How Have Wireless Implantable Devices Changed Heart Care?

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Implantable devices for cardio vascular care are really the promise of American medicine in the last 15-20 years. Really taking conditions that were largely chronic and had a very poor prognosis in quality of life until patients didn't do well, and really being able to advance the care of those patients.

Now those therapies sit on top of real great advances and drug therapies but none the less, the devices have really improved outcomes in cardio vascular medicine along with preventative care and other things. So, the devices that I implant, implantable defibrillators and devices that make the heart beat stronger, in 2006 became wireless meaning that you could implant a device in a patient, and that device could communicate through a remote transmitter, daily from a patient's home, dump all this incredible data from this computer inside of them, that's a diagnostic and therapeutic device to the internet.

What does that mean? It means that suddenly we can look across very large population patients with these device can find out a couple things. Number one, how they do over time, once you finish your clinical trial that maybe 500 or 2,000 patients, the last three years, its done.

There's follow-up. You know how their device performs over long periods of time, so you can look at how the device performs over time, you can look and see if it's programmed right, how does it behave, how can we to make it better, who are the patients who do better, how does their device program look versus others? And most importantly you can get feedback from the patients because part of the system is that patients can push to their doctor if they experience symptoms.

That's very profound because suddenly you're saying to a patient, we want to engage you, I just don't to look at your numbers I want to engage you, and you tell me how you are feeling and you help me build out your healthcare narrative, and your story and together we'll be better than we are with just me telling you what to do or me, trying to understand the data and the absence of really hearing from you.

I always think I'm a great detective I'm like forensic doctor because a patient comes in they had something a few months ago I get a lot of experience and most of the time I can figure out if it was serious or not. One of the things I've learned from looking at all these implanted data real time and some of the wireless sensors that we have people wear, just over the last two years after 20 years of practice, suddenly I'm realizing I don't know what I thought I knew.

I thought and all of us collectively think we are experts and we have this knowledge but when you are only looking at .1% of the data of the heartbeats or whatever your specialty is, you really don't know very much. So all of these new data that's coming in that's happening real time to people.

It's kind of rocking my world because I'm suddenly recognising that my perceptions were incorrect or my sense of things. Even [INAUDIBLE].