more powerful, accurate device. These devices are cool, but you arnt really working out what the real problem is. Just chucking existing tech in the rough direction.

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  • April 12, 2013 at 2:26 pm
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    There is already a branch of health care in the U.S. that puts the patient at the center of a team-based approach to medical care. It's called Osteopathic Medicine.

    An ostoepathic physician is a "D.O" instead of an "M.D." It's more holistic & hands on. The basic tenent is that a patient is not a "disease" but rather a person with a mind, body & spirit.

    There are 26 osteopathic medical schools operating across the U.S. today.

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  • April 12, 2013 at 6:27 pm
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    wait, the correct diagnosis came through genome sequencing? how will something like that ever be cheaper than traditional medicine?

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  • April 13, 2013 at 5:04 am
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    This would help to unclog hospitals, though experts will always be necessary.
    I don't care if you can tell exactly when you'll develop cancer and how to stop it from growing, technology will always have glitches and we'll always need help to properly set a broken bone or dislocated joint. Uness you'd rather we all become Bender.

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  • April 13, 2013 at 7:17 pm
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    So, basically, you want an online personal physician. Yeah, I think that's affordable.

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  • April 13, 2013 at 7:18 pm
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    So, who gets sued if somebody end up dead or misdiagnosed?

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  • April 13, 2013 at 10:16 pm
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    yeah look how WebMD turned out.

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  • April 13, 2013 at 11:28 pm
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    how can i get in contact with Eric Dishman.. i have a friend that has been jerked around by our hospital system for about 7 to 8 months now after breaking his collar bone,, i truely belieave this man Mr. Dishman could help him in some way more than i could .. please give me information on how to get into cantact with this person … you will be helping more than you could ever know. text me 714 852 7406 or email me [email protected] if you have any information

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  • April 13, 2013 at 11:51 pm
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    i agree with you.this is all about making the "implantable rfid chip" look beneficial.there is still a great debate on whether or not obamas deathcare bill requires it or not,but the smartgrid is almost complete,globally,and ALL devices will be smartphone/smartgrid compliant.IBM smarterplanet,agenda 21 brought to you by bill gates,GE and every huge corp that funded nazi genocide.the chip is the final step.listen carefully @ 7:15-7:30.they will remove this comment,like my others im sure

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  • April 14, 2013 at 11:53 pm
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    It seems like, partially, it's suggested we re-initiate bartering and cut jobs from facilities. If the population reciprocates and takes measures to ensure a smooth transition, and regardless thereof, it seems entirely practical and preventative. The problem lies in the previous sentence; lessening income, even if for humanity on the whole, will not likely be taken with any manner of legitimate consideration within the upper echelon of financial supremacy (within the medical field, that is).

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  • April 15, 2013 at 12:00 am
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    As much as I encourage sharing information to benefit others, once those who back companies, or in some way hold stock within medical corporations, see an increasing decline of revenue: I think deals will be made and lives may even be threatened in a political fashion to ensure the status quo. Medical practitioners/investors are paid if you're sick, not healthy, in most cases.

    The system defeats itself since many work for these facilities.

    Basically, it will be brutal before it can get better.

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  • April 15, 2013 at 6:30 am
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    yes ,there is always a solution of the problem inside the problem,thanks for nice analysis ..

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  • April 15, 2013 at 12:44 pm
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    I think we should be more careful with Sean. Unlike you, he seems to internalise criticism. It has an effect on him. Lets be more sensitive in our dealings with him.

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  • April 16, 2013 at 9:10 am
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    the part when he talks about care coordination problem around the 9:00 minute mark can easily be solved with better integration of pharmacists in the health care team. pharmacists take 4 years of graduate school education solely dedicated to drugs but are still considered as "pill counting" useless members of the health care team. physicians need to get off their high horse and realize hindering integration of pharmacists in primary care is only causing more pain and suffering.

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  • April 16, 2013 at 12:49 pm
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    fuck you im not implanting anything ever

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  • April 17, 2013 at 10:08 pm
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    I don't trust anyone who says " ex specially "

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  • April 21, 2013 at 12:26 am
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    Implant? No thanks!

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  • April 21, 2013 at 4:21 am
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    These new tools should be in the hands of doctors, not random individuals. That way, if something isn't right, the doctor will be able to say, "Hey wait a minute this doesn't seem right".

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  • April 21, 2013 at 11:13 pm
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    9:55 his wife? ohhh.. didnt expect that lol

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  • April 23, 2013 at 12:08 am
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    I really love the idea behind this but I dont like how much he has a ranting voice or inflection in his voice.

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  • April 23, 2013 at 12:12 am
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    My thought exactly. That's when he lost me.

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  • April 23, 2013 at 10:14 pm
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    You mean emotion?

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  • May 7, 2013 at 4:47 pm
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    gamification

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  • June 24, 2013 at 7:36 pm
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    Full Circle America is doing this NOW. Our program is a person-centered, medical home program that builds a network of support around the individual.

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  • July 6, 2013 at 4:59 pm
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    youre totally right!

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  • August 5, 2013 at 6:23 pm
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    When the current system is utilized correctly, all of the goals Eric mentions are achieved. The patient does all they can at home. When they are in need of care, they visit their primary care physician. If the primary care physician feels that the patient needs to see a specialist, a specialist is seen. If multiple physicians are caring for the same patient, his or her records (allergies, medical history, medications, etc.) are communicated.

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  • September 24, 2013 at 5:03 pm
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    Them feels!

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  • February 22, 2015 at 2:55 am
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    This dude is great. He's totally got it. 

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  • March 16, 2015 at 11:09 pm
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    No relation… but Mr. Dishman truly does get it.  As a nurse, I hope to be a part of this movement.  To treat our patients holistically.  Great video. 

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  • September 22, 2015 at 5:56 pm
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    I agree with Dishman on the fact that health care is more beneficial when there is "care networking". When there is no communication between doctors, the patient may be paying more money to re-do tests and doctors may end up making mistakes. For example, if the patient goes to two different specialized doctors, and there is no communication, then neither doctor will have all of the information/records on the patient, which makes it easier for them to make mistakes that may be detrimental for the patient.

    One thing that can help in care networking is using Electronic Health Records (EHRs). In America, there is a push for EHRs but not all providers are on board. In order for EHRs to be useful, everyone needs to be on board. EHRs can help in sending over information/records for patients to different facilities/practices faster and more efficiently. It will cut costs for both the patients and providers, it will lower the rate of mistakes, and it will even be beneficial when doctors need to write out prescriptions. Overall, it will help to keep the patients healthy and it will help to reinvent health care in a positive way.

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  • October 14, 2015 at 11:20 pm
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    I agree with Eric. Health care is a system that should be more about the network. Mistakes are made frequently when there is no communication between the doctors and nurses, then the nurses and CNAs. If one goes to the hospital, then is sent to their own doctor for a follow up, if there is no communication between these two doctors, they could make mistakes and stop or start a new medication that could be potentially harmful to the patient. There needs to be a way where all doctors can communicate with each other and be able to keep the health care system running efficiently without making fatal mistakes, or mistakes at all.

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  • November 11, 2015 at 1:41 am
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    Eric's perspective on the improvement for our healthcare system is spot on. I could not agree more.

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  • December 2, 2015 at 9:46 pm
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    If the current systems are used correctly, the goals Eric mentioned would happen. It takes team work as he says but then you get into the problem of specialist and doctors are too busy to collaborate with each other. I feel we need better medical teams and set up a more personal level instead of just being a part of the "system".

    Let me know what you think I am a college student trying to learn more about healthcare and what comes along with it.

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  • December 7, 2015 at 4:19 am
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    Although this seems like the best case scenario for healthcare as a whole, “care anywhere”, “care networking”, and “care customization” will only work if people are willing to initiate it themselves and, sadly, most aren’t. Being involved with in home health care myself, I know people are stubborn in their ways and if the whose system were to change (even if for the better of all) there would be unwillingness to participate from a large audience. Yes, health is a main priority for most people, but from what I see, most people only look out for their well being and rely on a specialist or primary care physician to do the work for them; however, this is how the healthcare system is set up! To change that, along with everyone’s idea of healthcare, would be a monstrous task.

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  • January 20, 2016 at 9:09 am
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    Hey there, The best results that my step-mom has ever had was with Freds Magic Remedy (just google it) Its the most helpful plan available.

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  • October 10, 2016 at 8:15 pm
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    Eric made some great points about how our current health system is flawed. There needs to changes made to benefit health of all. But we have people out there that do not even have access to affordable health care that even allows them to go see a doctor. Since we do not have that how can we expect that patient should have this technology to permit "care anywhere" to be successful? Another issues I have with Eric's approach is that he said that the one-on-one between the patient and the doctor would be not more. But if you want the to happen how can you also want "care customization?" Because with "care customization" doctors and medical teams need to learn the goals and what is important to the patient. But if they don't have the interaction and relationship with the patient how will that happen? It can't. Also, for so many years its been, if you get sick, you go to the doctor and they help. Now people are being asked to do low level care on themselves? How can we ask of that when there are people in this nation that do not take pride or put time into their health? I think Eric's issues stem with the doctors on his original medical team. I would help that a lot of medical teams out there do work together for the good of the patient. Let's try to better the bonds and relationships between doctors and specialist before completely changing the current system. To throw away such a complex system seems like a mess. Let's modify it and use some of these ideas to help promote health for everyone. In addition, as an Occupational Therapy major, a lot of the things Eric lists are already roles of an OT. Like learning self, care and medication management.

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  • November 11, 2016 at 7:27 pm
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    Eric, I am a nurse in California and completely agree with your 3-tiered system for personal health care. We have such wisdom and technology available to us today that we should be able to do a better job of reaching out to patients instead of forcing them to reach out to us. Thank you for sharing your experiences!
    BTW, lived and worked in OREGON for many years and love, love, love the Legacy system there : )

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  • December 21, 2016 at 10:09 pm
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    Is the new model telemedicine what he is referring about?

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  • February 20, 2017 at 12:37 am
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    I see where the mistakes were made here. Obviously the doctors were not talking within each other. A personal health system could be good. It is amazing how Dishman can just show us an image of his kidney and see how it is doing. Technology is an amazing thing and is great that he can just hurry and see if anything looks wrong on his kidney. This reminds me of another video i have seen. People want more personal care with their doctors and quicker ways to see their doctor. It is true when Dishman says many people can't afford the expensive costs of using the machines doctors have. I'm surprised when he says " eighty percent of medical errors are actually caused by communication and coordination problems amongst medical team members." I have heard this in another video as well. Its horrible that they thought he had a heart problem when he was actually overdosing because they gave him so much medication. There needs to be more team work within health care. If everyone communicates better and more openly, there won't be so many flaws. I think no matter what we do our health care system will be flawed in some way.

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  • February 28, 2017 at 1:56 am
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    There are many points that Eric pointed out throughout his talk that had me thinking. Right from the beginning of his talk, Eric mentioned how he was being seen by six different physicians between two hospitals, yet not one could exactly pin-point the type of condition that he had. All that was mentioned was that he had a kidney problem, yet couldn't have a kidney transplant. What? When I first heard him say that, I immediately questioned it. Kidney problem, yet no transplant? Doesn't make any sense. Then he went on to say how he only has 2-3 more years to live. If I were in his shoes, I would have automatically shut down. When you hear a medical physician say that, you expect them to be 100% confident in what they are saying, if it comes to being life-ending. Obviously Eric lives a lot longer than the predicted 2-3 years, which is great, yet frustrating. If he were to of never ran into that woman in the lobby, or looked up the condition that affects the geriatric population, then he could have been in a "slump" or chose to not live his life out. It's frustrating because when other people, unlike Eric, are told that sometimes they have less than that to live. However, physicians need to make sure they are diagnosing patients with the correct conditions.
    Later on in this talk there was a statement about how sometimes sending patients to the hospitals, may not always be the best move. In addition to that, sending some of the sickest patients to the hospitals may even worsen their condition. People don't normally think of this but hospitals can be the most "sterile" yet most contaminating places at the same time. Think about it. Where do the most sick people go to seek treatment? Hospital. If someone is on the verge of death, most likely where are they? Hospital. A huge virus is going around and causing everyone to become very ill, where are they? Hospital. Hospitals are very beneficial to society, yet a silent killer. Sick people can become more sick, quicker just by going to the hospital. Going to a hospital or clinic can also break someone's wallet as well. No matter how long one is in there, they can be a financial burden to one's family. Sad, yet true.
    Eric made another point, he stated, "Eighty percent of medical errors are actually caused by communication and coordination problems amongst medical team members". WHAT! HOW?! Communication is key, especially when it comes to the health care field, and trying to diagnose a patient. He then went on to discuss how THREE different physicians prescribed him the same medicine in three different versions. He was suffering an over-dose problem. I do not understand how nobody noticed that before hand. There needs to be more and better communication between these health professionals, and egos to not get in the way anymore. Better teamwork skills, leads to better outcomes for the patients at the end of the day.

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  • April 18, 2019 at 4:16 pm
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    I agree with him, the purpose of this idea is very good but need the government incentive to beggin.

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