Closing in on December 21, 2012, there are few credible signs of the prophesied apocalypse. However, there’s another set of 2012 predictions, one pertaining to the use of electronics in medicine that just might be worthy of your notice.
|Lusted's 1962 Paper, as reprinted in 2000|
Besides offering fascinating benchmarks for both providers and consumers of medical care, Lusted’s speculations provide us with a window into the thinking of one of the most influential, though seldom-discussed, shapers of today’s medicine.
Writing to 1962 from his envisioned 2012, Lusted made the following observations:
- "Nearly all of the body organs can now be replaced by compact artificial organs with built-in control systems. This includes the heart, kidneys, stomach, and even liver…. The ability to find the correct nerve circuits and to trace the circuit like a telephone repairman was developed in the early 1990's and it is this technique, made possible by microelectrodes and very compact flexible computers, which permits the quick hook-up of artificial organs."
- "Long flexible fiber optic bundles can be inserted into any body orifice and also into arteries and veins so that the physician can look around inside any organ in the body…The old unsolved problem of the 1960's of trying to find a small bleeding vessel in the small intestine is easily solved now because the surgeon can look around inside the intestine, with one fiber scope and simultaneously inspect the blood vessels to the intestine with a fiber scope which he has inserted into the blood vessel system."
- "Micro chemical analysis, high speed computers, the extensive use of information theory and recently developed new mathematical techniques now help identify the exact composition of the nucleic acids and a host of enzyme systems."
- "The position of the chemical constituents such as amino acids in all of the complex chemical systems is now known. It is also possible with about a 90 per cent probability of success to replace any defective amino acid within a nucleic acid. This technical development has made it possible to develop a superior system of genetics. Genetic defects which were unavoidable in the twentieth century can now be avoided, or if they do occur they can be repaired… parents can now choose to have a boy or a girl (with about 90 per cent probability of success)."
- "The early bio-medical computing systems and electronic diagnosis systems developed in the United States were sent to other countries, such as India, Africa and South America where they were very helpful to the few available doctors who were trying to look after the health of large populations."
- "By 2000 A.D. people have become accustomed to the regular health checkup most of which they can have in their own homes. On a given day at an appointed time the person goes to some room in the house where equipment has been installed and connected to the local medical center."
It’s hard not to read through Lusted’s imagined report from 2012 without a knowing smile or a twinge of regret, but what should not be forgotten is that Lusted was writing in earnest and from the perspective of someone who was in a position to channel federal funds towards the development of the wondrous advances he predicted. Granted, many aspects of the future Lusted imagined did not come about, but this was not for a lack of trying or resources.
In my new book, Biomedical Computing: Digitizing Life in the United States (Johns Hopkins University Press, 2012), I show how Lusted’s widely influential computing advocacy (often written in collaboration with Robert Ledley, the inventor of the whole-body CT scanner) and his actions as chair of the powerful NIH Advisory Committee on Computers in Research during the early 1960s laid much of the groundwork for the computerization of biology and medicine. Computer-dependent biomedical endeavors like the Human Genome Project and Evidence-Based Medicine have many roots that can be traced to Lusted’s vision and patronage. The book also makes the case that Lusted and his fellow visionaries at the NIH sponsored work that helped to bring about major changes in computing itself, including the development of personal computers.
[I thank Dan Bouk for giving me the opportunity to share this story here!] No, Joe. Thank you!