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"content": "\u003cp>Far too often, radically transformative ideas get stuck on the starting block, never able to truly take off. These innovations languish because a series of roadblocks make success seem impossible. In the U.S. healthcare system, radical change is often held up by regulatory hurdles, lack of resources and inadequate funding. Sometimes, the new technology just seems too futuristic for the general public to embrace.\u003c/p>\n\u003cp>At \u003ca href=\"http://www.startuphealth.com\">StartUp Health\u003c/a>, I am often confronted by the tug-of-war between a brilliantly innovative solution, and the harsh reality of a system that isn’t ready for it. Hundreds of pioneering digital health companies are paving the way, but many find themselves tangled in bureaucracy, stalled by lack of funding and challenged by the fear of doing things differently.\u003c/p>\n\u003caside class=\"pullquote alignright\">There are dozens of digital health concepts I wish I could fund now, yet many of these would not be accepted by today’s market.\u003c/aside>\n\u003cp>Just look at consumer genomics company \u003ca href=\"https://www.23andme.com/\">23andMe\u003c/a>, which was \u003ca href=\"http://ww2.kqed.org/science/2014/05/05/consumer-gene-tests-whats-the-future/\">soundly rebuffed by the FDA\u003c/a> over its personalized genomic health product. The company started off as a popular ancestry service, making use of a DNA spit test to map personal genomes.\u003c/p>\n\u003cp>Realizing potential, 23andMe moved swiftly into the medical arena, offering patients customized health reports that predicted risk of heritable diseases. The FDA’s 2013 order to pull the health product until 23andMe could prove it was interpreting the results correctly had a chilling effect on a burgeoning industry of consumer genomics offered by the private sector.\u003c/p>\n\u003cfigure id=\"attachment_4667\" class=\"wp-caption alignleft\" style=\"max-width: 323px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/SUH-2.jpg\">\u003cimg class=\" wp-image-4667\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/SUH-2-800x533.jpg\" alt=\"StartUp Health entrepreneurs at the company's quarterly summit in New York, in April 2015. (StartUp Health)\" width=\"323\" height=\"215\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/SUH-2-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/SUH-2-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/SUH-2-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/SUH-2-960x640.jpg 960w\" sizes=\"(max-width: 323px) 100vw, 323px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">StartUp Health entrepreneurs at the company's quarterly summit in New York, in April 2015. (StartUp Health)\u003c/figcaption>\u003c/figure>\n\u003cp>There are dozens of digital health concepts I wish I could fund now, yet many of these would not be accepted by today’s market. If regulators, more investors and the general public were willing to embrace these concepts, here are five technologies that could radically improve human health.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Embeddable Consumer Devices \u003c/strong>\u003c/p>\n\u003cp>The concept of embeddable consumer devices moves way beyond wearable sensors. An embeddable in this context isn’t a traditional medical device like a pacemaker or a stent. It’s a tiny sensor swallowed or embedded to constantly monitor biometrics. Consumers would be able to track the effect of a new diet on blood pressure, or the effect of a new medication on sleep patterns.\u003c/p>\n\u003cp>A company called \u003ca href=\"http://www.proteus.com/\">Proteus Digital Health\u003c/a> is taking the first steps with its \u003ca href=\"http://mobihealthnews.com/39612/proteus-oracle-launch-integrated-software-ingestible-sensors-for-clinical-trials/\">ingestible sensor\u003c/a> that sends a signal to a battery-operated patch worn on the skin. At this stage, Proteus seems focused on improving medication compliance. If privacy and safety concerns can be appropriately addressed, embeddable consumer devices could be used outside the healthcare setting to focus more broadly on daily health and wellness.\u003c/p>\n\u003caside class=\"pullquote alignright\">What’s needed is a consumer-friendly dashboard that operates as simply as Google Analytics — with consolidated, easy-to-use visualization of data in real time.\u003c/aside>\n\u003cp>\u003cstrong>Consolidated Health Dashboard\u003c/strong>\u003c/p>\n\u003cp>Diagnostic tools are becoming more sophisticated and cloud storage of health data will soon be universal. With these developments, each patient should be able to access his or her own \u003ca href=\"https://www.tictrac.com/business/\">health dashboard\u003c/a> the same way we can for our Web sites or automobiles. And I’m not referring to what the medical industry refers to as an electronic health record. What’s needed is a consumer-friendly dashboard that operates as simply as Google Analytics -- with consolidated, easy-to-use visualization of data in real time.\u003c/p>\n\u003cp>A similar concept would be a dashboard for employers and businesses to track the wellness of their teams the same way we do their productivity metrics. An employer dashboard could track healthcare decisions of each employee, identifying preferences and trends over time.\u003c/p>\n\u003cp>One big roadblock to a health dashboard is data fragmentation. Many small companies already offer their own dashboards, but there is no one consolidated provider to streamline the experience across different datasets that impact our health and wellness on a real-time basis. In addition, the data we collect today is catalogued in different ways, making it difficult to synchronize.\u003c/p>\n\u003caside class=\"pullquote alignright\">Every patient has a unique medical history and physiology, so why shouldn’t treatments be personalized?\u003c/aside>\n\u003cp>\u003cstrong>Microbiome-Based Consumer Goods\u003c/strong>\u003c/p>\n\u003cp>The concept of personalized medicine is intuitive. Every patient has a unique medical history and physiology, so why shouldn’t treatments be personalized? In addition to personalized medicine, we should have personalized consumer products. Consumer goods like toothpaste, shampoo, lotion and cosmetics could be tailored to suit each person’s microbiome.\u003c/p>\n\u003cp>We are \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/15/in-future-fecal-transplants-the-tool-wont-be-stool/\">learning more about the essential role of the microbiome\u003c/a> - the billions of bacterial cells that comprise between one and three percent of our body mass. One person’s oral microbiome, for example, could be paired with a complimentary toothpaste, the ingredients designed just for that individual, potentially saving millions in healthcare spending for minor infections and other issues.\u003c/p>\n\u003cfigure id=\"attachment_4714\" class=\"wp-caption alignleft\" style=\"max-width: 368px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/8146322408_5312e9deb2_c.jpg\">\u003cimg class=\" wp-image-4714\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/8146322408_5312e9deb2_c-677x600.jpg\" alt=\"A colorized model composed of three-dimensional human intestinal cells cultured with specific gut bacteria. (Pacific Northwest National Laboratory/Flickr)\" width=\"368\" height=\"326\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/8146322408_5312e9deb2_c-677x600.jpg 677w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/8146322408_5312e9deb2_c-400x355.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/8146322408_5312e9deb2_c.jpg 800w\" sizes=\"(max-width: 368px) 100vw, 368px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A colorized model composed of three-dimensional human intestinal cells cultured with specific gut bacteria. (Pacific Northwest National Laboratory/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>For this concept to become a reality, consumer product companies and healthcare companies would have to collaborate in an unprecedented way. The medical community is also still in the early stages of microbiome research. The FDA is unlikely to support personalized consumer goods just yet, as they rely on a system of rigorous batch testing to guarantee products are safe for everyone. Personalized products might be perfect for one person but unsafe for another, presenting a unique challenge in the era of 3-D printing and personalized everything.\u003c/p>\n\u003cp>\u003cstrong>$100 \"RobotDoc\"\u003c/strong>\u003c/p>\n\u003cp>Today’s autonomous devices can perform many of the same tasks performed during a regular checkup. It’s unlikely that a robot will replace a family practitioner any time soon, but in some remote regions of the world, a machine equipped with the basic diagnostic technology could identify common medical ailments that would otherwise go undiagnosed. I call this concept \"RobotDoc.\"\u003c/p>\n\u003cp>Today, a \u003ca href=\"http://astounde.com/first-medical-tricorder-scans-analyzes-and-shares-all-your-core-vitals/\">tiny handheld device\u003c/a> made by a company called \u003ca href=\"https://www.scanadu.com/\">Scanadu\u003c/a> can check blood pressure, temperature and heart rate. The company is also developing a urine test kit. The technology exists today, but it’s too expensive to be practical around the globe.\u003c/p>\n\u003cp>Ethical and cultural considerations for RobotDoc would need to be navigated, as will the many regulatory hurdles, but the benefits could be astounding. For this concept to fly, the RobotDoc would have to be inexpensive, perhaps $100. That’s an attractive price point for agencies looking to fund healthcare solutions in developing nations.\u003c/p>\n\u003caside class=\"pullquote alignleft\">The big challenge is creating an affordable solution that is not only accurate, but also fits seamlessly and unobtrusively into our everyday lives, so people will actually stick with it.\u003c/aside>\n\u003cp>\u003cstrong>Digital Nutritionist\u003c/strong>\u003c/p>\n\u003cp>Today, it’s often a mystery what you are ingesting. Food labels aren’t very helpful and chances are high if it requires a food label it’s not very good for you anyway. Some people hire nutritionists to evaluate their medical history and make personalized diet recommendations. That’s too expensive to be practical. There’s a bigger opportunity in leveraging wand-like sensors, or even a small portable assay, to take the guesswork out of the equation.\u003c/p>\n\u003cp>Armed with the patient’s complete medical history, a \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/11/6-technology-trends-that-are-changing-how-we-eat/\">food analysis technology\u003c/a> could help consumers determine the foods that are best for them to eat and understand the health value of each food item in real time. This would encourage smarter eating habits and more precise information about the stress felt when trying to make the “healthy” choice based on a nutrition label. In addition, this type of technology could immediately flag allergens, perhaps preventing hospitalizations.\u003c/p>\n\u003cp>The big challenge is creating an affordable solution that is not only accurate, but also fits seamlessly and unobtrusively into our everyday lives, so people will actually stick with it.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Unity Stoakes is cofounder and president of \u003ca href=\"http://www.startuphealth.com\">StartUp Health\u003c/a>, a health innovation company with more than 100 digital health and wellness companies in its portfolio. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Far too often, radically transformative ideas get stuck on the starting block, never able to truly take off. These innovations languish because a series of roadblocks make success seem impossible. In the U.S. healthcare system, radical change is often held up by regulatory hurdles, lack of resources and inadequate funding. Sometimes, the new technology just seems too futuristic for the general public to embrace.\u003c/p>\n\u003cp>At \u003ca href=\"http://www.startuphealth.com\">StartUp Health\u003c/a>, I am often confronted by the tug-of-war between a brilliantly innovative solution, and the harsh reality of a system that isn’t ready for it. Hundreds of pioneering digital health companies are paving the way, but many find themselves tangled in bureaucracy, stalled by lack of funding and challenged by the fear of doing things differently.\u003c/p>\n\u003caside class=\"pullquote alignright\">There are dozens of digital health concepts I wish I could fund now, yet many of these would not be accepted by today’s market.\u003c/aside>\n\u003cp>Just look at consumer genomics company \u003ca href=\"https://www.23andme.com/\">23andMe\u003c/a>, which was \u003ca href=\"http://ww2.kqed.org/science/2014/05/05/consumer-gene-tests-whats-the-future/\">soundly rebuffed by the FDA\u003c/a> over its personalized genomic health product. The company started off as a popular ancestry service, making use of a DNA spit test to map personal genomes.\u003c/p>\n\u003cp>Realizing potential, 23andMe moved swiftly into the medical arena, offering patients customized health reports that predicted risk of heritable diseases. The FDA’s 2013 order to pull the health product until 23andMe could prove it was interpreting the results correctly had a chilling effect on a burgeoning industry of consumer genomics offered by the private sector.\u003c/p>\n\u003cfigure id=\"attachment_4667\" class=\"wp-caption alignleft\" style=\"max-width: 323px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/SUH-2.jpg\">\u003cimg class=\" wp-image-4667\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/SUH-2-800x533.jpg\" alt=\"StartUp Health entrepreneurs at the company's quarterly summit in New York, in April 2015. (StartUp Health)\" width=\"323\" height=\"215\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/SUH-2-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/SUH-2-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/SUH-2-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/SUH-2-960x640.jpg 960w\" sizes=\"(max-width: 323px) 100vw, 323px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">StartUp Health entrepreneurs at the company's quarterly summit in New York, in April 2015. (StartUp Health)\u003c/figcaption>\u003c/figure>\n\u003cp>There are dozens of digital health concepts I wish I could fund now, yet many of these would not be accepted by today’s market. If regulators, more investors and the general public were willing to embrace these concepts, here are five technologies that could radically improve human health.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Embeddable Consumer Devices \u003c/strong>\u003c/p>\n\u003cp>The concept of embeddable consumer devices moves way beyond wearable sensors. An embeddable in this context isn’t a traditional medical device like a pacemaker or a stent. It’s a tiny sensor swallowed or embedded to constantly monitor biometrics. Consumers would be able to track the effect of a new diet on blood pressure, or the effect of a new medication on sleep patterns.\u003c/p>\n\u003cp>A company called \u003ca href=\"http://www.proteus.com/\">Proteus Digital Health\u003c/a> is taking the first steps with its \u003ca href=\"http://mobihealthnews.com/39612/proteus-oracle-launch-integrated-software-ingestible-sensors-for-clinical-trials/\">ingestible sensor\u003c/a> that sends a signal to a battery-operated patch worn on the skin. At this stage, Proteus seems focused on improving medication compliance. If privacy and safety concerns can be appropriately addressed, embeddable consumer devices could be used outside the healthcare setting to focus more broadly on daily health and wellness.\u003c/p>\n\u003caside class=\"pullquote alignright\">What’s needed is a consumer-friendly dashboard that operates as simply as Google Analytics — with consolidated, easy-to-use visualization of data in real time.\u003c/aside>\n\u003cp>\u003cstrong>Consolidated Health Dashboard\u003c/strong>\u003c/p>\n\u003cp>Diagnostic tools are becoming more sophisticated and cloud storage of health data will soon be universal. With these developments, each patient should be able to access his or her own \u003ca href=\"https://www.tictrac.com/business/\">health dashboard\u003c/a> the same way we can for our Web sites or automobiles. And I’m not referring to what the medical industry refers to as an electronic health record. What’s needed is a consumer-friendly dashboard that operates as simply as Google Analytics -- with consolidated, easy-to-use visualization of data in real time.\u003c/p>\n\u003cp>A similar concept would be a dashboard for employers and businesses to track the wellness of their teams the same way we do their productivity metrics. An employer dashboard could track healthcare decisions of each employee, identifying preferences and trends over time.\u003c/p>\n\u003cp>One big roadblock to a health dashboard is data fragmentation. Many small companies already offer their own dashboards, but there is no one consolidated provider to streamline the experience across different datasets that impact our health and wellness on a real-time basis. In addition, the data we collect today is catalogued in different ways, making it difficult to synchronize.\u003c/p>\n\u003caside class=\"pullquote alignright\">Every patient has a unique medical history and physiology, so why shouldn’t treatments be personalized?\u003c/aside>\n\u003cp>\u003cstrong>Microbiome-Based Consumer Goods\u003c/strong>\u003c/p>\n\u003cp>The concept of personalized medicine is intuitive. Every patient has a unique medical history and physiology, so why shouldn’t treatments be personalized? In addition to personalized medicine, we should have personalized consumer products. Consumer goods like toothpaste, shampoo, lotion and cosmetics could be tailored to suit each person’s microbiome.\u003c/p>\n\u003cp>We are \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/15/in-future-fecal-transplants-the-tool-wont-be-stool/\">learning more about the essential role of the microbiome\u003c/a> - the billions of bacterial cells that comprise between one and three percent of our body mass. One person’s oral microbiome, for example, could be paired with a complimentary toothpaste, the ingredients designed just for that individual, potentially saving millions in healthcare spending for minor infections and other issues.\u003c/p>\n\u003cfigure id=\"attachment_4714\" class=\"wp-caption alignleft\" style=\"max-width: 368px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/8146322408_5312e9deb2_c.jpg\">\u003cimg class=\" wp-image-4714\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/8146322408_5312e9deb2_c-677x600.jpg\" alt=\"A colorized model composed of three-dimensional human intestinal cells cultured with specific gut bacteria. (Pacific Northwest National Laboratory/Flickr)\" width=\"368\" height=\"326\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/8146322408_5312e9deb2_c-677x600.jpg 677w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/8146322408_5312e9deb2_c-400x355.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/8146322408_5312e9deb2_c.jpg 800w\" sizes=\"(max-width: 368px) 100vw, 368px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A colorized model composed of three-dimensional human intestinal cells cultured with specific gut bacteria. (Pacific Northwest National Laboratory/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>For this concept to become a reality, consumer product companies and healthcare companies would have to collaborate in an unprecedented way. The medical community is also still in the early stages of microbiome research. The FDA is unlikely to support personalized consumer goods just yet, as they rely on a system of rigorous batch testing to guarantee products are safe for everyone. Personalized products might be perfect for one person but unsafe for another, presenting a unique challenge in the era of 3-D printing and personalized everything.\u003c/p>\n\u003cp>\u003cstrong>$100 \"RobotDoc\"\u003c/strong>\u003c/p>\n\u003cp>Today’s autonomous devices can perform many of the same tasks performed during a regular checkup. It’s unlikely that a robot will replace a family practitioner any time soon, but in some remote regions of the world, a machine equipped with the basic diagnostic technology could identify common medical ailments that would otherwise go undiagnosed. I call this concept \"RobotDoc.\"\u003c/p>\n\u003cp>Today, a \u003ca href=\"http://astounde.com/first-medical-tricorder-scans-analyzes-and-shares-all-your-core-vitals/\">tiny handheld device\u003c/a> made by a company called \u003ca href=\"https://www.scanadu.com/\">Scanadu\u003c/a> can check blood pressure, temperature and heart rate. The company is also developing a urine test kit. The technology exists today, but it’s too expensive to be practical around the globe.\u003c/p>\n\u003cp>Ethical and cultural considerations for RobotDoc would need to be navigated, as will the many regulatory hurdles, but the benefits could be astounding. For this concept to fly, the RobotDoc would have to be inexpensive, perhaps $100. That’s an attractive price point for agencies looking to fund healthcare solutions in developing nations.\u003c/p>\n\u003caside class=\"pullquote alignleft\">The big challenge is creating an affordable solution that is not only accurate, but also fits seamlessly and unobtrusively into our everyday lives, so people will actually stick with it.\u003c/aside>\n\u003cp>\u003cstrong>Digital Nutritionist\u003c/strong>\u003c/p>\n\u003cp>Today, it’s often a mystery what you are ingesting. Food labels aren’t very helpful and chances are high if it requires a food label it’s not very good for you anyway. Some people hire nutritionists to evaluate their medical history and make personalized diet recommendations. That’s too expensive to be practical. There’s a bigger opportunity in leveraging wand-like sensors, or even a small portable assay, to take the guesswork out of the equation.\u003c/p>\n\u003cp>Armed with the patient’s complete medical history, a \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/11/6-technology-trends-that-are-changing-how-we-eat/\">food analysis technology\u003c/a> could help consumers determine the foods that are best for them to eat and understand the health value of each food item in real time. This would encourage smarter eating habits and more precise information about the stress felt when trying to make the “healthy” choice based on a nutrition label. In addition, this type of technology could immediately flag allergens, perhaps preventing hospitalizations.\u003c/p>\n\u003cp>The big challenge is creating an affordable solution that is not only accurate, but also fits seamlessly and unobtrusively into our everyday lives, so people will actually stick with it.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Unity Stoakes is cofounder and president of \u003ca href=\"http://www.startuphealth.com\">StartUp Health\u003c/a>, a health innovation company with more than 100 digital health and wellness companies in its portfolio. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>Update, June 17, 2015:\u003c/em>\u003c/p>\n\u003cp>Planned Parenthood has launched a new app that allows California users to order confidential chlamydia and gonorrhea home test kits. \u003c/p>\n\u003cp>Once ordered, the test kit is sent to users by mail in discreet packaging with simple, step-by-step instructions. Users send a urine sample directly to Planned Parenthood labs and get test results privately through the app. If test results are positive, users are informed how to obtain treatment.\u003c/p>\n\u003cp>\u003ca href=\"http://www.plannedparenthood.org/get-care/online-std-testing/california?utm_source=affiliatehp&utm_medium=weblink&utm_term=ppac&utm_content=homeslide&utm_campaign=ppdirect\">Planned Parenthood Direct\u003c/a> is available for free through the Android or Apple app stores, but to order the test kit costs $149. \u003c/p>\n\u003cp>\u003cem>Original Post:\u003cbr>\n\u003c/em>\u003cbr>\nRamin Bastani wants to reduce the anxiety and hassle of testing for common sexually transmitted diseases.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>After being tested more than 50 times for various STDs, and often waiting weeks for results, the 39-year-old entrepreneur decided to devote himself to making the experience less awkward and easier. In 2010, he launched Los Angeles-based Healthvana, a service that gives patients immediate access to their lab results.\u003c/p>\n\u003cp>Patients who opt to receive their results via \u003ca href=\"https://www.healthvana.com\">Healthvana\u003c/a> receive an email instructing them to log in to the secure online portal. The time-stamped results can also be viewed through the official iPhone app or online (there is no Android or Windows mobile app).\u003c/p>\n\u003caside class=\"pullquote alignleft\">“STD rates continue to be highest in young people 15-24 years of age, especially for females.\"\u003ccite>California Dept. of Public Health Study\u003c/cite>\u003c/aside>\n\u003cp>“So many people never get their results,” Bastani says. “Ninety-nine percent of the time that I’ve been tested for STDs and HIV—and I’ve been tested a lot—after you go to the visit they say, ‘Thanks so much for coming in today, and if you don’t hear from us within 10 days, no news is good news.’ That’s how they leave you, that’s how test results are delivered.”\u003c/p>\n\u003cp>Bastani says it’s critical for patients to get access to information in real time. “No news is not good news,” he says.\u003c/p>\n\u003cp>Healthvana is integrated with laboratories, so as soon as lab results are done, they are sent to the patient through the Healthvana portal. Ideally, partners will share their results with each other before sex. The app, Bastani says, is the easiest way to view a prospective partner’s verified STD negative or positive status, because very few people carry paper results with them to clubs or bars.\u003c/p>\n\u003cp>The service can be used by people being tested for a variety of STDs, including chlamydia, gonorrhea and syphilis. The service also provides next-step options for treatments. Those seeking their HIV-status will receive negative results through the app, but will not receive positive results via Healthvana; Bastani hopes to soon allow HIV-positive patients to have their viral load verified.\u003c/p>\n\u003cp>“Healthvana empowers you to make better health care decisions,” he says.\u003c/p>\n\u003cfigure id=\"attachment_4371\" class=\"wp-caption alignright\" style=\"max-width: 449px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Healthvana-People2.jpg\">\u003cimg class=\" wp-image-4371\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Healthvana-People2-1180x885.jpg\" alt=\"CEO Ramin Bastani, looking at Healthvana app, with Operations Associate Ishani Winston and COO Sean Crockett, in the company's Los Angeles office. (Adil Chamakh/Healthvana) \" width=\"449\" height=\"336\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/Healthvana-People2-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Healthvana-People2-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Healthvana-People2-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Healthvana-People2-960x720.jpg 960w\" sizes=\"(max-width: 449px) 100vw, 449px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">CEO Ramin Bastani, L, with Operations Associate Ishani Winston and COO Sean Crockett, in the company's Los Angeles office. (Adil Chamakh/Healthvana)\u003c/figcaption>\u003c/figure>\n\u003cp>A \u003ca href=\"http://www.cdph.ca.gov/Pages/NR14-061.aspx\">widely circulated 2014 report\u003c/a> from the California Department of Public Health found that in 2013 STD rates spiked; rates of newly reported gonorrhea cases rose 13 percent, and syphilis rose 18 percent, compared to 2012 levels.\u003c/p>\n\u003cp>“STD rates continue to be highest in young people 15-24 years of age, especially for females, with over 66 percent of female chlamydia cases and over 54 percent of female gonorrhea cases being in this narrow age group,” according to the study.\u003c/p>\n\u003cp>Dr. Jeffrey Klausner, a professor of medicine in the division of infectious diseases at the \u003ca href=\"http://healthsciences.ucla.edu/\">David Geffen School of Medicine at UCLA\u003c/a>, says young people under age 25 are most at risk for sexually transmitted diseases, partly because they use \"hookup\" apps like Tinder and Grindr. \u003c/p>\n\u003cp>“In the U.S. among young people, 90 percent of them get most of their information from smartphones,” Klausner says. “This is the way of the future for sexual health, because it’s private, people can be anonymous, it’s convenient.”\u003c/p>\n\u003cp>Klausner serves as a medical advisor to Healthvana and recommends people 25 and under get tested at least once each year. People with same-sex partners should be tested four times each year.\u003c/p>\n\u003cp>“It’s critical with the epidemics in the U.S. with chlamydia in young adults, HIV in men who have sex with men, that we de-stigmatize testing and make it easier,” he says.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"We are already seeing stunning results in folks accessing their STD results and accessing treatment more quickly as a result.\"\u003ccite>Whitney Engeran-Cordova, AIDS Healthcare Foundation\u003c/cite>\u003c/aside>\n\u003cp>To help stem the tide, especially among young people, Healthvana recently partnered with the Los Angeles-based \u003ca href=\"http://www.aidshealth.org/#/\">AIDS Healthcare Foundation\u003c/a> (AHF) to allow their patients real-time access to their test results on their mobile phones.\u003c/p>\n\u003cp>“We’re removing the stigma and barriers to getting tested. Everyone thinks about this, everybody knows the right things to do, but this makes the conversation easier,” Bastani says. “Show me your results, I’ll show you mine.”\u003c/p>\n\u003cp>In 2015, nearly 10,000 AIDS Healthcare Foundation patients received their test results through Healthvana; 70 percent of them accessed their records within four hours of the results being available.\u003c/p>\n\u003cp>“We are excited about our collaboration with Healthvana and are already seeing stunning results in folks accessing their STD results and accessing treatment more quickly as a result,” said Whitney Engeran-Cordova, senior director of the Public Health Division at AHF, in a statement.\u003c/p>\n\u003cp>Mike McKany, director of Public Health Division at the \u003ca href=\"https://www.aidshealth.org/archives/countries/us\">AIDS Healthcare Foundation Southern Bureau\u003c/a>, says most users are comfortable with the service and appreciate the convenience.\u003c/p>\n\u003cp>“I’m quite pleasantly pleased on how well it’s been received and how excited people are about it,” he says. “We’re looking at the way of the future. People will walk around with their health records on their phones, just like they have their financial data on their phones. I’m so pleased.”\u003c/p>\n\u003cp>Dr. Adam M. Rubinstein, an Illinois-based primary care physician specializing in internal medicine and psychopharmacology, says he often treats patients suffering from anxiety and sexually transmitted diseases.\u003c/p>\n\u003cp>“I think that the major benefit of the app is the immediate results back to the patient,” Rubinstein says, “because one of the major problems with STD testing is the fear and anxiety the patient experiences while waiting for their results. Getting results immediately will help to allay their fears or give them important information for seeking treatment, which is a good public health measure.”\u003c/p>\n\u003cp>However, he is concerned about patient privacy and the potential for hackers to get at the information, because the results, especially if positive, are incredibly sensitive.\u003c/p>\n\u003cp>“As long as they can overcome the issues of privacy, I think it’s great, Rubenstein says. “Patients are becoming consumers. I fully commend them. Unfortunately, fear and anxiety cause a lot of suffering and increased health care costs. This will enable patients to move forward in their day.” Rubinstein is not associated with Healthvana.\u003c/p>\n\u003cp>The service remains free to patients, because it is purchased by clinics and health care providers. There are dozens of participating clinics in seven states and the District of Colombia. Low-income patients without access to working phones benefit from Healthvana because they can view results online, even at public libraries.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Daniel Gaitan is the multimedia content producer and reporter for Life Matters Media, a nonprofit providing news and information about end of life-related issues. He's a contributor to Reuters Health and also serves as a general assignment reporter for the Kenosha News in Wisconsin. In 2013, he earned his M.A. from DePaul University in Chicago. Daniel also earned his B.A. in journalism from DePaul. In 2012, he was the proud recipient of the Carlos Hernandez Award in Meritorious Journalism.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Update, June 17, 2015:\u003c/em>\u003c/p>\n\u003cp>Planned Parenthood has launched a new app that allows California users to order confidential chlamydia and gonorrhea home test kits. \u003c/p>\n\u003cp>Once ordered, the test kit is sent to users by mail in discreet packaging with simple, step-by-step instructions. Users send a urine sample directly to Planned Parenthood labs and get test results privately through the app. If test results are positive, users are informed how to obtain treatment.\u003c/p>\n\u003cp>\u003ca href=\"http://www.plannedparenthood.org/get-care/online-std-testing/california?utm_source=affiliatehp&utm_medium=weblink&utm_term=ppac&utm_content=homeslide&utm_campaign=ppdirect\">Planned Parenthood Direct\u003c/a> is available for free through the Android or Apple app stores, but to order the test kit costs $149. \u003c/p>\n\u003cp>\u003cem>Original Post:\u003cbr>\n\u003c/em>\u003cbr>\nRamin Bastani wants to reduce the anxiety and hassle of testing for common sexually transmitted diseases.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>After being tested more than 50 times for various STDs, and often waiting weeks for results, the 39-year-old entrepreneur decided to devote himself to making the experience less awkward and easier. In 2010, he launched Los Angeles-based Healthvana, a service that gives patients immediate access to their lab results.\u003c/p>\n\u003cp>Patients who opt to receive their results via \u003ca href=\"https://www.healthvana.com\">Healthvana\u003c/a> receive an email instructing them to log in to the secure online portal. The time-stamped results can also be viewed through the official iPhone app or online (there is no Android or Windows mobile app).\u003c/p>\n\u003caside class=\"pullquote alignleft\">“STD rates continue to be highest in young people 15-24 years of age, especially for females.\"\u003ccite>California Dept. of Public Health Study\u003c/cite>\u003c/aside>\n\u003cp>“So many people never get their results,” Bastani says. “Ninety-nine percent of the time that I’ve been tested for STDs and HIV—and I’ve been tested a lot—after you go to the visit they say, ‘Thanks so much for coming in today, and if you don’t hear from us within 10 days, no news is good news.’ That’s how they leave you, that’s how test results are delivered.”\u003c/p>\n\u003cp>Bastani says it’s critical for patients to get access to information in real time. “No news is not good news,” he says.\u003c/p>\n\u003cp>Healthvana is integrated with laboratories, so as soon as lab results are done, they are sent to the patient through the Healthvana portal. Ideally, partners will share their results with each other before sex. The app, Bastani says, is the easiest way to view a prospective partner’s verified STD negative or positive status, because very few people carry paper results with them to clubs or bars.\u003c/p>\n\u003cp>The service can be used by people being tested for a variety of STDs, including chlamydia, gonorrhea and syphilis. The service also provides next-step options for treatments. Those seeking their HIV-status will receive negative results through the app, but will not receive positive results via Healthvana; Bastani hopes to soon allow HIV-positive patients to have their viral load verified.\u003c/p>\n\u003cp>“Healthvana empowers you to make better health care decisions,” he says.\u003c/p>\n\u003cfigure id=\"attachment_4371\" class=\"wp-caption alignright\" style=\"max-width: 449px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Healthvana-People2.jpg\">\u003cimg class=\" wp-image-4371\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Healthvana-People2-1180x885.jpg\" alt=\"CEO Ramin Bastani, looking at Healthvana app, with Operations Associate Ishani Winston and COO Sean Crockett, in the company's Los Angeles office. (Adil Chamakh/Healthvana) \" width=\"449\" height=\"336\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/Healthvana-People2-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Healthvana-People2-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Healthvana-People2-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Healthvana-People2-960x720.jpg 960w\" sizes=\"(max-width: 449px) 100vw, 449px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">CEO Ramin Bastani, L, with Operations Associate Ishani Winston and COO Sean Crockett, in the company's Los Angeles office. (Adil Chamakh/Healthvana)\u003c/figcaption>\u003c/figure>\n\u003cp>A \u003ca href=\"http://www.cdph.ca.gov/Pages/NR14-061.aspx\">widely circulated 2014 report\u003c/a> from the California Department of Public Health found that in 2013 STD rates spiked; rates of newly reported gonorrhea cases rose 13 percent, and syphilis rose 18 percent, compared to 2012 levels.\u003c/p>\n\u003cp>“STD rates continue to be highest in young people 15-24 years of age, especially for females, with over 66 percent of female chlamydia cases and over 54 percent of female gonorrhea cases being in this narrow age group,” according to the study.\u003c/p>\n\u003cp>Dr. Jeffrey Klausner, a professor of medicine in the division of infectious diseases at the \u003ca href=\"http://healthsciences.ucla.edu/\">David Geffen School of Medicine at UCLA\u003c/a>, says young people under age 25 are most at risk for sexually transmitted diseases, partly because they use \"hookup\" apps like Tinder and Grindr. \u003c/p>\n\u003cp>“In the U.S. among young people, 90 percent of them get most of their information from smartphones,” Klausner says. “This is the way of the future for sexual health, because it’s private, people can be anonymous, it’s convenient.”\u003c/p>\n\u003cp>Klausner serves as a medical advisor to Healthvana and recommends people 25 and under get tested at least once each year. People with same-sex partners should be tested four times each year.\u003c/p>\n\u003cp>“It’s critical with the epidemics in the U.S. with chlamydia in young adults, HIV in men who have sex with men, that we de-stigmatize testing and make it easier,” he says.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"We are already seeing stunning results in folks accessing their STD results and accessing treatment more quickly as a result.\"\u003ccite>Whitney Engeran-Cordova, AIDS Healthcare Foundation\u003c/cite>\u003c/aside>\n\u003cp>To help stem the tide, especially among young people, Healthvana recently partnered with the Los Angeles-based \u003ca href=\"http://www.aidshealth.org/#/\">AIDS Healthcare Foundation\u003c/a> (AHF) to allow their patients real-time access to their test results on their mobile phones.\u003c/p>\n\u003cp>“We’re removing the stigma and barriers to getting tested. Everyone thinks about this, everybody knows the right things to do, but this makes the conversation easier,” Bastani says. “Show me your results, I’ll show you mine.”\u003c/p>\n\u003cp>In 2015, nearly 10,000 AIDS Healthcare Foundation patients received their test results through Healthvana; 70 percent of them accessed their records within four hours of the results being available.\u003c/p>\n\u003cp>“We are excited about our collaboration with Healthvana and are already seeing stunning results in folks accessing their STD results and accessing treatment more quickly as a result,” said Whitney Engeran-Cordova, senior director of the Public Health Division at AHF, in a statement.\u003c/p>\n\u003cp>Mike McKany, director of Public Health Division at the \u003ca href=\"https://www.aidshealth.org/archives/countries/us\">AIDS Healthcare Foundation Southern Bureau\u003c/a>, says most users are comfortable with the service and appreciate the convenience.\u003c/p>\n\u003cp>“I’m quite pleasantly pleased on how well it’s been received and how excited people are about it,” he says. “We’re looking at the way of the future. People will walk around with their health records on their phones, just like they have their financial data on their phones. I’m so pleased.”\u003c/p>\n\u003cp>Dr. Adam M. Rubinstein, an Illinois-based primary care physician specializing in internal medicine and psychopharmacology, says he often treats patients suffering from anxiety and sexually transmitted diseases.\u003c/p>\n\u003cp>“I think that the major benefit of the app is the immediate results back to the patient,” Rubinstein says, “because one of the major problems with STD testing is the fear and anxiety the patient experiences while waiting for their results. Getting results immediately will help to allay their fears or give them important information for seeking treatment, which is a good public health measure.”\u003c/p>\n\u003cp>However, he is concerned about patient privacy and the potential for hackers to get at the information, because the results, especially if positive, are incredibly sensitive.\u003c/p>\n\u003cp>“As long as they can overcome the issues of privacy, I think it’s great, Rubenstein says. “Patients are becoming consumers. I fully commend them. Unfortunately, fear and anxiety cause a lot of suffering and increased health care costs. This will enable patients to move forward in their day.” Rubinstein is not associated with Healthvana.\u003c/p>\n\u003cp>The service remains free to patients, because it is purchased by clinics and health care providers. There are dozens of participating clinics in seven states and the District of Colombia. Low-income patients without access to working phones benefit from Healthvana because they can view results online, even at public libraries.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Daniel Gaitan is the multimedia content producer and reporter for Life Matters Media, a nonprofit providing news and information about end of life-related issues. He's a contributor to Reuters Health and also serves as a general assignment reporter for the Kenosha News in Wisconsin. In 2013, he earned his M.A. from DePaul University in Chicago. Daniel also earned his B.A. in journalism from DePaul. In 2012, he was the proud recipient of the Carlos Hernandez Award in Meritorious Journalism.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Only a few months ago, #TheDress made Internet headlines the world over. The blue-versus-white argument might have seemed simple, but beneath it was a profound philosophical and biological question: do you see what I see? The intricacies of perception make the question a compelling one—especially if you or I have synesthesia.\u003c/p>\n\u003cp>Commonly defined as the comingling of sensory signals in the brain, “synesthesia” is an umbrella term that encompasses multiple distinct conditions. People with grapheme-color synesthesia see colors when they read, often associating individual letters with specific hues. Auditory-visual synesthetes visualize music; visual-gustatory synesthetes taste their surroundings; and visual-spatial synesthetes see their thoughts, sometimes arranged in patterns around their bodies.\u003c/p>\n\u003cp>If you’re thinking, “Cool! I wish I could experience that,” you’re in luck. A spate of apps seeking to augment users’ worlds has arrived, interacting with the senses in a quest to heighten everyday experiences, boost memory, and improve decision-making.\u003c/p>\n\u003cp>\u003cstrong>What Does That Pizza Sound Like?\u003c/strong>\u003c/p>\n\u003cp>The most popular are apps that mimic auditory-visual synesthesia. \u003ca href=\"http://www.sonifiedsite.com/\">Sonified\u003c/a>, for example, uses your phone’s camera to render light and color around you into music in real time, while \u003ca href=\"http://www.fastcodesign.com/3033213/turn-color-into-sound-with-this-this-synesthesia-synthesizer-app\">Roy G Biv\u003c/a> allows users to convert photos of their surroundings into tones, answering that age-old question, “What does pizza sound like”?\u003c/p>\n\u003cfigure id=\"attachment_4180\" class=\"wp-caption alignright\" style=\"max-width: 398px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/5-gameplay-1.jpg\">\u003cimg class=\" wp-image-4180\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/5-gameplay-1.jpg\" alt=\"In Color Code, players use a fast-paced memory game to learn to associate specific colors with letters and numbers. (Zebulon Reynolds)\" width=\"398\" height=\"706\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/5-gameplay-1.jpg 640w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/5-gameplay-1-400x710.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/5-gameplay-1-338x600.jpg 338w\" sizes=\"(max-width: 398px) 100vw, 398px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">In Color Code, players use a fast-paced memory game to learn to associate specific colors with letters and numbers. (Zebulon Reynolds)\u003c/figcaption>\u003c/figure>\n\u003cp>Olivia Abtahi, who developed an app prototype called the \u003ca href=\"http://www.oliviaabtahi.com/\">Synesthesia Music Experience\u003c/a>, wanted to recreate the experience a synesthete friend has listening to music—colors so vivid the friend can’t drive while listening to the radio. Abtahi’s prototype syncs the lights in a user’s home to music, helping them access “the timbre, colors, and textures that sound can induce.” She recommends the app Ambify for a more elaborate execution of the same concept.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>What Color Is “A”?\u003c/strong>\u003c/p>\n\u003cp>Zebulon Reynolds’s first work on his \u003ca href=\"http://www.radicalgamelab.com/\">Color Code\u003c/a> app was under the guise of self-improvement. He had a hunch that associating colors and symbols could act as scaffolding for remembering useful things, so he made a spreadsheet of paired letters, numbers, and colors that he practiced while running on the beach at night.\u003c/p>\n\u003cp>“I was basically a crazy person shouting numbers at myself,” Reynolds says.\u003c/p>\n\u003cp>Then he learned about \u003ca href=\"http://www.sussex.ac.uk/synaesthesia/\">studies at the University of Sussex\u003c/a> in England that appeared to induce synesthesia and improve memory in participants through repetitive exposure to colored letters.\u003c/p>\n\u003cp>“People induced with this specific kind of synesthesia straight up boosted their IQs,” Reynolds says.\u003c/p>\n\u003cp>Using that study data, Reynolds created Color Code, a memory game that pairs letters and numbers with colors, attempting to boost memory and IQ by inducing synesthesia-like symptoms in users. He hopes his app will equip users with mental training wheels for remembering specific kinds of information, such as phone numbers and license plates.\u003c/p>\n\u003cp>\u003cstrong>Go With Your Gut\u003c/strong>\u003c/p>\n\u003cp>Jonathan Jackson’s visual-spatial synesthesia means he thinks differently than most people. Jackson sees his thoughts in space, an ability that allows him to, as he puts it, “visually access my intuition.” Rather than vague sentiments that require struggle to interpret, his gut feelings are arranged in space—easy to see, easy to grasp.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"We always hear, you know, ‘Act on your gut,’ but it’s not always easy to do.\"\u003ccite>Tatiana Josephy\u003c/cite>\u003c/aside>\n\u003cp>Jackson developed \u003ca href=\"http://choicemap.co/\">ChoiceMap\u003c/a> as a way to digitally imitate his decision-making process. The app prompts users to enter their options (“Toyota” versus “Honda,” for example), plus the priorities and weights for each (“comfort,” “cost,” “reliability”). Then it feeds them into an algorithm, spitting out a “perfection score” that shows how closely each option hews to the user’s stated priorities. What may have seemed like a blurry, uncertain decision is now translated into clear, unequivocal numbers.\u003c/p>\n\u003cp>ChoiceMap helps users decide what house to buy, what classes to take, and where to live. Jackson says it has named thousands of babies, has facilitated tens of thousands of break ups, and most recently has been used to help patients make decisions about cancer treatment and end-of-life decisions.\u003c/p>\n\u003cp>“Our team really respects that,” Jackson says, “ and we don’t treat that lightly.”\u003c/p>\n\u003cp>\u003cstrong>What Color Is “Monday”?\u003c/strong>\u003c/p>\n\u003cp>Where the other apps mimic synesthesia for users, \u003ca href=\"https://www.languageininteraction.nl/synquiz.html\">SynQuiz\u003c/a> hopes to find those who already have it. Developed by the \u003ca href=\"http://www.mpi.nl/\">Max Planck Institute in the Netherlands\u003c/a>, the app is a digital adaptation of the Eagleman battery, a tool long relied upon to diagnose visual synesthetes.\u003c/p>\n\u003cp>[contextly_sidebar id=\"BhZMFaMUlU3dy7MhGQj7HUq5uJ2ynvDE\"]Katerina Kucera works in the \u003ca href=\"http://www.mpi.nl/departments/language-and-genetics\">Institute’s Language and Genetics group\u003c/a>, which created the app and is using it to recruit synesthetes worldwide \u003ca href=\"http://www.mpi.nl/synaesthesia\">for a study\u003c/a>. A synesthete who self-diagnoses through the app may register for the study.\u003c/p>\n\u003cp>While some users are from far-flung places, others are not. At a recent conference, Kucera was at dinner with two students who had never heard of synesthesia. By way of explanation, she asked them, “What color is A?”\u003c/p>\n\u003cp>“One of the guys says, ‘What?’ The other guy says, ‘Red!’” she remembers. “I said, ‘Maybe you need to go download the app and try it.’”\u003c/p>\n\u003cp>\u003cstrong>The Upshot\u003c/strong>\u003c/p>\n\u003cp>It’s hard to say whether audiovisual programming can ever truly mimic what synesthetes see, but for ChoiceMap designer Jackson a few come close. “When they actually look as geometric as my experience, I can use that to help explain it to other people,” he says.\u003c/p>\n\u003cp>As for Color Code, researcher Kucera says she believes that synesthesia can be acquired, but “the difference from true synesthesia is it doesn’t last. The results are very quick. Then they test them a few months or weeks later, and it’s gone.”\u003c/p>\n\u003cp>She is skeptical of, but interested in, Reynolds’ goal of boosting IQ and memory with his app. “Whether you could turn it [induced synesthesia] into something that improves,” she says, “that remains to be seen.”\u003c/p>\n\u003caside class=\"pullquote alignright\">“After spending a majority of my life wondering why other people don’t think the way that I think, it’s nice to hear people say something positive.\"\u003ccite>Jonathon Jackson, ChoiceMap Developer\u003c/cite>\u003c/aside>\n\u003cp>Tatiana Josephy used ChoiceMap to decide whether to sell her Emeryville, CA condo. Josephy echoes Jackson in talking about the role of intuition in ChoiceMap.\u003c/p>\n\u003cp>“Intuition is this soft murky feeling that’s not super clear,” she says. “Being able to break down the different factors and being able to see them visually really helps with that process of making what’s implicit very explicit. We always hear, you know, ‘Act on your gut,’ but it’s not always easy to do.”\u003c/p>\n\u003cp>\u003cstrong>24/7 Synesthete\u003c/strong>\u003c/p>\n\u003cp>Audiovisual app designer Abtahi, who created her app prototype to mimic what she sees as a “superpower,” is certainly not alone in her envy. But the non-synesthete app user, while enjoying audiovisual experiences, making informed decisions, and improving memory and IQ, would do well to remember that synesthesia can be more challenging than these apps let on, Jackson says.\u003c/p>\n\u003cp>“After spending a majority of my life wondering why other people don’t think the way that I think, it’s nice to hear people say something positive,” he says of the starry-eyed language that often surrounds technologies that mimic synesthesia.\u003c/p>\n\u003cp>But, Jackson says, it can also be “so grating” because that perspective glosses over how complicated life is for people with synesthesia.\u003c/p>\n\u003cp>“It is easier for me to visualize complex concepts than it is for most people,” he acknowledges. “I can see how if you couldn’t do that it would be compelling. But if you’re having a conversation with people and all these things are exploding into your thoughts and you don’t have control over it—like, I’m just trying to drink a beer and talk about the Seahawks. It doesn’t always feel advantageous.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>After adventures that brought her from China to Spain and back, Alissa Greenberg has finally settled in the Bay Area, where she writes about culture, community, weird science, and hidden histories. She is currently at work on a book about millennials on the Trans-Mongolian railroad.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Only a few months ago, #TheDress made Internet headlines the world over. The blue-versus-white argument might have seemed simple, but beneath it was a profound philosophical and biological question: do you see what I see? The intricacies of perception make the question a compelling one—especially if you or I have synesthesia.\u003c/p>\n\u003cp>Commonly defined as the comingling of sensory signals in the brain, “synesthesia” is an umbrella term that encompasses multiple distinct conditions. People with grapheme-color synesthesia see colors when they read, often associating individual letters with specific hues. Auditory-visual synesthetes visualize music; visual-gustatory synesthetes taste their surroundings; and visual-spatial synesthetes see their thoughts, sometimes arranged in patterns around their bodies.\u003c/p>\n\u003cp>If you’re thinking, “Cool! I wish I could experience that,” you’re in luck. A spate of apps seeking to augment users’ worlds has arrived, interacting with the senses in a quest to heighten everyday experiences, boost memory, and improve decision-making.\u003c/p>\n\u003cp>\u003cstrong>What Does That Pizza Sound Like?\u003c/strong>\u003c/p>\n\u003cp>The most popular are apps that mimic auditory-visual synesthesia. \u003ca href=\"http://www.sonifiedsite.com/\">Sonified\u003c/a>, for example, uses your phone’s camera to render light and color around you into music in real time, while \u003ca href=\"http://www.fastcodesign.com/3033213/turn-color-into-sound-with-this-this-synesthesia-synthesizer-app\">Roy G Biv\u003c/a> allows users to convert photos of their surroundings into tones, answering that age-old question, “What does pizza sound like”?\u003c/p>\n\u003cfigure id=\"attachment_4180\" class=\"wp-caption alignright\" style=\"max-width: 398px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/5-gameplay-1.jpg\">\u003cimg class=\" wp-image-4180\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/5-gameplay-1.jpg\" alt=\"In Color Code, players use a fast-paced memory game to learn to associate specific colors with letters and numbers. (Zebulon Reynolds)\" width=\"398\" height=\"706\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/5-gameplay-1.jpg 640w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/5-gameplay-1-400x710.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/5-gameplay-1-338x600.jpg 338w\" sizes=\"(max-width: 398px) 100vw, 398px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">In Color Code, players use a fast-paced memory game to learn to associate specific colors with letters and numbers. (Zebulon Reynolds)\u003c/figcaption>\u003c/figure>\n\u003cp>Olivia Abtahi, who developed an app prototype called the \u003ca href=\"http://www.oliviaabtahi.com/\">Synesthesia Music Experience\u003c/a>, wanted to recreate the experience a synesthete friend has listening to music—colors so vivid the friend can’t drive while listening to the radio. Abtahi’s prototype syncs the lights in a user’s home to music, helping them access “the timbre, colors, and textures that sound can induce.” She recommends the app Ambify for a more elaborate execution of the same concept.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>What Color Is “A”?\u003c/strong>\u003c/p>\n\u003cp>Zebulon Reynolds’s first work on his \u003ca href=\"http://www.radicalgamelab.com/\">Color Code\u003c/a> app was under the guise of self-improvement. He had a hunch that associating colors and symbols could act as scaffolding for remembering useful things, so he made a spreadsheet of paired letters, numbers, and colors that he practiced while running on the beach at night.\u003c/p>\n\u003cp>“I was basically a crazy person shouting numbers at myself,” Reynolds says.\u003c/p>\n\u003cp>Then he learned about \u003ca href=\"http://www.sussex.ac.uk/synaesthesia/\">studies at the University of Sussex\u003c/a> in England that appeared to induce synesthesia and improve memory in participants through repetitive exposure to colored letters.\u003c/p>\n\u003cp>“People induced with this specific kind of synesthesia straight up boosted their IQs,” Reynolds says.\u003c/p>\n\u003cp>Using that study data, Reynolds created Color Code, a memory game that pairs letters and numbers with colors, attempting to boost memory and IQ by inducing synesthesia-like symptoms in users. He hopes his app will equip users with mental training wheels for remembering specific kinds of information, such as phone numbers and license plates.\u003c/p>\n\u003cp>\u003cstrong>Go With Your Gut\u003c/strong>\u003c/p>\n\u003cp>Jonathan Jackson’s visual-spatial synesthesia means he thinks differently than most people. Jackson sees his thoughts in space, an ability that allows him to, as he puts it, “visually access my intuition.” Rather than vague sentiments that require struggle to interpret, his gut feelings are arranged in space—easy to see, easy to grasp.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"We always hear, you know, ‘Act on your gut,’ but it’s not always easy to do.\"\u003ccite>Tatiana Josephy\u003c/cite>\u003c/aside>\n\u003cp>Jackson developed \u003ca href=\"http://choicemap.co/\">ChoiceMap\u003c/a> as a way to digitally imitate his decision-making process. The app prompts users to enter their options (“Toyota” versus “Honda,” for example), plus the priorities and weights for each (“comfort,” “cost,” “reliability”). Then it feeds them into an algorithm, spitting out a “perfection score” that shows how closely each option hews to the user’s stated priorities. What may have seemed like a blurry, uncertain decision is now translated into clear, unequivocal numbers.\u003c/p>\n\u003cp>ChoiceMap helps users decide what house to buy, what classes to take, and where to live. Jackson says it has named thousands of babies, has facilitated tens of thousands of break ups, and most recently has been used to help patients make decisions about cancer treatment and end-of-life decisions.\u003c/p>\n\u003cp>“Our team really respects that,” Jackson says, “ and we don’t treat that lightly.”\u003c/p>\n\u003cp>\u003cstrong>What Color Is “Monday”?\u003c/strong>\u003c/p>\n\u003cp>Where the other apps mimic synesthesia for users, \u003ca href=\"https://www.languageininteraction.nl/synquiz.html\">SynQuiz\u003c/a> hopes to find those who already have it. Developed by the \u003ca href=\"http://www.mpi.nl/\">Max Planck Institute in the Netherlands\u003c/a>, the app is a digital adaptation of the Eagleman battery, a tool long relied upon to diagnose visual synesthetes.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Katerina Kucera works in the \u003ca href=\"http://www.mpi.nl/departments/language-and-genetics\">Institute’s Language and Genetics group\u003c/a>, which created the app and is using it to recruit synesthetes worldwide \u003ca href=\"http://www.mpi.nl/synaesthesia\">for a study\u003c/a>. A synesthete who self-diagnoses through the app may register for the study.\u003c/p>\n\u003cp>While some users are from far-flung places, others are not. At a recent conference, Kucera was at dinner with two students who had never heard of synesthesia. By way of explanation, she asked them, “What color is A?”\u003c/p>\n\u003cp>“One of the guys says, ‘What?’ The other guy says, ‘Red!’” she remembers. “I said, ‘Maybe you need to go download the app and try it.’”\u003c/p>\n\u003cp>\u003cstrong>The Upshot\u003c/strong>\u003c/p>\n\u003cp>It’s hard to say whether audiovisual programming can ever truly mimic what synesthetes see, but for ChoiceMap designer Jackson a few come close. “When they actually look as geometric as my experience, I can use that to help explain it to other people,” he says.\u003c/p>\n\u003cp>As for Color Code, researcher Kucera says she believes that synesthesia can be acquired, but “the difference from true synesthesia is it doesn’t last. The results are very quick. Then they test them a few months or weeks later, and it’s gone.”\u003c/p>\n\u003cp>She is skeptical of, but interested in, Reynolds’ goal of boosting IQ and memory with his app. “Whether you could turn it [induced synesthesia] into something that improves,” she says, “that remains to be seen.”\u003c/p>\n\u003caside class=\"pullquote alignright\">“After spending a majority of my life wondering why other people don’t think the way that I think, it’s nice to hear people say something positive.\"\u003ccite>Jonathon Jackson, ChoiceMap Developer\u003c/cite>\u003c/aside>\n\u003cp>Tatiana Josephy used ChoiceMap to decide whether to sell her Emeryville, CA condo. Josephy echoes Jackson in talking about the role of intuition in ChoiceMap.\u003c/p>\n\u003cp>“Intuition is this soft murky feeling that’s not super clear,” she says. “Being able to break down the different factors and being able to see them visually really helps with that process of making what’s implicit very explicit. We always hear, you know, ‘Act on your gut,’ but it’s not always easy to do.”\u003c/p>\n\u003cp>\u003cstrong>24/7 Synesthete\u003c/strong>\u003c/p>\n\u003cp>Audiovisual app designer Abtahi, who created her app prototype to mimic what she sees as a “superpower,” is certainly not alone in her envy. But the non-synesthete app user, while enjoying audiovisual experiences, making informed decisions, and improving memory and IQ, would do well to remember that synesthesia can be more challenging than these apps let on, Jackson says.\u003c/p>\n\u003cp>“After spending a majority of my life wondering why other people don’t think the way that I think, it’s nice to hear people say something positive,” he says of the starry-eyed language that often surrounds technologies that mimic synesthesia.\u003c/p>\n\u003cp>But, Jackson says, it can also be “so grating” because that perspective glosses over how complicated life is for people with synesthesia.\u003c/p>\n\u003cp>“It is easier for me to visualize complex concepts than it is for most people,” he acknowledges. “I can see how if you couldn’t do that it would be compelling. But if you’re having a conversation with people and all these things are exploding into your thoughts and you don’t have control over it—like, I’m just trying to drink a beer and talk about the Seahawks. It doesn’t always feel advantageous.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>After adventures that brought her from China to Spain and back, Alissa Greenberg has finally settled in the Bay Area, where she writes about culture, community, weird science, and hidden histories. She is currently at work on a book about millennials on the Trans-Mongolian railroad.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "6 Technology Trends That are Changing How We Eat",
"title": "6 Technology Trends That are Changing How We Eat",
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"content": "\u003cp>\u003ca href=\"http://www.cdc.gov/obesity/data/adult.html\">More than one-third\u003c/a> of U.S. adults are obese, according to the CDC, but \u003ca href=\"http://www.washingtonpost.com/news/to-your-health/wp/2014/06/23/your-doctor-says-he-doesnt-know-enough-about-nutrition-or-exercise/\">polls have shown\u003c/a> that most doctors do not educate their patients about nutrition.\u003c/p>\n\u003cp>In fact, the number of hours that future physicians spend in medical school learning about healthy eating \u003ca href=\"http://www.washingtonpost.com/news/to-your-health/wp/2014/06/23/your-doctor-says-he-doesnt-know-enough-about-nutrition-or-exercise/\">has declined\u003c/a> in recent years.\u003c/p>\n\u003cp>[contextly_sidebar id=\"lYKnFUC6j9PqXbHNDEppHhRLmfTERRwq\"]But now, more resources are available than ever before to help people choose healthier, and affordable, food options. A small but growing group of food-technology startups are tackling the obesity epidemic by leveraging widely-available tools, like smartphones. Their products include mobile apps to connect users to virtual nutritionists, and devices that screen food for known allergens.\u003c/p>\n\u003cp>Many of these startups are developing food products, too -- hiring biomedical researchers and chefs to come up with vegan, eco-friendly alternatives to traditional foods.\u003c/p>\n\u003cp>\"More conscientious eating -- meaning organic, sustainable and healthy food -- is a huge trend, much bigger than many people realize,\" said Ali Partovi, an investor in food companies. He says 91 percent of Walmart shoppers \u003ca href=\"http://www.cnbc.com/id/101569379\">said in a 2014 survey\u003c/a> that they would consider buying affordable organic food.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Here are some of the most intriguing technologies that are -- or soon could be -- changing how we eat:\u003c/p>\n\u003ch3>What's in your food?\u003c/h3>\n\u003cp>\u003cem>Companies to watch: \u003ca href=\"http://6sensorlabs.com/#about\">6SensorLabs\u003c/a> (for people with gluten intolerance), \u003ca href=\"https://www.consumerphysics.com/myscio/\">SCiO\u003c/a>, \u003ca href=\"http://tellspec.com/\">Tellspec\u003c/a> \u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_49325\" class=\"wp-caption alignright\" style=\"max-width: 438px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/nima2.jpg\">\u003cimg class=\" wp-image-49325\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/nima2-800x600.jpg\" alt=\"The Nima device hunts for traces of gluten in food. \" width=\"438\" height=\"329\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/nima2-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/nima2-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/nima2-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/nima2-1920x1440.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/nima2-960x720.jpg 960w\" sizes=\"(max-width: 438px) 100vw, 438px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Nima device hunts for traces of gluten in food. \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Many of us will purchase food from the grocery store without stopping to think about its ingredients. For those health-conscious shoppers who do check labels, it can be time-consuming or confusing to sort through the mass of information.\u003c/p>\n\u003cp>A handful of device makers are developing sophisticated sensors to analyze what's in your food. San Francisco-based 6SensorLabs hopes to bring to market a portable allergic sensor, which can detect the presence of gluten. This is designed to benefit millions of people with gluten intolerance or the more serious Celiac disease.\u003c/p>\n\u003cp>A company called TellSpec claims to have unique technology that can determine exactly what's in your food, including allergens, chemicals and calories. It remains to be seen whether TellSpec can deliver on its goals (\u003ca href=\"http://pando.com/2014/10/20/tellspecs-recent-pr-offensive-only-highlights-just-how-great-a-scam-it-really-was/\">more on that in this \u003cem>PandoDaily\u003c/em> article\u003c/a>), but it isn't the only horse in the race. SCiO, a similar company based in Israel, also raised crowdfunding dollars last year.\u003c/p>\n\u003ch3>Boosting Your Food Knowledge\u003c/h3>\n\u003cp>\u003cem>Companies to watch: \u003ca href=\"http://www.healthiq.com/\">Health IQ\u003c/a>, \u003ca href=\"http://www.fooducate.com/\">Fooducate\u003c/a>, \u003ca href=\"https://itunes.apple.com/us/app/humane-eating-project/id870798612?mt=8\">Humane Eating Project\u003c/a> (for animal lovers), \u003ca href=\"https://www.rise.us/\">Rise\u003c/a> (virtual health coaching). \u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_4058\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Screen-Shot-2015-06-09-at-2.57.31-PM.png\">\u003cimg class=\" wp-image-4058\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Screen-Shot-2015-06-09-at-2.57.31-PM.png\" alt=\"The Fooducate app gives a detailed breakdown of food products. (Christina Farr/KQED)\" width=\"400\" height=\"392\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/Screen-Shot-2015-06-09-at-2.57.31-PM.png 730w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Screen-Shot-2015-06-09-at-2.57.31-PM-400x392.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Screen-Shot-2015-06-09-at-2.57.31-PM-613x600.png 613w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Screen-Shot-2015-06-09-at-2.57.31-PM-32x32.png 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Screen-Shot-2015-06-09-at-2.57.31-PM-64x64.png 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Screen-Shot-2015-06-09-at-2.57.31-PM-75x75.png 75w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Fooducate app gives a detailed breakdown of food products. (Christina Farr/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>It seems like every week, we see headlines declaring that a food group causes cancer or prevents it. Then there are the controversies, as over coffee and red wine. Who has time to sort through this onslaught of information?\u003c/p>\n\u003cp>A new group of mobile apps are doing the tough job of sorting through all that data and presenting it in an accessible way.\u003c/p>\n\u003cp>Shoppers can use Fooducate at the grocery store to scan any item for a \"grade\" from D to A, a breakdown of the ingredients, a calorie count, and a list of healthier alternatives.\u003c/p>\n\u003cp>People who want to test their health knowledge can give Health IQ a shot. Download the app to dive into a massive store of 10,000 medical questions on hundreds of topics, such as food allergies, childhood health, and portion control.\u003c/p>\n\u003cp>A personal favorite of mine is Rise, an app that connects you to a virtual nutritionist. I track all my food consumption daily and receive helpful tips and suggestions. The only downside is that you need to be comfortable photographing all your food.\u003c/p>\n\u003ch3>New Food Products\u003c/h3>\n\u003cp>\u003cem>Companies to watch: \u003ca href=\"http://bittyfoods.com/\">Bitty Foods\u003c/a> (cricket-based flour), \u003ca href=\"http://www.hamptoncreek.com/\">Hampton Creek \u003c/a>(vegan products), \u003ca href=\"http://www.clarafoods.com/\">Clara Foods\u003c/a> (egg-free egg whites), \u003ca href=\"https://www.soylent.com/\">Soylent \u003c/a>(liquid meal replacement) \u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_4088\" class=\"wp-caption alignright\" style=\"max-width: 822px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/PsBj3aSAhMxG761NwmVifq_gKYNZ0q_XsvdR6aSO9d8.png\">\u003cimg class=\"size-full wp-image-4088\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/PsBj3aSAhMxG761NwmVifq_gKYNZ0q_XsvdR6aSO9d8.png\" alt=\"Hampton Creek makes vegan cookie dough, among other products. (Hampton Creek) \" width=\"822\" height=\"768\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/PsBj3aSAhMxG761NwmVifq_gKYNZ0q_XsvdR6aSO9d8.png 822w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/PsBj3aSAhMxG761NwmVifq_gKYNZ0q_XsvdR6aSO9d8-400x374.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/PsBj3aSAhMxG761NwmVifq_gKYNZ0q_XsvdR6aSO9d8-642x600.png 642w\" sizes=\"(max-width: 822px) 100vw, 822px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Hampton Creek makes vegan cookie dough, among other products. (Hampton Creek)\u003c/figcaption>\u003c/figure>\n\u003cp>In Silicon Valley, entrepreneurs are making big bets on food science, and experimenting with healthier and more inexpensive methods.\u003c/p>\n\u003cp>Some of these companies are developing alternatives to animal products, like Hampton Creek and Clara Foods. Both these companies have substituted other products for eggs, as they're high in cholesterol and fat. Meanwhile, other companies are going one step further to create highly nutritious, if bland-tasting, liquid meal replacement products for busy tech workers who don't have time to eat.\u003c/p>\n\u003cp>One group is even finding new ways to cook your favorite foods with edible insects. It may take a strong stomach to try it, but \u003ca href=\"http://www.nytimes.com/2014/08/03/business/jiminy-cricket-bugs-could-be-next-food-craze.html\">cricket flour in particular is increasingly popular.\u003c/a> It's both gluten-free and high in protein. Bitty Foods is banking on a growing demand for cricket flour, which can replace wheat flour in everything from pasta to cakes.\u003c/p>\n\u003ch3>Helping You Cook\u003c/h3>\n\u003cp>\u003cem>Companies to watch: \u003ca href=\"https://juneoven.com/\">June\u003c/a>, \u003ca href=\"http://www.nomiku.com/\">Nomiku\u003c/a> (\"smart\" sous vide),\u003ca href=\"http://picobrew.com/\"> Picobrew\u003c/a> (connected beer brewing) \u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_4091\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"wp-image-4091\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/giE_fCfELj4xt7sE1-y1JoE6-0WokDCGDxsxZStaxnA-798x600.jpg\" alt=\"giE_fCfELj4xt7sE1-y1JoE6-0WokDCGDxsxZStaxnA\" width=\"400\" height=\"301\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/giE_fCfELj4xt7sE1-y1JoE6-0WokDCGDxsxZStaxnA-798x600.jpg 798w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/giE_fCfELj4xt7sE1-y1JoE6-0WokDCGDxsxZStaxnA-400x301.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/giE_fCfELj4xt7sE1-y1JoE6-0WokDCGDxsxZStaxnA-960x721.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/giE_fCfELj4xt7sE1-y1JoE6-0WokDCGDxsxZStaxnA.jpg 1022w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003cfigcaption class=\"wp-caption-text\">Meet June, a new \"smart\" countertop oven\u003c/figcaption>\u003c/figure>\n\u003cp>For those who want to lose weight, one of the oldest tricks in the book is to cook more meals at home. When we cook, we think more about the ingredients and monitor how much oil, salt and sweeteners we're using.\u003c/p>\n\u003cp>But many people consider cooking to be a major time investment. Silicon Valley's solution? \"Smart\" appliances like Nomiku, a Wi-Fi connected, sous-vide and June, a new countertop oven, are taking much of the pain out of food preparation. Among other things, June notifies you via an SMS message when your steak is cooked to perfection and you can monitor your food via a live video stream.\u003c/p>\n\u003cp>Sous-vide is a method of cooking food in a vacuum-sealed bag in temperature-controlled water -- it takes a long time, but many chefs say it's worth it. Nomiku's design is Internet-connected, but it's also smaller and easier to use than most of the sous-vides in the market today.\u003c/p>\n\u003cp>As June's founders \u003cspan class=\"s1\">Matt Van Horn and Nikhil Bhogal put it: \u003c/span> \"There hasn't been much innovation in the kitchen since the microwave.\" But that's all beginning to change.\u003c/p>\n\u003ch3>Food Delivery\u003c/h3>\n\u003cp>\u003cem>Companies to watch: \u003ca href=\"https://www.thistle.co/\">Thistle\u003c/a>, \u003ca href=\"https://www.sprig.com/#/\">Sprig\u003c/a>, \u003ca href=\"http://www.goodeggs.com\">GoodEggs\u003c/a>, \u003ca href=\"http://www.farmigo.com/\">Farmigo\u003c/a>\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_4094\" class=\"wp-caption alignright\" style=\"max-width: 401px\">\u003cimg class=\" wp-image-4094\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/delfina-800x533.jpg\" alt=\"Using the Postmates app, you can order food from your favorite restaurants \" width=\"401\" height=\"268\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/delfina-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/delfina-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/delfina-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/delfina-960x640.jpg 960w\" sizes=\"(max-width: 401px) 100vw, 401px\">\u003cfigcaption class=\"wp-caption-text\">Using the Postmates app, you can order food from your favorite restaurants \u003ccite>(Delfina / Postmates )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There has been a veritable explosion of food delivery apps in recent years. If you believe the headlines, \u003ca href=\"http://www.eater.com/2015/3/18/8227077/food-delivery-apps-san-francisco-tech\">these apps have taken over\u003c/a> San Francisco.\u003c/p>\n\u003cp>I find it useful to sort these apps into three distinct categories: apps and websites that deliver food from your favorite restaurants (\u003ca href=\"https://labs.grubhub.com/\">Grubhub\u003c/a>, \u003ca href=\"https://postmates.com/\">Postmates\u003c/a>, \u003ca href=\"https://www.trycaviar.com/san-francisco?gclid=CjwKEAjwndqrBRC16IyeqPicp3ASJAB-vB-cH7audcgBjGw8f4lgDPGFs14EZ7xEim2GF4iONuDFnBoC9hPw_wcB&mkwid=ssXOErk9Y&pcrid=58037924216&pdv=c&pkw=caviar&pmt=e&utm_campaign=brand&utm_content=58037924216&utm_matchtype=e&utm_medium=search&utm_mobile=n&utm_network=g&utm_placement=&utm_source=adw&utm_term=caviar\">Caviar\u003c/a> and others); services that deliver healthy meals (Thistle, \u003ca href=\"https://www.munchery.com\">Munchery\u003c/a>, Sprig); websites that let you order farm-fresh food on a one-off or regular basis. (GoodEggs).\u003c/p>\n\u003cp>But the jury is still out on whether these services are helping San Franciscans get healthy. Many of the apps focus on convenience and accessibility, rather than high-quality ingredients. The founders of on-demand food startup \u003ca href=\"https://www.spoonrocket.com\">Spoonrocket\u003c/a>, for instance, \u003ca href=\"http://www.eater.com/2015/3/18/8227077/food-delivery-apps-san-francisco-tech\">reportedly set out\u003c/a> to answer the question: \"Why can't you press a button and get food?\"\u003c/p>\n\u003cp>That said, a minority of these companies are prioritizing health, even if it means charging higher prices than their competitors.\u003c/p>\n\u003ch3>Food and farming processes\u003c/h3>\n\u003cp>\u003cem>Companies to watch: \u003ca href=\"http://brightfarms.com/s/\">Bright Farms\u003c/a>, \u003ca href=\"http://www.bluerivert.com/\">Blue River\u003c/a>, \u003ca href=\"http://diagenetix.com/\">Diagenetix\u003c/a>, \u003ca href=\"http://www.agbot.org/\">Agbot\u003c/a> (agricultural robot), \u003ca href=\"http://diydrones.com/\">DIY Drones\u003c/a> \u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_4095\" class=\"wp-caption alignright\" style=\"max-width: 864px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/farming.jpg\">\u003cimg class=\"size-full wp-image-4095\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/farming.jpg\" alt=\"Drones can be used in the field to optimize growing conditions for your food. (Koshy Koshy/Flickr)\" width=\"864\" height=\"648\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/farming.jpg 864w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/farming-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/farming-800x600.jpg 800w\" sizes=\"(max-width: 864px) 100vw, 864px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Drones can be used in the field to optimize growing conditions for your food. (Koshy Koshy/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Farmers and ranchers are using a variety of new software and hardware to regulate the use of water, fertilizer and chemicals on their fields.\u003c/p>\n\u003cp>Companies like \u003ca href=\"http://www.climate.com/\">Climate Corp\u003c/a>\u003cstrong> \u003c/strong>(acquired by Monsanto in 2013) are analyzing a vast trove of data to help farmers cope with fluctuations in the weather and optimize their yields.\u003c/p>\n\u003cp>In the near future, farmers will routinely use agricultural drones to optimize growing conditions, said Austin Kiessig, a vice president at Equilibrium Capital and a food technology expert.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"Sensors and bio-amendments are also being used to increase the health of the soil, which can change the chemical and nutritional makeup of your food,\" Kiessig added. \"Even the technology used in seeds and plant breeding is advancing rapidly.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"http://www.cdc.gov/obesity/data/adult.html\">More than one-third\u003c/a> of U.S. adults are obese, according to the CDC, but \u003ca href=\"http://www.washingtonpost.com/news/to-your-health/wp/2014/06/23/your-doctor-says-he-doesnt-know-enough-about-nutrition-or-exercise/\">polls have shown\u003c/a> that most doctors do not educate their patients about nutrition.\u003c/p>\n\u003cp>In fact, the number of hours that future physicians spend in medical school learning about healthy eating \u003ca href=\"http://www.washingtonpost.com/news/to-your-health/wp/2014/06/23/your-doctor-says-he-doesnt-know-enough-about-nutrition-or-exercise/\">has declined\u003c/a> in recent years.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>But now, more resources are available than ever before to help people choose healthier, and affordable, food options. A small but growing group of food-technology startups are tackling the obesity epidemic by leveraging widely-available tools, like smartphones. Their products include mobile apps to connect users to virtual nutritionists, and devices that screen food for known allergens.\u003c/p>\n\u003cp>Many of these startups are developing food products, too -- hiring biomedical researchers and chefs to come up with vegan, eco-friendly alternatives to traditional foods.\u003c/p>\n\u003cp>\"More conscientious eating -- meaning organic, sustainable and healthy food -- is a huge trend, much bigger than many people realize,\" said Ali Partovi, an investor in food companies. He says 91 percent of Walmart shoppers \u003ca href=\"http://www.cnbc.com/id/101569379\">said in a 2014 survey\u003c/a> that they would consider buying affordable organic food.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Here are some of the most intriguing technologies that are -- or soon could be -- changing how we eat:\u003c/p>\n\u003ch3>What's in your food?\u003c/h3>\n\u003cp>\u003cem>Companies to watch: \u003ca href=\"http://6sensorlabs.com/#about\">6SensorLabs\u003c/a> (for people with gluten intolerance), \u003ca href=\"https://www.consumerphysics.com/myscio/\">SCiO\u003c/a>, \u003ca href=\"http://tellspec.com/\">Tellspec\u003c/a> \u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_49325\" class=\"wp-caption alignright\" style=\"max-width: 438px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/nima2.jpg\">\u003cimg class=\" wp-image-49325\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/nima2-800x600.jpg\" alt=\"The Nima device hunts for traces of gluten in food. \" width=\"438\" height=\"329\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/nima2-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/nima2-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/nima2-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/nima2-1920x1440.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/nima2-960x720.jpg 960w\" sizes=\"(max-width: 438px) 100vw, 438px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Nima device hunts for traces of gluten in food. \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Many of us will purchase food from the grocery store without stopping to think about its ingredients. For those health-conscious shoppers who do check labels, it can be time-consuming or confusing to sort through the mass of information.\u003c/p>\n\u003cp>A handful of device makers are developing sophisticated sensors to analyze what's in your food. San Francisco-based 6SensorLabs hopes to bring to market a portable allergic sensor, which can detect the presence of gluten. This is designed to benefit millions of people with gluten intolerance or the more serious Celiac disease.\u003c/p>\n\u003cp>A company called TellSpec claims to have unique technology that can determine exactly what's in your food, including allergens, chemicals and calories. It remains to be seen whether TellSpec can deliver on its goals (\u003ca href=\"http://pando.com/2014/10/20/tellspecs-recent-pr-offensive-only-highlights-just-how-great-a-scam-it-really-was/\">more on that in this \u003cem>PandoDaily\u003c/em> article\u003c/a>), but it isn't the only horse in the race. SCiO, a similar company based in Israel, also raised crowdfunding dollars last year.\u003c/p>\n\u003ch3>Boosting Your Food Knowledge\u003c/h3>\n\u003cp>\u003cem>Companies to watch: \u003ca href=\"http://www.healthiq.com/\">Health IQ\u003c/a>, \u003ca href=\"http://www.fooducate.com/\">Fooducate\u003c/a>, \u003ca href=\"https://itunes.apple.com/us/app/humane-eating-project/id870798612?mt=8\">Humane Eating Project\u003c/a> (for animal lovers), \u003ca href=\"https://www.rise.us/\">Rise\u003c/a> (virtual health coaching). \u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_4058\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Screen-Shot-2015-06-09-at-2.57.31-PM.png\">\u003cimg class=\" wp-image-4058\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Screen-Shot-2015-06-09-at-2.57.31-PM.png\" alt=\"The Fooducate app gives a detailed breakdown of food products. (Christina Farr/KQED)\" width=\"400\" height=\"392\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/Screen-Shot-2015-06-09-at-2.57.31-PM.png 730w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Screen-Shot-2015-06-09-at-2.57.31-PM-400x392.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Screen-Shot-2015-06-09-at-2.57.31-PM-613x600.png 613w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Screen-Shot-2015-06-09-at-2.57.31-PM-32x32.png 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Screen-Shot-2015-06-09-at-2.57.31-PM-64x64.png 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Screen-Shot-2015-06-09-at-2.57.31-PM-75x75.png 75w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Fooducate app gives a detailed breakdown of food products. (Christina Farr/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>It seems like every week, we see headlines declaring that a food group causes cancer or prevents it. Then there are the controversies, as over coffee and red wine. Who has time to sort through this onslaught of information?\u003c/p>\n\u003cp>A new group of mobile apps are doing the tough job of sorting through all that data and presenting it in an accessible way.\u003c/p>\n\u003cp>Shoppers can use Fooducate at the grocery store to scan any item for a \"grade\" from D to A, a breakdown of the ingredients, a calorie count, and a list of healthier alternatives.\u003c/p>\n\u003cp>People who want to test their health knowledge can give Health IQ a shot. Download the app to dive into a massive store of 10,000 medical questions on hundreds of topics, such as food allergies, childhood health, and portion control.\u003c/p>\n\u003cp>A personal favorite of mine is Rise, an app that connects you to a virtual nutritionist. I track all my food consumption daily and receive helpful tips and suggestions. The only downside is that you need to be comfortable photographing all your food.\u003c/p>\n\u003ch3>New Food Products\u003c/h3>\n\u003cp>\u003cem>Companies to watch: \u003ca href=\"http://bittyfoods.com/\">Bitty Foods\u003c/a> (cricket-based flour), \u003ca href=\"http://www.hamptoncreek.com/\">Hampton Creek \u003c/a>(vegan products), \u003ca href=\"http://www.clarafoods.com/\">Clara Foods\u003c/a> (egg-free egg whites), \u003ca href=\"https://www.soylent.com/\">Soylent \u003c/a>(liquid meal replacement) \u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_4088\" class=\"wp-caption alignright\" style=\"max-width: 822px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/PsBj3aSAhMxG761NwmVifq_gKYNZ0q_XsvdR6aSO9d8.png\">\u003cimg class=\"size-full wp-image-4088\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/PsBj3aSAhMxG761NwmVifq_gKYNZ0q_XsvdR6aSO9d8.png\" alt=\"Hampton Creek makes vegan cookie dough, among other products. (Hampton Creek) \" width=\"822\" height=\"768\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/PsBj3aSAhMxG761NwmVifq_gKYNZ0q_XsvdR6aSO9d8.png 822w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/PsBj3aSAhMxG761NwmVifq_gKYNZ0q_XsvdR6aSO9d8-400x374.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/PsBj3aSAhMxG761NwmVifq_gKYNZ0q_XsvdR6aSO9d8-642x600.png 642w\" sizes=\"(max-width: 822px) 100vw, 822px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Hampton Creek makes vegan cookie dough, among other products. (Hampton Creek)\u003c/figcaption>\u003c/figure>\n\u003cp>In Silicon Valley, entrepreneurs are making big bets on food science, and experimenting with healthier and more inexpensive methods.\u003c/p>\n\u003cp>Some of these companies are developing alternatives to animal products, like Hampton Creek and Clara Foods. Both these companies have substituted other products for eggs, as they're high in cholesterol and fat. Meanwhile, other companies are going one step further to create highly nutritious, if bland-tasting, liquid meal replacement products for busy tech workers who don't have time to eat.\u003c/p>\n\u003cp>One group is even finding new ways to cook your favorite foods with edible insects. It may take a strong stomach to try it, but \u003ca href=\"http://www.nytimes.com/2014/08/03/business/jiminy-cricket-bugs-could-be-next-food-craze.html\">cricket flour in particular is increasingly popular.\u003c/a> It's both gluten-free and high in protein. Bitty Foods is banking on a growing demand for cricket flour, which can replace wheat flour in everything from pasta to cakes.\u003c/p>\n\u003ch3>Helping You Cook\u003c/h3>\n\u003cp>\u003cem>Companies to watch: \u003ca href=\"https://juneoven.com/\">June\u003c/a>, \u003ca href=\"http://www.nomiku.com/\">Nomiku\u003c/a> (\"smart\" sous vide),\u003ca href=\"http://picobrew.com/\"> Picobrew\u003c/a> (connected beer brewing) \u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_4091\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"wp-image-4091\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/giE_fCfELj4xt7sE1-y1JoE6-0WokDCGDxsxZStaxnA-798x600.jpg\" alt=\"giE_fCfELj4xt7sE1-y1JoE6-0WokDCGDxsxZStaxnA\" width=\"400\" height=\"301\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/giE_fCfELj4xt7sE1-y1JoE6-0WokDCGDxsxZStaxnA-798x600.jpg 798w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/giE_fCfELj4xt7sE1-y1JoE6-0WokDCGDxsxZStaxnA-400x301.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/giE_fCfELj4xt7sE1-y1JoE6-0WokDCGDxsxZStaxnA-960x721.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/giE_fCfELj4xt7sE1-y1JoE6-0WokDCGDxsxZStaxnA.jpg 1022w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003cfigcaption class=\"wp-caption-text\">Meet June, a new \"smart\" countertop oven\u003c/figcaption>\u003c/figure>\n\u003cp>For those who want to lose weight, one of the oldest tricks in the book is to cook more meals at home. When we cook, we think more about the ingredients and monitor how much oil, salt and sweeteners we're using.\u003c/p>\n\u003cp>But many people consider cooking to be a major time investment. Silicon Valley's solution? \"Smart\" appliances like Nomiku, a Wi-Fi connected, sous-vide and June, a new countertop oven, are taking much of the pain out of food preparation. Among other things, June notifies you via an SMS message when your steak is cooked to perfection and you can monitor your food via a live video stream.\u003c/p>\n\u003cp>Sous-vide is a method of cooking food in a vacuum-sealed bag in temperature-controlled water -- it takes a long time, but many chefs say it's worth it. Nomiku's design is Internet-connected, but it's also smaller and easier to use than most of the sous-vides in the market today.\u003c/p>\n\u003cp>As June's founders \u003cspan class=\"s1\">Matt Van Horn and Nikhil Bhogal put it: \u003c/span> \"There hasn't been much innovation in the kitchen since the microwave.\" But that's all beginning to change.\u003c/p>\n\u003ch3>Food Delivery\u003c/h3>\n\u003cp>\u003cem>Companies to watch: \u003ca href=\"https://www.thistle.co/\">Thistle\u003c/a>, \u003ca href=\"https://www.sprig.com/#/\">Sprig\u003c/a>, \u003ca href=\"http://www.goodeggs.com\">GoodEggs\u003c/a>, \u003ca href=\"http://www.farmigo.com/\">Farmigo\u003c/a>\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_4094\" class=\"wp-caption alignright\" style=\"max-width: 401px\">\u003cimg class=\" wp-image-4094\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/delfina-800x533.jpg\" alt=\"Using the Postmates app, you can order food from your favorite restaurants \" width=\"401\" height=\"268\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/delfina-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/delfina-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/delfina-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/delfina-960x640.jpg 960w\" sizes=\"(max-width: 401px) 100vw, 401px\">\u003cfigcaption class=\"wp-caption-text\">Using the Postmates app, you can order food from your favorite restaurants \u003ccite>(Delfina / Postmates )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There has been a veritable explosion of food delivery apps in recent years. If you believe the headlines, \u003ca href=\"http://www.eater.com/2015/3/18/8227077/food-delivery-apps-san-francisco-tech\">these apps have taken over\u003c/a> San Francisco.\u003c/p>\n\u003cp>I find it useful to sort these apps into three distinct categories: apps and websites that deliver food from your favorite restaurants (\u003ca href=\"https://labs.grubhub.com/\">Grubhub\u003c/a>, \u003ca href=\"https://postmates.com/\">Postmates\u003c/a>, \u003ca href=\"https://www.trycaviar.com/san-francisco?gclid=CjwKEAjwndqrBRC16IyeqPicp3ASJAB-vB-cH7audcgBjGw8f4lgDPGFs14EZ7xEim2GF4iONuDFnBoC9hPw_wcB&mkwid=ssXOErk9Y&pcrid=58037924216&pdv=c&pkw=caviar&pmt=e&utm_campaign=brand&utm_content=58037924216&utm_matchtype=e&utm_medium=search&utm_mobile=n&utm_network=g&utm_placement=&utm_source=adw&utm_term=caviar\">Caviar\u003c/a> and others); services that deliver healthy meals (Thistle, \u003ca href=\"https://www.munchery.com\">Munchery\u003c/a>, Sprig); websites that let you order farm-fresh food on a one-off or regular basis. (GoodEggs).\u003c/p>\n\u003cp>But the jury is still out on whether these services are helping San Franciscans get healthy. Many of the apps focus on convenience and accessibility, rather than high-quality ingredients. The founders of on-demand food startup \u003ca href=\"https://www.spoonrocket.com\">Spoonrocket\u003c/a>, for instance, \u003ca href=\"http://www.eater.com/2015/3/18/8227077/food-delivery-apps-san-francisco-tech\">reportedly set out\u003c/a> to answer the question: \"Why can't you press a button and get food?\"\u003c/p>\n\u003cp>That said, a minority of these companies are prioritizing health, even if it means charging higher prices than their competitors.\u003c/p>\n\u003ch3>Food and farming processes\u003c/h3>\n\u003cp>\u003cem>Companies to watch: \u003ca href=\"http://brightfarms.com/s/\">Bright Farms\u003c/a>, \u003ca href=\"http://www.bluerivert.com/\">Blue River\u003c/a>, \u003ca href=\"http://diagenetix.com/\">Diagenetix\u003c/a>, \u003ca href=\"http://www.agbot.org/\">Agbot\u003c/a> (agricultural robot), \u003ca href=\"http://diydrones.com/\">DIY Drones\u003c/a> \u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_4095\" class=\"wp-caption alignright\" style=\"max-width: 864px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/farming.jpg\">\u003cimg class=\"size-full wp-image-4095\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/farming.jpg\" alt=\"Drones can be used in the field to optimize growing conditions for your food. (Koshy Koshy/Flickr)\" width=\"864\" height=\"648\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/farming.jpg 864w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/farming-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/farming-800x600.jpg 800w\" sizes=\"(max-width: 864px) 100vw, 864px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Drones can be used in the field to optimize growing conditions for your food. (Koshy Koshy/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Farmers and ranchers are using a variety of new software and hardware to regulate the use of water, fertilizer and chemicals on their fields.\u003c/p>\n\u003cp>Companies like \u003ca href=\"http://www.climate.com/\">Climate Corp\u003c/a>\u003cstrong> \u003c/strong>(acquired by Monsanto in 2013) are analyzing a vast trove of data to help farmers cope with fluctuations in the weather and optimize their yields.\u003c/p>\n\u003cp>In the near future, farmers will routinely use agricultural drones to optimize growing conditions, said Austin Kiessig, a vice president at Equilibrium Capital and a food technology expert.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>In the privacy of a doctor's office, a patient can ask any question and have it be covered under doctor-patient confidentiality. But what happens when patients want to search possible symptoms of a disease or ailment online?\u003c/p>\n\u003cp>It's common to search for treatments for a migraine or stomach pain on WebMD, or a flu strain on the Centers for Disease Control and Prevention website. But there's no way to know who else may be privy to that search information. So where do the data go when a patient presses enter?\u003c/p>\n\u003cp>That's what Tim Libert, a doctoral student at the University of Pennsylvania, wanted to know. He has been \u003ca href=\"https://timlibert.me/pdf/Libert-2015-Health_Privacy_on_Web.pdf\">researching what happens with information\u003c/a> that people search online and spoke with NPR's Robert Siegel about the privacy implications.\u003c/p>\n\u003chr>\n\u003ch3>\u003cstrong>Interview Highlights\u003c/strong>\u003c/h3>\n\u003cp>\u003cstrong>On what happens when someone searches a health issue\u003c/strong>\u003c/p>\n\u003cp>I took a list of 2,000 common disease names — I mean everything from migraines to breast cancer. I ran those through a search engine and I found about 80,000 pages that were related to those terms. I looked at those pages and I found about 90 percent of those, when you load the page on your computer, it tells hidden parties the address of the page you're looking at. In cases where that address has the name of the disease or something, these hidden parties get to find out what it is you're interested in.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>On who these hidden parties are, and why they're interested\u003c/strong>\u003c/p>\n\u003cp>Most of the times it's advertisers — so these are your marquee names, your Googles and Facebooks. But I also found kind of further down there a fair amount of tracking going on by data brokers. So these are companies like Experian and Acxiom. And their core business model is not advertising per se, but selling information about you to whoever wants to buy it.\u003c/p>\n\u003cp>\u003cstrong>On what they would do with this search information\u003c/strong>\u003c/p>\n\u003cp>There's actually companies that sell lists of people who have different diseases or symptoms. There's been some kind of chilling cases: [There were] companies selling lists of people who had been raped or people who had AIDS. So there's a market for this stuff.\u003c/p>\n\u003cp>\u003cstrong>On the \u003c/strong>\u003cstrong>Health Insurance Portability and Accountability Act of 1996 [HIPAA]\u003c/strong>\u003cstrong> and its relation to online data privacy\u003c/strong>\u003c/p>\n\u003cp>HIPAA's a pretty good law, but HIPAA was made long before the Web was really in everybody's home and very well before smartphones existed.\u003c/p>\n\u003cp>Anything that is happening on the Web today is pretty much completely unregulated. There's really no oversight and there's no real standards either. Companies aren't required to encrypt the information to keep it in a secure place. And we've also been seeing a lot lately that this is of interest to criminals, so there is additional kind of worry that not only is it not protected by HIPAA — it's not really protected at all.\u003c/p>\n\u003chr>\n\u003cp>The CDC pointed us to \u003ca href=\"http://www.cdc.gov/other/privacy.html\">its online privacy policy\u003c/a>, which says the data it sends to Google Analytics, for instance, are anonymized. But Libert says that's \"not nearly sufficient.\" He says that doesn't provide the kind of protection that federal law requires for doctors' visits.\u003c/p>\n\u003cp>In a statement, WebMD says that it \"may collect data about our users' online browsing and use that data to deliver advertisements to our users. WebMD's collection and use of data is described in greater detail in our Privacy Policy. The policy also describes how we protect user information and the choices we offer users for opting out of behavioral advertising by WebMD.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">\u003cem>Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Online+Health+Searches+Aren%27t+Always+Confidential+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/em>\u003c/div>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In the privacy of a doctor's office, a patient can ask any question and have it be covered under doctor-patient confidentiality. But what happens when patients want to search possible symptoms of a disease or ailment online?\u003c/p>\n\u003cp>It's common to search for treatments for a migraine or stomach pain on WebMD, or a flu strain on the Centers for Disease Control and Prevention website. But there's no way to know who else may be privy to that search information. So where do the data go when a patient presses enter?\u003c/p>\n\u003cp>That's what Tim Libert, a doctoral student at the University of Pennsylvania, wanted to know. He has been \u003ca href=\"https://timlibert.me/pdf/Libert-2015-Health_Privacy_on_Web.pdf\">researching what happens with information\u003c/a> that people search online and spoke with NPR's Robert Siegel about the privacy implications.\u003c/p>\n\u003chr>\n\u003ch3>\u003cstrong>Interview Highlights\u003c/strong>\u003c/h3>\n\u003cp>\u003cstrong>On what happens when someone searches a health issue\u003c/strong>\u003c/p>\n\u003cp>I took a list of 2,000 common disease names — I mean everything from migraines to breast cancer. I ran those through a search engine and I found about 80,000 pages that were related to those terms. I looked at those pages and I found about 90 percent of those, when you load the page on your computer, it tells hidden parties the address of the page you're looking at. In cases where that address has the name of the disease or something, these hidden parties get to find out what it is you're interested in.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>On who these hidden parties are, and why they're interested\u003c/strong>\u003c/p>\n\u003cp>Most of the times it's advertisers — so these are your marquee names, your Googles and Facebooks. But I also found kind of further down there a fair amount of tracking going on by data brokers. So these are companies like Experian and Acxiom. And their core business model is not advertising per se, but selling information about you to whoever wants to buy it.\u003c/p>\n\u003cp>\u003cstrong>On what they would do with this search information\u003c/strong>\u003c/p>\n\u003cp>There's actually companies that sell lists of people who have different diseases or symptoms. There's been some kind of chilling cases: [There were] companies selling lists of people who had been raped or people who had AIDS. So there's a market for this stuff.\u003c/p>\n\u003cp>\u003cstrong>On the \u003c/strong>\u003cstrong>Health Insurance Portability and Accountability Act of 1996 [HIPAA]\u003c/strong>\u003cstrong> and its relation to online data privacy\u003c/strong>\u003c/p>\n\u003cp>HIPAA's a pretty good law, but HIPAA was made long before the Web was really in everybody's home and very well before smartphones existed.\u003c/p>\n\u003cp>Anything that is happening on the Web today is pretty much completely unregulated. There's really no oversight and there's no real standards either. Companies aren't required to encrypt the information to keep it in a secure place. And we've also been seeing a lot lately that this is of interest to criminals, so there is additional kind of worry that not only is it not protected by HIPAA — it's not really protected at all.\u003c/p>\n\u003chr>\n\u003cp>The CDC pointed us to \u003ca href=\"http://www.cdc.gov/other/privacy.html\">its online privacy policy\u003c/a>, which says the data it sends to Google Analytics, for instance, are anonymized. But Libert says that's \"not nearly sufficient.\" He says that doesn't provide the kind of protection that federal law requires for doctors' visits.\u003c/p>\n\u003cp>In a statement, WebMD says that it \"may collect data about our users' online browsing and use that data to deliver advertisements to our users. WebMD's collection and use of data is described in greater detail in our Privacy Policy. The policy also describes how we protect user information and the choices we offer users for opting out of behavioral advertising by WebMD.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">\u003cem>Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Online+Health+Searches+Aren%27t+Always+Confidential+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/em>\u003c/div>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Like many health conscious Americans, Dr. Rosalind Picard wears a fitness tracker on her wrist. But hers doesn't just track steps, it has an extra sensor that gathers medical information.\u003c/p>\n\u003cp>Picard hopes the sensor, which measures the skin's electrical response, will soon save lives by predicting major health events such as epileptic seizures. As a leading engineer at the MIT Media Lab, Dr. Picard researches the autonomic nervous system, which includes heart rate, respiration, digestion, perspiration, and the fight-or-flight response.\u003c/p>\n\u003cp>Picard’s smartwatch, developed by her company \u003ca href=\"https://www.empatica.com/about\">Empatica\u003c/a>, records electrodermal (EDA) activity and wirelessly sends the data to a smartphone. The technology isn’t new, versions of the sensors have been used in polygraph tests for decades.\u003c/p>\n\u003cp>But new, highly sensitive sensor technology can now provide a continuous reading on our emotional states, linking the tiniest increase in sweating to psychological or physiological arousal.\u003c/p>\n\u003cp>Picard calls this idea of using tech to help bridge the gap between human emotions and technology, ‘Affective Computing’ and she has been driving this field of study for several years.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>She takes her research personally, and wears her wristband sensor every day. It shows when she’s stressed, and when she’s calm, and yields surprising insights. When Picard compares her data with other researchers wearing the sensor, she notes that her tolerance of stress is higher than average. “We find individual differences in stress points,” Picard explained. “I tend to thrive on thrill-seeking high stress situations, but other people would go nuts with what I do.”\u003c/p>\n\u003cp>\u003cstrong>Using Sensors for Autism\u003c/strong>\u003c/p>\n\u003caside class=\"pullquote alignright\">“If an autistic kid is lying on the floor motionless, but his EDA sensor reads that his signals are through the roof, caregivers can make better decisions about how to respond.\"\u003ccite>Rosalind Picard, founder of the Affective Computing Research Group at the MIT Media Lab \u003c/cite>\u003c/aside>\n\u003cp>The insight Picard has gleaned from electrodermal sensors go far beyond mood tracking. For people with autism, Picard’s lab has shown that the sensors can reveal emotional episodes that they might not be able to express verbally. “A person with autism gets overloaded and they shut down and retreat into their own little world,” she said.\u003c/p>\n\u003cp>Picard explained that autistic responses to difficult situations can seem non-intuitive and sudden to observers and might involve head banging, other self-injury, or catatonic behavior. “In some instances, they are doing this to release a neurotransmitter that can quell the pain.” Picard explains, \"if an autistic kid is lying on the floor motionless, but his EDA sensor reads that his signals are through the roof, caregivers can make better decisions about how to respond.\"\u003c/p>\n\u003cp>\u003cstrong>Predicting Seizures \u003c/strong>\u003c/p>\n\u003cp>Electrodermal sensors also have important implications for youth with epilepsy, which Picard discovered when one of her students placed the sensors on his brother. Twenty minutes before his brother had a \u003ca href=\"http://www.mayoclinic.org/diseases-conditions/grand-mal-seizure/basics/definition/con-20021356\">Grand Mal seizure\u003c/a>, the sensors registered off-the-charts skin conductance.\u003c/p>\n\u003cp>After further study, Picard and her collaborators were able to show in peer-reviewed scientific publications that EDA sensors could provide reliable warning for seizures in some patients.\u003c/p>\n\u003cp>During very serious and possibly life-threatening seizures, respiration can be affected and even stopped. Known as sudden unexpected death in epilepsy (SUDEP), this is a risk especially for children, affecting 3 in 100 epileptics, often during sleep. “That risk is a lot higher than other causes of death. SUDEP kills more people than house fires, more than AIDS, and it is very stigmatized,” said Picard. “But we believe it is preventable in most cases.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Last fall, Picard’s company, Empatica, launched a \u003ca href=\"https://www.indiegogo.com/projects/embrace-a-gorgeous-watch-designed-to-save-lives#/story\">crowdfunding campaign on Indiegogo \u003c/a> and raised over $700,000. The smartwatch, called Embrace, combines technology from fitness trackers with EDA and heart rate sensors to measure stress, epileptic seizures, activity and sleep. The company’s challenge now is to complete the FDA approval process and finish production on the first models that will go to backers of the campaign, many of whom are epileptics.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>She takes her research personally, and wears her wristband sensor every day. It shows when she’s stressed, and when she’s calm, and yields surprising insights. When Picard compares her data with other researchers wearing the sensor, she notes that her tolerance of stress is higher than average. “We find individual differences in stress points,” Picard explained. “I tend to thrive on thrill-seeking high stress situations, but other people would go nuts with what I do.”\u003c/p>\n\u003cp>\u003cstrong>Using Sensors for Autism\u003c/strong>\u003c/p>\n\u003caside class=\"pullquote alignright\">“If an autistic kid is lying on the floor motionless, but his EDA sensor reads that his signals are through the roof, caregivers can make better decisions about how to respond.\"\u003ccite>Rosalind Picard, founder of the Affective Computing Research Group at the MIT Media Lab \u003c/cite>\u003c/aside>\n\u003cp>The insight Picard has gleaned from electrodermal sensors go far beyond mood tracking. For people with autism, Picard’s lab has shown that the sensors can reveal emotional episodes that they might not be able to express verbally. “A person with autism gets overloaded and they shut down and retreat into their own little world,” she said.\u003c/p>\n\u003cp>Picard explained that autistic responses to difficult situations can seem non-intuitive and sudden to observers and might involve head banging, other self-injury, or catatonic behavior. “In some instances, they are doing this to release a neurotransmitter that can quell the pain.” Picard explains, \"if an autistic kid is lying on the floor motionless, but his EDA sensor reads that his signals are through the roof, caregivers can make better decisions about how to respond.\"\u003c/p>\n\u003cp>\u003cstrong>Predicting Seizures \u003c/strong>\u003c/p>\n\u003cp>Electrodermal sensors also have important implications for youth with epilepsy, which Picard discovered when one of her students placed the sensors on his brother. Twenty minutes before his brother had a \u003ca href=\"http://www.mayoclinic.org/diseases-conditions/grand-mal-seizure/basics/definition/con-20021356\">Grand Mal seizure\u003c/a>, the sensors registered off-the-charts skin conductance.\u003c/p>\n\u003cp>After further study, Picard and her collaborators were able to show in peer-reviewed scientific publications that EDA sensors could provide reliable warning for seizures in some patients.\u003c/p>\n\u003cp>During very serious and possibly life-threatening seizures, respiration can be affected and even stopped. Known as sudden unexpected death in epilepsy (SUDEP), this is a risk especially for children, affecting 3 in 100 epileptics, often during sleep. “That risk is a lot higher than other causes of death. SUDEP kills more people than house fires, more than AIDS, and it is very stigmatized,” said Picard. “But we believe it is preventable in most cases.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Last fall, Picard’s company, Empatica, launched a \u003ca href=\"https://www.indiegogo.com/projects/embrace-a-gorgeous-watch-designed-to-save-lives#/story\">crowdfunding campaign on Indiegogo \u003c/a> and raised over $700,000. The smartwatch, called Embrace, combines technology from fitness trackers with EDA and heart rate sensors to measure stress, epileptic seizures, activity and sleep. The company’s challenge now is to complete the FDA approval process and finish production on the first models that will go to backers of the campaign, many of whom are epileptics.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cdiv class=\"page\" title=\"Page 1\">\n\u003cdiv class=\"layoutArea\">\n\u003cdiv class=\"column\">\n\u003cp>\u003cem>Editor's note: This perspective comes from Gabrielle Guthrie. She is co- founder of the women-centered design start up, Moxxly, which is developing the world's first 'smart breast pump'. Gabrielle has a masters in design from Stanford University and lives and works in San Francisco.\u003c/em>\u003c/p>\n\u003cp>Women’s health is often assumed to be similar to men's health. Or not considered at all.\u003c/p>\n\u003cp>That needs to change.\u003c/p>\n\u003cp>In 1956, a clinical trial of the drug Thalidomide ran in the United States involving 875 people. Thalidomide was touted as a wonder drug for insomnia, headaches, and morning sickness. Pregnant women were among the participants. Within five years, Thalidomide \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1849348/\">was pulled from the market\u003c/a> under pressure from the public after it caused malformation of the limbs in 10,000 children and killed an additional 2,000.\u003c/p>\n\u003cp>Following the Thalidomide scare, the industry still considers women to be a higher risk – and therefore a more expensive – participant group. So without requirements in place for industry to include a balanced representation of women, study participants skew heavily male.\u003c/p>\n\u003cp>So now, what is known to be true for men has been assumed to be true for everyone.\u003c/p>\n\u003cp>This assumption is especially dangerous with heart disease, the number one cause of death for women in the United States. Despite its fatality rate – or perhaps because of it - men comprise 76 percent of all heart-related study participants, even after efforts from the FDA Office of Women’s Health has worked to promote gender and racial diversity in the face of industry’s biases toward white, male enrollment in medical studies.\u003c/p>\n\u003cp>\u003cstrong>So What’s the Big Deal?\u003c/strong>\u003c/p>\n\u003cp>The problem occurs when insights from research are applied universally.\u003c/p>\n\u003cp>That left arm tingle we all associate with a classic sign of a heart attack?\u003c/p>\n\u003cp>Turns out that’s actually a classic sign of a heart attack in a man. A woman having a heart attack \u003ca href=\"http://www.npr.org/blogs/health/2015/04/06/397281837/women-having-a-heart-attack-dont-get-treatment-fast-enough\">can present much different symptoms\u003c/a>, such as fatigue, dizziness, or nausea.\u003c/p>\n\u003cp>“Many, many women died because the way we’re taught to recognize a heart attack is based on the symptoms men present,” says Dr. Alicia Carrasco, an internist affiliated with University of California, San Francisco (UCSF) Medical Center.\u003c/p>\n\u003cp>Studies with a gender imbalance can have a double blind affect: Patients may not realize the severity of their symptoms and doctors are more likely to misdiagnose them, with potentially fatal consequences.\u003c/p>\n\u003cp>Heart disease research is not an isolated instance. Non-smoking women for example, are more likely than men to develop lung cancer and we don’t know why. Women are also at a greater risk for depression.\u003c/p>\n\u003cp>Breast cancer research stands as a strong exception to this rule, with $6 billion raised every year. From 2011 to 2013 the National Cancer Institute allocated more than double the amount of funding for breast cancer research than for prostate cancer research, even though one in 31 women will die of breast cancer and one in 38 men will die of prostate cancer.\u003c/p>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cdiv class=\"page\" title=\"Page 2\">\n\u003cdiv class=\"layoutArea\">\n\u003cdiv class=\"column\">\n\u003cp>But as the NFL goes pink for all of October, heart disease continues to kill one in three American women, according to the American Heart Association. In other words women in the U.S. are ten times more likely to die of heart disease than of breast cancer.\u003c/p>\n\u003cp>Yet cardiovascular disease is still considered a man’s disease.\u003c/p>\n\u003cp>\u003cstrong>Can New Digital Health Tools Change the Ratio?\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>This lack of education and understanding of women’s health spreads across the health landscape from research studies to new digital health products.\u003c/p>\n\u003cp>Apple’s \u003ca href=\"http://www.theverge.com/2014/9/25/6844021/apple-promised-an-expansive-health-app-so-why-cant-i-track\">oversight in not including menstruation cycles\u003c/a> in its HealthKit service’s otherwise comprehensive metrics stands as a recent example. Despite the flak it received in the press, the latest software update still doesn’t offer the one health metric many women of childbearing age care most about: Period-tracking.\u003c/p>\n\u003cp>Experts say these types of examples are a frequent oversight, as both the technology and health fields are dominated by men.\u003c/p>\n\u003cp>Which means health issues that affect women are often either overlooked, in the case of HealthKit, or they miss the mark. Most women’s health apps still rely on and reinforce stereotypes of femininity that many women don’t identify with. Yes I’m talking pinks and flowers for everything from period trackers to breastfeeding.\u003c/p>\n\u003cp>“It may not even be a conscious thing. There are just more male doctors,\" said Dr. Carrasco.\u003c/p>\n\u003cp>\"In order for this to change, we need more women in positions of power.\"\u003c/p>\n\u003cp>And engineers, entrepreneurs and venture capitalists.\u003c/p>\n\u003cp>In my opinion, we’re still in the stage of women’s digital health that is operating on stereotypes and assumptions.\u003c/p>\n\u003cp>But digital health offers a new opportunity of understanding beyond the white, male patient.\u003c/p>\n\u003cp>\"We don’t have to rely on scientific studies and pharmaceutical companies to advance female health when we can collect vast quantities of valuable data on our own,” \u003ca href=\"http://pixelhealth.net/author/ida-tin/\">writes Ida Tin\u003c/a>, chief executive of Clue, an app that is focused on fertility.\u003c/p>\n\u003cp>But in order to be successful, women’s digital health products have to be designed for and with women in mind.\u003c/p>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cdiv class=\"page\" title=\"Page 1\">\n\u003cdiv class=\"layoutArea\">\n\u003cdiv class=\"column\">\n\u003cp>\u003cem>Editor's note: This perspective comes from Gabrielle Guthrie. She is co- founder of the women-centered design start up, Moxxly, which is developing the world's first 'smart breast pump'. Gabrielle has a masters in design from Stanford University and lives and works in San Francisco.\u003c/em>\u003c/p>\n\u003cp>Women’s health is often assumed to be similar to men's health. Or not considered at all.\u003c/p>\n\u003cp>That needs to change.\u003c/p>\n\u003cp>In 1956, a clinical trial of the drug Thalidomide ran in the United States involving 875 people. Thalidomide was touted as a wonder drug for insomnia, headaches, and morning sickness. Pregnant women were among the participants. Within five years, Thalidomide \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1849348/\">was pulled from the market\u003c/a> under pressure from the public after it caused malformation of the limbs in 10,000 children and killed an additional 2,000.\u003c/p>\n\u003cp>Following the Thalidomide scare, the industry still considers women to be a higher risk – and therefore a more expensive – participant group. So without requirements in place for industry to include a balanced representation of women, study participants skew heavily male.\u003c/p>\n\u003cp>So now, what is known to be true for men has been assumed to be true for everyone.\u003c/p>\n\u003cp>This assumption is especially dangerous with heart disease, the number one cause of death for women in the United States. Despite its fatality rate – or perhaps because of it - men comprise 76 percent of all heart-related study participants, even after efforts from the FDA Office of Women’s Health has worked to promote gender and racial diversity in the face of industry’s biases toward white, male enrollment in medical studies.\u003c/p>\n\u003cp>\u003cstrong>So What’s the Big Deal?\u003c/strong>\u003c/p>\n\u003cp>The problem occurs when insights from research are applied universally.\u003c/p>\n\u003cp>That left arm tingle we all associate with a classic sign of a heart attack?\u003c/p>\n\u003cp>Turns out that’s actually a classic sign of a heart attack in a man. A woman having a heart attack \u003ca href=\"http://www.npr.org/blogs/health/2015/04/06/397281837/women-having-a-heart-attack-dont-get-treatment-fast-enough\">can present much different symptoms\u003c/a>, such as fatigue, dizziness, or nausea.\u003c/p>\n\u003cp>“Many, many women died because the way we’re taught to recognize a heart attack is based on the symptoms men present,” says Dr. Alicia Carrasco, an internist affiliated with University of California, San Francisco (UCSF) Medical Center.\u003c/p>\n\u003cp>Studies with a gender imbalance can have a double blind affect: Patients may not realize the severity of their symptoms and doctors are more likely to misdiagnose them, with potentially fatal consequences.\u003c/p>\n\u003cp>Heart disease research is not an isolated instance. Non-smoking women for example, are more likely than men to develop lung cancer and we don’t know why. Women are also at a greater risk for depression.\u003c/p>\n\u003cp>Breast cancer research stands as a strong exception to this rule, with $6 billion raised every year. From 2011 to 2013 the National Cancer Institute allocated more than double the amount of funding for breast cancer research than for prostate cancer research, even though one in 31 women will die of breast cancer and one in 38 men will die of prostate cancer.\u003c/p>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cdiv class=\"page\" title=\"Page 2\">\n\u003cdiv class=\"layoutArea\">\n\u003cdiv class=\"column\">\n\u003cp>But as the NFL goes pink for all of October, heart disease continues to kill one in three American women, according to the American Heart Association. In other words women in the U.S. are ten times more likely to die of heart disease than of breast cancer.\u003c/p>\n\u003cp>Yet cardiovascular disease is still considered a man’s disease.\u003c/p>\n\u003cp>\u003cstrong>Can New Digital Health Tools Change the Ratio?\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>This lack of education and understanding of women’s health spreads across the health landscape from research studies to new digital health products.\u003c/p>\n\u003cp>Apple’s \u003ca href=\"http://www.theverge.com/2014/9/25/6844021/apple-promised-an-expansive-health-app-so-why-cant-i-track\">oversight in not including menstruation cycles\u003c/a> in its HealthKit service’s otherwise comprehensive metrics stands as a recent example. Despite the flak it received in the press, the latest software update still doesn’t offer the one health metric many women of childbearing age care most about: Period-tracking.\u003c/p>\n\u003cp>Experts say these types of examples are a frequent oversight, as both the technology and health fields are dominated by men.\u003c/p>\n\u003cp>Which means health issues that affect women are often either overlooked, in the case of HealthKit, or they miss the mark. Most women’s health apps still rely on and reinforce stereotypes of femininity that many women don’t identify with. Yes I’m talking pinks and flowers for everything from period trackers to breastfeeding.\u003c/p>\n\u003cp>“It may not even be a conscious thing. There are just more male doctors,\" said Dr. Carrasco.\u003c/p>\n\u003cp>\"In order for this to change, we need more women in positions of power.\"\u003c/p>\n\u003cp>And engineers, entrepreneurs and venture capitalists.\u003c/p>\n\u003cp>In my opinion, we’re still in the stage of women’s digital health that is operating on stereotypes and assumptions.\u003c/p>\n\u003cp>But digital health offers a new opportunity of understanding beyond the white, male patient.\u003c/p>\n\u003cp>\"We don’t have to rely on scientific studies and pharmaceutical companies to advance female health when we can collect vast quantities of valuable data on our own,” \u003ca href=\"http://pixelhealth.net/author/ida-tin/\">writes Ida Tin\u003c/a>, chief executive of Clue, an app that is focused on fertility.\u003c/p>\n\u003cp>But in order to be successful, women’s digital health products have to be designed for and with women in mind.\u003c/p>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Everyone Should Track Their Blood Sugar -- Not Just People With Diabetes Like Me",
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"content": "\u003cp>\u003cem>This is a perspective from Cyrus Khambatta, a person with Type 1 Diabetes and the founder of \u003ca href=\"http://www.mangomannutrition.com/\">Mangoman Nutrition and Fitness\u003c/a>\u003cbr>\n\u003c/em>\u003c/p>\n\u003cp>Continuous glucose monitoring, which uses tiny sensors under the skin to check blood sugar levels, is going to be a very big deal -- and not just for people with diabetes.\u003c/p>\n\u003cp>I have personal experience with monitoring my glucose levels, having been living with diabetes now for 12 years. The insights that I have gained from understanding my blood glucose patterns 24/7 have been transformative.\u003c/p>\n\u003cp>I've learned how my body responds to various types of food, exercise, stress, viruses, altitude, dehydration and extreme temperatures. And with years of historic data, I can now predict how my blood glucose readings will be in the current moment.\u003c/p>\n\u003cp>Here are the population groups that I believe can benefit most from continuous glucose monitoring, otherwise known as CGM.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>People With Diabetes and Prediabetes\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>Continuous glucose monitoring was originally developed specifically for people with type 1 diabetes, in order to monitor their glucose levels at all times -- not just periodically with a prick of a fingertip.\u003c/p>\n\u003cp>This population is obviously the most in need, given that inadequate production of insulin results in highly variable blood sugar values. Continuous glucose monitors have proven to be extremely useful for this patient population. The technology has given both people with diabetes and their doctors an ability to fine-tune an insulin-dosing strategy to minimize blood sugar fluctuations.\u003c/p>\n\u003cp>Some individuals with type 2 diabetes are given CGMs as well. On occasion, they are used only temporarily in order to gain some immediate insight into daily blood sugar fluctuations. Others use such continuous monitors in the long-term to support a blood glucose management program.\u003c/p>\n\u003cp>But people with diabetes may have some challenges with today's continuous blood sugar monitors.\u003c/p>\n\u003cp>One of the main problems with the current technology is that it is often difficult to obtain, even with comprehensive health insurance. I've heard from people with type 1 diabetes, who have a difficult time getting their hands on a continuous monitor. And many doctors are overburdened with excessive paperwork to request that a patients' insurer cover the cost of a CGM and/or insulin pump.\u003c/p>\n\u003cp>Existing CGMs have come a long way, and now provide wireless blood glucose sensing that can be interpreted on a handheld mobile device.\u003c/p>\n\u003cp>Despite this, many users have told me that the devices feel pseudo-bionic. On one side of their abdomen sits a sensor that reads glucose on five-minute intervals and then transmits that data to a handheld wireless receiver; on the other side sits an insulin pump insertion site that is physically connected to the insulin pump via clear tubing. Many people with Type 1 Diabetes become frustrated with these devices and insertion sites, which adds to the overall strain of living with diabetes.\u003c/p>\n\u003cp>The cost of the device can also be prohibitive for many people with diabetes. Assuming that insurance covers the handheld receiver, each sensor can cost between $10 and $15 after insurance coverage, and last between three and five days. Over the course of a month, this can easily add up to over 100 dollars.\u003c/p>\n\u003cp>Fortunately, companies like \u003ca href=\"Sano.co\">Sano\u003c/a> are paving the way for a more advanced, less invasive technology. All the user has to do is wear a clear adhesive strip (similar to a clear band-aid) and microneedles gain access to interstitial fluid. The strip measures concentrations of various metabolites including glucose, then wirelessly transmits this information to a users' smartphone or smartwatch.\u003c/p>\n\u003cp>In my opinion, this new type of CGM may push existing technology out of the market, because it breaks down many barriers to entry including cost, insurance coverage and the need for an external peripheral device.\u003cbr>\n\u003cstrong> \u003c/strong>\u003cbr>\n\u003cstrong>Recreational and Professional Athletes\u003c/strong>\u003c/p>\n\u003cp>The second population of individuals that I believe will strongly benefit from CGM technology are recreational and professional athletes. Endurance athletes in particular (runners, swimmers, cyclists and triathletes) will benefit most, as the technology provides them with insight into blood glucose patterns they can then use to develop an optimal fueling strategy for long events.\u003c/p>\n\u003cp>One of the main difficulties facing endurance athletics is understanding exactly how much food to eat and at what times to eat. Many athletes spend a significant amount of mental energy optimizing their food intake strategy in order to avoid \"\u003ca href=\"http://www.runnersworld.com/nutrition-runners/science-behind-bonking?page=single\">bonking\"\u003c/a> during a race.\u003c/p>\n\u003cp>Unlike people with diabetes who experience large fluctuations in blood glucose throughout the day, non-diabetic individuals experience small fluctuations. A perfectly functioning pancreas can control blood glucose throughout the day. But for an athlete, understanding how these small changes in blood glucose affect athletic performance is invaluable.\u003c/p>\n\u003cp>Understanding one's current blood glucose value as well as the magnitude and direction of change can make the difference between a good performance and a great performance. Athletes that are privy to this information in real-time can make decisions that can drastically affect their immediate performance and their recovery as well.\u003c/p>\n\u003cp>\u003cstrong>Medical Professionals and Coaches\u003c/strong>\u003c/p>\n\u003cp>The third group of individuals who can leverage continuous blood sugar devices include medical professionals, such as doctors, nurses, hospice care providers, as well as nutritionists, fitness coaches and professional sports coaches.\u003c/p>\n\u003cp>There are many companies currently working on wireless systems to provide doctors with real-time or pseudo-real-time information about the daily glucose patterns of their patients. When given access to this information, a doctor can modify an individual's insulin dosing strategy, exercise regimen or medication strategy more frequently than if they waited for the patient to return for a follow-up visit. In this way, doctors and medical professionals can make faster decisions to benefit their patients rather than having to wait an average of three months between in-person appointments.\u003c/p>\n\u003cp>One of the main complaints that I hear from other people with diabetes is that they don't trust their doctors anymore. The reason for this is simple: In a 15 minute-long appointment, a doctor is generally incapable of analyzing large quantities of blood sugar data in order to make an intelligent and progressive set of decisions to benefit the patient.\u003c/p>\n\u003cp>As a result, many patients with diabetes feel alone and helpless, having to wait multiple months for another anti-climactic appointment. Those that are ambitious will make modifications themselves, or seek advice from other people with diabetes, support groups or nutritionists like myself.\u003c/p>\n\u003cp>In the same way that an athlete can monitor their glucose levels and make adjustments, coaches who understand how to interpret blood glucose patterns can use this information to provide guidance for their athletes.\u003c/p>\n\u003cp>There is no doubt in my mind that the advancement of cost-effective and accurate wearable technology that provides insight into blood sugar levels will pave the way for an entire industry of glucose-related products and services for non-diabetic individuals.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>When this technology is placed in the hands of millions of people across the planet, we will begin to see how valuable this information can be in making real-time decisions about stress, nutrition, sleep, immunity, and athletics.\u003c/p>\n\n",
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"excerpt": "As a person with diabetes, Cyrus Khambatta tracks his blood sugar levels in real-time. He believes that other groups can benefit from this technology, whether it's endurance athletes or doctors.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This is a perspective from Cyrus Khambatta, a person with Type 1 Diabetes and the founder of \u003ca href=\"http://www.mangomannutrition.com/\">Mangoman Nutrition and Fitness\u003c/a>\u003cbr>\n\u003c/em>\u003c/p>\n\u003cp>Continuous glucose monitoring, which uses tiny sensors under the skin to check blood sugar levels, is going to be a very big deal -- and not just for people with diabetes.\u003c/p>\n\u003cp>I have personal experience with monitoring my glucose levels, having been living with diabetes now for 12 years. The insights that I have gained from understanding my blood glucose patterns 24/7 have been transformative.\u003c/p>\n\u003cp>I've learned how my body responds to various types of food, exercise, stress, viruses, altitude, dehydration and extreme temperatures. And with years of historic data, I can now predict how my blood glucose readings will be in the current moment.\u003c/p>\n\u003cp>Here are the population groups that I believe can benefit most from continuous glucose monitoring, otherwise known as CGM.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>People With Diabetes and Prediabetes\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>Continuous glucose monitoring was originally developed specifically for people with type 1 diabetes, in order to monitor their glucose levels at all times -- not just periodically with a prick of a fingertip.\u003c/p>\n\u003cp>This population is obviously the most in need, given that inadequate production of insulin results in highly variable blood sugar values. Continuous glucose monitors have proven to be extremely useful for this patient population. The technology has given both people with diabetes and their doctors an ability to fine-tune an insulin-dosing strategy to minimize blood sugar fluctuations.\u003c/p>\n\u003cp>Some individuals with type 2 diabetes are given CGMs as well. On occasion, they are used only temporarily in order to gain some immediate insight into daily blood sugar fluctuations. Others use such continuous monitors in the long-term to support a blood glucose management program.\u003c/p>\n\u003cp>But people with diabetes may have some challenges with today's continuous blood sugar monitors.\u003c/p>\n\u003cp>One of the main problems with the current technology is that it is often difficult to obtain, even with comprehensive health insurance. I've heard from people with type 1 diabetes, who have a difficult time getting their hands on a continuous monitor. And many doctors are overburdened with excessive paperwork to request that a patients' insurer cover the cost of a CGM and/or insulin pump.\u003c/p>\n\u003cp>Existing CGMs have come a long way, and now provide wireless blood glucose sensing that can be interpreted on a handheld mobile device.\u003c/p>\n\u003cp>Despite this, many users have told me that the devices feel pseudo-bionic. On one side of their abdomen sits a sensor that reads glucose on five-minute intervals and then transmits that data to a handheld wireless receiver; on the other side sits an insulin pump insertion site that is physically connected to the insulin pump via clear tubing. Many people with Type 1 Diabetes become frustrated with these devices and insertion sites, which adds to the overall strain of living with diabetes.\u003c/p>\n\u003cp>The cost of the device can also be prohibitive for many people with diabetes. Assuming that insurance covers the handheld receiver, each sensor can cost between $10 and $15 after insurance coverage, and last between three and five days. Over the course of a month, this can easily add up to over 100 dollars.\u003c/p>\n\u003cp>Fortunately, companies like \u003ca href=\"Sano.co\">Sano\u003c/a> are paving the way for a more advanced, less invasive technology. All the user has to do is wear a clear adhesive strip (similar to a clear band-aid) and microneedles gain access to interstitial fluid. The strip measures concentrations of various metabolites including glucose, then wirelessly transmits this information to a users' smartphone or smartwatch.\u003c/p>\n\u003cp>In my opinion, this new type of CGM may push existing technology out of the market, because it breaks down many barriers to entry including cost, insurance coverage and the need for an external peripheral device.\u003cbr>\n\u003cstrong> \u003c/strong>\u003cbr>\n\u003cstrong>Recreational and Professional Athletes\u003c/strong>\u003c/p>\n\u003cp>The second population of individuals that I believe will strongly benefit from CGM technology are recreational and professional athletes. Endurance athletes in particular (runners, swimmers, cyclists and triathletes) will benefit most, as the technology provides them with insight into blood glucose patterns they can then use to develop an optimal fueling strategy for long events.\u003c/p>\n\u003cp>One of the main difficulties facing endurance athletics is understanding exactly how much food to eat and at what times to eat. Many athletes spend a significant amount of mental energy optimizing their food intake strategy in order to avoid \"\u003ca href=\"http://www.runnersworld.com/nutrition-runners/science-behind-bonking?page=single\">bonking\"\u003c/a> during a race.\u003c/p>\n\u003cp>Unlike people with diabetes who experience large fluctuations in blood glucose throughout the day, non-diabetic individuals experience small fluctuations. A perfectly functioning pancreas can control blood glucose throughout the day. But for an athlete, understanding how these small changes in blood glucose affect athletic performance is invaluable.\u003c/p>\n\u003cp>Understanding one's current blood glucose value as well as the magnitude and direction of change can make the difference between a good performance and a great performance. Athletes that are privy to this information in real-time can make decisions that can drastically affect their immediate performance and their recovery as well.\u003c/p>\n\u003cp>\u003cstrong>Medical Professionals and Coaches\u003c/strong>\u003c/p>\n\u003cp>The third group of individuals who can leverage continuous blood sugar devices include medical professionals, such as doctors, nurses, hospice care providers, as well as nutritionists, fitness coaches and professional sports coaches.\u003c/p>\n\u003cp>There are many companies currently working on wireless systems to provide doctors with real-time or pseudo-real-time information about the daily glucose patterns of their patients. When given access to this information, a doctor can modify an individual's insulin dosing strategy, exercise regimen or medication strategy more frequently than if they waited for the patient to return for a follow-up visit. In this way, doctors and medical professionals can make faster decisions to benefit their patients rather than having to wait an average of three months between in-person appointments.\u003c/p>\n\u003cp>One of the main complaints that I hear from other people with diabetes is that they don't trust their doctors anymore. The reason for this is simple: In a 15 minute-long appointment, a doctor is generally incapable of analyzing large quantities of blood sugar data in order to make an intelligent and progressive set of decisions to benefit the patient.\u003c/p>\n\u003cp>As a result, many patients with diabetes feel alone and helpless, having to wait multiple months for another anti-climactic appointment. Those that are ambitious will make modifications themselves, or seek advice from other people with diabetes, support groups or nutritionists like myself.\u003c/p>\n\u003cp>In the same way that an athlete can monitor their glucose levels and make adjustments, coaches who understand how to interpret blood glucose patterns can use this information to provide guidance for their athletes.\u003c/p>\n\u003cp>There is no doubt in my mind that the advancement of cost-effective and accurate wearable technology that provides insight into blood sugar levels will pave the way for an entire industry of glucose-related products and services for non-diabetic individuals.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When this technology is placed in the hands of millions of people across the planet, we will begin to see how valuable this information can be in making real-time decisions about stress, nutrition, sleep, immunity, and athletics.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Patient Advocates Fight for Access to Medical Data: 'It's a Matter of Life and Death'",
"title": "Patient Advocates Fight for Access to Medical Data: 'It's a Matter of Life and Death'",
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"content": "\u003cp>For Julia Hallisy, putting medical information into the hands of patients isn't just a professional crusade; it's a personal one.\u003c/p>\n\u003cp>Hallisy learned the hard way that patients and their families, and not just doctors, can benefit from accessing personal medical documents, including scans, test results and written notes.\u003c/p>\n\u003cp>That's because her daughter Kate \u003ca href=\"http://empoweredpatientcoalition.org/julia-hallisy-inspirational-story-of-kate-hallisy-published-in-california-woman-magazine/\">fought cancer five times\u003c/a> by the time she was ten-years-old.\u003c/p>\n\u003cp>\"After requesting Kate’s records, I saw all sorts of things that concerned me, whether it was tired residents making mistakes, factual errors, or written notes that contradicted each other.\"\u003c/p>\n\u003cp>\"Most people don't ask for a copy of their medical record, which is a terrible mistake,\" she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Kate passed away in 2000, the same year that the government \u003ca href=\"http://www.hhs.gov/ocr/privacy/hipaa/administrative/privacyrule/prdecember2000all8parts.pdf\">passed a rule requiring\u003c/a> that health providers share a paper copy of the medical record at a \"reasonable cost\" to patients who request it (\u003ca href=\"http://www.brookings.edu/blogs/techtank/posts/2015/04/28-health-record-copying-fees\">view an estimate of state-by-state costs for 75-pages here\u003c/a>). In 2009, the Obama administration went one step further with a program\u003ca href=\"http://www.healthit.gov/providers-professionals/achieve-meaningful-use/core-measures-2/patient-ability-electronically-view-download-transmit-vdt-health-information\"> known as \"Meaningful Use,\" which would reward\u003c/a> physicians who provide a percentage of patients with timely, electronic access to their medical record -- and later penalized those who failed to do so.\u003c/p>\n\u003cp>But many patients are struggling to access their medical information, electronic or otherwise. According to a \u003ca href=\"http://www.pwc.com/us/en/health-industries/publications/putting-patients-into-meaningful-use.jhtml\">recent report \u003c/a> from PricewaterhouseCoopers, only 14 percent of patients get their medical records electronically from their physicians' offices. Thirty percent say they don't understand why they would need to do so.\u003c/p>\n\u003cp>Today, the debate is raging between doctors, patient groups and the government about how to mediate patients' access to their own health records.\u003c/p>\n\u003cfigure id=\"attachment_2574\" class=\"wp-caption alignright\" style=\"max-width: 385px\">\u003cimg class=\" wp-image-2574\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/julia-and-kate-705x600.jpg\" alt=\"Julia Hallisy and her daughter Kate \" width=\"385\" height=\"327\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/julia-and-kate-705x600.jpg 705w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/julia-and-kate-400x340.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/julia-and-kate.jpg 940w\" sizes=\"(max-width: 385px) 100vw, 385px\">\u003cfigcaption class=\"wp-caption-text\">Julia Hallisy and her daughter Kate \u003ccite>(Julia Hallisy)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The approach set forth by the \u003ca href=\"http://www.cms.gov/\">Centers for Medicare and Medicaid Services\u003c/a> (CMS) puts the responsibility squarely on doctors for ensuring \u003cem>five percent\u003c/em> of their patients \"\u003ca href=\"https://www.federalregister.gov/articles/2015/04/15/2015-08514/medicare-and-medicaid-programs-electronic-health-record-incentive-program-modifications-to\">views, downloads, or transmits his or her health information to a third party.\u003c/a>\"\u003c/p>\n\u003cp>\"Physicians are being held accountable for patients' freedom of choice,\" said Dr. Steve J. Stack, president-elect of the American Medical Association (AMA).\u003c/p>\n\u003cp>Stack \u003ca href=\"http://www.ama-assn.org/ama/pub/news/news/2014/2014-12-17-cms-meaningful-use-penalties.page\">said 52 percent of physicians\u003c/a> who treat Medicare patients are currently being penalized for failing to meet the requirement. Those losses are \u003ca href=\"http://www.fierceemr.com/story/cms-estimates-eps-will-pay-200-million-meaningful-use-penalties/2015-02-12\">expected to equal some $200 million \u003c/a>this year alone.\u003c/p>\n\u003cp>Doctors are taking extreme measures to meet this rule, including sitting the patient down and requesting that they log-in to a \"patient portal\" to view their health information before they can go home, physician groups say.\u003c/p>\n\u003cp>In response to these concerns, CMS is now considering \u003ca href=\"http://www.healthit.gov/providers-professionals/achieve-meaningful-use/menu-measures/patient-electronic-access\">rolling-back the 5 percent requirement with a proposed rule change. \u003c/a>If it passes after a \u003ca href=\"https://www.federalregister.gov/articles/2015/04/15/2015-08514/medicare-and-medicaid-programs-electronic-health-record-incentive-program-modifications-to\">comment period ending on June 16\u003c/a> of this year, eligible medical professionals must only prove that \u003cem>one patient\u003c/em> views, downloads, or transmits his or her health information, rather than \u003cem>5 percent\u003c/em>.\u003c/p>\n\u003cp>Some groups like the AMA believe the proposed change is a positive step as it relieves some of the pressure of overburdened doctors.\u003c/p>\n\u003cp>As Stack points out, doctors will still need to provide 50 percent of their patients access to their medical information within 4 days (with an option to withhold sensitive materials.) But this differs from the so-called \"5 percent\" clause, as doctors aren't on the line if patients don't view their record -- or realize it exists.\u003c/p>\n\u003cp>But patient advocates are up in arms.\u003c/p>\n\u003cp>\"Are they [the Obama Administration] trying to push our buttons? This is a slap in the face to patient rights,\" said Regina Holliday, a patient activist from Grantsville, Maryland.\u003c/p>\n\u003cp>\u003cstrong>The \"Messy\" Access Problem\u003c/strong>\u003c/p>\n\u003cp>For decades, patients had little or no access to their medical information. This was considered the exclusive realm of physicians.\u003c/p>\n\u003cp>\u003ca href=\"http://hitconsultant.net/2014/03/10/improved-patient-engagement-for-better-outcomes/\">But recent research has shown \u003c/a>that when patients engage with their medical data, it leads to better outcomes. And cancer survivors like Dave deBronkart, who goes by his Internet moniker “\u003ca href=\"http://www.epatientdave.com/\">ePatient Dave\u003c/a>” say patient involvement can lead to fewer fatal mistakes.\u003c/p>\n\u003cp>Medical records contain errors about “two-thirds of the time,” he said. \"It's a matter of life and death.\" It's tricky to estimate exactly how many medical records contain mistakes. But in recent years, the issue has received national attention with patient safety groups\u003ca href=\"http://www.healthcareitnews.com/news/deaths-by-medical-mistakes-hit-records\"> making calls in the Senate\u003c/a> for electronic systems that minimize cognitive errors.\u003c/p>\n\u003cp>So why are health providers pushing back on legitimate patient requests?\u003c/p>\n\u003cp>They may harbor fears that opening up data would negatively affect their bottom-line. Economists\u003ca href=\"http://www.nber.org/papers/w20565\"> have found\u003c/a> that in states where it's easier and cheaper to access a medical record, patients are more likely to make a switch to a different physician or specialist.\u003c/p>\n\u003cp>As a result, many patients are told they \u003cem>can\u003c/em> access their medical record electronically, but it remains a logistical nightmare to do so.\u003c/p>\n\u003cp>High-profile technology investor Esther Dyson said she paid an intern to spend a summer filing requests for her medical information from different hospitals and clinics. After months of work, this intern was able to access no more than a few records -- the rest had been deleted or lost.\u003c/p>\n\u003cp>\"It was a very messy process,\" Dyson recalled.\u003c/p>\n\u003cp>Most people, particularly those who are suffering from serious illness, don't have the resources to hire an assistant or \u003ca href=\"https://picnichealth.com/\">pay a company\u003c/a> to pull together their medical information.\u003c/p>\n\u003cp>\u003ca href=\"http://www.brookings.edu/blogs/techtank/posts/2015/04/28-health-record-copying-fees\">In addition, reports have shown that some providers will charge fees\u003c/a> of over $1.50 per page of a medical record, which can result in a total bill of in excess of $1,000. Moreover, many people face long wait-times and reports are often filled with scrawled notes and medical jargon.\u003c/p>\n\u003cp>\u003cstrong>Can Technology Make a Difference?\u003c/strong>\u003c/p>\n\u003cp>But patient advocates like Hallisy are optimistic that patient data will flow more easily as health care shifts from paper-based to digital systems.\u003c/p>\n\u003cp>It costs far less for a hospital to reproduce an electronic copy of a document than to print it. And logically speaking, it should be far more efficient to perform a computer-based search than search through a stack of files.\u003c/p>\n\u003cfigure id=\"attachment_2561\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-2561\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/medical-dat-800x598.jpg\" alt=\"Hallisy stacked her daughter's medical reports\" width=\"800\" height=\"598\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/medical-dat-800x598.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/medical-dat-400x299.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/medical-dat-1180x881.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/medical-dat-960x717.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Hallisy stacked her daughter's medical reports \u003ccite>(Julia Hallisy)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But this is easier said than done.\u003c/p>\n\u003cp>Many hospitals and clinics have been reluctant to invest in web tools that would make it more seamless for patients to access their medical information online. And electronic medical records cannot \u003ca href=\"http://ww2.kqed.org/futureofyou/broken-medical-records\">be efficiently or securely shared between doctors\u003c/a>, making it difficult to collect the records from various hospitals and clinics.\u003c/p>\n\u003cp>Instead, many patients today will be deferred to a web \"portal\" of sorts, \u003ca href=\"http://www.epicpc.com/patient-portal/\">like Epic's MyChart\u003c/a>, to view fragments of their medication information.\u003c/p>\n\u003cp>But many of these portals are outdated, said former Department of Health and Human Services technology chief Bryan Sivak.\u003c/p>\n\u003cp>\"Many offer little useful functionality and are difficult to use,\" said Sivak. \"Frankly, they could be designed much better.\"\u003c/p>\n\u003cp>Some hospitals have argued that patients aren't accessing these portals, so they must be indifferent. Why bother investing in more modern technology?\u003c/p>\n\u003cp>\"You often hear the argument that not every patient wants to spend the time,\" said Joseph Smith, a cardiologist and chief medical officer for \u003ca href=\"http://www.westhealth.org/institute\">West Health\u003c/a>, a nonprofit medical research organization.\u003c/p>\n\u003cp>\"And not every hospital has been able to make it through the technical requirements as we shift away from paper,\" he said. \"We are in an awkward time.\"\u003c/p>\n\u003cp>\u003cstrong>\"A Slap in the Face to Patient Rights\"\u003c/strong>\u003c/p>\n\u003cp>For Hallisy and other patient advocates, hospitals are showing signs of giving up on patients -- without investing in user-friendly tools and education programs.\u003c/p>\n\u003cp>And the proposed rule change is yet another example of the government and health sector folding its cards too soon, say advocates.\u003c/p>\n\u003cp>\"We needed to give providers a high enough threshold [5 percent], so they would do the work and incorporate patient facing tools into the practice,\" said Arien Malec, who worked as technology coordinator for the \u003ca href=\"http://www.hhs.gov/\">department of Health and Human Services. \u003c/a>\u003c/p>\n\u003cp>\"Now, they won't have to tell any patients. If they can’t find out how to access their medical record, the hospital doesn’t have to help them,\" he said.\u003c/p>\n\u003cp>Hallisy fears that hospitals may slash budgets for patient-facing tools to access medical data.\u003c/p>\n\u003cfigure id=\"attachment_2567\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-2567\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/regina-holliday-800x600.jpg\" alt=\"Regina Holliday uses art to spread the word about patient rights \" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/regina-holliday-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/regina-holliday-400x299.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/regina-holliday-1180x883.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/regina-holliday-960x719.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Regina Holliday uses art to spread the word about patient rights \u003ccite>(Regina Holliday)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Holliday agrees: \"There's a bad joke circulating that the one person could be a hospital staff-member, like a chief nursing officer.\"\u003c/p>\n\u003cp>Holliday's husband died of kidney cancer in 2009. During his hospitalization, she requested to see a copy of his medical records, but the hospital informed her that it would take 21 days. As Holliday frequently points out, three weeks is a long time to wait for patients in critical condition.\u003c/p>\n\u003cp>\u003cstrong>Ownership versus Access\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>Technically speaking, patients don't own their medical record. Their doctors do.\u003c/p>\n\u003cp>And that has led to much of the complications around patient data rights.\u003c/p>\n\u003cp>In the policy world, questions often arise like, who owns the medical record data if a patient has multiple doctors? And who has the right to delete it or bar electronic access? And as patients start generating medical information from the latest apps and devices, will they own that -- or would the developer?\u003c/p>\n\u003cp>Moreover, it still remains a contested issue about which parties or groups are responsible for educating patients about the value of access to their medical record. Some have pointed the finger at patient advocates; some say it's the responsibility of the physician or the federal government.\u003c/p>\n\u003cp>But setbacks aside, some industry insiders are hopeful that the health sector will find answers in the coming years, \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/03/13/startups-entrepreneurs-try-to-solve-medical-records-debacle/\">particularly given the recent outpouring of patient-focused tools\u003c/a> from Silicon Valley and other tech hubs.\u003c/p>\n\u003cp>\"It gets a little better every year. It's baby steps in health IT,\" said Dan Haley, a regulatory affairs expert at electronic health record company \u003ca href=\"http://athenahealth.com/\">AthenaHealth\u003c/a>.\u003c/p>\n\u003cp>But for her part, Hallisy has no intention of sitting back and waiting for change:\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"This means the kind of work I do is more important than ever,\" she said. \"Medicine is changing. It could be interactive and collaborative, but we need the public's help.\"\u003c/p>\n\n",
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"excerpt": "Most patients in the U.S. are still struggling to access a copy of their medical record, electronic or otherwise. Is there hope for the future? Patient advocates, physician groups and policymakers speak out. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>For Julia Hallisy, putting medical information into the hands of patients isn't just a professional crusade; it's a personal one.\u003c/p>\n\u003cp>Hallisy learned the hard way that patients and their families, and not just doctors, can benefit from accessing personal medical documents, including scans, test results and written notes.\u003c/p>\n\u003cp>That's because her daughter Kate \u003ca href=\"http://empoweredpatientcoalition.org/julia-hallisy-inspirational-story-of-kate-hallisy-published-in-california-woman-magazine/\">fought cancer five times\u003c/a> by the time she was ten-years-old.\u003c/p>\n\u003cp>\"After requesting Kate’s records, I saw all sorts of things that concerned me, whether it was tired residents making mistakes, factual errors, or written notes that contradicted each other.\"\u003c/p>\n\u003cp>\"Most people don't ask for a copy of their medical record, which is a terrible mistake,\" she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Kate passed away in 2000, the same year that the government \u003ca href=\"http://www.hhs.gov/ocr/privacy/hipaa/administrative/privacyrule/prdecember2000all8parts.pdf\">passed a rule requiring\u003c/a> that health providers share a paper copy of the medical record at a \"reasonable cost\" to patients who request it (\u003ca href=\"http://www.brookings.edu/blogs/techtank/posts/2015/04/28-health-record-copying-fees\">view an estimate of state-by-state costs for 75-pages here\u003c/a>). In 2009, the Obama administration went one step further with a program\u003ca href=\"http://www.healthit.gov/providers-professionals/achieve-meaningful-use/core-measures-2/patient-ability-electronically-view-download-transmit-vdt-health-information\"> known as \"Meaningful Use,\" which would reward\u003c/a> physicians who provide a percentage of patients with timely, electronic access to their medical record -- and later penalized those who failed to do so.\u003c/p>\n\u003cp>But many patients are struggling to access their medical information, electronic or otherwise. According to a \u003ca href=\"http://www.pwc.com/us/en/health-industries/publications/putting-patients-into-meaningful-use.jhtml\">recent report \u003c/a> from PricewaterhouseCoopers, only 14 percent of patients get their medical records electronically from their physicians' offices. Thirty percent say they don't understand why they would need to do so.\u003c/p>\n\u003cp>Today, the debate is raging between doctors, patient groups and the government about how to mediate patients' access to their own health records.\u003c/p>\n\u003cfigure id=\"attachment_2574\" class=\"wp-caption alignright\" style=\"max-width: 385px\">\u003cimg class=\" wp-image-2574\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/julia-and-kate-705x600.jpg\" alt=\"Julia Hallisy and her daughter Kate \" width=\"385\" height=\"327\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/julia-and-kate-705x600.jpg 705w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/julia-and-kate-400x340.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/julia-and-kate.jpg 940w\" sizes=\"(max-width: 385px) 100vw, 385px\">\u003cfigcaption class=\"wp-caption-text\">Julia Hallisy and her daughter Kate \u003ccite>(Julia Hallisy)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The approach set forth by the \u003ca href=\"http://www.cms.gov/\">Centers for Medicare and Medicaid Services\u003c/a> (CMS) puts the responsibility squarely on doctors for ensuring \u003cem>five percent\u003c/em> of their patients \"\u003ca href=\"https://www.federalregister.gov/articles/2015/04/15/2015-08514/medicare-and-medicaid-programs-electronic-health-record-incentive-program-modifications-to\">views, downloads, or transmits his or her health information to a third party.\u003c/a>\"\u003c/p>\n\u003cp>\"Physicians are being held accountable for patients' freedom of choice,\" said Dr. Steve J. Stack, president-elect of the American Medical Association (AMA).\u003c/p>\n\u003cp>Stack \u003ca href=\"http://www.ama-assn.org/ama/pub/news/news/2014/2014-12-17-cms-meaningful-use-penalties.page\">said 52 percent of physicians\u003c/a> who treat Medicare patients are currently being penalized for failing to meet the requirement. Those losses are \u003ca href=\"http://www.fierceemr.com/story/cms-estimates-eps-will-pay-200-million-meaningful-use-penalties/2015-02-12\">expected to equal some $200 million \u003c/a>this year alone.\u003c/p>\n\u003cp>Doctors are taking extreme measures to meet this rule, including sitting the patient down and requesting that they log-in to a \"patient portal\" to view their health information before they can go home, physician groups say.\u003c/p>\n\u003cp>In response to these concerns, CMS is now considering \u003ca href=\"http://www.healthit.gov/providers-professionals/achieve-meaningful-use/menu-measures/patient-electronic-access\">rolling-back the 5 percent requirement with a proposed rule change. \u003c/a>If it passes after a \u003ca href=\"https://www.federalregister.gov/articles/2015/04/15/2015-08514/medicare-and-medicaid-programs-electronic-health-record-incentive-program-modifications-to\">comment period ending on June 16\u003c/a> of this year, eligible medical professionals must only prove that \u003cem>one patient\u003c/em> views, downloads, or transmits his or her health information, rather than \u003cem>5 percent\u003c/em>.\u003c/p>\n\u003cp>Some groups like the AMA believe the proposed change is a positive step as it relieves some of the pressure of overburdened doctors.\u003c/p>\n\u003cp>As Stack points out, doctors will still need to provide 50 percent of their patients access to their medical information within 4 days (with an option to withhold sensitive materials.) But this differs from the so-called \"5 percent\" clause, as doctors aren't on the line if patients don't view their record -- or realize it exists.\u003c/p>\n\u003cp>But patient advocates are up in arms.\u003c/p>\n\u003cp>\"Are they [the Obama Administration] trying to push our buttons? This is a slap in the face to patient rights,\" said Regina Holliday, a patient activist from Grantsville, Maryland.\u003c/p>\n\u003cp>\u003cstrong>The \"Messy\" Access Problem\u003c/strong>\u003c/p>\n\u003cp>For decades, patients had little or no access to their medical information. This was considered the exclusive realm of physicians.\u003c/p>\n\u003cp>\u003ca href=\"http://hitconsultant.net/2014/03/10/improved-patient-engagement-for-better-outcomes/\">But recent research has shown \u003c/a>that when patients engage with their medical data, it leads to better outcomes. And cancer survivors like Dave deBronkart, who goes by his Internet moniker “\u003ca href=\"http://www.epatientdave.com/\">ePatient Dave\u003c/a>” say patient involvement can lead to fewer fatal mistakes.\u003c/p>\n\u003cp>Medical records contain errors about “two-thirds of the time,” he said. \"It's a matter of life and death.\" It's tricky to estimate exactly how many medical records contain mistakes. But in recent years, the issue has received national attention with patient safety groups\u003ca href=\"http://www.healthcareitnews.com/news/deaths-by-medical-mistakes-hit-records\"> making calls in the Senate\u003c/a> for electronic systems that minimize cognitive errors.\u003c/p>\n\u003cp>So why are health providers pushing back on legitimate patient requests?\u003c/p>\n\u003cp>They may harbor fears that opening up data would negatively affect their bottom-line. Economists\u003ca href=\"http://www.nber.org/papers/w20565\"> have found\u003c/a> that in states where it's easier and cheaper to access a medical record, patients are more likely to make a switch to a different physician or specialist.\u003c/p>\n\u003cp>As a result, many patients are told they \u003cem>can\u003c/em> access their medical record electronically, but it remains a logistical nightmare to do so.\u003c/p>\n\u003cp>High-profile technology investor Esther Dyson said she paid an intern to spend a summer filing requests for her medical information from different hospitals and clinics. After months of work, this intern was able to access no more than a few records -- the rest had been deleted or lost.\u003c/p>\n\u003cp>\"It was a very messy process,\" Dyson recalled.\u003c/p>\n\u003cp>Most people, particularly those who are suffering from serious illness, don't have the resources to hire an assistant or \u003ca href=\"https://picnichealth.com/\">pay a company\u003c/a> to pull together their medical information.\u003c/p>\n\u003cp>\u003ca href=\"http://www.brookings.edu/blogs/techtank/posts/2015/04/28-health-record-copying-fees\">In addition, reports have shown that some providers will charge fees\u003c/a> of over $1.50 per page of a medical record, which can result in a total bill of in excess of $1,000. Moreover, many people face long wait-times and reports are often filled with scrawled notes and medical jargon.\u003c/p>\n\u003cp>\u003cstrong>Can Technology Make a Difference?\u003c/strong>\u003c/p>\n\u003cp>But patient advocates like Hallisy are optimistic that patient data will flow more easily as health care shifts from paper-based to digital systems.\u003c/p>\n\u003cp>It costs far less for a hospital to reproduce an electronic copy of a document than to print it. And logically speaking, it should be far more efficient to perform a computer-based search than search through a stack of files.\u003c/p>\n\u003cfigure id=\"attachment_2561\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-2561\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/medical-dat-800x598.jpg\" alt=\"Hallisy stacked her daughter's medical reports\" width=\"800\" height=\"598\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/medical-dat-800x598.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/medical-dat-400x299.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/medical-dat-1180x881.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/medical-dat-960x717.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Hallisy stacked her daughter's medical reports \u003ccite>(Julia Hallisy)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But this is easier said than done.\u003c/p>\n\u003cp>Many hospitals and clinics have been reluctant to invest in web tools that would make it more seamless for patients to access their medical information online. And electronic medical records cannot \u003ca href=\"http://ww2.kqed.org/futureofyou/broken-medical-records\">be efficiently or securely shared between doctors\u003c/a>, making it difficult to collect the records from various hospitals and clinics.\u003c/p>\n\u003cp>Instead, many patients today will be deferred to a web \"portal\" of sorts, \u003ca href=\"http://www.epicpc.com/patient-portal/\">like Epic's MyChart\u003c/a>, to view fragments of their medication information.\u003c/p>\n\u003cp>But many of these portals are outdated, said former Department of Health and Human Services technology chief Bryan Sivak.\u003c/p>\n\u003cp>\"Many offer little useful functionality and are difficult to use,\" said Sivak. \"Frankly, they could be designed much better.\"\u003c/p>\n\u003cp>Some hospitals have argued that patients aren't accessing these portals, so they must be indifferent. Why bother investing in more modern technology?\u003c/p>\n\u003cp>\"You often hear the argument that not every patient wants to spend the time,\" said Joseph Smith, a cardiologist and chief medical officer for \u003ca href=\"http://www.westhealth.org/institute\">West Health\u003c/a>, a nonprofit medical research organization.\u003c/p>\n\u003cp>\"And not every hospital has been able to make it through the technical requirements as we shift away from paper,\" he said. \"We are in an awkward time.\"\u003c/p>\n\u003cp>\u003cstrong>\"A Slap in the Face to Patient Rights\"\u003c/strong>\u003c/p>\n\u003cp>For Hallisy and other patient advocates, hospitals are showing signs of giving up on patients -- without investing in user-friendly tools and education programs.\u003c/p>\n\u003cp>And the proposed rule change is yet another example of the government and health sector folding its cards too soon, say advocates.\u003c/p>\n\u003cp>\"We needed to give providers a high enough threshold [5 percent], so they would do the work and incorporate patient facing tools into the practice,\" said Arien Malec, who worked as technology coordinator for the \u003ca href=\"http://www.hhs.gov/\">department of Health and Human Services. \u003c/a>\u003c/p>\n\u003cp>\"Now, they won't have to tell any patients. If they can’t find out how to access their medical record, the hospital doesn’t have to help them,\" he said.\u003c/p>\n\u003cp>Hallisy fears that hospitals may slash budgets for patient-facing tools to access medical data.\u003c/p>\n\u003cfigure id=\"attachment_2567\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-2567\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/regina-holliday-800x600.jpg\" alt=\"Regina Holliday uses art to spread the word about patient rights \" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/regina-holliday-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/regina-holliday-400x299.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/regina-holliday-1180x883.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/regina-holliday-960x719.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Regina Holliday uses art to spread the word about patient rights \u003ccite>(Regina Holliday)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Holliday agrees: \"There's a bad joke circulating that the one person could be a hospital staff-member, like a chief nursing officer.\"\u003c/p>\n\u003cp>Holliday's husband died of kidney cancer in 2009. During his hospitalization, she requested to see a copy of his medical records, but the hospital informed her that it would take 21 days. As Holliday frequently points out, three weeks is a long time to wait for patients in critical condition.\u003c/p>\n\u003cp>\u003cstrong>Ownership versus Access\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>Technically speaking, patients don't own their medical record. Their doctors do.\u003c/p>\n\u003cp>And that has led to much of the complications around patient data rights.\u003c/p>\n\u003cp>In the policy world, questions often arise like, who owns the medical record data if a patient has multiple doctors? And who has the right to delete it or bar electronic access? And as patients start generating medical information from the latest apps and devices, will they own that -- or would the developer?\u003c/p>\n\u003cp>Moreover, it still remains a contested issue about which parties or groups are responsible for educating patients about the value of access to their medical record. Some have pointed the finger at patient advocates; some say it's the responsibility of the physician or the federal government.\u003c/p>\n\u003cp>But setbacks aside, some industry insiders are hopeful that the health sector will find answers in the coming years, \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/03/13/startups-entrepreneurs-try-to-solve-medical-records-debacle/\">particularly given the recent outpouring of patient-focused tools\u003c/a> from Silicon Valley and other tech hubs.\u003c/p>\n\u003cp>\"It gets a little better every year. It's baby steps in health IT,\" said Dan Haley, a regulatory affairs expert at electronic health record company \u003ca href=\"http://athenahealth.com/\">AthenaHealth\u003c/a>.\u003c/p>\n\u003cp>But for her part, Hallisy has no intention of sitting back and waiting for change:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"This means the kind of work I do is more important than ever,\" she said. \"Medicine is changing. It could be interactive and collaborative, but we need the public's help.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "How These Mobile Apps are Helping Couples Conceive",
"title": "How These Mobile Apps are Helping Couples Conceive",
"headTitle": "Women’s Health | KQED Future of You | KQED Science",
"content": "\u003cp>Mobile devices are teaching modern women something their ancient counterparts knew thousands of years ago: How to track fertility.\u003c/p>\n\u003cp>This may seem like a niche opportunity, but a sizable chunk of the U.S. population suffers from fertility issues. According to the \u003ca href=\"http://www.cdc.gov/nchs/fastats/infertility.htm\">Centers for Disease Control and Prevention, \u003c/a>6.7 million women in the U.S. struggle with infertility, representing 10.9 percent of women aged 15 to 44.\u003c/p>\n\u003cp>About one-third of these cases is \u003ca href=\"https://www.centerforhumanreprod.com/infertilityedu/causes/unexplained/\">diagnosed as “unexplained infertility,”\u003c/a> meaning that doctors can find no underlying cause from diagnostic testing.\u003c/p>\n\u003cp>Over the past fifty years, the medical community has developed an arsenal of methods to overcome reproductive hurdles. Women can choose to freeze their eggs, take fertility drugs, get artificially inseminated, use a surrogate, or undergo in vitro fertilization (IVF) -- all options that cost tens, or even hundreds of thousands, of dollars.\u003c/p>\n\u003cp>However, when a woman struggles to conceive, a gap exists between the “keep trying” strategy and the decision to shell out a year’s salary or more for fertility treatments.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A new crop of fertility startups are working to bridge the gap.\u003c/p>\n\u003cfigure id=\"attachment_2787\" class=\"wp-caption alignleft\" style=\"max-width: 353px\">\u003cimg class=\" wp-image-2787\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/Unknown-1-450x600.jpeg\" alt=\"Kindara user Abby WInship\" width=\"353\" height=\"471\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-450x600.jpeg 450w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-400x533.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-885x1180.jpeg 885w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-1180x1573.jpeg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-960x1280.jpeg 960w\" sizes=\"(max-width: 353px) 100vw, 353px\">\u003cfigcaption class=\"wp-caption-text\">Kindara user Abby WInship \u003ccite>(Kindara)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“There is not much in the middle between doing nothing and undergoing assistive reproductive treatments, which can be quite invasive and stressful,\" said Will Sacks, cofounder and chief executive of a mobile app called \u003ca href=\"https://www.kindara.com/\">Kindara Health.\u003c/a>\u003c/p>\n\u003cp>Kindara, along with fellow fertility startups, are leveraging mobile devices, connected hardware and reproductive science to help women take their fertility into their own hands.\u003c/p>\n\u003cp>Kindara’s mobile product is based on \"\u003ca href=\"http://www.plannedparenthood.org/learn/birth-control/fertility-awareness\">Fertility Awareness Methods\u003c/a>\" where women chart their primary fertility signs to gauge what time of the month they are most fertile. Based on that data, Kindara provides charts that show women where they are in their cycle and their corresponding fertility levels.\u003c/p>\n\u003cp>In addition to the app, Kindara recently released a \u003ca href=\"https://kindara.com/wink\">connected fertility thermometer\u003c/a> called Wink that reads basal body temperature and automatically syncs that data to the app.\u003c/p>\n\u003cp>Sacks said Kindara’s overarching goal is to help women better understand their reproductive health, whether or not they are trying to get pregnant.\u003c/p>\n\u003cp>“The cultural messaging to women is that your body is owned partially by the state, partially by God, and it is a scary black box that it is best to ignore or stay away from,” Sacks said. “As a result, so many women never really have a relationship with their cycle or understand it.”\u003c/p>\n\u003cp>\u003cstrong>Can These Apps Help Women Get Pregnant? \u003c/strong>\u003c/p>\n\u003cp>Sacks founded Kindara with his girlfriend Kati Bicknell after the couple began practicing fertility awareness as an alternative to conventional birth control methods.\u003c/p>\n\u003cp>They realized there was a serious lack of available information about fertility awareness and wanted to build a company that made it easier to learn about and adhere to. While their initial interest was in tracking physiological signs as a form of birth control, 60 percent of women using Kindara are trying to get pregnant. According to Sacks, the app has helped over 60,000 women get pregnant since its launch two years ago.\u003c/p>\n\u003cfigure id=\"attachment_2788\" class=\"wp-caption alignright\" style=\"max-width: 436px\">\u003cimg class=\" wp-image-2788\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/Unknown-2.jpeg\" alt=\"Kirsten Karchmer, CEO of the Conceivable app\" width=\"436\" height=\"301\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-2.jpeg 745w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-2-400x276.jpeg 400w\" sizes=\"(max-width: 436px) 100vw, 436px\">\u003cfigcaption class=\"wp-caption-text\">Kirsten Karchmer, CEO of the Conceivable app \u003ccite>(Conceivable)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Unlike Sacks, who admittedly knew nothing about fertility until somewhat recently, Kirsten Hurder-Karchmer had 15 years of experience running one of the largest fertility wellness clinics in North America before founding her fertility startup, \u003ca href=\"https://www.conceivable.com/\">Conceivable\u003c/a>. Austin, Texas-based Hurder-Karchmer is a reproductive acupuncturist who specializes in integrating Eastern and Western medicine to improve reproductive health.\u003c/p>\n\u003cp>Conceivable offers a version of her fertility program that is delivered via a mobile app. It addresses three key areas: Menstrual cycle, lifestyle, and mindfulness -- all \u003ca href=\"https://conceivable-static.s3.amazonaws.com/media/The_Science_Behind_Conceivable.pdf\">based on the findings of dozens of studies from peer-reviewed journals.\u003c/a>\u003c/p>\n\u003cp>“Lifestyle matters more than people think when it comes to getting pregnant,” Hurder-Karchmer said. “Diet, water consumption, weight, how active you are, your alcohol and tobacco use -- all these factors affect your fertility.\"\u003c/p>\n\u003cp>A\u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/18226626\"> team of Harvard researchers\u003c/a> found that replacing animal sources of protein with vegetable sources of protein can reduce the risk of ovulatory infertility. \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/9797089\">A study from Hopkins\u003c/a> found that women who are attempting to conceive should abstain from consuming alcohol. And \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/?term=Stress+reduces+conception+probabilities+across+the+fertile+window\">NIH researchers \u003c/a>discovered that stress significantly reduces the probability of conception.\u003c/p>\n\u003cp>The Conceivable app uses these findings and many others to help women adopt a lifestyle that optimizes their fertility. The app provides veggie-centric meal plans and recipes; helps regulate daily consumption of water, soda, and alcoholic drinks; tracks sleeping patterns and exercise; and promotes therapeutic practices to help reduce stress and anxiety.\u003c/p>\n\u003cp>Participants in the program also receive three distinct herbal remedies a month. The herbal approach has drawn plenty of skepticism from devotees of Western medicine, but \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22036524\">there are some recent studies\u003c/a> that suggest it can help.\u003c/p>\n\u003cp>Loriana Aldama, who recently tried out Conceivable, said she got pregnant in seven months, after trying IVF twice. Her fertility doctor had told her that her chances were \"slim to nothing.\"\u003c/p>\n\u003cp>\u003cstrong>Fertility Tracking Apps are a Big Trend\u003c/strong>\u003c/p>\n\u003cp>There has been a veritable flowering of fertility tracking apps over the past couple years.\u003c/p>\n\u003cp>Other well-known apps in the space include \u003ca href=\"http://www.helloclue.com/\">Clue\u003c/a>, \u003ca href=\"http://www.ovuline.com/\">Ovia Fertility\u003c/a>, \u003ca href=\"https://www.fertilityfriend.com/iphone/\">Fertility Friend,\u003c/a> \u003ca href=\"https://itunes.apple.com/us/app/lily-your-personal-private/id400529549?mt=8\">Lily\u003c/a>, and \u003ca href=\"https://glowing.com/\">Glow\u003c/a>, to name a few. Glow rocketed this sector into the spotlight after its founder -- well-known entrepreneur and PayPal cofounder Max Levchin -- \u003ca href=\"http://allthingsd.com/20130529/max-levchins-glow-fertility-app-the-full-session-video/\">unveiled Glow at the AllThingsD (now Recode) conference\u003c/a>, where he created a stir by discussing “cervical mucus” on stage.\u003c/p>\n\u003cp>But Clue founder Ida Tin said that while interest in this space is exciting, there is still a long way to go.\u003c/p>\n\u003cp>“I think we have a menstruation revolution going on and it is all coming from startups,” Tin said.\u003c/p>\n\u003cp>“No big players in the field have taken this completely foundational part of human life and turned it into a really serious grown up digital product. Female health has been so under-served, even though it is one of the biggest areas for spending in the health industry.”\u003c/p>\n\u003cp>Rather than tracking basal body temperature and cervical mucus -- like Kindara, Ovia, and Glow -- Clue uses the calendar method, which forecasts fertility based on your last period’s start and end dates, as well as additional information like mood or cramps.\u003c/p>\n\u003cp>Each of these apps functions by collecting intimate, highly personal data, which raises questions about privacy.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"I think we have a menstruation revolution going on and it is all coming from startups.\"\u003cbr>\n\u003ccite>Ida Tin, founder of the Clue app\u003c/cite>\u003c/aside>\n\u003cp>Advertisers are already targeting consumers with offers based on their purchasing behavior. Back in 2012, \u003ca href=\"http://www.forbes.com/sites/kashmirhill/2012/02/16/how-target-figured-out-a-teen-girl-was-pregnant-before-her-father-did/\">Target set off a firestorm\u003c/a> when it figured out that a teen girl was pregnant based on her purchases -- before her father knew -- and sent her pregnancy and baby-related coupons in the mail. Data from these fertility apps would take those capabilities to a whole new level. Or what if an employer was able to access that data to discover if an employee was pregnant or trying to be? That information could affect hiring, promotion, or salary decisions.\u003c/p>\n\u003cp>However, Kindara user Abby Winship Hoyes said that the benefits of using the app outweighs her privacy concerns.\u003c/p>\n\u003cp>“I am aware of the potential privacy concerns, but frankly, they never bothered me,” she said.\u003c/p>\n\u003cp>“As far as I'm concerned, if someone wants to troll through my often inconsistent and sometimes inaccurate data, more power to them. I should hope that I wouldn't suffer any discrimination based on what this data says about me.”\u003c/p>\n\u003cp>\u003cstrong>Ancient Wisdom in a Mobile App?\u003c/strong>\u003c/p>\n\u003cp>Each of these startups is essentially channeling ancient wisdom about fertility into the form of a mobile app. The apps are using new technology to resurrect decidedly low-tech fertility practices that existed thousands of years before IVF, smartphones, or gynecologists.\u003c/p>\n\u003cp>While these mobile apps are certainly helping to provide women with more options, Dr. Richard Paulson said it is important to remember there is only so much they can do. Dr. Paulson is the President Elect of the \u003ca href=\"https://www.asrm.org/\">American Society for Reproductive Medicine\u003c/a> and a professor of reproductive medicine at the University of Southern California.\u003c/p>\n\u003cp>“In my mind, mobile apps fit in right at the beginning by helping people making sure the woman has regular ovulation and that they are having sex at the correct time,\" he said.\u003c/p>\n\u003cp>If there is some impediment preventing someone from getting pregnant, the apps won’t help, said Paulson. And more specialized treatments like IVF may become simpler, cheaper and less expensive.\u003c/p>\n\u003cp>Fertility is a spectrum. Most women are not exclusively fertile or infertile -- their fertility fluctuates depending on a complicated interplay of factors.\u003c/p>\n\u003cp>These mobile apps take varied, but similar approaches to helping women understand these fluctuations and empowering them to take their fertility into their own hands. However, if there are physiological impediments to getting pregnant -- such as endometriosis or blocked fallopian tubes -- a mobile app can only play a limited role in overcoming them.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>What they can help women overcome are social stigmas that keep them removed from their own reproductive health. We still live in a society where a \u003ca href=\"http://www.businessinsider.com/instagram-censored-a-photo-of-woman-on-her-period-2015-3\">modest image of period blood is considered obscene.\u003c/a> For the millions of women with“unexplained infertility,” those social impediments can be the tallest.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Mobile devices are teaching modern women something their ancient counterparts knew thousands of years ago: How to track fertility.\u003c/p>\n\u003cp>This may seem like a niche opportunity, but a sizable chunk of the U.S. population suffers from fertility issues. According to the \u003ca href=\"http://www.cdc.gov/nchs/fastats/infertility.htm\">Centers for Disease Control and Prevention, \u003c/a>6.7 million women in the U.S. struggle with infertility, representing 10.9 percent of women aged 15 to 44.\u003c/p>\n\u003cp>About one-third of these cases is \u003ca href=\"https://www.centerforhumanreprod.com/infertilityedu/causes/unexplained/\">diagnosed as “unexplained infertility,”\u003c/a> meaning that doctors can find no underlying cause from diagnostic testing.\u003c/p>\n\u003cp>Over the past fifty years, the medical community has developed an arsenal of methods to overcome reproductive hurdles. Women can choose to freeze their eggs, take fertility drugs, get artificially inseminated, use a surrogate, or undergo in vitro fertilization (IVF) -- all options that cost tens, or even hundreds of thousands, of dollars.\u003c/p>\n\u003cp>However, when a woman struggles to conceive, a gap exists between the “keep trying” strategy and the decision to shell out a year’s salary or more for fertility treatments.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A new crop of fertility startups are working to bridge the gap.\u003c/p>\n\u003cfigure id=\"attachment_2787\" class=\"wp-caption alignleft\" style=\"max-width: 353px\">\u003cimg class=\" wp-image-2787\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/Unknown-1-450x600.jpeg\" alt=\"Kindara user Abby WInship\" width=\"353\" height=\"471\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-450x600.jpeg 450w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-400x533.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-885x1180.jpeg 885w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-1180x1573.jpeg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-960x1280.jpeg 960w\" sizes=\"(max-width: 353px) 100vw, 353px\">\u003cfigcaption class=\"wp-caption-text\">Kindara user Abby WInship \u003ccite>(Kindara)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“There is not much in the middle between doing nothing and undergoing assistive reproductive treatments, which can be quite invasive and stressful,\" said Will Sacks, cofounder and chief executive of a mobile app called \u003ca href=\"https://www.kindara.com/\">Kindara Health.\u003c/a>\u003c/p>\n\u003cp>Kindara, along with fellow fertility startups, are leveraging mobile devices, connected hardware and reproductive science to help women take their fertility into their own hands.\u003c/p>\n\u003cp>Kindara’s mobile product is based on \"\u003ca href=\"http://www.plannedparenthood.org/learn/birth-control/fertility-awareness\">Fertility Awareness Methods\u003c/a>\" where women chart their primary fertility signs to gauge what time of the month they are most fertile. Based on that data, Kindara provides charts that show women where they are in their cycle and their corresponding fertility levels.\u003c/p>\n\u003cp>In addition to the app, Kindara recently released a \u003ca href=\"https://kindara.com/wink\">connected fertility thermometer\u003c/a> called Wink that reads basal body temperature and automatically syncs that data to the app.\u003c/p>\n\u003cp>Sacks said Kindara’s overarching goal is to help women better understand their reproductive health, whether or not they are trying to get pregnant.\u003c/p>\n\u003cp>“The cultural messaging to women is that your body is owned partially by the state, partially by God, and it is a scary black box that it is best to ignore or stay away from,” Sacks said. “As a result, so many women never really have a relationship with their cycle or understand it.”\u003c/p>\n\u003cp>\u003cstrong>Can These Apps Help Women Get Pregnant? \u003c/strong>\u003c/p>\n\u003cp>Sacks founded Kindara with his girlfriend Kati Bicknell after the couple began practicing fertility awareness as an alternative to conventional birth control methods.\u003c/p>\n\u003cp>They realized there was a serious lack of available information about fertility awareness and wanted to build a company that made it easier to learn about and adhere to. While their initial interest was in tracking physiological signs as a form of birth control, 60 percent of women using Kindara are trying to get pregnant. According to Sacks, the app has helped over 60,000 women get pregnant since its launch two years ago.\u003c/p>\n\u003cfigure id=\"attachment_2788\" class=\"wp-caption alignright\" style=\"max-width: 436px\">\u003cimg class=\" wp-image-2788\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/Unknown-2.jpeg\" alt=\"Kirsten Karchmer, CEO of the Conceivable app\" width=\"436\" height=\"301\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-2.jpeg 745w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-2-400x276.jpeg 400w\" sizes=\"(max-width: 436px) 100vw, 436px\">\u003cfigcaption class=\"wp-caption-text\">Kirsten Karchmer, CEO of the Conceivable app \u003ccite>(Conceivable)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Unlike Sacks, who admittedly knew nothing about fertility until somewhat recently, Kirsten Hurder-Karchmer had 15 years of experience running one of the largest fertility wellness clinics in North America before founding her fertility startup, \u003ca href=\"https://www.conceivable.com/\">Conceivable\u003c/a>. Austin, Texas-based Hurder-Karchmer is a reproductive acupuncturist who specializes in integrating Eastern and Western medicine to improve reproductive health.\u003c/p>\n\u003cp>Conceivable offers a version of her fertility program that is delivered via a mobile app. It addresses three key areas: Menstrual cycle, lifestyle, and mindfulness -- all \u003ca href=\"https://conceivable-static.s3.amazonaws.com/media/The_Science_Behind_Conceivable.pdf\">based on the findings of dozens of studies from peer-reviewed journals.\u003c/a>\u003c/p>\n\u003cp>“Lifestyle matters more than people think when it comes to getting pregnant,” Hurder-Karchmer said. “Diet, water consumption, weight, how active you are, your alcohol and tobacco use -- all these factors affect your fertility.\"\u003c/p>\n\u003cp>A\u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/18226626\"> team of Harvard researchers\u003c/a> found that replacing animal sources of protein with vegetable sources of protein can reduce the risk of ovulatory infertility. \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/9797089\">A study from Hopkins\u003c/a> found that women who are attempting to conceive should abstain from consuming alcohol. And \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/?term=Stress+reduces+conception+probabilities+across+the+fertile+window\">NIH researchers \u003c/a>discovered that stress significantly reduces the probability of conception.\u003c/p>\n\u003cp>The Conceivable app uses these findings and many others to help women adopt a lifestyle that optimizes their fertility. The app provides veggie-centric meal plans and recipes; helps regulate daily consumption of water, soda, and alcoholic drinks; tracks sleeping patterns and exercise; and promotes therapeutic practices to help reduce stress and anxiety.\u003c/p>\n\u003cp>Participants in the program also receive three distinct herbal remedies a month. The herbal approach has drawn plenty of skepticism from devotees of Western medicine, but \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22036524\">there are some recent studies\u003c/a> that suggest it can help.\u003c/p>\n\u003cp>Loriana Aldama, who recently tried out Conceivable, said she got pregnant in seven months, after trying IVF twice. Her fertility doctor had told her that her chances were \"slim to nothing.\"\u003c/p>\n\u003cp>\u003cstrong>Fertility Tracking Apps are a Big Trend\u003c/strong>\u003c/p>\n\u003cp>There has been a veritable flowering of fertility tracking apps over the past couple years.\u003c/p>\n\u003cp>Other well-known apps in the space include \u003ca href=\"http://www.helloclue.com/\">Clue\u003c/a>, \u003ca href=\"http://www.ovuline.com/\">Ovia Fertility\u003c/a>, \u003ca href=\"https://www.fertilityfriend.com/iphone/\">Fertility Friend,\u003c/a> \u003ca href=\"https://itunes.apple.com/us/app/lily-your-personal-private/id400529549?mt=8\">Lily\u003c/a>, and \u003ca href=\"https://glowing.com/\">Glow\u003c/a>, to name a few. Glow rocketed this sector into the spotlight after its founder -- well-known entrepreneur and PayPal cofounder Max Levchin -- \u003ca href=\"http://allthingsd.com/20130529/max-levchins-glow-fertility-app-the-full-session-video/\">unveiled Glow at the AllThingsD (now Recode) conference\u003c/a>, where he created a stir by discussing “cervical mucus” on stage.\u003c/p>\n\u003cp>But Clue founder Ida Tin said that while interest in this space is exciting, there is still a long way to go.\u003c/p>\n\u003cp>“I think we have a menstruation revolution going on and it is all coming from startups,” Tin said.\u003c/p>\n\u003cp>“No big players in the field have taken this completely foundational part of human life and turned it into a really serious grown up digital product. Female health has been so under-served, even though it is one of the biggest areas for spending in the health industry.”\u003c/p>\n\u003cp>Rather than tracking basal body temperature and cervical mucus -- like Kindara, Ovia, and Glow -- Clue uses the calendar method, which forecasts fertility based on your last period’s start and end dates, as well as additional information like mood or cramps.\u003c/p>\n\u003cp>Each of these apps functions by collecting intimate, highly personal data, which raises questions about privacy.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"I think we have a menstruation revolution going on and it is all coming from startups.\"\u003cbr>\n\u003ccite>Ida Tin, founder of the Clue app\u003c/cite>\u003c/aside>\n\u003cp>Advertisers are already targeting consumers with offers based on their purchasing behavior. Back in 2012, \u003ca href=\"http://www.forbes.com/sites/kashmirhill/2012/02/16/how-target-figured-out-a-teen-girl-was-pregnant-before-her-father-did/\">Target set off a firestorm\u003c/a> when it figured out that a teen girl was pregnant based on her purchases -- before her father knew -- and sent her pregnancy and baby-related coupons in the mail. Data from these fertility apps would take those capabilities to a whole new level. Or what if an employer was able to access that data to discover if an employee was pregnant or trying to be? That information could affect hiring, promotion, or salary decisions.\u003c/p>\n\u003cp>However, Kindara user Abby Winship Hoyes said that the benefits of using the app outweighs her privacy concerns.\u003c/p>\n\u003cp>“I am aware of the potential privacy concerns, but frankly, they never bothered me,” she said.\u003c/p>\n\u003cp>“As far as I'm concerned, if someone wants to troll through my often inconsistent and sometimes inaccurate data, more power to them. I should hope that I wouldn't suffer any discrimination based on what this data says about me.”\u003c/p>\n\u003cp>\u003cstrong>Ancient Wisdom in a Mobile App?\u003c/strong>\u003c/p>\n\u003cp>Each of these startups is essentially channeling ancient wisdom about fertility into the form of a mobile app. The apps are using new technology to resurrect decidedly low-tech fertility practices that existed thousands of years before IVF, smartphones, or gynecologists.\u003c/p>\n\u003cp>While these mobile apps are certainly helping to provide women with more options, Dr. Richard Paulson said it is important to remember there is only so much they can do. Dr. Paulson is the President Elect of the \u003ca href=\"https://www.asrm.org/\">American Society for Reproductive Medicine\u003c/a> and a professor of reproductive medicine at the University of Southern California.\u003c/p>\n\u003cp>“In my mind, mobile apps fit in right at the beginning by helping people making sure the woman has regular ovulation and that they are having sex at the correct time,\" he said.\u003c/p>\n\u003cp>If there is some impediment preventing someone from getting pregnant, the apps won’t help, said Paulson. And more specialized treatments like IVF may become simpler, cheaper and less expensive.\u003c/p>\n\u003cp>Fertility is a spectrum. Most women are not exclusively fertile or infertile -- their fertility fluctuates depending on a complicated interplay of factors.\u003c/p>\n\u003cp>These mobile apps take varied, but similar approaches to helping women understand these fluctuations and empowering them to take their fertility into their own hands. However, if there are physiological impediments to getting pregnant -- such as endometriosis or blocked fallopian tubes -- a mobile app can only play a limited role in overcoming them.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>What they can help women overcome are social stigmas that keep them removed from their own reproductive health. We still live in a society where a \u003ca href=\"http://www.businessinsider.com/instagram-censored-a-photo-of-woman-on-her-period-2015-3\">modest image of period blood is considered obscene.\u003c/a> For the millions of women with“unexplained infertility,” those social impediments can be the tallest.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Forget step-tracking. From the \u003ca href=\"http://www.apple.com/watch/?cid=wwa-us-kwg-watch-com\">Apple Watch\u003c/a> to the \u003ca href=\"https://www.mybasis.com/\">Basis Peak,\u003c/a> the latest \"smart\" devices hitting the market can monitor more sophisticated metrics, like your heart rate.\u003c/p>\n\u003cp>The majority of these devices are targeted to fitness junkies, who track their heart rate from the wrist as an alternative to a bulky chest strap. Many of these companies use terms like \"optimizing performance\" to describe their gadgets.\u003c/p>\n\u003cp>But can these devices support the millions of people who suffer from heart disease? \u003ca href=\"http://www.cdc.gov/heartdisease/facts.htm\">Some 610,000 people die\u003c/a> of heart disease in the United States every year, which accounts for one in four deaths.\u003c/p>\n\u003cp>What's preventing these companies from targeting their products to the sick? Could heart rate monitors eventually be used to alert people about potentially-fatal outcomes?\u003c/p>\n\u003cp>To answer these questions and more,\u003cem> KQED\u003c/em> sat down with Euan Thomson, a health-technology investor, trained medical physicist and the chief executive of \u003ca href=\"http://alivecor.com\">AliveCor\u003c/a>, maker of the first device to win regulatory approval in the U.S. to detect a serious heart condition from\u003cspan id=\"articleText\"> electrocardiogram (ECG) readings via a mobile device. \u003c/span>This interview has been edited for brevity.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>We've seen a lot of hype around heart rate monitoring. Where are we with understanding how to measure heart health? \u003c/strong>\u003c/p>\n\u003cp>Today, we know very little about heart performance. Most of the measurements we take are under specific circumstances, like when your doctor takes your blood pressure. I'm hoping that we'll start measuring changes in someone's heart performance as well as the context of what they're doing: Did they sleep poorly, drink coffee, or gain some weight? When we start to gather this kind of longitudinal data, that will have an impact on how we treat heart disease in the long-term.\u003c/p>\n\u003cp>The way we treat heart disease today is akin to pulling everyone off the road because we know that traffic accidents kill a proportion of people.\u003c/p>\n\u003cp>\u003cstrong>What are the metrics that we should be measuring to better understand heart health?\u003c/strong>\u003c/p>\n\u003cp>We know that it's important to look at metrics like blood pressure, weight, sleep patterns, stress levels and alcohol consumption. The problem is that we know there are a lot of things that are generally bad for the heart, but that's very unspecific.\u003c/p>\n\u003cp>Ideally, we'll start measuring the ECG [\u003cspan class=\"_Tgc\">the process of recording the electrical activity of the heart] \u003c/span>three or four times a day; continuously track blood pressure, and compare that data to daily habits like diet and stress.\u003c/p>\n\u003cp>\u003cstrong>Many of the current heart rate monitors are worn on the wrist. What's the best part of the body for tracking the heart?\u003c/strong>\u003c/p>\n\u003cp>Chest straps are known to be less prone to noise, especially if you're running around a lot and moving your hands. But it's less comfortable on the chest. I think we have a lot of work to do to marry both comfort and accuracy.\u003c/p>\n\u003cfigure id=\"attachment_2775\" class=\"wp-caption alignright\" style=\"max-width: 460px\">\u003cimg class=\" wp-image-2775\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/Patient_Overhead1-800x533.jpg\" alt=\"A patient examining a reading from home \" width=\"460\" height=\"306\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/Patient_Overhead1-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Patient_Overhead1-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Patient_Overhead1-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Patient_Overhead1-960x640.jpg 960w\" sizes=\"(max-width: 460px) 100vw, 460px\">\u003cfigcaption class=\"wp-caption-text\">A patient examining a reading from home \u003ccite>(AliveCor)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ccite>\u003c/cite>\u003cstrong>Can wearable devices like the Apple Watch help to improve our clinical knowledge?\u003c/strong>\u003c/p>\n\u003cp>These devices are not intended for medical uses. None of these wearable tech companies that track heart rate are cleared by the FDA to give medical guidance. You wouldn't use them to find patterns that might be specific indicators of potentially-fatal abnormalities.\u003c/p>\n\u003cp>For example, if you just look at heart rate patterns using one of these monitors -- without the ECG -- you wouldn't know what's indicative of something being medically wrong, or whether it's because you've vigorously exercised, for instance.\u003c/p>\n\u003cp>\u003cstrong>So why bother using one of these heart rate monitors?\u003c/strong>\u003c/p>\n\u003cp>From a fitness standpoint, you may see that you've lowered your resting heart rate by exercising regularly. Heart rate is a wellness metric that I'd put in the same category of step-tracking.It's kind of useful for fitness, but it isn't a health care indicator.\u003c/p>\n\u003cp>\u003cstrong>There's been some talk of using heart rate monitors, like the Apple Watch, to assist patients with their rehab after heart surgeries. Is that a viable option?\u003c/strong>\u003c/p>\n\u003caside class=\"pullquote alignright\">“The amount of money being spent on useless metrics from a health care standpoint is stunning.\"\u003cbr>\n\u003ccite>Euan Thomson, CEO of AliveCor\u003c/cite>\u003c/aside>\n\u003cp>I see huge potential for this approach. If someone is recovering from heart surgery, they are often enrolled in a rehab program, which involves steadily increasing exercise under controlled conditions. Their ECG is also observed while they're walking or jogging on the treadmill.\u003c/p>\n\u003cp>I could envision a program that uses smartwatches for remote monitoring, so patients don't need to go to a rehab facility. Their doctor could say something like, 'I want to measure your heart rate while you take 2,000 steps over the next few weeks. Then I want to increase your exercise to 6,000 steps. I don't want your heart rate going above 80 beats per minute.'\u003c/p>\n\u003cp>We don't have any specific guidance like this to give to patients at the moment. But we could come up with something over time. I could see that having a major positive impact because so few people actually finish their rehab. It's often very inconvenient for them.\u003c/p>\n\u003cp>\u003cstrong>Would smartwatch makers need to prove to regulators and doctors that the data is accurate?\u003c/strong>\u003c/p>\n\u003cp>The program itself probably would need regulatory approval. We could probably get away without regulating the devices themselves, but the companies would need to invest in clinical studies to show the heart rate and steps data they gather is accurate.\u003c/p>\n\u003cp>The wearable tech-makers with adequate cash should invest in the health care process. I've noticed a certain unwillingness. Many companies are opting instead to give these semi-meaningless metrics to people that give little more than high-level guidance.\u003c/p>\n\u003cp>\u003cstrong>So heart rate monitoring isn't regulated, but ECG-tracking is? Why is that?\u003c/strong>\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"In the next few years, I believe that the industry will be able to spot the characteristics of someone who's likely to have a heart attack in the next three days.\"\u003cbr>\n\u003ccite>Euan Thomson, CEO of AliveCor\u003c/cite>\u003c/aside>\n\u003cp>ECGs are a regulated biometric as they are specialized, meaning most people can't look at them and detect abnormalities. If you want to display that data, you need to talk to the FDA. Unfortunately, not everyone wants to take on the job.\u003c/p>\n\u003cp>When it comes to regulation, it is more about the claims that companies make, rather than the device itself. When the company markets its heart rate monitor as the latest fitness gadget, it's not regulated. That's why you saw dozens of these low-cost performance monitors at the most recent \u003ca href=\"http://www.cesweb.org/\">Consumer Electronics Show\u003c/a>.\u003c/p>\n\u003cp>It's a very small club that is monitoring the ECG. But that is the way these other companies should go. I hope Silicon Valley doesn't spend millions of dollars developing devices that aren't medically relevant. The amount of money being spent on useless metrics from a health care standpoint is stunning.\u003c/p>\n\u003cp>We are on the brink here of something very exciting. We have so much data, which would be useful when combined with the performance of the heart. We have the capability to understand for the first time how the heart actually works.\u003c/p>\n\u003cp>\u003cstrong>Can you provide any examples of how we might be able to intervene in the future?\u003c/strong>\u003c/p>\n\u003cp>We could send an alert to someone who is soon to have a stroke or heart attack if we do enough measurements of an ECG and we gather other data points about that person.\u003c/p>\n\u003cp>At my company, AliveCor, we are working to deskill the process of determining characteristics of Arrhythmia [an irregular heart beat]. On our app today, we have an \u003ca href=\"http://www.alivecor.com/press/press-releases/alivecor-receives-first-fda-clearance-to-detect-a-serious-heart-condition-in-an-ecg-on-a-mobile-device\">FDA-approved algorithm \u003c/a>that can detect the presence of Atrial fibrillation [an irregular, often rapid heart rate that can cause poor blood flow]. We are also logging the context around it: How is it linked to coffee consumption or stress?\u003c/p>\n\u003cp>In the next few years, I believe that the industry will be able to spot the characteristics of someone who's likely to have a heart attack in the next three days.\u003c/p>\n\u003cp>\u003cstrong>Ford \u003ca href=\"http://mobihealthnews.com/43191/ford-puts-the-brakes-on-its-heart-rate-sensing-car-seat-project/\">recently put the brakes \u003c/a>on a project to embed heart rate sensors in car seats. How pervasive do you think heart rate monitoring will be in our daily lives?\u003c/strong>\u003c/p>\n\u003cp>I think we are moving into an era where there will be a huge diversity of sensors. I am sure we'll have heart rate sensors, maybe ECGs, built into steering wheels of our cars in the future. \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/04/02/why-smart-clothing-is-the-next-frontier-for-wearable-health-tech/\">And 'smart clothing' to track a variety of biometrics \u003c/a>is already in existence.\u003c/p>\n\u003cp>The key is what people do with that data. There needs to be more focus on making it medically relevant, cool and appealing to people. I bet you'd be interested to learn, for instance, that a new job is prompting far more stress and a skyrocketing blood pressure.\u003c/p>\n\u003cp>\u003cstrong>Life insurer John Hancock recently announced that it will give discounts on its insurance to healthy people that track their steps using Fitbits, \u003ca href=\"http://www.kqed.org/news/story/2015/04/08/159902/with_discounts_for_healthy_behavior_john_hancock_courts_privacy?source=npr&category=health\">which raised the alarm from a privacy perspective.\u003c/a> Should we be concerned about this data getting into the wrong hands?\u003c/strong>\u003c/p>\n\u003cp>Right now, many employers offer incentives to people who give up smoking. There's no reason why they shouldn't be more involved with specific measurements about our heart health -- and I suspect they will be.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>That said, these measured biometrics belong to us and we should have a say about where the data goes. The key is that people shouldn't be forced to share this data, it should only be on a voluntary basis. If someone is generally fit and has a healthy lifestyle, they may wish to share this data to get a discount. But if people are penalized for unhealthy lifestyles, that's clearly taking it too far.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Forget step-tracking. From the \u003ca href=\"http://www.apple.com/watch/?cid=wwa-us-kwg-watch-com\">Apple Watch\u003c/a> to the \u003ca href=\"https://www.mybasis.com/\">Basis Peak,\u003c/a> the latest \"smart\" devices hitting the market can monitor more sophisticated metrics, like your heart rate.\u003c/p>\n\u003cp>The majority of these devices are targeted to fitness junkies, who track their heart rate from the wrist as an alternative to a bulky chest strap. Many of these companies use terms like \"optimizing performance\" to describe their gadgets.\u003c/p>\n\u003cp>But can these devices support the millions of people who suffer from heart disease? \u003ca href=\"http://www.cdc.gov/heartdisease/facts.htm\">Some 610,000 people die\u003c/a> of heart disease in the United States every year, which accounts for one in four deaths.\u003c/p>\n\u003cp>What's preventing these companies from targeting their products to the sick? Could heart rate monitors eventually be used to alert people about potentially-fatal outcomes?\u003c/p>\n\u003cp>To answer these questions and more,\u003cem> KQED\u003c/em> sat down with Euan Thomson, a health-technology investor, trained medical physicist and the chief executive of \u003ca href=\"http://alivecor.com\">AliveCor\u003c/a>, maker of the first device to win regulatory approval in the U.S. to detect a serious heart condition from\u003cspan id=\"articleText\"> electrocardiogram (ECG) readings via a mobile device. \u003c/span>This interview has been edited for brevity.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>We've seen a lot of hype around heart rate monitoring. Where are we with understanding how to measure heart health? \u003c/strong>\u003c/p>\n\u003cp>Today, we know very little about heart performance. Most of the measurements we take are under specific circumstances, like when your doctor takes your blood pressure. I'm hoping that we'll start measuring changes in someone's heart performance as well as the context of what they're doing: Did they sleep poorly, drink coffee, or gain some weight? When we start to gather this kind of longitudinal data, that will have an impact on how we treat heart disease in the long-term.\u003c/p>\n\u003cp>The way we treat heart disease today is akin to pulling everyone off the road because we know that traffic accidents kill a proportion of people.\u003c/p>\n\u003cp>\u003cstrong>What are the metrics that we should be measuring to better understand heart health?\u003c/strong>\u003c/p>\n\u003cp>We know that it's important to look at metrics like blood pressure, weight, sleep patterns, stress levels and alcohol consumption. The problem is that we know there are a lot of things that are generally bad for the heart, but that's very unspecific.\u003c/p>\n\u003cp>Ideally, we'll start measuring the ECG [\u003cspan class=\"_Tgc\">the process of recording the electrical activity of the heart] \u003c/span>three or four times a day; continuously track blood pressure, and compare that data to daily habits like diet and stress.\u003c/p>\n\u003cp>\u003cstrong>Many of the current heart rate monitors are worn on the wrist. What's the best part of the body for tracking the heart?\u003c/strong>\u003c/p>\n\u003cp>Chest straps are known to be less prone to noise, especially if you're running around a lot and moving your hands. But it's less comfortable on the chest. I think we have a lot of work to do to marry both comfort and accuracy.\u003c/p>\n\u003cfigure id=\"attachment_2775\" class=\"wp-caption alignright\" style=\"max-width: 460px\">\u003cimg class=\" wp-image-2775\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/Patient_Overhead1-800x533.jpg\" alt=\"A patient examining a reading from home \" width=\"460\" height=\"306\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/Patient_Overhead1-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Patient_Overhead1-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Patient_Overhead1-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Patient_Overhead1-960x640.jpg 960w\" sizes=\"(max-width: 460px) 100vw, 460px\">\u003cfigcaption class=\"wp-caption-text\">A patient examining a reading from home \u003ccite>(AliveCor)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ccite>\u003c/cite>\u003cstrong>Can wearable devices like the Apple Watch help to improve our clinical knowledge?\u003c/strong>\u003c/p>\n\u003cp>These devices are not intended for medical uses. None of these wearable tech companies that track heart rate are cleared by the FDA to give medical guidance. You wouldn't use them to find patterns that might be specific indicators of potentially-fatal abnormalities.\u003c/p>\n\u003cp>For example, if you just look at heart rate patterns using one of these monitors -- without the ECG -- you wouldn't know what's indicative of something being medically wrong, or whether it's because you've vigorously exercised, for instance.\u003c/p>\n\u003cp>\u003cstrong>So why bother using one of these heart rate monitors?\u003c/strong>\u003c/p>\n\u003cp>From a fitness standpoint, you may see that you've lowered your resting heart rate by exercising regularly. Heart rate is a wellness metric that I'd put in the same category of step-tracking.It's kind of useful for fitness, but it isn't a health care indicator.\u003c/p>\n\u003cp>\u003cstrong>There's been some talk of using heart rate monitors, like the Apple Watch, to assist patients with their rehab after heart surgeries. Is that a viable option?\u003c/strong>\u003c/p>\n\u003caside class=\"pullquote alignright\">“The amount of money being spent on useless metrics from a health care standpoint is stunning.\"\u003cbr>\n\u003ccite>Euan Thomson, CEO of AliveCor\u003c/cite>\u003c/aside>\n\u003cp>I see huge potential for this approach. If someone is recovering from heart surgery, they are often enrolled in a rehab program, which involves steadily increasing exercise under controlled conditions. Their ECG is also observed while they're walking or jogging on the treadmill.\u003c/p>\n\u003cp>I could envision a program that uses smartwatches for remote monitoring, so patients don't need to go to a rehab facility. Their doctor could say something like, 'I want to measure your heart rate while you take 2,000 steps over the next few weeks. Then I want to increase your exercise to 6,000 steps. I don't want your heart rate going above 80 beats per minute.'\u003c/p>\n\u003cp>We don't have any specific guidance like this to give to patients at the moment. But we could come up with something over time. I could see that having a major positive impact because so few people actually finish their rehab. It's often very inconvenient for them.\u003c/p>\n\u003cp>\u003cstrong>Would smartwatch makers need to prove to regulators and doctors that the data is accurate?\u003c/strong>\u003c/p>\n\u003cp>The program itself probably would need regulatory approval. We could probably get away without regulating the devices themselves, but the companies would need to invest in clinical studies to show the heart rate and steps data they gather is accurate.\u003c/p>\n\u003cp>The wearable tech-makers with adequate cash should invest in the health care process. I've noticed a certain unwillingness. Many companies are opting instead to give these semi-meaningless metrics to people that give little more than high-level guidance.\u003c/p>\n\u003cp>\u003cstrong>So heart rate monitoring isn't regulated, but ECG-tracking is? Why is that?\u003c/strong>\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"In the next few years, I believe that the industry will be able to spot the characteristics of someone who's likely to have a heart attack in the next three days.\"\u003cbr>\n\u003ccite>Euan Thomson, CEO of AliveCor\u003c/cite>\u003c/aside>\n\u003cp>ECGs are a regulated biometric as they are specialized, meaning most people can't look at them and detect abnormalities. If you want to display that data, you need to talk to the FDA. Unfortunately, not everyone wants to take on the job.\u003c/p>\n\u003cp>When it comes to regulation, it is more about the claims that companies make, rather than the device itself. When the company markets its heart rate monitor as the latest fitness gadget, it's not regulated. That's why you saw dozens of these low-cost performance monitors at the most recent \u003ca href=\"http://www.cesweb.org/\">Consumer Electronics Show\u003c/a>.\u003c/p>\n\u003cp>It's a very small club that is monitoring the ECG. But that is the way these other companies should go. I hope Silicon Valley doesn't spend millions of dollars developing devices that aren't medically relevant. The amount of money being spent on useless metrics from a health care standpoint is stunning.\u003c/p>\n\u003cp>We are on the brink here of something very exciting. We have so much data, which would be useful when combined with the performance of the heart. We have the capability to understand for the first time how the heart actually works.\u003c/p>\n\u003cp>\u003cstrong>Can you provide any examples of how we might be able to intervene in the future?\u003c/strong>\u003c/p>\n\u003cp>We could send an alert to someone who is soon to have a stroke or heart attack if we do enough measurements of an ECG and we gather other data points about that person.\u003c/p>\n\u003cp>At my company, AliveCor, we are working to deskill the process of determining characteristics of Arrhythmia [an irregular heart beat]. On our app today, we have an \u003ca href=\"http://www.alivecor.com/press/press-releases/alivecor-receives-first-fda-clearance-to-detect-a-serious-heart-condition-in-an-ecg-on-a-mobile-device\">FDA-approved algorithm \u003c/a>that can detect the presence of Atrial fibrillation [an irregular, often rapid heart rate that can cause poor blood flow]. We are also logging the context around it: How is it linked to coffee consumption or stress?\u003c/p>\n\u003cp>In the next few years, I believe that the industry will be able to spot the characteristics of someone who's likely to have a heart attack in the next three days.\u003c/p>\n\u003cp>\u003cstrong>Ford \u003ca href=\"http://mobihealthnews.com/43191/ford-puts-the-brakes-on-its-heart-rate-sensing-car-seat-project/\">recently put the brakes \u003c/a>on a project to embed heart rate sensors in car seats. How pervasive do you think heart rate monitoring will be in our daily lives?\u003c/strong>\u003c/p>\n\u003cp>I think we are moving into an era where there will be a huge diversity of sensors. I am sure we'll have heart rate sensors, maybe ECGs, built into steering wheels of our cars in the future. \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/04/02/why-smart-clothing-is-the-next-frontier-for-wearable-health-tech/\">And 'smart clothing' to track a variety of biometrics \u003c/a>is already in existence.\u003c/p>\n\u003cp>The key is what people do with that data. There needs to be more focus on making it medically relevant, cool and appealing to people. I bet you'd be interested to learn, for instance, that a new job is prompting far more stress and a skyrocketing blood pressure.\u003c/p>\n\u003cp>\u003cstrong>Life insurer John Hancock recently announced that it will give discounts on its insurance to healthy people that track their steps using Fitbits, \u003ca href=\"http://www.kqed.org/news/story/2015/04/08/159902/with_discounts_for_healthy_behavior_john_hancock_courts_privacy?source=npr&category=health\">which raised the alarm from a privacy perspective.\u003c/a> Should we be concerned about this data getting into the wrong hands?\u003c/strong>\u003c/p>\n\u003cp>Right now, many employers offer incentives to people who give up smoking. There's no reason why they shouldn't be more involved with specific measurements about our heart health -- and I suspect they will be.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That said, these measured biometrics belong to us and we should have a say about where the data goes. The key is that people shouldn't be forced to share this data, it should only be on a voluntary basis. If someone is generally fit and has a healthy lifestyle, they may wish to share this data to get a discount. But if people are penalized for unhealthy lifestyles, that's clearly taking it too far.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Most of the tech buzz these days has centered on the new Apple Watch -- including on the potential for \u003ca href=\"http://www.npr.org/blogs/alltechconsidered/2015/04/25/402039156/as-health-apps-hop-on-the-apple-watch-privacy-will-be-key\">health-related apps\u003c/a>. Less attention has been given to Apple's \u003ca href=\"https://www.apple.com/researchkit/\">ResearchKit\u003c/a>, an open-source mobile software platform released in March.\u003c/p>\n\u003cp>But the medical world is paying attention.\u003c/p>\n\u003cp>\"It's designed to let medical researchers and developers create apps that can be downloaded through the app store, and then users can decide to join a study that's conducted solely through their phones,\" Arielle Duhaime-Ross, a science reporter at The Verge, tells NPR's Arun Rath.\u003c/p>\n\u003cp>So far, researchers have developed ResearchKit apps to study diseases including breast cancer, asthma and Parkinson's disease. \u003ca href=\"http://www.bloomberg.com/news/articles/2015-03-11/apple-researchkit-sees-thousands-sign-up-amid-bias-criticism\">Thousands of volunteers\u003c/a> have signed up.\u003c/p>\n\u003cp>But Duhaime-Ross tells Rath there are concerns about privacy and informed consent. Here are some interview highlights:\u003c/p>\n\u003chr>\n\u003cp>\u003cstrong>On privacy concerns\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>When you join a [ResearchKit] study, you go through an informed consent process where they tell you about the risks of joining the study. They'll ask you whether you want to share your data with other researchers and any other partners, but they do explain that they will make that data anonymous.\u003c/p>\n\u003cp>And really, Apple is relying on these researchers, these institutions, to make sure that everything is kosher. And that's where it might get a little bit hairy, where data breaches might occur. It's very young and it's very unclear whether there will be any issues later on.\u003c/p>\n\u003cp>\u003cstrong>On the question of informed consent\u003c/strong>\u003c/p>\n\u003cp>Every app that I've tested so far tells you toward the end that there is no guarantee that we can protect your data completely. Usually when you do this, you do this in person with the researcher or on the phone. You have the opportunity to ask a number of questions. You have the opportunity to demonstrate that maybe you don't quite understand what you're signing up for.\u003c/p>\n\u003cp>Now, the informed consent process with the apps, they do ask you a number of questions to verify that you understand everything that you've just read. But these questions are yes/no questions and it's very easy to essentially fudge the process. ...\u003c/p>\n\u003cp>If you go into the Parkinson's disease app ... when you first decide to join the study, it asks you three questions. One of them is \"Are you over 18?\" The first time that I downloaded it, I pressed on \"no\" ... It said, \"You're not eligible.\" I was able to press on the back button very easily and then I was able to answer again and say that I was over 18. So there's definitely a question about the ethics of this process.\u003c/p>\n\u003cp>\u003cstrong>On how Apple addressed some concerns after the release\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Apple has asked ... that all apps have institutional review board approval. This means that at the institutions where they are based in, they need to have an independent ethics board review the work to make sure that the people who are partaking in it are properly informed about the risks, are aware of how everything will run, that the questions are valuable questions that are being asked and that we're not conducting a study of little value.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=The+Promise+And+Potential+Pitfalls+Of+Apple%27s+ResearchKit+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\u003cdiv class=\"fullattribution\">\u003c/div>\n\u003cdiv class=\"fullattribution\">\u003ca href=\"http://www.npr.org/blogs/alltechconsidered/2015/05/03/404023370/the-promise-and-potential-pitfalls-of-apples-researchkit\">Read the full transcript of the interview here. \u003c/a>\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Most of the tech buzz these days has centered on the new Apple Watch -- including on the potential for \u003ca href=\"http://www.npr.org/blogs/alltechconsidered/2015/04/25/402039156/as-health-apps-hop-on-the-apple-watch-privacy-will-be-key\">health-related apps\u003c/a>. Less attention has been given to Apple's \u003ca href=\"https://www.apple.com/researchkit/\">ResearchKit\u003c/a>, an open-source mobile software platform released in March.\u003c/p>\n\u003cp>But the medical world is paying attention.\u003c/p>\n\u003cp>\"It's designed to let medical researchers and developers create apps that can be downloaded through the app store, and then users can decide to join a study that's conducted solely through their phones,\" Arielle Duhaime-Ross, a science reporter at The Verge, tells NPR's Arun Rath.\u003c/p>\n\u003cp>So far, researchers have developed ResearchKit apps to study diseases including breast cancer, asthma and Parkinson's disease. \u003ca href=\"http://www.bloomberg.com/news/articles/2015-03-11/apple-researchkit-sees-thousands-sign-up-amid-bias-criticism\">Thousands of volunteers\u003c/a> have signed up.\u003c/p>\n\u003cp>But Duhaime-Ross tells Rath there are concerns about privacy and informed consent. Here are some interview highlights:\u003c/p>\n\u003chr>\n\u003cp>\u003cstrong>On privacy concerns\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When you join a [ResearchKit] study, you go through an informed consent process where they tell you about the risks of joining the study. They'll ask you whether you want to share your data with other researchers and any other partners, but they do explain that they will make that data anonymous.\u003c/p>\n\u003cp>And really, Apple is relying on these researchers, these institutions, to make sure that everything is kosher. And that's where it might get a little bit hairy, where data breaches might occur. It's very young and it's very unclear whether there will be any issues later on.\u003c/p>\n\u003cp>\u003cstrong>On the question of informed consent\u003c/strong>\u003c/p>\n\u003cp>Every app that I've tested so far tells you toward the end that there is no guarantee that we can protect your data completely. Usually when you do this, you do this in person with the researcher or on the phone. You have the opportunity to ask a number of questions. You have the opportunity to demonstrate that maybe you don't quite understand what you're signing up for.\u003c/p>\n\u003cp>Now, the informed consent process with the apps, they do ask you a number of questions to verify that you understand everything that you've just read. But these questions are yes/no questions and it's very easy to essentially fudge the process. ...\u003c/p>\n\u003cp>If you go into the Parkinson's disease app ... when you first decide to join the study, it asks you three questions. One of them is \"Are you over 18?\" The first time that I downloaded it, I pressed on \"no\" ... It said, \"You're not eligible.\" I was able to press on the back button very easily and then I was able to answer again and say that I was over 18. So there's definitely a question about the ethics of this process.\u003c/p>\n\u003cp>\u003cstrong>On how Apple addressed some concerns after the release\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Apple has asked ... that all apps have institutional review board approval. This means that at the institutions where they are based in, they need to have an independent ethics board review the work to make sure that the people who are partaking in it are properly informed about the risks, are aware of how everything will run, that the questions are valuable questions that are being asked and that we're not conducting a study of little value.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=The+Promise+And+Potential+Pitfalls+Of+Apple%27s+ResearchKit+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\u003cdiv class=\"fullattribution\">\u003c/div>\n\u003cdiv class=\"fullattribution\">\u003ca href=\"http://www.npr.org/blogs/alltechconsidered/2015/05/03/404023370/the-promise-and-potential-pitfalls-of-apples-researchkit\">Read the full transcript of the interview here. \u003c/a>\u003c/div>\n\n\u003c/div>\u003c/p>",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
"title": "Close All Tabs",
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"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
},
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"code-switch-life-kit": {
"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
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"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"here-and-now": {
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
"id": "how-i-built-this",
"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"rss": "https://feeds.npr.org/510313/podcast.xml"
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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"amazon": "https://music.amazon.com/podcasts/6c3dd23c-93fb-4aab-97ba-1725fa6315f1/hyphenaci%C3%B3n",
"rss": "https://feeds.megaphone.fm/KQINC2275451163"
}
},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
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"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
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