1 00:01:45,810 --> 00:01:41,530 medicine can only help those in need if 2 00:01:49,240 --> 00:01:45,820 it can reach them on earth or in space 3 00:01:51,940 --> 00:01:49,250 NASA's telemedicine space bridge lets us 4 00:01:55,719 --> 00:01:51,950 doctors consult with Russian clinicians 5 00:01:58,450 --> 00:01:55,729 thousands of miles away to demonstrate 6 00:02:01,660 --> 00:01:58,460 the feasibility of live two-way full 7 00:02:03,850 --> 00:02:01,670 bandwidth video as a medical tool the 8 00:02:06,429 --> 00:02:03,860 space bridge relies on the engineering 9 00:02:09,910 --> 00:02:06,439 skills of one of the country's leading 10 00:02:13,600 --> 00:02:09,920 communications facilities NASA Lewis 11 00:02:15,670 --> 00:02:13,610 Research Center in Cleveland Ohio NASA 12 00:02:17,800 --> 00:02:15,680 Lewis was asked to function as the 13 00:02:20,229 --> 00:02:17,810 Gateway to the telemedicine space bridge 14 00:02:23,080 --> 00:02:20,239 project due to its past history in 15 00:02:26,559 --> 00:02:23,090 satellite communications through the 16 00:02:30,070 --> 00:02:26,569 successes of the 80s and a CTS flight 17 00:02:31,780 --> 00:02:30,080 projects Lewis demonstrated itself as a 18 00:02:35,080 --> 00:02:31,790 leading pioneer in satellite 19 00:02:37,330 --> 00:02:35,090 communications nasa and the Joint 20 00:02:39,670 --> 00:02:37,340 Working Group on space biology and 21 00:02:42,550 --> 00:02:39,680 medicine which established the protocol 22 00:02:44,289 --> 00:02:42,560 that led to the current project saw this 23 00:02:46,270 --> 00:02:44,299 as an opportunity to use Lewis's 24 00:02:50,310 --> 00:02:46,280 expertise and satellite communications 25 00:02:55,289 --> 00:02:53,319 NASA's interest in telemedicine dates to 26 00:02:58,180 --> 00:02:55,299 the early days of the space program 27 00:03:00,539 --> 00:02:58,190 while the focus of NASA's pioneering 28 00:03:03,550 --> 00:03:00,549 work was the help of its astronauts 29 00:03:05,560 --> 00:03:03,560 Talon medicine also became a means of 30 00:03:09,060 --> 00:03:05,570 delivering medical care and education 31 00:03:11,890 --> 00:03:09,070 too remote to rest real areas as well 32 00:03:14,140 --> 00:03:11,900 NASA's current space bridge project will 33 00:03:16,420 --> 00:03:14,150 help standardize in-flight medical 34 00:03:18,580 --> 00:03:16,430 procedures and demonstrate the use of 35 00:03:21,970 --> 00:03:18,590 satellites for long distance medical 36 00:03:24,759 --> 00:03:21,980 care because of the distances between 37 00:03:26,380 --> 00:03:24,769 the participating sites are so great two 38 00:03:28,630 --> 00:03:26,390 satellites are used to provide coverage 39 00:03:30,789 --> 00:03:28,640 to all sites the two satellites are 40 00:03:32,199 --> 00:03:30,799 linked together here at Lewis using two 41 00:03:34,479 --> 00:03:32,209 satellite ground stations which are 42 00:03:37,240 --> 00:03:34,489 connected back to back we call these two 43 00:03:39,910 --> 00:03:37,250 stations the gateway station in Moscow 44 00:03:41,850 --> 00:03:39,920 to Cleveland link uses the Russian wsd 45 00:03:44,430 --> 00:03:41,860 RN satellite also known as 46 00:03:47,280 --> 00:03:44,440 and for distribution here at within the 47 00:03:50,250 --> 00:03:47,290 u.s. we use GT e--'s g-star to satellite 48 00:03:55,460 --> 00:03:50,260 all satellite links are scrambled to 49 00:03:57,930 --> 00:03:55,470 protect patient confidentiality at Lewis 50 00:04:01,520 --> 00:03:57,940 information is relayed between the two 51 00:04:04,710 --> 00:04:01,530 earth stations via fiber-optic cable in 52 00:04:08,640 --> 00:04:04,720 Moscow the satellite signal is relayed 53 00:04:12,060 --> 00:04:08,650 to Moscow Hospital language translation 54 00:04:16,170 --> 00:04:12,070 for both us and Russian doctors is done 55 00:04:19,229 --> 00:04:16,180 on-site in Moscow inaugurated in 56 00:04:21,720 --> 00:04:19,239 December 1993 by the US Senate and 57 00:04:24,000 --> 00:04:21,730 Moscow officials the space bridge 58 00:04:27,990 --> 00:04:24,010 project had its origin in the Armenian 59 00:04:30,480 --> 00:04:28,000 and Aoife disasters of the late 80s the 60 00:04:33,300 --> 00:04:30,490 earthquake into bleezy Armenia leveled 61 00:04:35,370 --> 00:04:33,310 several mountain villages killing and 62 00:04:38,310 --> 00:04:35,380 injuring thousands while causing 63 00:04:40,680 --> 00:04:38,320 millions of dollars in damages the 64 00:04:44,070 --> 00:04:40,690 Armenian medical community was strained 65 00:04:46,560 --> 00:04:44,080 to its limits a gas explosion and 66 00:04:49,320 --> 00:04:46,570 railroad accident in fo only a few 67 00:04:52,770 --> 00:04:49,330 months later also overburdened local 68 00:04:55,440 --> 00:04:52,780 medical facilities international aid in 69 00:04:58,770 --> 00:04:55,450 ova anta bleezy was highlighted by a 70 00:05:02,670 --> 00:04:58,780 one-way video link with us doctors who 71 00:05:05,490 --> 00:05:02,680 modified dozens of on-site diagnosis the 72 00:05:07,350 --> 00:05:05,500 remarkable success of those projects led 73 00:05:10,380 --> 00:05:07,360 the way for the current space bridge 74 00:05:11,820 --> 00:05:10,390 with a total of twenty-two sessions from 75 00:05:13,710 --> 00:05:11,830 the fall of nineteen ninety three 76 00:05:16,560 --> 00:05:13,720 through the summer of nineteen 77 00:05:19,740 --> 00:05:16,570 ninety-four the space bridge explored of 78 00:05:21,840 --> 00:05:19,750 broad range of sub specialties including 79 00:05:25,190 --> 00:05:21,850 space medicine and decompression 80 00:05:30,570 --> 00:05:27,600 through the engineering expertise of 81 00:05:32,370 --> 00:05:30,580 NASA Lewis Research Center the value of 82 00:05:35,460 --> 00:05:32,380 satellite technology as a long distance 83 00:05:38,400 --> 00:05:35,470 medical and educational tool is being 84 00:05:41,670 --> 00:05:38,410 proven because of that future medical 85 00:05:43,410 --> 00:05:41,680 care will reach remote areas experts 86 00:05:46,410 --> 00:05:43,420 will be able to consult with few 87 00:05:48,860 --> 00:05:46,420 limitations because of that tomorrow's 88 00:05:52,020 --> 00:05:48,870 astronauts will be better cared for