1 00:00:05,120 --> 00:00:10,400 >>IT'S MY PRIVILEGE TO OPEN 2 00:00:10,400 --> 00:00:12,920 THIS 164th MEETING OF THE 3 00:00:12,920 --> 00:00:14,320 NATIONAL EYE COUNCIL AND FOR 4 00:00:14,320 --> 00:00:16,320 SOMEONE WHO STARTED MY CAREER 5 00:00:16,320 --> 00:00:17,240 DOING TELEHEALTH AND TRYING TO 6 00:00:17,240 --> 00:00:19,960 MOVE THAT IT WOULD BE OKAY TO BE 7 00:00:19,960 --> 00:00:22,880 AT A DISTANCE VERSUS IN-PERSON, 8 00:00:22,880 --> 00:00:24,320 I REALLY THINK ONE THING WE'VE 9 00:00:24,320 --> 00:00:26,920 LEARNED FROM THE PANDEMIC IS IT 10 00:00:26,920 --> 00:00:30,600 IS NICE TO BE TOGETHER. 11 00:00:30,600 --> 00:00:31,920 AND REALLY HAVE APPRECIATED 12 00:00:31,920 --> 00:00:32,320 THAT. 13 00:00:32,320 --> 00:00:35,160 I HOPE IT'S BEEN GOOD FOR 14 00:00:35,160 --> 00:00:45,320 EVERYBODY. 15 00:00:47,640 --> 00:00:50,880 I WANT TO START WITH WELCOMES 16 00:00:50,880 --> 00:00:53,600 BUT THERE'S VIRTUAL MEETINGS AND 17 00:00:53,600 --> 00:00:59,800 HYBRID MEETING HARDER TO PUT 18 00:00:59,800 --> 00:01:02,920 TOGETHER AND CATHY AND NATHAN 19 00:01:02,920 --> 00:01:06,840 AND LAV LATIFAH HAVE DONE A TON 20 00:01:06,840 --> 00:01:09,240 OF WORK AND A WANT TO GIVE THEM 21 00:01:09,240 --> 00:01:10,040 A SHOUT OUT FOR GETTING 22 00:01:10,040 --> 00:01:10,480 EVERYTHING TOGETHER. 23 00:01:10,480 --> 00:01:13,480 THE OTHER THING I WANT TO DO IS 24 00:01:13,480 --> 00:01:16,440 PARTICULARLY WELCOME A FEW 25 00:01:16,440 --> 00:01:19,440 GUESTS AND NEW COUNCIL MEMBERS. 26 00:01:19,440 --> 00:01:21,920 THE TWO GUEST SPEAKERS WE HAVE I 27 00:01:21,920 --> 00:01:25,960 JUST WANT TO INTRODUCE NOW IN 28 00:01:25,960 --> 00:01:31,160 CASE EVERYBODY HASN'T MET THEM. 29 00:01:31,160 --> 00:01:36,400 ONE IS DOUG RHEE A GLAUCOMA 30 00:01:36,400 --> 00:01:36,720 SPECIALIST. 31 00:01:36,720 --> 00:01:42,240 HE WAS A FELLOW AT THE NEI AND 32 00:01:42,240 --> 00:01:45,360 THEN WORKED AT HARVARD AND NOW 33 00:01:45,360 --> 00:01:48,280 THE CHAIR OF OPHTHALMOLOGY AT 34 00:01:48,280 --> 00:01:58,760 CASE WESTERN AND THE SESSION 35 00:02:00,160 --> 00:02:04,080 LATER WILL BE LED BY THEM AND WE 36 00:02:04,080 --> 00:02:06,800 HAVE ANN COLEMAN A GLAUCOMA 37 00:02:06,800 --> 00:02:11,120 SPECIALIST AND EPIDEMIOLOGIST 38 00:02:11,120 --> 00:02:15,560 AND HAS DONE A LOT OF GREAT WORK 39 00:02:15,560 --> 00:02:21,240 AT THE INTERFACE OF 40 00:02:21,240 --> 00:02:22,400 OPHTHALMOLOGY AND PUBLIC HEALTH 41 00:02:22,400 --> 00:02:27,760 AND BAZ BECOME THE CHAIR OF 42 00:02:27,760 --> 00:02:29,720 OPHTHALMOLOGY AND THE CHAIR OF 43 00:02:29,720 --> 00:02:30,520 THE UCLA STEIN INSTITUTE. 44 00:02:30,520 --> 00:02:31,160 THANK YOU FOR BEING HERE AND 45 00:02:31,160 --> 00:02:37,520 WELCOME. 46 00:02:37,520 --> 00:02:40,640 WE HAVE TWO NEW COUNCIL MEMBERS 47 00:02:40,640 --> 00:02:41,880 WHO HAVE BEEN HERE BEFORE. 48 00:02:41,880 --> 00:02:43,840 I KNOW THEY WERE OFFICIALLY 49 00:02:43,840 --> 00:02:49,000 INTRODUCED OR ADDED TO THE 50 00:02:49,000 --> 00:02:56,480 COUNCIL WITHIN THE PAST MONDAY 51 00:02:56,480 --> 00:03:07,240 ONE IS JENNIE LEHRER-STEIN AND 52 00:03:07,240 --> 00:03:10,080 HAS HAD AN IMPRESSIVE CAREER. 53 00:03:10,080 --> 00:03:12,000 SHE'S A BLOGGER AND HAS BEEN ON 54 00:03:12,000 --> 00:03:15,120 THE COUNCILS OF THE AMERICAN 55 00:03:15,120 --> 00:03:16,960 FOUNDATION OF THE BLIND, 56 00:03:16,960 --> 00:03:18,000 FOUNDATION FIGHTING BLINDNESS. 57 00:03:18,000 --> 00:03:20,600 SHE'S BEEN ON NATIONAL ACADEMY 58 00:03:20,600 --> 00:03:22,240 OF SCIENCE PANEL FOR DISABILITY 59 00:03:22,240 --> 00:03:24,880 RIGHTS AND IS A LECTURER AND 60 00:03:24,880 --> 00:03:26,960 BLOGGER AND PARTICIPATED IN 61 00:03:26,960 --> 00:03:28,680 POLITICAL CAMPAIGNS AS AN 62 00:03:28,680 --> 00:03:32,320 ADVISER FROM THE LOCAL LEVEL UP 63 00:03:32,320 --> 00:03:36,120 TO THE NATIONAL PRESIDENTIAL 64 00:03:36,120 --> 00:03:36,840 LEVEL. 65 00:03:36,840 --> 00:03:38,120 SO WE'LL TALK A LITTLE BIT MORE 66 00:03:38,120 --> 00:03:39,200 ABOUT THIS BUT VERY GLAD TO HAVE 67 00:03:39,200 --> 00:03:46,160 YOU HERE ON THIS COUNCIL. 68 00:03:46,160 --> 00:03:50,360 AND VICTOR PEREZ IS FROM DUKE 69 00:03:50,360 --> 00:03:52,600 UNIVERSITY AND PEOPLE FROM THE 70 00:03:52,600 --> 00:03:54,440 VISION COMMITTEE KNOW VICTOR 71 00:03:54,440 --> 00:03:58,000 WELL FOR HIS WORK IN OCULAR 72 00:03:58,000 --> 00:04:00,360 IMMUNOLOGY AND WITH THE ANTERIOR 73 00:04:00,360 --> 00:04:02,400 SEGMENT AND HE'S HAD A 74 00:04:02,400 --> 00:04:04,000 DISTINGUISHED CAREER PLACES LIKE 75 00:04:04,000 --> 00:04:07,520 DUKE, BASTON PALMER AND WILL 76 00:04:07,520 --> 00:04:08,360 CONTRIBUTE A LOT OF EXPERTISE TO 77 00:04:08,360 --> 00:04:10,560 HE'S AREAS AND HAS DONE A LOT OF 78 00:04:10,560 --> 00:04:17,760 REALLY NICE WORK TRYING TO 79 00:04:17,760 --> 00:04:22,200 INTRODUCE STUDENTS FROM 80 00:04:22,200 --> 00:04:23,280 DISADVANTAGED BACKGROUNDS. 81 00:04:23,280 --> 00:04:28,000 IT'S GREAT TO HAVE YOU HERE. 82 00:04:28,000 --> 00:04:30,800 WAN KE GO AROUND AND DO A ROUND 83 00:04:30,800 --> 00:04:32,280 OF INTRODUCTIONS. 84 00:04:32,280 --> 00:04:36,880 WE'LL SKIP THE PEOPLE WE 85 00:04:36,880 --> 00:04:40,080 INTRODUCED NOW. 86 00:04:40,080 --> 00:04:48,200 >>I'M RENU KOWLURU. 87 00:04:48,200 --> 00:04:52,280 MY FOCUS IS ON EPIGENETICS AND 88 00:04:52,280 --> 00:04:52,920 MITOCHONDRIAL DYSFUNCTION AND 89 00:04:52,920 --> 00:04:59,120 GLAD TO BE HERE IN PERSON TODAY. 90 00:04:59,120 --> 00:05:09,320 >>I'M MAUREEN MAGUIRE I'M 91 00:05:09,320 --> 00:05:10,720 RETIRED AND HAVE BEEN INVOLVED 92 00:05:10,720 --> 00:05:12,800 IN MULTI-CENTER CLINICAL 93 00:05:12,800 --> 00:05:15,680 RESEARCH AND MAINLY CLINICAL 94 00:05:15,680 --> 00:05:16,600 TRIALS THROUGHOUT MY CAREER AND 95 00:05:16,600 --> 00:05:18,360 MAINLY IN RETINA BUT HOPPED 96 00:05:18,360 --> 00:05:23,240 AROUND TO THE CORNEA AND OTHER 97 00:05:23,240 --> 00:05:26,280 PARTS OF THE EYE AS WELL. 98 00:05:26,280 --> 00:05:28,800 >>I'M TELLER. 99 00:05:28,800 --> 00:05:34,520 I'M A LOCAL OPTOMETRIST INVOLVED 100 00:05:34,520 --> 00:05:44,960 WITH PRIMARY EYE CARE AND 101 00:05:48,080 --> 00:05:50,440 KERATOKONIS AND PLEASED TO BE 102 00:05:50,440 --> 00:05:51,080 HERE ON MY LAST COUNCIL MEETING. 103 00:05:51,080 --> 00:05:58,200 THANKS. 104 00:05:58,200 --> 00:05:59,120 >>WELCOME. 105 00:05:59,120 --> 00:06:02,760 I'M 106 00:06:18,920 --> 00:06:24,320 >>I'M MARY ELIZABETH HARTNETT 107 00:06:24,320 --> 00:06:27,160 AND PROFESSOR OF OPHTHALMOLOGY 108 00:06:27,160 --> 00:06:30,880 AT STANFORD. 109 00:06:30,880 --> 00:06:35,160 >>I'M TOM GARDNER AND WORK ON 110 00:06:35,160 --> 00:06:38,320 DIABETIC RETINOPATHY. 111 00:06:38,320 --> 00:06:42,880 >>I'M FROM MIAMI UNIVERSITY 112 00:06:42,880 --> 00:06:48,880 KN 113 00:06:48,880 --> 00:06:50,200 KNOXBURG, OHIO AND THIS WILL BE 114 00:06:50,200 --> 00:06:51,120 MY LAST COUNCIL MEETING. 115 00:06:51,120 --> 00:06:58,160 THANK YOU. 116 00:06:58,160 --> 00:07:04,720 >>I'M JAMES COUGHLAN IN SAN 117 00:07:04,720 --> 00:07:06,760 FRANCISCO AND STUDY PEOPLE WITH 118 00:07:06,760 --> 00:07:08,520 VISION IMPAIRMENTS AND USE 119 00:07:08,520 --> 00:07:09,680 CAMERAS TO UNDERSTAND THE 120 00:07:09,680 --> 00:07:11,240 PHYSICAL ENVIRONMENT AROUND THE 121 00:07:11,240 --> 00:07:11,440 PERSON. 122 00:07:11,440 --> 00:07:14,800 THANK YOU. 123 00:07:14,800 --> 00:07:17,640 >>I'M TERESA BORRAS. 124 00:07:17,640 --> 00:07:20,920 I RECENTLY RETIRED FROM UNC. 125 00:07:20,920 --> 00:07:25,320 MY INTEREST IS GLAUCOMA. 126 00:07:25,320 --> 00:07:28,920 I AM INVOLVED IN RESEARCH OF 127 00:07:28,920 --> 00:07:32,440 MECHANISM OF THAT CONTROL OF THE 128 00:07:32,440 --> 00:07:34,800 OCULAR PRESSURE ESPECIALLY WITH 129 00:07:34,800 --> 00:07:36,000 GENE THERAPY AND GLAD TO SEE 130 00:07:36,000 --> 00:07:36,280 EVERYBODY. 131 00:07:36,280 --> 00:07:38,600 >>THANK YOU TO ALL OF YOU. 132 00:07:38,600 --> 00:07:39,200 THERE ARE TWO COUNCIL MEMBERS 133 00:07:39,200 --> 00:07:41,320 WHO COULDN'T BE HERE IN PERSON. 134 00:07:41,320 --> 00:07:43,880 WE'RE LOOKING AT ONE OF THEM IN 135 00:07:43,880 --> 00:07:47,520 THE ROOM ON THE ZOOM CALL. 136 00:07:47,520 --> 00:07:53,600 REZA DANA AND THE SECOND IS 137 00:07:53,600 --> 00:07:58,760 TIRIN MOORE FROM STANFORD, IS A 138 00:07:58,760 --> 00:08:00,440 NEUROBIOLOGIST AND REZA, IT'S 139 00:08:00,440 --> 00:08:02,200 GOOD TO SEE YOU VIRTUALLY. 140 00:08:02,200 --> 00:08:05,680 MAY WE ASK YOU TO INTRODUCE 141 00:08:05,680 --> 00:08:06,080 YOURSELF? 142 00:08:06,080 --> 00:08:08,160 >>SURE. 143 00:08:08,160 --> 00:08:08,520 GOOD MORNING. 144 00:08:08,520 --> 00:08:10,560 I'M SORRY NOT TO BE THERE WITH 145 00:08:10,560 --> 00:08:12,880 YOU IN PERSON. 146 00:08:12,880 --> 00:08:17,560 I'M HERE WITH THE FLU AND A 147 00:08:17,560 --> 00:08:19,560 DAUGHTER WITH COVID SO APOLOGIZE 148 00:08:19,560 --> 00:08:21,720 NOT BEING THERE WITH YOU. 149 00:08:21,720 --> 00:08:23,120 I'M A PROFESSOR AND SENIOR 150 00:08:23,120 --> 00:08:25,520 SCIENTIST THE HARVARD HEAD OF 151 00:08:25,520 --> 00:08:28,160 CORNEA AND PROFESSOR OF 152 00:08:28,160 --> 00:08:30,480 IMMUNOLOGY AT HARVARD MEDICAL 153 00:08:30,480 --> 00:08:30,720 SCHOOL. 154 00:08:30,720 --> 00:08:33,160 MY PRINCIPLE CLAIM TO FAME IS MY 155 00:08:33,160 --> 00:08:36,400 OFFICE WAS DOUG RHEE'S NEIGHBOR 156 00:08:36,400 --> 00:08:38,760 AND WAS A MENTOR TO VICTOR SO 157 00:08:38,760 --> 00:08:40,160 IT'S GOOD TO SEE MY FRIENDS 158 00:08:40,160 --> 00:08:40,360 THERE. 159 00:08:40,360 --> 00:08:43,120 LOOK FORWARD TO THIS MEETING. 160 00:08:43,120 --> 00:08:53,280 THANK YOU. 161 00:09:12,640 --> 00:09:14,680 >>THANK YOU FOR BEING PATIENT 162 00:09:14,680 --> 00:09:16,520 WITH THE HOPEFULLY LAST GLITCH 163 00:09:16,520 --> 00:09:18,920 OF DAY AND THANK YOU FOR MAKING 164 00:09:18,920 --> 00:09:24,440 THE TRIP AND WELCOME TO JANNIE 165 00:09:24,440 --> 00:09:28,560 AND VICTORY AND A WARM WELCOME 166 00:09:28,560 --> 00:09:30,800 TO THE STAFF AND ADVOCACY 167 00:09:30,800 --> 00:09:33,360 COMMUNITY AND STAFF FROM STAND 168 00:09:33,360 --> 00:09:35,160 UP FOR SCIENTIFIC REVIEW AS WELL 169 00:09:35,160 --> 00:09:38,680 AS MEMBERS OF THE PUBLIC 170 00:09:38,680 --> 00:09:41,240 WATCHING ON THE VIDEOCAST OR 171 00:09:41,240 --> 00:09:43,080 PARTICIPATING VIRTUALLY. 172 00:09:43,080 --> 00:09:46,000 FINALLY, I NEED TO THANK I KNOW 173 00:09:46,000 --> 00:09:48,280 WE CAN'T THANK THEM ENOUGH, 174 00:09:48,280 --> 00:09:50,520 NATHAN LATIFAH FOR ALL THEIR 175 00:09:50,520 --> 00:09:52,440 EFFORTS TO COORDINATE THE 176 00:09:52,440 --> 00:09:53,760 LOGISTICS AND PREPARATION FOR 177 00:09:53,760 --> 00:09:54,200 THIS HYBRID MEETING. 178 00:09:54,200 --> 00:09:56,000 THEY DID AN AMAZING AMOUNT OF 179 00:09:56,000 --> 00:09:58,360 WORK AND WE COULD NOT BE DOING 180 00:09:58,360 --> 00:10:00,040 THIS IF NOT FOR THEM. 181 00:10:00,040 --> 00:10:02,040 THANK YOU TO YOU BOTH. 182 00:10:02,040 --> 00:10:03,480 NATHAN, LATIFAH, I APPRECIATE 183 00:10:03,480 --> 00:10:06,280 IT. 184 00:10:06,280 --> 00:10:10,920 SO I'M GOING TO GO OVER -- THE 185 00:10:10,920 --> 00:10:15,120 IS AN IN PERSON AND ENVIRONMENT 186 00:10:15,120 --> 00:10:19,400 MEETING AND THIS IS A HYBRID 187 00:10:19,400 --> 00:10:19,680 MEETING. 188 00:10:19,680 --> 00:10:21,800 AS ALWAYS PLEASE IDENTIFY 189 00:10:21,800 --> 00:10:24,040 YOURSELF WITH THE FULL NAME EACH 190 00:10:24,040 --> 00:10:25,000 TIME YOU SPEAK. 191 00:10:25,000 --> 00:10:26,800 IF YOU'RE ON ZOOM, PLEASE 192 00:10:26,800 --> 00:10:28,680 INDICATE YOUR FULL NAME AND YOUR 193 00:10:28,680 --> 00:10:30,760 ZOOM WINDOW SO WE CAN CAPTURE 194 00:10:30,760 --> 00:10:35,120 ALL PARTICIPANTS ACCURATELY FOR 195 00:10:35,120 --> 00:10:36,040 OUR RECORDS. 196 00:10:36,040 --> 00:10:37,400 SINCE WE HAVE INDIVIDUALS BOTH 197 00:10:37,400 --> 00:10:39,720 IN THE ROOM AND ON ZOOM, 198 00:10:39,720 --> 00:10:41,160 REMEMBER TO USE YOUR MICROPHONE 199 00:10:41,160 --> 00:10:43,080 EACH TIME YOU SPEAK, IT'S EASIER 200 00:10:43,080 --> 00:10:45,280 FOR THE PEOPLE ON ZOOM TO HEAR 201 00:10:45,280 --> 00:10:45,680 YOU. 202 00:10:45,680 --> 00:10:47,120 IF YOU'RE IN THE ROOM DON'T LOG 203 00:10:47,120 --> 00:10:48,000 ON TO ZOOM. 204 00:10:48,000 --> 00:10:50,320 I SEE NOBODY HAS DONE THAT SO 205 00:10:50,320 --> 00:10:50,920 THAT'S GOOD. 206 00:10:50,920 --> 00:10:55,360 IT CAUSES A LOT OF ISSUES AND IF 207 00:10:55,360 --> 00:10:57,520 YOU'RE IN THE ROOM LOOK AT THE 208 00:10:57,520 --> 00:10:59,200 CAMERA IN THE MIDDLE OF THE ROOM 209 00:10:59,200 --> 00:11:01,280 AND THE TENDENCY IS TO LOOK AT 210 00:11:01,280 --> 00:11:03,800 THE SCREEN BUT THE CAMERA 211 00:11:03,800 --> 00:11:06,080 FOCUSES ON YOU. 212 00:11:06,080 --> 00:11:08,000 IF YOU'RE ON ZOOM, PLEASE HAVE 213 00:11:08,000 --> 00:11:09,000 YOUR VIDEOS OFF DURING THE 214 00:11:09,000 --> 00:11:10,920 MEETING UNLESS HAVE YOU A 215 00:11:10,920 --> 00:11:14,120 QUESTION OR WANT TO PARTICIPATE 216 00:11:14,120 --> 00:11:15,560 IN THE MEETING THEN PLEASE TURN 217 00:11:15,560 --> 00:11:17,520 YOUR VIDEO ON AND RAISE YOUR 218 00:11:17,520 --> 00:11:18,920 HAND OTHERWISE WE WON'T BE ABLE 219 00:11:18,920 --> 00:11:20,600 TO HE SEE YOUR HAND RAISED. 220 00:11:20,600 --> 00:11:22,720 I'M GOING ASK PEOPLE ON ZOOM NOT 221 00:11:22,720 --> 00:11:24,640 TO CHOOSE THE CHAT BOX. 222 00:11:24,640 --> 00:11:27,160 PEOPLE WHO ARE VIEWING THIS VIA 223 00:11:27,160 --> 00:11:29,160 THE VIDEOCAST AND ALSO US IN THE 224 00:11:29,160 --> 00:11:30,920 ROOM HAVE A HARD TIME AND WE 225 00:11:30,920 --> 00:11:33,680 CAN'T SEE YOUR COMMENTS. 226 00:11:33,680 --> 00:11:35,560 SINCE THIS IS A PUBLIC SESSION 227 00:11:35,560 --> 00:11:37,360 I'M GOING ASK YOU NOT TO USE THE 228 00:11:37,360 --> 00:11:38,480 CHAT BOX. 229 00:11:38,480 --> 00:11:40,200 AS ALWAYS I'LL REMIND YOU THIS 230 00:11:40,200 --> 00:11:41,360 SAY PUBLIC SESSION AND IT'S 231 00:11:41,360 --> 00:11:42,760 BEING RECORDED AND IT WILL BE 232 00:11:42,760 --> 00:11:43,320 STORED ON THE NIH WEBSITE 233 00:11:43,320 --> 00:11:48,880 FOREVER. 234 00:11:48,880 --> 00:11:51,720 FINALLY, AGAIN, COMMON REMINDER 235 00:11:51,720 --> 00:11:53,480 I WANT TO REMIND COUNCIL MEMBERS 236 00:11:53,480 --> 00:11:54,920 A SPECIAL GOVERNMENT EMPLOYEES 237 00:11:54,920 --> 00:11:57,160 MAY NOT ENGAGE IN ANY LOBBYING 238 00:11:57,160 --> 00:12:00,960 ACTIVITIES TODAY, THE DAY OF THE 239 00:12:00,960 --> 00:12:02,920 MEETING WHILE YOU'RE RECEIVING 240 00:12:02,920 --> 00:12:08,000 PAY FROM THE GOVERNMENT. 241 00:12:08,000 --> 00:12:18,520 SO THANK YOU FOR THAT NOTE THERE 242 00:12:24,000 --> 00:12:26,400 WAS A CHANGE THE OCTOBER 2024 243 00:12:26,400 --> 00:12:27,920 MEETING HAS BEEN RESCHEDULED TO 244 00:12:27,920 --> 00:12:30,280 OCTOBER 11 TO AVOID A CONFLICT 245 00:12:30,280 --> 00:12:31,440 WITH A MAJOR MEETING. 246 00:12:31,440 --> 00:12:34,160 AND THEN OUR NEXT MEETING IS 247 00:12:34,160 --> 00:12:36,880 SCHEDULED FOR JUNE 16 OF THIS 248 00:12:36,880 --> 00:12:37,080 YEAR. 249 00:12:37,080 --> 00:12:40,200 ANY QUESTIONS ABOUT ANY OF THAT? 250 00:12:40,200 --> 00:12:42,920 I HAVE TWO BITS OF BUSINESS 251 00:12:42,920 --> 00:12:44,960 BEFORE WE GET ON WITH THE HEART 252 00:12:44,960 --> 00:12:45,440 OF THE MEETING. 253 00:12:45,440 --> 00:12:48,960 SO THE MINUTES OF THE OCTOBER 254 00:12:48,960 --> 00:12:51,120 2023 MEETING WERE MADE AVAILABLE 255 00:12:51,120 --> 00:12:53,320 TO YOU IN THE ELECTRONIC COUNCIL 256 00:12:53,320 --> 00:12:53,800 BOOK. 257 00:12:53,800 --> 00:12:54,880 WOULD ANYBODY LIKE TO DISCUSS 258 00:12:54,880 --> 00:12:58,720 THE MEETINGS OR HAVE QUESTIONS 259 00:12:58,720 --> 00:12:59,960 ABOUT THEM OR THE MINUTES? 260 00:12:59,960 --> 00:13:03,120 IF NOT, MAY I HAVE A MOTION TO 261 00:13:03,120 --> 00:13:03,320 APPROVE? 262 00:13:03,320 --> 00:13:03,680 THANK YOU. 263 00:13:03,680 --> 00:13:05,680 MAY I HAVE A SECOND? 264 00:13:05,680 --> 00:13:06,200 >>SECOND. 265 00:13:06,200 --> 00:13:06,760 THANK YOU. 266 00:13:06,760 --> 00:13:09,360 ALL IN FAVOR OF APPROVING THE 267 00:13:09,360 --> 00:13:12,600 OCTOBER MINUTE MEETINGS, PLEASE 268 00:13:12,600 --> 00:13:13,360 RAISE YOUR HANDS. 269 00:13:13,360 --> 00:13:16,160 IS THERE ANYONE OPPOSED? 270 00:13:16,160 --> 00:13:16,600 THANK YOU. 271 00:13:16,600 --> 00:13:21,840 THE MOTION TO APPROVE PASSES. 272 00:13:21,840 --> 00:13:23,840 AND MY LAST BIT OF BUSINESS WE 273 00:13:23,840 --> 00:13:26,840 DO THIS ONCE A YEAR IN JANUARY. 274 00:13:26,840 --> 00:13:30,720 WE ARE REQUIRED TO REVIEW THE 275 00:13:30,720 --> 00:13:33,800 NEI ADVISORY COUNCIL OPERATING 276 00:13:33,800 --> 00:13:36,880 PROCEDURES WHICH OUTLINES 277 00:13:36,880 --> 00:13:38,720 COUNCIL'S ROLE IN THE NEI GRANT 278 00:13:38,720 --> 00:13:39,000 APPLICATION. 279 00:13:39,000 --> 00:13:41,960 THE UPDATED PROCEDURES WERE 280 00:13:41,960 --> 00:13:42,880 POSTED IN THE ELECTRONIC COUNCIL 281 00:13:42,880 --> 00:13:45,240 BOOK FOR YOU TO REVIEW AND THERE 282 00:13:45,240 --> 00:13:48,080 WERE NO SUBSTANTIVE CHANGES MADE 283 00:13:48,080 --> 00:13:49,240 TO THE 2023 GENERAL OPERATING 284 00:13:49,240 --> 00:13:50,440 PROCEDURES. 285 00:13:50,440 --> 00:13:52,200 DOES ANYONE HAVE ANY QUESTIONS 286 00:13:52,200 --> 00:13:54,880 OR COMMENTS ON THE OPERATING 287 00:13:54,880 --> 00:13:58,080 PROCEDURES? 288 00:13:58,080 --> 00:14:00,200 I KNOW IT'S FASCINATING READING 289 00:14:00,200 --> 00:14:01,480 SO IF YOU HAVEN'T READ THEM, 290 00:14:01,480 --> 00:14:01,880 PLEASE DO. 291 00:14:01,880 --> 00:14:04,200 MAY I HAVE A MOTION TO ACCEPT? 292 00:14:04,200 --> 00:14:04,680 THANK YOU, BEN. 293 00:14:04,680 --> 00:14:07,120 MAY I HAVE A SECOND? 294 00:14:07,120 --> 00:14:07,960 THANK YOU. 295 00:14:07,960 --> 00:14:14,400 ALL IN FAVOR, PLEASE RAISE YOUR 296 00:14:14,400 --> 00:14:15,000 HANDS. 297 00:14:15,000 --> 00:14:15,360 ALL OPPOSED? 298 00:14:15,360 --> 00:14:16,560 THE MOTION PASSES. 299 00:14:16,560 --> 00:14:18,920 THANK YOU SO MUCH I'LL TURN IT 300 00:14:18,920 --> 00:14:29,240 BACK TO DR. CHIANG. 301 00:14:34,480 --> 00:14:36,760 I FORGOT TO MENTION, EVERYBODY 302 00:14:36,760 --> 00:14:37,880 IF YOU HAVEN'T SIGNED IN, PLEASE 303 00:14:37,880 --> 00:14:39,080 SIGN IN. 304 00:14:39,080 --> 00:14:41,800 WE NEED TO KEEP TRACK OF WHO'S 305 00:14:41,800 --> 00:14:43,400 HERE. 306 00:14:43,400 --> 00:14:47,160 THERE'S COFFEE AND SOME SNACKS 307 00:14:47,160 --> 00:14:48,560 OUT IN THE HALLWAY RIGHT HERE SO 308 00:14:48,560 --> 00:14:59,640 FEEL FREE TO HELP YOURSELF TO > 309 00:15:29,000 --> 00:15:31,520 THE ME TO DELIVER THIS REPORT ON 310 00:15:31,520 --> 00:15:34,800 BEHALF OF THE NEI KERATOCONUS 311 00:15:43,720 --> 00:15:46,080 AND WITHIN THE TIME WE HAVE HERE 312 00:15:46,080 --> 00:15:48,920 I THINK WE HAVE SLOTTED UNTIL 313 00:15:48,920 --> 00:15:51,160 10:30, WE CAN'T POSSIBLY TALK 314 00:15:51,160 --> 00:15:54,920 ABOUT EVERYTHING THAT'S GOING ON 315 00:15:54,920 --> 00:15:57,640 SO I'VE BEEN USING THIS TO TROLL 316 00:15:57,640 --> 00:15:59,200 FOR SOCIAL MEDIA FOLLOWERS 317 00:15:59,200 --> 00:16:00,920 BECAUSE WHAT WE'VE REALLY BEEN 318 00:16:00,920 --> 00:16:04,480 TRYING TO DO AND MARIA 319 00:16:04,480 --> 00:16:06,000 ZACHARIAS' GROUP HAS BEEN GOOD 320 00:16:06,000 --> 00:16:06,680 IDENTIFYING THINGS AND GETTING 321 00:16:06,680 --> 00:16:07,640 THINGS ON SOCIAL MEDIA. 322 00:16:07,640 --> 00:16:10,160 WHAT ARE WE DOING OF INTEREST TO 323 00:16:10,160 --> 00:16:11,120 THE COMMUNITY. 324 00:16:11,120 --> 00:16:12,360 WHAT GRANT OPPORTUNITIES ARE 325 00:16:12,360 --> 00:16:12,560 THERE. 326 00:16:12,560 --> 00:16:15,120 I REALLY DON'T WANT PEOPLE WHO 327 00:16:15,120 --> 00:16:16,040 DON'T APPLY TO THINGS BECAUSE 328 00:16:16,040 --> 00:16:17,680 THEY DIDN'T KNOW ABOUT THEM 329 00:16:17,680 --> 00:16:18,720 BEFORE THE DEADLINE. 330 00:16:18,720 --> 00:16:20,520 SO THOSE ARE THE TWO TWITTER 331 00:16:20,520 --> 00:16:23,320 HANDLES FOR THOSE WHO ARE STILL 332 00:16:23,320 --> 00:16:26,760 ON TWITTER. 333 00:16:26,760 --> 00:16:29,720 SO WITH THAT, THIS IS THE SLIDE 334 00:16:29,720 --> 00:16:32,880 WE HAD PREPARED OFFICIALLY 335 00:16:32,880 --> 00:16:34,400 WELCOMES BOTH JANNIE AND VICTOR. 336 00:16:34,400 --> 00:16:37,840 ON THE LEFT IS A PICTURE OF 337 00:16:37,840 --> 00:16:41,320 JANNIE AND ON THE RIGHT A 338 00:16:41,320 --> 00:16:42,560 PICTURE OF VICTOR PEREZ. 339 00:16:42,560 --> 00:16:43,400 ANOTHER WELCOME TO YOU 340 00:16:43,400 --> 00:16:53,840 OFFICIALLY TO THE COUNCIL. 341 00:16:57,680 --> 00:17:02,880 CATHY ALLUDED TO THIS AND WE 342 00:17:02,880 --> 00:17:05,200 HAVE A COUNCIL MEMBER NOW WITH A 343 00:17:05,200 --> 00:17:06,320 VISUAL IMPAIRMENT AND HAVEN'T 344 00:17:06,320 --> 00:17:12,920 HAD THAT FOR A LONG TIME AND I 345 00:17:12,920 --> 00:17:17,040 THINK AT THE NATIONAL EYE 346 00:17:17,040 --> 00:17:19,440 INSTITUTE IF WE DON'T ADVOCATE 347 00:17:19,440 --> 00:17:21,280 OR PUSH THIS WE REALLY HAVE TO 348 00:17:21,280 --> 00:17:23,120 BE THE ONES TO LEAD THE 349 00:17:23,120 --> 00:17:25,920 COMMUNITY IN THIS AREA. 350 00:17:25,920 --> 00:17:28,600 IT'S INTERESTING, MY DAUGHTER 351 00:17:28,600 --> 00:17:31,160 RECENTLY FOR VARIOUS REASONS HAD 352 00:17:31,160 --> 00:17:33,200 BEEN LEARNING ABOUT 353 00:17:33,200 --> 00:17:34,080 ACCESSIBILITY, WEB ACCESSIBILITY 354 00:17:34,080 --> 00:17:36,480 AND WHAT SHE LEARNED IS THAT THE 355 00:17:36,480 --> 00:17:39,120 NIH IS ONE OF THE VERY TOP 356 00:17:39,120 --> 00:17:42,120 ORGANIZATIONS IN TERMS OF 357 00:17:42,120 --> 00:17:43,720 PUTTING OUT ACCESSIBLE ITEMS. 358 00:17:43,720 --> 00:17:45,680 ON THE OTHER HAND, ONE OF THE 359 00:17:45,680 --> 00:17:48,720 THINGS WE LEARNED AND CATHY HAS 360 00:17:48,720 --> 00:17:51,240 TAUGHT ME ABOUT IN TERMS OF 361 00:17:51,240 --> 00:17:52,520 RECENTLY WE STILL HAVE A LITTLE 362 00:17:52,520 --> 00:17:55,960 BIT OF WORK TO DO IN TERMS OF 363 00:17:55,960 --> 00:17:59,120 MAKING OUR THINGS ACCESSIBLE. 364 00:17:59,120 --> 00:18:01,360 AND THIS HAS BECOME A BIG DEAL 365 00:18:01,360 --> 00:18:06,640 AT NIH FOR REASONS I'LL TALK 366 00:18:06,640 --> 00:18:08,200 ABOUT TOWARDS THE ENDS OF THE 367 00:18:08,200 --> 00:18:10,400 REMARK AND IMPORTANT FOR NEI TO 368 00:18:10,400 --> 00:18:13,120 DO AND IMPORTANT FOR US TO LEAD 369 00:18:13,120 --> 00:18:14,800 NIH IN TERMS OF DOING THIS. 370 00:18:14,800 --> 00:18:17,280 A COUPLE THINGS, AS CATHY 371 00:18:17,280 --> 00:18:18,840 MENTIONED, STATE YOUR FIRST AND 372 00:18:18,840 --> 00:18:21,120 LAST NAME BEFORE YOU TAKE THE 373 00:18:21,120 --> 00:18:22,400 FLOOR. 374 00:18:22,400 --> 00:18:26,720 VERBALLY SUMMARIZE THE WRITTEN 375 00:18:26,720 --> 00:18:28,400 CONTENT ON POWER POINT 376 00:18:28,400 --> 00:18:30,720 CONVERSATIONS AND WHEN HAVE YOU 377 00:18:30,720 --> 00:18:36,360 PHOTOS, GRAPHS, DESCRIBE THEM 378 00:18:36,360 --> 00:18:36,640 VERBALLY. 379 00:18:36,640 --> 00:18:39,160 IF YOU HAVE CHARTS, WILL 380 00:18:39,160 --> 00:18:44,800 DESCRIBE THEM AND THE GRAPH 381 00:18:44,800 --> 00:18:46,640 THOSE RO1 GRANTS WENT UP 3%. 382 00:18:46,640 --> 00:18:50,200 ONE POINT THAT'S COME OUT OF 383 00:18:50,200 --> 00:18:52,920 THIS IS THESE ARE ON THE SLIDE 384 00:18:52,920 --> 00:18:54,160 BECAUSE THEY'RE ACCESSIBLE 385 00:18:54,160 --> 00:18:55,160 MEETING PRACTICES BUT THEY'RE 386 00:18:55,160 --> 00:18:59,080 GOOD OVER ALL AND MAKE IT 387 00:18:59,080 --> 00:19:01,200 CLEARER FOR EVERYBODY. 388 00:19:01,200 --> 00:19:04,120 SO AND WITH THAT, JANNIE, MAY I 389 00:19:04,120 --> 00:19:07,120 ASK YOU, IS THERE ANYTHING YOU'D 390 00:19:07,120 --> 00:19:11,120 LIKE TO SAY TO COMPLIMENT WHAT 391 00:19:11,120 --> 00:19:14,120 WE SAID HERE? 392 00:19:14,120 --> 00:19:15,760 >>I'D LIKE TO THANK EVERYONE 393 00:19:15,760 --> 00:19:21,520 FOR THEIR PATIENCE AS WE ENTER 394 00:19:21,520 --> 00:19:24,400 THE NEW PHASE ULTRA 395 00:19:24,400 --> 00:19:24,920 ACCESSIBILITY. 396 00:19:24,920 --> 00:19:27,120 IT'S SOMETHING MANDATED IN 397 00:19:27,120 --> 00:19:32,680 SECTION 508 OF THE 398 00:19:32,680 --> 00:19:36,600 REHABILITATION ACT AND THAT IS 399 00:19:36,600 --> 00:19:39,120 COMPLETELY OUT OF DATE BY THE 400 00:19:39,120 --> 00:19:40,560 TIME IT WAS PASSED AND THE 401 00:19:40,560 --> 00:19:43,880 EFFORTS TO GO ABOVE AND BEYOND 402 00:19:43,880 --> 00:19:45,040 ARE GREATLY APPRECIATED AND YOUR 403 00:19:45,040 --> 00:19:46,360 EFFORTS HAVE BEEN FANTASTIC. 404 00:19:46,360 --> 00:19:50,520 MY THANKS TO THE STAFF FOR THE 405 00:19:50,520 --> 00:19:54,120 WORK IN MAKE MATERIALS DIGITALLY 406 00:19:54,120 --> 00:19:55,840 ACCEPTABLE IN TERMS OF 407 00:19:55,840 --> 00:19:58,960 ACCESSIBILITY FOR DIGITAL ACCESS 408 00:19:58,960 --> 00:20:02,000 AND I LOOK FORWARD TO ENGAGING 409 00:20:02,000 --> 00:20:06,160 WITH AND FORGIVE ME IF I 410 00:20:06,160 --> 00:20:08,080 INTERRUPT YOU AND ASK YOU TO 411 00:20:08,080 --> 00:20:10,960 STATE YOUR NAME IF YOU FORGOT 412 00:20:10,960 --> 00:20:14,560 WHICH IS A NATURAL RESPONSE. 413 00:20:14,560 --> 00:20:19,600 THANK YOU FOR THE EFFORTS. 414 00:20:19,600 --> 00:20:23,120 >>THANKS FOR THOSE REMARKS AND 415 00:20:23,120 --> 00:20:24,400 BEING ON OUR COUNCIL. 416 00:20:24,400 --> 00:20:25,640 I'M GOING TO GO THROUGH A SET OF 417 00:20:25,640 --> 00:20:30,600 SLIDES HERE TALKING ABOUT PEOPLE 418 00:20:30,600 --> 00:20:32,160 AND ACCOMPLISHMENTS. 419 00:20:32,160 --> 00:20:35,160 THE FIRST SLIDE DECK, A FEW OF 420 00:20:35,160 --> 00:20:36,560 YOU ALLUDED TO THE REMARK THIS 421 00:20:36,560 --> 00:20:38,560 IS YOUR LAST MEETING. 422 00:20:38,560 --> 00:20:41,680 ON THE TOP OF THE SLIDES IS A 423 00:20:41,680 --> 00:20:44,080 PHOT YO OF KATIA FROM MIAMI 424 00:20:44,080 --> 00:20:46,360 UNIVERSITY OF OHIO WHO DOES WORK 425 00:20:46,360 --> 00:20:47,120 IN REGENERATIVE MEDICINE 426 00:20:47,120 --> 00:20:51,120 PARTICULARLY WITH THE RETINA AND 427 00:20:51,120 --> 00:20:51,360 LENS. 428 00:20:51,360 --> 00:20:54,000 AND THE SECOND PHOTOGRAPH IS 429 00:20:54,000 --> 00:20:58,040 EMMY HARTNETT NOW AT STANFORD 430 00:20:58,040 --> 00:20:59,160 UNIVERSITY AFTER HAVING WORKED 431 00:20:59,160 --> 00:21:05,920 AT UTAH AND DID PEDIATRIC RETINA 432 00:21:05,920 --> 00:21:08,640 WORK. 433 00:21:08,640 --> 00:21:13,440 AND THE LAST PERSON IS PEN 434 00:21:13,440 --> 00:21:18,240 TELLER IN THE D.C. AREA WHO HAS 435 00:21:18,240 --> 00:21:19,800 BEEN VALUABLE AND WHAT DO REAL 436 00:21:19,800 --> 00:21:20,960 WORLD DOCTORS NEED. 437 00:21:20,960 --> 00:21:24,000 AND SO I HAVE TO SAY I'VE 438 00:21:24,000 --> 00:21:25,720 APPRECIATED THE THREE OF YOU. 439 00:21:25,720 --> 00:21:30,960 THE THREE OF YOU WERE HERE AS I 440 00:21:30,960 --> 00:21:33,280 WAS STARTING THIS I FELT LIKE I 441 00:21:33,280 --> 00:21:35,080 DREW IN THE POSITION WITH THE 442 00:21:35,080 --> 00:21:39,120 THREE OF YOU AND WE DID THINGS 443 00:21:39,120 --> 00:21:40,680 LIKE THE MISSION STATEMENT AND 444 00:21:40,680 --> 00:21:43,120 THE STRATEGY PLAN AND I 445 00:21:43,120 --> 00:21:48,200 APPRECIATED YOUR EFFORTS AT A 446 00:21:48,200 --> 00:21:49,080 DIFFICULT TIME OVER ALL JUST 447 00:21:49,080 --> 00:21:51,120 TRANSITIONING THROUGH THE 448 00:21:51,120 --> 00:21:55,320 PANDEMIC. 449 00:21:55,320 --> 00:21:57,480 AND TOWARDS THE END TOWARDS THE 450 00:21:57,480 --> 00:21:59,120 CONCEPT CLEARANCES WE'LL INVITE 451 00:21:59,120 --> 00:22:01,160 YOU TO SAY A FEW REMARKS BUT FOR 452 00:22:01,160 --> 00:22:09,840 NOW, THANKS TO THE THREE OF YOU. 453 00:22:09,840 --> 00:22:12,760 THIS SLIDE SHOWS NEI STAFF 454 00:22:12,760 --> 00:22:13,000 UPDATES. 455 00:22:13,000 --> 00:22:13,880 WE'VE HAD ACTIVITY. 456 00:22:13,880 --> 00:22:17,000 THE PICTURE ATOP IS MELANIE 457 00:22:17,000 --> 00:22:18,680 REAGAN APPOINTED AS THE 458 00:22:18,680 --> 00:22:20,080 EXECUTIVE OFFICER. 459 00:22:20,080 --> 00:22:21,120 IT'S BASICALLY OUR CHIEF 460 00:22:21,120 --> 00:22:28,880 OPERATING OFFICER AT NEI AND HAS 461 00:22:28,880 --> 00:22:30,040 BEEN DOING THIS A YEAR AND A 462 00:22:30,040 --> 00:22:32,800 HALF AND WE RECENTLY APPOINTED 463 00:22:32,800 --> 00:22:35,160 HER AS THE PERMANENT EXECUTIVE 464 00:22:35,160 --> 00:22:35,360 OFFICER. 465 00:22:35,360 --> 00:22:38,480 AND SHE'S DONE A GREAT JOB. 466 00:22:38,480 --> 00:22:43,600 THE NEXT PHOTOGRAPH SHOWS A 467 00:22:43,600 --> 00:22:48,560 PICTURE OF RICH KRAUZLIS AND HAS 468 00:22:48,560 --> 00:22:51,120 BEEN APPOINTED THE CHIEF OF THE 469 00:22:51,120 --> 00:22:54,760 LSR, LABORATORY OF SENSORY 470 00:22:54,760 --> 00:22:55,040 RESEARCH. 471 00:22:55,040 --> 00:22:59,440 LSR AT NEI HAS HAD A RICH 472 00:22:59,440 --> 00:23:00,000 HISTORY. 473 00:23:00,000 --> 00:23:07,160 IT WAS BOB WERTZ AND FRED MILES 474 00:23:07,160 --> 00:23:11,360 HE DID HIS POSTDOC WITH AND 475 00:23:11,360 --> 00:23:18,800 RETIRED AFTER BRUCE COMMING AND 476 00:23:18,800 --> 00:23:21,800 BECAME A WORLD FAMOUS RESEARCHER 477 00:23:21,800 --> 00:23:23,560 IN THAT SETTING AND CAME BACK 10 478 00:23:23,560 --> 00:23:26,240 YEARS AGO AND HAS BEEN ACTING 479 00:23:26,240 --> 00:23:27,880 FOR ABOUT ALMOST TWO YEARS AND 480 00:23:27,880 --> 00:23:35,120 WAS RECENTLY APPOINTED AS THE 481 00:23:35,120 --> 00:23:39,920 PERMANENT CHIEF OF THAT LAB. 482 00:23:39,920 --> 00:23:44,440 THE NEXT PHOTO IS BEN SOLOMON AS 483 00:23:44,440 --> 00:23:47,800 THE NEI CLINICAL DIRECTOR. 484 00:23:47,800 --> 00:23:58,320 THANK YOU TO BEN FOR DOING THAT. 485 00:24:03,080 --> 00:24:04,680 MARYANNE IS A PROGRAM OFFICER 486 00:24:04,680 --> 00:24:06,960 WHO RETIRED RECENTLY. 487 00:24:06,960 --> 00:24:10,680 SHE OVERSAW A LOT OF GRANTS 488 00:24:10,680 --> 00:24:11,840 PARTICULARLY IN THE CLINICAL 489 00:24:11,840 --> 00:24:16,360 RESEARCH AREA AND SHE WAS 490 00:24:16,360 --> 00:24:18,120 ACTUALLY ONE OF THE FIRST ON THE 491 00:24:18,120 --> 00:24:20,160 PROJECTS I WAS INVOLVED WITH THE 492 00:24:20,160 --> 00:24:23,600 ROTP PROJECT. 493 00:24:23,600 --> 00:24:24,680 WE'RE GOING MISS MARYANNE. 494 00:24:24,680 --> 00:24:27,000 SHE'S COMING BACK PART-TIME AS A 495 00:24:27,000 --> 00:24:29,400 CONTRACTOR WHILE WE WORK ON 496 00:24:29,400 --> 00:24:39,840 RECRUITING A REPLACEMENT. 497 00:25:12,880 --> 00:25:16,400 SO JUST A WORD TO OUR PEOPLE, 498 00:25:16,400 --> 00:25:18,200 THANKS FOR THE RETIREMENTS AND 499 00:25:18,200 --> 00:25:26,160 FOR THE NEW POSITIONS HERE. 500 00:25:26,160 --> 00:25:27,800 TWO UPDATES ON ACTIVE SEARCHS. 501 00:25:27,800 --> 00:25:29,440 THERE'S TWO OTHER BIG SEARCHS WE 502 00:25:29,440 --> 00:25:30,000 HAVE NOW. 503 00:25:30,000 --> 00:25:31,080 THE SCIENTIFIC DIRECTOR AND THE 504 00:25:31,080 --> 00:25:34,920 CLINICAL DIRECTOR. 505 00:25:34,920 --> 00:25:36,320 THE SCIENTIFIC DIRECTOR SEARCH 506 00:25:36,320 --> 00:25:37,120 IS GETTING CLOSE TO ITS 507 00:25:37,120 --> 00:25:38,920 CONCLUSION. 508 00:25:38,920 --> 00:25:41,480 WE'VE DONE MULTIPLE ROUNDS OF 509 00:25:41,480 --> 00:25:42,960 VIEWS AND WE'LL HAVE AN 510 00:25:42,960 --> 00:25:44,360 ANNOUNCEMENT FORTHCOMING. 511 00:25:44,360 --> 00:25:47,280 THIS IS SOMETHING THAT WE'RE 512 00:25:47,280 --> 00:25:51,760 EXCITED ABOUT. 513 00:25:51,760 --> 00:25:52,760 THE CLINICAL DIRECTOR WE HAVE 514 00:25:52,760 --> 00:25:57,000 PROGRESS AND VISITS COMING UP. 515 00:25:57,000 --> 00:25:58,600 THIS PART IS GOING TO BE 516 00:25:58,600 --> 00:26:02,960 EXCITING FOR US. 517 00:26:02,960 --> 00:26:05,120 MORE COMING UP MOPEFULLY 518 00:26:05,120 --> 00:26:07,000 ANNOUNCEMENTS BY THE TIME THE 519 00:26:07,000 --> 00:26:14,480 COUNCIL MEETS. 520 00:26:14,480 --> 00:26:17,440 A FEW UPDATES ON NIH LEADERSHIP 521 00:26:17,440 --> 00:26:27,960 AND THE PICTURE HERE IS HUGH 522 00:26:32,880 --> 00:26:34,800 AUCHNCLOSS AND DR. FAUCI RETIRED 523 00:26:34,800 --> 00:26:37,760 AND HUGH HAS BEEN THE DEPUTY 524 00:26:37,760 --> 00:26:43,000 DIRECTOR AT NIAID SINCE 2006 SO 525 00:26:43,000 --> 00:26:47,080 IS FAMILIAR WITH THE POSITION 526 00:26:47,080 --> 00:26:57,520 AND ANY OF YOU THAT KNOW 527 00:26:59,160 --> 00:27:06,280 MASSACHUSETTS POLITICS MAY KNOW 528 00:27:06,280 --> 00:27:08,600 HIM AND NINA SCHLOR OVERSEES THE 529 00:27:08,600 --> 00:27:11,120 INSTITUTES AND HAS BEEN AT NIH 530 00:27:11,120 --> 00:27:14,240 FIVE YEARS NOW. 531 00:27:14,240 --> 00:27:16,120 SHE HAS HAD A VERY DISTINGUISHED 532 00:27:16,120 --> 00:27:19,360 CAREER BEFORE THAT. 533 00:27:19,360 --> 00:27:21,440 SHE'S A PEDIATRIC NEUROOLOGIST 534 00:27:21,440 --> 00:27:25,000 BY BACKGROUND AND HER RECENT 535 00:27:25,000 --> 00:27:28,560 POSITION WAS THE SCIENTIFIC 536 00:27:28,560 --> 00:27:29,960 DIRECTOR AT THE NEUROLOGICAL 537 00:27:29,960 --> 00:27:30,400 INSTITUTE. 538 00:27:30,400 --> 00:27:35,440 BEFORE THAT SHE WAS AT THE 539 00:27:35,440 --> 00:27:37,000 UNIVERSITY OF PITTSBURGH WHERE 540 00:27:37,000 --> 00:27:42,200 SHE WAS DEAN FOR RESEARCH 541 00:27:42,200 --> 00:27:46,560 UNIVERSITY WIDE AND WAS AT THE 542 00:27:46,560 --> 00:27:47,200 UNIVERSITY OF RODCHESTER CHAIR 543 00:27:47,200 --> 00:27:54,120 OF PEDIATRICS FOR YEARS. 544 00:27:54,120 --> 00:27:56,680 ON THE LEFT SIDE IS MONICA 545 00:27:56,680 --> 00:27:59,120 BERTONELLI AND CAME FROM THE 546 00:27:59,120 --> 00:28:00,120 HARVARD SYSTEM. 547 00:28:00,120 --> 00:28:09,520 NEXT TO MONICA IS A PICTURE OF 548 00:28:09,520 --> 00:28:09,840 JO 549 00:28:09,840 --> 00:28:14,280 JONI RUTTER AND BOTTOM ROW THE 550 00:28:14,280 --> 00:28:17,200 FIRST IS OF ROGER GLASS WHO 551 00:28:17,200 --> 00:28:21,120 RECENTLY RETIRED AS THE DIRECTOR 552 00:28:21,120 --> 00:28:22,840 OF THE FOGARTY INTERNATIONAL 553 00:28:22,840 --> 00:28:24,480 START AND IT'S THE INSTITUTE 554 00:28:24,480 --> 00:28:27,600 THAT OVERSEES INTERNATIONAL 555 00:28:27,600 --> 00:28:28,360 COLLABORATIONS. 556 00:28:28,360 --> 00:28:31,120 AND ROGER WAS -- WE HAD A GOOD 557 00:28:31,120 --> 00:28:34,280 RELATIONSHIP WITH ROGER. 558 00:28:34,280 --> 00:28:40,360 HE SUPPORTED A LOT OF WORK WE DO 559 00:28:40,360 --> 00:28:41,360 INVOLVING FOR EXAMPLE TRAINING 560 00:28:41,360 --> 00:28:47,120 INTERNATIONAL FELLOWS IN EYE 561 00:28:47,120 --> 00:28:48,520 DISEASE. 562 00:28:48,520 --> 00:28:52,240 AND ROGER RETIRED AND HIS 563 00:28:52,240 --> 00:28:55,840 POSITION HAS BEEN TAKEN BY PETER 564 00:28:55,840 --> 00:28:59,120 KILMARX AND ON THE BOTTOM IS EYE 565 00:28:59,120 --> 00:29:01,960 PICTURE OF JOHN GALLIN RETIRING 566 00:29:01,960 --> 00:29:03,120 IN MARCH AS THE ASSOCIATE 567 00:29:03,120 --> 00:29:05,240 DIRECTOR FOR CLINICAL RESEARCH 568 00:29:05,240 --> 00:29:07,720 AND CHIEF SCIENTIFIC OFFICER AT 569 00:29:07,720 --> 00:29:11,120 THE NIH CLINICAL. 570 00:29:11,120 --> 00:29:14,800 A LOT OF CHANGE AT NIH OVER ALL. 571 00:29:14,800 --> 00:29:16,160 NOW, THE NEXT SET OF SLIDES, 572 00:29:16,160 --> 00:29:18,080 WHAT I WANT TO DO IS TALK ABOUT 573 00:29:18,080 --> 00:29:19,280 PEOPLE AND PROJECTS THAT CAUGHT 574 00:29:19,280 --> 00:29:25,000 OUR ATTENTION. 575 00:29:25,000 --> 00:29:26,200 THERE'S A LITTLE BIT OF 576 00:29:26,200 --> 00:29:27,520 EXTRAMURAL AND INTRAMURAL WORK 577 00:29:27,520 --> 00:29:28,720 WE WANT TO HIGHLIGHT. 578 00:29:28,720 --> 00:29:30,640 THE SLIDE SHOWS NATIONAL ACADEMY 579 00:29:30,640 --> 00:29:34,040 OF SCIENCE AWARDEES. 580 00:29:34,040 --> 00:29:35,280 THERE ARE TWO OF THEM. 581 00:29:35,280 --> 00:29:41,040 THE TOP PHOTOGRAPH IS HONGKUI 582 00:29:41,040 --> 00:29:43,160 ZENG THE DIRECTOR OF THE ALLEN 583 00:29:43,160 --> 00:29:44,920 INSTITUTE FOR BRAIN SCIENCE IN 584 00:29:44,920 --> 00:29:48,000 SEATTLE. 585 00:29:48,000 --> 00:29:54,680 SHE RECEIVE THE 2023 PRADEL 586 00:29:54,680 --> 00:29:56,680 RESEARCH AWARD FOR A MIDCAREER 587 00:29:56,680 --> 00:29:57,480 RESEARCHER. 588 00:29:57,480 --> 00:29:59,120 SHE AND THE CREW HAVE DONE 589 00:29:59,120 --> 00:30:05,720 GROUNDBREAKING WORK IN WHAT IN 590 00:30:05,720 --> 00:30:08,040 MAMMALIAN MOUSE MODELS AND DONE 591 00:30:08,040 --> 00:30:10,480 WORK IN OPEN SCIENCE. 592 00:30:10,480 --> 00:30:13,720 AND QUESTIONS LIKE HOW DO THE 593 00:30:13,720 --> 00:30:18,360 DIFFERENT NEURONAL TYPES WORK 594 00:30:18,360 --> 00:30:25,600 TOGETHER TO PROFESSION VISUAL 595 00:30:25,600 --> 00:30:34,080 AND THE NEXT IS TIM BUSCHMAN HAS 596 00:30:34,080 --> 00:30:36,640 DONE WORK ON NEURAL MECHANISMS 597 00:30:36,640 --> 00:30:37,680 OF THINGS LIKE COGNITIVE 598 00:30:37,680 --> 00:30:39,040 CONTROL, ATTENTION AND WORKING 599 00:30:39,040 --> 00:30:43,480 MEMORY. 600 00:30:43,480 --> 00:30:47,120 SO PROUD OF THESE TWO NEI 601 00:30:47,120 --> 00:30:57,320 GRANTEES. 602 00:30:58,800 --> 00:31:01,040 AND THIS IS A GRANTEE THAT 603 00:31:01,040 --> 00:31:07,000 CAUGHT OUR ATTENTION. 604 00:31:07,000 --> 00:31:15,120 THIS IS FROM UCLA AND DID WORK 605 00:31:15,120 --> 00:31:18,480 INVOLVING ZIKA VIRUS AND MANY 606 00:31:18,480 --> 00:31:21,560 KNOW IT HAS AFFECTS ON THE 607 00:31:21,560 --> 00:31:24,840 DEVELOPING RETINA AND IN THE 608 00:31:24,840 --> 00:31:31,000 BRAIN INFANT BRAIN AND THEY 609 00:31:31,000 --> 00:31:35,160 LOOKED AT THE HIPPO PATHWAY 610 00:31:35,160 --> 00:31:37,800 WHICH CONTROLS ORGAN GROWTH AND 611 00:31:37,800 --> 00:31:39,400 HAS A RELATIONSHIP WITH CANCER 612 00:31:39,400 --> 00:31:41,960 AND FOUND THAT HATHAWAY HAS 613 00:31:41,960 --> 00:31:45,280 VIRUS FIGHTING EFFECTS AND BY 614 00:31:45,280 --> 00:31:46,520 LOOKING AT SOME TISSUE CULTURE 615 00:31:46,520 --> 00:31:49,040 TYPE STUDIES AND LOOKING AT THE 616 00:31:49,040 --> 00:31:54,040 PATHWAYS INVOLVED WHAT THEY 617 00:31:54,040 --> 00:32:02,080 FOUND IS THAT VERTIVORFIN HAS A 618 00:32:02,080 --> 00:32:03,960 ROLE IN STOPPING SARS COV2. 619 00:32:03,960 --> 00:32:06,520 THERE'S SO MUCH WORK WE DO THAT 620 00:32:06,520 --> 00:32:11,160 HAS IMPACT WHAT YOU 621 00:32:11,160 --> 00:32:21,600 TRADITIONALLY CALL VISION. 622 00:32:26,360 --> 00:32:29,160 AND THIS WORK CAME FROM A 623 00:32:29,160 --> 00:32:29,800 RESEARCHER IN THE INTRAMURAL 624 00:32:29,800 --> 00:32:35,160 CENTER WHO DOES AMAZING WORK 625 00:32:35,160 --> 00:32:43,000 INVOLVING STEM CELLS AND 626 00:32:43,000 --> 00:32:49,000 TOGETHER THE HEAD OF THE NCATS 627 00:32:49,000 --> 00:32:51,240 3-D TISSUE BIOPRINTING 628 00:32:51,240 --> 00:32:53,120 LABORATORY AND THE TITLE IS 3-D 629 00:32:53,120 --> 00:32:54,400 EYE PRINTING MODELS OF DISEASE. 630 00:32:54,400 --> 00:33:02,680 WHAT THIS GROUP HAS DONE IS THEY 631 00:33:02,680 --> 00:33:10,600 TOOK PARASITES AND THREE TYPES 632 00:33:10,600 --> 00:33:14,200 ON A HYDROGEL AND PRINTED THEM 633 00:33:14,200 --> 00:33:18,040 ON A BIODEGRADABLE SCAFFOLD AND 634 00:33:18,040 --> 00:33:19,280 I THOUGHT IT WAS SCIENCE FICTION 635 00:33:19,280 --> 00:33:21,560 WHEN I STARTED TO READ ABOUT 636 00:33:21,560 --> 00:33:25,360 THIS AND WITHIN DAYS THE CELLS 637 00:33:25,360 --> 00:33:30,960 MATURED INTO A CAPILLARY NETWORK 638 00:33:30,960 --> 00:33:34,720 AND CELLS WITHIN DAYS CEDED TO 639 00:33:34,720 --> 00:33:36,200 THE OTHER SIDE OF THE SCAFFOLD 640 00:33:36,200 --> 00:33:39,920 AND WHEN THEY DID GENETIC 641 00:33:39,920 --> 00:33:42,840 TESTING THE PRINTED TISSUE 642 00:33:42,840 --> 00:33:45,400 LOOKED AND BEHAVED LIKE NATIVE 643 00:33:45,400 --> 00:33:49,000 RETINAL BARRIER AND STRESSED THE 644 00:33:49,000 --> 00:33:50,560 IMMUNOLOGICALLY AND FOUND THE 645 00:33:50,560 --> 00:33:52,840 TISSUE COULD EVENTUALLY SHOW 646 00:33:52,840 --> 00:33:55,840 CHARACTERISTICS OF A DRY AMD AND 647 00:33:55,840 --> 00:34:01,000 PROGRESS TO LATE AMD AND THE 648 00:34:01,000 --> 00:34:02,920 EXCIT 649 00:34:02,920 --> 00:34:04,040 EXCITING THING IS THIS COULD BE 650 00:34:04,040 --> 00:34:07,000 USED TO STUDY THE DISEASE AND SO 651 00:34:07,000 --> 00:34:11,120 NICE WORK DONE AT THE CENTER 652 00:34:11,120 --> 00:34:14,240 DONE COLLABORATIVELY. 653 00:34:14,240 --> 00:34:15,320 THIS IS CALLED ONE SMALL 654 00:34:15,320 --> 00:34:17,680 HANDSHAKE FOR NEURONS. 655 00:34:17,680 --> 00:34:21,000 IT'S WORKING LOOKING AT 656 00:34:21,000 --> 00:34:21,760 ORGANOIDS. 657 00:34:21,760 --> 00:34:23,120 THERE ARE TWO PHOTOGRAPHS HERE 658 00:34:23,120 --> 00:34:26,080 THAT BASICALLY SHOW ORGANOIDS 659 00:34:26,080 --> 00:34:30,280 MAKING SYNAPTIC CONNECTIONS. 660 00:34:30,280 --> 00:34:34,280 THE FIRST SET OF WORK IS DONE BY 661 00:34:34,280 --> 00:34:35,800 AN NEI GRANTEE AT THE UNIVERSITY 662 00:34:35,800 --> 00:34:36,800 OF WISCONSIN. 663 00:34:36,800 --> 00:34:41,320 I FIRST MET HIM AT A K AWARD 664 00:34:41,320 --> 00:34:45,920 SYMPOSIUM IN BETHESDA IN 2005. 665 00:34:45,920 --> 00:34:47,120 VICTOR WERE YOU THERE BY CHANCE? 666 00:34:47,120 --> 00:34:49,360 I THOUGHT I REMEMBERED YOU THERE 667 00:34:49,360 --> 00:34:49,760 AS WELL. 668 00:34:49,760 --> 00:34:55,400 SO WE HAVEN'T HAD ONE OF THOSE 669 00:34:55,400 --> 00:35:05,600 SINCE THEN. 670 00:35:16,920 --> 00:35:20,160 AND THEY BROKE THE ORGANOIDS AA 671 00:35:20,160 --> 00:35:21,920 PART AND FOUND THEY CAN FORM 672 00:35:21,920 --> 00:35:31,000 WITH OTHER RETINAL CELLS. 673 00:35:31,000 --> 00:35:40,080 AND AND A RESEARCHER AT UCSD SHE 674 00:35:40,080 --> 00:35:43,000 RECEIVED THE NIH NEW INNOVATOR 675 00:35:43,000 --> 00:35:53,120 AWARD. 676 00:36:02,560 --> 00:36:06,360 AND WE THOUGHT THESE WERE REALLY 677 00:36:06,360 --> 00:36:07,160 INTERESTING BECAUSE THEY'RE TWO 678 00:36:07,160 --> 00:36:09,640 RELATED STORIES ABOUT ORGANOIDS 679 00:36:09,640 --> 00:36:14,400 MAKING SYNAPTIC CONNECTIONS. 680 00:36:14,400 --> 00:36:16,040 WHAT I WANT TO DO IN THE NEXT 681 00:36:16,040 --> 00:36:18,080 SET OF SLIDES IS TALK ABOUT A 682 00:36:18,080 --> 00:36:22,760 FEW OF THE PROGRAMS THAT WE'VE 683 00:36:22,760 --> 00:36:25,120 GOTTEN THAT WE'RE SORT OF 684 00:36:25,120 --> 00:36:25,400 CREATING. 685 00:36:25,400 --> 00:36:26,800 WE TALKED ABOUT -- WE'VE BEEN 686 00:36:26,800 --> 00:36:29,160 TRYING TO TALK ABOUT OUR MISSION 687 00:36:29,160 --> 00:36:30,600 STATEMENT, ELIMINATE VISION LIFE 688 00:36:30,600 --> 00:36:35,240 AND IMPROVE QUALITY OF LIFE 689 00:36:35,240 --> 00:36:45,680 THROUGH VISION RESEARCH. 690 00:36:50,680 --> 00:36:51,840 AND THESE PROGRAMS TAKE US 691 00:36:51,840 --> 00:36:54,840 TOWARDS THAT MISSION AND THIS IS 692 00:36:54,840 --> 00:36:56,520 ONE EXAMPLE THAT'S LED BY THE 693 00:36:56,520 --> 00:37:01,320 BOTTOM RIGHT IS A PHOTO OF LISA 694 00:37:01,320 --> 00:37:02,880 NEWHOLD. 695 00:37:02,880 --> 00:37:07,000 THIS PROGRAM IS BASICALLY IT'S 696 00:37:07,000 --> 00:37:08,840 AN R21 MECHANISM. 697 00:37:08,840 --> 00:37:11,120 THE FUNDING ANNOUNCEMENT IS 698 00:37:11,120 --> 00:37:13,000 BASICALLY TRYING TO ENCOURAGE 699 00:37:13,000 --> 00:37:16,160 GRANT APPLICATIONS DIRECTED 700 00:37:16,160 --> 00:37:19,280 TOWARDS CREATING THESE NEXT 701 00:37:19,280 --> 00:37:24,160 GENERATION HUMAN SELL DERIVED 702 00:37:24,160 --> 00:37:25,480 MICROPHYSIOLOGICAL SYSTEMS. 703 00:37:25,480 --> 00:37:27,760 THESE MAY BE THINGS LIKE 704 00:37:27,760 --> 00:37:29,640 ORGANOIDS OR TISSUE CHIPS BUT 705 00:37:29,640 --> 00:37:33,560 THE IDEA IS THAT WE'D LIKE FOR 706 00:37:33,560 --> 00:37:35,160 THEM TO BE ABLE TO REPRESENT 707 00:37:35,160 --> 00:37:45,400 ORGAN FUNCTION. 708 00:37:45,800 --> 00:37:46,920 REPLICATE CENTRAL CENTRAL 709 00:37:46,920 --> 00:37:49,120 NERVOUS SYSTEM DISEASES AND 710 00:37:49,120 --> 00:37:59,680 HUMAN BRAIN, SPINAL CORD AND WE 711 00:38:01,560 --> 00:38:05,000 WOULD LIKE TO ENABLE STUDIES OF 712 00:38:05,000 --> 00:38:10,600 DEVELOPMENT FUNCTION, AGING IN 713 00:38:10,600 --> 00:38:14,720 HEALTHY STAGE OR IN DISEASE 714 00:38:14,720 --> 00:38:18,360 STATES AND THE GOAL IS TO BE 715 00:38:18,360 --> 00:38:22,320 HIGH RISK, HIGH REWARD AND NOT 716 00:38:22,320 --> 00:38:24,040 BE PRELIMINARY DATA FOR THOSE 717 00:38:24,040 --> 00:38:27,720 THAT ARE THERE'S A COMPANION RO1 718 00:38:27,720 --> 00:38:29,680 MECHANISM BUT IS GOING TO BE 719 00:38:29,680 --> 00:38:31,400 ACTIVE THE NEXT THREE YEARS AND 720 00:38:31,400 --> 00:38:33,560 THE FIRST CYCLE IS COMING UP NOW 721 00:38:33,560 --> 00:38:34,440 AND SOMETHING WE'RE EXCITE 722 00:38:34,440 --> 00:38:34,920 ABOUT. 723 00:38:34,920 --> 00:38:36,920 THANKS TO LISA FOR WORK IN THIS 724 00:38:36,920 --> 00:38:37,320 AREA. 725 00:38:37,320 --> 00:38:41,920 THIS IS NEI CREATED THIS IN 726 00:38:41,920 --> 00:38:43,000 COLLABORATION WITH FOUR OTHER 727 00:38:43,000 --> 00:38:47,320 INSTITUTES. 728 00:38:47,320 --> 00:38:49,040 THE NEXT SLIDE TALKS ABOUT THE 729 00:38:49,040 --> 00:38:49,480 BRAIN INITIATIVE. 730 00:38:49,480 --> 00:38:52,440 I THINK ALMOST ALL OF YOU KNOW 731 00:38:52,440 --> 00:38:54,160 THE BRAIN INITIATIVE THIS CAME 732 00:38:54,160 --> 00:39:00,440 FROM THE 21st CENTURIES CURES 733 00:39:00,440 --> 00:39:00,600 ACT. 734 00:39:00,600 --> 00:39:05,600 THIS IS OBAMA ERA AND ON THAT 735 00:39:05,600 --> 00:39:06,920 TIME THERE'S BEEN ON THE ORDER 736 00:39:06,920 --> 00:39:09,520 OF BILLIONS OF FUNDING FROM THE 737 00:39:09,520 --> 00:39:12,320 BRAIN INITIATIVE MEANT TO STUDY 738 00:39:12,320 --> 00:39:13,760 THINGS LIKE CIRCUITRY WIRING OF 739 00:39:13,760 --> 00:39:22,120 THE BRAIN. 740 00:39:22,120 --> 00:39:27,840 WHAT THIS CHART DISPLAYS IS A 741 00:39:27,840 --> 00:39:31,000 PIE CHART AND THE POINT OF THIS 742 00:39:31,000 --> 00:39:35,640 IS THAT OF THE FY22 BRAIN 743 00:39:35,640 --> 00:39:37,800 INITIATIVE AWARDS THE NEW AWARDS 744 00:39:37,800 --> 00:39:39,520 TOTAL $350 MILLION. 745 00:39:39,520 --> 00:39:42,560 ONE OF THE SLICES OF THE PIE 746 00:39:42,560 --> 00:39:47,120 CHART SHOWS 18% WENT TO VISION 747 00:39:47,120 --> 00:39:52,360 RESEARCH. 748 00:39:52,360 --> 00:40:02,840 THE OTHER SHOWS 26% NON-EYE 749 00:40:04,160 --> 00:40:05,440 RESEARCH AND IT WAS REGULATED TO 750 00:40:05,440 --> 00:40:11,080 THE PORTFOLIO MAKING THE POINT 751 00:40:11,080 --> 00:40:15,720 THAT VISION RESEARCH IS A BIG 752 00:40:15,720 --> 00:40:19,000 PART OF THIS RESEARCH OVER ALL. 753 00:40:19,000 --> 00:40:20,880 THAT'S WHAT WE'RE EXCITED ABOUT. 754 00:40:20,880 --> 00:40:23,960 THE NEXT SLIDE TALKS ABOUT THE 755 00:40:23,960 --> 00:40:30,200 AN TEARIOR -- ANTERIOR SEGMENT 756 00:40:30,200 --> 00:40:31,000 INITIATIVE AND WE TALKED ABOUT 757 00:40:31,000 --> 00:40:32,520 IT A LONG TIME AND WE'RE GETTING 758 00:40:32,520 --> 00:40:34,480 MORE AND MORE OF THESE 759 00:40:34,480 --> 00:40:40,840 INITIATIVES FUNDED. 760 00:40:40,840 --> 00:40:42,880 THIS INITIATIVE DEALS WITH 761 00:40:42,880 --> 00:40:45,160 NEURAL CIRCUITRY OF THE SEGMENT 762 00:40:45,160 --> 00:40:47,520 AND THE ROLE IN OCULAR PAIN AND 763 00:40:47,520 --> 00:40:49,000 DRY EYE. 764 00:40:49,000 --> 00:40:50,840 WE RECENTLY FUNDED A CONSORTIUM 765 00:40:50,840 --> 00:40:51,720 OF EIGHT GROUPS. 766 00:40:51,720 --> 00:40:54,560 IT'S GOING TO BE FIVE YEARS 767 00:40:54,560 --> 00:40:59,120 TOTAL OVER $50 MILLION AND THE 768 00:40:59,120 --> 00:41:02,000 QUESTIONS HERE ARE WHAT ARE THE 769 00:41:02,000 --> 00:41:02,400 NEURAL PATHWAYS. 770 00:41:02,400 --> 00:41:05,800 THE CIRCUITRY RESPONSIBLE FOR 771 00:41:05,800 --> 00:41:13,040 THINGS LIKE DRY EYE PAIN, REFLUX 772 00:41:13,040 --> 00:41:15,800 TEARING, PHOTOPHOBIA. 773 00:41:15,800 --> 00:41:17,080 THESE GROUPS WE FUNDED ARE 774 00:41:17,080 --> 00:41:20,000 LOOKING AT THE MORPH OWE LOGICAL 775 00:41:20,000 --> 00:41:21,600 AND MOLECULAR, FUNCTIONAL 776 00:41:21,600 --> 00:41:23,120 SPECIFICS AND WE'RE EXCITED 777 00:41:23,120 --> 00:41:23,920 ABOUT THIS. 778 00:41:23,920 --> 00:41:26,280 THERE'S GROUPS FROM OREGON, 779 00:41:26,280 --> 00:41:27,840 ARIZONA, HARVARD, MIAMI, 780 00:41:27,840 --> 00:41:33,280 UNIVERSITY OF PENNSYLVANIA, UCLA 781 00:41:33,280 --> 00:41:35,160 AND DUKE AND VICTOR I KNOW 782 00:41:35,160 --> 00:41:39,440 YOU'RE HEADING ONE OF THESE 783 00:41:39,440 --> 00:41:39,680 CONSORTIA. 784 00:41:39,680 --> 00:41:42,200 WE'RE EXCITED ABOUT WAS AN 785 00:41:42,200 --> 00:41:42,880 INITIAL KICKOFF MEETING 786 00:41:42,880 --> 00:41:47,080 HOPEFULLY TRYING TO FIND WAYS TO 787 00:41:47,080 --> 00:41:50,880 WORK TOGETHER TO CREATE MODELS 788 00:41:50,880 --> 00:41:51,560 FOR COLLABORATIVE RESEARCH FOR 789 00:41:51,560 --> 00:41:55,120 THE WHOLE IS BIGGER THAN THE SUM 790 00:41:55,120 --> 00:41:55,760 OF THE PARTS. 791 00:41:55,760 --> 00:41:59,120 VERY HAPPY AND EXCITED ABOUT 792 00:41:59,120 --> 00:42:05,040 THIS. 793 00:42:05,040 --> 00:42:06,600 IMPLEMENTATION RESEARCH. 794 00:42:06,600 --> 00:42:12,080 THIS SLIDE DISCUSSES THAT YOU'LL 795 00:42:12,080 --> 00:42:15,240 REMEMBER FROM OUR LAST MEETING 796 00:42:15,240 --> 00:42:18,120 WE HAD A SESSION ON 797 00:42:18,120 --> 00:42:19,480 DISSEMINATION AND 798 00:42:19,480 --> 00:42:21,080 IMPLEMENTATION. 799 00:42:21,080 --> 00:42:24,280 TWO GREAT TALKS. 800 00:42:24,280 --> 00:42:29,360 ONE WAS INTEREST NORTHWESTERN 801 00:42:29,360 --> 00:42:31,520 UNIVERSITY AND ONE FROM JENNY 802 00:42:31,520 --> 00:42:33,880 SUNG FROM HARVARD AND TALKED 803 00:42:33,880 --> 00:42:35,120 ABOUT DISSEMINATION AND 804 00:42:35,120 --> 00:42:36,560 IMPLEMENTATION AS IT RELATES TO 805 00:42:36,560 --> 00:42:37,840 VISION RESEARCH. 806 00:42:37,840 --> 00:42:40,600 IN FOLLOW-UP TO THAT THE BOTTOM 807 00:42:40,600 --> 00:42:51,120 SHOWS A PICTURE OF JIMMY LEI AND 808 00:42:51,880 --> 00:42:54,280 THOUGHT WHAT COULD WE BE DOING 809 00:42:54,280 --> 00:42:58,880 WITH D & I AND SIGNED ON TO THE 810 00:42:58,880 --> 00:43:00,440 DISSEMINATION, IMPLEMENTATION 811 00:43:00,440 --> 00:43:02,120 RESEARCH AND HEALTH AND WE'RE 812 00:43:02,120 --> 00:43:04,640 INTERESTED IN GETTING 813 00:43:04,640 --> 00:43:07,000 APPLICATIONS RELATED TO 814 00:43:07,000 --> 00:43:09,920 PROMOTING, ADAPTING, SUSTAINING 815 00:43:09,920 --> 00:43:11,200 EVIDENCE-BASED INTERVENTIONS AND 816 00:43:11,200 --> 00:43:16,640 PRACTICES TO PREVENT AND TREAT 817 00:43:16,640 --> 00:43:20,200 EYE-RELATED DISEASE. 818 00:43:20,200 --> 00:43:23,120 THIS COULD INCLUDE TELEAND 819 00:43:23,120 --> 00:43:26,080 SUPPORT AND PROJECTS THAT 820 00:43:26,080 --> 00:43:27,240 INCORPORATE SOCIAL DETERMINATES 821 00:43:27,240 --> 00:43:30,920 OF HEALTH AND COMMUNITY-BASED 822 00:43:30,920 --> 00:43:31,200 RESEARCH. 823 00:43:31,200 --> 00:43:33,400 THIS IS GOING TO BE ACTIVE A FEW 824 00:43:33,400 --> 00:43:36,040 YEARS NOW AND THE NEXT CYCLE IS 825 00:43:36,040 --> 00:43:37,120 COMING UP SOON BUT THIS IS NOT 826 00:43:37,120 --> 00:43:43,760 GOING AWAY. 827 00:43:43,760 --> 00:43:46,160 I WANT TO TAKE A BREAK AND 828 00:43:46,160 --> 00:43:51,560 LISTEN INSTEAD OF TALKING TO THE 829 00:43:51,560 --> 00:43:52,160 COUNCIL MEMBERS BECAUSE WE 830 00:43:52,160 --> 00:43:57,000 TALKED ABOUT THIS LAST TIME. 831 00:43:57,000 --> 00:44:00,640 I WOULD LOVE YOUR ADVISE ON THE 832 00:44:00,640 --> 00:44:01,760 CLINICAL BASED INTERVENTION OR 833 00:44:01,760 --> 00:44:03,080 PRACTICE MAY BE IDEAL FOR 834 00:44:03,080 --> 00:44:13,520 IMPLEMENTATION PROJECTS. 835 00:44:22,200 --> 00:44:26,960 >>MAUREEN MAGUIRE. 836 00:44:26,960 --> 00:44:30,040 WE'VE BEEN SUCCESSFUL ON 837 00:44:30,040 --> 00:44:31,440 STRATEGIES BUT WITH A LARGE 838 00:44:31,440 --> 00:44:32,520 SEGMENT OF THE POPULATION THAT 839 00:44:32,520 --> 00:44:33,480 DON'T TAKE ADVANTAGE. 840 00:44:33,480 --> 00:44:34,600 IF WE CAN HAVE DIFFERENT 841 00:44:34,600 --> 00:44:37,000 APPROACHES TO GET THE PEOPLE NOT 842 00:44:37,000 --> 00:44:42,120 TAKING ADVANTAGE OF THE ADVANCES 843 00:44:42,120 --> 00:44:45,920 WE HAVE INTO TREATMENT AND CARE 844 00:44:45,920 --> 00:44:47,160 I THINK THAT'D BE WORTHWHILE. 845 00:44:47,160 --> 00:44:57,320 >>THANKS. 846 00:44:57,320 --> 00:45:01,440 ARE THERE COMMENTS ABOUT THAT. 847 00:45:01,440 --> 00:45:05,040 >>EMMY HARTNETT. 848 00:45:05,040 --> 00:45:10,320 THERE ARE SO MANY THINGS IN 849 00:45:10,320 --> 00:45:12,000 PUBLIC HEALTH WE KNOW HAVE 850 00:45:12,000 --> 00:45:13,520 VALUE, VERSE, DIET, VARIOUS 851 00:45:13,520 --> 00:45:18,240 THINGS LIKE THIS BUT IT MAY BE 852 00:45:18,240 --> 00:45:19,000 THERE ARE BARRIERS WHY PEOPLE 853 00:45:19,000 --> 00:45:20,160 HAVE DIFFICULTY IN THE DAY TO 854 00:45:20,160 --> 00:45:25,160 DAY LIVING TO BE ABLE TO 855 00:45:25,160 --> 00:45:33,000 IMPLEMENT THIS. 856 00:45:33,000 --> 00:45:35,720 UNDERSTANDING THE PRAYER YEARS 857 00:45:35,720 --> 00:45:41,400 AND MOTIVATION -- BARRIERS AND 858 00:45:41,400 --> 00:45:43,000 MOTIVATION MAY HELP IMPLEMENT 859 00:45:43,000 --> 00:45:53,360 THIS INTO GOOD HEALTH. 860 00:46:05,760 --> 00:46:06,640 IS 861 00:46:06,640 --> 00:46:09,200 >>IT BRINGS US BACK TO RACIAL 862 00:46:09,200 --> 00:46:12,960 DISPARITY IS SOMETHING WE NEED 863 00:46:12,960 --> 00:46:21,880 TO ADDRESS. 864 00:46:21,880 --> 00:46:22,280 RENU. 865 00:46:22,280 --> 00:46:32,560 >>WE TALKED ABOUT ADVANCES IN 866 00:46:32,560 --> 00:46:33,720 SCIENCE BUT IF THEY DON'T MAKE 867 00:46:33,720 --> 00:46:35,880 IT TO THE PEOPLE WHO NEED IT 868 00:46:35,880 --> 00:46:46,360 MOST IT'S NOT THAT AMAZING. 869 00:46:51,880 --> 00:46:53,600 THIS NEXT SLIDE TALKS ABOUT THE 870 00:46:53,600 --> 00:46:55,040 NEXT GENERATION OF VISION 871 00:46:55,040 --> 00:46:59,120 RESEARCHERS. 872 00:46:59,120 --> 00:47:01,040 MARTHA FLANDERS IS THE 873 00:47:01,040 --> 00:47:04,480 PHOTOGRAPH IN THE BOTTOM RIGHT. 874 00:47:04,480 --> 00:47:07,640 SHE HAS BASICALLY WORKED TO GET 875 00:47:07,640 --> 00:47:09,320 US INVOLVED WITH WHAT'S CALLED 876 00:47:09,320 --> 00:47:11,400 THE TRAILBLAZER AWARD FOR NEW 877 00:47:11,400 --> 00:47:13,760 AND EARLY STAGE INVESTIGATORS. 878 00:47:13,760 --> 00:47:23,080 THIS IS AN R21 MECHANISM. 879 00:47:23,080 --> 00:47:25,880 IT'S DONE WITH THE NATIONAL 880 00:47:25,880 --> 00:47:32,760 INSTITUTE OF AGING AND BIOIM 881 00:47:32,760 --> 00:47:35,160 BIOIMING -- BIOIMAGING AND 882 00:47:35,160 --> 00:47:37,160 BRINGING NEW PEOPLE INTO THE 883 00:47:37,160 --> 00:47:46,720 VISION RESEARCH COMMUNITY. 884 00:47:46,720 --> 00:47:48,560 THIS IS MEANT TO BE A BROAD AREA 885 00:47:48,560 --> 00:47:51,240 OF SCIENCE. 886 00:47:51,240 --> 00:47:52,640 ENGINEERING AND PHYSICAL SCIENCE 887 00:47:52,640 --> 00:47:56,480 AS APPLIED TO VISION RESEARCH. 888 00:47:56,480 --> 00:47:58,320 THIS IS SOMETHING I'M 889 00:47:58,320 --> 00:48:01,000 PARTICULARLY EXCITED ABOUT BUT I 890 00:48:01,000 --> 00:48:11,560 WANT TO ASK THE COUNCIL AGAIN, 891 00:48:14,080 --> 00:48:17,040 THERE'S TWO THINGS THAT PREMISE 892 00:48:17,040 --> 00:48:20,280 THE AWARD BRINGING NEW AND EARLY 893 00:48:20,280 --> 00:48:21,560 STAGE INVESTIGATORS INTO THIS 894 00:48:21,560 --> 00:48:23,680 AND HOW TO MAKE THEM AWARE AND 895 00:48:23,680 --> 00:48:26,680 THE OTHER THING IS HOW DO WE 896 00:48:26,680 --> 00:48:29,760 BROADEN THE OUTREACH TO OTHER 897 00:48:29,760 --> 00:48:30,160 FIELDS? 898 00:48:30,160 --> 00:48:32,320 WE'D LOVE TO GO TO THE 899 00:48:32,320 --> 00:48:34,160 ENGINEERING AND SCIENTIFIC 900 00:48:34,160 --> 00:48:35,120 COMMUNITY AND FIND THESE PEOPLE 901 00:48:35,120 --> 00:48:37,960 BUT OFTEN IT'S TWO DIFFERENT 902 00:48:37,960 --> 00:48:38,200 WORLDS. 903 00:48:38,200 --> 00:48:43,600 DO YOU HAVE ADVICE IN TERMS OF 904 00:48:43,600 --> 00:48:49,200 HOW WE KCAN CAN BETTER DO THESE 905 00:48:49,200 --> 00:48:59,320 THINGS? 906 00:49:05,920 --> 00:49:07,000 >>KATIA. 907 00:49:07,000 --> 00:49:12,040 MAYBE WORKSHOPS INVITING OUTSIDE 908 00:49:12,040 --> 00:49:13,040 INVESTIGATORS AND ENGINEERING 909 00:49:13,040 --> 00:49:15,120 AND OPTICS THAT ARE MOSTLY IN 910 00:49:15,120 --> 00:49:18,360 THE PHYSICAL SCIENCES IN 911 00:49:18,360 --> 00:49:20,880 CONFERENCES OR WORKSHOPS THAT 912 00:49:20,880 --> 00:49:22,800 ARE NEI SPONSORED. 913 00:49:22,800 --> 00:49:33,160 THAT COULD BE ONE WAY. 914 00:49:34,720 --> 00:49:38,320 >>I'D LIKE TO SECOND THAT THE 915 00:49:38,320 --> 00:49:40,280 GLAUCOMA FOUNDATION HAVE SMALL 916 00:49:40,280 --> 00:49:41,600 WORKSHOPS OF ABOUT 40 PEOPLE IN 917 00:49:41,600 --> 00:49:44,720 WHICH THEY INVITE PEOPLE OUTSIDE 918 00:49:44,720 --> 00:49:50,760 THE FIELD AND THEY WERE VERY 919 00:49:50,760 --> 00:50:01,040 PRODUCT IVE THE IDEA OF SMALL 920 00:50:01,040 --> 00:50:02,760 WORKSHOPS LIKE 30 OR 40 PEOPLE 921 00:50:02,760 --> 00:50:04,520 ONCE THEY'RE OUTSIDE BUT SOMEHOW 922 00:50:04,520 --> 00:50:15,000 RELATED THAT WOULD BE GREAT. 923 00:50:16,840 --> 00:50:19,040 >>VICTOR PEREZ, AND HAVE 924 00:50:19,040 --> 00:50:20,840 PHYSICAL SCIENCE MEETINGS WHERE 925 00:50:20,840 --> 00:50:23,480 WE GO AND HAVE THE PRESENCE 926 00:50:23,480 --> 00:50:24,720 THERE NOT ONLY TO PRESENT THE 927 00:50:24,720 --> 00:50:27,160 CONCEPT AND GET TO KNOW THE 928 00:50:27,160 --> 00:50:29,040 PLAYERS IN THE FIELD. 929 00:50:29,040 --> 00:50:31,000 930 00:50:31,720 --> 00:50:41,880 >>THANK YOU. 931 00:50:46,920 --> 00:50:50,400 >>REZA DANA HERE, BOSTON. 932 00:50:50,400 --> 00:50:54,000 I WAS JUST THINKING EXACTLY 933 00:50:54,000 --> 00:50:55,320 THAT, VICTORY. 934 00:50:55,320 --> 00:50:57,680 THERE ARE EXCELLENT SCIENTIFIC 935 00:50:57,680 --> 00:51:02,800 MEETINGS THAT ARE PHENOMENAL FOR 936 00:51:02,800 --> 00:51:04,800 INTRODUCING NEW INVESTIGATORS TO 937 00:51:04,800 --> 00:51:07,040 NEW TECHNOLOGIES, NEW 938 00:51:07,040 --> 00:51:07,440 DISCIPLINES. 939 00:51:07,440 --> 00:51:09,920 THE FACT IS THAT WHETHER YOU'RE 940 00:51:09,920 --> 00:51:13,600 IN CELL BIOLOGY, IMMUNOLOGY, 941 00:51:13,600 --> 00:51:18,320 GENOMICS, WHAT HAVE YOU, SOME OF 942 00:51:18,320 --> 00:51:19,800 THE BEST INVESTIGATORS, PEOPLE 943 00:51:19,800 --> 00:51:26,640 ARE OUTSIDE OF THE WORLD VISION 944 00:51:26,640 --> 00:51:30,560 SCIENCE AND OPHTHALMOLOGY AND GO 945 00:51:30,560 --> 00:51:33,960 KEYSTONE CONFERENCES AND 946 00:51:33,960 --> 00:51:39,160 CONFERENCES NOT OPHTHALMOLOGY 947 00:51:39,160 --> 00:51:39,520 FOCUSSED. 948 00:51:39,520 --> 00:51:41,440 THERE'S MANY JUNIOR FACULTY OR 949 00:51:41,440 --> 00:51:45,040 POSTDOCS WHO CAN BENEFIT 950 00:51:45,040 --> 00:51:48,080 SIGNIFICANTLY FROM GOING TO 951 00:51:48,080 --> 00:51:49,760 THESE CONFERENCES AND GOING TO 952 00:51:49,760 --> 00:51:51,720 THE CONFERENCES OVER FOUR OR 953 00:51:51,720 --> 00:51:55,000 FIVE DAYS AND THE EXPENSES CAN 954 00:51:55,000 --> 00:51:57,120 SOMETIMES BE QUITE DIFFICULT FOR 955 00:51:57,120 --> 00:52:06,720 THE MENTOR TO COVER. 956 00:52:06,720 --> 00:52:08,920 AND GOING TO MANY KEYSTONE 957 00:52:08,920 --> 00:52:11,000 CONFERENCES IN MY YOUNGER DAYS 958 00:52:11,000 --> 00:52:13,040 HELPED BRING CONCEPTS INTO THE 959 00:52:13,040 --> 00:52:15,040 FIELD OF VISION SCIENCE. 960 00:52:15,040 --> 00:52:19,000 PERHAPS THE NEI CAN SEE OF A 961 00:52:19,000 --> 00:52:20,760 PROGRAM OF SELECTING INDIVIDUALS 962 00:52:20,760 --> 00:52:25,280 THAT GO TO NON-NEI OR NIH 963 00:52:25,280 --> 00:52:27,080 SPONSORED PROGRAMS WHERE THESE 964 00:52:27,080 --> 00:52:27,680 YOUNG INVESTIGATORS CAN LEARN 965 00:52:27,680 --> 00:52:37,880 NEW THINGS. 966 00:52:45,680 --> 00:52:48,040 >>MAUREEN MAGUIRE. 967 00:52:48,040 --> 00:52:49,880 I APPRECIATE THE SUGGESTIONS 968 00:52:49,880 --> 00:52:51,560 MADE PREVIOUSLY BUT IN TERMS OF 969 00:52:51,560 --> 00:52:52,840 SOMETHING THAT MAY BE 970 00:52:52,840 --> 00:52:57,640 INEXPENSIVE TO DO WOULD BE TO 971 00:52:57,640 --> 00:53:04,040 SEND OUT MODULES TO LEADERS OF 972 00:53:04,040 --> 00:53:05,320 GRANTS WHERE THERE'S A LARGE 973 00:53:05,320 --> 00:53:06,680 VISION COMMUNITY THAT INTERSECTS 974 00:53:06,680 --> 00:53:13,040 WITH THE OTHER PARTS OF THE 975 00:53:13,040 --> 00:53:14,560 UNIVERSITY. 976 00:53:14,560 --> 00:53:16,600 AND THAT HAS A MODULE SAYING 977 00:53:16,600 --> 00:53:19,440 THESE ARE THE FUNDING MECHANISMS 978 00:53:19,440 --> 00:53:20,680 THAT MAY BE AVAILABLE AS WELL 979 00:53:20,680 --> 00:53:22,240 SOMETHING LIKE YOU'VE BEEN DOING 980 00:53:22,240 --> 00:53:25,040 THIS MORNING WHICH IS SHOWING 981 00:53:25,040 --> 00:53:27,120 SOME EXAMPLES OF HOW THERE'S 982 00:53:27,120 --> 00:53:30,040 BEEN SYNERGY BY BRINGING IN 983 00:53:30,040 --> 00:53:32,000 OTHER SCIENTIFIC RELATED 984 00:53:32,000 --> 00:53:39,120 DISCIPLINES BUT HAVING THEM WORK 985 00:53:39,120 --> 00:53:42,800 TOGETHER. 986 00:53:42,800 --> 00:53:50,000 THOSE EXAMPLES MAY MOTIVATE 987 00:53:50,000 --> 00:53:51,000 OTHERS. 988 00:53:51,000 --> 00:53:51,240 >>EMMY DEF 989 00:53:53,360 --> 00:53:57,280 >>EMMY HARTNETT. 990 00:53:57,280 --> 00:53:58,840 MANY INSTITUTIONS HAVE MENTORS 991 00:53:58,840 --> 00:54:01,080 THAT WORK WITH SCIENTISTS TO 992 00:54:01,080 --> 00:54:03,960 HELP WITH GRANT WRITING AND IT 993 00:54:03,960 --> 00:54:07,080 WOULD BE GREAT TO LET THEM KNOW 994 00:54:07,080 --> 00:54:11,920 TO SPREAD THE WORD SO THAT THEY 995 00:54:11,920 --> 00:54:13,840 MAY BE ABLE TO EXTEND AND HAVE 996 00:54:13,840 --> 00:54:15,960 THEIR MENTEES REACH OUT TO OTHER 997 00:54:15,960 --> 00:54:16,560 PEOPLE AND BRING TOGETHER GROUPS 998 00:54:16,560 --> 00:54:26,760 THAT WAY. 999 00:54:37,120 --> 00:54:42,320 >>ONE THING THAT'S RESONATED 1000 00:54:42,320 --> 00:54:45,520 WITH ME IS THERE'S METHODOLOGY 1001 00:54:45,520 --> 00:54:47,120 AND APPLICATION AND THERE'S 1002 00:54:47,120 --> 00:54:48,360 GREAT METHODOLOGY THAT OCCURS. 1003 00:54:48,360 --> 00:54:50,440 WHAT WE'D LIKE TO DO BASICALLY 1004 00:54:50,440 --> 00:54:53,200 IS FIND THE BEST METHODOLOGIST 1005 00:54:53,200 --> 00:54:57,560 AND SOLVE PROBLEMS BY DEVELOPING 1006 00:54:57,560 --> 00:54:58,800 NOVEL METHODOLOGY THAT CAN BE 1007 00:54:58,800 --> 00:55:00,120 APPLIED TOWARDS SOLVING DISEASE. 1008 00:55:00,120 --> 00:55:01,080 THAT'S WHAT SOME OF THESE 1009 00:55:01,080 --> 00:55:08,400 EXAMPLES DID. 1010 00:55:08,400 --> 00:55:12,280 I'VE BEEN WONDERING TO FOLLOW ON 1011 00:55:12,280 --> 00:55:14,520 SOME OF THESE COMMENTS -- ARE 1012 00:55:14,520 --> 00:55:15,840 THERE THINGS WE CAN DO AND I 1013 00:55:15,840 --> 00:55:18,520 THINK IT'S AWESOME TO GO TO 1014 00:55:18,520 --> 00:55:23,400 MEETINGS LIKE GRC AND ARE THERE 1015 00:55:23,400 --> 00:55:26,800 THINGS WE CAN DO TO PUT THINGS 1016 00:55:26,800 --> 00:55:30,640 ABOUT VISION OUT THERE TO PEOPLE 1017 00:55:30,640 --> 00:55:33,000 WHO HAVE EXPERTISE AND IT'S 1018 00:55:33,000 --> 00:55:34,320 EXCITING TO TAKE YOUR 1019 00:55:34,320 --> 00:55:35,760 METHODOLOGY INTO THIS FIELD. 1020 00:55:35,760 --> 00:55:38,480 I'M NOT SURE IF YOU'RE AWARE OF 1021 00:55:38,480 --> 00:55:40,600 THINGS LIKE THAT. 1022 00:55:40,600 --> 00:55:42,840 SPECIFICALLY MEANT TO ENTICE 1023 00:55:42,840 --> 00:55:44,480 PEOPLE WHO ARE EXPERTISE IN SOME 1024 00:55:44,480 --> 00:55:46,680 TYPE OF METHODOLOGY SAYING MAYBE 1025 00:55:46,680 --> 00:55:50,600 I DON'T WANT TO WORK FOR PFIZER 1026 00:55:50,600 --> 00:55:51,720 OR GOOGLE OR SOMETHING. 1027 00:55:51,720 --> 00:55:55,080 OR WHAT I WANT TO DO IS CURE 1028 00:55:55,080 --> 00:55:57,000 BLINDNESS AND WE LEARN FROM 1029 00:55:57,000 --> 00:55:57,960 THESE THINGS WHAT THE VISUAL 1030 00:55:57,960 --> 00:55:58,760 SYSTEM IS ABOUT. 1031 00:55:58,760 --> 00:56:01,760 ARE ANY OF YOU FAMILIAR WITH 1032 00:56:01,760 --> 00:56:07,080 THINGS LIKE THAT THAT ARE 1033 00:56:07,080 --> 00:56:17,640 DIGESTIBLE AND QUICK AND SIMPLE? 1034 00:56:19,440 --> 00:56:24,800 THERE'S SO MANY WAYS THAT HAVE 1035 00:56:24,800 --> 00:56:25,160 GROWN FIELDS. 1036 00:56:25,160 --> 00:56:26,080 IS THERE ANYTHING IN THE VISION 1037 00:56:26,080 --> 00:56:30,920 SYSTEM YOU'RE AWARE OF? 1038 00:56:30,920 --> 00:56:35,160 >>EMMY HARTNETT. 1039 00:56:35,160 --> 00:56:38,520 THE RYAN INSTITUTE FOR MACULAR 1040 00:56:38,520 --> 00:56:40,000 RESEARCH INVITE PEOPLE AND 1041 00:56:40,000 --> 00:56:45,880 SOMETIMES HAVE SPEAKERS THAT ARE 1042 00:56:45,880 --> 00:56:51,120 OUTSIDE OF OPHTHALMOLOGY THAT 1043 00:56:51,120 --> 00:57:01,560 DESCRIBE NEW TECHNIQUES. 1044 00:57:06,560 --> 00:57:16,840 >>AND WE CAN USE PREVENT 1045 00:57:16,840 --> 00:57:18,600 BLINDNESS AMERICA AND REACH OUT 1046 00:57:18,600 --> 00:57:19,440 TO OTHERS FIELD AS WELL. 1047 00:57:19,440 --> 00:57:29,960 THEY MAY HAVE MORE WAYS TO TAP. 1048 00:57:45,280 --> 00:57:50,640 >>I'M NOT AWARE OF ANY SIMPLE 1049 00:57:50,640 --> 00:57:51,840 PROCESS FOR THAT IN RESPONSE TO 1050 00:57:51,840 --> 00:57:59,120 YOUR QUESTION BUT I THINK IN 1051 00:57:59,120 --> 00:58:02,360 FACT THE TRUE BENEFIT IS HAVING 1052 00:58:02,360 --> 00:58:04,320 PEOPLE IN THE VISION COMMUNITY 1053 00:58:04,320 --> 00:58:06,200 GOING TO A CONFERENCE WHERE THE 1054 00:58:06,200 --> 00:58:08,960 PURPOSE IS INTENTIONALLY NOT 1055 00:58:08,960 --> 00:58:09,280 VISION. 1056 00:58:09,280 --> 00:58:10,880 THAT'S WHERE A LOT OF THE 1057 00:58:10,880 --> 00:58:13,640 ADVANCES ARE HAPPENING. 1058 00:58:13,640 --> 00:58:16,960 WHEN YOU THINK OF LEARNING NEW 1059 00:58:16,960 --> 00:58:20,120 CONCEPTS AND ALSO NETWORKING 1060 00:58:20,120 --> 00:58:22,400 WITH PEOPLE WHO ARE ON EDITORIAL 1061 00:58:22,400 --> 00:58:25,080 BOARDS OF TOP-LINE MEDICAL 1062 00:58:25,080 --> 00:58:26,440 JOURNALS OFTEN THEY'RE NOT IN 1063 00:58:26,440 --> 00:58:31,120 THE VISION COMMUNITY. 1064 00:58:31,120 --> 00:58:41,680 IT'S IMPORTANT TO MEET PEOPLE IN 1065 00:58:41,680 --> 00:58:43,320 DOMAINS NOT VISION-ORIENTED. 1066 00:58:43,320 --> 00:58:50,800 THAT'S THE VALUE THERE. 1067 00:58:50,800 --> 00:58:54,760 AND THROUGH SUPPORT PERHAPS THE 1068 00:58:54,760 --> 00:58:57,160 NEI COULD WORK WITH KEYSTONE OR 1069 00:58:57,160 --> 00:59:02,400 OTHER CONFERENCES TO HAVE A 1070 00:59:02,400 --> 00:59:04,400 SMALL SLIVER OF THE PROGRAM AND 1071 00:59:04,400 --> 00:59:14,960 THAT COULD BE FURTHER EXPLORED. 1072 00:59:18,560 --> 00:59:23,160 >>AND THIS IS MORE TOWARDS 1073 00:59:23,160 --> 00:59:25,720 METHODOLOGY OR TECHNIQUES. 1074 00:59:25,720 --> 00:59:26,440 AND THERE'S NO EXTRA MONEY 1075 00:59:26,440 --> 00:59:36,000 INVOLVED HERE. 1076 00:59:36,000 --> 00:59:38,960 MAYBE JUST LEARN FROM OTHER 1077 00:59:38,960 --> 00:59:39,720 VISION FIELDS. 1078 00:59:39,720 --> 00:59:40,760 >>GREAT. 1079 00:59:40,760 --> 00:59:41,680 VERY USEFUL. 1080 00:59:41,680 --> 00:59:43,720 THIS NEXT SET OF SLIDES TALKS 1081 00:59:43,720 --> 00:59:46,520 ABOUT ACD WORKING GROUP ON 1082 00:59:46,520 --> 00:59:46,760 DIVERSITY. 1083 00:59:46,760 --> 00:59:51,160 THE ACD IS THE ADVISORY COUNCIL 1084 00:59:51,160 --> 00:59:54,000 TO THE NIH DIRECTOR. 1085 00:59:54,000 --> 00:59:56,200 AND THERE WAS A SUBGROUP ON 1086 00:59:56,200 --> 00:59:57,200 INDIVIDUALS WITH DISABILITIES 1087 00:59:57,200 --> 01:00:02,160 THAT HAS GOTTEN A LOT OF 1088 01:00:02,160 --> 01:00:03,760 PUBLICITY WITHIN NIH AND 1089 01:00:03,760 --> 01:00:05,080 NATIONALLY OVER THE PAST COUPLE 1090 01:00:05,080 --> 01:00:05,480 MONTHS. 1091 01:00:05,480 --> 01:00:08,320 AND THIS GROUP WAS HEADED BY 1092 01:00:08,320 --> 01:00:13,960 THREE FOLKS AT THE BOTTOM HERE 1093 01:00:13,960 --> 01:00:19,080 WHO MANY KNOW FROM THE VISION 1094 01:00:19,080 --> 01:00:24,120 COMMUNITY AND THERE'S BEEN 1095 01:00:24,120 --> 01:00:26,960 RESEARCH ON HEALTH DISABILITIES 1096 01:00:26,960 --> 01:00:31,040 AND UNIVERSITY OF RODCHESTER 1097 01:00:31,040 --> 01:00:31,520 DOES WORK ON HEARING 1098 01:00:31,520 --> 01:00:35,120 DISABILITIES. 1099 01:00:35,120 --> 01:00:37,640 THIS REPORT HAD A NUMBER OF 1100 01:00:37,640 --> 01:00:38,920 FINDINGS AND RECOMMENDATIONS. 1101 01:00:38,920 --> 01:00:40,760 ON THIS SLIDE IS SOME OF THE 1102 01:00:40,760 --> 01:00:44,800 FINDINGS OVER 20% OF THE 1103 01:00:44,800 --> 01:00:46,480 U.S. ADULT POPULATION HAS 1104 01:00:46,480 --> 01:00:48,600 DISABILITIES AND THAT'S THE 1105 01:00:48,600 --> 01:00:49,960 SINGLE LARGEST AND FASTEST 1106 01:00:49,960 --> 01:00:50,920 GROWING MINORITY POPULATION IN 1107 01:00:50,920 --> 01:00:51,280 THE COUNTRY. 1108 01:00:51,280 --> 01:00:54,120 THE GROUP IS PROFOUNDLY UNDER 1109 01:00:54,120 --> 01:00:56,720 REPRESENTED IN THE BIO MEDICAL 1110 01:00:56,720 --> 01:00:57,760 AND BEHAVIORAL RESEARCH 1111 01:00:57,760 --> 01:00:58,240 WORKFORCE. 1112 01:00:58,240 --> 01:01:00,760 UNDER REPRESENTED IN NIH FUNDING 1113 01:01:00,760 --> 01:01:04,800 AND THERE ARE FEW PUBLICLY 1114 01:01:04,800 --> 01:01:06,840 AVAILABLE DATA ON DISABILITY 1115 01:01:06,840 --> 01:01:09,280 PREVALENCE AT NIH. 1116 01:01:09,280 --> 01:01:14,280 SO THOSE ARE THE FACTS, IF YOU 1117 01:01:14,280 --> 01:01:14,480 WILL. 1118 01:01:14,480 --> 01:01:16,160 AND THERE ARE RECOMMENDATIONS 1119 01:01:16,160 --> 01:01:19,080 FROM THIS WORKING GROUP. 1120 01:01:19,080 --> 01:01:22,320 THERE ARE A SERIES OF THEM. 1121 01:01:22,320 --> 01:01:22,920 NINE TOTAL. 1122 01:01:22,920 --> 01:01:26,320 NUMBER ONE IS TO UPDATE THE NIH 1123 01:01:26,320 --> 01:01:27,800 MISSION STATEMENT. 1124 01:01:27,800 --> 01:01:29,520 TWO IS ESTABLISH THE NIH OFFICE 1125 01:01:29,520 --> 01:01:33,360 OF DISABILITY RESEARCH AND THREE 1126 01:01:33,360 --> 01:01:35,160 IS ESTABLISH NIH DISABILITY, 1127 01:01:35,160 --> 01:01:36,560 ACCESS COORDINATING COMMITTEE 1128 01:01:36,560 --> 01:01:39,120 AND FOUR DEVELOP AN INTERNAL NIH 1129 01:01:39,120 --> 01:01:42,560 WIDE EFFORT TO ADDRESS 1130 01:01:42,560 --> 01:01:44,240 STRUCTURAL ABLISM AND PROMOTE 1131 01:01:44,240 --> 01:01:45,560 DISABILITY INCLUSION BY 1132 01:01:45,560 --> 01:01:47,120 FOSTERING SUPPORT FOR PERSONS 1133 01:01:47,120 --> 01:01:49,280 WITH DISABILITIES WITHIN THE NIH 1134 01:01:49,280 --> 01:01:52,680 CULTURE AND ADVANCING INCLUSION 1135 01:01:52,680 --> 01:01:55,120 AND ANTIABLISM THROUGH TRAINING 1136 01:01:55,120 --> 01:01:58,360 COMMUNICATIONS AND POLICIES. 1137 01:01:58,360 --> 01:01:58,880 . 1138 01:01:58,880 --> 01:02:01,240 FIVE, REVIEW POLICY, CULTURE AND 1139 01:02:01,240 --> 01:02:02,560 STRUCTURE TO IDENTIFY 1140 01:02:02,560 --> 01:02:03,840 OPPORTUNITIES TO PROMOTE 1141 01:02:03,840 --> 01:02:07,080 DISABILITY INCLUSION IN THE 1142 01:02:07,080 --> 01:02:11,120 NIH-FUNDED RESEARCH WORKFORCE. 1143 01:02:11,120 --> 01:02:15,040 SIX IS TO EFFORTS TO INCLUDE 1144 01:02:15,040 --> 01:02:17,720 PERSPECTIVES OF PERSONS WITH 1145 01:02:17,720 --> 01:02:21,080 DISABILITIES. 1146 01:02:21,080 --> 01:02:25,080 SEVEN, CONDUCT RESEARCH ON 1147 01:02:25,080 --> 01:02:27,120 DISABILITY HEALTH AND HEALTH 1148 01:02:27,120 --> 01:02:33,080 CARE DISPARITY AND EQUITY BY 1149 01:02:33,080 --> 01:02:35,160 COLLECTING DATA ABOUT THIS AND 1150 01:02:35,160 --> 01:02:36,360 SUPPORTING INCLUSION OF DISABLED 1151 01:02:36,360 --> 01:02:41,800 PEOPLE AS RESEARCH PARTICIPANTS. 1152 01:02:41,800 --> 01:02:47,120 I WOULD LOVE YOUR THOUGHTS ABOUT 1153 01:02:47,120 --> 01:02:48,600 THIS SPECIFICALLY. 1154 01:02:48,600 --> 01:02:50,120 I KNOW A FEW OF YOU WILL HAVE 1155 01:02:50,120 --> 01:02:50,880 THOUGHTS. 1156 01:02:50,880 --> 01:02:55,080 I KNOW, JAMES, FOR EXAMPLE, YOU 1157 01:02:55,080 --> 01:02:59,120 WORK IN THIS AREA. 1158 01:02:59,120 --> 01:03:09,680 AND ARE THERE EXEMPLARS IN THE 1159 01:03:10,520 --> 01:03:12,040 COMMUNITY WE SHOULD LOOK AT AND 1160 01:03:12,040 --> 01:03:15,160 THINGS NEI SHOULD BE DOING TO 1161 01:03:15,160 --> 01:03:16,000 ADDRESS ABLISM. 1162 01:03:16,000 --> 01:03:17,480 LET ME STOP THERE AND WOULD LOVE 1163 01:03:17,480 --> 01:03:27,920 YOUR REACTIONS ABOUT THIS. 1164 01:03:31,560 --> 01:03:34,240 I WANT TO THANK YOU FOR THE 1165 01:03:34,240 --> 01:03:34,440 FOCUS. 1166 01:03:34,440 --> 01:03:37,760 I KNOW I'M A BIT A FISH OUT OF 1167 01:03:37,760 --> 01:03:39,160 WATER AS A PERSON WITH 1168 01:03:39,160 --> 01:03:41,480 EXPERIENCE WITH VISION 1169 01:03:41,480 --> 01:03:41,760 IMPAIRMENT. 1170 01:03:41,760 --> 01:03:43,120 I'M NEARLY TOTALLY BLIND AND 1171 01:03:43,120 --> 01:03:44,120 PART OF THE WORK I'VE DONE 1172 01:03:44,120 --> 01:03:46,160 OUTSIDE OF THIS ORGANIZATION HAS 1173 01:03:46,160 --> 01:03:50,920 BEEN TO DELVE INTO WHAT IS 1174 01:03:50,920 --> 01:03:54,680 COMMONLY REFERRED TO AS DEI, 1175 01:03:54,680 --> 01:03:55,320 DIVERSITY, EQUITY, INCLUSION AND 1176 01:03:55,320 --> 01:03:56,960 ACCESSIBILITY IT'S BEEN A 1177 01:03:56,960 --> 01:04:00,040 CORPORATE AND INSTITUTIONAL 1178 01:04:00,040 --> 01:04:02,240 MANTRA, IF YOU WILL. 1179 01:04:02,240 --> 01:04:04,600 SO FAR IT'S LACKED INCLUDING 1180 01:04:04,600 --> 01:04:06,480 PEOPLE WITH DISABILITIES. 1181 01:04:06,480 --> 01:04:10,000 A RECENT STUDY CONDUCTED BY 1182 01:04:10,000 --> 01:04:11,240 RUTGERS UNIVERSITY THAT FOCUSES 1183 01:04:11,240 --> 01:04:15,160 IN ON THE ISSUE CONCLUDED LESS 1184 01:04:15,160 --> 01:04:22,240 THAN 4% OF ALL DEI ORGANIZE D 1185 01:04:22,240 --> 01:04:25,440 INQUIRIES INCLUDES THESE AND THE 1186 01:04:25,440 --> 01:04:27,600 FACT NIH HAS COME THIS FAR, THIS 1187 01:04:27,600 --> 01:04:29,520 FAST IS INCREDIBLE. 1188 01:04:29,520 --> 01:04:32,560 ONE OF THE ELEMENTS DISCUSSED 1189 01:04:32,560 --> 01:04:34,080 PRETTY FAR DOWN THE LIST IS DATA 1190 01:04:34,080 --> 01:04:34,400 COLLECTION. 1191 01:04:34,400 --> 01:04:37,080 THIS IS AN AREA IN WHICH THE 1192 01:04:37,080 --> 01:04:40,160 DISABILITY COMMUNITY WHICH 1193 01:04:40,160 --> 01:04:41,200 CONSISTS OF 63 MILLION PLUS 1194 01:04:41,200 --> 01:04:43,120 AMERICANS AND A BILLION MORE 1195 01:04:43,120 --> 01:04:45,800 AROUND THE WORLD REALLY HAVE 1196 01:04:45,800 --> 01:04:48,720 FOUND TO BE A BARRIER IN TERMS 1197 01:04:48,720 --> 01:04:49,840 OF WORKING TOWARDS ANY KIND OF 1198 01:04:49,840 --> 01:04:51,120 EQUITY OR INCLUSION. 1199 01:04:51,120 --> 01:04:55,800 SO I WOULD ACTUALLY ELEVATE THAT 1200 01:04:55,800 --> 01:04:56,720 DATA COLLECTION RECOMMENDATION 1201 01:04:56,720 --> 01:04:58,680 TO NEAR TO THE TOP OF THE LIST 1202 01:04:58,680 --> 01:05:00,080 BECAUSE IF WE DON'T HAVE THE 1203 01:05:00,080 --> 01:05:05,480 INFORMATION WE'LL NEVER ACHIEVE 1204 01:05:05,480 --> 01:05:07,720 THE EQUITY. 1205 01:05:07,720 --> 01:05:08,480 FOR THE FIRST ORGANIZATION 1206 01:05:08,480 --> 01:05:15,120 COMPOSED OF SCIENTISTS WHO 1207 01:05:15,120 --> 01:05:16,520 RELENTLESSLY SEEK THE CURES AND 1208 01:05:16,520 --> 01:05:19,000 PHYSICIANS WHO TAKE CARE OF 1209 01:05:19,000 --> 01:05:21,000 PEOPLE LIKE ME AND MILLIONS OF 1210 01:05:21,000 --> 01:05:24,760 FAMILIES WHO DEAL WITH THE 1211 01:05:24,760 --> 01:05:27,120 IMPACT OF THESE KINDS OF 1212 01:05:27,120 --> 01:05:30,080 DISEASES TO BE THE STANDARD 1213 01:05:30,080 --> 01:05:31,680 BARRIER IN TERMS OF 1214 01:05:31,680 --> 01:05:32,320 UNDERSTANDING DIVERSITY MUST 1215 01:05:32,320 --> 01:05:35,960 INCLUDE PEOPLE WITH DISABILITIES 1216 01:05:35,960 --> 01:05:38,240 AND THAT EQUITY WILL NEVER EVER 1217 01:05:38,240 --> 01:05:39,520 BE ACHIEVED WITHOUT FULL 1218 01:05:39,520 --> 01:05:40,560 INCLUSION. 1219 01:05:40,560 --> 01:05:44,480 IF THERE IS A WAY TO PUBLICIZE 1220 01:05:44,480 --> 01:05:47,120 THIS TO THE OTHER MANY 1221 01:05:47,120 --> 01:05:48,360 ORGANIZATIONS INCLUDING MANY 1222 01:05:48,360 --> 01:05:54,600 ACADEMIC INSTITUTIONS INCLUDING 1223 01:05:54,600 --> 01:05:56,800 INSTITUTIONS LIKE HARVARD WHO 1224 01:05:56,800 --> 01:06:03,040 SPEND MILLIONS IT COULD BE AN 1225 01:06:03,040 --> 01:06:06,160 OPPORTUNITY TO COLLABORATE AND 1226 01:06:06,160 --> 01:06:06,840 INCLUDE PEOPLE WITH DISABILITIES 1227 01:06:06,840 --> 01:06:08,240 GOING FORWARD. 1228 01:06:08,240 --> 01:06:18,640 >>THANK YOU, JANNIE. 1229 01:06:29,760 --> 01:06:31,000 >>THIS IS JAMES COUGHLAN. 1230 01:06:31,000 --> 01:06:35,200 I WAS AMAZED BY THE STATISTIC IN 1231 01:06:35,200 --> 01:06:40,520 THE PREVIOUS SLIDE IT WAS LIKE 1232 01:06:40,520 --> 01:06:45,080 34 OUT OF A 1,000 SUPPLEMENTS. 1233 01:06:45,080 --> 01:06:46,160 IT AS A WONDERFUL PROGRAM. 1234 01:06:46,160 --> 01:06:48,880 I'VE RECRUITED SOMEONE WITH THIS 1235 01:06:48,880 --> 01:06:50,080 PROGRAM. 1236 01:06:50,080 --> 01:06:51,920 I WANT TO SEE THE WORD GET OUT 1237 01:06:51,920 --> 01:06:55,520 MORE AND IT'S A RECRUITING TOOL 1238 01:06:55,520 --> 01:07:01,120 I THINK UNDER APPRECIATED. 1239 01:07:01,120 --> 01:07:11,520 THANKS FOR HAVING THAT. 1240 01:07:14,160 --> 01:07:24,560 >>DO YOU HAVE ADVICE ABOUT 1241 01:07:33,720 --> 01:07:35,160 HELPING NAVIGATE. 1242 01:07:35,160 --> 01:07:39,120 >>15 YEARS AGO IT WAS 1243 01:07:39,120 --> 01:07:41,720 CONSIDERED QUITE OBSCURE AND ONE 1244 01:07:41,720 --> 01:07:45,040 THING THAT'S HEARTENING IS 1245 01:07:45,040 --> 01:07:50,160 ACCESSIBILITY IS EXPANDING BY 1246 01:07:50,160 --> 01:07:51,840 LEAPS AND BOUNDS AND PEOPLE 1247 01:07:51,840 --> 01:07:54,760 THOUGHT IF YOU COULD IGNORE IT 1248 01:07:54,760 --> 01:07:57,320 FIVE YEARS AGO, YOU CAN'T 1249 01:07:57,320 --> 01:07:59,120 ANYMORE AND YOUNG PEOPLE ARE 1250 01:07:59,120 --> 01:08:00,800 EXPECTING IT IN SETTINGS WHERE 1251 01:08:00,800 --> 01:08:02,640 THEY NEVER USED TO. 1252 01:08:02,640 --> 01:08:08,720 IT'S GETTING EASIER TO PROMOTE 1253 01:08:08,720 --> 01:08:10,880 THIS RESEARCH AS SOMEONE 1254 01:08:10,880 --> 01:08:12,160 INTERESTING. 1255 01:08:12,160 --> 01:08:14,040 IT'S CHICKEN OR EGG OBVIOUSLY 1256 01:08:14,040 --> 01:08:18,360 THE FEWER PEOPLE YOU HAVE WITH 1257 01:08:18,360 --> 01:08:19,240 DISABILITIES WORKING IN RESEARCH 1258 01:08:19,240 --> 01:08:21,760 AND THE LESS OF A MOLT IT MAY 1259 01:08:21,760 --> 01:08:24,160 APPEAR TO BE FOR PEOPLE WITH 1260 01:08:24,160 --> 01:08:24,480 DISABILITIES. 1261 01:08:24,480 --> 01:08:30,640 I DON'T HAVE ANY EASY ANSWER FOR 1262 01:08:30,640 --> 01:08:34,360 YOU BUT BASICALLY HAVING THE 1263 01:08:34,360 --> 01:08:39,000 PATIENCE TO LOOK FOR AND WIDE TO 1264 01:08:39,000 --> 01:08:40,080 SEE WHEN YOU'RE HIRING FOR 1265 01:08:40,080 --> 01:08:44,400 INSTANCE I HAVE A COLLEAGUE 1266 01:08:44,400 --> 01:08:47,720 WHO'S BLIND WHO WAS INSISTENT WE 1267 01:08:47,720 --> 01:08:50,880 HIRE A PROGRAMMER BLIND AS WELL. 1268 01:08:50,880 --> 01:08:53,520 THE SEARCH WAS ACTUALLY PRETTY 1269 01:08:53,520 --> 01:08:56,280 LONG AND TOOK A WHILE BUT IT WAS 1270 01:08:56,280 --> 01:08:56,920 A WONDERFUL FIT. 1271 01:08:56,920 --> 01:09:00,200 I'M THINKING ABOUT THIS MORE AS 1272 01:09:00,200 --> 01:09:02,720 WE SIT HERE AND IF I HAVE OTHER 1273 01:09:02,720 --> 01:09:07,440 IDEAS I'LL LET YOU KNOW. 1274 01:09:07,440 --> 01:09:08,720 >>WE'RE GETTING CLOSE TO THE 1275 01:09:08,720 --> 01:09:11,560 END OF MY SLIDES. 1276 01:09:11,560 --> 01:09:13,120 THIS IS AN UPDATE ABOUT THE 1277 01:09:13,120 --> 01:09:15,160 OFFICE OF DATA SCIENCE AND 1278 01:09:15,160 --> 01:09:20,720 HEALTH INFORMATICS RUN BY -- 1279 01:09:20,720 --> 01:09:23,920 THERE'S THREE PHOTOGRAPHS AND 1280 01:09:23,920 --> 01:09:28,000 THE PHOTOGRAPH NEXT TO HER IS 1281 01:09:28,000 --> 01:09:29,920 FROM OREGON DOING A SABBATICAL 1282 01:09:29,920 --> 01:09:32,240 AS A SCHOLAR WITH HER AND HER 1283 01:09:32,240 --> 01:09:35,200 GROUP AND AMBER HAS DONE A LOT 1284 01:09:35,200 --> 01:09:38,600 OF WORK WITH THIS GROUP. 1285 01:09:38,600 --> 01:09:39,680 IT'S A PROJECT CONCEPT. 1286 01:09:39,680 --> 01:09:47,120 ON THE ALL OF US PROJECT IS A 1287 01:09:47,120 --> 01:09:50,760 PROJECT IT'S PART OF THE U.K. 1288 01:09:50,760 --> 01:09:52,680 BIO BANK AND THE GOAL IS TO TAKE 1289 01:09:52,680 --> 01:09:58,200 A MILLION PARTICIPANTS FROM AS 1290 01:09:58,200 --> 01:10:02,200 DIVERSE BACKGROUND AS POSSIBLE 1291 01:10:02,200 --> 01:10:03,840 AND CHARACTERIZE THEM 1292 01:10:03,840 --> 01:10:14,360 LONGITUDINALLY AND VERY DEEPLY. 1293 01:10:17,720 --> 01:10:19,720 THERE'S VERY LITTLE OCULAR DATA 1294 01:10:19,720 --> 01:10:21,000 IN THE DATA SET AND THE PREMISE 1295 01:10:21,000 --> 01:10:22,280 OF THESE DISCUSSIONS WE'VE BEEN 1296 01:10:22,280 --> 01:10:25,120 HAVING WITH THE ALL OF US GROUP 1297 01:10:25,120 --> 01:10:29,080 HAVE BEEN -- THAT ACCESS TO 1298 01:10:29,080 --> 01:10:30,960 RETINAL AND OCULAR IMAGING IF 1299 01:10:30,960 --> 01:10:33,360 THEY'RE LINKED WITH ELECTRONIC 1300 01:10:33,360 --> 01:10:35,840 HEALTH RECORD DATA CAN 1301 01:10:35,840 --> 01:10:37,240 ENORMOUSLY EXPAND THE BREADTH OF 1302 01:10:37,240 --> 01:10:39,120 STUDIES WITH THE DATA SET. 1303 01:10:39,120 --> 01:10:42,080 AND ONE OF THE OTHER THINGS 1304 01:10:42,080 --> 01:10:45,600 THERE'S A VERY BIG OPHTHALMIC 1305 01:10:45,600 --> 01:10:47,120 INVESTIGATOR COMMUNITY WITH 1306 01:10:47,120 --> 01:10:52,520 EXPERTISE AND CAN TAKE ADVANTAGE 1307 01:10:52,520 --> 01:10:54,360 OF THIS. 1308 01:10:54,360 --> 01:10:55,080 THERE'S OCULAR DATA INCLUDING 1309 01:10:55,080 --> 01:10:56,720 THE DATA SET. 1310 01:10:56,720 --> 01:11:01,080 THE FIRST PUBLICATION USING THE 1311 01:11:01,080 --> 01:11:05,200 DATA SET WAS DONE BY AN 1312 01:11:05,200 --> 01:11:09,200 OPHTHALMOLOGIST AND THERE WAS AN 1313 01:11:09,200 --> 01:11:11,600 EARLY STUDY FROM STANFORD. 1314 01:11:11,600 --> 01:11:16,520 THEY WERE BOTH INVOLVING 1315 01:11:16,520 --> 01:11:19,080 GLAUCOMA. 1316 01:11:19,080 --> 01:11:22,560 THE PROPOSAL IS TO PLACE RETINAL 1317 01:11:22,560 --> 01:11:24,000 CAMERAS IN THE ALL OF US 1318 01:11:24,000 --> 01:11:29,400 REGIONAL CENTERS WITH THE GOAL 1319 01:11:29,400 --> 01:11:31,080 OF RECRUITING APPROXIMATELY 1320 01:11:31,080 --> 01:11:32,560 50,000 PEOPLE AND GETTING 1321 01:11:32,560 --> 01:11:36,840 LONGITUDINAL IMAGES IN THEM. 1322 01:11:36,840 --> 01:11:45,800 AND TO EXPLORE THIS, CARRIE AND 1323 01:11:45,800 --> 01:11:48,280 HER CREW HAVE WORKED ON 1324 01:11:48,280 --> 01:11:50,160 BIOENGINEERING TO PUT TOGETHER A 1325 01:11:50,160 --> 01:11:54,080 WORKSHOP BEFORE ARVO. 1326 01:11:54,080 --> 01:11:59,720 TO LOOK AT WHAT ARE THE 1327 01:11:59,720 --> 01:12:00,840 SCIENTIFIC OPPORTUNITIES AND 1328 01:12:00,840 --> 01:12:04,080 INCLUDING OCULAR IMAGES IN THE 1329 01:12:04,080 --> 01:12:05,400 "ALL OF US" DATA SET AND WHAT 1330 01:12:05,400 --> 01:12:07,800 THIS ARE THE DATA NEEDS AND 1331 01:12:07,800 --> 01:12:08,400 ANALYTIC TOOLS. 1332 01:12:08,400 --> 01:12:11,120 THIS IS SOMETHING WE'RE EXCITED 1333 01:12:11,120 --> 01:12:13,720 ABOUT. 1334 01:12:13,720 --> 01:12:15,120 THE REST ARE AS WELL. 1335 01:12:15,120 --> 01:12:22,840 SO IN TERMS OF PUBLIC HEALTH AND 1336 01:12:22,840 --> 01:12:24,120 DISPARITIES, THIS IS GOING TO 1337 01:12:24,120 --> 01:12:27,120 PICK UP ON THE PREVIOUS 1338 01:12:27,120 --> 01:12:27,800 DISCUSSION. 1339 01:12:27,800 --> 01:12:29,200 WE TALKED ABOUT HOME COVID TESTS 1340 01:12:29,200 --> 01:12:31,120 NOT BEING VERY ACCESSIBLE 1341 01:12:31,120 --> 01:12:36,560 BECAUSE PEOPLE WHO DON'T SEE 1342 01:12:36,560 --> 01:12:38,240 WELL CAN'T READ THE INSTRUCTIONS 1343 01:12:38,240 --> 01:12:48,720 AND CAN'T SEE THE PINK LINE. 1344 01:12:51,800 --> 01:12:55,560 AND SOME HAVE GOTTEN INVOLVED 1345 01:12:55,560 --> 01:13:05,920 WITH THE RAD X GROUP. 1346 01:13:09,680 --> 01:13:11,960 AT THE BOTTOM IS A PICTURE OF 1347 01:13:11,960 --> 01:13:14,560 THEM AND WHAT'S COME OUT SO FAR 1348 01:13:14,560 --> 01:13:16,240 HAS BEEN A SET OF BEST PRACTICES 1349 01:13:16,240 --> 01:13:19,200 OF DESIGN FOR ACCESSIBLE HOME 1350 01:13:19,200 --> 01:13:25,080 COVID TESTS. 1351 01:13:25,080 --> 01:13:27,280 MORE TO COME AND THE OTHER THING 1352 01:13:27,280 --> 01:13:29,640 I WANT TO HIGHLIGHT IS HAVE 1353 01:13:29,640 --> 01:13:30,240 GOTTEN INTERESTED IN THE 1354 01:13:30,240 --> 01:13:32,560 QUESTION OF WHY ARE SO MANY 1355 01:13:32,560 --> 01:13:34,080 PEOPLE GOING BLIND IN THIS 1356 01:13:34,080 --> 01:13:37,120 COUNTRY FROM PREVENTIBLE AND 1357 01:13:37,120 --> 01:13:42,680 TREATABLE DISEASE EVEN IN 2023? 1358 01:13:42,680 --> 01:13:45,040 JIMMY LEI -- THERE'S BEEN 1359 01:13:45,040 --> 01:13:47,680 SEVERAL PEOPLE INVOLVED IN THESE 1360 01:13:47,680 --> 01:13:49,680 MEETINGS AND JIMMY GOT STUCK 1361 01:13:49,680 --> 01:13:53,320 BEING THE ONE LEADING THEM 1362 01:13:53,320 --> 01:13:54,200 TOGETHER WITH NIMHD THE NATIONAL 1363 01:13:54,200 --> 01:13:55,840 INSTITUTE OF MINORITY HEALTH AND 1364 01:13:55,840 --> 01:13:58,120 HEALTH DISPARITIES AND THEY'VE 1365 01:13:58,120 --> 01:14:00,200 BEEN A GREAT GROUP TO WORK WITH 1366 01:14:00,200 --> 01:14:01,080 ON THIS. 1367 01:14:01,080 --> 01:14:03,480 THEY'RE ORGANIZING A WORKSHOP ON 1368 01:14:03,480 --> 01:14:07,040 VISION HEALTH EQUITY APRIL 11 1369 01:14:07,040 --> 01:14:11,120 HERE IN BETHESDA. 1370 01:14:11,120 --> 01:14:15,760 WE'RE ABLE TO GET TWO GREAT 1371 01:14:15,760 --> 01:14:19,120 CO-CHAIRS. 1372 01:14:19,120 --> 01:14:25,080 STEVEN McCLEOD AND AARON KOBETZ 1373 01:14:25,080 --> 01:14:30,080 FROM THE UNIVERSITY OF MIAMI. 1374 01:14:30,080 --> 01:14:40,640 SHE'S SOMEONE WHO I MET THERE'S 1375 01:14:45,920 --> 01:14:47,120 WAYS TO GET DIVERSE PEOPLE 1376 01:14:47,120 --> 01:14:54,360 INVOLVED IN THESE STUDIES. 1377 01:14:54,360 --> 01:14:57,200 THE PURPOSE OF THE WORKSHOP IS 1378 01:14:57,200 --> 01:14:59,760 TO GOING TO BE TO IDENTIFY AREAS 1379 01:14:59,760 --> 01:15:02,960 WHERE WE CAN BE DEVELOPING 1380 01:15:02,960 --> 01:15:13,440 PROJECTS TO NARROW THE GAPS. 1381 01:15:16,520 --> 01:15:17,800 WITH THAT KAREN WAS GOING TO 1382 01:15:17,800 --> 01:15:24,560 GIVE AN UPDATE ON THE BUDGET? 1383 01:15:24,560 --> 01:15:28,440 GOOD TO HEAR YOU. 1384 01:15:28,440 --> 01:15:35,480 >>I'M KAREN HOLEBERT AND WILL 1385 01:15:35,480 --> 01:15:38,440 PROVIDE THE BUDGET UPDATE. 1386 01:15:38,440 --> 01:15:44,640 -- KAREN COLBERT. 1387 01:15:44,640 --> 01:15:48,520 I DIDN'T WANT TO ASSUME EVERYONE 1388 01:15:48,520 --> 01:15:51,120 KNOWS HOW THE PROCESS WORKS AND 1389 01:15:51,120 --> 01:15:52,480 THERE'S FORMULATION AND THE 1390 01:15:52,480 --> 01:15:55,040 PRESIDENT'S BUDGET, ACTION BY 1391 01:15:55,040 --> 01:15:55,840 CONGRESS, AND EXECUTION OF 1392 01:15:55,840 --> 01:16:03,920 ENACTED BUDGETS. 1393 01:16:03,920 --> 01:16:08,920 THE BUDGET PROCESS IS COMPLEX 1394 01:16:08,920 --> 01:16:11,360 AND ADDRESSES MATTERS FACING THE 1395 01:16:11,360 --> 01:16:11,600 COUNTRY. 1396 01:16:11,600 --> 01:16:13,760 THE GOAL OF THE PARTY OF THE 1397 01:16:13,760 --> 01:16:15,040 MAJORITY IN CONGRESS AND WHO 1398 01:16:15,040 --> 01:16:16,280 SITS IN THE WHITE HOUSE AND THE 1399 01:16:16,280 --> 01:16:19,320 RELATIONSHIP BETWEEN THE WHITE 1400 01:16:19,320 --> 01:16:23,000 HOUSE AND CONGRESS. 1401 01:16:23,000 --> 01:16:23,840 I'LL ADDRESS WHAT HAPPENS DURING 1402 01:16:23,840 --> 01:16:25,520 THE PROCESS AND THE ROLE OF 1403 01:16:25,520 --> 01:16:27,120 CONGRESS AND OTHER FEDERAL 1404 01:16:27,120 --> 01:16:27,480 STAKEHOLDERS. 1405 01:16:27,480 --> 01:16:30,400 OVER THE DECADES THE BUDGET 1406 01:16:30,400 --> 01:16:31,560 PROCESS HAS GONE FROM TIMING 1407 01:16:31,560 --> 01:16:35,000 THAT WAS PRETTY PREDICTABLE 1408 01:16:35,000 --> 01:16:36,040 REFLECTING REGULAR ORDER TO 1409 01:16:36,040 --> 01:16:37,120 TIMING THAT IS QUITE 1410 01:16:37,120 --> 01:16:42,920 UNPREDICTABLE. 1411 01:16:42,920 --> 01:16:44,680 THERE'S IN STEPS IN THE PROCESS 1412 01:16:44,680 --> 01:16:47,280 AND THAT CAN CAUSE DELAYS IN OUR 1413 01:16:47,280 --> 01:16:47,920 RECEIVING A BUDGET. 1414 01:16:47,920 --> 01:16:49,120 I'LL START WITH THE FORMULATION 1415 01:16:49,120 --> 01:16:54,520 OF THE PRESIDENT'S BUDGET. 1416 01:16:54,520 --> 01:16:57,840 INCLUDING YEARS WHEN THERE'S A 1417 01:16:57,840 --> 01:17:01,120 TRANSITION BETWEEN 1418 01:17:01,120 --> 01:17:02,880 ADMINISTRATIONS, GENERAL BUDGET 1419 01:17:02,880 --> 01:17:05,360 AND GUIDELINES ARE ESTABLISHED 1420 01:17:05,360 --> 01:17:07,120 BY SPRING BY THE PRESIDENT AND 1421 01:17:07,120 --> 01:17:10,280 THE OMB, THE PRESIDENT'S BUDGET 1422 01:17:10,280 --> 01:17:12,040 OFFICE WORKS WITH FEDERAL 1423 01:17:12,040 --> 01:17:13,120 AGENCIES TO DETERMINE SPECIFIC 1424 01:17:13,120 --> 01:17:14,960 POLICY AND PLANNING LEVELS TO 1425 01:17:14,960 --> 01:17:15,520 GUIDE PREPARATION OF BUDGET 1426 01:17:15,520 --> 01:17:23,120 REQUEST. 1427 01:17:23,120 --> 01:17:25,880 DURING FORMULATION THE OFFICIALS 1428 01:17:25,880 --> 01:17:29,000 IN THE EXECUTIVE OFFICE OF THE 1429 01:17:29,000 --> 01:17:29,720 PRESIDENT EXCHANGE INFORMATION 1430 01:17:29,720 --> 01:17:30,520 AFFECTING POLICY DECISIONS WITH 1431 01:17:30,520 --> 01:17:31,880 THE SECRETARIES OF THE 1432 01:17:31,880 --> 01:17:35,160 DEPARTMENTS AND HEADS OF OTHER 1433 01:17:35,160 --> 01:17:37,520 GOVERNMENT AGENCIES. 1434 01:17:37,520 --> 01:17:40,640 DECISIONS IN REFLECTED BUDGETS 1435 01:17:40,640 --> 01:17:42,440 INCLUDING FOR THE ONE OF THE 1436 01:17:42,440 --> 01:17:44,240 YEAR IN PROGRESS INFLUENCE 1437 01:17:44,240 --> 01:17:49,120 DECISION THE FORTHCOMING BUDGET. 1438 01:17:49,120 --> 01:17:54,840 AGENCIES SUBMIT BUDGET REQUESTS 1439 01:17:54,840 --> 01:18:02,720 TO OMB . 1440 01:18:02,720 --> 01:18:07,160 IN SEPTEMBER THE FINAL STAGES OF 1441 01:18:07,160 --> 01:18:08,040 PRODUCING THE FINAL BUDGET 1442 01:18:08,040 --> 01:18:10,360 DOCUMENT WOULD BEGIN. 1443 01:18:10,360 --> 01:18:12,400 THE LAW GOVERNING THE 1444 01:18:12,400 --> 01:18:14,160 PRESIDENT'S BUDGET REQUIRES IT 1445 01:18:14,160 --> 01:18:17,200 BE RELEASED ON OR AFTER THE 1446 01:18:17,200 --> 01:18:19,120 FIRST MONDAY IN JANUARY BUT NOT 1447 01:18:19,120 --> 01:18:20,680 LATER THAN THE FIRST MONDAY OF 1448 01:18:20,680 --> 01:18:22,680 FEBRUARY OF EACH YEAR. 1449 01:18:22,680 --> 01:18:23,560 THIS TIME LINE GIVES CONGRESS 1450 01:18:23,560 --> 01:18:26,480 EIGHT MONTHS TO ACT ON THE 1451 01:18:26,480 --> 01:18:28,240 BUDGET BEFORE THE NEW FISCAL 1452 01:18:28,240 --> 01:18:29,160 YEAR BEGINS. 1453 01:18:29,160 --> 01:18:30,680 WHEN A PRESIDENTIAL TRANSITION 1454 01:18:30,680 --> 01:18:32,000 TAKES PLACE, HOWEVER, THE TIME 1455 01:18:32,000 --> 01:18:33,800 LINE FOR THE BUDGET RELEASE IS 1456 01:18:33,800 --> 01:18:35,120 EXTENDED TO ALLOW THE NEW 1457 01:18:35,120 --> 01:18:36,720 ADMINISTRATION TO TAKE OFFICE 1458 01:18:36,720 --> 01:18:37,320 AND FORMULATE ITS OWN BUDGET 1459 01:18:37,320 --> 01:18:47,640 POLICY. 1460 01:18:47,640 --> 01:18:50,200 CONGRESS CONSIDERS THE ABUDGET 1461 01:18:50,200 --> 01:18:54,040 AND MODIFIES, OR APPROVES 1462 01:18:54,040 --> 01:18:54,840 PORTIONS AND CAN ADD PROGRAMS 1463 01:18:54,840 --> 01:18:57,800 NOT REQUESTED BY THE PRESIDENT. 1464 01:18:57,800 --> 01:19:00,440 THROUGH THE PROCESS OF ADOPTING 1465 01:19:00,440 --> 01:19:01,880 A PLANNING DOCUMENT CALLED THE 1466 01:19:01,880 --> 01:19:04,120 BUDGET RESOLUTION, CONGRESS 1467 01:19:04,120 --> 01:19:05,680 AGREZ ON TARGETS FOR TOTAL 1468 01:19:05,680 --> 01:19:08,680 SPENDING AND RECEIPTS, THE SIZE 1469 01:19:08,680 --> 01:19:12,480 OF THE DEFICIT OR SURPLUS AND 1470 01:19:12,480 --> 01:19:12,800 DEBT LIMIT. 1471 01:19:12,800 --> 01:19:15,160 THE BUDGET RESOLUTION PROVIDES 1472 01:19:15,160 --> 01:19:19,120 THE FRAMEWORK BY WHICH 1473 01:19:19,120 --> 01:19:20,440 INDIVIDUAL CONGRESSIONAL 1474 01:19:20,440 --> 01:19:21,560 COMMITTEES PREPARE BILLS AND 1475 01:19:21,560 --> 01:19:21,920 LEGISLATION. 1476 01:19:21,920 --> 01:19:25,000 IN A SEPARATE PROCESS PRIOR TO 1477 01:19:25,000 --> 01:19:26,440 MAKING APPROPRIATIONS, CONGRESS 1478 01:19:26,440 --> 01:19:29,240 USUALLY ENACTS LEGISLATION THAT 1479 01:19:29,240 --> 01:19:30,360 AUTHORIZES THE APPROPRIATION OF 1480 01:19:30,360 --> 01:19:32,880 FUNDS TO CARRY OUT PROGRAMS AND 1481 01:19:32,880 --> 01:19:34,520 IN SOME CASES LIMITS THE AMOUNT 1482 01:19:34,520 --> 01:19:39,480 THAT COULD BE APPROPRIATED FOR 1483 01:19:39,480 --> 01:19:41,880 CERTAIN PROGRAMS. 1484 01:19:41,880 --> 01:19:43,760 CONGRESS BEGINS SHORTLY AFTER 1485 01:19:43,760 --> 01:19:44,840 RECEIVING THE BUDGET REQUEST AND 1486 01:19:44,840 --> 01:19:46,680 THEN DECIDES ON BUDGET TARGETS 1487 01:19:46,680 --> 01:19:48,600 BEFORE STARTING ACTION ON 1488 01:19:48,600 --> 01:19:50,320 INDIVIDUAL APPROPRIATIONS. 1489 01:19:50,320 --> 01:19:53,520 STANDING COMMITTEES IN THE HOUSE 1490 01:19:53,520 --> 01:19:54,760 AND SENATE RECOMMEND BUDGET 1491 01:19:54,760 --> 01:19:56,600 LEVELS IN EACH BODY. 1492 01:19:56,600 --> 01:19:59,120 THE HOUSE AND SENATE BUDGET 1493 01:19:59,120 --> 01:20:00,800 COMMITTEES THEN EACH DEVELOP A 1494 01:20:00,800 --> 01:20:02,800 REPORT AND EACH BODY THEN 1495 01:20:02,800 --> 01:20:07,160 CONSIDERS A CONCURRENT 1496 01:20:07,160 --> 01:20:07,680 RESOLUTION ON THE BUDGET. 1497 01:20:07,680 --> 01:20:08,360 THE ESTABLISHED TIME LINE CALLED 1498 01:20:08,360 --> 01:20:12,600 FOR THE HOUSE AND SENATE TO 1499 01:20:12,600 --> 01:20:13,200 RESOLVE DIFFERENCES BETWEEN 1500 01:20:13,200 --> 01:20:14,960 THEIR RESPECTIVE VERSIONS OF THE 1501 01:20:14,960 --> 01:20:16,640 BUDGET RESOLUTION AND ADOPT A 1502 01:20:16,640 --> 01:20:19,120 SINGLE BUDGET RESOLUTION BY 1503 01:20:19,120 --> 01:20:19,920 APRIL 15 OF EACH YEAR. 1504 01:20:19,920 --> 01:20:23,960 OUR ROLE IS THE EXECUTION OF 1505 01:20:23,960 --> 01:20:25,120 FUNDS PROVIDED BY CONGRESS 1506 01:20:25,120 --> 01:20:25,880 FEDERAL AGENCIES ARE NOT ALLOWED 1507 01:20:25,880 --> 01:20:28,560 TO SPEND MORE THAN THE AMOUNT 1508 01:20:28,560 --> 01:20:30,560 CONGRESS HAS APPROPRIATED AND 1509 01:20:30,560 --> 01:20:33,400 FUNDS MAY ONLY BE USED FOR THE 1510 01:20:33,400 --> 01:20:36,640 PURPOSE OF SPECIFIED IN LAW. 1511 01:20:36,640 --> 01:20:43,080 THE ANTI-DEFICIENCY PREVENTS 1512 01:20:43,080 --> 01:20:45,880 THEM FROM ACTING IN LESS THAN 1513 01:20:45,880 --> 01:20:48,040 APPROPRIATION UNLESS BY LAW. 1514 01:20:48,040 --> 01:20:49,120 DURING THE BUDGET EXECUTION 1515 01:20:49,120 --> 01:20:50,400 PHASE AGENCIES MAY NEED MORE 1516 01:20:50,400 --> 01:20:51,480 FUNDING THAN THE CONGRESS HAS 1517 01:20:51,480 --> 01:20:53,720 APPROPRIATED FOR THE PHYSICAL 1518 01:20:53,720 --> 01:20:56,880 YEAR DUE TO UNANTICIPATED 1519 01:20:56,880 --> 01:20:57,680 CIRCUMSTANCES. 1520 01:20:57,680 --> 01:20:59,360 AN EXAMPLE WOULD BE A NATURAL 1521 01:20:59,360 --> 01:21:01,120 DISASTER OR OTHER EVENTS WITH 1522 01:21:01,120 --> 01:21:02,600 SIGNIFICANT FINANCIAL 1523 01:21:02,600 --> 01:21:04,160 IMPLICATIONS LIKE THE COVID 1524 01:21:04,160 --> 01:21:05,200 EPIDEMIC. 1525 01:21:05,200 --> 01:21:06,640 UNDER THOSE CIRCUMSTANCES, 1526 01:21:06,640 --> 01:21:09,440 CONGRESS CAN ENACT SUPPLEMENTAL 1527 01:21:09,440 --> 01:21:10,200 APPROPRIATIONS AS WELL, THE 1528 01:21:10,200 --> 01:21:12,880 PRESIDENT THROUGH OMB CAN REDUCE 1529 01:21:12,880 --> 01:21:15,120 A PREVIOUSLY ENACTED 1530 01:21:15,120 --> 01:21:16,120 APPROPRIATION THROUGH RESCISSION 1531 01:21:16,120 --> 01:21:20,160 OR CANCELLATION OF FUNDS. 1532 01:21:20,160 --> 01:21:21,640 WE'VE SEEN THOSE PROCESSES PLAY 1533 01:21:21,640 --> 01:21:24,320 OUT MANY TIMES OVER THE YEARS 1534 01:21:24,320 --> 01:21:25,000 WHERE THE ACTUAL APPROPRIATION 1535 01:21:25,000 --> 01:21:27,120 BY CONGRESS IS NOT THE FULL 1536 01:21:27,120 --> 01:21:31,120 AMOUNT WE HAVE AVAILABLE TO 1537 01:21:31,120 --> 01:21:36,080 OPERATE WITH. 1538 01:21:36,080 --> 01:21:38,000 THIS THOSE THE BUDGET CALENDAR 1539 01:21:38,000 --> 01:21:39,880 AS IT WOULD PLAY OUT FROM THE 1540 01:21:39,880 --> 01:21:41,000 RELEASE OF THE PRESIDENT'S 1541 01:21:41,000 --> 01:21:43,280 BUDGET BY THE FIRST MONDAY IN 1542 01:21:43,280 --> 01:21:44,440 FEBRUARY THROUGH FINALIZING 1543 01:21:44,440 --> 01:21:45,880 APPROPRIATIONS AT THE BEGINNING 1544 01:21:45,880 --> 01:21:47,760 OF THE NEXT PHYSICAL YEAR 1545 01:21:47,760 --> 01:21:49,120 OCTOBER 1. 1546 01:21:49,120 --> 01:21:50,920 AFTER RELEASE OF THE PRESIDENT'S 1547 01:21:50,920 --> 01:21:52,360 BUDGET, CONGRESS STARTS THEIR 1548 01:21:52,360 --> 01:21:55,120 WORK TO DEVELOP AND REPORT 1549 01:21:55,120 --> 01:21:56,880 BUDGET ESTIMATES, COMPLETE 1550 01:21:56,880 --> 01:21:58,640 BUDGET RESOLUTION, CONSIDERATION 1551 01:21:58,640 --> 01:22:01,120 OF ANNUAL APPROPRIATIONS BILLS, 1552 01:22:01,120 --> 01:22:03,160 COMPLETING RECONCILIATION AND 1553 01:22:03,160 --> 01:22:04,160 PROVIDING APPROPRIATIONS BEFORE 1554 01:22:04,160 --> 01:22:10,640 THE START OF THE NEW FISCAL YEAR 1555 01:22:10,640 --> 01:22:11,520 OCTOBER 1. 1556 01:22:11,520 --> 01:22:13,120 CONGRESS ONLY PROVIDED NIH WITH 1557 01:22:13,120 --> 01:22:15,120 THE BUDGET ONCE IN THE LAST TWO 1558 01:22:15,120 --> 01:22:23,120 DECADES. 1559 01:22:23,120 --> 01:22:27,120 NOW BRINGING YOUR ATTENTION TO 1560 01:22:27,120 --> 01:22:30,120 THIS CURRENT FISCAL YEAR. 1561 01:22:30,120 --> 01:22:33,200 WE RECEIVED AN OMNIBUS DAYS 1562 01:22:33,200 --> 01:22:35,040 BEFORE CONTINUING RESOLUTION 1563 01:22:35,040 --> 01:22:36,960 ALLOWING US TO OPERATE SET TO 1564 01:22:36,960 --> 01:22:40,600 EXPIRE DECEMBER 3, 2022. 1565 01:22:40,600 --> 01:22:43,280 AN OMNIBUS BILL PACKAGES 1566 01:22:43,280 --> 01:22:44,800 MULTIPLE APPROPRIATIONS BILLS 1567 01:22:44,800 --> 01:22:47,000 TOO ONE LARGER SINGLE BILL SO 1568 01:22:47,000 --> 01:22:50,240 IT'S EASIER TO PASS. 1569 01:22:50,240 --> 01:22:53,560 THIS PROVIDES CONTEXT FOR THE 1570 01:22:53,560 --> 01:22:55,120 FY2023 BUDGET INCREASE BY 1571 01:22:55,120 --> 01:22:57,920 SHOWING IT ALONGSIDE THE 1572 01:22:57,920 --> 01:23:01,080 INCREASES THAT NEI HAS RECEIVED 1573 01:23:01,080 --> 01:23:03,360 FROM FY2016 AND FORWARD. 1574 01:23:03,360 --> 01:23:06,920 WE'VE SEEN MODEST INCREASES EACH 1575 01:23:06,920 --> 01:23:07,360 YEAR. 1576 01:23:07,360 --> 01:23:11,120 MOST RECENTLY A 3.8% OR INCREASE 1577 01:23:11,120 --> 01:23:15,520 THIS FISCAL YEAR AND 3.4% 1578 01:23:15,520 --> 01:23:18,360 INCREASE FY2022 WITH THE 1579 01:23:18,360 --> 01:23:23,200 SMALLEST RECENT INCREASE IN 2021 1580 01:23:23,200 --> 01:23:28,720 AT 1.4%. 1581 01:23:28,720 --> 01:23:31,400 I TYPICALLY LIKE TO SHOW HOW 1582 01:23:31,400 --> 01:23:33,480 MUCH WE WILL INCREASE THE 1583 01:23:33,480 --> 01:23:34,080 PORTFOLIO AND INTRAMURAL 1584 01:23:34,080 --> 01:23:35,320 RESEARCH AND MANAGEMENT AND 1585 01:23:35,320 --> 01:23:35,720 SUPPORT. 1586 01:23:35,720 --> 01:23:37,720 HOWEVER, WE'RE NOT ALLOWED TO 1587 01:23:37,720 --> 01:23:39,120 SHOW A PLAN UNTIL THE 1588 01:23:39,120 --> 01:23:41,360 INFORMATION IS SUBMITTED TO 1589 01:23:41,360 --> 01:23:42,560 CONGRESS AND NIH, THE DEPARTMENT 1590 01:23:42,560 --> 01:23:44,920 OF HEALTH AND HUMAN SERVICES AND 1591 01:23:44,920 --> 01:23:46,560 OMB ARE WORKING THROUGH THE 1592 01:23:46,560 --> 01:23:49,000 PROCESS OF GATHERING AND VETTING 1593 01:23:49,000 --> 01:23:49,640 THAT INFORMATION FOR SUBMISSION 1594 01:23:49,640 --> 01:23:50,000 TO CONGRESS. 1595 01:23:50,000 --> 01:23:55,120 SO I'LL BE ABLE TO SHARE MORE 1596 01:23:55,120 --> 01:24:03,920 INFORMATION WHEN WE NEXT MEET. 1597 01:24:03,920 --> 01:24:06,040 THIS THOSE A COMPARISON 1598 01:24:06,040 --> 01:24:07,760 ALONGSIDE THE INCREASE RECEIVED 1599 01:24:07,760 --> 01:24:08,760 BY NIH. 1600 01:24:08,760 --> 01:24:12,720 NIH IN TOTAL RECEIVED A 5.6% 1601 01:24:12,720 --> 01:24:14,320 INCREASE ABOVE 2022 1602 01:24:14,320 --> 01:24:16,360 APPROPRIATION AND NEI RECEIVED 1603 01:24:16,360 --> 01:24:19,360 AN INCREASE ABOVE THE FY22 1604 01:24:19,360 --> 01:24:19,640 PERCENTAGE. 1605 01:24:19,640 --> 01:24:22,360 THE DIFFERENCE IS DUE TO FUNDS 1606 01:24:22,360 --> 01:24:23,280 TARGETED BY CONGRESS TO SPECIFIC 1607 01:24:23,280 --> 01:24:33,640 PROGRAMS AT THE NIH. 1608 01:24:35,760 --> 01:24:37,680 THIS THOSE TARGETED INCREASES 1609 01:24:37,680 --> 01:24:38,120 FROM CONGRESS. 1610 01:24:38,120 --> 01:24:43,600 MENTAL HEALTH TREATMENT, IMPACT 1611 01:24:43,600 --> 01:24:52,320 OF COVID-19, INVESTMENT OF A FLU 1612 01:24:52,320 --> 01:24:54,680 VACCINE, ENVIRONMENTAL HEALTH, 1613 01:24:54,680 --> 01:24:57,400 HEALTH DISPARITIES, PAIN AND 1614 01:24:57,400 --> 01:24:58,560 OPIOIDS RESEARCH, ALZHEIMER'S 1615 01:24:58,560 --> 01:25:01,120 DISEASE AND RELATED DEMENTIAS 1616 01:25:01,120 --> 01:25:03,120 AND CANCER RESEARCH. 1617 01:25:03,120 --> 01:25:06,400 ALZHEIMER'S AND CANCER RESEARCH 1618 01:25:06,400 --> 01:25:09,440 CONTINUE TO RECEIVE THE MOST 1619 01:25:09,440 --> 01:25:10,640 SIGNIFICANT INCREASES FROM 1620 01:25:10,640 --> 01:25:12,360 CONGRESS WITH ALZHEIMERS 1621 01:25:12,360 --> 01:25:13,720 RECEIVING $226 MILLION THIS YEAR 1622 01:25:13,720 --> 01:25:20,320 IN ADDITION TO THE CURES ACT 1623 01:25:20,320 --> 01:25:23,720 MONEY FOR CANCER MOON SO THE 1624 01:25:23,720 --> 01:25:27,040 THERE WAS AN INCREASE TO 1625 01:25:27,040 --> 01:25:28,240 PRIORITIZE COMPETING GRANTS AND 1626 01:25:28,240 --> 01:25:31,120 SUSTAIN COMMITMENT TO CONTINUING 1627 01:25:31,120 --> 01:25:39,000 GRANTS. 1628 01:25:39,000 --> 01:25:41,120 WE ALREADY KNOW RELEASE OF THE 1629 01:25:41,120 --> 01:25:42,320 REQUEST TO THE PRESIDENT'S 1630 01:25:42,320 --> 01:25:42,840 BUDGET IS DELAYED. 1631 01:25:42,840 --> 01:25:44,560 IN FACT IT'S NOT EXPECTED BEFORE 1632 01:25:44,560 --> 01:25:46,120 MARCH. 1633 01:25:46,120 --> 01:25:47,280 IDEALLY THE BUDGET RELEASE IS 1634 01:25:47,280 --> 01:25:48,800 TIMED TO COINCIDE WITH THE 1635 01:25:48,800 --> 01:25:49,440 PRESIDENT'S STATE OF THE UNION 1636 01:25:49,440 --> 01:25:52,720 ADDRESS. 1637 01:25:52,720 --> 01:25:54,520 THAT WILL HAPPEN THIS COMING 1638 01:25:54,520 --> 01:25:57,760 TUESDAY, FEBRUARY 7. 1639 01:25:57,760 --> 01:25:59,760 BECAUSE THERE'S NO PRESIDENT'S 1640 01:25:59,760 --> 01:26:03,120 BUDGET RELEASED YET WE'LL BE 1641 01:26:03,120 --> 01:26:05,840 LISTENING CLOSELY TO THE SPEECH 1642 01:26:05,840 --> 01:26:08,240 WITH PRIORITIES OR ANYTHING THAT 1643 01:26:08,240 --> 01:26:09,240 SUGGESTS POTENTIAL BUDGET POLICY 1644 01:26:09,240 --> 01:26:10,720 FOR FY2024. 1645 01:26:10,720 --> 01:26:14,760 BY WAY OF POTENTIAL 1646 01:26:14,760 --> 01:26:16,280 CONGRESSIONAL ACTIVITY, THERE 1647 01:26:16,280 --> 01:26:20,320 ARE ALREADY MURMURING WE MAY SEE 1648 01:26:20,320 --> 01:26:22,240 A MORE CONTENTIOUS PROCESS. 1649 01:26:22,240 --> 01:26:25,040 THERE'S THE ONGOING BATTLE ABOUT 1650 01:26:25,040 --> 01:26:26,720 RAISING THE DEBT LIMIT. 1651 01:26:26,720 --> 01:26:28,160 THE PRESIDENT HAD THE FIRST IN 1652 01:26:28,160 --> 01:26:29,320 PERSON MEETING THIS WEEK WITH 1653 01:26:29,320 --> 01:26:31,160 THE NEW SPEAKER OF THE HOUSE TO 1654 01:26:31,160 --> 01:26:34,960 DISCUSS THE TOPIC. 1655 01:26:34,960 --> 01:26:37,000 THERE WERE NO BREAKS THROUGH. 1656 01:26:37,000 --> 01:26:39,160 REPUBLICANS ARE PUSHING FOR 1657 01:26:39,160 --> 01:26:42,160 SPENDING CUT WHILE THE PRESIDENT 1658 01:26:42,160 --> 01:26:49,120 ISN'T BUDGING ON THE DEBT LIMIT 1659 01:26:49,120 --> 01:26:49,440 A 1660 01:26:49,440 --> 01:26:50,600 AND THERE ARE REPORTS 1661 01:26:50,600 --> 01:26:55,120 REPUBLICANS WANT TO TAKE 2020 1662 01:26:55,120 --> 01:26:57,520 APPROPRIATIONS BACK TO FY22 1663 01:26:57,520 --> 01:26:59,000 LEVELS AND THERE ARE SOME 1664 01:26:59,000 --> 01:27:00,520 DEMOCRATS RESPONDING WITH HOW 1665 01:27:00,520 --> 01:27:02,040 DISASTROUS THE CUTS WOULD BE. 1666 01:27:02,040 --> 01:27:03,840 THERE'S NOTHING TO INDICATE CUTS 1667 01:27:03,840 --> 01:27:05,640 OF THIS MAGNITUDE WILL 1668 01:27:05,640 --> 01:27:05,920 MATERIALS. 1669 01:27:05,920 --> 01:27:09,680 IT WOULD BE MORE OF A SERIOUS 1670 01:27:09,680 --> 01:27:11,120 CONCERN IF AND WHEN NIH GETS 1671 01:27:11,120 --> 01:27:13,400 FORMAL REQUEST TO EXPLAIN HOW IT 1672 01:27:13,400 --> 01:27:16,400 WOULD MANAGE THE DRASTIC CUTS. 1673 01:27:16,400 --> 01:27:18,480 TO DATE THE DEPARTMENT OF HEALTH 1674 01:27:18,480 --> 01:27:20,240 AND HUMAN SERVICES HAS BEEN 1675 01:27:20,240 --> 01:27:21,200 QUIET WE'LL SEE HOW THE PROCESS 1676 01:27:21,200 --> 01:27:21,720 PLAYS OUT. 1677 01:27:21,720 --> 01:27:24,080 AT THE END OF THE DAY, BOTH 1678 01:27:24,080 --> 01:27:24,960 CHAMBERS, THE HOUSE AND SENATE 1679 01:27:24,960 --> 01:27:31,520 WOULD HAVE TO AGREE ON CUTS. 1680 01:27:31,520 --> 01:27:32,200 A FULL YEAR CONTINUING 1681 01:27:32,200 --> 01:27:34,800 RESOLUTION AND HOLDING FUNDING 1682 01:27:34,800 --> 01:27:37,160 AT THE FY2023 LEVEL IS WITHIN 1683 01:27:37,160 --> 01:27:45,000 THE REALM OF POSSIBLE. 1684 01:27:45,000 --> 01:27:46,600 FINALLY, HERE I'M SHARING THE 1685 01:27:46,600 --> 01:27:48,040 HEALTH APPROPRIATIONS LABOR 1686 01:27:48,040 --> 01:27:50,960 HEALTH AND HUMAN SERVICES 1687 01:27:50,960 --> 01:27:56,000 EDUCATION SUBCOMMITTEE ROSTER 1688 01:27:56,000 --> 01:27:59,120 RELEASED LAST WEEK. 1689 01:27:59,120 --> 01:28:01,720 KAY GRANGER IS THE CHAIR WOMAN 1690 01:28:01,720 --> 01:28:04,960 AND EXPRESSED DOING AWAY WITH 1691 01:28:04,960 --> 01:28:07,000 RUNAWAY SPENDING ON WASHINGTON 1692 01:28:07,000 --> 01:28:07,640 AND VOWED TO PASS CONSERVATIVE 1693 01:28:07,640 --> 01:28:15,880 APPROPRIATIONS BILLS. 1694 01:28:15,880 --> 01:28:17,000 AND THERE'S SIMILAR 1695 01:28:17,000 --> 01:28:17,320 PERSPECTIVES. 1696 01:28:17,320 --> 01:28:22,720 WHAT THIS MEAN FOR NIH AND NEI 1697 01:28:22,720 --> 01:28:24,000 IS TO BE DETERMINED BUT WE COULD 1698 01:28:24,000 --> 01:28:25,560 HAVE A VERY LEAN YEAR COMING 1699 01:28:25,560 --> 01:28:26,200 NEXT YEAR. 1700 01:28:26,200 --> 01:28:27,800 THAT'S ALL I HAVE FOR A BUDGET 1701 01:28:27,800 --> 01:28:28,360 UPDATE FOR TODAY. 1702 01:28:28,360 --> 01:28:31,120 THANK YOU FOR YOUR TIME AND I'LL 1703 01:28:31,120 --> 01:28:41,480 TAKE ANY QUESTIONS. 1704 01:28:47,600 --> 01:28:50,000 >>I'VE BEEN TOLD MY HAIR IS 1705 01:28:50,000 --> 01:28:51,120 MORE GRAY THAN WHEN I STARTED 1706 01:28:51,120 --> 01:28:57,240 THIS JOB. 1707 01:28:57,240 --> 01:28:58,640 ONE OF THE REASONS IS WHAT KAREN 1708 01:28:58,640 --> 01:29:06,120 JUST TALKED ABOUT HERE. 1709 01:29:06,120 --> 01:29:08,920 IF NOT FOR KAREN, IT WOULD BE 1710 01:29:08,920 --> 01:29:13,120 WORSE AND SHE'S VERY CALM. 1711 01:29:13,120 --> 01:29:13,560 THANK YOU VERY MUCH. 1712 01:29:13,560 --> 01:29:20,840 >>YOU'RE VERY WELCOME. 1713 01:29:20,840 --> 01:29:23,120 >>CATHY, I THINK WE'LL STOP 1714 01:29:23,120 --> 01:29:24,880 HERE AND HAVE AN OPEN DISCUSSION 1715 01:29:24,880 --> 01:29:31,120 PERIOD TOWARD THE END AND A WANT 1716 01:29:31,120 --> 01:29:35,880 TO PLANT SOME QUESTIONS AND FEEL 1717 01:29:35,880 --> 01:29:37,120 FREE TO RAISE ANYTHING YOU WANT 1718 01:29:37,120 --> 01:29:38,400 BUT I'D BE INTERESTED IN OTHER 1719 01:29:38,400 --> 01:29:43,560 COMMENTS OR SUGGESTIONS YOU HAVE 1720 01:29:43,560 --> 01:29:45,800 ABOUT THINGS YOU DIDN'T GET TO 1721 01:29:45,800 --> 01:29:48,280 STAY AND BLUE SKY INITIATIVES 1722 01:29:48,280 --> 01:29:51,120 FOR 2023 AND WHAT CAN WE DO 1723 01:29:51,120 --> 01:29:52,360 BETTER TO MEET OUR MISSION. 1724 01:29:52,360 --> 01:29:56,560 WHAT CAN WE DO BETTER TO MEET 1725 01:29:56,560 --> 01:30:01,800 THE NEEDS OF THE VISION 1726 01:30:01,800 --> 01:30:04,360 COMMUNITY AND I'VE HAD PEOPLE 1727 01:30:04,360 --> 01:30:05,760 TELLING ME THEY HAVE TROUBLE 1728 01:30:05,760 --> 01:30:10,640 FINDING WHAT THEY WANT AND 1729 01:30:10,640 --> 01:30:15,760 KNOWING WHAT WE'RE ALL ABOUT AND 1730 01:30:15,760 --> 01:30:16,920 LASTLY SUGGESTIONS FOR FUTURE 1731 01:30:16,920 --> 01:30:20,080 COUNCIL MEETINGS AND FOCUS ON 1732 01:30:20,080 --> 01:30:21,920 TOPICS LIKE DEI AND DATA SCIENCE 1733 01:30:21,920 --> 01:30:24,240 AND DATA SHARING AND PORTFOLIOS. 1734 01:30:24,240 --> 01:30:33,760 DISSEMINATION AND EM -- 1735 01:30:33,760 --> 01:30:34,800 IMPLEMENTATION AND ANY FINAL 1736 01:30:34,800 --> 01:30:35,400 QUESTIONS BEFORE WE TAKE A 1737 01:30:35,400 --> 01:30:45,320 BREAK? 1738 01:30:45,320 --> 01:30:47,080 >>THANK YOU. 1739 01:30:47,080 --> 01:30:49,120 >>IF THERE ARE NO BURNING 1740 01:30:49,120 --> 01:30:50,400 QUESTIONS NOW WE'LL HAVE TIME 1741 01:30:50,400 --> 01:30:52,720 LATER AND WE'LL GET BACK ON 1742 01:30:52,720 --> 01:30:55,120 TRACK THOUGH WE'RE NOT DOING 1743 01:30:55,120 --> 01:30:56,600 TERRIBLY WITH TIME. 1744 01:30:56,600 --> 01:31:02,360 LET'S TAKE A NO MORE THAN 1745 01:31:02,360 --> 01:31:03,920 15-MINUTE BREAK SO IF YOU CAN BE 1746 01:31:03,920 --> 01:31:05,160 BACK AT 11:00 a.m. 1747 01:31:05,160 --> 01:31:06,160 WE'LL START THE NEXT SESSION AND 1748 01:31:06,160 --> 01:31:09,240 A REMINDER IF PEOPLE HAVEN'T 1749 01:31:09,240 --> 01:31:10,760 SIGNED IN PLEASE DO THAT SO WE 1750 01:31:10,760 --> 01:31:11,240 KNOW WHO'S IN THE ROOM. 1751 01:31:11,240 --> 01:31:32,480 THANK YOU. 1752 01:31:32,480 --> 01:31:36,640 >>LET'S GET STARTED WITH THE 1753 01:31:36,640 --> 01:31:38,240 NEXT SESSION BECAUSE I WANT TO 1754 01:31:38,240 --> 01:31:39,120 MAKE SURE WE'RE ON TIME. 1755 01:31:39,120 --> 01:31:47,120 CATHY IS MAKING SURE WE'RE ON 1756 01:31:47,120 --> 01:31:54,640 TIME. 1757 01:31:54,640 --> 01:31:57,720 HOUMAM HAS BEEN THE BRAINS 1758 01:31:57,720 --> 01:32:01,480 BEHIND THIS AND RUNS PORTFOLIOS 1759 01:32:01,480 --> 01:32:06,000 AND HE'S DONE OCULAR MOTILITY 1760 01:32:06,000 --> 01:32:08,120 OVER THE YEARS, NEUROSCIENCE BUT 1761 01:32:08,120 --> 01:32:09,440 ONE OF THE THINGS HE'S 1762 01:32:09,440 --> 01:32:14,440 RESPONSIBLE FOR IS THE LENS 1763 01:32:14,440 --> 01:32:14,880 PORTFOLIO. 1764 01:32:14,880 --> 01:32:17,080 ONE OF THE THINGS THAT HAS 1765 01:32:17,080 --> 01:32:23,560 STRUCK ME IS LENS IS ONE OF OUR 1766 01:32:23,560 --> 01:32:27,120 SMALLEST PORTFOLIOS FOR EYE 1767 01:32:27,120 --> 01:32:30,880 DOCTORS IT'S ONE THING EVERY 1768 01:32:30,880 --> 01:32:32,880 PERSON GETS AND WE'LL HAVE A 1769 01:32:32,880 --> 01:32:35,080 CATARACT OR REFRACTIVE PROBLEM 1770 01:32:35,080 --> 01:32:39,080 IN OUR LIVES IF WE LIVE LONG 1771 01:32:39,080 --> 01:32:44,880 ENOUGH. 1772 01:32:44,880 --> 01:32:50,480 THE QUESTION IS WHAT SHOULD OUR 1773 01:32:50,480 --> 01:32:55,200 PORTFOLIO LOOK LIKE AND THAT'S 1774 01:32:55,200 --> 01:33:05,720 THE SPIRIT AND AN WILL SPEAK AND 1775 01:33:07,160 --> 01:33:11,520 AFTER THEY SPEAK WOLE HAVE A FEW 1776 01:33:11,520 --> 01:33:15,120 MOMENTS FOR QUESTION AND THEN 1777 01:33:15,120 --> 01:33:17,160 HAVE A DISCUSSION EACH OF THE 1778 01:33:17,160 --> 01:33:23,120 THREE FINISHING TOGETHER. 1779 01:33:23,120 --> 01:33:27,680 HOUMAM DO YOU WANT TO BEGIN T 1780 01:33:27,680 --> 01:33:28,400 THIS. 1781 01:33:28,400 --> 01:33:29,160 THANK YOU NEW WORE IN 1782 01:33:29,160 --> 01:33:29,760 COORDINATING THIS AND RUNNING 1783 01:33:29,760 --> 01:33:40,000 THE PORTFOLIO. 1784 01:33:52,560 --> 01:33:53,040 >>GOOD MORNING. 1785 01:33:53,040 --> 01:33:55,160 I HOPE IT LEAVE YOU WITH ONE 1786 01:33:55,160 --> 01:33:56,760 PREMISE AND ONE PROMISE. 1787 01:33:56,760 --> 01:33:59,040 THE PREMISE THERE'S A BUYER 1788 01:33:59,040 --> 01:34:00,120 BETWEEN BASIC SCIENCE FINDING 1789 01:34:00,120 --> 01:34:03,120 AND PATIENT CARE. 1790 01:34:03,120 --> 01:34:13,880 THE PROPOSITION, CONCILIANCE IS 1791 01:34:13,880 --> 01:34:14,040 NEEDED. 1792 01:34:14,040 --> 01:34:24,480 LET'S TRAVEL BACK IN TIME. 1793 01:35:13,240 --> 01:35:16,760 JULY, 1844, CHARLES DARWIN 1794 01:35:16,760 --> 01:35:18,200 FINISHED EVOLUTION BY NATURAL 1795 01:35:18,200 --> 01:35:18,720 SELECTION. 1796 01:35:18,720 --> 01:35:20,680 HE NEXT RELATED TO HIS WIFE, 1797 01:35:20,680 --> 01:35:23,680 EMMA, I WRITE THIS IN CASE OF MY 1798 01:35:23,680 --> 01:35:28,360 SUDDEN DEATH AS MY MOST SOLEMN 1799 01:35:28,360 --> 01:35:36,360 AND LAST REQUEST YOU DEVOTE 400 1800 01:35:36,360 --> 01:35:37,800 POUNDS TO THE PUBLICATION. 1801 01:35:37,800 --> 01:35:39,080 SHE QUESTIONS HOW IT COULD 1802 01:35:39,080 --> 01:35:42,680 EXPLAIN A STRUCTURE AS COMPLEX 1803 01:35:42,680 --> 01:35:46,840 AS THE EYE FINDING THE 1804 01:35:46,840 --> 01:35:49,560 EXPLANATION UNCONVINCING CHARLES 1805 01:35:49,560 --> 01:36:00,120 DARWIN SET ASIDE THE ASSAY AND 1806 01:36:00,920 --> 01:36:03,520 WAITED TO WRITE AND IN HIS BOOK 1807 01:36:03,520 --> 01:36:06,480 HE WROTE THE EYE WITH ALL THE 1808 01:36:06,480 --> 01:36:12,760 CONTRIVANCES FORMED BY NATURAL 1809 01:36:12,760 --> 01:36:15,360 SELECTION SEEMS I CONFESS ABSURD 1810 01:36:15,360 --> 01:36:17,600 IN THE HIGHEST DEGREE. 1811 01:36:17,600 --> 01:36:19,720 FAST FORWARD OVER 150 YEARS 1812 01:36:19,720 --> 01:36:21,720 LATER THE BEAUTY OF THE EYE HAS 1813 01:36:21,720 --> 01:36:22,920 NOT DIMINISHED. 1814 01:36:22,920 --> 01:36:24,760 WHETHER YOU LOOK FOR COMPLEXITY 1815 01:36:24,760 --> 01:36:26,400 OR SIMPLICITY, THE EYE HAS IT. 1816 01:36:26,400 --> 01:36:28,880 IF YOU'RE INTO COMPLEXITY, TAKE 1817 01:36:28,880 --> 01:36:29,520 THE RETINA. 1818 01:36:29,520 --> 01:36:32,080 FIVE TYPES OF NEURONS, MULTIPLE 1819 01:36:32,080 --> 01:36:35,120 SUPPORT CELLS, BLOOD VESSELS, 1820 01:36:35,120 --> 01:36:39,760 IMMUNE CELLS AND THAT'S JUST THE 1821 01:36:39,760 --> 01:36:43,120 ANATOMICAL LEVEL AND THE LENS, 1822 01:36:43,120 --> 01:36:44,280 EPITHELIAL CELLS AT THE FRONT 1823 01:36:44,280 --> 01:36:47,160 AND FIBROUS CELLS IN THE REST. 1824 01:36:47,160 --> 01:36:54,720 NO NERVES, NO BLOOD VESSELS OR 1825 01:36:54,720 --> 01:36:54,960 NUCLEI. 1826 01:36:54,960 --> 01:36:56,360 IN ORDER TO MAXIMIZE THE 1827 01:36:56,360 --> 01:36:58,240 REFRACTIVE POWER OF THE LENS 1828 01:36:58,240 --> 01:37:00,200 EVOLUTION BY NATURAL GIVES THE 1829 01:37:00,200 --> 01:37:03,080 LENS THE HIGHEST LEVEL OF 1830 01:37:03,080 --> 01:37:05,160 PROTEIN CONCENTRATION AND TOOK 1831 01:37:05,160 --> 01:37:06,480 AWAY PRACTICALLY EVERYTHING 1832 01:37:06,480 --> 01:37:06,680 ELSE. 1833 01:37:06,680 --> 01:37:12,240 EVEN ORGANELLES IN THE CORE 1834 01:37:12,240 --> 01:37:13,600 FIBER CELLS THAT MAY SCATTER 1835 01:37:13,600 --> 01:37:17,160 LIGHT GONE AND NO TRANSLATION 1836 01:37:17,160 --> 01:37:18,800 AND TRANSCRIPTION. 1837 01:37:18,800 --> 01:37:21,560 IF THE SIMPLE STRUCTURE IS 1838 01:37:21,560 --> 01:37:25,600 RESPONSIBLE FOR AN INCREDIBLE 1839 01:37:25,600 --> 01:37:29,160 LEVEL OF MISERY GLOBALLY, 20 1840 01:37:29,160 --> 01:37:33,560 MILLION ARE BILATERALLY AFFECTED 1841 01:37:33,560 --> 01:37:36,120 BY CATARACT. 1842 01:37:36,120 --> 01:37:40,040 IT'S THE NUMBER ONE REASON 1843 01:37:40,040 --> 01:37:41,120 WORLDWIDE AND THERE'S 1844 01:37:41,120 --> 01:37:42,880 CONSIDERABLE SURGERIES AT A HIGH 1845 01:37:42,880 --> 01:37:44,920 HEALTH COST. 1846 01:37:44,920 --> 01:37:47,560 CATARACT HAS HIGH PUBLIC HEALTH 1847 01:37:47,560 --> 01:37:47,880 SIGNIFICANCE. 1848 01:37:47,880 --> 01:37:51,560 IT'S WORSE BECAUSE CATARACT HAS 1849 01:37:51,560 --> 01:37:54,120 A TWIN, PRESBYOPIA AND LIKE A 1850 01:37:54,120 --> 01:37:56,880 LENS THAT IS CLOUDY IS NO GOOD, 1851 01:37:56,880 --> 01:37:59,080 A LENS THAT CANNOT FOCUS IS NO 1852 01:37:59,080 --> 01:38:00,880 GOOD EITHER. 1853 01:38:00,880 --> 01:38:03,200 PRESBYOPIA IS PRACTICALLY 1854 01:38:03,200 --> 01:38:03,600 UNIVERSAL. 1855 01:38:03,600 --> 01:38:05,160 ESSENTIALLY EVERY ADULT OVER 50 1856 01:38:05,160 --> 01:38:10,080 HAS IT. 1857 01:38:10,080 --> 01:38:12,880 THESE NUMBERS ARE SOBERING BUT 1858 01:38:12,880 --> 01:38:15,120 HOW DID YOU DEAL WITH THE 1859 01:38:15,120 --> 01:38:17,120 DILEMMA LARGE NUMBERS GO FROM 1860 01:38:17,120 --> 01:38:22,640 THE ASTOUNDING TO THE 1861 01:38:22,640 --> 01:38:23,040 INCOMPREHENSIBLE. 1862 01:38:23,040 --> 01:38:26,600 WE HAVE TWO OUTSTANDING SPEAKERS 1863 01:38:26,600 --> 01:38:27,720 TO HELP BETTER UNDERSTAND AND 1864 01:38:27,720 --> 01:38:30,000 APPRECIATE THE BURDEN OF 1865 01:38:30,000 --> 01:38:30,320 CATARACT. 1866 01:38:30,320 --> 01:38:33,840 WHETHER IT'S ACCESS TO CARE, 1867 01:38:33,840 --> 01:38:38,440 DISPARITIES OF HEALTH, 1868 01:38:38,440 --> 01:38:41,320 PREVALENCE OF CATARACT THESE ARE 1869 01:38:41,320 --> 01:38:42,920 COMPLICATED ISSUES INTEGRAL TO 1870 01:38:42,920 --> 01:38:44,320 THE MISSION OF THE NIH AND 1871 01:38:44,320 --> 01:38:45,480 LOOKING FORWARD TO TODAY'S TALKS 1872 01:38:45,480 --> 01:38:47,120 AND THANK THE SPEAKERS IN 1873 01:38:47,120 --> 01:38:51,120 ADVANCE FOR TAKING THE TIME TO 1874 01:38:51,120 --> 01:38:53,480 BE HERE. 1875 01:38:53,480 --> 01:38:58,720 NEI HAS A LONG STANDING PROGRAM 1876 01:38:58,720 --> 01:39:01,200 AND SUPPORT RESEARCH IN 1877 01:39:01,200 --> 01:39:02,560 UNDERSTANDING THE PATH YO 1878 01:39:02,560 --> 01:39:03,040 PHYSIOLOGY OF THESE. 1879 01:39:03,040 --> 01:39:10,440 MOST THE SUPPORTED PROJECTS 1880 01:39:10,440 --> 01:39:14,720 INVOLVE BASIC SCIENCE 1881 01:39:14,720 --> 01:39:17,080 INVESTIGATORS TO ADVANCE FUTURE 1882 01:39:17,080 --> 01:39:19,280 CLINICAL APPLICATIONS. 1883 01:39:19,280 --> 01:39:20,600 THERE'S MULT WALL WAYS TO 1884 01:39:20,600 --> 01:39:21,920 DESCRIBE THE PROJECT SUPPORTED 1885 01:39:21,920 --> 01:39:26,360 OVER OVER THE YEARS. 1886 01:39:26,360 --> 01:39:27,120 HERE'S ONE WAY. 1887 01:39:27,120 --> 01:39:31,080 THE TOPICS CAN BE DIVIDED INTO 1888 01:39:31,080 --> 01:39:35,920 DEVELOPMENT, HOMEOSTASIS AND 1889 01:39:35,920 --> 01:39:38,000 OXIDATIVE DAMAGE. 1890 01:39:38,000 --> 01:39:40,520 I NAMED SOME. 1891 01:39:40,520 --> 01:39:42,040 A PROGRAM UPDATE WOULD TYPICALLY 1892 01:39:42,040 --> 01:39:45,160 PROVIDE EXAMPLES OF EACH OF 1893 01:39:45,160 --> 01:39:46,240 THESE THEMES AND THERE'S A LOT 1894 01:39:46,240 --> 01:39:47,160 OF EXCITING STORIES THAT WE 1895 01:39:47,160 --> 01:39:51,360 COULD TALK ABOUT. 1896 01:39:51,360 --> 01:39:52,880 IN THE INTEREST OF TIME WE TALK 1897 01:39:52,880 --> 01:39:54,520 ABOUT SOME OF THESE STORIES BUT 1898 01:39:54,520 --> 01:39:59,240 WE USE THEM TO ILLUSTRATE A KEY 1899 01:39:59,240 --> 01:40:01,320 BARRIER IN MOVING BASIC SCIENCE 1900 01:40:01,320 --> 01:40:04,960 FINDINGS INTO CLINICAL LEADS. 1901 01:40:04,960 --> 01:40:07,200 IMPORTANTLY, THIS NOT ONLY 1902 01:40:07,200 --> 01:40:08,360 AFFECTS THE CATARACT PROGRAM BUT 1903 01:40:08,360 --> 01:40:12,440 OTHER AREAS TOO. 1904 01:40:12,440 --> 01:40:14,600 OVER THE YEARS OF BEING THE LENS 1905 01:40:14,600 --> 01:40:16,720 AND CATARACT PROGRAM, I HAVE 1906 01:40:16,720 --> 01:40:21,880 BEEN COLLECTING SOME OF THE KEY 1907 01:40:21,880 --> 01:40:26,960 TERMS THAT COME UP TO UNDERSTAND 1908 01:40:26,960 --> 01:40:29,440 LENS BIOLOGY. 1909 01:40:29,440 --> 01:40:31,120 HERE'S A LIST WITH SOME TERMS. 1910 01:40:31,120 --> 01:40:41,280 WE CAN DOUBLE THE LIST. 1911 01:40:41,280 --> 01:40:46,720 THERE'S A PART OF THE PUZZLE AND 1912 01:40:46,720 --> 01:40:54,160 THE KEY IS UNDERSTANDING AND 1913 01:40:54,160 --> 01:41:04,560 MANY HAVE BEEN PROPOSED. 1914 01:41:11,560 --> 01:41:12,800 THERE'S MANY EXAMPLES TO 1915 01:41:12,800 --> 01:41:15,800 ILLUSTRATE THE BARRIER. 1916 01:41:15,800 --> 01:41:21,560 LET'S TAKE THESE PARTICULAR 1917 01:41:21,560 --> 01:41:22,320 EXAMPLES. 1918 01:41:22,320 --> 01:41:24,520 THE OXIDATIVE DAMAGE AND IT'S 1919 01:41:24,520 --> 01:41:26,640 IMPORTANT TO POINT OUT THESE ARE 1920 01:41:26,640 --> 01:41:29,960 EXAMPLES AND NOT UNIQUE. 1921 01:41:29,960 --> 01:41:36,120 TAKE THE STORY OF REVERSING 1922 01:41:36,120 --> 01:41:36,400 CATARACTS. 1923 01:41:36,400 --> 01:41:42,000 A FEW YEARS AGO PAPERS CAME OUT. 1924 01:41:42,000 --> 01:41:49,120 THE FIRST IN NATURE AND A COUPLE 1925 01:41:49,120 --> 01:41:56,800 MONTHS LATER A CAN'T REPORT CAME 1926 01:41:56,800 --> 01:41:57,440 OUT. 1927 01:41:57,440 --> 01:42:07,920 BOTH PAPERS HIT UPON THE 1928 01:42:09,040 --> 01:42:09,280 LANOSTEROL. 1929 01:42:09,280 --> 01:42:15,160 BOTH ABLE TO REVERSE CATARACT IN 1930 01:42:15,160 --> 01:42:25,440 VIVO. 1931 01:42:25,440 --> 01:42:35,160 THIS PRESENTS A WAY THIS IS A 1932 01:42:35,160 --> 01:42:45,560 WAY TO REMOVE CATARACTS. 1933 01:42:59,160 --> 01:43:02,040 ONE, BIOLOGICAL PLAUSIBILITY. 1934 01:43:02,040 --> 01:43:06,440 THEY'RE PROTEINS THAT PREVENT 1935 01:43:06,440 --> 01:43:10,200 AGGREGATION OF OTHER PROTEINS. 1936 01:43:10,200 --> 01:43:12,800 UPON AGING, THIS ABILITY 1937 01:43:12,800 --> 01:43:15,120 DIMINISHES AND YOU'LL FIND 1938 01:43:15,120 --> 01:43:17,120 PROTEINS AGGREGATING AND FORMING 1939 01:43:17,120 --> 01:43:18,800 LIGHT SCATTERING AGGREGATES, 1940 01:43:18,800 --> 01:43:24,760 CAPACITY FOR CATARACT. 1941 01:43:24,760 --> 01:43:28,360 FASCINATINGLY IT TURNS OUT THE 1942 01:43:28,360 --> 01:43:31,000 MOLECULE IS ABLE TO FIT NICELY 1943 01:43:31,000 --> 01:43:39,080 BETWEEN THE ALPHA A AND ALPHA B 1944 01:43:39,080 --> 01:43:41,720 CHRISSAL -- CRYSTALLINE. 1945 01:43:41,720 --> 01:43:44,440 AND YOU HAVE HIGH CLINICAL 1946 01:43:44,440 --> 01:43:46,640 SIGNIFICANCE, WIDE UTILITY, 1947 01:43:46,640 --> 01:43:48,640 BIOLOGICAL PLAUSIBILITY AND THE 1948 01:43:48,640 --> 01:43:51,360 FACT THE TWO FINDINGS ARE 1949 01:43:51,360 --> 01:43:53,120 INDEPENDENT SO YOU HAVE 1950 01:43:53,120 --> 01:43:56,120 INDEPENDENT CONFIRMATION. 1951 01:43:56,120 --> 01:43:58,280 NO WONDER THIS HAS BEEN CALLED A 1952 01:43:58,280 --> 01:44:01,960 NEW DAWN FOR CATARACTS. 1953 01:44:01,960 --> 01:44:06,440 UNFORTUNATELY THE PAPER CAME 1954 01:44:06,440 --> 01:44:06,640 OUT. 1955 01:44:06,640 --> 01:44:11,040 THEY TESTED THE LENOSTER OL AND 1956 01:44:11,040 --> 01:44:12,600 FOUND IT FAILED FOR CATARACTED 1957 01:44:12,600 --> 01:44:15,120 AND TESTED THE PROTEIN REPORTED 1958 01:44:15,120 --> 01:44:17,280 IN THE SCIENCE PAPER AND FOUND 1959 01:44:17,280 --> 01:44:23,000 IT FAILED TOO. 1960 01:44:23,000 --> 01:44:24,520 AND THIS CAME OFF THE OTHER 1961 01:44:24,520 --> 01:44:26,520 REPORT WHERE THEY FOUND THE SAME 1962 01:44:26,520 --> 01:44:26,760 FAILURE. 1963 01:44:26,760 --> 01:44:34,480 WHAT'S GOING ON? 1964 01:44:34,480 --> 01:44:36,760 MAYBE THE NEW STATEMENT IS THE 1965 01:44:36,760 --> 01:44:37,600 SAME AS THE OLD? 1966 01:44:37,600 --> 01:44:41,800 NOT SO FAST. 1967 01:44:41,800 --> 01:44:43,640 FOLLOWING THE TWO NEGATIVE 1968 01:44:43,640 --> 01:44:46,480 REPORTS FOUR PUBLICATIONS FOUND 1969 01:44:46,480 --> 01:44:47,120 POSITIVE FINDINGS CONSISTENT 1970 01:44:47,120 --> 01:44:56,080 WITH NATURE AND SCIENCE PAPERS. 1971 01:44:56,080 --> 01:44:57,640 THEY USED DIFFERENT MODELS. 1972 01:44:57,640 --> 01:45:03,080 CLEARLY THESE ARE CONFUSING SETS 1973 01:45:03,080 --> 01:45:04,240 OF RESULTS. 1974 01:45:04,240 --> 01:45:06,080 AS THE AUTHOR SAID IF YOU'RE NOT 1975 01:45:06,080 --> 01:45:07,080 CONFUSED, YOU'RE NOT PAYING 1976 01:45:07,080 --> 01:45:10,040 ATTENTION. 1977 01:45:10,040 --> 01:45:12,120 THIS IS NOT ABOUT THE MOUSE OR 1978 01:45:12,120 --> 01:45:15,080 RAT OR CELL LINE. 1979 01:45:15,080 --> 01:45:16,840 IT'S ABOUT US. 1980 01:45:16,840 --> 01:45:18,400 IT'S ABOUT ANSWERING AN 1981 01:45:18,400 --> 01:45:20,880 IMPORTANT CLINICAL QUESTION, CAN 1982 01:45:20,880 --> 01:45:22,920 WE REVERSE CATARACTS WITHOUT 1983 01:45:22,920 --> 01:45:27,120 SURGERY IN THE FORM OF AN 1984 01:45:27,120 --> 01:45:32,120 OXISOXY 1985 01:45:32,120 --> 01:45:32,480 ST 1986 01:45:32,480 --> 01:45:32,840 STEROL COMPOUND? 1987 01:45:32,840 --> 01:45:40,440 MAYBE, MAYBE NOT. 1988 01:45:40,440 --> 01:45:43,040 THIS IS SIGNIFICANT IN TERMS OF 1989 01:45:43,040 --> 01:45:47,080 MOVING BASIC SCIENCE FINDINGS 1990 01:45:47,080 --> 01:45:51,000 INTO CLINICAL INSIGHTS. 1991 01:45:51,000 --> 01:45:54,880 THE CHALLENGES IS BROADER. 1992 01:45:54,880 --> 01:45:56,640 YOU HAVE HIGH CLINICAL 1993 01:45:56,640 --> 01:45:58,640 SIGNIFICANCE, WIDE UTILITY AND A 1994 01:45:58,640 --> 01:46:07,760 NUMBER OF REPORTS, CONFIRMATORY 1995 01:46:07,760 --> 01:46:09,760 REPORTS AND OXIDATIVE DAMAGE HAS 1996 01:46:09,760 --> 01:46:12,720 BEEN A POWERFUL EXPLANATION USED 1997 01:46:12,720 --> 01:46:15,600 FOR ALL SORTS OF HUMAN DISEASE 1998 01:46:15,600 --> 01:46:16,400 IN TISSUES BEYOND THE EYE AND 1999 01:46:16,400 --> 01:46:24,040 BEYOND AT RACKET. 2000 01:46:24,040 --> 01:46:26,920 IT PROVIDES A WAY TO TREAT 2001 01:46:26,920 --> 01:46:27,320 DISEASE. 2002 01:46:27,320 --> 01:46:31,080 YOU LOWER THE OXIDATIVE STRESS 2003 01:46:31,080 --> 01:46:35,240 OR INCREASE THE OXIDATIVE 2004 01:46:35,240 --> 01:46:35,600 INTAKE. 2005 01:46:35,600 --> 01:46:37,040 THERE'S I NICE CAUSE/EFFECT 2006 01:46:37,040 --> 01:46:41,560 LINK. 2007 01:46:41,560 --> 01:46:43,760 SO WHAT'S THE PROBLEM? 2008 01:46:43,760 --> 01:46:47,080 THIS PAPER TALKS ABOUT THE MYTH 2009 01:46:47,080 --> 01:46:50,400 OF ANTIOXIDANTS AND THEY LOOKED 2010 01:46:50,400 --> 01:46:56,800 AT THE POPULAR ANTIOXIDANT AND 2011 01:46:56,800 --> 01:47:03,080 FOUND THAT THERE'S NO EVIDENCE 2012 01:47:03,080 --> 01:47:05,320 IT REVERSES NOR PREVENTION. 2013 01:47:05,320 --> 01:47:08,120 WHAT'S GOING ON? 2014 01:47:08,120 --> 01:47:11,120 MAYBE IT'S SOMETHING SPECIFIC. 2015 01:47:11,120 --> 01:47:13,320 LET'S TAKE A BROADER LOOK. 2016 01:47:13,320 --> 01:47:15,880 THERE'S A SECOND COCHRAN REVIEW 2017 01:47:15,880 --> 01:47:19,760 WHERE THEY LOOKED AT ANTIOXIDANT 2018 01:47:19,760 --> 01:47:20,360 SUPPLEMENTATION FOR SLOWING 2019 01:47:20,360 --> 01:47:22,400 PROGRESSION OF AGE-RELATED 2020 01:47:22,400 --> 01:47:22,840 CATARACT. 2021 01:47:22,840 --> 01:47:25,080 AND THE AUTHORS FOUND THE SAME 2022 01:47:25,080 --> 01:47:25,320 FAILURE. 2023 01:47:25,320 --> 01:47:30,760 IN FACT THEY CONCLUDED WE DO NOT 2024 01:47:30,760 --> 01:47:32,520 RECOMMEND FURTHER STUDIES TO 2025 01:47:32,520 --> 01:47:35,800 EXAMINE THE ROLE OF ANTIOXIDANTS 2026 01:47:35,800 --> 01:47:38,480 IN AGE-RELATED CATARACT. 2027 01:47:38,480 --> 01:47:42,040 THE STUDY HAS BEEN CONFIRMED BY 2028 01:47:42,040 --> 01:47:44,240 NEWER FINDINGS. 2029 01:47:44,240 --> 01:47:49,520 HERE'S ONE FROM THE ANTIOXIDANTS 2030 01:47:49,520 --> 01:47:52,240 FOR PREVENTION AND THEY FOUND 2031 01:47:52,240 --> 01:47:56,800 FAILURE AND CONCLUDE THE RISK OF 2032 01:47:56,800 --> 01:48:03,080 COUNTERACT BETWEEN THE VITAMIN 2033 01:48:03,080 --> 01:48:06,040 GROUP AND PLACEBO NO DIFFERENT. 2034 01:48:06,040 --> 01:48:09,680 THIS CHALLENGE IS BEYOND THE 2035 01:48:09,680 --> 01:48:17,400 KNACK FOR VITAMINS. 2036 01:48:17,400 --> 01:48:20,920 THERE'S FLAVONOIDS AND CAROTENES 2037 01:48:20,920 --> 01:48:23,160 AND OTHERS EACH WITH A MOUNTAIN 2038 01:48:23,160 --> 01:48:26,920 OF PUBLICATIONS WITH POTENTIAL 2039 01:48:26,920 --> 01:48:32,560 EFFICACY AND ALSO A NUMBER OF 2040 01:48:32,560 --> 01:48:33,600 DISCREPANCIES AND LOOKING AT THE 2041 01:48:33,600 --> 01:48:36,800 DIFFERENT OMICS APPROACHES FOR 2042 01:48:36,800 --> 01:48:38,760 READOUTS OF CELL FUNCTION AND 2043 01:48:38,760 --> 01:48:39,080 DYSFUNCTION. 2044 01:48:39,080 --> 01:48:43,080 IN SOME THERE'S A CATARACT OF 2045 01:48:43,080 --> 01:48:53,600 INFORMATION AND FRAGMENTATION. 2046 01:48:54,880 --> 01:48:57,880 WHILE THERE'S INFORMATION ON 2047 01:48:57,880 --> 01:49:03,080 CELL BIOLOGY THERE'S LESS 2048 01:49:03,080 --> 01:49:03,560 UNDERSTANDING. 2049 01:49:03,560 --> 01:49:09,160 IT'S SEEN BEYOND OXIDATIVE 2050 01:49:09,160 --> 01:49:09,440 DAMAGE. 2051 01:49:09,440 --> 01:49:11,440 HERE'S A LIST OF OPPORTUNITIES 2052 01:49:11,440 --> 01:49:13,920 BECKONING US TO FURTHER DEVELOP 2053 01:49:13,920 --> 01:49:17,760 WHETHER IT'S THE CRYSTALLINES 2054 01:49:17,760 --> 01:49:20,080 FUNCTION AND THE ROLE OF THE 2055 01:49:20,080 --> 01:49:25,440 STRUCTURE IN DEVELOPMENT OF 2056 01:49:25,440 --> 01:49:27,080 CATARACT AND A NUMBER OF OTHER 2057 01:49:27,080 --> 01:49:34,400 AREAS. 2058 01:49:34,400 --> 01:49:35,960 THIS IS A SIGNIFICANT CHALLENGE 2059 01:49:35,960 --> 01:49:37,600 AND AT THE SAME TIME PRESENTS AN 2060 01:49:37,600 --> 01:49:38,720 OPPORTUNITY. 2061 01:49:38,720 --> 01:49:40,440 WHAT KIND OF OPPORTUNITY? 2062 01:49:40,440 --> 01:49:43,960 HOW CAN WE RECONCILE THE 2063 01:49:43,960 --> 01:49:47,000 FINDINGS IN THE LITERATURE AND 2064 01:49:47,000 --> 01:49:51,080 THE MODELS BEING USED IN ORDER 2065 01:49:51,080 --> 01:49:53,240 TO BETTER ACQUISITION SCIENCE 2066 01:49:53,240 --> 01:49:59,720 AND OPTIMIZE PATIENT BENEFIT? 2067 01:49:59,720 --> 01:50:05,920 THIS IS WHERE CONSILIENCE COMES 2068 01:50:05,920 --> 01:50:06,080 IN. 2069 01:50:06,080 --> 01:50:07,800 IN THE BOOK WE'RE PRESENTED WITH 2070 01:50:07,800 --> 01:50:13,720 THIS CONCEPT OF CONSILIENCE. 2071 01:50:13,720 --> 01:50:15,720 AND A JUMPING TOGETHER OF 2072 01:50:15,720 --> 01:50:18,640 KNOWLEDGE WITH LINKING OF FACTS 2073 01:50:18,640 --> 01:50:20,320 TO CREATE A COMMON GROUND WORK 2074 01:50:20,320 --> 01:50:22,680 OF EXPLANATION. 2075 01:50:22,680 --> 01:50:27,120 THIS IS NOT ABOUT YOUR TYPICAL 2076 01:50:27,120 --> 01:50:28,920 HYPOTHESIS DRIVEN -- YOU CAN 2077 01:50:28,920 --> 01:50:32,320 ENVISION A FUNDING OPPORTUNITY 2078 01:50:32,320 --> 01:50:34,440 WHERE IT ENABLES PEOPLE 2079 01:50:34,440 --> 01:50:37,360 OBSERVING DIFFERENT FINDINGS AND 2080 01:50:37,360 --> 01:50:38,640 DISCREPANT FINDINGS USING MODELS 2081 01:50:38,640 --> 01:50:40,480 TO WORK TOGETHER TO DISSOLVE THE 2082 01:50:40,480 --> 01:50:43,680 DIFFERENCES WITHOUT SOLELY 2083 01:50:43,680 --> 01:50:46,160 RELYING ON HYPOTHESIS DRIVEN. 2084 01:50:46,160 --> 01:50:52,960 ALL THAT'S NEEDED IS A CHILDLIKE 2085 01:50:52,960 --> 01:50:57,760 SENSE OF WONDER. 2086 01:50:57,760 --> 01:51:04,920 AND BE PREPARED TO GIVE UP EVERY 2087 01:51:04,920 --> 01:51:07,080 PRECONCEIVED NOTION AND FOLLOW 2088 01:51:07,080 --> 01:51:11,080 TO WHERE THIS NATURE LEADS YOU 2089 01:51:11,080 --> 01:51:14,680 OR YOU SHALL LEARN NOTHING. 2090 01:51:14,680 --> 01:51:18,520 RIGOR AND REPRODUCIBILITY HAVE 2091 01:51:18,520 --> 01:51:22,200 BEEN ON NIH AGENDA AND IT WILL 2092 01:51:22,200 --> 01:51:25,600 INVOLVE ENHANCED RIGOR AND 2093 01:51:25,600 --> 01:51:27,080 REPRODUCIBILITY AND INVOLVES 2094 01:51:27,080 --> 01:51:27,400 CONSILIENCE. 2095 01:51:27,400 --> 01:51:28,880 IT'S ABOUT REDUCING COMPLEXITY. 2096 01:51:28,880 --> 01:51:31,080 IT'S ABOUT DEALING WITH 2097 01:51:31,080 --> 01:51:32,880 CONTRADICTORY FINDINGS. 2098 01:51:32,880 --> 01:51:35,120 REDUCING INFORMATION OVERLOAD. 2099 01:51:35,120 --> 01:51:36,520 THE FRAGMENTATION WE SEE, 2100 01:51:36,520 --> 01:51:38,920 DIFFERENT SILOS IN TERMS OF 2101 01:51:38,920 --> 01:51:41,360 BASIC SCIENCE VERSUS CLINICAL 2102 01:51:41,360 --> 01:51:47,520 APPLICATIONS. 2103 01:51:47,520 --> 01:51:54,840 AND ABIDING WHILE THE PROBLEM 2104 01:51:54,840 --> 01:51:55,720 FOR EVERY WHICH THERE'S 2105 01:51:55,720 --> 01:51:56,840 SOMETHING SIMPLE, NEAT AND 2106 01:51:56,840 --> 01:51:59,080 WRONG. 2107 01:51:59,080 --> 01:52:09,560 THE CHALLENGES ARE IMMENSE. 2108 01:52:14,880 --> 01:52:16,080 A LOT NEEDS TO BE DONE BUT WE 2109 01:52:16,080 --> 01:52:17,960 NEED TO SEE LESS OF THIS. 2110 01:52:17,960 --> 01:52:19,080 HERE'S THE RECENT PUBLICATION 2111 01:52:19,080 --> 01:52:24,240 WHERE THE AUTHORS TALK ABOUT 2112 01:52:24,240 --> 01:52:31,040 INDIVIDUALIZED CHEMO THERAPY FOR 2113 01:52:31,040 --> 01:52:41,480 CONGENITAL CAT RABLTHS. 2114 01:52:41,760 --> 01:52:43,720 -- CATARACT. 2115 01:52:43,720 --> 01:52:45,520 I OPENED WITH THE BEAUTY OF THE 2116 01:52:45,520 --> 01:52:51,400 EYE AND THE BEAUTY OF THE LENS. 2117 01:52:51,400 --> 01:52:53,960 HISTORIANS TELL US THAT BEFORE A 2118 01:52:53,960 --> 01:52:56,400 PROCEDURE CALLED POUCHING WAS 2119 01:52:56,400 --> 01:52:56,600 USED. 2120 01:52:56,600 --> 01:52:58,080 ESSENTIALLY YOU SHOVE THE 2121 01:52:58,080 --> 01:53:02,040 CATARACT TO A LENS ASIDE. 2122 01:53:02,040 --> 01:53:05,680 THAT LASTED FOR THOUSANDS OF 2123 01:53:05,680 --> 01:53:12,400 YEARS UNTIL 1010 WHEN AN 2124 01:53:12,400 --> 01:53:14,160 ASPIRATED THE LENS SIMPLY BY 2125 01:53:14,160 --> 01:53:14,400 SUCTION. 2126 01:53:14,400 --> 01:53:21,320 THAT WAS THE YEAR 1010. 2127 01:53:21,320 --> 01:53:22,760 1,010 YEARS LATER WE'RE STILL 2128 01:53:22,760 --> 01:53:29,000 ASPIRATING THE LENS. 2129 01:53:29,000 --> 01:53:33,520 A LOT OF ADVANTAGES TOOK PLACE 2130 01:53:33,520 --> 01:53:37,640 BUT IT'S A HUMBLING REMINDER 2131 01:53:37,640 --> 01:53:39,080 CATARACT IS WHAT IT'S ALWAYS 2132 01:53:39,080 --> 01:53:39,560 BEEN. 2133 01:53:39,560 --> 01:53:40,680 SUCCESS IS IT NOT FINAL. 2134 01:53:40,680 --> 01:53:42,440 FAILURE IS NOT FATAL. 2135 01:53:42,440 --> 01:53:44,560 IT'S THE COURAGE TO CONTINUE 2136 01:53:44,560 --> 01:53:47,080 THAT COUNTS. 2137 01:53:47,080 --> 01:53:57,480 THANK YOU FOR YOUR TIME. 2138 01:53:57,480 --> 01:53:59,760 >>THANK YOU. 2139 01:53:59,760 --> 01:54:02,480 QUESTIONS FOR HOUMAM. 2140 01:54:02,480 --> 01:54:07,680 >>WONDERFUL TALK ABOUT THE 2141 01:54:07,680 --> 01:54:11,080 EVENTS. 2142 01:54:11,080 --> 01:54:21,720 ID NEEDS TO BE MENTION ED 2143 01:54:26,680 --> 01:54:34,920 STRONGER LENS PROGRAM AND THEY 2144 01:54:34,920 --> 01:54:35,200 KNOW THAT. 2145 01:54:35,200 --> 01:54:45,320 >>THANK YOU. 2146 01:54:45,320 --> 01:54:49,480 >>YOUR PORTRAYAL OF THE LENS OF 2147 01:54:49,480 --> 01:54:51,680 TO BE A MODEL SYSTEM TO ASPIRATE 2148 01:54:51,680 --> 01:54:57,000 PUTTING IT TOGETHER IS WORTH 2149 01:54:57,000 --> 01:55:03,080 INCREASING THE PROGRAM INTERNAL, 2150 01:55:03,080 --> 01:55:03,480 EXTERNAL RESEARCH. 2151 01:55:03,480 --> 01:55:07,960 THANK YOU VERY MUCH. 2152 01:55:07,960 --> 01:55:18,480 >>HOUMAM, THANK YOU VERY MUCH. 2153 01:55:29,600 --> 01:55:32,360 >>I THINK WE APPRECIATE THE 2154 01:55:32,360 --> 01:55:37,640 BURDEN OF BLINDNESS FROM 2155 01:55:37,640 --> 01:55:43,680 CATARACT AND WE'LL HEAR FROM 2156 01:55:43,680 --> 01:55:45,360 ANNE COLEMAN. 2157 01:55:45,360 --> 01:55:50,000 AND THERE'S BEEN WORK BY HUGH 2158 01:55:50,000 --> 01:55:53,160 TAYLOR AND OTHERS I REMEMBER AS 2159 01:55:53,160 --> 01:56:03,720 A MEDICAL STUDENT IN BALTIMORE 2160 01:56:07,120 --> 01:56:09,000 ISSUE IS LEARNING ABOUT DISEASE 2161 01:56:09,000 --> 01:56:13,760 AND THE CURE. 2162 01:56:13,760 --> 01:56:17,080 THE CURE IS THE RELATIVELY 2163 01:56:17,080 --> 01:56:18,440 SIMPLE PROCEDURE OF CATARACT 2164 01:56:18,440 --> 01:56:22,320 SURGERY AND THE COST AND EXPENSE 2165 01:56:22,320 --> 01:56:24,920 TO SOCIETY HAS COME DOWN 2166 01:56:24,920 --> 01:56:27,000 CONSIDERABLY OVER THE YEARS. 2167 01:56:27,000 --> 01:56:28,680 REIMBURSEMENTS HAVE GONE FROM 2168 01:56:28,680 --> 01:56:35,120 HUNDREDS OF DOLLARS TO 2169 01:56:35,120 --> 01:56:37,080 THOUSANDS. 2170 01:56:37,080 --> 01:56:38,720 THE OVER ALL CHARGE I THINK THE 2171 01:56:38,720 --> 01:56:44,200 $4,000 RANGE IS EQUIVALENT FOR 2172 01:56:44,200 --> 01:56:46,520 WHAT INSURANCE PAYS FOR GLAUCOMA 2173 01:56:46,520 --> 01:56:52,440 MEDS AND DRY EYE MEDS OVER THE 2174 01:56:52,440 --> 01:56:52,640 YEAR. 2175 01:56:52,640 --> 01:56:56,920 ALL THESE COST ABOUT $500, $600 2176 01:56:56,920 --> 01:56:58,800 A MONTH AND THE QUESTION IS NOT 2177 01:56:58,800 --> 01:56:59,840 ONLY SCIENTIFIC BUT SOCIO 2178 01:56:59,840 --> 01:57:00,640 ECONOMIC ONE. 2179 01:57:00,640 --> 01:57:08,640 WE NEED TO FIGURE OUT A SOLUTION 2180 01:57:08,640 --> 01:57:11,640 NOTE ONLY ADDRESSES ACCESS TO 2181 01:57:11,640 --> 01:57:16,200 HEALTH CARE AND BLINDNESS TO 2182 01:57:16,200 --> 01:57:17,440 CATARACT BUT HOW DO WE CHANGE 2183 01:57:17,440 --> 01:57:18,280 THE EQUATION. 2184 01:57:18,280 --> 01:57:20,320 SAY WE HAD A MAGIC DRUG OR DROP 2185 01:57:20,320 --> 01:57:24,280 OR WHAT HAVE YOU, ORG OR TOPICAL 2186 01:57:24,280 --> 01:57:26,240 OR WHAT HAVE YOU THAT COULD 2187 01:57:26,240 --> 01:57:29,160 PREVENT OR STOP THE PROGRESSION 2188 01:57:29,160 --> 01:57:35,280 OF LENS DISEASE. 2189 01:57:35,280 --> 01:57:38,680 IT WILL HAVE TO BE SUCH THAT 2190 01:57:38,680 --> 01:57:40,280 THERE WOULD BE LESS THAN 2191 01:57:40,280 --> 01:57:40,760 CATARACT PROCEDURE. 2192 01:57:40,760 --> 01:57:43,120 WE NEED TO THINK ABOUT THE 2193 01:57:43,120 --> 01:57:44,400 ECONOMIC ASPECT. 2194 01:57:44,400 --> 01:57:46,400 NOT THE USUAL GAP BETWEEN 2195 01:57:46,400 --> 01:57:48,440 SCIENCE AND CLINICAL 2196 01:57:48,440 --> 01:57:48,840 TRANSLATION. 2197 01:57:48,840 --> 01:57:52,400 IN CONTRAST WHEN WE THINK OF 2198 01:57:52,400 --> 01:57:54,080 DEGENERATIVE DECISION IT'S A 2199 01:57:54,080 --> 01:57:59,200 DIFFERENT ECONOMIC CALCULUS. 2200 01:57:59,200 --> 01:58:03,120 >>YOUR PRESENTS DO A LOT TO 2201 01:58:03,120 --> 01:58:05,160 MOTIVATE THE TALKS COMING UP. 2202 01:58:05,160 --> 01:58:06,200 THANK YOU VERY MUCH. 2203 01:58:06,200 --> 01:58:11,080 WE'LL TRANSITION TO DOUG AND 2204 01:58:11,080 --> 01:58:21,280 THEN ANNE. 2205 01:58:45,760 --> 01:58:47,080 >>THE FOR THE OPPORTUNITY TO 2206 01:58:47,080 --> 01:58:50,760 PRESENT THE CLINICAL UNMET 2207 01:58:50,760 --> 01:58:51,120 NEEDS. 2208 01:58:51,120 --> 01:58:59,080 I'M DOUG RHEE FROM OHIO CASE 2209 01:58:59,080 --> 01:59:09,440 WESTERN UNIVERSITY. 2210 01:59:13,880 --> 01:59:14,960 THANK YOU FOR THE ASSISTANCE 2211 01:59:14,960 --> 01:59:17,480 WITH THE AUDIO VISUAL. 2212 01:59:17,480 --> 01:59:18,320 THESE ARE MY DISCLOSURES. 2213 01:59:18,320 --> 01:59:20,360 I WANTED TO DISPLAY THEM FOR 2214 01:59:20,360 --> 01:59:20,640 EVERYONE. 2215 01:59:20,640 --> 01:59:22,920 I HAVE RESEARCH FUNDING AND SOME 2216 01:59:22,920 --> 01:59:31,080 AD HOC CONSULTING I DO WITH SOME 2217 01:59:31,080 --> 01:59:33,760 CORPORATIONS. 2218 01:59:33,760 --> 01:59:35,640 AS FAR AS AN OVERVIEW IN 2219 01:59:35,640 --> 01:59:37,240 CATARACT PRACTICE. 2220 01:59:37,240 --> 01:59:40,400 IT'S NOT A DISEASE BUT AN AGING 2221 01:59:40,400 --> 01:59:40,640 PRACTICE. 2222 01:59:40,640 --> 01:59:42,520 CATARACT SURGERY IS ONE OF THE 2223 01:59:42,520 --> 01:59:43,720 MOST SUCCESSFUL AND SAFEST 2224 01:59:43,720 --> 01:59:45,600 PROCEDURES IN MEDICINE ALIGNING 2225 01:59:45,600 --> 01:59:46,920 FOR VISUAL RESTORATION FOR WHAT 2226 01:59:46,920 --> 01:59:48,760 WOULD BE THE MOST COMMON CAUSE 2227 01:59:48,760 --> 01:59:52,040 OF BLINDNESS IN THE UNITED 2228 01:59:52,040 --> 01:59:52,280 STATES. 2229 01:59:52,280 --> 01:59:54,160 IN FACT CATARACT SURGERY IS 2230 01:59:54,160 --> 01:59:56,720 LISTED AS ONE OF THE SCIENCES IN 2231 01:59:56,720 --> 01:59:59,080 MEDICINE'S MOST DISTINGUISHED OR 2232 01:59:59,080 --> 02:00:03,080 MOST IMPACTFUL INNOVATIONS IN 2233 02:00:03,080 --> 02:00:04,880 MODERN HISTORY. 2234 02:00:04,880 --> 02:00:06,560 WITH THAT SAID SHOULD I STOP THE 2235 02:00:06,560 --> 02:00:07,160 TALK NOW? 2236 02:00:07,160 --> 02:00:08,600 WHAT ELSE IS NEEDED? 2237 02:00:08,600 --> 02:00:11,880 WHAT ARE OUR UNMET NEEDS? 2238 02:00:11,880 --> 02:00:14,160 PREVENTING CATARACT FORMATION OR 2239 02:00:14,160 --> 02:00:16,000 REVERSING ITS PROCESS. 2240 02:00:16,000 --> 02:00:21,560 THERE ARE A WONDERFUL CADRE OF 2241 02:00:21,560 --> 02:00:22,240 LABORATORY SCIENTISTS HOUMAM 2242 02:00:22,240 --> 02:00:24,600 WENT OVER AND WE LEAVE IT TO THE 2243 02:00:24,600 --> 02:00:25,160 LABORATORY SCIENCE. 2244 02:00:25,160 --> 02:00:27,080 MY VIEW OF THIS IS GOING TO BE 2245 02:00:27,080 --> 02:00:31,960 PRIMARILY FROM A CLINICAL ONE. 2246 02:00:31,960 --> 02:00:34,360 WE'D LIKE TO BETTER UNDERSTAND 2247 02:00:34,360 --> 02:00:36,360 ACCOMMODATION AND PRESBYOPIA. 2248 02:00:36,360 --> 02:00:38,480 THAT WILL PROBABLY ALSO COME 2249 02:00:38,480 --> 02:00:39,520 FROM LABORATORY SCIENTISTS. 2250 02:00:39,520 --> 02:00:42,720 WHEN WE LOOK AT MODIFYING THE 2251 02:00:42,720 --> 02:00:44,520 PROCEDURE AND INSTRUMENTATION, 2252 02:00:44,520 --> 02:00:48,440 BEST INSTRUMENTATION, BETTER 2253 02:00:48,440 --> 02:00:49,960 TUBING, THAT'S PROBABLY GOING TO 2254 02:00:49,960 --> 02:00:51,640 COME FROM INDUSTRY. 2255 02:00:51,640 --> 02:00:53,840 AS FAR AS BETTER INTRAOCULAR 2256 02:00:53,840 --> 02:00:55,440 LENS IMPLANT CAN MAKE A 2257 02:00:55,440 --> 02:00:57,240 SIGNIFICANT ADVANCE. 2258 02:00:57,240 --> 02:00:59,080 THAT PRIMARILY PROBABLY GOING TO 2259 02:00:59,080 --> 02:01:03,440 COME FROM INDUSTRY. 2260 02:01:03,440 --> 02:01:04,920 WHAT ARE THE UNMET CLINICAL 2261 02:01:04,920 --> 02:01:06,160 NEEDS WE CAN ADDRESS? 2262 02:01:06,160 --> 02:01:10,000 ONE, REDUCING COMPLICATIONS OR 2263 02:01:10,000 --> 02:01:12,040 NEGATIVE SEQUELAE OF THE SURGERY 2264 02:01:12,040 --> 02:01:13,760 AND INFECTION AND YOU'LL SEE 2265 02:01:13,760 --> 02:01:15,080 FROM LATER SLIDES THAT'S ONE OF 2266 02:01:15,080 --> 02:01:19,080 THE PRIMARY MOTIVATORS FOR WHAT 2267 02:01:19,080 --> 02:01:21,080 WE DO. 2268 02:01:21,080 --> 02:01:24,440 REDUCING POST OCULAR EDEMA AND 2269 02:01:24,440 --> 02:01:26,640 CAN ADDRESS DISPARITIES IN 2270 02:01:26,640 --> 02:01:27,080 CATARACT CARE. 2271 02:01:27,080 --> 02:01:31,080 I'LL SAVE COMMENTS FOR THAT FOR 2272 02:01:31,080 --> 02:01:31,520 DR. COLEMAN. 2273 02:01:31,520 --> 02:01:33,880 WE WANT TO BECAUSE THIS IS SUCH 2274 02:01:33,880 --> 02:01:34,920 A COMMONLY PERFORMED PROCEDURE, 2275 02:01:34,920 --> 02:01:38,520 I THINK WE HAVE TO THINK ABOUT 2276 02:01:38,520 --> 02:01:41,160 ENHANCING SUSTAINABILITY IN 2277 02:01:41,160 --> 02:01:45,200 MULTIPLE WAYS. 2278 02:01:45,200 --> 02:01:51,640 DR. DANA MENTIONED ECONOMIC 2279 02:01:51,640 --> 02:01:52,200 SUSTAINABILITY AND THERE'S 2280 02:01:52,200 --> 02:01:56,320 MULTIPLE ASPECTS. 2281 02:01:56,320 --> 02:01:58,440 I LISTED THREE DISTINCT POINTS. 2282 02:01:58,440 --> 02:02:04,040 THE REALITY IS THIS VEN DIAGRAM 2283 02:02:04,040 --> 02:02:06,440 WHERE YOU HAVE OVERLAP INTERESTS 2284 02:02:06,440 --> 02:02:07,200 IN ENHANCING ACCESS AND 2285 02:02:07,200 --> 02:02:14,640 SUSTAINABILITY. 2286 02:02:14,640 --> 02:02:16,640 ONE OF THE COMMON AREAS IS 2287 02:02:16,640 --> 02:02:19,400 REDUCING THE EFFORTS. 2288 02:02:19,400 --> 02:02:24,800 I WANT TO FIRST TALK ABOUT 2289 02:02:24,800 --> 02:02:25,200 SUSTAINABILITY. 2290 02:02:25,200 --> 02:02:27,080 IN 2013 THE U.S. HEALTH 2291 02:02:27,080 --> 02:02:30,200 SECRETARY WAS RESPONSIBLE FOR 2292 02:02:30,200 --> 02:02:31,760 10% OF THE GREENHOUSE GAS 2293 02:02:31,760 --> 02:02:32,880 EMISSIONS FROM THE UNITED 2294 02:02:32,880 --> 02:02:33,120 STATES. 2295 02:02:33,120 --> 02:02:36,640 IF U.S. HEALTH CARE WERE A 2296 02:02:36,640 --> 02:02:39,080 COUNTRY, IT WOULD BE THE FIFTH 2297 02:02:39,080 --> 02:02:41,080 LARGEST CONTRIBUTOR TO CARBON 2298 02:02:41,080 --> 02:02:42,120 EMISSIONS IN THE WORLD. 2299 02:02:42,120 --> 02:02:46,320 BETWEEN 2010 AND 2018, 2300 02:02:46,320 --> 02:02:50,760 U.S. HEALTH CARE GREENHOUSE GAS 2301 02:02:50,760 --> 02:02:52,360 EMISSIONS HAVE ONLY RISEN BY 6%. 2302 02:02:52,360 --> 02:02:55,080 OPERATING ROOMS PRODUCED 30% OF 2303 02:02:55,080 --> 02:02:58,080 A FACILITY'S TOTAL WASTE. 2304 02:02:58,080 --> 02:03:02,840 THAT INCLUDES FOOD, OFFICE 2305 02:03:02,840 --> 02:03:03,080 SUPPLIES. 2306 02:03:03,080 --> 02:03:06,400 IF YOU LOOK AT MEDICALLY 2307 02:03:06,400 --> 02:03:10,280 REGULATED WASTE THE ORs PRODUCE 2308 02:03:10,280 --> 02:03:11,480 TWO-THIRDS OF THAT. 2309 02:03:11,480 --> 02:03:16,000 IF YOU LOOK AT CATARACT SURGERY 2310 02:03:16,000 --> 02:03:19,280 THE MOST COMMONLY PERFORMED IN 2311 02:03:19,280 --> 02:03:21,160 2019, 29 MILLION CATARACT 2312 02:03:21,160 --> 02:03:23,120 SURGERIES WERE PERFORMED 2313 02:03:23,120 --> 02:03:26,160 GLOBALLY AND 4. 2 MILLION IN THE 2314 02:03:26,160 --> 02:03:28,960 U.S. AND BY 205015 MILLION 2315 02:03:28,960 --> 02:03:32,760 PEOPLE WILL HAVE CATARACT IN THE 2316 02:03:32,760 --> 02:03:33,840 UNITED STATES. 2317 02:03:33,840 --> 02:03:36,240 WHEN WE LOOK AT THE AMOUNT OF 2318 02:03:36,240 --> 02:03:38,640 O.R. WASTE KEEP IN MIND CATARACT 2319 02:03:38,640 --> 02:03:40,560 SURGERY IS PERFORMED PRIMARILY 2320 02:03:40,560 --> 02:03:47,080 IN ASCs NOT IN MAJOR HOSPITAL 2321 02:03:47,080 --> 02:03:48,520 FACILITIES BUT AMBULATORY 2322 02:03:48,520 --> 02:03:48,760 CENTER. 2323 02:03:48,760 --> 02:03:50,920 THIS STUDY WAS DONE IN ENGLAND 2324 02:03:50,920 --> 02:03:54,760 WHEN THEY LOOKED AT THE MAJORITY 2325 02:03:54,760 --> 02:04:02,400 OF GREENHOUSE GAS, 53.8% GO TO 2326 02:04:02,400 --> 02:04:02,720 PROCUREMENT. 2327 02:04:02,720 --> 02:04:05,080 THAT GOES TO UNUSED MEDICATIONS, 2328 02:04:05,080 --> 02:04:06,280 THE DISPOSABLES. 2329 02:04:06,280 --> 02:04:09,840 THE SINGLE-USE TUBING 2330 02:04:09,840 --> 02:04:11,080 INSTRUMENTS AND AGAIN THE 2331 02:04:11,080 --> 02:04:15,640 MEDICATIONS. 2332 02:04:15,640 --> 02:04:17,720 IN TRYING TO QUANTIFY THE 2333 02:04:17,720 --> 02:04:19,080 POTENTIAL AFFECT OF UNUSED 2334 02:04:19,080 --> 02:04:21,560 PHARMACEUTICALS IN CATARACT 2335 02:04:21,560 --> 02:04:25,680 SURGERY, THIS TEAM LOOKED AND 2336 02:04:25,680 --> 02:04:26,440 FOUND ROUGHLY APPROXIMATELY 2337 02:04:26,440 --> 02:04:29,840 BETWEEN FOUR SITES IN THE 2338 02:04:29,840 --> 02:04:32,840 U.S. AND FOUND BETWEEN 2000 TO 2339 02:04:32,840 --> 02:04:35,720 7,000 KILOGRAMS OF CO2 PER MONTH 2340 02:04:35,720 --> 02:04:37,200 WERE GENERATE THE BY THEIR 2341 02:04:37,200 --> 02:04:38,000 FACILITIES. 2342 02:04:38,000 --> 02:04:39,600 LOOKING AT JUST UNUSED 2343 02:04:39,600 --> 02:04:42,480 MEDICATIONS WE'RE MANDATED TO 2344 02:04:42,480 --> 02:04:47,080 DISPOSE OF IT WAS $148 PER 2345 02:04:47,080 --> 02:04:51,400 CATARACT SURGERY UNUSED. 2346 02:04:51,400 --> 02:04:55,400 DR. DANA MENTIONED THE DECLINING 2347 02:04:55,400 --> 02:05:00,960 REIMBURSEMENT BUT THE COST STILL 2348 02:05:00,960 --> 02:05:04,720 MAIN SIGNIFICANT AND I CAT 2349 02:05:04,720 --> 02:05:11,080 CREATE A GREATER ACCESS ISSUE 2350 02:05:11,080 --> 02:05:16,560 AND IF YOU MULTIPLY IT BY THE 2351 02:05:16,560 --> 02:05:20,440 CATARACTS PER YEAR IT'S $628 2352 02:05:20,440 --> 02:05:22,160 MILLION A YEAR AND THE 2353 02:05:22,160 --> 02:05:30,720 U.S. SPENDS $6.8 MILLION ON 2354 02:05:30,720 --> 02:05:31,520 CATARACT SURGERY ALONE? 2355 02:05:31,520 --> 02:05:34,040 WHY ARE WE SPENDING SO MUCH? 2356 02:05:34,040 --> 02:05:34,880 THERE'S MULTIPLE FACTORS BUT 2357 02:05:34,880 --> 02:05:38,000 SOME IS MANDATING SINGLE USE OF 2358 02:05:38,000 --> 02:05:38,680 PHARMACEUTICALS AND WHAT ARE 2359 02:05:38,680 --> 02:05:42,360 CALLED DISPOSABLES. 2360 02:05:42,360 --> 02:05:45,400 SINGLE USE TUBING 2361 02:05:45,400 --> 02:05:47,560 INSTRUMENTATION AND OTHER THINGS 2362 02:05:47,560 --> 02:05:47,800 REQUIRED. 2363 02:05:47,800 --> 02:05:57,680 THE REGULATIONS MANDATING THESE 2364 02:05:57,680 --> 02:05:59,080 ARE NOT EVIDENCE BASED. 2365 02:05:59,080 --> 02:06:04,320 THEY'RE DESIGNED TO REDUCE THE 2366 02:06:04,320 --> 02:06:14,760 RISK OF ENDOPHTHALMITIS. 2367 02:06:17,400 --> 02:06:20,440 AND IN INDIA THEY INSTITUTED 2368 02:06:20,440 --> 02:06:21,920 WESTERN O.R. PROTOCOLS. 2369 02:06:21,920 --> 02:06:23,320 THEY HAD ONLY ONE PATIENT IN THE 2370 02:06:23,320 --> 02:06:26,400 O.R. AT A TIME. 2371 02:06:26,400 --> 02:06:29,160 THEY CHANGE GOWNS AND GLOVES 2372 02:06:29,160 --> 02:06:39,400 BETWEEN CASES. 2373 02:06:43,120 --> 02:06:46,640 AND THEY LOOKED BACK IN A 2374 02:06:46,640 --> 02:06:47,280 RETROSPECTIVE STUDY AND USING 2375 02:06:47,280 --> 02:06:55,080 THE ARAVIND PROTOCOL AND THEY 2376 02:06:55,080 --> 02:07:00,240 FOUND NO DIFFERENCE IN THE 2377 02:07:00,240 --> 02:07:10,720 RUPTURE OR ENDOPHTHALMITIS 2378 02:07:17,240 --> 02:07:27,280 RATES. 2379 02:07:29,840 --> 02:07:33,520 IF YOU LOOK AT ACCESS TO HEALTH 2380 02:07:33,520 --> 02:07:38,440 CARE WHAT CAUSES DISPARITIES I 2381 02:07:38,440 --> 02:07:40,880 THINK WE'VE ALL NOTICED ISSUES 2382 02:07:40,880 --> 02:07:41,680 WITH SUPPLY CHAIN. 2383 02:07:41,680 --> 02:07:44,960 THE FIVE BARRIERS AT LEAST THIS 2384 02:07:44,960 --> 02:07:50,120 ARTICLE IDENTIFIED BUT THERE'S 2385 02:07:50,120 --> 02:07:51,960 COMMONALITY AND INSUFFICIENT 2386 02:07:51,960 --> 02:07:54,440 INSURANCE AND STAFF SHORTAGING, 2387 02:07:54,440 --> 02:07:56,000 STIGMA AND BIAS AMONGST THE 2388 02:07:56,000 --> 02:07:56,520 MEDICAL COMMUNITY. 2389 02:07:56,520 --> 02:07:58,600 TRANSPORTATION AND WORK-RELATED 2390 02:07:58,600 --> 02:08:00,400 BARRIERS AND PATIENT-RELATED 2391 02:08:00,400 --> 02:08:04,760 BARRIERS. 2392 02:08:04,760 --> 02:08:06,560 I'LL LOBBY FOR YOU THOUGH WE'RE 2393 02:08:06,560 --> 02:08:09,160 NOT SUPPOSED TO BUT 2394 02:08:09,160 --> 02:08:10,080 INTELLECTUALLY AND INSUFFICIENCY 2395 02:08:10,080 --> 02:08:12,600 IN COVERAGE AND AFFORDABILITY 2396 02:08:12,600 --> 02:08:17,760 AND TRANSPORTATION ARE KEY 2397 02:08:17,760 --> 02:08:23,360 BARRIERS. 2398 02:08:23,360 --> 02:08:25,960 THERE ARE DIFFERENCES IN 2399 02:08:25,960 --> 02:08:27,560 BLINDNESS RATES BETWEEN AFRICAN 2400 02:08:27,560 --> 02:08:28,880 AMERICAN AND NATIVE AND EUROPEAN 2401 02:08:28,880 --> 02:08:34,120 ANCESTRY AND GEOGRAPHIC 2402 02:08:34,120 --> 02:08:37,560 DIFFERENCES BETWEEN URBAN AND 2403 02:08:37,560 --> 02:08:37,920 RURAL SETTINGS. 2404 02:08:37,920 --> 02:08:40,800 COST IS OFTEN THE TOP BARRIER IN 2405 02:08:40,800 --> 02:08:45,480 ANY SURVEY. 2406 02:08:45,480 --> 02:08:50,880 I PICKED THIS PAPER AND LANGUAGE 2407 02:08:50,880 --> 02:08:55,960 AND FINANCIAL BARRIERS COMPETE 2408 02:08:55,960 --> 02:09:02,960 ACCESS AND COST IS IMPORTANT. 2409 02:09:02,960 --> 02:09:06,480 LET ME TALK ABOUT REDUCING 2410 02:09:06,480 --> 02:09:07,000 ENDOPHTHALMITIS. 2411 02:09:07,000 --> 02:09:10,160 IN A RETROSPECTIVE REGISTRY 2412 02:09:10,160 --> 02:09:12,800 STUDY THE ARAVIND'S OWN REGISTRY 2413 02:09:12,800 --> 02:09:18,320 OF 10 REGIONAL SMALLER HOSPITALS 2414 02:09:18,320 --> 02:09:22,320 THAT MAKE UP THEIR SYSTEM 2415 02:09:22,320 --> 02:09:24,920 LOOKING AT OVER 2,000 SURGERIES 2416 02:09:24,920 --> 02:09:33,760 AND A FOURTH GENERATION FLUORO 2417 02:09:33,760 --> 02:09:44,240 QUINOLONE TO PREVENT THE 2418 02:09:45,040 --> 02:09:50,040 OPHTHALMITIS AND FOR THE 2419 02:09:50,040 --> 02:09:51,640 MECHANICAL MEANS OF REMOVING THE 2420 02:09:51,640 --> 02:09:52,120 CATARACT. 2421 02:09:52,120 --> 02:09:56,720 AND IN THE COHORT STUDY 2422 02:09:56,720 --> 02:09:58,840 INTERROGATING THE IRIS DATABASE 2423 02:09:58,840 --> 02:10:05,160 THERE'S AN AUTHOR WE'LL FIND 2424 02:10:05,160 --> 02:10:08,840 FAMILIAR LOOKING AT 5.4 MILLION 2425 02:10:08,840 --> 02:10:11,000 PATIENTS FOR PROCEDURES BETWEEN 2426 02:10:11,000 --> 02:10:15,080 2013 AND 2017 FOUND THE RATE TO 2427 02:10:15,080 --> 02:10:19,080 BE 0.4%. 2428 02:10:19,080 --> 02:10:25,000 CONSEQUENCES ARE SIGNIFICANT AND 2429 02:10:25,000 --> 02:10:29,280 44% STILL ACHIEVE 20/40 VISION 2430 02:10:29,280 --> 02:10:31,160 OR BETTER. 2431 02:10:31,160 --> 02:10:32,960 THE CONSEQUENCES OF 2432 02:10:32,960 --> 02:10:39,040 ENDOPHTHALMITIS ARE SIGNIFICANT. 2433 02:10:39,040 --> 02:10:41,240 WHY DON'T WE USE THIS IN THE 2434 02:10:41,240 --> 02:10:41,880 UNITED STATES? 2435 02:10:41,880 --> 02:10:44,160 THIS IS THE MOST RECENT SURVEY 2436 02:10:44,160 --> 02:10:49,200 AND IN 2021 OF ASCRS MEMBER 2437 02:10:49,200 --> 02:10:59,840 RESPONDENSS -- RESPONDENTS, 66% 2438 02:11:02,920 --> 02:11:11,080 WERE USING MOXIFLOXACIN AND 2439 02:11:11,080 --> 02:11:13,960 THEY'RE CONCERNED ABOUT THE 2440 02:11:13,960 --> 02:11:16,280 LIABILITY ISSUE OF A STERILE 2441 02:11:16,280 --> 02:11:19,080 INFLAMMATION OF COMPOUNDED 2442 02:11:19,080 --> 02:11:20,200 PRODUCTS AND OFF-LABEL USE. 2443 02:11:20,200 --> 02:11:25,520 IN 2014, GOING BACK ALMOST A 2444 02:11:25,520 --> 02:11:28,040 DECADE NOW THE SAME SURVEY 2445 02:11:28,040 --> 02:11:33,960 STATED 84% STATED THEY WOULD USE 2446 02:11:33,960 --> 02:11:44,520 INTRACAMERAL MOXIFLOXACIN AND 2447 02:12:01,440 --> 02:12:03,800 WE'RE POSITIONED FOR EQUIPOISE 2448 02:12:03,800 --> 02:12:04,760 WITH A PRODUCTIVE STUDY. 2449 02:12:04,760 --> 02:12:06,240 SHOULD WE THROW OUR HANDS UP AND 2450 02:12:06,240 --> 02:12:08,560 NOT DO ANYTHING? 2451 02:12:08,560 --> 02:12:11,680 ABSOLUTELY NOT. 2452 02:12:11,680 --> 02:12:13,480 THIS IS EYE CARE THIS IS THE 2453 02:12:13,480 --> 02:12:15,680 NATIONAL INSTITUTE WE CAN CHANGE 2454 02:12:15,680 --> 02:12:16,000 THE WORLD. 2455 02:12:16,000 --> 02:12:18,560 WE NEED EVIDENCE TO COMBAT 2456 02:12:18,560 --> 02:12:18,800 EMINENCE. 2457 02:12:18,800 --> 02:12:20,600 WITHIN THE REALM OF 2458 02:12:20,600 --> 02:12:22,400 SUSTAINABILITY AND DECREASING 2459 02:12:22,400 --> 02:12:25,280 COSTS OF HEALTH CARE IN ORDER TO 2460 02:12:25,280 --> 02:12:29,160 EQUALIZE AND MINIMIZE HEALTH 2461 02:12:29,160 --> 02:12:33,520 CARE DISPARITIES WE CAN LOOK AT 2462 02:12:33,520 --> 02:12:36,480 EQUIPMENT BEFORE AND AFTER 2463 02:12:36,480 --> 02:12:38,160 SURGERY AND DO COMPARATIVE 2464 02:12:38,160 --> 02:12:39,400 COHORT AND REGISTRY TRIALS 2465 02:12:39,400 --> 02:12:41,160 COMPARING OUTCOMES OF MULTI-USE 2466 02:12:41,160 --> 02:12:46,680 VERSUS SINGLE USE. 2467 02:12:46,680 --> 02:12:49,600 PARTICULARLY BECAUSE SINGLE USE 2468 02:12:49,600 --> 02:12:57,000 WAS A MODERN REGULATION MEANING 2469 02:12:57,000 --> 02:13:03,040 RECENTLY AND I BELIEVE THESE CAN 2470 02:13:03,040 --> 02:13:03,960 HELP EQUALIZE DISPARITIES. 2471 02:13:03,960 --> 02:13:07,760 THERE WAS A STUDY OF 2472 02:13:07,760 --> 02:13:10,880 PREOPERATIVE MEDICAL TESTING. 2473 02:13:10,880 --> 02:13:15,080 IT WAS ROUTINE PATIENTS GOT AN 2474 02:13:15,080 --> 02:13:19,880 AN EXTENSIVE EVALUATION. 2475 02:13:19,880 --> 02:13:21,800 AFTER THIS MOST HAS BEEN 2476 02:13:21,800 --> 02:13:22,320 ABANDONED SAVING TIME, 2477 02:13:22,320 --> 02:13:32,680 INTERVENTION AND COST. 2478 02:13:35,000 --> 02:13:39,080 AND HAVING EXHAUSTED ALL 2479 02:13:39,080 --> 02:13:40,040 REGULATORY METHODS GETTING 2480 02:13:40,040 --> 02:13:41,400 APPROVED A RANDOMIZED CONTROL 2481 02:13:41,400 --> 02:13:44,040 TRIAL IS NEEDED NOT ONLY TO GET 2482 02:13:44,040 --> 02:13:45,560 AN FDA PRODUCT BUT TO CONVINCE 2483 02:13:45,560 --> 02:13:51,120 THE REMAINING 48% OF OUR 2484 02:13:51,120 --> 02:14:01,640 COLLEAGUES THIS IS THE BEST WAY 2485 02:14:02,040 --> 02:14:05,160 FOR THE STUDY AND IT'S SUPERIOR 2486 02:14:05,160 --> 02:14:09,160 TO TOPICAL MOXIFLOXACIN AND IT'S 2487 02:14:09,160 --> 02:14:12,840 GENERALLY CONSIDERED THE 2488 02:14:12,840 --> 02:14:14,440 STANDARD CARE FOR 2489 02:14:14,440 --> 02:14:15,080 ENDOPHTHALMITIS PREVENTION. 2490 02:14:15,080 --> 02:14:18,000 I WON'T GO IN THE DETAILS OF THE 2491 02:14:18,000 --> 02:14:21,520 TIME-SLATED DESIGN BUT IT'S A 2492 02:14:21,520 --> 02:14:22,760 PERSPECTIVE RANDOMIZED PLACEBO 2493 02:14:22,760 --> 02:14:24,480 CONTROL TRIAL WHERE YOU COMPARE 2494 02:14:24,480 --> 02:14:29,120 THOSE WHO JUST GOT THE TOPICAL 2495 02:14:29,120 --> 02:14:33,160 VERSUS ONLY THE INTERCAMERAL 2496 02:14:33,160 --> 02:14:33,480 MOXIFLOXACIN. 2497 02:14:33,480 --> 02:14:34,440 DAUNTINGLY 74,000 PATIENTS WOULD 2498 02:14:34,440 --> 02:14:36,400 BE REQUIRED WHICH IS WHY THE 2499 02:14:36,400 --> 02:14:37,800 STUDY HASN'T BEEN DONE BEFORE. 2500 02:14:37,800 --> 02:14:41,040 THE CONCEPT OF PERFORMING THE 2501 02:14:41,040 --> 02:14:42,120 STUDY HAS BEEN CONCEPTUALIZED 2502 02:14:42,120 --> 02:14:44,120 FOR DECADES BUT THE COST AND 2503 02:14:44,120 --> 02:14:45,560 SCOPE HAVE BEEN PROHIBITED FOR A 2504 02:14:45,560 --> 02:14:46,200 SING AT ORGANIZATION OR COMPANY 2505 02:14:46,200 --> 02:14:55,160 TO COMPLETE. 2506 02:14:55,160 --> 02:15:03,400 WE'VE GOTTEN A CON -- CONSORTIUM 2507 02:15:03,400 --> 02:15:09,200 TOGETHER AND WE HAVE AN AUDITING 2508 02:15:09,200 --> 02:15:11,080 AND RESOURCE TEAM CALLED SMART 2509 02:15:11,080 --> 02:15:18,200 AND THE PHARMACY COORDINATING 2510 02:15:18,200 --> 02:15:20,560 SYSTEM AND DESIGN A TRIAL AND 2511 02:15:20,560 --> 02:15:24,080 PROTOCOL CODIFIED WITH A 56-PAGE 2512 02:15:24,080 --> 02:15:24,240 SPA. 2513 02:15:24,240 --> 02:15:26,320 THE PROJECT WAS PASSED THE 2514 02:15:26,320 --> 02:15:28,040 INITIAL REVIEW OF THE V.A. BY 2515 02:15:28,040 --> 02:15:29,640 DR. WONG TO GO IN THE PLANNING 2516 02:15:29,640 --> 02:15:29,840 PHASE. 2517 02:15:29,840 --> 02:15:31,440 DURING THAT TIME WE ALSO DID 2518 02:15:31,440 --> 02:15:37,680 WHAT WE CALL MOXI-TOXY STUDY TO 2519 02:15:37,680 --> 02:15:43,800 MAKE SURE THE DOSE OF 2520 02:15:43,800 --> 02:15:46,040 MOXIFLOXACIN WOULD NOT BE BAD 2521 02:15:46,040 --> 02:15:56,440 FOR THE ENDO THELIUM. 2522 02:16:00,640 --> 02:16:07,080 AND WE VERIFIED THE BENEFIT FOR 2523 02:16:07,080 --> 02:16:11,080 THE INTRACAMERAL MOXI AND WE 2524 02:16:11,080 --> 02:16:19,720 HARMONIZED THE REVIEW PROCESS. 2525 02:16:19,720 --> 02:16:21,280 IT DID NOT PASS FINAL REVIEW. 2526 02:16:21,280 --> 02:16:23,680 THE CONCERN WAS AT THE TIME WE 2527 02:16:23,680 --> 02:16:24,600 DID NOT HAVE YET A 2528 02:16:24,600 --> 02:16:25,480 PHARMACEUTICAL COMPANY OR 2529 02:16:25,480 --> 02:16:32,080 PARTNER AND THE COST BURDEN. 2530 02:16:32,080 --> 02:16:37,560 MAJOR CONCERN WE HAVE TWO LOIs 2531 02:16:37,560 --> 02:16:44,240 TO COOPERATE AND THE PROTOCOL 2532 02:16:44,240 --> 02:16:46,760 WAS REVISED AND TOLL SHARE IN 2533 02:16:46,760 --> 02:16:48,960 THE COST BURDEN OF THE STUDY. 2534 02:16:48,960 --> 02:16:51,240 DESPITE THE GREAT EFFICACY AND 2535 02:16:51,240 --> 02:16:54,800 SAFETY OF CATARACT THERE REMAINS 2536 02:16:54,800 --> 02:16:57,200 A SIGNIFICANT UNMET NEED TO 2537 02:16:57,200 --> 02:16:58,680 ADDRESS ACCESS TO CATARACT 2538 02:16:58,680 --> 02:17:01,360 SURGERY AND DISPARITIES FOR CARE 2539 02:17:01,360 --> 02:17:07,320 AND THE NEED TO ADDRESS 2540 02:17:07,320 --> 02:17:07,640 SUSTAINABLE. 2541 02:17:07,640 --> 02:17:09,040 THERE'S POTENTIAL TO PARTNER 2542 02:17:09,040 --> 02:17:10,120 WITH KEY STAKEHOLDERS TO ADDRESS 2543 02:17:10,120 --> 02:17:11,080 THE UNMET NEEDS. 2544 02:17:11,080 --> 02:17:21,240 THANK YOU. 2545 02:17:23,800 --> 02:17:27,080 >>THANK YOUVIC. 2546 02:17:27,080 --> 02:17:33,600 QUESTIONS FOR DOUG? 2547 02:17:33,600 --> 02:17:36,080 >>WHO IMPOSES THE REGULATIONS 2548 02:17:36,080 --> 02:17:38,040 THAT ARE CURRENT STATUS QUO? 2549 02:17:38,040 --> 02:17:42,520 >>I BELIEVE OSHA. 2550 02:17:42,520 --> 02:17:44,320 >>MAUREEN MAGUIRE. 2551 02:17:44,320 --> 02:17:49,880 WHY HAS A COMPANY NOT BEEN 2552 02:17:49,880 --> 02:17:52,520 INTERESTED IN SUPPLYING THE 2553 02:17:52,520 --> 02:17:59,080 INTRACAMERAL MOXIFLOXACIN WITH 2554 02:17:59,080 --> 02:18:02,480 12 MILLION SURGERIES A YEAR YOU 2555 02:18:02,480 --> 02:18:05,840 DON'T NEED A HIGH PROFIT FOR A 2556 02:18:05,840 --> 02:18:06,440 PROFITABLE BOTTOM LINE. 2557 02:18:06,440 --> 02:18:13,880 >>THEY HAVE TO DO THIS STUDY 2558 02:18:13,880 --> 02:18:17,160 THAT'S BEEN THE MAIN BARRIER. 2559 02:18:17,160 --> 02:18:22,480 >>THAT WAS TERRIFIC. 2560 02:18:22,480 --> 02:18:28,160 EMMA HARTNETT. 2561 02:18:28,160 --> 02:18:30,760 AFTER THE CLINICAL TRIAL AND IF 2562 02:18:30,760 --> 02:18:34,400 YOU KNOW THE INTRACAMERAL 2563 02:18:34,400 --> 02:18:35,200 MOXIFLOXACIN IS SUPERIOR WHAT 2564 02:18:35,200 --> 02:18:40,840 EFFORTS ARE NEEDED TO CHANGE 2565 02:18:40,840 --> 02:18:44,240 WHAT THE RULES ARE NOW? 2566 02:18:44,240 --> 02:18:47,280 >>I BELIEVE ONCE WE HAVE THE 2567 02:18:47,280 --> 02:18:48,280 EVIDENCE TO MAKE ONE 2568 02:18:48,280 --> 02:18:49,360 RECOMMENDATION ONE WAY OR THE 2569 02:18:49,360 --> 02:18:53,160 OTHER THEN IT'S JUST A MATTER OF 2570 02:18:53,160 --> 02:18:53,480 ENGAGEMENT. 2571 02:18:53,480 --> 02:18:54,960 RESPECTRY AGENCIES OR AT LEAST 2572 02:18:54,960 --> 02:18:56,960 FOR OUR COLLEAGUES, ENGAGEMENT 2573 02:18:56,960 --> 02:18:59,040 AT THE EDUCATIONAL STANDPOINT. 2574 02:18:59,040 --> 02:19:02,200 FOR THINGS LIKE THAT I'M HIGHLY 2575 02:19:02,200 --> 02:19:03,760 CONFIDENT OUR PROFESSIONAL 2576 02:19:03,760 --> 02:19:04,880 SOCIETIES WOULD DO AN EXCELLENT 2577 02:19:04,880 --> 02:19:08,240 JOB DOING THAT AS THEY 2578 02:19:08,240 --> 02:19:08,920 TRADITIONALLY HAVE DONE. 2579 02:19:08,920 --> 02:19:09,480 >> 2580 02:19:09,480 --> 02:19:11,320 >>VICTOR PEREZ. 2581 02:19:11,320 --> 02:19:12,480 NICE TALK. 2582 02:19:12,480 --> 02:19:15,040 THINKING OUT LOUD AND BEING IN 2583 02:19:15,040 --> 02:19:16,080 INDIA AND LATIN AMERICA WHERE 2584 02:19:16,080 --> 02:19:21,840 THEY DO CATARACT SURGERY WITH 2585 02:19:21,840 --> 02:19:23,080 CERTAIN INSTRUMENTS OR 2586 02:19:23,080 --> 02:19:25,160 INJECTIONS, ETCETERA WE DON'T 2587 02:19:25,160 --> 02:19:26,400 SEE THIS INCREDIBLE AMOUNT. 2588 02:19:26,400 --> 02:19:31,920 PERHAPS YOUR TIME MAY CREATE A 2589 02:19:31,920 --> 02:19:38,680 SAFETY BED AND I THINK LIABILITY 2590 02:19:38,680 --> 02:19:39,720 IS A HUGE PROBLEM IN THE UNITED 2591 02:19:39,720 --> 02:19:39,960 STATES. 2592 02:19:39,960 --> 02:19:50,400 HOW CAN YOU ADDRESS THAT? 2593 02:19:53,880 --> 02:19:55,600 I THINK A LOT OF OUR LIABILITY 2594 02:19:55,600 --> 02:20:00,240 COMES FROM WHETHER YOU FOLLOW 2595 02:20:00,240 --> 02:20:03,120 THE STANDARD OF CARE OR NOT AND 2596 02:20:03,120 --> 02:20:05,120 WHETHER THERE'S BEEN A 2597 02:20:05,120 --> 02:20:05,600 DEVIATION. 2598 02:20:05,600 --> 02:20:11,920 THE COMMUNITY STANDARD WHICH IS 2599 02:20:11,920 --> 02:20:16,840 IMMENSE BASED DICTATES AND WE 2600 02:20:16,840 --> 02:20:17,480 NEED CHANGES TO CHANGE THINGS OR 2601 02:20:17,480 --> 02:20:26,800 SUPPORT THEM. 2602 02:20:26,800 --> 02:20:37,040 >>HEY, REZA. 2603 02:20:42,240 --> 02:20:44,120 >>WHY HAS INDUSTRY NOT CHECKED 2604 02:20:44,120 --> 02:20:45,640 IN AND TECHNOLOGIES WHETHER 2605 02:20:45,640 --> 02:20:49,240 PHARMA OR DEVICES THAT RELATE TO 2606 02:20:49,240 --> 02:20:52,320 COMMONLY PERFORMED PROCEDURES IN 2607 02:20:52,320 --> 02:20:55,520 OR ARE PART OF WHAT WE CALL 2608 02:20:55,520 --> 02:20:56,160 BUNDLED PAYMENTS. 2609 02:20:56,160 --> 02:21:02,520 THE CONCEPT OF CATARACT SURGERY 2610 02:21:02,520 --> 02:21:06,320 WHICH INCLUDES EVERYTHING FROM 2611 02:21:06,320 --> 02:21:11,080 THE ELEMENTS OF THE TUBING AND 2612 02:21:11,080 --> 02:21:15,360 DRAPES ARE ALL BUNDLED INTO ONE 2613 02:21:15,360 --> 02:21:18,360 COST WHERE SURGICAL COSTS ARE 2614 02:21:18,360 --> 02:21:20,600 PAID FOR BY MEDICARE OR ANOTHER 2615 02:21:20,600 --> 02:21:21,160 CARRIER. 2616 02:21:21,160 --> 02:21:27,000 BECAUSE OF THAT BUNDLE THE 2617 02:21:27,000 --> 02:21:33,680 MARGINS THAT COMPANIES CAN MAKE 2618 02:21:33,680 --> 02:21:34,800 VERY LIMITED. 2619 02:21:34,800 --> 02:21:40,720 UNLESS DOUG AND THE OTHERS DO 2620 02:21:40,720 --> 02:21:46,320 STUDIES THAT SHOW SIGNIFICANT A 2621 02:21:46,320 --> 02:21:53,240 SIGNIFICANT ADVANTAGE TO THEIR 2622 02:21:53,240 --> 02:21:57,600 HYPOTHESIS ADMINISTRATION 2623 02:21:57,600 --> 02:21:59,240 INTRACAMERALLY WILL LEAD TO 2624 02:21:59,240 --> 02:22:00,560 COMPLICATION. 2625 02:22:00,560 --> 02:22:05,440 THE COST WILL HAVE TO BE BUNDLED 2626 02:22:05,440 --> 02:22:09,080 AND THEREFORE BECOME IMPROBABLE. 2627 02:22:09,080 --> 02:22:10,520 SO INVESTORS TYPICALLY SHY AWAY 2628 02:22:10,520 --> 02:22:15,800 FROM THOSE ENTRIES AND IF THEY 2629 02:22:15,800 --> 02:22:19,400 MAKE AN AGREEMENT WITH A 2630 02:22:19,400 --> 02:22:24,240 SURGICAL SITE THEY'RE WILLING TO 2631 02:22:24,240 --> 02:22:34,680 PROVIDE THEY CAN'T GET IT 2632 02:22:39,120 --> 02:22:49,400 THROUGH AT THE COST. 2633 02:22:52,960 --> 02:22:55,760 AS COSTS GO UP IT WILL FORCE 2634 02:22:55,760 --> 02:22:59,080 CONSTRICTION OF AVAILABILITY OF 2635 02:22:59,080 --> 02:23:03,080 THE MOST COMMONLY PERFORMED AND 2636 02:23:03,080 --> 02:23:05,240 WOULD WORSEN DISPARITIES FOR 2637 02:23:05,240 --> 02:23:09,760 CATARACT CARE. 2638 02:23:09,760 --> 02:23:13,240 >>THANK YOU FOR YOUR TALK. 2639 02:23:13,240 --> 02:23:14,320 AND FOR THE QUESTIONS AFTER 2640 02:23:14,320 --> 02:23:15,080 THAT. 2641 02:23:15,080 --> 02:23:19,720 TO ME THE QUESTIONS HIGHLIGHT 2642 02:23:19,720 --> 02:23:21,360 IT'S IMPORTANT TO THINK ABOUT 2643 02:23:21,360 --> 02:23:23,080 OUR WORK WITHIN A BROADER 2644 02:23:23,080 --> 02:23:24,160 SOCIETAL CONTEXT. 2645 02:23:24,160 --> 02:23:30,080 YOU MENTIONED THINGS LIKE 2646 02:23:30,080 --> 02:23:34,880 ENVIRONMENT, SUSTAINABILITY, 2647 02:23:34,880 --> 02:23:36,680 COST EFFECTIVENESS AND 2648 02:23:36,680 --> 02:23:39,920 FEASIBILITY AND WHAT I'M TAKING 2649 02:23:39,920 --> 02:23:41,040 FROM THIS THERE ARE THINGS WE 2650 02:23:41,040 --> 02:23:43,240 SHOULD BE THINKING ABOUT IN 2651 02:23:43,240 --> 02:23:44,400 TERMS OF THE OUTPUT SHOULDN'T 2652 02:23:44,400 --> 02:23:48,240 JUST BE A RESEARCH PAPER THAT 2653 02:23:48,240 --> 02:23:49,120 GOES TO OPHTHALMOLOGY MAYBE WE 2654 02:23:49,120 --> 02:23:50,600 HAVE TO LOOK AT THESE OTHER 2655 02:23:50,600 --> 02:23:51,040 THINGS. 2656 02:23:51,040 --> 02:23:54,480 LET ME SUGGEST WE MOVE OVER AND 2657 02:23:54,480 --> 02:23:56,520 SWITCH TO ANNE BECAUSE I THINK 2658 02:23:56,520 --> 02:23:59,040 IT WILL BE A PERFECT SEGUE TO 2659 02:23:59,040 --> 02:24:09,480 WHAT SHE'S TALKING ABOUT. 2660 02:24:33,880 --> 02:24:37,360 >>I WANTED TO THANK YOU FOR 2661 02:24:37,360 --> 02:24:38,560 HAVING ME HERE TO SPEAK AND I 2662 02:24:38,560 --> 02:24:41,200 THINK YOU'LL SEE FROM MY 2663 02:24:41,200 --> 02:24:42,240 PRESENTATION A LOT OF PEOPLE 2664 02:24:42,240 --> 02:24:46,160 HOUMAM AND DOUG AND MEMBERS OF 2665 02:24:46,160 --> 02:24:47,720 THE COUNCIL HAVE ALL REFERRED TO 2666 02:24:47,720 --> 02:24:50,360 THE IMPORTANCE OF HEALTH 2667 02:24:50,360 --> 02:24:51,880 DISPARITIES IN FUTURE RESEARCH. 2668 02:24:51,880 --> 02:24:54,480 I DID WANT TO POINT OUT THE 2669 02:24:54,480 --> 02:24:57,120 NATIONAL EYE INSTITUTE HAS BEEN 2670 02:24:57,120 --> 02:24:58,440 ON THE FOREFRONT OF FUNDING 2671 02:24:58,440 --> 02:25:03,400 POPULATION HEALTH STUDIES. 2672 02:25:03,400 --> 02:25:06,120 YOU'LL SEE AS I GO THROUGH THE 2673 02:25:06,120 --> 02:25:07,600 STATUS AND KNOWLEDGE OF CATARACT 2674 02:25:07,600 --> 02:25:09,040 AND CATARACT SURGERY WE WOULDN'T 2675 02:25:09,040 --> 02:25:10,320 BE WHERE WE ARE WITHOUT THE 2676 02:25:10,320 --> 02:25:12,600 NATIONAL EYE INSTITUTE AND THE 2677 02:25:12,600 --> 02:25:14,680 FUNDING AND THIS COUNCIL AND OUR 2678 02:25:14,680 --> 02:25:15,400 PRIOR COUNCILS. 2679 02:25:15,400 --> 02:25:19,360 I JUST WANTED TO THANK EVERYBODY 2680 02:25:19,360 --> 02:25:20,680 AND THE PROJECT OFFICERS AND THE 2681 02:25:20,680 --> 02:25:23,840 WHOLE ORGANIZATION FOR 2682 02:25:23,840 --> 02:25:25,800 EVERYTHING YOU'VE DONE TO MAKE A 2683 02:25:25,800 --> 02:25:26,560 DIFFERENCE IN THE HEALTH CARE 2684 02:25:26,560 --> 02:25:29,600 NOT JUST FOR THE UNITED STATES 2685 02:25:29,600 --> 02:25:30,320 BUT FOR THE WORLD. 2686 02:25:30,320 --> 02:25:33,000 I DON'T KNOW IF YOU GET THANKS 2687 02:25:33,000 --> 02:25:38,400 TOO OFTEN BUT WANT TO THANK YOU 2688 02:25:38,400 --> 02:25:40,200 FOR THAT BECAUSE IT'S VIT YAL. 2689 02:25:40,200 --> 02:25:45,600 TO DESCRIBE WHAT'S ON THE SLIDE, 2690 02:25:45,600 --> 02:25:50,440 TO THE LEFT IS A PICTURE OF THE 2691 02:25:50,440 --> 02:25:54,360 CAMPUS OF OPHTHALMOLOGY FOR 2692 02:25:54,360 --> 02:25:55,520 UCLA. 2693 02:25:55,520 --> 02:25:59,840 FOR THE JULE STEIN EYE 2694 02:25:59,840 --> 02:26:00,800 INSTITUTE AND WE HAVE THREE 2695 02:26:00,800 --> 02:26:01,080 BUILDINGS. 2696 02:26:01,080 --> 02:26:09,560 WE'VE BEEN AFFILIATED WITH THE 2697 02:26:09,560 --> 02:26:11,080 DOHENY EYE INSTITUTE THE 2698 02:26:11,080 --> 02:26:13,360 AFFILIATION WAS SIGNED IN 2013. 2699 02:26:13,360 --> 02:26:15,560 THEY HAD A NEW BUILDING THEY 2700 02:26:15,560 --> 02:26:17,200 PURCHASED IN PASADENA WHERE WE 2701 02:26:17,200 --> 02:26:19,080 HAVE TWO FLOORS OF RESEARCH AND 2702 02:26:19,080 --> 02:26:21,520 ONE FLOOR CLINICAL AND WE'LL 2703 02:26:21,520 --> 02:26:24,600 ALSO BE BUILDING AN AMBULATORY 2704 02:26:24,600 --> 02:26:25,440 SURGERY CENTER. 2705 02:26:25,440 --> 02:26:27,160 BUT WHERE I COME FROM JUST TO 2706 02:26:27,160 --> 02:26:31,560 HAVE AN IDEA OF WHAT'S HAPPENING 2707 02:26:31,560 --> 02:26:32,520 AT UCLA. 2708 02:26:32,520 --> 02:26:34,720 IN TERMS OF POPULATION HEALTH 2709 02:26:34,720 --> 02:26:37,160 AND CATARACT I WAS ASKED TO 2710 02:26:37,160 --> 02:26:40,080 FOCUS ON GAPS AND OPPORTUNITIES 2711 02:26:40,080 --> 02:26:41,400 AND FINANCIAL DISCLOSURE. 2712 02:26:41,400 --> 02:26:45,040 WAS RECENTLY A CONSULTANT FOR 2713 02:26:45,040 --> 02:26:49,600 THE ALCON INSTITUTE FOR STUDIES 2714 02:26:49,600 --> 02:26:53,200 ON GLAUCOMA AND TO REMIND YOU 2715 02:26:53,200 --> 02:26:59,040 WHAT EVERYBODY'S BEEN TALKING 2716 02:26:59,040 --> 02:27:04,480 ABOUT CATARACTS IS COMMON IN THE 2717 02:27:04,480 --> 02:27:05,920 UNITED STATES AND YOU DON'T HEAR 2718 02:27:05,920 --> 02:27:06,720 PEOPLE IN THE STREET COMPLAINING 2719 02:27:06,720 --> 02:27:08,480 BECAUSE WE HAVE A SURGERY. 2720 02:27:08,480 --> 02:27:13,440 WE DO CONSIDER IT TREATABLE BUT 2721 02:27:13,440 --> 02:27:16,520 IT DOES CAUSE AGE-RELATED VISION 2722 02:27:16,520 --> 02:27:17,800 LOSS AND YOU'LL SEE IN THE TALK 2723 02:27:17,800 --> 02:27:19,640 THERE'S A CATARACT BURDEN IN THE 2724 02:27:19,640 --> 02:27:20,320 UNITED STATES. 2725 02:27:20,320 --> 02:27:21,760 A LOT OF TIMES WE TALKED ABOUT 2726 02:27:21,760 --> 02:27:23,080 THE CATARACT BURDEN IN 2727 02:27:23,080 --> 02:27:24,480 DEVELOPING WORLD BUT WE ALSO 2728 02:27:24,480 --> 02:27:27,040 HAVE IT IN THE DEVELOPED WORLD. 2729 02:27:27,040 --> 02:27:29,200 AND MORE THAN HALF OF AMERICANS 2730 02:27:29,200 --> 02:27:34,160 GREATER THAN 80 ARE LIVING WITH 2731 02:27:34,160 --> 02:27:38,320 CATARACTS AND THIS IS ASSOCIATED 2732 02:27:38,320 --> 02:27:39,080 WITH INCREASE MORBIDITY AND 2733 02:27:39,080 --> 02:27:40,880 MORTALITY ASSOCIATED WITH THAT. 2734 02:27:40,880 --> 02:27:46,600 IN ADDITION WE HAVE DONE 2735 02:27:46,600 --> 02:27:51,160 POPULATION-BASED STUDIES TO 2736 02:27:51,160 --> 02:27:52,360 SAMPLES FROM THE POPULATION AND 2737 02:27:52,360 --> 02:27:53,240 WE FIGURED IT OUT IN THE UNITED 2738 02:27:53,240 --> 02:27:55,320 STATES AND DEVELOPING WORLD WHEN 2739 02:27:55,320 --> 02:27:56,760 YOU LOOK AT THE UNITED STATES 2740 02:27:56,760 --> 02:27:59,360 IT'S VERY INTERESTING BUT IT 2741 02:27:59,360 --> 02:28:04,640 REALLY RANGES WHAT IS THE 2742 02:28:04,640 --> 02:28:11,080 PREVALENCE OF CATARACT IT'S 2.8% 2743 02:28:11,080 --> 02:28:13,960 TO 27.1% IN THE BALTIMORE 2744 02:28:13,960 --> 02:28:16,480 NURSING HOME RESIDENCE STUDY IN 2745 02:28:16,480 --> 02:28:26,960 THE LATE '80s I WAS ASKED TO 2746 02:28:34,320 --> 02:28:36,360 MENTION CATARACT SURGERY IS 2747 02:28:36,360 --> 02:28:37,200 EXTREMELY EFFECTIVE AND A LOT OF 2748 02:28:37,200 --> 02:28:38,600 TIMES THERE'S POLICIES LIKE 2749 02:28:38,600 --> 02:28:44,120 LET'S TAKE OUT THE CATARACT IN 2750 02:28:44,120 --> 02:28:45,880 ONE EYE. 2751 02:28:45,880 --> 02:28:49,160 IF YOU DO SURGERY IN ONE EYE DO 2752 02:28:49,160 --> 02:28:51,600 YOU NEED TO DO IT IN THE SECOND 2753 02:28:51,600 --> 02:28:55,120 EYE AND IT HELPS RESTORE 2754 02:28:55,120 --> 02:28:57,040 BINOCULAR VISION. 2755 02:28:57,040 --> 02:28:58,560 THIS MAKES A DIFFERENCE IN THE 2756 02:28:58,560 --> 02:29:00,560 QUALITY-ADJUSTED LIFE YEARS YOU 2757 02:29:00,560 --> 02:29:02,200 GET A GAIN OF 1.6 YEARS FOR THE 2758 02:29:02,200 --> 02:29:04,560 FIRST EYE SURGERY AND DOUBLES 2759 02:29:04,560 --> 02:29:15,000 2.8 FOR BILATERAL SURGERY. 2760 02:29:22,960 --> 02:29:24,720 AND YOU HAVE A 50% REDUCTION 2761 02:29:24,720 --> 02:29:27,120 AFTER THE SECOND EYE SURGERY. 2762 02:29:27,120 --> 02:29:29,320 IT'S WORTH IT TO TAKE OUT THE 2763 02:29:29,320 --> 02:29:32,320 SECOND CATARACT. 2764 02:29:32,320 --> 02:29:34,240 WE HAVE DONE STUDIES 2765 02:29:34,240 --> 02:29:37,080 POPULATION-BASED AND THIS WAS A 2766 02:29:37,080 --> 02:29:38,000 WHILE AGO BACK IN THE BALTIMORE 2767 02:29:38,000 --> 02:29:40,600 EYE SURVEY ONCE AGAIN IN THE 2768 02:29:40,600 --> 02:29:43,080 LATE 80s AND EARLY 90s. 2769 02:29:43,080 --> 02:29:45,840 THE CATARACT PREVALENCE IN THE 2770 02:29:45,840 --> 02:29:48,000 BLACK POPULATION WAS 15.9 PER 2771 02:29:48,000 --> 02:29:50,680 THOUSAND AND THAT WAS GREATER 2772 02:29:50,680 --> 02:29:52,960 THAN IN THE WHITE POPULATION 9.1 2773 02:29:52,960 --> 02:29:54,000 PER 1,000. 2774 02:29:54,000 --> 02:29:58,080 WE ALSO FOUND WITH SHEILA WEST 2775 02:29:58,080 --> 02:29:58,720 IN THE EVALUATION PROJECT BLACK 2776 02:29:58,720 --> 02:30:01,240 PARTICIPANT FOUR TIMES MORE 2777 02:30:01,240 --> 02:30:05,720 LIKELY TO HAVE CORTICOCATARACTS 2778 02:30:05,720 --> 02:30:07,680 THEN THE WHITE PARTICIPANTS AND 2779 02:30:07,680 --> 02:30:08,960 THE WHITE PARTICIPANTS WERE TWO 2780 02:30:08,960 --> 02:30:10,960 TIMES MORE LIKELY TO HAVE 2781 02:30:10,960 --> 02:30:12,280 CATARACT SURGERY COMPARED TO 2782 02:30:12,280 --> 02:30:12,840 BLACK PARTICIPANTS. 2783 02:30:12,840 --> 02:30:14,800 AGAIN THIS WAS BACK IN THE '90s. 2784 02:30:14,800 --> 02:30:16,360 AT THAT POINT WE WERE FINDING 2785 02:30:16,360 --> 02:30:18,040 THERE WAS A DIFFERENCE IN THE 2786 02:30:18,040 --> 02:30:19,080 PREVALENCES AND THERE WAS A BIG 2787 02:30:19,080 --> 02:30:24,240 DIFFERENCE IN ACCESS. 2788 02:30:24,240 --> 02:30:25,640 PEOPLE STARTED WORKING ON IT A 2789 02:30:25,640 --> 02:30:26,080 LITTLE BIT. 2790 02:30:26,080 --> 02:30:31,520 ONE OF THE ISSUES YOU'LL SEE IS 2791 02:30:31,520 --> 02:30:32,600 A LOT OF OUR RESEARCH HAS 2792 02:30:32,600 --> 02:30:32,920 STOPPED. 2793 02:30:32,920 --> 02:30:33,520 WHY IS THAT? 2794 02:30:33,520 --> 02:30:35,280 YOU HAVE TO HAVE MONEY AND 2795 02:30:35,280 --> 02:30:40,720 RESOURCES BECAUSE THAT'S WHY ME 2796 02:30:40,720 --> 02:30:41,120 INVESTIGATORS GO. 2797 02:30:41,120 --> 02:30:43,000 WOULD WERE FINDING THE PROBLEM 2798 02:30:43,000 --> 02:30:45,320 BACK IN THE '90s AND I THOUGHT 2799 02:30:45,320 --> 02:30:48,760 THAT WAS A WELL RESEARCHED AREA 2800 02:30:48,760 --> 02:30:50,040 BUT FOR WHATEVER REASON THE 2801 02:30:50,040 --> 02:30:51,720 RESEARCH DIDN'T BLOSSOM AS YOU 2802 02:30:51,720 --> 02:30:52,840 WOULD HAVE THOUGHT. 2803 02:30:52,840 --> 02:30:54,320 WE DIDN'T SOLVE THE PROBLEM. 2804 02:30:54,320 --> 02:30:56,560 HERE WE ARE, 30 YEARS LATER 2805 02:30:56,560 --> 02:31:02,200 STILL WITH A REAL ISSUE AND 2806 02:31:02,200 --> 02:31:05,320 CATARACT BURDEN IN DIFFERENT 2807 02:31:05,320 --> 02:31:09,920 ETHNIC AND RACIAL GROUPS AND IN 2808 02:31:09,920 --> 02:31:15,840 THE LATINO WE FOUND A 2809 02:31:15,840 --> 02:31:17,640 DISCREPANCY AND HISPANICS WERE 2810 02:31:17,640 --> 02:31:19,200 AT HIGHER RISK THAN HAVING 2811 02:31:19,200 --> 02:31:20,840 CATARACTS THAN BLACKS AND WHITES 2812 02:31:20,840 --> 02:31:23,640 WERE AT 2.5%. 2813 02:31:23,640 --> 02:31:28,280 IN THE LOS ANGELES LATINA EYE 2814 02:31:28,280 --> 02:31:31,720 STUDY LATINO ADULTS HAD A LARGE 2815 02:31:31,720 --> 02:31:40,760 UNMET NEED FOR CATARACT SURGERY 2816 02:31:40,760 --> 02:31:43,120 THE STUDIES JUST COME IN AND 2817 02:31:43,120 --> 02:31:44,360 THEY'RE AL. 2818 02:31:44,360 --> 02:31:46,840 THE STUDY MAY REFER A PATIENT 2819 02:31:46,840 --> 02:31:48,840 FOR CATARACT SURGERY BUT THERE'S 2820 02:31:48,840 --> 02:31:51,040 REAL NO FOLLOW-UP WHETHER THEY 2821 02:31:51,040 --> 02:31:51,600 GET IT. 2822 02:31:51,600 --> 02:31:53,240 SO MISSED OPPORTUNITY IN TERMS 2823 02:31:53,240 --> 02:31:55,280 OF LOOKING AT ACCESS AND THOSE 2824 02:31:55,280 --> 02:31:57,960 BARRIERS. 2825 02:31:57,960 --> 02:32:00,520 RISK FACTORS FOR NOT HAVING 2826 02:32:00,520 --> 02:32:02,680 CATARACT SURGERY WAS BEING 2827 02:32:02,680 --> 02:32:05,560 UNINSURED. 2828 02:32:05,560 --> 02:32:09,800 WAS THERE A 2.7 ODDS RATIO AND 2829 02:32:09,800 --> 02:32:11,800 REPORTING BARRIERS TO ACCESS, 2830 02:32:11,800 --> 02:32:15,120 2.41. 2831 02:32:15,120 --> 02:32:17,840 THIS IS IN LOS ANGELES. 2832 02:32:17,840 --> 02:32:20,880 YOU DO HAVE THE EYE INSTITUTE 2833 02:32:20,880 --> 02:32:29,240 AND ON THATMOLOGISTS. 2834 02:32:29,240 --> 02:32:32,200 -- OPHTHALMOLOGISTS AND IN TERMS 2835 02:32:32,200 --> 02:32:42,720 OF CHINESE-AMERICAN EYE STUDY IN 2836 02:32:48,200 --> 02:32:48,520 MON 2837 02:32:48,520 --> 02:32:58,160 MONTEREY PARK AND THERE WAS THE 2838 02:32:58,160 --> 02:32:58,880 AFRICAN AMERICAN IN THE BARBADOS 2839 02:32:58,880 --> 02:32:59,840 EYE STUDY. 2840 02:32:59,840 --> 02:33:01,800 THERE'S A DISPARITY FOR THE 2841 02:33:01,800 --> 02:33:03,080 PREVALENCE OF CATARACT AND 2842 02:33:03,080 --> 02:33:13,400 CATARACT SURGERY. 2843 02:33:16,320 --> 02:33:26,760 A AND THERE'S ONE THING IN 2844 02:33:30,600 --> 02:33:32,080 TERMS OF A COMMON TERMINOLOGY. 2845 02:33:32,080 --> 02:33:34,440 WHAT CAN BE VISUALLY SIGNIFICANT 2846 02:33:34,440 --> 02:33:37,600 TO ONE PRACTITIONER CAN BE TO 2847 02:33:37,600 --> 02:33:38,640 ANOTHER IN INVESTIGATORS IT'S 2848 02:33:38,640 --> 02:33:40,200 IMPORTANT TO SEE WHETHER THE 2849 02:33:40,200 --> 02:33:42,640 STUDY IS GENERALIZED TO THE PAR 2850 02:33:42,640 --> 02:33:44,160 GET POPULATION AND HOW 2851 02:33:44,160 --> 02:33:46,080 TRANSPORTABLE THEY HAVE TO A 2852 02:33:46,080 --> 02:33:46,720 TOTALLY DIFFERENT POPULATION. 2853 02:33:46,720 --> 02:33:50,560 POPULATION BASED STUDIES ARE 2854 02:33:50,560 --> 02:33:50,920 QUITE COSTLY. 2855 02:33:50,920 --> 02:33:52,360 THEY'RE ALSO LOGISTIC 2856 02:33:52,360 --> 02:33:52,680 CHALLENGES. 2857 02:33:52,680 --> 02:33:53,920 WHEN A LOT OF THE STUDIES WERE 2858 02:33:53,920 --> 02:33:56,720 DONE IT WAS DONE BY CENSUS 2859 02:33:56,720 --> 02:33:59,120 TRACKS. 2860 02:33:59,120 --> 02:34:03,120 YOU WENT TO HOMES AND TO 2861 02:34:03,120 --> 02:34:05,240 APARTMENT BUILDINGS. 2862 02:34:05,240 --> 02:34:06,800 WHAT ABOUT PEOPLE HOUSING 2863 02:34:06,800 --> 02:34:07,040 INSECURED. 2864 02:34:07,040 --> 02:34:08,400 THEY'RE ALSO IN OUR 2865 02:34:08,400 --> 02:34:12,520 NEIGHBORHOODS NOW. 2866 02:34:12,520 --> 02:34:13,840 THOSE INDIVIDUALS ARE NOT CAUGHT 2867 02:34:13,840 --> 02:34:14,640 IN STUDIES LIKE THIS. 2868 02:34:14,640 --> 02:34:17,240 IN ADDITION THE REASON THE 2869 02:34:17,240 --> 02:34:18,400 BALTIMORE NURSING HOME STUDY WAS 2870 02:34:18,400 --> 02:34:20,440 DONE, IF YOU HAVE A NURSING HOME 2871 02:34:20,440 --> 02:34:22,040 IN THAT RACKET WILL YOU COUNT 2872 02:34:22,040 --> 02:34:22,360 IT? 2873 02:34:22,360 --> 02:34:26,280 IS THAT REPRESENT OF WHAT YOU'RE 2874 02:34:26,280 --> 02:34:28,040 FINDING OUT IN THE COMMUNITY? 2875 02:34:28,040 --> 02:34:31,360 SO LOOKING AT THE NATIONAL 2876 02:34:31,360 --> 02:34:33,120 HEALTH AND NUTRITION EXAMINE 2877 02:34:33,120 --> 02:34:38,120 SURVEY AND N HANES. 2878 02:34:38,120 --> 02:34:39,440 AS THE BEEN A SURVEY DEVE DONE 2879 02:34:39,440 --> 02:34:41,240 WORK WITH AT UCLA AND HAS GREAT 2880 02:34:41,240 --> 02:34:45,640 DATA. 2881 02:34:45,640 --> 02:34:47,320 THE LAST TIME CATARACT WAS 2882 02:34:47,320 --> 02:34:53,080 ASSESSED WAS DONE BY AN EYE 2883 02:34:53,080 --> 02:34:58,560 EXAMINATION IN 1971 TO '72. 2884 02:34:58,560 --> 02:35:00,840 THAT MADE -- THAT MADE IT DONE 2885 02:35:00,840 --> 02:35:06,320 BY 91 RESIDENTS WERE LOOKING AT 2886 02:35:06,320 --> 02:35:08,760 ALL THE PATIENTS AND EVALUATING 2887 02:35:08,760 --> 02:35:09,160 THE CATARACTS. 2888 02:35:09,160 --> 02:35:12,120 AFTER THAT TIME THEY DIDN'T HAVE 2889 02:35:12,120 --> 02:35:14,400 IT BY EXAMINE FOR CATARACTS. 2890 02:35:14,400 --> 02:35:16,720 THEY FOUND BLACK PARTICIPANTS 2891 02:35:16,720 --> 02:35:19,080 WERE 1.31 MORE TIMES LIKELY TO 2892 02:35:19,080 --> 02:35:22,240 HAVE CATARACT THAN THE WHITE 2893 02:35:22,240 --> 02:35:27,040 COUNTERPARTS AND RURAL 2894 02:35:27,040 --> 02:35:28,280 PARTICIPANTS WERE MORE LIKELY 2895 02:35:28,280 --> 02:35:33,640 AND THIS WAS BACK IN THE '70s. 2896 02:35:33,640 --> 02:35:36,760 THE DATA REALLY HASN'T CHANGED. 2897 02:35:36,760 --> 02:35:40,880 IN TERMS OF THE N HANES. 2898 02:35:40,880 --> 02:35:41,960 HAVE BEEN DOING SELF-REPORT AND 2899 02:35:41,960 --> 02:35:43,040 BLACK REPRESENTS WERE LESS 2900 02:35:43,040 --> 02:35:46,160 LIKELY TO HAVE RECEIVED CATARACT 2901 02:35:46,160 --> 02:35:48,200 SURGERY BY SELF-REPORT AND FOR 2902 02:35:48,200 --> 02:35:51,160 NON-HISPANIC WHITES IT WAS 19.3% 2903 02:35:51,160 --> 02:35:54,200 FOR NON-HISPANIC BLACKS WAS 2904 02:35:54,200 --> 02:35:59,080 16.4% AND FOR MEXICAN AMERICANS 2905 02:35:59,080 --> 02:36:00,040 WAS 20.5%. 2906 02:36:00,040 --> 02:36:00,560 THESE WERE STATISTICALLY 2907 02:36:00,560 --> 02:36:05,680 SIGNIFICANT DIFFERENCES. 2908 02:36:05,680 --> 02:36:13,080 WHEN YOU LOOK LATER IN '94 TO 2909 02:36:13,080 --> 02:36:23,080 2005 TO 2008, THE PREVALENCE WAS 2910 02:36:23,080 --> 02:36:24,240 AS LISTED. 2911 02:36:24,240 --> 02:36:31,480 IT ACTUALLY DECREASED. 2912 02:36:31,480 --> 02:36:32,880 ALL OF A SUDDEN WE HAVE A 2913 02:36:32,880 --> 02:36:34,800 PREVALENCE OF LESS CATARACT 2914 02:36:34,800 --> 02:36:37,920 SURGERY BY SELF-REPORT IN THE. 2915 02:36:37,920 --> 02:36:39,360 FOR ALL THE ETHNIC RACIAL 2916 02:36:39,360 --> 02:36:49,160 GROUPS. 2917 02:36:49,160 --> 02:36:50,400 I THINK THERE'S A GREAT 2918 02:36:50,400 --> 02:36:55,640 INITIATIVE AND A SUGGESTION IS 2919 02:36:55,640 --> 02:36:59,920 LOOKING AT THE NHANES AND THEY 2920 02:36:59,920 --> 02:37:01,360 WERE SELECTED TO REPRESENT THE 2921 02:37:01,360 --> 02:37:02,880 ENTIRE U.S. POPULATION. 2922 02:37:02,880 --> 02:37:05,240 THEY DO DO OVER SAMPLING NOW. 2923 02:37:05,240 --> 02:37:06,280 IN THE PAST THEY DIDN'T. 2924 02:37:06,280 --> 02:37:09,880 THEY OVER SAMPLED RESULTS 60 AND 2925 02:37:09,880 --> 02:37:12,480 OLDER, BLACKS, HISPANICS AND 2926 02:37:12,480 --> 02:37:13,320 LOW-INCOME AND NON-HISPANIC 2927 02:37:13,320 --> 02:37:20,680 WHITES AND OTHER ADULTS. 2928 02:37:20,680 --> 02:37:22,800 THE LAST YEAR WAS IN 2005 AND 2929 02:37:22,800 --> 02:37:24,600 2008 AND THAT WAS VISUAL 2930 02:37:24,600 --> 02:37:25,600 FUNCTIONING, SERVICE UTILIZATION 2931 02:37:25,600 --> 02:37:28,400 IN TERMS OF CATARACT SURGERY AND 2932 02:37:28,400 --> 02:37:31,080 HIGH HEALTH CONDITIONS WHICH THE 2933 02:37:31,080 --> 02:37:38,520 INDIVIDUALS SELF-REPORT. 2934 02:37:38,520 --> 02:37:41,520 THEY HAD EYE EXAM VISUALS AND 2935 02:37:41,520 --> 02:37:46,080 LOOKED FOR GLAUCOMA AND DIABETIC 2936 02:37:46,080 --> 02:37:51,760 REP -- RETINOPATHY. 2937 02:37:51,760 --> 02:37:55,320 THAT WAS IN THE '70s. 2938 02:37:58,320 --> 02:37:59,600 NHANES HAS INFRASTRUCTURE FOR 2939 02:37:59,600 --> 02:38:01,800 EXAMINES AND THEY HAVE HEALTH 2940 02:38:01,800 --> 02:38:05,800 DATA AND EDUCATION, INCOME, 2941 02:38:05,800 --> 02:38:07,080 EMPLOYMENT FOOD INSECURITY AND 2942 02:38:07,080 --> 02:38:07,880 HOUSING. 2943 02:38:07,880 --> 02:38:09,320 I'M NOT SURE THEY HAVE 2944 02:38:09,320 --> 02:38:11,080 DISABILITY DATA BUT I THINK IT'S 2945 02:38:11,080 --> 02:38:12,640 A GOOD POINT AND NEEDS TO BE 2946 02:38:12,640 --> 02:38:13,760 INCLUDED IN OUR ANALYSIS WHEN 2947 02:38:13,760 --> 02:38:21,680 WE'RE LOOKING AT DISPARITIES. 2948 02:38:21,680 --> 02:38:25,400 THEY DO SAMPLING OF MEDICALLY 2949 02:38:25,400 --> 02:38:27,440 UNDER SERVED INCOMES AND 2950 02:38:27,440 --> 02:38:28,520 MINORITIZED GROUPS AND ONE OF 2951 02:38:28,520 --> 02:38:33,800 THE THINGS IS THEY'RE NOT JUST 2952 02:38:33,800 --> 02:38:35,240 LOOKING AT EYES. 2953 02:38:35,240 --> 02:38:37,600 THEY'RE LOOKING AT ALL OF HEALTH 2954 02:38:37,600 --> 02:38:38,800 AND IT'S A RICH DATA SET IN 2955 02:38:38,800 --> 02:38:40,440 TERMS OF THE ABILITY TO ASK 2956 02:38:40,440 --> 02:38:41,240 UNIQUE QUESTIONS AND GET 2957 02:38:41,240 --> 02:38:47,080 ANSWERS. 2958 02:38:47,080 --> 02:38:50,200 THERE'S THE POSSIBILITY OF 2959 02:38:50,200 --> 02:38:50,760 INNOVATING WITH THE MOBILE 2960 02:38:50,760 --> 02:38:52,000 HEALTH TECHNOLOGY I'LL BRING UP 2961 02:38:52,000 --> 02:38:52,200 LATER. 2962 02:38:52,200 --> 02:38:53,240 THAT'S AN OPPORTUNITY TO 2963 02:38:53,240 --> 02:38:53,840 CONSIDER FOR THE NATIONAL EYE 2964 02:38:53,840 --> 02:39:04,000 INSTITUTE. 2965 02:39:04,440 --> 02:39:06,280 THERE'S FEMALE SEX, LOWER 2966 02:39:06,280 --> 02:39:09,080 INCOME, LOWER EDUCATIONAL 2967 02:39:09,080 --> 02:39:09,600 ATTAINMENT, INTELLECTUAL 2968 02:39:09,600 --> 02:39:14,760 DISABILITY AND RESIDENT OF 2969 02:39:14,760 --> 02:39:17,640 NURSING HOME FACILITIES. 2970 02:39:17,640 --> 02:39:18,880 AND OTHERS HAVEN'T BEEN 2971 02:39:18,880 --> 02:39:19,320 ADDRESSED. 2972 02:39:19,320 --> 02:39:21,880 ANOTHER DATA SOURCE MENTIONED IS 2973 02:39:21,880 --> 02:39:23,480 THE NIH "ALL OF US" RESEARCH 2974 02:39:23,480 --> 02:39:30,800 PROGRAM. 2975 02:39:30,800 --> 02:39:35,920 THIS IS TO BUILD HEALTH SURVEYS 2976 02:39:35,920 --> 02:39:38,160 AND PHYSICAL MEASUREMENTS AND 2977 02:39:38,160 --> 02:39:40,360 BIO SPECIMENS AND MORE AND IT'S 2978 02:39:40,360 --> 02:39:42,240 A VERY EXCITING DATABASE. 2979 02:39:42,240 --> 02:39:46,440 AND IT IS OPEN TO THE PUBLIC TO 2980 02:39:46,440 --> 02:39:48,840 USE AND CAN LOOK AT DIFFERENT 2981 02:39:48,840 --> 02:39:51,120 RISK FACTORS INTERACTING AND THE 2982 02:39:51,120 --> 02:39:53,120 EFFECT MODELS AND ONE OF THE 2983 02:39:53,120 --> 02:39:57,840 NICE THINGS ABOUT THE DATA SET 2984 02:39:57,840 --> 02:39:59,240 IS YOU CAN START LOOKING NOT 2985 02:39:59,240 --> 02:40:03,120 JUST AS A RISK FACTOR IN 2986 02:40:03,120 --> 02:40:03,360 ISOLATION. 2987 02:40:03,360 --> 02:40:07,120 LOOK AT THE COMBINED EFFECT OF 2988 02:40:07,120 --> 02:40:08,880 RISK FACTORS BECAUSE WE DON'T 2989 02:40:08,880 --> 02:40:10,600 JUST ALL LIVE IN A CERTAIN TYPE 2990 02:40:10,600 --> 02:40:11,280 OF WORLD. 2991 02:40:11,280 --> 02:40:13,160 THE WORLD HAS IN INTERACTIONS 2992 02:40:13,160 --> 02:40:14,360 WITH DIFFERENT RISK FACTORS IN 2993 02:40:14,360 --> 02:40:19,200 THE WORLD WE LIVE IN. 2994 02:40:19,200 --> 02:40:20,680 IT'S NICE YOU CAN LOOK THAT THE. 2995 02:40:20,680 --> 02:40:22,640 I DO THINK ADDING THE IMAGING 2996 02:40:22,640 --> 02:40:28,680 DATA WOULD BE GREAT WITH THE 2997 02:40:28,680 --> 02:40:35,920 "ALL OF US". 2998 02:40:35,920 --> 02:40:37,880 IT IS KIND OF A CONVENIENCE 2999 02:40:37,880 --> 02:40:39,560 SAMPLE AND THERE WILL BE A LARGE 3000 02:40:39,560 --> 02:40:41,160 PROPORTION THAT WON'T DO THAT 3001 02:40:41,160 --> 02:40:46,640 FOR PRIVACY ISSUES FOR ONE. 3002 02:40:46,640 --> 02:40:51,120 ARE YOU GOING TO ALLOW YOUR 3003 02:40:51,120 --> 02:40:56,200 RETINAL IMAGE TO A DATA SET TO 3004 02:40:56,200 --> 02:41:01,880 IDENTIFY AS THEY DID IN THE 3005 02:41:01,880 --> 02:41:05,160 TERMINATOR MOVIE. 3006 02:41:05,160 --> 02:41:05,680 PEOPLE MAY BE HESITANT. 3007 02:41:05,680 --> 02:41:06,960 NOT EVERYBODY BUT SOME PEOPLE. 3008 02:41:06,960 --> 02:41:08,760 HOW WILL WE REACH THE HOUSING 3009 02:41:08,760 --> 02:41:11,640 INSECURED INDIVIDUALS OR 3010 02:41:11,640 --> 02:41:13,480 INDIVIDUALS THAT AREN'T AWARE 3011 02:41:13,480 --> 02:41:19,000 THERE IS THIS OPPORTUNITY OR 3012 02:41:19,000 --> 02:41:21,840 HAVE ACCESS TO THE INTERNET 3013 02:41:21,840 --> 02:41:27,840 WHICH WE ALL TAKE FOR GRANTED. 3014 02:41:27,840 --> 02:41:31,480 IN ADDITION I THINK WE HAVE THE 3015 02:41:31,480 --> 02:41:34,080 DATA AND THE NATIONAL ACADEMY OF 3016 02:41:34,080 --> 02:41:37,400 SCIENCES AND MEDICINE CAPTURING 3017 02:41:37,400 --> 02:41:38,080 SOCIAL DETERMINATES OF HEALTH IN 3018 02:41:38,080 --> 02:41:43,040 THE ELECTRONIC HEALTH RECORDS 3019 02:41:43,040 --> 02:41:47,080 AND STARTED TO SEE THAT THE 3020 02:41:47,080 --> 02:41:57,640 VENDORS ARE STARTING TO CAPTURE 3021 02:42:03,040 --> 02:42:05,680 SOCIAL DETERMINATES AND THEY HAD 3022 02:42:05,680 --> 02:42:06,520 HISTORY FREELDZ BUT STILL ONLY 3023 02:42:06,520 --> 02:42:10,920 12%. 3024 02:42:10,920 --> 02:42:20,560 NOT EVEN 20%. 3025 02:42:20,560 --> 02:42:21,560 REEMPHASIZING WE HAVE HIDDEN 3026 02:42:21,560 --> 02:42:24,320 POPULATIONS NOT JUST AROUND THE 3027 02:42:24,320 --> 02:42:25,600 WORLD BUT IN THE UNITED STATES 3028 02:42:25,600 --> 02:42:26,800 AND OUR TRADITIONAL SAMPLING 3029 02:42:26,800 --> 02:42:28,360 METHODS AND POPULATION-BASED 3030 02:42:28,360 --> 02:42:31,080 STUDIES, THE CLAIMS DATA WORK 3031 02:42:31,080 --> 02:42:38,080 WITH MEDICARE, ELECTRONIC DATA 3032 02:42:38,080 --> 02:42:48,560 ANALYSIS WITH HOW MUCH ULTRA 3033 02:43:07,120 --> 02:43:11,080 VIOLATE RADIATION ARE PEOPLE 3034 02:43:11,080 --> 02:43:16,240 EXPOSED TO AND AMBIENT AIR FOR 3035 02:43:16,240 --> 02:43:19,560 PEOPLE FACING THAT WITH HOUSING 3036 02:43:19,560 --> 02:43:19,880 INSECURITY. 3037 02:43:19,880 --> 02:43:22,600 SOME OPTIONS ARE TWO 3038 02:43:22,600 --> 02:43:22,920 PHOTOGRAPHS. 3039 02:43:22,920 --> 02:43:24,520 ONE SHOWING A SMARTPHONE WITH A 3040 02:43:24,520 --> 02:43:26,200 LENS TO LOOK AT THE EYE AND 3041 02:43:26,200 --> 02:43:28,480 ANOTHER OF THE EYE WITH THE 3042 02:43:28,480 --> 02:43:30,520 CATARACT AND THERE HAS BEEN A 3043 02:43:30,520 --> 02:43:33,120 STUDY LOOKING AT MOBILE HEALTH 3044 02:43:33,120 --> 02:43:34,280 TO INCREASE SCREENING FOR DAT 3045 02:43:34,280 --> 02:43:38,240 RACKETS AND THIS IS A STUDY OF 3046 02:43:38,240 --> 02:43:41,880 78 SAN FRANCISCO BAY AREA 3047 02:43:41,880 --> 02:43:44,080 NURSING SKILLED RESIDENTS USING 3048 02:43:44,080 --> 02:43:48,680 SMARTPHONE BASED APPLICATION AND 3049 02:43:48,680 --> 02:43:51,280 OPHTHALMIC SYSTEM AND FOUND 3050 02:43:51,280 --> 02:44:01,800 CATARACT IN 51% OF PARTICIPANTS. 3051 02:44:07,160 --> 02:44:12,320 AND HAVING THE OPHTHALMOLOGIST 3052 02:44:12,320 --> 02:44:13,680 IMPROVED THE DIAGNOSIS IN 42% OF 3053 02:44:13,680 --> 02:44:14,040 THE EYES. 3054 02:44:14,040 --> 02:44:16,440 THAT MADE AN IMPACT IN TERMS OF 3055 02:44:16,440 --> 02:44:18,960 69% OF THE PATIENTS WHETHER OR 3056 02:44:18,960 --> 02:44:20,760 NOT THEY WERE REFERRED FOR 3057 02:44:20,760 --> 02:44:23,280 CATARACT SURGERY OR WHERE THEY 3058 02:44:23,280 --> 02:44:28,160 WERE REFERRED. 3059 02:44:28,160 --> 02:44:29,320 AND IT'S FEASIBLE AND SCALE AND 3060 02:44:29,320 --> 02:44:39,680 AND AN OPPORTUNITY. 3061 02:44:53,440 --> 02:44:56,280 THERE WAS AN INSTITUTE FOUNDED 3062 02:44:56,280 --> 02:45:01,760 IN 2017 TO PROVIDE SUBSPECIALTY 3063 02:45:01,760 --> 02:45:04,520 CARE TO CENTRAL AFRICA 3064 02:45:04,520 --> 02:45:08,840 REGARDLESS OF THE ABILITY TO PAY 3065 02:45:08,840 --> 02:45:11,000 AND THEY DON'T HAVE ENOUGH 3066 02:45:11,000 --> 02:45:11,640 OPHTHALMOLOGISTS IN THE COUNTRY 3067 02:45:11,640 --> 02:45:15,240 AND ARE LOOKING FOR SOLUTIONS TO 3068 02:45:15,240 --> 02:45:17,240 IMPROVE THE ABILITY OF 3069 02:45:17,240 --> 02:45:21,960 APPRECIATES TO GET TO THE CENTER 3070 02:45:21,960 --> 02:45:30,520 S AND THEY'RE DOING SCREENING 3071 02:45:30,520 --> 02:45:34,800 FOR DIABETIC RETINOPATHY AND 3072 02:45:34,800 --> 02:45:39,080 CATARACT AND TWO OTHERS 3073 02:45:39,080 --> 02:45:41,240 AFFECTING BLINDNESS AND VISUAL 3074 02:45:41,240 --> 02:45:44,240 IMPAIRNESS RATES AND THERE'S THE 3075 02:45:44,240 --> 02:45:46,720 SAME DISPARITIES CATARACTS DO. 3076 02:45:46,720 --> 02:45:49,080 WE SEE DECREASED CATARACT 3077 02:45:49,080 --> 02:45:51,120 SURGERY IN THE BLACK RACE, 3078 02:45:51,120 --> 02:45:54,440 LATINO ETHNICITY, LOW-INCOME 3079 02:45:54,440 --> 02:45:56,520 RURAL RESIDENCE AND LOWER 3080 02:45:56,520 --> 02:45:58,560 EDUCATIONAL ATTAINMENT. 3081 02:45:58,560 --> 02:46:01,240 WHEN WE LOOKED AT CATARACT 3082 02:46:01,240 --> 02:46:02,880 SURGERY ACCESS USING THE 3083 02:46:02,880 --> 02:46:05,720 CALIFORNIA MEDICARE DATABASE IN 3084 02:46:05,720 --> 02:46:07,440 2017 WE FOUND BENEFICIARIES IN 3085 02:46:07,440 --> 02:46:10,240 CALIFORNIA AND RURAL REGIONS HAD 3086 02:46:10,240 --> 02:46:15,120 TO TRAVEL 12.7 MILES MORE FOR 3087 02:46:15,120 --> 02:46:17,520 CATARACT SURGERY AND WERE LESS 3088 02:46:17,520 --> 02:46:25,840 LIKELY TO GET CATARACT SURGERY. 3089 02:46:25,840 --> 02:46:28,920 THERE'S A BARRIER IN THE RURAL 3090 02:46:28,920 --> 02:46:34,960 COMMUNITIES IN THE UNITED STATES 3091 02:46:34,960 --> 02:46:36,120 IN CALIFORNIA AND COMPLEX 3092 02:46:36,120 --> 02:46:37,680 CATARACT SURGERY WAS MORE LIKELY 3093 02:46:37,680 --> 02:46:41,440 IN BLACKS, ASIANS, ODDS RATIO 3094 02:46:41,440 --> 02:46:45,240 1.5 AND IN HISPANICS 1.42 3095 02:46:45,240 --> 02:46:47,120 COMPARED TO NON-HISPANIC WHITE 3096 02:46:47,120 --> 02:46:47,360 PATIENTS. 3097 02:46:47,360 --> 02:46:52,360 MEN WERE MORE LIKELY TO HAVE 3098 02:46:52,360 --> 02:46:54,840 COMPLEX CATARACT SURGERY THAN 3099 02:46:54,840 --> 02:46:56,600 WOMEN AND PATIENTS GREATER THAN 3100 02:46:56,600 --> 02:46:59,080 80 YEARS OLD THAN PATIENTS 65 TO 3101 02:46:59,080 --> 02:47:03,600 69. 3102 02:47:03,600 --> 02:47:08,320 AS PEOPLE GET OLDER THE SURGERY 3103 02:47:08,320 --> 02:47:10,680 GETS MORE COMPLEX AND WE KNOW 3104 02:47:10,680 --> 02:47:12,920 THAT AS CLINICIANS BUT IT'S NOW 3105 02:47:12,920 --> 02:47:13,680 SHOWING IN STUDIES. 3106 02:47:13,680 --> 02:47:16,040 WE HAVE LOOKED AT THIS WITH THE 3107 02:47:16,040 --> 02:47:17,120 CLAIMS DATA AND ELECTRONIC 3108 02:47:17,120 --> 02:47:21,680 HEALTH RECORD DETE AND ONE OF 3109 02:47:21,680 --> 02:47:22,880 THE ISSUES IS THERE'S MANY 3110 02:47:22,880 --> 02:47:24,920 DIAGNOSTIC CODES TO DEFINE 3111 02:47:24,920 --> 02:47:28,640 CATARACT. 3112 02:47:28,640 --> 02:47:30,640 THAT HELPS THE CLINICIAN BUT 3113 02:47:30,640 --> 02:47:31,720 DOESN'T NECESSARY HELP WITH THE 3114 02:47:31,720 --> 02:47:32,000 RESEARCH. 3115 02:47:32,000 --> 02:47:33,840 YOU WANT TO INCLUDE ALL THE 3116 02:47:33,840 --> 02:47:36,840 CODES AND GO INTO THE DETAILS 3117 02:47:36,840 --> 02:47:37,360 ABOUT THAT. 3118 02:47:37,360 --> 02:47:39,080 IT'S IMPORTANT THOSE CODES ARE 3119 02:47:39,080 --> 02:47:41,080 USED RELIABLY. 3120 02:47:41,080 --> 02:47:43,080 THAT BECOMES ANOTHER ISSUE. 3121 02:47:43,080 --> 02:47:44,760 THEN THE SELECTION BIAS OF NOT 3122 02:47:44,760 --> 02:47:46,760 HAVING ACCESS TO HEALTH CARE TO 3123 02:47:46,760 --> 02:47:51,120 EVEN BEING IN THE ELECTRONIC 3124 02:47:51,120 --> 02:47:56,360 MEDICAL RECORD AND NO 3125 02:47:56,360 --> 02:48:00,880 EXAMINATION OR VISUAL ACUITY OR 3126 02:48:00,880 --> 02:48:02,240 PRESSURE WE'RE CURIOUS ABOUT AS 3127 02:48:02,240 --> 02:48:02,760 HEALTH CARE PROVIDERS. 3128 02:48:02,760 --> 02:48:08,680 TO BRIEFLY GO OVER WE'RE 3129 02:48:08,680 --> 02:48:11,560 STARTING TO USE IN EPIDEMIOLOGY 3130 02:48:11,560 --> 02:48:15,160 AND CONCEPTUAL MODELS IT'S 3131 02:48:15,160 --> 02:48:16,680 DIFFICULT WE'RE NOT ALL 3132 02:48:16,680 --> 02:48:22,240 INFLUENCED BY ONE RISK FACTOR. 3133 02:48:22,240 --> 02:48:23,120 AND IT'S NOT THE ONLY RISK 3134 02:48:23,120 --> 02:48:24,960 FACTOR FROM BEING A CATARACT. 3135 02:48:24,960 --> 02:48:27,040 IT MAY BE WHERE THE POLLUTION 3136 02:48:27,040 --> 02:48:30,080 RATES ARE HIGHER IN LOS ANGELES 3137 02:48:30,080 --> 02:48:32,520 AND SO EVERYBODY IN L.A.'S AT 3138 02:48:32,520 --> 02:48:34,600 INCREASED RISK ESPECIALLY NEAR A 3139 02:48:34,600 --> 02:48:35,040 FREEWAY. 3140 02:48:35,040 --> 02:48:37,200 IN LOOKING AT THAT WITH THE 3141 02:48:37,200 --> 02:48:38,280 CONCEPTUAL MODEL FOR THE 3142 02:48:38,280 --> 02:48:40,000 NATIONAL ACADEMY OF MEDICINE AND 3143 02:48:40,000 --> 02:48:43,080 I APOLOGIZE THE FIGURE IS QUITE 3144 02:48:43,080 --> 02:48:48,880 BUSY BUT IT'S IN THE SLIDE DECK 3145 02:48:48,880 --> 02:48:50,040 SLIDE 27 AND IT'S GOING OVER 3146 02:48:50,040 --> 02:48:52,360 IT'S COMPLICATED IN TERMS OF 3147 02:48:52,360 --> 02:48:55,080 WHEN YOU'RE TRYING TO 3148 02:48:55,080 --> 02:48:56,400 CONCEPTUALIZE IMPROVING EYE AND 3149 02:48:56,400 --> 02:48:57,400 HEALTH CARE IN THE UNITED STATES 3150 02:48:57,400 --> 02:49:00,760 AND IN THE DEVELOPING WORLD. 3151 02:49:00,760 --> 02:49:05,040 BECAUSE YOU HAVE NOT JUST THE 3152 02:49:05,040 --> 02:49:07,080 INNATE INDIVIDUAL TRAITS SUCH AS 3153 02:49:07,080 --> 02:49:08,760 AGE, SEX AND RATION AND BIOLOGY 3154 02:49:08,760 --> 02:49:11,320 FACTORS BUT ACCESS TO CARE AND 3155 02:49:11,320 --> 02:49:12,920 QUALITY OF CARE AND THE 3156 02:49:12,920 --> 02:49:16,000 INDIVIDUAL BEHAVIOR AND YOU HAVE 3157 02:49:16,000 --> 02:49:20,360 YOUR SOCIAL DETERMINATES OF 3158 02:49:20,360 --> 02:49:20,600 HEALTH. 3159 02:49:20,600 --> 02:49:22,840 THEY'RE ACTING AS ON EACH OTHER. 3160 02:49:22,840 --> 02:49:27,120 NEED TO BE ABLE TO CONTROL FOR 3161 02:49:27,120 --> 02:49:29,560 THESE THINGS TO MOVE THE NEEDLE. 3162 02:49:29,560 --> 02:49:31,120 THIS DIAGRAM IS FROM THE 3163 02:49:31,120 --> 02:49:32,800 NATIONAL ACADEMY OF SCIENCES 3164 02:49:32,800 --> 02:49:36,360 ENGINEERING AND MEDICINE BOOK 3165 02:49:36,360 --> 02:49:39,080 MAKING EYE HEALTH A POPULATION 3166 02:49:39,080 --> 02:49:40,720 HEALTH IMPERATIVE. 3167 02:49:40,720 --> 02:49:41,600 WE SPENT TIME IN THAT COMMITTEE 3168 02:49:41,600 --> 02:49:50,560 ON DESIGNING THIS. 3169 02:49:50,560 --> 02:49:52,760 YOU CAN ANALYZE THE HEALTH CARE 3170 02:49:52,760 --> 02:49:53,280 PROVIDERS. 3171 02:49:53,280 --> 02:49:55,280 ARE DISPARITIES CAUSED BY 3172 02:49:55,280 --> 02:49:58,000 STRUCTURAL INEQUITIES AT THE 3173 02:49:58,000 --> 02:49:59,120 PATIENT SHARING NETWORKS OF EYE 3174 02:49:59,120 --> 02:50:00,000 CARE PROVIDERS? 3175 02:50:00,000 --> 02:50:03,520 ONE OF THE THINGS THEY'RE 3176 02:50:03,520 --> 02:50:06,240 FINDING IN EPIDEMIOLOGY IS 3177 02:50:06,240 --> 02:50:09,960 MINORITIZED GROUP MAY BE CARED 3178 02:50:09,960 --> 02:50:11,960 FOR BY INSULAR UNDER RESOURCED 3179 02:50:11,960 --> 02:50:14,120 NETWORKS AND THE NETWORKS AREN'T 3180 02:50:14,120 --> 02:50:15,600 AS GREAT AS OTHER GROUPED SO IS 3181 02:50:15,600 --> 02:50:18,080 THERE A WAY TO IMPACT THAT AND 3182 02:50:18,080 --> 02:50:23,560 ONE IS USING MEDICARE 3183 02:50:23,560 --> 02:50:24,560 ADMINISTRATIVE CLAIMS DATA. 3184 02:50:24,560 --> 02:50:26,880 ANOTHER IS THEIR DISPARITIES IN 3185 02:50:26,880 --> 02:50:29,240 TERMS OF INSTITUTIONS. 3186 02:50:29,240 --> 02:50:31,840 A LOT OF US LIKE TO THINK HEALTH 3187 02:50:31,840 --> 02:50:33,120 CARE IS EQUIVALENT ACROSS 3188 02:50:33,120 --> 02:50:36,720 INSTITUTIONS AND WHAT WE'RE 3189 02:50:36,720 --> 02:50:39,080 FINDING OUT FOR SYSTEMIC 3190 02:50:39,080 --> 02:50:40,280 DISEASES AND EYE CARE 3191 02:50:40,280 --> 02:50:43,400 MINORITIZED GROUP MAY BE MORE 3192 02:50:43,400 --> 02:50:45,000 LIKELY TO SEEK SOLUTIONS FROM 3193 02:50:45,000 --> 02:50:46,480 LOWER QUALITY METRICS. 3194 02:50:46,480 --> 02:50:47,240 THOSE INSTITUTIONS MAY BE CLOSER 3195 02:50:47,240 --> 02:50:51,280 TO WHERE THEY LIVE AND HAVE 3196 02:50:51,280 --> 02:50:55,240 ACCESS. 3197 02:50:55,240 --> 02:50:56,680 HOW DO YOU STUDY THE INSTITUTION 3198 02:50:56,680 --> 02:50:58,280 SINCE THAT COULD BE MAKING A 3199 02:50:58,280 --> 02:50:59,080 DIFFERENCE IN TERMS OF HEALTH 3200 02:50:59,080 --> 02:51:01,560 CARE DISPARITIES AND ONE WAY IS 3201 02:51:01,560 --> 02:51:03,880 USING MEDICARE DATA TO LOOK AT 3202 02:51:03,880 --> 02:51:05,280 THE ADVERSE OUTCOME RATE BY 3203 02:51:05,280 --> 02:51:09,360 INSTITUTION. 3204 02:51:09,360 --> 02:51:14,800 AND EVALUATING THE TOP TEN AND 3205 02:51:14,800 --> 02:51:19,800 BOTTOM PERCENT TO SEE IF THERE'S 3206 02:51:19,800 --> 02:51:20,400 A DIFFERENCE. 3207 02:51:20,400 --> 02:51:26,960 AND ONE OF THE ISSUES WE HAVE IS 3208 02:51:26,960 --> 02:51:28,720 RAISE AND ETHNICITY CAN'T BE 3209 02:51:28,720 --> 02:51:29,920 INTERVENED UPON. 3210 02:51:29,920 --> 02:51:31,120 WE NEED TO CHANGE SOCIETY AND 3211 02:51:31,120 --> 02:51:35,680 THE FACTORS THAT ARE LEADING TO 3212 02:51:35,680 --> 02:51:39,240 THE DIFFICULTIES IN THE UNITED 3213 02:51:39,240 --> 02:51:41,800 STATES AND TO RACISM. 3214 02:51:41,800 --> 02:51:43,080 THAT'S ONE OF THE ISSUES HOW WE 3215 02:51:43,080 --> 02:51:48,120 STUDY RACISM AND END IT TO MAKE 3216 02:51:48,120 --> 02:51:51,480 A BIG DIFFERENCE IN HEALTH CARE 3217 02:51:51,480 --> 02:51:52,840 DISPARITIES BECAUSE WITHOUT 3218 02:51:52,840 --> 02:51:53,920 DOING THAT WE WON'T NECESSARILY 3219 02:51:53,920 --> 02:51:55,000 MAKE THE CHANGE WE NEED TO IN 3220 02:51:55,000 --> 02:51:57,200 THIS COUNTRY AND ELIMINATE 3221 02:51:57,200 --> 02:51:59,280 HEALTH CARE DESPAIRS FOR THOSE 3222 02:51:59,280 --> 02:52:04,280 INDIVIDUALS. 3223 02:52:04,280 --> 02:52:07,080 THERE'S A NEW METHOD CALLED THE 3224 02:52:07,080 --> 02:52:09,880 CAUSAL MEDIATION ANALYSIS AND 3225 02:52:09,880 --> 02:52:12,760 TAKE EXPOSURE SUCH AS RACE AND 3226 02:52:12,760 --> 02:52:14,200 ETHNICITY WILL NOT CHANGE BY 3227 02:52:14,200 --> 02:52:17,280 SOCIETY TAN STANDARDS RIGHT NOW 3228 02:52:17,280 --> 02:52:21,360 AND ASSOCIATED WITH INCREASE 3229 02:52:21,360 --> 02:52:24,800 RISK FOR CATARACT AND LESS AND 3230 02:52:24,800 --> 02:52:27,080 CAN ALLOW FOR ANALYSIS OF DOWN 3231 02:52:27,080 --> 02:52:30,560 STREAM MEDIATORS RESPONSIBLE FOR 3232 02:52:30,560 --> 02:52:33,640 PART OF THE EXPOSURE AFFECT AND 3233 02:52:33,640 --> 02:52:34,840 MODIFIABLE TARGETS SUCH AS SOCIO 3234 02:52:34,840 --> 02:52:36,160 ECONOMIC DISPARITIES. 3235 02:52:36,160 --> 02:52:39,040 IN ADDITION, ONE OF THE THINGS 3236 02:52:39,040 --> 02:52:42,800 IN EPIDEMIOLOGY THEY'RE DOING IS 3237 02:52:42,800 --> 02:52:48,520 TO HELP DIRECTED ACYCLIC GRAPHS 3238 02:52:48,520 --> 02:52:51,440 AND THIS IS FOR GLAUCOMA 3239 02:52:51,440 --> 02:52:51,680 SURGERY. 3240 02:52:51,680 --> 02:52:54,960 I THANK MY DOCTORAL STUDENT WHO 3241 02:52:54,960 --> 02:52:56,760 HELPED ME WITH THIS 3242 02:52:56,760 --> 02:52:57,080 PRESENTATION. 3243 02:52:57,080 --> 02:53:02,880 HE'S LOOKING AT GLAUCOMA SURGERY 3244 02:53:02,880 --> 02:53:07,120 AND ONE THING IS YOU COULD HAVE 3245 02:53:07,120 --> 02:53:13,120 CATARACT SURGERY AND THEN LOOK 3246 02:53:13,120 --> 02:53:15,080 AT CATARACT SURGERY 3247 02:53:15,080 --> 02:53:17,000 COMPLICATIONS IN TERMS OF 3248 02:53:17,000 --> 02:53:19,080 SEVERITY AND ARE THERE NETWORK 3249 02:53:19,080 --> 02:53:22,280 CHARACTERISTICS IN TERMS OF HOW 3250 02:53:22,280 --> 02:53:25,760 THEY GET TO THE SURGEON, SEX AND 3251 02:53:25,760 --> 02:53:27,560 AGE AND LOOKING AT INSURANCE 3252 02:53:27,560 --> 02:53:29,080 STATUS WITH SOCIO ECONOMIC 3253 02:53:29,080 --> 02:53:32,000 STATUS AND THEN YOU HAVE THE 3254 02:53:32,000 --> 02:53:33,320 HISTORICAL FACTORS OF RACISM AND 3255 02:53:33,320 --> 02:53:34,800 HAVING A PLACE HOLDER FOR THAT 3256 02:53:34,800 --> 02:53:38,840 TO START TO TACKLE IT IN THIS 3257 02:53:38,840 --> 02:53:39,040 COUNTRY. 3258 02:53:39,040 --> 02:53:43,080 THAT'S A NEW APPROACH IN 3259 02:53:43,080 --> 02:53:46,400 EPIDEMIOLOGY THEY'RE HOPING WILL 3260 02:53:46,400 --> 02:53:51,520 ENABLE US TO TEASE UP THE 3261 02:53:51,520 --> 02:53:51,760 FACTORS. 3262 02:53:51,760 --> 02:53:55,080 INSTEAD OF LOOKING AT IT LIKE 3263 02:53:55,080 --> 02:54:03,040 THE '70 AND '90s WE CAN START 3264 02:54:03,040 --> 02:54:03,960 INTERVENING TO MAKE A 3265 02:54:03,960 --> 02:54:04,240 DIFFERENCE. 3266 02:54:04,240 --> 02:54:06,800 AND WE LIKE THE RANDOMIZED 3267 02:54:06,800 --> 02:54:07,200 CLINICAL TRIALS. 3268 02:54:07,200 --> 02:54:09,520 THAT'S WHAT WE PREFER BUT THEY 3269 02:54:09,520 --> 02:54:11,920 CAN BE EXPENSIVE AND UNETHICAL 3270 02:54:11,920 --> 02:54:14,160 BECAUSE SOMETIMES YOU CAN'T 3271 02:54:14,160 --> 02:54:14,880 RANDOMIZE INDIVIDUALS TO CERTAIN 3272 02:54:14,880 --> 02:54:17,760 TREATMENTS OR NOT AND TAKE A 3273 02:54:17,760 --> 02:54:18,960 WHILE. 3274 02:54:18,960 --> 02:54:20,480 SO HOW DO YOU RANDOMIZE 3275 02:54:20,480 --> 02:54:22,720 INDIVIDUAL TO CATARACT SURGERY 3276 02:54:22,720 --> 02:54:25,520 AND NONE LOOKING AT REDUCING THE 3277 02:54:25,520 --> 02:54:29,160 RISK OF FALLS AND FRACTURE AND 3278 02:54:29,160 --> 02:54:30,120 DEMENTIA. 3279 02:54:30,120 --> 02:54:32,560 THERE'S THE TARGET TRIAL 3280 02:54:32,560 --> 02:54:33,560 EMULATION AND YOU USE 3281 02:54:33,560 --> 02:54:35,080 OBSERVATIONAL DATA THAT CAN BE 3282 02:54:35,080 --> 02:54:37,520 USED TO ASK SIMILAR QUESTIONS BY 3283 02:54:37,520 --> 02:54:39,080 EMULATING A TARGET TRIAL AND WHY 3284 02:54:39,080 --> 02:54:41,240 THE ELECTRONIC MEDICAL RECORDS 3285 02:54:41,240 --> 02:54:44,400 AND THE HUGE DATA SETS ARE 3286 02:54:44,400 --> 02:54:45,560 IMPORTANT BECAUSE THEY MAY ALLOW 3287 02:54:45,560 --> 02:54:47,080 US TO GO IN AND SEE WHAT'S 3288 02:54:47,080 --> 02:54:48,320 HAPPENING BUT IF YOU THINK BACK 3289 02:54:48,320 --> 02:54:51,320 TO WHAT I SAID ORIGINALLY, WE 3290 02:54:51,320 --> 02:54:52,880 HAVE HIDDEN POPULATIONS NOT IN 3291 02:54:52,880 --> 02:54:53,680 THE DATA SETS. 3292 02:54:53,680 --> 02:54:57,120 WE HAVE TO GET PEOPLE ACCESS TO 3293 02:54:57,120 --> 02:54:59,280 THEN REALLY TRY TO FILL THE 3294 02:54:59,280 --> 02:55:03,960 SCIENTIFIC GAPS. 3295 02:55:03,960 --> 02:55:05,720 THERE'S ALSO MORE ABOUT 3296 02:55:05,720 --> 02:55:07,800 ENVIRONMENTAL RISK FACTORS. 3297 02:55:07,800 --> 02:55:10,120 AND UNDERSTANDING HOW THESE 3298 02:55:10,120 --> 02:55:11,080 EXPOSURES AT DIFFERENT PERIODS 3299 02:55:11,080 --> 02:55:14,000 OF LIFE MAY IMPACT THE 3300 02:55:14,000 --> 02:55:15,400 DEVELOPMENT OF CATARACTS. 3301 02:55:15,400 --> 02:55:16,840 DO YOU HAVE INTENSE SUN EXPOSURE 3302 02:55:16,840 --> 02:55:17,960 AS A CHILD? 3303 02:55:17,960 --> 02:55:19,240 THAT'S HARD TO LOOK AT. 3304 02:55:19,240 --> 02:55:22,800 OR IS IT WHEN YOUR IN YOUR 60s 3305 02:55:22,800 --> 02:55:28,640 OR EXACTLY WHAT IS IT PEOPLE CAN 3306 02:55:28,640 --> 02:55:35,080 START MODIFYING AND DOING 3307 02:55:35,080 --> 02:55:38,440 THROUGHOUT THEIR LIFE TIME AND 3308 02:55:38,440 --> 02:55:40,120 THAT'S LIFE COURSE EPIDEMIOLOGY 3309 02:55:40,120 --> 02:55:42,600 HOW DIFFERENT EXPOSURES THROUGH 3310 02:55:42,600 --> 02:55:44,680 LIFE WOULD AFFECT CATARACT AND 3311 02:55:44,680 --> 02:55:46,360 WHAT INTERVENTIONS WE CAN DO AND 3312 02:55:46,360 --> 02:55:51,240 LOOK AT BOTH COHORTS POTENTIALLY 3313 02:55:51,240 --> 02:55:52,200 USING ELECTRONIC HEALTH RECORD 3314 02:55:52,200 --> 02:55:53,520 DATA PROVIDING INFORMATION 3315 02:55:53,520 --> 02:55:54,800 ESPECIALLY IF WE'RE ABLE TO GET 3316 02:55:54,800 --> 02:55:56,040 THE HIDDEN POPULATIONS INTO 3317 02:55:56,040 --> 02:55:56,240 THEM. 3318 02:55:56,240 --> 02:55:58,200 I WANTED TO THANK YOU FOR HAVING 3319 02:55:58,200 --> 02:55:58,880 ME HERE TODAY. 3320 02:55:58,880 --> 02:56:03,080 THIS IS JUST A PICTURE OF THE 3321 02:56:03,080 --> 02:56:05,320 GLAUCOMA SPECIALISTS AT UK WHO 3322 02:56:05,320 --> 02:56:15,600 ALSO DO CATARACTS. 3323 02:56:18,200 --> 02:56:19,280 >>ANNE, THANK YOU VERY MUCH. 3324 02:56:19,280 --> 02:56:23,040 THIS IS MICHAEL CHIANG AND I 3325 02:56:23,040 --> 02:56:26,440 WANT TO OPEN IT UP TO QUESTIONS 3326 02:56:26,440 --> 02:56:27,080 SPECIFICALLY TARGETED TO THIS 3327 02:56:27,080 --> 02:56:37,280 RIGHT NOW. 3328 02:56:40,560 --> 02:56:41,920 >>ENVIRONMENTAL FACTORS AND 3329 02:56:41,920 --> 02:56:42,720 RADIATION ALL IMPACT THE 3330 02:56:42,720 --> 02:56:47,960 INCIDENT OF CATARACT. 3331 02:56:47,960 --> 02:56:51,160 AND THEY CAN BE PASSED TO THE 3332 02:56:51,160 --> 02:56:54,200 NEXT GENERATION. 3333 02:56:54,200 --> 02:56:58,360 WE ARE MAKING DISCOVERIES OF 3334 02:56:58,360 --> 02:56:59,240 HIGHER CATARACTS. 3335 02:56:59,240 --> 02:57:00,720 >>POSSIBLY. 3336 02:57:00,720 --> 02:57:02,600 IT CAN BE RATHER SOBERING. 3337 02:57:02,600 --> 02:57:09,440 THE ISSUE IS THAT'S WHY ACCESS 3338 02:57:09,440 --> 02:57:12,040 IS SO IMPORTANT. 3339 02:57:12,040 --> 02:57:14,120 WE DON'T NECESSARILY UTILIZE IT. 3340 02:57:14,120 --> 02:57:18,560 ONE THING BROUGHT UP IS IT'S 3341 02:57:18,560 --> 02:57:19,160 GETTING REIMBURSEMENT FOR 3342 02:57:19,160 --> 02:57:24,080 CATARACT SURGERY IS LESS. 3343 02:57:24,080 --> 02:57:25,960 ONE OF THE QUESTIONS IS HAS IT 3344 02:57:25,960 --> 02:57:26,920 GOTTEN TOO LOW. 3345 02:57:26,920 --> 02:57:28,200 THAT'S A QUESTION FOR POLICY 3346 02:57:28,200 --> 02:57:28,440 MAKERS. 3347 02:57:28,440 --> 02:57:30,280 ONE OF THE THINGS YOU SEE IS YOU 3348 02:57:30,280 --> 02:57:39,440 SEE PREMIUM LENSES AND 3349 02:57:39,440 --> 02:57:41,280 COLLEAGUES DOING FANCY 3350 02:57:41,280 --> 02:57:44,000 TECHNIQUES YET WE HAVE A RISING 3351 02:57:44,000 --> 02:57:44,600 CATARACT BURDEN IN THE UNITED 3352 02:57:44,600 --> 02:57:44,880 STATES. 3353 02:57:44,880 --> 02:57:49,560 PEOPLE TEND TO FOLLOW THE MONEY, 3354 02:57:49,560 --> 02:57:50,280 UNFORTUNATELY BUT THAT'S HOW IT 3355 02:57:50,280 --> 02:57:54,880 IS BECAUSE YOU NEED THE CAPITAL 3356 02:57:54,880 --> 02:57:56,400 AND RESOURCES. 3357 02:57:56,400 --> 02:57:59,400 THAT TREATMENT WE HAVE WE'RE NOT 3358 02:57:59,400 --> 02:58:00,680 NECESSARILY EFFECTIVELY USING IT 3359 02:58:00,680 --> 02:58:01,160 IN THE UNITED STATES. 3360 02:58:01,160 --> 02:58:03,800 IN INDIA THEY'RE MAKING GREAT 3361 02:58:03,800 --> 02:58:09,040 STRIDES WITH THEIR CATARACT 3362 02:58:09,040 --> 02:58:11,080 BUR 3363 02:58:11,080 --> 02:58:12,600 BURDEN BETTER THAN THE UNITED 3364 02:58:12,600 --> 02:58:13,680 STATES AND I DON'T THINK WE 3365 02:58:13,680 --> 02:58:16,880 THINK WE HAVE A BURDEN. 3366 02:58:16,880 --> 02:58:19,880 WE DON'T THINK PEOPLE HAVE 3367 02:58:19,880 --> 02:58:21,720 PROBLEMS WITH CATARACTS. 3368 02:58:21,720 --> 02:58:23,480 THAT'S SOMETHING HOPEFULLY THE 3369 02:58:23,480 --> 02:58:24,080 FEDERAL GOVERNMENT STARTS TO 3370 02:58:24,080 --> 02:58:28,760 REALIZE. 3371 02:58:28,760 --> 02:58:30,560 >>THIS IS EMMY HARTNETT. 3372 02:58:30,560 --> 02:58:33,920 THAT WAS A FABULOUS TALK. 3373 02:58:33,920 --> 02:58:38,240 I HAVE SO MY QUESTION EXTENDS 3374 02:58:38,240 --> 02:58:40,840 BEYOND SURGERY AND AS A 3375 02:58:40,840 --> 02:58:45,120 PEDIATRIC RETINA SPECIALIST I'M 3376 02:58:45,120 --> 02:58:46,240 INTERESTED IN IN THE DISPARITIES 3377 02:58:46,240 --> 02:58:51,840 FOR CHILDREN AND INFANTS AND 3378 02:58:51,840 --> 02:58:53,240 WHETHER OR NOT THEY CAN GET 3379 02:58:53,240 --> 02:58:57,320 ACCESS TO CARE AND THERE'S SO 3380 02:58:57,320 --> 02:58:58,920 MANY BURDENS BECAUSE IT INVOLVE 3381 02:58:58,920 --> 02:58:59,760 THE WHOLE FAMILY. 3382 02:58:59,760 --> 02:59:01,760 IF ONE WERE TO BEGIN TO SORT 3383 02:59:01,760 --> 02:59:04,400 THAT OUT, MANY OF THE CHILDREN 3384 02:59:04,400 --> 02:59:06,560 THAT HAVE PROBLEMS ARE ON 3385 02:59:06,560 --> 02:59:06,800 MEDICAID. 3386 02:59:06,800 --> 02:59:10,800 WOULD IT BE LOOKING AT MEDICAID 3387 02:59:10,800 --> 02:59:13,320 VERSUS COMMERCIAL INSURANCES OR 3388 02:59:13,320 --> 02:59:14,600 JUST EVEN TO UNDERSTAND LIKE 3389 02:59:14,600 --> 02:59:16,520 WHEN YOU BROUGHT UP STUDY 3390 02:59:16,520 --> 02:59:21,720 NETWORKS AS A WAY TO BETTER 3391 02:59:21,720 --> 02:59:27,480 DEFINE WHAT THE PROBLEM IS 3392 02:59:27,480 --> 02:59:29,720 >>NOW YOU'RE IN CALIFORNIA 3393 02:59:29,720 --> 02:59:31,520 YOU'LL FIND WE HAVE MEDICAL AND 3394 02:59:31,520 --> 02:59:32,840 SPECIAL INSURANCE FOR CHILDREN. 3395 02:59:32,840 --> 02:59:36,600 WHEN A CHILD IS DIAGNOSED WITH A 3396 02:59:36,600 --> 02:59:39,080 DISORDER IN CALIFORNIA THE 3397 02:59:39,080 --> 02:59:40,800 FAMILIES LEAVE THEIR COMMERCIAL 3398 02:59:40,800 --> 02:59:43,280 INSURANCE AND GO FOR THE SPECIAL 3399 02:59:43,280 --> 02:59:44,400 INSURANCE FROM CALIFORNIA 3400 02:59:44,400 --> 02:59:51,480 BECAUSE IT'S JUST SO EXPENSIVE. 3401 02:59:51,480 --> 02:59:52,280 EVEN FOR COMMERCIAL INSURANCE. 3402 02:59:52,280 --> 02:59:54,480 THAT WOULD BE A DATA SET YOU CAN 3403 02:59:54,480 --> 02:59:56,080 POTENTIALLY GET AND START TO 3404 02:59:56,080 --> 02:59:56,280 SEE. 3405 02:59:56,280 --> 03:00:02,120 THE BIGGEST ISSUE THOUGH IS I 3406 03:00:02,120 --> 03:00:05,280 KNOW BECAUSE I'M AT UCLA AND DO 3407 03:00:05,280 --> 03:00:07,960 PEDIATRIC GLAUCOMA BUT DO THEY 3408 03:00:07,960 --> 03:00:09,720 KNOW THAT AT OTHER CENTERS 3409 03:00:09,720 --> 03:00:10,280 AROUND LOS ANGELES? 3410 03:00:10,280 --> 03:00:11,080 THAT I DON'T KNOW. 3411 03:00:11,080 --> 03:00:18,440 THAT'S ONE THING YOU FIND IN 3412 03:00:18,440 --> 03:00:23,080 PUBLIC HEALTH RESEARCH AS WE 3413 03:00:23,080 --> 03:00:27,080 HAVE FRAGMENTATION WITH OUR 3414 03:00:27,080 --> 03:00:29,360 KNOWLEDGE SO DOES SOCIETY. 3415 03:00:29,360 --> 03:00:30,280 IT BECOMES FRUSTRATING BECAUSE 3416 03:00:30,280 --> 03:00:34,320 YOU HAVE SEGMENTS OF THE 3417 03:00:34,320 --> 03:00:35,280 POPULATION THAT DOESN'T KNOW 3418 03:00:35,280 --> 03:00:39,120 WHAT'S AVAILABLE TO THEM AND 3419 03:00:39,120 --> 03:00:49,240 THAT'S TRUE OF CHILDREN. 3420 03:00:49,240 --> 03:00:51,840 >>I HAVE A QUESTION THAT MIGHT 3421 03:00:51,840 --> 03:00:54,040 BE DIRECTED TOWARDS YOU OR DOUG 3422 03:00:54,040 --> 03:00:56,240 AND USE IT TO KICK OFF A 3423 03:00:56,240 --> 03:00:57,280 DISCUSSION ABOUT ANY OTHER STOCK 3424 03:00:57,280 --> 03:00:59,080 MARKET COMMENTS OR QUESTIONS 3425 03:00:59,080 --> 03:00:59,960 PEOPLE HAVE. 3426 03:00:59,960 --> 03:01:03,960 ANNE, YOU CITED DATA ABOUT 3427 03:01:03,960 --> 03:01:05,520 PREVALENCE DATA OF CATARACTS 3428 03:01:05,520 --> 03:01:07,440 THAT SHOWED A 10X DIFFERENCE IN 3429 03:01:07,440 --> 03:01:11,080 WHO HAS IT. 3430 03:01:11,080 --> 03:01:18,840 I THINK ONE OF THE CHALLENGES 3431 03:01:18,840 --> 03:01:21,600 CATARACT IS A SPECTRUM OF 3432 03:01:21,600 --> 03:01:24,800 FINDING AND AT SOME POINT WE 3433 03:01:24,800 --> 03:01:26,160 HAVE TO DECIDE IF YOU HAVE IT 3434 03:01:26,160 --> 03:01:27,000 AND DOCTORS HAVE TO DECIDE IF 3435 03:01:27,000 --> 03:01:35,960 THEY WANT TO DO SURGERY. 3436 03:01:35,960 --> 03:01:39,040 EPIDEMIOLOGISTS CHECK THE BOX IN 3437 03:01:39,040 --> 03:01:40,520 THE PERCENT OF HAVING IT. 3438 03:01:40,520 --> 03:01:42,280 HOW IMPORTANT OF A PROBLEM IS IT 3439 03:01:42,280 --> 03:01:43,880 TO STANDARDIZE AND HOW WOULD 3440 03:01:43,880 --> 03:01:44,600 THAT BE DONE? 3441 03:01:44,600 --> 03:01:47,080 IS THERE A QUANTITATIVE TEST FOR 3442 03:01:47,080 --> 03:01:51,240 DETERMINING IF YOU HAVE QUOTE, 3443 03:01:51,240 --> 03:02:01,440 CATARACT? 3444 03:02:19,120 --> 03:02:21,560 >>I'M NOT SURE IF ANYONE'S 3445 03:02:21,560 --> 03:02:23,120 LOOKING AT THE CLASSIFICATION 3446 03:02:23,120 --> 03:02:24,640 PART AND I KNOW THERE'S SOME BUT 3447 03:02:24,640 --> 03:02:27,400 IN OUR CLINICS WE'RE NOT DOING 3448 03:02:27,400 --> 03:02:27,600 THAT. 3449 03:02:27,600 --> 03:02:28,880 IT'S VERY SUBJECT TO THE 3450 03:02:28,880 --> 03:02:30,640 CLINICIAN AND THAT'S WHAT 3451 03:02:30,640 --> 03:02:33,040 AFFECTS THE ELECTRONIC MEDICAL 3452 03:02:33,040 --> 03:02:33,240 RECORD. 3453 03:02:33,240 --> 03:02:35,080 IT'S QUITE A SUBJECTIVE 3454 03:02:35,080 --> 03:02:41,280 CLASSIFICATION. 3455 03:02:41,280 --> 03:02:45,000 >>AGREE -- THIS IS DOUG RHEE, 3456 03:02:45,000 --> 03:02:54,160 THE DEFINITION IS AN ISSUE AND 3457 03:02:54,160 --> 03:02:56,160 ONE FOR DATABASE QUERY AS YOU 3458 03:02:56,160 --> 03:02:57,200 POINTED OUT VISUALLY SIGNIFICANT 3459 03:02:57,200 --> 03:02:58,960 ADDS DEFINED BY MEDICARE. 3460 03:02:58,960 --> 03:03:04,960 WE CAN START TO LEAPFROG OFF 3461 03:03:04,960 --> 03:03:10,840 EXIST 3462 03:03:10,840 --> 03:03:11,240 EXISTING LACK OF 3463 03:03:11,240 --> 03:03:14,000 STANDARDIZATION. 3464 03:03:14,000 --> 03:03:16,960 >>THANK YOU, DOUG. 3465 03:03:16,960 --> 03:03:19,480 THANK YOU, ANNE. 3466 03:03:19,480 --> 03:03:24,920 REZA YOU HAVE YOUR HAND UP. 3467 03:03:24,920 --> 03:03:33,000 >>THAT WAS AN INCREDIBLE 3468 03:03:33,000 --> 03:03:35,800 PRESENTATION. 3469 03:03:35,800 --> 03:03:39,280 AT BRIGHAM THEY HAD A SYSTEM 3470 03:03:39,280 --> 03:03:43,000 USED EXTENSIVELY IN CATARACT 3471 03:03:43,000 --> 03:03:44,360 RESEARCH AND RETIRED A DECADE 3472 03:03:44,360 --> 03:03:49,520 AGO AND WE HEARD THAT SYSTEM IS 3473 03:03:49,520 --> 03:03:51,520 NOT REALLY USED THAT MUCH 3474 03:03:51,520 --> 03:03:53,280 ANYMORE BECAUSE IT'S LABOR 3475 03:03:53,280 --> 03:03:56,360 INTENSIVE. 3476 03:03:56,360 --> 03:04:00,120 IF I MAY GO BACK TO DOUG'S 3477 03:04:00,120 --> 03:04:05,600 PRESENTATION, DID YOU SAY $6.8 3478 03:04:05,600 --> 03:04:11,080 BILLION IS THE TOTALITY TO THE 3479 03:04:11,080 --> 03:04:17,120 COST TO THE U.S. SYSTEM OF 3480 03:04:17,120 --> 03:04:18,520 CATARACT SURGERY. 3481 03:04:18,520 --> 03:04:22,800 I WAS SURPRISED OF THAT BECAUSE 3482 03:04:22,800 --> 03:04:25,400 I THOUGHT IT'D BE MORE. 3483 03:04:25,400 --> 03:04:29,280 THINKING OF THE PHARMACO 3484 03:04:29,280 --> 03:04:32,800 PRESCRIBED THERAPIES WE HAVE $15 3485 03:04:32,800 --> 03:04:38,520 BILLION PLUS FOR GRAW -- 3486 03:04:38,520 --> 03:04:44,480 GLAUCOMA AND SO IT'S REMARKABLE 3487 03:04:44,480 --> 03:04:49,560 THE CATARACT IS SOMETHING WE ALL 3488 03:04:49,560 --> 03:04:51,040 GET EVENTUALLY AND AT SOME POINT 3489 03:04:51,040 --> 03:04:54,680 IT BECOMES VISUALLY SIGNIFICANT. 3490 03:04:54,680 --> 03:04:56,280 THE FACT THAT OUR SOCIETY IS 3491 03:04:56,280 --> 03:05:01,720 DEALING WITH IT NOT 3492 03:05:01,720 --> 03:05:07,800 COMPREHENSIVELY AS WE JUST HEARD 3493 03:05:07,800 --> 03:05:11,080 BUT $6.8 BILLION IS NOT THAT 3494 03:05:11,080 --> 03:05:12,400 HIGH AND BRINGS US BACK TO THE 3495 03:05:12,400 --> 03:05:15,080 FACT WE NEED TO EXTEND SERVICES 3496 03:05:15,080 --> 03:05:18,200 AND IT'S A PUBLIC HEALTH ISSUE 3497 03:05:18,200 --> 03:05:19,240 FOR SURE AND THE FACT WE'LL 3498 03:05:19,240 --> 03:05:25,000 THINK ABOUT NON-SURGICAL 3499 03:05:25,000 --> 03:05:28,960 APPROACH IT HAS TO BE SOMETHING 3500 03:05:28,960 --> 03:05:29,760 THAT FITS THE ECONOMIC MODEL 3501 03:05:29,760 --> 03:05:31,080 IT'S EASY TO GET IN THE BILLIONS 3502 03:05:31,080 --> 03:05:32,520 IN OUR COUNTRY. 3503 03:05:32,520 --> 03:05:38,880 THE DRY EYE MARKET ITSELF IS 3504 03:05:38,880 --> 03:05:41,920 SEVERAL BILLION. 3505 03:05:41,920 --> 03:05:44,280 WE NEED TO THINK ABOUT SOLUTIONS 3506 03:05:44,280 --> 03:05:45,120 THAT MAKE ECONOMIC SENSE TO US 3507 03:05:45,120 --> 03:05:47,080 AS WELL. 3508 03:05:47,080 --> 03:05:53,240 THANK YOU. 3509 03:05:53,240 --> 03:05:53,600 >>THANK YOU. 3510 03:05:53,600 --> 03:05:59,320 KATIA. 3511 03:05:59,320 --> 03:06:01,360 >>THIS WAS VERY INFORMATIVE AND 3512 03:06:01,360 --> 03:06:02,280 A FANTASTIC TALK. 3513 03:06:02,280 --> 03:06:07,360 MOST THE DATA OR WHAT YOU'RE 3514 03:06:07,360 --> 03:06:09,120 TRYING TO REACH WITH THE 3515 03:06:09,120 --> 03:06:10,360 INITIATIVES AND EFFORTS ARE 3516 03:06:10,360 --> 03:06:11,560 USING AN ESTABLISHMENT OF THE 3517 03:06:11,560 --> 03:06:13,600 INSURANCE COMPANY'S MEDICARE, 3518 03:06:13,600 --> 03:06:14,040 ETCETERA. 3519 03:06:14,040 --> 03:06:19,320 HOW DO YOU REACH TO THE 3520 03:06:19,320 --> 03:06:22,240 COMMUNITIES THAT ARE IN THE 3521 03:06:22,240 --> 03:06:27,600 RURAL LOCATIONS THAT ARE NOT 3522 03:06:27,600 --> 03:06:31,080 REALLY PART OF THAT WORK. 3523 03:06:31,080 --> 03:06:34,080 >>FOR THE RURAL COMMUNITY I 3524 03:06:34,080 --> 03:06:38,840 HAVE ANOTHER MASTERS CANDIDATE 3525 03:06:38,840 --> 03:06:40,520 AT UCLA WHOSE MOTHER IS A 3526 03:06:40,520 --> 03:06:42,160 MIGRANT FARM WORKER AND VERY 3527 03:06:42,160 --> 03:06:43,320 INTERESTED IN THAT. 3528 03:06:43,320 --> 03:06:44,960 SHE KNEW OF DIFFERENT COMMUNITY 3529 03:06:44,960 --> 03:06:51,120 GROUPS IN BAKERSFIELD WHICH IS 3530 03:06:51,120 --> 03:06:55,080 WHERE IN CALIFORNIA HAVE THE 3531 03:06:55,080 --> 03:06:56,400 FARMING COMMUNITIES AND MIGRANTS 3532 03:06:56,400 --> 03:07:01,600 AND WE WERE ABLE IT DO A LOT OF 3533 03:07:01,600 --> 03:07:01,840 SCREENING. 3534 03:07:01,840 --> 03:07:04,640 A LOT'S BEEN DONE AND ACADEMIC 3535 03:07:04,640 --> 03:07:10,640 CENTERS ARE LIKE IVORY TOWERS. 3536 03:07:10,640 --> 03:07:14,640 WE SIT THERE WE HAVE IDEAS BUT 3537 03:07:14,640 --> 03:07:16,360 WE HAVE TO GET THE COMMUNITY 3538 03:07:16,360 --> 03:07:19,080 INVOLVED AND THAT'S COMMUNITY 3539 03:07:19,080 --> 03:07:20,160 ENGAGEMENT AND ALSO TRUE FOR THE 3540 03:07:20,160 --> 03:07:21,160 HOUSING INSECURE. 3541 03:07:21,160 --> 03:07:23,560 WE HAVE A VAN WE SEND OUT TO 3542 03:07:23,560 --> 03:07:28,680 THEM BECAUSE THEY'RE NOT GOING 3543 03:07:28,680 --> 03:07:38,240 TO COME TO US I THINK IT'S 3544 03:07:38,240 --> 03:07:41,920 RETHINKING THE MODEL AND SOME 3545 03:07:41,920 --> 03:07:45,640 PEOPLE HAD BEEN ENUMERATED AND 3546 03:07:45,640 --> 03:07:46,960 YOU KNEW HOW MANY PEOPLE WERE IN 3547 03:07:46,960 --> 03:07:49,600 THE HOUSE AND HAD A GOOD 3548 03:07:49,600 --> 03:07:49,920 DENOMINATOR. 3549 03:07:49,920 --> 03:07:52,360 ONCE YOU WORK WITH THE HIDDEN 3550 03:07:52,360 --> 03:07:53,960 POPULATIONS, HOW MANY MIGRANT 3551 03:07:53,960 --> 03:07:56,080 WORKERS ARE THERE IN 3552 03:07:56,080 --> 03:07:56,360 BAKERSFIELD? 3553 03:07:56,360 --> 03:07:58,000 I DON'T KNOW. 3554 03:07:58,000 --> 03:07:59,680 IS THERE A DATABASE OF THEM? 3555 03:07:59,680 --> 03:08:01,800 ARE THEY SUPPOSED TO BE IN THE 3556 03:08:01,800 --> 03:08:02,040 COUNTRY? 3557 03:08:02,040 --> 03:08:07,760 WILL WE EVER FIND OUT THE TRUE 3558 03:08:07,760 --> 03:08:08,200 DENOMINATOR. 3559 03:08:08,200 --> 03:08:09,880 YOU HAVE TO USE STATISTICAL 3560 03:08:09,880 --> 03:08:11,960 METHODS AND ASSUMPTIONS FOR THE 3561 03:08:11,960 --> 03:08:19,080 ANAL 3562 03:08:19,080 --> 03:08:20,280 ANALOGIES. 3563 03:08:20,280 --> 03:08:22,840 YOU HAVE TO INCLUDE THEM IN THE 3564 03:08:22,840 --> 03:08:24,960 MEDICAL RECORD AND ARE THERE 3565 03:08:24,960 --> 03:08:26,760 LIMITS ON WHO COULD BE INCLUDED 3566 03:08:26,760 --> 03:08:28,840 AND IF THEY HAVE INSURANCE AND 3567 03:08:28,840 --> 03:08:30,160 SAYING WE'LL EVALUATE YOU BUT 3568 03:08:30,160 --> 03:08:33,000 WE'RE NOT WRITING DOWN YOUR 3569 03:08:33,000 --> 03:08:33,240 IDENTITY. 3570 03:08:33,240 --> 03:08:34,520 WE HAVE YOUR IDENTITY HIDDEN 3571 03:08:34,520 --> 03:08:37,440 WITH THE NUMBER BECAUSE IF THE 3572 03:08:37,440 --> 03:08:38,840 RULES IN THE UNITED STATES 3573 03:08:38,840 --> 03:08:40,240 CHANGE AND AFFECT CALIFORNIA 3574 03:08:40,240 --> 03:08:45,280 THEY DON'T WANT TO BE DEPORTED 3575 03:08:45,280 --> 03:08:52,680 BECAUSE DATA COULD BE SEARCHED. 3576 03:08:52,680 --> 03:08:54,760 >>AND MAYBE REACHING OUT TO 3577 03:08:54,760 --> 03:08:55,040 CHURCHES. 3578 03:08:55,040 --> 03:08:59,080 THEY'RE A GOOD WAY TO REACH OUT 3579 03:08:59,080 --> 03:09:04,040 TO THE POPULATION. 3580 03:09:04,040 --> 03:09:06,000 >>WE DO A LOT OF FAITH BASED 3581 03:09:06,000 --> 03:09:07,600 AND WE'RE DOING THAT WITH 3582 03:09:07,600 --> 03:09:13,040 GLAUCOMA IN MICHIGAN AND THE 3583 03:09:13,040 --> 03:09:14,480 NATIONAL HEALTH EDUCATION 3584 03:09:14,480 --> 03:09:16,760 PROGRAM WERE DOING FAITH-BASED 3585 03:09:16,760 --> 03:09:19,040 REACH OUT TO REACH THE BLACK AND 3586 03:09:19,040 --> 03:09:19,960 LATINO POPULATION FOR EDUCATION. 3587 03:09:19,960 --> 03:09:23,160 THAT COULD ALSO BE A WAY WITH 3588 03:09:23,160 --> 03:09:29,720 THE STUDIES. 3589 03:09:29,720 --> 03:09:31,560 >>LET'S TAKE ONE LAST COMMENT 3590 03:09:31,560 --> 03:09:32,160 AND WE'LL WRAP UP. 3591 03:09:32,160 --> 03:09:38,800 >>I WANT TO GO BACK TO BEN 3592 03:09:38,800 --> 03:09:44,120 TELLER TO GOING BACK TO USING 3593 03:09:44,120 --> 03:09:46,640 DROPS TO TREAT CATARACTS. 3594 03:09:46,640 --> 03:09:52,440 HOW FAR IN THE FUTURE ARE WE 3595 03:09:52,440 --> 03:09:53,080 LOOKING? 3596 03:09:53,080 --> 03:09:56,880 IT WILL CHANGE EVERYTHING IT 3597 03:09:56,880 --> 03:10:02,280 WILL CHANGE THE DISPARITY OF 3598 03:10:02,280 --> 03:10:04,360 EVERYTHING. 3599 03:10:04,360 --> 03:10:05,760 IS THIS IN OUR LIFE TERM? 3600 03:10:05,760 --> 03:10:16,320 HOW FAR ARE WE LOOKING AT THIS? 3601 03:10:20,400 --> 03:10:21,680 >>THAT'S PART OF THE CHALLENGE 3602 03:10:21,680 --> 03:10:23,080 AND IT'S PART OF THE DIFFICULTY 3603 03:10:23,080 --> 03:10:27,760 OF ANSWERING THIS AND I HOPE TO 3604 03:10:27,760 --> 03:10:28,960 HAVE A BETTER ANSWER THAN NOW 3605 03:10:28,960 --> 03:10:31,080 AND YOU FIND THE SPECTRUM OF 3606 03:10:31,080 --> 03:10:33,440 DIFFERENT REPORTS AND THIS IS 3607 03:10:33,440 --> 03:10:35,320 NOT JUST FOR EYE DROPS FOR THE 3608 03:10:35,320 --> 03:10:41,280 CATARACTS BUT I THINK IT'S A 3609 03:10:41,280 --> 03:10:46,400 BROADER ISSUE AND I THINK THAT'S 3610 03:10:46,400 --> 03:10:48,160 A NEED WHERE HOPEFULLY PEOPLE IN 3611 03:10:48,160 --> 03:10:49,120 THE FIELD STUDYING THE DIFFICULT 3612 03:10:49,120 --> 03:10:51,400 PROBLEMS, AND THEY ARE, CAN SIT 3613 03:10:51,400 --> 03:10:55,080 TOGETHER AND WORK TOGETHER TO 3614 03:10:55,080 --> 03:10:59,600 TRY TO COME UP WITH SOME 3615 03:10:59,600 --> 03:11:02,280 COHESIVENESS AN CONSILIENCE 3616 03:11:02,280 --> 03:11:02,640 TALKED ABOUT. 3617 03:11:02,640 --> 03:11:08,080 >>HOUMAM AND THANK YOU FOR THE 3618 03:11:08,080 --> 03:11:08,320 QUESTION. 3619 03:11:08,320 --> 03:11:11,080 I WANT TO THANK ANNE AND DOUG 3620 03:11:11,080 --> 03:11:15,360 ONE LAST TIME TO COMING TO 3621 03:11:15,360 --> 03:11:17,000 BETHESDA TO SPEAK ON THE TOPIC. 3622 03:11:17,000 --> 03:11:18,360 THERE'S A LOT OF OPPORTUNITIES 3623 03:11:18,360 --> 03:11:23,080 FOR COLLABORATION WHICH IS WHAT 3624 03:11:23,080 --> 03:11:27,080 WE TALKED ABOUT EARLIER ON AND 3625 03:11:27,080 --> 03:11:29,840 MAYBE COMMUNITIES WILL BE LIKE 3626 03:11:29,840 --> 03:11:31,520 NIEHS ENVIRONMENTAL SCIENCES AND 3627 03:11:31,520 --> 03:11:35,080 THEY'RE INTERESTED IN THE 3628 03:11:35,080 --> 03:11:43,000 EXPOSOME AND THAT COULD TIE INTO 3629 03:11:43,000 --> 03:11:47,080 SOME AREAS OF SUSTAINABILITY. 3630 03:11:47,080 --> 03:11:51,120 LET ME THANK BOTH OF YOU ONCE 3631 03:11:51,120 --> 03:11:55,960 MORE. 3632 03:11:55,960 --> 03:11:58,320 CATHY, MAY I TURN FOR 3633 03:11:58,320 --> 03:11:59,080 LOGISTICALLY WHAT WE'LL DO. 3634 03:11:59,080 --> 03:12:00,440 >>THANK YOU. 3635 03:12:00,440 --> 03:12:01,480 THAT WAS GREAT. 3636 03:12:01,480 --> 03:12:03,040 WE'RE LITTLE BEHIND TIME BUT 3637 03:12:03,040 --> 03:12:03,680 THAT'S OKAY. 3638 03:12:03,680 --> 03:12:04,880 WE'LL BREAK FOR LUNCH. 3639 03:12:04,880 --> 03:12:09,480 LUNCH IS GOING TO BE SERVED 3640 03:12:09,480 --> 03:12:10,880 UPSTAIRS IN OUR OFFICE SUITES ON 3641 03:12:10,880 --> 03:12:15,760 THE THIRD FLOOR. 3642 03:12:15,760 --> 03:12:17,000 BEFORE THAT BECAUSE WE HAVEN'T 3643 03:12:17,000 --> 03:12:18,720 DONE THIS IN TWO AND A HALF, 3644 03:12:18,720 --> 03:12:20,400 THREE YEARS WE WANT A GROUP 3645 03:12:20,400 --> 03:12:25,320 PHOTO WITH COUNCIL MEMBERS AND 3646 03:12:25,320 --> 03:12:27,080 LEADERSHIP AND WITH OUR SPAERPS. 3647 03:12:27,080 --> 03:12:28,120 BEFORE WE GATHER LET'S GATHER 3648 03:12:28,120 --> 03:12:32,520 OUT IN THE LOBBY AND WE'LL GET 3649 03:12:32,520 --> 03:12:35,080 TOGETHER AND WE'LL PHOTOSHOP 3650 03:12:35,080 --> 03:12:40,160 REZA IN. 3651 03:12:40,160 --> 03:12:42,560 WE'LL PLAN TO BE BACK AT 1:15 NO 3652 03:12:42,560 --> 03:12:47,080 LATER THAN 1:15 FOR LUNCH FOR 3653 03:12:47,080 --> 03:12:47,640 THE SECOND PART OF THE OPEN 3654 03:12:47,640 --> 03:12:52,520 SESSION. 3655 03:12:52,520 --> 03:12:54,600 FOR THIS PART ONE OF THE DOWN 3656 03:12:54,600 --> 03:12:55,920 SIDES OF BEING IN PERSON WE HAVE 3657 03:12:55,920 --> 03:13:02,120 LUNCH AND ALL TALK TO EACH OTHER 3658 03:13:02,120 --> 03:13:06,440 BUT THANKS TO CATHY FOR 3659 03:13:06,440 --> 03:13:08,040 ORGANIZING THIS AND ROUNDING US 3660 03:13:08,040 --> 03:13:08,200 UP. 3661 03:13:08,200 --> 03:13:15,040 WE HAVE CONCEPT CLEARANCES ONE 3662 03:13:15,040 --> 03:13:18,680 OF OUR PROGRAM OFFICERS WHO 3663 03:13:18,680 --> 03:13:19,600 ACTUALLY WORKS ACROSS IN 3664 03:13:19,600 --> 03:13:21,520 PORTFOLIOS AND ONE OF THE BIG 3665 03:13:21,520 --> 03:13:23,960 THINGS HE DOES IS TECH TRANSFER. 3666 03:13:23,960 --> 03:13:24,640 THAT'S WHAT WE'LL TALK ABOUT 3667 03:13:24,640 --> 03:13:34,720 HERE. 3668 03:13:36,120 --> 03:13:38,800 >>GOOD AFTERNOON. 3669 03:13:38,800 --> 03:13:44,960 I'M TONY GOVER AT THE NATIONAL 3670 03:13:44,960 --> 03:13:45,360 EYE INSTITUTE. 3671 03:13:45,360 --> 03:13:48,600 I'M SEEKING COUNCIL'S 3672 03:13:48,600 --> 03:13:51,880 CONCURRENCE FOR ISSUING THE NEI 3673 03:13:51,880 --> 03:13:53,760 TRANSLATIONAL PROGRAM IN 3674 03:13:53,760 --> 03:13:55,080 THERAPEUTICS AND UTILIZING THE 3675 03:13:55,080 --> 03:14:00,400 R61 AND R23 ACTIVITY CODES. 3676 03:14:00,400 --> 03:14:02,120 THE PURPOSE OF OUR TRANSLATIONAL 3677 03:14:02,120 --> 03:14:03,600 RESEARCH PROGRAM IS TO ENCOURAGE 3678 03:14:03,600 --> 03:14:05,680 INVESTIGATORS TO PURSUE 3679 03:14:05,680 --> 03:14:07,120 TRANSLATIONAL ACTIVITIES TO 3680 03:14:07,120 --> 03:14:08,960 ADVANCE THE DEVELOPMENT OF 3681 03:14:08,960 --> 03:14:15,320 BIOLOGICAL AND PHARMACEUTICAL 3682 03:14:15,320 --> 03:14:16,760 DEVICE AND/OR COMBINATION 3683 03:14:16,760 --> 03:14:19,240 THERAPIES FOR DISEASE OR 3684 03:14:19,240 --> 03:14:21,640 DISORDER OF THE VISUAL SYSTEM. 3685 03:14:21,640 --> 03:14:23,760 THIS PROGRAM AND MECHANISM WAS 3686 03:14:23,760 --> 03:14:27,200 DESIGN TO SUPPORT PRODUCT 3687 03:14:27,200 --> 03:14:27,960 DEVELOPMENT EFFORTS WE TYPICALLY 3688 03:14:27,960 --> 03:14:31,000 WOULDN'T SUPPORT WITH OUR NORMAL 3689 03:14:31,000 --> 03:14:36,200 R01 TYPE MECHANISMS. 3690 03:14:36,200 --> 03:14:37,480 THE GOAL OF THE TRANSLATIONAL 3691 03:14:37,480 --> 03:14:39,240 RESEARCH PROGRAM IS TO SUPPORT 3692 03:14:39,240 --> 03:14:41,360 RESEARCH THAT WOULD ENABLE 3693 03:14:41,360 --> 03:14:48,080 SUCCESSFUL SUBMISSIONS OF IND OR 3694 03:14:48,080 --> 03:14:53,560 IDE AT THE END OF THE PERIOD OF 3695 03:14:53,560 --> 03:14:54,880 PERFORMANCE OF THESE AWARDS AS I 3696 03:14:54,880 --> 03:14:56,920 SAID THE TRANSLATIONAL RESEARCH 3697 03:14:56,920 --> 03:15:00,000 PROGRAM WILL UTILIZE AN R21, R33 3698 03:15:00,000 --> 03:15:02,520 ACTIVITY CODE. 3699 03:15:02,520 --> 03:15:06,160 THIS IS A BIPHASIC MILESTONE 3700 03:15:06,160 --> 03:15:09,080 MECHANISM CONSISTING OF AN 3701 03:15:09,080 --> 03:15:12,280 INITIAL R61 EXPLORATORY PHASE 3702 03:15:12,280 --> 03:15:18,120 AND R33 DEVELOPMENTAL SPACE. 3703 03:15:18,120 --> 03:15:19,520 THE EXPLORATORY PHASE WILL 3704 03:15:19,520 --> 03:15:22,480 SUPPORT PRODUCTS BACKED BY 3705 03:15:22,480 --> 03:15:25,840 SUBSTANTIAL DATA BUT NOT 3706 03:15:25,840 --> 03:15:27,520 ADVANCED TO THE LEVEL OF 3707 03:15:27,520 --> 03:15:28,360 CLINICAL TRANSLATION. 3708 03:15:28,360 --> 03:15:35,560 THE R61 ACTIVITY WOULD SUPPORT 3709 03:15:35,560 --> 03:15:39,680 REFINEMENT OF DEVICE DESIGN AND 3710 03:15:39,680 --> 03:15:41,000 COMPOUNDS AND ADMINISTRATION FOR 3711 03:15:41,000 --> 03:15:44,320 CERTAIN DRUGS AND ANY OTHER 3712 03:15:44,320 --> 03:15:45,520 RESEARCH THAT WOULD SUPPORT 3713 03:15:45,520 --> 03:15:52,920 FUTURE R33 DEVELOPMENT WORK. 3714 03:15:52,920 --> 03:15:54,840 THE SATISFACTORY COMPLETION WILL 3715 03:15:54,840 --> 03:15:56,360 BE DETERMINED BY NEI TO 3716 03:15:56,360 --> 03:15:59,840 DETERMINE IF A PROJECT IS 3717 03:15:59,840 --> 03:16:04,440 ELIGIBLE TO TRANSITION FROM THE 3718 03:16:04,440 --> 03:16:07,200 R61 EXPLORATORY FACE AND THE 3719 03:16:07,200 --> 03:16:11,680 DEVELOPMENT PHASE WILL SUPPORT 3720 03:16:11,680 --> 03:16:13,160 RESEARCH OR SPECIFIC FOR 3721 03:16:13,160 --> 03:16:19,680 SPECIFIC S AT THE LAST-STAGE AND 3722 03:16:19,680 --> 03:16:22,200 SUPPORT THINGS SUCH AS GNP 3723 03:16:22,200 --> 03:16:24,440 MANUFACTURING FOR IND STUDIES 3724 03:16:24,440 --> 03:16:27,120 AND SAFETY STUDIES, PHARMACOLOGY 3725 03:16:27,120 --> 03:16:29,480 AND TOXICOLOGY STUDIES. 3726 03:16:29,480 --> 03:16:32,360 ANY RESEARCH THAT WOULD SUPPORT 3727 03:16:32,360 --> 03:16:36,960 SUBMISSION OF AN IND OR IDE TO 3728 03:16:36,960 --> 03:16:41,280 THE FDA. 3729 03:16:41,280 --> 03:16:48,840 WE THINK THE R61, R33 SUPPORT 3730 03:16:48,840 --> 03:16:49,960 YOUR EFFORTS INCLUDING THINGS 3731 03:16:49,960 --> 03:16:52,480 LIKE OUR SMALL BUSINESS PROGRAM 3732 03:16:52,480 --> 03:16:55,440 THAT SUPPORTS OF COURSE SMALL 3733 03:16:55,440 --> 03:16:57,440 BUSINESS PRODUCT DEVELOPMENT 3734 03:16:57,440 --> 03:17:01,320 ACTIVITIES AGAIN FOR ANY DISEASE 3735 03:17:01,320 --> 03:17:04,440 OR DISORDER OF THE VISUAL SYSTEM 3736 03:17:04,440 --> 03:17:10,760 AND INCLUDES THE TRANS-NIH 3737 03:17:10,760 --> 03:17:11,760 BLUEPRINT PROGRAMS. 3738 03:17:11,760 --> 03:17:13,200 THEY SUPPORT PRODUCT DEVELOPMENT 3739 03:17:13,200 --> 03:17:15,800 IN THE AREA OF NEUROSCIENCE. 3740 03:17:15,800 --> 03:17:18,920 UNDER BLUEPRINT THERE'S A MED 3741 03:17:18,920 --> 03:17:20,440 TECH PROGRAM WHICH SUPPORTS 3742 03:17:20,440 --> 03:17:21,400 MEDICAL DEVICE PRODUCT 3743 03:17:21,400 --> 03:17:24,000 DEVELOPMENT BUT SPECIFICALLY FOR 3744 03:17:24,000 --> 03:17:25,920 THE DEVICES THAT REQUIRE DE NOVO 3745 03:17:25,920 --> 03:17:31,160 OR REGULATORY PATHWAY. 3746 03:17:31,160 --> 03:17:32,920 THEN THERE'S THE THERAPEUTICS 3747 03:17:32,920 --> 03:17:35,360 FOR BIOLOGICS AND SEPARATE 3748 03:17:35,360 --> 03:17:36,680 PROGRAM FOR SMALL MOLECULAR 3749 03:17:36,680 --> 03:17:37,360 DRUGS. 3750 03:17:37,360 --> 03:17:39,120 ALL THE BLUEPRINT PROGRAMS 3751 03:17:39,120 --> 03:17:41,080 REQUIRE THE PRODUCT BE RELATED 3752 03:17:41,080 --> 03:17:44,400 TO NEUROSCIENCE. 3753 03:17:44,400 --> 03:17:48,440 OUR R61, R33 TRANSLATIONAL 3754 03:17:48,440 --> 03:17:49,640 RESEARCH PROGRAM CAN SUPPORT 3755 03:17:49,640 --> 03:17:52,040 PRODUCTS THAT ARE FOCUSSED ON 3756 03:17:52,040 --> 03:17:53,920 ANY DISEASE OR DISORDER OF THE 3757 03:17:53,920 --> 03:17:54,360 SERVICE SYSTEM. 3758 03:17:54,360 --> 03:17:58,120 IT MAY SUPPORT ACADEMICS, NOT 3759 03:17:58,120 --> 03:18:00,320 FOR PROFITS, SMALL BUSINESS AND 3760 03:18:00,320 --> 03:18:03,640 ALL FOR PROFIT ORGANIZATIONS AND 3761 03:18:03,640 --> 03:18:06,320 AGAIN WILL SUPPORT THE 3762 03:18:06,320 --> 03:18:08,520 DEVELOPMENT OF BIOLOGICS AND ANY 3763 03:18:08,520 --> 03:18:15,560 CLASS OF DEVICE AND COMBINATION 3764 03:18:15,560 --> 03:18:16,160 THERAPIES CURRENT BLUEPRINT 3765 03:18:16,160 --> 03:18:16,640 PROGRAMS DO NOT SUPPORT. 3766 03:18:16,640 --> 03:18:18,760 WITH THAT I'M HAPPY TO TAKE 3767 03:18:18,760 --> 03:18:20,480 QUESTIONS ABOUT THE CONCEPT AND 3768 03:18:20,480 --> 03:18:25,000 HAPPY TO HEAR FROM DISCUSSANTS 3769 03:18:25,000 --> 03:18:27,000 ON THE CONCEPT. 3770 03:18:27,000 --> 03:18:28,640 >>THANK YOU. 3771 03:18:28,640 --> 03:18:35,120 WE HAD ASSIGNED INITIAL 3772 03:18:35,120 --> 03:18:37,320 DISCUSSIONS DR. DANA AND THEN WE 3773 03:18:37,320 --> 03:18:38,960 CAN OPEN IT UP FOR DISCUSSION 3774 03:18:38,960 --> 03:18:39,720 AND VOTE. 3775 03:18:39,720 --> 03:18:42,760 >>THAT WITH US A NICE 3776 03:18:42,760 --> 03:18:43,080 PRESENTATION. 3777 03:18:43,080 --> 03:18:44,360 I'M VERY ENTHUSIASTIC ABOUT 3778 03:18:44,360 --> 03:18:44,920 THIS. 3779 03:18:44,920 --> 03:18:55,360 I THINK IT'S A GOOD MOVE. 3780 03:18:55,920 --> 03:18:57,320 I LIKE THE CHECKPOINT IN 3781 03:18:57,320 --> 03:18:57,760 BETWEEN. 3782 03:18:57,760 --> 03:19:01,400 I HAVE A FEW MINOR CONCERNS. 3783 03:19:01,400 --> 03:19:07,200 I DON'T KNOW WHETHER IT'S A 3784 03:19:07,200 --> 03:19:17,720 CONCERN VIABLE CONCERN OR NOT 3785 03:19:19,720 --> 03:19:21,720 SOME CAN DISCOURAGE IT TO THE 3786 03:19:21,720 --> 03:19:32,240 YOUNG SCIENTISTS WITH NEW IDEAS. 3787 03:19:41,840 --> 03:19:44,120 AND CAN EXCLUDE YOUNG 3788 03:19:44,120 --> 03:19:49,160 INVESTIGATORS AND WOULD REQUIRE 3789 03:19:49,160 --> 03:19:59,720 COLLABORATION FROM IT WOULD BE 3790 03:19:59,960 --> 03:20:07,200 NICE TO ENCOURAGE THIS AND ON A 3791 03:20:07,200 --> 03:20:12,240 LARGER SET OF PEOPLE WORKING ON 3792 03:20:12,240 --> 03:20:14,560 THE P.I. AND MORE INSTITUTIONS 3793 03:20:14,560 --> 03:20:19,840 IS HOW I FEEL AND OF COURSE I 3794 03:20:19,840 --> 03:20:21,000 HAVE AN SBIR QUESTION. 3795 03:20:21,000 --> 03:20:25,240 SO I'LL LEAVE IT THERE. 3796 03:20:25,240 --> 03:20:26,720 >>I'LL ADDRESS THE FIRST 3797 03:20:26,720 --> 03:20:26,960 QUESTION. 3798 03:20:26,960 --> 03:20:29,120 WE HAVE OTHER MECHANISMS THAT 3799 03:20:29,120 --> 03:20:31,960 NEW INVESTIGATORS CAN APPLY TO, 3800 03:20:31,960 --> 03:20:32,560 R21, R01. 3801 03:20:32,560 --> 03:20:36,920 THE GOAL OF THE PROGRAM IS TO 3802 03:20:36,920 --> 03:20:40,640 GET A PRODUCT ON THE MARKET. 3803 03:20:40,640 --> 03:20:44,080 TO DO THAT AND HAVE A SUCCESS 3804 03:20:44,080 --> 03:20:49,200 RATE AND RETURN ON INVESTMENT WE 3805 03:20:49,200 --> 03:20:54,880 HAVE TO HAVE PROJECTS THAT HAVE 3806 03:20:54,880 --> 03:20:56,080 A GOOD TRACK RECORD AND DE 3807 03:20:56,080 --> 03:20:57,480 RISKED BEFORE FUNDING IT AND 3808 03:20:57,480 --> 03:20:59,080 THERE'S NEWER MECHANISMS I THINK 3809 03:20:59,080 --> 03:21:02,880 INVESTIGATORS CAN APPLY TO. 3810 03:21:02,880 --> 03:21:04,640 WE AGREE MULTI-DISCIPLINARY 3811 03:21:04,640 --> 03:21:06,000 TEAMS WOULD BE REQUIRED FOR THE 3812 03:21:06,000 --> 03:21:06,600 MECHANISM. 3813 03:21:06,600 --> 03:21:10,240 I DON'T THINK THERE'S ANY -- 3814 03:21:10,240 --> 03:21:11,720 THERE'S FEWER ORGANIZATION WOULD 3815 03:21:11,720 --> 03:21:15,320 HAVE THE PROPER EXPERTISE AND 3816 03:21:15,320 --> 03:21:17,480 EXPERIENCE TO GET A PRODUCT FROM 3817 03:21:17,480 --> 03:21:20,920 THE EARLY PRELIMINARY DATA TO AN 3818 03:21:20,920 --> 03:21:24,000 IND OR IDE THAT WILL REQUIRE 3819 03:21:24,000 --> 03:21:34,400 MULTI DISCIPLINARY TEAM. 3820 03:21:37,720 --> 03:21:39,080 >>VERY NICE, VERY EXCITING. 3821 03:21:39,080 --> 03:21:40,640 >>CAN I REMIND PEOPLE TO STATE 3822 03:21:40,640 --> 03:21:41,320 THEIR NAME FIRST. 3823 03:21:41,320 --> 03:21:43,400 SORRY, I MEANT TO DO THAT 3824 03:21:43,400 --> 03:21:44,840 EARLIER. 3825 03:21:44,840 --> 03:21:49,240 >>DO YOU FORESEE THE R66 ALSO 3826 03:21:49,240 --> 03:21:51,440 USED TO DEVELOP OR IMPROVE A NEW 3827 03:21:51,440 --> 03:21:58,240 ASSET BASED ON THE ORIGINAL 3828 03:21:58,240 --> 03:22:01,720 COMPOUNDING YOU MAY HAVE? 3829 03:22:01,720 --> 03:22:05,360 >>NO, THIS IS MORE FOR PRODUCTS 3830 03:22:05,360 --> 03:22:07,400 OUT ON THE STREET. 3831 03:22:07,400 --> 03:22:09,120 UNLESS YOU NEED A NEW ASSAY THAT 3832 03:22:09,120 --> 03:22:14,600 WOULD BE REQUIRED FOR THE FDA 3833 03:22:14,600 --> 03:22:16,800 THEN YES, BUT OTHERWISE WE DON'T 3834 03:22:16,800 --> 03:22:20,440 WANT NEW MODELS OR ASSAYS. 3835 03:22:20,440 --> 03:22:22,880 WE WANT TO DO THE WORK TO GET 3836 03:22:22,880 --> 03:22:23,880 YOU THE -- 3837 03:22:23,880 --> 03:22:27,240 >>IMPROVING THE MOLECULE FOR 3838 03:22:27,240 --> 03:22:28,080 EXAMPLE YOU ALREADY HAVE AND 3839 03:22:28,080 --> 03:22:31,560 TAKE IT TO A DIFFERENT LEVEL. 3840 03:22:31,560 --> 03:22:33,520 >>THERE'S PRODUCT OPTIMIZATION. 3841 03:22:33,520 --> 03:22:34,560 THAT WOULD BE FINE. 3842 03:22:34,560 --> 03:22:40,760 >>CAN YOU EXPLAIN MORE HOW THE 3843 03:22:40,760 --> 03:22:41,680 INTELLECTUAL PROPERTY AND THINGS 3844 03:22:41,680 --> 03:22:47,560 LIKE THAT WOULD BE HANDLED? 3845 03:22:47,560 --> 03:22:48,720 >>THIS IS AN IMPORTANT FACTOR 3846 03:22:48,720 --> 03:22:52,560 BECAUSE WE WANT A PRODUCT ON THE 3847 03:22:52,560 --> 03:22:54,120 MARKET SO IT'S IMPORTANT SO WITH 3848 03:22:54,120 --> 03:22:56,920 OUR OTHER MECHANISMS, SBIR, THE 3849 03:22:56,920 --> 03:23:04,320 I.T. STAYS WITH THE SPONSOR. 3850 03:23:04,320 --> 03:23:08,120 >>DR. DANA. 3851 03:23:08,120 --> 03:23:09,120 >>THANK YOU. 3852 03:23:09,120 --> 03:23:11,920 CREATE. 3853 03:23:11,920 --> 03:23:13,360 -- GREAT PRESENTATION. 3854 03:23:13,360 --> 03:23:15,920 I'M ENTHUSIASTIC ABOUT THE 3855 03:23:15,920 --> 03:23:16,160 PROGRAM. 3856 03:23:16,160 --> 03:23:20,760 WE ALL KNOW NIH IN GENERAL NEI 3857 03:23:20,760 --> 03:23:23,520 AS WELL HAS DONE MORE AND BETTER 3858 03:23:23,520 --> 03:23:25,720 IN REGARDS TO INCREMENTAL 3859 03:23:25,720 --> 03:23:27,320 DISCOVERY RESEARCH AND 3860 03:23:27,320 --> 03:23:32,880 TRANSLATIONAL SO ANY STEP WE CAN 3861 03:23:32,880 --> 03:23:35,560 TAKE THAT HELP THE TRANSLATIONAL 3862 03:23:35,560 --> 03:23:36,440 DEVELOPMENT OF NEW TECHNOLOGIES 3863 03:23:36,440 --> 03:23:38,960 IS A POSITIVE ONE. 3864 03:23:38,960 --> 03:23:40,760 I THINK THERE'S A GREAT PROGRAM. 3865 03:23:40,760 --> 03:23:51,040 I LOVE THE FACT IT'S TIER ED AN 3866 03:23:51,040 --> 03:23:52,560 INVESTING IN THE R61 AND 3867 03:23:52,560 --> 03:23:54,320 FOLLOWED THROUGH THE R33. 3868 03:23:54,320 --> 03:23:56,160 THERE'S TWO QUESTIONS THAT I 3869 03:23:56,160 --> 03:23:57,360 HAVE. 3870 03:23:57,360 --> 03:24:01,280 ONE IS IN REGARDS TO THE STUDY 3871 03:24:01,280 --> 03:24:01,880 SECTION COMPOSITION. 3872 03:24:01,880 --> 03:24:06,680 IT'S GOING TO BE VERY TRICKY. 3873 03:24:06,680 --> 03:24:09,400 WE KNOW STUDY SECTION DO THE 3874 03:24:09,400 --> 03:24:16,920 BEST ARE COMPRISED OF SCIENTISTS 3875 03:24:16,920 --> 03:24:18,240 PRIMARILY BASIC SCIENTISTS IN 3876 03:24:18,240 --> 03:24:23,000 THE STUDY SECTIONS. 3877 03:24:23,000 --> 03:24:24,960 AND MOST OF THESE INDIVIDUALS AS 3878 03:24:24,960 --> 03:24:28,200 GREAT AS THEY ARE IN THEIR 3879 03:24:28,200 --> 03:24:30,000 DISTINCT FIELD ARE NOT REALLY 3880 03:24:30,000 --> 03:24:31,640 QUALIFIED FOR TRANSLATIONAL 3881 03:24:31,640 --> 03:24:34,440 TECHNOLOGIES AND REQUIRE A 3882 03:24:34,440 --> 03:24:40,920 DIFFERENT SKILL SET IN MANY 3883 03:24:40,920 --> 03:24:43,200 CASES HOW WILL THAT NEED TO BE 3884 03:24:43,200 --> 03:24:46,680 DONE BECAUSE IT NEEDS TO BE DONE 3885 03:24:46,680 --> 03:24:47,600 IN THE CAREFUL FASHION OTHERWISE 3886 03:24:47,600 --> 03:24:49,800 THE PROPOSALS CAN'T BE ASSESSED 3887 03:24:49,800 --> 03:24:50,240 PROPERLY. 3888 03:24:50,240 --> 03:24:55,120 QUESTION ONE. 3889 03:24:55,120 --> 03:25:04,520 SECONDLY, IN REGARDS TO THE SBIR 3890 03:25:04,520 --> 03:25:06,040 INITIATIVES WILL SOME ENTITIES 3891 03:25:06,040 --> 03:25:09,040 BE LICENSED FROM THE ACADEMIC 3892 03:25:09,040 --> 03:25:12,200 LABS TO A NEW CODE THAT WILL 3893 03:25:12,200 --> 03:25:17,440 APPLY FOR A NEW NCCR OR ARE YOU 3894 03:25:17,440 --> 03:25:18,960 ENVISIONING SOME OTHER KIND OF 3895 03:25:18,960 --> 03:25:20,080 RELATIONSHIP BETWEEN THE TWO 3896 03:25:20,080 --> 03:25:22,120 PROGRAMS OR ARE THEY TOTALLY 3897 03:25:22,120 --> 03:25:22,840 INDEPENDENT AND YOU DON'T NEED 3898 03:25:22,840 --> 03:25:24,840 TO WORRY ABOUT THAT AT THIS 3899 03:25:24,840 --> 03:25:25,120 POINT. 3900 03:25:25,120 --> 03:25:27,840 YOU JUST WANT TO PUSH THINGS 3901 03:25:27,840 --> 03:25:29,600 FORWARD AND THINGS WILL WORK 3902 03:25:29,600 --> 03:25:30,360 THEMSELVES OUT AT SOME STAGE. 3903 03:25:30,360 --> 03:25:38,120 >>THANK YOU FOR THE QUESTIONS. 3904 03:25:38,120 --> 03:25:41,120 >>THE REVIEW WILL BE DONE 3905 03:25:41,120 --> 03:25:41,400 IN-HOUSE. 3906 03:25:41,400 --> 03:25:44,080 WE'LL HAVE THE APPROPRIATE 3907 03:25:44,080 --> 03:25:44,800 REGULATORY EXPERTS, INDUSTRY 3908 03:25:44,800 --> 03:25:47,080 EXPERTS AND CLINICIANS AND 3909 03:25:47,080 --> 03:25:47,480 SCIENTISTS. 3910 03:25:47,480 --> 03:25:50,680 THAT'S A VERY IMPORTANT POINT. 3911 03:25:50,680 --> 03:25:52,760 WE'LL HAVE THE APPROPRIATE 3912 03:25:52,760 --> 03:26:00,760 REVIEW TO ME IN PLACE FOR THAT. 3913 03:26:00,760 --> 03:26:02,000 THE ROUTE A SPECIFIC PRODUCT 3914 03:26:02,000 --> 03:26:04,240 TAKES IS REALLY DEPENDENT ON A 3915 03:26:04,240 --> 03:26:05,800 LOT OF THINGS, WHO THE SPONSOR 3916 03:26:05,800 --> 03:26:12,120 IS, THE MATURITY OF THE PRODUCT 3917 03:26:12,120 --> 03:26:14,280 AT THE END OF THIS AWARD IS A 3918 03:26:14,280 --> 03:26:18,280 COMPANY OR ACADEMIC HAS AN IDE 3919 03:26:18,280 --> 03:26:23,160 OR IND THEY CAN GO DIRECTLY TO 3920 03:26:23,160 --> 03:26:23,720 CLINICAL TRIALS UTILIZING 3921 03:26:23,720 --> 03:26:25,400 ANOTHER MECHANISM AND THEY'RE 3922 03:26:25,400 --> 03:26:28,920 BOTH TO ACADEMICS AND FOR-PROFIT 3923 03:26:28,920 --> 03:26:39,040 ORGANIZATIONS. 3924 03:26:39,040 --> 03:26:41,800 IF THEY WANT TO SUPPORT THE 3925 03:26:41,800 --> 03:26:42,640 CLINICAL TRIALS THAT'S FINE AS 3926 03:26:42,640 --> 03:26:44,200 LONG AS THE PRODUCT GETS TO 3927 03:26:44,200 --> 03:26:44,480 MARKET. 3928 03:26:44,480 --> 03:26:48,880 WE ENVISION IT CAN GO THE OTHER 3929 03:26:48,880 --> 03:26:49,360 WAY AS WELL. 3930 03:26:49,360 --> 03:26:52,400 SBIR PROJECTS CAN SUBMIT TO THIS 3931 03:26:52,400 --> 03:26:54,240 PROGRAM SO THEY MAKE THE FINAL 3932 03:26:54,240 --> 03:26:59,240 STAGES OF THAT REGULATORY 3933 03:26:59,240 --> 03:27:01,920 PATHWAY AND GET THE IND OR IDE. 3934 03:27:01,920 --> 03:27:03,280 DID THAT ANSWER YOUR QUESTION? 3935 03:27:03,280 --> 03:27:08,800 >>I'M MORE SATISFIED WITH THE 3936 03:27:08,800 --> 03:27:12,200 SECOND. 3937 03:27:12,200 --> 03:27:14,000 I'M NOT CLEAR ON THE FIRST ONE. 3938 03:27:14,000 --> 03:27:19,720 YOU SAID YOU WILL FORM THE STUDY 3939 03:27:19,720 --> 03:27:22,320 SECTI 3940 03:27:22,320 --> 03:27:24,920 SECTIONS WITH YOUR IN-HOUSE 3941 03:27:24,920 --> 03:27:29,560 SCIENTIFIC RESOURCES YOU HAVE? 3942 03:27:29,560 --> 03:27:35,000 LIKE INTRAMURAL SCIENTISTS 3943 03:27:35,000 --> 03:27:36,360 OUTSIDE NEI ON THE STUDY 3944 03:27:36,360 --> 03:27:36,600 SECTIONS? 3945 03:27:36,600 --> 03:27:40,400 >>THE REVIEW GROUP WILL BE 3946 03:27:40,400 --> 03:27:42,000 EXTERNAL SCIENTISTS AND EXPERTS. 3947 03:27:42,000 --> 03:27:45,080 I MEANT INTERNAL AS IN WE HAVE A 3948 03:27:45,080 --> 03:27:51,520 GROUP THAT RUNS STUDY SECTIONS. 3949 03:27:51,520 --> 03:27:56,640 >>WE WOULD HAVE OUR EXTERNAL 3950 03:27:56,640 --> 03:27:57,080 REGULATORY EXPERTS. 3951 03:27:57,080 --> 03:27:57,720 >>THANK YOU SO MUCH, TONY. 3952 03:27:57,720 --> 03:28:05,240 GREAT PROGRAM. 3953 03:28:05,240 --> 03:28:06,040 >>ONE MORE QUESTION AND THEN 3954 03:28:06,040 --> 03:28:10,040 WE'LL NEED TO MOVE ON. 3955 03:28:10,040 --> 03:28:16,920 >>SO WITH THE R61 DO YOU HAVE 3956 03:28:16,920 --> 03:28:19,200 TO HAVE ALREADY IP? 3957 03:28:19,200 --> 03:28:21,280 >>DOES THE PRODUCT HAVE TO HAVE 3958 03:28:21,280 --> 03:28:21,560 IP? 3959 03:28:21,560 --> 03:28:22,120 >>YEAH. 3960 03:28:22,120 --> 03:28:24,480 >>I DON'T WANT TO GET THE 3961 03:28:24,480 --> 03:28:29,680 SPECIFICS OF WHAT THE FOA MAY 3962 03:28:29,680 --> 03:28:34,520 LOOK LIKE BUT I WOULD SAY 3963 03:28:34,520 --> 03:28:37,280 THERE'S NO LEGAL REQUIREMENT TO 3964 03:28:37,280 --> 03:28:47,480 HAVE AN IP. 3965 03:28:47,960 --> 03:28:49,720 >>I'M GETTING NERVOUS ABOUT 3966 03:28:49,720 --> 03:28:49,920 TIME. 3967 03:28:49,920 --> 03:28:51,640 THIS IS A CONCEPT CLEARANCE 3968 03:28:51,640 --> 03:28:52,600 WE'RE CONSIDERING DEVELOPING 3969 03:28:52,600 --> 03:28:55,840 INTO A FUNDING OPPORTUNITY 3970 03:28:55,840 --> 03:29:02,840 ANNOUNCEMENT SO KE -- WE NEED 3971 03:29:02,840 --> 03:29:04,080 YOU TO VOTE SO CAN I HAVE A 3972 03:29:04,080 --> 03:29:05,720 MOTION IT APPROVE THE CONCEPT? 3973 03:29:05,720 --> 03:29:06,080 THANK YOU. 3974 03:29:06,080 --> 03:29:07,520 CAN I HAVE A SECOND? 3975 03:29:07,520 --> 03:29:09,920 THANK YOU. 3976 03:29:09,920 --> 03:29:12,520 ALL IN FAVOR PLEASE RAISE YOUR 3977 03:29:12,520 --> 03:29:12,720 HANDS. 3978 03:29:12,720 --> 03:29:14,360 IS THERE ANYBODY OPPOSED? 3979 03:29:14,360 --> 03:29:14,600 GREAT. 3980 03:29:14,600 --> 03:29:14,920 THANK YOU. 3981 03:29:14,920 --> 03:29:16,920 MOTION PASSES. 3982 03:29:16,920 --> 03:29:21,400 THANK YOU, TONY. 3983 03:29:21,400 --> 03:29:24,520 OUR NEXT CONCEPT CLEARANCE IS 3984 03:29:24,520 --> 03:29:28,920 GOING TO BE PRESENTED BY 3985 03:29:28,920 --> 03:29:31,040 NEERAJNEE 3986 03:29:31,040 --> 03:29:31,960 NEERAJNEE 3987 03:29:31,960 --> 03:29:32,880 NEERAJNEE 3988 03:29:32,880 --> 03:29:33,120 NEERAJAGE 3989 03:29:33,560 --> 03:29:36,920 NEERAJ AGRAWAL AND WILL PRESENT 3990 03:29:38,880 --> 03:29:42,160 CONCEPT TO RENEWEERAJAGE 3991 03:29:42,560 --> 03:29:43,120 NEERAJ AGRAWAL AND WILL PRESENT 3992 03:29:43,120 --> 03:29:43,720 CONCEPT TO RENEWERAJAGE 3993 03:29:43,720 --> 03:29:44,320 NEERAJ AGRAWAL AND WILL PRESENT 3994 03:29:44,320 --> 03:29:44,880 CONCEPT TO RENEWJAGE 3995 03:29:44,880 --> 03:29:45,440 NEERAJ AGRAWAL AND WILL PRESENT 3996 03:29:45,440 --> 03:29:46,000 CONCEPT TO RENEWAGE 3997 03:29:46,000 --> 03:29:46,560 NEERAJ AGRAWAL AND WILL PRESENT 3998 03:29:46,560 --> 03:29:47,080 CONCEPT TO RENEW 3999 03:29:47,080 --> 03:29:47,640 NEERAJ AGRAWAL AND WILL PRESENT 4000 03:29:47,640 --> 03:29:48,480 CONCEPT TO RENEW THE K12 4001 03:29:48,480 --> 03:29:48,920 PHYSICIAN AWARD. 4002 03:29:48,920 --> 03:29:59,200 OVER TO NEERAJ. 4003 03:30:01,560 --> 03:30:02,240 >>GOOD AFTERNOON. 4004 03:30:02,240 --> 03:30:07,120 THANK YOU AND I'M SO HAPPY TO BE 4005 03:30:07,120 --> 03:30:08,240 HERE IN PERSON AND IT'S NICE TO 4006 03:30:08,240 --> 03:30:10,840 SEE YOU ALL IN ONE PLACE. 4007 03:30:10,840 --> 03:30:19,920 I'M HERE FOR THE RE-ISSUANCE OF 4008 03:30:19,920 --> 03:30:22,320 THE INSTITUTIONAL MENTORED 4009 03:30:22,320 --> 03:30:33,000 PHYSICIAN SCIENTIST AWARD K12 IN 4010 03:30:33,000 --> 03:30:34,040 CLINICAL TRIAL OPTIONAL MOST MAY 4011 03:30:34,040 --> 03:30:35,240 KNOW THE GOAL OF THE FUNDING 4012 03:30:35,240 --> 03:30:39,360 OPPORTUNITY ANNOUNCEMENT IS TO 4013 03:30:39,360 --> 03:30:41,000 ENCOURAGE INSTITUTIONS TO 4014 03:30:41,000 --> 03:30:43,080 PROPOSE CREATIVE AND INNOVATIVE 4015 03:30:43,080 --> 03:30:46,880 INSTITUTIONAL RESEARCH AND 4016 03:30:46,880 --> 03:30:48,520 DEVELOPMENT PROGRAMS WHICH 4017 03:30:48,520 --> 03:30:52,360 PREPARE THE CLINICALLY TRAINED 4018 03:30:52,360 --> 03:30:56,760 INDEPENDENT SCIENTISTS FOR 4019 03:30:56,760 --> 03:30:59,120 CARRIERS THE OBJECTIVE IS TO 4020 03:30:59,120 --> 03:31:01,960 INCREASE THE NUMBER OF CLINICIAN 4021 03:31:01,960 --> 03:31:04,960 SCIENTISTS TRAINED IN 4022 03:31:04,960 --> 03:31:07,000 TRADITIONAL RESEARCH AND PROMOTE 4023 03:31:07,000 --> 03:31:09,560 THEIR CAREER DEVELOPMENT AS 4024 03:31:09,560 --> 03:31:14,640 RESEARCHERS IN ACADEMIA. 4025 03:31:14,640 --> 03:31:16,320 CLINICIAN SCIENTISTS FROM NEI 4026 03:31:16,320 --> 03:31:18,960 K12 PROGRAMS ARE EXPECTED TO 4027 03:31:18,960 --> 03:31:20,880 APPLY FOR A K08 OR O23 AND THE 4028 03:31:20,880 --> 03:31:25,760 R01. 4029 03:31:25,760 --> 03:31:28,520 THE THIRD IS THE PROPOSED CAREER 4030 03:31:28,520 --> 03:31:29,760 DEVELOPMENT PROGRAM MAY 4031 03:31:29,760 --> 03:31:31,600 COMPLEMENT OTHER ONGOING 4032 03:31:31,600 --> 03:31:34,320 RESEARCH TRAINING AND CAREER 4033 03:31:34,320 --> 03:31:36,400 DEVELOPMENT PROGRAMS AND THE 4034 03:31:36,400 --> 03:31:38,560 APPLICANT INSTITUTION MUST BE 4035 03:31:38,560 --> 03:31:40,920 DISTINCT FROM THE OTHER PROGRAMS 4036 03:31:40,920 --> 03:31:43,360 CURRENTLY RECEIVING FEDERAL 4037 03:31:43,360 --> 03:31:43,600 SUPPORT. 4038 03:31:43,600 --> 03:31:46,920 THIS FOA ALLOWS APPOINTMENT OF 4039 03:31:46,920 --> 03:31:48,760 SCHOLARS WITH STUDIES TO AN 4040 03:31:48,760 --> 03:31:53,440 EXISTING TRIAL PROPOSING TO GAIN 4041 03:31:53,440 --> 03:31:56,080 RESEARCH EXPERIENCE IN A 4042 03:31:56,080 --> 03:31:57,040 CLINICAL TRIAL LED BY ANOTHER 4043 03:31:57,040 --> 03:32:02,320 INVESTIGATOR AS PART OF THEIR 4044 03:32:02,320 --> 03:32:03,360 CAREER DEVELOPMENT. 4045 03:32:03,360 --> 03:32:05,440 SO THIS IS THE PORTFOLIO 4046 03:32:05,440 --> 03:32:06,720 OVERVIEW. 4047 03:32:06,720 --> 03:32:10,360 NEI CURRENTLY SUPPORTS 10 K12 4048 03:32:10,360 --> 03:32:13,280 PROGRAMS AND EACH HAVE TWO 4049 03:32:13,280 --> 03:32:16,360 SCHOLARS EACH EXCEPT FOR USC AND 4050 03:32:16,360 --> 03:32:16,960 OREGON ONLY HAVE ONE SCHOLAR 4051 03:32:16,960 --> 03:32:22,320 EACH. 4052 03:32:22,320 --> 03:32:24,080 HERE'S THE DATA ANALYSIS HOW 4053 03:32:24,080 --> 03:32:24,680 SUCCESSFUL IS THIS PROGRAM? 4054 03:32:24,680 --> 03:32:29,960 AS I MENTIONED, WE HAVE 10 4055 03:32:29,960 --> 03:32:31,600 PROGRAMS SUPPORTED BY K12. 4056 03:32:31,600 --> 03:32:37,680 HARVARD, HOPKINS, PENN, UIC, 4057 03:32:37,680 --> 03:32:40,480 MICHIGAN, UCSD AND SAN FRANCISCO 4058 03:32:40,480 --> 03:32:43,760 AND USF AND STANFORD. 4059 03:32:43,760 --> 03:32:48,760 IN THE MIDDLE COLUMN YOU SEE THE 4060 03:32:48,760 --> 03:32:51,440 SCHOLARS SUPPORTED AND THE DATA 4061 03:32:51,440 --> 03:32:52,640 WAS TAKEN FROM THE LAST PROGRESS 4062 03:32:52,640 --> 03:32:54,040 REPORT ON THE LAST SUBMISSIONS 4063 03:32:54,040 --> 03:32:59,080 OF THE GRANT APPLICATION. 4064 03:32:59,080 --> 03:33:04,160 FOR EXAMPLE, HARVARD APPOINTED 4065 03:33:04,160 --> 03:33:06,160 14 SCHOLARS AND THEY WERE ABLE 4066 03:33:06,160 --> 03:33:11,240 TO GET THEIR K08 OR K23 OR R21. 4067 03:33:11,240 --> 03:33:21,040 IT'S A PRETTY SUCCESSFUL PROGRAM 4068 03:33:21,040 --> 03:33:26,280 AND THEY'RE ABLE TO CONVERT. 4069 03:33:26,280 --> 03:33:34,960 IT'S A CASE HOPKINS 6 OF 10 AND 4070 03:33:34,960 --> 03:33:41,200 UIC, 5 OF 12 AND MICHIGAN AND WE 4071 03:33:41,200 --> 03:33:43,120 HAVE THE PROGRAM DIRECTOR OF 4072 03:33:43,120 --> 03:33:50,280 MICHIGAN 7 OF 8 AND UCSD, 4 OF 4 4073 03:33:50,280 --> 03:33:56,400 AND ORE OREGON AND 2 OF 3 AND 4074 03:33:56,400 --> 03:33:57,040 STANFORD WE JUST STARTED THIS 4075 03:33:57,040 --> 03:34:05,200 YEAR. 4076 03:34:05,200 --> 03:34:11,520 THE DATA SAYS IT'S A SUCCESSFUL 4077 03:34:11,520 --> 03:34:11,840 PROGRAM. 4078 03:34:11,840 --> 03:34:17,400 WE WILL BE HAPPY TO RE-ISSUE THE 4079 03:34:17,400 --> 03:34:17,760 K12. 4080 03:34:17,760 --> 03:34:24,640 DR. BORRAS IS A DISCUSSANT AND 4081 03:34:24,640 --> 03:34:25,280 I'M HAPPY TO HAVE YOUR 4082 03:34:25,280 --> 03:34:25,560 QUESTIONS. 4083 03:34:25,560 --> 03:34:35,720 THANK YOU. 4084 03:34:43,640 --> 03:34:50,000 >>THIS IS A PROGRAM I WAS 4085 03:34:50,000 --> 03:34:55,280 EXCITED ABOUT BECAUSE I'VE BEEN 4086 03:34:55,280 --> 03:35:01,000 WORKING WITH K12 AWARDEES AND 4087 03:35:01,000 --> 03:35:07,040 ALSO I'VE BEEN WORKING WITH 4088 03:35:07,040 --> 03:35:07,840 DUKE'S PROGRAMS INTERESTED IN 4089 03:35:07,840 --> 03:35:13,240 RESEARCH FOR A YEAR AND THE 4090 03:35:13,240 --> 03:35:16,560 DIFFERENCE THAT MAKES IN THE WAY 4091 03:35:16,560 --> 03:35:17,200 THEY EXAMINE THE PATIENTS TO DO 4092 03:35:17,200 --> 03:35:24,760 THAT. 4093 03:35:24,760 --> 03:35:28,480 I DON'T HAVE NEGATIVE THINGS TO 4094 03:35:28,480 --> 03:35:28,960 STAY. 4095 03:35:28,960 --> 03:35:34,120 ONE QUESTION IS WHAT IS THE 4096 03:35:34,120 --> 03:35:41,400 PERCENT OF THE K12 THEY GET AN 4097 03:35:41,400 --> 03:35:44,040 R01 LATER AND GET ESTABLISHED AS 4098 03:35:44,040 --> 03:35:45,480 RESEARCH INVESTIGATORS. 4099 03:35:45,480 --> 03:35:48,000 >>THE QUESTION IS HOW MANY K12 4100 03:35:48,000 --> 03:35:52,240 POINTEES ARE ABLE TO GET THEIR 4101 03:35:52,240 --> 03:35:55,720 INDIVIDUAL R. 4102 03:35:55,720 --> 03:35:57,320 THE DATA WAS ONE WE LOOKED INTO 4103 03:35:57,320 --> 03:36:02,640 IT WHEN IT COMES TO THE RENEWAL. 4104 03:36:02,640 --> 03:36:04,960 IF YOU REMEMBER LAST COUNCIL I 4105 03:36:04,960 --> 03:36:08,200 PRESENTED MY DATA ON K08 AND K23 4106 03:36:08,200 --> 03:36:12,920 AND THE PERCENTAGE IS HIGH 50% 4107 03:36:12,920 --> 03:36:17,040 TO 55% ARE ABLE TO CONVERT WHICH 4108 03:36:17,040 --> 03:36:19,480 IS A REFLECTION OF K12 TO K08. 4109 03:36:19,480 --> 03:36:25,760 >>THE DATA YOU PRESENTED TODAY 4110 03:36:25,760 --> 03:36:29,680 WAS THE CONVERSION TO R01? 4111 03:36:29,680 --> 03:36:32,400 >>NO, K08 TO K23. 4112 03:36:32,400 --> 03:36:38,040 >>TODAY WHEN YOU SAID 100% OF 4113 03:36:38,040 --> 03:36:42,680 MICHIGAN THOSE ARE FROM THE 4114 03:36:42,680 --> 03:36:48,240 APPLICATION THEY GOT THE AWARD 4115 03:36:48,240 --> 03:36:49,240 THE PERCENT OF PERSONS THAT GOT 4116 03:36:49,240 --> 03:36:51,120 THE AWARD FROM THE NUMBER OF 4117 03:36:51,120 --> 03:36:52,280 APPLICANTS. 4118 03:36:52,280 --> 03:36:52,520 >>YES. 4119 03:36:52,520 --> 03:36:52,920 >>OKAY. 4120 03:36:52,920 --> 03:37:01,760 >>THANK YOU. 4121 03:37:01,760 --> 03:37:03,160 >>TOM GARDNER. 4122 03:37:03,160 --> 03:37:03,720 THANK YOU VERY MUCH. 4123 03:37:03,720 --> 03:37:07,240 SEVERAL OF US IN THE ROOM ARE 4124 03:37:07,240 --> 03:37:13,240 THE BENEFICIARIES OF THE K 4125 03:37:13,240 --> 03:37:15,960 PROGRAMS AND THIS PROVIDES AN 4126 03:37:15,960 --> 03:37:19,640 IMPORTANT NICHE IN IT'S A UNIQUE 4127 03:37:19,640 --> 03:37:23,520 OPPORTUNITY FOR YOUNG FISSION 4128 03:37:23,520 --> 03:37:24,960 WHO'S DON'T HAVE MUCH AND WANT 4129 03:37:24,960 --> 03:37:28,880 TO DO THE RIGHT RESEARCH BUT 4130 03:37:28,880 --> 03:37:32,240 NEED TRAINING. 4131 03:37:32,240 --> 03:37:35,720 THEY HAVEN'T HAD A Ph.D. AND CAN 4132 03:37:35,720 --> 03:37:40,960 ALMOST START FROM THE GROUND UP 4133 03:37:40,960 --> 03:37:43,360 AND BE SUCCESSFUL AND BECOME 4134 03:37:43,360 --> 03:37:48,520 INDEPENDENT TO THEIR OWN K AND 4135 03:37:48,520 --> 03:37:48,680 RO1. 4136 03:37:48,680 --> 03:37:51,760 IT'S IMPORTANT TO RECOGNIZE THIS 4137 03:37:51,760 --> 03:37:58,400 COMPLEMENTS THE K08, K23 PROGRAM 4138 03:37:58,400 --> 03:38:02,280 VERY MUCH IT'S THE SEEDING 4139 03:38:02,280 --> 03:38:07,480 GROUND FOR SUBSEQUENT RO1s. 4140 03:38:07,480 --> 03:38:11,360 I THINK THE PROGRAM ABLE TO 4141 03:38:11,360 --> 03:38:12,240 CAPTURE A POPULATION OF PEOPLE 4142 03:38:12,240 --> 03:38:14,560 THAT DIDN'T KNOW THEY WANTED TO 4143 03:38:14,560 --> 03:38:15,360 BE INVESTIGATORS UNTIL THEY CAME 4144 03:38:15,360 --> 03:38:17,280 TO THE IDEA LATE IN THE CLINICAL 4145 03:38:17,280 --> 03:38:21,000 TRAINING. 4146 03:38:21,000 --> 03:38:27,640 WITHOUT THIS THEY'D PROBABLY BE 4147 03:38:27,640 --> 03:38:27,840 LOST. 4148 03:38:27,840 --> 03:38:30,480 THERE'S NO MANY OTHERS IN 4149 03:38:30,480 --> 03:38:35,360 OPHTHALMOLOGY FROM FOUNDATIONS 4150 03:38:35,360 --> 03:38:41,120 AND THINGS LIKE THAT. 4151 03:38:41,120 --> 03:38:42,680 THIS PLAYS AN IMPORTANT ROLE 4152 03:38:42,680 --> 03:38:45,000 THOUGH I'M NO LONGER A P.I. AND 4153 03:38:45,000 --> 03:38:49,560 NOT CONFLICTED. 4154 03:38:49,560 --> 03:38:55,560 >>THANK YOU. 4155 03:38:55,560 --> 03:38:57,040 >>REZA, DO YOU HAVE TO SAY 4156 03:38:57,040 --> 03:38:57,320 ANYTHING? 4157 03:38:57,320 --> 03:39:07,680 >>THANK YOU SO MUCH. 4158 03:39:13,920 --> 03:39:16,960 OF THE 14, 12 ARE HERE AND 11 4159 03:39:16,960 --> 03:39:18,040 RECEIVED K FUNDING. 4160 03:39:18,040 --> 03:39:21,760 EVERYONE WAS FINISHED EXCEPT FOR 4161 03:39:21,760 --> 03:39:26,440 ONE RECEIVED RO1 FUNDING AND 4162 03:39:26,440 --> 03:39:27,440 MADE THE DIFFERENCE. 4163 03:39:27,440 --> 03:39:32,960 DR. MICHAEL CHIANG MENTIONED AT 4164 03:39:32,960 --> 03:39:43,480 THE BEGINNING OF THE DAY THE 4165 03:39:44,560 --> 03:39:46,360 CLINICIAN SCIENTIST PROGRAM AND 4166 03:39:46,360 --> 03:39:48,120 I CAN THINK OF MANY WHO HAVE 4167 03:39:48,120 --> 03:39:50,800 BEEN RECIPIENTS OF THIS SINCE 4168 03:39:50,800 --> 03:39:52,520 THE PROGRAM WAS LAUNCHED AT THE 4169 03:39:52,520 --> 03:39:52,680 NEI. 4170 03:39:52,680 --> 03:40:00,760 WE CAME WITH HOPKINS AND PENN 4171 03:40:00,760 --> 03:40:02,280 AND WE STRONGLY ENDORSE IT. 4172 03:40:02,280 --> 03:40:05,720 THE FUNDING HAS CONTRACTED 4173 03:40:05,720 --> 03:40:06,000 SOMEWHAT. 4174 03:40:06,000 --> 03:40:07,560 WE USED TO GET FIVE YEARS OF 4175 03:40:07,560 --> 03:40:08,760 FUNDING AND USED TO HAVE UP TO 4176 03:40:08,760 --> 03:40:13,440 THREE PEOPLE AT A GIVEN TIME IN 4177 03:40:13,440 --> 03:40:15,160 A PROGRAM NOW IT'S UP TO TWO AND 4178 03:40:15,160 --> 03:40:15,880 FEWER YEARS. 4179 03:40:15,880 --> 03:40:18,120 IT'S BECOME MORE OF A STEPPING 4180 03:40:18,120 --> 03:40:24,960 TONE TO AN INDIVIDUAL KAY 4181 03:40:24,960 --> 03:40:27,240 OPPOSED TO AN RO1 GRANT AND HOPE 4182 03:40:27,240 --> 03:40:28,960 IT MEETS YOUR SUPPORT. 4183 03:40:28,960 --> 03:40:31,440 THANK YOU. 4184 03:40:31,440 --> 03:40:37,040 >>THE PROGRAM IS AMAZING. 4185 03:40:37,040 --> 03:40:38,640 OTHER COUNTRIES ENVY THE PROGRAM 4186 03:40:38,640 --> 03:40:40,920 AND THANK YOU FOR YOUR 4187 03:40:40,920 --> 03:40:49,880 CONTRIBUTION. 4188 03:40:49,880 --> 03:40:52,920 SOME PROGRAMS ARE MORE 4189 03:40:52,920 --> 03:40:57,600 SUCCESSFUL TO CONVERT TO A K23. 4190 03:40:57,600 --> 03:41:04,880 DO YOU HAVE AN INSTINCT WHY SOME 4191 03:41:04,880 --> 03:41:06,760 ARE MORE SUCCESSFUL THAN OTHERS? 4192 03:41:06,760 --> 03:41:08,000 >>THE DATA IS THERE. 4193 03:41:08,000 --> 03:41:13,400 I THINK THEY'RE ALL SUCCESSFUL 4194 03:41:13,400 --> 03:41:16,920 IF YOU HAVE 60% CONVERSION THEY 4195 03:41:16,920 --> 03:41:21,280 MAY TAKE LONGER TIME. 4196 03:41:21,280 --> 03:41:22,400 I DIDN'T CALL INDIVIDUAL 4197 03:41:22,400 --> 03:41:27,760 DIRECTORS BUT I WENT THROUGH THE 4198 03:41:27,760 --> 03:41:34,360 APPLICATIONS AND DUG THE DATA 4199 03:41:34,360 --> 03:41:40,640 OUT AND STANFORD WE STARTED AND 4200 03:41:40,640 --> 03:41:45,240 ONE MOVED TO HOPKINS AND SOME 4201 03:41:45,240 --> 03:41:45,920 LEFT THE PROGRAM. 4202 03:41:45,920 --> 03:41:46,640 THE DATA IS THERE. 4203 03:41:46,640 --> 03:41:54,600 I HAVE NO PROBLEMS. 4204 03:41:54,600 --> 03:41:56,280 >>THERE'S HOW LONG THE PROGRAM 4205 03:41:56,280 --> 03:41:58,120 HAS BEEN IN EXISTENCE. 4206 03:41:58,120 --> 03:41:59,720 SOME OF THE ONES TOWARDS THE 4207 03:41:59,720 --> 03:42:00,920 BOTTOM OF THE LIST THAT DIDN'T 4208 03:42:00,920 --> 03:42:04,960 LOOK QUITE AS SUCCESSFUL IS 4209 03:42:04,960 --> 03:42:07,480 BECAUSE THEY HAVEN'T BEEN AROUND 4210 03:42:07,480 --> 03:42:08,600 SLONG. 4211 03:42:08,600 --> 03:42:11,000 -- AS LONG AS THEY HAVE MORE 4212 03:42:11,000 --> 03:42:11,440 TRAINEES APPLY FOR Ks 4213 03:42:11,440 --> 03:42:21,640 PRESUMABLY. 4214 03:42:29,320 --> 03:42:31,520 >>THEY USED TO HAVE K12. 4215 03:42:31,520 --> 03:42:35,600 >>I WANTED TO RECOGNIZE THE 4216 03:42:35,600 --> 03:42:37,840 SUCCESS OF THE PROGRAM IS IN 4217 03:42:37,840 --> 03:42:40,960 DIRECT PROPORTION TO DR 4218 03:42:40,960 --> 03:42:43,920 DR. AGGERWAHL'S ROLE AND HELPS 4219 03:42:43,920 --> 03:42:46,680 THE P.I.s UNDERSTAND WHAT THE 4220 03:42:46,680 --> 03:42:52,480 CRITERIA ARE AND HELPS THE 4221 03:42:52,480 --> 03:42:53,240 SCHOLARS AND EVERYTHING. 4222 03:42:53,240 --> 03:42:58,440 IT'S NOT JUST THE PROGRAM. 4223 03:42:58,440 --> 03:43:03,680 >>IF I MAY ADD THIS PROGRAM 4224 03:43:03,680 --> 03:43:04,760 BENEFITS THE CLINICIAN 4225 03:43:04,760 --> 03:43:09,880 SCIENTISTS AND THE Ph.D.s. 4226 03:43:09,880 --> 03:43:17,520 IT'S REALLY NICE TO HAVE IN YOUR 4227 03:43:17,520 --> 03:43:22,760 LAB A CLINICIAN BECAUSE IT'S 4228 03:43:22,760 --> 03:43:24,400 BOTH WAYS FOR THE CLINICIAN AND 4229 03:43:24,400 --> 03:43:34,880 FOR THE Ph.D.s ALSO BENEFIT. 4230 03:43:37,160 --> 03:43:39,120 >>THIS IS A GREAT DISCUSSION. 4231 03:43:39,120 --> 03:43:39,360 THANK YOU. 4232 03:43:39,360 --> 03:43:40,920 ARE THERE ANY MORE COMMENTS 4233 03:43:40,920 --> 03:43:42,520 BEFORE WE TAKE A VOTE? 4234 03:43:42,520 --> 03:43:44,640 IF NOT MAY I HAVE A MOTION TO 4235 03:43:44,640 --> 03:43:48,240 APPROVE THE CONCEPT FOR THE 4236 03:43:48,240 --> 03:43:49,280 RENEWAL OF THE K12? 4237 03:43:49,280 --> 03:43:53,880 MAY I HAVE A SECOND? 4238 03:43:53,880 --> 03:43:55,960 THE DISCUSSION WAS A LITTLE 4239 03:43:55,960 --> 03:43:56,400 AMBIGUOUS. 4240 03:43:56,400 --> 03:44:01,880 ALL IN FAVOR OF APPROVING THE 4241 03:44:01,880 --> 03:44:02,320 RE-ISSUE? 4242 03:44:02,320 --> 03:44:04,960 ANYONE OPPOSED? 4243 03:44:04,960 --> 03:44:13,520 THANK YOU. 4244 03:44:13,520 --> 03:44:16,240 NOW WE DO HAVE THREE COUNCIL 4245 03:44:16,240 --> 03:44:17,280 MEMBERS WHO THIS WILL BE THEIR 4246 03:44:17,280 --> 03:44:22,000 LAST MEETING AND WE WANTED TO 4247 03:44:22,000 --> 03:44:23,360 GIVE THEM AN OPPORTUNITY TO FEW 4248 03:44:23,360 --> 03:44:24,600 REMARKS ABOUT THEIR TIME ON 4249 03:44:24,600 --> 03:44:28,920 COUNCIL AND ANY OTHER FEEDBACK 4250 03:44:28,920 --> 03:44:31,160 THEY WANTED TO SHARE WITH US. 4251 03:44:31,160 --> 03:44:37,240 I FIRST WANT TO EXTEND MY THANKS 4252 03:44:37,240 --> 03:44:39,800 TO THEM FOR THEIR SERVICE AND 4253 03:44:39,800 --> 03:44:40,920 ACTIVE ENGAGEMENT IN COUNCIL. 4254 03:44:40,920 --> 03:44:51,360 WE REALLY APPRECIATE IT. 4255 03:44:59,080 --> 03:45:04,040 LETS START WITH DR. DEL 4256 03:45:04,040 --> 03:45:04,360 RIO-TSONIS. 4257 03:45:04,360 --> 03:45:06,080 >>IT'S BEEN AN ENRICHING 4258 03:45:06,080 --> 03:45:07,840 EXPERIENCE WORKING WITH THE PAST 4259 03:45:07,840 --> 03:45:12,920 AND CURRENT COUNCIL MEMBERS. 4260 03:45:12,920 --> 03:45:19,200 IT'S BEEN A PLEASURE AND WITH 4261 03:45:19,200 --> 03:45:19,800 NEI STAFF. 4262 03:45:19,800 --> 03:45:23,600 IT'S IN THE MIDDLE A MORPHING 4263 03:45:23,600 --> 03:45:25,320 COUNCIL IN MANY INSTANCES 4264 03:45:25,320 --> 03:45:28,960 BECAUSE NOT ONLY BECAUSE OF THE 4265 03:45:28,960 --> 03:45:32,960 CHANGING COUNCIL MEMBERS BUT I 4266 03:45:32,960 --> 03:45:37,640 THINK THE NEI HAS UNDER GONE 4267 03:45:37,640 --> 03:45:37,840 CHANGE. 4268 03:45:37,840 --> 03:45:44,680 WHEN I WAS RECRUITED I HAD 4269 03:45:44,680 --> 03:45:46,200 FANTASTIC TALKS BUT SAD I DIDN'T 4270 03:45:46,200 --> 03:45:49,320 GET TO MEET HIM BUT HAD A 4271 03:45:49,320 --> 03:45:54,320 PLEASURE TO WORK WITH ANNE 4272 03:45:54,320 --> 03:45:56,080 RUNNING THE COUNCIL FOR THE 4273 03:45:56,080 --> 03:45:57,840 FIRST PART OF MY TENURE AND NOW 4274 03:45:57,840 --> 03:46:00,320 I HAD THE PLEASURE TO WORK WITH 4275 03:46:00,320 --> 03:46:00,480 YOU. 4276 03:46:00,480 --> 03:46:00,760 THANK YOU. 4277 03:46:00,760 --> 03:46:08,000 IT'S BEEN A PLEASURE. 4278 03:46:08,000 --> 03:46:16,920 ALSO MY FIRST MEETING HERE WAS 4279 03:46:16,920 --> 03:46:24,560 WHEN THE NEI DIRECTOR AND SPAN 4280 03:46:24,560 --> 03:46:25,960 THE PROCESS AND THANK YOU FOR 4281 03:46:25,960 --> 03:46:27,320 BEING IN BETWEEN DRIVING THE 4282 03:46:27,320 --> 03:46:32,960 INITIATIVES WE STARTED AND OF 4283 03:46:32,960 --> 03:46:40,880 COURSE MIKE THAT'S COME IN WITH 4284 03:46:40,880 --> 03:46:43,320 STRONG INITIATIVES FOR THAT. 4285 03:46:43,320 --> 03:46:45,040 I ALSO HAD THE PLEASURE TO WORK 4286 03:46:45,040 --> 03:46:46,520 WITH MIKE SIMONS. 4287 03:46:46,520 --> 03:46:48,920 I WAS SAD WHEN HE PASSED AWAY. 4288 03:46:48,920 --> 03:46:57,840 HE WAS THE GLUE OF THE COUNCIL. 4289 03:46:57,840 --> 03:47:02,240 HE WAS A GIFT. 4290 03:47:02,240 --> 03:47:04,240 HE KNEW THE INS AND OUTS AND 4291 03:47:04,240 --> 03:47:06,040 KNEW THE COUNCIL. 4292 03:47:06,040 --> 03:47:09,800 I ALSO WANT TO COMMEND THE NEI 4293 03:47:09,800 --> 03:47:11,720 AND COUNCIL FOR BEING INCLUSIVE 4294 03:47:11,720 --> 03:47:14,200 AND THE DIVERSITY AND INCLUSION 4295 03:47:14,200 --> 03:47:15,560 THAT'S BEEN OBVIOUS IN THE 4296 03:47:15,560 --> 03:47:21,800 COMPOSITION OF THE COUNCIL AND 4297 03:47:21,800 --> 03:47:24,920 INITIATIVES AND EFFORTS FOR THE 4298 03:47:24,920 --> 03:47:30,560 INCLUSION OF SEX AND MINORITIES 4299 03:47:30,560 --> 03:47:36,920 AND SMALLER INSTITUTIONS LIKE 4300 03:47:36,920 --> 03:47:38,800 MINE BASIC SCIENCE AND USING 4301 03:47:38,800 --> 03:47:41,360 MODEL ORGANISMS TO ASK 4302 03:47:41,360 --> 03:47:41,640 QUESTIONS. 4303 03:47:41,640 --> 03:47:44,960 I HOPE THE INITIATIVES CONTINUE 4304 03:47:44,960 --> 03:47:50,720 TO ENRICH THE COUNCIL AND NEI. 4305 03:47:50,720 --> 03:47:59,400 ONE OF THE EFFORTS INITIATED 4306 03:47:59,400 --> 03:48:06,040 HERE AND I WAS VERY HAPPY AND, 4307 03:48:06,040 --> 03:48:08,920 WELL, WAS FORTUNATE TO WORK 4308 03:48:08,920 --> 03:48:10,520 TOGETHER WITH THE NEI STRATEGY 4309 03:48:10,520 --> 03:48:12,800 PLANNING AND WAS AN ENRICHING 4310 03:48:12,800 --> 03:48:13,280 EXPERIENCE AS WELL. 4311 03:48:13,280 --> 03:48:15,400 I THANK SHEPPA AND THE PROGRAM 4312 03:48:15,400 --> 03:48:18,400 OFFICERS I HAD THE PLEASURE TO 4313 03:48:18,400 --> 03:48:20,760 WORK WITH WHILE AT COUNCIL. 4314 03:48:20,760 --> 03:48:26,280 I THINK ONE OF THE LAST THINGS I 4315 03:48:26,280 --> 03:48:32,200 WANT TO SAY IS A PRODUCT FROM 4316 03:48:32,200 --> 03:48:33,640 THE NIH STRATEGIC PLANNING WAS 4317 03:48:33,640 --> 03:48:40,360 THE OFFICE OF REGENERATED 4318 03:48:40,360 --> 03:48:41,680 MEDICINE AND I AM SAD TO SEE 4319 03:48:41,680 --> 03:48:47,840 THAT GO AND HOPE IT'S NOT A 4320 03:48:47,840 --> 03:48:58,360 PERMANENT CHANGE AND THINK OF 4321 03:49:03,920 --> 03:49:04,680 THE STRUCTURE AND THE PROGRAMS 4322 03:49:04,680 --> 03:49:06,880 BASED ON REGENERATIVE MEDICINE 4323 03:49:06,880 --> 03:49:07,400 RESEARCH. 4324 03:49:07,400 --> 03:49:09,840 THAT'S ONE OF THE THINGS I 4325 03:49:09,840 --> 03:49:14,600 THOUGHT WOULD BE IMPORTANT TO 4326 03:49:14,600 --> 03:49:17,720 BRING UP AND THE OTHER IS TO 4327 03:49:17,720 --> 03:49:19,600 CONTINUE DIVERSITY AND ANIMAL 4328 03:49:19,600 --> 03:49:22,000 MODELS AND BASIC RESEARCH WHICH 4329 03:49:22,000 --> 03:49:27,200 DRIVES THE TRANSLATIONAL 4330 03:49:27,200 --> 03:49:27,840 RESEARCH. 4331 03:49:27,840 --> 03:49:28,880 I APPRECIATE THE OPPORTUNITY TO 4332 03:49:28,880 --> 03:49:31,280 BE PART OF THE PANEL AND THANK 4333 03:49:31,280 --> 03:49:38,440 YOU FOR HAVING A LIVE SESSION. 4334 03:49:38,440 --> 03:49:40,480 THANK YOU. 4335 03:49:40,480 --> 03:49:43,280 REGENERATIVE MEDICINE WON'T GO 4336 03:49:43,280 --> 03:49:49,000 AWAY HERE THANK YOU. 4337 03:49:49,000 --> 03:49:50,880 >>BEFORE WE GET TO THE NEXT WE 4338 03:49:50,880 --> 03:50:01,400 HAVE NICE CERTIFICATES FOR YOU. 4339 03:50:14,000 --> 03:50:15,640 >>NEXT WE WOULD LOVE TO HEAR 4340 03:50:15,640 --> 03:50:16,440 FROM DR. HARTNETT. 4341 03:50:16,440 --> 03:50:19,320 >>IT'S BEEN AN HONOR TO 4342 03:50:19,320 --> 03:50:20,920 PARTICIPATE AND SERVE AND IT'S 4343 03:50:20,920 --> 03:50:24,160 BEEN A LOT OF FUN. 4344 03:50:24,160 --> 03:50:25,840 WE ALL BELIEVE IN SCIENCE AND I 4345 03:50:25,840 --> 03:50:29,200 WAS HAPPY TO SERVE TO BE PART OF 4346 03:50:29,200 --> 03:50:30,800 THIS GROUP THAT COMMUNICATES TO 4347 03:50:30,800 --> 03:50:32,680 THE PUBLIC WITH THE IMPORTANCE 4348 03:50:32,680 --> 03:50:35,800 OF SCIENCE AND ADVISES HOW WE 4349 03:50:35,800 --> 03:50:38,360 BEST MEET OUR MISSION AND HOPE 4350 03:50:38,360 --> 03:50:39,160 IT WILL INCREASE FINANCIAL 4351 03:50:39,160 --> 03:50:40,920 SUPPORT FOR SCIENCE AS WELL. 4352 03:50:40,920 --> 03:50:49,400 IT WAS MUCH MORE. 4353 03:50:49,400 --> 03:50:52,920 I APPRECIATE THE OPPORTUNITY TO 4354 03:50:52,920 --> 03:50:54,880 WORK WITH EVERYONE HERE SO IN 4355 03:50:54,880 --> 03:50:59,200 TELL GENT AND COMMITTED AND 4356 03:50:59,200 --> 03:51:00,280 CREATIVE SCIENTISTS AND STAFF 4357 03:51:00,280 --> 03:51:00,960 AND TO LEARN ABOUT THEIR SCIENCE 4358 03:51:00,960 --> 03:51:08,720 WORK. 4359 03:51:08,720 --> 03:51:14,280 AND THE PROGRAM OFFICERS AND 4360 03:51:14,280 --> 03:51:14,640 DIRECTORS. 4361 03:51:14,640 --> 03:51:18,040 IT'S BEEN SO TREMENDOUS AND I 4362 03:51:18,040 --> 03:51:18,800 LEARNED ABOUT THE EXTRAMURAL AND 4363 03:51:18,800 --> 03:51:19,360 INTRAMURAL PROGRAM FROM OUR 4364 03:51:19,360 --> 03:51:25,160 MEETINGS. 4365 03:51:25,160 --> 03:51:30,200 AND WORKING WITH PAUL AND MIKE 4366 03:51:30,200 --> 03:51:32,560 CHIANG WHO I ALWAYS ADMIRED AND 4367 03:51:32,560 --> 03:51:33,840 HAD GREAT RESPECT FOR AND YOUR 4368 03:51:33,840 --> 03:51:35,000 CREATIVITY AND THANK YOU FOR 4369 03:51:35,000 --> 03:51:37,160 YOUR LEADERSHIP AND COLLEGIALITY 4370 03:51:37,160 --> 03:51:42,600 AND THE STAFF HAS BEEN 4371 03:51:42,600 --> 03:51:46,400 TERRIFICALLY HELP FFUL I 4372 03:51:46,400 --> 03:51:48,360 APPRECIATE THE CREDENTIALING AND 4373 03:51:48,360 --> 03:51:50,520 ETHICS AND FINANCIAL FORM AND 4374 03:51:50,520 --> 03:51:51,080 TRAVEL, THANK YOU. 4375 03:51:51,080 --> 03:51:54,480 A SPECIAL THANKS TO SANTA AND TO 4376 03:51:54,480 --> 03:51:55,280 ANNIE AND NOW CATHY. 4377 03:51:55,280 --> 03:52:04,280 THANK YOU VERY MUCH. 4378 03:52:04,280 --> 03:52:05,640 I'VE LEARNED ABOUT SCIENCE AND 4379 03:52:05,640 --> 03:52:09,760 HOW IT'S RECEIVED FROM THE 4380 03:52:09,760 --> 03:52:12,960 SCIENTIFIC COMMUNITY AND WHILE 4381 03:52:12,960 --> 03:52:14,400 SERVING AS ACTING DIRECTOR OF 4382 03:52:14,400 --> 03:52:16,920 THE EXTRAMURAL PROGRAM. 4383 03:52:16,920 --> 03:52:18,120 THANK YOU. 4384 03:52:18,120 --> 03:52:20,360 IT'S BEEN A GREAT HONOR AND 4385 03:52:20,360 --> 03:52:22,720 ENRICHING TO PARTICIPATE IN THE 4386 03:52:22,720 --> 03:52:23,280 NEW STRATEGY PLAN AND I'VE 4387 03:52:23,280 --> 03:52:30,720 APPRECIATED THAT. 4388 03:52:30,720 --> 03:52:33,160 BEING PART OF THE VISION AND NIH 4389 03:52:33,160 --> 03:52:36,480 GOAL HAS BEEN SPECIAL AND MY 4390 03:52:36,480 --> 03:52:39,160 HOPE IS NEI WILL CONTINUE 4391 03:52:39,160 --> 03:52:40,640 SUPPORTING THE EMERGING AREAS OF 4392 03:52:40,640 --> 03:52:44,360 SCIENCE WITH BIG DATA AND THE 4393 03:52:44,360 --> 03:52:49,320 MECHANISTIC WORK OF THE 4394 03:52:49,320 --> 03:52:54,160 INDIVIDUAL INVESTIGATE OR 4395 03:52:54,160 --> 03:52:55,640 INITIATED SCIENCE WHILE NOT 4396 03:52:55,640 --> 03:52:56,240 COMPROMISING SCIENCE. 4397 03:52:56,240 --> 03:52:58,520 THERE'S SO MANY WAYS TO GET 4398 03:52:58,520 --> 03:52:59,680 CONSILIENCE, I THINK THAT'S THE 4399 03:52:59,680 --> 03:53:01,160 WORD, WE HAVE TO FIGURE OUT HOW 4400 03:53:01,160 --> 03:53:01,840 TO COME TOGETHER. 4401 03:53:01,840 --> 03:53:03,400 WE HAVE TO BE INCLUSIVE OF THE 4402 03:53:03,400 --> 03:53:10,840 SCIENCE TO ALL APPROACHES. 4403 03:53:10,840 --> 03:53:11,760 I HOPE IT CONTINUES AND WE HAVE 4404 03:53:11,760 --> 03:53:12,960 THE FUNDING. 4405 03:53:12,960 --> 03:53:23,120 THANK YOU. 4406 03:53:27,000 --> 03:53:31,080 >>THANK YOU VERY MUCH, EMMY. 4407 03:53:31,080 --> 03:53:33,680 WE CAN TAKE PHOTOS AT THE BREAK. 4408 03:53:33,680 --> 03:53:44,120 >>IT WILL BE VERY SHORT. 4409 03:53:46,000 --> 03:53:48,040 >>WE KNEW EACH OTHER 4410 03:53:48,040 --> 03:53:48,760 PROFESSIONALLY AND I'VE ENJOYED 4411 03:53:48,760 --> 03:53:49,120 HAVING YOU HERE. 4412 03:53:49,120 --> 03:53:53,160 THANK YOU. 4413 03:53:53,160 --> 03:53:54,960 >>NEXT WE'LL HEAR FROM DR. BEN 4414 03:53:54,960 --> 03:53:55,200 TELLER. 4415 03:53:55,200 --> 03:54:00,280 >>THANKS, GUYS. 4416 03:54:00,280 --> 03:54:08,680 IT'S BEEN AN INTERESTING AND 4417 03:54:08,680 --> 03:54:12,320 ENLIGHTENING COUNCIL I THINK 4418 03:54:12,320 --> 03:54:13,720 FOUR YEARS AND WHEN ANNIE CALLED 4419 03:54:13,720 --> 03:54:19,320 ME UP FIRST AND ASKED ME TO BE 4420 03:54:19,320 --> 03:54:21,280 ON THE COUNCIL I'M LIKE WHAT IS 4421 03:54:21,280 --> 03:54:21,520 THIS? 4422 03:54:21,520 --> 03:54:24,920 I HAVE NO IDEA WHAT I'M DOING 4423 03:54:24,920 --> 03:54:33,160 HERE. 4424 03:54:33,160 --> 03:54:35,160 AFTER SEEING IMPROVING THE EYE 4425 03:54:35,160 --> 03:54:36,400 CARE IN THE FOREFRONT OF THE 4426 03:54:36,400 --> 03:54:38,360 WORLD HAS BEEN AMAZING. 4427 03:54:38,360 --> 03:54:40,560 AND I'VE TALKED TO MIKE ABOUT 4428 03:54:40,560 --> 03:54:44,080 THIS IS TOO MUCH, I CAN'T DO 4429 03:54:44,080 --> 03:54:45,520 CLINICAL PRACTICE AND SERVE AT 4430 03:54:45,520 --> 03:54:46,960 THE SAME TIME BUT I'M GLAD I 4431 03:54:46,960 --> 03:54:47,600 STUCK WITH. 4432 03:54:47,600 --> 03:54:50,680 IT'S BEEN SO AMAZING LEARNING. 4433 03:54:50,680 --> 03:54:56,480 I'VE LEARNED SO MUCH HERE. 4434 03:54:56,480 --> 03:54:57,840 I HOPE TO SPREAD KNOWLEDGE TO 4435 03:54:57,840 --> 03:55:00,920 SOME COLLEAGUES WHO HAVE NO IDEA 4436 03:55:00,920 --> 03:55:10,560 THIS SIFTS HERE. 4437 03:55:10,560 --> 03:55:13,280 THANKING MIKE AND KATHLEEN, 4438 03:55:13,280 --> 03:55:18,200 JIMMY FOR PICKING FOR ALL THE 4439 03:55:18,200 --> 03:55:20,920 PROJECTS THAT WERE VERY 4440 03:55:20,920 --> 03:55:29,120 ENLIGHTENING AND STIMULATING. 4441 03:55:29,120 --> 03:55:32,640 THE ONBOARDING PROCESS COULD BE 4442 03:55:32,640 --> 03:55:42,800 COULD BE A BIT EASIER. 4443 03:55:42,800 --> 03:55:45,360 IT TAKES ME LONGER TO FILL OUT 4444 03:55:45,360 --> 03:55:47,040 THE PASS WORDS THAN THE REPORTS. 4445 03:55:47,040 --> 03:55:50,480 AND FOR SOMEONE LIKE MYSELF THAT 4446 03:55:50,480 --> 03:55:51,440 DOESN'T HAVE A LOT OF EXPERIENCE 4447 03:55:51,440 --> 03:55:56,840 IN CLINICAL RESEARCH HAVING A 4448 03:55:56,840 --> 03:56:00,960 MENTOR WILL HELP KNOW WHAT TO 4449 03:56:00,960 --> 03:56:01,720 EXPECT. 4450 03:56:01,720 --> 03:56:04,600 MAYBE SOME OUTREACH TO STUDENTS, 4451 03:56:04,600 --> 03:56:06,360 EX TERNS SO THEY KNOW WHAT'S 4452 03:56:06,360 --> 03:56:07,320 GOING ON WITH THE GREAT WORK YOU 4453 03:56:07,320 --> 03:56:13,240 GUYS ARE DOING HERE. 4454 03:56:13,240 --> 03:56:15,400 I'LL CONTINUE TO SUPPORT THE EYE 4455 03:56:15,400 --> 03:56:25,920 COUNCIL ANY WAY I CAN AND SEE 4456 03:56:28,320 --> 03:56:30,320 AND THE PROJECTS AND EVERYTHING 4457 03:56:30,320 --> 03:56:32,000 YOU GUYS DO IS SO IMPRESSIVE. 4458 03:56:32,000 --> 03:56:33,920 I'M HONORED TO BE PART OF THE 4459 03:56:33,920 --> 03:56:34,440 COUNCIL AND THANK YOU FOR 4460 03:56:34,440 --> 03:56:44,680 INCLUDING ME. 4461 03:56:49,120 --> 03:56:54,320 >>BEN, THANK YOU FOR THE 4462 03:56:54,320 --> 03:56:57,840 REMARKS AND BOTH ELUDED TO BEING 4463 03:56:57,840 --> 03:56:59,600 THE ODD PERSON OUT AND THOSE 4464 03:56:59,600 --> 03:57:00,160 PERSPECTIVES ARE IMPORTANT 4465 03:57:00,160 --> 03:57:03,200 BECAUSE WE NEED ON HOW WE DO AND 4466 03:57:03,200 --> 03:57:05,680 HOW THE SCIENCE MATTERS TO 4467 03:57:05,680 --> 03:57:07,320 DOCTORS IN THE REAL WORLD SO 4468 03:57:07,320 --> 03:57:17,840 THANK YOU FOR THAT PERSPECTIVE. 4469 03:57:18,240 --> 03:57:19,440 >>THANK YOU FOR SERVICE. 4470 03:57:19,440 --> 03:57:21,920 THAT'S THE END OF THE OPEN 4471 03:57:21,920 --> 03:57:22,400 SESSION. 4472 03:57:22,400 --> 03:57:24,240 UNFORTUNATE WE RAN OUT OF TIME 4473 03:57:24,240 --> 03:57:25,480 FOR GENERAL DISCUSSION. 4474 03:57:25,480 --> 03:57:26,680 THE REASON WE'RE PRESSED IS SOME 4475 03:57:26,680 --> 03:57:28,080 PEOPLE HAVE SOME FLIGHTS TO 4476 03:57:28,080 --> 03:57:29,120 CATCH BUT ALSO BECAUSE WE HAVE 4477 03:57:29,120 --> 03:57:31,320 TO BEING OUT OF THIS ROOM BY 4478 03:57:31,320 --> 03:57:34,560 5:00. 4479 03:57:34,560 --> 03:57:35,920 SO WE'RE GOING TO NEED TO MOVE 4480 03:57:35,920 --> 03:57:37,600 ON AND HAVE A NUMBER OF THINGS 4481 03:57:37,600 --> 03:57:38,920 TO COVER IN THE CLOSED SESSION. 4482 03:57:38,920 --> 03:57:39,640 THANK YOU, EVERYBODY. 4483 03:57:39,640 --> 03:57:43,960 IT WAS A GREAT SESSION. 4484 03:57:43,960 --> 03:57:44,960 I APPRECIATE YOUR PATIENCE WITH 4485 03:57:44,960 --> 03:57:47,640 TO THE CHAOS. 4486 03:57:47,640 --> 03:57:52,240 THAT ENDS THE CLOSED SESSION AND 4487 03:57:52,240 --> 03:57:53,840 WE'LL TAKE A 10-MINUTE BREAK AND 4488 03:57:53,840 --> 03:57:57,880 COME BACK AND START -- BEFORE 4489 03:57:57,880 --> 03:58:01,720 BEFORE YOU GO, KATHY, I WANT TO 4490 03:58:01,720 --> 03:58:05,680 GIVE A SHOUT OUT TO YOU AND 4491 03:58:05,680 --> 03:58:09,160 NATHAN AND LATIFAH AS YOU CAN 4492 03:58:09,160 --> 03:58:10,320 TELL FROM THE MORNING. 4493 03:58:10,320 --> 03:58:13,360 WE HEARD SOME STUFF BEHIND THE 4494 03:58:13,360 --> 03:58:15,480 SCENES BUT WHAT I HEARD WAS THE 4495 03:58:15,480 --> 03:58:16,000 TIP OF THE ICEBERG SO THANK YOU 4496 03:58:16,000 --> 03:58:27,120 VERY MUCH.