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

Break down:

part 1: behind the lines

part 2: what can be some actionables

Break Out Session: general about book content

Learnings: Behind the lines

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 :)

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

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

Mary and Gary West

West Corporation - 911 & telecomunication

Philantrophists

WestHealth.org

Eric's Prescription to Medicine:

http://en.wikipedia.org/wiki/Joseph_Schumpeter

Needs to be Schumpeted

By Us Patients

Creative Destruction

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

Radically Transformed

digital information has revolutionized our world, but not our health until now

So that we refocus on :Preserving Our Health

Digitizing the world,Digitizing the Body

Assembling Relevant Data,Making Actionable

suggestions

We Have the Technical Foundation

Think of the SmartPhone

Medical Smartphone ie Tricorder

with massive number of other sensors

Data:

previous:1 Billion gigabytes by 2003

now:x trillion gigabytes per year35 trillion gigabytes per year

mostly from sensors

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

Patients are organizing:

- Are able to get data

- Determine Treatment

- can be a problem.

- resisted by the industry

Potential Problems:

Treating the virtual vs. real patient

Loss of interaction and healing touch

Problems with innovative products

Data Deluge

Actionables

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

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!

Eric is unique

Eric has great funding

Most Doctors do not get this chance

InterWest Institute - Test tube for creative destruction

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