FAQ: Mobile Medicine

5 things about portable diagnostics, implanted systems and other technological solutions mobile medicine.

Mobile Medicine is a new direction in medicine, suggesting the use of devices such as cell phones or tablet computers, we constantly carry with them. It turned out that the use of such technologies leads to revolutionary changes.

• 1.Diagnosis at home

These changes consist in the fact that the patient immediately becomes of paramount importance. We need to know how he feels. For these purposes it is already developed more than three hundred different monitors or sensors that allow you to read data from any person, to transfer them to a cell phone and using a mobile or send them to the doctor to transfer to the "cloud" for further analysis.

We can register the electrocardiogram to measure the weight of pressures - to see how the pressure changes during the day. Previously, this patient was in the hospital. But the steady occupancy - this is the most precious thing in medicine. These Western researchers suggest that one day in the hospital, is from 1 to 10 thousand euros - due to the road infrastructure, the need to meet all sanitary standards, high salaries of doctors and nurses. Therefore, the main trend of today is the gradual transfer of the treatment and early diagnosis in the patient's home.

Now most of the sensors or sensors patient can use at home. You can apply the electrodes and remove the electrocardiogram, and then the doctor will decrypt it, or it will make the automated system on the computer. We can know the blood oxygen saturation level, blood oxygenation with oxygen, and thus to see if there is enough oxygen enters the lungs, is that enough oxygen is brought to our organs and tissues. We can even see the biochemical parameters, because the measure glucose levels is quite simple, it makes most people with diabetes.
For our country, this is quite a new phenomenon in the West, in Europe and the US, these technologies are becoming more widespread. Already, the market is worth several billion dollars a year - and the instruments themselves, and the service that is provided.

• 2.Video recording of vital signs

One problem that arises when using these technologies is that patients know very little about the opportunities that are actually there. When the patient looks at the screen with all its parameters, it is perceived as a story of "Star Wars" as something far away, fantastic. In fact, this is not science fiction, most of the technologies and programs have already been developed. It is becoming more and more programs that do not even require the imposition of body sensors. For example, in the treatment of our video image already faces can be determined and the heart rate, and respiration rate.

Such systems are very easy to operate. Normal web camera or a camera built into your computer or iPad, or iPhone, takes a picture of our face, and there is a computer analysis of the slightest color variations that depend on the fact that every time a heartbeat new piece of blood flows to all organs and tissues, including the skin. But on the face it is easier to register. And the fact that the eye does not distinguish, but the computer can already discern - with every heartbeat occurs slight pinkness of the skin. On skin pinkness for every hit we can determine the heart rate. And on the upper body swings we can determine respiration rate. In person at the same time there are no sensors, and all recorded directly from the camera.

This suggests the emergence of completely new opportunities. For example, people in the morning comes into the bathroom, brushes his teeth, washes, and the camera takes off and gets his vital signs: heart rate, respiratory rate. At the same time he can stand on the floor, which are built electronic scales. This information goes to his individual database in electronic medical records.

• 3.Bioradar and implanted systems

This move to the early diagnosis of diseases, to early prevention. It is known that every ruble and every dollar invested in prevention saves seven rubles or seven dollars to be spent on treatment. This is advantageous from the standpoint of the national economy, and in terms of overall health. You now can buy Peptides (Cytomax) Bonomarlot, Peptides (Cytomax) Endoluten, Peptides (Cytomax) Vladonix and Peptides (Cytogens) Kristagen to reduce the probability of cancer.
Forthcoming changes in this area will be linked to proximity sensors, some of which are being developed in Russia. For example, bioradar. We can irradiate the person with an intensity a thousand times smaller than a normal cell phone emits, and to determine the heart rate and breathing. For several institutions in Moscow, engaged in these technologies in Russia.
There is growing interest in implanted, or implanted, systems. All the great opportunities there are for the production of genetic diagnoses when we analyze genes and understand what features, what changes a person has and what diseases can be expected. If there is a suspicion of the development of diabetes, it is logical to implant the sensor, which will determine the level of glucose, and once the danger becomes real to begin treatment of diabetes. Until then, do not waste power and not to use drugs. This is the way an individual early treatment.

• 4.Individual norms of a healthy state

The widespread adoption of these technologies, mobile health, or mHealth, is crucial, because in this case we get an individual rate for each person, the movement towards personalized medicine. Now, speaking, sick or not, we can be based only on the data that were obtained in a survey of a large group of people. We can tell if you have a pressure higher than 140, it is not very good, and you should see a doctor. But if constant pressure was 110 at the person, then the pressure rise even up to 120, which is within the normal range for the population can already mean a bad trend to which we must respond in the beginning.

If the data from each of us will act in a call center, the doctor, looking at them can tell when it is necessary to increase the dose of the drug to reduce the pressure. Now it is really impossible to do, because no one knows what's going on with the patient at home as long as he is with the crisis does not get to the hospital.

• 5.Control of drug administration

Many people, especially the elderly, often forget to take medication Meldonium, and if this happens, one or two days, then they will not take drugs week until there are complications. For such cases, there is an automated reminder system. But even such a system or a registration system, when a man opened the box and took the medicine tablet, shows only the fact that the box was opened. He swallowed the pill or not, we do not know. Here, too, can help mHealth. Processors have been developed microscopic size of one millimeter by millimeter, which are attached to each tablet. In each such processor embedded electrodes made of different metals, and in the stomach when there is a potential that the microprocessor begins to transmit data that he ingested and stored inside the body. This is very important and highly effective treatment, in which the need to regularly take medication for clinical trials when clinicians must be confident that the product is used correctly at the right time.
In 2012 he published a book of famous American cardiologist Eric Topol, which is called - The Creative Destruction of Medicine: How the Digital Revolution Will Create Better Health Care, where the effects of the introduction of new technologies are described. Medicine itself must change completely, because now she only responds to the sick person. Man should come with some kind of symptoms, complaints, then the medicine is beginning to pay attention to you. In the case of the widespread introduction of mobile technology, mHealth, patient much more attention to their health, he becomes more responsible, and it will lead him to the hospital much later. This reduces the load on the entire health care system, and on the other hand, increases the quality of life, and the longer a person remains active and capable, and to work, and creativity.