The Evolution of GoogleGlass and Why it matters

January 7, 2015 3 comments

This is the recent (several weeks ago-), four part interview at mHealthNews at the HIMSS Portland, Me office.

I had the privilege to spend some time sharing insights about my experience with GoogleGlass in medicine, the early accomplishments, the first surgery performed using the platform, its current state, advantages and limitations, future changes and, more importantly, why does It  matter for healthcare and medical education.

As the first step for a head mounted computer, with many of the capacities of a smartphone and more, Glass really represents a breakthrough in technology and the expansion of our vision on its use to improve what we do as medical providers and educators. Obviously, it is not a perfect device YET, but a first edition, with several upgrades already, that broke ground in order to place a computing-communication platform and a camera in front of our line of vision, allowing us to get and to share information for a particular purpose.Never before, have such a device, of its size and capabilities been made available to the general and specialized consumer.

Its release in 2013, really shocked the interest in many but, more importantly, ignited the imagination of hundreds of developers, entrepreneurs and professionals in a way rarely seen before, It certainly opened the eyes of those who wanted to have a new or a better, smarter  way to use technology for the benefit of mankind.

The Evolution of Google Glass in Healthcare, The Interview!

Part 1

http://www.mhealthnews.com/video/evolution-google-glass-healthcare-part-1

How I began my journey… my involvement with TEDx, Singularity University-Exponential Medicine, Twitter, Blogging, Doctors2.o, Stanford’s MedicineX and Google Glass up to the its first use in the operating room and beyond…

Glass potential in Healthcare and Medical Education is only limited by our creativity and imagination…

Part -2

http://www.mhealthnews.com/video/evolution-google-glass-healthcare-part-2

Potential and limitations.

The ethics of wearables in healthcare- No different than with any other electronics.

Data streaming, Medical scribes and much more. HIPAA compliance is a Must.

The early start with iPhone video (Facetime, Skype and others), my TEDx talk iPodTeletrauma, the $229, 130Million sq ft TraumaRoom

Part 3

http://www.mhealthnews.com/video/evolution-google-glass-healthcare-part-3

How about the patients? Do they care about privacy?  “Better Cured than SeCured”, Denise Silber @Doctors2.0

To Err is Human, but 400,000 deaths per year, due to preventable medical errors… is way too many deaths. Forty Wrong Site Surgery, per week, despite checklists and “Time-Out’s” before starting any surgical case in the US.

Artificial Intelligence and Deep Learning Systems…Imagine Google Now for Healthcare!

Part 4

http://bcove.me/4ekafzmd

And…What’s next with Google Glass? A wearable device created to augment your abilities , specifically, as needed, depending on your line of work or interest. Faster, with more capacity, better battery life, easier connectivity, leaner  and less obtrusive or obvious on your face and, likely, less expensive.

I do believe that eventually the wearable device will be less “wearable” and more “part-of-you”. A true Health machine.

That device will also be more omnipotent, not just obtaining and self-measuring standard variables (think heart rate, respirations, brain activity, blood pressure, oxygen content, etc.), but also with the capacity to use your own data to correct deficiencies, alert of imminent changes in your physiology (predict a stroke or a heart attack!)…to HEAL Thyself!

I can’t wait to see that.

Until the next time and SHARE AT WILL!

@ZGJR

Is GoogleGlass immortal?

November 17, 2014 2 comments

Well, I do think so!     In a way.

Would you say that the Ford Model T is dead?

Or did it actually represent the beginning of a revolution, the evolution of transportation?

You see, lately, there has been a lot of press regarding the demise of GoogleGlass. A few articles have explained that the time of Glass has passed, that developers are not interested anymore, that units are for sale in eBay.

Some have called it “the Segway of this era!”. I have read most of those editorials and releases. I have to say that I don’t agree with the basic premise of GoogleGlass being a failure.

As any new step, the first one is always shy and careful…Glass represents the next generation, the beginning of the future for the wearable device. Again, the beginning of a revolution, the evolution of the computing and communication platform. It was not invented in a day!

2014-03-20 16.55.5820130926-235452.jpg

As a “pioneer” device, a “pseudo-beta” product ( a ready-product, not ready for the general public but instead for a very select group of skilled individuals in specific disciplines), Glass has awaken the imagination and creativity of the technologic community, the industry and the geeks out there.

I think that we all like he idea of having a “wearable” device in our forehead, as part of us, almost integrated with our selves, able to allow us to stay connected in the ways that we need or like, to perform our specific tasks more efficiently.

Glass has done that. It has shown that it is possible, and that the road to an ideal and trouble-free device is still being travelled.

Yes, we all agree that GoogleGlass is not perfect, in fact, it is far from it.

But we all remember the amazement of the first time when we saw the screen projected in front of our eye, and the awesomeness of navigating a menu with our voice, or listening to it without a headphone.

We all concur that the battery is poor, the connectivity slow, the voice recognition fair to good, the heating issues feel wrong and that for the day-to-day routine, is definitively not ready…but that’s not the point.

Glass represents the leap to something better, to a way of not texting with our fat fingers, bending our neck down to a screen or bringing a hand up to our ears. A way to look up and tap into vast human knowledge, available in the internet, just by talking aloud.

Glass will allow us to stand up again (like humans do), to speak our commands, to look directly at the eyes of our patients, not turning our backs to them looking at the other screen, or typing orders in.

If anything, it will allow us to connect in a more direct, personal and human way, in those times when we have to use technology.

In a recent article, Noor Siddiqui, COO and co-founder of Remedy ( http://remedyonglass.com ) quoted:

“Google Glass broke through that mental block, and got doctors to rethink the big clunky computers in our offices… that maybe it would make for a better bedside relationship if we turned away from those computers and got close to our patients again,” Siddiqui said. “…And what’s great is, now that doctors are thinking that way, it’s not about Google Glass anymore.”

I trust that Google is working in the next generation of Glass, and I know that it will be better, and that the feedback and outcries of those with and without faith will be addressed in that next device.We will be surprised.

Let’s wait and see what the future is going to be like.

Ebola virus, Education & Telemedicine: a SmartER Combination (Kaci Hickox case)

October 30, 2014 Leave a comment

rgrosssz:

This is the reason why despite having negative testing for Ebola, high risk-individuals should still be very vigilant of their symptoms, so that if they become symptomatic they then avoid ANY risky contact with the public ( self-imposed or forced-quarantine ).

http://n.pr/1tdqOej

In other words, the PCR test is VERY GOOD, it detects even minute amounts of the virus in the blood stream, IF IT IS INDEED PRESENT in the blood stream!

The problem is that the virus might be present in the body ( meaning that the person is infected) BUT NOT PRESENT in the blood YET, so the test will be negative, even though the person is still infected.

Once the disease advances, the person becomes symptomatic and the virus is released from organs like the spleen and liver, to the blood stream. That is why the patient is not really contagious-thru bodily fluids ( blood, saliva, etc.) until later in the course of the infection.

So if you have been in contact with Ebola patients, meaning that you have a high chance of being infected, even when the PCR test has ben negative, early in the course of the risk period, you need to be very careful to monitor yourself  (or be monitored) for symptoms of the disease, so that if the symptoms appear, you can isolate yourself ( or be isolated) until you test negative again.

Originally posted on @ZGJR Blog:

Ebolavirus infection. Education &  Technology can help, especially EDUCATION!

The recent news about the Ebola epidemic are really catching the world’s attention, and I feel that it is important to keep updating this post about this most important, life-threatening topic.

Ebola Glass2

I’m not an Infectologist. I’m not an Epidemiologist either. I’m just a Surgeon.

Like many healthcare professionals, I have been thinking about it for several weeks. In my particular case, I’m extremely alarmed and  do worry that this current epidemic, will spread fast and take an enormous toll on its way to be eventually defeated.

Some facts: Wikipedia/Ebolavirus

I don’t want to get too technical about this.

FACTS: It is a virus, basically (RNA) protein that infects a host (in our case, humans) and replicates quickly, overwhelming the bodies capabilities to fight it. It attacks, among several targets, the lining of blood vessels (endothelium) and organs like the liver…

View original 862 more words

Categories: Uncategorized

Ebola virus, Education & Telemedicine: a SmartER Combination

October 25, 2014 Leave a comment
Categories: Uncategorized

Holograms, Augmented Reality, Smart-Glasses and Beyond: The future has arrived

October 22, 2014 Leave a comment

I think that the future has arrived indeed!

Almost all that we learned in medical school, is now potentially outdated or obsolete. The way we now teach medicine, prevent disease and care for patients has radically changed in many forms. We have been living the evolution of healthcare, the revolution, the change of paradigm…

Last year, at the Games for Health Europe conference in the Netherlands  http://www.gamesforhealtheurope.org  ( Twitter @gfheu14 ). I had the chance to try the Oculus Rift.

It was a very early prototype, I thought, but immediately realized its future in medicine, visualizing “Virtual Telemedicine” consultations, in front of a 3D- digital provider in a virtual reality (VR) office. Imagine the potential of this use to extend the reach of over-sought, already in shortage, medical personnel. To be able to provide medical advise, immediately, remotely, no matter the physical location, as long as there’s connectivity. That’s the closest you can get to a physical interaction, when that form of interaction is not possible or necessary.

Then it came Google Glass. As a very early Explorer, I performed the first operation ever documented with this device

http://t.co/W0EJQy9U8s

Simple and simply, intuitively improving connectivity and communication between surgeon and an audience, to proof the point that this new gadget was really one of many wearables in the horizon, representing “The Natural Evolution” of the computing platform. 

In the matter of months, quicker than we can dream or assimilate, we are once again presented with exponential advancements in technology. Exponentially smart ideas about how to use technology to improve the way we provide healthcare or teach medicine.

In the video below, you can appreciate how medical education could certainly be delivered in “the future”.

The video was published in September, 2013, telling us about technology leaps to happen around the year 2033.

Well, nice video, but TOO LATE. It is only 2014, and that technology is HERE NOW.

Check out RealView Imaging. “Interactive Live Holography, from Science Fiction to Science Fact”.

This is a reality now, and has the potential to revolutionize medical education and medical care. Providing interactive, virtually Real, 3D images of anything, allowing physicians to SEE better, to learn better, plan better, to deliver better care.

Yesterday I spoke with the team behind the next generation of smart glasses. An amazing development, augmenting every aspect of what it is currently available.

Meet THEIA, Augmented Reality Glasses.   ( http://WWW.Theia-Glasses.com )

[

youtube=http://youtu.be/nn7XBmsQ5W4]

I can just see it  now: the RealView platform, embedded in the Theia- AR glasses, providing us with the closest-to-reality-possible vision the anyone can have… other than the real thing.

Embracing Technology for a Healthier Future

October 21, 2014 Leave a comment

Once again, I really want to send a public note of appreciation to Maine Magazine (@Themainemag), for their recent article about my work. I think that Sophie Nelson (writer) and Nicole Wolf (photography) are amazing professionals that really represent some of the incredible talents that Maine has to offer.

I humbly want to thank them for their comments and views, and for helping spread some of my vision and passion regarding the potential for innovation technology in healthcare and education.

This is the link to the article:

The Maine Mag/ October, 2014

Ebola virus, Education & Telemedicine: a SmartER Combination

October 18, 2014 4 comments

Ebolavirus infection. Education &  Technology can help, especially EDUCATION!

The recent news about the Ebola epidemic are really catching the world’s attention, and I feel that it is important to keep updating this post about this most important, life-threatening topic.

Ebola Glass2

I’m not an Infectologist. I’m not an Epidemiologist either. I’m just a Surgeon.

Like many healthcare professionals, I have been thinking about it for several weeks. In my particular case, I’m extremely alarmed and  do worry that this current epidemic, will spread fast and take an enormous toll on its way to be eventually defeated.

Some facts: Wikipedia/Ebolavirus

I don’t want to get too technical about this.

FACTS: It is a virus, basically (RNA) protein that infects a host (in our case, humans) and replicates quickly, overwhelming the bodies capabilities to fight it. It attacks, among several targets, the lining of blood vessels (endothelium) and organs like the liver and immune response cells. It likes neutrophils (cells in charge of alerting the body that there’s an infection going on), blunting their ability to evoke a defense response.

Transmission occurs by the way of (ANY) body fluid from an infected person (but only after that individual is having symptoms). Symptoms appear between a few days to 3 weeks.

The virus is A SURVIVOR. It can be killed or inactivated while on the surfaces, with 3% Acetic acid solution (vinegar, alcohol based products, bleach (1:10-1:100  for >10 minutes),  heat (heating at 60 degrees for 30-60 min, oiling for 5 minutes), UV  radiation (moderately sensitive), bleach powder, etc.

Outside the host, it can survive for WEEKS in blood or contaminated surfaces, especially at low temperatures  (4 degree Celsius)…winter is coming!. These facts are based on experimental findings and NOT BASED on observations in nature.

I think that the problem will be controlled only by the development of a VACCINE ( to provide immunity to people NOT INFECTED yet) and/or the development of a RAPID, mobile DIAGNOSTIC TOOL that allows detection of the virus, in a host, BEFORE the individual becomes SYMPTOMATIC and INFECTIOUS, hence CONTAGIOUS.

The current scenario: a lot of effort in screening symptomatic people in many places (affected areas, airports,etc), mainly to check whether they have symptoms (fever, pains, bleeding, etc). If they don’t have symptoms, THEY ARE RELEASED TO GO, and that’s it.

Imagine how many people might be infected with the virus, but when they were evaluated by the current protocol, they were found not to be symptomatic, so they got through the checkpoint.

I believe that the use of technology such as Telemedicine (m-Health), has a definite role in extending the reach of providers to patients thought to be at risk of becoming symptomatic.

Imagine, for instance,  the possibilities of REMOTE AND MOBILE VTAL SIGNS MONITORING using wearable technology to keep those patients in “the radar”, without exposing anyone to them and risking becoming infected, while the period of “quarantine” lasts.

Having potential carriers of the virus wear sensors that automatically track an objective parameter such as temperature, heart and respiratory rates,  so that abnormal elevations  (i.e. fever) are immediately detected, and appropriate measures taken right away. Mobile thermal imaging has a very relevant, potential role in the fight to contain the spread of this illness.

http://therm-app.com

http://www.psfk.com/2013/09/ultrathin-wearable-thermometer.htm

Sensor skin

Vitalconnect, a skin patch to that detects and wirelessly transmit your vital signs

Tinkė – A smart, portable monitor that detects vital parameters

The use of virtual reality presence (telemedicine) clinical interviews and follow-up of cases would make an ideal tool for extending the reach of providers without exposing them to infection.

Tele-mentoring of remotely located health personnel, guiding them with expertise and advice could prove an invaluable tool to optimize the treatment of patients and the development and deployment of strategies to fight this potentially lethal disease. Wearable computers (such as GoogleGlass) could potentially add to the armamentarium of healthcare workers.This particular device has the capability of being a “Touch-free” / voice activated-interface ( along with the current developments to integrate gesture commands, like the Myo platform). See “GoogleGlass on Steroids”.

http://rgrosssz.com/2014/08/11/googleglass-on-steroids/

SO, MY QUESTION IS, what happens with that infected patient afterward?

How many of these “FELL THRU THE CRACK”, and any time between that moment at the airport and 21 days later, developed symptoms-“GOT A COLD” (cold-like symptoms) and started spreading the Ebola-virus. And they might not have been in an area of risk for Ebola, but maybe they just became contaminated by someone else, maybe a few degrees of separation from the actual individual who came from the geographic risk  area.

I don’t want to BE ALARMIST but REALISTIC.

We have already seen three INFECTED, SYMPTOMATIC AND INFECTING, patients IN THE USA ( up to the latest report on October 22nd, 2014).

Unfortunately, my prediction is that we are only seeing the “tip of the iceberg” and that in he next several days, we would be finding out many more cases, since it takes at least 21 days for the symptoms to become evident.

I think that this is a problem that requires the most aggressive strategy and that the public needs to be educated (not alarmed BUT AGGRESSIVELY EDUCATED) about the potential of this epidemic to be disastrous, and of the many easy ways to prevent transmission.

ENCOURAGE PEOPLE NOT TO TOUCH ANYONE OR ANYTHING AS MUCH AS POSSIBLE.

ANY SEVERE “COLD” – LIKE SYMPTOMS SHOULD BE TREATED AS EBOLA INFECTION UNTIL PROVEN OTHERWISE, and those patients should be temporarily isolated.

Teach yourself and those around , to be “a little paranoid” about this issue.

Wash your hands and use alcohol-based sanitizer often.

If you come in contact with anyone, WASH YOUR HANDS , USE ALCOHOL BASED SOLUTIONS, DON’T TOUCH YOUR MOUTH, NOSE , EYES OR ANY OPEN SURFACES BEFORE “DISINFECTING” YOURSELF .

I think that this is the type of information that needs to be taught and spread in schools, in public spaces and in the media, as much as possible until this epidemic is under control.

To be informed, to remain healthy… is the right of every individual.

Go wash your hands please.

@ZGJR Blog

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