Telehealth is becoming the new normal of healthcare. Verizon & Lake Nona are leveraging cutting-edge technology to unlock new solutions in healthcare, enabling even smarter health and wellness.
We explored innovations that use 5G, computer vision, and edge computing to unlock next generation patient care for connected communities like Lake Nona.
Cathy Lester 0:04
Hello everyone, and thank you for joining us on your Tuesday afternoon for today's conversation: Lake Nona Unlocking Smarter Health and Wellness. My name is Cathy Lester. I sit at the intersection of healthcare and technology for Verizon Business, and I'd like to welcome you to our conversation. For all of you who may not be familiar with Lake Nona and what this smart city in Orlando may be doing, Lake Nona is setting the stage for the first fully connected community, where technology based solutions are piloted among 1000s of residents and businesses and across the ecosystem. This living lab is powered by Verizon 5g ultra wideband that enables real time data across the city centers, healthcare, mobility, wellness, education and retail infrastructures. Together, Verizon and Lake Nona are making it possible for enterprises and innovators to induce or introduce new ideas, provide more resources, close the gaps between ideation and execution, and real time discovery. Today, we're going to be taking a look at what that feels like as it pertains to the health and wellness space. How advanced technologies could unlock better health outcomes across not only the clinical, but also the social aspects of care. I want to remind, before we get started, all of our audience that there's a q&a feature that will be open throughout the discussion, so please feel free to drop those questions with the icon on the right side of your screen, and we'll try and get to those once we're at the end of our of our panel conversation. We're joined today by an esteemed panel of true innovators. It is really remarkable. Representing today alongside of Verizon are Vuzix, Biotricity and a double feature of Warrior Monk and the Chopra Foundation. So without further ado, let's meet our team - welcome speakers. What I would love, if you're comfortable, is tell me a little bit about yourself, your current role and the work that you're doing. So let's start with you, Matt.
Matt Margolis 2:02
Thanks, Cathy. Thanks for having me here. Just a quick introduction for Vuzix, we're a wearable display company. We've been making wearable displays and technology now for almost 25 years. Really, our focus today is smart glasses. And my role here at the company is Head of Business Development, which means I have a unique opportunity to work with some innovative startups - companies that are well established in our engineering team and our roadmap of where we go. So it's an interesting view on healthcare. Telehealth is certainly one of the up and coming areas for our company. And I'm thrilled to be here today with the team.
Cathy Lester 2:37
Excellent, we're so pleased to have you. Let's move to Biotricity.
Dr. Waqaas Al-Siddiq 2:43
Thank you, Cathy. I'm the founder and CEO of Biotricity. So we focus at the intersection of connected health, remote monitoring and advocacy. We believe that the future is in smart connected devices that enable remote diagnostics and remote monitoring so that you can deliver care while an individual is at home or mobile. Our focus today is in the cardiac space, a complex cardiac space. And we have a smart device that is enabling real time and remote diagnostics in healthcare across the United States.
Cathy Lester 3:14
That's wonderful. We're so pleased to hear about what Biotricity is doing and how this is going to change healthcare. And then last but definitely not least I would say it is my favorite serial entrepreneur, Poonacha.
Poonacha Michaiah 3:26
Thank you, Cathy. It's really a pleasure to be here. I'm Poonacha Machaiah, CEO and founder of the Warrior Monk, also CEO of the Chopra Foundation. And many thoughts, perspective, pf the Warrior Monk to talk about, imagine a world where no one should ever feel helpless or hopeless. The warrior always helps the helpless, the monk provides hope to the hopeless. What does that mean? In today's world? I really believe in curating technology for wellbeing. And we're at all time loneliness. You know, we joke - I said the world doesn't need more Tinders anymore Tinder. And it is time for us as technologists to come together to create the mission of the Chopra Foundation, which is a joyful energetic body, a loving, compassionate heart, a reflective and alert mind and lightness of being. How can technology and collaboration bring together communities? And that's really my passion, my PhD, which is passion, hunger and drive to bring technologies and solutions that make communities thrive.
Cathy Lester 4:21
Such an impactful message. And I think that between between the three of you, it's going to be a magical conversation about how all these things come together. So I would like to also introduce our moderator for the session today. One of my very favorite fellow V-Teamers: Miss Jamie Italiano. Jamie, tell us a little bit about what you're doing for Verizon.
Jamie Italiano 4:39
Thanks, Cathy. And thanks, panelists. I'm very excited about this conversation. So my role at Verizon is a Public Sector Product Solutions manager, all in 5g and emerging tech. I specialize in connected health and public safety solutions as well. A little fun side note, I run the product development side of the 5g first responder lab. So we take really cool tech and we put it in the hands of first responders so that we can have that innovation story and help save more lives.
Cathy Lester 5:06
That is so fantastic. I love being a part of that program as well. I mean, it's just really an impactful, meaningful thing. So, from this point, what I'm gonna do is I'm gonna turn it over to Jamie, as she's going to moderate through the conversation. I'll step away and give this over to our thought leaders and panelists, then over to you, Jamie. Let's hear all about what we're doing.
Jamie Italiano 5:23
Thanks, Cathy. I'd love to start a conversation by touching on everyone's recent experiences being in the health and wellness space. Can you each share a bit more about the work you're doing and the challenges that you're solving for? Let's start with you Aqaas?
Dr. Waqaas Al-Siddiq 5:37
Absolutely. So you know, one of the things that we really focused on recently at Biotricity, and really as part of our mandate is as a company as well, is this idea of enabling individuals to get diagnosed at home. And we did that first with our cardiac device, which is a smart device, which is put on a patient, they can collect that data. And when the device detects an emergency or an issue, it actually transmits it to a call center that can review the data and get the patient into the hospital or deal with response. So, you know, obviously, recent events, the pandemic really focused individuals at home, they weren't able to have access to devices, they weren't able to get into hospitals or clinics as they normally would. And if they were getting in there, they were concerned about contracting COVID. And so one of the things that we really focused on was how to deliver remote prescriptions and remote delivery of our devices and facilitate remote diagnostics, so that you could also do it within the comfort of your home, get it through the mail, get a remote prescription, have that workflow work all the way seamlessly so that you can actually self isolate. And so that's really what I think a practical example of what we've been doing in light of recent events.
Jamie Italiano 6:45
Yeah, that's amazing. All right, Matt, take it away.
Matt Margolis 6:50
Thanks, Jamie. Great question. I think COVID kind of changed a lot of everything that we do, especially for Vuzix. So if I think back, you know, 18 months ago, healthcare was an area that we wanted to get into, but really didn't have a lot of traction. And then a global pandemic came. And what that did is kind of changed how people needed to interact with patients, how learning was done. When you can't travel, it really challenges the system. And I think that's where the smart glasses that Vuzix sells, and the solutions that we support, really stepped in and came into the picture. You know, we went from zero to 20% of our revenue in Q1 being just healthcare. And a big part of that is it's not just patient care, you know, we help with virtual rounds, we're in the ICU or in operating. PPD was challenging. There's a lot of folks that were at risk, though people were able to use our glasses, keep the folks at risk busy helping out but kind of steer them clear of challenges for health reasons. So it's really been quite remarkable that the surgeries, really soup to nuts what we've done in the healthcare space, it's really just about connecting, bringing that over the shoulder view, the training, patient care, surgeries, you name it, we're in that mix soup to nuts over the last year. It's pretty incredible.
Jamie Italiano 8:09
Yeah, it sounds like a lot of rapid development. That's crazy. What about you Poonacha? How has COVID affected what you're doing in the space?
Poonacha Michaiah 8:17
I think Matt mentioned rapid development, I think we are in a very unique time. So it's been a great opportunity for me to curate solutions and build solutions rapidly. One thing with the pandemic, we all were kind of locked in our homes. And what I found was that, you know, seniors were not getting out and there were really small things which people are really lacking. One of the things we've deployed is a hyperlocal app called Gabl. I really wanted to connect with people in the 20 mile radius, and basically say, Give, Ask, Borrow and Love. To extra tomatoes at home, share with your neighbor. You want somebody to walk your dog, you're not feeling well this morning, ask for help. This is going going down to the weekend, you want to go and buy a camera, borrow camera. And the most important thing is that Love is really a hyperlocal app. The second app which you're in the process of deploying right now is called Circa. And this is in collaboration with my cofounder, Dr. Sweeney Pillai - one of the leading thinkers in anxiety at Harvard. And it stands for basically anxiety and stress management circles, a technique - chunking, ignore mental chatter, reality check, control, check anxiety, attentionship, really providing tools for everyday people before it gets into depression and things like that, anxieties are the leading causes, how are you going to manage that. And the third area, which I'm really proud of, is that just before during the pandemic, in October last year, we deployed a chatbot called Peewee. And this chat bot today has more than 5 million messages exchange, or 500,000 minutes of conversation, and 3,800 actual suicidal interventions. So this is an example of how we use technology in AI, actually in mental health and intertwine interventions in the community.
Jamie Italiano 9:53
That's fantastic. So what we just went through with COVID really transformed so many industries, especially within the healthcare sector, altering the way people interact with the world around them. We remain digitally connected, continuing to innovate to accommodate people's needs, wants and desires. What have been some of the major challenges in the health and medical field that technology is helping to improve? Let's start with you, Matt.
Matt Margolis 10:21
Great question. I think there's a few answers. I think domestically in the US, I think there's certain challenges there. And I think some of that is, you know, there's limitations of people. We saw the system get flooded with patients, and that really changed how things work. I think there was a big push towards video collaboration suites. So the different tools that connect them, and for Vuzix to be able to support those platforms, including, you know, Blue Jeans by Verizon, now those are game changers to be able to go in and support the basic applications that a lot of people turn to, to advocate and and to do that support. I think that's great. I think globally, you know, we look at the patient care, and there's not enough providers out there, there's not enough people that are trained. Our glasses today are there to help kind of, you know, the Hippocratic Oath of support and spreading it on to the next generation. We're helping with that narrative, to help train folks that are in remote locations to give more, get more doctors out there to get more folks that can treat patients. So I think it's a global thing, certainly the US has our own challenges. And we've learned that PPD being limited, and to be able to support these folks and do more remote, I think is huge. And it says it's kind of changing the healthcare curve. And people are staying with this remote work, even in the healthcare space, more so from the medical device side. So we're supporting companies like Medtronic and others out there that, you know, they're changing their business model now. And it's great to see.
Jamie Italiano 11:48
That's fantastic. Waqaas, what are some of the major challenges in the health and medical field that you've seen technology really pushing forward?
Dr. Waqaas Al-Siddiq 11:56
Yeah, I think there's always that silver lining to everything. And I think that before the before the pandemic, we saw a shift and an importance in this concept of remote monitoring, and kind of what Poonacha was saying about seniors getting stuck at home. And it certainly is the problem the US, but also globally, 70 cents of every dollar is spent on chronic conditions. So it's really the chronic people that are getting stuck into these loops of going back and forth to the hospital. And then obviously, within the pandemic, they're also at higher risk. So now they don't want to go there and to contract it. And so what we're seeing on the technology side, I think that was really exciting. Silver lining of what's happening on the technology side is that we're trying to now address chronic care. So there's just a push around chronic care management and disease management, because the first level of response that we saw was, okay, let's deal with all of the individuals that need immediate care. And so telemedicine and telehealth was great. And it started dealing with, you know, young families, broken bones, issues that are not continuous or ad hoc issues. And then what they found was that, oh, wait a minute, the seniors don't want to come in. The seniors are at higher risk. The chronic patients need multiple visits, how do we address them, we need to enable them by combining and this intersection of telehealth conductivity and medical devices. And I think that conversation was thought about, we were thinking about it, but now it's fast, rapid prototyping. And all of that is happening. So I really see technology trying to solve that big challenge. And that is actually the challenge that is affecting not only our system, but globally. Because, you know, again, it's staggering - 70 cents of every dollar is spent on chronic individuals, not the people that are having an ad hoc event or a fever, or pneumonia. It's really the individuals that are suffering from multiple conditions.
Jamie Italiano 13:38
That's very, very interesting. I did not realize it was that high. Poonacha, what about you? What have you seen in the health and wellness space?
Poonacha Michaiah 13:46
I mean, talking about the numbers thing, because you know, before the pandemic, every 40 seconds, we lose somebody to suicide globally. In this one hour conference call, we lost more than 60 people, right. And this is to suicide. And this is the silent pandemic. And this has just gotten accelerated because of pandemic loneliness. Our children are now confined to watching classes on Blue Jeans, you know, Zoom or whatever. But from my perspective, I think we have been really single mindedly focused on looking at two areas. One is how can we increase social connection. And that is we still have 10 toes, 10 fingers, we need to connect. And I think that's an area where we think about it every 40 seconds. If you cannot have enough counselors, we cannot have enough interventions. And that's where technology and AI play a huge role. When we deploy the chatbot PeeWee, we realize that people are having conversations and sometimes AI right now is as real as having a conversation. And people just want to be heard. Right? And I think to the movie - Her. Sometimes the conversations we have are as real and sometimes at three o'clock in the morning, there'll be an intervention that's on the mental health side. The secondary I'm looking at I call it the five P's in the future of healthcare. I call it is predictable. It is preventable, to prevent it in either process or platform and get people to participate. So I believe right now with COVID, with the cytokine storm, people realize they need to really take care of my health, my immune system. It's not wrong to depend on the healthcare system, but me as an individual, I need to take care of myself. This will be seen in the emergence of preventive health. And this is where technology and telehealth and all the services can be now, it's not like once a year or twice a year or four times a year, it's almost in real time every day. And that's the future. And we believe with integrative health, there is this between traditional medicine, complementary medicine and lifestyle medicine, there is gonna be an emergence where technology will enable that intersection.
Jamie Italiano 15:44
Now that my friends and I, through this COVID experience have reached out through chat, just wellness checks all the time to say hi, talking about what we ate, but I mean, it just it means so much when we've been so isolated.
Poonacha Michaiah 15:59
We talk about the most powerful country in the world. Every day we lose 22 veterans. How is that? So I think this is where with the conversation, I mean, realizing the amazing thought leaders here, technology can enable that.
Jamie Italiano 16:11
Yeah, it absolutely can. It's definitely bringing us all together. Which is interesting, right? So what alternative care settings are now available and more commonly used that you're seeing in your fields that before the pandemic? Let's start with you Waqaas.
Dr. Waqaas Al-Siddiq 16:27
So I think first and foremost, obviously, we're seeing a lot of telehealth in terms of remote prescriptions, and basically triage. So you know, someone's more willing to get on the phone to televisit and say, Hey, can I talk to a nurse? Can I talk to a general practice physician and determine if I need to go to urgent care? Or do I not need to go to urgent care? And I think that one of the underlying components here, which is actually very beneficial, which we have not seen before, is that, you know, before two years ago, or a year ago, individuals, patients themselves were not willing to try things. Now they're willing to try things, really willing to fiddle around, figure out okay, I don't know if the microphone is working or not, that this innate shift to being able to try is actually making adoption and rapid prototyping even more effective because people are willing to try it. So certainly, we are seeing the basic level of care. And I kind of touched on a little bit earlier as well, these ideas of triage and do I need to go to urgent care? Do I not need to go to urgent care? Do I need an xray? Oh, it's just a flu. Let me get a prescription fulfilled for those things. We're seeing a huge uptake in that utilization. And then specialty care which pieces of it are showing up, you know, we're not just talking about mental health, you know, psychiatrist, psychologist, that's our specialty care that's becoming more available. Radiology remotely, that's becoming more available, some specialty care is still limited because they need to get biometric information. They need to physically touch the patient. Obviously, if you have a broken bone, you need an orthopedic surgeon to come in and touch you and figure out what's going on. But outside of that, we're seeing specialty care show up and I think that's part of revolution of basic care. Telehealth revolution B was the specialty care opening up. Revolution C is going to be collecting more and more data, being able to do home based lab tests and all of the things that we really see. And I think two, three years from now care is going to be transformed yet again.
Jamie Italiano 18:20
Yeah, the digital divide is definitely shrinking right now rapidly. Matt, tell me about Vuzix and how that's really impacted this telehealth and telemedicine shift.
Matt Margolis 18:36
I think what Poonacha said about having the interaction with people, that's a huge part. And then what Waqaas said about the telehealth, I mean, I had a daughter that broke her arm and we did a virtual visit to the doctor and it was all done over video chat and a couple of checks. It's just remarkable what's changed. And we're seeing this too at even a pre clinical level, we have some hospitals and surgery centers using our glasses to take a model of what might be changing, a biopsy they're gonna do or a surgery, they're showing the model, they're having the patient kind of see what's going to happen. All this is being done remotely with our glasses in their lab, showing all the different kinds of tools and techniques that they're using, which is just super crazy to think about. The other side too, I think is that the triage especially in Europe, we have folks that are really penetrated into facilities where the doctors remote, you might have a nurse practitioner or a PA, that's doing that examination, the doctors watching over the call. They're doing the diagnostics and they're doing that triage and care. And I think just surgical training and sharing a lot of folks went on missions and traveled all over the globe and now you can't travel so they've been able to deploy our glasses. Instead of doing a two week boot camp and being there they can now support this remotely every week, every day as needed. So they're actually getting more care, more training using the glasses. So it's actually forced even better practices. The other thing we've seen is on the clinical side. My kids were born at a teaching hospital. And there's always people in the room. Well, you couldn't do that during the pandemic. So we found that there's been clinical folks that are there, their glasses are being worn, and they're getting experiences that they never received before, because they couldn't get that first person view. Only really one person can see what's happening at a time, but the glasses allowed the new experiences to happen, and they're building courses around our hardware, which is just incredible to see that impact real life and this is something that will continue even after the pandemic. Oh, and how's your daughter now? How's the arm? He's good. My son broke his leg a week later. So now on demand as well, we're ready for summer. Well, I hope he heals swiftly. Um, who knows anything to add there?
Poonacha Michaiah 20:56
Talking I think as technologists, it's nice to see that it takes a village to bring up a child. And I see this open collaboration, I think we are finally realizing that it doesn't matter. Having these boundaries doesn't really help - technology needs to come together. Now when I look at it, also, I think from my perspective and curating technologies with ambient computing, finally their right example right now is this Blue Jeans call. Technically, I can look at my heart rate, heart rate variability with AI. I know I can look at my galvanic skin response if I had a device. And I can look at my voice biomarkers and work with a company called WonderTech, which can look at stress and anxiety. Imagine having this online classroom where I can pick out children who might be stressed or anxious and have those conversations. But this is I think the future, I think AI has been accelerated, camera technology has accelerated. And I think with amazing advances in video, and service providers like Verizon coming in, I think we are uniquely positioned right now with ambient computing at home at work at play on the road. So no longer do we ever depend on a visit. You know, we should have continuous monitoring. And I'm really excited about the potential. When it's talking to Verizon's telehealth team, the whole strategy around remote patient monitoring is very exciting to me. And this is what Waqaas is talking about. Like we shouldn't go once you have a heart attack, you know, the science of 10 years before - nobody gets diabetes after dinner. It happened over 20 years of lifestyle abuse. So I think today, I think if all of those, you know, we can get real time detection using Vuzix, we can look at device monitoring with what Waqaas is doing. I think with AI in the backend, we can truly build a predictive model where people can take control of the health, not the physician. We mean everybody.
Jamie Italiano 22:38
Absolutely. I mean, we did talk a little bit about closing the gap of the digital divide. But what bottlenecks are you seeing between both medical professionals and consumers when they're adopting this new technology into their health regime?
Dr. Waqaas Al-Siddiq 22:51
Well, you know, I'll say awareness, awareness, awareness. Matt touched on it a little bit. And he was talking about how, you know, there's not enough practitioners to service the needs of the world, just not enough health care providers, and how these glasses are being used to basically expand that and create that access. And, you know, one of the issues that we're seeing in remote monitoring, this shift was happening well before COVID. COVID, certainly accelerated and created an awareness. But what we saw even now, even today, in the United States, 50% of the United States has no awareness that real time cardiac exists in the United States, even though it was invented here. So you know, we at Biotricity are obviously doing remote diagnostics for very high risk patients, patients that can actually have a heart attack. And so we give them a smart device that can collect the data, and if they determined an emergency - alert somebody. So you think it's a no brainer to adopt this technology. And yet, we've gone into certain states, and we go into certain hospitals, and they're like, they're completely unaware that this technology existed. And it's not because of the fact that, you know, they're not interested, it's just that there's a, there's a lot of technology that is being invented, doctors are busy, there's too many patients, they don't have the time to sit there and figure out what is coming out and what is new. And so the idea of building awareness, both at the patient level, and at the physician level, creating these forums, virtual forums, or you know, through the use of video, as Poonacha was talking about, all of this becomes rapid accessibility, so you can create rapid awareness. And I think that aspect is really the bottleneck today. I touched on it a little bit earlier, I was saying patients are now more willing to try things and play with things and figure out that we're stepping in the right direction. I think, you know, what has happened has forced us to kind of be more open to new ideas and new possibilities. And I think we can push that forward with the new video technologies Poonacha was talking about and you know, virtual reality and virtual classes like Matt was talking about.
Jamie Italiano 24:49
Yeah, Matt do you want to touch a little bit more on the empowerment that Vuzix's glasses are bringing to folks?
Matt Margolis 24:53
Definitely, I think because what you're saying here for me, it's education, education, education. And then I was thinking it's training, training, training. And the fact that these folks are busy, it brings up a good point where, when you're using new technology, it has to be simple. It has to just work. So, you know, part of what we've done over the last year is optimizing platforms and working with the Verizon team on the Blue Jeans, optimization though the experience is pretty seamless. The glasses, you grab them, they're hooked up to the WiFi, it's a voice control, it's a one toggle, just having that ability to get running easily. I think that's one of the bigger hurdles. I think, too, that you know, folks are nervous - it's something new. But I think the pandemic has shown people, you know, I had friends up in Boston that are physicians, and they're saying, hey, we'll take anything. We're taping iPhones to our heads, and we're going in and trying to treat patients and I'm like, Hey, I can give you a nice camera, that gives us a nice field of view. But people are looking for anything that might help. And I think it's building the awareness, it's getting them used to the devices. What we see is once people have it, you know, they want to sell one problem, they come up with three or four different narratives of different ways they can use it. So it's wanting to experience the new things and continue to push forward. But I think education, training and just building awarenesses is a big part of this.
Poonacha Michaiah 26:17
And Jamie I want to add one thing to what Matt just said - I think with awareness and education, I think it's important to also look at legislation. I think as we look at ethics of AI, before all these technologies come together, you really need to have data. And I think there's a fine line when even the consumers are thinking how can I be a little bit more tolerant? How can I? How can I work with some of the rapid adoption of technology so it can actually see the light of day. This is what was exciting about Lake Nona for me is that there's a community called citizen scientists are willing to kind of try out new technologies. I think that's an important thing as we move forward to look at - how do we also move with data privacy, right, in the regulations? How can these new technologies come faster to market?
Jamie Italiano 26:56
Now, that's a very interesting point. Take us back a minute - we've gone through and started talking about the patient journey, right? And how you can have the signs of a heart attack, you know, 10 years prior to someone actually having it, right. So we're less likely really to consider the connectivity of the after treatment care, to get on the other side of that patient journey. I'm just really curious to learn more from each of you about this post diagnosis, and where you see connectivity, enabling features for patients once they're home. We can say with you Waqaas.
Dr. Waqaas Al-Siddiq 27:33
Absolutely. So, you know, it's an interesting point to bring up. And I think it's an interesting panel that we have, because it really talks about all of the issues that patients deal with after care. So there's been numerous studies that say patient care and patient recovery is better at home, because we're surrounded by loved ones. They're surrounded in their personal environment, there's an idea of comfort personalization, it makes them want to push a little bit more naturally, because you know, there's nobody seeing them. They're not worried about any of the issues around the hospital, who else is there because they're kind of in their cocoon that they've developed for themselves, their area of comfort? And so, you know, one of the big issues, I think, when we talk about aftercare to start with is conductivity in and of itself. And I think, you know, Poonacha just touched on legislation, right? There are still parts of the United States where there's no connectivity - rural communities. So if you don't have connectivity, you don't even have anything. And I think that's why 5g is so critical, because it really creates much better connectivity and much better exposure to deliver these types of services. So first and foremost, how do we deal with connectivity ubiquitously across the United States? And how do we make sure that legislatively, we ensure that connectivity reaches every every part of United States and then it's your point, after care can absolutely be delivered? And it's going to be a combination of what devices do we put into the person's home that are mobile, that they can wear, that they can collect the biometrics and the data that's critical and needed to deal with any post diagnosis, complications? How do we provide insight that can be delivered to virtual care. So you can actually see and interact with the patient, but get them out of the hospital as quickly as possible. They get peace of mind. And they're mentally, you know, calm because they are in their environment, and then bring smart technology that can collect the biometrics and the data that is relevant and important and feed that back to the care providers. So that's how I really see after care going and what's funny is there's been a lot of studies, and it's already been proven and there is a shift. Medicare is shifting and trying to get patients out of the hospital faster. But what's missing is the connectivity and the devices and all of that. And I think, you know, in the next couple of years, we'll see an uptake on that, but I think that is a critical piece.
Jamie Italiano 29:50
Yeah, absolutely. Absolutely. Matt - I know a lot of telehealth is based in 4g today, but but how do you see 5g really pushing forward telehealth and these connected devices?
Matt Margolis 30:02
Definitely. Waqaas talked about the connectivity and the kind of lack of it. I think the pandemic also shows communities, the amount of students that didn't have access to internet. Even in districts where I thought they were kind of doing well, was surprising, though access to that is certainly a challenge. I think the post care, it's going to be more and more the interaction that human touch, being able to see and interact, which I think that's a big thing. But Poonacha, you've talked about the AI several times. And I think this is where things get interesting. I look at 5g, the ability to do more and more, compute the low latency using a camera to grab information in your environment. And having the power of 5g to do that computing. I think that gets super interesting on the healthcare front, to look at a mole on somebody's skin and determine through AI, it's 78% chance this or that, that kind of thing, looking at wound care saying it just needs stitches, does it not? What type of rash do you have, is it poison ivy or something else that's something topical, that you can just put on it? I mean, these things are going to change how everything is done. I think AI can be a big part of that. But we need the infrastructure to support those types of services that can run over the cloud, in the web. So this is super interesting. I think what happens in the next 15 years, this could be a huge part of health where, you know, we can do a lot instead of doing the Google search on the doctor, we can do a lot of kind of AI interaction and get some good information of what's out there. And what we need to deal with can be used for first responders really across the board, could go to the whole system.
Jamie Italiano 31:43
Really an exciting time where so many different things are growing. Poonacha, do you have anything else to add on that topic before we move on?
Poonacha Michaiah 31:50
Yeah, I think 5% of gene mutations are fully penetrant. That means if you're the BRCA 1 gene, you need an intervention. But 95% is lifestyle. And this is really when we talk about patient care, it's basically disease care. We have a disease care system, not a health care system. It talks about health care, it's about wellbeing, when they come from what are the surgeries when they're at home, it's about health care, and wellbeing. It's about nourishment, movement, healthy emotions, having some kind of mind-body practice, lead, connection with community and nature and spirituality, when we can actually help people in that journey, this is where technology can play a role with continuous monitoring, providing everybody wants to be healthy. Nobody wants to be unhealthy. Right? So really understanding people's motivations, how do you increase the ability to follow up wellbeing behaviors? How do we trigger it? And this is something of a challenge, I think, for everybody out there looking at it. It's not about putting, you know, smoking is bad for you. Everybody knows that. It's like, what can I do to trigger healthy behaviors? And that's, I think, what I look at with the care, which comes back in the home, we need to think about lifestyle modification. How can technology enable it?
Jamie Italiano 33:03
I'm thinking a lot now - that's really interesting. But let's change tracks for a second and talk about medical professionals. When we're thinking about the doctor, how is technology helping to bridge the gap? There's medical technology and medical professionals live? What do you see? What's most critical? I'll pass that to Waqaas.
Dr. Waqaas Al-Siddiq 33:25
Okay, so, you know, I think that we're still in the data revolution. I almost want to say that we're out of the data revolution, but you know, who am I kidding, we're still in the data. Looks like a lot of data. And so we've kind of talked about not enough providers, so they're getting inundated with the data revolution. And I really think that this is where AI and data analytics is going to be a huge benefit - benefit to practitioners and to providers, and all of these, because what it will allow doctors to do is focus, because there's a lot of noise, right? It's like 90% of the data is not really relevant. It's that 5% or, you know, like productions mentioned by GE, you know, 95% of his behavioral stuff, 5%, really need the intervention. So when you're looking at the data, and we see it in cardiac, you know, you're monitoring an individual for seven days. And honestly, there's a two minute strip in that seven days that's really relevant, which allows you to make that diagnostic decision. And by the way, if you had caught that 10 years before, that two minutes probably wouldn't even be there. So, you know, this idea of so much data, but then how do we focus and optimize the time of the physician. So this is where I think that AI combined with data analytics and deep data is really going to optimize and actually massively increase efficiency on the physician side. So whereas one provider was servicing let's say like 100 patients, out of those 100 patients 60 of them can probably be stable if you just manage lifestyle, which really doesn't require physician intervention. Another 20-30% requires, you know, nurse back and forth and requires more touches, but really 10-20% that the physician really needs to focus on. So if you can make 90% of their time focus on that 10-20%, suddenly you just increase the number of patients they can see by 5x. And I think that's what AI combined with the data is going to do. The next evolution of the data revolution.
Jamie Italiano 34:16
Yeah, Matt, what about you? What do you see bridging the gap between medical professionals?
Matt Margolis 35:34
I think Waqaas talked on some really nice things here. I was thinking, you know, the pandemic showed us that doctors are real people, too. I know they're superheroes, but at the same time, they have a work life balance, and they need their own care and that kind of thing. And I think, from our side, I think technology is helping bridge some of that work life balance, to allow the doctors to do more things remote, to break the physical distance, that they can still help their patients and give that care without having to be at the hospital for 100 hours a week. So I think that's certainly on a broader picture. I think from a surgical side, as you know, Waqaas was talking about being able to see more patients, that kind of thing. You know, we're seeing it on the surgery side where folks are using glasses, they're in there, they can now do three, four or five surgeries a day where normally they would have to drive in, have a two hour drive, an hour of prep, one surgery and go home. Now they can do four or five a day, though, this is actually bringing more access to the doctors for patient care. I think in Europe, there's certain days they do certain surgery. So you made an appendectomy or something and you can't go because it's Wednesday, that's usually done on Monday. So now you have people that are using the technology, they can do more and more surgeries, that opens up more access to care. So I think it's the work life balance, I think it's doing more with less, hopefully, maybe even break the cost curve a little bit as well that we all see the increased premiums every year.
Jamie Italiano 37:01
I love that you said doctors are people too. It's true. We do put them up on that pedestal of like superheroes. I think this is a good place in the conversation to dive a bit deeper into your individual product solutions and your work. So Poonacha, what does the intersection of technology and wellness currently feel like? And how is Warrior Monk looking towards the health and wellness of the connected communities of the future?
Poonacha Michaiah 37:24
I think, Jamie, I think for my perspective, your entire generation, which grew up like this for the last two years, literally this has been how we grew up, and we lost trust. We imagine you can't get a hug from your neighbor, you cannot really connect. We don't know how to ask for help. I will do something very basic. I want to basically bring trust back into our communities. And that's really the focus in Gabl. It's like I don't care what's happening 2000 miles away. In my neighborhood, in my two mile radius, how can I build trust? And that's really going hyperlocal and getting people to trust each other. So a Gabl perspective, what I'm really focused on Lake Nona is really helping the residents and community kind of get out, like I said, give, right? We have so much we can give, we have so much stuff which gets wasted in a refrigerator, we bought all these extra groceries, now I'm traveling and I've got so much stuff in the refrigerator, throw it, give it to my neighbor. Let me do that give, ask, borrow and love. So really hyperlocal and really focused on learning from our experiences here. And imagine that can be replicated all over the world. And that's really the focus of Gabl - think local or global. And then the second thing is anxiety. What I realized during the pandemic that people were just anxious was a huge anxiety issue. And that's why I want to once again provide tools with Circa which is an app that is a micro service, I was really looking at some tools to help manage anxiety and especially integrating with Wonder Tech, which is a voice biomarker. In like 10 seconds we can figure out how you're feeling and I can just see if your next door neighbor can drop in and say you want to grab a cup of tea? How are you doing? And that's really what I would like to restore to normalcy. That's really the focus of Gabl and Circa, and that's really what I look forward to building out in the years to come. Connection and communities - so we can support everything else which because when you get back home you know, how do I heal if nobody comes to see me and I'm stuck in the house all alone? How's that gonna work? So once again the principle to talk about nourish, move, healthy emotions, mind-body, sleep connection with community and nature. True wellbeing.
Jamie Italiano 39:23
True wellbeing. I know that once I got vaccinated I was able to hug some friends and it was so wonderful. You just don't realize how much you miss that connection with people. So Waqaas, what about you? Tell us more about Biotricity and your work and how it's impacting.
Dr. Waqaas Al-Siddiq 39:43
Absolutely. So you know, one of the things that we really look at with Biotricity and you're talking about the patient journey, so we're really focused on that patient journey aspect and we really started at the most complex and the high end space which is patients that they can't have an event, they need to go into the hospital if there is a risk of life here, right? And so we need to have a smart connected device that can look at their biometrics, detect an issue and alert somebody. Okay, great, we solve that. But now we're trying to go downstream, because these issues start 10 years in advance, you know, 15 years in advance. So how can we impact and touch the patient journey earlier and get into this predictive idea? So, whereas we started in high end diagnostics, we're actually stepping down and we're using that data to learn about the behavioral metrics here? What is the persona of these individuals? Is it that they need motivation to get out and manage their life because, you know, as Poonacha eariler said, everybody wants to be healthy. I mean, nobody wants to be in the situation where they're on a diagnostic device that is like collecting and determining whether or not something's going to happen. So, you know, how did you get there? And so what we're doing at Biotricity is we're taking that technology, and we're simplifying it, and we're making it more and more accessible. And so what I'm really excited about is the next six months, what we've done and what we've learned through the pandemic. So I talked about we've made this ability of the device to be available and shipped, we enabled remote prescription. So you know, 12 months from now, you'll be able to get a cardiologist from interconnecting 1300 cardiologists. So you can access a cardiologist remotely and say, Hey, I'm feeling this, how do I get access and you get our diagnostic device shipped out. But then we're moving into care management? How do we view these individuals where I talked about earlier, about that 40% that really need to touch. And we will have the idea of bringing in AI and bots and stuff. I actually interact with them to help them once you've been diagnosed, manage that condition. And then the other product, which we're doing, which we've taken our diagnostic directory simplified, and we've created this device called the bio heart, which is a consumer device. And this is to tackle the issue before it starts, people at risk, the doctor saying you're at risk, we understand, you don't have a support system, or you need motivation, or you need XYZ. So we're taking our medical device, simplifying it and putting it into the hands of the consumer, so that they are starting that journey. And we're starting with that, you know, 10 years in advance, 5 years in advance. So that is our vision - we started from the worst place. But we see that really the journey, we need to be there at the beginning. And that's what our goal is for the next 18 months. That's what we're trying to do. And that's what I'm super excited about. This whole idea of interconnecting everything and really driving this patient through that care journey and being with them every step of the way.
Jamie Italiano 42:29
Yeah, absolutely. It's so important. It's also interesting to see how medical devices have become smaller and faster and a bit more precise and reliable than everything before them. So Matt, how does this impact the way you're going to continue to develop and iterate your product?
Matt Margolis 42:52
Great question. I think today we're focused on the hand-glove, that experience on our customer side. But I think down the road, it's what will the new look like? What will the healthcare in the future be like for us? I think there's a lot of connected devices, and it's bringing those devices into a surgery, into the hood. So really trying to minimize the size, or optimizing the stickiness of our platform and just bringing more and more options. You know, we have four children and you go through and have ultrasounds and those kind of things, to be able to bring something like that to a headset so the doctor can actually look at you while they're doing the ultrasound and not looking the other way. So there it'll interact and change how that whole patient doctor relationship works. And be a little bit more personable as well. I think that would be, you know, a long term benefit here.
Jamie Italiano 43:44
I mean, let's talk a minute about vulnerability - exposing medical devices could put patients at risk. So Matt, how is your technology safeguarding patient health information?
Matt Margolis 43:53
Yeah, so on our side, a lot of this is done through the software layer. You know, we support HIPAA GDPR software. So that's where a lot of the data in the security rests. And for us, we support Android, so we do all the security patches and that kind of thing, that we're up to date on the latest and greatest there. But our stuff is really relying on the software and the layers that kind of protect all the data. Waqaas, is that the same for you?
Dr. Waqaas Al-Siddiq 43:54
We do kind of a layered thing. So certainly HIPAA compliant, GDPR, all of those things are very much an important aspect and dealing with the cyber in the new cybersecurity regulation, which is constantly coming out. But the other thing that we do is, because our devices and we're obviously in the medical device space. So because our devices are touching patients, we have multiple points that we try to add an additional layer of security where we control connectivity of these devices. So you know, their cellular base, they take a SIM card, but they don't directly connect to the internet. They have to go through our ecosystem. They're serialized so we add an additional layer of security for tight control of the data and we ensure that all of that data is separated so that you know, biometric data is independent of patient information, and they're actually completely abstracted in completely different data centers. So we try to do that because we see this becoming a bigger and bigger challenge. And as technology improves, so do the abilities of cybersecurity and being able to access an edge computer become powerful, so we have to be ahead of the curve. We certainly do the HIPAA compliance stuff, but we take it a step further by adding proprietary security on top of it.
Jamie Italiano 45:26
And Waqaas what about connectivity? Like how do you go about managing connectivity control?
Dr. Waqaas Al-Siddiq 45:31
It's a very tough question and a nightmare that we're constantly dealing with. You know, that's what we talked about, and I talk a lot about connectivity here and the importance of connectivity. So we started, and we do everything cellular base. So all our devices, take a SIM card, as I just said, and the reason is, because if you're dealing with a high risk patient, and they're having a heart attack, we can't be dependent on a mobile phone, that Bluetooth connects to the device to transmit the data. So connectivity is always a challenge. Obviously, our devices today can help save a life. But there are also areas when there's a lack of connectivity. And in those cases the device should be used in accordance with a different mindset. But this is not a life saving device. And so we're always helping physicians understand what is the connectivity, what is the coverage area, and this is where I think 5g is going to be a big, big boost. But also I think that legislation has to catch up. We're dealing with additional challenges, because legislation is behind the curve. I'll give you a very quick example, not to get too much into the weeds, but everybody hears that IoT AI is fantastic. And they've actually created a specialized band for IoT, so that you don't have to deal with the SIM card issue in this coverage issue. The problem is, the IoT users are so low, they've only given you one band compared to voice, which is prioritized and has 16 bands. So you have no failover on IoT. And so what ends up happening, if you go into an area, and you don't have another band to work on, your device actually doesn't work. So your connectivity actually ends up being worse on IoT than if you just use a typical voice. So these are some of the challenges that we're constantly dealing with. And what we try to layer is use case, and make sure that physicians and everybody knows, hey, if you see an issue with connectivity, use the device in these scenarios, not in these scenarios, if that makes sense.
Jamie Italiano 47:29
Yeah, that's the fourth industrial revolution. Moving forward, we're gonna be able to hit a bunch of those challenges and build better connectivity and products and be able to alleviate some of those things. What about real time analysis of device data? Like how does that push innovation forward? Let's give this one to Matt. So real time analysis of your devices - like how does that help push your innovation of your products forward? Being able to have that connectivity and all of that analysis go through your device immediately?
Matt Margolis 48:10
Yeah, I think that's the biggest thing. I mean, having that data transmitted on the spot, real time, low latency, those things are super important. When you're doing surgery, it could be the difference of life or death. So I think that's a big part. And I think, you know, looking at what happens down the road with 5g, those new services that come online, the ability to drive different things, I think, from our side, the more you can do on the cloud or the edge, the smaller the device can go. And the more mainstream and the form factor can change as well. So I think that's also kind of a big part of what we see down the road and how things will be impacted.
Jamie Italiano 48:46
Fantastic. I will before we close today's conversation and go to the q&a, I'd love to learn where you're all currently piloting your technology. So let's start with you Poonacha.
Poonacha Michaiah 48:54
I'm actually here in Lake Nona as we speak. So I think this is where it's going to be at the base. I love that we have a very tight community, very supportive environment. I actually typically go walk down to the Verizon 5g hub, but I meet with Matt and actually work out sometimes. Lake Nona is gonna be the place where I'll be looking at lifestyle as medicine. Right. And I think this is where we will actually bring in this continuous monitoring - the ability for us to understand the coach in everyday lifestyle here in Lake Nona.
Jamie Italiano 49:25
Fantastic. Matt, what about you where you're piloting your technology?
Matt Margolis 49:29
We have pilots all over. We also have deployments that are happening so these are in the operating room, you know, ICU patient care, aged homes, really kind of everywhere within the gamut. I mean, the only place I'd say where there's opportunity for us we really haven't gotten into is that in home kind of post care. I think that's an opportunity for folks to go in and bring their 5g with them, and connect and call back to the main office. I think that's an area of opportunity for us.
Jamie Italiano 50:00
Waqaas what about you?
Dr. Waqaas Al-Siddiq 50:02
Yeah, so you know, kind of like Matt, you know, our devices quite a bit across the United States. So we've got 1300 cardiologists across 24 states that use our device on 1000s of patients every single day. And so, you know, we're obviously expanding that and do that. And I think the other products that I was talking about, so we certainly want to pilot the lifestyle type solution that is up and coming out at Lake Nona, because again, it's trying to catch the patient 10 years ahead. So I think that's gonna be a great site for us to pilot that. And then what we're doing is we're picking centers of excellence that use our existing product. So as we go downstream, it's interesting, there's, you know, the United States, we all have one shared culture, but we always have these subcultures, right? Like the southern United States has their own subculture versus the northeastern United States versus the western United States versus the central. So I think we're picking Centers of Excellence based on our customer profiles, to try and learn, how do you know based on those particular local cultures and influence how to manage and help direct patients, for better engagement and better care delivery? So those centers of excellence will be pilots for new products, as well as Lake Nona.
Jamie Italiano 51:16
Yes, and Lake Nona is this amazing living lab, which is allowing innovators to build an experiment in real world environments. We've got time for one quick question. And we'll go to q&a because we're almost at time. But so what new features to communities like Lake Nona unlock for Vuzix, Biotricity and Warrior Monk? How do you see more future connected communities leveraging your technology?
Poonacha Michaiah 51:43
Building trust is about putting it on the blockchain, we're actually partnering with Hedera Hashgraph, to make it available on the blockchain and give control back to the user being transparent. That's how we build trust. And that's why we test it in local Lake Nona.
Jamie Italiano 51:57
Matt Margolis 51:58
Okay, it's like an environment where you can kind of experiment and be able to get that feedback and improve, maybe a little bit different than a customer per se that has certain expectations with the ability to kind of trial and error and build on what you found.
Jamie Italiano 52:12
And I want to live there. Waqaas We've only got a few minutes, but what about you?
Dr. Waqaas Al-Siddiq 52:16
Kind of like just what Matt said. You can fail fast. And you can run to rapid prototyping and rapid scaling. And then of course, for us, you know, having regular connectivity allows us to make better decisions on smaller form factors, make devices smaller, and be able to do things like edge AI and analytics on device.
Jamie Italiano 52:35
Right. We have time for one question before we hand it back over to Kathy so this one's for Vuzix. How close is Vuzix to having its first 5g untethered AR smart glasses?
Matt Margolis 52:47
Great question. Something I really can't answer. If I think if I look at Verizon Family, I think it'd be a great product to go to market together with.
Jamie Italiano 52:56
Fantastic. Thank you guys so much. This was so much fun and so wonderful. I'm going to hand it back over to Cathy, thank you all so much.
Cathy Lester 53:06
Again, thank you. Thank you to Jamie and Poonacha and Waqaas and Matt. This conversation has been incredibly insightful and thoughtful. Thank you for that. I want to let all of our our audience members know that this has been recorded. It will be available next week if you'd like to share the content with communities, as well as having screen and replays, if that would be helpful. Please do stay connected with the Lake Nona living laboratory where 5g comes alive. You can find more information about upcoming events, as well as the replays, webcasts and other activities associated with the Lake Nona community at www.5ginnovationLakeNona.com. All one word but we'll post that in the chat, so everybody has that as well. And again, thank you for spending your Tuesday afternoon with us. We look forward to next time live from Lake Nona. Thank you, everybody.