hello everyone my name is Jeremiah today we will be talking about diagnostic
we will be talking about diagnostic
we will be talking about diagnostic images and global health diagnostic
images and global health diagnostic
images and global health diagnostic images are important tools in diagnosing
images are important tools in diagnosing
images are important tools in diagnosing and treating pathology in the healthcare
and treating pathology in the healthcare
and treating pathology in the healthcare industry
industry
industry it is currently lacking globally in a
it is currently lacking globally in a
it is currently lacking globally in a large amount because many facilities and
large amount because many facilities and
large amount because many facilities and patient across the club does not have
patient across the club does not have
patient across the club does not have access to these images I’m going to show
access to these images I’m going to show
access to these images I’m going to show you a couple of example what a
you a couple of example what a
you a couple of example what a diagnostic images actually look like for
diagnostic images actually look like for
diagnostic images actually look like for some of you that are not quite familiar
some of you that are not quite familiar
some of you that are not quite familiar with it that’s a chase x-ray
with it that’s a chase x-ray
with it that’s a chase x-ray it’s a CT of the abdomen CT the acronym
it’s a CT of the abdomen CT the acronym
it’s a CT of the abdomen CT the acronym stands for computed tomography that’s an
stands for computed tomography that’s an
stands for computed tomography that’s an MRI of the brain which is the magnetic
MRI of the brain which is the magnetic
MRI of the brain which is the magnetic resonance imaging medical provision
resonance imaging medical provision
resonance imaging medical provision across the club that have access to that
across the club that have access to that
across the club that have access to that imagery are able to properly diagnose
imagery are able to properly diagnose
imagery are able to properly diagnose and plan a treatment process for a
and plan a treatment process for a
and plan a treatment process for a patient that are under the Akay there
patient that are under the Akay there
patient that are under the Akay there are about three factors that I want to
are about three factors that I want to
are about three factors that I want to focus on when I’m talking about with the
focus on when I’m talking about with the
focus on when I’m talking about with the electrical services across the club
electrical services across the club
electrical services across the club today
today
today one is the fatality as a result of lack
one is the fatality as a result of lack
one is the fatality as a result of lack of this images the problem that is
of this images the problem that is
of this images the problem that is associated with radiological services
associated with radiological services
associated with radiological services and what we can do in terms of solution
and what we can do in terms of solution
and what we can do in terms of solution to improve this factor of the healthcare
to improve this factor of the healthcare
to improve this factor of the healthcare services that’s a picture of my daughter
services that’s a picture of my daughter
services that’s a picture of my daughter but I will come back to her in a minute
but I will come back to her in a minute
but I will come back to her in a minute first I want to talk to you guys about a
first I want to talk to you guys about a
first I want to talk to you guys about a few other instances that are related to
few other instances that are related to
few other instances that are related to fatality in radiology one of that
fatality in radiology one of that
fatality in radiology one of that situation had to do with my brother he
situation had to do with my brother he
situation had to do with my brother he died and the reported prognosis was that
died and the reported prognosis was that
died and the reported prognosis was that he had a heart problem the only small
he had a heart problem the only small
he had a heart problem the only small problem with there was that there was no
problem with there was that there was no
problem with there was that there was no diagnostic imagery at any point to show
diagnostic imagery at any point to show
diagnostic imagery at any point to show that he has some kind of heart disease
that he has some kind of heart disease
that he has some kind of heart disease that would have been or would have
that would have been or would have
that would have been or would have pumped
pumped
pumped or area of a physician to be able to
or area of a physician to be able to
or area of a physician to be able to administer the proper treatment for him
when it comes to heart problem in many
when it comes to heart problem in many clinical settings I chase x-ray or chase
clinical settings I chase x-ray or chase
clinical settings I chase x-ray or chase CT or MRI of the changes always obtained
CT or MRI of the changes always obtained
CT or MRI of the changes always obtained by clinical facility to show what
by clinical facility to show what
by clinical facility to show what exactly is wrong this is specific exam
exactly is wrong this is specific exam
exactly is wrong this is specific exam known as the CT of CT of the chest which
known as the CT of CT of the chest which
known as the CT of CT of the chest which is considered an angiogram it pretty
is considered an angiogram it pretty
is considered an angiogram it pretty much shows the functionality and and the
much shows the functionality and and the
much shows the functionality and and the impact of how your heart works when it’s
impact of how your heart works when it’s
impact of how your heart works when it’s functioning properly this images was not
functioning properly this images was not
functioning properly this images was not available for the physician that was
available for the physician that was
available for the physician that was treating my brother and he died
treating my brother and he died
treating my brother and he died eventually after a long haul of pain and
eventually after a long haul of pain and
eventually after a long haul of pain and causes associated with that another
causes associated with that another
causes associated with that another instance I want to bring to your
instance I want to bring to your
instance I want to bring to your attention is my mother my mother
attention is my mother my mother
attention is my mother my mother recently had a fall a common fall and
recently had a fall a common fall and
recently had a fall a common fall and she sustained an injury on the right leg
she sustained an injury on the right leg
she sustained an injury on the right leg you’d be surprised that there was so
you’d be surprised that there was so
you’d be surprised that there was so much difficulty being able to diagnose
much difficulty being able to diagnose
much difficulty being able to diagnose how bad the injury was on a lake because
how bad the injury was on a lake because
how bad the injury was on a lake because there was no imagery a clinical imagery
there was no imagery a clinical imagery
there was no imagery a clinical imagery at any time that was obtained to show
at any time that was obtained to show
at any time that was obtained to show how deep the injury she sustained was in
how deep the injury she sustained was in
how deep the injury she sustained was in fact her leg got worse by the day to the
fact her leg got worse by the day to the
fact her leg got worse by the day to the point that we were worried that she
point that we were worried that she
point that we were worried that she might develop gangrene which might lead
might develop gangrene which might lead
might develop gangrene which might lead to our leg being amputated you know in
to our leg being amputated you know in
to our leg being amputated you know in this in some part of the world people
this in some part of the world people
this in some part of the world people would have the tendency to to substitute
would have the tendency to to substitute
would have the tendency to to substitute scientifical tools or clinical
scientifical tools or clinical
scientifical tools or clinical experience for superstition and and
experience for superstition and and
experience for superstition and and other factors that are related to that
other factors that are related to that
other factors that are related to that because of the lack of knowledge and
because of the lack of knowledge and
because of the lack of knowledge and tools and expertise to properly treat
tools and expertise to properly treat
tools and expertise to properly treat the patient I am a great believer in
the patient I am a great believer in
the patient I am a great believer in religion and and and why is that even a
religion and and and why is that even a
religion and and and why is that even a factor in this topic one people people
factor in this topic one people people
factor in this topic one people people pray a lot most of the time and they
pray a lot most of the time and they
pray a lot most of the time and they pray for God to perform a miracle but
pray for God to perform a miracle but
pray for God to perform a miracle but I’m also a believer in signs which mean
I’m also a believer in signs which mean
I’m also a believer in signs which mean that you should use the proper
that you should use the proper
that you should use the proper tools to treat a problem when you have
tools to treat a problem when you have
tools to treat a problem when you have one in this case for my mom eventually
one in this case for my mom eventually
one in this case for my mom eventually for she did get better partly how would
for she did get better partly how would
for she did get better partly how would I make they probably was because she
I make they probably was because she
I make they probably was because she prayed a lot because the the clinical
prayed a lot because the the clinical
prayed a lot because the the clinical treatment that she actually needed was
treatment that she actually needed was
treatment that she actually needed was not sufficient enough to treat her
not sufficient enough to treat her
not sufficient enough to treat her properly I said I will come back to my
properly I said I will come back to my
properly I said I will come back to my daughter in a minute so my daughter was
daughter in a minute so my daughter was
daughter in a minute so my daughter was born at 12 pounds so write a wish when
born at 12 pounds so write a wish when
born at 12 pounds so write a wish when she was born she should some evidence
she was born she should some evidence
she was born she should some evidence some science evidence of our breathing
some science evidence of our breathing
some science evidence of our breathing problem and the doctor speculated that
problem and the doctor speculated that
problem and the doctor speculated that is possible that she might have what
is possible that she might have what
is possible that she might have what they call CCHD which is congenital
they call CCHD which is congenital
they call CCHD which is congenital critical congenital heart defect this is
critical congenital heart defect this is
critical congenital heart defect this is a critical diagnosis and this happened
a critical diagnosis and this happened
a critical diagnosis and this happened in rural America so this is not
in rural America so this is not
in rural America so this is not something that is diagnostic imaging
something that is diagnostic imaging
something that is diagnostic imaging problem is not something that is
problem is not something that is
problem is not something that is isolated to some third-world country or
isolated to some third-world country or
isolated to some third-world country or some remote part of the world this is
some remote part of the world this is
some remote part of the world this is everywhere unfortunately the hospital
everywhere unfortunately the hospital
everywhere unfortunately the hospital that we were ad I did not have enough
that we were ad I did not have enough
that we were ad I did not have enough staff to be able to provide these
staff to be able to provide these
staff to be able to provide these services for her they only had one
services for her they only had one
services for her they only had one machine that is able to perform the exam
machine that is able to perform the exam
machine that is able to perform the exam that was needed which was echocardiogram
that was needed which was echocardiogram
that was needed which was echocardiogram and they had one tick that was
and they had one tick that was
and they had one tick that was supporting the entire Hospital at that
supporting the entire Hospital at that
supporting the entire Hospital at that point and on top of that not only will
point and on top of that not only will
point and on top of that not only will it be that when the exam was finally
it be that when the exam was finally
it be that when the exam was finally obtained whenever that would be that
obtained whenever that would be that
obtained whenever that would be that exam will be sent to a remote location
exam will be sent to a remote location
exam will be sent to a remote location to be read why because the entire
to be read why because the entire
to be read why because the entire Hospital does not have a pediatric
Hospital does not have a pediatric
Hospital does not have a pediatric cardiology that is capable of
cardiology that is capable of
cardiology that is capable of interpreting and echo echo cardiogram
interpreting and echo echo cardiogram
interpreting and echo echo cardiogram so from this scenario you can see we
so from this scenario you can see we
so from this scenario you can see we spent a few hours for critical exam that
spent a few hours for critical exam that
spent a few hours for critical exam that was order the stat a status determined
was order the stat a status determined
was order the stat a status determined using the medical industry to me right
using the medical industry to me right
using the medical industry to me right away but we were talking about hours
away but we were talking about hours
away but we were talking about hours before before echocardiogram was
before before echocardiogram was
before before echocardiogram was performing are luckily for us she was
performing are luckily for us she was
performing are luckily for us she was okay and she’s doing much better today
okay and she’s doing much better today
okay and she’s doing much better today but not everybody is that lucky I’ll
but not everybody is that lucky I’ll
but not everybody is that lucky I’ll give you a couple of example one there
give you a couple of example one there
give you a couple of example one there was a there was a patient in Kenya and
was a there was a patient in Kenya and
was a there was a patient in Kenya and and the radiology attending physician
and the radiology attending physician
and the radiology attending physician that was taking care of the patient
that was taking care of the patient
that was taking care of the patient wanted to obtain a CT of the brain the
wanted to obtain a CT of the brain the
wanted to obtain a CT of the brain the problem was that the hospital did not
problem was that the hospital did not
problem was that the hospital did not have a CT machine to be able to obtain
have a CT machine to be able to obtain
have a CT machine to be able to obtain that scan so the patient has to be
that scan so the patient has to be
that scan so the patient has to be transported to a location that can
transported to a location that can
transported to a location that can perform the exam the problem with that
perform the exam the problem with that
perform the exam the problem with that is that by the time the exam was
is that by the time the exam was
is that by the time the exam was performed and the founder that the
performed and the founder that the
performed and the founder that the patient had of bleeding around the brain
patient had of bleeding around the brain
patient had of bleeding around the brain and before they can rush him back to the
and before they can rush him back to the
and before they can rush him back to the hospital for surgery
hospital for surgery
hospital for surgery he died another similar case in Kenya a
patient the radiologist suspected that
patient the radiologist suspected that the patient has a lesion of the brain
the patient has a lesion of the brain
the patient has a lesion of the brain but needed a CT scan to confirm that
but needed a CT scan to confirm that
but needed a CT scan to confirm that that is the case and you we don’t need
that is the case and you we don’t need
that is the case and you we don’t need to know what the fit of that patient was
to know what the fit of that patient was
to know what the fit of that patient was but you know if you ever see a lesion in
but you know if you ever see a lesion in
but you know if you ever see a lesion in your brain it’s not fine and needs to be
your brain it’s not fine and needs to be
your brain it’s not fine and needs to be treated properly and for you to properly
treated properly and for you to properly
treated properly and for you to properly treat it you need a diagnostic images to
treat it you need a diagnostic images to
treat it you need a diagnostic images to see where the lesion is and to carry out
see where the lesion is and to carry out
see where the lesion is and to carry out the surgery that is related to that that
the surgery that is related to that that
the surgery that is related to that that is not the case in many places in the
is not the case in many places in the
is not the case in many places in the war and people die because of lack of
war and people die because of lack of
war and people die because of lack of diagnostic images to properly treat a
diagnostic images to properly treat a
diagnostic images to properly treat a patient picture is worth a thousand
patient picture is worth a thousand
patient picture is worth a thousand words they say it’s true the people that
words they say it’s true the people that
words they say it’s true the people that coin the phrase pictures what a thousand
coin the phrase pictures what a thousand
coin the phrase pictures what a thousand would really understand that it is not
would really understand that it is not
would really understand that it is not only integral to explaining difficult
only integral to explaining difficult
only integral to explaining difficult concept it shows you exactly what you’re
concept it shows you exactly what you’re
concept it shows you exactly what you’re looking at and this might not be an
looking at and this might not be an
looking at and this might not be an obvious fact in the radiological
obvious fact in the radiological
obvious fact in the radiological services even though it might be
services even though it might be
services even though it might be implicitly reference but picture does
implicitly reference but picture does
implicitly reference but picture does tell us a lot of story both internally
tell us a lot of story both internally
tell us a lot of story both internally and externally
and externally
and externally take for instance that’s an x-ray of the
take for instance that’s an x-ray of the
take for instance that’s an x-ray of the arm if you look closely you can see for
arm if you look closely you can see for
arm if you look closely you can see for those of you that can tell there is a
those of you that can tell there is a
those of you that can tell there is a broken bone on the right arm radius is
broken bone on the right arm radius is
broken bone on the right arm radius is what they call it medically and that’s
what they call it medically and that’s
what they call it medically and that’s it you’ve seen the picture you know
it you’ve seen the picture you know
it you’ve seen the picture you know exactly where the problem is you don’t
exactly where the problem is you don’t
exactly where the problem is you don’t have to spend money you don’t have to
have to spend money you don’t have to
have to spend money you don’t have to spend time you know to run around to
spend time you know to run around to
spend time you know to run around to look for what is wrong with the patient
look for what is wrong with the patient
look for what is wrong with the patient why is the patient on this so much pain
why is the patient on this so much pain
why is the patient on this so much pain of course here people can be X on a
of course here people can be X on a
of course here people can be X on a scale of one to ten what is your level
scale of one to ten what is your level
scale of one to ten what is your level of pain but that doesn’t tell you where
of pain but that doesn’t tell you where
of pain but that doesn’t tell you where the the fracture is that doesn’t help an
the the fracture is that doesn’t help an
the the fracture is that doesn’t help an orthopaedic to tell where the problem is
orthopaedic to tell where the problem is
orthopaedic to tell where the problem is but with a picture it’s easy so now the
but with a picture it’s easy so now the
but with a picture it’s easy so now the question is we’ve been talking about
question is we’ve been talking about
question is we’ve been talking about radiology for a few minutes now how does
radiology for a few minutes now how does
radiology for a few minutes now how does it really work does anybody really know
it really work does anybody really know
it really work does anybody really know well I’ll tell you how it works
well I’ll tell you how it works
well I’ll tell you how it works a patient either admitted into a
a patient either admitted into a
a patient either admitted into a hospital or being referred to a hospital
hospital or being referred to a hospital
hospital or being referred to a hospital or being brought into a hospital to e d
or being brought into a hospital to e d
or being brought into a hospital to e d which is the emergency department may be
which is the emergency department may be
which is the emergency department may be sustained a trauma
sustained a trauma
sustained a trauma accidental road accident anything of
accidental road accident anything of
accidental road accident anything of that nature and the attending physician
that nature and the attending physician
that nature and the attending physician or the family physician request that are
or the family physician request that are
or the family physician request that are that a diagnostic image like you know
that a diagnostic image like you know
that a diagnostic image like you know what I’ve shown you previously be
what I’ve shown you previously be
what I’ve shown you previously be obtained so that they can tell what is
obtained so that they can tell what is
obtained so that they can tell what is wrong with the patient depending on what
wrong with the patient depending on what
wrong with the patient depending on what the the prognosis the thinking is so the
the the prognosis the thinking is so the
the the prognosis the thinking is so the patient images is obtained stored
patient images is obtained stored
patient images is obtained stored transferred to radiologist and it’s rate
transferred to radiologist and it’s rate
transferred to radiologist and it’s rate that’s it sorry works
that’s it sorry works
that’s it sorry works many of you probably know somebody that
many of you probably know somebody that
many of you probably know somebody that have done one of these or two of these
have done one of these or two of these
have done one of these or two of these or you just say if I’ve done it
or you just say if I’ve done it
or you just say if I’ve done it personally
personally
personally so now problem in radiology if this is a
so now problem in radiology if this is a
so now problem in radiology if this is a file tool that we need to have why is it
file tool that we need to have why is it
file tool that we need to have why is it a problem why is it not available
a problem why is it not available
a problem why is it not available everywhere one of the reason is that is
everywhere one of the reason is that is
everywhere one of the reason is that is expensive it is when it comes to
expensive it is when it comes to
expensive it is when it comes to location wise it is poorly located some
location wise it is poorly located some
location wise it is poorly located some places are highly utilized they have
places are highly utilized they have
places are highly utilized they have this equipment some places on they
this equipment some places on they
this equipment some places on they utilize another essential problem that
utilize another essential problem that
utilize another essential problem that you really need to know when it comes to
you really need to know when it comes to
you really need to know when it comes to radiological services is that the
radiological services is that the
radiological services is that the patient today does not really know why
patient today does not really know why
patient today does not really know why they getting a specific exam yes
they getting a specific exam yes
they getting a specific exam yes sometimes they tell you okay this is
sometimes they tell you okay this is
sometimes they tell you okay this is what you have to do you have to prep the
what you have to do you have to prep the
what you have to do you have to prep the day before and we get in this example
day before and we get in this example
day before and we get in this example you guys say a a K you have in demonium
you guys say a a K you have in demonium
you guys say a a K you have in demonium we want to see your chest but does the
we want to see your chest but does the
we want to see your chest but does the patient really know why they’re getting
patient really know why they’re getting
patient really know why they’re getting an MRI compared to a CT do they really
an MRI compared to a CT do they really
an MRI compared to a CT do they really know why they’re getting an ultrasound
know why they’re getting an ultrasound
know why they’re getting an ultrasound compared to an x-ray and you might ask
compared to an x-ray and you might ask
compared to an x-ray and you might ask why does that matter
why does that matter
why does that matter well this is why it matters a patient
well this is why it matters a patient
well this is why it matters a patient that is given a CT exam compared to an
that is given a CT exam compared to an
that is given a CT exam compared to an MRI is more exposed to radiation than
MRI is more exposed to radiation than
MRI is more exposed to radiation than somebody that se is taking an MRI exam
somebody that se is taking an MRI exam
somebody that se is taking an MRI exam different frequencies but radiation is
different frequencies but radiation is
different frequencies but radiation is highly possible with the city because
highly possible with the city because
highly possible with the city because one either you inject the video
one either you inject the video
one either you inject the video radiation dose or or you can swallow it
radiation dose or or you can swallow it
radiation dose or or you can swallow it same thing applies to with your
same thing applies to with your
same thing applies to with your graphical images which is x-ray
graphical images which is x-ray
graphical images which is x-ray ultrasound you don’t have to worry about
ultrasound you don’t have to worry about
ultrasound you don’t have to worry about that and this is important because
that and this is important because
that and this is important because radiation do they’ve been some work and
radiation do they’ve been some work and
radiation do they’ve been some work and development to try to reduce the
development to try to reduce the
development to try to reduce the radiation or low dose that you you get
radiation or low dose that you you get
radiation or low dose that you you get exposed to when you get
exposed to when you get
exposed to when you get exam like a CT or an x-ray it’s still a
exam like a CT or an x-ray it’s still a
exam like a CT or an x-ray it’s still a problem
problem
problem and enough radiation is capable of
and enough radiation is capable of
and enough radiation is capable of altering your DNA and this is where it
altering your DNA and this is where it
altering your DNA and this is where it gets really scary
gets really scary
gets really scary anything that is capable of altering
anything that is capable of altering
anything that is capable of altering your DNA is capable of causing cancer
that’s why patient needs to know why
that’s why patient needs to know why they’re getting a specific exam compared
they’re getting a specific exam compared
they’re getting a specific exam compared to not having a different modality
to not having a different modality
to not having a different modality modality is determined used to
modality is determined used to
modality is determined used to differentiate the different type of exam
differentiate the different type of exam
differentiate the different type of exam that you’re getting and on top of that
that you’re getting and on top of that
that you’re getting and on top of that patient does not have the opportunity to
patient does not have the opportunity to
patient does not have the opportunity to have a appear refute a second opinion
have a appear refute a second opinion
have a appear refute a second opinion because it’s almost impossible today for
because it’s almost impossible today for
because it’s almost impossible today for an insurance company to pay for second
an insurance company to pay for second
an insurance company to pay for second opinion if you don’t have a really good
opinion if you don’t have a really good
opinion if you don’t have a really good reason for for it
that hospital is located in South South
that hospital is located in South South Nigeria is in West Africa mentioned
Nigeria is in West Africa mentioned
Nigeria is in West Africa mentioned earlier that poorly located equipment
earlier that poorly located equipment
earlier that poorly located equipment can contribute to the problem of access
can contribute to the problem of access
can contribute to the problem of access to the patient the hospital has one CT
to the patient the hospital has one CT
to the patient the hospital has one CT scanner it’s probably this three times
scanner it’s probably this three times
scanner it’s probably this three times the population of that area is probably
the population of that area is probably
the population of that area is probably three times of the size of Roja
but compared to more dense populations
but compared to more dense populations in and say Lagos Abuja Shanghai New York
in and say Lagos Abuja Shanghai New York
in and say Lagos Abuja Shanghai New York and stuff this dense populated area can
and stuff this dense populated area can
and stuff this dense populated area can probably really make a good use of a CT
probably really make a good use of a CT
probably really make a good use of a CT scanner but in that hospital in the
scanner but in that hospital in the
scanner but in that hospital in the remote part of the country it’s probably
remote part of the country it’s probably
remote part of the country it’s probably almost a few hands of people that will
almost a few hands of people that will
almost a few hands of people that will ever use their CT scanner so poorly
ever use their CT scanner so poorly
ever use their CT scanner so poorly located equipment doesn’t help that
located equipment doesn’t help that
located equipment doesn’t help that hospital is located here in the state
hospital is located here in the state
hospital is located here in the state yes to CT scanners and you’d be
yes to CT scanners and you’d be
yes to CT scanners and you’d be surprised this is thousands to tens of
surprised this is thousands to tens of
surprised this is thousands to tens of thousands of patient a year highly
thousands of patient a year highly
thousands of patient a year highly highly utilized equipment in that
highly utilized equipment in that
highly utilized equipment in that hospital the next problem we’re going to
hospital the next problem we’re going to
hospital the next problem we’re going to talk about is the technical and
talk about is the technical and
talk about is the technical and professional know-how there’s a lack of
professional know-how there’s a lack of
professional know-how there’s a lack of knowledge in the world today when it
knowledge in the world today when it
knowledge in the world today when it comes to radiological services in fact
comes to radiological services in fact
comes to radiological services in fact there are many more radiologists in in
there are many more radiologists in in
there are many more radiologists in in in Boston in an Avenue in Boston
in Boston in an Avenue in Boston
in Boston in an Avenue in Boston Massachusetts
Massachusetts
Massachusetts than they are in the whole of West
than they are in the whole of West
than they are in the whole of West Africa they are about 124 radiologists
Africa they are about 124 radiologists
Africa they are about 124 radiologists in one Hospital alone in Boston and
in one Hospital alone in Boston and
in one Hospital alone in Boston and there is only two in the whole country
there is only two in the whole country
there is only two in the whole country of Liberia
the World Health Organization estimated
the World Health Organization estimated that 2/3 of the world population does
that 2/3 of the world population does
that 2/3 of the world population does not have access to radiological services
not have access to radiological services
not have access to radiological services to – it currently I looked it up so the
to – it currently I looked it up so the
to – it currently I looked it up so the world population is a 7.5 billion and I
world population is a 7.5 billion and I
world population is a 7.5 billion and I did the math on this that’s about 5
did the math on this that’s about 5
did the math on this that’s about 5 billion people that does not have access
billion people that does not have access
billion people that does not have access to radiological services that is
to radiological services that is
to radiological services that is incredible how can anybody survive
solutions we have to we don’t have a
solutions we have to we don’t have a choice we have to think outside the box
choice we have to think outside the box
choice we have to think outside the box that’s what we have to do the
that’s what we have to do the
that’s what we have to do the traditional way is not going to work
traditional way is not going to work
traditional way is not going to work there is a lot of reason for why you
there is a lot of reason for why you
there is a lot of reason for why you would not work it’s too expensive some
would not work it’s too expensive some
would not work it’s too expensive some of the location is they not up to
of the location is they not up to
of the location is they not up to standing it they can acquire equipment
standing it they can acquire equipment
standing it they can acquire equipment of this size we don’t have the technical
of this size we don’t have the technical
of this size we don’t have the technical know-how we have the professional
know-how we have the professional
know-how we have the professional know-how I’ve stated facts for that and
know-how I’ve stated facts for that and
know-how I’ve stated facts for that and and that’s true so that’s why we cannot
and that’s true so that’s why we cannot
and that’s true so that’s why we cannot solve it the traditional way
so thinking outside the box is what we
so thinking outside the box is what we need to do and that’s why I’m proposing
need to do and that’s why I’m proposing
need to do and that’s why I’m proposing this solution a distributed radiological
this solution a distributed radiological
this solution a distributed radiological Network call it clout radiology if you
Network call it clout radiology if you
Network call it clout radiology if you want computers is going to be the thing
want computers is going to be the thing
want computers is going to be the thing to solve the world most difficult
to solve the world most difficult
to solve the world most difficult problem
problem
problem it is supercomputers that are going to
it is supercomputers that are going to
it is supercomputers that are going to solve the problem humans cannot solve
and we are currently at the position to
and we are currently at the position to be able to solve this problem we have to
be able to solve this problem we have to
be able to solve this problem we have to develop better algorithm to be able to
develop better algorithm to be able to
develop better algorithm to be able to one for instance put hospital in the
one for instance put hospital in the
one for instance put hospital in the proper location or put an equipment in a
proper location or put an equipment in a
proper location or put an equipment in a proper location so that a patient from
proper location so that a patient from
proper location so that a patient from all over the globe can get to it sooner
all over the globe can get to it sooner
all over the globe can get to it sooner and quicker for some of you that doesn’t
and quicker for some of you that doesn’t
and quicker for some of you that doesn’t know what distributed network would look
know what distributed network would look
know what distributed network would look like it’s a bunch of computers clustered
like it’s a bunch of computers clustered
like it’s a bunch of computers clustered together and with a expert system we
together and with a expert system we
together and with a expert system we will use the expert system to help with
will use the expert system to help with
will use the expert system to help with the diagnosis we will use radiologists
the diagnosis we will use radiologists
the diagnosis we will use radiologists across the club with variety of
across the club with variety of
across the club with variety of experience we will no longer we restrict
experience we will no longer we restrict
experience we will no longer we restrict it to a specific region people that are
it to a specific region people that are
it to a specific region people that are exposed to different kind of sickness
exposed to different kind of sickness
exposed to different kind of sickness we’ll have access to our system and
patient will be able to get access to
patient will be able to get access to these video letí’s in real-time and now
these video letí’s in real-time and now
these video letí’s in real-time and now we’re going to do that other than the
we’re going to do that other than the
we’re going to do that other than the fact that we’re going to have a bunch of
fact that we’re going to have a bunch of
fact that we’re going to have a bunch of computers available of course you know
computers available of course you know
computers available of course you know don’t forget the fact that it’s a
don’t forget the fact that it’s a
don’t forget the fact that it’s a patient information so we have to secure
patient information so we have to secure
patient information so we have to secure it so that is part of a plan it would be
it so that is part of a plan it would be
it so that is part of a plan it would be highly secured I know and I know how to
highly secured I know and I know how to
highly secured I know and I know how to do it every patient or if a potential
do it every patient or if a potential
do it every patient or if a potential patient will have access to an A and app
patient will have access to an A and app
patient will have access to an A and app on your phone that they can get it they
on your phone that they can get it they
on your phone that they can get it they can use to work in conjunction with your
can use to work in conjunction with your
can use to work in conjunction with your local physician or Hospital or scanning
local physician or Hospital or scanning
local physician or Hospital or scanning Center to request images when one is
Center to request images when one is
Center to request images when one is needed in real-time and they’ll be able
needed in real-time and they’ll be able
needed in real-time and they’ll be able to send these images to a distributed
to send these images to a distributed
to send these images to a distributed network to be stored rate and reported
network to be stored rate and reported
network to be stored rate and reported back to the ordering physician so we
back to the ordering physician so we
back to the ordering physician so we don’t have to go through the same thing
don’t have to go through the same thing
don’t have to go through the same thing my daughter go to or my mom go to or my
my daughter go to or my mom go to or my
my daughter go to or my mom go to or my brother goes already kidding or the
brother goes already kidding or the
brother goes already kidding or the patient in Kenya went through that’s one
so application on your phone everybody
so application on your phone everybody almost most part of the world has a
almost most part of the world has a
almost most part of the world has a phone today say there’s an interesting
phone today say there’s an interesting
phone today say there’s an interesting thing about having a phone and if you
thing about having a phone and if you
thing about having a phone and if you still remember a line line line line was
still remember a line line line line was
still remember a line line line line was was something that people used to use
was something that people used to use
was something that people used to use what’s the edits to use it today but the
what’s the edits to use it today but the
what’s the edits to use it today but the key thing about that is that if
key thing about that is that if
key thing about that is that if everybody has waited for every country
everybody has waited for every country
everybody has waited for every country in the world to have access to an
in the world to have access to an
in the world to have access to an infrastructure to support a landline the
infrastructure to support a landline the
infrastructure to support a landline the world today as we know we still be in
world today as we know we still be in
world today as we know we still be in communication deafness but cell phone as
communication deafness but cell phone as
communication deafness but cell phone as make communication across the clock
make communication across the clock
make communication across the clock possible so we’re going to tap into that
possible so we’re going to tap into that
possible so we’re going to tap into that power that’s what we’re going to use
power that’s what we’re going to use
power that’s what we’re going to use you’re going to give people power to use
you’re going to give people power to use
you’re going to give people power to use your phone to acquire images to be
your phone to acquire images to be
your phone to acquire images to be treated
we will also provide a portable device
we will also provide a portable device we have forward differences now in
we have forward differences now in
we have forward differences now in medical imagery from ultrasound that can
medical imagery from ultrasound that can
medical imagery from ultrasound that can be used to obtain images in this remote
be used to obtain images in this remote
be used to obtain images in this remote locations and any way as a matter of
locations and any way as a matter of
locations and any way as a matter of fact we will send portable mobile
fact we will send portable mobile
fact we will send portable mobile vehicles that will go to this location
vehicles that will go to this location
vehicles that will go to this location to assist patient acquire these images
to assist patient acquire these images
to assist patient acquire these images if they have an acquired one yet we will
if they have an acquired one yet we will
if they have an acquired one yet we will do work ‘über d2 personal
do work ‘über d2 personal
do work ‘über d2 personal transportation will come to you if you
transportation will come to you if you
transportation will come to you if you can come to us and totally this is the
can come to us and totally this is the
can come to us and totally this is the award a phrase that I coined myself if
award a phrase that I coined myself if
award a phrase that I coined myself if you’re in a place that we can get to you
you’re in a place that we can get to you
you’re in a place that we can get to you through work no road transportation oh
through work no road transportation oh
through work no road transportation oh it’s an emergency you need a vo track we
it’s an emergency you need a vo track we
it’s an emergency you need a vo track we will use a chopper when you son l
will use a chopper when you son l
will use a chopper when you son l équipe de is probably more expensive
équipe de is probably more expensive
équipe de is probably more expensive but that time will come is the plan what
but that time will come is the plan what
but that time will come is the plan what we say what we call a miracle drawing
we say what we call a miracle drawing
we say what we call a miracle drawing and this is the key thing about a
and this is the key thing about a
and this is the key thing about a medical drawing a medical drone will be
medical drawing a medical drone will be
medical drawing a medical drone will be able to scan you in real time and send
able to scan you in real time and send
able to scan you in real time and send the image to the global network to be
the image to the global network to be
the image to the global network to be rate and reported to you in real time so
rate and reported to you in real time so
rate and reported to you in real time so you don’t have any time to waste and at
you don’t have any time to waste and at
you don’t have any time to waste and at the end of this all the key thing is to
the end of this all the key thing is to
the end of this all the key thing is to provide quality health care to everyone
provide quality health care to everyone
provide quality health care to everyone make it assessable silver so that nobody
make it assessable silver so that nobody
make it assessable silver so that nobody has to die for simple pathology or
has to die for simple pathology or
has to die for simple pathology or sickness like a broken leg returning to
sickness like a broken leg returning to
sickness like a broken leg returning to a possibility of having a cane green or
a possibility of having a cane green or
a possibility of having a cane green or a heart defect that wasn’t caught on
a heart defect that wasn’t caught on
a heart defect that wasn’t caught on time to be treated nobody has to die
time to be treated nobody has to die
time to be treated nobody has to die from things that we can solve today we
from things that we can solve today we
from things that we can solve today we just don’t properly optimize the the
just don’t properly optimize the the
just don’t properly optimize the the resources that we currently have quality
resources that we currently have quality
resources that we currently have quality health care that’s what everybody wants
health care that’s what everybody wants
health care that’s what everybody wants and we can do that
and we can do that
and we can do that so I hope you join me today hopefully in
so I hope you join me today hopefully in
so I hope you join me today hopefully in this effort to at least try to save a
this effort to at least try to save a
this effort to at least try to save a life even if we can save one life one
life even if we can save one life one
life even if we can save one life one leg it is worth the effort thank you
leg it is worth the effort thank you
leg it is worth the effort thank you [Applause]
”
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