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Really Big Ideas: How Do We Generate them? What Are They?

What goes into developing technology that can help us lead healthier lives–but also fits into our day-to-day lives? Perhaps a person with an idea and a person who can make it come to life? In this episode, Angelica and Bey talk to both sides of innovation- materials scientist Dr. John A Rogers and chief innovation officer at Penn Medicine, Roy Rosin.

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Hello and welcome to So Curious, a new podcast from the Franklin Institute.

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In this season Human 2.0, we will be talking to scientists and nonscientists

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about technology, innovation , and the human experience.

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We're your hosts. I'm Angelica Pasquini.

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And I am The Bul Bey. But you can just call me Bey.

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On today's episode, we're going to be talking with materials scientist Dr.

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John A.

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Rogers and chief innovation officer at Penn Medicine, Roy Rosin.

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Today we're going to be talking about

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wearable technology. What is the most advanced thing you've ever created?

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Oh, man. I don't know.

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It might be a sandwich.

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The most advanced thing that I have ever created is likely a song, right?

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But I would love to

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move forward in the future and think about ....I've brought this up before:

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behavioral functionalities in music, and how do you change moods?

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And it would be awesome, I don't know, maybe in the future there's like a watch

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or a phone that lets you know that this song will likely make you feel better.

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There's playlists that are titled "upbeat," and so on and so forth.

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But maybe there will be playlists in the future that has backed-up data and

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backed-up technology that will prove or show that there's a high likelihood that

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this song will make you dance or this song will make you feel good.

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When you first think of something and then you finally get to listen to it back. What

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is that process like for you, basically from concept to finished creation?

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Yeah, innovation and creating isn't necessarily something I feel I ever have

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an entire and complete and absolute grasp on.

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I have a thought and an idea and a feeling that I'm trying to evoke or connect.

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You tinker and you work in your workshop or your laboratory or your studio -- music

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or otherwise -- and you see how close you can get to that.

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But in the process of doing that, you discover other things.

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And I think that's what's really cool.

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And that's also a parallel between writing

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comedy, writing music, and also, I don't know, writing DNA or writing

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tech that people can use for their health, wellness, mental health, and so on.

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You're in the process, you're never quite

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sure where you are, but you keep asking questions to guide you along.

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I would say for me, there's the idea, and

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then there's exactly where you think it's going to go.

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And then you have these moments of hating

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it and then walking away, and then you kind of like have this Eureka moment.

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And the cool thing about technology that I think happens to people is they're working

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one way, and then one day you realize, oh, no, this is it.

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Or oh, yes, this is it, whichever.

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And that happens to me a lot.

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I'll have one line and then just have so

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much fun playing with it for a long time, and then it turns into something else.

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Our first guest is Roy Rosen.

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Roy Rosen has been the Chief Innovation

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officer at Penn Medicine since 2012, where he works with leaders across the health

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system in order to turn ideas into measurable impact in terms of health

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outcomes, patient experience, and new revenue streams.

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After earning an MBA at Stanford, Rosen got his start at the software company

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Intuit, where he created an internal incubator that focuses on turning ideas

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into actions and changed the way Intuit handles new business creation.

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Rosen believes in falling in love with the

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problem,and that it's not just about the technology, it's also about the team.

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Hi, Roy. Can you please introduce yourself?

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Hi, my name is Roy Rosin.

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I'm the Chief Innovation Officer at Penn Medicine.

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How are you? I'm good, Ben.

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Good to see you. Thanks for having me.

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Let's get right into this. Can you talk

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about the first moments of you creating or innovating something?

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That's such an interesting question.

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I never really thought of myself as an

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innovator, and I went to a company that sort of encouraged creativity,

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this is backed at Intuit, out in Silicon Valley.

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And I think it was just a small enough company that everyone was encouraged to

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take a lot of accountability about solving problems that they saw.

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And so that's really the way I think about the beginning of being innovative was more

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just having the freedom and independence of thought to say, hey, there's a problem,

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I think I can go solve it long before we understood really what friction meant and

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how to reduce friction to improve products.

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I remember when the Internet first came around, just thinking about how what

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everyone was doing was just getting stock prices.

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And one day I was just using...

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I think it was probably Microsoft Word...w here they have this little dropdown.

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You can look at your last files and pick a file that you've used recently...

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thinking to myself, why don't you do that for stock prices?

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Why don't you remember all the things you looked up in the past?

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Why don't you just make it a save function at the end?

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So all of a sudden you keep going back to

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the same site where you could get all the stuff at once instead of one at a time.

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The innovation wasn't about the little things.

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It was about the fact that you could take an idea and you could act on it.

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You could try something and see if it worked or if it didn't work.

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And over time, you know, those little ideas became whole products and whole

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businesses, which are the ones that I think I'm both

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most proud of and probably the ones that were material to the company.

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You mentioned friction. What is that and how does that play into innovation?

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I think a lot of what drew me to Penn was this study of behavioral science, of

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changing what people do, changing what they choose or don't choose the decisions

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they make or fail to make. And the world is just full of friction.

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Things that get in our way, they get in

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the way of doing the right thing, too often.

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When I think about what changes behavior, whether this is in software technology,

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whether this is out in the world, I tend to think of it now in terms of friction,

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things that either get in the way or make things easier to do.

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People tend to do the easiest thing to do, like water flows to the lowest point.

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And I think the reality is when you get rid of friction, you change behavior.

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If you make something easier to do, more people will do it.

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It's sort of that simple.

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In the health world, we want to have people take healthier behaviors.

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If you make it harder to get the unhealthy

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food and easier to get the healthy food, you'll see a change.

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Right.

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Friction management is a big deal.

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I was seeing that you were talking about the difference between innovation and

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creativity and how sometimes those are looked at as the same thing, and that's

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not right. Can you talk a little about that?

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Creativity and invention are about novelty and doing something that's new.

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I think about innovation a little bit differently in that innovation sort of

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implies you've captured value from those new things.

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So if you've invented something that's new that nobody ever buys and nobody ever

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uses, I'm not sure you've actually innovated.

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You've definitely invented something.

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You've been creative to think of something that's not been done before.

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But there's this gap between creativity, invention, and value capture...

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And innovation has this sense that you've actually done something that matters and

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you've actually done it in a way that you can capture value from it.

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Sometimes you think you're creating value and you're not.

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Yeah, well, it also means that you have to be able to measure value, because some

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people think of that in terms of economic value.

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Sometimes you might think of that as societal humanity value.

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So you get to define the needle you're

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trying to move, but it means that the needle has moved.

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Innovation implies the ability to move that needle and capture value.

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Why do you think it's so important to turn ideas into impact?

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What I often say is you have to turn ideas into action.

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Right?

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Because you have to do something to learn something.

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A lot of times you have this idea, you

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think it's a great idea, and in your head it's a wonderful idea, but then it meets

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the reality of the world and it doesn't work at all.

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The thing that I think we, and the whole

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industry, and everyone trying to do good problem-solving has learned over the last

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decade or two is that you've got to test these things as quickly as possible.

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You build this beautiful castle in your head about the way things are going to be.

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You've got to go figure out the way things really are.

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You don't know what human beings are going to do.

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You don't know how they're going to use it.

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You don't know whether they want it.

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You don't know any of those things.

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You don't know if it's going to work or not.

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I appreciate that answer so much.

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I know as an artist, as a creative, I have ideas all day.

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I kind of get locked into, I guess, paralysis through analysis.

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Yeah.

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In the early days, I remember one of the big, big failures

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in the earlier part of my career was this concept of Quicken Brokerage.

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And we had 15 million active users on

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Quicken, and we had built the largest consumer software business out there.

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Total bomb, absolute complete failure.

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Nobody was interested.

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It was not a good idea.

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It's not what they wanted from us.

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And it was a really interesting experience to learn from that type of failure to say,

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wow, that's not the way you do these things.

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What's the importance of failure in innovation and being creative?

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It's one of my favorite topics because I think in the old days, people used to say,

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hey, make it okay to fail, create a culture where failure is okay.

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And I think what most people mean when

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they say that is make it okay to fail fast and cheap.

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The evolution of innovation and innovation methodology is that you can learn more

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quickly and more cheaply that you're going in the wrong direction.

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What's really going on is that you have a hypothesis and assumption.

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You are designing an experiment using

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these new methods where you can do it super fast and super cheap.

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And actually, it feels more like you've

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invalidated a hypothesis than failure, right?

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Basically, yeah. You found you were wrong, and it's okay to

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be wrong, but having it be okay to be wrong has a different connotation than,

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like, hey, "failure," because people think "Failure, oh, my God, you lost $10

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million." So how many of us can lose $10 million in two years of our lives?

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So, hey, you know what?

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Lose two weeks of your life and lose $200.

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That's the way I try to think about failure now, is think about as quickly as

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possible, you're going in the wrong direction.

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So, Roy, you have a genius philosophy.

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Would you mind walking us through the

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couple of philosophies that you have, explain them to us, and how you came up

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with them, and how they apply to your work?

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The first one that I love a lot is "fall

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in love with the problem and not the solution."

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Yeah.

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And most of these are philosophies that I've adopted or adapted.

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I don't know how many I came up with myself, but Scott Cook was the founder of

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Intuit, and Brad Smith, who was our CEO for a long time...

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We used to talk about this falling up with the problem all the time, and it was just

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because you'd see so many cases where you had to iterate or pivot or change

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directions and you ultimately found a success.

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And so we would look at these things and

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say, how do you get to the winner when you're usually starting with a loser?

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On my very first day of work here at Penn,

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a bunch of people wanted to do online scheduling for doctor's appointments.

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It's a great idea. We should do it.

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It's way more convenient.

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But if you get down to what they were solving for, right, you know, the actual

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problem -- the actual problem! -- w as: you can't get in to see a doctor.

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So if we had gone up and done that kind of "Open Table" online scheduling, it would

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have simply been faster and easier to see that you can't get in.

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That's not the goal.

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The goal is to get in, right?

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Not to make it easier to see you can't get in.

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So if you fall in love with the problem of

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getting a new patient visit faster, you could do something different.

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And our teams here at Penn did a whole bunch of things differently.

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Things like load balancing, where, hey, maybe you can't get in there, but I can

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get you in over here at a different part of town, or even I can redesign the way we

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do care and free up some spots from people who may not need them so much.

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So there are other ways to get people in

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faster, but it wasn't going to be the "Open Table" online schedule.

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Being efficient, I love that. And very

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quickly, can you talk about the "Five So Whats?"

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Yeah, these things are really linked, right.

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My favorite story, and I tell the story

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all the time is the Hertz Rent-A-Car story.

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This really tells the difference between the "Five Whys," and the "Five So Whats?"

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Because people know about the Five Whys, right?

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Get to the root cause, don't attack the symptoms.

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That's the Five Whys.

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So if you're looking at renting a car back

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in the 1980s when I'm coming out of school, you're in that line for hours.

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But you knew what the problem was.

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The problem with this incredibly slow line.

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So you define the problem as a slow line.

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What's better? A faster line.

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So you start doing the Five Whys, right.

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Why is the line so slow?

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Why is the line so slow?

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But if you go the other way, instead of asking why, why, why, you ask, so

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what? So what? And so you say, well, what would be good about a faster line?

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What you're really trying to do is shrink

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the time between your plane landing and when you're on your way.

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As soon as you realize the metric is not

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the speed of the line, it's how quickly you're on your way.

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Now you can actually invent Hertz Gold. There's no line.

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And in fact, as soon as you realize it's

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really how quickly you're on your way, you could even beat Hertz Gold, right?

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Somebody picks you up at baggage claim, or

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Elon Musk sends a self-driving car, and it's right there outside baggage claim.

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You don't even go to the car rental place at all.

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So that's what we try to do, is, I get

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real deep on what is the person you're trying to help really solving.

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Sometimes you don't know that you have a problem until you see the solution.

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That's the cool thing about innovating, is

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that we can help people realize there's always a better way.

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A lot of times we get used to stuff in our environment that is friction.

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Back to the friction point. Right.

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You just work around it.

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And I think the more people get trained to

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observe what's around them and say, hey, that's not right.

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That could be better.

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The start of a lot of innovation is literally just noticing things.

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Absolutely. And then it sounds like surrounding

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yourself with people who are open to listening to your new ideas.

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And that's what this whole show is about, is connecting with people 100%.

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Yeah. And hearing their new ideas.

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And we've learned a lot. Yeah.

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Thank you so much for coming on and taking the time.

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I appreciate your having ,e.

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I mean, I think those connections are absolutely essential.

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It's an amazing thing when you get an interdisciplinary team together.

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, who all see that problem from different angles. And that's how you generally go

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from that insight to some kind of solution that works.

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Totally. Beautiful.

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Love that. What a beautiful way to end.

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Thank you. Thank you for your time.

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Thank you.

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Okay. So that conversation definitely has my gears turning.

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I love the focus and the perspective of falling in love with the problem.

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That changed everything at that point when I was thinking about

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all the things that I work on in terms of music and creative collaboration.

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Yeah. It's all perspective.

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I love that he was talking about that.

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Yeah! How do you engage with solutions or hurdles, whatever that might look like.

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Walking away and then coming back. I think it's great to take space.

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Yeah.

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Because the dwelling on something is really where the problem gets worse.

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I mean, you're hitting right on it. Right.

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In the conversation, he said he didn't do certain things with a laser-lock focus.

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And it's just I don't know...

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It always hits me as... I don't know.

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It's funny. I guess?

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Serendipitous? When you do something unintentional,

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without focus and it connects so deeply with people.

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It's true.

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I mean, the most ironic thing is the less that you focus and worry and try too hard,

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the more beautiful things end up showing up.

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Yeah. I guess it's that conscious and

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subconscious brain dance going back and forth.

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Totally.

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And I think for the future, someone like this is really trailblazing and helping

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people sort of free themselves up to really innovate and think big,

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think outside the box, think in ways that actually make huge differences.

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And sometimes with not so much efforting, more like...working smarter, not harder.

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So now that we've discussed how big ideas

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are generated, let's talk to someone who makes big ideas reality.

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Our last guest, John A.

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Rogers, is a professor of materials

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science and engineering, biomedical engineering, and neurological surgery.

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His interests and research cross many

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diverse fields, all with the purpose of providing insights into our health and

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better understanding of our bodies so that we might extend the human lifespan.

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Among all of Roger's incredible

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innovations, his development of wearable technologies called epidermal electronic

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systems, or EES, has the potential to transform the way we treat patients.

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EES are wireless, flexible, battery-free, and can be used as heart monitors, to

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monitor electrolytes, or even to map the brain.

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Hey, John, can you introduce yourself? Yeah.

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So maybe I'll just start by recapping wearable technology as it exists today.

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And many people are familiar with the Fitbit and the Apple Watch and all sorts

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of related types of devices that mount on the wrist.

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Anyway, there are many different types of

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commercially available devices of that type.

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Those are known as "wearables," and they've kind of defined the category.

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And I think they're great devices.

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They have broad adoption.

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They're useful for many types of applications.

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But I think where body-integrated devices

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-- thinking about wearables more generally, not just those that kind of

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loosely coupled to the wrist or the finger, but by skin-integrated devices

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that offer medical-grade information streams continuously.

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So thinking about the measurements that are done in an intensive care unit, how

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could you reproduce that kind of monitoring function in the form of the

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thin, soft patch that could mount on a relevant part of the body, not just the

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wrist, but really kind of anywhere on the body?

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I think the most meaningful applications

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are going to be with people who really need the monitoring capabilities, that

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there's a real compelling medical requirement to stay healthy.

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You really need to use this device. And I think a lot of that fear drops away.

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These are not, at least initially, designed for healthy people.

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Totally.

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And what really impressed me was that just an adhesive sticker, like a small sticker,

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what I saw on an infant's chest and how that can actually work as a battery-free,

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flexible wireless device that is monitoring the infant's heart rate.

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Is that correct? Yeah.

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I mean, the vision that we have is to build an electronic monitoring system in

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the form factor of a kid's temporary tattoo.

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That would almost be the ideal type of physical form for a device of this type.

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You put it on, you don't even know it's there, maybe even have graphics on top.

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It looks cool.

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That's what we had in mind, and we were able to do that.

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Any points or emphasis in your career that

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made you realize that you wanted to focus on improving experience?

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There wasn't a specific moment in time.

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I guess as my career has evolved, I've

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always been interested in new technologies and engineering.

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And I think devices that have an impact on

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human health for us represent the most compelling opportunities.

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In your head, in the beginning, did it

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look similar in your mind to what you ended up creating?

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Pretty much.

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I think we kind of had the idea, and I actually created a slide...

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So I took a temporary tattoo, put it on my

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arm and took some pictures of it and squeezed my skin and stretched it around.

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And you can see how the tattoo responds in that way.

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And I told my students we want to build electronics that look like that.

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And those pictures created great

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visuals, to keep the students kind of focused on the end goal.

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And I think they got excited about it, too.

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It's a very strong motivating factor.

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When you're slogging it out in the lab late at night, you're thinking about

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if this is successful, all these different things are going to happen.

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And how long are you in that process with people?

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That's a great question.

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I think you kind of have the vision, OK? And that doesn't take very long.

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Maybe you have that idea one day. Right.

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But then making it into reality, that's a really long process.

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We published our first

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simple prototype with the building blocks in this temporary tattoo format in 2011.

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Just to give you a sense of the time

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scale. You have to stick with these things.

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It really requires a lot of persistence.

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I think that's a really important attribute if you want to do technology

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development is you've got to be patient with it.

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I've worn lots of these electronic tattoos.

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I'm very much a user of the technology as we're developing it because it's kind of a

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human factors issue, like...you can develop a great piece of technology, but

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if people don't want to use it, it's useless.

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As I mentioned before, kind of reproduce

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the gold standard monitoring capabilities that you find in an ICU, let's say, in a

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children's hospital here in Chicago, where we do a lot of work...

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But they're very cost effective and they

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can be deployed into even very challenging environments.

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And so we have deployed, I don't know,

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10,000 to 20,000 units into Zambia, Kenya, Ghana, India, Pakistan, and Mexico.

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And so I spent a couple of weeks myself in Zambia, where we're using these devices to

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monitor maternal, fetal, and neonatal health.

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So we monitor women during the delivery process.

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We monitor their health, the health of the

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fetus, and then the health of the neonate immediately after birth.

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And seeing the kind of impact that that kind of medical monitoring can bring to

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the care of patients in those parts of the globe, it's very powerful.

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It serves as a very strong motivating force here in the States.

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Things come up around...

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Potentially, as this technology progresses into society, into day-to-day use outside

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of a hospital, if people would have to worry about things like data collecting.

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What are your thoughts on that?

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Yeah, data management is really important.

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So I think there are opportunities

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associated with data, and then there are risks associated with data, the latter

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having to do with data security and health security.

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And you have to think about encryption and

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HIPAA-compliant cloud storage and who's getting access to the data.

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All very important questions.

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But the data is really enabling, in the

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sense that now we can think about population-scale data collection.

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So I think artificial intelligence, machine learning, convolutional neural

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networks, all these advances in data analytics are going to intersect with

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these advances in wearable 2.0-type devices in a very powerful way.

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I think there are huge opportunities in doing more with the data.

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Right, right! And I appreciate you bringing that up.

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As we've been having all these

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conversations in these different fields of science, there's been constant back-and

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-forth between the development of the technology, and then the ethics.

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And so, can you talk about accessibility and why it's important to have everybody

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have an entry point to develop an advanced technology and medical treatment?

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Yes, it's a great question, and it's

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really embedded directly into our thinking when we're doing our research and coming

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up with designs is, what's going to be cost-effective so that it can be made

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available to everyone, not just high-end hospitals, small segments of the

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population, but really everyone, and not just here in the US.

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As I mentioned before, LMICs anywhere across the globe, that's going to be the

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most impactful way to do technology development.

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And that cost consideration has to be built into the thinking.

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You're thinking about equity, you're

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thinking about disparities in health outcomes.

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You can look at the statistics.

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It's quite striking, and a lot of that is

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associated with the cost of how care is done today.

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And I think new technologies can reduce those costs across the board.

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We're interested in everything, anything, that we can get out of our lab into the

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hands of people who could benefit from the technology, we're all in!

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We have to prioritize, obviously.

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And I think for us, we want to focus on serious medical-type applications.

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But a lot of the consumer-oriented, as

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you're suggesting, maybe more mundane a pplications, are still interesting because

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they can drive volume, and they can drive manufacturing flows, and cost.

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And so if you can find dual-use, right?

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Not just medical but also consumer, there are benefits that flow back and forth.

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Well, thank you so much for explaining

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this really fascinating and specific thing that you do.

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And. Yeah, it's really, really interesting.

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Yeah. Thanks for having me.

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Well, you know what? I'm still not getting

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a Fitbit, but I really appreciate everything I learned today.

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Thank you so much for listening to this

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episode of So Curious! presented by The Franklin Institute.

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The Franklin Institute is a science museum located in Philadelphia.

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The Franklin Institute's mission is to

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inspire a passion for learning about science and technology.

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For more information on everything about the Franklin Institute, visit fi.edu.

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This Podcast is Produced by Radio Kismet.

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RADIOKISMET is Philadelphia's premier

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Check them out@radiokismet.com.

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There's a lot of people who make this podcast happen.

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Thanks to the producers, Joy Montefusco and Jayatri Das;

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our Managing Producer Emily Charish; our operations head Christopher Plant; our

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Associate Producer Liliana Green; our audio team Christian Cedarlund, Goldie

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