SlideShare une entreprise Scribd logo
1  sur  72
Télécharger pour lire hors ligne
To have a significant impact on health care ?
approx. 500 BC
The Hippocratic oath
No mention of the role of the ‘patient’ or ‘patior’
Does mention the Godly powers of the doctor
To keep uninformed was common
Sir Luke Fildes 1887
Banking will be disrupted
❖ Since 2006
❖ after announcement IPO in 5 hour $800M
❖ At IPO net worth $8.9B
❖ in beween Google and Twitter
❖ this … is WE banking
Patients
&
Technology
These are blocking me from
being in Cannes right now…
kidneystones
On wardIntensive
At home
Current Vitals : Lucien Engelen @REshape
And mobile
2015 / 2016 : 8200
printing meds
M
E
D
On wardIntensive
‘insideables’
“for the first time ever in history,
we will be present when a person gets sick.
Professionals will subscribe to patients’ data"
@lucienengelen
DIY Health-hack
DIY Aorta mesh
Tal Golesworthy, suffers from Marfan
syndrome.
Invented mesh aortic, that got placed by
surgeons
Snel weer ouderwets…
REshapereshape.hackinghealth.ca28-30 Augustus
everyone, everywhere, always connected
NL in 5 years 100 %
already 70% follow-up
FaceTalk 2.0 launch March
Time will change…
We need a Global reimbursement system
a THIS is your new backyard
sit back and relax … ?
fór wíth by
Innovation shift Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™
Flipping the coin
via HC IT systems Via the ónly constante in

healthcare: The patient
+
eCo-system
7 weeks after 1st cup of coffee
700 Million research devices
18.000 inclusions in 48h
How Apple just became an Academic Medical Center
Research is about asking.
Crowdsourcing is co-creation.
“this will push into an era of Patient Owned Research (POR)”
@lucienengelen
It’s just getting started….
REshape20-22 Mei, 2016 dutch.hackinghealth.ca
TIME WILL CHANGE FASTER, AND FASTER…
GP Specialist
This is our perspectiveMillennial doctors
- 70%
Digital Health(care) Transformation


The overall change that is happening
driven by digital technology
New business models
Role change
Impact of availability data
Burden of continuously change
New generation in targeted groups
Impact on infrastructure
New players
From CURE to CARE to PREVENT to WELLNESS
Delocalisation
Democratisation
Digital
Dollars
Innovation
time
performance
0
most demanding use
high quality use
medium quality use
low quality use
disruptive technology
Clayton Christensen, Harvard
Neglect
time
performance
0
Lucien Engelen 2011
pre-gap
post-gap
most of our impact
is belów the surface
New alliances
Paradigm shift is here already
It is yet not evenly distributed,
will take 7 - 17 years
2015, the tipping point of health(care).
“Technology is the hype, the change will be permanent”
@lucienengelen
@lucienengelen
573.388 followers
playlist used video’s
Scanadu trailer
ScanaFlo TechCrunch
Sight Virtual Contact lens
Vasculogic Robot Blood drawing
Philips Radboudumc COPD
AED4.EU Apple Watch app

Contenu connexe

Tendances

KU Leuven open college
KU Leuven open collegeKU Leuven open college
KU Leuven open collegeLucien Engelen
 
Slides Lucien Engelen #Ehealthweek 2016
Slides Lucien Engelen #Ehealthweek 2016Slides Lucien Engelen #Ehealthweek 2016
Slides Lucien Engelen #Ehealthweek 2016Lucien Engelen
 
Moorfields Eye Hospital London
Moorfields Eye Hospital London Moorfields Eye Hospital London
Moorfields Eye Hospital London Lucien Engelen
 
Born Global with Health 2.0
Born Global with Health 2.0Born Global with Health 2.0
Born Global with Health 2.0Yggdrasil.me
 
Dot med13 Lucien Engelen
Dot med13 Lucien Engelen Dot med13 Lucien Engelen
Dot med13 Lucien Engelen Lucien Engelen
 
M-health ggz van morgen
M-health ggz van morgenM-health ggz van morgen
M-health ggz van morgenLucien Engelen
 
Xmed 2019 Lucien Engelen
Xmed 2019 Lucien Engelen Xmed 2019 Lucien Engelen
Xmed 2019 Lucien Engelen Lucien Engelen
 
Health Datapalooza 2014: 10 Takeaways
Health Datapalooza 2014: 10 TakeawaysHealth Datapalooza 2014: 10 Takeaways
Health Datapalooza 2014: 10 TakeawaysLuminary Labs
 
What Happens in Vegas Changes LIves (part one)
What Happens in Vegas Changes LIves (part one)What Happens in Vegas Changes LIves (part one)
What Happens in Vegas Changes LIves (part one)Jill Gilbert
 
Health care, startups and technology culture at #sxsw 2012
Health care, startups and technology culture at #sxsw 2012Health care, startups and technology culture at #sxsw 2012
Health care, startups and technology culture at #sxsw 2012UBC eHealth Strategy Office
 
Wired Health Italia Lucien Engelen
Wired Health Italia Lucien EngelenWired Health Italia Lucien Engelen
Wired Health Italia Lucien EngelenLucien Engelen
 
Rocking the Connected Healthy Home
Rocking the Connected Healthy HomeRocking the Connected Healthy Home
Rocking the Connected Healthy HomeJill Gilbert
 
Health Datapalooza 2015: 10 Takeaways
Health Datapalooza 2015: 10 TakeawaysHealth Datapalooza 2015: 10 Takeaways
Health Datapalooza 2015: 10 TakeawaysLuminary Labs
 
Digital Health: Opportunities for Emerging Markets
Digital Health: Opportunities for Emerging MarketsDigital Health: Opportunities for Emerging Markets
Digital Health: Opportunities for Emerging MarketsEddy Lee
 
ECCO 2013 Lucien Engelen
ECCO 2013 Lucien EngelenECCO 2013 Lucien Engelen
ECCO 2013 Lucien EngelenLucien Engelen
 
Hands-Free Healthcare: How an Echo Rewrites the Playbook (Digital Health Summ...
Hands-Free Healthcare: How an Echo Rewrites the Playbook (Digital Health Summ...Hands-Free Healthcare: How an Echo Rewrites the Playbook (Digital Health Summ...
Hands-Free Healthcare: How an Echo Rewrites the Playbook (Digital Health Summ...Jill Gilbert
 

Tendances (20)

KU Leuven open college
KU Leuven open collegeKU Leuven open college
KU Leuven open college
 
Slides Lucien Engelen #Ehealthweek 2016
Slides Lucien Engelen #Ehealthweek 2016Slides Lucien Engelen #Ehealthweek 2016
Slides Lucien Engelen #Ehealthweek 2016
 
Xmed 2016
Xmed 2016Xmed 2016
Xmed 2016
 
Moorfields Eye Hospital London
Moorfields Eye Hospital London Moorfields Eye Hospital London
Moorfields Eye Hospital London
 
Born Global with Health 2.0
Born Global with Health 2.0Born Global with Health 2.0
Born Global with Health 2.0
 
Dot med13 Lucien Engelen
Dot med13 Lucien Engelen Dot med13 Lucien Engelen
Dot med13 Lucien Engelen
 
M-health ggz van morgen
M-health ggz van morgenM-health ggz van morgen
M-health ggz van morgen
 
Xmed 2019 Lucien Engelen
Xmed 2019 Lucien Engelen Xmed 2019 Lucien Engelen
Xmed 2019 Lucien Engelen
 
Health Datapalooza 2014: 10 Takeaways
Health Datapalooza 2014: 10 TakeawaysHealth Datapalooza 2014: 10 Takeaways
Health Datapalooza 2014: 10 Takeaways
 
What Happens in Vegas Changes LIves (part one)
What Happens in Vegas Changes LIves (part one)What Happens in Vegas Changes LIves (part one)
What Happens in Vegas Changes LIves (part one)
 
Health care, startups and technology culture at #sxsw 2012
Health care, startups and technology culture at #sxsw 2012Health care, startups and technology culture at #sxsw 2012
Health care, startups and technology culture at #sxsw 2012
 
Wired Health Italia Lucien Engelen
Wired Health Italia Lucien EngelenWired Health Italia Lucien Engelen
Wired Health Italia Lucien Engelen
 
Onomwonden congres
Onomwonden congresOnomwonden congres
Onomwonden congres
 
Rocking the Connected Healthy Home
Rocking the Connected Healthy HomeRocking the Connected Healthy Home
Rocking the Connected Healthy Home
 
DocSF Berlin
DocSF BerlinDocSF Berlin
DocSF Berlin
 
Health Datapalooza 2015: 10 Takeaways
Health Datapalooza 2015: 10 TakeawaysHealth Datapalooza 2015: 10 Takeaways
Health Datapalooza 2015: 10 Takeaways
 
ROC Almere/Amsterdam
ROC Almere/AmsterdamROC Almere/Amsterdam
ROC Almere/Amsterdam
 
Digital Health: Opportunities for Emerging Markets
Digital Health: Opportunities for Emerging MarketsDigital Health: Opportunities for Emerging Markets
Digital Health: Opportunities for Emerging Markets
 
ECCO 2013 Lucien Engelen
ECCO 2013 Lucien EngelenECCO 2013 Lucien Engelen
ECCO 2013 Lucien Engelen
 
Hands-Free Healthcare: How an Echo Rewrites the Playbook (Digital Health Summ...
Hands-Free Healthcare: How an Echo Rewrites the Playbook (Digital Health Summ...Hands-Free Healthcare: How an Echo Rewrites the Playbook (Digital Health Summ...
Hands-Free Healthcare: How an Echo Rewrites the Playbook (Digital Health Summ...
 

Similaire à Significant impact of health care over time

Collegeclub Amsterdam
Collegeclub Amsterdam Collegeclub Amsterdam
Collegeclub Amsterdam Lucien Engelen
 
UHasselt Limburg-lezing
UHasselt Limburg-lezingUHasselt Limburg-lezing
UHasselt Limburg-lezingLucien Engelen
 
VWS medewerkerdag 2015
VWS medewerkerdag 2015VWS medewerkerdag 2015
VWS medewerkerdag 2015Lucien Engelen
 
Health: to insure or to ensure? Welcome in the new normal
Health: to insure or to ensure? Welcome in the new normalHealth: to insure or to ensure? Welcome in the new normal
Health: to insure or to ensure? Welcome in the new normalKoen Vingerhoets
 
Health 2.0 Fall 2018 Takeaways
Health 2.0 Fall 2018 TakeawaysHealth 2.0 Fall 2018 Takeaways
Health 2.0 Fall 2018 TakeawaysHill Holliday
 
Healthcare: Innovate or Die | HackLaunch Inaugural Event
Healthcare: Innovate or Die | HackLaunch Inaugural EventHealthcare: Innovate or Die | HackLaunch Inaugural Event
Healthcare: Innovate or Die | HackLaunch Inaugural EventJulien de Salaberry
 
"The Changing World Is Enabling New Patient Partnerships"
"The Changing World Is Enabling New Patient Partnerships""The Changing World Is Enabling New Patient Partnerships"
"The Changing World Is Enabling New Patient Partnerships"e-Patient Dave deBronkart
 
Industrial strategy challenge fund: healthy ageing
Industrial strategy challenge fund: healthy ageing Industrial strategy challenge fund: healthy ageing
Industrial strategy challenge fund: healthy ageing KTN
 
Healthcare transition
Healthcare transition Healthcare transition
Healthcare transition Paul Epping
 
Het ziekenhuis van de toekomst - Presentatie Paul Epping
Het ziekenhuis van de toekomst - Presentatie Paul EppingHet ziekenhuis van de toekomst - Presentatie Paul Epping
Het ziekenhuis van de toekomst - Presentatie Paul EppingPakhuisdezwijger
 
III Congresso Nacional de Direito Digital
III Congresso Nacional de Direito Digital III Congresso Nacional de Direito Digital
III Congresso Nacional de Direito Digital Lara Rocha Garcia
 
20130226 impact van zorg 2 0 op onze samenleving
20130226 impact van zorg 2 0 op onze samenleving20130226 impact van zorg 2 0 op onze samenleving
20130226 impact van zorg 2 0 op onze samenlevingAnn Huygelier
 
20130226 impact van zorg 2 0 op onze samenleving
20130226 impact van zorg 2 0 op onze samenleving20130226 impact van zorg 2 0 op onze samenleving
20130226 impact van zorg 2 0 op onze samenlevingD3 Consutling
 
The Future Ain't What it Used To Be: Evolve!
The Future Ain't What it Used To Be: Evolve!The Future Ain't What it Used To Be: Evolve!
The Future Ain't What it Used To Be: Evolve!e-Patient Dave deBronkart
 
Health Technology - Who wants to live forever?
Health Technology -  Who wants to live forever?Health Technology -  Who wants to live forever?
Health Technology - Who wants to live forever?Joana Santos Silva
 
Digital Health: Managing Patients and disease
Digital Health: Managing Patients and diseaseDigital Health: Managing Patients and disease
Digital Health: Managing Patients and diseaseJoana Santos Silva
 
SingularityU Summit 2016 Amsterdam
SingularityU Summit 2016 AmsterdamSingularityU Summit 2016 Amsterdam
SingularityU Summit 2016 AmsterdamLucien Engelen
 
The Propell Group - ESSEC Business School - Digital Health Innovation
The Propell Group - ESSEC Business School - Digital Health InnovationThe Propell Group - ESSEC Business School - Digital Health Innovation
The Propell Group - ESSEC Business School - Digital Health InnovationJulien de Salaberry
 

Similaire à Significant impact of health care over time (20)

Collegeclub Amsterdam
Collegeclub Amsterdam Collegeclub Amsterdam
Collegeclub Amsterdam
 
UHasselt Limburg-lezing
UHasselt Limburg-lezingUHasselt Limburg-lezing
UHasselt Limburg-lezing
 
VWS medewerkerdag 2015
VWS medewerkerdag 2015VWS medewerkerdag 2015
VWS medewerkerdag 2015
 
Health: to insure or to ensure? Welcome in the new normal
Health: to insure or to ensure? Welcome in the new normalHealth: to insure or to ensure? Welcome in the new normal
Health: to insure or to ensure? Welcome in the new normal
 
Health 2.0 Fall 2018 Takeaways
Health 2.0 Fall 2018 TakeawaysHealth 2.0 Fall 2018 Takeaways
Health 2.0 Fall 2018 Takeaways
 
Healthcare: Innovate or Die | HackLaunch Inaugural Event
Healthcare: Innovate or Die | HackLaunch Inaugural EventHealthcare: Innovate or Die | HackLaunch Inaugural Event
Healthcare: Innovate or Die | HackLaunch Inaugural Event
 
"The Changing World Is Enabling New Patient Partnerships"
"The Changing World Is Enabling New Patient Partnerships""The Changing World Is Enabling New Patient Partnerships"
"The Changing World Is Enabling New Patient Partnerships"
 
Industrial strategy challenge fund: healthy ageing
Industrial strategy challenge fund: healthy ageing Industrial strategy challenge fund: healthy ageing
Industrial strategy challenge fund: healthy ageing
 
BMC Kongress, Berlin, May 2022
BMC Kongress, Berlin, May 2022BMC Kongress, Berlin, May 2022
BMC Kongress, Berlin, May 2022
 
Healthcare transition
Healthcare transition Healthcare transition
Healthcare transition
 
Het ziekenhuis van de toekomst - Presentatie Paul Epping
Het ziekenhuis van de toekomst - Presentatie Paul EppingHet ziekenhuis van de toekomst - Presentatie Paul Epping
Het ziekenhuis van de toekomst - Presentatie Paul Epping
 
Clustertour Nijmegen
Clustertour NijmegenClustertour Nijmegen
Clustertour Nijmegen
 
III Congresso Nacional de Direito Digital
III Congresso Nacional de Direito Digital III Congresso Nacional de Direito Digital
III Congresso Nacional de Direito Digital
 
20130226 impact van zorg 2 0 op onze samenleving
20130226 impact van zorg 2 0 op onze samenleving20130226 impact van zorg 2 0 op onze samenleving
20130226 impact van zorg 2 0 op onze samenleving
 
20130226 impact van zorg 2 0 op onze samenleving
20130226 impact van zorg 2 0 op onze samenleving20130226 impact van zorg 2 0 op onze samenleving
20130226 impact van zorg 2 0 op onze samenleving
 
The Future Ain't What it Used To Be: Evolve!
The Future Ain't What it Used To Be: Evolve!The Future Ain't What it Used To Be: Evolve!
The Future Ain't What it Used To Be: Evolve!
 
Health Technology - Who wants to live forever?
Health Technology -  Who wants to live forever?Health Technology -  Who wants to live forever?
Health Technology - Who wants to live forever?
 
Digital Health: Managing Patients and disease
Digital Health: Managing Patients and diseaseDigital Health: Managing Patients and disease
Digital Health: Managing Patients and disease
 
SingularityU Summit 2016 Amsterdam
SingularityU Summit 2016 AmsterdamSingularityU Summit 2016 Amsterdam
SingularityU Summit 2016 Amsterdam
 
The Propell Group - ESSEC Business School - Digital Health Innovation
The Propell Group - ESSEC Business School - Digital Health InnovationThe Propell Group - ESSEC Business School - Digital Health Innovation
The Propell Group - ESSEC Business School - Digital Health Innovation
 

Plus de Lucien Engelen

Axira sessie (low res 2)
Axira sessie (low res 2)Axira sessie (low res 2)
Axira sessie (low res 2)Lucien Engelen
 
Healthcare meets retail 8 juni low res.pdf
Healthcare meets retail 8 juni  low res.pdfHealthcare meets retail 8 juni  low res.pdf
Healthcare meets retail 8 juni low res.pdfLucien Engelen
 
Book images Augmented Health(care)™
Book images Augmented Health(care)™Book images Augmented Health(care)™
Book images Augmented Health(care)™Lucien Engelen
 
Oncologie Verpleegkundige Specialisten VSO voorjaarscongres
Oncologie Verpleegkundige Specialisten  VSO voorjaarscongres Oncologie Verpleegkundige Specialisten  VSO voorjaarscongres
Oncologie Verpleegkundige Specialisten VSO voorjaarscongres Lucien Engelen
 
Gyn kwaliteitsmiddag 2018
Gyn kwaliteitsmiddag 2018Gyn kwaliteitsmiddag 2018
Gyn kwaliteitsmiddag 2018Lucien Engelen
 
Zorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en ChristanZorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en ChristanLucien Engelen
 
KNMP congres Patient Power 13 Maart 2018
KNMP congres Patient Power 13 Maart 2018KNMP congres Patient Power 13 Maart 2018
KNMP congres Patient Power 13 Maart 2018Lucien Engelen
 
Lucien Engelen ICThealth Conference 2018
Lucien Engelen ICThealth Conference 2018Lucien Engelen ICThealth Conference 2018
Lucien Engelen ICThealth Conference 2018Lucien Engelen
 
Nexxworks bootcamp Lucien Engelen
Nexxworks bootcamp Lucien Engelen Nexxworks bootcamp Lucien Engelen
Nexxworks bootcamp Lucien Engelen Lucien Engelen
 
Lucien engelen data driven healthcare 2017 kl
Lucien engelen data driven healthcare 2017 klLucien engelen data driven healthcare 2017 kl
Lucien engelen data driven healthcare 2017 klLucien Engelen
 
#Xmed Lucien Engelen 2017
#Xmed Lucien Engelen 2017#Xmed Lucien Engelen 2017
#Xmed Lucien Engelen 2017Lucien Engelen
 
Grow with Philips event
Grow with Philips event Grow with Philips event
Grow with Philips event Lucien Engelen
 

Plus de Lucien Engelen (20)

Axira sessie (low res 2)
Axira sessie (low res 2)Axira sessie (low res 2)
Axira sessie (low res 2)
 
Healthcare meets retail 8 juni low res.pdf
Healthcare meets retail 8 juni  low res.pdfHealthcare meets retail 8 juni  low res.pdf
Healthcare meets retail 8 juni low res.pdf
 
Xmed 2018
Xmed 2018Xmed 2018
Xmed 2018
 
Masterdialogen AMC
Masterdialogen AMCMasterdialogen AMC
Masterdialogen AMC
 
Book images Augmented Health(care)™
Book images Augmented Health(care)™Book images Augmented Health(care)™
Book images Augmented Health(care)™
 
Oost-NL
Oost-NLOost-NL
Oost-NL
 
Hospitality group
Hospitality group Hospitality group
Hospitality group
 
Radiologiedagen 2018
Radiologiedagen 2018Radiologiedagen 2018
Radiologiedagen 2018
 
Oncologie Verpleegkundige Specialisten VSO voorjaarscongres
Oncologie Verpleegkundige Specialisten  VSO voorjaarscongres Oncologie Verpleegkundige Specialisten  VSO voorjaarscongres
Oncologie Verpleegkundige Specialisten VSO voorjaarscongres
 
BASIS 2018 Napels
BASIS 2018 Napels BASIS 2018 Napels
BASIS 2018 Napels
 
Gyn kwaliteitsmiddag 2018
Gyn kwaliteitsmiddag 2018Gyn kwaliteitsmiddag 2018
Gyn kwaliteitsmiddag 2018
 
Zorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en ChristanZorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en Christan
 
KNMP congres Patient Power 13 Maart 2018
KNMP congres Patient Power 13 Maart 2018KNMP congres Patient Power 13 Maart 2018
KNMP congres Patient Power 13 Maart 2018
 
HIS 2de cohort dag 1
HIS 2de cohort dag 1HIS 2de cohort dag 1
HIS 2de cohort dag 1
 
Lucien Engelen ICThealth Conference 2018
Lucien Engelen ICThealth Conference 2018Lucien Engelen ICThealth Conference 2018
Lucien Engelen ICThealth Conference 2018
 
Dagens Medicine
Dagens MedicineDagens Medicine
Dagens Medicine
 
Nexxworks bootcamp Lucien Engelen
Nexxworks bootcamp Lucien Engelen Nexxworks bootcamp Lucien Engelen
Nexxworks bootcamp Lucien Engelen
 
Lucien engelen data driven healthcare 2017 kl
Lucien engelen data driven healthcare 2017 klLucien engelen data driven healthcare 2017 kl
Lucien engelen data driven healthcare 2017 kl
 
#Xmed Lucien Engelen 2017
#Xmed Lucien Engelen 2017#Xmed Lucien Engelen 2017
#Xmed Lucien Engelen 2017
 
Grow with Philips event
Grow with Philips event Grow with Philips event
Grow with Philips event
 

Dernier

VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...narwatsonia7
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...indiancallgirl4rent
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...narwatsonia7
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...narwatsonia7
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...chandars293
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 

Dernier (20)

VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 

Significant impact of health care over time