 Alright, so our next speaker is an entrepreneur and author and is the VP of Invicta Medical and Active Valent. Her research or her focus point will be on the convergence of exponential technology, disrupting medicine, therefore enabling patent-driven healthcare. And as a nice little personal note, she played competitive varsity hockey for six years while playing quite amazingly at 85 pounds. One tough lady right there. So speaking with the talk of patent as CEO, ladies and gentlemen, Robin Farmin Farmien, can you hear me guys? Alright, cool. So I'm gonna stand here, because if I stand there, I'll need a step ladder for you to see me. So yes, I'm Robin Farmin Farmien, give you a little background on me. My life goal is to positively impact at least 100 million patients worldwide, that's a pretty audacious goal right? So I decided to hack a career together that doesn't exist. I'm working now on three companies I am called the money girl right so I raise money and I do the high-level business development for companies that are poised to impact at least 100 million patients worldwide. As you mentioned I'm working on curing cancer with Act Avalon we're repairing p53 which will be able to cure more than 50% of all cancer. Working on MindMaze which is a two billion dollar unicorn it's virtual reality for stroke and brain injury rehabilitation and I'm working on Invicta Medical which is a data- driven platform sleep apnea medical device. So these are pretty hard core things and pretty hardcore diseases I'm working on. Well you know when you hear someone as crazy as I am saying yeah I'm gonna help out trying to cure cancer on the side you know there's a backstory. So with me at the age of 16 I was misdiagnosed with an autoimmune disease. All told I have had 43 hospitalizations and six major surgeries. Now when you're facing surgery and especially when you're a kid right you go from hospital system to hospital system looking for the very best doctors out there but none of my doctors ever looked at me and said you know what Robin let's hold off on these surgeries because you're so young and technology is moving so quickly it could provide better solutions in the near future. Nobody ever looked at me and said you know what Robin technology is hope but technology is hope right in fact had digital health IT and just the sheer amount of information we now have access to as patients existed when I was a teenager I most likely would not have lost three organs. Now at the age of 26 this is seven years after they had taken out my entire large intestine my doctors were telling me I was cured but I wasn't and I was in extreme pain so over a period of years they kept upping and upping my opiate dose until eventually I was on 80 milligrams a day of methadone. Now this is a massive dose and we were talking basically heroin dependency at that point and I went back into my doctor's office and I said I need off this drug now it is a horrific medication they said okay well the next step would be to surgically implant a morphine pump into my spine. I was like are you kidding me I was 26 years old I was essentially a shut-in just being able to take a shower was the most thing I could do on a daily basis and my doctors were telling me I was going to be on high dose opiates for the rest of my life so I basically said FU and I fired my entire health care team every single one of them and I rebuilt it with health care professionals that worked with me as a team and a colleague I ended up getting diagnosed correctly put on a biologic medication IV called remicade and literally within 24 hours of that first dose I went into remission totally overnight after 13 years so that's what I'm up here to talk to you about and that's why I've dedicated my life to dramatically impacting medicine I talk on the convergence of exponential technology let's see if I can do this impacting medicine so when I'm talking about exponential technology I'm talking about all the sexy ones right artificial intelligence robotics virtual reality sensors even being able to utilize the power of the crowd so today let's start out with a scenario of what it's like to be a patient today and in the near future well right now we have a lot of point of care diagnostic devices what that means is a diagnostic device that comes to the patient versus the patient having to go to a traditional setting like a hospital or clinic so what I can do is take my FDA approved EKG monitor on myself in my home send the data up to the cloud where it's going to be analyzed by artificial intelligence and if I do need to see a physician I can do one via telemedicine Skype FaceTime even potentially a telemedicine robot in fact that is the way right now the United States is going massive into telemedicine in fact Kaiser Permanente that is the country's largest managed care organization their CEO came out last year in California and said by 2018 more than 50% of all of our clinical visits are going to be done virtually CVS minute clinic you can walk in there anytime and see a registered nurse on demand they've recently partnered with Cleveland Clinic one of the best hospital systems in the US and you can now see a video doctor on demand from CVS minute clinic if you need one there are many many examples in fact almost 70% of in clinic visits actually don't need to be in clinic and point of care diagnostics or what I like to call diagnostics on demand we are seeing a lot going on in the world of blood collection and nothing to do with Theranos get that out of your mind so this company right here the core wellness tracker this is essentially a hacker type tool right because it's not going through FDA approval they did a crowdfunding campaign and they're expected to launch in the next couple of months you can get a spectrometer in your own home now for a couple hundred dollars you can do cholesterol levels blood glucose fasting things like even inflammatory markers on a daily basis if you'd like everly well they just did about three million dollars of funding and what it is is mail order labs so you just go online you order a kit this is out of pocket by the way this is this is really hacking your health care you're not going through insurance you're not going to doctors you're self-prescribing lipid tests thyroid you can get every single one of the STD's done through everly well they send you a blood collection kit you take surface level blood send it back in the postage paid free envelope and bam you've got your own blood labs we're also seeing a lot going on in the world of apps brain check launched earlier this year this is early detection of dementia and concussion now why this is so important is because with especially with dementia pharmaceutical intervention is only successful at the early stages but the problem is none of us get baselines on our brain health we all know our baseline on our BP we know our baseline on our cholesterol nobody knows their baseline on their brain health because you don't go to a neurologist until you're exhibiting symptoms once you're starting to have symptoms of dementia that are actually impacting your life is probably too late so this is a gamified version it's a freemium model so for free or for a couple hundred you know a couple dollars a month I think subscription I can do a game for five to ten minutes that will give me my brain health it is fun it is engaging and you don't have to go to the doctor everything on this slide is actually FDA approved these are clinical grade medical devices that are affordable and able to get as a patient you do not go through the health care system to get these you do not go through your doctor you do not go through your insurance company stethoscope and the ear monitoring device they use your smartphone as the brains hook right into it look in your kids ear take your own you know use your own stethoscope and if you do need to see a physician you can do one on demand via video through their apps I talked about a live core that's the EKG monitor it's a single lead EKG monitor the ultrasound this is interesting Phillips came out and it is a subscription model so now for three hundred dollars a month anybody in the country can get their hands on an ultrasound that is incredible to someone like me because they usually cost thousands and thousands of dollars and you can only have them in hospitals so say you're pregnant or you just need ultrasound for a couple of months you can do that with this with this particular device and this is me this is me in my own living room I have hacked my health care in order to get almost every single bit of it in my apartment or with any two block radius I get my gramma Kade every six weeks now for the past 18 years and now I'm doing it in my home it went from being twenty eight thousand dollars a dose by the way at Stanford to only five thousand dollars and that goes through my insurance company so my deductible fell from about a thousand to about five hundred by doing this and my recovery time went from seven days to zero that's how much of a big difference it makes when you pull patients out of things like infusion clinics I also do IV sailing solution on demand I mean how many people have had a hangover in their life razor hands there we go right so you can next morning and this isn't a lot of the major cities here in the United States including Vegas and San Francisco New York Boston IV doc it's like Uber you go on an app you order a leader of saline solution a vitamin B12 shot and some vitamin C IV they come to your house within two hours and it's paid out of pocket right doesn't go through insurance doesn't go through your physician but if you're hungover or if you're someone like me I have Crohn's disease I need a hydration frequently so I can just get one on demand in fact I even get my primary care done in my home my doctor out of Circle Medical and there's other companies that one happens to be in the Palo Alto San Francisco area they come to my apartment for 60 minutes 60 minutes twenty dollar copay and they take care of everything when is the last time any of you saw a doctor for 60 minutes pretty big deal alright so back to our scenario we had our point of care diagnostic we sent the data to the cloud we saw our physician via telemedicine what about potentially getting our medication delivered by drone well this is actually happening company called zip line 18 million dollars of funding based in California they have gone into Rwanda is one of the poorest countries of course in the world and their infrastructure for transportation is nothing so one of the biggest killers there is maternal bleeding out and that's that's solved purely by a blood transfusion but they can't even get that in Rwanda so zip line is in there they've partnered with UPS they are creating the world's first completely nationalized drone delivery system specific for health care they do things like blood transfusions vaccines and medication White House went to them a few months ago and said zip line we need your help so they are starting out here in the next year actually in the state of Nevada and I think part of Virginia and one other state in the in the country where there are remote patients who don't have easy access to doctors and we're going to start delivering drone medication in the next year here in the United States we're seeing drones being utilized in other areas of medicine this is a flying defibrillator if you can get to a heart attack victim in under 60 seconds you can increase survival rates from 8% to 80% massive change right and one person ambulances this is essentially a flying car this is real this exists this one is about a year and a half old actually it's a company based out of China and they are talking to lung biotechnologies a transplant company here in the United States for a thousand units of these in fact countries like Dubai are starting to launch this for consumer travel like taxis in fact the drone industry is exploding last year as you can see it was about a two billion dollar market that is expected to grow over the next three years to a hundred and twenty seven billion dollar market have you ever seen a market expand in that quickly fact right now we're entering a perfect storm of technological advancements really enabling what I like to call the era of the patient so starting out with the medical science we all know genetic sequencing is not only on the exponential trend but it is dramatically outperforming Moore's law 2001 it cost about a hundred million dollars to sequence the genome and it costs about two point six billion to get to that point last year it fell to the under thousand dollar mark that is the inflection point experts have agreed would make a massive difference in medicine we're going to start to see things like precision medicine a treatment treatment plan based on the individual versus the one-size-fits-all model that we have had up until now that is a big deal we'll also start to do early onset diagnostics and predictive analytics all right go to raise the hands in the room how many people have heard on the microbiome awesome okay it's about that I get about 50% in most of my talks so what the microbiome is it is it colonies of bacteria fungi and viruses that live in and on our bodies totally symbiotic relationship by the way we need them to survive and they absolutely need us to survive well genetic sequencing technology is catalyzing sequencing the microbiome because it's actually even smaller so now we need to start sequencing the microbiome on our bodies and this is going to you're going to start to see this a lot more in the news over the next five years the US government launched a four hundred million dollar initiative last year around sequencing the microbiome hundred million coming out of the Gates Foundation and a lot of academic institutions have have gotten on board with this let me give you some scenarios on how we can look at treating diseases I have Crohn's imagine I bank my microbiome the same way you bank on biblical cord blood and get a transplant back when I'm not feeling well or take that one step further all of us in peak health bank our microbiome and then if we get cancer take antibiotics or just start aging we can get a transplant back of our own microbiome now we are already using something called fecal transplants for C diff C diff is an incredibly difficult antibiotic resistant infection and that is actually cured now with microbiome treatments alright so let's talk a little bit about software so virtual reality and augmented reality this is both software and hardware but the software is the big part of it that's driven by artificial intelligence and I mentioned I'm working in the space as well right now I mean the obvious uses of virtual reality gaming entertainment experiences you want to go diving off of you know Mars whatever you want to do you can do by VR and training we've been training the military and surgery and disaster response now for a couple of years but interesting things that we're going to start to see pop up over the next six to 12 months trying on makeup trying on clothes test driving your cars interior design architecture doing all of your meetings and going to school in the world of virtual reality the virtual reality in medicine is where I get really excited this is me I'm working on I mean I'm just trying out a company called deep stream this they're based out of Stanford and they are for pain management control and it actually works you put on the VR you're in there and you're shooting penguins and there's snow flying high five and and it's actually works we're also using it for things like pain anxiety pain anxiety PTSD even phobias if you're scared of spiders you can now get rid of that phobia in the world of VR and virtual reality is going social there are six to seven major platforms already one is called high Fidelli spaces launched recently that's Facebook's version but imagine Twitter Facebook LinkedIn in the world of VR all right so factors to consider a couple billion dollars again was invested in the next last couple of years these are mainstream VCs these are not niche VCs now we're going to start to see it democratize as I mentioned over the next six to twelve months and that is because of two companies first Apple their 10-year anniversary is coming up with their iPhone 8 is launching and it's between September and March you'll probably be able to get your hands on it it's going to have a heavy AR focus second loan of course is Facebook with the launch of Facebook's faces this is a big deal this is why they got Oculus Rift and I have about two or three minutes left so I'll skip over hardware I have a lot of content I could have done this easier this technology though is raising the bar on the interaction between the patient and the physician see if you think back to the title of my talk the patient as the CEO and just like the CEO of a corporation where you surround yourself with a fantastic array of vice president support staff advisors remember as a CEO of a corporation you are not an expert in marketing engineering right finance legal department you hire the best experts so as a patient why not why should you why should it be any different you can be the CEO of your own health care team but you hire all the best experts to give you advice on what to do you are the one who is the decision maker and you're the one who is up who is essentially responsible to making sure that your health care is gotten to you and I understand not everyone is as type a driven as I am very obviously ice hockey player for six years for Boston University this is a pretty big deal so I talk about having a CEO on the team health coaches and we're seeing this as an industry massively explodes both virtual and in-person and so health coaches can help you and they don't need to be skilled in medicine they just need to be skilled problem solvers because a lot of the time in medicine maybe why you're not getting your treatment plan isn't because you don't understand or isn't because you don't want to do it but it's because you're 70 years old and your driver's license expired you have no idea how to use Uber and you don't know how to renew it so you have no way of getting to the doctor well people like health coaches can help figure out how to incorporate and integrate treatment plans into your specific life so I want to leave you with this thought now that you're the CEO of your own health care team and I mean every single person in this room you are now the CEO of your own health care team how are you going to start to change your behavior today thank you