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Dr. Lloyd Minor
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- 2020-03-11
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- 2020-03-11
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“All right, thank you so much. I really appreciate it. This is Dr. Lloyd Minor. Thank you. He's the Dean of the Stanford University School of Medicine. His book is called Discovering Precision Health, Predict, Prevent, and Cure to Advance Health and Wellbeing. Thank you for coming on the show. Thank you. You can follow me on Twitter at Kara Swisher, my executive producer Eric Anderson is at Erica America. My producer Eric Johnson is at Hey Hey ESJ. Dr. Miner, where can people find you online?”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“Certainly, I hear that, and in the environment we live in, it's talked about a lot. I think that's a relatively small sector of society that is thinking in those terms. What I'm most excited about is that through what we've been talking about in this interview, the technologies we've talked about, the other advances, we should be able to make health and healthcare much more egalitarian than it is today in our country. Coming back to the statistic that I just find appalling that I think is a mandate for us to change, and that is that the zip code in which we live in more of a determinant of our life expectancy than our genetic code, we should be able to change that and make health and healthcare much more egalitarian. And yes, some people are going to want to look at how they can extend that lifespan.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“It does. I think to a lot of VCs a lot about this, and they're talking about health span rather than lifespan and that you're healthy up until 102 and then you die healthy. You know, in a relatively healthy man talking about, I want to end on that, the implications of that. If we are able to keep ourselves healthy, and obviously in Silicon Valley, there's a lot of people who just don't want to die, who are looking into all kinds. There's all kinds of concepts around that. And you know, whether it's Google and Calico and different things like that. How do you look at that, the idea? I mean, you're talking about having healthier lives until you die, but how do you look at the concept that a lot of people are talking about, which is not dying or doing other things to prevent push off dying?”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“We're at the early stages of that, but I believe that there is a revolution going on in the treatment of cancers, and we're going to be able to leverage it much more effectively because we now have a foothold in how to engage the immune system in treating cancer.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“The curing part, I think, is best represented in what's going on in cancer today. In the roughly 30 years that I've been involved in some way or another with medicine, I've never seen anything like the past seven, eight years in the advances in immunotherapy. And I really feel that we're still at the early stages. The fact that former President Jimmy Carter is alive and doing, at least from the press report's relatively well today with stage four melanoma that was diagnosed over three years ago, is nothing short of amazing. That just would not have happened before the type of checkpoint inhibitors that we've been told he's taking that have arrested his melanoma.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“But we lower the friction, we lower the amount of effort each of us has to take in order to engage in our health. And if we make those methods of engagement better and more accessible, then we increase the likelihood that everyone's going to take advantage of them. Right now, and it gets back to these other determinants of health, we still within miles of where we're sitting today, we have food deserts. We have communities that don't have access to healthy food. Technology can help with that to bring food into communities, to identify the areas where there aren't shopping opportunities that enable people for the same amount of money to get healthy foods. All of this should be much more robust as we apply technology in the way that it can.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“Or you engage in other ways with the healthcare delivery system where you don't come in for an appointment. You have a virtual visit with a lifestyle coach or a nutritionist at night, you know, when you're at home rather than having to take off of work. We're doing that today in our delivery system and many others are as well.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“That's right, as well as in early diagnostics, which are technology enabled, but usually involve looking for very small amount of cancer cells or another molecule in the blood or urine that could be tested very easily and very inexpensively when it's scaled. I think all of that in the three to five year time frame. Than looking more broadly, once that's deployed, I see us moving away from just after the fact medicine and much more towards the prevention and prediction that will enable us to drive better outcomes.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“Monitoring dev Having to change our life. The most is having something on your body, right? Not so much the smart toilets or the smart mirrors. That's just one way, but mostly is, right? That's where most of the innovation is going on right now.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“On the technology side, I think we'll continue to see the development of monitoring devices also will see much better electronic health record systems. Today, electronic health record systems don't provide much decision support. They don't furnish you and me with data in the forms we would like it to be. A lot of entrepreneurial activity going on in that regard, and I think we'll see a lot of improvements in the way they function in the future. Also, I think technology will enable us to monitor our health in ways we've never been able to in the past. Not everyone will want to do that, but those who do will be able to do so without a lot of friction. Without having to change their life.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“On the delivery system side being responsible for outcomes. And by moving away from the incremental payments, or to pay for each unit of care and more towards outcomes-based reimbursements, that will help us to drive value, that is better outcomes for lower costs, and will also align the financial incentives with what we want the incentives of the delivery system to be, which is keeping us healthy. And when we do get sick, providing us the best treatment that will give us the best outcome.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“People who either have no insurance or they have very poor insurance, they delay and delay and delay in getting something addressed. And then they only encounter the healthcare delivery system after that condition has progressed. That's just bad all around. It's bad for the patients. bad for the delivery mechanism because their care is going to be much more expensive and have much poorer outcomes with that delay. So that's why everyone needs some form of health plan, health insurance, but something that provides basic care. Second is that we need to continue this move away from fee-for-service medicine and more towards bundled payments and towards ultimately all of us.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“Or health plan. That's right. That's true. It's the way we think of it. True, true. A health plan. But something that provides them with a basic level of care and that also takes care of them if they develop a major illness that provides for the care they would need to treat that illness. Because what we see today is that”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“There are two principles that I believe are fundamental to revamping the U.S. health care delivery system. One is I believe that every American needs health insurance. Now, how that's financed, whether that's Medicare for all or the exchanges, I mean, there are a variety of different ways to do it, but everyone needs a basic form of health insurance. That's number one.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“By surgeons and in a delivery system with those outcomes being very, very closely monitored. So they're going to get the best care that's available. spirit needs to permeate more of the healthcare delivery space and I think we'll see more of this linkage to outcomes to payments both in government insurance plans and increasingly in commercial plans as well”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“Their employees who need a serious procedure like heart surgery or maybe they have low back pain, they began establishing centers of excellence and they monitor the health outcomes of those centers of excellence very, very closely. That's a win-win situation. It's a win for the company because they're getting the best outcomes and usually better outcomes are associated with lower cost. It's for sure a win for the employees because when they go for and maybe they have to travel 100, 200 miles to get heart surgery, Walmart pays for that, but they can be sure that they're getting it done by.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“Not as much as they need to be. That's one thing that I think one of the many things that I think can come in a very constructive way from the focus of these large companies on health. Walmart began many years ago. They are the largest employer in the United States.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“The interests of the patients have to be first, the interest of the consumer has to be first, and that is that I hope we never get to a situation where health-related data is viewed as simple social media data. There may be some people who want their health data accessible in that way, but I think most people will not. So we have to make sure that it's protected and that privacy is protected”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“In an easy to access way to communities should go a long way at identifying, predicting, and preventing diseases. And those clinics are going to be focused on doing exactly that. I mean, how can we identify high blood pressure or high glucose levels and treat those in people? Now, as to whether or not it's Walmart or it's Amazon or it's Apple, I mean each, of course, comes at it from a bit of a different angle given their core business model. But I think that's going to be good for consumers. Now what we have to make sure in all of this is that”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“I'm encouraged because I think each in its own way can bring new ideas and new approaches to health and healthcare. I mean, let's take Walmart as an example. I think roughly 7,400 stores. Walmart stores in some of the most underserved health areas of the country. Walmart has opened, as you mentioned, health clinics at a couple of stores in the Atlanta suburbs. I think they'll study those intensively. But bringing primary care and vision services and dentistry in an affordable way.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“Micro nudges or reminders or small indications during our day that if we do something, it might change how we feel our well-being, those have been shown over and over again to be the most effective ways to actually impact behavior. And by monitoring things like our steps, other things in the background, we'll be able to deliver more informative nudges when we want to receive them. If we don't, then we don't have to. Right.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“Can look for early indications of cancer. You can look for indications of other diseases of the metabolism, monitoring of diabetes will be enhanced by that. But a lot of diseases that progress should be able to be detected much earlier. Right. As well as, for example, a decade ago, not many people monitored their activity level. I mean, we know that 20 minutes of moderate exercise a day has an enormous effect on our overall health and well-being. Now more people are either closing their circles or doing something to look at their activity level, and it can serve as a nudge. And back to behavior change, these”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“I think some will and some won't Adoption, I believe, will be determined ultimately by how useful it is. If we're able, I would say, when we're able to show that this really does have an impact on health, that you can detect diseases earlier and treat them far more effectively, then I think there'll be more people adopt the technology.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“For example, if you're becoming jaundiced, that'll show up in your eyes. The amount of adipose tissue fat that you have in your face is an indication of your overall health. There are lots of different things that... You're making a measurement repeatedly over a long period of time.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“Ability to operate in the background and monitor our health in the background should increase as time goes on. A couple of things I write about in the book that are encouraging still at early stage, not available for general use today, is a smart mirror, for example. Most of us in the morning, we're looking at a mirror. We can tell a lot about our health, about how our facial appearance may change over time.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“Yes, exactly. I think it will get out to a larger group of people just as smartphones got out to a larger group of people. They started with a small segment of the population. As they began to deliver more and more useful information, the adoption of smartphones grew. I think we'll see the same thing with personal health monitoring devices. Also, I think we'll see more and more delivery systems working with patients who wish to use a device to enable them to do that in a way that it's not interfering with their lifestyle. We know that the most useful devices, the ones that actually have the greatest stickiness, are the ones that don't require a lot of effort on our part because most of us don't want to spend a lot of time and effort on it.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“So, when you're talking about all these digital companies, they're pretty widespread, though. I mean, their prides, a group of people, a wealthier group of people who are monitoring their health. It's obviously here. A lot of people have, whether they're carrying the Fitbits, whether they have the things on the wrist, whether they're doing all kinds of diabetic stuff. How does it get out to the larger group of people?”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“There hasn't been, I think it gets back to there's been less emphasis on prediction and prevention than there has been on cure. There's been less investment in that area, but that's changing. Digital health startups now, there's a robust investment ecosystem. We also have seen in the past year or two some exits of those early stage companies in meaningful ways that should keep investors interested in digital health. But I think it's going to be a combination of the investor segment of getting us as consumers more comfortable with measuring things like our heart rate and having that going in the background and also getting us as delivery systems really viewing ourselves as partners with our patients and helping our patients decide how they want to monitor their health and how we can help them do that.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“We don't do it because I think cost is one thing, but cost when the iPhone came out, it was only a small segment of the population had access to a smartphone, right? And that's not the case today. Most people have smartphones. I think the same thing will occur with digital health monitoring devices.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“And it was a strong concordance about 84% of the time when the watch said the person has AFib, the EKG said that that's the case also. So that was encouraging Apple's going to extend that study with other collaborators, Johnson and Johnson and others. Every time you and I fly on an airplane, those jet engines are being monitored hundreds, thousands of times a minute. Why can't we have the same sort of thing for our health, particularly for those who are at risk of something like a major heart rhythm abnormality? We should be able to do that. It's within our grasp today.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“A hearty ribbon. It means that the heart beats irregularly. Right. And the coordination between the top chambers of the heart and the bottom chambers is distorted. And as a result, people can form blood clots, which can go on and cause strokes and other problems. Since it is an arrhythmia, if you measure heartbeat, if you measure rhythm, you should be able to detect when it occurs. We conducted a clinical study, a clinical trial enrolling over 400,000 people and using Watch as an alert. And then for people who got the alert that they might have AFib, they were given the opportunity to receive a patch EKG, wear that for about six days, send it back in, and then we could coordinate and compare what the watch says to what the AKG was.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“Well, I think the opportunities are great. The risks are also significant. And we have to figure out how to leverage the opportunities, but also always protect the privacy of individuals and the security of data. We collaborated with Apple using Watch to detect the most common arrhythmia, atrial fibrillation.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“All right, let's talk about those digital technologies because there have been a boom in them. Everyone's caring and caring different Fitbits, whether it's that, or there's all kinds of groups and companies that have started to do that, to be constantly monitoring people. How do you look at that trend?”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“Closely linked to behavior and social environmental factors. We need to get over that and focus a lot more of our time and attention on the science of prevention and on leveraging digital technologies to help in prevention.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“I think there are a couple reasons why prevention hasn't received the same attention as treating and curing disease. One is that prevention is fundamentally about behavior. I mentioned before, 70% of the determinants of health are social, environmental, and behaviorally related. I moved here from the East Coast a little over seven years ago, and when I was getting to meet people in the ecosystem, I met with a prominent biotech venture capitalist, and I said, well, is there something that if you hear a pitch about something, you say, thank you, I'm not interested, you're wasting my time. And he said, yeah, anybody who comes to me saying that they have an idea for how to change behavior, I'm not interested in it. I became very discouraged because it is fundamentally about now, fortunately, we've seen startups that are doing that, particularly in the diabetes space. And this is where we need to go. It isn't easy. But what we know is that technology can help in creating communities and communities can help support behavior change. So one reason that prevention has not received as much focus, first of all, it's hard. And since it's viewed as being soft because it is so...”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“And when it comes to preventative health, you don't have that done. And why is that from your perspective? The idea, and then we'll get into people carrying devices and knowing what they're walking and things like that. But the idea that the system is more oriented towards the end versus the beginning.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“There are lots of factors, but one is that there haven't been the incentives in place. To make data interoperable and interchangeable in the way that there have been the incentives in other industries. For example, you mentioned fintech before. You and I can use our ATM card pretty much in any ATM on the planet today, right? Imagine a financial Also, this shift more towards bundle payments so that there aren't as many incentives for delivery systems to prevent their enrollees from looking at other opportunities.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“So, for the reasons they are siloed is because of this. What is the reason, given all these other changes across society and sharing of data, is just this or what? What is the problem? Is it the payment system if you had to point to”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“Require that when I want my health data shared with someone else, or when I want to access it, I can in the way I want to access it, those types of requirements need to move forward. When they do, they will enable us to share data in an appropriate and safe way better than we can today.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“That's right. HIPAA is making sure that a doctor health care delivery system doesn't go out and sell your data to someone else and reveal your health status to an insurer or something like that without your permission. It also requires doctors and delivery systems to maintain the security of data so that it can't be hacked or stolen. The intentions of HIPAA are absolutely correct. We also have to figure out ways to combine and aggregate data, de-identifying it, but to extract information from the data, we have to be able to bring it together. And I think a lot of the work that's going on now through the Office of National Coordinator of Health Information Technology, moving forward with regulations that will require more open architecture, still protecting the security of data and the role of patients to decide how their data is being used.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“That's why it's not happened. When I talk to doctors, that's most of the excuse for it's a HIPAA or whatever. Talk a little bit about that. Explain HIPAA for those. You're protecting health records, essentially.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“We do online banking today. We did so much tenure. But the way we order goods and services, everything's different. But still, you and I, by and large, Pick up the phone and call to make an appointment at doctor's office. We still transmit health records by fax machines. I can't believe it, but we do. We're the only industry that really still uses fax machines. But we need to move beyond that. We need to leverage the benefits of Technology and bring them to people, but we have to do that while being cognizant of the security of the data and the privacy of people's”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“One of the reasons that there hasn't been as much focus on early stage diagnostics or prevention is that those don't necessarily translate into increments of care. There is a code for Every office visit for every blood test. There's not necessarily the same type of code to doing the type of nutritional counseling that perhaps could help. Diabetics to better control their diabetes are lower their blood glucose level. It's in that area that I'm really excited about advances in digital health. A lot of those going on right around us here in the Bay Area. And that is, we know that technology has disrupted pretty much every aspect of our lives except for health and health care.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“I think there are several reasons for that. One is the way we finance health care in America, which still at its base is a fee-for-service system, that is we pay for units or increments of care. pay for the doctor's visit, the blood test, the radiology study, increments of care that are not necessarily, our payment system is not necessarily linked to outcomes. Therefore, there has been a move, which continues today and I think needs to continue even more in the future, a move towards linking payments to outcomes, a move towards bundled payments, and ultimately a move towards being responsible for the health and well-being of people who are in a health plan or in a delivery system.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“So, I want to talk about how come this is not the way our healthcare system is about sick care. It's about the cure. It's about finding out you have a disease and being surprised by it because most people die of something, right? Talk about the way it's set up. And then later I want to get into the question of data. Like, what do you do with all this data? But talk about the way we think of... Because it is about cures after the fact, essentially.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“The amniocentesis, right Exactly, because there's a risk to the fetus. The blood test works because there's a lot of DNA from the fetus that circulates in the mom. But you can apply that principle to other conditions DNA from a tumor, from a cancer that circulates in the blood. And then how do you detect that DNA? It's not as much of it as there is DNA from the fetus, but still with advanced analytic techniques that we have today, we still should be able to perfect these diagnostic tests and roll them out.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“That, I think, can be revolutionary. We talked before about cancers we classically only diagnose late, pancreatic, and ovarian cancer. We should be able in the future through blood tests to see and diagnose those conditions much earlier. At Stanford, we've been a leader in the revolution in molecular diagnostics. It goes back more than a decade when Steve Quake and his colleagues were the first to use microfluidics to do a chromosol analysis of a fetus from a simple blood test in the mom. And as a result of that technology and related technologies, today the use of amniocentesis, which is an invasive procedure to take ambiotic fluid out. Right. Today, the use of amniocentesis is dramatically reduced because we can get a comparable amount of information from a simple blood test. That's one.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“That's after it's been diagnosed, oftentimes at a very late stage. For example, there's a revolution going on right now in diagnostic testing with the application of data science and analytic methods to detecting a small signal in the midst of a lot of noise. We should have in the not too distant future An array of diagnostic tests that will give us better insight into whether or not we have an early stage of a disease.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“That's correct. It's about developing the science of prediction and prevention, which Classically, he hasn't received as much attention as the science directed at curing disease after the fact.”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT
“Here with Dr. Lloyd Minor. He is the Dean of Stanford University's School of Medicine. We're talking about his new book called Discovering Precision Health, Predict, Prevent, and Cure to Advance Health and Well-Being. Getting back to precision health. So talk about, you were talking about certain things of precision medicine, which is when there's certain illnesses, you zero in on them after you know about it. This is before you know about it, correct? Is that the way you would put it or not?”
2020-03-11 · Decoder with Nilay Patel · Recode Decode: Dr. Lloyd Minor · IDENTIFIED FROM THE TRANSCRIPT