Akhsar reviews Eric Topol's book The Creative Destruction of Medicine, and outlines its implications for the medicine we need to sustain our lives.

1. Review of Eric Topol's
"The Creative Destruction
of Medicine"
Presented by Akhsar Kharebov
Health Extension Salon #6
Feb 27, 2013
Y COMBINATOR, MOUNTAIN VIEW, CA

2. Break down:
part 1: behind the lines
part 2: what can be some actionables
Break Out Session: general about book content

3. Learnings: Behind the
lines

4. From a perspective of (Eric)
is a researcher and doctor turned intra-
preneur and given resources
- he is kinda like super hero status
- a call to action to patients / society
- also autobiographical and venting :)

5. On Technology
Has a lot of interest and respect for the digital
revolution
He is amazed at what it has been able to do
His description may not accurately describe
the "build up" before the iPhone

6. Other interesting observations
Has a reputation for breaking the rules and
pissing people off
Has been fired from the hospital he founded
for (essentially) innovation
Luckily he has a pair of great backers, so that
is able to work free of the system

7. Mary and Gary West
West Corporation - 911 & telecomunication
Philantrophists
WestHealth.org

8. Eric's Prescription to
Medicine:
Needs to be Schumpeted
http://en.wikipedia.org/wiki/Joseph_Schumpeter

9. By Us Patients

10. Creative Destruction
Incessantly revolutionizes the economic
structure from within, incessantly destroying
the old one, incessantly creating a new one.

11. Radically Transformed
digital information has revolutionized our
world, but not our health until now

12. So that we refocus on :
Preserving Our Health

13. Digitizing the world,
Digitizing the Body

14. Assembling Relevant Data,
Making Actionable
suggestions

15. We Have the Technical
Foundation
Think of the SmartPhone

16. Medical Smartphone ie
Tricorder
with massive number of
other sensors

17. Data:
previous:
1 Billion gigabytes by 2003
now:
x trillion gigabytes per year
35 trillion gigabytes per year
mostly from sensors

18. Current Status and Health Reform
Reform: mainly operational, not better health
But currently needed because there is no
alignment for innovation in health
Overuse and Wrong use, No prevention

19. Patients are organizing:
- Are able to get data
- Determine Treatment
- can be a problem.
- resisted by the industry

20. Potential Problems:
Treating the virtual vs. real patient
Loss of interaction and healing touch
Problems with innovative products
Data Deluge

21. Actionables

22. Some of the pportunities discussed
Moving away from Population Medicine to
person Unique Treatments
Continuous tracking of all body functions and
vital signs
Ability to make analysis: Being able to predict
heart attacks, cancer ie check engine light

23. Point of the book:
Make consumers aware of the Creative
Destruction about to happen
And prepare to make the right trade offs as
Medicine get’s Schumpeted.
A CALL TO ACTION!

24. Eric is unique
Eric has great funding
Most Doctors do not get this chance
InterWest Institute - Test tube for creative
destruction

25. Question to Audience:
How do we find and fund
people like Eric, whom
are not yet discovered?