Transcript Paperless/Wireless Medicine

Innovations and Changes
in the field
of Medicine
Michael Nirenstein, MD
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As both providers and educators in the field of
Health Care,
we are extremely fortunate to be involved in a
profession that has seen so many
technological advances,
in such a short period of time.
In fact, it seems as if each new day brings us
amazing, high tech advances in the areas of
Disease Diagnosis
Disease Treatment
Patient Care
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Let’s take a closer look
at some of the more recent
innovations in the field of Medicine
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Advances in Disease Diagnosis
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MRI Neurography
High Tech Cardiac Cath Labs
Test to detect Alzheimer’s Risk
Do you have breast cancer? Maybe
your dentist will be the first to know!
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MRI Neurography
Innovations in
medical technology
now enable
physicians to view
the
peripheral nerves
with precision.
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MRI Neurography
With standard MRI’s it is difficult to
distinguish between peripheral nerves and
the surrounding soft tissue.
With MRI Neurography, peripheral nerves
are clearly identifiable from soft tissue, and
damaged nerves are distinct from healthy
nerves.
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MRI Neurography
Significance:
-Faster, more accurate
diagnosis of peripheral
nerve diseases and
disorders.
-Less reliance on painful
neurologic testing such as
EMG’s and Nerve
Conduction Studies.
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High Tech Cardiac Cath Labs
Two recent advances in the diagnosis of
heart disease:
Software that combines information from two
imaging technologies
And
An Optical Catheter that can reveal the
composition of Coronary Plaques
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High Tech Cardiac Cath Labs
Software that combines information
from Single Photon Emission
Computed Tomography
(SPECT) and Cardiac
Computed Angiography allows
for a more accurate diagnosis of
Coronary Artery Disease.
SPECT provides three-dimensional
images of blood flow to the heart
muscle, while CT Angiography
provides detailed images of
coronary arteries.
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High Tech Cardiac Cath Labs
vPredict Optical Catheter System
A spectroscopy-based catheter that
can analyze the composition of a
plaque, differentiating between
cholesterol, cholesterol esthers,
triglycerides, proteins, and blood.
This will enable Interventional Cardiologists
to provide optimal therapy for each individual
patient.
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Innovations in Alzheimer’s Risk
Detection
The latest medications can
delay the onset of
Alzheimer’s Disease,
but none are able to
reverse the devastating
effects. This limitation
makes early detection
the key to these patients
maintaining a good
quality of life!
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Alzheimer’s Risk Detection
The Detect device, developed by Georgia
Tech and Emory University gives a 10
minute, inexpensive test, that in a clinical
study has shown higher accuracy than the
90 minute “Gold Standard” pen and paper
test.
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Saliva Test for Breast Cancer
The University of Texas Health
Science Center Dental Branch
recently discovered that the
appearance of breast cancer
changes the mix of proteins
secreted by the salivary
glands.
A person with breast cancer
secretes a different profile of
proteins compared to a person
without breast cancer.
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Saliva Test for Breast Cancer
This discovery is now being applied to
technology that opens up the possibility
that in the near future, a dental practice or
other health care facility, will be able to
carry out a diagnostic test that detects the
presence of breast cancer before the
tumor forms.
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Advances in Disease Treatment
• Genetic Coding
• Stem Cell
Research
Mad Scientist – Doc Brown
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Genetic Coding
A growing number of medical researchers say
our bacteria-killing zealotry is misguided.
Instead of fighting bugs, we can change the
genetic code of bacteria to make them do our
bidding.
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Genetic Coding
The painful ulcers of
Crohn’s disease
occurs when the
body’s immune
system attacks the
normal bacteria found
in the gut.
Now, scientists can use
microbes to fight back
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Genetic Coding
Scientists insert a
gene that
produces
interleukin-10
(IL-10)
An immune-calming
molecule, into the
L. Lactis bacteria
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Genetic Coding
The new gene
replaces the gene
that produces
thymide, an
essential nutrient,
so the modified
bacteria can live
for only a few
days.
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Genetic Coding
A Crohn’s disease
patient swallows
the modified
bacteria,
delivering the
IL-10 payload
straight into the
intestines.
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Genetic Coding
The bacteria (A)
colonize the gut
and begin
producing IL-10 (B).
This compound
suppresses the
patient’s overactive
immune response (C).
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Genetic Coding
As long as the patient keeps ingesting the modified
L. lactis bacteria, the bacteria will produce
enough IL-10 to stop the immune system from
attacking the intestines, giving the ulcers time to
heal.
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Genetic Coding
The Future of Genetic Coding:
Salmonella bacteria thrives inside malignant
tumors. By modifying these bacteria to produce
a toxic enzyme, researchers hope to produce a
targeted cancer killer.
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Stem Cell Research
On January 18, 2008, scientists in California
successfully cloned a human embryo,
theoretically capable of yielding stem cells.
This is a major step forward toward the goal
of creating lines of “true” embryonic stem
cells.
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Stem Cell Research
A blastocyst is an embryo
approximately 5 days old,
that contains 50-200
cells. This is the stage at
which stem cells –
capable of forming any of
the body’s 220 cell types,
including blood, bone,
and nerve tissue – can be
harvested for research or
therapy.
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High Tech Patient Care
• High Tech Imaging
• Paperless/Wireless
Medicine
• High Tech Mixing
Machine
• ER’s of the Future
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High Tech Imaging
Gone are the days when radiology technicians
used films for imaging studies.
Digital imaging is one of the most important
advancements in medicine today.
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High Tech Imaging
Advantages of Digital Imaging:
• Lower costs to the hospital. No films, no
developer or chemicals, and no storage
facility needed.
• Images can be produced instantly, and
can be electronically sent to the
radiologist, surgeon, or ER physician.
• Images taken in rural facilities can be sent
via the internet to a radiologist at another
location for review.
• Unlike plain films, images can be modified
(contrast enhancements, magnified) to
optimize quality.
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Paperless/Wireless Medicine
Imagine, an 81-year-old woman arrives by ambulance to
the local hospital’s emergency department after falling in
her home. The ER physician meets her at the entrance
and immediately inputs data on his tablet PC. Within
four minutes, an x-ray tech arrives with a portable x-ray
machine, as a result of the doctor’s wireless order.
In the ER, doctors and nurses wear small, voice-activated
wireless devices around their necks to communicate with
each other. Supply cabinets are opened with biometric
thumbprint reading.
This is the future of Paperless/Wireless Medicine,
and the future is here!
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Paperless/Wireless Medicine
In 2004, President Bush signed an executive order
(13335), titled “Incentives for the use of health
information technology and establishing the position of
the National Health Information Technology
Coordinator”.
This order mandates that all Americans will have electronic
medical records by the year 2014.
The US Department of Health and Human Services (HHS)
is required to facilitate the development of a nationwide
exchangeable health-data system that will allow the
sharing of patient’s personal health information
electronically (EMR).
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Paperless/Wireless Medicine
Advances in Paperless
Information Technology
include:
• Bar-code technology
that matches medicines
to patient wristbands
• Electronic prescription
writing and filling
• Wireless physician
orders (labs, radiology)
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Paperless/Wireless Medicine
Paperless/Wireless
Technology has
been proven to:
• Save hospitals money
• Reduce medical errors
• Improve health outcomes
Hospital CEO
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High Tech Device to Cut Medical Errors
A tabletop device (Valimed) is now in
use at the Children’s Hospital in the
University of Michigan, which tests
patients drugs compounded in the
hospital pharmacy.
The device uses enhanced photoemission
spectroscopy to determine if drug compounds are
correct.
Five potentially serious medication errors were detected
during the hospital’s testing of the device.
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High Tech ER Offers Luxury
Changes coming soon to an ER lobby near you:
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Flat Screen TV’s
Gourmet Coffee
X-Box Video Games
Paperless sign-in using a
tablet PC that stores patient
data for future visits
• Online scheduling of ER
appointments
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Innovations in the Field of Medicine
Innovations in Medicine in our future?
"My god, man! Drilling holes in his head's not the
answer! The artery must be repaired! Now put away
your butcher knives and let me save this patient
before it's too late!"
Dr. McCoy (Star Trek)
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