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Hacking Health in Hamilton Ontario - Let's hear that pitch!

What compelled me to register for a weekend Health Hackathon? Anyway, I could soon be up to my ears in it. A pubmed search on Health Hack...

Wednesday, November 18, 2015

Interesting times for the visually impaired - technologically speaking!

These are interesting times for the visual impaired, technologically speaking at least. The number of advances in technologies for the eyes and the eye-brain interface, because a lot of the impairment is in our heads, has really started to amaze me, and they seem to be occurring every day. An idea to write a blog post on this has been brewing for sometime. This post was sparked by a story I read today about a little girl of seven years of age who was blind almost since birth because of a stroke and who was not allowed to carry her white cane (that is a technology too!)  to school. Not such an interesting time for her because it is a health and safety concern?

Also today I read about a bionic lens made by Ocumetrics that will return better than 20/20 vision by 3 times. That is in clinical trials but the promise is an 8 minute out patient "surgery". Just a couple of weeks ago I heard about a technology discovery that could replace our weak eye lenses with an LCD equivalent - liquid crystal sight - like having a smartphone camera lens implanted in our eyeballs and connected through the nervous system to the brain. That would really help, maybe even cure, older folks with presbyopia.

The idea that technology was rapidly moving ahead to aid the visually impaired occurred to me more than several years ago when I was made aware of a research study involving smartphones and the blind. In there was the idea that crowdsourcing could help the blind in a very simple way - especially those times when they were in a bit of a bind. All they have to do is use their smartphone to take a picture of the object of thing they can't identify, for example, a soup can, upload the picture to a crowdsourcing website, and wait for one of the minions who make working there a 24/7 enterprise. After a short wait in the kitchen they get a text to speech email spelling out for them the "tomato soup can" they wanted to open for lunch.

What if they could even eliminate the crowdfunding middle person? Yes, let's impoverish those already impoverished Mechanical Turks working for pennies again!  Why not just upload the image to a search engine that can identify images? It would have to be one customized to return a text to speech SMS. Then again we would have to trust in the artificial intelligence of the image recognition software. There is an ethical dilemma there, because that might not be a can of tomato soup for lunch! Another way to look at that is computer image recognition software that could read braille and translate it into text to speech? Google informs me via Wikipedia that that might be called "optical braille recognition". That idea occurred to me today when I saw a potentially new prothesis that can sense touch.


Of course, one of the great pioneers of all of this, Ray Kurzweil, was inspired to invent in order to help the visually impaired. He developed many text to speech products, like a Reading Machine that advanced Optical Character Recognition, Flatbed Scanners, and Text to Speech. One of his customers was the truly great though blind musician Stevie Wonder who got him into music apparently, and the Kurzweil synthesizers followed.

One of the most breath taking of the smartphone app devices to help the visually impaired is the KNFB reader. This is an app for a smartphone that allows the blind to pick up text off of virtually anything. This youtube video illustrates how it is used very well:

I have a personal interesting in the technology for visual impairments because I have amblyopia, or lazy eye. I have blogged a little about the video game intervention research that is so exciting as a novel and interesting way for kids to potentially fully regain vision in their lazy eye.  The game technology devices are getting more customized (sort of binocular suppression- see Hess, McGill University) as researches learn more about how the brain works. I have been in a clinical trial to see if adults can regain visual ability in the lazy. Not that much success for me but I am still keenly interested in it. I am especially interested given the fact that Transcranial Magnetic Stimulation in a certain area of the brain and at a certain frequency will restore perfect vision in adults with lazy eye, but only for 45 minutes! See, it is really all just in our heads! Eventually the bridge will be made there, I am hoping, without having to shock ourselves under that infinite loop coil of the TMS device more than several times a day.

There are a lot of other technologies for visual aids for professionals. There is an infrared visual smart glasses that let nurses see the veins in the arm better for intravenous needles. Google glass looks promising for some professional healthcare occupations, even in the surgery. Apparently Facebook is also working on ways to help the blind "see images".

Another smartphone development by a group called Peek Vision offers promising low cost diagnostic or comprehensive eye exam software on a smartphone. Needless to say, because it is mobil, remote villages in Kenya and elsewhere can now intercept patients with potentially serious eye or other health conditions:
http://www.peekvision.org/about-us

I realize of course that I could keep adding to this list of new technologies, as I am doing now several months after posting. Since I got the TED app that has Chromecast, I found this talk by Chieko Asakawa from IBM, who is blind herself, on How Technology Helps Blind People Explore Our World: https://www.ted.com/talks/chieko_asakawa_how_new_technology_helps_blind_people_explore_the_world?language=en

What about a Kindle style braille ebook reader?
http://www.dailymail.co.uk/sciencetech/article-3399018/Braille-Kindle-developed-blind-Tactile-tablet-allow-people-feel-images-text-screen.html


Thursday, October 22, 2015

myCARE patient portal

http://www.canhealth.com/2015/10/new-patient-portals-launched-but-lots-more-needed/

New patient portals launched, but lots more needed

Alex LambertSAULT STE. MARIE, Ont. – The Group Health Centre in Sault Ste. Marie, Ont., has joined the ranks of healthcare organizations offering a patient portal with secure access to test results and much more.

The Group Health Centre has launched myCARE, a secure online patient portal that provides patients with the ability to send messages to their healthcare team, request prescription renewals, manage appointments, and review lab test results online.

A survey of the more than 1,500 patients who were involved in the pilot phase reported that:
• 99 percent of patients surveyed would recommend myCARE to a friend or family member
• 97 percent agree that myCARE is user-friendly
• 93 percent agree it was easy to register
• 90 percent agree it’s easy to use

Alex Lambert (pictured), CEO of Group Health Centre, is confident that the launch of myCARE will help improve access to care and advice for patients.

“We believe healthcare is most effective when patients are engaged,” he said. “myCARE offers patients a number of unprecedented options for access, information, and communication. This kind of patient engagement leads to better outcomes for everyone involved.”

Michael Green, president and CEO of Canada Health Infoway, wants to maintain the momentum.

“While Canadians are ready for e-booking and viewing lab results online, only 6 to 10 percent have access now,” added Green. “The potential to enhance Canadians’ patient experience by improving care and reducing the amount of time required to renew prescriptions, book appointments and manage illness has never been greater than it is today.”

That view is echoed by leading Canadian health care organizations who have established Digital Health Week (November 16 – 22, 2015) to recognize how digital health is transforming care and helping to improve delivery of care across the country.
Think digital health isn’t making a difference? Think again. Visit www.betterhealthtogether.ca.