WEBVTT 00:00.000 --> 00:02.530 that come here regularly, you'll know that 00:02.530 --> 00:04.250 we have a little bit of administrative stuff 00:04.250 --> 00:07.330 we do up front. First off, can you raise 00:07.330 --> 00:09.850 your hands if you are a for-credit student? 00:10.770 --> 00:13.330 Thank you. And if you're another 00:13.330 --> 00:15.490 type of student, not for credit. 00:15.630 --> 00:18.890 All right. And interested guests. 00:19.230 --> 00:21.030 All right. Wonderful. 00:21.480 --> 00:23.810 So I'm supposed to remind you to turn off your 00:23.810 --> 00:27.170 phones and to clean up your trash and to 00:27.170 --> 00:29.330 please not dine and dash because you will not 00:29.330 --> 00:31.690 want to miss our excellent presentation today. 00:32.010 --> 00:35.190 Before we get to today's talk, I want to give you a 00:35.190 --> 00:37.490 heads up for next week. It'll be something a little 00:37.490 --> 00:39.630 different. We're going to have IPAT Research 00:39.630 --> 00:43.950 Lightning Talks. So these will be a high-level overview 00:43.950 --> 00:47.050 of a whole bunch of different IPAT research projects. 00:47.050 --> 00:50.450 So that should be exciting and not to be missed. 00:50.930 --> 00:54.230 Now I want to introduce our speaker for today, 00:54.510 --> 00:55.750 Leanne West. 00:56.230 --> 00:59.930 So she is a Chief Engineer of Pediatric Technologies 00:59.930 --> 01:02.950 at the Georgia Tech Pediatric Innovation Network. 01:02.950 --> 01:06.410 And in her 25 years working at Georgia Tech, 25 plus, 01:06.410 --> 01:09.490 sorry, because you've even been here longer than me. 01:10.070 --> 01:11.070 Yeah. 01:12.990 --> 01:16.410 She has led multi-million dollar programs and teams 01:16.410 --> 01:18.490 of researchers to develop products for government 01:18.490 --> 01:21.210 and industry partners. She also started her own 01:21.210 --> 01:23.810 company, Intelligent Access, to take her invention 01:23.810 --> 01:26.750 of a wireless personal captioning system to market. 01:26.750 --> 01:29.310 She serves as the technical liaison between 01:29.310 --> 01:32.450 Georgia Tech and pediatric hospitals around the 01:32.450 --> 01:35.170 world, including Children's Health Care of Atlanta 01:35.170 --> 01:37.770 and Shriners Hospitals being the main partners. 01:38.050 --> 01:41.330 She works closely with clinicians to understand and 01:41.330 --> 01:44.150 identify problems that need a solution to allow them 01:44.150 --> 01:46.410 to take better care of their patients. She's an 01:46.410 --> 01:49.270 invited judge for many medical device pitch competitions 01:49.270 --> 01:51.910 and serves on several boards in the health care 01:51.910 --> 01:55.210 and technology arenas. So please welcome Leanne West. 01:59.900 --> 02:01.690 Thanks for having me here today. 02:01.710 --> 02:04.190 And is it going to make terrible noises? 02:04.270 --> 02:05.450 I think I need to turn this 02:05.450 --> 02:07.030 one off. You did turn it off. 02:08.490 --> 02:09.570 All right. 02:09.910 --> 02:12.170 Okay, now you can hear me and no feedback. 02:12.170 --> 02:12.670 Good. 02:12.670 --> 02:16.630 All right. So, like Mary Beth said, I'm Leanne West. 02:17.470 --> 02:21.190 My whole role here at Georgia Tech now is not as 02:21.190 --> 02:24.210 bringing in research for me. I do it for everybody 02:24.210 --> 02:26.830 else on campus. And there's lots of opportunities 02:26.830 --> 02:29.900 for both students and faculty to work on pediatric 02:29.900 --> 02:32.330 projects. And I will say they are always fun. 02:33.030 --> 02:35.610 So what I'm going to talk about today is the 02:35.610 --> 02:39.830 new Shriners Research Institute. And this is 02:39.830 --> 02:42.970 going to be with many institutions across 02:42.970 --> 02:46.850 Atlanta, but particularly Georgia Tech and Emory. 02:48.540 --> 02:50.570 So I wanted to give you a little bit of background 02:50.570 --> 02:53.690 on what I do in pediatrics in general. So with the 02:53.690 --> 02:57.210 Pediatric Innovation Network, this is really the 02:57.210 --> 03:00.130 network we're talking about when we talk about it. 03:00.530 --> 03:03.690 For all of these organizations, they're all players 03:03.690 --> 03:07.390 in the healthcare innovation ecosystem, particularly 03:07.390 --> 03:11.130 in pediatrics, and we work with all of them. 03:11.130 --> 03:14.330 And they include things like patient organizations, 03:14.490 --> 03:16.290 government organizations, 03:16.490 --> 03:18.290 professional societies, 03:18.500 --> 03:23.290 groups in Europe to do the same things, and also 03:23.290 --> 03:26.950 everybody in the Atlanta healthcare ecosystem like the 03:26.950 --> 03:29.530 Chamber, Georgia Life Sciences, Georgia Research 03:29.530 --> 03:33.290 Alliance, et cetera. So we try to work with everybody 03:33.290 --> 03:37.570 that we need to to help take a technology from I created 03:37.570 --> 03:40.110 a prototype in my lab now what do I do with it 03:40.190 --> 03:43.570 and so we use all of these resources to help make things 03:43.670 --> 03:46.570 come out and be working in the real world so 03:47.770 --> 03:52.570 Shriners Shriners has we've been working with them since 03:52.570 --> 03:57.930 2018 yep 2018 we've had about 25 projects with them 03:57.930 --> 04:00.990 through the years it's totaled around five million 04:01.850 --> 04:04.850 and we've worked with 10 of their hospitals. 04:04.850 --> 04:06.670 So Shriners is an interesting group. 04:07.140 --> 04:09.050 Children's Health Care of Atlanta that we also 04:09.050 --> 04:13.150 work with is one center here in Atlanta, and then 04:13.150 --> 04:17.430 they have a group over at Grady and the Marcus 04:17.430 --> 04:19.990 Autism Center, but it's all local to Atlanta. 04:20.390 --> 04:22.300 Shriners, on the other hand, has 22 04:22.300 --> 04:25.550 hospitals across North America, so 20 in 04:25.550 --> 04:27.930 the U.S., one in Canada, one in Mexico. 04:27.930 --> 04:31.670 And then they have 127 sites, clinical sites 04:31.670 --> 04:34.670 worldwide. So we've worked with 10 of 04:34.670 --> 04:39.370 their 20 here in the U .S. And we've had a lot 04:39.370 --> 04:41.210 of publications, a lot of presentations. 04:41.790 --> 04:43.630 The work has won a lot of awards, 04:43.630 --> 04:45.350 which is also really exciting. 04:46.190 --> 04:48.190 We've had products delivered that 04:48.190 --> 04:51.830 are in use at Shriners right now. 04:51.830 --> 04:56.370 And of those, we actually helped Shriners when they 04:56.370 --> 04:59.810 first came to us, these 22 hospitals were all running 04:59.810 --> 05:03.850 different electronic health records programs. And so 05:03.930 --> 05:07.050 we helped get them all on the same page, helped 05:07.080 --> 05:10.650 standardize their data, helped get it into the cloud so that 05:10.650 --> 05:15.210 all of the data from these 22 hospitals could be 05:15.210 --> 05:18.370 looked at collectively as opposed to individually. And 05:18.370 --> 05:20.150 that's going to be one of the things that makes this 05:20.150 --> 05:23.110 relationship really unique and really strong is that 05:23.110 --> 05:26.110 we have all of this data from all of their hospitals. 05:27.970 --> 05:31.350 Other things, so we do, we are having some projects 05:31.350 --> 05:34.090 led by Emory. It's important to Shriners to 05:34.090 --> 05:38.570 include that medical school group from Emory. And so 05:38.570 --> 05:41.390 we definitely do that as we do all over campus. 05:41.610 --> 05:43.050 And let's see. 05:44.490 --> 05:49.350 All right. So again, I'm not going to read all of these, 05:49.350 --> 05:51.610 but this is a list of the projects that we've had 05:51.610 --> 05:54.330 with them. So you can see some of the different types. 05:55.610 --> 05:59.050 Up top, you see the kid with the things 05:59.050 --> 06:01.250 stuck all over his body. Hold on, let's 06:01.250 --> 06:03.690 see if this is animated. Oh, there you go. 06:04.490 --> 06:06.730 And instead of all of those things hooked 06:06.730 --> 06:08.690 all over his body to do a sleep study, 06:09.020 --> 06:13.390 we have a guy here at Georgia Tech, Dr. Hong Yeo, and 06:13.390 --> 06:17.370 he built this flexible wearable sensor that looks kind 06:17.370 --> 06:21.470 of like a Band-Aid. And from that, it replaces all of 06:21.470 --> 06:24.230 these other wires that the kid has connected all over 06:24.230 --> 06:27.010 him. And if you can imagine trying to do a sleep study 06:27.010 --> 06:30.330 when you're completely covered in wires at a hospital 06:30.330 --> 06:33.530 sleep study facility, it's just not going to happen, 06:33.530 --> 06:35.990 right? I mean, it's terrible. So this is something that 06:35.990 --> 06:38.340 can now be done at home. And so Shriners is really 06:38.340 --> 06:41.310 interested in this to do sleep studies with their kids. 06:42.250 --> 06:44.210 You can see this one, another 06:44.210 --> 06:46.310 really interesting project, I think. 06:46.450 --> 06:49.610 This is using AI and x-rays 06:49.910 --> 06:53.710 and trying to see if you can't quantify the curve 06:53.710 --> 06:58.790 of the patient's spine of a child who has scoliosis. 06:59.170 --> 07:03.170 And right now, doctors look at it. They do some 07:03.170 --> 07:06.750 measurement on the x-rays. They calculate what these 07:06.750 --> 07:09.410 angles are, but everybody's a little bit different 07:09.410 --> 07:11.210 and there's nothing really standardized about 07:11.210 --> 07:15.050 it. So the thought is if we can do it with AI and 07:15.050 --> 07:20.670 quantify those curves specifically and consistently, 07:20.710 --> 07:22.730 then we're going to get better results in the 07:22.730 --> 07:24.670 long term. So they're really interested in that. 07:25.190 --> 07:27.330 You can see we've done lots in 07:27.330 --> 07:31.850 data informatics and AI with them. 07:31.850 --> 07:35.710 The other categories are clinical research, 07:36.400 --> 07:38.630 biologics, which is really more like 07:38.630 --> 07:41.350 regenerative medicine type things, 07:42.240 --> 07:44.390 genomics. We're going to be doing a lot more in 07:44.390 --> 07:47.090 genomics. I'm super excited about that. And I'll talk 07:47.090 --> 07:50.130 about that in a minute. And then motion analysis. So 07:50.250 --> 07:53.270 genomics and emotional analysis and AI are 07:53.270 --> 07:55.570 some of the main things they want to look at 07:55.570 --> 07:57.890 and do. They have all of this data from all 07:57.890 --> 08:00.290 of these patients and they take a genomic sample 08:00.290 --> 08:01.990 from every single one of their patients. 08:02.130 --> 08:05.670 And we think it's just going to be hopefully a 08:05.670 --> 08:09.590 goldmine of information that we can use our 08:09.590 --> 08:13.890 skill sets in AI to look at and figure out ways to 08:13.890 --> 08:15.990 help them take better care of their patients. 08:16.630 --> 08:19.750 But motion analytics, so Shriners, if you don't 08:19.750 --> 08:22.510 know them and aren't familiar with them, they really 08:22.510 --> 08:27.070 only look at kids with orthopedic conditions, 08:27.810 --> 08:29.810 craniofacial differences, 08:30.610 --> 08:33.170 cleft palate and lip, 08:33.350 --> 08:37.570 and burns, and those are the main things that 08:37.570 --> 08:39.780 they treat. So it's kind of a narrow swath 08:40.130 --> 08:43.250 of what happens in healthcare in general. 08:45.490 --> 08:47.470 These are some other pictures. I'll talk about 08:47.470 --> 08:50.450 these. So the glove here is kind of interesting. 08:50.450 --> 08:53.710 They have kids who are missing limbs or pieces 08:53.710 --> 08:55.680 of their limbs. And so if you have a prosthetic, 08:56.110 --> 08:57.910 you're not going to, even if it's robotically 08:57.910 --> 08:59.710 controlled, you're not going to know how hard you're 08:59.710 --> 09:02.090 gripping in that type of thing or if something's hot. 09:02.090 --> 09:05.210 And so there's a lab that's created this 09:05.210 --> 09:07.690 glove that sits over the prosthetic. 09:07.850 --> 09:10.400 Eventually you can imagine it could be built into it 09:10.400 --> 09:14.590 and the sensors there pick up things like heat or 09:14.590 --> 09:17.810 pressure but then transmit it to another part of the body 09:17.810 --> 09:21.770 so the the person with the prosthetic can kind of 09:21.770 --> 09:24.890 feel what's happening and they know what's happening. 09:25.690 --> 09:27.610 Let's see what else we've got up there 09:28.550 --> 09:34.030 this guy so there's another group on campus it does 09:34.030 --> 09:37.250 a lot of robotics and we have a group who's been 09:37.250 --> 09:40.810 working on a robotic exoskeleton. So for kids with cerebral 09:40.810 --> 09:44.750 palsy and Shriners treats more kids with cerebral 09:44.750 --> 09:47.660 palsy than any other hospital in the world, they 09:48.350 --> 09:51.110 have something called a crouched gait. And so it's really 09:51.110 --> 09:54.070 hard for them to walk. They can do it, but they 09:54.070 --> 09:56.790 usually do it with a walker. It can be very tiring for 09:56.790 --> 10:00.990 them. And so what our guys have built is an exoskeleton 10:00.990 --> 10:03.090 and it's come much farther along since these 10:03.090 --> 10:05.570 days. This kid is also wearing a harness, so that's not 10:05.570 --> 10:07.750 all part of the exoskeleton the exoskeleton is on 10:07.750 --> 10:11.850 the leg but now it's like this little dial that sits 10:11.850 --> 10:15.050 at the knee and one strap above and one strap below so 10:15.050 --> 10:18.630 now it's much much tinier and the idea with this one 10:18.630 --> 10:22.170 is can you give a little robotic assist to someone 10:22.170 --> 10:25.510 who's trying to walk to get their gait to be a little 10:25.510 --> 10:30.170 bit more normal so that it's easier for them to do 10:30.330 --> 10:33.110 and maybe wouldn't be as tiring for them especially 10:33.110 --> 10:35.050 if you're giving them a little bit of a robotic 10:35.180 --> 10:38.160 assistance, they don't have to put all of their efforts 10:38.160 --> 10:40.870 into taking those steps. And then the other cool thing 10:40.870 --> 10:44.550 that they did is they connected this to a video game. 10:44.550 --> 10:48.470 And so as the kid walks on the treadmill, there are 10:48.470 --> 10:53.530 birds flying and balloons that are set out in a good 10:53.530 --> 10:56.350 motion for a walking pattern. And so as they walk 10:56.350 --> 10:59.690 on the treadmill, their creature will pop all the 10:59.690 --> 11:03.010 balloons as it goes by so they know that they're taking 11:03.010 --> 11:05.810 the steps correctly. And so this is going to be used 11:05.810 --> 11:09.030 in some of the rehab that Shriners is interested in. 11:11.810 --> 11:15.190 So we've also had several Shriners 11:15.190 --> 11:17.510 meetings here, and we go to them every year. 11:17.510 --> 11:19.390 So they call them State of Science. 11:19.530 --> 11:22.930 And it's great because they bring in clinicians 11:22.930 --> 11:27.390 from all of their hospitals around North America. 11:27.390 --> 11:31.030 And we've been able to interact with them and do 11:31.030 --> 11:33.570 projects with them. This is how we've gotten integrated 11:33.570 --> 11:36.410 with them as being a part of it. And you can 11:36.410 --> 11:38.230 see some of the teams when they've come to visit 11:38.230 --> 11:41.630 Georgia Tech even. But also there are always student 11:41.630 --> 11:44.770 opportunities to present your research. And so 11:44.890 --> 11:47.770 definitely, definitely pay attention because 11:47.770 --> 11:49.730 we would love to have as many of you students 11:49.730 --> 11:52.310 participating in these projects as possible. 11:54.590 --> 11:59.110 All right, so how this kind of came about with the new 11:59.110 --> 12:01.470 research institute, and this is what's so exciting. 12:01.470 --> 12:04.610 So like I said, we've had a relationship with them since 12:04.610 --> 12:08.550 2018. We've done all these projects, and they decided, 12:08.550 --> 12:13.970 in addition to our hospitals, we want to do research. 12:13.970 --> 12:17.670 We want to set up a research institute, and you 12:17.670 --> 12:20.670 know, they love Georgia Tech from our past relationship, 12:20.670 --> 12:23.670 but they hired a firm to go around and look and see 12:23.670 --> 12:27.370 where the best site to set up this research institute 12:27.370 --> 12:30.510 would be. So we were up against Duke and Vanderbilt. 12:31.150 --> 12:33.650 And so that was very nerve wracking for me. 12:34.350 --> 12:38.450 And why did we do this? The state was really involved. 12:38.450 --> 12:40.970 They took over the relationship during this search 12:40.970 --> 12:48.910 part of what was happening. and they realized that, you 12:48.910 --> 12:52.010 know, Shriners is this really large, well-known, well 12:52.010 --> 12:56.170 -respected entity and they wanted them here to do research 12:56.170 --> 12:58.210 with us to help expand what we're doing in the state 12:58.210 --> 13:01.530 of Georgia and what we're doing in Atlanta, at Emory, 13:01.530 --> 13:04.050 and at all of the other institutions around Atlanta. 13:04.270 --> 13:08.090 And so we were really excited. Shriners picked us 13:08.090 --> 13:11.890 because of the relationship that we had established with 13:11.890 --> 13:15.370 them, the fact that we already have a building in 13:15.370 --> 13:17.190 place that they're going to be able to outfit and 13:17.190 --> 13:20.870 move into, and the fact that we are number one in 13:20.870 --> 13:23.750 biomedical engineering research. And so, that's a really 13:23.750 --> 13:26.990 exciting opportunity for them, and it's an exciting 13:26.990 --> 13:31.280 opportunity for us. And again, it's going to be Atlanta 13:31.280 --> 13:34.990 -wide. So, Kennesaw State's going to be involved. 13:35.690 --> 13:38.670 Probably Georgia State, probably UGA. 13:38.870 --> 13:41.890 The Shepherd Center has some similar kids to 13:41.890 --> 13:44.350 them, so we're going to get them involved as well. 13:44.950 --> 13:47.970 So again, kind of think bigger than just us, which 13:47.970 --> 13:49.990 I think is also exciting because we do the best 13:49.990 --> 13:52.530 things when we have the most people involved. 13:54.250 --> 13:56.830 Oh, and this is another thing I'll clarify, is 13:56.830 --> 13:58.350 that they're not going to have patients here, So 13:58.350 --> 14:01.270 it's strictly going to be research, no patients. 14:01.350 --> 14:04.890 So it's not competition to a group like Children's 14:04.890 --> 14:07.530 Healthcare of Atlanta. It's meant to be complimentary. 14:08.790 --> 14:10.630 So I don't know, has anyone 14:10.630 --> 14:12.090 been to Science Square yet? 14:13.100 --> 14:15.050 Okay, a couple of you. Is it 14:15.050 --> 14:16.150 the coolest building ever? 14:16.150 --> 14:17.070 Yeah, it is. 14:17.650 --> 14:20.290 So if you haven't been over there, you should 14:20.290 --> 14:22.850 definitely find a reason to go at some point. 14:22.850 --> 14:25.910 It's really awesome. It's huge. It's the building 14:25.910 --> 14:32.390 you can see in the right here and it has 13 floors 14:32.390 --> 14:34.770 to it. When Shriners comes here, they're going to 14:34.770 --> 14:37.730 take up five of those floors. It's going to be 150 14:37.730 --> 14:42.510 ,000 square feet that they're going to occupy and it's 14:42.510 --> 14:44.650 going to take about 12 to 18 months to build it 14:44.650 --> 14:47.470 out for them to be able to move in. But as floors 14:47.470 --> 14:49.670 get finished, they're going to start populating it. 14:50.750 --> 14:53.990 They are hiring a director right now. In fact, 14:53.990 --> 14:55.770 I'm meeting with some potential candidates next 14:55.770 --> 14:59.150 week, so super excited to see that moving along. 14:59.470 --> 15:02.350 They're going to have 50 endowed chairs. And as 15:02.350 --> 15:04.110 students, you may not necessarily know what 15:04.110 --> 15:05.990 an endowed chair is, but if you're faculty, you're 15:05.990 --> 15:07.930 like, wow, that's a lot and that's amazing. 15:09.110 --> 15:10.910 So they're going to be recruiting people 15:10.910 --> 15:13.250 from all over the country in their areas of 15:13.250 --> 15:16.210 interest to come here and be a part of this 15:16.210 --> 15:18.850 research institute and to work with us. 15:19.110 --> 15:22.290 They also have a genomics institute. Like I said, they 15:22.290 --> 15:25.490 are taking samples from all of their patients at 15:25.490 --> 15:27.530 every single one of their facilities, including the 15:27.530 --> 15:31.050 127 clinics around the world. And they're going to be 15:31.050 --> 15:33.410 taking their genomic center that's currently in Tampa 15:33.410 --> 15:36.190 and moving it up here to be in Science Square as 15:36.190 --> 15:40.040 well. That's going to happen in late 2027, early 2028. 15:40.490 --> 15:44.310 And there are core facilities at Georgia Tech that 15:44.310 --> 15:46.530 we're going to share with them. So they're going to 15:46.530 --> 15:48.290 use some of ours, but they're going to build some new 15:48.290 --> 15:49.630 ones and we're going to be able to use some of 15:49.630 --> 15:52.370 theirs. So that's a nice synergy as well across campus. 15:54.250 --> 15:56.630 So like I said, they're going to focus on 15:56.630 --> 15:59.530 their patient population. So cerebral palsy, 15:59.900 --> 16:03.550 scoliosis, cleft palate, and burns. They really do 16:03.550 --> 16:07.110 more for kids with scoliosis and cerebral palsy 16:07.110 --> 16:10.970 than any other, again, hospitals almost combined. 16:11.090 --> 16:13.330 They have so many more patients. And the other thing 16:13.330 --> 16:15.820 that's cool about Shriners, if you don't know, is if 16:15.820 --> 16:17.850 you have one of their conditions and you go to their 16:17.850 --> 16:19.910 hospitals and get treated there, they don't charge 16:19.910 --> 16:22.330 you. So it's kind of like St. Jude's in that respect. 16:22.870 --> 16:25.370 So you can go and get the help that you need 16:25.370 --> 16:27.590 and you never have to pay anything if you 16:27.590 --> 16:30.070 can't afford it. So I love that about them too. 16:30.850 --> 16:32.490 But there are other 16:32.690 --> 16:34.530 musculoskeletal conditions that they have, 16:34.530 --> 16:36.210 but these are two of the largest populations. 16:37.050 --> 16:41.350 We're going to start with funding in artificial 16:41.350 --> 16:45.410 intelligence, and that can be applied to anything. 16:45.410 --> 16:47.650 So you think about the genomics, AI can be 16:47.650 --> 16:51.290 applied there. You think about the motion data that 16:51.290 --> 16:54.790 they have on their patients, whether it's a 16:54.790 --> 16:57.510 video or images, it can be applied there to learn 16:57.510 --> 17:00.410 things. The electronic health records, they have 17:00.990 --> 17:04.190 decades of records with these kids because some of 17:04.190 --> 17:06.950 them never even leave Shriners, but they can go there 17:06.950 --> 17:10.750 up to age 20, 21. And then if there's no adult 17:10.750 --> 17:15.090 doctor, they'll stay at Shriners. So lots and lots of 17:15.090 --> 17:18.370 data to be looked at and be analyzed. And I think 17:18.370 --> 17:20.550 this is going to tell us really great things about 17:20.550 --> 17:22.770 the health of these kids and how we can help them. 17:22.770 --> 17:25.390 The other thing that Shriners is super interested 17:25.390 --> 17:28.470 in is not just saying, I built this cool thing in the 17:28.470 --> 17:32.150 lab. They want it to be in use in their hospital. 17:32.150 --> 17:35.350 So that's another really important thing for them. 17:36.310 --> 17:38.890 Here are the topics that they're most interested 17:38.890 --> 17:41.870 in. You can see I stole these slides from Shriners. 17:42.390 --> 17:46.530 So biologics, I mean, again, think about if a child 17:46.530 --> 17:50.450 has a burn, how could you help them regrow skin, avoid 17:51.020 --> 17:54.410 scarring with all of the surgeries these kids have, 17:54.910 --> 17:58.230 bone may be brittle or it's broken or whatever. 17:58.230 --> 18:00.610 So there's a lot of things you can imagine that 18:00.610 --> 18:02.330 you could do with regenerative medicine, whether 18:02.330 --> 18:06.030 it's for bones or for skins or for something else. 18:07.090 --> 18:09.610 artificial intelligence again it kind of 18:09.610 --> 18:11.430 underlies everything that they want to do 18:11.430 --> 18:15.970 with us and data informatics again along those 18:15.970 --> 18:19.470 same lines but also this encompasses the 18:20.110 --> 18:22.970 relationship we have with them kind of getting their 18:22.970 --> 18:25.970 data structures in place so that we can look at that 18:25.970 --> 18:30.010 data and that it's consistent and clean and available 18:30.010 --> 18:33.630 as a group and not at each individual hospital. 18:34.510 --> 18:38.430 So motion analysis, again, they do a lot with 18:38.430 --> 18:42.050 assessing how a kid is walking, moving, crawling, 18:42.050 --> 18:47.750 moving their arms. And they have videos from so 18:47.750 --> 18:50.350 many different appointments. They have images. 18:50.630 --> 18:55.310 They want to be able to do motion analysis kind of 18:55.310 --> 18:57.810 out in the wild, if you will. So maybe be able to take 18:57.810 --> 19:00.310 it to one of their centers, say in Mexico, where 19:00.310 --> 19:03.210 they don't have the fancy setup of a room with, you 19:03.210 --> 19:06.870 know, 15 cameras on the ceiling looking from all angles 19:06.870 --> 19:09.130 at a kid who's got markers all over their body. 19:09.130 --> 19:11.750 They would really just love to be able to say, we've 19:11.750 --> 19:15.730 got one camera or two cameras and we're looking at 19:15.730 --> 19:18.870 you moving and you don't have markers on, but we want 19:18.870 --> 19:22.050 to be able to capture clinically how well you're 19:22.050 --> 19:25.410 moving and say the angle that your knee makes or your 19:25.410 --> 19:28.170 ankle makes. So that's going to be one of the main 19:28.170 --> 19:32.540 goals is this mark, uh, markless motion tracking, um, 19:33.630 --> 19:35.770 genomics laboratory. We already talked about 19:35.770 --> 19:37.950 that again. They take a sample from every single 19:37.950 --> 19:39.730 one of their patients everywhere. So it's really 19:39.730 --> 19:43.750 the most diverse set of genomic data, probably 19:43.750 --> 19:47.070 in the world again, and then clinical research. 19:47.070 --> 19:50.510 So how can we help in clinical research? Um, 19:50.810 --> 19:55.170 things like the, the sleep apnea, um, bandage that 19:55.170 --> 19:57.150 I showed you instead of all of those wires. That's 19:57.150 --> 19:58.730 going to make it better for their patients when 19:58.730 --> 20:00.090 they're trying to do these studies, and it's 20:00.090 --> 20:02.550 going to make it easier for the clinicians as well. 20:03.870 --> 20:05.730 The other thing that's kind of cool about what 20:05.730 --> 20:08.450 they're doing is sometimes you hear like top down, 20:08.450 --> 20:10.550 the president says, I want to do this, and 20:10.550 --> 20:12.390 that's what everybody has to do, or bottoms up, 20:12.390 --> 20:14.690 which is kind of more how a university works. If I 20:14.690 --> 20:17.510 have a cool idea, if I can get funding for it, 20:17.510 --> 20:20.070 then those are the research projects you're 20:20.070 --> 20:22.050 going to do. And so they're kind of taking an 20:22.260 --> 20:24.170 approach that's a little bit in the middle. 20:24.290 --> 20:27.630 Their goal is preeminence and the understanding 20:27.630 --> 20:30.470 and treatment of the kids that they serve. 20:30.750 --> 20:33.550 And then we're going to go, though, to all the 20:33.550 --> 20:36.070 different hospitals and talk to clinicians and say, 20:36.140 --> 20:40.870 if we wanted to be preeminent in cerebral palsy 20:40.870 --> 20:42.730 research, what are all the things that we would 20:42.730 --> 20:46.350 have to understand and know to be able to do that? 20:46.890 --> 20:49.070 And so we're kind of doing this meeting in the 20:49.070 --> 20:50.750 middle, if you will. And I think that that's going 20:50.750 --> 20:53.350 to be really great too, listening to both sides. 20:54.050 --> 20:56.130 We are going to engage with 20:56.670 --> 20:58.970 several of their hospitals and clinics. 20:59.190 --> 21:03.110 And the other thing about Science Square is there 21:03.110 --> 21:04.690 was another building in the picture I showed 21:04.690 --> 21:07.600 earlier off to the right, and that is an apartment 21:07.600 --> 21:09.690 complex. And so they're going to lease some of 21:09.690 --> 21:13.030 the apartments so that they can bring either children 21:13.030 --> 21:16.330 and families here to stay, or their clinicians 21:16.330 --> 21:19.470 can come in town for say a month or to and become 21:19.470 --> 21:21.970 really embedded and integrated with the Georgia 21:21.970 --> 21:24.890 Tech campus and the research that's going on. 21:26.650 --> 21:31.630 So for 2026, this is kind of when everything is 21:31.630 --> 21:35.390 going to kick off. They've leased the space in Science 21:35.390 --> 21:38.130 Square. They're visiting it with architects and 21:38.130 --> 21:40.930 getting all the designs done. But the research is 21:40.930 --> 21:44.410 really going to start in 2026. So in early 2026, 21:44.410 --> 21:47.210 we're going to have a call for proposals. It's going 21:47.210 --> 21:52.830 to be about AI and using that again and kind of any 21:52.830 --> 21:54.710 of the different things that we've talked about. 21:55.010 --> 21:57.210 And they're going to put a lot of money into that. 21:57.210 --> 22:00.910 So it'll be a great call. I'm super excited for it. 22:01.050 --> 22:03.770 January 8th through 10th, mark your calendar 22:03.770 --> 22:05.690 because students are welcome to come 22:05.690 --> 22:07.950 as well as faculty. So tell your friends. 22:09.160 --> 22:11.250 They're going to have a state of science event 22:11.250 --> 22:14.750 here at Shriners Square and be able to show 22:14.750 --> 22:17.890 off the new space. And what they will do, again, 22:17.890 --> 22:20.110 is bring clinicians from all of their different 22:20.110 --> 22:21.650 hospitals together. They're going to be 22:21.650 --> 22:24.330 talking about the research that they're doing. 22:24.330 --> 22:26.590 We're going to have Georgia Tech faculty talk about 22:26.590 --> 22:29.330 the research that we're doing that's complementary. 22:29.570 --> 22:34.050 And then we also typically have a poster session 22:34.050 --> 22:37.730 with prizes for students from the Atlanta 22:37.730 --> 22:39.510 area. So we would love to have Georgia Tech 22:39.510 --> 22:42.050 very well represented in that poster session. 22:43.110 --> 22:45.270 And so one of the things that they're going 22:45.270 --> 22:47.830 to do also is Shriners has already picked 22:47.830 --> 22:50.210 two different projects that they want to 22:50.310 --> 22:55.010 kind of keep up and keep going in January. 22:55.310 --> 22:57.950 And one is a shoe insert. 22:58.150 --> 23:02.520 So we have a guy on campus, actually Dr. Hong Yeo, 23:02.520 --> 23:05.290 that I mentioned earlier. earlier he's created this shoe 23:05.290 --> 23:08.450 insert and right now it's it's super flat so you 23:08.450 --> 23:11.100 would never know it was in your shoe and it has pressure 23:11.150 --> 23:13.850 sensors all over it so you can really tell the 23:13.850 --> 23:16.830 pressure when a person is walking so you can kind of see 23:16.830 --> 23:18.910 are their ankles kind of turned a little bit are they 23:18.910 --> 23:21.870 toe walking some of those things that are of importance 23:21.870 --> 23:25.870 to Shriners but what we're going to do is I sent 23:25.870 --> 23:27.690 it to Shriners I was like hey I think this is something 23:27.690 --> 23:29.190 you'd be interested in they're like definitely. 23:29.510 --> 23:32.790 And what we want to do is have our people talk to 23:32.790 --> 23:36.170 their clinicians to understand besides pressure, what 23:36.170 --> 23:38.490 else is there? What other kind of sensor could we 23:38.490 --> 23:42.730 put in there to better quantify how our kids are moving? 23:42.730 --> 23:45.430 And the idea is that right now they have them come 23:45.430 --> 23:48.790 in the clinic. They might just walk back and forth 23:48.790 --> 23:51.730 in front of a clinician. There are pressure plates 23:51.730 --> 23:53.770 on the floor so they could see how they're kind of 23:53.770 --> 23:56.710 moving a little bit. But this would replace sets. You 23:56.710 --> 23:59.250 could actually even send it home with a kid so that 23:59.250 --> 24:01.890 you know what's happening when they're not standing 24:01.890 --> 24:04.010 right in front of you and you're evaluating them. 24:04.880 --> 24:06.650 So we're going to get them together. They're 24:06.650 --> 24:08.870 going to look at different types of sensors like 24:08.870 --> 24:11.770 shear forces is apparently another force that 24:11.770 --> 24:13.710 they're really interested in getting. That is not 24:13.710 --> 24:16.050 something that's even commercially available. 24:16.210 --> 24:19.950 So we're going to work together and the goal is at the 24:19.950 --> 24:23.470 end of two years have something that is deployed at 24:23.470 --> 24:27.710 children, at Shriners to be in use by their clinicians. 24:28.050 --> 24:31.430 And so I'm really excited about that because 24:31.430 --> 24:32.850 again, that's the importance of going 24:32.850 --> 24:36.010 from the lab to actual clinical practice. 24:36.930 --> 24:39.720 The next one, I showed you the robotic exoskeleton. 24:39.720 --> 24:41.630 So that's going to be worked on a little bit more 24:41.630 --> 24:44.050 for refinement, like battery size, because right now 24:44.050 --> 24:47.410 they do have to carry a battery pack on their back. 24:47.430 --> 24:51.070 And it's pretty big and bulky. The team on campus 24:51.070 --> 24:55.190 used the replaceable batteries from yard tools. Y 24:55.190 --> 24:56.810 'all probably don't do a whole lot of yard work, but 24:56.810 --> 24:58.500 if you did, you would know what I'm talking about. 24:59.660 --> 25:01.650 So we're going to get the battery group here at 25:01.650 --> 25:04.930 Georgia Tech involved as well. And they really love the 25:04.930 --> 25:07.270 game. And so we're going to bring in a gaming group 25:07.270 --> 25:11.870 from iPad. Mary Beth, who introduced me, her team is 25:11.870 --> 25:13.730 going to be the one looking at the gaming element. 25:14.010 --> 25:17.130 And they're going to be putting that all together, 25:17.130 --> 25:20.010 making sure that we're capturing data that the 25:20.010 --> 25:22.750 clinicians want. We're giving it to them in a form 25:22.750 --> 25:25.350 that makes sense to them and tells them what they 25:25.350 --> 25:27.050 need to know. But we're also going to make it as 25:27.050 --> 25:29.350 fun as possible for the kids. So it's not just, 25:29.530 --> 25:31.450 hey, we're going to strap you in a harness and now 25:31.450 --> 25:34.130 walk for 10 minutes for us. Right. And we're going 25:34.130 --> 25:36.390 to take video of you while you do it. So this is 25:36.390 --> 25:38.730 going to be able to kind of combine those things, but 25:38.730 --> 25:40.390 make it a little bit more fun for them. And they 25:40.390 --> 25:43.870 can really see in real time how their gait is doing. 25:44.330 --> 25:48.050 And so again, it's kind of that in two years, we want 25:48.050 --> 25:51.430 to see this in use in the clinic in Shriner's. They 25:51.430 --> 25:54.170 have 14 motion labs in those 22 hospitals that I 25:54.170 --> 26:00.270 mentioned. And so there's going to be, you know, it's 26:00.270 --> 26:03.230 going to be used widely. So really excited about that. 26:04.610 --> 26:07.490 And that's it. So I realize I'm a little bit 26:07.490 --> 26:09.190 short, but I thought y 'all might have questions 26:09.190 --> 26:10.650 about some of the things we're doing or 26:10.650 --> 26:12.430 want to do with Shriners or questions in 26:12.430 --> 26:16.290 general. So feel free to ask and don't be shy. 26:20.990 --> 26:21.790 Yeah. 26:26.590 --> 26:30.550 So they haven't really. And that's another one of 26:30.550 --> 26:32.430 the things that we're doing with them right now. So 26:32.430 --> 26:36.110 Dr. May Wong, if anyone knows her she's been doing 26:36.110 --> 26:41.370 some AR VR interventions and one is really cool so her 26:41.370 --> 26:44.030 group is also the group doing the the calculating 26:44.030 --> 26:47.810 the spinal curvature so they built this VR headset 26:48.210 --> 26:50.810 and you look this way and it gives some information 26:50.810 --> 26:53.910 about the kid you look this way and it gives the x 26:53.910 --> 26:57.370 -rays and curves and things marked out you look straight 26:57.370 --> 27:00.030 ahead and they have a 3d model built from an MRI 27:00.030 --> 27:03.630 of the kid that was originally done so that they 27:03.630 --> 27:06.670 They can do surgical planning. You can actually grab 27:06.670 --> 27:09.790 the spine and move it around and look at it in 3D. 27:09.810 --> 27:13.290 So it's really cool. But once people at Schreiner 27:13.290 --> 27:15.890 saw it, they were like, oh, my gosh. The other thing 27:15.890 --> 27:19.270 that this can be used for is with training 27:19.270 --> 27:22.290 patients in spinal surgery. Because apparently right 27:22.290 --> 27:27.810 now you have to do 10 assisted spinal surgeries to 27:27.810 --> 27:30.630 be considered to be able to do it yourself. And so 27:30.630 --> 27:34.490 that's a lot of operating time. And also, you know, 27:34.490 --> 27:36.290 just the coordination of having to be there for 27:36.290 --> 27:39.350 those 10 surgeries, right? So if you can do it 27:39.350 --> 27:42.630 virtually, then that's going to be a lot better for 27:42.630 --> 27:44.830 training and they can get through training faster. 27:44.830 --> 27:47.370 And then the third thing was, is they're like, oh, my 27:47.370 --> 27:50.190 gosh, I bet the kids would love to see this and learn 27:50.190 --> 27:52.550 about what's going to happen to them in spinal surgery 27:52.580 --> 27:56.050 and be able to see, you know, what the doctor is seeing, 27:56.050 --> 27:59.570 what the doctor is talking about. so just that one 27:59.570 --> 28:04.290 project in VR really kind of took off and I think that's 28:04.290 --> 28:06.470 gonna be really exciting too and then we have another 28:06.470 --> 28:10.390 one where a kid will sit on a bench and the doctor 28:10.390 --> 28:13.690 will you have somebody standing behind them and taking 28:13.690 --> 28:17.090 video and you have somebody sitting next to them telling 28:17.090 --> 28:19.530 them what to do and this is about arm motion and so 28:19.530 --> 28:22.130 they have them you know rotate their arm and reach 28:22.130 --> 28:25.390 out here and reach over here and someone watching it has 28:25.390 --> 28:28.850 to be like yeah they got that direction pretty well. 28:29.450 --> 28:33.150 So May's group also built a virtual reality game that 28:33.150 --> 28:35.510 has balls floating all around you in a circular 28:35.510 --> 28:38.880 pattern. And so now the kids can grab at the balls and 28:39.130 --> 28:41.990 they're doing everything that this person wants them 28:41.990 --> 28:45.050 to do, all the movements. But again, it's also way 28:45.050 --> 28:47.170 more fun than sitting there and having someone be like, 28:47.170 --> 28:49.950 okay, now raise your left arm and go to the left. 28:50.390 --> 28:53.390 So yes, virtual reality, augmented reality is 28:53.390 --> 28:55.470 definitely going to be a part of it. Another thing that 28:55.470 --> 28:58.870 they did is they took a CT scan and if you have on 28:58.870 --> 29:01.910 that eye set you can lower your hand and it goes down 29:01.910 --> 29:04.370 like cross sections of the spine and then you can 29:04.370 --> 29:06.630 bring it back up and you could stop at certain places 29:06.630 --> 29:10.230 to really see what's in that CT layer by layer. 29:10.230 --> 29:11.210 So it's really cool. 29:11.950 --> 29:13.290 Any other questions? 29:15.150 --> 29:18.350 I just have a couple of other professors who might want 29:18.350 --> 29:20.230 to talk with you because the research is really 29:20.230 --> 29:22.620 adjacent. It might fit in kind of perfectly. Can yeah 29:22.910 --> 29:26.330 absolutely and so yes if you know teachers or other 29:26.330 --> 29:28.730 students who are interested in these topics please please 29:28.730 --> 29:32.470 please have them come to me you can reach out through 29:32.470 --> 29:36.810 iPad you can reach out to me directly and we definitely 29:36.810 --> 29:40.490 want as many people involved as possible any other 29:40.490 --> 29:51.530 questions yes ah yes good questions. So every week my 29:51.530 --> 29:54.230 group, the Pediatric Innovation Network, puts out an 29:54.230 --> 29:57.970 email and it has all the opportunities with all the 29:57.970 --> 30:01.250 children's hospitals. So if you want to sign up for our 30:01.250 --> 30:03.760 email newsletter, that is where the calls and the 30:03.760 --> 30:05.780 activities with Shriners are all going to be announced. 30:06.010 --> 30:08.950 Also the ones we have with children's and other 30:08.950 --> 30:12.050 hospitals, an opportunity. So please feel free to reach out 30:12.050 --> 30:15.910 and we can add you to that email distribution list. 30:16.910 --> 30:18.130 Anything else? 30:21.150 --> 30:24.510 So you mentioned sort of the state involvement in 30:24.510 --> 30:27.070 getting like this relationship with Shriners and 30:27.070 --> 30:30.230 Georgia Tech. How fundamental was that involvement 30:30.230 --> 30:32.750 from the state to actually get Shriners to come to 30:32.750 --> 30:34.870 Georgia Tech? It was really important. So when 30:34.870 --> 30:39.870 Shriners decided to do like a formal process to figure 30:39.870 --> 30:42.950 out where they wanted to put this, it was taken 30:42.950 --> 30:45.190 out of Georgia Tech's hands and it was all given to 30:45.190 --> 30:47.590 the state. And that's the only group that the 30:47.590 --> 30:51.290 search firm would talk to is the state, and then the 30:51.290 --> 30:54.410 state could bring in people as Shriners requested. 30:54.410 --> 30:58.230 So, they were very fundamental. They did 30:58.230 --> 31:01.370 things that helped, like different tax breaks, 31:02.610 --> 31:03.730 you know, assistance, 31:04.330 --> 31:07.690 like whatever. They gave them a whole list of 31:07.690 --> 31:09.770 things that we would do for them if they chose 31:09.770 --> 31:13.190 the state of Georgia and Science Square as where 31:13.190 --> 31:16.150 they were going to be. So I was, again, super 31:16.150 --> 31:18.530 happy that they picked us over Vanderbilt and 31:18.530 --> 31:21.010 Duke because they're also great universities. 31:21.830 --> 31:22.630 Yeah. 31:22.630 --> 31:24.490 You mentioned genomics. 31:24.490 --> 31:26.690 Can you talk a bit more about the research and the 31:26.690 --> 31:28.850 projects that are currently happening with them? 31:28.850 --> 31:29.530 Yeah. 31:29.530 --> 31:33.730 So with several of their conditions, these 31:33.730 --> 31:35.330 are a lot of things that kids are born 31:35.330 --> 31:39.050 with and they are due to genetic anomalies. 31:39.290 --> 31:41.210 And so, for example, 31:41.420 --> 31:44.370 in scoliosis right now, we're doing a study with 31:44.370 --> 31:48.450 them, and we're trying to identify what genes are 31:48.450 --> 31:51.570 associated with what different types of scoliosis. 31:51.970 --> 31:55.050 And we found all the ones in the 31:55.050 --> 31:57.170 literature so far, which is good. 31:57.190 --> 32:00.750 And we found a couple that either haven't been in the 32:00.750 --> 32:03.610 literature or maybe a mention in the literature. So 32:03.610 --> 32:07.050 I love that our AI on the genomic data is matching 32:07.050 --> 32:09.810 what other people have found, but going beyond it too. 32:09.870 --> 32:12.270 And then the goal is really to say, 32:12.450 --> 32:16.190 okay, you have severe scoliosis, you have these genetic 32:16.190 --> 32:20.050 mutations, so you fall into this type of category, 32:20.750 --> 32:22.230 phenotype one, 32:22.390 --> 32:25.070 another kid's phenotype two, phenotype three. 32:25.070 --> 32:27.110 So we want to be able to define those phenotypes 32:27.110 --> 32:30.750 and then say, for this type of kid, this type 32:30.750 --> 32:32.790 of surgery, this type of treatment, this type 32:32.790 --> 32:35.690 of rehabilitation works best for you, but it's 32:35.690 --> 32:37.750 going to look different for the kid over here. 32:38.010 --> 32:41.350 So they're doing that with scoliosis, and I think we're 32:41.350 --> 32:43.550 getting ready to start one with cerebral palsy. It's 32:43.550 --> 32:45.750 the same kind of thing. There are definitely different 32:46.010 --> 32:48.710 phenotypes of these kids, and they have some phenotypes 32:48.710 --> 32:52.110 defined if you look it up, but the idea is to say, 32:52.840 --> 32:57.070 you know, are there subcategories or is there another 32:57.070 --> 32:59.510 phenotype that we need to really be considering? and 32:59.510 --> 33:02.390 then looking at all that EHR data and knowing the outcomes 33:02.390 --> 33:06.150 of the treatments and surgeries they've had, what is 33:06.150 --> 33:08.550 working best for these kids. So it's all about taking 33:08.550 --> 33:10.870 better care of their kids. But it's, I mean, it's a 33:10.870 --> 33:13.250 really cool opportunity. It's one of those things that, 33:13.430 --> 33:15.710 you know, since AI first started being talked 33:15.710 --> 33:18.710 about in healthcare, it's what has been said, you 33:18.710 --> 33:20.400 want to do this type of thing. You want to 33:20.400 --> 33:22.650 phenotype and you want to know what works, but nobody's 33:22.650 --> 33:25.270 really had all of the data to do this. And 33:25.270 --> 33:27.930 now we're going to with Shriners. So I think it's 33:27.930 --> 33:30.810 super exciting and I think it's really going to 33:30.810 --> 33:33.230 help them in their goal of being preeminent in 33:33.270 --> 33:36.190 research and treatment for kids with cerebral palsy, 33:36.190 --> 33:38.430 scoliosis and other conditions but I think it's 33:38.430 --> 33:40.810 also really going to help put Georgia Tech on the 33:40.810 --> 33:44.250 map for being able to do all of these things that 33:44.250 --> 33:46.430 a lot of people have talked about for a long time. 33:48.090 --> 33:51.010 I think one thing, one of the biggest concerns 33:51.010 --> 33:53.690 AI in healthcare is HIPAA violations 33:53.690 --> 33:57.090 so how do you guys navigate that challenge? 33:57.770 --> 34:01.510 Yep. So Shriners gives us de-identified data. 34:01.650 --> 34:04.210 And then if you think about genomics, though, that's 34:04.210 --> 34:07.630 kind of inherently identified specifically to 34:07.630 --> 34:10.470 you, right? And so that's one of those things that 34:11.010 --> 34:13.810 is really being talked about in the healthcare 34:13.810 --> 34:17.450 industry because you can't de-identify it, but you 34:17.450 --> 34:19.070 want to do the research because you want to help 34:19.070 --> 34:21.730 these kids. So a lot of times the patients will be 34:21.730 --> 34:24.630 asked and told that, you know, we're going to take 34:24.630 --> 34:26.590 this sample from you. We're going to use it in 34:26.590 --> 34:29.670 research so we can take better care of kids like you. 34:30.050 --> 34:32.570 And most patients do it. So I'm a rare disease 34:32.570 --> 34:34.370 patient myself. And I'm like, please take 34:34.370 --> 34:35.890 everything in mind, because if you can help 34:35.890 --> 34:39.810 somebody else not have what I have or better 34:39.810 --> 34:42.450 treat what I have, I'm all for it. Right. 34:42.970 --> 34:44.970 And you'll find that a lot in pediatric 34:44.970 --> 34:47.430 research, more so than even in adult medicine. 34:48.070 --> 34:50.070 People just want to do the right thing for kids. 34:50.070 --> 34:53.850 so we definitely follow all HIPAA rules and regulations 34:53.850 --> 34:57.010 for the other electronic health record data. 34:57.920 --> 35:00.250 Genomics is kind of a gray area but a lot 35:00.250 --> 35:02.730 of people agree to it because it's going 35:02.730 --> 35:04.410 to make a huge difference for other kids. 35:04.830 --> 35:07.110 Yeah anyone else? 35:10.510 --> 35:12.850 All right last call. 35:13.550 --> 35:15.870 Okay we're good thank you.