Happy Birthday to you... [MUSIC]
Yay!!! Happy Birthday! So old!
My name is Eddie Shakerpour. I was born in Iran.
I came to the USA in 1988, end of '88. After three weeks I find a job in the USA.
This picture is belong to long time ago. Inside the picture is my mom, my
grandma, my grand grandma, my dad.
Reactive medicine is the medicine that we've practiced in the United States for
decades. It involves treating a disease an illness when it occurs. You come to
see your physician your other healthcare clinicians when something's wrong
with you. And what excites me is can I prevent you from having heart disease.
I've spent much of my career treating you if you've had heart disease. I'd like
to spend the rest of my career preventing you from having heart disease.
Humanwide is really an opportunity to be able to take a subset of patients and
then allow us to be able to wrap our arms around these folks in a unique way. So,
it's been said that the zip code is more important than the genetic code and that's a
real strength of Humanwide because some of the socio-economic or environmental
factors are just as important as the genetic factors and that's why it's
important that human wide take such a broad approach. We now view the
relationship between life and disease in a much more holistic sense. Good things
and bad things are happening all the way and we can influence them literally from
the moment of conception. Not only do we need to involve patients and their
families much more in making decisions, informed decisions, about the type of
care they're receiving for the treatment of diseases like cancer and heart
disease but also that approach needs to change at the primary care level because
there is so much that each of us can do to be engaged proactively in our health
and our well-being. Humanwide is a pilot that we are conducting in a primary care
clinic in Santa Clara. We at that clinic have also implemented a team-based care
model which we think is going to help us transform what we're doing in primary
care. The focus of Humanwide is to consider how can we leverage the best of
the art and science of medicine that we have at Stanford and across the country
and the world -- technology, genomics, diagnostics -- how do we leverage that so
that we are focusing on prevention and proactive care to prevent disease before
it strikes.
Eddie Shakerpour. 68 year old has
high cholesterol, hyperlipidemia, and back pain.
This is good for my lower back to release the pain.
This lower back is bothering me a lot because I went to physical therapy.
Still I have this problem. They said it's better to check my DNA to find out about
all the medicine. Tomorrow they gonna explain to me to see what is the result
of the DNA they did already. From my blood tests. They're gonna
find out what's going on because I still I don't know. It's good that you're
enrolled in this pilot because the biggest topic that we should probably
address today is the pharmacogenomics results and how that might impact your
the dosages of your medications and so we can address that now. There are two
medications that we probably need to address because your metabolism of these
medications has slowed down so you don't need to take such a high dose. That's
right. Which is great. Have you ever had any side effects from taking the
cholesterol-lowering medications? Right now most of my muscles is tense. I have a pain.
By lowering the atorvastatin because you don't need such a high dose by lowering
it you experience less side effects. Perhaps that was a side effect from the
medication. Yeah they told me to. So then we'll definitely do that. So I
would probably go down to 5 mg of the omeprazole and
5 mg of the atorvastatin. That's right. Okay. So I'll go and do that now.
And I'll see you in four weeks. You can review your blood pressure is the one
thing that I want to continue to pay attention to.
I think with human wide what we are attempting to do is to take primary care
2.0 to the next level and to bring our goals in Precision
Health to life. We want to help patients. We don't want to treat their diseases. We
want to treat them. And that's what Humanwide lets you do. That's what any good
primary care practice should let you do. And this is even more so. But also the
information gathered from them in this study will enable us to design
approaches to primary care that will benefit we believe hundreds and then
thousands of other people down the road.