[Music] [Applause]
[Applause]
[Applause] so I don’t talk about it about the whole
so I don’t talk about it about the whole
so I don’t talk about it about the whole evolution of the doctor-patient
evolution of the doctor-patient
evolution of the doctor-patient relationship I’m a cancer specialist I’m
relationship I’m a cancer specialist I’m
relationship I’m a cancer specialist I’m working for the best parts more than two
working for the best parts more than two
working for the best parts more than two decades actually looking after patients
decades actually looking after patients
decades actually looking after patients who unfortunately have a diagnosis of
who unfortunately have a diagnosis of
who unfortunately have a diagnosis of cancer as part of the fliction which
cancer as part of the fliction which
cancer as part of the fliction which causes lots of stress of course death
causes lots of stress of course death
causes lots of stress of course death morbidity mortality my Germany of course
morbidity mortality my Germany of course
morbidity mortality my Germany of course 20 years is realizing what’s my role
20 years is realizing what’s my role
20 years is realizing what’s my role myah purely a technician holding a knife
myah purely a technician holding a knife
myah purely a technician holding a knife scalpel
scalpel
scalpel offering operations when it’s
offering operations when it’s
offering operations when it’s appropriate was it more than that what
appropriate was it more than that what
appropriate was it more than that what about the communication takes place from
about the communication takes place from
about the communication takes place from the whole subject of health so let’s
the whole subject of health so let’s
the whole subject of health so let’s take here into a little story imagine
take here into a little story imagine
take here into a little story imagine coming to my word for a moment or two on
coming to my word for a moment or two on
coming to my word for a moment or two on Tuesday morning just gone I was in my
Tuesday morning just gone I was in my
Tuesday morning just gone I was in my clinic at the Royal London Hospital a
clinic at the Royal London Hospital a
clinic at the Royal London Hospital a stone’s throw away from this
stone’s throw away from this
stone’s throw away from this establishment I said to my clinic with
establishment I said to my clinic with
establishment I said to my clinic with my nurse specialist and my team looks
my nurse specialist and my team looks
my nurse specialist and my team looks with the patients I’m going to see that
with the patients I’m going to see that
with the patients I’m going to see that morning most of which have had a new
morning most of which have had a new
morning most of which have had a new diagnosis confirmed or about to be
diagnosis confirmed or about to be
diagnosis confirmed or about to be confirmed on that appointment make a few
confirmed on that appointment make a few
confirmed on that appointment make a few decisions roughly what we’re going to
decisions roughly what we’re going to
decisions roughly what we’re going to say to them how you manage the
say to them how you manage the
say to them how you manage the expectation I then walk out of the room
expectation I then walk out of the room
expectation I then walk out of the room into the corridor and I walk out into
into the corridor and I walk out into
into the corridor and I walk out into the reception area where there’s just a
the reception area where there’s just a
the reception area where there’s just a melee of people waiting for various
melee of people waiting for various
melee of people waiting for various appointments in the hospital I then call
appointments in the hospital I then call
appointments in the hospital I then call a name loudly
a name loudly
a name loudly the next patient to be seen that’s my
the next patient to be seen that’s my
the next patient to be seen that’s my first interaction with that patient
first interaction with that patient
first interaction with that patient who’s about to get a diagnosis of cancer
who’s about to get a diagnosis of cancer
who’s about to get a diagnosis of cancer they they get up and look into my eyes
they they get up and look into my eyes
they they get up and look into my eyes my first interaction is the visual cue I
my first interaction is the visual cue I
my first interaction is the visual cue I try to assess the original it will
try to assess the original it will
try to assess the original it will restrain away what what’s the
restrain away what what’s the
restrain away what what’s the expectation what we’re dealing with how
expectation what we’re dealing with how
expectation what we’re dealing with how am I going to become some of their fears
am I going to become some of their fears
am I going to become some of their fears and horrors that might come through the
and horrors that might come through the
and horrors that might come through the diagnosis to be made that
diagnosis to be made that
diagnosis to be made that so next thing I do they come I greet
so next thing I do they come I greet
so next thing I do they come I greet them I shake their hand the first touch
them I shake their hand the first touch
them I shake their hand the first touch of human behavior in a medicine look in
of human behavior in a medicine look in
of human behavior in a medicine look in their eyes and say I’m chef Yama D
their eyes and say I’m chef Yama D
their eyes and say I’m chef Yama D pleased to meet you come with me and
pleased to meet you come with me and
pleased to meet you come with me and take a seat
take a seat
take a seat so that’s the first connection I make
so that’s the first connection I make
so that’s the first connection I make with the patient that’s got a new
with the patient that’s got a new
with the patient that’s got a new diagnosis and then we bring them into
diagnosis and then we bring them into
diagnosis and then we bring them into the room we sit them down and it’s
the room we sit them down and it’s
the room we sit them down and it’s difficult now how to approach that
difficult now how to approach that
difficult now how to approach that communication tool how do we connect
communication tool how do we connect
communication tool how do we connect that person immediately how to reassure
that person immediately how to reassure
that person immediately how to reassure them they’re in good hands how do we
them they’re in good hands how do we
them they’re in good hands how do we assure them that they’ve got expertise
assure them that they’ve got expertise
assure them that they’ve got expertise around them to look after them in this
around them to look after them in this
around them to look after them in this difficult time
difficult time
difficult time so normally I’ve asked them how are you
so normally I’ve asked them how are you
so normally I’ve asked them how are you Taymor about yourself and they’ll start
Taymor about yourself and they’ll start
Taymor about yourself and they’ll start talking about themselves hopefully to
talking about themselves hopefully to
talking about themselves hopefully to start breaking the ice I then come down
start breaking the ice I then come down
start breaking the ice I then come down to the problem I ask them do you know
to the problem I ask them do you know
to the problem I ask them do you know why seeing me today to get insight to
why seeing me today to get insight to
why seeing me today to get insight to find out what they understand about
find out what they understand about
find out what they understand about their problems and most of my linking of
their problems and most of my linking of
their problems and most of my linking of course before coming because that CT
course before coming because that CT
course before coming because that CT scans MRI scans and Oscar peers people
scans MRI scans and Oscar peers people
scans MRI scans and Oscar peers people aren’t stupid of course they know that
aren’t stupid of course they know that
aren’t stupid of course they know that we investigating a problem then of
we investigating a problem then of
we investigating a problem then of course we sit down and we break bad news
course we sit down and we break bad news
course we sit down and we break bad news sometimes that the bad news can be good
sometimes that the bad news can be good
sometimes that the bad news can be good it can be ways I can cure people with a
it can be ways I can cure people with a
it can be ways I can cure people with a knife with an operation or turn to Lee
knife with an operation or turn to Lee
knife with an operation or turn to Lee it might be chemotherapy radiotherapy
it might be chemotherapy radiotherapy
it might be chemotherapy radiotherapy sometimes of course it’s palliation only
sometimes of course it’s palliation only
sometimes of course it’s palliation only we have to break bad news that we can’t
we have to break bad news that we can’t
we have to break bad news that we can’t really offer much treatment to their
really offer much treatment to their
really offer much treatment to their condition often they may be upset they
condition often they may be upset they
condition often they may be upset they may break down in front of us they may
may break down in front of us they may
may break down in front of us they may start crying when they do that of course
start crying when they do that of course
start crying when they do that of course the first instant that we have is that
the first instant that we have is that
the first instant that we have is that we go for the tissue box we offer them a
we go for the tissue box we offer them a
we go for the tissue box we offer them a tissue it’s sign of insecurity of my
tissue it’s sign of insecurity of my
tissue it’s sign of insecurity of my part almost saying that I currently help
part almost saying that I currently help
part almost saying that I currently help you but I can get a tissue for you at
you but I can get a tissue for you at
you but I can get a tissue for you at least it’s automatic for us we then
least it’s automatic for us we then
least it’s automatic for us we then often hold their hands support them what
often hold their hands support them what
often hold their hands support them what touches on their shoulders
touches on their shoulders
touches on their shoulders it’s going to be okay with the best that
it’s going to be okay with the best that
it’s going to be okay with the best that we can for you so in that environment we
we can for you so in that environment we
we can for you so in that environment we had met the patient we’ve met through
had met the patient we’ve met through
had met the patient we’ve met through the eyes we’ve touched them they’ve hit
the eyes we’ve touched them they’ve hit
the eyes we’ve touched them they’ve hit our voice we try to have soft tones in
our voice we try to have soft tones in
our voice we try to have soft tones in our voice we then bring them in a break
our voice we then bring them in a break
our voice we then bring them in a break bad news again hold them and hopefully
bad news again hold them and hopefully
bad news again hold them and hopefully we can help them in that regard my
we can help them in that regard my
we can help them in that regard my question to you now in this what I’m
question to you now in this what I’m
question to you now in this what I’m going to give around evolving
going to give around evolving
going to give around evolving relationship is how is it evolved over
relationship is how is it evolved over
relationship is how is it evolved over thousands of years and now the
thousands of years and now the
thousands of years and now the technology interface is it changing and
technology interface is it changing and
technology interface is it changing and do we need to change the way we behave
do we need to change the way we behave
do we need to change the way we behave do patients need to change the
do patients need to change the
do patients need to change the expectations of what’s going to be
expectations of what’s going to be
expectations of what’s going to be afforded at a consultation you see we
afforded at a consultation you see we
afforded at a consultation you see we have a problem globally we don’t have
have a problem globally we don’t have
have a problem globally we don’t have enough doctors we need more surgeons
enough doctors we need more surgeons
enough doctors we need more surgeons around the world two million today we
around the world two million today we
around the world two million today we need today just to make sure health
need today just to make sure health
need today just to make sure health care’s my critical healthcare resources
care’s my critical healthcare resources
care’s my critical healthcare resources aren’t sufficient all healthcare system
aren’t sufficient all healthcare system
aren’t sufficient all healthcare system in the world are struggling those
in the world are struggling those
in the world are struggling those resources how to make it more efficient
resources how to make it more efficient
resources how to make it more efficient how to see many more patients can we
how to see many more patients can we
how to see many more patients can we actually offer them the time that we’ve
actually offer them the time that we’ve
actually offer them the time that we’ve been given in the past to break bad news
been given in the past to break bad news
been given in the past to break bad news to teach to treat them talk by their
to teach to treat them talk by their
to teach to treat them talk by their prognosis are we in a rush suddenly our
prognosis are we in a rush suddenly our
prognosis are we in a rush suddenly our lies a one-click
lies a one-click
lies a one-click Amazon one-click just eat of becoming a
Amazon one-click just eat of becoming a
Amazon one-click just eat of becoming a one-click doctors are we suddenly
one-click doctors are we suddenly
one-click doctors are we suddenly changing the paradigm of health care
changing the paradigm of health care
changing the paradigm of health care when I qualified we all sat and took the
when I qualified we all sat and took the
when I qualified we all sat and took the Hippocratic oath who was written three
Hippocratic oath who was written three
Hippocratic oath who was written three to five thousand years ago probably as
to five thousand years ago probably as
to five thousand years ago probably as the first doctors this was about our
the first doctors this was about our
the first doctors this was about our role and our pledge to our patients
role and our pledge to our patients
role and our pledge to our patients these are the declaration of Geneva
these are the declaration of Geneva
these are the declaration of Geneva which has superseded the Hippocratic
which has superseded the Hippocratic
which has superseded the Hippocratic oath this what I said – when I qualified
oath this what I said – when I qualified
oath this what I said – when I qualified back in 93 we stood up we said these
back in 93 we stood up we said these
back in 93 we stood up we said these words it still remains true today
words it still remains true today
words it still remains true today but however it doesn’t say you can’t use
but however it doesn’t say you can’t use
but however it doesn’t say you can’t use technology
technology
technology it just says these are the parameters of
it just says these are the parameters of
it just says these are the parameters of your relationship with your patient
your relationship with your patient
your relationship with your patient which is obviously sacrosanct
which is obviously sacrosanct
which is obviously sacrosanct so my question now is can we challenge
so my question now is can we challenge
so my question now is can we challenge some of this visit
some of this visit
some of this visit history already predicting our behavior
history already predicting our behavior
history already predicting our behavior we’ve now got a plethora of telemedicine
we’ve now got a plethora of telemedicine
we’ve now got a plethora of telemedicine devices you can now pick up a smart
devices you can now pick up a smart
devices you can now pick up a smart phone and communicate I’ve made my phone
phone and communicate I’ve made my phone
phone and communicate I’ve made my phone but what’s that you can stream live on
but what’s that you can stream live on
but what’s that you can stream live on Facebook and social media
Facebook and social media
Facebook and social media suddenly connections slide different and
suddenly connections slide different and
suddenly connections slide different and the human interaction will change you
the human interaction will change you
the human interaction will change you have to evolve because of the people
have to evolve because of the people
have to evolve because of the people that we are and have technology going to
that we are and have technology going to
that we are and have technology going to interface okay there’s about a 15-second
interface okay there’s about a 15-second
interface okay there’s about a 15-second delay from what I talked to – from what
delay from what I talked to – from what
delay from what I talked to – from what he tells me so bear with us it’s not ok
he tells me so bear with us it’s not ok
he tells me so bear with us it’s not ok I’m just going to show me so I made the
I’m just going to show me so I made the
I’m just going to show me so I made the consent form of the actual operation so
consent form of the actual operation so
consent form of the actual operation so just bear with us just a minute
just bear with us just a minute
just bear with us just a minute and essentially don’t know if you can
and essentially don’t know if you can
and essentially don’t know if you can see this but his hemoglobin from
see this but his hemoglobin from
see this but his hemoglobin from yesterday was 12 21 it’s white count is
yesterday was 12 21 it’s white count is
yesterday was 12 21 it’s white count is 10.5 his renal function is normal and
10.5 his renal function is normal and
10.5 his renal function is normal and it’s 81 its CRP is a little bit up its
it’s 81 its CRP is a little bit up its
it’s 81 its CRP is a little bit up its 138 from 103 that’s because of that
138 from 103 that’s because of that
138 from 103 that’s because of that pelvic connection is he booked a theatre
pelvic connection is he booked a theatre
pelvic connection is he booked a theatre thank you he wishes you all the best and
thank you he wishes you all the best and
thank you he wishes you all the best and he’ll see you tomorrow see you tomorrow
see you later
see you later so this is my trainee wearing a Google
so this is my trainee wearing a Google
so this is my trainee wearing a Google glass wearable technology streaming
glass wearable technology streaming
glass wearable technology streaming through his points of view I want to
through his points of view I want to
through his points of view I want to make a phone or a computer somewhere
make a phone or a computer somewhere
make a phone or a computer somewhere else giving instructions by text message
else giving instructions by text message
else giving instructions by text message which comes up in the glass saying this
which comes up in the glass saying this
which comes up in the glass saying this is okay go ahead there’s a communication
is okay go ahead there’s a communication
is okay go ahead there’s a communication there but I’m remote is that enough for
there but I’m remote is that enough for
there but I’m remote is that enough for the patient to be thinking of the
the patient to be thinking of the
the patient to be thinking of the consultant seeing him and managing his
consultant seeing him and managing his
consultant seeing him and managing his condition or say I’m on holiday be like
condition or say I’m on holiday be like
condition or say I’m on holiday be like me to be there for example but he’d
me to be there for example but he’d
me to be there for example but he’d prefer that to somebody else it’s not
prefer that to somebody else it’s not
prefer that to somebody else it’s not seeing him for forever there’s not his
seeing him for forever there’s not his
seeing him for forever there’s not his patient for example so we’ve got to
patient for example so we’ve got to
patient for example so we’ve got to think about how we
think about how we
think about how we change the way we look after people
there’s a progress getting stronger
there’s a progress getting stronger putting on weight I’ve gone back to work
putting on weight I’ve gone back to work
putting on weight I’ve gone back to work part-time so Pamela how’d you feel about
part-time so Pamela how’d you feel about
part-time so Pamela how’d you feel about me seeing you through a telepresence
me seeing you through a telepresence
me seeing you through a telepresence system for example I’m right here in the
system for example I’m right here in the
system for example I’m right here in the country I’m elsewhere I could just and
country I’m elsewhere I could just and
country I’m elsewhere I could just and you come to my clinic how would you feel
do you think anything missing with a
do you think anything missing with a human touch obviously we can you can see
human touch obviously we can you can see
human touch obviously we can you can see somebody you can they can move around I
somebody you can they can move around I
somebody you can they can move around I can hear their voice what about the
can hear their voice what about the
can hear their voice what about the human touch important to me but
human touch important to me but
human touch important to me but necessarily important it’s not necessary
necessarily important it’s not necessary
necessarily important it’s not necessary but it’s nice could you cope without it
but it’s nice could you cope without it
but it’s nice could you cope without it I mean the whole point is we in here
I mean the whole point is we in here
I mean the whole point is we in here existence we think that’s important
existence we think that’s important
existence we think that’s important because we created that situation that
because we created that situation that
because we created that situation that we believe is necessary what do you
we believe is necessary what do you
we believe is necessary what do you think
so the patients obviously have an
so the patients obviously have an expectation an understanding of who we
expectation an understanding of who we
expectation an understanding of who we are or what role that we have in that
are or what role that we have in that
are or what role that we have in that situation what about our own colleagues
situation what about our own colleagues
situation what about our own colleagues say I was the great operating theater
say I was the great operating theater
say I was the great operating theater operates every week
operates every week
operates every week what about how they communicate with me
what about how they communicate with me
what about how they communicate with me if I wasn’t there
looking for nice artists you’re sitting
looking for nice artists you’re sitting with me on the iPad so that’s why
with me on the iPad so that’s why
with me on the iPad so that’s why they’ll be confused because they have to
they’ll be confused because they have to
they’ll be confused because they have to start the operation now they’re nice it
start the operation now they’re nice it
start the operation now they’re nice it is that was interesting I just added
is that was interesting I just added
is that was interesting I just added value the MDT I did my ward rounds and
value the MDT I did my ward rounds and
value the MDT I did my ward rounds and and interests within about two to three
and interests within about two to three
and interests within about two to three minutes the Sun becomes normalized
minutes the Sun becomes normalized
minutes the Sun becomes normalized suddenly this machine contraption with
suddenly this machine contraption with
suddenly this machine contraption with your face on which moves round a bit is
your face on which moves round a bit is
your face on which moves round a bit is normality people to run ask these
normality people to run ask these
normality people to run ask these questions they discuss things with you
questions they discuss things with you
questions they discuss things with you as if you’re just there it’s incredible
as if you’re just there it’s incredible
as if you’re just there it’s incredible that we just accept these things
that we just accept these things
that we just accept these things changing very rapidly we need to ask the
changing very rapidly we need to ask the
changing very rapidly we need to ask the question and to challenge the document
question and to challenge the document
question and to challenge the document addition they associated with healthcare
addition they associated with healthcare
addition they associated with healthcare technology of course there’s all this
technology of course there’s all this
technology of course there’s all this there’s now art intelligence within the
there’s now art intelligence within the
there’s now art intelligence within the next two to five years the first point
next two to five years the first point
next two to five years the first point of contact will not be human being it’s
of contact will not be human being it’s
of contact will not be human being it’s going to be AI in the background chat
going to be AI in the background chat
going to be AI in the background chat BOTS other mechanisms of communicating
BOTS other mechanisms of communicating
BOTS other mechanisms of communicating with people whether it’s non-human
with people whether it’s non-human
with people whether it’s non-human whether it’s created by avatars so now
whether it’s created by avatars so now
whether it’s created by avatars so now in parts of UK and parts of the globe
in parts of UK and parts of the globe
in parts of UK and parts of the globe you can ask questions to a chat bot
you can ask questions to a chat bot
you can ask questions to a chat bot there’s no human interface there’s no
there’s no human interface there’s no
there’s no human interface there’s no touch there’s no eye sight it’s just
touch there’s no eye sight it’s just
touch there’s no eye sight it’s just asking question after question and
asking question after question and
asking question after question and algorithm based gives a diagnosis and
algorithm based gives a diagnosis and
algorithm based gives a diagnosis and now it will say to you go and pay a
now it will say to you go and pay a
now it will say to you go and pay a prescription from the chemistry be done
prescription from the chemistry be done
prescription from the chemistry be done without ever seeing a doctor we’re gonna
without ever seeing a doctor we’re gonna
without ever seeing a doctor we’re gonna used to this because this is the way we
used to this because this is the way we
used to this because this is the way we maximize efficiency in healthcare around
maximize efficiency in healthcare around
maximize efficiency in healthcare around the world because that chat bot could
the world because that chat bot could
the world because that chat bot could treat millions of people in one go where
treat millions of people in one go where
treat millions of people in one go where individually is much tougher so we’ve
individually is much tougher so we’ve
individually is much tougher so we’ve got a global problem with lack of
got a global problem with lack of
got a global problem with lack of resources lack of doctors so a is going
resources lack of doctors so a is going
resources lack of doctors so a is going to change where you work remember the
to change where you work remember the
to change where you work remember the next two to five years your first point
next two to five years your first point
next two to five years your first point of contact will not be anything like me
of contact will not be anything like me
of contact will not be anything like me it would just be an AI system work in
it would just be an AI system work in
it would just be an AI system work in the background
we can go further what about if the AI
we can go further what about if the AI system becomes more realistic this is me
system becomes more realistic this is me
system becomes more realistic this is me with a hundred four cameras creating
with a hundred four cameras creating
with a hundred four cameras creating what’s called photogrammetry creating my
what’s called photogrammetry creating my
what’s called photogrammetry creating my avatar a volumetric part of me what if
avatar a volumetric part of me what if
avatar a volumetric part of me what if we add facial expression to that avatar
we add facial expression to that avatar
we add facial expression to that avatar that’s my avatar and add human contact
that’s my avatar and add human contact
that’s my avatar and add human contact and face to face expression smile the
and face to face expression smile the
and face to face expression smile the eyes would change add voice with
eyes would change add voice with
eyes would change add voice with interface in AI so you ask you a
interface in AI so you ask you a
interface in AI so you ask you a question
question
question it talks like me it acts like me it has
it talks like me it acts like me it has
it talks like me it acts like me it has knowledge but much more knowledge
knowledge but much more knowledge
knowledge but much more knowledge because I’m only confined to 22 years of
because I’m only confined to 22 years of
because I’m only confined to 22 years of clinical practice this thing will have
clinical practice this thing will have
clinical practice this thing will have knowledge across entire Google spectrum
knowledge across entire Google spectrum
knowledge across entire Google spectrum much better than me so suddenly and that
much better than me so suddenly and that
much better than me so suddenly and that could teach or treat
could teach or treat
could teach or treat millions of people right soo expanding
millions of people right soo expanding
millions of people right soo expanding healthcare you make it more efficient
healthcare you make it more efficient
healthcare you make it more efficient and expanding and scaling up perhaps
and expanding and scaling up perhaps
and expanding and scaling up perhaps that’s where we need to be in the future
that’s where we need to be in the future
that’s where we need to be in the future next thing I’m going to do is an
next thing I’m going to do is an
next thing I’m going to do is an intestine tech so we’ve had a few shoes
intestine tech so we’ve had a few shoes
intestine tech so we’ve had a few shoes today
today
today I’ll show you something that hasn’t been
I’ll show you something that hasn’t been
I’ll show you something that hasn’t been trained before first time and I thought
trained before first time and I thought
trained before first time and I thought I’d show you showcase it because TEDx is
I’d show you showcase it because TEDx is
I’d show you showcase it because TEDx is about how we communicate in a virtual
about how we communicate in a virtual
about how we communicate in a virtual space so give me one second and I’ll set
space so give me one second and I’ll set
space so give me one second and I’ll set it up and let’s see if it works
bubbly so let’s play a video for you
bubbly so let’s play a video for you which would demonstrate where I’m trying
which would demonstrate where I’m trying
which would demonstrate where I’m trying to do a trial figured out as well as
to do a trial figured out as well as
to do a trial figured out as well as this backbone of you know for all
this backbone of you know for all
this backbone of you know for all example all three of us are in different
example all three of us are in different
example all three of us are in different cities right now Harris and I are in
cities right now Harris and I are in
cities right now Harris and I are in America and shoppi
America and shoppi
America and shoppi they’re in London I believe we’re all
they’re in London I believe we’re all
they’re in London I believe we’re all here together face to face in a noir and
here together face to face in a noir and
here together face to face in a noir and we’re able to share that 3d content
we’re able to share that 3d content
we’re able to share that 3d content whether it might be an MRI scan or
whether it might be an MRI scan or
whether it might be an MRI scan or existing anatomical models and we might
existing anatomical models and we might
existing anatomical models and we might be three doctors coming together able to
be three doctors coming together able to
be three doctors coming together able to put our heads together face to face no
put our heads together face to face no
put our heads together face to face no matter where we are in the world
matter where we are in the world
matter where we are in the world communicate and collaborate and really
communicate and collaborate and really
communicate and collaborate and really problem solve around that particular
problem solve around that particular
problem solve around that particular patient and their needs
patient and their needs
patient and their needs absolutely so that’s the kind of thing
absolutely so that’s the kind of thing
absolutely so that’s the kind of thing we’re doing in fact I can see both in
we’re doing in fact I can see both in
we’re doing in fact I can see both in and Harrison here with me right next to
and Harrison here with me right next to
and Harrison here with me right next to me they’re talking to me at the moment
me they’re talking to me at the moment
me they’re talking to me at the moment having conversation in the background
having conversation in the background
having conversation in the background just similar to this so you can share
just similar to this so you can share
just similar to this so you can share assets you can probably go ahead and
assets you can probably go ahead and
assets you can probably go ahead and bring scans in and ultimately though we
bring scans in and ultimately though we
bring scans in and ultimately though we can into be position in the future where
can into be position in the future where
can into be position in the future where you may end up doing virtual reality
you may end up doing virtual reality
you may end up doing virtual reality operations about feeding touch with
operations about feeding touch with
operations about feeding touch with haptic loves and things in this whole
haptic loves and things in this whole
haptic loves and things in this whole exciting space around augmented reality
exciting space around augmented reality
exciting space around augmented reality virtuality mixed reality so message
virtuality mixed reality so message
virtuality mixed reality so message really at the end of all this is the
really at the end of all this is the
really at the end of all this is the fact that I can take soft note that
fact that I can take soft note that
fact that I can take soft note that we’re going to change I think we need to
we’re going to change I think we need to
we’re going to change I think we need to adopt different ways of managing our
adopt different ways of managing our
adopt different ways of managing our patience and expectations we have to
patience and expectations we have to
patience and expectations we have to involves human beings and I think part
involves human beings and I think part
involves human beings and I think part of its parent psychosocial behavior what
of its parent psychosocial behavior what
of its parent psychosocial behavior what expectations we have I’m gonna challenge
expectations we have I’m gonna challenge
expectations we have I’m gonna challenge the way we’ve done things for many years
the way we’ve done things for many years
the way we’ve done things for many years we will have a global problem of
we will have a global problem of
we will have a global problem of shortage of doctors and nurses and we
shortage of doctors and nurses and we
shortage of doctors and nurses and we also have a shortage of resources and to
also have a shortage of resources and to
also have a shortage of resources and to improve the efficiency of our health
improve the efficiency of our health
improve the efficiency of our health service and perhaps these are the kind
service and perhaps these are the kind
service and perhaps these are the kind technologies that will help us empower
technologies that will help us empower
technologies that will help us empower ourselves but also patients I was a
ourselves but also patients I was a
ourselves but also patients I was a quick thank you to Pamela who’s on the
quick thank you to Pamela who’s on the
quick thank you to Pamela who’s on the video that you saw who allowed me to
video that you saw who allowed me to
video that you saw who allowed me to video there’s all my patients who really
video there’s all my patients who really
video there’s all my patients who really support innovation who don’t mind being
support innovation who don’t mind being
support innovation who don’t mind being shown in the world the stuff that I do
shown in the world the stuff that I do
shown in the world the stuff that I do with surgery and training on the global
with surgery and training on the global
with surgery and training on the global level but also sharing their stories
level but also sharing their stories
level but also sharing their stories with people like yourselves and Pamela
with people like yourselves and Pamela
with people like yourselves and Pamela is actually the audience today watching
is actually the audience today watching
is actually the audience today watching this because I want to share that with
this because I want to share that with
this because I want to share that with her that story thank you
[Music]
[Music] [Applause]
”
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