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    The future is here: AI and personalized healthcare with Eric Topol

    enMarch 02, 2023

    Podcast Summary

    • AI Transforming HealthcareAI will change the way we approach healthcare, with more home testing, AI doctors on phones, and doctors in an advocacy role. Fear of job loss is unfounded, as AI enhances abilities and knowledge.

      Artificial intelligence (AI) is increasingly being explored as a transformative force in healthcare. According to Eric Topol, a leading medical researcher and practicing cardiologist, AI will play a significant role in our future health journey. While it may not replace healthcare professionals entirely, it will certainly change the way we approach our health. In the future, instead of contacting our doctor as our first step when feeling sick, we might consult an AI doctor on our phones. Regular home testing and wearables like the Apple Watch will become more commonplace. Doctors will continue to prescribe diet and fitness interventions, but in a more advocacy role rather than a prescription one. AI will not replace healthcare professionals, but it will enhance their abilities and knowledge. The fear of AI replacing human doctors is unfounded, as history shows that new technologies have not led to mass job loss in healthcare. Instead, they have made healthcare more productive and efficient. As we move towards a more autonomous and doctorless world, healthcare professionals will have access to more information and insights, allowing them to provide better care for their patients.

    • The degrading relationship between patients and doctors and the need to bridge the divide between healthcare professionals and tech expertsAdvanced technologies like AI can help improve the relationship between patients and doctors, but bridging the divide between healthcare professionals and tech experts is crucial to fully leverage its potential.

      The relationship between patients and doctors has been degrading over the years due to various factors, including lack of time and inadequate communication. This issue is not unique to any specific location and requires active and aggressive efforts to improve it using advanced technologies like AI. The divide between healthcare professionals and tech experts needs to be bridged to fully leverage the potential of AI in healthcare. Personal experiences, like the speaker's encounter with Eric Topol, have been crucial in fostering optimism and belief in the possibilities of AI in healthcare. Eric's enthusiasm and expertise have been instrumental in validating the speaker's vision for Zoe, which aims to revolutionize healthcare through AI and machine learning.

    • Decrease in patient-physician relationship due to prioritizing efficiencyHealthcare has become a business, leading to shorter consultations and decreased empathy, but tools exist to restore trust and improve care.

      Over the last decade, the relationship between patients and physicians has deteriorated, leading to a loss of trust and humanity in medicine. This shift is largely due to the medical field turning into a business, prioritizing efficiency and data entry over empathy and communication. The average time spent with patients has significantly decreased, with new consultations often lasting only 12 minutes and return visits at 7 minutes. This trend is not unique to the US and can be observed in various countries. Despite having more technology and resources, the healthcare system has failed to provide the same level of care and attention as it did decades ago. However, there is hope for improvement, as we have the tools to revert back to the intimate, trusting relationships between patients and physicians and even surpass the care provided in the past.

    • Empowering patients and freeing clinicians for human connectionBy using technology to enable self-diagnosis, virtual coaching, and administrative task automation, we can create more time for meaningful patient-doctor interactions.

      The current state of healthcare, particularly in the UK and other parts of the world, is under immense pressure, leading to short appointments and a lack of human connection between patients and doctors. This trend, driven by efficiency demands, is a significant flaw in the healthcare system as it undermines the very reason people go into the profession – to provide care. However, there is a solution. By empowering patients with self-diagnosis tools, virtual coaching, and lifestyle improvements, and liberating clinicians from administrative tasks through natural language processing and machine learning, we can create more time for meaningful interactions between patients and doctors. This shift in medical practice will prioritize the human connection that is essential to effective and compassionate care.

    • Revolutionizing Healthcare with AIAI tools will enable routine diagnoses for patients through phones, wearables, and data, while generating synthetic notes for clinicians to save time and improve accuracy.

      The future of healthcare diagnosis and management is heading towards increased use of AI technology, both for patients and healthcare professionals. On the patient side, we're already seeing various AI tools for diagnosing conditions like heart rhythm abnormalities, urinary tract infections, and skin issues. These tools will continue to expand and enable routine diagnoses through our phones, wearables, and data. On the clinician side, AI is already being used to generate synthetic notes, which are more efficient and accurate than traditional notes. These notes can even arrange appointments and prescribe medication, freeing up time for doctors and nurses. This technology is already being implemented in various parts of the world, including the UK, US, and China, and will become the norm in the years ahead. Overall, the integration of AI in healthcare has the potential to revolutionize the way we diagnose and manage health conditions, making it more efficient, accurate, and patient-centered.

    • Technology's Impact on Doctor-Patient InteractionTechnology can improve healthcare but must not hinder doctor-patient relationship or limit availability and effectiveness of patient data. Further exploration and innovation needed to bridge gap between self-reported data and healthcare system for personalized, preventative care.

      The increasing use of technology in healthcare, particularly during patient consultations, can negatively impact the doctor-patient interaction. The speaker shares her observation that doctors are often distracted by their computers and screens, which reduces the amount of direct eye contact and full attention they can give to their patients. This issue is not only present during the consultation but also extends to the additional time doctors spend on charting and administrative tasks outside of patient hours. Moreover, the speaker highlights the potential for self-reported patient data to revolutionize healthcare, as seen in the ZOE COVID study. However, she notes that there is limited connection between this data and the healthcare system, and there is a need for more comprehensive data collection and integration to enable preventative medicine and early intervention. The speaker expresses her belief that healthcare systems should be able to identify health issues before they become serious, and the current lack of depth in patient data is a significant obstacle to achieving this goal. Therefore, while technology has the potential to improve healthcare, it is crucial to ensure that it does not hinder the doctor-patient relationship or limit the availability and effectiveness of patient data. Further exploration and innovation are required to bridge the gap between self-reported data and the healthcare system and to enable more personalized, preventative care.

    • Processing Health Data for Personalized Treatment and PreventionThe future of healthcare involves collecting and processing vast health data using advanced tech and AI to manage common conditions and prevent serious illnesses, but realistic goals and timelines are important.

      The future of healthcare lies in the ability to collect and process vast amounts of an individual's health data using advanced technologies and AI. This data includes metrics from sensors (physiom), scans of relevant anatomy (anatome), environmental factors and social determinants (exposome), and the immune system (immunome), among other domains. While no human could process this data, machines can, allowing for real-time management of common conditions like diabetes, hypertension, depression, and obesity. Furthermore, prevention of serious illnesses, such as heart conditions, neurologic disorders, cancer, and asthma, is an exciting prospect for the future of healthcare. However, it's important to be realistic about what's achievable in the near term. While we can make strides in improving diet and other lifestyle factors for long-term health, the ability to predict and prevent illnesses far in advance is still a long way off. The ultimate goal is to process data for millions and eventually billions of people to treat, manage conditions, and prevent illnesses at a personalized level. Eric Topol, a renowned physician leader, shares this belief in the potential of prevention in healthcare.

    • Personalized, anticipatory medicine through digital twinsDigital twins hold the potential to revolutionize healthcare by providing personalized solutions based on individual health profiles, allowing for more precise diagnoses and tailored treatments.

      The future of healthcare lies in personalized, anticipatory medicine made possible by digital twins. Currently, people often visit doctors without a clear diagnosis or prevention plan for conditions they are at risk for. This is where digitizing human beings comes in, allowing us to anticipate potential illnesses and tailor treatments accordingly. The concept of digital twins involves finding matches to individuals with similar health profiles and learning from their experiences to prevent or treat conditions effectively. While this technology is still in development, it holds the potential to revolutionize healthcare by providing personalized solutions for a wide range of people, rather than relying on one-size-fits-all treatments. Personalization is crucial in healthcare, as everyone's health needs are unique. The shift towards personalized medicine will become increasingly important in the coming decade, as technology advances and allows for more precise diagnoses and treatments.

    • Understanding individual health responsesPersonalized healthcare recognizes unique health responses and uses advanced monitoring and AI to provide customized solutions, including nutrition, while balancing valuable monitoring and privacy concerns.

      Individual responses to food and health factors vary greatly, and recognizing this uniqueness is crucial for effective healthcare approaches. This concept, first observed in glucose responses to food by Aaron Siegel and colleagues at the Weizmann Institute, applies across all health aspects. However, our current approach to healthcare often disregards this individuality. The future of healthcare involves advanced monitoring and AI to personalize solutions based on unique needs. This includes nutrition, which is a particularly intriguing area. While monitoring various health factors is essential, not everything requires constant attention. It's important to distinguish between valuable and unnecessary monitoring, as not all data is equally important. Privacy and data security concerns must also be addressed to ensure widespread adoption of personalized healthcare. Despite the challenges, the potential benefits of personalized healthcare are significant, offering customized solutions for various health issues.

    • Resistance to technology in healthcare due to bias and lack of trustTechnology's potential in healthcare is vast, with biosensors leading the way. Future advancements include non-invasive blood pressure monitoring and smartphone ultrasound probes. Addressing trust and perceived value concerns is crucial for widespread adoption.

      Despite the compelling benefits of technology in healthcare, there will be substantial resistance due to factors like bias and lack of trust. Trust and perceived value are crucial for individuals to share their data. Currently, biosensors like continuous glucose monitors for diabetes and heart rate monitors in fitness bands are making a significant impact. Future developments include non-invasive, high-frequency blood pressure monitoring and self-imaging using smartphones with high-resolution ultrasound probes. These advancements offer the potential for automatic, convenient health monitoring and could revolutionize how we approach healthcare. However, it's essential to address the concerns and barriers preventing widespread adoption to fully harness the potential of technology in healthcare.

    • The Future of Doctor-Patient Relationship with AIAI-driven technologies have the potential to transform healthcare by improving doctor-patient engagement, enabling personalized care, and increasing the success rate of medicine.

      Healthcare is currently facing challenges in the doctor-patient relationship due to technological advancements, but there's a promising future where AI can help improve this dynamic. According to Eric Topol, healthcare has been deteriorating over the last 40 years, and technology has been a hindrance rather than an aid. However, there's hope for a transformation as AI-driven technologies become more mainstream in the next few years. These advancements could lead to better engagement between patients and doctors, as well as the ability for individuals to track and analyze their personal health data for personalized prevention and treatment. This shift towards personalization could significantly improve the success rate of medicine, as it allows for tailored solutions for each individual. Overall, the future of healthcare lies in leveraging technology to enhance the doctor-patient relationship and enable personalized care.

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    Timecodes:

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    Timecodes

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    20:30 Nutrition in childhood and adolescence

    21:00 The importance of a diverse diet for teenagers

    22:57 Children learn to eat from us: exposure is key

    25:10 The impact of ultra-processed foods on teenagers

    27:40 Do you need to eat meat to grow well?

    32:55 Lifestyle choices in your 30s affect long-term health

    36:00 Longevity supplement myths

    37:40 Gut microbiome changes in adulthood

    43:28 How to extend your lifespan through diet at any age

    46:05 Preparing for healthy aging and avoiding 'Sniper Alley'

    50:10 How to eat right in your 70s and beyond

    54:22 Protein needs as you age

    56:30 Becoming a ZOE member is like having a nutritionist in your pocket!

    59:20 Summary

    Mentioned in today's episode:


    Books:


    Is there a nutrition topic you’d like us to explore? Email us at podcast@joinzoe.com, and we’ll do our best to cover it. 

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