# Transcript: Minister of health

## Description

Who is Tomáš Šebek?



Tomáš Šebek is a well-known advocate of medicine and a surgeon, father of four children, and a licensed pilot. He is currently deeply focused on extending the healthy lifespan of Czechs. Together with colleagues, he previously founded the project uLékaře.cz. Today, among other things, it helps companies that recognize the importance of employee health from an employer’s perspective.

## Transcript

**[00:00:00]** 🎧🎧🎧

**[00:00:30]** TAKE OUT YOUR MOBILE PHONES

**[00:01:00]** TAKE OUT YOUR MOBILE PHONES

**[00:01:30]** I’ve prepared one for you right away.

**[00:01:35]** That means, if you’ve already been to breakfast,

**[00:01:39]** and I see some movement there,

**[00:01:42]** so again, the answer is no, which is good.

**[00:01:46]** So we welcome all the newcomers,

**[00:01:49]** who are seeing breakfast for the first time.

**[00:01:52]** Today I have for you,

**[00:01:56]** and it’s kind of a tradition by December,

**[00:01:59]** I have a kind of summary for you.

**[00:02:03]** This year,

**[00:02:07]** because we broadcast every month,

**[00:02:09]** there have been 12 Brain and Breakfast Aspecty sessions.

**[00:02:11]** There are 11, this is the 12th.

**[00:02:13]** But there have also been 12 Digestives.

**[00:02:15]** Digestive is basically a discussion,

**[00:02:17]** which always follows the respective Brain and Breakfast,

**[00:02:20]** where I invite additional guests on the topic.

**[00:02:23]** And I’ll try to make a summary of this year,

**[00:02:27]** but before I do that,

**[00:02:29]** I’ll change the question to this,

**[00:02:32]** if you were at breakfast for the first time,

**[00:02:34]** I’ll change the question to,

**[00:02:36]** what do you think this number 51 represents?

**[00:02:40]** I’ll ask the production to cut in a slide again.

**[00:02:46]** You can guess.

**[00:02:48]** Either it’s the age of the host, that’s me,

**[00:02:52]** or the number of people gathered here today,

**[00:02:56]** or the number of guests who in 2022,

**[00:03:00]** there’s a mistake, were in Brain and Breakfast and Digestives.

**[00:03:04]** So I’ll let it run for a moment,

**[00:03:06]** and meanwhile I’ll try to do the mentioned recap.

**[00:03:11]** Maybe some of you remember,

**[00:03:14]** that we started 2022 with bacteria

**[00:03:18]** and company culture with Pepoul Hocký.

**[00:03:21]** Then with Pavel Pumprla we got to leadership topics all the way to the top.

**[00:03:27]** Then Simona Bagárová mentioned seniors,

**[00:03:33]** and how important this care is here

**[00:03:37]** and that we are all actually part of this,

**[00:03:39]** because each of us will grow old one day.

**[00:03:41]** A very touching episode, highly recommended.

**[00:03:45]** Then there was Indian.

**[00:03:48]** On Earth Day, we welcomed Slava Zelený to me.

**[00:03:52]** We talked about how Indians live and what we could learn from them.

**[00:03:57]** Then there were presentations, and Martin Vázquez spoke about

**[00:04:02]** the power of words nowadays and how they work.

**[00:04:07]** We also connected this a bit with critical thinking.

**[00:04:11]** Kuba Nešetřil showed how worlds connect

**[00:04:15]** and we touched a bit on Česko Digital and the project he founded.

**[00:04:19]** And today, we will also talk a bit about digitalization.

**[00:04:23]** And Vladimír Beneš.

**[00:04:25]** Together, we looked into the human brain,

**[00:04:28]** and I personally fondly remember the Digestive,

**[00:04:33]** which came later, when Honza Tyl, who was a guest at the breakfast in December of last year,

**[00:04:39]** discussed with Vladimír Beneš

**[00:04:42]** and together with Vajclav Dyčmer about whether consciousness exists or not, and where it comes from.

**[00:04:47]** At the same time, artificial intelligence was already generating various images for us

**[00:04:51]** and we were asking it questions, so it was very interesting.

**[00:04:55]** Pepaholí about computational propaganda.

**[00:04:58]** There, we really focused on critical thinking about

**[00:05:01]** what is happening around us and media literacy.

**[00:05:06]** We can somewhat connect today's breakfast to what Vlado Zlatoš said.

**[00:05:12]** Personally, this breakfast with Vlado probably changed my life the most,

**[00:05:17]** and I even posted a bit on social media about

**[00:05:20]** how I changed my home, which now includes various grips and climbing frames, etc.

**[00:05:28]** and how my kids have now become little monkeys, always hanging around somewhere.

**[00:05:34]** So I highly recommend it if you haven't seen it,

**[00:05:36]** about how the environment influences how we move.

**[00:05:39]** Tomáš Salamón talked about the role of COMPANIES in a rapidly changing society.

**[00:05:46]** I think it was also a very interesting breakfast from my perspective.

**[00:05:50]** And about character, how to teach it, and what currently stands,

**[00:05:57]** Jan Hábl spoke, and I want to say that the Digestive with Honza Hábl

**[00:06:01]** was also very beneficial for me.

**[00:06:03]** We extended it to two hours

**[00:06:05]** and really discussed interesting, interesting topics.

**[00:06:08]** So that was the year 2022 with Brain&Breakfast.

**[00:06:14]** Now I'll go back to that slide.

**[00:06:16]** Just as you voted, I am curious,

**[00:06:18]** whether I look 51 years old or not.

**[00:06:22]** Yes, that's definitely correct, you could have calculated it.

**[00:06:26]** There really are 51 personalities.

**[00:06:29]** Czechoslovakia had that many in 2022.

**[00:06:32]** I am very happy that the people who shape society

**[00:06:36]** and are key figures in certain topics,

**[00:06:39]** continue to support us.

**[00:06:42]** I hope this will continue in the coming year as well.

**[00:06:46]** Today is the 12th breakfast,

**[00:06:50]** and I am very happy that Tomáš Šebek accepted the invitation.

**[00:06:55]** Tomáš, come join us here.

**[00:06:59]** No, no, no, come here.

**[00:07:01]** Good morning everyone, good morning.

**[00:07:08]** Most of you probably know Tomáš,

**[00:07:11]** he has many roles.

**[00:07:13]** To me, he is a truly Renaissance man.

**[00:07:15]** A few years ago, Tomáš had a huge impact on my life

**[00:07:19]** through what is probably his most important profession,

**[00:07:21]** because he is a doctor by profession.

**[00:07:23]** And Tomáš saved my father.

**[00:07:25]** Really, that means my father is now healthy and alive

**[00:07:29]** thanks to Tomáš, who is a doctor.

**[00:07:31]** He is a successful entrepreneur, a writer,

**[00:07:35]** so later we will do a book signing,

**[00:07:37]** and you can check out the books he has written.

**[00:07:39]** He is also a pilot, an adventurer,

**[00:07:43]** a doctor without borders,

**[00:07:45]** who takes us on very dangerous and interesting missions.

**[00:07:49]** OK, that's enough.

**[00:07:51]** And today, he is a spokesperson,

**[00:07:55]** because if I said he was the Minister of Health, he would get mad at me,

**[00:07:57]** but he is the spokesperson for the Minister of Health initiative,

**[00:07:59]** which I would like to introduce to you and which builds upon

**[00:08:01]** a healthy lifestyle.

**[00:08:03]** Tomáš, I hand you the imaginary baton.

**[00:08:05]** Thank you very much, it's yours now.

**[00:08:07]** Alright, yes, once again to everyone.

**[00:08:09]** Thank you very much for making time this morning.

**[00:08:13]** To those of you here in person and those online.

**[00:08:17]** Many thanks to Honza for the invitation and the intro.

**[00:08:21]** I always like it when I'm introduced just by my first name.

**[00:08:25]** I don't even consider myself a Renaissance man.

**[00:08:27]** By the way, this morning I came among one,

**[00:08:29]** who, if I think of Honza, gets up at 4 a.m.

**[00:08:33]** and you can regularly find him opening the pool in Podolí,

**[00:08:39]** and another friend, who I came with books from Paseka,

**[00:08:43]** who also, for example, won B7.

**[00:08:45]** So today I feel significantly less valuable here.

**[00:08:49]** And I will open the topic of the Minister of Health.

**[00:08:52]** Today I want to introduce you to something,

**[00:08:55]** that concerns nothing less than the number of years spent in health,

**[00:09:00]** which I consider probably the most important from the perspective of our healthy life.

**[00:09:06]** And I will try to open it first, because I like

**[00:09:10]** both traditional medicine and technology,

**[00:09:13]** and a little window into the world of digital technologies in medicine.

**[00:09:19]** Through such a bridge of what practically works,

**[00:09:22]** and what I want to inspire you with, I will get to the main topic

**[00:09:27]** of the Minister of Health.

**[00:09:29]** I am no longer even a spokesperson, I am just one of the cabinet members,

**[00:09:33]** but I will present, above all, the idea, which is more important.

**[00:09:37]** And I would try to close it by showing

**[00:09:41]** how innovation can be done nicely and then, of course,

**[00:09:45]** so I don't preach water and drink wine,

**[00:09:49]** I will show you how I personally follow it,

**[00:09:53]** and I will try to give you greetings and wishes for the next year.

**[00:10:00]** I will close in such a way, showing you what a high five looks like in terms of a healthy lifestyle.

**[00:10:08]** So that's basically what awaits you now. I would ask one thing very much, and that is you all

**[00:10:14]** have the opportunity, whether here in the hall, at home, or wherever you are watching the stream today, to contribute to

**[00:10:21]** Slajdo, and I would really like you to help me with the Minister of Health in terms of how to execute this whole idea. Not that we don't have ideas, but I will be mainly interested in ideas from

**[00:10:26]** you. Since you represent, besides yourselves, you come from various

**[00:10:32]** corporate environments, and it seems to me that Czech and maybe Slovak, Czechoslovak

**[00:10:37]** companies have understood much better than the state itself and its agencies how to handle health.

**[00:10:42]** So I am really interested in how you might think about it, and I believe

**[00:10:48]** you will give me lots of practical advice, which I would like to reflect back into the cabinet,

**[00:10:53]** discuss, and possibly work out with the Minister. So, Minister of Health. I have been a surgeon for 20 years,

**[00:10:57]** it's a beautiful job, I always say at the start that I really enjoy cutting into people and can't imagine

**[00:11:05]** not doing it. I think I might become the second surgeon in the Czech Republic

**[00:11:12]** capable of operating with one hand. There is even a one-handed Czech surgeon

**[00:11:17]** who performs fantastic laparoscopic procedures. If they cut off two, one chapter would be

**[00:11:29]** life closed, but I would really regret it. The way I encounter technology in medicine,

**[00:11:36]** which in this case is very hardware-oriented, is a demonstration of how today's

**[00:11:40]** mainly laparoscopic so-called minimally invasive surgery works, which is a great technology,

**[00:11:46]** but I like the software part more than the hardware.

**[00:11:50]** The future of medicine goes hand in hand with this global vision that I would like to present to you.

**[00:12:00]** This is far from my own idea; I like to borrow ideas, ideally from outside,

**[00:12:05]** so this is a global vision that says, to have sustainable health,

**[00:12:10]** we must combine prevention with four other elements. Each of us must participate,

**[00:12:18]** which means realizing that health is actually a commodity just like relationships, children,

**[00:12:25]** partner, money, skills, maybe even more than all of those,

**[00:12:30]** and to behave properly and maintain sustainable health,

**[00:12:36]** we must participate. We need to change the dogma of going to the doctor and expecting

**[00:12:41]** them to miraculously cut something off or give a miracle pill, because it is me,

**[00:12:46]** who wants to maintain health, and the doctor is just a technician who helps with their expertise

**[00:12:52]** to achieve the goal. It has to be continuous, permanent.

**[00:12:58]** Today you can wear lots of gadgets; whenever I go on a mission with Doctors Without Borders,

**[00:13:05]** they call me the checked gadgetman, I like gadgets, I like to wear something.

**[00:13:12]** There are already things like wearable skin, but I look forward to the moment

**[00:13:18]** when we have sensors in the bloodstream, and I think I will live to see that sooner than two technologies,

**[00:13:24]** which I trust immensely and will talk about shortly.

**[00:13:27]** It has to be personalized, it must fit each one of you exactly.

**[00:13:32]** That means whether it will be a genetic code analysis,

**[00:13:35]** which will guide future pharmacotherapy,

**[00:13:39]** anything related to our health must be tailored to each individual

**[00:13:43]** who wants to engage with and live sustainable health.

**[00:13:47]** And finally, predictive.

**[00:13:49]** Ideally, and don't be scared now, it should calculate when you will die.

**[00:13:54]** And even better, it should offer what you can do to,

**[00:13:58]** for example, delay that by 15 years.

**[00:14:00]** And then be nicely guided through that program.

**[00:14:03]** I borrowed this glimpse into the future of medicine for the introduction.

**[00:14:08]** Maybe these slides are chronically familiar to some,

**[00:14:14]** but I have been happily using them for at least three years in presentations.

**[00:14:18]** This is just a brief example of what will happen in medicine in the coming years from the perspective

**[00:14:24]** of specialists, healthcare workers, and on the other hand, patients.

**[00:14:29]** The green part is already happening today.

**[00:14:31]** I once attended the anatomy lab in my first year,

**[00:14:35]** and today medical students no longer go there because, first, there are no bodies.

**[00:14:39]** Few people today donate their bodies to science.

**[00:14:43]** And secondly, it is much more interesting to explore in virtual reality

**[00:14:47]** just walking through the human body and actually absorbing the anatomy

**[00:14:51]** in what I think is a much better way.

**[00:14:53]** The yellow ones are things that will be here so-called tomorrow.

**[00:14:57]** A humanoid robot, a nurse next to your bed,

**[00:15:01]** 3D printed medicine.

**[00:15:06]** The red ones will be so-called the day after tomorrow,

**[00:15:09]** whether that's in five or ten years.

**[00:15:11]** Here is one of the technologies I really believe in,

**[00:15:14]** so that the software my colleagues and I work on

**[00:15:17]** will be functional, things like nanosensors will be needed.

**[00:15:21]** Imagine that already today, experimentally, a nanosensor was injected for the first time,

**[00:15:25]** capable of measuring human body temperature

**[00:15:28]** using a standard injection syringe or needle,

**[00:15:31]** and it lasted 24 hours in the human bloodstream, sending a signal.

**[00:15:36]** Over time, it will simply last on some batteries for a lifetime,

**[00:15:40]** and there will be many nanosensors clustering in different organs

**[00:15:44]** sending information from the brain, liver, and so on.

**[00:15:47]** And there will be an incredible data stream flowing to you,

**[00:15:51]** for your benefit and also to those who maintain, help,

**[00:15:55]** and service your health, meaning healthcare workers.

**[00:16:00]** The two technologies I talked about and believe in without limits,

**[00:16:04]** which also somewhat relate to those nanosensors,

**[00:16:08]** I thought during high school physics

**[00:16:12]** that thermonuclear fusion would be ignited in a few years,

**[00:16:16]** but it still hasn't happened, there are some first signs now,

**[00:16:20]** but it doesn't look like it will succeed on Earth.

**[00:16:23]** The second technology, related to medicine,

**[00:16:26]** I would really like, now that we are flying into space,

**[00:16:30]** I would really like to be teleported and hope to live to see it.

**[00:16:34]** And just for your information, science has advanced a lot again,

**[00:16:38]** teleportation probably won't be like in Star Trek,

**[00:16:42]** where something is physically transferred, but rather our consciousness will move.

**[00:16:46]** That means what we have here will be completely withdrawn somewhere else,

**[00:16:50]** and you will decide where it lands.

**[00:16:53]** Whether it will be a computer terminal, an animal, or if you store yourself for a thousand years in the cloud,

**[00:16:57]** or if it will be your physical copy, we will see.

**[00:17:02]** But I think I will live to see teleportation in some form,

**[00:17:06]** and I would like to be a jumper.

**[00:17:09]** Technology, like any other research and scientific activity,

**[00:17:15]** experiences a typical curve like the one you see here.

**[00:17:19]** You don't have to study the details again, but there are technologies in medicine.

**[00:17:23]** From the very beginning, when the so-called hype happens, everyone is excited,

**[00:17:27]** Viagra came to the market, then it got a bit boring, and then it was discovered,

**[00:17:31]** that it is excellent for pulmonary hypertension, completely different from the original indication.

**[00:17:37]** Even though the original indication remained.

**[00:17:39]** The same goes for that pharmaceutical, it also goes through such a curve,

**[00:17:43]** technologies go through it too, and what you see now is sustainable.

**[00:17:47]** At the end of that curve are things like mental health apps.

**[00:17:53]** That's actually amazing, no one could really imagine that five years ago,

**[00:17:57]** and today it's a common part of our lives.

**[00:18:00]** So it’s moving very fast, and there are many potent examples,

**[00:18:03]** especially those green dots based on artificial intelligence.

**[00:18:08]** They look like they will play a leading role in medicine.

**[00:18:11]** Now just a few things, maybe three or four slides,

**[00:18:14]** that I think could inspire you.

**[00:18:17]** From my field, or rather what I follow,

**[00:18:20]** which means digital medicine, for example in the software part,

**[00:18:24]** I’m really impressed by something called ADA.

**[00:18:27]** It’s an app developed in Germany and has come so far,

**[00:18:30]** it’s a Symptom Checker. Imagine you have some trouble,

**[00:18:33]** as a layperson, you don’t really know what it is, so you just talk

**[00:18:36]** to the app until it tells you,

**[00:18:39]** you definitely have acute appendicitis.

**[00:18:42]** I tried it, on the 27th step I found out,

**[00:18:45]** when I simulated the symptoms, that I should get myself cut open.

**[00:18:49]** What’s even more interesting,

**[00:18:52]** according to a study conducted in Germany

**[00:18:55]** on the German healthcare population,

**[00:18:58]** about 85% of all healthcare workers in Germany

**[00:19:02]** have downloaded ADA to first establish a diagnosis

**[00:19:06]** for their patient and then verify it through ADA,

**[00:19:09]** to see if they did it correctly. So that’s really interesting,

**[00:19:12]** fully functional, and it’s clear that today technology in medicine

**[00:19:16]** already helps. The American FDA has approved today

**[00:19:19]** over 150 different programs related to

**[00:19:22]** cardiac surgery, sleep labs,

**[00:19:27]** psychology, psychiatry, and they are based on artificial intelligence

**[00:19:30]** and today help alongside traditional treatment

**[00:19:34]** also through technological innovations. To show it’s not just software,

**[00:19:38]** here’s some hardware as an example, and to keep it close,

**[00:19:41]** So this is a Slovak startup, a very successful thing.

**[00:19:44]** I'm a fan of anything that means miniaturizing at least

**[00:19:48]** diagnostic tools. I assume each of you

**[00:19:52]** has seen at least one episode of Star Trek,

**[00:19:55]** which I really liked, how the doctors

**[00:19:58]** walked around the person with some kind of box.

**[00:20:00]** First, they diagnosed him, and second, the box also healed him.

**[00:20:04]** We’re not yet at the stage where the box heals, but we are slowly

**[00:20:08]** at the stage where it’s really a small handheld box starting to diagnose the person.

**[00:20:13]** And since I’m a FAN of Remote Medicine, I travel with Doctors Without Borders,

**[00:20:18]** this seems to me like a completely new opportunity and new world,

**[00:20:22]** especially for so-called developing countries, where these startups

**[00:20:27]** catch on much faster than in our conventional environment, where medicine

**[00:20:32]** is still somewhat accessible. Because I don’t like to talk about things theoretically,

**[00:20:37]** I just wanted to briefly remind you that I, together

**[00:20:41]** with many of my colleagues, am working on a nice

**[00:20:45]** software solution, and I consider us pioneers in the field

**[00:20:49]** of remote access to medical care. And as we once, ten years ago,

**[00:20:53]** came up with the idea to show Czechs and Slovaks and possibly the region,

**[00:20:57]** how to do some analytics, so I won’t sound big-headed,

**[00:21:01]** analytics and not remote diagnostics, and at the same time to bring

**[00:21:05]** the person who needs medical care much more effectively

**[00:21:09]** through digital means to a physical meeting with a doctor.

**[00:21:14]** Now we are running the third pillar of the whole project,

**[00:21:19]** which is digital prevention. I really wish

**[00:21:23]** to live to the moment when our u doctor CZ

**[00:21:27]** will work so that you give it to your children in their crib,

**[00:21:31]** and now don’t be upset, in centuries, from full health,

**[00:21:35]** your children will die peacefully because they enjoyed a great life

**[00:21:39]** without doctors, without medical care, and just by working

**[00:21:43]** with smart technology enhanced in the future by artificial intelligence,

**[00:21:48]** they will live those beautiful centuries in full health.

**[00:21:52]** Of course, it’s a bit naive, or very naive,

**[00:21:56]** but you need to have big ideas and move forward with slow steps.

**[00:22:00]** I’m actually happy today to speak to an audience,

**[00:22:04]** which, as I said at the beginning, comes from companies,

**[00:22:08]** because in the Czech Republic the issue of health

**[00:22:12]** has been best embraced by companies, and companies today are dealing with the metaphorical iceberg

**[00:22:16]** that lies ahead of you.

**[00:22:18]** On one hand, the problem is that you are not at the workplace,

**[00:22:23]** because you procrastinate somewhere at the doctor's Czech clinic

**[00:22:26]** and very often you don't even hit the right target

**[00:22:29]** and when you do hit the right target, the doctor doesn't have time or mood for you.

**[00:22:33]** But a much bigger problem is what lies beneath the surface of that imaginary ocean

**[00:22:38]** the rest of the iceberg, which you call in companies

**[00:22:43]** and in HR, presenteeism.

**[00:22:46]** You think about the health of yourself, your children, or your parents,

**[00:22:50]** you deal with some health problem and even though physically you are present,

**[00:22:54]** mentally you are somewhere completely else.

**[00:22:56]** And this can be nicely quantified, there are great conversions for that

**[00:23:01]** and when we finally end up in companies at a meeting with some CFO

**[00:23:06]** and sign a contract, we show that this has a financial impact

**[00:23:11]** and it can be perfectly calculated.

**[00:23:15]** Because today in companies we have remote medicine,

**[00:23:20]** we have a chance and it looks like it actually works,

**[00:23:26]** to make you ambassadors of the idea that being healthy and wealthy is better

**[00:23:31]** than being sick and poor, and you understand that.

**[00:23:36]** Generally, what's trending in medicine, just to conclude this block,

**[00:23:41]** is to explain a bit about Digital Therapeutics.

**[00:23:46]** Imagine that very soon, the first signs are already here globally,

**[00:23:51]** but for example, one Czech startup called Vitadio

**[00:23:55]** is starting to replace traditional treatment, Vitadio specifically for diabetes,

**[00:24:00]** using drugs, and instead today technology works.

**[00:24:06]** That means Digital Therapeutics are like digital pills,

**[00:24:10]** which in software form can make you aware of your health problem

**[00:24:18]** and guide you through the treatment. Imagine you have high blood pressure,

**[00:24:22]** which is a so-called silent killer. For 25 years you have to take a pill morning, noon, and night,

**[00:24:28]** if it's very bad, some kind of tablet, but it doesn't hurt.

**[00:24:32]** So very often you neglect it, and by neglecting it, you shorten

**[00:24:36]** your life spent in health. Such an app in a purely software version

**[00:24:41]** helps you understand the problem and the need for discipline.

**[00:24:45]** In the strictest and best form, it completely replaces pharmacotherapy.

**[00:24:50]** Imagine a person with at least type 2 diabetes

**[00:24:54]** in certain cases doesn't have to take any medication,

**[00:24:58]** if they can follow smart technology,

**[00:25:02]** have some data output from their own body, an interpreter,

**[00:25:06]** usually a healthcare professional on the other side,

**[00:25:09]** so they can be methodically guided just by an app and technology,

**[00:25:13]** digital technology to manage type 2 diabetes

**[00:25:17]** and not have to fall so often into the category of users

**[00:25:22]** or some pharmacotherapy. After COVID, it's quite clear,

**[00:25:26]** that a large part of our mental health has moved online.

**[00:25:31]** These are probably the biggest technology leaps,

**[00:25:35]** bringing psychological or psychiatric care closer today.

**[00:25:39]** Online now accounts for about a third of all mental health care,

**[00:25:44]** and this trend hasn't changed even after COVID.

**[00:25:48]** After COVID, it was striking; in the Czech Republic, unfortunately,

**[00:25:52]** about a third of us suffer in some way

**[00:25:57]** from depression-related mental illness.

**[00:26:01]** That's a huge number, and this option to consume

**[00:26:06]** medical or psychological care remotely is an excellent tool.

**[00:26:11]** And it's not just in the Czech Republic; it's a global trend.

**[00:26:14]** Personally, I really like the mobility of healthcare.

**[00:26:18]** Not just from the perspective of shaking up healthcare professionals,

**[00:26:22]** to make them focus on patients, and it's not only about

**[00:26:25]** increasing the travel distance from seven kilometers

**[00:26:28]** to the nearest hospital across the country,

**[00:26:31]** or even across borders. But what I like even more is

**[00:26:34]** how, using mobile technologies and basically a standard

**[00:26:37]** smartphone that everyone has in their pocket or hand,

**[00:26:40]** we can really advance mobile health.

**[00:26:43]** Together with those nanosensors you see as tiny dots,

**[00:26:47]** which in the human body metaphorically send information,

**[00:26:51]** and with some interpreter within a mobile app,

**[00:26:56]** we can push mobility very far.

**[00:27:01]** Just a side note. Many startup founders come to me

**[00:27:07]** and always say they have perfect pie charts

**[00:27:11]** from their app. It's great for everything you can measure, like steps, etc.

**[00:27:16]** And I always ask, what do you think about its success?

**[00:27:19]** And I say, dear friend, does your app do the crucial thing,

**[00:27:23]** which is linking the data output with what we doctors traditionally use,

**[00:27:27]** which is our national disease classification, version 10, ICD-10.

**[00:27:31]** Meaning, can what your app reports be connected to traditional medicine?

**[00:27:34]** And usually, the answer is no.

**[00:27:37]** So I say, keep developing. Once it can do that,

**[00:27:40]** then it really becomes a unicorn.

**[00:27:43]** It's a really complicated thing, but I believe,

**[00:27:56]** Once it dominates digital medicine,

**[00:28:00]** I think we'll advance mobility in healthcare a lot.

**[00:28:03]** And just so I'm not a downer,

**[00:28:06]** I'm not that fond of hardware,

**[00:28:09]** because when you develop hardware, the moment

**[00:28:12]** it hits the market, it's already outdated. Whereas software

**[00:28:15]** can be innovated quickly, hardware boxes can't as much.

**[00:28:18]** But I don't want to demotivate anyone working

**[00:28:21]** on the hardware side of digital medicine,

**[00:28:24]** so I'm just fairly stating everything here.

**[00:28:27]** And at the end of this block, medicine is really moving

**[00:28:31]** towards Star Trek. Even when I lecture medical students,

**[00:28:34]** I always ask the audience, who wants to be a dermatologist,

**[00:28:37]** a skin doctor? Usually two or three raise their hands, and I say,

**[00:28:40]** then don't study it, because it's pointless.

**[00:28:43]** By the time you finish your studies, it will be fully automated,

**[00:28:46]** there will be some artificial intelligence,

**[00:28:49]** and everything will be handled without a physical doctor.

**[00:28:53]** Basically, anything that can be processed today

**[00:28:56]** as image data, especially radiology,

**[00:29:00]** is slowly being replaced—not completely, mind you—

**[00:29:03]** but alongside radiologists sits a very interesting Czech

**[00:29:06]** startup, Carebot, which can mark a single pixel

**[00:29:10]** on a standard patient's X-ray

**[00:29:13]** as the very beginning of lung cancer,

**[00:29:17]** while the best professor, a radiologist,

**[00:29:20]** not just Czech but global,

**[00:29:23]** would not be able to recognize it.

**[00:29:26]** Artificial intelligence is penetrating medicine very quickly,

**[00:29:29]** and some fields based on repetition,

**[00:29:32]** that are data-driven, are truly disappearing.

**[00:29:35]** Otorhinolaryngology, ophthalmology, radiology,

**[00:29:38]** and dermatology, as mentioned.

**[00:29:41]** And after disappointing some medics,

**[00:29:44]** I ask, so what will we do, where should we move?

**[00:29:47]** And I say, okay, try psychiatry.

**[00:29:50]** It will remain interactive and is extremely creative,

**[00:29:53]** and here artificial intelligence...

**[00:29:57]** for a long time or maybe never will be able to replace it.

**[00:30:02]** Neurology is also promising and so on.

**[00:30:05]** I already consider myself somewhat of a mastodon in surgery.

**[00:30:09]** Maybe you'll come to see either my generation or the next one in some kind of open-air museum,

**[00:30:14]** to see how surgery used to look, and that it will simply be different now.

**[00:30:18]** So medicine as a field is evolving, even from the perspective of education.

**[00:30:23]** Yesterday, at Choroukonost, I opened a very interesting panel.

**[00:30:27]** Deloity published a study conducted in eleven countries.

**[00:30:31]** In each country, there were a thousand respondents, so that's eleven thousand Europeans.

**[00:30:36]** What interested me, and for which I actually applaud them,

**[00:30:40]** was how the central figure in the entire healthcare system behaves, and that is the patient.

**[00:30:46]** Everyone keeps examining how healthcare is doing,

**[00:30:50]** how the state is digitalizing.

**[00:30:52]** Studies like 'The Czech Republic is not ready for digitalization'.

**[00:30:57]** That's like saying 'If it doesn't rain, we won't get wet'.

**[00:30:59]** They're nice, writing 90 pages about such a fairly obvious thing,

**[00:31:05]** but in my opinion, it's unnecessary work and wasted money.

**[00:31:07]** But starting to focus on what we actually want,

**[00:31:10]** how we behave, what the digital patient will look like in the near future,

**[00:31:14]** that seemed like a great topic to me,

**[00:31:16]** so I took the liberty to quickly include it in my presentation,

**[00:31:20]** even though I hadn't originally planned to.

**[00:31:23]** These are the countries where the survey was conducted.

**[00:31:27]** What you see in blue is the digital patient or the patient of the future.

**[00:31:30]** Gray is the traditional patient; the dots represent the level of digitalization.

**[00:31:34]** You can see a fantastic leap, for example, in Sweden,

**[00:31:37]** which personally I see as a benchmark for how health, rather than healthcare, should be approached in the Czech Republic.

**[00:31:39]** Turkey is very interesting, where the digital or future patient

**[00:31:44]** has already surpassed the traditional one.

**[00:31:48]** And it's interesting that there is a complete mismatch,

**[00:31:49]** or no correlation between the level of digitalization in a country

**[00:31:52]** and people's affinity for how they will manage their health information in the future.

**[00:31:56]** The digital patient or patient of the future

**[00:31:58]** is someone who is completely open to using mobile applications.

**[00:32:05]** Today, they are already largely using them.

**[00:32:08]** On average, among the 11,000 people surveyed,

**[00:32:12]** they use about 4 to 5 applications.

**[00:32:14]** Maybe this is the first kind of management for you and me,

**[00:32:29]** when you think about how many mobile apps

**[00:32:33]** you have for tracking your physical or mental health

**[00:32:36]** specifically on your phone.

**[00:32:38]** It will be really interesting to compare that to the sample

**[00:32:42]** that was studied here at Deloitte.

**[00:32:44]** What’s really good news for me is that,

**[00:32:46]** while our state is terrified of cybersecurity,

**[00:32:51]** the patient of the future doesn’t care at all.

**[00:32:55]** And I’ll practically tell you why.

**[00:32:57]** You can show me any Facebook profile of any of you,

**[00:33:00]** and I can tell you at least one diagnosis within five minutes,

**[00:33:03]** which you openly write about and publish

**[00:33:07]** and you don’t care at all.

**[00:33:09]** So when someone tells me we have to be very sensitive

**[00:33:12]** with sensitive data, that’s obviously true.

**[00:33:15]** We need to handle it carefully.

**[00:33:16]** But the patient of the future realizes that sharing data means profit for them,

**[00:33:21]** profit for the population, profit for future generations, for their children,

**[00:33:25]** and is much more open to sharing that data.

**[00:33:28]** And that’s really good news because this is where digitalization begins.

**[00:33:33]** They studied and described the category of the patient of the future

**[00:33:39]** in great detail.

**[00:33:41]** They recommend it in a nicely processed 50-page report,

**[00:33:44]** and that’s basically the end of what I wanted to show,

**[00:33:47]** how it can be done theoretically.

**[00:33:49]** And now I’ll tell you the key part, how we do it practically in the Czech Republic.

**[00:33:53]** We are homobohemians.

**[00:33:55]** We are born, and by 20 we do something.

**[00:33:59]** Here are two gentlemen I welcomed or mentioned at the start,

**[00:34:06]** and many of you sitting here today,

**[00:34:09]** at least roughly.

**[00:34:11]** And I hope you behave differently online than the rest of the population,

**[00:34:14]** but unfortunately the majority really do something until they are 20.

**[00:34:19]** Physically active, healthy body, healthy mind.

**[00:34:22]** By 40, more or less, we start to give up a lot.

**[00:34:26]** And by 60, that’s why there’s the 80-year-old category, we are 80-year-olds.

**[00:34:31]** While Europe and the leaders like Finland, Sweden, Denmark,

**[00:34:35]** are simply somewhere else, at 60,

**[00:34:38]** we are really helpless at 60.

**[00:34:43]** That means, on average in Europe, people die around 80,

**[00:34:49]** So we have the difference or disadvantage that we don't get to enjoy those 20 years.

**[00:34:54]** We all basically suffer for 20 years on average, with something hurting,

**[00:34:59]** we promised ourselves that at 65 we'd just slam the office or factory door,

**[00:35:04]** and just set off around the world.

**[00:35:06]** But we don't, because we're missing a left hip joint, a right knee joint,

**[00:35:10]** we can't hear at all anymore, so maybe there's a cochlear implant,

**[00:35:15]** the heart doesn't work well either, I'm a bit overweight,

**[00:35:20]** I just can't move, everything hurts,

**[00:35:23]** and to some extent, if not,

**[00:35:26]** depressed, then at least sad.

**[00:35:29]** And we have pretty good medical care, which is unsustainable,

**[00:35:32]** I'll talk about that, so we really go to the doctor

**[00:35:35]** and want that miracle pill or that miracle surgery,

**[00:35:38]** but it doesn't bring us back to an active life,

**[00:35:41]** so we don't travel anywhere, we don't read anything,

**[00:35:44]** because we have cataracts and basically suffer.

**[00:35:47]** Those 20 years of life are really bad.

**[00:35:50]** And the Swedes have it 7 years better.

**[00:35:52]** They still jump into their camper vans and travel around the world,

**[00:35:56]** and maybe read their entire library.

**[00:35:58]** When someone tells me, even colleagues,

**[00:36:01]** that a cyborg like the Terminator doesn't exist in the world,

**[00:36:03]** and especially not in the Czech Republic,

**[00:36:08]** I say, Dr. Vomáčka, I'd like to talk to your neighbor.

**[00:36:13]** He's a cyborg because he has a lot of these gadgets inside him.

**[00:36:17]** Hip, knee joints, I talked about various implants,

**[00:36:20]** pacemaker and so on.

**[00:36:22]** When we die, a beautiful kilogram of various technologies remains,

**[00:36:25]** which is the only reminder of how unhealthy our life was.

**[00:36:33]** So we start with this, but it means a big opportunity.

**[00:36:37]** I'll just put this a bit into some numbers,

**[00:36:43]** about how we invest in healthcare,

**[00:36:46]** although for me it's not the most important thing,

**[00:36:48]** I might slightly disagree with that.

**[00:36:51]** Fortunately, I say fortunately,

**[00:36:53]** we are below average in how much we spend per capita on Czech healthcare

**[00:37:00]** relative to GDP.

**[00:37:02]** It's about 3500 euros per citizen.

**[00:37:07]** We're dealing with this issue.

**[00:37:11]** What’s trending is called longevity, meaning a long life.

**[00:37:15]** Everyone would like to, or rather, I'm not saying everyone,

**[00:37:17]** and that's precisely because many, especially once they are 60 or older, realize,

**[00:37:22]** that life is no longer what they dreamed of at 20 or 40.

**[00:37:26]** But the whole world is moving towards longevity.

**[00:37:29]** Personally, I think that each of you sitting here

**[00:37:32]** has a chance to live to 100.

**[00:37:34]** Technology and medicine will really advance a lot.

**[00:37:37]** I think what's important is the kind of life you live.

**[00:37:41]** Whether the interval shifts,

**[00:37:44]** when you will work only with tools like well-being,

**[00:37:48]** before the doctor even comes in.

**[00:37:49]** And that's actually the not very steep slope on that graph.

**[00:37:53]** Today at sixty, and in the future, when we reach a hundred,

**[00:37:57]** around eighty, it will break.

**[00:38:00]** That's when there is a sharp increase in the need for medical care,

**[00:38:03]** and you really can't do without doctors then.

**[00:38:05]** But for life to be quality, it's very important

**[00:38:08]** what you prepare in its first two-thirds,

**[00:38:11]** so you can reap the benefits in the final third,

**[00:38:14]** or at least in the last decade of your life.

**[00:38:17]** That's what it's about, how to actually extend healthy life.

**[00:38:20]** Not just constantly funneling more and more resources

**[00:38:24]** into the healthcare system and keeping us in an undesirable state.

**[00:38:30]** I said, fortunately, we don't invest as much in healthcare

**[00:38:36]** as the European average,

**[00:38:40]** because if we wanted to win just with money,

**[00:38:42]** we still have a chance. Here are two graphs,

**[00:38:45]** showing how we work with mortality

**[00:38:49]** and how we work with preventive behavior or preventive programs,

**[00:38:53]** to prevent serious diseases.

**[00:38:55]** We are below the European average there,

**[00:38:57]** if we invested a bit more money,

**[00:38:59]** we have a chance to reach the average

**[00:39:01]** or at least the middle field,

**[00:39:05]** but I don't think that's the way.

**[00:39:08]** While all of Europe is slowly moving towards

**[00:39:12]** really wanting to be healthy and wealthy in Europe,

**[00:39:16]** in the Czech Republic we keep supporting the dogma

**[00:39:19]** that it's great to be sick and poor.

**[00:39:22]** To show it with numbers, in 2021

**[00:39:26]** That was 421 billion poured into healthcare.

**[00:39:30]** Of that, 2.5% went to prevention.

**[00:39:32]** In 2022, this year,

**[00:39:35]** it looks like the bill will be around 460 billion,

**[00:39:39]** which will be poured into healthcare.

**[00:39:41]** For next year, the Danish state budget plans that

**[00:39:45]** they will spend an amount in healthcare where at least 50%

**[00:39:49]** will go just to prevention, and we have 2.5%.

**[00:39:53]** And I think 250 billion would be enough,

**[00:39:56]** if we supported the prevention part more.

**[00:40:00]** Definitely not for 2023 and 2024, but gradually over a five-year horizon it would show results, and I'm not the only one saying this.

**[00:40:08]** A very nice study from the State Health Institute recently came out, which actually claims this,

**[00:40:12]** that we could save up to 100 billion if we focused more on prevention.

**[00:40:18]** But we either don't want traditional healthcare, or we can't even imagine it.

**[00:40:24]** I was born at a medical faculty with the idea: go and treat people.

**[00:40:31]** No one ever told me that keeping people healthy is just as important.

**[00:40:34]** That maybe I could think about the people who come to me and tell them,

**[00:40:38]** there are alternatives, and you can do something for yourself for the future,

**[00:40:42]** so I don't have to remove your gallbladder in a year.

**[00:40:44]** They told me to do as many gallbladder removals as possible because it's economically interesting.

**[00:40:51]** People don't have to talk; you're there just to schedule the surgery

**[00:40:56]** and then cut out the gallbladder, and they will live a happy life.

**[00:41:00]** This is how each of us thinks, and we can't be blamed for it.

**[00:41:04]** Everything starts and ends with education.

**[00:41:07]** If someone had told me from the first year,

**[00:41:10]** it's good to maintain health and illness is secondary,

**[00:41:14]** I think we would have started moving faster with medicine in the Czech Republic,

**[00:41:18]** at least with that part of the healthcare population.

**[00:41:22]** About a year and a half ago, I was asked by two political parties

**[00:41:26]** to just let my mind wander and write some vision for healthcare.

**[00:41:30]** I started by drawing how the healthcare system works in the Czech Republic.

**[00:41:34]** I drew the inputs we have available at the start,

**[00:41:37]** the headcount, some resources, etc.

**[00:41:39]** Then I continued, and by the end of the page it completely dissolved.

**[00:41:43]** I couldn't say where the end actually is, where we measure anything.

**[00:41:47]** I found no feedback at all.

**[00:41:50]** Ideally, everyone imagines that healthcare spending will grow exponentially,

**[00:41:53]** but there's no calculation of what we actually get for it.

**[00:41:56]** Or rather, one realizes that we get nothing for it.

**[00:42:01]** than an artificially maintained low-quality life.

**[00:42:03]** This is just a model I drew that I would like.

**[00:42:06]** I assume you all deal quite rationally in life, in companies,

**[00:42:10]** wherever you work with feedback.

**[00:42:12]** When I put some resources, some energy,

**[00:42:15]** some of my engagement into something, I also want to see what it produced,

**[00:42:19]** I send it back to the start of the process, adjust it somehow,

**[00:42:23]** improve it, then send it back to the end.

**[00:42:25]** You all do this well, but the Czech healthcare system

**[00:42:28]** does not work with this at all.

**[00:42:30]** It doesn't measure, and when it has some data, it hardly shares it with anyone,

**[00:42:34]** it doesn't improve by sending the output back to the input at the start

**[00:42:39]** and actually improving it.

**[00:42:41]** So I looked at some nice visions around the world

**[00:42:44]** and I introduced one of them to you at the beginning.

**[00:42:47]** The second one that impresses me is also the seventeen goals of sustainability,

**[00:42:53]** where chapter 3 talks about health, and it's so simple, so obvious.

**[00:42:58]** We got a bit closer to it, for example, under the previous Minister of Health,

**[00:43:02]** who formulated a beautiful document of about 121 pages,

**[00:43:06]** called Healthcare 2030, and it was worth reading the last paragraph,

**[00:43:11]** because it is really good.

**[00:43:13]** He wrote that health does not arise in hospitals or clinics,

**[00:43:17]** but in families, workplaces, and schools.

**[00:43:21]** That was great, it could be carved in stone.

**[00:43:23]** The rest could just be thrown away like all previous visions.

**[00:43:28]** The United Nations vision is exactly that simple and says the same thing.

**[00:43:34]** Health simply does not arise in hospitals or from doctors' hands.

**[00:43:38]** It is yours, you have to take care of it, and we are just the service

**[00:43:42]** that should primarily maintain it

**[00:43:45]** and not just treat it.

**[00:43:46]** And because I believe everything in the world starts and ends with the economy,

**[00:43:49]** I really like the economic model of the Doughnut.

**[00:43:53]** I don't know if you've read it or encountered it.

**[00:43:57]** The source I used is listed, and this is just a schematic picture.

**[00:44:02]** The Doughnut is not a typical Czech one filled with jam, but hollow.

**[00:44:08]** It's an American Doughnut and it says inside are things we need for life,

**[00:44:13]** some basic assets like water, food, the right to rights, and so on.

**[00:44:19]** The edges of the Doughnut are actually the resources we consume.

**[00:44:23]** You've probably seen it in various climate models,

**[00:44:26]** and in many ways, we've already overshot.

**[00:44:29]** The principle of the doughnut economy is to stop viewing human development

**[00:44:36]** through the lens or prism of constantly growing GDP linearly.

**[00:44:42]** Traditional economists ideally see it exponentially.

**[00:44:45]** But that is in absolute conflict with the fact that we live on a round planet

**[00:44:49]** and its resources are simply limited.

**[00:44:52]** The doughnut economy respects circularity and says

**[00:44:56]** that the Doughnut must not expand, because then we end up where we are today,

**[00:45:00]** but it must not shrink either, because then we might be like Ukraine.

**[00:45:03]** When the Doughnut shrinks, people in Ukraine live

**[00:45:08]** with very limited resources, including slowly lacking

**[00:45:12]** even the most basic needs.

**[00:45:16]** So those are three nice visions.

**[00:45:19]** Okay, for years I mainly focused on one thing,

**[00:45:23]** when I tried to explain how to service health,

**[00:45:26]** I found that in the Czech Republic we love our cars.

**[00:45:29]** No one from the large audience I addressed was able to say,

**[00:45:33]** "I outright hate cars."

**[00:45:36]** A few exist, I actually don't like cars much anymore either,

**[00:45:40]** but we still love them in the Czech Republic and are willing to invest a lot in them.

**[00:45:45]** We take them to service twice a year.

**[00:45:48]** Today, Automotive works on the principle of predictive maintenance,

**[00:45:52]** meaning that before a problem occurs, the car is taken to the service,

**[00:45:56]** the faulty part is repaired, and then it is released again,

**[00:45:59]** instead of breaking down somewhere in winter

**[00:46:02]** when snow hits the D1 highway because you neglected your beloved car.

**[00:46:07]** The same can be done today in medicine, and based on this it was quite

**[00:46:11]** easy to explain that servicing the human body

**[00:46:14]** with a form of predictive maintenance is basically almost the same

**[00:46:18]** as in Automotive, with one difference,

**[00:46:21]** you can put thousands of sensors into a car,

**[00:46:24]** but not so many inside the human body, or rather very few.

**[00:46:28]** You can compensate by attaching many sensors externally,

**[00:46:31]** but that is not yet the Star Trek medicine I believe in.

**[00:46:35]** But it is quite similar and easy to understand.

**[00:46:38]** Then came the Deloitte conference called Check, Set, Go.

**[00:46:42]** A beautiful topic starting with the digitalization of the state, healthcare, and so on.

**[00:46:47]** One of the parts was healthcare,

**[00:46:50]** and because I like visions to arise generically,

**[00:46:53]** we actually named three categories, named by people much smarter

**[00:46:57]** than me, which are the most pressing in healthcare.

**[00:47:01]** And that was the issue of prevention, financing, and digitalization.

**[00:47:05]** And then it was just about formulating it into some kind of vision.

**[00:47:08]** And actually, as I wrote, an attempt at some programs,

**[00:47:13]** I later pushed it somewhere into the media when the political parties didn't want it at all,

**[00:47:16]** because it didn't fit their traditional views,

**[00:47:19]** so I at least put it into the media.

**[00:47:21]** And there, quite an interesting wave of interest arose.

**[00:47:24]** So I followed through and said, okay,

**[00:47:26]** let's try to simply formulate a new vision of health in the Czech Republic.

**[00:47:30]** Let's try to help healthcare,

**[00:47:32]** so it will finally be clear where we are going.

**[00:47:34]** Right now, we don't know where we're going. We just keep pouring money into it,

**[00:47:37]** and much of what flows in doesn't flow out effectively.

**[00:47:41]** So I took these three smart categories,

**[00:47:45]** defined by smart people, and built the idea of a Minister of Health.

**[00:47:49]** First, I'm a Cimrmanologist, so I really enjoy a figure who doesn't exist,

**[00:47:53]** but is everywhere, knows everything, and understands everything.

**[00:47:56]** And I think that's understandable for Czechs,

**[00:47:58]** so to create a Minister of Health. I'm not the Minister of Health,

**[00:48:01]** my colleagues aren't Ministers of Health,

**[00:48:04]** we are all Ministers of Health, maybe 10.5 million people,

**[00:48:07]** here we are the Ministers of Health.

**[00:48:09]** You can't kill it, you can't catch it, you can't interrogate it.

**[00:48:13]** It was in the media just now and it's gone,

**[00:48:15]** but it always leaves some trace behind.

**[00:48:17]** And because we Czechs like humor,

**[00:48:19]** this idea quickly caught on, that's what I was counting on.

**[00:48:23]** And the vision says, by 2030 increase the number of years spent in health again.

**[00:48:30]** There's no point in increasing the absolute number of years,

**[00:48:33]** the so-called life expectancy.

**[00:48:36]** Moving us toward a hundred years, no one really wants that,

**[00:48:39]** because dying for 40 years and being depressed,

**[00:48:41]** is not something we'd want to leave as a legacy to ourselves

**[00:48:44]** or to our children.

**[00:48:46]** But to extend the period of quality life,

**[00:48:49]** even if we die at eighty, by five years,

**[00:48:52]** so we can accomplish all the things we promised ourselves productively,

**[00:48:56]** and then realize them post-productively.

**[00:48:58]** That really makes sense, and also, since we're on a continent,

**[00:49:00]** where these jumpers exist.

**[00:49:02]** The Swedes I mentioned are probably the furthest and the best in this.

**[00:49:05]** So why is it that just a few hundred or thousand kilometers away

**[00:49:10]** in the Czech Republic this doesn't work

**[00:49:12]** but in Sweden it does?

**[00:49:14]** Because I think we need to change the paradigm

**[00:49:18]** not only of the system and the state,

**[00:49:20]** but also change our mindset.

**[00:49:23]** And then, in my opinion, it's achievable by 2030.

**[00:49:26]** When I formulated the vision and it got media attention,

**[00:49:30]** phase B began.

**[00:49:32]** I am well aware that I am a surgeon and work with my hands like this.

**[00:49:35]** I didn't choose an intellectual field, any internal one,

**[00:49:39]** because I think I wouldn't manage it here.

**[00:49:42]** So I went and validated the idea

**[00:49:45]** with leading Czech statisticians.

**[00:49:47]** And I found out, I said, it's not too ambitious.

**[00:49:51]** And I was told, well, in the Czech Republic we don't have any data for that,

**[00:49:55]** so you can claim whatever you want.

**[00:49:57]** No one will scientifically disprove it.

**[00:50:00]** They liked it so much because it was ambitious that they joined in.

**[00:50:04]** And gradually more and more people joined, and I deliberately chose people

**[00:50:08]** not only from the medical or healthcare environment,

**[00:50:12]** but from other industries. I don't believe healthcare can be reformed from within.

**[00:50:17]** When a doctor sits in the Ministry of Health chair,

**[00:50:23]** it doesn't bode well, right? Reform won't come that way.

**[00:50:29]** And I'm not a fan of revolution. I like evolution, but here I think there's an evolutionary stop sign.

**[00:50:34]** Doctor, evolutionary stop sign. We won't move forward because of their fixed mindset.

**[00:50:40]** So I consulted financiers, mainly, and that's actually what we put into the minister of health's exception,

**[00:50:46]** mostly people, patients, patient organizations, representatives.

**[00:50:51]** At the same time, I primarily sought women because I liked that, first, women are traditional bearers

**[00:50:57]** and beacons of health in the Czech Republic and globally.

**[00:51:00]** Secondly, I really like the female element,

**[00:51:03]** because girls just somehow manage things better overall.

**[00:51:07]** Managing time, managing thoughts, and so on.

**[00:51:11]** So today there is a majority of women. I'm glad about that.

**[00:51:15]** Giants like Deloitte joined, Táňa Lemont from Google joined,

**[00:51:19]** and now the CEO of Microsoft will join.

**[00:51:22]** An incredible think tank of people formed who absolutely understood the idea

**[00:51:28]** and at the same time said, we want to proactively help and push it further.

**[00:51:32]** And on the three pillars we identified at the start,

**[00:51:36]** So when we digitalize healthcare in the Czech Republic,

**[00:51:39]** let's put all that energy mainly into behaving preventively,

**[00:51:42]** to maintain health,

**[00:51:45]** because it's cheaper. That's where the money is.

**[00:51:49]** It's many times cheaper than expensive treatment.

**[00:51:52]** Cheap prevention is many times better than expensive treatment.

**[00:51:57]** I'll briefly return at the end to that Deloitte study

**[00:52:03]** and to the idea that if you want to get into innovation in digital healthcare, which I'd really like,

**[00:52:07]** this is your customer.

**[00:52:11]** At Fulékaři CZC, we always focus primarily on what our customer wants.

**[00:52:14]** It's very much like Baťa's approach.

**[00:52:18]** I definitely consider Baťa one of the industrial icons,

**[00:52:20]** and he was always primarily customer-oriented.

**[00:52:22]** If you have a solution that suits the client, user, patient,

**[00:52:27]** customer—whatever you call them—success, money, and so on will follow. That's just how it works.

**[00:52:31]** If you do any research on who you will target your solution to,

**[00:52:35]** this is the European and also Czech patient of the future.

**[00:52:39]** Today, the innovation cycle is used for everything.

**[00:52:43]** In healthcare, we're still behind,

**[00:52:48]** so while other innovative industries already know the innovation cycle,

**[00:52:56]** in healthcare we're just getting to know it.

**[00:53:00]** My personal experience is that it's not a cycle, but a snail.

**[00:53:02]** At least that's how I've been moving for 25 years in this field,

**[00:53:05]** following the snail.

**[00:53:10]** It always starts with a short hype,

**[00:53:14]** then a deep fuck-up happens, then you have to go through the dead valley,

**[00:53:18]** where someone drops out, falls away, and then you go again,

**[00:53:20]** and another hype comes.

**[00:53:24]** To be smart and effective, for me it's a snail.

**[00:53:30]** And with this snail, nothing should be made in healthcare except applications of this type.

**[00:53:34]** This is a non-existent Spanish app,

**[00:53:37]** which I just invented as an illustration

**[00:53:41]** in connection with that beautiful disease you see there, hemorrhoids.

**[00:53:45]** A condition that affects a large part of the population and can be addressed with an app,

**[00:53:47]** and I want to show on it

**[00:53:51]** how the solution should be simple.

**[00:54:07]** I'll start with how it shouldn't be.

**[00:54:09]** When the state thinks it will digitize healthcare by

**[00:54:12]** having someone log into some system on a hundred computers

**[00:54:16]** and attach a 160-page manual to it,

**[00:54:20]** it's clear and doomed to fail.

**[00:54:24]** It should be one or two clicks, like a mobile bank,

**[00:54:28]** using technology that already exists across industries.

**[00:54:31]** Don't reinvent the wheel, look at how it's done abroad.

**[00:54:34]** These are all things that should be a must and completely natural.

**[00:54:38]** Yet, when you ask the so-called innovators

**[00:54:42]** in the traditional healthcare approach,

**[00:54:44]** they don't know this at all, don't understand it, haven't encountered it.

**[00:54:47]** And very often they won't even understand you.

**[00:54:49]** Or they might be slightly arrogant

**[00:54:51]** and will do whatever they want anyway.

**[00:54:53]** And it won't work. This is how it should work.

**[00:54:55]** You each have a smart phone in your hand.

**[00:54:58]** It has voice recognition.

**[00:55:00]** It can detect voice much better.

**[00:55:04]** So imagine that on that phone

**[00:55:06]** and on that specific Spanish app,

**[00:55:08]** you simply fart.

**[00:55:10]** And it compares that sound in milliseconds

**[00:55:14]** with tens of thousands of people who did the same.

**[00:55:18]** And it evaluates...

**[00:55:20]** This is my theory, not practice, I haven't researched it.

**[00:55:22]** But I think if you have hemorrhoids,

**[00:55:24]** maybe you fart an octave higher.

**[00:55:28]** So suddenly it comes out...

**[00:55:30]** Look, by comparing with that huge sample,

**[00:55:32]** I found out in milliseconds.

**[00:55:34]** That's the Spanish app.

**[00:55:38]** That with a high probability,

**[00:55:40]** 99.9% you have hemorrhoids.

**[00:55:42]** Pepíček.

**[00:55:44]** And that's B.

**[00:55:46]** And to do something about it, I booked you an appointment

**[00:55:48]** with a proctologist near your home in 14 days.

**[00:55:50]** Because I see your location on the phone.

**[00:55:52]** The whole thing works fully automatically.

**[00:55:54]** It's really just one click to open the app.

**[00:55:56]** This is how digital healthcare should look,

**[00:55:58]** digital healthcare.

**[00:56:00]** Traditionally, if I brought this

**[00:56:02]** fantasmagoria here

**[00:56:04]** into our reality,

**[00:56:06]** most of you,

**[00:56:08]** maybe all of you, use mobile banking,

**[00:56:10]** it really has to be this simple and understandable.

**[00:56:12]** And there won't be any manuals

**[00:56:14]** that someone has to study.

**[00:56:16]** It will be tailored just for you,

**[00:56:18]** and this is how it should look.

**[00:56:20]** So if you want to be architects

**[00:56:22]** of digital healthcare,

**[00:56:24]** if you have some grand application

**[00:56:26]** or similar solution that already exists,

**[00:56:28]** this is simply how it should look.

**[00:56:30]** And the very best thing at the end

**[00:56:32]** of your potential development

**[00:56:34]** would be

**[00:56:36]** to focus primarily on

**[00:56:38]** not maintaining the absolute number of years,

**[00:56:40]** but the years in good health.

**[00:56:42]** That's really the key

**[00:56:44]** to becoming happier,

**[00:56:46]** to giving something essential

**[00:56:48]** to our children.

**[00:56:50]** Something that health,

**[00:56:53]** not healthcare,

**[00:56:55]** is primarily about.

**[00:56:57]** Well, and I promised I wouldn't

**[00:56:59]** preach one thing and do another in the last two or three points,

**[00:57:01]** so I just wanted to show

**[00:57:03]** what I measure myself by

**[00:57:05]** and give you a good tip.

**[00:57:07]** This is one of the apps I use.

**[00:57:09]** You can clearly see on it that until 2020

**[00:57:15]** I was only taking care of the third child

**[00:57:17]** and then the fourth child came along,

**[00:57:19]** the yellow ones are runs,

**[00:57:21]** and green is walking.

**[00:57:23]** You see, now I only walk,

**[00:57:25]** because with those two, four in total,

**[00:57:27]** there's not much left to do

**[00:57:29]** in terms of sports activities,

**[00:57:31]** but you can still maintain

**[00:57:33]** some volume

**[00:57:35]** of effort to keep yourself

**[00:57:37]** in shape. So

**[00:57:39]** you can't drag it out,

**[00:57:41]** and I try not only

**[00:57:43]** to tell the stories, but

**[00:57:45]** I hope to live them to some extent.

**[00:57:47]** And since Honza Mašek

**[00:57:49]** said at the beginning that this is the last

**[00:57:51]** Brain&Breakfast of the year,

**[00:57:53]** and that I should,

**[00:57:55]** or we together,

**[00:57:57]** should wish you

**[00:57:59]** good health, so

**[00:58:01]** to conclude, high five.

**[00:58:03]** Originally, I had 3 plus 1,

**[00:58:05]** and then I realized one thing

**[00:58:07]** was missing, and Honza reminded me of it,

**[00:58:09]** he who wakes up every day at 4,

**[00:58:11]** but goes to bed at 9, or maybe

**[00:58:13]** even earlier.

**[00:58:15]** And that is sleep. So

**[00:58:17]** I want to say that

**[00:58:19]** the issue of lasting health

**[00:58:21]** is always based

**[00:58:23]** on many pieces of advice,

**[00:58:25]** and when something starts

**[00:58:27]** like a top 10,

**[00:58:29]** or maybe the top 100 most important things

**[00:58:31]** for your health, then I always automatically

**[00:58:35]** I'm already closing when I see this subtitle.

**[00:58:37]** As a surgeon, I really can't remember

**[00:58:39]** more than 3 things. This is 5 things,

**[00:58:41]** but for me,

**[00:58:43]** sustainable lasting health

**[00:58:46]** is simple, like your

**[00:58:48]** palm, or rather, the 5 fingers on it.

**[00:58:50]** So I'll start with sleep.

**[00:58:52]** Sleep is extremely important.

**[00:58:54]** 8 hours of quality

**[00:58:56]** sleep will truly

**[00:58:58]** guarantee you in the future

**[00:59:00]** a life spent

**[00:59:02]** in health. Until 2019,

**[00:59:04]** I used to say,

**[00:59:06]** you don't have to sleep and that it's

**[00:59:08]** a mistake and that you'll miss out on

**[00:59:10]** an incredibly interesting life and just sleep it away.

**[00:59:12]** And I said that until

**[00:59:14]** I returned from Yemen

**[00:59:16]** from my 6th mission, when I started sleeping

**[00:59:18]** 3 hours and it lasted a year

**[00:59:20]** actually, half a year,

**[00:59:22]** and it wasn't intentional. I didn't want it,

**[00:59:24]** but I just couldn't get rid of it.

**[00:59:26]** I admired Napoleon Bonaparte,

**[00:59:28]** who supposedly even slept standing up

**[00:59:30]** and 4 hours a day were enough for him

**[00:59:32]** his whole life.

**[00:59:34]** Maybe that's why he was so

**[00:59:36]** angry.

**[00:59:38]** It has a strong

**[00:59:40]** impact on your psyche,

**[00:59:42]** on your physical performance.

**[00:59:44]** You basically become kind of an idiot.

**[00:59:46]** I

**[00:59:48]** got on the metro

**[00:59:50]** and rode, got off at some station

**[00:59:52]** and I was wondering where I had actually gone,

**[00:59:54]** what route it was.

**[00:59:56]** You forget not only how to express yourself in English,

**[00:59:58]** but also in Czech.

**[01:00:00]** And that's just because you sleep poorly.

**[01:00:04]** So sleeping makes sense, definitely do it,

**[01:00:08]** because you will really enjoy that state afterwards.

**[01:00:12]** Otherwise, you just nibble through life, and very often it's a kind of foggy personal experience.

**[01:00:16]** So I don't say these nonsense anymore. I don't say you don't have to sleep.

**[01:00:20]** A simple thing like sleep

**[01:00:24]** and also that you don't necessarily have to run ten kilometers every day.

**[01:00:28]** For me,

**[01:00:32]** and again based on some recommendations, two drops of sweat on your forehead are enough,

**[01:00:36]** and not because your air conditioning is set wrong,

**[01:00:40]** it's hot, or your boss is angry, but because you moved.

**[01:00:44]** Wiping two drops of sweat from your forehead daily means

**[01:00:48]** you probably did about a kilometer of intense running, and that's completely

**[01:00:52]** enough for you to enjoy life in health much better

**[01:00:56]** than your peers or even those a generation older.

**[01:01:00]** Another simple tip is, after you eat,

**[01:01:04]** and this is funny, whenever I say this, especially during some evening sessions,

**[01:01:08]** everyone checks what I do.

**[01:01:12]** And that bothers me because I like food, but the principle is to not finish

**[01:01:16]** everything on your plate. You don't necessarily have to eat

**[01:01:20]** the last bite. Whether you do intermittent fasting

**[01:01:24]** or some other method, basically it's the same,

**[01:01:28]** it's fine to have a slight feeling of hunger.

**[01:01:32]** So just don't finish your food. It's actually a simple

**[01:01:36]** tip from our grandmothers. They knew well that eating until half full,

**[01:01:40]** eating until three-quarters full, makes sense.

**[01:01:44]** And it's a simple tip, now scientifically proven.

**[01:01:48]** Temperature. When I came up with this,

**[01:01:52]** it was long before the war in Ukraine.

**[01:01:56]** Now it obviously fits with how temperatures in offices and homes are dropping.

**[01:02:00]** Exposing yourself to mild cold makes sense.

**[01:02:04]** It triggers a series of reparative processes at the cellular level,

**[01:02:08]** which lead, for example, to your immune system

**[01:02:12]** being much better at killing cancer cells,

**[01:02:16]** which form every moment, every second in your body,

**[01:02:20]** and now, as you sit here watching us, they are forming.

**[01:02:24]** But because we have a good immune system, we are able

**[01:02:28]** to quickly fight those mutated cells, for example.

**[01:02:32]** Exposing yourself to mild cold,

**[01:02:36]** even supports the strength of the immune system.

**[01:02:40]** To some extent, these are reversible processes,

**[01:02:44]** but I wouldn't want anyone to take away the idea that you should just jump into the Vltava River now,

**[01:02:48]** because that doesn't really work, but to some extent you have the ability

**[01:02:52]** to regenerate many tissues in the human body,

**[01:02:56]** and this is based on scientific facts.

**[01:02:58]** And that's the physical part.

**[01:03:00]** So number four is basically how to maintain physical health.

**[01:03:03]** But physical health goes hand in hand with mental health and vice versa.

**[01:03:07]** And for that, I have a simple, straightforward piece of advice.

**[01:03:11]** I believe the most important thing is to maintain relationships.

**[01:03:16]** Whether you function in mental well-being

**[01:03:20]** is largely determined by your relationship with your partner,

**[01:03:25]** with your children, with your work team,

**[01:03:29]** with your friends, with your parents.

**[01:03:34]** Simply maintaining relationships can be the biggest source of energy

**[01:03:39]** to keep you mentally well.

**[01:03:41]** So this is a whispered high five to end with.

**[01:03:45]** If you remember it, I'll be glad; if not,

**[01:03:49]** I'll be inspired by whatever you use

**[01:03:54]** in your daily life. Again, I remind you,

**[01:03:57]** I would like to see on the slide for the upcoming discussion,

**[01:04:01]** which Honza will join, ideas on how to hold the Minister of Health accountable.

**[01:04:04]** I would really like us to discuss what we are actually doing,

**[01:04:07]** so that it happens, so that by 2023

**[01:04:10]** we truly advance the time spent in good health.

**[01:04:13]** At the same time, I'm interested in practical things.

**[01:04:16]** What guides you, where do you drink water,

**[01:04:19]** how do you treat wine.

**[01:04:24]** And that’s probably the end of what I wanted to say in this monologue.

**[01:04:27]** I look forward to the discussion now,

**[01:04:31]** and if you want to refresh the Minister of Health idea,

**[01:04:35]** I have two current podcasts available.

**[01:04:38]** One is more traditional and it's Prospero Česká spořitelna.

**[01:04:42]** By the way, Česká spořitelna is one of the major partners

**[01:04:45]** of the Minister of Health and the whole idea.

**[01:04:50]** So we managed to do this nicely in under an hour.

**[01:05:00]** to formulate, to show that vision from different perspectives

**[01:05:05]** and at the same time to bring closer the specific conceptual steps.

**[01:05:09]** And a less traditional form, I don't know if you know,

**[01:05:12]** that the podcast without a title is today one of the biggest

**[01:05:17]** in the Czech Republic. The guys there deal with something completely different

**[01:05:21]** than I'm used to, show business, so they put me there

**[01:05:25]** as a contrast to what they usually discuss.

**[01:05:28]** And paradoxically, it caught on, meaning it has a chance to survive,

**[01:05:31]** because even the young generation absorbs it very well

**[01:05:35]** and it's in a more relaxed form and a bit broader

**[01:05:38]** and maybe in some context of other activities I have.

**[01:05:42]** So I'll turn back and I think I have 2:50, Honza, a small reserve.

**[01:05:48]** That's beautiful, thanks.

**[01:05:51]** So thank you for listening to the monologue part.

**[01:05:55]** So.

**[01:05:57]** And maybe I'll just ask you who are watching us.

**[01:06:01]** When Tomáš says it like that, it's clear, right?

**[01:06:06]** That it's clear, yeah.

**[01:06:08]** And I always think about it, when it's so clear,

**[01:06:10]** then why is it actually not happening, right?

**[01:06:13]** And your high five is really great, thanks a lot for that.

**[01:06:17]** And I'd like to go back a bit to the breakfast you had.

**[01:06:22]** If each of you took away one specific action

**[01:06:25]** that you would do in connection with this,

**[01:06:27]** then we would have achieved something huge, huge.

**[01:06:30]** I was just talking with Tomáš before the breakfast started,

**[01:06:34]** that I just finished reading the book Breath,

**[01:06:36]** which Libor Matuš and many others recommend.

**[01:06:39]** And it's exactly a book about how important breathing is, etc.

**[01:06:42]** And I thought this breakfast,

**[01:06:45]** these breakfasts,

**[01:06:47]** are great, I really liked it,

**[01:06:49]** but it's important, so I read it.

**[01:06:52]** So this morning I just changed my swimming training,

**[01:06:55]** which was already talked about here.

**[01:06:57]** And I changed it exactly in the way

**[01:06:59]** the book describes.

**[01:07:01]** Because if I hadn't done it and if there was no action,

**[01:07:04]** then it would be totally useless.

**[01:07:06]** So I just urge you, please, please,

**[01:07:09]** If each of you took away one specific action,

**[01:07:12]** then take at least one action that leads to this,

**[01:07:15]** because life will simply be better for all of us.

**[01:07:18]** So that's the first thing.

**[01:07:20]** And maybe I'll add to what Honza said,

**[01:07:22]** because Honza is a big inspiration to me,

**[01:07:25]** just like many others.

**[01:07:27]** And when he told me that health is, to some extent,

**[01:07:30]** captured precisely in the grip,

**[01:07:32]** it's really like,

**[01:07:34]** it's really like,

**[01:07:36]** it's really like,

**[01:07:38]** it's really like,

**[01:07:40]** that it's actually captured precisely in the grip.

**[01:07:43]** Not only did he recall household rings,

**[01:07:46]** but I did it too, much to my wife's delight.

**[01:07:49]** So today, overcoming five meters in the hallway on the ceiling

**[01:07:52]** is basically a must,

**[01:07:54]** and I highly recommend it as a fascinating inspiration.

**[01:07:57]** Yeah, yeah, yeah. We immediately saved those photos,

**[01:08:00]** so that's great.

**[01:08:02]** Maybe I'll start a little differently,

**[01:08:05]** and I'll also connect to your five,

**[01:08:08]** and I can talk about sleep.

**[01:08:10]** I do sleep a lot,

**[01:08:12]** I do it intentionally,

**[01:08:14]** because I simply think it has a lot of benefits,

**[01:08:16]** but I actually have a ring

**[01:08:18]** that measures it for me.

**[01:08:20]** Because I've met many people

**[01:08:22]** who say, 'I lie down and sleep, and that's it.'

**[01:08:24]** And when I first had the ring

**[01:08:27]** and lived my usual life and so on,

**[01:08:30]** I saw that although I was lying in bed,

**[01:08:33]** it wasn't really happening.

**[01:08:36]** And there's also a question for you,

**[01:08:38]** why do you actually have two watches and what about those gadgets?

**[01:08:40]** So maybe try to say something about the data,

**[01:08:43]** how important it actually is.

**[01:08:48]** It's not just about feelings,

**[01:08:50]** but actually about the fact

**[01:08:52]** that people really need to measure things,

**[01:08:54]** because otherwise it doesn't make much sense.

**[01:08:56]** I wouldn't want to dismiss our feelings.

**[01:08:58]** Whether we feel good,

**[01:09:00]** at any age,

**[01:09:02]** can define quality of life

**[01:09:04]** and we might not need to go further.

**[01:09:06]** However, our life is based on data,

**[01:09:08]** and it will be in the future.

**[01:09:10]** And here's the interesting part: big manufacturers,

**[01:09:12]** like Oura, Apple Health, and others,

**[01:09:14]** still haven't reached the point

**[01:09:16]** where they can really reflect the data

**[01:09:18]** in the way I mentioned earlier.

**[01:09:20]** That means linking it to some clinical diagnosis.

**[01:09:23]** It's nice for Honza to track

**[01:09:25]** his sleep rhythm,

**[01:09:28]** but it's just soft data.

**[01:09:30]** You can compare some trends with others,

**[01:09:32]** but it's not connected to any

**[01:09:34]** psychiatric diagnosis, for example.

**[01:09:38]** I exaggerated and I apologize,

**[01:09:40]** that’s not what I meant.

**[01:09:42]** But something is missing.

**[01:09:47]** And this is the future.

**[01:09:49]** So on one hand, comparing yourself to trends is fine,

**[01:09:53]** and probably based on monitoring

**[01:09:55]** those data outputs, I will change my lifestyle,

**[01:09:59]** if I bought those things intentionally.

**[01:10:00]** I want to change my life somehow,

**[01:10:04]** but for me, digital prevention goes further.

**[01:10:06]** The app should really tell me,

**[01:10:09]** that at age 68, based on all the data you gave me,

**[01:10:14]** I have evaluated,

**[01:10:17]** future preventive apps will all be feminine in form,

**[01:10:22]** I have evaluated that you will have a heart attack between 68 and 60.

**[01:10:26]** If you want it at 74,

**[01:10:29]** you won't avoid it because you might have some genetic basis,

**[01:10:32]** So I recommend these four, five, eight things,

**[01:10:35]** that you will do and I will help you manage them.

**[01:10:39]** This is what the future is about.

**[01:10:41]** Where the connection of that data flow

**[01:10:45]** with what we know and can do in clinical medicine happens,

**[01:10:48]** and then you can really work with it scientifically.

**[01:10:50]** Not even Google has managed it yet,

**[01:10:53]** nor Apple, nor other manufacturers,

**[01:10:55]** they are all just nice, colorful pie charts.

**[01:10:59]** We all really enjoy them, we like measuring ourselves,

**[01:11:01]** but actually, if I put it aside on my arm,

**[01:11:04]** my life wouldn't fundamentally change.

**[01:11:06]** I just wouldn't be able to compare myself with others

**[01:11:09]** or look for some of my own data or dependencies in it,

**[01:11:15]** but it simply won't help me

**[01:11:18]** to work with that data on a higher or deeper level,

**[01:11:22]** which I expect in the near future.

**[01:11:26]** I find it really interesting,

**[01:11:29]** actually,

**[01:11:31]** I'll try to share my habit,

**[01:11:33]** that I try to swim every day.

**[01:11:35]** I try every day.

**[01:11:36]** It's like, I don't know, 350 days a year.

**[01:11:40]** The thing is, I jump into the water,

**[01:11:43]** and sometimes, you know, when you start running,

**[01:11:45]** doing some regular activity,

**[01:11:47]** sometimes it goes better and sometimes worse.

**[01:11:48]** Sometimes swimming feels like swimming in honey,

**[01:11:50]** sometimes it's like a dolphin.

**[01:11:54]** I first started rating this feeling,

**[01:11:58]** because I agree that the feeling is very important,

**[01:12:01]** but then I validate it with what the data shows me.

**[01:12:05]** Usually they match.

**[01:12:06]** That means when I ate very late at night,

**[01:12:09]** the body just reacts,

**[01:12:10]** or when I trained very hard the day before,

**[01:12:12]** the next day isn't good.

**[01:12:14]** So I enjoy this combination,

**[01:12:16]** and I think it's really nice.

**[01:12:18]** That again, the moment I would slavishly,

**[01:12:20]** if he was just watching something,

**[01:12:21]** it definitely wouldn't make any sense

**[01:12:23]** and my wife would have kicked me out of the house by now,

**[01:12:25]** because she is the emotional type

**[01:12:26]** and most women are like that,

**[01:12:28]** when I talked to them about aura,

**[01:12:30]** they asked why it should be monitoring me?

**[01:12:32]** And maybe here we're hitting on something else.

**[01:12:35]** So why do you wear two watches, Tomáš?

**[01:12:37]** Today, it's kind of an anachronism for me.

**[01:12:40]** I got them about ten years ago, at a time

**[01:12:42]** when there was no single solution on the market

**[01:12:46]** that could on one hand measure very precisely

**[01:12:49]** and help me with spatial orientation.

**[01:12:51]** I'm completely hopeless if you put me in Wenceslas Square

**[01:12:53]** and tell me to go down to the bridge,

**[01:12:55]** I would definitely go up towards the museum.

**[01:12:57]** And on the other hand, something that communicates,

**[01:13:00]** which I felt the Apple Watch could do back then.

**[01:13:03]** Maybe today there are better watches

**[01:13:06]** that combine these features,

**[01:13:07]** but back then, when I was still a big fan

**[01:13:09]** and devoured technology and wanted to understand the hardware well,

**[01:13:14]** and the data it generates,

**[01:13:15]** I just kept wearing it since then.

**[01:13:18]** I have to admit, sometimes people expect it from me,

**[01:13:21]** that I wear two watches and I'd like to take one off.

**[01:13:24]** That's exactly why I'm so eagerly waiting for the moment

**[01:13:26]** when it will be possible to implant the first nanobots,

**[01:13:29]** and besides teleportation, I also want to try that technology.

**[01:13:35]** What health tracking apps do you recommend?

**[01:13:39]** I'll tell you what I have on my phone.

**[01:13:40]** Since it's connected to my Suunto watch,

**[01:13:45]** I have a sports app from Suunto.

**[01:13:49]** I also have it linked to my diet.

**[01:13:51]** In the last six months, I started using a sleep app.

**[01:13:58]** As I said, I used to deny sleep,

**[01:14:00]** but now I carefully monitor it with my two little ones.

**[01:14:05]** It's funny how much time you spend awake at night

**[01:14:09]** and still have to function the next day.

**[01:14:11]** And I really admire everyone doing part-time work in Odsov, which is now my business, for at least a year and a half,

**[01:14:15]** and it will be another year, it's really tough, and doing it full-time,

**[01:14:17]** is quite unbelievable.

**[01:14:20]** So hats off to all the ladies.

**[01:14:22]** And then I use things that aren't exactly regular.

**[01:14:26]** Of course, I have, like at the doctor CZ, I have...

**[01:14:31]** I can't say that.

**[01:14:36]** Definitely, I have things like the ambulance.

**[01:14:41]** I really like the Ostrava start-up MySpace,

**[01:14:44]** if you don't know it, I think Radim Šlachta will be one of the people

**[01:14:47]** who will talk with us on the ninth, so that's great.

**[01:14:50]** I also peek a bit into the competition's kitchen,

**[01:14:55]** which is obviously behind us, but some things are interesting.

**[01:14:58]** And looking at it now, next to Áda,

**[01:15:03]** maybe Preventivka is worth mentioning,

**[01:15:05]** which is a nice app developed by LUNO, Katka Vacková,

**[01:15:07]** she just got married, I don't remember the new last name...

**[01:15:11]** Greetings to Katka.

**[01:15:14]** It's really complicated for women, so that's probably about it.

**[01:15:16]** I'm not exaggerating, I definitely don't want to be addicted to having a thousand and one things.

**[01:15:19]** Gradually, I just picked a few things to follow.

**[01:15:22]** And being a slave to apps is definitely not a good path.

**[01:15:24]** Let me see if I missed anything... Probably not.

**[01:15:28]** Thank you.

**[01:15:32]** How do you push health insurance companies to develop more preventive activities?

**[01:15:35]** My OZP doesn't have much, writes anonymous here.

**[01:15:38]** I think OZP is among the early adopters of the idea that prevention makes sense.

**[01:15:42]** And in my opinion, health insurance companies in general are starting to step into this more and more,

**[01:15:45]** for the pragmatic reason that they all realize

**[01:15:48]** that access to healthcare in the Czech Republic is significantly and rapidly declining.

**[01:15:53]** That means we're slowly reaching a point

**[01:15:57]** where in some excluded regions or places in the Czech Republic,

**[01:16:00]** it's really a big problem to find a regular general practitioner.

**[01:16:04]** And the second thing they realize very well,

**[01:16:07]** because at the end of the year they have to balance the books and it doesn't add up.

**[01:16:12]** As I said, the spinning wheel, running faster and faster,

**[01:16:16]** or the exponential growth, it really doesn't make sense anymore.

**[01:16:29]** not even to giants like health insurance companies.

**[01:16:32]** So they are looking at prevention from a long-term perspective

**[01:16:35]** as basically an emergency brake for the whole system.

**[01:16:38]** So I think they are quite far along in this,

**[01:16:40]** at least in their considerations, and I hope very soon in implementation as well.

**[01:16:45]** And I really support that, because besides the average citizen,

**[01:16:49]** who is starting to realize that health is a commodity,

**[01:16:51]** besides companies, where it is becoming a fundamental asset of the company's capability,

**[01:16:57]** the sustainability of the company, profit is linked to the fact

**[01:17:00]** that the company has enthusiastic, happy, healthy colleagues,

**[01:17:06]** this is reaching the health insurance companies,

**[01:17:09]** while at the very end, at the tail, is the healthcare system

**[01:17:14]** with all those agencies that manage this unhealthy system.

**[01:17:19]** So I hope that we as users and drivers will start from the bottom up

**[01:17:25]** the whole evolution of the future healthcare system in the Czech Republic.

**[01:17:28]** You are basically the dream of every person who creates some kind of show,

**[01:17:33]** because just yesterday the Prospero podcast with David Klimeš came out,

**[01:17:37]** so I am ready, I know the age is 62 years and so on.

**[01:17:42]** But I would actually be interested, try to give a few examples

**[01:17:47]** that you can imagine how companies might actually respond to this.

**[01:17:50]** You changed a few in that podcast,

**[01:17:52]** regarding cases of promoting healthy food and so on.

**[01:17:55]** What comes to your mind so we can imagine at all

**[01:17:58]** how companies can enter this space and what could actually happen?

**[01:18:02]** Well, we are doing that now, Honza.

**[01:18:03]** That's the first thing, it's evangelization, I think that's where it all starts.

**[01:18:07]** Basically, start talking about it, start raising awareness,

**[01:18:10]** and education in general is, in my opinion, the key to everything.

**[01:18:14]** Another thing I would really like companies to support

**[01:18:17]** is that we all unite here on the issue of data transparency.

**[01:18:23]** You can't start healthcare without it,

**[01:18:25]** without it starting to self-generate data that we will primarily own.

**[01:18:30]** I believe that the ten and a half million citizens of the Czech Republic have the right

**[01:18:34]** to have all documentation about their health status with them,

**[01:18:39]** and you yourselves were the key to unlocking it for whoever you consider relevant.

**[01:18:44]** And if it's a good cardiologist, you give it to them,

**[01:18:46]** and if it's a bad cardiologist, you don't.

**[01:18:49]** And if it's a good state that manages your data well

**[01:18:51]** and offers you a technical solution and some unified form, then you give it to them.

**[01:18:58]** And if the state is bad at it, you won't give it to them and will look for a solution elsewhere,

**[01:19:01]** because it doesn't necessarily have to be the state that innovates the whole system.

**[01:19:05]** Very often it isn't, and it's the commercial sector cooperating with the state.

**[01:19:10]** So, I think this is the primary task,

**[01:19:13]** for us to say, or for you,

**[01:19:16]** the most promising among you in companies, to unite and actually give the impulse.

**[01:19:21]** Let's start by making healthcare transparent.

**[01:19:24]** I really want to know,

**[01:19:25]** if that doctor, the surgeon, what was his name at the hospital on the edge of town,

**[01:19:31]** wasn't good, who is responsible for that?

**[01:19:33]** A failure.

**[01:19:33]** A failure.

**[01:19:34]** Has this failure improved when I go to him to have my gallbladder removed,

**[01:19:38]** or should I just go to another institution?

**[01:19:41]** We really have the right to know that.

**[01:19:42]** It has its specifics, it needs to be interpreted well, and so on,

**[01:19:46]** but simply claiming much of healthcare as it is today is standard,

**[01:19:52]** like you don't understand the health data, so we won't burden you with it.

**[01:19:56]** That's really nonsense.

**[01:19:57]** This is not the way forward, and among other things...

**[01:20:00]** in Europe, for example, transparently showing which hospital is good and which is bad,

**[01:20:05]** leads to the whole system starting to improve. So this is the first step,

**[01:20:09]** and I would really wish, as one example of how to start,

**[01:20:13]** that companies start to care, since they pour such huge money

**[01:20:17]** into the public health insurance system, about what they actually get for it.

**[01:20:21]** It's a must, you have to do it, but you could start monitoring

**[01:20:25]** what you get in return. Data-driven healthcare is the key

**[01:20:29]** to setting all other mechanisms healthily. And on the other hand, if it remains

**[01:20:33]** non-transparent, as it is in the Czech Republic, then the evolution,

**[01:20:37]** revolution, whatever we call it, simply won't happen and we'll remain these poor souls,

**[01:20:41]** who at 2.60, as I said, start to be sick, poisoned,

**[01:20:46]** and so on.

**[01:20:48]** Transparency in benefits is actually very interesting, because you all agree on that,

**[01:20:52]** and when I remember the breakfast with Tomáš Hrůda about the education system,

**[01:20:56]** simply because there is no feedback loop, it just can't work.

**[01:21:00]** And if you have transparent data, then Professor Beneš said this year,

**[01:21:04]** look, I would be fine with everything being public, because I know,

**[01:21:08]** that I do it well.

**[01:21:10]** I could even say, I know I do it best.

**[01:21:13]** And that's probably true.

**[01:21:15]** It is, and as you said at the beginning, it's that simple, and then it's completely

**[01:21:19]** surprising how those architects of the

**[01:21:23]** classic health system goals always manage to make it so complicated.

**[01:21:27]** Here Lukáš asks, I have experience that if I show interest in a preventive check-up at the doctor,

**[01:21:31]** they look at me like I'm crazy and ask why. Is it something to you?

**[01:21:35]** What procedure do you recommend? I have a good guess, but try.

**[01:21:39]** Here I would recommend the option that nowadays you can usually

**[01:21:43]** check with any health insurance company the record

**[01:21:47]** of COVID or other services that a healthcare provider or doctor

**[01:21:51]** has actually issued for you. So a small tip, when you go to your general practitioner

**[01:21:55]** and they look at you like you fell from the sky, check that

**[01:21:59]** system to see if they have already recorded a preventive check-up for you.

**[01:22:03]** And if yes, show it to them right away and you can continue the conversation,

**[01:22:07]** and I think the initial barriers like what is prevention and I don't understand it will fall away.

**[01:22:11]** The general practitioners aren't to blame, the system is just badly set up like this,

**[01:22:15]** and something can be done about it, but that's a completely different discussion, maybe elsewhere,

**[01:22:19]** and we won't get into that now. But another, let's say,

**[01:22:23]** activity you can do, but carefully, is changing your doctor, but you don't have many alternatives.

**[01:22:27]** The very best is to be healthily wealthy and not need doctors,

**[01:22:31]** that's advice worth its weight in gold.

**[01:22:35]** Maybe I'll just ask, I know we don't have a slide now, but just try to raise your hand a bit,

**[01:22:37]** who has an overview of what procedures were performed on them this year

**[01:22:41]** and were recorded. Who has this specific overview, knowing exactly

**[01:22:45]** what happened with you? OK, so maybe 30%.

**[01:22:49]** And that's really great. And honestly, be, I think the key to

**[01:22:53]** us being well and having, among other things, a quality healthcare system

**[01:22:57]** is that you will be demanding, that you will really want to know, understand,

**[01:23:01]** that you will be the one making decisions. For God's sake, don't come to us with

**[01:23:05]** 'give me a miracle pill and fix me.'

**[01:23:09]** And I don't care. I'll just swallow it or put it aside

**[01:23:13]** and still live a quality life. Come to us

**[01:23:17]** ready to... I have no problem if doctor Google or Tatavyky helps you with what you know.

**[01:23:21]** It's good for me, it's actually a refresher on the level

**[01:23:25]** at which I then engage with you in discussions. I'm not saying I love it,

**[01:23:29]** all my colleagues have their reservations, but I want you to be educated.

**[01:23:33]** I want you to realize that health is yours. That it's your commodity,

**[01:23:37]** and I'm just a service provider. Exactly the same as someone who changes your tires

**[01:23:41]** or fixes a broken exhaust, that's basically what we do in healthcare.

**[01:23:54]** It's the paradigm that a white coat means I just sit back and

**[01:23:58]** listen with my mouth open to whatever the doctor says.

**[01:24:02]** For God's sake, let that be gone.

**[01:24:05]** A small insight and a detour into Czech healthcare.

**[01:24:08]** All of you confident people come into the hospital thinking that

**[01:24:12]** once you put yourself in medical care, it doesn't matter to you at all

**[01:24:16]** that, for example, you take off all your clothes and then walk down the hallway

**[01:24:20]** with a friend in those little angel gowns. I always knock on wood

**[01:24:24]** when I come to rounds and the ladies and gentlemen just show me all of

**[01:24:28]** their equipment, the most intimate parts, without me even asking

**[01:24:31]** if I want to see it.

**[01:24:34]** I always say, what happened to all of you?

**[01:24:37]** And I try to behave completely normally, very often among my patients.

**[01:24:40]** Nowadays, I come as I do now, the white coat institution

**[01:24:43]** annoys me because I don't need to teach you how to organize or elevate yourself.

**[01:24:46]** On the contrary, I want you to just open up,

**[01:24:49]** and that will be the path to success. It's not just about cutting something off,

**[01:24:52]** but also about how we communicate and how you feel about it.

**[01:24:55]** I think this is something inside you, inside us, that's encoded

**[01:24:59]** and needs to change, and you can change it by simply

**[01:25:02]** demanding it. So look at what healthcare is showing you.

**[01:25:06]** Ask doctors questions and endure that the communication might be annoying

**[01:25:11]** at first and that you might not have many alternatives.

**[01:25:14]** We will change, you will change too, and I think that's the path

**[01:25:18]** that will lead us to enjoy health.

**[01:25:22]** What should you focus on during a preventive check-up with your doctor?

**[01:25:26]** What should you ask for? What makes sense to monitor?

**[01:25:29]** That would be a very long discussion, but for that I recommend,

**[01:25:32]** not to go back to my home kitchen again,

**[01:25:35]** although of course Lékaře.cz offers this service today,

**[01:25:38]** for example, the preventive check-up from odkatky, the nonprofit LUNO,

**[01:25:41]** has it very nicely organized now.

**[01:25:44]** You simply enter a few details and the system starts proactively offering,

**[01:25:47]** based on your age, gender, and so on,

**[01:25:51]** a program that you might not even realize

**[01:25:55]** that health insurance companies offer today.

**[01:25:58]** And that's, let's say, level one.

**[01:26:01]** I would really like us and my colleagues to move this to the level

**[01:26:04]** where we actually have a robust data set from you,

**[01:26:07]** so we can truly tailor prevention to you.

**[01:26:10]** That it won't be like at 55 you have to go for colonoscopies

**[01:26:13]** and repeat them every 10 years, but that it will simply be,

**[01:26:16]** there's colleague Martin, so for Martin it will be at 45.

**[01:26:20]** Because I know five other things about Martin here

**[01:26:23]** and maybe he had some genetic burden in the family.

**[01:26:26]** That's how it should work in the future.

**[01:26:29]** But even this small step, that today there are smart apps

**[01:26:32]** and digital tools just to make you aware

**[01:26:35]** of what you are entitled to, is, in my opinion, a big step forward.

**[01:26:39]** Maybe it also serves to say...

**[01:26:42]** For example, Honza might not need anything, no check-ups...

**[01:26:45]** I'm not sure, I already have the psychiatric exam written down.

**[01:26:49]** I was talking about physical health, the mental part there...

**[01:26:53]** Maybe we just have a colleague and friend here,

**[01:26:57]** who gives colonoscopy exams as a Christmas gift

**[01:27:02]** to his parents.

**[01:27:04]** You can give a gift that isn't quite standard,

**[01:27:07]** but in the long run can be much better,

**[01:27:10]** than buying someone any nonsense

**[01:27:13]** that no one really wants anyway.

**[01:27:15]** But I warn a bit, I gave it to my parents too,

**[01:27:18]** and then for three years in a row they didn't want any gifts.

**[01:27:21]** Dose it carefully, explain, communicate,

**[01:27:24]** and be sure they will accept it.

**[01:27:26]** So there are many things to say, Tom,

**[01:27:28]** and maybe I'll stop now,

**[01:27:30]** because we will have a follow-up discussion,

**[01:27:33]** so I might even invite you to it.

**[01:27:35]** So, Tom, last question.

**[01:27:37]** You are here today to wish us well,

**[01:27:40]** so maybe I'll try to take the proprieties here.

**[01:27:44]** Yes, it's non-alcoholic, nothing bad at all,

**[01:27:47]** this is how it is...

**[01:27:48]** He knows I'm a teetotaler.

**[01:27:50]** Tom, please, what do you wish for all of us?

**[01:27:53]** Say it.

**[01:27:54]** You caught me off guard a bit,

**[01:27:56]** because I actually can't think of anything funnier than wishing you good health.

**[01:28:00]** Given the topic we've discussed today,

**[01:28:04]** I'll allow myself a bit of philosophizing,

**[01:28:08]** or at least an attempt at philosophizing.

**[01:28:11]** When someone asks me or wants something like that from me,

**[01:28:14]** I always say, look, thinking is not good.

**[01:28:17]** Let them work with their hands,

**[01:28:19]** but don't let them talk and think too much.

**[01:28:21]** But I would like to say one thing,

**[01:28:24]** which I think is worth considering,

**[01:28:27]** when you recap the holiday season

**[01:28:29]** and maybe have time to reflect.

**[01:28:31]** Personally, I believe that the key, among other things,

**[01:28:34]** to things like the environment we live in,

**[01:28:37]** could be health.

**[01:28:39]** It's kind of, I don't know how revolutionary,

**[01:28:43]** I haven't read it anywhere,

**[01:28:45]** but I think that the way we treat our own health

**[01:28:48]** will largely reflect

**[01:28:50]** how we treat the environment around us.

**[01:28:52]** Whether I get off the public transport,

**[01:28:55]** which I used in the morning instead of a car, three stops earlier,

**[01:28:58]** and walk those few steps,

**[01:29:00]** so that the two drops of sweat appear on my forehead,

**[01:29:04]** means I've done something not only for myself,

**[01:29:06]** but also for the world we live in.

**[01:29:09]** So maybe our health can be a very simple,

**[01:29:14]** positive key to

**[01:29:17]** improving not only health,

**[01:29:19]** but life and the environment around us in general.

**[01:29:22]** So I want to wish you,

**[01:29:24]** that through you, health in the coming year,

**[01:29:28]** which I wish you strong,

**[01:29:30]** might start changing other fundamental questions of life and being,

**[01:29:35]** and it's not 42.

**[01:29:38]** So, to health.

**[01:29:40]** To health, and to your health.

**[01:29:42]** www.arkance-systems.cz

**[01:30:00]** They said, give us stars, give us feedback somehow,

**[01:30:07]** which we also talked about, so we would really appreciate it.

**[01:30:11]** It's good when we open a topic to talk about it more deeply.

**[01:30:19]** Whether you are in libraries, schools, at home, or in a company,

**[01:30:25]** make sure to take some time for reflection and try to think about it,

**[01:30:29]** what you could do, what were the aha moments, what this breakfast simply gave and took from you.

**[01:30:35]** We will do it on January 9th from 1 PM.

**[01:30:41]** I'm very happy that we managed to find and are still looking for people,

**[01:30:47]** who have a lot to say about health, so Vlado Zlatoš, already mentioned, will participate.

**[01:30:53]** Michal Šrejer is here, who is trying very hard,

**[01:30:58]** to advance happiness at work, health, and so on.

**[01:31:01]** Martin Ruman, who is back there with his company Odisej,

**[01:31:05]** does a lot of beneficial work towards health in companies.

**[01:31:11]** The already mentioned Radim Šlachta from Majsasy will also be a person who will come to us,

**[01:31:17]** Petr Šrámek from the Longevity Institute, and we will probably do it mostly

**[01:31:24]** in his new café, which focuses on this topic, on Opletalova Street.

**[01:31:28]** So it won't be just online, but a hybrid event, so if you want to come,

**[01:31:33]** it might be good to register.

**[01:31:37]** We are also talking about Libor Matuš and other people to really create an alliance

**[01:31:42]** and involve as many people as possible in this topic who are not involved yet.

**[01:31:46]** So this is Brain&Breakfast Digestiv on January 9th.

**[01:31:50]** Brain&Breakfast is under the umbrella of something called Red Button.

**[01:31:55]** Some of you probably know it. There are many projects there.

**[01:31:59]** Another one is the book of the month.

**[01:32:01]** When we talked here about discipline, the book of the month for January is Atomic Habits,

**[01:32:06]** which Martin Šafařík recommended, so we definitely recommend Atomic Habits.

**[01:32:11]** We also recommend following other shows available on Red Button EDU.

**[01:32:16]** And probably the most important announcement is,

**[01:32:20]** that Brain&Breakfast is entering its tenth season.

**[01:32:25]** That means we've been broadcasting breakfasts every month for ten years.

**[01:32:28]** I find that really interesting.

**[01:32:31]** So to everyone who has been with us here...

**[01:32:35]** Yes, thank you, thank you, thank you.

**[01:32:38]** To everyone who has supported us, who has been here from the start,

**[01:32:42]** and contributed in any way, thank you very much for this.

**[01:32:46]** We believe the tenth season will be great.

**[01:32:49]** And we will kick it off with Soňa Jonášová.

**[01:32:52]** An hour of sustainability, but it will be kind of...

**[01:32:56]** We will start with a macro view of the seventeen sustainable goals,

**[01:32:59]** which Tomáš also talked about today.

**[01:33:02]** So on January 19th at 8:30 here at Magenta,

**[01:33:06]** or with you on TV or any other receivers, I look forward to it.

**[01:33:10]** Once again, cheers to your health, thank you very much for your support.

**[01:33:13]** Have a great time and peaceful holidays.

**[01:33:16]** Goodbye and hi.

**[01:33:19]** So, bye.