so when I was in eighth grade I learned Newton’s laws of motion like all other
Newton’s laws of motion like all other
Newton’s laws of motion like all other kids and one of the first principles was
kids and one of the first principles was
kids and one of the first principles was that when a car is in motion
that when a car is in motion
that when a car is in motion it will continue to be in motion till it
it will continue to be in motion till it
it will continue to be in motion till it until it encounters a red signal it’s
until it encounters a red signal it’s
until it encounters a red signal it’s very important that this works in most
very important that this works in most
very important that this works in most parts of the world and but unfortunately
parts of the world and but unfortunately
parts of the world and but unfortunately in this part of the world I see that
in this part of the world I see that
in this part of the world I see that it’s not necessarily always the case and
it’s not necessarily always the case and
it’s not necessarily always the case and so therefore I do celebrate the
so therefore I do celebrate the
so therefore I do celebrate the diversity of thought and practice within
diversity of thought and practice within
diversity of thought and practice within the country but the amount of
the country but the amount of
the country but the amount of individuality that we express in today’s
individuality that we express in today’s
individuality that we express in today’s world is more than what it was in the
world is more than what it was in the
world is more than what it was in the generation that I was brought up in we
generation that I was brought up in we
generation that I was brought up in we were assembly line students we had
were assembly line students we had
were assembly line students we had assembly line factories and of course
assembly line factories and of course
assembly line factories and of course the the world was changing and now we
the the world was changing and now we
the the world was changing and now we have paint companies talking about
have paint companies talking about
have paint companies talking about marijuana cream we have car companies
marijuana cream we have car companies
marijuana cream we have car companies talking about configuring cars that are
talking about configuring cars that are
talking about configuring cars that are customized to one’s personality and is
customized to one’s personality and is
customized to one’s personality and is liking and so therefore we are beginning
liking and so therefore we are beginning
liking and so therefore we are beginning to express ourselves as more and more
to express ourselves as more and more
to express ourselves as more and more individualistic and of course it’s
individualistic and of course it’s
individualistic and of course it’s completely justified because I am
completely justified because I am
completely justified because I am therefore unique the three principles
therefore unique the three principles
therefore unique the three principles that drive this uniqueness has a
that drive this uniqueness has a
that drive this uniqueness has a definite effectiveness in all the kind
definite effectiveness in all the kind
definite effectiveness in all the kind of areas of work that is there and I
of areas of work that is there and I
of areas of work that is there and I would probably talk about how and why we
would probably talk about how and why we
would probably talk about how and why we are looking at healthcare
are looking at healthcare
are looking at healthcare transformations that probably would be
transformations that probably would be
transformations that probably would be driven by our idiosyncrasies we are
driven by our idiosyncrasies we are
driven by our idiosyncrasies we are different from our physiology point of
different from our physiology point of
different from our physiology point of view no-brainer
view no-brainer
view no-brainer we are also different from our egoistic
we are also different from our egoistic
we are also different from our egoistic reactions and ego perceptions again a
reactions and ego perceptions again a
reactions and ego perceptions again a no-brainer but of course we are also
no-brainer but of course we are also
no-brainer but of course we are also biased and influenced by our
biased and influenced by our
biased and influenced by our relationships and that makes what is me
so then what is the relevance of today’s
so then what is the relevance of today’s medicine today’s medicine is based on
medicine today’s medicine is based on
medicine today’s medicine is based on evidence-based medicine
evidence-based medicine
evidence-based medicine the problem with evidence-based medicine
the problem with evidence-based medicine
the problem with evidence-based medicine is that we assume that 80% of the
is that we assume that 80% of the
is that we assume that 80% of the population falls within my you know
population falls within my you know
population falls within my you know successful form of treatment and we have
successful form of treatment and we have
successful form of treatment and we have outliers unfortunately most of us are
outliers unfortunately most of us are
outliers unfortunately most of us are outliers many of us identify ourselves
outliers many of us identify ourselves
outliers many of us identify ourselves as outliers and from this evidence-based
as outliers and from this evidence-based
as outliers and from this evidence-based medicine and to illustrate this point
the basic concept of evidence-based
the basic concept of evidence-based medicine is based on factors that are
medicine is based on factors that are
medicine is based on factors that are related to a population a randomized
related to a population a randomized
related to a population a randomized clinical trial and people who respond
clinical trial and people who respond
clinical trial and people who respond and people who didn’t respond and had
and people who didn’t respond and had
and people who didn’t respond and had unfortunate consequences but the fact is
unfortunate consequences but the fact is
unfortunate consequences but the fact is that we are now beginning to look at why
that we are now beginning to look at why
that we are now beginning to look at why are we looking at this this form of
are we looking at this this form of
are we looking at this this form of health care just to give you an example
health care just to give you an example
health care just to give you an example I take you to three personal incidences
I take you to three personal incidences
I take you to three personal incidences that I’ve been closely related with one
that I’ve been closely related with one
that I’ve been closely related with one of the instances was a thirty year old
of the instances was a thirty year old
of the instances was a thirty year old female who came with that once breast
female who came with that once breast
female who came with that once breast cancer to a hospital of well-known
cancer to a hospital of well-known
cancer to a hospital of well-known Hospital in Bangalore was advised
Hospital in Bangalore was advised
Hospital in Bangalore was advised radiotherapy chemotherapy and some
radiotherapy chemotherapy and some
radiotherapy chemotherapy and some draconian surgical procedures but at the
draconian surgical procedures but at the
draconian surgical procedures but at the end of the day the family decided that
end of the day the family decided that
end of the day the family decided that we are not going to take this treatment
we are not going to take this treatment
we are not going to take this treatment we will go back and allow nature to take
we will go back and allow nature to take
we will go back and allow nature to take its own course fortunately it was a
its own course fortunately it was a
its own course fortunately it was a happy ending the woman presented herself
happy ending the woman presented herself
happy ending the woman presented herself in the clinic three months later and the
in the clinic three months later and the
in the clinic three months later and the tumor just disappeared
tumor just disappeared
tumor just disappeared strangely enough this happens a lot of
strangely enough this happens a lot of
strangely enough this happens a lot of times and many of us don’t have the kind
times and many of us don’t have the kind
times and many of us don’t have the kind of courage to be able to say I am NOT
of courage to be able to say I am NOT
of courage to be able to say I am NOT taking the treatment and the
taking the treatment and the
taking the treatment and the consequences can be otherwise but then
consequences can be otherwise but then
consequences can be otherwise but then the fact is that we have instances where
the fact is that we have instances where
the fact is that we have instances where a 42 year old man with that 1cm eye
a 42 year old man with that 1cm eye
a 42 year old man with that 1cm eye which is three artery is blocked coming
which is three artery is blocked coming
which is three artery is blocked coming into the hospital and saying that
into the hospital and saying that
into the hospital and saying that I’m not going to get stented for this
I’m not going to get stented for this
I’m not going to get stented for this particular reason it doesn’t you know
particular reason it doesn’t you know
particular reason it doesn’t you know sort of agree with me but then you know
sort of agree with me but then you know
sort of agree with me but then you know the heart builds core laterals very
the heart builds core laterals very
the heart builds core laterals very quickly and so therefore he is still
quickly and so therefore he is still
quickly and so therefore he is still alive and then of course this other
alive and then of course this other
alive and then of course this other incident of a 40 year old female whose
incident of a 40 year old female whose
incident of a 40 year old female whose father was suffering from chronic heart
father was suffering from chronic heart
father was suffering from chronic heart failure was in the hospital presented in
failure was in the hospital presented in
failure was in the hospital presented in the emergency room with acute myocardial
the emergency room with acute myocardial
the emergency room with acute myocardial infraction and well the ECG didn’t show
infraction and well the ECG didn’t show
infraction and well the ECG didn’t show anything troponin t didn’t show anything
anything troponin t didn’t show anything
anything troponin t didn’t show anything and so therefore they kept him on that
and so therefore they kept him on that
and so therefore they kept him on that stretcher for quite some time which
stretcher for quite some time which
stretcher for quite some time which unfortunately wasn’t a very pleasant
unfortunately wasn’t a very pleasant
unfortunately wasn’t a very pleasant ending and it was more tragic but the
ending and it was more tragic but the
ending and it was more tragic but the fact is that nobody could make a
fact is that nobody could make a
fact is that nobody could make a decision based on the diagnostic finding
decision based on the diagnostic finding
decision based on the diagnostic finding of the equipment maybe the equipment
of the equipment maybe the equipment
of the equipment maybe the equipment wasn’t functioning well maybe the doctor
wasn’t functioning well maybe the doctor
wasn’t functioning well maybe the doctor was not so trained enough to be able to
was not so trained enough to be able to
was not so trained enough to be able to see the signals but it was an
see the signals but it was an
see the signals but it was an unfortunate incident taking us to the
unfortunate incident taking us to the
unfortunate incident taking us to the fact that the outliers were a part of
fact that the outliers were a part of
fact that the outliers were a part of the evidence-based medicine over there
the evidence-based medicine over there
the evidence-based medicine over there were outliers in the evidence-based
were outliers in the evidence-based
were outliers in the evidence-based medicine system but at the same time
medicine system but at the same time
medicine system but at the same time they hold close to what could be
they hold close to what could be
they hold close to what could be possibly the cures for certain diseases
possibly the cures for certain diseases
possibly the cures for certain diseases which we have been struggling with very
which we have been struggling with very
which we have been struggling with very important part of my discussions and my
important part of my discussions and my
important part of my discussions and my practice there is that I’ve seen a lot
practice there is that I’ve seen a lot
practice there is that I’ve seen a lot of cases which come into the ICU and
of cases which come into the ICU and
of cases which come into the ICU and standard protocols don’t work so it’s
standard protocols don’t work so it’s
standard protocols don’t work so it’s gut feel that really takes an individual
gut feel that really takes an individual
gut feel that really takes an individual to a successful outcome with the
to a successful outcome with the
to a successful outcome with the intensive care or the emergency room my
intensive care or the emergency room my
intensive care or the emergency room my name is Vijay simham a life scientist
name is Vijay simham a life scientist
name is Vijay simham a life scientist and I practice life engineering as as a
and I practice life engineering as as a
and I practice life engineering as as a profession and so therefore I have been
profession and so therefore I have been
profession and so therefore I have been involved in all this activity and this
involved in all this activity and this
involved in all this activity and this this whole healthcare business and have
this whole healthcare business and have
this whole healthcare business and have been thinking about what works and what
been thinking about what works and what
been thinking about what works and what doesn’t work and
doesn’t work and
doesn’t work and over a period of time I’ve begun to
over a period of time I’ve begun to
over a period of time I’ve begun to apply some of my physical science
apply some of my physical science
apply some of my physical science knowledge into healthcare and oops
knowledge into healthcare and oops
knowledge into healthcare and oops using this skin effing tool have been
using this skin effing tool have been
using this skin effing tool have been trying to understand how the practice
trying to understand how the practice
trying to understand how the practice has been going if you look at it here we
has been going if you look at it here we
has been going if you look at it here we have from the very simple we have from
have from the very simple we have from
have from the very simple we have from the very simple best practices which are
the very simple best practices which are
the very simple best practices which are very linear kind of phenomenon which
very linear kind of phenomenon which
very linear kind of phenomenon which happen where if this happens then do
happen where if this happens then do
happen where if this happens then do this and generally you have a very
this and generally you have a very
this and generally you have a very predicted law a predictable outcome to
predicted law a predictable outcome to
predicted law a predictable outcome to the little bit more complicated wherever
the little bit more complicated wherever
the little bit more complicated wherever we can have say multiple outcomes from a
we can have say multiple outcomes from a
we can have say multiple outcomes from a particular action that you take two
particular action that you take two
particular action that you take two things which move towards complex and
things which move towards complex and
things which move towards complex and chaotic where you just don’t know what’s
chaotic where you just don’t know what’s
chaotic where you just don’t know what’s going to happen if you do this
going to happen if you do this
going to happen if you do this fortunately a good part of many of the
fortunately a good part of many of the
fortunately a good part of many of the stuff which evidence-based medicine
stuff which evidence-based medicine
stuff which evidence-based medicine works on falls within the best practices
works on falls within the best practices
works on falls within the best practices and the complicated range which can be
and the complicated range which can be
and the complicated range which can be comprehended by the human mind but when
comprehended by the human mind but when
comprehended by the human mind but when we go to complex and we go to chaotic
we go to complex and we go to chaotic
we go to complex and we go to chaotic systems our mind is not capable of being
systems our mind is not capable of being
systems our mind is not capable of being able to deliver that kind of computing
able to deliver that kind of computing
able to deliver that kind of computing power to comprehend say six parameters
power to comprehend say six parameters
power to comprehend say six parameters seven parameters systems and so
seven parameters systems and so
seven parameters systems and so therefore we need to depend on computers
therefore we need to depend on computers
therefore we need to depend on computers we need to defend upon processing power
we need to defend upon processing power
we need to defend upon processing power and we need to depend upon a completely
and we need to depend upon a completely
and we need to depend upon a completely new generation of the ability to sense
new generation of the ability to sense
new generation of the ability to sense our biophysical signals and that’s the
our biophysical signals and that’s the
our biophysical signals and that’s the reason why a new area of Medicine which
reason why a new area of Medicine which
reason why a new area of Medicine which is emerging across the world which is
is emerging across the world which is
is emerging across the world which is based on the fact that it is more
based on the fact that it is more
based on the fact that it is more systems oriented than just purely you
systems oriented than just purely you
systems oriented than just purely you know X leads to Y kind of a situation
know X leads to Y kind of a situation
know X leads to Y kind of a situation he’s emerging and it’s called functional
he’s emerging and it’s called functional
he’s emerging and it’s called functional medicine and there are groups of people
medicine and there are groups of people
medicine and there are groups of people practicing this across the world but
practicing this across the world but
practicing this across the world but that’s not something new to us in fact
that’s not something new to us in fact
that’s not something new to us in fact we have been exposed to
we have been exposed to
we have been exposed to systems medicines for 5,000 years and
systems medicines for 5,000 years and
systems medicines for 5,000 years and this is you must be familiar with her
this is you must be familiar with her
this is you must be familiar with her Veda and most of the holistic medicine
Veda and most of the holistic medicine
Veda and most of the holistic medicine assumes that the body is a complete
assumes that the body is a complete
assumes that the body is a complete system and it doesn’t work on the basis
system and it doesn’t work on the basis
system and it doesn’t work on the basis of small linear transactions that happen
of small linear transactions that happen
of small linear transactions that happen between molecules in the body so very
between molecules in the body so very
between molecules in the body so very similar to what we are used to in our
similar to what we are used to in our
similar to what we are used to in our weather with the three doshas and stiff
weather with the three doshas and stiff
weather with the three doshas and stiff of their start everything happens in in
of their start everything happens in in
of their start everything happens in in with three polar points where the
with three polar points where the
with three polar points where the Wellness kind of is balanced so just to
Wellness kind of is balanced so just to
Wellness kind of is balanced so just to explain where I’m coming from is that
explain where I’m coming from is that
explain where I’m coming from is that basically we move to a new paradigm of
basically we move to a new paradigm of
basically we move to a new paradigm of thinking where we are saying that the
thinking where we are saying that the
thinking where we are saying that the current evidence-based medicine is based
current evidence-based medicine is based
current evidence-based medicine is based on facts that we continue to read
on facts that we continue to read
on facts that we continue to read two-dimensional information for whatever
two-dimensional information for whatever
two-dimensional information for whatever we try to depend on and we try to
we try to depend on and we try to
we try to depend on and we try to predict things with two-dimensional
predict things with two-dimensional
predict things with two-dimensional information CT scans pap smears they are
information CT scans pap smears they are
information CT scans pap smears they are all two-dimensional images now what
all two-dimensional images now what
all two-dimensional images now what happens is that at some point of the
happens is that at some point of the
happens is that at some point of the other we are saying that these snapshot
other we are saying that these snapshot
other we are saying that these snapshot images are not going to give us the
images are not going to give us the
images are not going to give us the concept of a dynamic healthcare health
concept of a dynamic healthcare health
concept of a dynamic healthcare health and wellness situation so we are trying
and wellness situation so we are trying
and wellness situation so we are trying to say that we need to move from a
to say that we need to move from a
to say that we need to move from a paradigm of taking snapshots and static
paradigm of taking snapshots and static
paradigm of taking snapshots and static images to a kind of interactive video
images to a kind of interactive video
images to a kind of interactive video game mode of managing our wellness and
game mode of managing our wellness and
game mode of managing our wellness and obviously I mean the only stakeholder
obviously I mean the only stakeholder
obviously I mean the only stakeholder that is interested in doing this is
that is interested in doing this is
that is interested in doing this is yourself your own health right so
yourself your own health right so
yourself your own health right so therefore we need to empower individuals
therefore we need to empower individuals
therefore we need to empower individuals with the ability to be able to monitor
with the ability to be able to monitor
with the ability to be able to monitor their own health and here is what I’m
their own health and here is what I’m
their own health and here is what I’m trying to explain is in the area of
trying to explain is in the area of
trying to explain is in the area of physics where we try to look at fractals
physics where we try to look at fractals
physics where we try to look at fractals and device pathways in chaos systems
and device pathways in chaos systems
and device pathways in chaos systems where we can continuously monitor and
where we can continuously monitor and
where we can continuously monitor and steer our way through the Wellness
steer our way through the Wellness
steer our way through the Wellness tunnel an example where a therapeutic
tunnel an example where a therapeutic
tunnel an example where a therapeutic procedure is used electrically to be
procedure is used electrically to be
procedure is used electrically to be able to decide which pathway the disease
able to decide which pathway the disease
able to decide which pathway the disease is going to take or the wellness is
is going to take or the wellness is
is going to take or the wellness is going to take before it can come to a
going to take before it can come to a
going to take before it can come to a favorable outcome so this is this is
favorable outcome so this is this is
favorable outcome so this is this is something that is going to drive
something that is going to drive
something that is going to drive probably the main ingredients for AI of
probably the main ingredients for AI of
probably the main ingredients for AI of tomorrow
tomorrow
tomorrow ai is something that’s going to replace
ai is something that’s going to replace
ai is something that’s going to replace a lot of the current practices through
a lot of the current practices through
a lot of the current practices through its ability to be able to do extensive
its ability to be able to do extensive
its ability to be able to do extensive calculations in the nonlinear region and
calculations in the nonlinear region and
calculations in the nonlinear region and not really to replace people from their
not really to replace people from their
not really to replace people from their jobs as an example these are some of the
jobs as an example these are some of the
jobs as an example these are some of the tools that we have I have put together
tools that we have I have put together
tools that we have I have put together as indicators which are moving towards
as indicators which are moving towards
as indicators which are moving towards the ability to monitor very complex
the ability to monitor very complex
the ability to monitor very complex biophysical signals as they come out of
biophysical signals as they come out of
biophysical signals as they come out of the body so in short in summary I would
the body so in short in summary I would
the body so in short in summary I would say that these are the four drivers that
say that these are the four drivers that
say that these are the four drivers that are being driven on the basis of me as
are being driven on the basis of me as
are being driven on the basis of me as an individual wanting to have these
an individual wanting to have these
an individual wanting to have these these parameters in and the the health
these parameters in and the the health
these parameters in and the the health seeking behavior is one of them we are
seeking behavior is one of them we are
seeking behavior is one of them we are becoming more and more conscious that we
becoming more and more conscious that we
becoming more and more conscious that we need to be able to you know sort of seek
need to be able to you know sort of seek
need to be able to you know sort of seek good health as as a priority apart from
good health as as a priority apart from
good health as as a priority apart from food and money there are large number of
food and money there are large number of
food and money there are large number of new sensors coming in which expand the
new sensors coming in which expand the
new sensors coming in which expand the horizons of our ability to be able to
horizons of our ability to be able to
horizons of our ability to be able to see and hear things better and then of
see and hear things better and then of
see and hear things better and then of course we have a lot of AI based systems
course we have a lot of AI based systems
course we have a lot of AI based systems that will assist the physician or the
that will assist the physician or the
that will assist the physician or the people who are going to guide you into
people who are going to guide you into
people who are going to guide you into wellness or the individual to himself to
wellness or the individual to himself to
wellness or the individual to himself to be able to achieve that goal of
be able to achieve that goal of
be able to achieve that goal of remaining well and most importantly
remaining well and most importantly
remaining well and most importantly there is a move that we can actually
there is a move that we can actually
there is a move that we can actually achieve
achieve
achieve towards what we call as personalized
towards what we call as personalized
towards what we call as personalized medicine so which I’m saying is what I’m
medicine so which I’m saying is what I’m
medicine so which I’m saying is what I’m saying here is that basically
saying here is that basically
saying here is that basically evidence-based medicine and personalized
evidence-based medicine and personalized
evidence-based medicine and personalized medicine are kind of non compatible in
medicine are kind of non compatible in
medicine are kind of non compatible in there I mean they are non they’re
there I mean they are non they’re
there I mean they are non they’re disjointed amongst themselves they are
disjointed amongst themselves they are
disjointed amongst themselves they are orkut orthogonal so there are many
orkut orthogonal so there are many
orkut orthogonal so there are many questions and one of the biggest
questions and one of the biggest
questions and one of the biggest challenges in Medical Sciences the word
challenges in Medical Sciences the word
challenges in Medical Sciences the word idiopathic and obviously I mean we don’t
idiopathic and obviously I mean we don’t
idiopathic and obviously I mean we don’t have answers to everything and in the
have answers to everything and in the
have answers to everything and in the world but the word idiopathic happens
world but the word idiopathic happens
world but the word idiopathic happens very very frequently to many of us and
very very frequently to many of us and
very very frequently to many of us and one of the major challenges that we’ve
one of the major challenges that we’ve
one of the major challenges that we’ve been trying to I’ve been asking many
been trying to I’ve been asking many
been trying to I’ve been asking many questions to people as an engineer is
questions to people as an engineer is
questions to people as an engineer is that our blood system runs about a
that our blood system runs about a
that our blood system runs about a hundred thousand kilometers how come
hundred thousand kilometers how come
hundred thousand kilometers how come with a hundred and twenty millimeters of
with a hundred and twenty millimeters of
with a hundred and twenty millimeters of mercury we are able to pump this blood
mercury we are able to pump this blood
mercury we are able to pump this blood through the body everyone tells me that
through the body everyone tells me that
through the body everyone tells me that blood flows through the capillaries and
blood flows through the capillaries and
blood flows through the capillaries and through the various veins and arteries
through the various veins and arteries
through the various veins and arteries as a Newtonian fluid or you know but is
as a Newtonian fluid or you know but is
as a Newtonian fluid or you know but is it possible there is a little
it possible there is a little
it possible there is a little calculation here which says that I need
calculation here which says that I need
calculation here which says that I need 10 to power of 14 bars to actually take
10 to power of 14 bars to actually take
10 to power of 14 bars to actually take even water through this this length of
even water through this this length of
even water through this this length of tubing but we have only 100 and 20
tubing but we have only 100 and 20
tubing but we have only 100 and 20 millimeters of mercury I’m happy to
millimeters of mercury I’m happy to
millimeters of mercury I’m happy to receive your thoughts and ideas about
receive your thoughts and ideas about
receive your thoughts and ideas about this but it could be another subject for
this but it could be another subject for
this but it could be another subject for somebody to talk about it I have a
somebody to talk about it I have a
somebody to talk about it I have a friend called Jay Harman who probably
friend called Jay Harman who probably
friend called Jay Harman who probably has the answer but he hasn’t told me yes
has the answer but he hasn’t told me yes
has the answer but he hasn’t told me yes or no thank you very much yeah
or no thank you very much yeah
or no thank you very much yeah [Applause]
”
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