Hi Friends,

Even as I launch this today ( my 80th Birthday ), I realize that there is yet so much to say and do. There is just no time to look back, no time to wonder,"Will anyone read these pages?"

With regards,
Hemen Parekh
27 June 2013

Now as I approach my 90th birthday ( 27 June 2023 ) , I invite you to visit my Digital Avatar ( www.hemenparekh.ai ) – and continue chatting with me , even when I am no more here physically

Monday, 17 August 2020

Preventing ( illness ) is better than Curing




Our Health Minister , Dr HarshVarhanji would be happy if we don’t fall ill


He has been telling us :

Ø   Early to bed and early to rise

Ø   Eat only healthy food / No junk food with lots of spices-salt-sugar – fried food

Ø   Exercise regularly / Take regular walks in park / Do yoga – meditation

Ø   Do not smoke – chew tobacco – drink Sharaab  ( instead drink Ayurvedic Kadha )

Ø   Have dinner 3 hours before going to sleep ( - at least in this respect, practice Jainism )


Above are general / universal guidance for entire society

Despite observing as much of these as possible, people do get sick with diseases, from time to time .





Apart from a doctor / hospital trying to “ Cure “ them by administering tests / medicines, can they be advised SPECIFIC PREVENTIVE things they should do to avoid / prevent , future illnesses ?


Kind of a CUSTOMIZED PREVENTIVE ADVICE ?


Currently this is being done ( though on a very limited scale ) by very few Family Doctors , who have been continuously treating a family-member for say, 20 years and remember life-time Medical History of that person


But even a family doctor , - a human – cannot vividly remember / recall, life-time Medical Histories of hundreds of his patients  - histories spread over decades / histories comprising :


Ø  Each illness ( at what age and for how long and how severe )

Ø  Each pathological test / symptoms / measurements of body functions

Ø  Each medicine prescribed – taken ( brand and generic , with active ingredients )

Ø  Each surgical procedure

Ø  Each reaction / outcome


Forget about the doctor. Even the patients themselves do not preserve their following records :

Ø  X-ray plates / CDs / Reports of Radiologists

Ø  ECG charts / CT – PET Scans

Ø  Records of Blood Pressure / Oxygen levels / Pulse rates

Ø  Drug prescriptions given by doctors / hospitals

Ø  “Drugs sold “ bills , handwritten by chemists

Ø  Operating / Surgical procedures carried out ( may be in different towns / countries )

Ø  Long sessions with Psycho-therapists / Physio-therapists

Ø  History / records of doctor-prescribed Diets , over many years

This is a partial list


But , if such records were maintained / preserve immaculately and uploaded regularly on some online Central Server, such a comprehensive MEDICAL HISTORY , could be enormously helpful to a doctor / hospital that a sick person visits for consultation / treatment


Of course , that person would need to grant that doctor / hospital, an EXPLICIT ( - and limited for a given time period ) permission to online ACCESS his Medical History , wherever that doctor / hospital is located


Some online websites ( listed below ),have come up to allow you to upload your past medical records / documents and enable you to grant such “ Specific / limitedpermissions


=========================================================

NOW THE GOOD NEWS .

In his Independence Day address to the nation, PM Shri Modiji announced the launch of :

National Digital Health Mission

Here is that announcement :



Extract :
Ø  “ From today, the national digital health mission will begin.
     It will revolutionise Indian healthcare sector.
     Every Indian will be issued a health ID that will act like a healthcare account,
     storing details of

    #  All the tests done,
    #  Existing diseases,
    #  Diagnoses,
    #  Medicines prescribed, ”

said Modi in his Independence speech from Red Fort.

Ø  It will also ease processes such as ,
  #   Booking appointments,
  #   Making payments, or
  #   Getting registrations done at hospitals, he said.

       Technology will be used to resolve various problems in the health care sector

Ø  The programme is a part of the government’s National Digital Health Blueprint aimed at using technology to improve health care delivery.

    The objectives of the mission are to,

   #  Establish a core digital health database,
   #  Create a system of electronic health records based on international standards, and
   #  Establish data ownership pathways ,
       so that a patient is the owner his / her health records, among others “
        
Ø  “A nationwide health ID will ensure three things – continuity, connectivity, and portability of treatment.
     If a patient goes to a different doctor or someone else fills in for their doctor, all the
     medical records will be available to them ensuring continuity of their treatment.
     When a patient has to go to a secondary or tertiary centre, all the basic information
     will already be there in the record.
     This is particularly helpful in the emergency department where knowing the blood
     group or what a person is allergic to can save a lot of time.
     It will also save cost of repeat tests.
     The third is portability, which will enable me to have my entire healthcare record
     when I move from one city to the other without carrying several files,”

    said,  K Srinath Reddy,( ksrinath.reddy@phfi.org ),
-        president of the Public Health Foundation of India.
=================================
IN MY FOLLOWING E MAILS TO THE CABINET MINISTERS , I HAD RECOMMENDED AS FOLLOWS :


Digital Delivery of Drugs                                                                 [ 11 Oct 2015 ]

Extract :

WHO ( which doctor ), prescribed  WHAT drug ( drug name ), made by WHO (
name of drug manufacturer ), to WHOM  (patient name ), and WHY ( disease
diagnosis ), and WHEN ( date ), and sold by WHICH ( drug store )
=================================


Modicare : A Game Changer                                                                 01 Feb 2018 ]


Extract
 :

Medicalchain, on the other hand, uses blockchain technology to store and share health records securely, allowing for easy and safe transfer of information between providers and patients.

=================================


AI  for  Healthcare   ……………………………………………………………………………………….[ 17 June 2018 ]


Extract :

QUESTION :

How to go about collecting / compiling into a CENTRAL DATABASE , health records of
millions of sick Indians , using Electronic Health Record Standards  ?


ANSWER :

Here is what I blogged in Jan 2018. I urge the Task Force on Healthcare  to consider :


 2024 ! – V 2.0 of Orwellian 1984 ?

  

There are 7,000 million people on the earth


It is possible that , at any given time , some 7 million of these are lying in ICU , connected with :


*   Electroencephalogram ( Brain Monitor )

*   Electrocardiogram      ( Heart Monitor )

*   Pulse Rate Meter

*   Oxygen Level Meter

*   Glucose Level Meter........etc


As soon as these instruments get embedded with 
Internet of Things ( IoT ), a central server could collect all of these  " measurements / readings "  on 24*7 basis, for all 7 million persons

Then it will 
combine these readings with following data about each of those 7 million persons :

*   
Country / Region / City  /  Language 

*   
Race /  Religion  /  Gender /  Age

*   
Height /  Weight  /  Colour  /  Biometrics 

*   
Blood Group / DNA  / Past Medical History.....etc


It will also record , who died / when  !

Using such massive data base, can BIG DATA / Artificial Intelligence / Machine Learning , figure out what " 
Customized healthcare Medical treatment Supplementary diet " should be " prescribed " for each human on this earth ?


Shall we support such " Invasion of Individual Privacy " , in the larger interest / benefit of entire mankind ?


I think , we should

=================================


Healthcare : The Unfolding Story                                                       [ 19  June  2018 ]


Extract :

 

Using such massive data base, can BIG DATA / Artificial Intelligence / Machine Learning ,
figure out what " Customized healthcare Medical treatment Supplementary diet "
should be " prescribed " for each human on this earth ?

=================================


Ayushman Bharat : Think Big  ………………………………………………………………………[ 23 Sept 2018 ]


Extract :

Consider this :


·         Doctor takes the readings of the patient using these internet connected devices


·         Devices transmit these data to the smart phones of both, the doctor and the patient


·         These phones transmit these data to the Central Health Care Server of Ayushman
          Bharat and update the LIFE TIME MEDICAL HISTORY of that person


·         This history can be accessed only by the “ Authorised “ health centres / hospitals /
          nursing homes, which are official partners of the Ayushman Bharat scheme



     Imagine all the Medical Devices ( including ECG / EEG / PET Scan ,  located in private
     clinics / health centers / hospitals / nursing homes / Path labs / Diagnostic centers  etc


      ), transmitting to a Central Server ,


         #   medical diagnosis

         #   treatment

         #   administered drugs

         #   surgical procedures 



    for all 50 crore citizens covered by this scheme


   And imagine such petabytes of health data being subjected to BIG DATA analysis using
   AI  !


  Ayushman Bharat has the potential to usher this Health-care Revolution


=================================


Will “ Ayushman Bharat “ listen ?                                                          [ 14  Nov  2018 ]


Extract :

 

When that happens , expect the AI to do the following :

 #    Offer
 Customized healthcare / Medical treatment / Supplementary diet

      #    Guide your family doctor to prescribe the best-suited medicine for each member of
            Your family

     #    Recommend some “ preventive “ medicines before a disease manifests itself !


=================================


Health Data Vault                                                                                 16 June 2019 ]

Extract :

“ All the Health Data of all 50 crore beneficiaries to be stored on a Central Server for BIG  DATA analysis , in order to “ Predict “ WHO might become susceptible to WHICH ailment
 and WHEN  “

=================================

No need to be secretive !  ……………………………………………………………………………[ 14 Nov 2019 ]


=================================

Corona Patient Case Histories : a Fragmented Database  ………………………..[ 30 March 2020 ]


=================================

Tele-Medicine / Tele-Health : a COVID gift ?  …………………………………………..  20 May 2020 ]


=================================

 

Priorities for AI [ Artificial Intelligence ] portal ……………………………………………. [ 31 May 2020 ]


=================================

The Changing Face of Healthcare System   …………………………………………………….[ 01 Aug 2020 ]


=================================


Dear Dr HarshVardhanji,


Over the past few years, a number of websites, listed below, ( for storing Medical Records / Consultations ) have come up, which might need to morph and become “ Mirror Images “ of the Government Portal . I urge you to reach-out to them and persuade them to form with your Ministry, a PUBLIC – PRIVATE partnership


With regards,


Hemen Parekh  /  hcp@RecruitGuru.com  /  18 Aug 2020




These are :


=================================

Vendors for Electronic Medical Records ( EMR ) in India


=================================

And this is the “ Personal Health Record Holder of Govt of India “ :

 

=================================


Related Readings :



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