0:00:01.243,0:00:05.195
I want to share some personal friends and stories with you

0:00:05.195,0:00:07.232
that I've actually never talked about in public before

0:00:07.232,0:00:09.592
to help illustrate the idea

0:00:09.592,0:00:11.511
and the need and the hope

0:00:11.511,0:00:14.793
for us to reinvent our health care system around the world.

0:00:14.793,0:00:18.180
Twenty-four years ago, I had -- a sophomore in college,

0:00:18.180,0:00:21.002
I had a series of fainting spells. No alcohol was involved.

0:00:21.002,0:00:23.933
And I ended up in student health,

0:00:23.933,0:00:26.102
and they ran some labwork and came back right away,

0:00:26.102,0:00:28.275
and said, "Kidney problems."

0:00:28.275,0:00:31.725
And before I knew it, I was involved and thrown into

0:00:31.725,0:00:34.945
this six months of tests and trials and tribulations

0:00:34.945,0:00:37.629
with six doctors across two hospitals

0:00:37.629,0:00:40.325
in this clash of medical titans

0:00:40.325,0:00:42.369
to figure out which one of them was right

0:00:42.369,0:00:44.833
about what was wrong with me.

0:00:44.833,0:00:48.106
And I'm sitting in a waiting room some time later for an ultrasound,

0:00:48.106,0:00:50.929
and all six of these doctors actually show up in the room at once,

0:00:50.929,0:00:55.281
and I'm like, "Uh oh, this is bad news."

0:00:55.281,0:00:56.844
And their diagnosis was this:

0:00:56.844,0:00:58.754
They said, "You have two rare kidney diseases

0:00:58.754,0:01:01.435
that are going to actually destroy your kidneys eventually,

0:01:01.435,0:01:03.972
you have cancer-like cells in your immune system

0:01:03.972,0:01:05.889
that we need to start treatment right away,

0:01:05.889,0:01:08.346
and you'll never be eligible for a kidney transplant,

0:01:08.346,0:01:11.765
and you're not likely to live more than two or three years."

0:01:11.765,0:01:14.729
Now, with the gravity of this doomsday diagnosis,

0:01:14.729,0:01:17.129
it just sucked me in immediately,

0:01:17.129,0:01:19.771
as if I began preparing myself as a patient

0:01:19.771,0:01:23.868
to die according to the schedule that they had just given to me,

0:01:23.868,0:01:26.508
until I met a patient named Verna in a waiting room,

0:01:26.508,0:01:28.566
who became a dear friend, and she grabbed me one day

0:01:28.566,0:01:30.560
and took me off to the medical library

0:01:30.560,0:01:33.494
and did a bunch of research on these diagnoses and these diseases,

0:01:33.494,0:01:36.014
and said, "Eric, these people who get this

0:01:36.014,0:01:37.962
are normally in their '70s and '80s.

0:01:37.962,0:01:41.073
They don't know anything about you. Wake up.

0:01:41.073,0:01:44.195
Take control of your health and get on with your life."

0:01:44.195,0:01:45.737
And I did.

0:01:45.737,0:01:48.097
Now, these people making these proclamations to me

0:01:48.097,0:01:49.423
were not bad people.

0:01:49.423,0:01:51.984
In fact, these professionals were miracle workers,

0:01:51.984,0:01:56.050
but they're working in a flawed, expensive system that's set up the wrong way.

0:01:56.050,0:01:59.305
It's dependent on hospitals and clinics for our every care need.

0:01:59.305,0:02:02.972
It's dependent on specialists who just look at parts of us.

0:02:02.972,0:02:06.887
It's dependent on guesswork of diagnoses and drug cocktails,

0:02:06.887,0:02:09.487
and so something either works or you die.

0:02:09.487,0:02:13.695
And it's dependent on passive patients

0:02:13.695,0:02:17.457
who just take it and don't ask any questions.

0:02:17.457,0:02:19.019
Now the problem with this model

0:02:19.019,0:02:21.505
is that it's unsustainable globally.

0:02:21.505,0:02:23.459
It's unaffordable globally.

0:02:23.459,0:02:26.946
We need to invent what I call a personal health system.

0:02:26.946,0:02:29.269
So what does this personal health system look like,

0:02:29.269,0:02:34.310
and what new technologies and roles is it going to entail?

0:02:34.310,0:02:36.463
Now, I'm going to start by actually sharing with you

0:02:36.463,0:02:38.359
a new friend of mine, Libby,

0:02:38.359,0:02:41.073
somebody I've become quite attached to over the last six months.

0:02:41.073,0:02:44.949
This is Libby, or actually, this is an ultrasound image of Libby.

0:02:44.949,0:02:47.820
This is the kidney transplant I was never supposed to have.

0:02:47.820,0:02:51.671
Now, this is an image that we shot a couple of weeks ago for today,

0:02:51.671,0:02:53.611
and you'll notice, on the edge of this image,

0:02:53.611,0:02:56.520
there's some dark spots there, which was really concerning to me.

0:02:56.520,0:02:59.049
So we're going to actually do a live exam

0:02:59.049,0:03:00.424
to sort of see how Libby's doing.

0:03:00.424,0:03:03.142
This is not a wardrobe malfunction. I have to take my belt off here.

0:03:03.142,0:03:05.276
Don't you in the front row worry or anything.

0:03:05.276,0:03:06.558
(Laughter)

0:03:06.558,0:03:10.285
I'm going to use a device from a company called Mobisante.

0:03:10.285,0:03:11.759
This is a portable ultrasound.

0:03:11.759,0:03:14.302
It can plug into a smartphone. It can plug into a tablet.

0:03:14.302,0:03:16.432
Mobisante is up in Redmond, Washington,

0:03:16.432,0:03:20.082
and they kindly trained me to actually do this on myself.

0:03:20.082,0:03:22.287
They're not approved to do this. Patients are not approved to do this.

0:03:22.287,0:03:25.098
This is a concept demo, so I want to make that clear.

0:03:25.098,0:03:26.185
All right, I gotta gel up.

0:03:26.185,0:03:30.636
Now the people in the front row are very nervous. (Laughter)

0:03:30.636,0:03:34.681
And I want to actually introduce you to Dr. Batiuk,

0:03:34.681,0:03:36.128
who's another friend of mine.

0:03:36.128,0:03:40.014
He's up in Legacy Good Samaritan Hospital in Portland, Oregon.

0:03:40.014,0:03:43.508
So let me just make sure. Hey, Dr. Batiuk. Can you hear me okay?

0:03:43.508,0:03:45.684
And actually, can you see Libby?

0:03:45.684,0:03:46.862
Thomas Batuik: Hi there, Eric.

0:03:46.862,0:03:48.107
You look busy. How are you?

0:03:48.107,0:03:50.835
Eric Dishman: I'm good. I'm just taking my clothes off

0:03:50.835,0:03:53.404
in front of a few hundred people. It's wonderful.

0:03:53.404,0:03:58.061
So I just wanted to see, is this the image you need to get?

0:03:58.061,0:04:01.798
And I know you want to look and see if those spots are still there.

0:04:01.798,0:04:04.527
TB: Okay. Well let's scan around a little bit here,

0:04:04.527,0:04:05.802
give me a lay of the land.

0:04:05.802,0:04:09.318
ED: All right.TB: Okay. Turn it a little bit inside,

0:04:09.318,0:04:11.718
a little bit toward the middle for me.

0:04:11.718,0:04:16.514
Okay, that's good. How about up a little bit?

0:04:16.514,0:04:19.564
Okay, freeze that image. That's a good one for me.

0:04:19.564,0:04:22.251
ED: All right. Now last week, when I did this,

0:04:22.251,0:04:25.052
you had me measure that spot to the right.

0:04:25.052,0:04:26.739
Should I do that again?

0:04:26.739,0:04:27.783
TB: Yeah, let's do that.

0:04:27.783,0:04:31.087
ED: All right. This is kind of hard to do

0:04:31.087,0:04:33.258
with one hand on your belly and one hand on measuring,

0:04:33.258,0:04:34.513
but I've got it, I think,

0:04:34.513,0:04:37.064
and I'll save that image and send it to you.

0:04:37.064,0:04:39.536
So tell me a little bit about what this dark spot means.

0:04:39.536,0:04:41.641
It's not something I was very happy about.

0:04:41.641,0:04:43.584
TB: Many people after a kidney transplant

0:04:43.584,0:04:46.852
will develop a little fluid collection around the kidney.

0:04:46.852,0:04:50.133
Most of the time it doesn't create any kind of mischief,

0:04:50.133,0:04:52.541
but it does warrant looking at,

0:04:52.541,0:04:55.516
so I'm happy we've got an opportunity to look at it today,

0:04:55.516,0:04:58.444
make sure that it's not growing, it's not creating any problems.

0:04:58.444,0:05:00.660
Based on the other images we have,

0:05:00.660,0:05:03.044
I'm really happy how it looks today.

0:05:03.044,0:05:05.441
ED: All right. Well, I guess we'll double check it when I come in.

0:05:05.441,0:05:08.006
I've got my six month biopsy in a couple of weeks,

0:05:08.006,0:05:09.715
and I'm going to let you do that in the clinic,

0:05:09.715,0:05:12.155
because I don't think I can do that one on myself.

0:05:12.155,0:05:14.800
TB: Good choice.ED: All right, thanks, Dr. Batiuk.

0:05:14.800,0:05:16.931
All right. So what you're sort of seeing here

0:05:16.931,0:05:19.039
is an example of disruptive technologies,

0:05:19.039,0:05:22.235
of mobile, social and analytic technologies.

0:05:22.235,0:05:25.146
These are the foundations of what's going to make personal health possible.

0:05:25.146,0:05:27.731
Now there's really three pillars

0:05:27.731,0:05:29.628
of this personal health I want to talk to you about now,

0:05:29.628,0:05:33.420
and it's care anywhere, care networking and care customization.

0:05:33.420,0:05:35.103
And you just saw a little bit of the first two

0:05:35.103,0:05:36.644
with my interaction with Dr. Batiuk.

0:05:36.644,0:05:39.524
So let's start with care anywhere.

0:05:39.524,0:05:42.252
Humans invented the idea of hospitals and clinics

0:05:42.252,0:05:46.152
in the 1780s. It is time to update our thinking.

0:05:46.152,0:05:49.646
We have got to untether clinicians and patients

0:05:49.646,0:05:52.264
from the notion of traveling to a special

0:05:52.264,0:05:54.844
bricks-and-mortar place for all of our care,

0:05:54.844,0:05:57.145
because these places are often the wrong tool,

0:05:57.145,0:05:59.611
and the most expensive tool, for the job.

0:05:59.611,0:06:03.163
And these are sometimes unsafe places to send our sickest patients,

0:06:03.163,0:06:05.300
especially in an era of superbugs

0:06:05.300,0:06:07.416
and hospital-acquired infections.

0:06:07.416,0:06:10.298
And many countries are going to go brickless from the start

0:06:10.298,0:06:12.264
because they're never going to be able to afford

0:06:12.264,0:06:16.784
the mega-medicalplexes that a lot of the rest of the world has built.

0:06:16.784,0:06:19.540
Now I personally learned that hospitals

0:06:19.540,0:06:22.056
can be a very dangerous place at a young age.

0:06:22.056,0:06:23.896
This was me in third grade.

0:06:23.896,0:06:26.312
I broke my elbow very seriously, had to have surgery,

0:06:26.312,0:06:28.639
worried that they were going to actually lose the arm.

0:06:28.639,0:06:31.575
Recovering from the surgery in the hospital, I get bedsores.

0:06:31.575,0:06:33.808
Those bedsores become infected,

0:06:33.808,0:06:36.744
and they give me an antibiotic which I end up being allergic to,

0:06:36.744,0:06:38.695
and now my whole body breaks out,

0:06:38.695,0:06:41.255
and now all of those become infected.

0:06:41.255,0:06:43.802
The longer I stayed in the hospital, the sicker I became,

0:06:43.802,0:06:45.387
and the more expensive it became,

0:06:45.387,0:06:48.732
and this happens to millions of people around the world every year.

0:06:48.732,0:06:51.075
The future of personal health that I'm talking about

0:06:51.075,0:06:55.533
says care must occur at home as the default model,

0:06:55.533,0:06:57.013
not in a hospital or clinic.

0:06:57.013,0:06:58.573
You have to earn your way into those places

0:06:58.573,0:07:02.139
by being sick enough to use that tool for the job.

0:07:02.139,0:07:04.245
Now the smartphones that we're already carrying

0:07:04.245,0:07:07.971
can clearly have diagnostic devices like ultrasounds plugged into them,

0:07:07.971,0:07:10.142
and a whole array of others, today,

0:07:10.142,0:07:11.664
and as sensing is built into these,

0:07:11.664,0:07:13.694
we'll be able to do vital signs monitor

0:07:13.694,0:07:16.533
and behavioral monitoring like we've never had before.

0:07:16.533,0:07:19.085
Many of us will have implantables that will actually look

0:07:19.085,0:07:21.822
real-time at what's going on with our blood chemistry

0:07:21.822,0:07:24.069
and in our proteins right now.

0:07:24.069,0:07:26.764
Now the software is also getting smarter, right?

0:07:26.764,0:07:29.861
Think about a coach, an agent online,

0:07:29.861,0:07:31.997
that's going to help me do safe self-care.

0:07:31.997,0:07:34.302
That same interaction that we just did with the ultrasound

0:07:34.302,0:07:36.525
will likely have real-time image processing,

0:07:36.525,0:07:38.670
and the device will say, "Up, down, left, right,

0:07:38.670,0:07:41.326
ah, Eric, that's the perfect spot to send that image

0:07:41.326,0:07:43.175
off to your doctor."

0:07:43.175,0:07:45.382
Now, if we've got all these networked devices

0:07:45.382,0:07:47.762
that are helping us to do care anywhere,

0:07:47.762,0:07:49.557
it stands to reason that we also need a team

0:07:49.557,0:07:51.544
to be able to interact with all of that stuff,

0:07:51.544,0:07:54.165
and that leads to the second pillar I want to talk about,

0:07:54.165,0:07:55.737
care networking.

0:07:55.737,0:07:58.883
We have got to go beyond this paradigm

0:07:58.883,0:08:02.534
of isolated specialists doing parts care

0:08:02.534,0:08:06.753
to multidisciplinary teams doing person care.

0:08:06.753,0:08:10.149
Uncoordinated care today is expensive at best,

0:08:10.149,0:08:12.244
and it is deadly at worst.

0:08:12.244,0:08:14.647
Eighty percent of medical errors are actually caused

0:08:14.647,0:08:16.595
by communication and coordination problems

0:08:16.595,0:08:18.916
amongst medical team members.

0:08:18.916,0:08:21.155
I had my own heart scare years ago in graduate school,

0:08:21.155,0:08:23.269
when we're under treatment for the kidney,

0:08:23.269,0:08:25.883
and suddenly, they're like, "Oh, we think you have a heart problem."

0:08:25.883,0:08:27.768
And I have these palpitations that are showing up.

0:08:27.768,0:08:30.274
They put me through five weeks of tests --

0:08:30.274,0:08:33.773
very expensive, very scary -- before the nurse finally notices

0:08:33.773,0:08:35.869
the piece of the paper, my meds list

0:08:35.869,0:08:37.391
that I've been carrying to every single appointment,

0:08:37.391,0:08:39.577
and says, "Oh my gosh."

0:08:39.577,0:08:41.546
Three different specialists had prescribed

0:08:41.546,0:08:43.585
three different versions of the same drug to me.

0:08:43.585,0:08:47.860
I did not have a heart problem. I had an overdose problem.

0:08:47.860,0:08:50.673
I had a care coordination problem.

0:08:50.673,0:08:53.439
And this happens to millions of people every year.

0:08:53.439,0:08:57.073
I want to use technology that we're all working on and making happen

0:08:57.073,0:09:00.805
to make health care a coordinated team sport.

0:09:00.805,0:09:03.107
Now this is the most frightening thing to me.

0:09:03.107,0:09:07.365
Out of all the care I've had in hospitals and clinics around the world,

0:09:07.365,0:09:10.712
the first time I've ever had a true team-based care experience

0:09:10.712,0:09:13.483
was at Legacy Good Sam these last six months

0:09:13.483,0:09:14.541
for me to go get this.

0:09:14.541,0:09:17.510
And this is a picture of my graduation team from Legacy.

0:09:17.510,0:09:20.020
There's a couple of the folks here. You'll recognize Dr. Batiuk.

0:09:20.020,0:09:22.636
We just talked to him. Here's Jenny, one of the nurses,

0:09:22.636,0:09:24.948
Allison, who helped manage the transplant list,

0:09:24.948,0:09:27.092
and a dozen other people who aren't pictured,

0:09:27.092,0:09:29.628
a pharmacist, a psychologist, a nutritionist,

0:09:29.628,0:09:31.870
even a financial counselor, Lisa,

0:09:31.870,0:09:34.597
who helped us deal with all the insurance hassles.

0:09:34.597,0:09:37.196
I wept the day I graduated.

0:09:37.196,0:09:38.823
I should have been happy, because I was so well

0:09:38.823,0:09:40.476
that I could go back to my normal doctors,

0:09:40.476,0:09:43.771
but I wept because I was so actually connected to this team.

0:09:43.771,0:09:45.367
And here's the most important part.

0:09:45.367,0:09:48.406
The other people in this picture are me and my wife, Ashley.

0:09:48.406,0:09:52.508
Legacy trained us on how to do care for me at home

0:09:52.508,0:09:55.252
so that they could offload the hospitals and clinics.

0:09:55.252,0:09:57.716
That's the only way that the model works.

0:09:57.716,0:09:59.532
My team is actually working in China

0:09:59.532,0:10:01.271
on one of these self-care models

0:10:01.271,0:10:03.644
for a project we called Age-Friendly Cities.

0:10:03.644,0:10:05.438
We're trying to help build a social network

0:10:05.438,0:10:07.922
that can help track and train the care of seniors

0:10:07.922,0:10:09.429
caring for themselves

0:10:09.429,0:10:11.834
as well as the care provided by their family members

0:10:11.834,0:10:14.316
or volunteer community health workers,

0:10:14.316,0:10:16.572
as well as have an exchange network online,

0:10:16.572,0:10:19.900
where, for example, I can donate three hours of care a day to your mom,

0:10:19.900,0:10:22.770
if somebody else can help me with transportation to meals,

0:10:22.770,0:10:25.428
and we exchange all of that online.

0:10:25.428,0:10:27.818
The most important point I want to make to you about this

0:10:27.818,0:10:31.132
is the sacred and somewhat over-romanticized

0:10:31.132,0:10:33.906
doctor-patient one-on-one

0:10:33.906,0:10:36.022
is a relic of the past.

0:10:36.022,0:10:38.474
The future of health care is smart teams,

0:10:38.474,0:10:42.043
and you'd better be on that team for yourself.

0:10:42.043,0:10:44.335
Now, the last thing that I want to talk to you about

0:10:44.335,0:10:45.575
is care customization,

0:10:45.575,0:10:48.500
because if you've got care anywhere and you've got care networking,

0:10:48.500,0:10:51.308
those are going to go a long way towards improving our health care system,

0:10:51.308,0:10:54.341
but there's still too much guesswork.

0:10:54.341,0:10:58.429
Randomized clinical trials were actually invented in 1948

0:10:58.429,0:11:01.811
to help invent the drugs that cured tuberculosis,

0:11:01.811,0:11:04.108
and those are important things, don't get me wrong.

0:11:04.108,0:11:05.973
These population studies that we've done have created

0:11:05.973,0:11:08.552
tons of miracle drugs that have saved millions of lives,

0:11:08.552,0:11:10.987
but the problem is that health care

0:11:10.987,0:11:15.067
is treating us as averages, not unique individuals,

0:11:15.067,0:11:16.614
because at the end of the day,

0:11:16.614,0:11:19.869
the patient is not the same thing as the population

0:11:19.869,0:11:23.147
who are studied. That's what's leading to the guesswork.

0:11:23.147,0:11:24.985
The technologies that are coming,

0:11:24.985,0:11:27.074
high-performance computing, analytics,

0:11:27.074,0:11:28.991
big data that everyone's talking about,

0:11:28.991,0:11:31.910
will allow us to build predictive models for each of us

0:11:31.910,0:11:33.864
as individual patients.

0:11:33.864,0:11:38.323
And the magic here is, experiment on my avatar

0:11:38.323,0:11:43.124
in software, not my body in suffering.

0:11:43.124,0:11:45.607
Now, I've had two examples I want to quickly share with you

0:11:45.607,0:11:48.166
of this kind of care customization on my own journey.

0:11:48.166,0:11:51.343
The first was quite simple. I finally realized some years ago

0:11:51.343,0:11:55.220
that all my medical teams were optimizing my treatment for longevity.

0:11:55.220,0:11:57.974
It's like a badge of honor to see how long they can get the patient to live.

0:11:57.974,0:12:01.041
I was optimizing my life for quality of life,

0:12:01.041,0:12:05.421
and quality of life for me means time in snow.

0:12:05.421,0:12:08.251
So on my chart, I forced them to put, "Patient goal:

0:12:08.251,0:12:12.017
low doses of drugs over longer periods of time,

0:12:12.017,0:12:15.263
side effects friendly to skiing."

0:12:15.263,0:12:17.915
And I think that's why I achieved longevity.

0:12:17.915,0:12:20.147
I think that time-in-snow therapy was as important

0:12:20.147,0:12:22.280
as the pharmaceuticals that I had.

0:12:22.280,0:12:24.595
Now the second example of customization -- and by the way,

0:12:24.595,0:12:26.491
you can't customize care if you don't know your own goals,

0:12:26.491,0:12:29.860
so health care can't know those until you know your own health care goals.

0:12:29.860,0:12:31.572
But the second example I want to give you is,

0:12:31.572,0:12:33.359
I happened to be an early guinea pig,

0:12:33.359,0:12:36.963
and I got very lucky to have my whole genome sequenced.

0:12:36.963,0:12:39.285
Now it took about two weeks of processing

0:12:39.285,0:12:41.409
on Intel's highest-end servers to make this happen,

0:12:41.409,0:12:44.441
and another six months of human and computing labor

0:12:44.441,0:12:47.003
to make sense of all of that data.

0:12:47.003,0:12:50.053
And at the end of all of that, they said, "Yes,

0:12:50.053,0:12:52.491
those diagnoses of that clash of medical titans

0:12:52.491,0:12:54.875
all of those years ago were wrong,

0:12:54.875,0:12:57.149
and we have a better path forward."

0:12:57.149,0:12:59.534
The future that Intel's working on now is to figure out

0:12:59.534,0:13:01.731
how to make that computing for personalized medicine

0:13:01.731,0:13:05.484
go from months and weeks to even hours,

0:13:05.484,0:13:07.155
and make this kind of tool available,

0:13:07.155,0:13:10.973
not just in the mainframes of tier-one research hospitals around the world,

0:13:10.973,0:13:13.779
but in the mainstream -- every patient, every clinic

0:13:13.779,0:13:15.928
with access to whole genome sequencing.

0:13:15.928,0:13:18.271
And I tell you, this kind of care customization

0:13:18.271,0:13:21.097
for everything from your goals to your genetics

0:13:21.097,0:13:22.862
will be the most game-changing transformation

0:13:22.862,0:13:26.444
that we witness in health care during our lifetime.

0:13:26.444,0:13:29.378
So these three pillars of personal health,

0:13:29.378,0:13:32.236
care anywhere, care networking, care customization,

0:13:32.236,0:13:33.483
are happening in pieces now,

0:13:33.483,0:13:37.266
but this vision will completely fail if we don't step up

0:13:37.266,0:13:41.267
as caregivers and as patients to take on new roles.

0:13:41.267,0:13:42.920
It's what my friend Verna said:

0:13:42.920,0:13:45.041
Wake up and take control of your health.

0:13:45.041,0:13:46.630
Because at the end of the day these technologies

0:13:46.630,0:13:50.527
are simply about people caring for other people

0:13:50.527,0:13:53.938
and ourselves in some powerful new ways.

0:13:53.938,0:13:55.498
And it's in that spirit that I want to introduce you

0:13:55.498,0:13:58.049
to one last friend, very quickly.

0:13:58.049,0:14:01.916
Tracey Gamley stepped up to give me the impossible kidney

0:14:01.916,0:14:06.597
that I was never supposed to have.

0:14:06.597,0:14:22.276
(Applause)

0:14:22.992,0:14:27.349
So Tracey, just tell us a little bit quickly about what the donor experience was like with you.

0:14:27.349,0:14:29.233
Tracey Gamley: For me, it was really easy.

0:14:29.233,0:14:31.184
I only had one night in the hospital.

0:14:31.184,0:14:32.888
The surgery was done laparoscopically,

0:14:32.888,0:14:36.094
so I have just five very small scars on my abdomen,

0:14:36.094,0:14:38.133
and I had four weeks away from work

0:14:38.133,0:14:40.016
and went back to doing everything I'd done before

0:14:40.016,0:14:41.532
without any changes.

0:14:41.532,0:14:44.518
ED: Well, I probably will never get a chance to say this to you

0:14:44.518,0:14:46.977
in such a large audience ever again.

0:14:46.977,0:14:49.764
So "thank you" feel likes a really trite word,

0:14:49.764,0:14:52.226
but thank you from the bottom of my heart for saving my life.

0:14:52.226,0:14:58.109
(Applause)

0:14:58.109,0:15:00.558
This TED stage and all of the TED stages

0:15:00.558,0:15:03.284
are often about celebrating innovation

0:15:03.284,0:15:04.393
and celebrating new technologies,

0:15:04.393,0:15:06.678
and I've done that here today,

0:15:06.678,0:15:09.007
and I've seen amazing things coming from TED speakers,

0:15:09.007,0:15:13.040
I mean, my gosh, artificial kidneys, even printable kidneys, that are coming.

0:15:13.040,0:15:16.221
But until such time that these amazing technologies

0:15:16.221,0:15:19.259
are available to all of us, and even when they are,

0:15:19.259,0:15:23.686
it's up to us to care for, and even save, one another.

0:15:23.686,0:15:26.124
I hope you will go out and make personal health happen

0:15:26.124,0:15:30.052
for yourselves and for everyone. Thanks so much.

0:15:30.052,0:15:34.699
(Applause)