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The Future of Health

Monday 4th April 2011 Theater aan het Vrijthof – Maastricht


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Contents Forword / Program shortlist

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The Entrance

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Simon Sinek: Since when is a person a luxury?

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Impressions 06 Extraordinary care, common sense

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TEDxMaastricht around the world

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Breaking bread

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Blogging @ TEDxMaastricht 10 Nine wigs and a message for the world

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Health Valley

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Tweets 14 Impressions 18 About Live Magazines

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Colophon

This issue of Live Magazines is made by: Editors in chief, graphic designers: William van Giessen Joost van der Steen Writer: Joyce Brekelmans Photographers: Tom Roelofs Aad van Vliet Mirella Boot Contributor: Peter Murray www.livemagazines.nl Live Magazines速 a magazine about your event, made in one day. Live Magazines速 is a registered brand and concept by O.K. PARKING. This Live Magazine was made in association with:


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Foreword Today de healthcare world is in constant turmoil. Patients are becoming more verbal and “doctor Google” is the most popular physician in the business. With medical knowledge readily available to anyone with access to a computer, the time has come to welcome the ‘participating patient’ into the business. The health industry faces many challenges in its efforts to provide care for those who need it, but today TEDxMaastricht wants to discuss opportunities. Different speakers will touch on different parameters, but the general consensus is that healthcare needs to be better. The only question is how this can best be achieved? Thankfully, the strength of TEDx lies with the ability to connect great minds and ideas, with enthusiasm and initiative. Patients and practitioners alike have shared their stories and vision for better care. We can’t wait to see what grand new initiatives will emerge from this day, because with this much passion and experience in one building, how could it be anything else than inspired?

Program shortlist OPENING Welcome by Chris Anderson (video) Welcome by Aldith Hunkar WHY? Simon Sinek Coen van Veenendaal Renger Witkamp Luciano Floridi Luuk Simons The New Treaty of Maastricht WHAT? Sophie van der Stap Wolter Mooi Frans Hiddema

Jan Gunnarsson Daniel Kraft

Fred Lee Bas Bloem

HOW? Team Smettah Lucien Engelen Wouter Bos Tim Hurson Pieter Kubben Compassion for Care

TEDx YOU Future leaders taking over TEDxMaastricht Challenges Happy hour of brilliant failures in healthcare, conducted by Paul Iske Melvin Samson

WHO? e-Patient Dave Thomas Power Lawrence Sherman Nicolette Mak


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The Entrance

Marco Derksen is looking forward to Simon Sinek. “He is one of the rising stars amongst TED speakers. Look! This is so cool, we spoke last night at the bar and he gave me this special ‘inspire to activate’ button.”

Medical students Simak Zahmat and Yahya Hussin are both TED fans who don’t really like the term networking, but admit to hoping they get to meet some interesting people at this event.

Didi Braat is professor of gynaecology at Radboud University Nijmegen Medical Centre and serves on several advisory boards regarding public health. She’s not yet on Twitter or anything like that, but she is very interested to hear how healthcare can benefit from including patient input in medicine.

René Teunissen and Jeroen Alessie teach Fysiotherapy and care about the future of healthcare and education. Mr. Teunissen has not set a bar yet, but mr. Alessie has very high expectations indeed. Hanneke Noordam has a broad interest and is hoping for new and interesting ideas on healthcare.

This Live Magazine was made in association with Health Valley


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Simon Sinek asks, since when is a person a luxury? “Trust emerges when we’re around people who believe what we believe. It is based on common values.� From the get go he knows how to grab the audience. In his speech he balances science, business, emotions and humour. He lovingly mocks generations for their collective faults and notices a detachment that drives us even further apart. Our wealth and technology have caught up with us. We need human interaction to thrive and grow, because a text or tweet can never replace the warmth from a smile or handshake...


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This Live Magazine was made in association with Health Valley


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Extraordinary care, common sense

Two great initiatives came to fruition today at TEDxMaastricht. The new Treaty of Maastricht highlighted the commitment the three main sponsors have in regards to the vitality of their employees and students. KPN, Radboud University Nijmegen Medical Centre and TU Delft alike, feel a shared responsibility when it comes to public health. Their continued support shows that they take that responsibility very seriously. This Live Magazine was made in association with Health Valley

The other initiative was the Dutch charter on ‘Compassion for Care’ that was introduced today in response to the ‘Charter for Compassion’ that originated from Karen Armstrong at TED in the United States. The charter puts great emphasis on patient participation and compassion in healthcare.


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Breaking bread

Remco Hoogendijk is the winner of the Skipr Challenge which won him a speaking opportunity during ‘the happy hour of brilliant failures’ tonight at TEDx. He will be discussing the seven deadly sins in healthcare, which in his view is grinding to a halt. His personal highlight so far was Daniel Kraft’s speech on the medical technologies of the future. You can follow him on Twitter: @ocmer

Dr Anatole S MenonJohansson is an expert in the field of sexual health and HIV. He is very enthusiastic about the speakers so far, and found the patients’ stories to be especially illuminating. He thought that between Simon Sinek’s cry for human interaction and Daniel Kraft’s robotic future, all the bases were being covered. And he would certainly be bringing back some ideas to his colleages in London.

TEDx Maastricht around the world

Darwin, Australia

Stockholm, Sweden

Nijmegen, the Netherlands

Leiden, the Netherlands


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Blogging @ TEDxMaastricht

WOUTER BOS: “TECHNOLOGY CARRIES “A GREAT PROMISE FOR HEALTHCARE” BUT IS THIS TRUE?

The one and most frequently asked question to Wouter Bos after he left politics as a minister of finance is why he moved into the healthcare consultancy. His one and only answer is: because healthcare is more complicated than finance and yet, it is more rewarding. And his professional deformation resulted in thinking only of cost at finance, which is so similar to healthcare. As pessimist the future with healthcare for him is related to only tremendous rising costs. Technology developments, do these solve the problem of rising costs? Technology never made healthcare cheaper in the past, so it is not expected to happen today, nor in the future. Reason is that innovations are always immediately wanted, there is always a need for innovations, so this will create additional cost. Another pessimistic vision is that the top ten of life threatening diseases is an ongoing story. It Is like a perpetuum mobile, it keeps going. Once one is curable, another, new life threatening disease will reach the surface of life. Besides, often a life threat-

ening disease will be converted in a chronic disease, again not cheaper, rather more expensive. Growing knowledge about diseases, even in the early stage of life, contributes to growth of cost, since early detected diseases will be treated as well. Who dares to withheld the treatment of young people? As no one will, this earlier detection, today even into the placenta, will help raising the costs. The worst of all is, diseases are smarter than we are. Take as an example cancer. It is about cells, and cells have the ability to multiply. So, in the fight against cancer we are not fighting against death, but against life! Do not misinterpret: challenge technology, keep doing so, but do not expect it will reduce cost. So, should we continue? Certainly, challenge technological innovators, predominantly with the objective to maintain quality of life, instead of delaying death. Death is unavoidable, but it should not come at an too early, unexpected time.

Posted by Rene Luigies

“ INSOURCE YOUR HEALTH!

Now here’s a talk after my own heart! I am a strong believer in disease prevention. Luuk Simons tells us we can save 40 percent on our healthcare costs. The trend of people becoming obese is enormous worldwide. It increases the risk of getting ill with for instance heart disease, some types of cancers and diabetes. We are not aging normally at the moment. Bringing down cholesterol levels with 25 percent would get rid of 90 percent of our cardiovascular disease, for instance. 75 – 80 percent of our life span is determined by our lifestyle. You cannot outsource your own health, so every individual has to take responsibility: personal health management. Our kids will not live as long as we will, Maybe 10 years less, because of how we are teaching them what a good lifestyle is. Or actually, how we really are teaching them unhealthy lifestyles. At Delft University they found that people like to change within a program they set up for their own workforce. They targeted the least healthy population. Within weeks people were eating better, exercising more often and having fun with it. Take charge of your won health, the health of your employees, the health of your kids, so we will age in a good and natural way again. And by doing so we will keep the cost of our healtcare system healthy too.

Posted by Harriet Messing

This Live Magazine was made in association with Health Valley


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“ COFFEE BREAK TIME

After an intense first sessions of presentations, it is finally coffee break; we seem to have almost caught up the lost time from starting late. Although, given the system for serving coffee, I cannot see everyone being fed and watered in the time allocated for the break. There were some interesting differences and commonalities between the first set of speakers, who were all addressing ‘why’ issues. Cancer featured strongly as a disease on which some of the speakers focused. My personal view is that I did not agree with one of the basic premises of the first speaker (Simon Sinek) who essentially seemed to be saying that you cannot grow communities and trust online and there has to be physical, face-to-face interaction. This seemed to me to be a somewhat luddite approach. From my own experience of nearly 20 years on online interactions – through bulletin boards, email lists, and now social media, I think that trust can grow online. Some of my online colleagues I have never met – some, I have managed to have the ‘icing on the cake’ of actually meeting them. But, I think this discussion will run and run. Coen van Veenendaal got a standing ovation for his talk – and well-deserved; the most inspiring speaker of the day, so far – will be interesting to listen to the others. Posted by Peter Murray

“ GOOSE BUMPS!

Follow her on Twitter! @ragnaja What does it mean to your life when your sensory system is in overdrive? Ragna tells us how it affected her after being struck by a subarachnoid hemorrhage. Her clinic suggested a range of medications. Ragna refused. She did not want her injured brain to deal with the effects of those. She found her answer on the internet. Twitter and blogging helped her to keep in contact with friends and family and find strength in tweepcare. And on the internet she found other patients and doctors that helped her to find answers and resolve to address her treatment. They strengthened her idea that pills were not the answer. Helped by family and friends she took charge of her recovery and is now giving it her own direction. What a courageous woman and empowered patient she is! Goose bumps!

Posted by Harriet Messing


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Nine wigs and a message for the world

This Live Magazine was made in association with Health Valley


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Her posture is strong, her eyes piercing. A bare soul lies beneath, with no intent to hide. Her words confirm her body language, Sophie has an open message for the world. Her story is not without pain but it has opened doors and brought social wealth. Like many cancer patients, the experience is not something she would have wanted to miss when given a choice. Her honesty about just wanting to be a girl, desirable and careless, makes her message hit you harder. She does not pollute her story with arguments or politics, it is as it was, beautifully tragic. She hopes that her story will reach people, to be of some comfort. As her wigs and ‘cancer holidays’ comforted her in her hour of need. Creating a place to forget by putting a wig on your head is not the same thing as sticking your head in the sand.

Who wouldn’t like an evening of playtime? As your old self, or someone even better. Her wigs wear the name of her personas, who are not just empty shells she wore on her escapes. They are as much a part of her as the passion and talent she exudes from every pore. Within minutes she has brought the TEDx audience to their knees. Her words are as honest as her skull is bare, brutally so. For all her gifts and wisdom, she does not claim to have an answer. When asked about her views on healthcare and patient participation, she explains: “I have just my story to share, my experience to draw from. Of course I have ideas about the role patients can play in their own healing process, but I don’t have all the answers. That is what I hope for with TEDx, to get people and stories together and hopefully start making things better.”


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TEDx and Health Valley: a good match By Peter Murray

Health Valley, a network organisation based in Nijmegen, who focus on stimulating innovative ideas in healthcare, is one of the sponsors of TEDxMaastricht. Jan Jonker, Director of Health Valley and Lucien Engelen, founding father of TEDxMaastricht as well as the Radboud REshape & Innovation Center, part of the Radboud University Nijmegen Medical Centre, see many commonalities in their work and ideas. These have underpinned their collaboration, with many other people, in the development of today’s TEDxMaastricht event. Jan describes Health Valley in many ways – as a platform, and as an abstract concept – but it also has many more concrete and practical elements. As a network organisation, founded about six years ago, Health Valley brings together about 170 other organisations – businesses, research organisations, healthcare providers, and government agencies - working in healthcare and technology. The idea behind the network structure is to mobilize people to work together so as to stimulate innovation. And to speed up the process This Live Magazine was made in association with Health Valley

from innovation towards introduction in the health market. Activities of Health Valley consist of matchmaking, promotion  and business development. This co-operation and collaboration, however, does not happen spontaneously, but has to be organised and guided. Health Valley organises workshops, conferences, and networking events to bring together interested organisations and people who might be looking for partners to develop ideas. From these collaborations, new consortia will be able to work on practical applications that can be funded and brought to the market. The motto of Health Valley is essentially “from knowledge, to skills, to money”, demonstrating the focus on applying knowledge and skills to practical developments, which lead to a higher quality and sustainability of healthcare . The projects are often long-term, due to the complex nature of the health market in the Netherlands, in particular as a result of the degree of regulation, the need to take account of patient safety, and the practical aspects of reimbursement of health insurers. Health


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Valley is the driving force that keeps partners together to reach the finish line of health innovation. Co-operation is central to all the work that Health Valley does. One of Lucien’s areas of interest is finding out why much of the work that has gone into the development of e-health solutions has not resulted in more progress towards practical, and widely available, applications that have benefitted patients. He believes that many recent e-health projects have failed because they have not listened to the real users, the patients. He believes that, to overcome this, we need to move from a ‘patient-centred’ approach to healthcare (which in itself is advanced and radical in the minds of many people) and move even further. He believes that we need to embrace the patient as a key part of the whole healthcare team - not outside, but interacting with, the team. Drawing together a group of people who had stories to tell, and that might contribute to allowing people to think about these ideas, was one of the inspirations behind a health-focused TEDx event.

Where do Jan and Lucien see things developing from today? The TEDxMaastricht event takes place on a single day, but they want the build up to it, and the follow up from it, to stimulate long term thinking, and actions, by individuals and groups. They hope that the day and the face to face and online discussions that are taking place today and in coming days will inspire people to consider ways in which their actions can contribute to new ways of thinking about health and healthcare. There is a great deal of synergy between TEDxMaastricht’s approach and the ideas being discussed, and the vision of Health Valley and its partner organisations.  


Getting #tedxmaastricht tweets from Tweeps I follow in Darwin & Netherlands16 Maastricht World feels a smaller place here in Maastricht Toowoomba rural Australia @lewismal The most dangerous point in your life is when you get satisfied with yourself. Coen Van Veenendaal #tedxmaastricht pushing the impossible @JeroenCorthout

#TEDxMa

simon sinek: healthcare is all about trust and human handshakes. And not about technology

Ook lux Nijmegen stream van #TEDxMaastricht in al redelijk gevulde zaal

Funny how intelligenc humor! #TEDxMaastr

@Nielsss

@FlexMind

@EJMCalis

#TEDxMaastrichtlet’s stick to an Asian diet, much healthier! No probs with that! @vonbannisseht

* Coffee breathin

@jannagel

@aldith

The keyword for me after the first talks is ‘Empathy’. The challenge is that you can’t study it but it requires compassion #TEDxMaastricht

If Asians move to the West they lose years of life. Okinawa citizen migrating to Brazil would lose 17 years Luuk Simons #tedxmaastricht

@szwerink Wat n TOPdag!!!!!!! #TEDxMaastricht

@salilkallianpur

LOL #tedxmaastricht

@orysandor

@vangeest

Bos #TEDxMaastricht Technology has never made healthcare cheaper in the past. In healthcare: new technology / treatment always wanted now

A call for healthcare workers deal with disease in stead of it. (2/2) #tedxmaastricht

Lunchbreak at #tedxmaastricht we’re waiting for Wouter Bos and Derek Sivers @djoegio

@anatolemj

Isn’t actually strange that we somehow seem to have lost compassion for care and now necessarily strive to get it back #TEDxMaastricht

Compassion for care. Compa should be the key in healthca Balance between humanity a efficiency #tedxmaastricht @taketen_nl

@rene_teunissen

An active participating stude better doctor later. Mooi #TE @NatasjaP

This Live Magazine was made in association with Health Valley


aastricht

ce is comming with richt

I just want to say goosebumbs of sophie van der stap #tedxmaastricht

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New treaty of Maastricht... they don’t sign, but don’t shake on it either, where is the trust? #tedxmaastricht @EOIacademy KPN are changing food for 35000 employees #TEDxmaastricht To lower BMI below 30 (@ Theater aan het Vrijthof) [pic]: http://4sq.com/dQUwqC

@marcelnibbeling

e break at #TEDxMaastricht... ng in, breathing out...

@thomaspower Wat n TOPdag!!!!!!! #TEDxMaastricht

h_hunkar

@vangeest 90000 people die in the US each year from preventable medical error in hospitals #TEDxMaastricht

s to learn to f just treating

@cdebie

#TEDxMaastricht @ ragnaja: sorry for the loud applause ;)

Daniel Kraft speaks for two in single time about new technology and developments in application for healthcare #tedxmaastricht @eriksiemens

@gietje71 Smashing intro by #teamschmeda.. Fancy moves and big beats. Power up for part 2 of #TEDxMaastricht!

All of us should have impossible targets... Tim Hurson #TEDxMaastricht

@mrxvr

assion are. and

@daniel_kraft

#TEDxMaastricht Voor wie er niet bij kan zijn / If you can’t join in person, watch here: http://www.tedxmaastricht. nl/live @NeeliekroesEU

ent will be a EDxMaastricht

I do hear great things from #TEDxMaastricht today! man, I wish I was there! greeting to the #TEDxcrowd @claudioencina

Just been watching a interview with Anne Spanjaard on #TEDxMaastricht she could do a speech on next TEDx @heq_nl


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This Live Magazine was made in association with Health Valley


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About Live Magazines

Every event deserves its own magazine When TEDxMaastricht asked us to make a Live Magazine during their Future of Health event we didn’t hesitate for a moment. Speeches by Wouter Bos and Simon Sinek, a performance by Sophie van der Stap, the most innovative minds in the business bumping heads‌ That is one fantastic magazine! This is how we work At your event or conference the Live Magazine editorial team will create, then and there, an exclusive magazine for you to hand out to visitors, sponsors or business acquaintances. The team consists of experienced designers, journalists and photographers, who excel at transforming the energy and storyline of your event into a glossy magazine. Your very own magazine If you are interested in our services please contact us. We love to help you think ahead. +31 26 3639030 // live@livemagazines.nl Or check www.livemagazines.nl to see previous issues.


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