WEBVTT - Exploring Life-Saving AI Tech with T-Mobile for Business 0:00:15.356 --> 0:00:23.436 Pushkin. This episode is a paid partnership with T Mobile 0:00:23.476 --> 0:00:30.436 for Business. Hello, Hello, Malcolm Glabel. Here today. I wanted 0:00:30.476 --> 0:00:34.156 to share a very special conversation I had recently hosted 0:00:34.236 --> 0:00:37.236 by my good friends at T Mobile for Business about 0:00:37.316 --> 0:00:42.636 how AI is changing our world. My guests are oh Kattaba, 0:00:43.036 --> 0:00:46.716 the CMO of T Mobile for Business, doctor Azizi Satias, 0:00:47.156 --> 0:00:50.036 chair of the Department of Informatics and Health Data Science 0:00:50.036 --> 0:00:52.956 at the University of Miami Miller's School of Medicine, and 0:00:53.036 --> 0:00:57.796 Ryan Litt, COO and co founder of three AM Innovations. 0:00:58.796 --> 0:00:58.836 MO. 0:00:59.036 --> 0:01:01.956 I know from years ago when we had a fascinating 0:01:01.956 --> 0:01:05.516 conversation about five G when that technology was in its infancy. 0:01:06.236 --> 0:01:08.956 Brian is from Buffalo and we shared a deep affection 0:01:09.516 --> 0:01:12.556 for the Buffalo Bills. And as Easy as will soon 0:01:12.596 --> 0:01:16.316 be obvious is Jamaica, which of course is the surest 0:01:16.316 --> 0:01:19.396 way to my heart. Anyway, we talked about some really 0:01:19.396 --> 0:01:22.436 cool applications of AI and five G and the way 0:01:22.516 --> 0:01:25.596 really smart people like Ryan and as Easy are using 0:01:25.636 --> 0:01:29.956 these technologies to solve some pretty hard and fascinating problems. 0:01:40.596 --> 0:01:44.636 Thank you. Hey everyone, we're all wearing our Should we 0:01:44.676 --> 0:01:46.556 just put our I know this is a podcast. You 0:01:46.556 --> 0:01:49.356 can't see it, but we're all wearing T mobile sneakers 0:01:49.396 --> 0:01:51.116 right now. I see two of us have got the 0:01:51.156 --> 0:01:57.036 Air Forces and then the others se converse converse. Yeah, 0:01:57.076 --> 0:01:59.196 so we're all representing the brand. I think very effective 0:01:59.236 --> 0:02:03.236 to hear. So we're here to talk about AI and 0:02:03.476 --> 0:02:05.556 five G. But what we're really here to talk about 0:02:06.196 --> 0:02:08.436 is something much simpler and more important than that is 0:02:08.636 --> 0:02:12.916 problem solve Right. All of you guys are people who 0:02:13.156 --> 0:02:16.236 basically solve problems for a living, and I wanted to 0:02:16.276 --> 0:02:19.876 start there, and maybe Ryan, you could kick us off, 0:02:20.316 --> 0:02:22.516 tell us a little bit about what you do, but 0:02:22.556 --> 0:02:25.116 then tell us about the problem you're trying to solve. 0:02:26.636 --> 0:02:26.916 Sure. 0:02:27.036 --> 0:02:31.716 So, when we think about emergency events and really at 0:02:31.716 --> 0:02:35.556 the majority of the world, the primary tool set that 0:02:36.436 --> 0:02:40.636 firefighters use is a radio to communicate their status to 0:02:40.676 --> 0:02:45.116 the outside operation. And I'm sure we can all imagine, however, 0:02:45.876 --> 0:02:51.916 you know, winding hallways, dense forests, black smoke, falling debris, 0:02:52.476 --> 0:02:56.196 pretty reasonable to expect that people can become disoriented, They 0:02:56.196 --> 0:02:58.676 can be a bit confused, and the issue for a 0:02:58.716 --> 0:03:02.516 firefighters when they're confused, inherently so is the rest of 0:03:02.516 --> 0:03:03.036 the operation. 0:03:03.316 --> 0:03:06.156 Yeah, wait before you go on, tell us a little 0:03:06.156 --> 0:03:09.356 bit about how how is it you landed in this 0:03:09.396 --> 0:03:12.116 particular world. Why is it you're thinking about this problem 0:03:12.276 --> 0:03:16.596 of the disorientation of the of the firefighter. 0:03:16.956 --> 0:03:21.116 Well, you know, ultimately when there's confusion, it ultimately leads 0:03:21.116 --> 0:03:25.116 to injury and sometimes death. So the true inspiration to 0:03:25.236 --> 0:03:28.596 our origin is in Buffalo, New York, there was a 0:03:28.716 --> 0:03:32.676 convenience store that was on fire, and you know, upon arrival, 0:03:32.716 --> 0:03:35.316 firefighters quickly got to trying to put out the fire. 0:03:35.676 --> 0:03:39.636 But the firefighter, the fire itself moved faster, so they 0:03:39.636 --> 0:03:42.956 had to call an evacuation pull everybody out, but they 0:03:42.956 --> 0:03:46.316 were unsure if everybody got out, so they assigned a 0:03:46.356 --> 0:03:49.116 team to go sweep the facility to try to rescue 0:03:49.116 --> 0:03:51.876 anybody remaining, and unfortunately the structure. 0:03:51.516 --> 0:03:54.316 Collapsed over top of them and killed them both. And 0:03:54.796 --> 0:03:57.236 when was this go ahead? Two thousand and nine. 0:03:57.516 --> 0:04:00.436 Yeah, And to make matters worse, there was nobody inside. 0:04:00.636 --> 0:04:03.476 They were just unsure. And so for us, it's no 0:04:03.516 --> 0:04:05.476 slight against them, but we just feel like they deserve 0:04:05.516 --> 0:04:08.516 better tools. There has to be more than what they 0:04:08.516 --> 0:04:11.316 have that rate. No slide against the radio either, but 0:04:11.356 --> 0:04:14.516 all of us are here because technology is flush in 0:04:14.596 --> 0:04:17.076 many other places and our belief as they deserve to 0:04:17.076 --> 0:04:17.556 have it too. 0:04:18.676 --> 0:04:22.716 Tell us how that company starts. Does it arise out 0:04:22.756 --> 0:04:26.996 of that particular incident, or I'm just curious about how 0:04:27.036 --> 0:04:28.756 you kind of evolved to the point where you were 0:04:28.756 --> 0:04:30.236 looking for solutions to that problem. 0:04:30.596 --> 0:04:30.796 Yees. 0:04:30.876 --> 0:04:33.116 So I mean that event was in two thousand and nine. 0:04:33.916 --> 0:04:38.436 We officially started in twenty seventeen, so there's a time 0:04:38.476 --> 0:04:41.916 and distance between those two things. My co founder Patrick 0:04:42.236 --> 0:04:46.716 is a volunteer firefighter, and he was constantly educated that 0:04:46.836 --> 0:04:49.796 if career firefighters, which to be clear for everybody, they 0:04:50.356 --> 0:04:52.876 are getting paid and work as a firefighter every day, 0:04:53.196 --> 0:04:56.196 but volunteers typically have a day job and then they 0:04:56.236 --> 0:04:58.476 get called to an emergency event in the middle of it. 0:04:58.996 --> 0:05:02.436 So the message was, if the career people can make mistakes, 0:05:03.076 --> 0:05:05.516 we're definitely going to be prone to making mistakes, so 0:05:05.636 --> 0:05:08.916 let's learn from this. And so Patrick kind of lived 0:05:08.916 --> 0:05:11.516 with for years in education and felt, come on, I 0:05:11.516 --> 0:05:13.316 got this iPhone in my pocket, there's got to be 0:05:13.836 --> 0:05:17.996 something more. And finally, by twenty seventeen, technology seemed to 0:05:18.036 --> 0:05:20.596 go in a place that made sense, and he had 0:05:20.596 --> 0:05:23.156 to find a partner to help him do it, and 0:05:23.196 --> 0:05:25.476 that's why we ended up pursuing it from there. So 0:05:25.556 --> 0:05:30.876 our original intent was to build technology to help them 0:05:30.916 --> 0:05:33.476 in these emergency events. The hard part, though, is an 0:05:33.476 --> 0:05:38.276 emergency is inherently chaotic, unpredictable, right, and all of a 0:05:38.316 --> 0:05:40.836 sudden we think, Okay, we're just going to repurpose technology 0:05:40.836 --> 0:05:44.356 that already exists and afford it to the fire service. Instead, 0:05:44.596 --> 0:05:48.156 we're at the edge of technology, actually pushing on capabilities that, 0:05:48.196 --> 0:05:50.636 according to colleagues and people that we worked with in 0:05:50.756 --> 0:05:54.636 NASA and DHS, didn't exist. So for example, like tracking 0:05:54.636 --> 0:05:58.516 someone's location when they are GPS denied, you know, helping 0:05:58.516 --> 0:06:01.596 communication to be shared when you were communication denied. 0:06:02.036 --> 0:06:03.276 It turned out that not many. 0:06:03.076 --> 0:06:05.836 People around the world were doing it, and at which 0:06:05.836 --> 0:06:07.996 point were we said, oh, this is going to be 0:06:07.996 --> 0:06:12.076 a lot more of a difficult endeavor than we had anticipated. 0:06:12.276 --> 0:06:14.356 So that's the origin of why we're here, is there. 0:06:15.516 --> 0:06:18.076 This is all super interesting and I want to come 0:06:18.076 --> 0:06:20.436 back in more detail after we've gone down the pen 0:06:20.476 --> 0:06:22.236 a little bit. But one thing I wanted to talk 0:06:22.276 --> 0:06:23.556 to you to talk about just a little bit, so 0:06:23.636 --> 0:06:25.836 we understand this. When you have a kind of fire 0:06:25.876 --> 0:06:30.396 that's out of control. The specific issue that you were 0:06:30.396 --> 0:06:33.316 trying to solve is that once someone a firefighter, entered 0:06:33.316 --> 0:06:36.756 the facility, you lost track of where that person was, right, 0:06:37.316 --> 0:06:40.676 and there was no existing system in place that would 0:06:40.676 --> 0:06:43.076 allow you to easily track that person. 0:06:44.436 --> 0:06:44.716 Correct. 0:06:44.836 --> 0:06:49.836 Yeah, And is it because of the the Is it 0:06:49.836 --> 0:06:53.356 because the fire had destroyed any kind of infrastructure that 0:06:53.436 --> 0:06:55.316 might make that possible, or is it just I mean 0:06:55.756 --> 0:07:00.476 was why is what's particularly hard about about tracking someone 0:07:00.596 --> 0:07:03.476 in the middle of a burning building? 0:07:06.316 --> 0:07:09.836 Well, circumstantially, it wasn't necessarily the case that comms are 0:07:09.916 --> 0:07:13.156 necessarily completely blown out. Not always the case, because sometimes 0:07:13.156 --> 0:07:17.196 the radio system continues to function. There are so many 0:07:17.316 --> 0:07:20.556 dynamics to the situation that for you to give someone 0:07:20.596 --> 0:07:24.156 a tool that you say universally will help you is 0:07:24.196 --> 0:07:26.356 a very precarious undertaking. 0:07:26.476 --> 0:07:26.636 Right. 0:07:26.676 --> 0:07:29.076 You have to handle in a large structure like we're 0:07:29.116 --> 0:07:31.796 in now, in a small structure in a suburban area, 0:07:31.996 --> 0:07:35.396 in remote areas and wildland fires and such, right, And 0:07:35.436 --> 0:07:37.196 it has to work on all of those places in 0:07:37.276 --> 0:07:40.396 order to work for a firefighter, because the modern firefighter 0:07:40.596 --> 0:07:45.956 experiences so much right, so, you know, chasing those problems fundamentally. 0:07:45.396 --> 0:07:47.756 Difficult, a lot of data, a lot of. 0:07:49.276 --> 0:07:52.676 Error, right, and you know you push hard to make 0:07:52.676 --> 0:07:55.076 sure that it's purpose built. So I think this is 0:07:55.116 --> 0:07:58.156 where the AI portion of our discussions makes sense. 0:07:58.236 --> 0:07:58.436 Right. 0:07:58.476 --> 0:08:02.556 It can help to interpret a lot of inputs and 0:08:02.716 --> 0:08:05.676 give us some simple surfacings and understandings that we can 0:08:05.756 --> 0:08:06.556 leverage from there. 0:08:06.836 --> 0:08:11.836 Yeah, well, I want you to respond to Ryan. And 0:08:12.076 --> 0:08:15.236 I'm curious whether did you when you when you when 0:08:15.276 --> 0:08:17.636 you started on this road, did you imagine you'll be 0:08:17.636 --> 0:08:19.276 having conversations with people like Ryan. 0:08:19.956 --> 0:08:21.036 I was certainly hopeful. 0:08:21.596 --> 0:08:25.636 Being able to serve the first responder community is such 0:08:26.356 --> 0:08:30.676 an important undertaking, you know, every single day to protect 0:08:30.996 --> 0:08:34.516 you and me, our families, our communities. And you know, 0:08:34.516 --> 0:08:37.796 from a te mobile for business perspective, how can we 0:08:37.876 --> 0:08:42.556 take this incredible best in the nation five G network 0:08:43.116 --> 0:08:48.116 and how can we harness some very specific capabilities to 0:08:48.316 --> 0:08:52.876 bring to life a solution that serves the first responder community? 0:08:52.956 --> 0:08:56.756 And you know, companies like Ryan's three a M. And 0:08:57.356 --> 0:09:00.636 just a few weeks ago now we launched what we 0:09:00.756 --> 0:09:06.876 call ty Priority, which brings not just the network which 0:09:06.916 --> 0:09:11.316 has forty percent more capacity, which means more firefighters and 0:09:11.396 --> 0:09:14.916 police and ems showing up at a location, are able 0:09:14.956 --> 0:09:17.276 to get on the network and do what they need 0:09:17.316 --> 0:09:20.556 to do. But then something that we call a slice, 0:09:21.076 --> 0:09:26.316 which is really a fancy technology term, which is, hey, 0:09:26.316 --> 0:09:29.836 can we create the a traffic cop if you will, 0:09:30.956 --> 0:09:35.676 a capability that as first responders are getting on the 0:09:35.716 --> 0:09:39.436 network that not only gives them the access to the network, 0:09:39.596 --> 0:09:45.436 priority access and then preemption access to essentially bump if 0:09:45.476 --> 0:09:47.436 you will, a commercial user off of the network, and 0:09:47.476 --> 0:09:50.636 that's been around for four, five, six, seven years at 0:09:50.636 --> 0:09:53.516 this point, but can we give them the ability then 0:09:53.636 --> 0:10:00.316 to manage that traffic and dynamically allocate the amount of 0:10:00.356 --> 0:10:03.956 capacity on the network to the first responders so that 0:10:04.036 --> 0:10:08.676 in these sorts of scenarios where extreme congestion can be 0:10:08.716 --> 0:10:12.636 a current, you know, like a trained railment or a 0:10:12.756 --> 0:10:16.876 massive natural disaster, et cetera, that we can essentially give 0:10:17.036 --> 0:10:19.156 up to one hundred percent of the network over to 0:10:19.196 --> 0:10:22.156 the first responders so that they can save lives. 0:10:22.876 --> 0:10:24.876 Yeah, I want to return to that, but I want 0:10:24.916 --> 0:10:28.316 to talk a little bit too. As easy you are 0:10:28.356 --> 0:10:31.596 tell us what you tell us your title of your job. 0:10:31.956 --> 0:10:35.236 So I currently serve as an interim chair for the 0:10:35.276 --> 0:10:38.236 Department of informatics and health data science, and I'm the 0:10:38.236 --> 0:10:41.916 phone and director of the Media and Innovation Lab, and 0:10:42.036 --> 0:10:44.556 I co lead a sleep on circadian science, and I 0:10:44.596 --> 0:10:47.316 lead Population health Informatics. So, not to be funny, but 0:10:47.876 --> 0:10:50.756 as a Jamaican we're known from multiple jobs. And yes, 0:10:52.156 --> 0:10:53.836 this is at the University of It is at the 0:10:53.916 --> 0:10:57.676 University of Miami. But you're a doctor by I'm PhD. 0:10:57.716 --> 0:11:00.956 I'm a clinical psychologist. But I lead many off the 0:11:01.076 --> 0:11:06.116 efforts at the university to lead digital transformation. And so 0:11:06.476 --> 0:11:11.796 I was recruited from an another large institution when I 0:11:11.796 --> 0:11:14.756 was at NYU School of Medicine to lead this effort 0:11:14.916 --> 0:11:17.836 at the University of Miami. And the reason why it's 0:11:17.876 --> 0:11:22.236 important is because the University of Miami really serves as 0:11:22.316 --> 0:11:27.596 the academic epicenter of the Southeast, particularly in Florida, and 0:11:27.716 --> 0:11:33.596 Miami in particular is really considered the gateway to the 0:11:33.596 --> 0:11:36.116 global South. For those of you are not familiar, the 0:11:36.116 --> 0:11:40.836 global SETH represents eighty percent of the world's population, yet 0:11:41.316 --> 0:11:46.436 as a euphemism, they're oftentimes seen as the poorest, less resource, 0:11:46.516 --> 0:11:50.356 particularly in healthcare. And so I was brought to lead 0:11:50.436 --> 0:11:53.676 that effort to create models that would be able to 0:11:53.796 --> 0:11:57.436 serve not just South Florida, but how it could be 0:11:57.516 --> 0:12:04.236 translated to similar socio economic deprived communities throughout Florida and 0:12:04.316 --> 0:12:07.676 then use it as a model to really do this 0:12:07.836 --> 0:12:08.756 in the global South. 0:12:09.556 --> 0:12:13.236 You at what point during your career did you realize 0:12:13.236 --> 0:12:15.676 that what you wanted to do is use technology to 0:12:15.716 --> 0:12:18.796 solve problems. I mean, you have a PhD in clinical psychology. 0:12:18.836 --> 0:12:21.756 You're not looking at AI and five G when you're 0:12:21.756 --> 0:12:22.396 doing a PhD. 0:12:23.516 --> 0:12:25.516 Well, you know, so, great question. 0:12:25.676 --> 0:12:30.036 So when I realized that technology was important was when 0:12:30.036 --> 0:12:35.396 I realized that many of the most vexing health care 0:12:35.516 --> 0:12:39.956 challenges that we saw in my own family, my grandmother 0:12:40.036 --> 0:12:43.556 who raised me, and we realized that there was just 0:12:43.716 --> 0:12:47.796 significant lack of resources. She had insurance, but what we 0:12:47.876 --> 0:12:51.756 saw was a significant gap in the continuity of care. 0:12:52.436 --> 0:12:55.636 And extrapolate in her experience to what I see when 0:12:55.636 --> 0:13:00.396 I go to barbershops, beauty salons, and faith based organizations. 0:13:00.436 --> 0:13:03.076 Because we're one of those folks who we like to 0:13:03.116 --> 0:13:05.876 be in the community that we don't believe in this 0:13:06.116 --> 0:13:09.356 sterile brick on mortar healthcare because we believe healthcare needs 0:13:09.396 --> 0:13:12.556 to be more And what we found out was that 0:13:12.596 --> 0:13:15.636 in order for us to meet the challenges that our 0:13:15.796 --> 0:13:19.196 nation and our globe sees that we either need to 0:13:19.236 --> 0:13:22.116 train a whole lot more healthcare practitioners, which we still 0:13:22.156 --> 0:13:25.036 need to do, but that was not going to be 0:13:25.156 --> 0:13:28.956 sufficient to close that gap in good time. So what 0:13:29.036 --> 0:13:32.236 we realized was that technology, though it is not a 0:13:32.236 --> 0:13:35.556 panacea that can cure all, was going to be the 0:13:35.596 --> 0:13:37.756 means by which we were going to be able to 0:13:37.876 --> 0:13:42.076 one provide the care that so many people desperately need, 0:13:42.276 --> 0:13:47.236 but also to provide adjunctive and supportive and augmentive care 0:13:47.476 --> 0:13:51.076 to healthcare provide us. And so technology became the means 0:13:51.116 --> 0:13:54.196 by which it would allow us to really extend our 0:13:54.276 --> 0:13:59.116 tentacles into places beyond that we thought were unimaginable. 0:13:59.396 --> 0:14:01.956 It gives a specific example, yeah, of a moment where 0:14:01.996 --> 0:14:05.116 you realized, oh, this is a NOTT we can only 0:14:05.156 --> 0:14:07.076 crack with technology. 0:14:07.156 --> 0:14:10.556 Yes, So we created our own remote health monitor and 0:14:10.636 --> 0:14:15.636 solution called the Mailbox, and we were funded to do 0:14:15.756 --> 0:14:20.636 some really novel research looking at cardiovascular health in urban 0:14:20.716 --> 0:14:25.836 and rural areas. And so, like most scientists, we don't 0:14:25.876 --> 0:14:29.836 care about you know, accolades per se. We just wanted 0:14:29.836 --> 0:14:31.916 to do the work and we did the work, and 0:14:31.956 --> 0:14:36.076 then COVID happened, and we went into someone's home because 0:14:36.076 --> 0:14:37.996 we would typically send out technicians. 0:14:38.156 --> 0:14:39.236 And I remember. 0:14:39.156 --> 0:14:41.956 Because she's part of our study, and because of hypo compliance, 0:14:41.996 --> 0:14:44.396 I can't say her name, but we'll call her Miss Jones. 0:14:45.116 --> 0:14:48.796 Miss Jones is a sixty year old African American woman 0:14:49.116 --> 0:14:53.156 lives in Brooklyn, and we call her Miss Jones. Such 0:14:53.196 --> 0:14:55.276 and such will be coming down there to do the study. 0:14:55.316 --> 0:14:57.996 And she said, Hey, honey, you ain't coming here at 0:14:57.996 --> 0:15:01.116 all because I ain't trying to get the RONA. And 0:15:01.196 --> 0:15:06.236 that allowed us to realize that how can we flip it? 0:15:06.796 --> 0:15:10.156 And that's what really spurred us into action quickly to 0:15:10.276 --> 0:15:14.396 create a remote health monitor and solution, knowing very well 0:15:14.556 --> 0:15:18.676 that it can be used for people. It's oftentimes said 0:15:19.196 --> 0:15:21.716 that since twenty sixteen, they're about one hundred and forty 0:15:21.836 --> 0:15:27.516 million emergency department visits and they're about sixty percent of 0:15:27.676 --> 0:15:31.396 global deaths that can be attributed to non communicable diseases 0:15:31.476 --> 0:15:34.756 like cardive metabolic health. And what are the biggest drivers 0:15:34.796 --> 0:15:40.156 of that? No healthcare right and people don't have access. 0:15:40.436 --> 0:15:42.436 So when we went to someone like Miss Jones and 0:15:42.476 --> 0:15:45.236 what we've seen beer out in our studies and what 0:15:45.276 --> 0:15:45.796 we've seen. 0:15:46.076 --> 0:15:48.956 We've seen another woman who she lives. 0:15:48.756 --> 0:15:52.156 In government housing in Florida and she would always go 0:15:52.236 --> 0:15:56.196 to her landlord because she had these respiratory illnesses and 0:15:56.636 --> 0:15:59.356 the landlord will push her aside and said, no, nothing 0:15:59.396 --> 0:16:01.756 is wrong. You're trying to evade pain your rent. And 0:16:01.796 --> 0:16:03.836 she's like, no, there's something wrong with you. You need 0:16:03.876 --> 0:16:06.956 to change something. And she was part of our study 0:16:07.436 --> 0:16:10.316 and we have as part of our remote health monitoring 0:16:10.396 --> 0:16:13.396 solution and air quality device and she was able to 0:16:13.556 --> 0:16:16.476 use that to show to her landlord that there is 0:16:16.556 --> 0:16:19.396 something significantly wrong in terms of mold. 0:16:19.876 --> 0:16:20.756 And so look at this. 0:16:21.556 --> 0:16:25.036 Many of us live in environments that we just trust 0:16:25.556 --> 0:16:28.356 that it has the right environment, it has. 0:16:28.116 --> 0:16:30.636 Everything, even if you have health care. 0:16:31.436 --> 0:16:33.356 And what we want to be able to do is 0:16:33.396 --> 0:16:36.996 to put a wearable on the environment, put a wearable 0:16:36.996 --> 0:16:41.116 on individuals, and it is facilitated through technology so that 0:16:41.196 --> 0:16:44.076 we can quantify, so that we can show and prove 0:16:44.396 --> 0:16:47.716 so that we can further empower our patients. That's just 0:16:47.796 --> 0:16:50.716 one example. There's another example as well, and one other 0:16:50.796 --> 0:16:54.836 woman who lives in a rural area in Florida, and 0:16:54.956 --> 0:16:57.996 went to the physician like most of us, and we 0:16:58.116 --> 0:17:01.116 get all of these print outs on our lab work 0:17:01.156 --> 0:17:03.036 and we don't know what they mean. Let's be real 0:17:03.756 --> 0:17:08.316 and not not to knock on my colleagues, but you 0:17:08.436 --> 0:17:12.156 will be very lucky if someone goes through with you 0:17:12.316 --> 0:17:16.316 what each measurement means. Right, So this is what happened. 0:17:16.876 --> 0:17:19.836 This woman went to her provider and the provider said, 0:17:20.156 --> 0:17:22.916 I think something is up with your heart. Something is 0:17:22.996 --> 0:17:24.796 up with your heart. Now, this is a woman who 0:17:24.796 --> 0:17:27.636 works two jobs, has three kids, so she was like, 0:17:27.636 --> 0:17:29.556 what should I do? Well, you should go ahead and 0:17:29.596 --> 0:17:33.316 see a cardiologist. Didn't provide the necessary handoff at all. 0:17:34.076 --> 0:17:36.836 And so here is it that we dropped the ball 0:17:37.036 --> 0:17:39.876 as a community that this lady just went off and 0:17:39.956 --> 0:17:41.956 just said, well, I guess something is wrong with my heart. 0:17:42.116 --> 0:17:44.076 You know, we'll see I'll go to the er, which 0:17:44.076 --> 0:17:46.996 is why we have so many er visits. And so 0:17:47.156 --> 0:17:49.236 what she was able to do by wearing one of 0:17:49.276 --> 0:17:52.956 our rings, she called us angry. She said, doctor Sashas 0:17:53.796 --> 0:17:57.956 your device is waking me up every ten minutes, I 0:17:57.996 --> 0:18:01.036 don't want to be part of your study anymore. When 0:18:01.076 --> 0:18:04.076 we looked at our command center and we saw what 0:18:04.116 --> 0:18:07.596 was happening. These lady oxygen levels were dropping below eighty 0:18:07.676 --> 0:18:11.956 percent critical. So what we ended up doing we said, 0:18:12.156 --> 0:18:14.076 you know what, we don't care about health care and 0:18:14.156 --> 0:18:17.556 insurance right now, we have a study physician. We connected 0:18:17.556 --> 0:18:20.116 her and she was able to see a cardiologist in 0:18:20.196 --> 0:18:23.516 no time. She called us crying, saying thank you very 0:18:23.636 --> 0:18:28.476 much because if she hadn't gotten that intervention, she probably 0:18:28.476 --> 0:18:31.116 would have died, and she should have left her kids orphans. 0:18:31.436 --> 0:18:33.436 This is what we've seen black and brown families all 0:18:33.436 --> 0:18:36.036 the time. It's not just a healthcare issue. She had 0:18:36.076 --> 0:18:39.516 health care, but are we able to connect the dots 0:18:39.516 --> 0:18:42.516 and we believe through technology we can have a physical 0:18:42.516 --> 0:18:43.156 in a box. 0:18:43.036 --> 0:18:43.516 To do with her. 0:18:43.996 --> 0:18:45.836 I want to come back to Ryaneah the same question. 0:18:46.236 --> 0:18:49.916 Let's talk about the technology here. Yeah, you gave her 0:18:49.916 --> 0:18:52.996 a ring. Yeah, like a describe this? 0:18:53.116 --> 0:18:55.716 Yeah, I mean yeah, I mean I have the ring here. 0:18:55.756 --> 0:19:00.276 But it's a ring that measures what we call cardiopulmonary coupling. 0:18:59.956 --> 0:19:01.756 Big terms, here's what it means. 0:19:02.396 --> 0:19:08.596 Typically, what happens is your respiratory system, your lungs operate 0:19:08.796 --> 0:19:12.596 in conjunction with their circuit ury system your heart. What 0:19:12.836 --> 0:19:17.596 ends up happening in between that. Physiology is so many things, 0:19:17.636 --> 0:19:20.276 and that's where we believe many of the illnesses that 0:19:20.356 --> 0:19:24.796 get undetected, that's where they surface, and they surface mostly 0:19:24.836 --> 0:19:27.916 in your sleep, so you will never feel those symptoms 0:19:27.996 --> 0:19:31.036 at all. So what we were able to do through 0:19:31.116 --> 0:19:34.396 the ring measuring CARDI Pullman recompany because your watch doesn't 0:19:34.396 --> 0:19:37.596 do that, because your watch only measures one or the other. 0:19:38.156 --> 0:19:40.956 We're able to measure the two and we're able to 0:19:40.996 --> 0:19:43.996 measure how the two interact and connect with each other. 0:19:44.156 --> 0:19:46.396 So this ring, is this an off the shelf thing 0:19:46.476 --> 0:19:46.876 or something you. 0:19:48.236 --> 0:19:49.996 We're trying to get it off the shelf, but it's 0:19:50.036 --> 0:19:54.556 more of a medical device. And there I say, it's 0:19:54.596 --> 0:19:57.156 not this any other but it's not as expensive as 0:19:57.196 --> 0:20:00.036 others we've worked with some other proprietary It is not 0:20:00.076 --> 0:20:00.836 as expensive. 0:20:00.956 --> 0:20:03.676 So you wear this ring and then it's connected to. 0:20:03.716 --> 0:20:05.156 What it's connected to. 0:20:06.716 --> 0:20:09.876 A cell phone that we provide, so it's tether so 0:20:10.076 --> 0:20:13.036 when you fall asleep, it hit start and it starts 0:20:13.076 --> 0:20:15.396 to measure. It can measure if you're at risk for 0:20:15.476 --> 0:20:20.436 sleep apnel. It can measure if you have significant oxygen 0:20:20.796 --> 0:20:23.396 you know, desaturation lowering the levels. 0:20:23.076 --> 0:20:24.676 And that data is coming back. 0:20:25.236 --> 0:20:28.396 Yes, so that data comes back to the command center 0:20:28.516 --> 0:20:29.636 that we are able to. 0:20:29.676 --> 0:20:32.716 See, which is at the University of which is at Yes. 0:20:32.556 --> 0:20:34.596 In our group at the University of Miami. 0:20:34.836 --> 0:20:37.516 And how many patients do you have on for example. 0:20:37.236 --> 0:20:40.876 Yes, So right now we're piloting this in our research studies. 0:20:40.876 --> 0:20:44.556 So we have fifteen hundred participants African American and Hispanics 0:20:44.556 --> 0:20:48.636 in urban and rural areas. And we've partnered with community 0:20:48.636 --> 0:20:54.036 health centers, federally qualified health centers. Oftentimes academic centers are 0:20:54.036 --> 0:20:57.276 the ones who are the ones who wave the flag 0:20:57.356 --> 0:21:00.676 of technology. What we said at the University of Miami 0:21:00.716 --> 0:21:03.036 is that we have to do more. That it is 0:21:03.196 --> 0:21:06.756 our vocation and it is our mission to really be 0:21:07.396 --> 0:21:12.556 that you know, supporting force. So we work with the 0:21:12.716 --> 0:21:14.756 largest free clinic in the state of Florida. 0:21:17.996 --> 0:21:33.916 We'll be right back with more from the panel. We're 0:21:33.916 --> 0:21:37.596 back with more Cattaba, Doctor as Easy, Satious and Ryan 0:21:37.676 --> 0:21:40.796 Lydd So walk us through how you use technology to 0:21:41.836 --> 0:21:42.796 answer those questions. 0:21:43.916 --> 0:21:46.476 I think that the place that we start, and as 0:21:46.516 --> 0:21:50.036 some of us in technology, because myself, you know, probably 0:21:50.036 --> 0:21:55.076 more of a technologist, it's to start with the person first, right, 0:21:55.116 --> 0:21:59.596 to observe, to understand, and then augment. But ideally we 0:21:59.636 --> 0:22:03.516 always say compliment, not complicate, Right, So if there's something 0:22:03.516 --> 0:22:04.596 that's already available, if. 0:22:04.516 --> 0:22:06.516 There are tools that are already there. 0:22:06.396 --> 0:22:08.436 Can we listen to those tools so that it can 0:22:08.516 --> 0:22:10.916 feel seem like to the first responder. The last thing 0:22:10.916 --> 0:22:12.516 we want them to do is be playing with new 0:22:12.556 --> 0:22:14.956 tech and buttons and other things to make their jobs 0:22:14.996 --> 0:22:18.196 even more complex. So we sought to make a more 0:22:18.196 --> 0:22:22.316 integrative solution, which therefore you know, five G and software 0:22:22.356 --> 0:22:24.956 and these sorts of things start to you know, form 0:22:25.156 --> 0:22:28.436 because it makes sense to do. We've thought a lot 0:22:28.476 --> 0:22:33.356 about bioindicators, like doctors talking about cardiac arrest is still 0:22:33.396 --> 0:22:36.716 one of the greatest killers in the fire service. Detecting 0:22:36.716 --> 0:22:40.556 blood oxygen levels would be amazing because if we could 0:22:40.556 --> 0:22:43.236 capture those things as a precursor, we could draw those 0:22:43.236 --> 0:22:45.996 individuals out before it's too late. The hard part is 0:22:45.996 --> 0:22:49.276 is the stressor it's such a high stress environment that 0:22:49.996 --> 0:22:52.156 we need the technology to get to a point where 0:22:52.196 --> 0:22:54.796 it can actually give us that accuracy when we need 0:22:54.836 --> 0:22:56.876 it and not tell us after the cardiac o rent 0:22:56.876 --> 0:22:59.836 has already happened. Oh you know, this person's about to 0:22:59.836 --> 0:23:02.796 have one. So for us we look at interfacing with 0:23:02.876 --> 0:23:06.836