Thread by @MartinaTruche

🧵🇨🇦🚀3rd and final day of the 2022 Health Beyond Summit! Today's theme: #Involvement.
📅November 29 - December 1, 2022
🕙10 am - ~40 pm ET
🆓Registration, schedule, speakers: asc-csa.gc.ca/eng/events/202…

#HealthBeyondSummit #SpaceMedicine #Space #Medicine

1/ Kicking off w/ Michael Harrison - CMO of @Axiom_Space:
- PAST: Used to need to be very healthy to go to #space
- NOW: How sick can you be and sick still go to space? Hypertension? CVD? Diabetes?
- Responsibility: flight safety
- ICD-10: billing SW disguised as medical SW

2/ Michael Harrison from @Axiom_Space
- We've sent about 620 people to space up to date
- PAST: vast majority: carefully selected by gov agencies: NASA, JAXA, ESA...

3/ Michael Harrison from @Axiom_Space:

Exciting picture from Axiom crew arriving to the @ISS_Research:
- 30yo - 70 yo (5 decades)
- 6 countries
- This is what space is gonna look like as we move forward

4/ Michael Harrison from @Axiom_Space
-Who is a commercial astronaut?
-Space flight: initially very healthy, carefully selected
-Gov: Disqualifying astro medical conditions, many are common
-Commercial: keep🩺safe & stay in biz
-Psychology important
-Kidney stones, heavy👃bleeds

5/ Michael Harrison from @Axiom_Space

Who really is the commercial astronaut?

-Seeing different population than initially expected

-@inspiration4x crew: not 45yo white males! Included 2 women. 4 people from each of 4 decades: 20s-50s.

-Signing agreement w/ Turkey & Saudi

6/ Michael Harrison from @Axiom_Space

Picture from the Smithsonian museum in DC:

Depicting 100 years: From a couple feet above a beach in North Carolina ✈️to couple hundred km above the Earth 🚀🛰️

What will the next 100 yrs bring?🤔

7/ Michael Harrison on the mission and vision of @Axiom_Space:
- Improve life on Earth, foster possibilities beyond it by building & operating the world's first commercial space station
- A thriving home in space that benefits every human, everywhere

➡️Manufacturing in space

8/ Michael Harrison from @Axiom_Space:

Axiom gets asked why they have a medical dept?

- Interact w/ different departments inside Axiom: engineering, radiation thresholds...
- Axiom has 2 EVA contracts: ISS & Lunar
- Involved in research, legal, biz dev...
- Define thresholds

9/ Michael Harrison @Axiom_Space:

Space is for everyone
-Changing from short duration & very wealthy
-Will have huge econ impacts
-Will have lessons learned 🌎🚀
-Health impacts
-Commercial space is going to be largely driven by imagination
-The only limit is your imagination

10/ Michael Harrison @Axiom_Space Q&As:

Managing treatment in space:
-Stabilize, treat rather than bring back
-Noone has a great plan for putting patient into pressurized suites & bringing them back
-🚀patients is not easy or cheap; health concerns, hard landing complications

11/ Michael Harrison @Axiom_Space Q&As:
-Fighter pilots: high Gs, invert
-What conditions deteriorate in 1-2 yrs?
-What if diabetes progresses? CAD?
-Analogs & confined, isolated abnormal environments: oil workers, Antarctic basis, submarines...
-Ensure psych won't deteriorate

12/ Michael Harrison @Axiom_Space Q&As:
-Astro screening: challenge
-Medical standards of NASA & int partners
-TRICKY: What to measure in space? How?
-Ex: Cortizole: Not specific.Lack of sleep? Got cold?
-Blood glucose
-Jumping➡️max HR
-"So what? What am I gonna do with that?"

13/ Kyle Van Hooren on 5 lessons learned from think tanks:
1.Ruggedization: Med devices designed for hospitals, 🚀environment needs transportable
2.User-centered: Can anyone pick up w/ minimal training?
3.Multi-use
4.System of systems: parts of interconnected whole
5.Prioritize

14/ Kyle Van Hooren think tank LL Q&A:
- Work w/ existing regulatory system rather than changing regulations, which is beyond the jurisdiction

Challenges
- Important to keep data private, which is hard when dealing w/ small communities
- Distrust from remote communities wrt gov

15/ Kyle Van Hooren think tank LL Q&A:
-AI has a role despite challenges
-Early AI models not very reliable in austerial health communities. Not being able to diagnose w/ 100% confidence. Instead: checkbox, Q&As, narrow down. Moderately confident output.
-Partial answer + human

16/ Kyle Van Hooren think tank LL Q&A:
-Building trust in AI
-You'll never get a perfect data set
-Data sets need to be tailored to the community they are serving. Native vs. astronauts. Different: genetics, environmental factors, demographics
-No 1 data set spits perfect info

17/ Kyle Van Hooren think tank LL Q&A
-Constantly refining datasets
-How to make data more reusable?
-How to move from 1 person/idea to another use case? Rather than pushing everything to one central database.
-Final report will be released➡️will notify space health mailing list

18/ 🇨🇦🚀💰Linda Dao on @csa_asc #space #funding & opportunities
-Contracts vs grants & contributions vs other
-Positioning Canadian space sector for global opportunities
- +$60M/yr
-R&D incl. space demos
-Bidding: Review solicitation➡️Decide if bidding➡️Prepare bid doc➡️Submit

19/ 🇨🇦🚀💰Linda Dao on @csa_asc #space #funding:
-Website references, tech papers: won't be considered, just the submitted doc
-Demonstrate a combination of org aspects, not just the lowest $
-Resources & References: See attached slides
-Artemis partners: Canada: 1st to sign on

20/ Alex Mihailidis:
-Everyday smart home tech, robotics, AI
-Alzheimer's
-Sensors built into env
-Measure physiological hlth
-Socialization, activities
- Goal: move from lab to hands of (older) ppl
- ex: Using washroom 2x more often -> check w/ doc for conditions such as UTI?

21/ Caroline Rhéaume:
- Challenge on Earth: connect data: smart watches, glucometers, self monitoring, EMR for management of chronic diseases
-Dual training helped her make a connection b/w Health space & primary care
-6 pillars incl. nutrition, phys activity, sleep, stress mgmt

22/ Caroline Rhéaume

Monitoring
- Sleep: Smart watch details
- Nutrition: Recall, questionnaires for food patterns

Integrating info
-Work w/ multiple people incl comp scientists
-Stratify who: Treatment? Prevention?
-Include in EMR w/ providers who have big info about patients

23/ Perry Johnson-Green
-Sci requirements pulled from rsrch proposals: useful for implementers, procedures for astronauts
-Anything on🌎easier than in space, e.g. safety requirements
-Document heavy process
-Collaborative
-Coordinate w/ engineers to ensure science gets done right

24/ Richard Hughson
-Aging: had 6 projects selected by the peer reviewed process
-Vascular: Sedentary ppl on Earth: poor vascular health. 10-20 yrs worth of arterial stiffness happens within 6 months in space
-Preferably zero effort technologies
-Can't have intrusive devices

25/ Richard Hughson
-Launched ultrasound tech to ISS w/ robotic probes for ground control
-Veins, abdominal
-Agulatory BP monitors
-Fairly complex, has to be done precisely
-Will have a probe for robotic heart stents?

26/ Roxy Fournier
-It's a mandate to address gaps by CA network
-Researchers tend to fixate on singular topic
-Brought ppl together from different fields: 6 rsrch sessions on human body
-Ppl unaware that their small compact automated health tech has space flight applications

27/ Panel:
-Roxy: ensure data collected is valuable & can be accessed

Noninvasive mental health
-Roxy: key stroke monitoring that tracks how (fast) you write
-Perry: look at (changes in) oral communication patterns
-Richard: Talking to ISS is private & secure: isolated devices

28/ Panel-Perry:

Need bio lab in space:
-Crew as autonomous as possible
-Robust
-Good training + robust robotics + autonomous systems

Pro astronauts have longer more rigorous training than nonpro astronauts -> better prepared to handle more complex situations

29/ Panel-Alex:

-You get what you pay for
-$1k for device: physiological data <1% error
-Or $100 for smartwatch
-What's clinically acceptable?

Astronaut health vs. elderly:
-Astronauts: $5k very precise
-Too expensive for elderly
-How to reduce cost & maintain useful data?

30/Panel on privacy & acceptance
-Roxy: Critical to protect ppl's data. Engage groups early➡️strengthen relationships across sectors incl tech & rsrch
-Alex: Engage communities early in the process
- Richard: What we design = what's needed
-Caroline: Utilized patient's idea

31/ Thank you organizers, speakers, moderators and fellow participants for an extraordinary Health Beyond Summit 2022. Keeping fingers crossed for Canada to fulfill their vision of becoming #health leaders in space on Earth. 🇨🇦🚀

32: ⤴️Teleport to the beginning of this thread summarizing some of the key takeaways from the 2022 Health Beyond Summit on #SpaceMedicine
Day 3:

Related threads:
Day 1:

Day 2:

@threadreaderapp unroll: Day 3 selected summaries of the 2022 Health Beyond Summit on Nov 29-Dec 1 on relating healthcare #innovation for remote and indigenous communities to #SpaceMedicine