(upbeat music) >> Hello, beautiful cloud community, and welcome back to AWS reInvent. It is day four here in fabulous Las Vegas, Nevada. My voice can feel it, clearly. I'm Savannah Peterson with my co-host Paul Gillin. Paul, how you doing? >> Doing fine, Savannah. >> Are your feet about where my voice is? >> Well, getting little rest here as we have back to back segments. >> Yeah, yeah, we'll keep you off those. Very excited about this next segment. We get to have a chat with one of our very favorite analysts, Keith Townsend. Welcome back to theCUBE. >> Savannah Page. I'm going to use your south names, Savannah Page. Thank you for having me, Paul. Good to see you again. It's been been too long since CubeCon Valencia. >> Valencia. >> Valencia. >> Well at that beautiful lisp, love that. Keith, how's the show been for you so far? >> It has been great. I tweeted it a couple of days ago. Amazon reInvent is back. >> Savannah: Whoo! Love that. >> 50, 60 thousand people, you know? After 40 thousand, I stop countin'. It has been an amazing show. I don't know if it's just the assignment of returning, but easily the best reInvent of the four that I've attended. >> Savannah: Love that. >> Paul: I love that we have you here because, you know, we tend to get anchored to these desks, and we don't really get a sense of what's going on out there. You've been spending the last four days traversing the floor and talking to people. What are you hearing? Are there any mega themes that are emerging? >> Keith: So, a couple of mega themes is... We were in the Allen session with Adam, and Adam bought up the idea of hybrid cloud. At the 2019 show, that would be unheard of. There's only one cloud, and that's the AWS cloud, when you're at the Amazon show. Booths, folks, I was at the VMware booth and there's a hybrid cloud sign session. People are talking about multicloud. Yes, we're at the AWS show, but the reality that most customers' environments are complex. Adam mentioned that it's hybrid today and more than likely to be hybrid in the future in Amazon, and the ecosystem has adjusted to that reality. >> Paul: Now, is that because they want sell more outposts? >> You know, outpost is definitely a part of the story, but it's a tactile realization that outposts alone won't get it. So, you know, from Todd Consulting, to Capgemini, to PWC, to many of the integrations on the show floor... I even saw company that's doing HP-UX in the cloud or on-prem. The reality is these, well, we've deemed these legacy systems aren't going anywhere. AWS announced the mainframe service last year for converting mainframe code into cloud workloads, and it's just not taking on the, I think, the way that the Amazon would like, and that's a reality that is too complex for all of it to run in the cloud. >> Paul: So it sounds like the strategy is to envelop and consume then if you have mainframe conversion services and HP-UX in the cloud, I mean, you're talking about serious legacy stuff there. >> Keith: You're talking about serious legacy stuff. They haven't de-emphasized their relationship with VMware. You know, hybrid is not a place, it is a operating model. So VMware cloud on AWS allows you to do both models concurrently if you have those applications that need layer two. You have these workloads that just don't... SAP just doesn't... Sorry, AWS, SAP in the cloud and EC2 just doesn't make financial sense. It's a reality. It's accepting of that and meeting customers where they're at. >> And all the collaboration, I mean, you've mentioned so many companies in that answer, and I think it's very interesting to see how much we're all going to have to work together to make the cloud its own operating system. Cloud as an OS came up on our last conversation here and I think it's absolutely fascinating. >> Keith: Yeah, cloud is the OS I think is a thing. This idea that I'm going to use the cloud as my base layer of abstraction. I've talked to a really interesting startup... Well actually it's a open source project cross plane of where they're taking that cloud model and now I can put my VMware vsphere, my AWS, GCP, et cetera, behind that and use that operating model to manage my overall infrastructure. So, the maturity of the market has fascinated me over the past year, year and a half. >> It really feels like we're at a new inflection point. I totally agree. I want to talk about something completely different. >> Keith: Okay. >> Because I know that we both did this challenge. So one of the things that's really inspiring quite frankly about being here at AWS reInvent, and I know you all at home don't have an opportunity to walk the floor and get the experience and get as many steps as Paul gets in, but there's a real emphasis on giving back. This community cares about giving back and AWS is doing a variety of different activations to donate to a variety of different charities. And there's a DJ booth. I've been joking. It kind of feels like you're arriving at a rave when you get to reInvent. And right next to that, there is a hydrate and help station with these reusable water bottles. This is actually firm. It's not one of those plastic ones that's going to end up in the recycled bin or the landfill. And every single time that you fill up your water bottle, AWS will donate $3 to help women in Kenya get access to water. One of the things that I found really fascinating about the activation is women in sub-Saharan Africa spend 16 million hours carrying water a day, which is a wild concept to think about, and water is heavy. Keith, my man, I know that you did the activation. They had you carrying two 20 pound jugs of water. >> Keith: For about 15 feet. It's not the... >> (laughs) >> 20 pound jugs of water, 20 gallons, whatever the amount is. It was extremely heavy. I'm a fairly sizeable guy. Six four, six five. >> You're in good shape, yeah. >> Keith: Couple of a hundred pounds. >> Yeah. >> Keith: And I could not imagine spending that many hours simply getting fresh water. We take it for granted. Every time I run the water in the sink, my family gets on me because I get on them when they leave the sink water. It's like my dad's left the light on. If you leave the water on in my house, you are going to hear it from me because, you know, things like this tickle in my mind like, wow, people walk that far. >> Savannah: That's your whole day. >> Just water, and that's probably not even enough water for the day. >> Paul: Yeah. We think of that as being, like, an 18th century phenomenon, but it's very much today in parts of Sub-Saharan Africa. >> I know, and we're so privileged. For me, it was just, we work in technology. Everyone here is pretty blessed, and to do that activation really got my head in the right space to think, wow I'm so lucky. The team here, the fabulous production team, can go refill my water bottle. I mean, so simple. They've also got a fitness activation going on. You can jump on a bike, a treadmill, and if you work out for five minutes, they donate $5 to Fred Hutch up in Seattle. And that was nice. I did a little cross-training in between segments yesterday and I just, I really love seeing that emphasis. None of this matters if we're not taking care of community. >> Yeah, I'm going to go out and google Fred Hutch, and just donate the five bucks. 'Cause I'm not, I'm not. >> (laughs) >> I'll run forever, but I'm not getting on a bike. >> This from a guy who did 100 5Ks in a row last year. >> Yeah. I did 100 5Ks in a row, and I'm not doing five minutes on a bike. That's it. That's crazy, right? >> I mean there is a treadmill And they have the little hands workout thing too if you want. >> About five minutes though. >> Savannah: I know. >> Like five minutes is way longer than what you think it is. >> I mean, it's true. I was up there in a dress in sequence. Hopefully, I didn't scar any anyone on the show floor yesterday. It's still toss up. >> I'm going to take us back to back. >> Take us back Paul. >> Back to what we were talking about. I want to know what you're hearing. So we've had a lot of people on this show, a lot of vendors on the show who have said AWS is our most important cloud partner, which would imply that AWS's lead is solidifying its lead and pulling away from the pack as the number one. Do you hear that as well? Or is that lip service? >> Keith: So I always think about AWS reInvent as the Amazon victory lap. This is where they come and just thumb their noses at all the other cloud providers and just show how far ahead they're are. Werner Vogels, CTO at Amazon's keynotes, so I hadn't watched it yet, but at that keynote, this is where they literally take the victory lap and say that we're going to expose what we did four or five years ago on stage, and what we did four or five years ago is ahead of every cloud provider with maybe the exception of GCP and they're maybe three years behind. So customers are overwhelmingly choosing Amazon for these reasons. Don't get me wrong, Corey Quinn, Gardner folks, really went at Adam yesterday about Amazon had three majors outages in December last year. AWS has way too many services that are disconnected, but from the pure capability, I talked to a born in the cloud data protection company who could repatriate their data protection and storage on-prem private data center, save money. Instead, they double down on Amazon. They're using, they modernize their application and they're reduced their cost by 60 to 70%. >> Massive. >> This is massive. AWS is keeping up with customers no matter where they're at on the spectrum. >> Savannah: I love that you use the term victory lap. We've had a lot of folks from AWS here up on the show this week, and a couple of them have said they live for this. I mean, and it's got to be pretty cool. You've got 70 thousand plus people obsessed with your product and so many different partners doing so many different things from the edge to hospital to the largest companies on earth to the Israeli Ministry of Defense we were just talking about earlier, so everybody needs the cloud. I feel like that's where we're at. >> Keith: Yeah, and the next step, I think the next level opportunity for AWS is to get to that analyst or that citizen developer, being able to enable the end user to use a lambda, use these data services to create new applications, and the meanwhile, there's folks on the show floor filling that gap that enable develop... the piece of owner, the piece of parlor owner, to create a web portal that compares his prices and solutions to other vendors in his area and adjust dynamically. You go into a restaurant now and there is no price menu. There's a QR code that Amazon is powering much of that dynamic relationship between the restaurateur, the customer, and even the menu and availability. It's just a wonderful time. >> I always ask for the print menu. I'm sorry. >> Yeah. You want the printed menu. >> Look down, my phone doesn't work. >> Gimme something I could shine my light on. >> I know you didn't have have a chance to look at Vogel's keynote yet, but I mean you mentioned citizen developer. One of the things they announced this morning was essentially a low code lambda interface. So you can plug, take your lamb dysfunctions and do drag and drop a connection between them. So they are going after that market. >> Keith: So I guess I'll take my victory lap because that was my prediction. That's where Amazon's next... >> Well done, Keith. >> Because Lambda is that thing when you look at what server list was and the name of the concept of being, not having to have to worry about servers in your application development, the logical next step, I won't take too much of a leap. That logical first step is, well, code less code. This is something that Kelsey Hightower has talked about a lot. Low code, no code, the ability to empower people without having these artificial barriers, learning how to code in a different language. This is the time where I can go to Valencia, it's pronounced, where I can go to Valencia and not speak Spanish and just have my phone. Why can't we do, at business value, for people who have amazing ideas and enable those amazing ideas before I have to stick a developer in between them and the system. >> Paul: Low-code market is growing 35% a year. It's not surprising, given the potential that's out there. >> And as a non-technical person, who works in technology, I've been waiting for this moment. So keep predicting this kind of thing, Keith. 'Cause hopefully it'll keep happening. Keith, I'm going to give you the challenge we've been giving all of our guests this week. >> Keith: Okay. >> And I know you're going to absolutely crush this. So we are looking for your 32nd Instagram real, sizzle hot take, biggest takeaway from this year's show. >> So 32nd Instagram, I'll even put it on TikTok. >> Savannah: Heck yeah. >> Hybrid cloud, hybrid infrastructure. This is way bigger than Amazon. Whether we're talking about Amazon, AWS, I mean AWS's solutions, Google Cloud, Azure, OCI, on-prem. Customers want it all. They want a way to manage it all, and they need the skill and tools to enable their not-so-growing work force to do it. That is, that's AWS reInvent 2019 to 2022. >> Absolutely nailed it. Keith Townsend, it is always such a joy to have you here on theCUBE. Thank you for joining us >> Savannah Page. Great to have you. Paul, you too. You're always a great co-host. >> (laughs) We co-hosted for three days. >> We've got a lot of love for each other here. And we have even more love for all of you tuning into our fabulous livestream from AWS reInvent Las Vegas, Nevada, with Paul Gillin. I'm Savannah Peterson. You're watching theCUBE, the leader in high tech coverage. (upbeat music)

live from Las Vegas it's the cube covering AWS reinvent 2018 brought to you by Amazon Web Services Intel and their ecosystem partners hey welcome back everyone we're live here in Las Vegas with AWS Amazon webster's reinvent our 6th year I'm Jeff our table what they did six years two sets people rolling out of the keynote so much action we got another day coming tomorrow they're two great guests here we got dr. feci philomon is the general manager the machine learning and AI at Amazon Web Services and dr. Taha costs senior leader at healthcare and AI at Amazon guys welcome to the cube Thank You thanks itíd that you're here because I've been waiting to have this conversation Dave and I have been we just had an analysis of the distractions and glued up the stack around machine learning so much value now coming online that's been in the works around AI are really mainly machine learning that's creating a I like benefits and II just had to spend a lot of time with key nuts they almost a third of it around a I like capabilities and how Amazon integrates in from you know chipsets with elastic inference beautiful it's just good stuff so congratulations so what does it mean what does it mean for customers right now who want to kind of grok what's going on with Amazon and AI is that new sense the services coming online is that how long has been the works explaining yeah our mission at AWS has always been to take technologies that have been traditionally available for a few special technology companies and take that and make it available to all developers and we've done that I should say that we've done that fairly well when it comes to compute when it comes to storage when it comes to databases the analytics and we're doing the same thing for machine learning and AI and what we're doing because it's a new field is we've got to innovate at three layers of our stack to the bottom most layer as you saw in the keynote earlier has to do with frameworks and infrastructure so this is more for the people that fully understand how to deal with machine learning models and like to go in and tweak these models the middle layer then is for everyday developers and the data scientists and that's sort of where sage maker fits in and finally at the top layer of the stack is where we have our application services and this is meant for developers that don't want to get into the weeds of machine learning but they still want to use make use of all of these technologies to make their applications more smarter so they get the insight benefits get the insights have the day that without getting in town on the weeds exactly who want to get down in the weeds you can get down and dirty with all this other stuff yeah look at that right yeah and typically what we do with the top layer of the stack as we try and solve really hard problems and so customers can now take advantage of it because we've solved it for them and they can just take that and integrate it into their Apple quick what what's the hardest problem that you guys solve I mean traditionally speech recognition is a very hard problem that's one of the hard problems the other one is NLP natural language processing but I would say speech recognition is probably a hard problem and we just launched streaming transcription so you can now transcribe live as somebody speaks and of course you can connect it to translate and translate it as well live so great for our cute beers looking forward to having that on as a health care practitioner how does this all apply to that industry what kind of projects are you guys working on in that regard of course yeah so I mean to to posses point is want to continue to innovate on behalf of the customers across all layers of the stack machine learning in particular this week we launched Amazon comprehend medical particularly in a hardier heart problem where the majority of healthcare data is captured conversation and observations and unstructured formality so petabytes of data is stored across entire healthcare system that's a nun structure for form so to drive actionable insights and to be able to find the right elements to treat patients or to manage a population or even to do accurate billing it's been really an important that we can empower our customers with building blocks for them to build the right solutions to take advantage of that so Amazon comprehend Medical is able to understand the medical language and the context similar how clinicians understand the medical language and context for example if you're looking at a patient medical note Amazon campaign medicals able to with high accuracy extract medical conditions medications tests procedures being done on the patients as well as the relationship between those and understanding that context at this condition and this treatment go together as well as the nuances for example you know a patient has no family history of X or there's no smoking history all those are things in relation in the past or in the future or other members and this is really what we're really proud about launched an Amazon comprehend medical talk about how it works because you know I Healthcare has been a great field around where a is old-fashioned a is a queer when I wasn't doing it in the 80s early 90s ontologies were really popular and it's linguistics is kind of known but now that but you need that linguistics guru to do that he mentioned streaming the transcribed got metadata how do you guys get this kind of benefit when the balls moving so fast around these rapidly changing and verticals like healthcare because healthcare is got a big problem like other verticals where it's too many notifications what I pay attention to so much data how do you put the puzzle together let me first give you some context here as you probably we're at last reinvent we launched Amazon comprehend right comprehend is a text analytics service it helps you look into text and understand what's in there right we started out with general things that we could detect like people places things sentiment the language the text is written in and so on but when we started customers are picked on it and they're using it a lot but as they keep using it they came back to us and said hey it's great that you guys have this this you're giving us the capability to understand general language but some of our domains have some special language like jargon like yeah like take the legal domain for example right it's got charges and defendants and very particular things that are very relevant to the legal domain so they were asking us for a capability to sort of extend the comprehend to include their custom domain terms and phrases as well right so last week we actually launched a custom custom entities feature that allows them to bring in their custom domain into comprehend so the comprehend be extended to include their domain the so legal language is difficult to understand but medical language on the other hand is even more harder to understand that quick right acronyms jargon absolutely what is an entity looks like extracting that and extracting it uses alone yeah miss spells right but relating those entities together is super important because you could in one clinical note you could have multiple drugs in there with different dosages different frequencies and so you need to be able to relate those entities together right and that's the sort of thing that comprehend Medical allows our customers to do to solve some really so you're doing one of that entity extraction is under the covers is that right has it were I mean how does comprehending the medical work I mean just out of the box you have to train it there's no training meet needed know machine learning expertise needed so the algorithm extract these entities as well as the relationship between those entities and then also extracts any attributes that might be related such as negation or past and future or what's anatomy of the body relates one now all that is done out of the box and that's super important you want to know whether the patient's stopped taking a medication right yeah so negation things like that you want to know because that gives you the context just getting the terms alone doesn't really tell you much it each has had a great video about the f1 point of ethics imagine that for personal that's right you're not doing good right now take a break yeah so I feel like we're kind of now scratching the service of stress in the surface of health care yeah information yeah think about the health care industry for years it's been compliance-driven yeah whether it's hip Affordable Care Act yeah EMR and meaningful use right but the industry hasn't been you know dramatically transformed and disrupted and it kind of needs to be yeah how do you guys see that evolving I feel like you're now beginning to see that see change and that's going to take a while it's a high-risk business obviously but what's your sort of prognosis for that transformation and what's the vision as to the outcome yes now that's a really great question I mean one thing I mean one great things happen over the last decade is the digitization of your medical record so and that's really wonderful because before was all paper-based primarily unless you were an acute setting so now the majority of the US for example and globally there's this huge adopt adoption and propagation of these electronic medical records the issue there remains now when the majority of that data is observations and conversations as well as unstructured that that creates a different kind of roadblock for our customers and this is what we're hoping for service like Amazon comprehend medical that's HIPPA eligible means a lot of the early the compliance or help our customer meet their compliance needs that we'll be able to remove the heavy lifting of this undepreciated task about you know having in a large amount of time being spent on analyzing this text and extracting very low we're now with Amazon company and medical be able to really fast track that and be able to elevate it hit the nail on the head of the undifferentiated heavy lifting right that's the ethos of DevOps is that yeah let me give you some stats actually there are one point two billion medical documents that are generated every year in the US and 80% of them it's unstructured text so to make sense of that it's going to enable our customers to do some really amazing things one of the things one of the use cases that we see is its clinical trial recruitment so Fred Hutchinson which is one of the yeah the nation's top cancer research centers they recruit patients for clinical trials if you go to clinical trials.gov you'll see like 290 thousand four and 50 clinical trials open and typically from history we know that most of these clinical trials don't end up recruiting they don't end up meeting their recruiting goals because it's very hard to figure out which patients fit the clinical trial that you're actually trying to perform so comprehend medical helps these customers to very quickly narrow it down expand on the involvement of people in the community mentioned Fred hutch Roach has also been involved what I heard yeah what who was involved in this project sound it was a collaboration take a minute to explain that right I mean it's very similar to a lot of other services that we put it into the market we collaborate a lot with customers 90% of what we do is really coming from customers so we've collaborated with people like Fred hutch and some of the nation's top institutions to help us validate the service that we've built to actually make sure that its meeting sort of the requirements for those use cases that they are thinking of so we collaborate closely with them to get the service to where this today and we announced it as generally available yesterday ok so what's the use case I'll go ahead yeah I can expand a little bit some of the customers as well their use cases we're talking anywhere from hospital systems that when I use or take advantage of their unstructured text for things such as identify people who are for their follow-up appointments or stopping treatments or find an alternative routes to billers we're trying to identify it is accurate procedures were done if we account for all the procedures or care for all the billing which often time is hidden in those unstructured text and require a lot of manual process and often time the rules that can't really scale to things such as clinical trials recruitment how can you if example in Fred Hutchinson Cancer Institute use case for identify a patient and match them to the right clinical trial these patients often time have Harry Potter's worth of clinical notes down on the minute their longitudinal journey and to go from one institution another another and be able to really find it's no longer needed a haystack it's like a needle in the bottom of Atlantic Ocean and then be able to really do that match from hours and months down to a few seconds and that's really the beauty about the service John likes to talk about the 20 mile stare and I wonder if we could just look ahead how far can we take AI and machine learning in in healthcare and how far should we take it and maybe a more specific question as as a practitioner you know when do you think machines might make better diagnosis than doctors if ever how do you feel about that where do you see this all going I think I mean the whole idea about machine learning the beauty about it I mean the seta scope was introduced or how the thermometer was introduced in medicine and these are tools that we use to our advantage to really provide better care and and better outcomes and that's really what we're that's the mission that our health IT and customers and wanna are really driving tower's machine learning can do a lot of great things for routine things that human being can't can go and focus their attention to other things such as the Fred Hutchinson instead of going and mining these diagnoses in mountain amounts of data a machine learning will be able to identify that with a clinical staff can focus on care and that's really where I think I mean over the next decade and so we can see a lot of this advancement in in these building blocks as well as what Amazon's offering from forecasting and prediction algorithms Rana will be able to find you know fine-tune our capabilities to help customers achieve even precision medicine real-world impact because you're changing the workflow I mean someone's within the wrong line or the wrong process based upon their history yeah HIPPA HIPPA requirements really cause a lot of this record sharing thing to be a problem from what we've been reporting over the years it's kind of a solution to that so if I move to a service medical service I get all that records with me it's just kind of how you see going and how does other regulations that are holding you back that are blockers is that clear now how does that solve the industry challenge it's of privacy and if you look at the healthcare system today there are lots of inefficiencies in there right in the end this is all about improving patient outcomes and making sure that we reduce costs and that's what this boils down to and these are tools that allow our customers to do exactly that well guys thanks for sharing this insight comprehend medicals really awesome opportunities I think it's early days day one is you guys think right I think there's so much more that could be there I'd love to see the industry just from the personal is decided change it's just get out of the way of all these pretty broad hurdles get the data out there expose the data check the privacy box would be good right this is gonna change the game yeah maybe we should say a little bit about the how we built the service in terms of that right as you know at AWS security and privacy is number one for us right so this service is HIPAA eligible it's a stateless service what that means is nothing gets stored this is not the data is not used to improve the models or anything like that the only person that can actually see the data is the customer he's got the keys he's the only one that's sending the data to the endpoint and whatever he gets back only he can decrypt it so we've taken care to make sure that we can remove some of those hurdles that people have always been worried about well doctors take you so much for sharing thank you so much for having us here we are bringing you all the action here from 80s reinvent again as the compute power is increased as software is written with new apps a eyes changing the game of course the cube a lot of video we don't need some of these services to make these transcribes on the fly they succumb and I really appreciate it you think back on the more after this short break [Music]