TEDWomen 2017
Nadine Hachach-Haram: How augmented reality could change the future of surgery
娜汀哈恰奇哈蘭: 擴增實境如何改變手術的未來
Filmed:
Readability: 5
1,273,080 views
如果你要接受手術，你會想要最好的手術團隊來為你執刀，不論他們身在何處。外科醫生兼創業家娜汀哈恰奇哈蘭在開發一個新系統，能協助外科醫生一起做手術，並讓一個醫生接受另一個醫生訓練──從遠方使用低成本的擴增實境工具。在紐奧良 TED 講台上透過她的筆記型電腦，她參與了一個明尼蘇達州的醫生實況執刀的膝蓋手術，來展示系統如何運作。哈恰奇哈蘭說：「透過被我們視為理所當然的簡單日常裝置，我們真能做出很了不起的事。」（本演說內容有手術影像）
Nadine Hachach-Haram - Surgeon, entrepreneur
The co-founder of Proximie, Nadine Hachach-Haram is a curious surgeon with a passion for technology and innovation -- and a desire to make a difference in the world. Full bio
The co-founder of Proximie, Nadine Hachach-Haram is a curious surgeon with a passion for technology and innovation -- and a desire to make a difference in the world. Full bio
Double-click the English transcript below to play the video.
00:12
According to the theories
of human social development,
of human social development,
0
857
2838
根據人類社會發展的理論，
00:15
we're now living
through the fourth great epoch
through the fourth great epoch
1
3719
2217
我們現在正處在技術進展的
00:17
of technological advancement,
2
5960
2095
第四個重要時期：
00:20
the Information Age.
3
8080
1200
「資訊時代」。
00:22
Connectivity through digital technology
is a modern miracle.
is a modern miracle.
4
10240
3576
透過數位技術造成的連結性，
是現代的奇蹟。
是現代的奇蹟。
00:25
We can say it has broken down barriers
of time and space which separate people,
of time and space which separate people,
5
13840
5136
我們可以說，原本會讓人分離的
時間空間阻礙，都被它打破了，
時間空間阻礙，都被它打破了，
00:31
and it's created a condition for an age
6
19000
1896
它所創造的時代中，
00:32
where information, ideas
can be shared freely.
can be shared freely.
7
20920
2240
資訊、想法都能自由分享。
00:37
But are these great accomplishments
in digital technology
in digital technology
8
25240
2936
但這些數位技術的偉大成就已近尾聲，
00:40
really the endgame
in terms of what can be achieved?
in terms of what can be achieved?
9
28200
2480
不能再達成更多了嗎？
00:43
I don't think so,
10
31640
1416
我不認為如此，
00:45
and today I'd like to share with you
11
33080
1776
而今天我想要和各位分享
00:46
how I believe digital technology
can take us to even greater heights.
can take us to even greater heights.
12
34880
3280
我為何相信數位技術
可以帶我們再上一層樓。
可以帶我們再上一層樓。
00:51
I'm a surgeon by profession,
13
39880
1936
我的職業是外科醫生，
00:53
and as I stand here today
talking to all of you,
talking to all of you,
14
41840
2376
今天我站在這裡和各位說話的同時，
00:56
five billion people around the world
lack access to safe surgical care.
lack access to safe surgical care.
15
44240
4376
全世界有五十億人無法
取得安全的手術護理。
取得安全的手術護理。
01:00
Five billion people.
16
48640
2416
五十億人。
01:03
That's 70 percent
of the world's population,
of the world's population,
17
51080
2616
那是世界人口的 70%，
01:05
who according to the WHO's
Lancet Commission
Lancet Commission
18
53720
2456
世界衛生組織的柳葉刀委員會指出，
01:08
can't even access
simple surgical procedures
simple surgical procedures
19
56200
2776
他們甚至在需要簡單外科手術時，
01:11
as and when they need them.
20
59000
1320
都求助無門。
01:13
Let's zoom in on Sierra Leone,
21
61760
2056
讓我們來看看獅子山共和國，
01:15
a country of six million people,
22
63840
2496
這個國家有六百萬人口，
01:18
where a recent study showed
that there are only 10 qualified surgeons.
that there are only 10 qualified surgeons.
23
66360
3480
一項近期研究指出，
只有十個合格的外科醫生。
只有十個合格的外科醫生。
01:22
That's one surgeon
for every 600,000 people.
for every 600,000 people.
24
70520
3000
也就是說每六十萬人
才有一個外科醫生。
才有一個外科醫生。
01:26
The numbers are staggering,
25
74280
1520
這些數字很嚇人，
01:28
and we don't even need to look that far.
26
76680
1920
而我們甚至不用看那麼遙遠。
01:31
If we look around us here in the US,
27
79160
2136
如果我們看看我們所在的美國，
01:33
a recent study reported that we need
an extra 100,000 surgeons by 2030
an extra 100,000 surgeons by 2030
28
81320
4736
一項近期研究指出，到 2030 年
我們還需要再增加十萬名外科醫生，
我們還需要再增加十萬名外科醫生，
01:38
to just keep up with the demand
for routine surgical procedures.
for routine surgical procedures.
29
86080
3400
這樣才能剛好追上
例行外科手術的需求。
例行外科手術的需求。
01:42
At the rate that we're going,
we won't be meeting those numbers.
we won't be meeting those numbers.
30
90120
3120
以目前的比率來看，
我們無法達成那個數字。
我們無法達成那個數字。
01:47
As a surgeon, this is
a global issue that bothers me.
a global issue that bothers me.
31
95520
2616
身為外科醫生，
這個全球議題讓我困擾。
這個全球議題讓我困擾。
01:50
It bothers me a lot,
32
98160
1536
它讓我很困擾，
01:51
because I've seen firsthand
33
99720
1816
因為我曾經第一手見過，
01:53
how lack of access
to safe and affordable healthcare
to safe and affordable healthcare
34
101560
2856
無法取得安全且能負擔的健康照護
01:56
can blight the lives of ordinary people.
35
104440
1920
會如何摧殘一般人的生命。
01:58
If you're a patient
that needs an operation
that needs an operation
36
106960
2096
如果你是需要動手術的病人，
02:01
and there isn't a surgeon available,
37
109080
1736
卻沒有外科醫生有空，
02:02
you're left with some
really difficult choices:
really difficult choices:
38
110840
2200
你就得要做出非常困難的抉擇：
02:05
to wait, to travel,
39
113840
2400
等候、到其他地方，
02:09
or not to have an operation at all.
40
117200
1720
或完全不要動手術。
02:12
So what's the answer?
41
120880
1240
所以答案是什麼？
02:15
Well, part of you are carrying
some of that solution with you today:
some of that solution with you today:
42
123000
4096
在座有些人今天已把
一部份的解決方案帶在身上了：
一部份的解決方案帶在身上了：
02:19
a smartphone, a tablet, a computer.
43
127120
2840
智慧手機、平板電腦、電腦。
02:23
Because for me,
44
131080
1376
因為，對我來說，
02:24
digital communications technology
has the power to do so much more
has the power to do so much more
45
132480
4056
數位通訊技術能夠做到的
02:28
than just to allow us to shop online,
46
136560
2256
遠遠超過線上購物、
02:30
to connect through social media platforms
and to stay up to date.
and to stay up to date.
47
138840
3048
透過社交媒體平台連結，
及取得最新資訊。
及取得最新資訊。
02:34
It has the power to help us solve
some of the key issues that we face,
some of the key issues that we face,
48
142880
4216
它有能力協助我們解決一些
我們面臨的關鍵議題，
我們面臨的關鍵議題，
02:39
like lack of access
to vital surgical services.
to vital surgical services.
49
147120
2520
比如無法取得攸關生死的手術服務。
今天我想要和各位分享個例子，
02:42
And today I'd like to share with you
50
150440
1736
02:44
an example of how I think
we can make that possible.
we can make that possible.
51
152200
2440
來說明我們要如何實現那個想法。
02:47
The history of surgery
is filled with breakthroughs
is filled with breakthroughs
52
155360
2416
手術的歷史充滿了突破，
02:49
in how science and technology
was able to help the surgeons of the day
was able to help the surgeons of the day
53
157800
3336
在於科學與技術協助當時的外科醫生
面對最大挑戰的方式上不斷突破。
02:53
face their greatest challenges.
54
161160
1496
02:54
If we go back several hundred years,
55
162680
1976
如果回到數百年前，
02:56
an understanding of microbiology
56
164680
1896
對於微生物學的了解
02:58
led to the development
of antiseptic techniques,
of antiseptic techniques,
57
166600
2336
造成了防腐抗菌技術的發展，
03:00
which played a big role in making sure
58
168960
1856
對於確保病人在手術後還能
03:02
patients were able
to stay alive postsurgery.
to stay alive postsurgery.
59
170840
2336
生存下來，這項技術非常重要。
03:05
Fast-forward a few hundred years
60
173200
1576
稍微快轉幾百年，
03:06
and we developed
keyhole or arthroscopic surgery,
keyhole or arthroscopic surgery,
61
174800
2336
我們發展出了微創或關節鏡手術，
03:09
which combines video technology
and precision instruments
and precision instruments
62
177160
2896
結合了影像技術和精準的工具
03:12
to make surgery less invasive.
63
180080
1680
來降低手術的侵入性。
03:15
And more recently, a lot of you
will be aware of robotic surgery,
will be aware of robotic surgery,
64
183760
3336
更近期，許多人
可能聽過機器人手術，
可能聽過機器人手術，
03:19
and what robotics brings to surgery
is much like modern automated machinery,
is much like modern automated machinery,
65
187120
4656
機器人學帶給手術的
是類似現代自動化機械裝置、
是類似現代自動化機械裝置、
03:23
ultraprecision,
66
191800
1200
超精度、
03:25
the ability to carry out procedures
at the tiniest scales
at the tiniest scales
67
193680
3416
進行最小精準度手術的能力，
03:29
with a degree of accuracy
that even surpasses the human hand.
that even surpasses the human hand.
68
197120
2920
比人類雙手能達到的精準度更高。
03:34
But robotic surgery also introduced
something else to surgery:
something else to surgery:
69
202000
3640
但，機器人手術還為手術
帶來了一個新想法：
帶來了一個新想法：
03:38
the idea that a surgeon
70
206480
1456
外科醫生不見得
03:39
doesn't actually have to be standing
at the patient's bedside to deliver care,
at the patient's bedside to deliver care,
71
207960
3680
一定得要站在病人的床邊進行照護，
03:44
that he could be looking at a screen
72
212320
1896
他可以看著螢幕，
03:46
and instructing a robot
through a computer.
through a computer.
73
214240
2160
透過電腦來指示機器人進行。
03:49
We call this remote surgery.
74
217800
2080
我們稱之為遙控手術。
03:54
It is incumbent on us
75
222800
1696
我們有責任要找到成本效益高
03:56
to find solutions that solve these answers
in a cost-effective and scalable way,
in a cost-effective and scalable way,
76
224520
4456
又可擴展的方法來解決這些答案，
04:01
so that everyone, no matter
where they are in the world,
where they are in the world,
77
229000
2656
才能讓每個人，
不論在世界的哪個角落，
不論在世界的哪個角落，
04:03
can have these problems addressed.
78
231680
1640
都能處理這些問題。
04:06
So what if I told you
79
234440
1656
如果我告訴各位，
04:08
that you didn't really need
a million-dollar robot
a million-dollar robot
80
236120
2376
並不需要一台造價百萬美金的機器人
04:10
to provide remote surgery?
81
238520
1240
也能做到遙控手術，如何？
04:12
That all you needed
was a phone, a tablet, or a computer,
was a phone, a tablet, or a computer,
82
240720
3960
你只需要一隻手機、
一台平板電腦或電腦、
一台平板電腦或電腦、
04:17
an internet connection,
83
245680
1320
網路連線、
04:19
a confident colleague on the ground
84
247800
1816
一個有信心的同事在手術室裡，
04:21
and one magic ingredient:
85
249640
1560
還有一項魔法成份：
04:24
an augmented reality
collaboration software.
collaboration software.
86
252120
2760
擴增實境協同作業軟體。
04:28
Using this augmented reality
collaboration software,
collaboration software,
87
256079
2736
用這個擴增實境協同作業軟體，
04:30
an expert surgeon
can now virtually transport himself
can now virtually transport himself
88
258839
3057
專業外科醫生就可以用
虛擬的方式將他自己
虛擬的方式將他自己
04:33
into any clinical setting
89
261920
1776
傳送到任何臨床場景中，
04:35
simply by using his phone
or tablet or computer,
or tablet or computer,
90
263720
3056
只要用他的手機、平板或電腦即可，
04:38
and he can visually and practically
interact in an operation
interact in an operation
91
266800
2856
他可以在一次手術中，
從頭到尾，做視覺上
從頭到尾，做視覺上
04:41
from start to finish,
92
269680
1336
和實際上的互動，
04:43
guiding and mentoring a local doctor
through the procedure step by step.
through the procedure step by step.
93
271040
3600
一步一步引導和指導
當地的醫生完成手術。
當地的醫生完成手術。
04:47
Well, enough of me telling you about it.
94
275800
2216
各位應該聽我說夠了，
04:50
I'd now like to show you.
95
278040
1280
現在讓我來展示給各位看。
04:54
We're now going to go live
to Dr. Marc Tompkins,
to Dr. Marc Tompkins,
96
282840
2936
我們現在要跟馬克湯普金斯
醫生做現場連線，
醫生做現場連線，
04:57
an orthopedic surgeon
at the University of Minnesota.
at the University of Minnesota.
97
285800
2560
他是明尼蘇達大學的整形外科醫生。
05:01
He's going to perform
an arthroscopic surgery for us,
an arthroscopic surgery for us,
98
289800
2496
他將為我們進行一項關節鏡手術，
05:04
a keyhole surgery of the knee,
99
292320
2176
膝蓋的微創手術，
05:06
and I'd like to disclose
100
294520
1536
我想要公開說明，
05:08
that this patient has consented
to having their operation streamed.
to having their operation streamed.
101
296080
3160
這位病人同意讓這次的
手術影片被傳輸過來。
手術影片被傳輸過來。
05:14
I'd also like to point out
that in the interest of time,
that in the interest of time,
102
302040
2656
我也要先說明，因為時間的緣故，
05:16
we're just going to go
through the first steps,
through the first steps,
103
304720
2216
我們只會做前面幾個步驟，
05:18
marking up the patient
104
306960
1256
給病人做標記，
05:20
and just identifying
a few key anatomical landmarks.
a few key anatomical landmarks.
105
308240
2760
以及找出幾個關鍵的解剖學位置。
05:24
Hello, Dr. Tompkins, can you hear me?
106
312960
1960
哈囉，湯普金斯醫生，聽得見嗎？
05:28
Dr. Mark Tompkins: Good morning, Nadine.
107
316200
1976
馬克湯普金斯醫生：早安，娜汀。
05:30
Nadine Hachach-Haram:
Everyone from TED says hello.
Everyone from TED says hello.
108
318200
2416
娜汀哈恰奇哈蘭：
TED 的大家說哈囉。
TED 的大家說哈囉。
05:32
Audience: Hi.
109
320640
1200
觀眾：嗨。
05:36
NHH: Alright, Dr. Tompkins,
let's get started.
let's get started.
110
324200
2296
娜汀：好，湯普金斯醫生，
我們開始吧。
我們開始吧。
05:38
So let's start with our incisions
and where we're going to make these,
and where we're going to make these,
111
326520
3296
我們先從切口開始，
而切口的位置是在膝蓋肌腱的兩側。
05:41
on either side of the patellar tendon.
112
329840
1936
05:43
So if you can make
your incisions there and there,
your incisions there and there,
113
331800
3696
如果你能在那裡和那裡做切口，
05:47
that should hopefully
get us into the knee.
get us into the knee.
114
335520
2120
希望那樣能讓我們進入膝蓋。
05:51
MT: All right, I'm going in.
115
339000
1400
馬克：好，我要進入了。
05:53
NHH: Great.
116
341840
1200
娜汀：很好。
05:57
So we're just getting
inside the joint now.
inside the joint now.
117
345480
2160
我們現在進入了關節內部。
06:02
So why don't we go around
and have a quick look at the meniscus.
and have a quick look at the meniscus.
118
350520
3280
我們何不繞過去
快速看一下半月軟骨。
快速看一下半月軟骨。
06:07
MT: Perfect.
119
355680
1200
馬克：好極了。
06:11
NHH: Great, so we can see there's
a small tear there on the meniscus,
a small tear there on the meniscus,
120
359960
3536
娜汀：很好，所以我們能看到
半月軟骨上的這裡有個小撕裂傷，
半月軟骨上的這裡有個小撕裂傷，
06:15
but otherwise it looks alright.
121
363520
1840
其他地方看起來都還好。
06:18
And if you turn
and head to this direction,
and head to this direction,
122
366800
2416
如果你轉動一下，朝向這個方向，
06:21
follow my finger,
123
369240
1216
跟著我的手指，
06:22
let's have a quick look
at the ACL and the PCL.
at the ACL and the PCL.
124
370480
2200
咱們來快速看看
前十字韌帶跟後十字韌帶。
前十字韌帶跟後十字韌帶。
06:26
That's your ACL there,
that looks quite healthy,
that looks quite healthy,
125
374720
3216
那是前十字韌帶，看起來很健康，
06:29
no problems there.
126
377960
1256
那裡沒問題。
06:31
So we've just identified
that small meniscus tear there,
that small meniscus tear there,
127
379240
3016
我們剛剛已經看到了那邊
半月軟骨上的小撕裂傷，
半月軟骨上的小撕裂傷，
06:34
but otherwise the fluid
around the joint looks OK as well.
around the joint looks OK as well.
128
382280
2720
此外，關節周圍的液體
看起來也沒問題。
看起來也沒問題。
06:38
All right, thank you very much,
Dr. Tompkins. Thank you for your time.
Dr. Tompkins. Thank you for your time.
129
386920
3336
好的，非常謝謝你的時間，
湯普金斯醫生。
湯普金斯醫生。
06:42
I'll let you continue.
130
390280
1616
我就讓你繼續了。
06:43
Have a good day. Bye.
131
391920
2336
祝今天愉快，再見。
06:46
(Applause)
132
394280
2080
（掌聲）
06:54
So I hope through
this simple demonstration
this simple demonstration
133
402840
2056
我希望透過這次簡單的展示，
06:56
I was able to illustrate to you
just how powerful this technology can be.
just how powerful this technology can be.
134
404920
3896
能夠向各位說明
這項技術能有多強大。
這項技術能有多強大。
07:00
And I'd like to point out
that I wasn't using any special equipment,
that I wasn't using any special equipment,
135
408840
3216
我要強調，我沒使用任何特殊裝備，
只有我的筆記型電腦
和很簡單的網路攝影機。
和很簡單的網路攝影機。
07:04
just my laptop and a really simple webcam.
136
412080
2456
07:06
We're so used to using digital technology
137
414560
1976
我們非常習慣使用數位技術，
07:08
to communicate through voice
and text and video,
and text and video,
138
416560
2240
透過聲音、文字、影像做溝通，
07:11
but augmented reality
can do something so much deeper.
can do something so much deeper.
139
419760
3296
但擴增實境能做的事更深許多。
07:15
It allows two people to virtually interact
140
423080
2296
它讓兩個人能夠
以虛擬的方式做互動，
以虛擬的方式做互動，
07:17
in a way that mimics
how they would collaborate in person.
how they would collaborate in person.
141
425400
2715
模仿他們面對面時的協同作業方式。
07:21
Being able to show someone
what you want to do,
what you want to do,
142
429200
2216
能夠讓對方知道你想要做什麼，
07:23
to illustrate and demonstrate and gesture,
143
431440
2136
能夠圖解、展示、用動作示意，
07:25
is so much more powerful
than just telling them.
than just telling them.
144
433600
2240
遠比單單告訴對方要強大得多。
07:28
And it can make
for such a great learning tool,
for such a great learning tool,
145
436840
2216
它能成為非常棒的學習工具，
07:31
because we learn better
through direct experience.
through direct experience.
146
439080
2360
因為直接經驗能讓學習更有效。
07:34
So how is this making
a difference around the world?
a difference around the world?
147
442040
2456
所以，這要如何
在世界各地造成不同？
在世界各地造成不同？
07:36
Well, back in my teaching hospital,
148
444520
2056
回到我的教學醫院，
07:38
we've been using this to support
local district general hospitals
local district general hospitals
149
446600
3096
我們一直在用它來支援
當地的地方綜合醫院，
當地的地方綜合醫院，
07:41
and providing skin cancer surgery
and trauma treatment.
and trauma treatment.
150
449720
2600
提供皮膚癌手術以及創傷治療。
07:44
Now, patients can access
care at a local level.
care at a local level.
151
452800
3376
病人只要在地方的層級
就能取得照護。
就能取得照護。
07:48
This reduces their travel time,
improves their access,
improves their access,
152
456200
3336
這樣能減少他們的交通時間，
改善他們的使用，
改善他們的使用，
07:51
and saves money.
153
459560
1200
還可以省錢。
07:53
We've even started seeing its use
in wound care management with nurses
in wound care management with nurses
154
461680
3296
它甚至開始被用在護士的
傷口照護管理上，
傷口照護管理上，
07:57
and in outpatient management.
155
465000
1736
以及門診病人管理。
07:58
Most recently, and quite exciting,
156
466760
1736
最近，很讓人興奮的是，
08:00
it was used in supporting a surgeon
through a cancer removal of a kidney.
through a cancer removal of a kidney.
157
468520
4040
它被用來支援一位外科醫生，
進行癌症的腎臟切除手術。
進行癌症的腎臟切除手術。
08:06
And I'd like to just share with you
a very quick video here.
a very quick video here.
158
474320
2840
我想快速和各位分享一下影片。
08:09
I apologize for some
of the gruesome views.
of the gruesome views.
159
477760
2560
很抱歉會有一些可怕的畫面。
08:14
(Video) Doctor 1: OK. Show me again.
160
482080
3240
（影片）醫生 #1：
好，再讓我看一次。
好，再讓我看一次。
08:17
Doctor 2: If you see here,
161
485760
2096
醫生 #2：你看這裡，
08:19
that's the upper part,
the most outer part of your tumor.
the most outer part of your tumor.
162
487880
4056
那是上半部，
你的腫瘤最外面的部份。
你的腫瘤最外面的部份。
08:23
Doctor 1: Yes.
163
491960
1256
醫生 #1：是的。
08:25
Doctor 2: So it's
three centimeters deep,
three centimeters deep,
164
493240
2856
醫生 #2：它的深度有 3cm，
08:28
so this should be three centimeters.
165
496120
1880
這應該是 3cm。
08:30
Doctor 1: Yes, yes.
166
498840
1336
醫生 #1：是，是的。
08:32
Doctor 2: OK,
so you need to get a 3.5 margin.
so you need to get a 3.5 margin.
167
500200
3880
醫生 #2：好，所以你得要
切除 3.5 公分，餘地才夠。
切除 3.5 公分，餘地才夠。
08:37
Doctor 1: I'm going to show you anyway
168
505536
2000
醫生 #1：總之，我會做給你看，
08:39
and tell me what you think about it.
169
507560
2560
告訴我你認為如何。
08:42
NHH: We're also seeing the use
of this technology at a global scale,
of this technology at a global scale,
170
510880
3376
娜汀：我們也看到這項技術
被用到全球的規模，
被用到全球的規模，
08:46
and one of the most
heartwarming stories I can recall
heartwarming stories I can recall
171
514280
2536
我所記得最暖心的故事之一，
08:48
is from the town of Trujillo
in the north of Lima in Peru,
in the north of Lima in Peru,
172
516840
3240
來自秘魯利馬北邊的楚黑歐小鎮，
08:52
where this technology
was used to support the provision
was used to support the provision
173
520840
2856
當這項技術被用來支援
08:55
of cleft lip and palate
surgery to children,
surgery to children,
174
523720
2616
孩童的唇裂與顎裂手術，
08:58
children from poor backgrounds who
didn't have access to health insurance.
didn't have access to health insurance.
175
526360
3976
幫助來自貧窮背景
且沒有健康保險的孩童。
且沒有健康保險的孩童。
09:02
And in this town, there was
a hospital with one surgeon
a hospital with one surgeon
176
530360
2616
在這小鎮有一間醫院，
只有一位外科醫生
只有一位外科醫生
09:05
working hard to provide this care,
177
533000
1936
很努力在提供這項照護，
09:06
Dr. Soraya.
178
534960
1200
索瑞亞醫生。
09:08
Now, Dr. Soraya was struggling
under the sheer demand
under the sheer demand
179
536960
2496
索瑞亞醫生很辛苦，
因為當地人口的需求太大了，
09:11
of her local population,
180
539480
1416
09:12
as well as the fact that she wasn't
specifically trained in this procedure.
specifically trained in this procedure.
181
540920
3576
且她本身並沒有特別
受過這項手術的訓練。
受過這項手術的訓練。
所以，靠一個慈善團體協助，
09:16
And so, with the help of a charity,
182
544520
1696
09:18
we were able to connect her
with a cleft surgeon in California,
with a cleft surgeon in California,
183
546240
3456
我們得以讓她和加州的
一位唇裂外科醫生連結上，
一位唇裂外科醫生連結上，
09:21
and using this technology, he was able
to guide her and her colleagues
to guide her and her colleagues
184
549720
3296
用這項技術，他能夠
指導她和她的同事
指導她和她的同事
09:25
through the procedure step by step,
185
553040
1696
一步一步完成手術，
09:26
guiding them, training them
and teaching them.
and teaching them.
186
554760
2176
引導他們、訓練他們、教導他們。
09:28
Within a few months,
187
556960
1256
幾個月之內，
09:30
they were able to perform
30 percent more operations
30 percent more operations
188
558240
2456
他們能夠進行的手術
數目多了 30%，
數目多了 30%，
09:32
with less and less complications.
189
560720
2096
且併發症也越來越少了。
09:34
And now Dr. Soraya and her team
can perform these operations
can perform these operations
190
562840
3416
現在，索瑞亞醫生和
她的小組有足夠能力
她的小組有足夠能力
09:38
independently, competently
and confidently.
and confidently.
191
566280
2880
能獨立且有信心地進行這些手術。
09:42
And I remember one quote
from a mother who said,
from a mother who said,
192
570000
2776
我記得有位母親說過：
09:44
"This technology
gave my daughter her smile."
gave my daughter her smile."
193
572800
2120
「這項技術把微笑帶給我的女兒。」
09:48
For me, this is the real power
of this technology.
of this technology.
194
576640
2440
對我來說，這就是
這項技術真正的力量。
這項技術真正的力量。
09:51
The beauty is that it breaks boundaries.
195
579800
2376
美好之處在於它跨越了國界。
09:54
It transcends all
technological difficulties.
technological difficulties.
196
582200
3360
它超越了所有技術困難。
09:58
It connects people.
It democratizes access.
It democratizes access.
197
586520
2480
它把人連結在一起，
讓大家都有使用機會。
讓大家都有使用機會。
10:02
Wi-Fi and mobile technology
are growing rapidly,
are growing rapidly,
198
590160
2256
無線上網和行動技術正在快速成長，
10:04
and they should play a role
in boosting surgical provision.
in boosting surgical provision.
199
592440
3016
它們應該要在推動
手術提供上有所貢獻。
手術提供上有所貢獻。
10:07
We've even seen it used in conflict zones
where there's considerable risk
where there's considerable risk
200
595480
3456
我們曾經看過它被用在
衝突地區，在那裡，
衝突地區，在那裡，
要專業外科醫生送到
某些特定地點是很危險的。
某些特定地點是很危險的。
10:10
in getting specialist surgeons
to certain locations.
to certain locations.
201
598960
2536
10:13
In a world where
there are more mobile devices
there are more mobile devices
202
601520
2896
在這個世界上，
手機數比人類數還多，
10:16
than there are human beings,
203
604440
1856
10:18
it truly has a global reach.
204
606320
1880
它真的能觸及全球。
10:20
Of course, we've still got a long way
205
608920
1816
當然，還有很長的路要走，
10:22
before we can solve the problem
of getting surgery to five billion people,
of getting surgery to five billion people,
206
610760
3496
才能解決要把手術
帶給五十億人的問題，
帶給五十億人的問題，
10:26
and unfortunately,
207
614280
1256
不幸的是，
10:27
some people still
don't have access to internet.
don't have access to internet.
208
615560
2240
有些人還無法取得網路連結。
10:30
But things are rapidly moving
in the right direction.
in the right direction.
209
618520
2560
但，現狀正在快速
朝正確的方向發展。
朝正確的方向發展。
10:34
The potential for change is there.
210
622360
1720
改變的潛力就在那裡。
10:36
My team and I are growing
our global footprint,
our global footprint,
211
624840
2936
我和我的團隊在全球
留下越來越多的足跡，
留下越來越多的足跡，
10:39
and we're starting to see
the potential of this technology.
the potential of this technology.
212
627800
2920
我們才剛開始看到這項技術的潛力。
10:44
Through digital technology,
213
632440
1896
透過數位技術，
10:46
through simple, everyday devices
that we take for granted,
that we take for granted,
214
634360
3296
透過被我們視為理所當然
的簡單日常裝置，
的簡單日常裝置，
10:49
through devices of the future,
215
637680
2016
透過未來的裝置，
10:51
we can really do miraculous things.
216
639720
1960
我們真的能做出很了不起的事。
10:54
Thank you.
217
642360
1216
謝謝。
10:55
(Applause)
218
643600
3240
（掌聲）
ABOUT THE SPEAKER
Nadine Hachach-Haram - Surgeon, entrepreneurThe co-founder of Proximie, Nadine Hachach-Haram is a curious surgeon with a passion for technology and innovation -- and a desire to make a difference in the world.
Why you should listen
Dr. Nadine Hachach-Haram is a surgeon, lecturer and clinical entrepreneur. She drew on her passion for innovation, education and global surgery to co-found Proximie, an augmented reality platform that allows doctors to virtually transport themselves into any operating room, anywhere in the world, to visually and practically interact in an operation from start to finish. From marking up a patient to providing real-time virtual presence in assisting and instructing on an operation, Proximie aims to provide safe, accessible and cost-effective surgery to every patient around the world. Dubbed the "future of surgery" by CNN, Proximie has gone from strength to strength and won multiple awards as well as being the main focus of the Foreign Press Association Science Story of the Year. It aims to revolutionize the delivery and education of healthcare by reducing the cost of that delivery while providing improved quality to the end patient, ensuring that every patient gets the best care, the first time, every time.
Nadine Hachach-Haram | Speaker | TED.com