Dara Ó Briain, with special guest Jay Walker of TEDMED, will host the Imagining the Future of Medicine Conference at the Royal Albert Hall in London. The conference will feature speakers at the forefront of medicine who will explore how we can make the future of medicine brighter. The list of speakers is awe inspiring, including our most anticipated speaker, Katherine Sleeman, who will talk about how to have a good death. Watch a livestream of the event here and check out the highlights in our live blog. All the action begins at 14:00 BST, join us for what promises to be an enlightening afternoon.
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It’s been a gruelling 5 hours but it’s been an incredible afternoon of thought provoking speeches, great speakers and interesting notions. Thanks for joining us, and thanks to TEDMED for livestreaming the event.
19.12 - Jennifer Deming
Thank you for joining us for Imaging the Future of Medicine. We hope you enjoyed our livestream and liveblog.
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Our life expectancy is the result of incremental changes not one or two major breakthroughs
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Dara Ó Briain is wrapping things up now.
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85% of prescripted drugs used today came on the market over 10 years ago. Goldacre wants to know what happened in the clinical trials for all drugs on the market. Are they actually effective?
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Loopholes are prospective and not retrospective-meaning they don’t have to tell you trial results that happened years ago. How can we practise medicine safely without it?
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Tamiflu scandal is the tip of the iceberg when it comes to hidden data, frightening!
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Scary what they don’t tell you about the drugs you take.
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Ben Goldacre discusses the worrying trend of research misconduct. Drug trials with positive results are massively more likely to be published in scientific journals. The Economist wrote about this in October
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What are government and big pharma hiding from you? Check out Goldacre’s site and books for more info
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Check his website out if he’s going a bit to fast for you
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He’s frantically speaking about ‘Bad Science’ this is a breakneck delivery
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Ben Goldacre taking the stage!
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Dara Ó Briain acknowledges that this may have been the most important speech of the day
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Stop whispering-start talking, Sleeman advocates
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Comes back to cultural interpretations of life and death.
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Sometimes it’s not better living through chemistry, conversations can be more powerful than technology.
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Sleeman talks of the importance of the concept of ‘death saving’ rather than ‘life saving’. Ensuring that death is as peaceful and natural as possible
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The simple words “You’re dying” can be the hardest to hear- goes back to what Tali was saying about in one ear, out the other
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We are born to die. Why is it so difficult to face what we were born to do?
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Dying was viewed as natural, and accepted. But now we are scared and embarassed by death. The old are taken into care homes and hidden away. The successes of medicine have meant that doctors view death as failure.
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Quantity is not quality when it comes to our final days. Embracing Palliative care has proven that even without medical interventions those who receive it live longer than those with extended medical interventions. Mind-bending!
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Palliative care improves quality of life and improved survival. Who wouldn’t want that?
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Palliative care is proven to improve quality of life and helps to deliver a better death
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Research found those who received palliative care improved quality of life and patients control of their symptoms
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Do palliative carers have the most depressing job in the world? Katherine Sleeman disagrees. She works in the real world.
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Palliative Care is a pragmatic way to deal with death and help improve the life of those who are losing the battle with life.
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When is enough, enough? When should we stop treatment and start caring? Palliative care starts where medical intervention stops.
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Quality of death. Something we don’t really talk about. The more expensive treatments often end in the most anguished death. Is this a failure of modern healthcare?
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There’s a mismatch between where people would like to die and where most people do die. The majority would like to die at home rather than in hospital.
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Preparing for death is key. Think about it, talk about it, do something
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the majority of us will die from chronic diseases over a period of weeks, months or years. It doesn’t sound great but it does allow for planning, preparation.
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We all do it, get ready cause here it comes: We have to die of something! Fifth of us die suddenly. Another Fifth, die of cancer-deterioration over a few weeks. The rest of us will die of congenital diseases final years characterised by relapses and prolonged deterioration.
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1/5 will die suddenly, live well and then suddenly that’s it
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we’ve swapped fast, early deaths for slow and late life deaths
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100% death rate across humanity. arghhh
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We are all going to die! Katherine Sleeman talks about how to have a good death! Right up our street here at PreparedLondon!
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Health campaigns based on fear won’t work. Positive reinforcement is the way forward in preventative medicine
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People believe positive possibilities are more likely than negative possibilities. e.g. this cigarette is real and feels good, whereas lung cancer is uncertain and distant
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Immediate rewards, social progress and incentives makes people do things Feel good factor creates good habits Especially in healthcare
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How often do medical professionals wash their hands before entering a patients room? Not often until things get competitive says Sharot #ImagineMed
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In one ear and out the other! Science has proven people hear what they want to hear! #ImagineMed
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We treat our health in the same way as investors did the stock market. We seek out good news and ignore the warning signs.
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Sharot illustrates human behaviour with the proverbial s**t hitting the fan!
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Shaping behaviour with fear won’t work. Is it because we always look on the bright side?
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We try to shape our behaviour and others by inducing fear. Sharot says that’s not the way to do that
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Next Speaker Tali Sharot, neuroscientist who believes humans are natural optimists
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A lot of talk of the transformative power of music. I don’t dispute that but this is a science conference- where’s the evidence?
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Music one of the basic necessities of humanity argues Balsom
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Alison is currently showing a video displaying the transformative power of the ‘Brass for Africa’ project in Kampala, Uganda
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Brass for Africa is transforming lives in Uganda. It helps gives purpose and focus to children’s lives.
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Alison tells us of the power of music as a healer and its ability to rebuild lives
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Eerily moving sounds from the beautiful and talented Alison Balsom #ImagineMed sharing the power of music to inspire and rebuild lives. I’m from Memphis what healing did she do in my hometown.
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Alison will talk about music as a healer. Or maybe her music is doing the talking right now.
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Music heals as Alison Balsom plays the trumpet
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Translating the Untranslatable is the theme for session 3
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Session 3 starting. Are you ready? We are! Questions #ImagineMed
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And we’re back
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5 mins until the final installment of Imagining the Future of Medicine at the Royal Albert Hall
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Prepared London on the big stage. We’re live tweeting this too! @preparedlondon
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Next session in 25 minutes. Tune in for part 3 which will include how to have a good death
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Biology is complicated. New science helps simplify and increase our understanding of the cellular world
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Speed of innovation due to the sharing of information
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Will people misuse this power? Sure there will be loads of bioethical questions as this technology becomes more common.
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We can use biology to build
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Professor Freemont to explain how synthetic biology will change humanity
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Mail order Genes? Science is set to change the way humans live.
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The Genies out of the bottle, we can alter animals, vegetables and minerals in civilisation 2.0 through synthetic biology.
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Technology is not the baddie Sci-fi movies make out, the future will allow us to understand and take control of the inside world.
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We are not the only inhabitants of our body.
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Civilisation 2.0 will lead to insights into the body. What breakthroughs could this bring?
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Science puts man in control of the shape of civilisation
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Imagination leads to understanding of the world through the scientific method.
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Imagination complicates the simplicity of life.
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Shouldn’t life get less not more complicated over time? Why has it moved the other way? Our brains make us more sophisticated.
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To understand the future we need to understand the past….similar to the Da Vinci example earlier today.
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Next, TEDMED curator Jay Walker talking on The Next Revolution on Health and Medicine
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You can get Babylon today or after its launch next week! Find out more at #ImagineMed
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Babylon out today- first come first served out in Apple App store and Google Play. Launch probably next week
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Babylon will diagnose you judging from your symptoms that you disclose to the phone but what about the insurance cost of misdiagnosis
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‘Our symptom checker won’t give you cancer!’, claims Parsa
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Babylon seems great but what about privacy issues with medical data?
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Picking up prescriptions via your mobile
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Rate-A-Doctor. Could this improve the quality of care?
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Making appointments for your GP, healthcare specialist on your phone, takes 5 seconds
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We’re now about to see Babylon in action
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Babylon, Parsa’s creation, helps provide better living through technology by allowing easier access to healthcare through mobiles. Amazing.
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Mobile phones can help in the dissemination of healthcare.
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Mobiles could hold the key to smarter, faster healthcare
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Access to doctors in developing world very, very difficult
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Even the top CEOs have difficulty accessing medical attention quickly in developing countries
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The next speaker went from working as an investment banker and now focuses on Smart Health care. Ali Parsa takes the stage
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Next speaker Ali Parsa a health care entrepreneur
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Compassion starts when you are willing to turn emotion into action.
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On Mercy Ship, they pay to volunteer so all donations go to patient care and ship maintenance…new model for philanthropy?
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How can you help with no medical training? Volunteer your time and someone can find you something to do on the Mercy ship!
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A picture is worth a thousand words, Cheng’s images of his work show how physical deformities from easily treated disease affect a person’s mental state. People can hope for a new future with treatment.
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Healing starts with human contact, hugely important when patients are ostracised
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Simple medical issues can turn into devastating medical problems in the developing world.
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Some babies born with cleft-palette are buried alive by voodoo doctors in West Africa
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Cheng counters Wilson’s quality of care cultural debate by showing how local approaches sometimes do more harm than good.
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Voodoo doctors attempt to cure goitre by scratching at the thyroid gland
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Queues of over 7,000 to be treated for health problems
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Poor health outcomes due to poverty. Not stalls in medical advancement.
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Millions suffer from easily curable diseases around the world. The enemy? Poverty
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In the middle third we have 4 more speakers.
Medicine without borders. Taking a closer look at global innovations around the world.
Our first speaker is facial surgeon, Leo Cheng will discuss offshore medicine
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Session 2 opened by a facial surgeon Leo Cheng talks about offshore medicine
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Dara Ó Briain is back- joking about symptoms you should not ignore. Like ‘sudden blindness’
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We’re now learning how to ‘deaf clap’- shaking your hands in a kind of ‘jazz hands’ manner. Occupy Wall Street used the technique for their meetings too.
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Sign language lesson extremely helpful. Thanks Kaos Choir
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“Do what you’re told” the teacher gets the kids in order.
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Lots of jumping! and smiles, this should wake everyone up a bit!
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Little kids singing melts even the coldest heart!
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The choir is made of deaf children.
The kids sign and sing (roughly) in tune. I hope we learn how this was achieved
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Kaos Signing Choir has taken the stage
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Session 2 of Imagining the Future of Medicine is about to start grab a seat, tune in and ask questions (#ImagineMed)
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Prepared London tweets appearing on the stream right now
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There’s a 25 min break here at Imagine Medicine. Soothing music plays out on the live stream
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That’s the end of session one. Check back in 25 min for session 2.
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Dara breaks the ice with a stream of gags chiding the teens for making a mess
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Great performance by Islington Community Theatre. Makes you really re-think teen behaviour. Hug a teen today!
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The audience ate that up, rapturous applause
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Signs are held up and dropped to floor. Carrying strongly emotive messages ‘I still love you’
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Teens are in limbo brain development stage and we should be more understanding of their actions.
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Teens aren’t broken, just more sensitive to social situations.
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Can risk taking be mitigated in teens through niceness?
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Teen angst explained by teen brain. Adolescence is when we develop a sense of social self which leads them to be more sensitive to exclusion, bullying and so on. Be nice to your teen.
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Teen brain has its own research! Teen brain unique in our life span.
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Performance by Islington community theatre on now!
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Send your questions and comments to #ImagineMed
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Care doesn’t have to cost very much. We don’t have to squeeze it out of the budget. Technology will help us deliver care more effectively.
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Cost of health care contributes to lack of quality in care? Does changing from healthcare to health service have an impact?
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Wilson thinks culture dictates quality of care.
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What makes good quality of care?
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Trauma commonest cause of death worldwide in the under 45′s. Brain injury major contributor to this.
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Larger people have brain blood drainage issues and can result in blindness.
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Brain injury are all different making it more difficult to treat. No two are the same. Recreating injury for medicine is very difficult without invasive procedures. Looks for creative ways to recreate and fixing injury
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NASA doesn’t like to drill into astronauts heads….who would’ve thought?!
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Wilson feels privileged to look after brain injury patients as it changes their lives and he gets to join them on the new journey.
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Wilson on secondary brain injury: “If you’re not dead when we get there you shouldn’t die”
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Wilson’s concerned about care for patients.
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Now for consultant neuro-surgeon, Mark Wilson, will now talk about ‘Caring outside the box’
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Feels privileged to take care of people
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Seizure prediction can warn those at risk up to 45 mins to an hour before seizure may strike
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Next speaker is a neuro surgeon and expedition doctor Mark Wilson
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Challenges can turn into opportunities with outside the box thinking in medicine.
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A late night discussion between a computer programmer and a neuroscientist led to this new wave of discovery
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Most of us don’t realise the magnitude of the computer power the world is now capable of deploying. The ramifications for personalised healthcare are enormous
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Low cost technology creates medical revolutions!
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Watching brain signals coming out of audience members’ head in real time. Phenomenal
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Cloud computing helps to decode brain! Technology pushing the boundaries of medicine.
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Cloud-computing, allowed incredible results for trials. Jamil was convinced it wasn’t working properly
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Computing the brain is not only difficult but time consuming.
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Using tidying and pattern matching to search for anomalies that can identify epilepsy sufferers. Monitoring EEG (Electroencephalography) levels in real time and alerting them via mobile with a few minutes warning so they can remove themselves from dangerous situations where they may be physically injured
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Jamil El-Imad will show us how a seizure strikes- most damage is done physically. The visual demonstration may upset some viewers
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Jamil El-Imad targetted sufferers of epilepsy with his theory.
Did I just see a woman in the audience sleeping?!?
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What can brain signals tell us?
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If a matching pattern was found for brain signals, could neuro science be advanced?
The hypothesis. A healthy brain is eurythmic, an unhealthy brain is uneurythmic
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Sick brains behave differently than healthy ones
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Jamil El-Imad uses deviations to find bugs when looking at codes- now how is this related to neuroscience? We’ll find out for sure
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We have our next speaker- Jamil El-Imad a computer engineer
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Up next Jamil El-Imad computer scientist who is fascinated with neuroscience
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Were you looking in order to see during that amazing chat?
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Turn seeing into vision and have faith in the natural world and you will make advances…Answers hidden in nature
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We can mimic forces of nature just look at architecture
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What can we learn from Leonardo? 500 Year old medicine still helping now. Leading to new ways of looking… Amazing
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Leonardo made it into Nature, 500 years later.
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Leonardo made animations!
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we are all forms of the forces of nature acting upon us
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Drawing helps to get rid of the prejudice
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If you want to see anew, try and draw it…literally! You will see things in a different way and how they really are!
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2. Looking and seeing. What you see is really important
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Why are we doing it leads to the how and the what.
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1. ask the right question: what is that?
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Our first mention of the spectre of death and how difficult working as a doctor can be when failure results in death.
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Wells: how do you make new advances?
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First speaker- cardiothoracic surgeon, Francis Wells will talk on ‘looking and seeing’
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First speaker, cardiothoracic surgeon, who used DaVinci’s drawings to create new procedures,: Francis Wells
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Coming up emerging perspective in modern medicine
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#ImagineMed with your questions or comments
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Session 1 Thinking outside the box, 1 of 3
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Questions that will stump a doctor at a dinner party
Why if you stay in bed longer do you feel more tired?
What are hiccups?
What are the Oil of Olay 7 signs of ageing. (1st one lines around the eye- for women)
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Ó Briain gets things off with a laugh: “Information is best transmitted sexually”
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Ó Briain: Voyage of discovery today! Students this will turn up on the exam!
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Dara confesses to forgetting it was a bank holiday weekend when Imagine Med booked him
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a few minutes late but Imagine Med is underway. Reminded me of Bob Crows’ funeral which the Trade Unionist ran nearly an hour late
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There’s one minute until Dara O’Briain takes the stage- a good moment to look through some pictures of the event so far
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Bare with us as we attempt to fix our time stamp. It’s an hour off, Imagining the Future of Medicine begins at 14:00 BST
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Imagining the Future of Medicine should start any minute now
13.00 - Adam Barr
Hi all, I’ll be reporting for the live blog alongside Jennifer Deming for Prepared London.