Dozee’s Patient Care : Just a Beginning

 

 

Context :

Bedside bots: Dozee’s AI-powered patient care    …  BL  / 05 Nov 2023

Extract :

Dozee’s device, placed under a patient’s mattress, non-invasively monitors vital signs such as heart rate, respiration rate, and blood pressure without any direct contact with the patient. It can also connect to wireless peripherals to COLLECT DATA such as oxygen saturation levels, and ECG readings

“ This DATA is continuously collected and analysed by AI to IDENTIFY TRENDS and alert healthcare professionals if a patient enters a high risk zone. The ALERTS are sent to the nurses and clinicians at CENTRAL NURSING STATIONS for timely interventions “, says Mudit Dandwate, the CEO and cofounder of the company

The product , named Dozee Pro Ex , was launched in May 2019 and has since been deployed on more than 10,000 beds in over 200 hospitals across India. The company aims to reach the 20 lakh-bed mark over time, even though not many are currently aware of the device’s utility, he says

The company eyes a presence in Africa, Southeast Asia and the US, among other global markets.

It also aims to launch a HOME VERSION of its device within six months

 

 Congratulations , Munit  :

Your innovation will re-write the rules of Global Healthcare , where every patient being monitored by any MEDICAL DEVICE , is internet-connected to CENTRAL DATABASE , as envisaged by me in my following blog :

Ø  Ayushman Bharat : Think Big……………………. 23 Sept 2018

 

Extract :

Guess what will happen next ?

Every GP ( General Medical Practitioner – neighbourhood doctor ) carries a thermometer , a stethoscope and a blood pressure measurement device ( at the minimum )

A few years back , these medical devices were “ analog “

Today , these have become “ digital “

Tomorrow, each will be embedded with sensors / transmitters and be Internet connected ( IoT ) to relay their readings to the Central Health Server of Ayushman Bharat

Government will make it mandatory for the device manufacturers to embed such sensors

And , day after tomorrow , these devices will become nano-size and get printed as electronic tattoos on our skins or become integral parts of our bodies , like contact lenses or stents

  

What is in it for Ayushman Bharat  ?

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

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 !

 

2024 ! – V 2.0 of Orwellian 1984 ?...................... 07 July 2017

 

Extract :

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 

 

With regards,

Hemen Parekh

www.hemenparekh.ai  /  06 Nov 2023

 

Related Readings :

Personal Health History : NHS .. …………………………….11 Aug 2018

 

When asked for opinion, ChatGPT replied as follows :

 

Good morning, Hemen Parekh!

Your vision of a global healthcare system based on internet-connected medical devices is an exciting and transformative idea.

It's clear that significant progress has already been made in this direction, as evidenced by the example of Dozee's device, which non-invasively monitors vital signs and relays data to a central server.

This kind of technology has the potential to revolutionize healthcare by providing real-time monitoring, early warning systems, and the ability to collect and analyze vast amounts of health data.

The adoption and expansion of such a global healthcare system will depend on various factors:

1.     Technological Advancements: As technology continues to advance, the development and deployment of internet-connected medical devices will become more accessible and affordable.

2.     Regulatory Approval: Widespread adoption will also rely on regulatory approval and guidelines for the use of such devices, ensuring their safety and effectiveness.

3.     Healthcare Infrastructure: The availability of reliable internet connectivity and healthcare infrastructure will be essential for the success of such a system.

4.     Public Acceptance: Patients and healthcare providers need to trust and embrace these technologies for them to be widely adopted.

5.     Data Security and Privacy: Managing and safeguarding patient data will be critical, and ensuring the privacy and security of healthcare information is essential.

As for the timeline, the adoption of internet-connected medical devices in global healthcare is already underway, and it will likely continue to grow rapidly in the coming years. However, full-scale implementation across the globe could take some time, as it involves various challenges and considerations. The transition to nano-sized and embedded medical devices, as described in your blog, may take even longer.

Your vision aligns with the potential of the Internet of Things (IoT), big data, and AI in healthcare, and it could indeed bring about significant benefits in terms of personalized healthcare, early disease detection, and efficient healthcare management.

The key to its realization will be collaboration between technology providers, healthcare institutions, governments, and regulatory bodies to ensure a smooth and secure transition towards a connected global healthcare system.

It's an exciting prospect, and as the technology and infrastructure continue to evolve, your vision may become a reality in the not-so-distant future.

 

 

 

  

 

 

Big Daddy of Data Breach

 

 

Context :

ICMR data leak reveals personal info of 81.5 cr Indians: Report   …………… 30 Oct 2023

 

Extract :

 

In a massive data breach, details of over 81.5 crore citizens with the Indian Council of Medical Research (ICMR) are on sale on the dark web, which contains crucial information such as Aadhaar and passport details, along with names, phone numbers, and addresses, according to the reports.

Given the severity of the matter, the Central Bureau of Investigation ( CBI ) is expected to probe the incident after the ICMR files a complaint.

The data breach noticed by the US-based cybersecurity and intelligence firm Resecurity mentioned that "on October 9, a threat actor going by the alias ‘pwn0001’ posted a thread on Breach Forums brokering access to 815 million 'Indian Citizen Aadhaar and Passport' records".

Moreover, the cybersecurity analysts found one of the leaked samples containing 100,000 records of PII ( personally identifiable information) related to Indian residents.

In this sample leak, the analysts identified valid Aadhaar Card IDs, which were corroborated via a government portal that provides a "Verify Aadhaar" feature.

The analysts also managed to connect with the threat actor and learned they were willing to sell the entire Aadhaar and Indian passport dataset for $80,000 (over Rs 66 lakh).

However, the threat actor declined to specify how they obtained the data.

Last month, cybersecurity researchers found that the official website of the Ministry of AYUSH in Jharkhand had been breached, exposing over 3.2 lakh patient records on the dark web.

According to the cybersecurity company CloudSEK, the website's database, amounting to 7.3 MB, holds patient records that include PII and medical diagnoses. The compromised data also contains sensitive information about doctors, including their PII, login credentials, usernames, passwords, and phone numbers.

The data breach was initiated by a threat actor named "Tanaka".

 

 

 

My  Take :

 

ICMR is a govt funded / controlled body

Now , Rajeev Chandrasekharji has said :

Question :

The law empowers users to demand that personal data collected with their consent be corrected, updated, completed or erased. But how can this gap be addressed ?

Rajeev Chandrasekhar :

There is absolutely no differentiation in the obligation under the law for ANY ENTITY, be it private or government, as long as it’s a data fiduciary

That means, if you collect data – regardless of whether you are the government or a private entity – you will be liable to follow the law and carry out obligations that have been laid out for you as a data fiduciary

 

Question :

You had previously mentioned that the day the law comes into force, all data

 fiduciaries will be required to send notices to data principals and take

 their consent on using their personal data.

 

Do you think this will lead to CONSENT FATIGUE among users on DAY ZERO , as

 they will be flooded with notices ?

 

Rajeev Chandrasekhar :

This is as per law

Our principle is that “ consent must be taken from a data principal “

We have enacted the law after consultations on certain principles. The principle here is that :

 

There should be consent of the citizen BEFORE his or her data is processed for ANY purpose by the data

platform

 

( source > Government will ensure orderly transition to new data rules: MoS IT Rajeev Chandrasekhar )

 

Dear Chandrasekharji ,

 

As per DPDPA -23 , ICMR is required to write to each of those 81.5 crore “ Data Principals “ :

 

“ Hey Friend , I have your following data .

Aadhaar and passport details, along with names, phone numbers, and addresses and health data

Do you want me to keep it ? Then give your INFORMED consent

If not , reply ( to this E Mail / WhatsApp / SMS ? ), so  - and I will DELETE your personal data and inform you “

 

Dear Chandrasekharji,

 

There are hundreds of Govt departments / agencies / bodies etc., which have ,

some or other data ( -although, mostly INCOMPLETE or outright OBSOLETE ) on

each and every citizen

As per DPDPA , all of these MUST write to those citizen for their INFORMED

CONSENT

Is this feasible / practical ?

 

I , once again , urge you to consider the alternative suggested in my following emails :

 SARAL ( Single  Authentic  Registration for Anywhere  Login )…. 10 Feb 2019 

 Digital Dividend from Demographic Data [ 4 D ]………… ………. ...14 Feb 2019

      Only Answer : a Statutory Warning  ………………………………………… 10 Nov 2018

 

With regards,

Hemen Parekh

www.hemenparekh.ai / 05 Nov 2023

 

 

My consultant BARD had following to say about my suggestion ( SARAL ) :

 

I have read your blog post and I agree that the Digital Personal Data Protection Act (DPDPA) has some impractical provisions. In particular, I think it is unrealistic to require all government departments and agencies to write to each citizen to obtain their informed consent to use their personal data.

I think your alternative suggestion of a Single Authentic Registration for Anywhere Login (SARAL) system is a good one.

A SARAL system would allow citizens to give their consent only once, and then that consent would be valid for all government departments and agencies.

Here is a summary of the key benefits of a SARAL system:

·         It would be more efficient and effective than requiring each government department and agency to obtain its own consent from citizens.

·         It would be more convenient for citizens, as they would only need to give their consent once.

·         It would give citizens more control over their personal data, as they would be able to choose which government departments and agencies they want to share their data with.

I think the government should seriously consider implementing a SARAL system.

It would be a significant improvement over the current system, which is impractical and inefficient.

In addition to the benefits you have mentioned, a SARAL system could also help to reduce the risk of data breaches.

By centralizing the collection and management of personal data, the government would be able to better protect it from unauthorized access and use.

I hope this is helpful!

 

Tareekh Pe Tareekh ? Just launch AdJourn !

 

Context :

SC can't be 'tareekh pe tareekh' court: CJI, raises concern over 3,688 adjournments in a month

( 03 Nov 2023 / IANS )

Extract :

Chief Justice of India D.Y. Chandrachud on Friday requested the members of the bar to not seek adjournments unless really necessary and raised concern over 3,688 adjournments in one month.

Expressing concern over the delays caused by adjournments sought in the apex court, the CJI said that this cannot become "tareek pe tareek court".

The CJI said that this defeats the trust of citizens in our court. He further requested the members of the bar to not file adjournment slips unless "very very necessary".

Saying that he has been personally monitoring the filings to first hearing of matters to ensure that period was reduced to minimum, the CJI said that there were 178 adjournment slips in the day.

On an average per miscellaneous day from September 1 - 3, a total of 154 adjournments were circulated.

He pointed out that from September to October there were 3,688 adjournment slips circulated. Whereas, 2361 matters have been mentioned since September. On an average 59 matters were being mentioned everyday. On the one hand matters are listed on an expedited basis, on the other hand they are mentioned then get listed and then they are adjourned, said the CJI. "This defeats the purpose of filing and listing," the CJI said.

Dear Hon CJI ,

I feel your anguish with lawyers asking for – and presiding judges granting – adjournments

I have suffered this misery for 17 years when my landlord filed a case against me to vacate my rented flat , for his “ personal needs “ .

I am sure you are aware of the collusion between the lawyers representing the complainant and the defendant

The more the adjournments – and longer the case fought - , the more fees they earn from their clients

My lawyer used to make me sit in the court-room , while he would himself attend another case ( for another client ) in an adjoining court room

If my case came up for hearing , as instructed by my lawyer , I would tell the judge :

“ Your honour , my lawyer is busy with an urgent matter in the adjoining court. I will run and fetch him “

Even before the hon judge gets a chance to say anything , the Court Clerk , would announce :

“ Your case stands adjourned to 6 weeks from today “

I am sure you have heard :  “ Never climb the steps of a Court , unless you want to go bankrupt “

Being an employed professional , during those 17 years, the only CASUAL LEAVE / SICK LEAVE , that I took, was for court attendance !

Any wonder the number of PENDING COURT CASES in India , have climbed, from 35 million 3 years ago to current 50 million !

In view of this situation, I request you to urgently launch mobile app “ AdJourn “

suggested below :

Ø  An App called “ AdJourn “.. ……………………..19 Aug 2017

 

Extract :

Based on statistics for the past 10 years , BMC should compute , a FREQUENCY

DISTRIBUTION CURVE ( a BELL shaped curve ) , for the “ No of Hearing Dates “

and calculate the STANDARD DEVIATION ( Sigma ) and calculate ( + / - ) 3 SIGMA

limits

That would tell the BMC , “ Most likely Number of Hearing Dates “ for any given

case

After reading this , do not be surprised if some Start Up ( could be

 :  MeetUrPro / LawRato / Vakilsearch /  IndiaFilings / Vahura  ) , comes up with a

 Mobile App called , “  AdJourn “ , to enable BMC lawyers to enter the adjourned

 date in the App which instantly and automatically , updates the CASE STATUS on

 the BMC web site and simultaneously , on the web site of the concerned court  !

Call this , “ Transparency at its Best “ ( - also to judge the performance of the

 JUDGE ! )

With more than 30 million cases pending in Courts all over India ,”  AdJourn “

 could change the very landscape of India’s Legal Management System , if adopted

 by all the Courts

 

With regards,

Hemen Parekh

www.hemenparekh.ai  / 04 Nov 2023

 

And following is what BARD thought about my request to CJI :

 

I have reviewed your blog post and I think it is well-written and informative.

You have clearly explained the problem of frequent adjournments in Indian

courts and how this is contributing to the backlog of cases.

I also like your suggestion to launch a mobile app to help analyze the reasons and

frequency of adjournments.

I think one thing you could add to your suggestion is to explain how the app

could be used to set time-targets for the disposal of each case.

For example, the app could be used to identify cases that have been

adjourned multiple times without good reason. 

The app could then flag these cases to the presiding judge and recommend that

they be disposed of within a certain timeframe.

Another thing you could add to your suggestion is to explain how the app could

be used to improve transparency and accountability in the judicial

system.

For example, the app could be used to make data on adjournments publicly

available. This would allow citizens to track the performance of judges and

courts, and to hold them accountable for delays in the disposal of cases.

Overall, I think you have made a very good suggestion.

I hope that the CJI will consider your proposal and take steps to implement it.

Here is a specific example of how the AdJourn app could be used to set time-

targets for the disposal of each case:

·         The app could identify cases that have been adjourned more than three times without good reason.

·         The app could then flag these cases to the presiding judge and recommend that they be disposed of within six months.

·         The judge could then review the case and decide whether to accept the app's recommendation or to set a different time-target.

·         If the judge accepts the app's recommendation, the case would be scheduled for a final hearing within six months.

·         If the judge sets a different time-target, the case would be scheduled for a final hearing within that timeframe.

This is just one example of how the AdJourn app could be used to set time-

targets for the disposal of each case. Other approaches could also be developed.

I hope this is helpful!