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Using Games to Improve Medicine

miller60 writes "At GameJournalism.com we look at Games for Health 2004, a conference which will explore the use of interactive games in treating patients and training doctors. One presentation discusses "Glucoboy," a Gameboy based diabetes monitoring solution, while another looks at the use of video games in improving surgical outcomes. The event is organized by the Serious Games Initiative, among others."

42 of 122 comments (clear)

  1. One of the other games... by z3021017 · · Score: 5, Funny

    Is Doom III, which will aid the recovery of stool samples from patients.

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  2. loss of body parts considered fun! by zeeball · · Score: 3, Funny

    i'd hate to be the patient whos doctor looses that game

  3. Diabetes FPS: by Nos. · · Score: 4, Funny

    Sniperdermic Needles
    Sprint/bunnyhop to long and your sugar goes low
    Camp and your sugar goes high
    Different health modules, some high in sugar... best be careful
    Sugar fluctuates too much and you temporarily blind

    Okay, who's up for writing a mod for HL?

  4. Blood pressure monitor by A+Boy+and+His+Blob · · Score: 4, Funny

    I believe Daikatana was used for a while as a blood pressure monitor, but it had disastrous results.

  5. Diabetes Game by Anonymous Coward · · Score: 5, Informative

    A game about diabetes monitoring? It's been done, and they shouldn't do it again any time soon.

    1. Re:Diabetes Game by yo303 · · Score: 3, Insightful
      It doesn't say it's a game, it says it's a "Gameboy based diabetes monitoring solution".

      It sounds like a portable blood sugar monitor system based on the Gameboy, a cheap and readily available hardware platform.

      You could have graphs and stuff.

      yo.

  6. Carcinoma Angels predates all this by Anonymous Coward · · Score: 5, Interesting

    This whole game/medicine/mind thing was covered admirably by Norman Spinrad back in 1966, with his short story "Carcinoma Angels."

    http://www.scifi.com/scifiction/classics/classic s_ archive/spinrad/spinrad1.html

  7. Timothy Leary? by Xerxes2695 · · Score: 5, Interesting

    Some games listed as related to health research:

    Psychological Interaction Alter Ego (Activision by Dr. Peter Favaro) Two versions Female and Male were released. Mind Mirror (EA by Timothy Leary)

    The new version is a PC game, the old classic I know and love comes on a little square of paper....

  8. new games by gollum123 · · Score: 3, Funny

    wow all the cool new games that will come out...first person doctor, real time surgery(RTS) etc where you can do your own operation and see how many times and in how many ways you can die before the actual surgery. will give evryone a realistic expectation from the actual surgery.

  9. while it's not exactly medical... by sometwo · · Score: 3, Interesting

    Anyone remember The Last Starfighter where the protagonist plays a game and ends up saving the galaxy? http://www.imdb.com/title/tt0087597/

    "Greetings, starfighter! You have been recruited by the star league to defend the frontier against Xur and the Kodan armada!"

    1. Re:while it's not exactly medical... by Rallion · · Score: 3, Insightful

      Ender's Game is far better.

      A book, but soon to be a movie.

    2. Re:while it's not exactly medical... by iamdrscience · · Score: 4, Funny

      More than the actually movie, what you reminded me of was the episode of the extremely short-lived Clerks animated cartoon. There is an episode in which Randal beats a videogame in which you build pyramids with the end goal of becoming the pharoah. When he wins The Last Starfighter is mentioned and he gets all excited, but then he is reminded that the game he won at was about building pyramids and he becomes a slave forced to haul large slabs of stone.

  10. Re:Sad... by bersl2 · · Score: 2, Insightful

    I disagree.

    Isn't it wonderful how video games combined with biofeedback can be used to heal?

  11. As a diabetic by Monkelectric · · Score: 4, Funny

    I am quite certain -- the last thing I need is an excuse to play more videogames. They need to attach this glucose meter to a friggin stairmaster.

    --

    Religion is a gateway psychosis. -- Dave Foley

    1. Re:As a diabetic by LarsWestergren · · Score: 3, Interesting

      Yes... reminds me of a slightly silly and probably totally unoriginal idea I had way back (even before the Matrix or Dance Dance Revolution). I was thinking of having the player strapped into a full body feedback suit and VR goggles, hanging in one of those astronaut training things with three rings, so they could turn in three dimensions.

      Then you could have the stats and behaviour of your characters in a MMRPG dependent on your own physique. Like paintball, only you could have more fantastic environments and far out plots. Trying to outrun the T-rex or that fireball? Then instead of pressing a button, start running! (Or at least wave your legs around in the air and hope no one is looking...). Since you are playing a hero, their speed would probably be two or three times your "real" speed, but still dependent on it. If it was possible to have resistance in the suit somehow without cables that the player would get tangled in, you could measure strenght as well. If you were in a swordfight with a pker, stamina, strength and actuall skill at something like fencing, kendo or iaido would matter. The reverse of today, where the best players only show their amazing ability to sit on their fat asses spawn camping and doing the level grind all day and nights.

      Drawbacks - impossible or at least prohibitively expensive technology. A few gamers might start to exercise fanatically, but many more would just be uncomfortably reminded of why they are escaping into a fantasy world. All want to be sexy heroes, and most wouldn't want to play a game where they could be beaten up by a jock again, albeit in a virtual world.

      --

      Being bitter is drinking poison and hoping someone else will die

  12. Games are just a relatively new media afterall by Goosey · · Score: 2, Informative

    How about the Cancer Game? It is Cancerific! Seriously though, games are becomming more integrated into many different areas people have not previously associated with video games. There has been a TON of stories recently about games being used for education and such. Is it really surprising though? Games are just a relatively new media afterall. From written text, to pictures, to movies every medium has found uses in a wide range of fields. Games are such a new medium they have not proliferated very far yet, but I don't find this idea any more surprising then movies being used.

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    --- "End Of Line" - MCP
  13. As a juvenile/type 1 diabetic by Anonymous Coward · · Score: 5, Insightful

    Who was diagnosed during the time they came out with Captain Novolin all I can say is thanks, but no thanks. Everytime I went to the doctor, it was "Hey, play this fun game!" when what I wanted to do was actually, gasp, discuss the disease and figure out the best ways of dealing with it. I was probably atypical, but the fact remains that many kids will be forced to sit through these horrible games when they could be doing something productive.

  14. Nothing New by EightBits · · Score: 5, Insightful

    This is nothing new. We have seen games used in this way for other fields. For instance, training soldiers and teaching kids (anyone remember Math Fun on the Intellivision?)

    While it's great to see new fields opening up to the idea of game-based training, I wonder just how effective it could be. It's easy to see how video game training could benefit soldiers, affecting things like awareness, when and how to hide, move, shoot, etc... It's also a no-brainer to see how it can be used to teach children. But, when we're looking at doctors, it starts to get a little blurry to me how this can help. It just seems to me that a game that would be capable of teaching a medical doctor would have to be so complex that it just wouldn't be a fun game. If you simplify it too much, the doctors would start to overlook certain possibilities in treatments because the simulators never covered it. That could be a bad thing.

    Then again, maybe I'm biased by the fact that I grew up playing games that taught children and yet have never seen one for teaching doctors or professions of that caliber/genre. I hope my skepticism is proven wrong because if it's possible, I think game-based training is a great way to train. If it can keep you interested and at the same time teach you, then it's a good thing all around.

    So, are they going to be putting gameboy versions of "Operation" in ERs now?

  15. I can see it now.... by rubberbando · · Score: 4, Funny

    Diabetic kid: "MOM! If I don't keep playing, I'll die!"

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    DEAD DEAD DEAD DELETE ME
  16. Remember it? by EightBits · · Score: 2, Interesting

    Remember it? Hell, I bought it on DVD! That movie rocks! I think just about any kid would love to play that role (in real life of course!)

    I bought it about a week ago and I hadn't seen it for over a decade before that. It's amazing to see that movie today and see just how good those graphics were! Holy cow! They're damn good even by today's standards!

    I saw that within the last year or so, Tron 2.0 came out. I would love to see a modern game version of The Last Starfighter. Think about it. Multiplayer mode would rock! When I pick up the Death Blossom upgrade and you better just run, bitch!

  17. Re:Sad... by echeslack · · Score: 2, Insightful

    I think this could be a great thing, but it will be hard to get it right. For instance, it would be nearly impossible to use a game as a way to help something long term because after awhile most people will become disinterested in the game. They may continue to do it, but it wouldn't have the same appeal.

  18. Been there, done that by Lost+Dragon · · Score: 5, Funny

    "Operation" taught me how to remove a funny-bone years ago.

    Now I help moderate Slashdot.

  19. I hope you all enjoy your little laugh at diabetes by Anonymous Coward · · Score: 4, Insightful

    And I hope you never get it. Yeah, it doesn't kill you right away, it just lowers your standard of living the rest of your shortened lifespan. Then you add the fact that there may already be a cure for Type 1 diabetes that may take year reach anyone because of the billions of dollars being made from the disease and it's just a ton of laughs. Ha ha.

  20. Long hours by rawket.scientist · · Score: 4, Funny

    Everquest: good practice for those 36 hour shifts during residency.

    --
    John Hancock wuz here.
  21. Congratulations! GlucoBoy high score reached... by Nathdot · · Score: 2, Funny

    ... you have unlocked:

    InsulinRage!
    Similar to Mario recovering a star token, InsulinRage causes the player to flash bright light for thirty seconds as they become impervious to attack. Unlike Mario however, at the conclusion of these thirty seconds, the GlucoBoy player enters HypoglycemicShock.

  22. Geeks' dreams coming true! by Bull999999 · · Score: 3, Funny

    First, it was Beer found to be as healthy as wine, and now games being used to improve medicine. Now the geeks will be known for our healthy ways!

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    1f u c4n r34d th1s u r34lly n33d t0 g37 l41d
  23. Psh... by iamdrscience · · Score: 3, Funny

    This is nothing new. Medical schools have been training tomorrows physicians with the game "Operation" for years now. How else would students learn to remove butterflies from the stomach? By practicing on live subjects? That would be unconcienable.

  24. Scarred for life, eh? by EightBits · · Score: 2, Funny

    Yeah, but scars are sexy.

  25. Ignore trollish:MOD UP: Interesting link by waferhead · · Score: 2, Interesting

    The link is facinating research, looks like they may have nailed T1 diabetes and possibly many other autoimmune diseases.

    By accident as usual.

  26. Is medicine a science or not? by Anonymous Coward · · Score: 4, Interesting

    I am a theoretical physicist; for me physics is the prototype of all sciences. When I hear the word 'science' I think pf physics, chemistry, biology, astronomy, geology, etc, even economy or computer science, never of medicine.

    A few weeks ago I was shocked to hear on TV someone saying that he became a physician because he loved science. My reaction was 'If you loved science, why did you study medicine, instead of a science (biology, geology, physics, whatever)

    For me a science is a branch of human knowledge which has the purpose of understanding how the world works AND USES THE SCIENTIFIC METHOD for achieving this purpose. The scientific method consists in making experiments and observations and in building theories which explain observed facts, leading to new experiments and observations which lead to new theories, etc.

    The purpose of medicine is healing people, NOT UNDERSTANDING THE WORLD, and thus it is not a science. For a physician is irrelevant how a healing method works, the only thing that matters is that it works (and does not cause secondary damage). Lots of drugs have been used for centuries whitout knowing how they work. In this respect medicine is closer to religion or witchraft than science. It seems that medicine is some kind of engineering. Now and then physicians and engineers use scientific data for their jobs; however it is irrelevant whether some medical or engineering techniques have a scientific basis or not.

    Although very important for understanding the world, mathematics is not a science because 1) it studies abstract notions and relations, not the world 2) it does not use the scientific method (no experiments or observations in mathematics, only theories).

  27. Game or Simulation? by A+non+moose+cow · · Score: 4, Interesting

    The required complexity of a "game" to train doctors would tend to make it not fun. I think the same could also be said for games designed to guide many other professionals.

    At some point the task that a "game" like this is trying to accomplish makes it no longer a game because it is not really entertaining. It is instead a simulation that the person is using to practice their trade. At that point, calling it a "game" seems like more of a marketing move than anything else.

    Of course if you really like what you do, it may still be entertaining for you to practice. For instance, I imagine a military flight combat simulator could be pretty fun, but I still wouldn't call it a game (unless perhaps when you killed an enemy it blew up like Han Solo's final tie kill).

  28. VR for pain and phobia by rmadhuram · · Score: 3, Insightful

    In a related note, Virtual Reality is already being used to treat various phobias.
    http://www.vrphobia.com/
    http://www.cnn.com/TECH/computing/9905/21/t_t/pain .managment/

  29. Re:productive by ro_coyote · · Score: 2, Insightful

    Unfortunately, there is a very, very thick line inbetween the realms of computer programming/game design and true medicine. Good game or bad, one can only contribute what they're capable of giving. I for one, as much as I'd love to help find a real cure for specific diseases, know absolutely nothing about medicine. The best I can do is create something that would try to help comfort a patient's stay in that hosipital.

  30. Re:Type 1 isn't related to obesity by Monkelectric · · Score: 2, Funny

    I became a type2 when a sports injury resulted in a broken leg, herniated disc, and 75lbs weight gain :)

    --

    Religion is a gateway psychosis. -- Dave Foley

  31. Come back Konami by EmperorKagato · · Score: 2, Insightful

    Another Great Example that shows Konami needs to continue the Dance Dance Revolution Franchise for the States. I'm sure if they can found a large enough addressable market in the states will they may consider to continue DDR(in the arcades) or build more interactive games like Mocap Boxing. At least before the PIU Series takes over.

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    ----- You know you have ego issues when you register a domain in your name.
  32. Ben's Game. by Yaztromo · · Score: 3, Interesting

    "Ben's Game" just came across my desk, and as it's relevent, I tought I'd mention it here.

    Ben is a 9-year old boy who had lukemia (now in remission) who had a wish: to create a videogame where he could fight his cancer.

    Make-a-Wish foundation stepped up to the plate, and got some developers from LucasArts to make such a game.

    The game is a free download. Apparently the USCF Children's Hospital is installing copies of the game in its pediatric ward for the children there to play. The game is quite well done. I can just imagine the health benifits for the child sitting the hospital on chemo yelling "Take that cancer!".

    As HomeStar Runner would say, this kid has the heart of a champion. Way to go Ben!

    Yaz.

  33. Clinical Research yes, practice no by Jonathan · · Score: 3, Informative

    People involved in clinical research do all the normal "sciencey" things -- perform experiments, write papers for peer reviewed journals, and -- *yes* -- they do care why methods work. Yes, it's applied research, but physicists who are trying to design and build fusion reactors are still scientists too, no?

    Practicing physicians on the other hand, while they may keep in touch with current research (perhaps skimming the New England Journal of Medicine or Lancet) aren't scientists in any real sense of the term, although they certainly use science in their work. It's a bit like the difference between a chemist and a chemical engineer.

  34. Re:Type 1 isn't related to obesity by Zorilla · · Score: 2, Funny

    I became a type2 when a sports injury resulted in a broken leg, herniated disc, and 75lbs weight gain :)

    75 lbs on a sports injury? Did the doctor recommend a dose of caramel-coated lard for the pain or something?

    --

    It would be cool if it didn't suck.
  35. It's just that we're stuck in the wrong definition by Moraelin · · Score: 4, Insightful

    At some point people figured that photos can be used for more than the faces of your loved ones. Or that the printing press can be used for more than novels and bibles. Or that films don't have to involve car chases: they can just as well be used to teach.

    However in the case of "games" we're somehow still stuck with the wrong definition. Everything that involves any kind of simulation _has_ to be called a game, and/or has to be designed as a game.

    We're told for example that the 9/11 terrorists used MS's Flight Simulator "game" to train. Well guess what? By the definition in any other medium, it's not a game. It's a very complex and realistic airplane simulation, that only incidentally also happens to have any entertainment value. It _is_ all about training to fly an airplane to start with.

    If it was a film, it would have been called training material. But since it happens on the computer, it's called a "game".

    E.g., we're told that the US army uses "games" to train its soldiers. No, they don't. They use some complex tactical or vehicle simulators, which only incidentally could also be viewed as a "game". I doubt that the purpose is simply to spend an entertaining evening collecting points and powerups and talking smack to other platoons. It's training, not a "game".

    E.g., conversely, as Will Wright noticed when he was designing The Sims, most people who bought some serious software tools like 3D home or garden designers were actually using them as a sort of a game.

    So basically I'd say that we're stuck with a wrong definition dating from back when games meant pacman eating pills on a simplistic 2D maze. It was entertaining, no doubt, but hardly representative of the direction "games" take today. There were no realistic skills or lessons to be learned from PacMan. It was just entertainment.

    Today we have more and more complex simulations, which incidentally are also entertaining. A lot of times the entertainment value is _because_ of their being a better learning tool, and allowing you to experiment things which would be impractical or impossible to try IRL. No, I don't mean rocket jumps, I mean for example piloting a jumbo jet.

    Or to put it otherwise, it's sorta like some people go driving around on weekends just because they like driving. Yet noone would file cars under "toys". They're a serious tool which, incidentally, can also be used for entertainment by some people.

    --
    A polar bear is a cartesian bear after a coordinate transform.
  36. What about a game that acutally helps research? by brent_linux · · Score: 2, Insightful

    What if it were possible to make a game where you solving a puzzle actually helped to further along a research project. Something like distributed folding at home, but something that can't just be done iteration after iteration. Something that takes pattern recognition or something. There are a lot of puzzle game players that are off the charts when it comes to finding patterns in seeming chaos. It would be cool to harness some of this wasted energy.

  37. Core Weakness of SImualtions and Games by G4from128k · · Score: 3, Insightful

    Simulation games, such as these medical games, share a core weakness in the design process. For example, in designing a 3-D tracking device, I simulating the sensor data and the wrote the algorithms for interpreting that data. It worked perfectly in simulation, but did not work when we made the actual device.

    The problem was that I had made a minor sign error in some 3-D coordinate transformations. Because I designed both the simulation of the sensor and the software that processed that sensor data, I put the same mistake in both places. This sign error was self-consistent in silico, even as it was wrong in reality (or in vitro, as the medical researchers would say). Simulations can create false confidence.

    By the same token, if the designers of the game have the same medical expert both create the simulated patient and the scoring of player's actions, then any errors in that expert's knowledge may create a false reality -- a simulation that is self-consistent but inaccurate. Doctors that are trained on the system may be to self-confident because they think they have seen a 1,000 simulated causes of X and think they know how such cases seem to progress/respond to treatment. But if this deep experience is based on erroneous "physics" then the learning is erroneous.

    I'm not saying that simulation games are bad, simulations can help train doctors to recognize and respond to rare events (analogous to flight simulators that train pilots for an engine fire that they are unlikely to ever personally experience).

    My point is that simulation games have a weakness in creating cognitive experiences that seem very real and very plausible, yet can be very wrong. Medical knowledge is, to date, too uncertain and too dynamic. If they do use simulations to train doctors and then discover an error in the simulation, they would need to recall both the simulation software and all the doctors trained on it.

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    Two wrongs don't make a right, but three lefts do.
  38. A Healthy Dose by DarthVeda · · Score: 2, Interesting

    Who could forget such educational and healthy hits as Captain Novolin? Dodge the bad foods and eat the good ones. Save the mayor. Diabetes education for only $69.95. Coming to an SNES near you!