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Prof Shafi Ahmed & John Nosta - Does M.D. stand for 'more data'? - DATAcated Conference May 2021

Shafi Ahmed
Consultant General at The Royal London and St Bartholomew’s Hospitals
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DATAcated Conference: Industry  2021
May 18, 2021, Online, USA
DATAcated Conference: Industry 2021
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Prof Shafi Ahmed & John Nosta - Does M.D. stand for 'more data'? - DATAcated Conference May 2021
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About the talk

The DATAcated Conference is a free, virtual ‘data party’ hosted by Kate Strachnyi. This is the third DATAcated Conference – it has an industry focus and covers financial services, healthcare, energy, retail, sports, and food & beverage.

About speakers

Shafi Ahmed
Consultant General at The Royal London and St Bartholomew’s Hospitals
John Nosta
President at NostaLab

Dr Ahmed is a Consultant general, laparoscopic and colorectal surgeon working in the Academic Surgery Unit at The Royal London and St Bartholomew’s Hospitals. He is the Director for colorectal cancer within the trust. He has published widely on the genetics of colorectal cancers and completed a PhD at London University on this subject. He has been recently appointed as a council member to the highly prestigious Royal College of Surgeons of England and is its youngest member. He is the Associate Dean for undergraduates at Bart’s and the London medical school (the oldest medical school in England) and is head of Surgery in the clinical programme. He is the programme director for core surgical trainees and runs the simulation programme for the trainees and sits on the higher surgical committee. He is also the civilian advisor for surgery to the British armed forces. He has an academic interest in the use of wearables in education and clinical practice. Using Google glass he recently performed a live operation to 14000 students across 132 countries and 1100 cities to demonstrate this technology. He has developed Virtual Medics a web based platform using wearables for education. Bart’s and The London Medical School were the first medical school outside North America to incorporate the technology into the curriculum. He has now co-founded Medical Realities and is developing both AR and VR within the medical space.

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First and foremost, John is a thinker. A thinker entrenched in the world of science, medicine and innovation. John is the founder of NOSTALAB—a digital health think tank recognized globally for an inspired vision of transformation. He’s currently ranked as one of the leading global influencers in medical innovation and technology and well established as one of the top global strategic and creative thinkers. He is also one the most popular speakers around the globe presenting his vibrant and insightful perspective on the future on innovation. His focus is on guiding companies, NGOs, and governments through the dynamics of exponential change and the diffusion of innovation into complex systems.

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I'll start with a professor Shafi. Ahmed. He is an award-winning cancer surgeon at the Royal London Hospital, and she's going to talk about, does MD stand for more data. So, let me introduce Professor Shafi. Ahmed first, as a message in the multi award-winning cancer, surgeon works at the Royal London Hospital. He is a member of an NHS assembly. Advising the government on the NHS long-term plan. He was awarded the future NHS award by members of parliament. In 2018. He was also the Asian Star in the UK Tech in 2018 is one of the silver scalpel and the best national trainer. In

surgery, in 2015, has been given they tell us of what most watched surgeon as he screams live operations. Using Google last virtual reality, social media. And on National Television on operations live is a 3 * tedx and international speaker. Having delivered over 250. Keno's in over 30 countries. It will be joined here on stage with. Mr. John, not that he's the founder of, not the lab, a digital help think-tank recognized globally, inspired, vision of transformation. He's currently ranked as one of the leading, Global influencers, in medical,

Innovation, and technology, and well established as one of the top Global strategic and creative thinkers. He's also one of the most popular secret around the globe, presenting his vibrant and insightful perspective on the future of innovation. His focus is on Guiding companies and she owes and governments through the Dynamics of exponential change and the diffusion of innovation to come fix. This. He's also a member of the Google Health Advisory Board. All right, we are going to go ahead and bring them both up on stage, Professor shop yesterday, and we are.

Hello. There you are. I'm going to I'm going to hop off the stage here and I'll be back in about 15-20 minutes. Text Leticia. Kate 55. Well, first of all, shoppies, it's always unfair to be on stage with you because your credentials are so good. I think that I think I'm going to, I'm going to have to lie more on mine. So she was my, my my thought is that I think I'm going to stick with the d word and everything. I'm going to talk about today, has to begin with

the letter d. And I want to start with this with, of course, going to the notion of data. But, but as I look at a tech clinical medicine, what's going on, there are other precursors to this, and I want to discuss that with you a little bit cuz I think that ultimately what we're seeing is the digitization. So we kind of start there that that would digitizing so many things in clinical, medicine from digitizing an arterial pulse. Trace thing in the operating room to digitizing, heart sounds to carrying it down that line, and that takes us to the

other Deeds that I want to. Kind of put it in perspective for our audience, not making the Super technical, but digitization leaves to demonetization. So now I don't need all that big heavy equipment. I can, I can do it virtually or anywhere and the demonetization leads to the dematerialization. And and that Dynamic I think is is what you're doing. So the final D in this construct, is that what that gives us the unique opportunity to actually democratize Healthcare? So, I want to talk about that a little bit, you know, in your experience, as a

clinician, you know, relying on human touch and relying on on so many fundamental things. How is digitization in demonetization and all that stuff really making an impact in the operating room. That's where I see a lot of it happening. Hey, John. I think if I didn't respond to contact with special surgery, changing the face of surgery using data with a panther make. That means access special about the because of the boats. Must have patients using telemedicine coming into a remote consultation taken off by now, but

please stay safe. That's the sixth level. And the ECG can battle with a tear in your time. I'm going to be a blood pressure machine. Play one more day to be quiet in real time. We have gone to go there just for the code on the bio. For some reason. Now what you do with your message about cancer, screening with 5G technology. So, interesting, interesting, I just read today that the guidelines are being changed in the United States for earlier detection of colon and rectal cancer down to 44, first. Screening great. That's great. But we know that that everybody is not compliant with

colonoscopies. Yeah, but my swallowing, this pill is it's really interesting. Again, the premise to my discussion here is that you still have to digitize the darn thing, right? You need that camera and, and, and you're making it a look at the sigmoidoscope or the scope that use. Now, it's a big things about this is something you literally swallow. So I think that's really interesting, but shofi he was my concern in and it goes back to data is data a four-letter word in clinical medicine today.

Is it is, they're just too much? Darn data. Do I have to bring my Genomic information to the doctor. When I do, see if she's going to get angry at me. How old is John? Is working program? My name is Boost that I'm Steve understand what it means. I just I lost you guys and I just asked for my phone. Now has my back someday to enter know my dates at. So now you can spot you at lodge. The engineer to figure out a job with a real-time analytics Julia creation for

determining the outcomes of the operation on looking out. The full month is of a team under, the decision is much more valuable than before. I want to I'm going to I'm going to snag on my way to the patient a little bit before we get there. I'm going to have my show until 2, which I think is is an example of what is really going on. Not on the we have pills and again dematerialization making a small but we have this little Gizmo that I can hold in my hand

and that takes my EKG. And and and another similar device is what we'd probably never guessed that. This is a stethoscope and I put it on my chest and the stethoscope tracks heart sounds and it also tracks, the EKG and superimpose has both of them. And in what that does. It create something called a systolic, something as specific as another's. How will your hardest is squeezing? The point I'm making is that we've gone from this EKG machine, you know,

and, and this stethoscope Witchita, the use of the stuff is Shopping with. No, this is the role of the stethoscope is to identify the doctor in the room, right? Because it's over the neck, but now, he's in the domain of the cardiologists or the domain of, of Just The Physician. If the patient who buys this on Amazon today, and it's the patient who very, well may use this device to measure heart failure, while he or she is at home with shopping about, you know, the emergence of

data and all this stuff. But how do the patient's fit into that, you know, is the patient the Arbiter of the data now is the patient's up collector of the data and how important is their role in this, in this new clinical Dynamic has a great question. And yes, it rides that we often. Do you put patients, O2 sensor medicine. I think that'd be a tendency to make sure them stay away from sick cat too. Well, so they can fly more medicine too much. More collaborative effort with a patient and I enjoyed our conversation. Last thing that happened much more regular job

and telemedicine peaked it went up. But what I'm seeing is telemedicine actually going down. In some scenarios is almost returning to February, March Baseline. And I'm just curious. You know, I have my theories about that. What what's going on shopping? Do you think who is driving telemedicine? The patient, the Doctor Who who is the obstacle? What what are some of the things? I'll let you go first. Then I'll kind of throw out some of my, my insides are on this. Cuz I think it's

rocket League team or face-to-face is a comfort zone. Going to bed. I guess. Some patience is much better. And so some people move back to normal back to type. How to get rid of I'm too tired, I think, you know, what are the one of my observations is that as much as I like to talk about this crazy Gizmo to take your EKG and the fact that you can buy it for $89 us on Amazon, you know, this is not an access problem. This is readily available to patients. It's still not seen as a tool

to be used during telemedicine. And my point is, if you go back, 5, 10 years ago, we were messing around with with the web maybe 20 years ago. The early web was not a very friendly place. It was hard to navigate, you know, it didn't have a very good user experience. Then then what happened is that? We found it. We can actually create something that is dynamic and that user experience, the ux emerge as a powerful tool to not only dry functionality, but engagement, so I'm on this website and I like him to around. I think that telemedicine today is a meager

transfer that we've basically taken the office visit and pushed it to a zoom call. And there's not much technological sophistication, you know, we have to create a clinical experience that allows us to leverage technology like us like maybe a stethoscope maybe an otoscope, you know, maybe there are certain things that we can you do. For me is I think that we need to Move to telemedicine 2.0 or 3.0 and I don't think that's going to be an easy in Easy Pass forward.

What are the basic observation? Do do routinely as a checkup as they come to the hospital and it is the one thing that comes up again and again. Let me get up to their shop cuz I want you to explain that to the group a little bit, because a lot of people listening to us are not Physicians, they're not clinicians. So what what is interoperability mean, you know, the combination to replenish and take a step back on that. A basic tenet health records for patients

house. That connect. What's the API look like, how do you make it easy for the papers to look at my past infection? That sleep is about to take a boat pass. Great. That's great, too. I wish you meant ability to inculcate to assimilate data and knowledge into our lives. Whether where students or whether were Physicians. Is that ever going to be able to keep up with technology. I mean, it seems to me technology is advancing faster than our our, our human ability to absorb it.

So patient to me some clever responses to bring to us and just my final point in enclosing here is that I think there's a psychological component to this because only speak the Physicians. They are often identified as the smartest person in the room. It's just a hierarchy of medicine. The doctor is smart and end. And one point is that as we have collaborative care. I think that, that not only is it, the doctor working with the patient, working with the technician,

working with the family, but that collaborative care must include. Technology must include the computer and I think it's going to flip doctors out. When they begin to understand the smartest person in the room isn't the person, but it's the technology from the live audience or not has been exploding with, just the level of speakers that were having on the on our show today. And thank you so much for getting that talk. I'll start off with the question from Alyssa here. She passing in 5 years. How do you see the use of data will change help? The way Healthcare is

delivered? Shoppy, I'll let you go first. Cuz cuz you are a real doctor. I only pretend that I'm with a patient engagement. So that actually likes, it's like they from the back places on the spot. Family computer that personalized care customized care is definitely a point in the Continuum, but I want to extend that curve out farther because it is my, my desire. Personalized care become obsolete. That we don't need it. And then this is my premise is that I think that early detection and an

inappropriate analysis of data, blood glucose weight, the back of your eye, all sorts of cookies, things will actually get us to a point where we can get the stage zero, but we can get to an earlier and earlier pass. Now. It's my mom and my grandma always told me your best clothes because it'll keep you healthy. I believe that the pasta prevention is actually a technology-based, early detection and disease detection allows us to get to a place where personalized therapy is going to be Trump because we can eliminate the disease before it becomes clinically or systemically relevant.

A time when you said you want to move away from Personal Care at first, I was like wait, what are P for my heart attack from ever happening? And we do have 7 questions on some of the gadgets gadgets that you were sharing. So there's a question here from Bharat for Professor chassis. He's saying the pillcam is mind-blowing as a less-invasive diagnostic method. However, how much is it reliable compared to an actual,? Cuz he was suspected of polity of digitization as data. I think it's going to

be with new technology. Took a public relations, use that same technology into pillowtop. So I just wanted to use that same Knowledge from the. It could be just as good about expenses. Arista patient. The bottom says, you might miss a few small possible. But I think you hit the nail on the head there and it goes back to data. It comes back to data. And example, I'm going to use has nothing to do with medicine. Let's talk about Tesla. I mean because the magic of Tesla is the

accumulated data that makes the car smarter and smarter and smarter, if that's really the market advantage. That's why I, that's why I fit in Google book, Fitbit, not because of the technology and a spill Camp gets used in used in use. We're going to be able to optimize those algorithms. So to me, I mean, that's a really, really interesting Dynamic. The other side of that point. Nothing. We don't have to make everything equally accurate, you know, when we will we make a stethoscope. It's going to be different than the stethoscope. The Cardiology list music, and these different levels will

suit and appropriate knee. So maybe I will get a pill colonoscopy every five years from the time of 20 because it's inexpensive and easy that modality has to be looked at completely differently than that. One who Boro colonoscopy at age 50 where I need to find that darn polyp, you know, in the downside, too. Bill Camp invention that I see a polyp. I can't remove it, but it creates a new political Dynamic changes, the game, fundamentally. And I think that's why it's so exciting. Absolutely, and we have probably a hundred or two hundred questions that are just flying at

you guys. And unfortunately, we are awesome. You are at shoppie it, love questions clearly. So go ahead and send them text messages. I don't have time to respond. But I think you so much for joining us here today, really. Really? My pleasure. Thank you so much, babe.

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Shafi Ahmed
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