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AI Innovators — Uday Devgan, MD

2025-10-31 · Uday Devgan, MD · 36:35 video interview
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World-renowned cataract surgeon Dr. Devgan shares a first-hand account of robotic AI-assisted cataract surgery in first-in-human cases — plus the AI-based IOL formula work his team has now patented.

Transcript of this video interview, hosted by Dr. Rehan Ahmed for AI in Eye Care. Auto-generated from the video audio; may contain minor transcription errors.

All right, well welcome everyone to it another episode of our AI innovators podcast series. My name is Rehan Ahmed I am co-editor of AI and I care and I am so excited today to have a Mentor of mine although a mentor from a distance because he may not know that a friend of mine because I feel like I already know him Because I watch all his stuff. Although he may not know that Dr. Uday Devgon a world-renowned Cataract surgeon educator expert And just to genuinely in the few minutes of our pre meeting generally nice guy to be joining us to talk about how he's using AI and more importantly all the new surgical tools both in Iowa alks and what I think I'm most excited about and I know our audience is most excited about the robotic AI cataract surgery Tool that he used and to tell us a little bit about that that is hot off the crest So this is probably one among the first places you'll be hearing about it So dr.

Devgon. I'm so excited to have you on. Thank you for joining us. Oh my pleasure to be here Happy to talk about these fun topics.

I'm really passionate about them. So So you are a world-renowned cataract surgeon based in Beverly Hills California Probably, you know, probably one of the hardest places to be you know, you have very demanding demanding patients Talk to and so you got Involved with the company called Horizon Circumstable, which was obviously based in Southern California. Tell us a little bit about your experience with the company the company itself and What do you even tell us about the first in human studies that showed that they did with The robot and the cataract surgery that that you did in Central America. I'm really excited to hear about it Yeah, so Horizon amazing company I'm happy to be a small member of a very large team the team is Business leaders clinicians sort is like me, but also probably the most important brilliant engineers The engineering is another world.

It's amazing. It's I'm 100% convinced after working with engineers so closely now Yes, doctors are smart engineers are so much smarter. It's not even the same ballpark It's so brilliant So it's it's an honor for you to be part of the team and it really was a big huge team effort We did 10 eyes recently in a Salvador actually earlier this month. This is very hot off the press Yeah, world's first robotic cataract surgery in humans completed done all 10 cases went beautifully the robot was amazing and It's essentially for now we are doing tele surgery meaning I'm sitting Let's say five meters from the patient, but I could sit five kilometers away or five thousand kilometers away And then I'm using 3d glasses looking at a 3d monitor in 4k, but also beautifully real-time OCT which is going instantaneous No, no and though and the basically the computer could throw that together and give you so much great information and data And the goal is to make you a better version of yourself.

I know we all know what the truth is There's a bell curve of surgical skin that really yes anyone wants to admit this there's a bell curve everything every every every trade life with its throwing back those good cataract surgery and This is a technology that hope we can make the rest of us as good as the best of us I like that now because if you look at certain things like what's important surgery You obviously get the technique down and do it over and over again If you want to be repeatable like I want the decision always done this way well you could do it Pretty consistently after thousands of cases of practice If you program a robot that actually can scan the cornea and if you say I want this groove to be 25% death before I started the decision Well, keep it everyone has a different chemistry then we're wrong. We'll do it exactly It's exactly what you want not just about so there's a lot more consistency there and then also things like It's reaction time. I'm pretty good. He was about 200 most things the reaction time me I've tested my own maybe I'm like what 60 170 good better than that.

Yeah sure on these card drivers like 140 Well a robot can be five It's like How can you compete? Yeah, you can't and so talk me like about we often talk about the art of surgery and We kind of elevate the topic of like, you know, there's that there's a definitely an art of it But you know, maybe I push back on that concept and say there's also a science of surgery and maybe this is what you're talking about You know, you want a certain depth of a wound you want a certain reaction time We should we should demand the very best for every patient who gets catar and just no matter the surgeon Well, that's the goal, but unfortunately, I mean this is reality. There's a bell curve There really is I taught resin for 22 years UCLA eight resins a year every year out of eight One or maybe two are just amazing surgeons. Most are really good every so often a stinker and If you look at all the residents who finished the program or the last way to you let's say 200-ish residents Certainly a bell curve a surgical skill.

Have I look at a list of all 200 resin that I have opportunity to work with I Choose five That I'd like to do my surgery And that's just the truth. That's the video maybe 10 but you're 10. Okay, that's top 5% So there really is a surgical skill set there is a bell curve We see this in practice you can see this and looking at data you can see okay What's capsule break you rate up on sermons in a big Sunday center? And you see it's gonna vary and there's gonna be that distribution So part of things we have to be a little more honest with ourselves and say okay, you know what if this technology allows me to do a better job Something more precise more accurate and we should use it I give you a change a little bit gears to talk about radio catami that used to be the gold standard from the air Observatory and that was very surge independent.

Well is your blade probably calibrated how much pressure you put how much you can add it Now we got an ex-merlaser Now when you do LASIK today Okay, you step on the pedal in the femt-o makes the flap exactly how you described it or designed it Okay, you do lift the flap with your hands. I'm gonna roll through that The X-mer does the ablation Which is perfect very precise and you beyond what I can do with any first then I put a flap down So how much did the robot lasers do it? How much did I do? Well cataract surgery will likely shed in that same direction and Then we can think differently instead of to say for our killing we need to make radio cuts And it's an occur picture.

Well, you didn't make a laser that made radial cuts You said let me just change the curvature a different way. Yeah now we are adapting lasers We lose technology now say a laser femtosecond laser for cataract surgery well to mimic human step or mimic making a rexis Mimic in breaking the nucleus. Well, can it be a just a different way of thinking about it, which I don't know. Yeah you know there's in addition to all the safety and efficiency gains there's also And maybe you should you should speak to set there's also an axis issue that I think at scale a robotic cataract surgery platform could be helpful in addressing this shortage of Worldwide ophthalmologist, maybe not right away.

No, obviously a technology You know, there's there's all you know, there's curves in technology adoption as well But what do you think about that? I mean in terms of where we're headed as society They're just not they're not gonna be enough surgical ophthalmologist to deal with this Hurricane a cataract that are coming out that are coming and will be coming our way So what do you think that plays a role in terms of talking about scaling the surgeon and scaling the very best of surgical techniques? I could certainly Watch four robots operating at once and saying good good good. Oh, this robot pauses robot Let the other continue this one.

You know what? Let me take over it and I have my controls here put them at 3d. Let me drive it Yeah, so I could certainly supervise four robots at a time maybe more as they're doing procedures and Then as we get better and better at it. You know if you look at Tesla self-driving My first test I got 10 years ago 2013 and it was kind of cool at the time But it was kind of glorified cruise control now look where it has today 10 years later It's very good.

I got in here in Los Angeles. We have these waymo cars. He's Google. Yeah, yeah Driverless cars all over the place.

They're pretty good I'm not perfect just yet, but as we compile more and more data You learn from that data and that's where you need this big computer processing power to crunch through all that data Yeah, I think it's a really good analogy and maybe appropriate for cataract surgery because if I'm taking a you know a 9-minute drive through traffic And in my Tesla and having this full self-driving on when I arrive at my destination I'm definitely less tired than if I were just you know pedal on the exhale constantly going back and forth paying attention, you know and I just can bless Fatigue same with cataract surgery. I can imagine if you're doing you know after the 15th 20th case I could have this could improve the longevity of Surgeons over time, but it was that is that something is that possible? We're sure absolutely for sure we've all been there you're doing a surgery And doesn't feel quite right at it some challenges you see some bad zanylap be you finish that case you say well That kid's art to go week off my life and it really it did the one the first case in the morning You're operating you get that you see the zanylap you get that cat colon of any release and you're just like this is literally Slowly killing me over time and the worst part is case goes beautifully and then post op pages like 2025 It's not that sharp once you get it sharp And you're like let's go back to the operator. I'll put a the cataract back in yeah And I think for sure we want to make it less stressful I can't imagine the days of radial keto which I've never done even despite my age Where the goal was to make it so deep that you had these microperps pedocutin You want some stress here?

You're not bringing like a 25 You don't help the eye otherwise the other besides being myopic and you're trying to get these microperps not a stress and Now compare that let's see the trans PRK really literally for the patient on the microscope and transparent He goes through the to the epithelium. You don't describe anything. Just step on literally step on a pedal That's magic Yeah, this is gonna go in a similar kind of direction You'll get better and better and better while we did the first iteration of the robot there in El Salvador early this month the next iteration is already in the already cooking. Yeah Well, what are the next steps?

Well, you're using iPhone 16 17 now. I promise that I was already working on my phone 20 Yeah The next steps. I mean time will tell I think we do more we needed to learn what we did We and by the way, the biggest thanks to only the quesada clinic which we did the surgery, but also Incredibly sweet patients the amount of trust they gave us I'm more blessed such beautiful patients, but I think we're definitely headed in that direction What what would you say because I post this to my LinkedIn and I? Got some negatives feedback, let's just be honest saying Is this gonna take cataract surgery eventually away from cataract surgeons?

So skin can you speak to that? Can you lay those fears or maybe novel? What's your orts here something? This is gonna make you a better version yourself Like I said, it's gonna make the rest of us operate as well as the best of us Okay, I get a certain who just finished training and can on on this road But do a surgery as beautifully as I can and I've done this for 25 years and tens of thousands of eyes And I'm not just your average certain where I am so crazy about learning a video my case I still go back and watch date footage.

I make these teaching me I want to be better and better better every week Yeah, I'm stopped. I say quite a and this is what I'm not gonna replace certain has the eczema laser The feminist egg laser have they replaced surgeons? No You know you're going to drive through now to get your your corneol ablation done. No You don't have to worry.

It's gonna be this. Why would you not want better technology? Listen? Might remember they're always going to be haters and daughters.

That's the nature of humans. Yeah So much ford via a Reddit thread where they're talking about the robot after it was done recently and also I mentioned my name in this Okay Nobody I don't really mean this stuff. I just don't I can't be bad. Yeah.

Yeah, the banning word I want to read it And they're literally the craziest comments from Austin, all of this isn't the awesome all of you subreddit and There's one is this person post and I just click on their username so I can see the other post they've made it's about their little dog the little teacup size dog and fake handbags and makeup so So How could I pay much attention as person who likes to buy fake handbags? And now they're gonna comment on I don't care what I can say when I talked to other, you know optometrists or other people in the industry I do say You know, that's what AI replaced you. Well, what I do know Almost with me or certainty is that people who use AI doctors who use AI will certainly be better positioned Then doctors who don't use AI. I mean, it's just for sure.

It's another major tool It doesn't replace you. It is a monumental shift in how we should think about medical education and the delivery of medical care so The fantastic to your point imagine this for lens cocks, right to do Iowa Calc's you have off the mall just now There's some off the mall just Have their technician or their staff choose the highlighter or bolded number on the Iowa Calc printout. They'll even look Then one level above there's a certain will actually look at the printout. Yeah, okay That's the one I'll choose there's a step.

Maybe some say, you know I'll look at all the four different formulas and kind of choose the one I think would be best The next I would be there's a certain says, you know what I care so much I even go back and I hone my eight concert I try to Okay But then there's a certain doesn't really I and here's the problem with you think how many your eight causes with with it with Your calculation the refractors else is good, right? But no when you change the acos it lifts all eyes the hyperopic ones and the myopic ones are looked at all the same or you're with the same Yeah, change your eight content by point three to opt for is up well Then every I will power will be point three to opt for higher whether it's a mighty tiny tiny 19 millimeter Actually glad or 29 millimeter excellent that that doesn't make sense What you need to do is you need to optimize the whole shape of it you'd optimize for 10 different We do now 10 different range of axial length 10 ranges of AC depth ain't 10 ranges of choreo power So now we have a 10 by 10 by 10 right now. It's that have to be optimized not one a club That's right. And I didn't want when this this probably really wants what we're talking about And so you really think optimizing a concept is and have to make a way to concept and Non-sensical it was fantastic bath will back we did things with arithmetic Remember the very first I will catch work What are your glasses prescription and I'll put it in this formula and I'll no matter how you like even what your glass of prescription And then oh your mind is three.

Okay, you're no if you'll get a 21-1. I'm gonna do an 18 Yeah, regional lens couch. Let's take a step back for our audience Which composed of optometrist and the optical industry as well as ophthalmologist in 20 seconds tell us why this matters for mr. Jones when she's Talking to you about selecting the right lens for her.

Why does this why does this matter? Well, you have to decide if you want a refractive outcome with a catheter surgery now when you're in the eye doing a catarot surgery You have an unique ability And I would change the take the catarot out right clear with the visual axis But you have the ability to change the refractive status of the eye and And for someone who's a say a plus three hyperopo for the diaphragm with cordial astigmatism You have an opportunity to make them Emotropic Plano Plano Plano and that's so much better for their functioning than being stuck hyper up Well, how do you calculate how to do that and it's actually not a simple map now Unfortunately enough the mollage there are a 20 different formulas for calculating eye-wap pattern Well, if they're 24 English, it means none of right There's only one Pythagorean theorem. There's one the only one equals MC squared It's not like well, sometimes equals MC squared other times equals MC squared minus four now now If it's right, so we don't have a correct for them So we have to do things like AI where? Let's analyze big groups sets of data and come out with a more accurate way of doing this and it seems kind of elementary now Given the age of AI to be well, what would AI think but you you you had this idea like 20 plus Years ago and you and it's bandage correct.

Yeah, you can think about this for a long time Here's how long here's I can prove to you how long it was You know, we originally turned a new other ai lens cars online Iolcalc calm free website And if you do the internet who is look up and see when I register the name I will count calm the URL It was July 1 of 2000 so 25 years ago Back when I had no gray hair in fact I had more hair It was it was literally the day after I finished residency. I woke up like support as you know, I got an idea and There's been nothing back to remember When did Cass broth get beaten by IBM's deep blue? 1997 Wow So then we always in residency with an incredible genius of a caressa John Laddis we did residents you see a way we're PG Y2's our first year of all the money residency in 1997 and That's when that news hit and we were just like we just got up. I just off mulch and Then you we just thought about it for a while and then finally like few years later Like you know what this what we're doing.

We're doing lens cowls. We got to do it some sort of AI base And it's very hard to do initially. Mm-hmm. And initially we didn't do it initially We just amalgamated different formulas kind of like a best fit and you know So for accidents below this use this formula for accidents here use this formula for accident or a different cave and whatever But then after a while now we've got this AI based And so that's what we ended up pursuing and then last year we got one patent this year We got our second patent for AI based I will calculations We also have a third patent now for care to practice surgery Calculations using AI and there's a huge market for this because people may not know if you're doing least they could or You're okay, and the patient's minus seven on my opia.

You don't program minus seven in a laser And that's because as you deliver the laser energy the corny ends up drying out as the corny dries out the same amount of laser energy Hmm takes away more tissue the razor quote runs harder because the tissue dried So there's these normal grams that are done now and the big companies are paying Literally more than a million dollars a year for stoma to do a simple kind of normal gram for these like we can do it all with AI far more accuracy because going back to our talk about an eight constant We can change. Yeah one breville. I can do that. I can do that with a patted paper I don't even need a calculator, but it changed a thousand points at the same time.

I can't do it So I got a user computer. I've got to do something like this. And so yeah, that's the reason our recent patents And it's really just it's a total game changer You will in the future you will not use anything other than AI for your Iowa calculations. What would you?

You heard it here first on AI and I care and I encourage everyone to check out cataractcoach.com bird I don't know how many videos are you I I subscribe in Summer of 2018. I don't know if you you're the very I'm among the very beginning and I was I was joking with you My wife will and that when your sound comes on didding you know cataract She's like alright I lost her in on for five minutes because he's gonna be watching this video and I just want to take a second to To really thank you for for this your commitment to education And you know all the knock on effects that like every time I go to my partner and say hey Do you watch you today's last video like we have this case coming up? Let's search through and it's given away all for free and You probably have no idea how many surgeons and how many patients and then families of those patients you've contributed to Just you know from from the videos you started Seven years ago and it's fantastic. Yeah, so I started cataract coach as the brand of thing 2018 with the idea I'll have a new video every day no matter what yeah, and I stepped in so yeah, so I'm two thousand And you start going I was like he's gotta give up like crazy.

He can't he's running out. There's no way there's no way Someone as busy as dr. Descon is me doing this and you have you have a miss today. Have you never But it all feels I travel a lot so to make sure I don't miss a day Yeah, you just I'm about one month in advance at their lives up in a queue and so they post automatically You'll notice that they post every day at 2 a.m.

California time just five am East Coast time Yes, and my number mark at USA and I want all the East Coast surgeons to have this in their inbox when they wake up and Just I submitted a huge feature to video of mine I don't I gotta find it as a flip and chop video and you said nice thing so that was I was good I was like I don't know if I should do it But I I'm learning this flip and chop from from dr. Devan and I want to see what he thinks it was back in 2018 So yeah, I know I always am positive and if there's a really terrible complication out email birthday Listen trust me just put an armus. Yeah, but but I think the complications of work that videos we learn the most from but the goal of cataract coaches Can I the market has equalized surgical education worldwide because he and the us from baseball Search training our rather is training is fantastic. It really is really world-class being over other parts of the world It's just not and sometimes to even even back when I was resident There were some little bit of gatekeeping where your professor you're attending may not teach you everything And me just build the Venus.

Yeah, I share all secrets as long as I'm alive There are no more secrets in in cadre at surgery for sure and now we've expanded you do all that your segment So cadre coaches cadaract cornea Colmo frat and then I have a sister channel run by retinacolleganmind called retinarals calm We got a retina video and he also spills all the secrets So we're 100% what a equalized social mutation and the growth has been dramatic It's it's almost shocking the two sisters look at because yes the YouTube videos are a lot That's probably the mainstay of it but Even like I started doing the videos on Institute So copy the same videos over to insta and the amount of views like it just blows my mind Yeah, I'll show you in the last 30 days my insta views are 1.7 million Wow And I'm it's all it's all it's all surgical stuff So you know the you know this spectacular You're like a legit influencer then you know you you probably have a But I want my audience to be just people in I care. I don't I don't I don't want like your average person likes cute puppy videos No, no, this is not for laypeople is this for people were in I care is Particularly in surgical part of it and I promise you will learn every day out teaching it's because your energy is so infectious you After I met you 20 years ago almost probably you know to the month you did grand rounds at Baylor and Afterwards there were 18 residents or 16 each class We all have lunch together and we're like this is the best ground rounds that we've ever handled Because he was just so real and his energy was made it made us so excited that we chose Optimology and that we're going into this because you would sit something and I still remember to this day that you'd said There's no one else Who can do what we as ophthalmologists do in sort of like and you made the example? I think it's fine surgery. So look there's there's like neurosurgeon to do it.

There's a lot of fighting over this like body part and Optimology I mean no one wants no one's touching the eyeball It's only us and what are privilege that we have compared to other fields and it's the surgery that obviously the most common world wide Impact you can push with a white cataract you do their surgery you get it You literally did something that's a miracle you made a blind person see normally again. See 20 20 again It's crazy what we can do. It's amazing. That's why I still love it I have not gotten bored yet my like my kid asked me.

Aren't you bored doing the same story over and over yet? No, I love it. It's like the world's best video game. I can't stop playing So and coming back to AI a little bit in terms of cataract coach Is there a it's there an AI can AI play here in terms of content going out into the world?

I mean or you just look I'm just playing it out like it is really You know that has to be my goal would be like to have the AI Learn just from my videos or just from cataract coach content Because the problem we get into now is now the AI learns from stuff all over the web But a lot of it's just hocus pocus a lot of it's wrong So if I ask a AI, you know chat button out, okay, tell me about a very specific topic a very small little topic I asked it recently. Okay. I tell me about the the techniques for avoiding Argentina flag sign and an intermittent white cat So that's in a white cat act with a fluid field because the living in my legs and you try to poke the capsule and it Rips out on that home. Yeah It's like 70% of things were good and 30 were wrong and then I replied back like no that's wrong And so thanks for catching that and then again.

No, and this is also wrong And so just it's a great. That's a little bit too To error prone right although you'll get better But I'd like to program with just the input that only from my videos and then say And in the check query box. I'm a youngster. I'd like to learn flip and shot Which are the best videos that I should watch?

And what are the kind of the steps and then boom it's on the out and say watch this and this video that would be cool Well, we want to learn how to do this particular MIG's procedure Okay, watch these few videos. Yeah, then right now. We just search for it. We got to put it in the search box Okay, here in the link this one maybe not that one and the problem now with so much content is Little hard to search if you try to search on YouTube.

Yeah, that's right. These are John YouTube It's really not good if you want to search on the actual cat or coach.com website It's actually better. I pay for a fancy search engine on that site That's actually but even then it's still you search for okay. I want to see about Arjajan flags and will there be a hundred videos?

Well, which one yeah one? Yeah, exactly. I have a little plug for our podcast that I do with our Co-editor dr. Scott Morse we talked about rags or retrieval augmented generation and how you can use that with a larger language model to have it return results limited in scope and and Prior to us to say cataract coach or whatever you want to talk about and so that's how companies like open evidence Are we limiting it to jam our name the general of medicine or race and so?

Something I need to look into that's fantastic. Yeah So so the last topic I want to talk about you sort of touched on so we talked about horizon search for one of the cataract The cataract surgery platforms robotics platform. We talked about Iowa Calc. I want to talk about how AI is just how are you using it day-to-day?

You're you're a realistic writer a prolific sort of publisher I'm assuming it's giving you superpowers and you know when I look on helium You're like writing stuff. So how are you using on a day-to-day level? Just for our audience to see like how can they potentially start using it to help them become more efficient? Yeah, so obviously for writing it's pretty darn good although You can tell that you you'll still need to edit it It's not good as it is and the more technical the topic the more specific the little in the area And the more you're gonna have to edit it.

Yeah, but it'll minimum will give you a good reasonable outline there So I think it's very useful for that. I have been writing a column This is actually my 240 of columns every month for 20 years for octave 30 news But then the question is I mean I still enjoy writing the column But the question is how much is are you gonna generate with AI and how much are you gonna actually do yourself? Yeah, and so at this point I like I like to use the a for at least a Outline of it at a minimum or I can have it do an initial draft But oftentimes requires a little shot more editing that I anticipated Okay I mean I use it I use it a lot and sometimes like oh wow This is this is pretty darn good and I have to so I'm like I have to make this sound less good So people know I actually paid attention to it and then and I actually wrote it and it and I listen to a reading podcast of yours yet where you're using it and And then the article came out in print and I've read it like I cannot tell like I I know he's using it But I can't I can't really tell and the fact that it's still coming from you. I mean you've edited it so I I I think if there's almost an unsure advantage for people who lived outside of the AI I'm worried about the kids now in a sense.

I'm not living in a time before AI How I don't know. I mean what do you think you have kids in med school? So how are you telling them like how should they think about their special teams? They choose and well future what do you would advice are you giving to your kids first?

You're making the assumption my kids actually listen any invite you give which is a big leap But listen, I think they know more about it than I do in fact, you know I often ask them like no dad you're doing it wrong you need to put this prompted first So I've learned now before I start asking or to write about a technical subject in ophthalmology I write that okay you are a profess a world-renowned professor of ophthalmology specializing in cataract surgery But that first now the problem is now write me 500 words about prevention of argygian and flag sign into meson way cataracts yes and Then I'll say even more specific then we teach you that focus only on intraoperative techniques, right? And then better it comes out that's like that it's pretty good But if you don't start off with the appropriate prompting prompt generation is so key here. I really is I think we'll use it more and more But the danger we get into is what happens when most the material online Is coming from AI right now AI has an advantage we're early in the AI scope So let's say most of the material online has was generated by humans right and Now AI go learn from that and put together its own article now you publish that We will get to the point where 90% material that's I found online is already just AI generated and then AI is training on itself It's like it's turns into a self Running AI based in machine and so where does human insight come in where does new data come into it is the question Yeah, so this there's a delicate balance here And then maybe you know what for the kids who are growing up with it now And maybe the schools needed focus on different things. Why do we still focus on like Write me a pet or an essay about this.

Are we to be double writing essays? And I don't think it's maybe there's other ways we can get points across from our I mean I'm giving a good example in ophthalmology We used to buy textbooks all the time What was the last textbook you bought about the wall sheet? Yeah So much so that a lot of a major publishers close their book divisions for ophthalmology Right because now why why show me in a book that's eight or ten years old how to do a surgical technique with drawings or photos even Or I can go on my phone right now and hide depth and see a video of it That's the latest technology of today's stuff not yesterday's technique But that's doesn't make any sense anymore and then even then do we still need The print trade journals enough themology. I love cars.

I used to buy I used to buy Subscribe to all car magazines. They're all to my house motor trend car and drive a rodent road and the rodent track all of them I Haven't got a car magazine in the mail and ten years 15 years Because now everything in fact, I don't even read the magazine a lot. You know I do now I watched the rodent track or you know car car driver channel on YouTube. Yes Yeah, so that's kind of where we're headed and I'll tell you this another change this coming big time as You saw people very recently in the last couple years instead of watching TV.

They just watch YouTube Mmm. Yeah, it was like TV tanner to your exact subject. You love that man. I Think worse.

I'm seeing every month while YouTube is pretty even maybe a little growth instant growth is People watch shorter videos in here. Yeah, you mean the same thing, but just right to it So if I put the same video on countercoaching Instagram the Instagram version has to show within three seconds something juicy or you're gone Was in YouTube I got 30 seconds. I worry about that and with our attention spans It's interesting and I'm the same way I used to never really be into but now the YouTube shorts Which is I kind of insta the same idea man I'm worried like is it rotting my brain that I can't handle 30 seconds of something that's quote-unquote boring before I have to swipe up Oh There's a this truth to that and maybe we're over stimulating ourselves too much These dope will mean hits of things I like and like it's right. That's right Maybe we need to cut it shit out a little bit.

You know I started doing now is that I eat dinner Without watching YouTube or TV No, I was I like to sit there and like just well to quiet or have a nice conversation I had dinner last night at arrest on the friend. I left my phone in the car But he looks ready to actually enjoy the experience So we needed a break from all this we do and there's a little initial like anxiety like wait if I if I leave it somewhere And you know even now with chat GPT it doesn't respond within five seconds I'm like it's taking so long like what is wrong with me? You know that this technology that didn't exist two years ago now. I'm expecting in the world from it and It is it is a grave new world But I who'd I before we go I want to share with you and I Want to share my screen?

I like can't I can't do it, but I want to share this picture of S and a Couple years ago Do you see this picture? I love it So I want to thank you today you have always been an amazing teacher and a friend from it like I said a friend that you didn't know you had from a distant and now I'm finally So I could actually spend some time with you. Thank you so much for your generosity with your time and sharing your insights about AI from robotic cataracts to your platforms to Iowa Calx just how you use it every day and thank you so much for your time today This has been real a pleasure and huge treat for me And I've been I've been really looking forward to this for a long time and it did not disappoint at all. Thank you again Oh, thank you so much.

We're all this fun journey together And let's uh this cautiously but enthusiastically embrace AI Sounds good. Thank you everyone for listening again. You can catch us all our recordings at AI and iCare.com And we will see you next time. Thank you