00;00;00;00 - 00;00;04;02 I’m Dr. Rob Winn and you're listening to Real Cancer Talk 00;00;04;03 - 00;00;07;14 from VCU Massey Comprehensive Cancer Center. 00;00;07;14 - 00;00;10;05 I am Miss Community Clovia. 00;00;10;05 - 00;00;14;25 Welcome to Community Conversations, the Black Health Winn’s podcast. 00;00;14;28 - 00;00;17;17 My special guest joining me on the show. He's the man of the hour. 00;00;17;17 - 00;00;19;29 Always too sweet to be sour. 00;00;19;29 - 00;00;24;25 Doctor Robert Winn, director of the VCU Massey Comprehensive Cancer Center. 00;00;25;00 - 00;00;26;02 How you doing, Dr. Winn? 00;00;26;02 - 00;00;28;04 Listen you know the answer to that. 00;00;28;04 - 00;00;31;12 Whenever I'm with you, I am good. Wow. 00;00;31;17 - 00;00;33;18 This is going to be a great show today. 00;00;33;18 - 00;00;37;11 And the focus is on something we talk about, share about, 00;00;37;11 - 00;00;38;26 and then some people are afraid about. 00;00;38;26 - 00;00;41;05 But we're going to we're going to lift the fear today. 00;00;41;05 - 00;00;44;15 Our focus is on artificial intelligence and health care, 00;00;44;15 - 00;00;48;29 specifically cancer care, and we are featuring our special guests. 00;00;49;05 - 00;00;51;29 He is Doctor Jim Weinstein, Senior Vice 00;00;51;29 - 00;00;54;29 President, Health Equity, Microsoft Health Care. 00;00;55;04 - 00;00;57;20 How are you, Doctor Weinstein? 00;00;57;20 - 00;01;01;19 I am great and it's great to be with my friends Robert and Clovia. 00;01;01;19 - 00;01;04;16 Thank you. Yes, thank you so much for being here. 00;01;04;16 - 00;01;09;16 And I'm thinking about AI and I'm like, AI as it relates to health care. 00;01;09;16 - 00;01;10;22 And let's start with this. 00;01;10;22 - 00;01;13;26 And we're going to go real deep Doctor Weinstein with this question. 00;01;14;03 - 00;01;16;15 What is artificial intelligence? 00;01;16;15 - 00;01;17;21 Let's start there. 00;01;17;21 - 00;01;17;29 Yeah. 00;01;17;29 - 00;01;21;05 So Clovia, if I could I just want to say a few things before 00;01;21;05 - 00;01;24;11 I answer that question for the audience. 00;01;24;27 - 00;01;28;01 First, good morning and thanks for listening and I'm honored 00;01;28;01 - 00;01;29;18 to be with you today. 00;01;29;18 - 00;01;34;01 I spent my life, just for background, in health care from the operating room 00;01;34;01 - 00;01;37;01 to halls of research and now at Microsoft, 00;01;37;25 - 00;01;40;09 because I believe we believe deeply 00;01;40;09 - 00;01;43;09 in one thing: people deserve better. 00;01;43;10 - 00;01;46;05 Yes, better access, better outcomes, 00;01;46;05 - 00;01;49;05 and better understanding of their health. 00;01;49;12 - 00;01;52;01 And I know with you and Robert today we're going to talk 00;01;52;01 - 00;01;54;04 about artificial intelligence. 00;01;54;04 - 00;01;57;25 I actually like actionable intelligence as opposed to artificial. 00;01;58;17 - 00;02;01;27 And I know that it can sound something like a sci 00;02;01;27 - 00;02;04;29 fi movie, but I want to bring it down to earth. 00;02;05;15 - 00;02;10;08 AI isn't about replacing people, it's about empowering them. 00;02;10;26 - 00;02;13;18 It's about helping your doctor spend more time 00;02;13;18 - 00;02;17;13 listening to you, not typing it into a computer. 00;02;17;26 - 00;02;21;18 It's about making sure your grandmother in rural Virginia 00;02;21;29 - 00;02;26;11 gets the same quality of care as someone in the big city. 00;02;26;27 - 00;02;31;10 And on a personal note, I've seen the gaps in our system. 00;02;31;10 - 00;02;34;11 We lost our first daughter to cancer at age 12. 00;02;34;29 - 00;02;39;00 I've seen the disparities in care, misdiagnosis, 00;02;39;11 - 00;02;43;11 people falling through the cracks, and I'm hoping that AI 00;02;43;19 - 00;02;47;07 will give us all a chance to close those gaps. 00;02;47;27 - 00;02;52;27 But only if we build it together as a community with trust, 00;02;53;08 - 00;02;57;06 transparency and again community at the center. 00;02;57;10 - 00;03;00;07 One size does not fit all. 00;03;00;07 - 00;03;05;25 So let's talk about what's real, what's possible and how we can together 00;03;06;05 - 00;03;11;01 shape the future where technology serves people, not the other way around. 00;03;11;13 - 00;03;13;28 So I just want to start with that. 00;03;13;28 - 00;03;14;21 Sorry. 00;03;14;21 - 00;03;17;09 Oh, thank you so much, Doctor Weinstein. 00;03;17;09 - 00;03;19;23 Because I was going to go into your background. 00;03;19;23 - 00;03;23;12 But what was most important and that was something that was in 00;03;23;12 - 00;03;27;25 in your bio about you losing your child at the age of 12 years old. 00;03;27;25 - 00;03;31;12 So now this conversation takes on a new meaning 00;03;31;15 - 00;03;34;28 when it comes to actionable intelligence. 00;03;34;28 - 00;03;38;27 In fact, you established the first in the nation, Center for Shared Decision 00;03;38;27 - 00;03;40;01 Making at Dartmouth 00;03;40;01 - 00;03;44;16 and instituted Patient Reporting Outcome Measures known as PROMS. 00;03;44;16 - 00;03;47;18 So it's more than just you give us options, 00;03;47;18 - 00;03;50;18 but you have a choice in the matter when it comes to treatment. 00;03;50;19 - 00;03;53;18 So I thank you for all of the work that you're doing in that space. 00;03;53;18 - 00;03;57;08 So now let's get back to the actionable intelligence. 00;03;57;08 - 00;03;59;10 What exactly does that mean? 00;03;59;10 - 00;04;02;23 Yeah, I think the way I think about it is 00;04;02;23 - 00;04;07;22 that it's a way for computers that we all today use 00;04;08;02 - 00;04;12;07 to learn from data and help us make better decisions. 00;04;12;15 - 00;04;16;14 In health care, it's already helping doctors read X-rays 00;04;16;14 - 00;04;20;24 faster, predict who might be at risk for a certain disease, 00;04;21;09 - 00;04;25;11 and even support patients in managing their chronic conditions. 00;04;25;25 - 00;04;29;21 At Microsoft, we're using AI to reduce the burden 00;04;29;21 - 00;04;33;25 on clinicians and improve access to care for patients, 00;04;34;06 - 00;04;38;26 especially in communities that have historically been underserved. 00;04;39;10 - 00;04;40;23 Yeah, no, this is great. 00;04;40;23 - 00;04;45;14 And you know what's sister Clo, I told you, you know, he was I told you. 00;04;45;14 - 00;04;48;14 Yeah. He’s the one, you know. So Dr. 00;04;48;14 - 00;04;51;24 Weinstein, as you think about unpacking 00;04;51;24 - 00;04;56;03 that when we typically think about technologies, 00;04;56;08 - 00;05;00;19 the traditional thought, particularly in rural communities 00;05;00;19 - 00;05;04;07 and other at risk communities is that the technologies come. 00;05;04;24 - 00;05;06;23 They certainly benefit some. 00;05;06;23 - 00;05;10;05 But either A, they benefit communities, 00;05;10;14 - 00;05;15;27 for example, you know, you know, we'd say poor communities, rural communities, 00;05;16;09 - 00;05;19;26 either not at all or at later times, you know. 00;05;19;26 - 00;05;23;14 And sometimes, you know, we say that a miracle drug may actually happen 00;05;23;24 - 00;05;27;19 and it may take 10., 20, 30 years before it hits some of these, you know, 00;05;27;23 - 00;05;29;09 poor areas, rural areas. 00;05;29;09 - 00;05;32;06 As you're thinking about the potential with 00;05;32;06 - 00;05;35;22 AI and what I love about it is it's actionable intelligence. 00;05;36;01 - 00;05;37;06 How would that 00;05;38;15 - 00;05;39;17 potentially 00;05;39;17 - 00;05;42;24 level the playing field or make the playing field worse 00;05;43;12 - 00;05;46;16 in the context of, you know, probably getting the best, 00;05;46;26 - 00;05;49;26 to so that not just to some, but to everyone? 00;05;50;11 - 00;05;52;01 No, I think Dr. 00;05;52;01 - 00;05;56;03 Winn, that's a really important question to me personally as you know. 00;05;56;06 - 00;06;03;25 One of my fears is that we potentially increase the disparities. 00;06;04;03 - 00;06;07;14 So, so the haves and the have nots, so to speak. 00;06;08;04 - 00;06;10;21 I'm really hoping 00;06;10;21 - 00;06;13;21 that AI will help us move from a system 00;06;13;26 - 00;06;17;24 that reacts to illness, that one prevents it. 00;06;18;12 - 00;06;22;20 But because everybody most everybody has a cell phone 00;06;22;20 - 00;06;27;15 or some remote tool, with these tools 00;06;27;15 - 00;06;32;24 now everybody has access to this kind of ability if they want to. 00;06;33;03 - 00;06;38;15 What can people do, Doctor Weinstein, to make it less scary or intimidating? 00;06;38;29 - 00;06;44;06 You know, I think that, you know, a lot of people are afraid of this technology. 00;06;44;06 - 00;06;46;26 Like, I don't even want to try it. 00;06;46;26 - 00;06;48;15 I'm cheating. 00;06;48;15 - 00;06;52;08 I it might use my information the wrong way. 00;06;52;21 - 00;06;58;27 And I think it can sound intimidating, but at its core, the way I like 00;06;58;27 - 00;07;04;05 to think about it, it's just a tool, like a stethoscope that the doctor uses 00;07;05;17 - 00;07;08;04 or an MRI or Cat scan machine. 00;07;08;04 - 00;07;10;20 What matters is how it's used. 00;07;10;20 - 00;07;15;27 We're designing AI to support, not replace doctors and nurses, 00;07;16;00 - 00;07;19;03 and we're making sure that it's built with fairness. 00;07;19;03 - 00;07;22;15 Back to the question of disparities and equity. 00;07;22;15 - 00;07;23;24 And it's transparent. 00;07;23;24 - 00;07;26;24 So it works for everyone, not just a few. 00;07;27;06 - 00;07;28;18 And it's about trust. 00;07;28;18 - 00;07;31;17 And that starts with listening to the community 00;07;31;17 - 00;07;34;17 which you guys do incredibly well. Yeah. 00;07;34;28 - 00;07;39;04 Doctor Weinstein when I'm thinking about what you said 00;07;39;04 - 00;07;42;25 when it comes to artificial intelligence, let's go there with AI. 00;07;43;04 - 00;07;46;09 To some folks, when we talking about the scare tactics 00;07;46;09 - 00;07;50;17 or everything that we see locally and globally, that eventually 00;07;50;17 - 00;07;54;09 AI will replace humans, you know, that's some of the talks 00;07;54;17 - 00;07;57;00 that that's been happening in the community. 00;07;57;00 - 00;08;00;28 But you're saying, hey, AI, artificial intelligence 00;08;00;28 - 00;08;05;10 when it comes to the health care community, it is not meant to replace, 00;08;05;21 - 00;08;11;05 but to assist and help with better communications for the health care system. 00;08;11;05 - 00;08;12;21 Is that what you're saying? 00;08;13;23 - 00;08;14;17 Absolutely. 00;08;14;17 - 00;08;17;05 And that's what like actionable intelligence. 00;08;17;05 - 00;08;20;05 Yes, I worry about artificial, 00;08;20;09 - 00;08;23;09 but I want it to be actionable. 00;08;23;11 - 00;08;28;10 I wanted to actually imagine a health system where patients, when well 00;08;28;10 - 00;08;34;13 informed by these tools, receive only the care they want and actually need. 00;08;35;01 - 00;08;37;13 And and I just think AI 00;08;37;13 - 00;08;42;05 can help close some of these gaps and bring quality health 00;08;42;05 - 00;08;44;16 care to every zip code. 00;08;44;16 - 00;08;47;15 But we have to, as I said before, do it together, 00;08;48;00 - 00;08;51;29 with the communities, not just for the communities. 00;08;52;25 - 00;08;55;08 I love that. I love that too. 00;08;55;08 - 00;08;57;03 We're going to take a break and come on back. 00;08;57;03 - 00;08;58;16 We are talking about 00;08;58;16 - 00;09;02;18 actionable intelligence in health care and specifically cancer. 00;09;02;18 - 00;09;06;05 So Jim, you know, that last segment, I mean, really got me going. 00;09;06;05 - 00;09;09;10 And, and I'm now thinking, 00;09;09;10 - 00;09;12;19 about trying to unpack it just another level. 00;09;13;08 - 00;09;15;23 You know, in our barbershops and our beauty salons 00;09;15;23 - 00;09;19;17 and even in some of the, you know, the racetracks that that are on Saturdays 00;09;19;17 - 00;09;22;17 and, Friday nights around Virginia and the Commonwealth, 00;09;22;24 - 00;09;26;24 there are now everyone's talking about artificial intelligence. 00;09;26;27 - 00;09;28;21 I think there are many people who don't. 00;09;28;21 - 00;09;32;00 But as I think about this, there seems to be three 00;09;32;00 - 00;09;36;14 simple things at a very high level that I think may need some explanation, 00;09;36;14 - 00;09;39;27 like one people will always ask, well, how did I get my data? 00;09;40;08 - 00;09;41;27 How did they know about me? 00;09;41;27 - 00;09;46;01 And there are common everyday things in which the data is being collected. 00;09;46;01 - 00;09;49;03 And what I'd like to be able to do is to maybe have you 00;09;49;03 - 00;09;53;13 at a very high level, talk about the components, really to AI. 00;09;53;13 - 00;09;57;08 In my mind, data collection and the complicated computing 00;09;57;08 - 00;09;59;06 that needs to go in along with that. 00;09;59;06 - 00;10;03;22 And if you could, at a very high level and in the simplest terms, algorithms, 00;10;03;22 - 00;10;05;17 because everyone's talking about algorithms 00;10;05;17 - 00;10;09;00 as they relate that Tik-Tok or, you know, all the rest of these other things. 00;10;09;23 - 00;10;12;27 And then when we think about the interface of the, 00;10;12;27 - 00;10;17;27 of the usable forms of AI, what does that interface look like 00;10;17;27 - 00;10;21;06 and how could those interfaces make and improve our lives? 00;10;21;06 - 00;10;25;12 And so I know that's a whole lot, but, I just would like to actually 00;10;25;12 - 00;10;28;25 have you maybe touch, if you could on on those three things. 00;10;28;25 - 00;10;30;18 How do they get the data about us? 00;10;30;18 - 00;10;32;27 What does it mean when we talk about algorithms? 00;10;32;27 - 00;10;34;26 Because that's the new hot term these days. 00;10;34;26 - 00;10;39;10 And then how are you looking, to make the interface 00;10;39;10 - 00;10;42;18 with this tool to actually enhance our lives? 00;10;42;19 - 00;10;44;00 I know that's a mouthful. 00;10;44;00 - 00;10;46;03 No, no, it's it's really super Dr. 00;10;46;03 - 00;10;47;22 Winn, thank you for asking. And Clovia. 00;10;49;08 - 00;10;49;28 So let 00;10;49;28 - 00;10;52;28 me just make it as simple as possible. 00;10;53;02 - 00;10;56;14 I think I'm an algorithm as a step 00;10;56;14 - 00;11;01;13 by step set of instructions or rules 00;11;01;28 - 00;11;04;15 designed to perform a specific 00;11;04;15 - 00;11;07;17 task or solve a specific problem. 00;11;08;01 - 00;11;11;01 And in simple terms, think of it like a recipe. 00;11;11;07 - 00;11;12;29 Baking a cake. 00;11;12;29 - 00;11;15;29 There's ingredients are your inputs, 00;11;16;08 - 00;11;21;19 the steps that you have to mix the ingredients in a certain specific 00;11;21;19 - 00;11;23;07 set of steps. 00;11;23;07 - 00;11;27;00 And the dish, the actual cake is the output, right? 00;11;27;19 - 00;11;29;24 But there's a lot of things that happen there. 00;11;29;24 - 00;11;34;14 And I watch your grandma or mom in a cake and you think, oh, that's pretty simple. 00;11;34;14 - 00;11;38;04 Just put some eggs and flour and a little bit of sugar or whatever. 00;11;38;12 - 00;11;39;23 It's not so simple. 00;11;39;23 - 00;11;43;02 Sometimes it looks simple because grandma has done it so many times. 00;11;43;18 - 00;11;46;28 Just like these tools look so simple 00;11;47;10 - 00;11;51;12 because a lot of people spend a lot of time collecting data. 00;11;51;17 - 00;11;53;01 Your other question Dr. 00;11;53;01 - 00;11;55;12 Winn, from everywhere. 00;11;55;12 - 00;12;01;10 Just assume that these systems have read everything 00;12;02;02 - 00;12;06;19 the Bible, the New Testament, the Old Testament. 00;12;07;15 - 00;12;10;21 You could ask questions about any of those things. 00;12;10;25 - 00;12;13;22 And your partner now, 00;12;13;22 - 00;12;17;08 this tool you have in your hands, we call it copilot. 00;12;17;08 - 00;12;21;22 You can use whatever tool you want, but we like the copilot 00;12;21;22 - 00;12;25;01 because we all kind of need assistance in doing what we're doing. 00;12;25;01 - 00;12;26;18 We're copilots today. 00;12;26;18 - 00;12;27;19 We're. I'm. 00;12;27;19 - 00;12;30;11 I'm on your airplane. Dr. 00;12;30;11 - 00;12;32;00 Winn and Clovia. 00;12;32;00 - 00;12;33;16 I'm a passenger. 00;12;33;16 - 00;12;37;16 And I got my confidence that you're going to walk me through this 00;12;37;16 - 00;12;38;15 and take me through this 00;12;38;15 - 00;12;43;19 so we can help the listeners understand those algorithms, that data. 00;12;43;19 - 00;12;45;13 And to the user interface, 00;12;46;27 - 00;12;49;27 you know, once you have this information, 00;12;50;15 - 00;12;53;18 what's been a problem, which has really been, you know, 00;12;53;18 - 00;12;57;24 the big thing to me is what they call these language models. 00;12;57;24 - 00;13;00;29 And there's different terms for them large language models, 00;13;00;29 - 00;13;03;29 LLM’s, small language models. 00;13;04;02 - 00;13;08;21 But that just means now you can actually communicate 00;13;08;21 - 00;13;13;01 with these tools with your own voice in any language. 00;13;13;22 - 00;13;18;02 And so that's the big change because these key 00;13;18;06 - 00;13;21;08 things can see that can hear, they can talk. 00;13;22;00 - 00;13;24;17 And that's what's changed today. 00;13;24;17 - 00;13;29;06 And once you can talk to somebody like friend or your mom making a cake 00;13;29;15 - 00;13;33;19 to put those ingredients together, you can learn how to do it too. 00;13;34;18 - 00;13;36;28 You know, what I love about what you just said? 00;13;36;28 - 00;13;39;06 And I'm being a little bit silly here. 00;13;39;06 - 00;13;43;10 But for example, if there was a recipe back in the day 00;13;43;22 - 00;13;48;00 that, a group of people used to make, what they're suggesting is that there 00;13;48;00 - 00;13;52;12 may be enough data now that has been, that comes from everywhere. 00;13;52;12 - 00;13;53;14 How you shop. 00;13;53;14 - 00;13;56;09 You know, everyone thinks that, they can go off grid, 00;13;56;09 - 00;13;59;09 but if you have, you know, but if you, you know, 00;13;59;09 - 00;14;01;05 you have a cell phone, you use things, right? 00;14;01;05 - 00;14;03;21 I mean, you know, there's people collecting data all the time. 00;14;03;21 - 00;14;07;20 I remind people that before the event, you know, advent of AI, 00;14;07;21 - 00;14;09;03 people were still collecting data. 00;14;09;03 - 00;14;12;03 So, yeah, AI didn't create the data collection, right? 00;14;12;03 - 00;14;15;08 I mean, so, you know, this is why we have cencus and other things like that. 00;14;15;08 - 00;14;18;27 But what I love, what you just said, is that if there was something that I wanted 00;14;18;27 - 00;14;24;02 to learn about being silly, making a, 00;14;24;29 - 00;14;27;29 for lack of a better sort of example, I wanted to make, 00;14;27;29 - 00;14;33;14 Turkish coffee, I could go there's enough data 00;14;33;14 - 00;14;37;25 collected about how to make that that I could now access that. 00;14;38;06 - 00;14;40;15 And it would say, here's Turkish coffee. 00;14;40;15 - 00;14;41;10 This is what it is. 00;14;41;10 - 00;14;45;00 And even maybe even the history informing me and the, 00;14;45;00 - 00;14;48;24 and then I would be able to use that information and then do it. 00;14;49;06 - 00;14;53;11 I think where the algorithm then comes in, where I think most people get really 00;14;53;11 - 00;14;58;04 nervous about is that, well, I'm now use my phone, I use my laptop, 00;14;58;06 - 00;15;01;11 and then I, I've searched, for Turkish coffee. 00;15;01;11 - 00;15;02;08 Now I can make it. 00;15;02;08 - 00;15;06;20 And all of a sudden, now I go to my laptop, and I go to my phone 00;15;06;20 - 00;15;09;23 and I have these advertisements for, 00;15;09;23 - 00;15;12;23 for, Turkish coffee or, etc., etc.. 00;15;12;27 - 00;15;14;14 How does that algorithm? 00;15;14;14 - 00;15;16;08 Because when people get afraid of algorithms, 00;15;16;08 - 00;15;17;26 they're like, well, now they're tracking me. 00;15;17;26 - 00;15;21;19 How do you dispel the myth that they're really I mean, that 00;15;21;19 - 00;15;26;13 this is just something that is not actually entirely a negative thing. 00;15;26;19 - 00;15;27;25 To, to, to your point. 00;15;27;25 - 00;15;30;17 So we should have some Turkish coffee some time. 00;15;30;17 - 00;15;34;03 But I think that the point here is that so 00;15;34;03 - 00;15;37;12 today in medicine, it's become quite sophisticated. 00;15;37;12 - 00;15;43;19 We can use your DNA, the very tools that we make ourselves and make us. 00;15;43;19 - 00;15;47;02 We can act that we can actually talk to that data too. 00;15;47;13 - 00;15;50;16 It's become so important in cancer treatment. 00;15;50;16 - 00;15;51;16 Since you know, Dr. 00;15;51;16 - 00;15;54;16 Winn that we understand 00;15;54;20 - 00;15;59;21 even the genetics of an individual to get a more targeted treatment 00;15;59;22 - 00;16;04;26 that may be much less toxic than traditional chemotherapy etc.. 00;16;05;22 - 00;16;09;21 But to your point about, are people tracking 00;16;10;09 - 00;16;13;06 it, depends on which tool you use. 00;16;13;06 - 00;16;15;25 And if you go in a private setting or don't. 00;16;15;25 - 00;16;20;19 We have tools at Microsoft that are private so they never collect and if your data 00;16;21;21 - 00;16;24;04 and I recommend that for people that are worried. 00;16;24;04 - 00;16;27;04 On the other, you know, like clinical trials for cancer, 00;16;27;16 - 00;16;31;17 you're being asked to share data so that we can actually learn something 00;16;31;17 - 00;16;35;14 from a group of people or a population of people like me. 00;16;35;25 - 00;16;39;26 So when I get a treatment, it's really targeted to people like me. 00;16;40;18 - 00;16;43;28 So sharing data can have a lot of positives, but 00;16;43;28 - 00;16;47;08 one can certainly understand one's fear 00;16;47;22 - 00;16;50;22 of having their privacy or being trapped. 00;16;50;26 - 00;16;55;07 But you can turn tools on or off to do that, and that's your choice. 00;16;55;07 - 00;16;57;12 At least with our products. 00;16;57;12 - 00;17;00;26 Thank you so much for, for and what I love about what you just said. 00;17;00;26 - 00;17;03;11 And Sister Chlo, I'm going to come back to you and say good, good. 00;17;03;11 - 00;17;08;21 But you know what I loved about what you just said is that we are not powerless. 00;17;08;27 - 00;17;11;14 Number one, we have to be more knowledgeable. 00;17;11;14 - 00;17;13;20 Number two, by sharing information, 00;17;13;20 - 00;17;17;20 we now have cancers that we never thought we would be able to treat. 00;17;17;29 - 00;17;20;17 We're now able to treat with the power of knowledge. 00;17;20;17 - 00;17;24;12 And so there is and and I know in New Jersey 00;17;24;12 - 00;17;27;12 they've started doing this information literacy. 00;17;27;14 - 00;17;31;09 And you know, Sister Clo, remember we talked about this once where, you know, 00;17;31;09 - 00;17;34;08 maybe you get those folks from New Jersey, but there were a couple, New Jersey, 00;17;34;08 - 00;17;35;18 I think teachers and principals. 00;17;35;18 - 00;17;36;19 Who are now putting 00;17;36;19 - 00;17;40;06 in the curriculum in New Jersey that all of their high school graduates 00;17;40;16 - 00;17;41;17 have to graduate. 00;17;41;17 - 00;17;45;25 But one of the courses they have to take is this context of information literacy, 00;17;46;11 - 00;17;49;09 how to know what's real, how to cross-check it. 00;17;49;09 - 00;17;52;28 And I think that to your point, Dr. 00;17;52;28 - 00;17;56;28 Weinstein, is that we all need to do a better job. 00;17;56;28 - 00;17;59;28 In the, not only demystifying this tool, 00;18;00;05 - 00;18;05;07 but arming our public about more knowledge about what would, and 00;18;05;07 - 00;18;08;23 how could we assess what good information is, what bad information is. 00;18;08;23 - 00;18;12;21 And and there are now, I think, efforts throughout the country, 00;18;13;15 - 00;18;16;21 certainly in the levels of, of high schools and things like that, 00;18;16;21 - 00;18;20;15 where people are starting to talk about how do you implement, 00;18;20;15 - 00;18;24;16 information literacy so that when people think about media 00;18;24;16 - 00;18;25;26 and they think about resources 00;18;25;26 - 00;18;28;24 and they think about all this stuff that's being thrown at them, 00;18;28;24 - 00;18;31;24 how to evaluate it, and, just wanted to know, 00;18;32;13 - 00;18;36;04 you know, if you had any reflections or any thoughts about that? 00;18;36;14 - 00;18;38;10 Well, I think the, 00;18;38;10 - 00;18;42;06 the issue you're talking about, I don't think it's just kids in school. 00;18;42;06 - 00;18;44;17 I think it's it's us. 00;18;44;17 - 00;18;48;04 It's, as you might know, spoken to a lot of, 00;18;48;06 - 00;18;51;06 medical schools. 00;18;51;06 - 00;18;55;14 And when you're talking to the students, not you're just talking about 00;18;55;14 - 00;18;59;27 they are starting to understand, you know, information literacy 00;18;59;27 - 00;19;04;12 and how they actually understand how to use these tools. 00;19;05;00 - 00;19;08;15 But their teachers are actually afraid they don't want to learn. 00;19;08;19 - 00;19;11;10 So there's this generational problem. 00;19;11;10 - 00;19;15;22 I think we also have to overcome, because mom 00;19;15;26 - 00;19;19;21 might not want to do this, and grandpa wants to do it a lot. 00;19;20;05 - 00;19;23;17 And Johnny has been doing the behind the scenes a long time. 00;19;23;22 - 00;19;27;01 So so there's a big gap here on this now. 00;19;27;01 - 00;19;29;18 It's in this information that you're talking about. 00;19;29;18 - 00;19;32;16 So we really need to focus on. 00;19;32;16 - 00;19;35;03 And I loved that New Jersey is doing 00;19;35;03 - 00;19;40;13 you know, this as part of the graduation curriculum because the future jobs 00;19;40;13 - 00;19;43;22 that people are thinking about may be very different. 00;19;44;02 - 00;19;49;12 And if you're going to study physics, which I highly recommend as a science, 00;19;49;25 - 00;19;53;23 you're going to start to understand math in ways. 00;19;53;23 - 00;19;56;04 You start to understand how these tools work, 00;19;56;04 - 00;20;00;02 because they're all based in a mathematical set of models. 00;20;00;20 - 00;20;04;01 And I didn't appreciate that studying biology, 00;20;04;02 - 00;20;07;17 human biology as much as I wish I had today. 00;20;07;27 - 00;20;12;29 Yeah, but we have to start training the future future generations. 00;20;12;29 - 00;20;16;03 We've been talking about actionable intelligence 00;20;16;09 - 00;20;20;06 in the health care space, specifically cancer care. 00;20;20;09 - 00;20;22;16 All right, Doctor Weinstein, we've been talking about 00;20;22;16 - 00;20;25;22 this actionable intelligence and how we shouldn't be afraid. 00;20;25;22 - 00;20;27;00 And now we need to learn more. 00;20;27;00 - 00;20;30;18 And algorithms and collecting data and all that good stuff. 00;20;30;25 - 00;20;32;07 I got a question. 00;20;32;07 - 00;20;32;24 When it 00;20;32;24 - 00;20;37;11 comes to clinical trials, which I understand 00;20;37;11 - 00;20;42;23 now, that they're very important, but we still have to convince a community. 00;20;42;23 - 00;20;45;26 When it comes to clinical trials, 00;20;45;26 - 00;20;48;15 are you considered a guinea pig? 00;20;48;15 - 00;20;50;17 You know, Clovia and Dr. 00;20;50;17 - 00;20;53;21 Winn, I used to run clinical trials at Dartmouth, 00;20;53;21 - 00;20;57;29 when I was practicing with an AI agent. 00;20;58;02 - 00;21;00;03 That's a common question. 00;21;00;03 - 00;21;03;06 And I think cancer trials are really important, 00;21;03;06 - 00;21;06;10 and we actually have a problem as Dr. 00;21;06;15 - 00;21;10;21 Winn knows, because recruiting people for these trials, it's very complicated. 00;21;10;21 - 00;21;11;11 And especially 00;21;11;11 - 00;21;15;08 when you're looking at trying to get, you know, racial representation. 00;21;15;08 - 00;21;21;00 African-American, Indian, Native Americans. 00;21;21;06 - 00;21;23;15 I mean, we don't, Hispanic. 00;21;23;15 - 00;21;26;16 We don't have the kind of cross-sectional enrollment 00;21;27;08 - 00;21;32;23 that I think when you're building is algorithms potentially causes a problem. 00;21;32;23 - 00;21;35;22 When you're baking a recipe we just talked about, 00;21;35;22 - 00;21;38;19 if you don't have representative populations, 00;21;38;19 - 00;21;43;04 I worry that the results are not generalizable. 00;21;43;05 - 00;21;46;07 They don't come to mean me. 00;21;46;13 - 00;21;48;21 They don't apply to me. 00;21;48;21 - 00;21;50;17 I don't think you're a guinea pig. 00;21;50;17 - 00;21;55;25 I wish more people would participate so we could have more generalizable trials. 00;21;55;25 - 00;21;59;01 But I think that fear of what you're doing 00;21;59;01 - 00;22;02;04 with this information and what's going to happen. 00;22;02;06 - 00;22;05;01 And can I dropout this trial? 00;22;05;01 - 00;22;06;09 Can I cross over? 00;22;06;09 - 00;22;10;08 All these important questions are not discussed. 00;22;10;08 - 00;22;15;19 And, and I think one of the nice things about, actionable intelligence, 00;22;15;19 - 00;22;20;03 AI tools we can talk about that you have on your phone. 00;22;20;17 - 00;22;25;12 You can talk to your phone about these questions 24/7, 00;22;25;12 - 00;22;28;11 and you'll get legitimate answers to your fears 00;22;28;27 - 00;22;32;12 before you even go to the doctor and talk about that trial. 00;22;32;12 - 00;22;35;12 And I think that could be a real benefit. 00;22;35;13 - 00;22;37;02 This is the final thing. I 00;22;38;04 - 00;22;40;05 ran a large clinical trial, 00;22;40;05 - 00;22;43;09 on spine surgery, which I was a spine surgeon, 00;22;44;02 - 00;22;47;02 and I use something called informed choice 00;22;47;06 - 00;22;49;24 versus informed consent. 00;22;49;24 - 00;22;52;15 I don't like the notion of informed consent 00;22;52;15 - 00;22;55;18 for a trial because it's, you know, too many pages. 00;22;55;18 - 00;22;57;28 The patient doesn't understand it. 00;22;57;28 - 00;23;04;07 Yeah, but when I used informed Choice, which was an audio visual interaction 00;23;04;07 - 00;23;08;04 about the trial, we had the highest representation 00;23;08;04 - 00;23;11;25 of African American and Hispanics of any trial in that country, 00;23;12;16 - 00;23;14;15 because they lost that fear. 00;23;14;15 - 00;23;17;11 And they had that trust. Yeah. 00;23;17;11 - 00;23;18;20 You know what? 00;23;18;20 - 00;23;19;06 Thank you. 00;23;19;06 - 00;23;23;12 So much Doctor Weinstein for all you do with the informed choice 00;23;23;16 - 00;23;25;09 versus the conformed consent. 00;23;25;09 - 00;23;29;03 Because a lot of times when I have to sign that whenever I'm going in 00;23;29;03 - 00;23;32;28 for my physical, I'm like, ooh, it's like you're telling me I have to do this. 00;23;33;08 - 00;23;36;26 But you give us all of the data, the information that we can collect 00;23;37;02 - 00;23;39;12 with the actionable intelligence. 00;23;39;12 - 00;23;41;17 Now we can ask questions. 00;23;41;17 - 00;23;45;15 Now you can start that dialog of communications with your doctors now, 00;23;45;21 - 00;23;49;16 because some doctors communicate with you until you form that relationship, 00;23;49;16 - 00;23;50;22 right Doctor Winn? 00;23;50;22 - 00;23;53;22 So now with this data that we have, yes. 00;23;53;27 - 00;23;56;00 That's what I think is the best part about this. 00;23;56;00 - 00;23;58;10 And Clo, thank you for asking that question. 00;23;58;10 - 00;24;01;12 You know, this concept of, you know, you need to, 00;24;01;14 - 00;24;04;13 you know, listen, new knowledge is going to advance the reason 00;24;04;13 - 00;24;08;29 why we now have 36% fewer Americans dying from cancer. 00;24;09;14 - 00;24;12;29 Which means 36% more people showing up to birthday parties 00;24;12;29 - 00;24;18;12 and family cookouts and graduation is because of new knowledge, since 1991. 00;24;18;23 - 00;24;21;17 And what I love about what your question was, 00;24;21;17 - 00;24;25;15 was this concept of, you know, people being a guinea pig 00;24;25;15 - 00;24;28;24 anticipates that one you don't know, and two, you mean malice. 00;24;28;25 - 00;24;30;29 And what I love about Doctor 00;24;30;29 - 00;24;34;10 Weinstein, what you've also said is that this new technologies is a tool. 00;24;35;01 - 00;24;39;22 There's no and that's the wonderful part about both clinical trials 00;24;39;22 - 00;24;43;29 and this new technology is that when applied in the best way, 00;24;44;12 - 00;24;49;07 it does nothing but try to advance the human health and wellness. 00;24;49;07 - 00;24;52;29 And what I love about what you were just talking about is that is 00;24;53;04 - 00;24;55;04 when clinical trials are at its best. 00;24;55;04 - 00;24;58;15 It allows for us to figure out new ways 00;24;58;15 - 00;25;01;17 in which we can cure cancer or at least treat cancer better. 00;25;01;28 - 00;25;05;22 When we find out what's happening with the new AI methodologies, in fact, 00;25;05;22 - 00;25;08;28 invite people in, in both, you know, and all we're doing, 00;25;09;00 - 00;25;11;13 we're advancing again, the wellness and health 00;25;11;13 - 00;25;15;02 that you don't have to be afraid that you have an idea before 00;25;15;02 - 00;25;19;01 you even meet your doctor or whoever health care provider that answer question. 00;25;19;05 - 00;25;21;07 Hey, they're saying I have pancreatic cancer. 00;25;21;07 - 00;25;23;20 What does that mean in simplest terms? 00;25;23;20 - 00;25;26;18 The AI tool could use that not as the be 00;25;26;18 - 00;25;30;02 all and all, but that as a beginning of a discussion with you, doc. 00;25;30;02 - 00;25;33;20 So, I mean, you know, yeah, I know we're coming to the end of the show, but, 00;25;33;20 - 00;25;35;00 you know, you know, 00;25;35;00 - 00;25;38;14 I'm back in the day from the 1980s where I'm still thinking about Kraftwerk, 00;25;38;28 - 00;25;41;15 computer games and stuff like that, and I could just 00;25;41;15 - 00;25;44;15 say, right, that what that song called, If they Could Only See Me Now. 00;25;44;19 - 00;25;48;14 I mean, we've come a long way in both the context 00;25;48;14 - 00;25;51;18 of where the technology is and what it could be used for. 00;25;51;18 - 00;25;55;20 And Doctor Weinstein, I can't say enough. 00;25;55;20 - 00;25;57;02 I can't thank you enough. 00;25;57;02 - 00;25;57;11 Yeah. 00;25;57;11 - 00;25;58;28 I can't thank you enough for being able 00;25;58;28 - 00;26;03;08 to agree to be here and really kind of help us unpack, 00;26;03;11 - 00;26;07;25 really what is a complicated, potentially complicated topic. 00;26;07;28 - 00;26;10;01 But you've done it in such a way that I think it's 00;26;10;01 - 00;26;13;01 really been really helpful to me and hopefully our listeners. 00;26;13;08 - 00;26;14;27 Well, that's pretty much how we. 00;26;14;27 - 00;26;17;15 Just say, well, yes. Sure. Oh, sorry. 00;26;17;15 - 00;26;19;02 Can I just say one more thing? 00;26;19;02 - 00;26;23;17 Because I think we were talking about recipes and algorithms. 00;26;24;01 - 00;26;27;19 If you're not part of the recipe, you're not going to be part of the cake. 00;26;29;27 - 00;26;31;21 Ok go, okay, oh. 00;26;31;21 - 00;26;32;22 Mic drop. 00;26;32;22 - 00;26;34;21 Oh that's it. That's how we're going to drop this. 00;26;34;21 - 00;26;38;16 So you go eat the cake and it may keep the oh excuse me, wrong show. 00;26;40;21 - 00;26;44;08 I love, if you’re not part of.... 00;26;44;11 - 00;26;46;12 That that's how we’re going to sum it up. 00;26;46;12 - 00;26;48;21 That's how we have we have to sum it up. 00;26;48;21 - 00;26;49;02 Oh, love. 00;26;49;02 - 00;26;50;06 We could do this show all day. 00;26;50;06 - 00;26;53;06 Doctor Jim Weinstein, senior vice president, 00;26;53;09 - 00;26;57;17 health equity, Microsoft health care all about actionable intelligence. 00;26;57;17 - 00;26;58;23 And you know him. 00;26;58;23 - 00;27;03;06 Doctor Robert Winn, director of the VCU Massey Comprehensive Cancer Center 00;27;03;08 - 00;27;06;06 where healthing it all the way up. 00;27;06;06 - 00;27;10;09 Thank you so much for listening to community conversations. 00;27;10;15 - 00;27;12;01 Black health wins podcast.