And a video of it (skip to 11:45)
We were an honourable mention (the first honourable mention, which I count as runner up ;) and I have a team photo (as well as other photos of the day) here.
(Edit - I'm putting in here a better discription of what we did - apologies, I've spent too long staring at medical textbooks and not long enough writing creatively)
Hackathons are a day where all manner of people (programmers, business managers, mathematicians etc) get together to discuss problems and find solutions. In this case, I got attached to a group of programmers who were looking for possible uses of a Leap Motion device (https://www.leapmotion.com/). The device uses infra red to detect the position of the palm of the hand and all five fingers and records the position.
Working
with the team over the weekend, we discovered how it could be used to
measure tremors in the hand. Amongst the possibilities this opens, it
can be used to objectively record a patient's progression over time,
whether it is monitoring a disease such as Parkinsons, assessing the
effect of medication or rehabilitative physiotherapy. So far as I am
aware, there is no clinical objective measure on the severity of tremor, there
only seems to be approximations based on quality of life measures.
The possibilities of what we created seem colossal, and I was excitedly talking to other clinicians about how neurological diseases could be monitored, and how GPs, on seeing a new patient can exactly track the extent of a disease, or when transferring patients around a hospital, a doctor can look at a graph and see instantly the extent of a patient's tremor.
It opens possibilities for further subdividing tremors which currently consist of "does it interfere with a patient's life or not", and (excitingly) it may uncover new types of tremor to subdivide existing disease classifications, discover new syndromes, and find ways to assess the early onset of conditions.
A random list of clinical applications as I think of them
ReplyDelete- Effect of deep brain stimulation
- Recovery from brachial plexus/spinal trauma
- Monitoring progression of Parkinsons/Huntingdons (in terms of decline or medication)
- Detecting early onset of such diseases
- Efficacy of physiotherapy
- Hyperthyroidism (and quantify advantages of Thyroidectomy vs thyroid reducing drugs)
- Monitoring narcotic withdrawal (drug, alcohol, tobacco...even coffee?)
- Detecting placebo induced tremor
Hello Fraser, congratulations on some excellent work over the weekend. I was at the last hack day, so I understand the energy and vibe that you have experienced! It is quite something ;)
ReplyDeleteYou are ahead of me with the thyroid connection, I'm a thyroid doctor amongst other things, so it would be wonderful to collaborate.
I know of Rob's work in the open source world and I was also having some ideas about healthcare professionals controlling elements of the EPR with gestures.
Everyone agrees that most health care professionals Will not go beyond a single click to accomplish a task- maybe gestures offer a way past this block?
I've connected with you through Google+, are you on twitter? Me = swelldiabetes
Once again congratulations on all that you and the team achieved, and on a wonderful write up as well
Pete
Thank you very much, and thyroid was just a random thought, so I hope I've not leapt too far ahead and your input there would be invaluable.
ReplyDeleteI found you on Twitter. Mine is #Fraser_ThomsonY...probably should have chosen a better name, but I was young and innocent
On the matter of thyroids, one of the thoughts I had was how much of a tremor might correlate to, say, TSH levels. Is that something you've come across much? I know that hyperactivity is a symptom (although I gather it doesn't always present).
ReplyDeleteApologies for my lack of knowledge, I'm currently in my first year and the thyroid was several modules ago.
Thanks Fraser, we are now connected on twitter.
ReplyDeleteIn my endocrine clinic, the medical students have more tremor and lid retraction than my thyrotoxic patients ;)
I have skin in the game as well, I have a moderate benign postural tremor (I would not have made it as a surgeon), & I don't help matters with my caffeine intake.
If you're not too busy with exams, maybe a Google hangout could be a good way to discuss?
Cheers
That would be good. This week is strokes, and very busy (being a bank holiday its now squashed into 4 days - you know how it is) but hopefully at the weekend.
ReplyDeleteI have long felt a special connection with herbal medicine. First, it's natural, Charlie attended the same small college in Southern California - Claremont Men's College - although he dropped out of school to enroll in the Julliard School of Performing Arts in New York. York. Had he been to Claremont, he would have been senior the year I started there; I often thought that was the reason he was gone when he discovered that I had herpes. So, my life was lonely, all day, I could not stand the pain of the outbreak, and then Tasha introduced me to Dr. Itua who uses her herbal medicines to cure her two weeks of consumption. I place an order for him and he hands it to my post office, then I pick it up and use it for two weeks. All my wound is completely healed no more epidemic. I tell you honestly that this man is a great man, I trust him Herbal medicine so much that I share this to show my gratitude and also to let sick people know that there is hope with Dr. Itua. Herbal Center.Dr Itua Contact Email.drituaherbalcenter@gmail.com/Whatsapp ... +2348149277967
ReplyDeleteHe cures.
Herpes,
Prostate
Breast Cancer
Brain Cancer
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,Endomertil Cancer, cerebrovascular diseases
Hepatitis,Glaucoma., Cataracts,Macular degeneration,Cardiovascular disease,Lung disease.Enlarged prostate,Osteoporosis.Alzheimer's disease,
Dementia.Tach Disease,Shingles,
Lung Cancer, Leukemia Lymphoma Cancer,
Lung Mesothelioma Asbestos,
Ovarian Cervical Uterine Cancer,
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H.P.V TYPE 1 TYPE 2 TYPE 3 AND TYPE 4. TYPE 5.
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Blood Cancer
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Liver / Inflammatory kidney
Epilepsy