all right I’d like to take you on a
journey to space so as we say it s up
sit down dragon shut up and let me enjoy
it arrived just after eight minutes of
Indian start you’re in space going
17,000 miles an hour your other two
miles of open planet you have an amazing
vista see the beauty of our planet its
challenges in its limitations the
International Space Station arguably
most challenging and ambitious endeavor
that humankind has never created 16
nations came together with their best
and the brightest the innovative to
solve almost insurmountable challenge
this has contributed not only into human
performance in space for now going over
15 years and also amazing innovations
that have come back for a planet to help
us I’ve been privileged for the last few
decades to work with NASA on this far
medical system scheme and on the human
research project but we’re trying to
develop anonymous devices not only to
improve care for these men and women
above our planet but also bring them
down and I’ll use some of the things
that we’ve learned over these last
year’s try and talk about some of the
challenges that we have today provided
here not only here in our city for the
crosshair globe now might not be
immediately apparent to you the
providing care on the International
Space Station in underserved areas in
our world are very very similar but
Katie came back two days ago to the Fife
and are my current crew medical officer
on the international space station is
now a Russian engineer we had 80 hours
with him to train him on medical
procedures and let me be frank you’re
much more interested in toilet
maintenance because you know the
consequences of the toilet going dead
which it will and that meant the
potential develop development and the
situs through a real limitation in the
medical training under people providing
the care
with a limitation in resources it cost
ten thousand dollars a kilogram the
lamps something into orbit so the
international space station while
amazingly complex as medical equipment
to approximately of an ambulance of food
in our city today certainly our globe
every 90 minutes communication is a
challenge so very often we are not in
direct communication I take you over to
the other Cal that you see above me and
those exact same constraints are seeing
across our world and here at home in
terms of access to high quality medical
care but with these big wicked problems
comes the amazing potential of
innovation off on up there now is you’re
starting to think about the next phase
of exploration class spaceflight below
the long of past low Earth orbit I’ve
got a big problem for Hemi in it let’s
start planning on a trip to Mars so it’s
going to be a three year journey there
are no walmarts on the way so we have to
think ahead for over 500 medical
contingencies that they in fact occur
the medical supplies on us will be
woefully inadequate for many of those we
don’t have Diagnostics right now we
don’t have an x-ray machine we have no
CT scanner and that so we don’t know how
to diagnose live alone treat many of the
conditions that may occur let’s take a
little bit of our communication I’m a
surgeon so if I help accrue three
quarters of the way to Mars hey don’t
cut there they don’t hear that for
almost 15 minutes so the telemedicine is
your practice is today on our planet
really it doesn’t work in space and time
that I’m starting to talk about how do
we provide medical care when help is a
140 million miles away that is the
challenge that were faced with today now
we can we have an ultrasound machine
many of you are familiar with ultrasound
to tell you the sex of your baby whether
you have gallstones perhaps some things
about vascular foot really good to know
whether it worked in outer space or not
my team is not performed over 500 hours
of altars up on the international space
station crew for the shuttle and we
learned a lot of things if you were to
learn altis on here on the planet it’s
about 500 hours of training and I
already told you fear woefully
inadequate training time on these very
private individuals so we came up with
ways to just in time really quickly
teach mathematical people really
complicated medical stuff but we really
didn’t care about pregnancies hopefully
others basically and improve the life
might not work over night we do worry
about these other conditions and so we
had a tool and we started to use it in
different ways and then so now we
utilize ultrasound on a weekly basis on
the international space station to
answer some critical questions many of
those questions have now translated back
to the planet if you go to an emergency
room in our country today with a long
problem no doubt an ultrasound will be
utilized because of our work to diagnose
what you have going on you may have
where we’ve had some problems with
eyesight on their long-duration fruit so
now we look at eyes as an index and a
window into the brain kineton this is
not translated fed to our planet to
looking at brain function utilizing an
ultrasound machine there with another
fork because we didn’t have to on the
planet we have CDs and hours and things
like that really importantly these
devices are portable so they can go
battery-powered anywhere so we’re
starting to look at this global so now
we started to talk to people of it the
United Nations the World Health
Organization working with the Millennial
development project trying to prove
things like infectious disease maternal
care how can we tell whether that
individual can deliver that child in it
in her
hiland versus having to get on a dumpy
go four days to a higher level work here
so it’s now been in over 60 countries
trying to answer things like them we
also look at musculoskeletal problems
when you’re in a zero gravity
environment lose bone and muscle mass we
have a manager there in altered exercise
accordingly so now we can utilize all to
something I just broke it off muscular
problems and things like that so we now
have this amazing tool that individuals
more factors could utilize any pressures
of ultrasound programs now in the
country utilize these techniques that we
develop the number Detroit and we get
this grid technology and I was trying to
figure how many hell kind of wings
tickets out of business dr hurch two
tribe members I said hey we’ve got this
pretty neat technology it did tell you
right on the spot whether or not you
have something bad in your athletes and
so now they’ve incorporated that so if
somebody gets hurt at the job I’m not
only would utilize this technology to
tell your good to go you get back in the
game or you might want to sit up this
next period now apparently athletic
trainers taught and so we were
approached by the united states olympic
committee and they said you know we have
a problem in torino the spirit areas of
high mountain roads and they’re not
accessible to high elevation to flying
helicopters man so could we utilize this
technology on various venues in the
Olympics to try and with athletes on
dolly get hurt to have a quick
assessment of them we performed over 200
examinations if you need spendings now I
thought the money is going to be in the
inverted aerials and hockey and things
like that so I signed up for those men
you you know where people got reason
home figure skating forgotten
and I guess it makes sense with all of
the spinning and things that they go on
my vest which utilize their quite a bit
like that so what subsequently doing
every Olympic being sent providing
point-of-care information to trying to
love the athletes to ascertain whether
the computer so we were in vain over a
couple of years ago Lindsay blonde was
supposed to win for women’s downhill you
might have remembered it three days
before her event she was on a practice
run she caught an edge about 80 miles an
hour she got a vicious still and she was
a evaluated five that take one of the
few positions of the Olympics and I said
yummy silencing to figure out and
Lindsay was a real tough competitor so
she said you know heard about this dude
the thing that were you guys in could
you you can’t look at me so we evaluated
her using this technology she had some
injuries and I said you know we don’t
think it’s going to be food it’s not
hurt like hell but we think it’s not
going to be career with an account for
you so Lindsay’s Skiba days later she
won gold mouth so I consider one
sixteenth of this gold medal vultures I
will never get to converting an Olympic
gold medal now I hope it uh suggested to
you we’ve been able to solve some pretty
tough health problems in a wide variety
of areas we have done ultrasone
examinations on Mount Everest for high
altitude problems that you get in an
extreme environment we’ve certainly been
in a lot of sporting venues we do a lot
of examinations are across the world
trying to define some of these health
problems that heretofore have been
unsolvable and then we don’t have
factors in most areas ninety-five
percent of our locust underserved as it
relates to quality medical care patches
of the doctor level
below and often you’re going three to
five hundred miles for any type of
radiology x-rated intervention or things
like that we started to look at this and
train other individuals who by this high
quality medical care and this shows
somebody performing and well-being
examination in any way this is about 50
miles just south of the North Pole prior
they had applied almost a thousand miles
to get this a type of gear and Canada at
great expense great hardship the duties
of maternal and it’s the tournament
challenged individuals so I think we
move the ball a little bit on potentials
for healthcare across our country I
don’t want to leave you with just saying
that this only solves the problems in
far-flung areas up in space or at the
north pole or Mount Everest or in
sporting venues and things like that
today in our cities across our country
and if we have the same disparities in
health care net so we have to think
differently I can’t throw daggers in
millions of dollars equipment to solve
these health problems that played us
today we have to be thinking differently
so we started to utilize hospital as
factories of innovation now everybody
has dick and every one of the job to get
half be somewhat MacGyver life and
innovative you have to think outside of
the box a little bit but we didn’t have
the seal ways of doing that in hospitals
we’re all about health care we really
couldn’t think about voices this is a
real good kernel of an idea so we can
all of the now five years ago an
innovation Institute at Henry Ford and
this is where we try to solve those big
wicked problems that we have to tackle
every day we have to do things faster
cheaper more safely and that more
effectively more scalable without
throwing resources at it but we also
know that we don’t have all the ideas so
we’ve come up with unusual partnerships
one of those is mobile here we work with
a college or creative
science now this is a design center
organization what they possibly
contribute to a hospital where we
invented their students I have Henry
Ford the first thing they noticed was
looking at our hospital gowns and
they’re gone what that mean kidding me
you’ve been in this a hundred years and
you came up with something that your bum
ain’t up diggity there at all so they
started to innovate once this simplest
of problem if anybody who’s been patient
gets relate to and now they are gone
with dignity and that he is not
commercially viable we’re also use
utilizing global health in this so we’ve
reached out to other countries India for
example where approval innovation they
have to do things for large masses of
individuals very cheaply the State of
Israel which is second to Silicon Valley
and that we now have them innovate with
us solutions to those daunting
healthcare problems that continue to
plague us today now when President
Kennedy said almost 50 years ago that
we’re going to go to the moon in under a
decade there was unprecedented
enthusiasm and ambition that resulted
not only in a successful law banning of
Apollo 11 but innovation that brought
things to us such as miniaturize of the
medical devices hello Madison scratch
resistant glasses water filtration
insulin pumps things like that every
tank for god sakes and things that help
us every day I think that criolla NASA
better faster cheaper it’s never truer
and in medicine the meat than it is
today we have to think differently now I
won’t be one of those men and women that
ultimately sense flip on the surface of
Mars but it’s my hope that I’ll help it
contribute to their medical cure and
route and while they’re on Mars and I
hope that that terror translates to help
all of us here today thank you [Applause]