[Music]
[Applause]
are people born destined to become a
doctor or does something happen in their
lives that drives them towards this
profession my parents say that it’s
something that I had always wanted to be
and I have memories growing up in a
small English seaside town where I would
spend hours in the local library with
books on science and biology all in the
hope of trying to understand this
amazing machine that we have this human
body in better detail and on one
particular occurrence
I remember after she is really bad
headaches I found a textbook on the
brain and neurology and in it was a
diagram which had questions symptoms
connected to answers and as I spent the
few moments following the lines down I
was able to diagnose myself with a
migraine how proud I felt when my mom
took me to see my family doctor and I
told him that I had arrived at a
diagnosis but isn’t this essentially
what medicine is having this learning
source of knowledge ask us a series of
questions narrowing down further and
further until an answer is reached the
doctor is just the person who in this
case has spent years studying all they
can about the human body and therefore
in that position to ask these questions
so if medicine is essentially an
exercise of data assimilation and
recognition based on patterns doesn’t it
make logical sense that the very same
can be done by a machine this is where
we’re at today on this cusp of a medical
revolution which is being driven through
technology folks I’d like to take you
all on a journey now a journey into the
future in our minds to visit the year
2030 and see what the inside of an
operating theatre may look like a
patient lies on the operating table
she’s asleep under general anesthesia
and this incredibly strange-looking
metallic structure is leaning over her
it’s a robotic surgeon it’s got multiple
limbs it’s got this circular bulbous
appendage almost like a head at its top
and as that blue light wafts itself over
the patient’s body it takes a phenomenal
detailed series of images for internal
organs now a surgical arm comes just
above the abdomen and it stops and it
proceeds to make two small near-perfect
incisions and as it does so the camera
probe now enters in and it follows this
preset path which was set days before by
the imaging team it stops when it
identifies the organ and the surgical
tool comes in and over the next 20
minutes as this entire operation is
taking place to us sitting on the
outside it’s like watching this really
seasoned conductor orchestrate of music
beautiful musical whilst the Machine
begins to close up in nurse assistant
sits and she puts bandages and cleans
the wounds and in the corner is a lonely
human surgeon sitting remotely at his
desk just there in case of an emergency
he puts his head up to check
everything’s okay and then back down
into his crossword puzzle and coffee you
see this is what the future of surgery
will look like and in a book in which
I’m writing about the future of health
looking at technologies in 2030
technology being the central tenet is
set to become more encompassing much
much more smarter and a whole load more
personalized you see the digital
signatures of every machine and device
that we touch we use will be
increasingly used to navigate the way we
lead our lives just think about the way
Apple Siri has already transformed the
way most of you use your mobile phones
to search for things the way Amazon’s
Alexa is slowly beginning to change the
way we interact and engage with our
homes and what would a health concierge
of the future look like a digital
personalized health assistant
when we wake up all of the biological
outputs of our bodies are analyzed and
assessed to give an indication of our
internal biochemistry devices which are
planted under our skins are sending this
constant stream of data into this
personalized health cloud and as that
information is analyzed packets are sent
to the various devices that we have in
our lives our schedulers are instructed
on exactly the right amount of exercise
we should be doing our CPUs culinary
planning units are told how much food
and nutrition we should be consuming
when we’re sick our doctors are told or
our spouses are informed of what our
health status is the autonomous taxi
service which we may use for gonna work
will be told to stop two blocks before
we get there all in the hope of
incentivizing us to get out walk in earn
extra health points and the purpose of
these points they will calculate our
insurance premiums they may even be
gatekeepers for access to certain
services and facilities and even if the
future is not as somewhat dark or
intrusive as I just described what I am
certain of is that by the year 2030 90%
of all of your medical consultations
will happen with a computer I don’t mean
that you and your doctor will be
separated by distance but connected over
the Internet I mean that you’ll actually
have that consultation with an
artificially intelligent system which
will ask you a series of questions and
then recommend treatment we may think
that this future is somewhat a decade or
so away but in reality is actually much
closer than we realize
for even today there are medical
decisions which are being made by smart
algorithms and not by medical doctors
the best-known is IBM Watson this is a
four billion dollar machine the tagline
dutifully reads a cognitive system
representing a new partnership between
humans and computers
IBM Watson doubles in genomics it
assists us in cancer diagnosis and a
very interesting study which was
conducted last year between the
sloan-kettering Cancer Centre in the USA
and our very own money pal hospital here
in Bangalore in India actually sure the
machine was correctly able to diagnose
breast cancer in 75 percent of patients
in the United Kingdom there is a very
exciting new startup working through the
NHS which is augmenting patients
experiences of consultations with their
doctors what it does is it layers an
artificially intelligent chat pod asking
the question the patient a series of
questions to triage their severity and
then is in a position to make basic
recommendations all in the hope of
saving the time of the more expensive
human substitute here in India – with
your very own mobile phones there are a
plethora of medical mobile applications
which are available to help you all with
your well-being needs and help you
manage your diseases so in this entire
digital revolution in health care that
I’ve just described we understand that
technology is augmenting health but what
is it doing to care you see the
doctor/patient relationship is one of
the oldest forms of professional rapport
which exists it’s often referred to as
being sacred but what does this
relationship mean what role does it play
in healing and recovery just take a
moment and think about the time that you
went to see your doctor you’re in pain
you’re suffering you’re ill you’re in
this incredibly vulnerable position and
all you’re asking is that this other
human in front of you provides relief
now I know this is a somewhat
romanticized and privileged view of
medicine but if you think about it I’m
sure we have all experienced it at some
point in our lives so what happens to
this equation when the doctor is no
longer part of that trust is the
foundation of every successful
relationship and Trust is either built
over a period of time by knowing your
doctor or trust in the profession itself
but where will this trust now reside
once the doctor is no longer there will
it exists in the machine will it exist
in his manufacturer and are we ready are
we ready to trust in something in which
we cannot form a relationship with
friends I’m an eternal optimist I am
incredibly incredibly excited about what
the future holds for us and once we have
so many global challenges to overcome as
a society technology is set to
revolutionize our personal and
professional lives and I may be biased
but I think that the impact that this
will have on our health will be unlike
anything we’ve ever seen before
as the worlds of technology of medicine
of biology all become increasingly
integrated into this machine of us as
human body I hope that the new Trinity
which will exist in our lives the doctor
computer patient relationship will
actually augment our experiences rather
than replacing them and I hope that we
take a moment to design for trust and we
can capture what the essences of being a
human where we continue to build
technologies which we create based on
our intelligence but which we design
based on our emotions and so I leave you
with the thought that the next time you
see your doctor and you here trust me
I’m a doctor
I recommend you smile and you cherish
that moment for who knows how many we
have left thank you
[Applause]
[Music]
you
[Applause]
are people born destined to become a
doctor or does something happen in their
lives that drives them towards this
profession my parents say that it’s
something that I had always wanted to be
and I have memories growing up in a
small English seaside town where I would
spend hours in the local library with
books on science and biology all in the
hope of trying to understand this
amazing machine that we have this human
body in better detail and on one
particular occurrence
I remember after she is really bad
headaches I found a textbook on the
brain and neurology and in it was a
diagram which had questions symptoms
connected to answers and as I spent the
few moments following the lines down I
was able to diagnose myself with a
migraine how proud I felt when my mom
took me to see my family doctor and I
told him that I had arrived at a
diagnosis but isn’t this essentially
what medicine is having this learning
source of knowledge ask us a series of
questions narrowing down further and
further until an answer is reached the
doctor is just the person who in this
case has spent years studying all they
can about the human body and therefore
in that position to ask these questions
so if medicine is essentially an
exercise of data assimilation and
recognition based on patterns doesn’t it
make logical sense that the very same
can be done by a machine this is where
we’re at today on this cusp of a medical
revolution which is being driven through
technology folks I’d like to take you
all on a journey now a journey into the
future in our minds to visit the year
2030 and see what the inside of an
operating theatre may look like a
patient lies on the operating table
she’s asleep under general anesthesia
and this incredibly strange-looking
metallic structure is leaning over her
it’s a robotic surgeon it’s got multiple
limbs it’s got this circular bulbous
appendage almost like a head at its top
and as that blue light wafts itself over
the patient’s body it takes a phenomenal
detailed series of images for internal
organs now a surgical arm comes just
above the abdomen and it stops and it
proceeds to make two small near-perfect
incisions and as it does so the camera
probe now enters in and it follows this
preset path which was set days before by
the imaging team it stops when it
identifies the organ and the surgical
tool comes in and over the next 20
minutes as this entire operation is
taking place to us sitting on the
outside it’s like watching this really
seasoned conductor orchestrate of music
beautiful musical whilst the Machine
begins to close up in nurse assistant
sits and she puts bandages and cleans
the wounds and in the corner is a lonely
human surgeon sitting remotely at his
desk just there in case of an emergency
he puts his head up to check
everything’s okay and then back down
into his crossword puzzle and coffee you
see this is what the future of surgery
will look like and in a book in which
I’m writing about the future of health
looking at technologies in 2030
technology being the central tenet is
set to become more encompassing much
much more smarter and a whole load more
personalized you see the digital
signatures of every machine and device
that we touch we use will be
increasingly used to navigate the way we
lead our lives just think about the way
Apple Siri has already transformed the
way most of you use your mobile phones
to search for things the way Amazon’s
Alexa is slowly beginning to change the
way we interact and engage with our
homes and what would a health concierge
of the future look like a digital
personalized health assistant
when we wake up all of the biological
outputs of our bodies are analyzed and
assessed to give an indication of our
internal biochemistry devices which are
planted under our skins are sending this
constant stream of data into this
personalized health cloud and as that
information is analyzed packets are sent
to the various devices that we have in
our lives our schedulers are instructed
on exactly the right amount of exercise
we should be doing our CPUs culinary
planning units are told how much food
and nutrition we should be consuming
when we’re sick our doctors are told or
our spouses are informed of what our
health status is the autonomous taxi
service which we may use for gonna work
will be told to stop two blocks before
we get there all in the hope of
incentivizing us to get out walk in earn
extra health points and the purpose of
these points they will calculate our
insurance premiums they may even be
gatekeepers for access to certain
services and facilities and even if the
future is not as somewhat dark or
intrusive as I just described what I am
certain of is that by the year 2030 90%
of all of your medical consultations
will happen with a computer I don’t mean
that you and your doctor will be
separated by distance but connected over
the Internet I mean that you’ll actually
have that consultation with an
artificially intelligent system which
will ask you a series of questions and
then recommend treatment we may think
that this future is somewhat a decade or
so away but in reality is actually much
closer than we realize
for even today there are medical
decisions which are being made by smart
algorithms and not by medical doctors
the best-known is IBM Watson this is a
four billion dollar machine the tagline
dutifully reads a cognitive system
representing a new partnership between
humans and computers
IBM Watson doubles in genomics it
assists us in cancer diagnosis and a
very interesting study which was
conducted last year between the
sloan-kettering Cancer Centre in the USA
and our very own money pal hospital here
in Bangalore in India actually sure the
machine was correctly able to diagnose
breast cancer in 75 percent of patients
in the United Kingdom there is a very
exciting new startup working through the
NHS which is augmenting patients
experiences of consultations with their
doctors what it does is it layers an
artificially intelligent chat pod asking
the question the patient a series of
questions to triage their severity and
then is in a position to make basic
recommendations all in the hope of
saving the time of the more expensive
human substitute here in India – with
your very own mobile phones there are a
plethora of medical mobile applications
which are available to help you all with
your well-being needs and help you
manage your diseases so in this entire
digital revolution in health care that
I’ve just described we understand that
technology is augmenting health but what
is it doing to care you see the
doctor/patient relationship is one of
the oldest forms of professional rapport
which exists it’s often referred to as
being sacred but what does this
relationship mean what role does it play
in healing and recovery just take a
moment and think about the time that you
went to see your doctor you’re in pain
you’re suffering you’re ill you’re in
this incredibly vulnerable position and
all you’re asking is that this other
human in front of you provides relief
now I know this is a somewhat
romanticized and privileged view of
medicine but if you think about it I’m
sure we have all experienced it at some
point in our lives so what happens to
this equation when the doctor is no
longer part of that trust is the
foundation of every successful
relationship and Trust is either built
over a period of time by knowing your
doctor or trust in the profession itself
but where will this trust now reside
once the doctor is no longer there will
it exists in the machine will it exist
in his manufacturer and are we ready are
we ready to trust in something in which
we cannot form a relationship with
friends I’m an eternal optimist I am
incredibly incredibly excited about what
the future holds for us and once we have
so many global challenges to overcome as
a society technology is set to
revolutionize our personal and
professional lives and I may be biased
but I think that the impact that this
will have on our health will be unlike
anything we’ve ever seen before
as the worlds of technology of medicine
of biology all become increasingly
integrated into this machine of us as
human body I hope that the new Trinity
which will exist in our lives the doctor
computer patient relationship will
actually augment our experiences rather
than replacing them and I hope that we
take a moment to design for trust and we
can capture what the essences of being a
human where we continue to build
technologies which we create based on
our intelligence but which we design
based on our emotions and so I leave you
with the thought that the next time you
see your doctor and you here trust me
I’m a doctor
I recommend you smile and you cherish
that moment for who knows how many we
have left thank you
[Applause]
[Music]
you
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