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"content": "\u003cp>I am addicted to \u003ca href=\"https://www.ted.com/\">TED\u003c/a> talks. They breath new life into what was once the boring lecture.\u003c/p>\n\u003cp>Some of the smartest people have now become some of the most inspirational, thanks to the TED format and delivery. TED is now its own global industry which includes smaller, more affordable, TED X talks, a TED video channel and \u003ca href=\"http://www.npr.org/programs/ted-radio-hour/?showDate=2015-11-13\">NPR's TED Radio Hour\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"http://tedmed.com\">TEDMED\u003c/a>\u003ca href=\"http://www.tedmed.com/\">,\u003c/a> which is kind of the sci-fi edge of medicine, is one of the biggest gatherings in the TED culture.\u003c/p>\n\u003cp>This year's conference, which begins today in Palm Springs, is a who's who in medical innovation. The list includes several people we interviewed for KQED stories, including \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/04/10/23andme-ceo-we-are-now-the-poster-child-for-patient-empowerment/\">consumer genetics guru Anne Wojcicki,\u003c/a> scientists from UCSF's genome editing project \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/03/16/a-crispr-solution-to-bubble-boy-disease/\">Crispr\u003c/a>, and \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/04/14/digital-tools-for-health-come-with-hope-hype-and-harm/\">physicians specializing in mobile health\u003c/a>.\u003c/p>\n\u003cp>There are also a number of speakers that are new to me. Here are five topics that caught my eye.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>MakerNurse co-founder Anna Young\u003c/strong>\u003c/p>\n\u003cp>Inventive nurses have been doing workarounds for decades, cobbling together broken medical devices or adapting a dressing for a tiny patient's wound. Think about it: Who really knows more about how to improve patient care than the person who is at their bedside every day? I initially heard about MakerNurse at a conference last year, so I am looking forward to meeting Anna Young and her team from MIT's Little Device's Lab. They are using the ideas behind the Maker Movement to help bring rapid prototyping of tools to patient care.\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=VkKjW9GdAaw]\u003c/p>\n\u003cp>\u003cstrong>UCSD sensor innovator Todd Coleman\u003c/strong>\u003c/p>\n\u003cp>Todd Coleman is a UC San Diego Bioengineering Professor who develops tattoos for health monitoring in order to make medicine less invasive. He is also a staunch public health advocate who is looking for ways to deliver sustainable innovations to under-served groups. Click\u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/30/this-smart-pen-could-revolutionize-diabetes-treatment/\"> here\u003c/a> for our recent story on KQED's Future of You about the use of 'smart tattoos' to revolutionize diabetes treatment.\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=nym1leyltpU]\u003c/p>\n\u003cp>\u003cstrong>Bioengineer Sangeeta Bhatia\u003c/strong>\u003c/p>\n\u003cp>Sangeeta Bhatia is both a trained engineer and physician -- a rare combination. In her lab at MIT she works with technologies from the computer industry, like semiconductors, to figure out how to make livers for off-the-shelf transplants that don't depend on a dying patient's donation. Her team has developed breakthroughs in cancer treatment and Fast Company named her one of the most creative people of 2014.\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=EZYeb1fw1qI]\u003c/p>\n\u003cp>\u003cstrong>Electrified Biogeochemist Kenneth Nealson\u003c/strong>\u003c/p>\n\u003cp>What is an electrified biogeochemist? Just the title is enough to peak my interest for this session.\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=Y_-ImKe61I4]\u003c/p>\n\u003cp>\u003cstrong>Microbiome researcher Chris Mason \u003c/strong>\u003c/p>\n\u003cp>Chris Mason is \u003ca href=\"http://www.wsj.com/articles/scientists-back-off-some-findings-in-nyc-subway-microbiome-study-1438626750\">best known for his recent project\u003c/a> to map the New York subway's DNA, which took more than a year to complete. But Mason's interests go beyond swabbing subway trains and urban mircrobiology. His research extends to cruise ships, Chernobyl-struck villages and outer space. The Cornell professor is currently working with NASA on a long-term survival plan for interplanetary survival.\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=mn5MkKXtxms]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>You can follow the conference at #TedMed and @andreakissack. All talks will be available on the \u003ca href=\"http://tedmed.com\">TEDMED\u003c/a> site after the conference\u003c/em>.\u003c/p>\n\n",
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He is also a staunch public health advocate who is looking for ways to deliver sustainable innovations to under-served groups. Click\u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/30/this-smart-pen-could-revolutionize-diabetes-treatment/\"> here\u003c/a> for our recent story on KQED's Future of You about the use of 'smart tattoos' to revolutionize diabetes treatment.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/nym1leyltpU'\n title='//www.youtube.com/embed/nym1leyltpU'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Bioengineer Sangeeta Bhatia\u003c/strong>\u003c/p>\n\u003cp>Sangeeta Bhatia is both a trained engineer and physician -- a rare combination. In her lab at MIT she works with technologies from the computer industry, like semiconductors, to figure out how to make livers for off-the-shelf transplants that don't depend on a dying patient's donation. Her team has developed breakthroughs in cancer treatment and Fast Company named her one of the most creative people of 2014.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/EZYeb1fw1qI'\n title='//www.youtube.com/embed/EZYeb1fw1qI'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Electrified Biogeochemist Kenneth Nealson\u003c/strong>\u003c/p>\n\u003cp>What is an electrified biogeochemist? Just the title is enough to peak my interest for this session.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/Y_-ImKe61I4'\n title='//www.youtube.com/embed/Y_-ImKe61I4'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Microbiome researcher Chris Mason \u003c/strong>\u003c/p>\n\u003cp>Chris Mason is \u003ca href=\"http://www.wsj.com/articles/scientists-back-off-some-findings-in-nyc-subway-microbiome-study-1438626750\">best known for his recent project\u003c/a> to map the New York subway's DNA, which took more than a year to complete. But Mason's interests go beyond swabbing subway trains and urban mircrobiology. His research extends to cruise ships, Chernobyl-struck villages and outer space. The Cornell professor is currently working with NASA on a long-term survival plan for interplanetary survival.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/mn5MkKXtxms'\n title='//www.youtube.com/embed/mn5MkKXtxms'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>You can follow the conference at #TedMed and @andreakissack. All talks will be available on the \u003ca href=\"http://tedmed.com\">TEDMED\u003c/a> site after the conference\u003c/em>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Would You Eat Artificial Shark Fin?",
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"content": "\u003cp>\u003cstrong>Listen to the Story:\u003c/strong>\u003cbr>\nhttp://www.kqed.org/.stream/anon/radio//2015/11/SyntheticSharkFin.mp3\u003c/p>\n\u003cp>Many of the 100 million sharks \u003ca href=\"http://news.discovery.com/earth/oceans/100-million-sharks-killed-annually-130305.htm\" target=\"_blank\">killed each year\u003c/a> are slaughtered for their fins alone. The fins are used in shark fin soup, a prized delicacy in Asia.\u003c/p>\n\u003cp>California is one of 10 states that have banned the sale of shark fins, to help protect the animals. The International Union for Conservation of Nature says one-third of all shark species are threatened with extinction.\u003c/p>\n\u003cp>Now a San Francisco-based startup hopes its technology will reduce demand for their fins.\u003c/p>\n\u003cp>\u003ca href=\"http://www.newwavefoods.com/\" target=\"_blank\">New Wave Foods\u003c/a> is developing an imitation shark fin, called Smart Fin, that the company expects will be ready this summer. It's intended to be an alternative for a banned luxury item. About 30 chefs have already signed up to sell Smart Fin in their restaurants.\u003c/p>\n\u003cfigure id=\"attachment_62197\" class=\"wp-caption alignleft\" style=\"max-width: 393px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/IMG_2123-e1446856384156.png\">\u003cimg class=\" wp-image-62197\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/IMG_2123-e1446856384156-797x600.png\" alt=\"Samples of fish collagen from New Wave\" width=\"393\" height=\"296\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-797x600.png 797w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-400x301.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-1180x889.png 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-1920x1446.png 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-960x723.png 960w\" sizes=\"(max-width: 393px) 100vw, 393px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Samples of fish collagen from New Wave. \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The founders of New Wave Foods—Jennifer Kaehms, Dominique Barnes and Michelle Wolf—are working to duplicate collagen, a protein that's the basic building block in the tissues of a shark’s fin. Wolf, New Wave's lead engineer, is focused on mimicking the texture, rather than taste, as shark fin itself is virtually tasteless.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Collagen are these strands,\" Wolf says. \"They’re kind of like ropes. And they’re all sort of an amorphous, irregular structure.\"\u003c/p>\n\u003cp>New Wave Foods CEO Jenny Kaehmes says they're starting with yeast and re-writing a little bit of its DNA. Instead of making more yeast, it churns out tiny ropes of collagen, which can then be mashed together to mimic the texture of shark fin.\u003c/p>\n\u003cp>“You’re treating yeast and bacteria like protein factories,” she says. From there, it’s a matter of mashing the tiny building blocks of collagen into structures that mimic the gelatinous texture of shark fin.\u003c/p>\n\u003cfigure id=\"attachment_62209\" class=\"wp-caption alignright\" style=\"max-width: 488px\">\u003cimg class=\" wp-image-62209\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/IMG_2210-800x465.png\" alt=\"Andrew Harmon, Wild Aid\" width=\"488\" height=\"283\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-800x465.png 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-400x233.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-1180x686.png 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-1920x1116.png 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-960x558.png 960w\" sizes=\"(max-width: 488px) 100vw, 488px\">\u003cfigcaption class=\"wp-caption-text\">Andrew Harmon, a spokesman from Wild Aid, shared his concerns about synthetic wildlife products. \u003ccite>(Christina Farr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>New Wave Foods is developing its Smart Fin alongside a class of other startups enrolled in the \u003ca href=\"http://www.indiebio.co/\" target=\"_blank\">IndieBio \u003c/a>accelerator program. \u003cspan style=\"line-height: 1.5\">IndieBio offers startups access to a research lab, located a stone's throw from San Francisco's financial district, in return for equity. \u003c/span>\u003c/p>\n\u003cp>New Wave Foods is also working on a shrimp alternative made from seaweed. And several other startups are making animal-free products. Earlier this year, \u003ca href=\"http://signup.pembient.com/\" target=\"_blank\">Pembient\u003c/a> hit the headlines with its synthetic rhino horn.\u003c/p>\n\u003cp>\u003cstrong>Could Smart Fin Backfire?\u003c/strong>\u003c/p>\n\u003cp>New Wave Foods' approach is not without its skeptics. Some say the approach is well-meant, but it could backfire.\u003c/p>\n\u003cp>“This timing strikes me as incredibly poor,” says Andrew Harmon with \u003ca href=\"http://www.wildaid.org/\" target=\"_blank\">WildAid\u003c/a>, a San Francisco environmental group.\u003c/p>\n\u003cp>Harmon says conservationists have been focusing on shutting down demand for shark fin, and those efforts are starting to pay off in Asia.\u003c/p>\n\u003cp>“The younger generation is really moving away from shark fin,\" Harmon says. \"The Chinese government has banned shark fin from official banquets.\"\u003c/p>\n\u003cp>Harmon expressed concerns that making shark fin look cool again—even if it’s artificial—will undermine those efforts.\u003c/p>\n\u003cp>He harbors similar reservations about the \u003ca href=\"http://news.discovery.com/tech/biotechnology/3d-printed-synthetic-rhino-horns-could-save-rhinos-150624.htm\" target=\"_blank\">genetically identical rhino horn\u003c/a> from Pembient. He says products like these can make it harder to catch those who sell the real thing.\u003c/p>\n\u003cfigure id=\"attachment_62201\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-62201\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/IMG_2119-e1446594997353-800x600.jpg\" alt=\"New Wave Foods Team: Jennifer Kaehms, Dominique Barnes, Michelle Wolf\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-1180x886.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-1920x1441.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-960x721.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">New Wave Foods Team, Left to Right: Jennifer Kaehms, Dominique Barnes and Michelle Wolf. \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Time and time again,” he says, \"we’ve seen that the legal trade in wildlife products only serves to provide cover for illegal shipments.\"\u003c/p>\n\u003cp>That said, officials with California’s Department of Fish and Wildlife say it's unlikely restaurants would list the artificial product on their menus and then serve the real thing. One said that’d be like charging diners for cheap imitation crab, while serving much pricier real crab.\u003c/p>\n\u003cp>\u003cstrong>Would You Eat Artificial Shark Fin?\u003c/strong>\u003c/p>\n\u003cp>It remains to be seen if synthetic shark fin soup will be a hit with diners. But if it's any indication, one Bay Area chef has been experimenting with shark fin alternatives for years—with some success.\u003c/p>\n\u003cp>Corey Lee runs Benu, the \u003ca href=\"http://www.nytimes.com/2011/01/09/travel/09restaurants.html?_r=0\" target=\"_blank\">critically acclaimed\u003c/a> San Francisco restaurant that recently earned \u003ca href=\"http://insidescoopsf.sfgate.com/blog/2015/10/20/michelin-2016-stars-for-san-francisco-bay-area-manresa-elevated-to-three-stars-commis-and-campton-place-to-two/\" target=\"_blank\">3 Michelin stars\u003c/a>.\u003c/p>\n\u003cp>Lee starts with the same kind of broth as in traditional shark fin soup: ham and double-boiled chicken. He adds texture using what are called hydrocolloids, so he can press out fine brown strands, almost like noodles, that mimic the elastic snap of shark fin.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We’re still serving it five years later,” says Lee, \"so I think it turned out well.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Many of the 100 million sharks \u003ca href=\"http://news.discovery.com/earth/oceans/100-million-sharks-killed-annually-130305.htm\" target=\"_blank\">killed each year\u003c/a> are slaughtered for their fins alone. The fins are used in shark fin soup, a prized delicacy in Asia.\u003c/p>\n\u003cp>California is one of 10 states that have banned the sale of shark fins, to help protect the animals. The International Union for Conservation of Nature says one-third of all shark species are threatened with extinction.\u003c/p>\n\u003cp>Now a San Francisco-based startup hopes its technology will reduce demand for their fins.\u003c/p>\n\u003cp>\u003ca href=\"http://www.newwavefoods.com/\" target=\"_blank\">New Wave Foods\u003c/a> is developing an imitation shark fin, called Smart Fin, that the company expects will be ready this summer. It's intended to be an alternative for a banned luxury item. About 30 chefs have already signed up to sell Smart Fin in their restaurants.\u003c/p>\n\u003cfigure id=\"attachment_62197\" class=\"wp-caption alignleft\" style=\"max-width: 393px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/IMG_2123-e1446856384156.png\">\u003cimg class=\" wp-image-62197\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/IMG_2123-e1446856384156-797x600.png\" alt=\"Samples of fish collagen from New Wave\" width=\"393\" height=\"296\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-797x600.png 797w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-400x301.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-1180x889.png 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-1920x1446.png 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-960x723.png 960w\" sizes=\"(max-width: 393px) 100vw, 393px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Samples of fish collagen from New Wave. \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The founders of New Wave Foods—Jennifer Kaehms, Dominique Barnes and Michelle Wolf—are working to duplicate collagen, a protein that's the basic building block in the tissues of a shark’s fin. Wolf, New Wave's lead engineer, is focused on mimicking the texture, rather than taste, as shark fin itself is virtually tasteless.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Collagen are these strands,\" Wolf says. \"They’re kind of like ropes. And they’re all sort of an amorphous, irregular structure.\"\u003c/p>\n\u003cp>New Wave Foods CEO Jenny Kaehmes says they're starting with yeast and re-writing a little bit of its DNA. Instead of making more yeast, it churns out tiny ropes of collagen, which can then be mashed together to mimic the texture of shark fin.\u003c/p>\n\u003cp>“You’re treating yeast and bacteria like protein factories,” she says. From there, it’s a matter of mashing the tiny building blocks of collagen into structures that mimic the gelatinous texture of shark fin.\u003c/p>\n\u003cfigure id=\"attachment_62209\" class=\"wp-caption alignright\" style=\"max-width: 488px\">\u003cimg class=\" wp-image-62209\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/IMG_2210-800x465.png\" alt=\"Andrew Harmon, Wild Aid\" width=\"488\" height=\"283\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-800x465.png 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-400x233.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-1180x686.png 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-1920x1116.png 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-960x558.png 960w\" sizes=\"(max-width: 488px) 100vw, 488px\">\u003cfigcaption class=\"wp-caption-text\">Andrew Harmon, a spokesman from Wild Aid, shared his concerns about synthetic wildlife products. \u003ccite>(Christina Farr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>New Wave Foods is developing its Smart Fin alongside a class of other startups enrolled in the \u003ca href=\"http://www.indiebio.co/\" target=\"_blank\">IndieBio \u003c/a>accelerator program. \u003cspan style=\"line-height: 1.5\">IndieBio offers startups access to a research lab, located a stone's throw from San Francisco's financial district, in return for equity. \u003c/span>\u003c/p>\n\u003cp>New Wave Foods is also working on a shrimp alternative made from seaweed. And several other startups are making animal-free products. Earlier this year, \u003ca href=\"http://signup.pembient.com/\" target=\"_blank\">Pembient\u003c/a> hit the headlines with its synthetic rhino horn.\u003c/p>\n\u003cp>\u003cstrong>Could Smart Fin Backfire?\u003c/strong>\u003c/p>\n\u003cp>New Wave Foods' approach is not without its skeptics. Some say the approach is well-meant, but it could backfire.\u003c/p>\n\u003cp>“This timing strikes me as incredibly poor,” says Andrew Harmon with \u003ca href=\"http://www.wildaid.org/\" target=\"_blank\">WildAid\u003c/a>, a San Francisco environmental group.\u003c/p>\n\u003cp>Harmon says conservationists have been focusing on shutting down demand for shark fin, and those efforts are starting to pay off in Asia.\u003c/p>\n\u003cp>“The younger generation is really moving away from shark fin,\" Harmon says. \"The Chinese government has banned shark fin from official banquets.\"\u003c/p>\n\u003cp>Harmon expressed concerns that making shark fin look cool again—even if it’s artificial—will undermine those efforts.\u003c/p>\n\u003cp>He harbors similar reservations about the \u003ca href=\"http://news.discovery.com/tech/biotechnology/3d-printed-synthetic-rhino-horns-could-save-rhinos-150624.htm\" target=\"_blank\">genetically identical rhino horn\u003c/a> from Pembient. He says products like these can make it harder to catch those who sell the real thing.\u003c/p>\n\u003cfigure id=\"attachment_62201\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-62201\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/IMG_2119-e1446594997353-800x600.jpg\" alt=\"New Wave Foods Team: Jennifer Kaehms, Dominique Barnes, Michelle Wolf\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-1180x886.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-1920x1441.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-960x721.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">New Wave Foods Team, Left to Right: Jennifer Kaehms, Dominique Barnes and Michelle Wolf. \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Time and time again,” he says, \"we’ve seen that the legal trade in wildlife products only serves to provide cover for illegal shipments.\"\u003c/p>\n\u003cp>That said, officials with California’s Department of Fish and Wildlife say it's unlikely restaurants would list the artificial product on their menus and then serve the real thing. One said that’d be like charging diners for cheap imitation crab, while serving much pricier real crab.\u003c/p>\n\u003cp>\u003cstrong>Would You Eat Artificial Shark Fin?\u003c/strong>\u003c/p>\n\u003cp>It remains to be seen if synthetic shark fin soup will be a hit with diners. But if it's any indication, one Bay Area chef has been experimenting with shark fin alternatives for years—with some success.\u003c/p>\n\u003cp>Corey Lee runs Benu, the \u003ca href=\"http://www.nytimes.com/2011/01/09/travel/09restaurants.html?_r=0\" target=\"_blank\">critically acclaimed\u003c/a> San Francisco restaurant that recently earned \u003ca href=\"http://insidescoopsf.sfgate.com/blog/2015/10/20/michelin-2016-stars-for-san-francisco-bay-area-manresa-elevated-to-three-stars-commis-and-campton-place-to-two/\" target=\"_blank\">3 Michelin stars\u003c/a>.\u003c/p>\n\u003cp>Lee starts with the same kind of broth as in traditional shark fin soup: ham and double-boiled chicken. He adds texture using what are called hydrocolloids, so he can press out fine brown strands, almost like noodles, that mimic the elastic snap of shark fin.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We’re still serving it five years later,” says Lee, \"so I think it turned out well.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"http://www.imperial.nhs.uk/stmarys/\" target=\"_blank\">St Mary's Hospital\u003c/a> in London looks like any other large teaching hospital, with one exception. Perched on the street in front of the hospital's stately brick facade is a contemporary-looking design studio, made almost entirely of wood and glass.\u003c/p>\n\u003cp>Inside the studio, a group of eight designers and a handful of doctors brainstorm ideas for new products they hope will improve the experience for patients and, in time, lower health care costs.\u003c/p>\n\u003cp>\"We think of the hospital as our testbed for ideas,\" says Maja Kecman, one of the designers at the studio, which is called \u003ca href=\"http://www.helixcentre.com/\" target=\"_blank\">Helix\u003c/a>. \"Many health startups operate on the edges and look in, but we take a different approach.\"\u003c/p>\n\u003cp>Helix opened in 2013 with some £4 million (roughly $6 million) in grant money. What's unique about Helix is the access: The designers have a special clearance to shadow doctors and nurses at St Mary's hospital. They regularly spend an evening at the trauma center or sit in on doctor-patient consultations.\u003c/p>\n\u003cfigure id=\"attachment_62212\" class=\"wp-caption alignleft\" style=\"max-width: 500px\">\u003cimg class=\" wp-image-62212\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-800x533.jpg\" alt=\"A prototyping workshop inside the hospital. \" width=\"500\" height=\"333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-1920x1280.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-960x640.jpg 960w\" sizes=\"(max-width: 500px) 100vw, 500px\">\u003cfigcaption class=\"wp-caption-text\">A prototyping workshop inside the hospital. \u003ccite>(Helix)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"At St Mary's, we see all sorts of really quite horrific injuries, which can be quite harrowing for the designers,\" says Matthew S. Prime, an orthopedic surgeon and one of the clinicians working with Helix. But he says the designers focus most of their time asking patients about their experiences, like whether they felt rushed or understood their doctor's instructions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"To get that kind of access to patients is unique,\" Prime explains. \"You almost certainly wouldn't get it at a design consultancy.\"\u003c/p>\n\u003cp>The designers' goal is to develop health products that can scale globally. Some projects in the pipeline include an end-of-life care app and a service to help patients with glaucoma take their meds.\u003c/p>\n\u003cp>Kecman says one of the biggest challenges is prioritizing one idea over another in a broken health care system. One way designers do that is by pursuing the potential solutions where they see a clear way to make money.\u003c/p>\n\u003cp>Oftentimes, they'll hear from clinicians about a problem on their ward, but find themselves uncertain whether they can solve it. One question they're currently pondering is whether they can help a nurse who recently approached Kecman to alleviate her patients' pressure ulcers.\u003c/p>\n\u003cfigure id=\"attachment_62689\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-62689\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/bowel-screening-800x533.jpg\" alt=\"Helix is trying out a new approach to screening for bowel cancer. \" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-1920x1280.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-960x640.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Helix is trying out a new approach to screening for bowel cancer. \u003ccite>(Helix)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Once the team homes in on an idea, they use design-thinking methods popularized by the Silicon Valley-based design firm \u003ca href=\"https://www.ideo.com/\" target=\"_blank\">IDEO\u003c/a> to develop an initial product. IDEO espouses an approach that puts human needs at the center of the design process.\u003c/p>\n\u003cp>The first product they've taken outside the hospital is a new method to screen for bowel cancer, which has already been delivered to about 7,000 patients in Wales as part of a trial. In the UK, people who turn 60 can expect a birthday card from the National Health Service (NHS) accompanied by a surprising, and somewhat uncomfortable, request for a poop sample to test them for bowel cancer. For the trial, recipients will get a new sample kit and educational resources, including an animated film that explains why it's important to get screened.\u003c/p>\n\u003cp>The average response for the NHS' current program is \u003ca href=\"http://www.bowelcanceruk.org.uk/media/100983/760_bcuk_gp_a5inserts_5-6_screening.pdf\" target=\"_blank\">about 55 percent.\u003c/a>\u003c/p>\n\u003cp>St Mary's is just one of many hospitals and clinics that are investing in design. \"I'm seeing a growing trend of designers and design teams being embedded in a clinical environment,\" says Aaron Sklar, a designer at Aetna-owned \u003ca href=\"http://www.healthagen.com/\" target=\"_blank\">Healthagen\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_62214\" class=\"wp-caption alignleft\" style=\"max-width: 455px\">\u003cimg class=\" wp-image-62214\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/End-of-life-care-app-800x449.jpg\" alt=\"Helix is currently developing an app dedicated to end of life care. \" width=\"455\" height=\"255\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-800x449.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-1180x663.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-1920x1078.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-960x539.jpg 960w\" sizes=\"(max-width: 455px) 100vw, 455px\">\u003cfigcaption class=\"wp-caption-text\">Helix is currently developing an app dedicated to end of life care. \u003ccite>(Helix)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Mayo Clinic has its own in-house innovation lab, called the \u003ca href=\"http://www.mayo.edu/center-for-innovation/what-we-do/design-thinking\" target=\"_blank\">Design Research Studio\u003c/a>, which focuses on improving the delivery of care. And One Medical, a U.S-based primary care group, has hired clinical systems designers to explore ways to make the experience easier for patients.\u003c/p>\n\u003cp>\"Any design intervention and innovation at the point of care has an opportunity to have an immediate and powerful impact,\" Sklar says.\u003c/p>\n\u003cp>But most hospitals will employ outside consultants, rather than hiring an internal design team. Unlike the designers at Helix, these consultants tend to focus on finding ways to cut the budget, rather than on improving how patients are treated.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"For years, we've been bringing in outside management consultants to the hospital,\" Prime says. \"This is different. It's far more than just number crunching.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"http://www.imperial.nhs.uk/stmarys/\" target=\"_blank\">St Mary's Hospital\u003c/a> in London looks like any other large teaching hospital, with one exception. Perched on the street in front of the hospital's stately brick facade is a contemporary-looking design studio, made almost entirely of wood and glass.\u003c/p>\n\u003cp>Inside the studio, a group of eight designers and a handful of doctors brainstorm ideas for new products they hope will improve the experience for patients and, in time, lower health care costs.\u003c/p>\n\u003cp>\"We think of the hospital as our testbed for ideas,\" says Maja Kecman, one of the designers at the studio, which is called \u003ca href=\"http://www.helixcentre.com/\" target=\"_blank\">Helix\u003c/a>. \"Many health startups operate on the edges and look in, but we take a different approach.\"\u003c/p>\n\u003cp>Helix opened in 2013 with some £4 million (roughly $6 million) in grant money. What's unique about Helix is the access: The designers have a special clearance to shadow doctors and nurses at St Mary's hospital. They regularly spend an evening at the trauma center or sit in on doctor-patient consultations.\u003c/p>\n\u003cfigure id=\"attachment_62212\" class=\"wp-caption alignleft\" style=\"max-width: 500px\">\u003cimg class=\" wp-image-62212\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-800x533.jpg\" alt=\"A prototyping workshop inside the hospital. \" width=\"500\" height=\"333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-1920x1280.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-960x640.jpg 960w\" sizes=\"(max-width: 500px) 100vw, 500px\">\u003cfigcaption class=\"wp-caption-text\">A prototyping workshop inside the hospital. \u003ccite>(Helix)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"At St Mary's, we see all sorts of really quite horrific injuries, which can be quite harrowing for the designers,\" says Matthew S. Prime, an orthopedic surgeon and one of the clinicians working with Helix. But he says the designers focus most of their time asking patients about their experiences, like whether they felt rushed or understood their doctor's instructions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"To get that kind of access to patients is unique,\" Prime explains. \"You almost certainly wouldn't get it at a design consultancy.\"\u003c/p>\n\u003cp>The designers' goal is to develop health products that can scale globally. Some projects in the pipeline include an end-of-life care app and a service to help patients with glaucoma take their meds.\u003c/p>\n\u003cp>Kecman says one of the biggest challenges is prioritizing one idea over another in a broken health care system. One way designers do that is by pursuing the potential solutions where they see a clear way to make money.\u003c/p>\n\u003cp>Oftentimes, they'll hear from clinicians about a problem on their ward, but find themselves uncertain whether they can solve it. One question they're currently pondering is whether they can help a nurse who recently approached Kecman to alleviate her patients' pressure ulcers.\u003c/p>\n\u003cfigure id=\"attachment_62689\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-62689\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/bowel-screening-800x533.jpg\" alt=\"Helix is trying out a new approach to screening for bowel cancer. \" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-1920x1280.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-960x640.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Helix is trying out a new approach to screening for bowel cancer. \u003ccite>(Helix)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Once the team homes in on an idea, they use design-thinking methods popularized by the Silicon Valley-based design firm \u003ca href=\"https://www.ideo.com/\" target=\"_blank\">IDEO\u003c/a> to develop an initial product. IDEO espouses an approach that puts human needs at the center of the design process.\u003c/p>\n\u003cp>The first product they've taken outside the hospital is a new method to screen for bowel cancer, which has already been delivered to about 7,000 patients in Wales as part of a trial. In the UK, people who turn 60 can expect a birthday card from the National Health Service (NHS) accompanied by a surprising, and somewhat uncomfortable, request for a poop sample to test them for bowel cancer. For the trial, recipients will get a new sample kit and educational resources, including an animated film that explains why it's important to get screened.\u003c/p>\n\u003cp>The average response for the NHS' current program is \u003ca href=\"http://www.bowelcanceruk.org.uk/media/100983/760_bcuk_gp_a5inserts_5-6_screening.pdf\" target=\"_blank\">about 55 percent.\u003c/a>\u003c/p>\n\u003cp>St Mary's is just one of many hospitals and clinics that are investing in design. \"I'm seeing a growing trend of designers and design teams being embedded in a clinical environment,\" says Aaron Sklar, a designer at Aetna-owned \u003ca href=\"http://www.healthagen.com/\" target=\"_blank\">Healthagen\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_62214\" class=\"wp-caption alignleft\" style=\"max-width: 455px\">\u003cimg class=\" wp-image-62214\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/End-of-life-care-app-800x449.jpg\" alt=\"Helix is currently developing an app dedicated to end of life care. \" width=\"455\" height=\"255\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-800x449.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-1180x663.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-1920x1078.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-960x539.jpg 960w\" sizes=\"(max-width: 455px) 100vw, 455px\">\u003cfigcaption class=\"wp-caption-text\">Helix is currently developing an app dedicated to end of life care. \u003ccite>(Helix)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Mayo Clinic has its own in-house innovation lab, called the \u003ca href=\"http://www.mayo.edu/center-for-innovation/what-we-do/design-thinking\" target=\"_blank\">Design Research Studio\u003c/a>, which focuses on improving the delivery of care. And One Medical, a U.S-based primary care group, has hired clinical systems designers to explore ways to make the experience easier for patients.\u003c/p>\n\u003cp>\"Any design intervention and innovation at the point of care has an opportunity to have an immediate and powerful impact,\" Sklar says.\u003c/p>\n\u003cp>But most hospitals will employ outside consultants, rather than hiring an internal design team. Unlike the designers at Helix, these consultants tend to focus on finding ways to cut the budget, rather than on improving how patients are treated.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"For years, we've been bringing in outside management consultants to the hospital,\" Prime says. \"This is different. It's far more than just number crunching.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Medicine, meet big data.\u003c/p>\n\u003cp>For generations, physicians have been trained in basic science and human anatomy to diagnose and treat the individual patient.\u003c/p>\n\u003cp>But now, massive stores of data about what works for which patients are literally changing the way medicine is practiced.\u003c/p>\n\u003cp>“That’s how we make decisions; we make them based on the truth and the evidence that are present in those data,” says \u003ca href=\"http://www.med.nyu.edu/biosketch/triolm01\" target=\"_blank\">Marc Triola\u003c/a>, an associate dean at New York University School of Medicine.\u003c/p>\n\u003cp>Figuring out how to access and interpret all that data is not a skill that most physicians learned in medical school. In fact, it’s not even been taught in medical school, but that’s changing.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“If you don’t have these skills, you could really be at a disadvantage,” says Triola, “in terms of the way you understand the quality and the efficiency of the care you’re delivering.\u003c/p>\n\u003cp>That’s why every first and second year student at NYU Medical School is required to do what’s called a \u003ca href=\"http://education.med.nyu.edu/ace\" target=\"_blank\">“health care by the numbers”\u003c/a> project. Students are given access to a database with more than 5 million anonymous records — information on every hospital patient in the state for the past two years. “ Their age, their race and ethnicity, what zip code they came from,” Triola lists, as well as their diagnosis, procedures and the bills paid on their behalf.\u003c/p>\n\u003cp>The project, funded in part by an effort of the \u003ca href=\"http://www.npr.org/sections/health-shots/2015/04/09/390440465/medical-schools-reboot-for-21st-century\" target=\"_blank\">American Medical Association\u003c/a> to update what and how medical students are taught, also includes a companion database for roughly 50,000 outpatients. It’s called the Lacidem Care Group. (Lacidem? That’s “medical,” backwards). It contains data from NYU’s own faculty practices — scrubbed to ensure that neither the patients nor the doctors can be identified.\u003c/p>\n\u003cfigure id=\"attachment_62041\" class=\"wp-caption alignright\" style=\"max-width: 570px\">\u003cimg class=\"size-full wp-image-62041\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/nyu-docs-2-570.jpg\" alt=\"(Left to right) Christine Schindler, Mary Quien and Micah Timen hold a study session. Timen worked as an accountant before medical school; his database project tracked the relative costs of a hip replacement throughout New York compared to the relative costs of a fast-food hamburger.\" width=\"570\" height=\"380\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/nyu-docs-2-570.jpg 570w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/nyu-docs-2-570-400x267.jpg 400w\" sizes=\"(max-width: 570px) 100vw, 570px\">\u003cfigcaption class=\"wp-caption-text\">(Left to right) Christine Schindler, Mary Quien and Micah Timen hold a study session. Timen worked as an accountant before medical school; his database project tracked the relative costs of a hip replacement throughout New York compared to the relative costs of a fast-food hamburger. \u003ccite>( Cindy Carpien/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Students can use tools provided by the project to “look at quality measures for things like heart failure, diabetes, smoking, and high blood pressure,” says Triola. “And drill down and look at the performance of the practice as a whole and individual doctors.”\u003c/p>\n\u003cp>For his project, Timen wanted to know if the cost to patients of hip replacement surgery around the state vary as much as the cost of a fast-food hamburger. Timen says they tried comparing hip replacement costs using \u003cem>The Economist\u003c/em> magazine’s famous \u003ca href=\"http://www.economist.com/content/big-mac-index\" target=\"_blank\">Big Mac Index\u003c/a>, which measures purchasing power between currencies.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I really have no statistical background. I don’t even know how to use Excel well.'\u003cbr>\n\u003ccite>Justin Feit, second year student at NYU's medical school \u003c/cite>\u003c/aside>\n\u003cp>“But when you call McDonald’s, they don’t give you prices over the phone,” he said. So he tried Plan B: “Burger King gave it to me.”Some students have taken to the assignment with relish. Second-year student Micah Timen is one. Timen likes numbers. A lot. A former accountant before applying to med school, he keeps a spreadsheet to track his study hours before a test. An upcoming test is on the digestive system. “\u003c/p>\n\u003cp>So I know I have 18 hours and 40 minutes left to make sure I feel comfortable walking into my exam,” he says.\u003c/p>\n\u003cp>Using his “Whopper Index” instead, Timen found, not surprisingly, that the price of a giant burger sandwich is higher in New York City than, say, Albany. So, too was the amount patients paid for their hip replacements. But the margin was much wider for health care than for hamburgers, meaning patients are paying more in some places than simple geography would suggest. Timen says he’d like to explore why that might be, “but unfortunately med school is a little bit time-consuming,” so that may have to wait.\u003c/p>\n\u003cp>Still, it turns out the classes appeal not just to data “junkies,” like Timen, but also to those who were not already steeped in crunching data.\u003c/p>\n\u003cp>“I really have no statistical background,” says Justin Feit, also a second year student. “I don’t even know how to use Excel well.”\u003c/p>\n\u003cp>So Feit was partnered with Jennifer Lynch, who already has a PhD — in physics. She says that if medicine wasn’t moving in the direction of more data interpretation, “I don’t know if I would have gone into medicine.”\u003c/p>\n\u003cp>Together Feit and Lynch looked at the rates of cesarean births around the state – and, like the cost of hip replacements, found that C-section rates varied widely. But their project will get more than just a grade. A faculty member at NYU is using it as part of a bigger research project headed for publication.\u003c/p>\n\u003cp>Triola says he hopes that will happen more and more.\u003c/p>\n\u003cp>“With literally millions of records, these in-class student projects often involved more patients than the published literature. It’s incredible,” he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>And the concept of having students learn to use health data is catching on quickly. Triola says NYU is offering its database and program to other medical schools; seven are already incorporating it into their curriculum.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Medicine, meet big data.\u003c/p>\n\u003cp>For generations, physicians have been trained in basic science and human anatomy to diagnose and treat the individual patient.\u003c/p>\n\u003cp>But now, massive stores of data about what works for which patients are literally changing the way medicine is practiced.\u003c/p>\n\u003cp>“That’s how we make decisions; we make them based on the truth and the evidence that are present in those data,” says \u003ca href=\"http://www.med.nyu.edu/biosketch/triolm01\" target=\"_blank\">Marc Triola\u003c/a>, an associate dean at New York University School of Medicine.\u003c/p>\n\u003cp>Figuring out how to access and interpret all that data is not a skill that most physicians learned in medical school. In fact, it’s not even been taught in medical school, but that’s changing.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“If you don’t have these skills, you could really be at a disadvantage,” says Triola, “in terms of the way you understand the quality and the efficiency of the care you’re delivering.\u003c/p>\n\u003cp>That’s why every first and second year student at NYU Medical School is required to do what’s called a \u003ca href=\"http://education.med.nyu.edu/ace\" target=\"_blank\">“health care by the numbers”\u003c/a> project. Students are given access to a database with more than 5 million anonymous records — information on every hospital patient in the state for the past two years. “ Their age, their race and ethnicity, what zip code they came from,” Triola lists, as well as their diagnosis, procedures and the bills paid on their behalf.\u003c/p>\n\u003cp>The project, funded in part by an effort of the \u003ca href=\"http://www.npr.org/sections/health-shots/2015/04/09/390440465/medical-schools-reboot-for-21st-century\" target=\"_blank\">American Medical Association\u003c/a> to update what and how medical students are taught, also includes a companion database for roughly 50,000 outpatients. It’s called the Lacidem Care Group. (Lacidem? That’s “medical,” backwards). It contains data from NYU’s own faculty practices — scrubbed to ensure that neither the patients nor the doctors can be identified.\u003c/p>\n\u003cfigure id=\"attachment_62041\" class=\"wp-caption alignright\" style=\"max-width: 570px\">\u003cimg class=\"size-full wp-image-62041\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/nyu-docs-2-570.jpg\" alt=\"(Left to right) Christine Schindler, Mary Quien and Micah Timen hold a study session. Timen worked as an accountant before medical school; his database project tracked the relative costs of a hip replacement throughout New York compared to the relative costs of a fast-food hamburger.\" width=\"570\" height=\"380\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/nyu-docs-2-570.jpg 570w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/nyu-docs-2-570-400x267.jpg 400w\" sizes=\"(max-width: 570px) 100vw, 570px\">\u003cfigcaption class=\"wp-caption-text\">(Left to right) Christine Schindler, Mary Quien and Micah Timen hold a study session. Timen worked as an accountant before medical school; his database project tracked the relative costs of a hip replacement throughout New York compared to the relative costs of a fast-food hamburger. \u003ccite>( Cindy Carpien/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Students can use tools provided by the project to “look at quality measures for things like heart failure, diabetes, smoking, and high blood pressure,” says Triola. “And drill down and look at the performance of the practice as a whole and individual doctors.”\u003c/p>\n\u003cp>For his project, Timen wanted to know if the cost to patients of hip replacement surgery around the state vary as much as the cost of a fast-food hamburger. Timen says they tried comparing hip replacement costs using \u003cem>The Economist\u003c/em> magazine’s famous \u003ca href=\"http://www.economist.com/content/big-mac-index\" target=\"_blank\">Big Mac Index\u003c/a>, which measures purchasing power between currencies.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I really have no statistical background. I don’t even know how to use Excel well.'\u003cbr>\n\u003ccite>Justin Feit, second year student at NYU's medical school \u003c/cite>\u003c/aside>\n\u003cp>“But when you call McDonald’s, they don’t give you prices over the phone,” he said. So he tried Plan B: “Burger King gave it to me.”Some students have taken to the assignment with relish. Second-year student Micah Timen is one. Timen likes numbers. A lot. A former accountant before applying to med school, he keeps a spreadsheet to track his study hours before a test. An upcoming test is on the digestive system. “\u003c/p>\n\u003cp>So I know I have 18 hours and 40 minutes left to make sure I feel comfortable walking into my exam,” he says.\u003c/p>\n\u003cp>Using his “Whopper Index” instead, Timen found, not surprisingly, that the price of a giant burger sandwich is higher in New York City than, say, Albany. So, too was the amount patients paid for their hip replacements. But the margin was much wider for health care than for hamburgers, meaning patients are paying more in some places than simple geography would suggest. Timen says he’d like to explore why that might be, “but unfortunately med school is a little bit time-consuming,” so that may have to wait.\u003c/p>\n\u003cp>Still, it turns out the classes appeal not just to data “junkies,” like Timen, but also to those who were not already steeped in crunching data.\u003c/p>\n\u003cp>“I really have no statistical background,” says Justin Feit, also a second year student. “I don’t even know how to use Excel well.”\u003c/p>\n\u003cp>So Feit was partnered with Jennifer Lynch, who already has a PhD — in physics. She says that if medicine wasn’t moving in the direction of more data interpretation, “I don’t know if I would have gone into medicine.”\u003c/p>\n\u003cp>Together Feit and Lynch looked at the rates of cesarean births around the state – and, like the cost of hip replacements, found that C-section rates varied widely. But their project will get more than just a grade. A faculty member at NYU is using it as part of a bigger research project headed for publication.\u003c/p>\n\u003cp>Triola says he hopes that will happen more and more.\u003c/p>\n\u003cp>“With literally millions of records, these in-class student projects often involved more patients than the published literature. It’s incredible,” he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>And the concept of having students learn to use health data is catching on quickly. Triola says NYU is offering its database and program to other medical schools; seven are already incorporating it into their curriculum.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Urgent Care Waiting Rooms May Be a Thing of the Past",
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"content": "\u003cp>When Oakland resident Christine McGeever woke up last week, she couldn't talk.\u003c/p>\n\u003cp>\"I had a really sore throat, low fever and a headache,\" McGeever says. \"I was nervous about it being strep.\"\u003c/p>\n\u003cp>She had a stack of deadlines and needed to catch a business flight in a couple of days—she wanted a quick diagnosis and treatment. But it was Wednesday, the day her primary care physician has off.\u003c/p>\n\u003cp>So she did what most online users would—she turned to \u003ca href=\"http://www.yelp.com/biz/direct-urgent-care-berkeley-5\" target=\"_blank\">Yelp\u003c/a>. There she found a nearly perfect review of \u003ca href=\"http://www.directurgentcare.com/\" target=\"_blank\">Direct Urgent Care\u003c/a>, a private, urgent care facility in Berkeley that advertised online booking for same-day appointments.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/DUC_1_JPG.jpg\">\u003cimg class=\"alignleft wp-image-59629\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/DUC_1_JPG-710x600.jpg\" alt=\"DUC_1_JPG\" width=\"316\" height=\"267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/DUC_1_JPG-710x600.jpg 710w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/DUC_1_JPG-400x338.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/DUC_1_JPG-960x811.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/DUC_1_JPG.jpg 1046w\" sizes=\"(max-width: 316px) 100vw, 316px\">\u003c/a>McGeever booked her own appointment and didn't have to waste half a day in a waiting room. In fact, she stayed at home, forging ahead on her deadlines.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>When she arrived, the staff knew about her previous medical history and her symptoms, which she had submitted online.\u003c/p>\n\u003cp>\"They were already informed when I walked in the door,\" McGeever says, \"which was amazing.\"\u003c/p>\n\u003cp>Direct Urgent Care's online system is called \u003ca href=\"https://nextpatient.co/\" target=\"_blank\">NextPatient\u003c/a>. It's available—for free—to every medical practice in the U.S. that wants it.\u003c/p>\n\u003cp>\"If we can shift the waiting experience from the waiting room to your living room,\" says company founder David Rodriguez, \"it’s a much better experience.\"\u003c/p>\n\u003cp>Websites that book doctor's appointments online, like \u003ca href=\"https://www.zocdoc.com/\" target=\"_blank\">ZocDoc\u003c/a>, \u003ca href=\"https://clockwise.md/\" target=\"_blank\">Clockwise MD\u003c/a> and \u003ca href=\"http://www.practicefusion.com/\" target=\"_blank\">Practice Fusion\u003c/a>, have been around for several years.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘The last thing you want to do is feel crummy in a waiting room with other people. NextPatient allows you to feel crummy at home.’\u003ccite>Caesar Djavaherian, Direct Urgent Care\u003c/cite>\u003c/aside>\n\u003cp>But Rodriguez calls online urgent care booking \"a sweet spot.\" Only \u003ca href=\"https://www.accenture.com/us-en/insight-patient-engagement-digital-self-scheduling-explode.aspx\" target=\"_blank\">11 percent of patient appointments\u003c/a> are currently available online and urgent care scheduling helps people avoid unnecessary visits to the emergency room.\u003c/p>\n\u003cp>\"A lot of emergency room visits are non-life-threatening,\" says physician and Direct Urgent Care president Caesar Djavaherian.\u003c/p>\n\u003cp>They are also costly.\u003c/p>\n\u003cp>\"Most patients are paying so much for the overhead,\" Djavaherian says. \"Like if you go into the ER, you are subsidizing the MRI machine and the cat scanner, the nurses that are there, even though you might just need an evaluation.\"\u003c/p>\n\u003cp>As McGeever points out, \"urgent care isn’t always urgent.\" Sometimes it's just a matter of seeing someone if your primary care physician is unavailable.\u003c/p>\n\u003cp>Instant access to care is something digital healthcare companies are rushing to provide, according to Bain & Company healthcare consultant \u003ca href=\"http://www.bain.com/about/people-and-values/our-team/profiles/joshua-weisbrod.aspx\" target=\"_blank\">Josh Weisbrod\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_59635\" class=\"wp-caption alignleft\" style=\"max-width: 407px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/IMG_4804.jpeg\">\u003cimg class=\"wp-image-59635 \" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/IMG_4804-800x534.jpeg\" alt=\"Physician and Direct Urgent Care President completes a pupillary exam during a routine physical check-up.\" width=\"407\" height=\"271\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_4804-800x534.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_4804-400x267.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_4804-1180x787.jpeg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_4804-1920x1281.jpeg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_4804-960x640.jpeg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_4804.jpeg 2048w\" sizes=\"(max-width: 407px) 100vw, 407px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Physician and Direct Urgent Care President Caesar Djavaherian completes a pupillary exam during a routine physical check-up. \u003ccite>(Direct Urgent Care)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"Many companies are vying to be the Uber of healthcare,\" Weisbrod says.\u003c/p>\n\u003cp>\"The ultimate winner in this space could come from one of many possible spaces—startup-apps, health insurers seeking to differentiate, provider systems seeking to capture visits that leak out of their systems today.\"\u003c/p>\n\u003cp>Djavaherian says online booking for healthcare is part of the future people will come to expect.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Everything else is on demand—there’s Postmates and Instacart,\" he says. \"Medicine is one of the few areas that you can’t immediately access—yet.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Oakland resident Christine McGeever woke up last week, she couldn't talk.\u003c/p>\n\u003cp>\"I had a really sore throat, low fever and a headache,\" McGeever says. \"I was nervous about it being strep.\"\u003c/p>\n\u003cp>She had a stack of deadlines and needed to catch a business flight in a couple of days—she wanted a quick diagnosis and treatment. But it was Wednesday, the day her primary care physician has off.\u003c/p>\n\u003cp>So she did what most online users would—she turned to \u003ca href=\"http://www.yelp.com/biz/direct-urgent-care-berkeley-5\" target=\"_blank\">Yelp\u003c/a>. There she found a nearly perfect review of \u003ca href=\"http://www.directurgentcare.com/\" target=\"_blank\">Direct Urgent Care\u003c/a>, a private, urgent care facility in Berkeley that advertised online booking for same-day appointments.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/DUC_1_JPG.jpg\">\u003cimg class=\"alignleft wp-image-59629\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/DUC_1_JPG-710x600.jpg\" alt=\"DUC_1_JPG\" width=\"316\" height=\"267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/DUC_1_JPG-710x600.jpg 710w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/DUC_1_JPG-400x338.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/DUC_1_JPG-960x811.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/DUC_1_JPG.jpg 1046w\" sizes=\"(max-width: 316px) 100vw, 316px\">\u003c/a>McGeever booked her own appointment and didn't have to waste half a day in a waiting room. In fact, she stayed at home, forging ahead on her deadlines.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When she arrived, the staff knew about her previous medical history and her symptoms, which she had submitted online.\u003c/p>\n\u003cp>\"They were already informed when I walked in the door,\" McGeever says, \"which was amazing.\"\u003c/p>\n\u003cp>Direct Urgent Care's online system is called \u003ca href=\"https://nextpatient.co/\" target=\"_blank\">NextPatient\u003c/a>. It's available—for free—to every medical practice in the U.S. that wants it.\u003c/p>\n\u003cp>\"If we can shift the waiting experience from the waiting room to your living room,\" says company founder David Rodriguez, \"it’s a much better experience.\"\u003c/p>\n\u003cp>Websites that book doctor's appointments online, like \u003ca href=\"https://www.zocdoc.com/\" target=\"_blank\">ZocDoc\u003c/a>, \u003ca href=\"https://clockwise.md/\" target=\"_blank\">Clockwise MD\u003c/a> and \u003ca href=\"http://www.practicefusion.com/\" target=\"_blank\">Practice Fusion\u003c/a>, have been around for several years.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘The last thing you want to do is feel crummy in a waiting room with other people. NextPatient allows you to feel crummy at home.’\u003ccite>Caesar Djavaherian, Direct Urgent Care\u003c/cite>\u003c/aside>\n\u003cp>But Rodriguez calls online urgent care booking \"a sweet spot.\" Only \u003ca href=\"https://www.accenture.com/us-en/insight-patient-engagement-digital-self-scheduling-explode.aspx\" target=\"_blank\">11 percent of patient appointments\u003c/a> are currently available online and urgent care scheduling helps people avoid unnecessary visits to the emergency room.\u003c/p>\n\u003cp>\"A lot of emergency room visits are non-life-threatening,\" says physician and Direct Urgent Care president Caesar Djavaherian.\u003c/p>\n\u003cp>They are also costly.\u003c/p>\n\u003cp>\"Most patients are paying so much for the overhead,\" Djavaherian says. \"Like if you go into the ER, you are subsidizing the MRI machine and the cat scanner, the nurses that are there, even though you might just need an evaluation.\"\u003c/p>\n\u003cp>As McGeever points out, \"urgent care isn’t always urgent.\" Sometimes it's just a matter of seeing someone if your primary care physician is unavailable.\u003c/p>\n\u003cp>Instant access to care is something digital healthcare companies are rushing to provide, according to Bain & Company healthcare consultant \u003ca href=\"http://www.bain.com/about/people-and-values/our-team/profiles/joshua-weisbrod.aspx\" target=\"_blank\">Josh Weisbrod\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_59635\" class=\"wp-caption alignleft\" style=\"max-width: 407px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/IMG_4804.jpeg\">\u003cimg class=\"wp-image-59635 \" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/IMG_4804-800x534.jpeg\" alt=\"Physician and Direct Urgent Care President completes a pupillary exam during a routine physical check-up.\" width=\"407\" height=\"271\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_4804-800x534.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_4804-400x267.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_4804-1180x787.jpeg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_4804-1920x1281.jpeg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_4804-960x640.jpeg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/IMG_4804.jpeg 2048w\" sizes=\"(max-width: 407px) 100vw, 407px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Physician and Direct Urgent Care President Caesar Djavaherian completes a pupillary exam during a routine physical check-up. \u003ccite>(Direct Urgent Care)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"Many companies are vying to be the Uber of healthcare,\" Weisbrod says.\u003c/p>\n\u003cp>\"The ultimate winner in this space could come from one of many possible spaces—startup-apps, health insurers seeking to differentiate, provider systems seeking to capture visits that leak out of their systems today.\"\u003c/p>\n\u003cp>Djavaherian says online booking for healthcare is part of the future people will come to expect.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Everything else is on demand—there’s Postmates and Instacart,\" he says. \"Medicine is one of the few areas that you can’t immediately access—yet.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Federal regulators released inspection reports today saying Theranos has improperly classified its blood-testing device as exempt from listing and has been \"shipping this uncleared medical device in interstate commerce, between California, Arizona, and Pennsylvania.\"\u003c/p>\n\u003cp>The Food and Drug Administration documents say Theranos' blood testing device is a Class II device that must be listed for FDA review and clearance, and that the company has not listed it.\u003c/p>\n\u003cp>The FDA documents also say Theranos had inadequate procedures for reviewing complaints -- including complaints that a device may have been faulty -- and they note several other deficiencies in Theranos' procedures.\u003c/p>\n\u003cp>The documents summarize observations made during an inspection, but do not represent an official decision about whether Theranos is out of compliance with federal regulations.\u003c/p>\n\u003cp>This comes nearly two weeks after the Silicon Valley biomedical start-up stopped selling all but one of its finger-stick tests under pressure from the FDA. \u003ca href=\"http://www.wsj.com/articles/fda-inspectors-call-theranos-blood-vial-uncleared-medical-device-1445967607\">The Wall Street Journal reports\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>The FDA inspection confirms an article published by The Wall Street Journal on Oct. 16 that said Theranos had stopped using the vials for all but one test under pressure from the agency, citing a person familiar with the inspection. After the Journal article, Theranos founder and Chief Executive Elizabeth Holmes confirmed the company had sharply curtailed its use of the vials, which it calls nanotainers, but presented it as a voluntary move.\u003c/p>\n\u003cp>Theranos didn’t immediately provide a comment Tuesday.\u003c/p>\n\u003cp>The FDA inspection, which spanned Aug. 25 to Sept. 16, also found a number of deficiencies in Theranos’s quality-assurance processes, the reports show. Among them, Theranos didn’t investigate whether the suppliers of materials it used had met the company’s quality requirements, according to one of the reports. In addition, Theranos was “unable to produce documented supplier qualifications,” the report said.\u003c/p>\n\u003cblockquote>\n\u003cul>FDA Inspection Reports:\u003c/ul>\n\u003c/blockquote>\n\u003cul>\n\u003cli>\u003ca href=\"http://www.fda.gov/ucm/groups/fdagov-public/@fdagov-afda-orgs/documents/document/ucm469395.pdf\">Report 1\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://www.fda.gov/ucm/groups/fdagov-public/@fdagov-afda-orgs/documents/document/ucm469396.pdf\">Report 2\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/blockquote>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Federal regulators released inspection reports today saying Theranos has improperly classified its blood-testing device as exempt from listing and has been \"shipping this uncleared medical device in interstate commerce, between California, Arizona, and Pennsylvania.\"\u003c/p>\n\u003cp>The Food and Drug Administration documents say Theranos' blood testing device is a Class II device that must be listed for FDA review and clearance, and that the company has not listed it.\u003c/p>\n\u003cp>The FDA documents also say Theranos had inadequate procedures for reviewing complaints -- including complaints that a device may have been faulty -- and they note several other deficiencies in Theranos' procedures.\u003c/p>\n\u003cp>The documents summarize observations made during an inspection, but do not represent an official decision about whether Theranos is out of compliance with federal regulations.\u003c/p>\n\u003cp>This comes nearly two weeks after the Silicon Valley biomedical start-up stopped selling all but one of its finger-stick tests under pressure from the FDA. \u003ca href=\"http://www.wsj.com/articles/fda-inspectors-call-theranos-blood-vial-uncleared-medical-device-1445967607\">The Wall Street Journal reports\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>The FDA inspection confirms an article published by The Wall Street Journal on Oct. 16 that said Theranos had stopped using the vials for all but one test under pressure from the agency, citing a person familiar with the inspection. After the Journal article, Theranos founder and Chief Executive Elizabeth Holmes confirmed the company had sharply curtailed its use of the vials, which it calls nanotainers, but presented it as a voluntary move.\u003c/p>\n\u003cp>Theranos didn’t immediately provide a comment Tuesday.\u003c/p>\n\u003cp>The FDA inspection, which spanned Aug. 25 to Sept. 16, also found a number of deficiencies in Theranos’s quality-assurance processes, the reports show. Among them, Theranos didn’t investigate whether the suppliers of materials it used had met the company’s quality requirements, according to one of the reports. In addition, Theranos was “unable to produce documented supplier qualifications,” the report said.\u003c/p>\n\u003cblockquote>\n\u003cul>FDA Inspection Reports:\u003c/ul>\n\u003c/blockquote>\n\u003cul>\n\u003cli>\u003ca href=\"http://www.fda.gov/ucm/groups/fdagov-public/@fdagov-afda-orgs/documents/document/ucm469395.pdf\">Report 1\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://www.fda.gov/ucm/groups/fdagov-public/@fdagov-afda-orgs/documents/document/ucm469396.pdf\">Report 2\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/blockquote>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Can Pigs Donate Organs to Humans?",
"title": "Can Pigs Donate Organs to Humans?",
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"content": "\u003cp>Scientists may have finally figured out a way to save the \u003ca href=\"http://www.organdonor.gov/about/data.html\">22 people in the U.S. who die each day\u003c/a> because they couldn’t get the organ they needed for a life-saving transplant. And no, it doesn’t involve the \u003ca href=\"http://wheels.blogs.nytimes.com/2009/06/22/motorcycle-helmets-and-donor-organs/\">repeal of motorcycle helmet laws\u003c/a>. Instead, the solution may be genetically engineered pigs.\u003c/p>\n\u003cp>The idea is to tweak the DNA of pigs just enough to make their organs safe for transplanting into people. If scientists could get this kind of “\u003ca href=\"http://www.fda.gov/BiologicsBloodVaccines/Xenotransplantation/default.htm\">xenotransplantation\u003c/a>” to work, there would be enough organs for everyone.\u003c/p>\n\u003cp>And we may have just got much closer to this science fiction reality. On October 5, geneticist George Church of Harvard Medical School in Boston, Massachusetts \u003ca href=\"http://www.nature.com/news/gene-editing-record-smashed-in-pigs-1.18525?WT.mc_id=TWT_NatureNews\">announced\u003c/a> that his group may have engineered enough genetic changes into a pig embryo to make its organs safe for transplanting into people. We will need to wait until the embryos develop and grow into adult pigs to know for sure but in any event, we are definitely getting close.\u003c/p>\n\u003cp>Scientists have been trying to do this for decades with little success. What has made it possible after all this time is the availability of the super gene editing tool \u003ca href=\"http://gizmodo.com/everything-you-need-to-know-about-crispr-the-new-tool-1702114381\">CRISPR/Cas9\u003c/a>. With this tool in hand, scientists can make multiple changes at once to an animal’s DNA.\u003c/p>\n\u003cfigure id=\"attachment_51940\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/crispr800.jpg\">\u003cimg class=\"size-full wp-image-51940\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/crispr800.jpg\" alt=\"The genome editing tool CRISPR/Cas9 makes it possible to engineer pigs whose organs are safe for human transplantation. (Ernesto del Aguila III, NHGRI)\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/crispr800.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/crispr800-400x267.jpg 400w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The genome editing tool CRISPR/Cas9 makes it possible to engineer pigs whose organs are safe for human transplantation. (\u003ca href=\"http://www.genome.gov/dmd/img.cfm?node=Photos/Graphics/Illustrations&id=97218\">Ernesto del Aguila III, NHGRI\u003c/a>) \u003ccite>(Ernesto del Aguila III, NHGRI)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>And they definitely needed this powerful tool! Church and his group made over 80 genetic changes to these pig embryos which is a record breaking number. It is over ten times what has been changed in animals thus far.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>With CRISPR/Cas9, even if this huge number of changes isn’t enough, it is only a matter of time until he or someone else engineers suitable pigs. CRISPR/Cas9 is that simple and that powerful.\u003c/p>\n\u003cp>So it really isn’t a question of if we can do this but when. Sometime in the near future, you may be walking around with a pig heart.\u003c/p>\n\u003cp>\u003cstrong>Humanizing a Pig\u003c/strong>\u003c/p>\n\u003cp>The first big problem to overcome in using pig organs in people is rejection. Our bodies even reject mismatched human organs so you can imagine what happens with an animal organ.\u003c/p>\n\u003cp>Actually you don’t have to imagine. Back in 1984 \u003ca href=\"http://www.nytimes.com/1984/11/16/us/baby-fae-who-received-a-heart-from-baboon-dies-after-20-days.html\">a human baby was given a baboon’s heart\u003c/a>. The baby died within 20 days as her body rejected the heart.\u003c/p>\n\u003cfigure id=\"attachment_51964\" class=\"wp-caption alignright\" style=\"max-width: 500px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Immunosuppressant.jpg\">\u003cimg class=\"size-full wp-image-51964\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Immunosuppressant.jpg\" alt=\"Even people who get a well matched organ need to take drugs like the one shown here as a stick figure that suppress their immune system. (Wikimedia)\" width=\"500\" height=\"440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/Immunosuppressant.jpg 500w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Immunosuppressant-400x352.jpg 400w\" sizes=\"(max-width: 500px) 100vw, 500px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Even people who get a well matched organ need to take drugs like the one shown here as a stick figure that suppress their immune system. (\u003ca href=\"https://upload.wikimedia.org/wikipedia/commons/thumb/2/2d/Fkbp-surface-1fkj.png/546px-Fkbp-surface-1fkj.png\">Wikimedia\u003c/a>)\u003c/figcaption>\u003c/figure>\n\u003cp>One way to get around this rejection is to change key genes in an animal so that its organs look more like a human’s (at least to our immune systems). In other words, to create a humanized pig.\u003c/p>\n\u003cp>This is as tricky as it sounds. Because pigs and people are very different from one another, scientists need to make a lot of changes. Church and his group started out by changing more than 20 different pig genes in a pig embryo.\u003c/p>\n\u003cp>We will need to wait and see if these are enough changes to fool our immune systems. But even if all of this genetic engineering solves the rejection problem, these organs still won’t be safe. There is still the problem of potentially dangerous viruses lying in wait in the pig genome.\u003c/p>\n\u003cp>\u003cstrong>Getting Rid of PERVs\u003c/strong>\u003c/p>\n\u003cp>Animals have relatively harmless viruses (called \u003cu>e\u003c/u>ndogenous \u003cu>r\u003c/u>etro\u003cu>v\u003c/u>iruses or ERVs) that hang out in their DNA. Pigs have the porcine variety and so their viruses are called PERVs.\u003c/p>\n\u003cp>These viruses are for the most part inactive and are passed down safely from parents to offspring. A few, however, are still able to form infectious viruses but they are usually harmless to the host species. In the lab, one of these viruses from pigs can infect human cells.\u003c/p>\n\u003cp>What we don't know is if these viruses can infect human cells in a live person or if that would make the patient sick. Or even worse, be infectious and spread and make lots of people sick.\u003c/p>\n\u003cp>No one wants a new Ebola to come out of something like an organ transplant. This is why Church’s group used CRISPR/Cas9 to \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/26456528\">shut off 62 of these PERVs\u003c/a> in a pig cell.\u003c/p>\n\u003cp>This reduced the danger of infection of human cells in the lab by over 1000-fold. Hopefully that will be enough to make the procedure safe.\u003c/p>\n\u003cp>\u003cstrong>Humanized and De-PERVed\u003c/strong>\u003c/p>\n\u003cp>Right now these researchers have two separate pig cells. One has the genetic changes to deal with rejection and the other has the changes that inactivate the viruses in the pig’s DNA.\u003c/p>\n\u003cp>The next step will be to make all of the changes in a single pig embryo. This pig can then be grown and its organs tested for safety.\u003c/p>\n\u003cp>If it turns out that its organs are still rejected or are not safe, then scientists will have to keep using CRISPR/Cas9 until they get safe organs. Eventually, thousands of lives could be saved each year in the U.S., all thanks to these genetically modified pigs.\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=2pp17E4E-O8&w=853&h=480]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Nice explanation of how CRISPR/Cas9 works\u003c/em>\u003c/p>\n\n",
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"headline": "Can Pigs Donate Organs to Humans?",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Scientists may have finally figured out a way to save the \u003ca href=\"http://www.organdonor.gov/about/data.html\">22 people in the U.S. who die each day\u003c/a> because they couldn’t get the organ they needed for a life-saving transplant. And no, it doesn’t involve the \u003ca href=\"http://wheels.blogs.nytimes.com/2009/06/22/motorcycle-helmets-and-donor-organs/\">repeal of motorcycle helmet laws\u003c/a>. Instead, the solution may be genetically engineered pigs.\u003c/p>\n\u003cp>The idea is to tweak the DNA of pigs just enough to make their organs safe for transplanting into people. If scientists could get this kind of “\u003ca href=\"http://www.fda.gov/BiologicsBloodVaccines/Xenotransplantation/default.htm\">xenotransplantation\u003c/a>” to work, there would be enough organs for everyone.\u003c/p>\n\u003cp>And we may have just got much closer to this science fiction reality. On October 5, geneticist George Church of Harvard Medical School in Boston, Massachusetts \u003ca href=\"http://www.nature.com/news/gene-editing-record-smashed-in-pigs-1.18525?WT.mc_id=TWT_NatureNews\">announced\u003c/a> that his group may have engineered enough genetic changes into a pig embryo to make its organs safe for transplanting into people. We will need to wait until the embryos develop and grow into adult pigs to know for sure but in any event, we are definitely getting close.\u003c/p>\n\u003cp>Scientists have been trying to do this for decades with little success. What has made it possible after all this time is the availability of the super gene editing tool \u003ca href=\"http://gizmodo.com/everything-you-need-to-know-about-crispr-the-new-tool-1702114381\">CRISPR/Cas9\u003c/a>. With this tool in hand, scientists can make multiple changes at once to an animal’s DNA.\u003c/p>\n\u003cfigure id=\"attachment_51940\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/crispr800.jpg\">\u003cimg class=\"size-full wp-image-51940\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/crispr800.jpg\" alt=\"The genome editing tool CRISPR/Cas9 makes it possible to engineer pigs whose organs are safe for human transplantation. (Ernesto del Aguila III, NHGRI)\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/crispr800.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/crispr800-400x267.jpg 400w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The genome editing tool CRISPR/Cas9 makes it possible to engineer pigs whose organs are safe for human transplantation. (\u003ca href=\"http://www.genome.gov/dmd/img.cfm?node=Photos/Graphics/Illustrations&id=97218\">Ernesto del Aguila III, NHGRI\u003c/a>) \u003ccite>(Ernesto del Aguila III, NHGRI)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>And they definitely needed this powerful tool! Church and his group made over 80 genetic changes to these pig embryos which is a record breaking number. It is over ten times what has been changed in animals thus far.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>With CRISPR/Cas9, even if this huge number of changes isn’t enough, it is only a matter of time until he or someone else engineers suitable pigs. CRISPR/Cas9 is that simple and that powerful.\u003c/p>\n\u003cp>So it really isn’t a question of if we can do this but when. Sometime in the near future, you may be walking around with a pig heart.\u003c/p>\n\u003cp>\u003cstrong>Humanizing a Pig\u003c/strong>\u003c/p>\n\u003cp>The first big problem to overcome in using pig organs in people is rejection. Our bodies even reject mismatched human organs so you can imagine what happens with an animal organ.\u003c/p>\n\u003cp>Actually you don’t have to imagine. Back in 1984 \u003ca href=\"http://www.nytimes.com/1984/11/16/us/baby-fae-who-received-a-heart-from-baboon-dies-after-20-days.html\">a human baby was given a baboon’s heart\u003c/a>. The baby died within 20 days as her body rejected the heart.\u003c/p>\n\u003cfigure id=\"attachment_51964\" class=\"wp-caption alignright\" style=\"max-width: 500px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Immunosuppressant.jpg\">\u003cimg class=\"size-full wp-image-51964\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Immunosuppressant.jpg\" alt=\"Even people who get a well matched organ need to take drugs like the one shown here as a stick figure that suppress their immune system. (Wikimedia)\" width=\"500\" height=\"440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/Immunosuppressant.jpg 500w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Immunosuppressant-400x352.jpg 400w\" sizes=\"(max-width: 500px) 100vw, 500px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Even people who get a well matched organ need to take drugs like the one shown here as a stick figure that suppress their immune system. (\u003ca href=\"https://upload.wikimedia.org/wikipedia/commons/thumb/2/2d/Fkbp-surface-1fkj.png/546px-Fkbp-surface-1fkj.png\">Wikimedia\u003c/a>)\u003c/figcaption>\u003c/figure>\n\u003cp>One way to get around this rejection is to change key genes in an animal so that its organs look more like a human’s (at least to our immune systems). In other words, to create a humanized pig.\u003c/p>\n\u003cp>This is as tricky as it sounds. Because pigs and people are very different from one another, scientists need to make a lot of changes. Church and his group started out by changing more than 20 different pig genes in a pig embryo.\u003c/p>\n\u003cp>We will need to wait and see if these are enough changes to fool our immune systems. But even if all of this genetic engineering solves the rejection problem, these organs still won’t be safe. There is still the problem of potentially dangerous viruses lying in wait in the pig genome.\u003c/p>\n\u003cp>\u003cstrong>Getting Rid of PERVs\u003c/strong>\u003c/p>\n\u003cp>Animals have relatively harmless viruses (called \u003cu>e\u003c/u>ndogenous \u003cu>r\u003c/u>etro\u003cu>v\u003c/u>iruses or ERVs) that hang out in their DNA. Pigs have the porcine variety and so their viruses are called PERVs.\u003c/p>\n\u003cp>These viruses are for the most part inactive and are passed down safely from parents to offspring. A few, however, are still able to form infectious viruses but they are usually harmless to the host species. In the lab, one of these viruses from pigs can infect human cells.\u003c/p>\n\u003cp>What we don't know is if these viruses can infect human cells in a live person or if that would make the patient sick. Or even worse, be infectious and spread and make lots of people sick.\u003c/p>\n\u003cp>No one wants a new Ebola to come out of something like an organ transplant. This is why Church’s group used CRISPR/Cas9 to \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/26456528\">shut off 62 of these PERVs\u003c/a> in a pig cell.\u003c/p>\n\u003cp>This reduced the danger of infection of human cells in the lab by over 1000-fold. Hopefully that will be enough to make the procedure safe.\u003c/p>\n\u003cp>\u003cstrong>Humanized and De-PERVed\u003c/strong>\u003c/p>\n\u003cp>Right now these researchers have two separate pig cells. One has the genetic changes to deal with rejection and the other has the changes that inactivate the viruses in the pig’s DNA.\u003c/p>\n\u003cp>The next step will be to make all of the changes in a single pig embryo. This pig can then be grown and its organs tested for safety.\u003c/p>\n\u003cp>If it turns out that its organs are still rejected or are not safe, then scientists will have to keep using CRISPR/Cas9 until they get safe organs. Eventually, thousands of lives could be saved each year in the U.S., all thanks to these genetically modified pigs.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/2pp17E4E-O8'\n title='//www.youtube.com/embed/2pp17E4E-O8'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Nice explanation of how CRISPR/Cas9 works\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Theranos Scales Back to All But One of Its 'Finger Stick' Tests",
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"content": "\u003cp>\u003cstrong>Update, 3.38 p.m. Oct 16: \u003c/strong>Theranos\u003ca href=\"https://theranos.com/news/posts/statement-from-theranos-2\"> issued the following statement\u003c/a> this afternoon. The company said the FDA is putting its Nanotainer tube, which it uses to collect blood samples, through a rigorous review process. The statement said the use of its Nanotainer has been cleared for one test for Herpes, and implied that the process would be straightforward:\u003c/p>\n\u003cblockquote>\u003cp>Now we’re working with them on clearance of just the Nanotainer™ tubes across all tests. But it’s the same tube. We’ve already met their rigorous standards in our first submission on our systems, and we’ll continue to do so.\u003c/p>\u003c/blockquote>\n\u003cp>But attorney Bradley Merrill Thompson, who specializes in FDA law with the firm Becker Epstein & Green, said it won't necessarily be easy for Theranos to get the use of the Nanotainer approved for all of its tests.\u003c/p>\n\u003cp>\"\u003cspan class=\"s1\">The chemistry of each test is slightly different,\" he explained. \"And the type of blood impacts the test in different ways for different tests.\" \u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Update, 12:23 p.m. Oct. 16:\u003c/strong> An FDA spokeswoman says the agency does not have any information to share at this time. Theranos has not responded to a request for comment.\u003c/p>\n\u003cp>\u003cstrong>Update, 9 p.m. Oct. 15:\u003c/strong> A new report from The Wall Street Journal \u003ca href=\"http://www.wsj.com/articles/hot-startup-theranos-dials-back-lab-tests-at-fdas-behest-1444961864\">claims that Theranos\u003c/a> has stopped selling all but one of its finger stick tests under pressure from federal regulators, citing an unnamed source. The source also said that federal regulators had shown up unannounced at Theranos' doorstep. \u003ca href=\"http://www.cnbc.com/2015/10/15/theranos-ceo-fires-back-at-wsj-i-was-shocked.html\">Theranos' CEO spoke on CNBC's Mad Money\u003c/a> to refute the Wall Street Journal's claims.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Original Story:\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"http://www.wsj.com/articles/theranos-has-struggled-with-blood-tests-1444881901\" target=\"_blank\">The Wall Street Journal on Thursday \u003c/a>delivered an unexpected, scathing report on \u003ca href=\"https://theranos.com/\">Theranos\u003c/a>, the diagnostics startup with its charismatic, young founder Elizabeth Holmes.\u003c/p>\n\u003cp>For those who aren't familiar with Theranos, the biotech burst onto the scene in 2014, with its bold claim that it could diagnose a variety of diseases with a finger stick that takes just a few drops of blood -- as opposed to a blood draw. Theranos quickly became a media sensation, with its CEO depicted as a\u003ca href=\"http://fortune.com/2014/06/12/theranos-blood-holmes/\" target=\"_blank\"> young visionary\u003c/a> in the pages of New Yorker, Forbes and Fortune.\u003c/p>\n\u003cp>But some scientists and health writers saw past the hype months ago. They took to their personal blogs and social media to ask some \u003ca href=\"http://pathologyblawg.com/pathology-news/new-yorker-theranos-founders-description-chemistry-process-comically-vague/\" target=\"_blank\">pertinent questions about the science behind Theranos' test\u003c/a>, which largely went unanswered. Some requested that Theranos \u003ca href=\"http://www.medscape.com/viewarticle/840267\" target=\"_blank\">publish peer-reviewed studies\u003c/a> to prove the validity of its test.\u003c/p>\n\u003cp>At health conferences and gatherings, I've heard similar skepticism about Theranos' science and its multi-billion dollar valuation, as well as increasing calls for proof to back up its claims. Theranos has sought FDA approval for its tests, but it \u003ca href=\"http://www.businessinsider.com/science-of-elizabeth-holmes-theranos-2015-4\" target=\"_blank\">has evaded questions about its technology. \u003c/a>\u003c/p>\n\u003cp>As Dr. David Koch, president of the American Association for Clinical Chemistry and a professor at Emory University \u003ca href=\"http://www.businessinsider.com/science-of-elizabeth-holmes-theranos-2015-4\">told Business Insider in April\u003c/a>: \"It's impossible to comment on how good this is going to be — it may be wonderful and it may bomb, but I really can't be more definitive because there's nothing to really look at, to read, to react to.\" Theranos' \u003ca href=\"http://www.forbes.com/sites/danmunro/2015/07/13/an-inside-look-at-the-theranos-direct-to-consumer-experience/\" target=\"_blank\">blood test is available\u003c/a> in select Walgreens, including in Palo Alto, Calif. and throughout Arizona.\u003c/p>\n\u003cp>WSJ did dig up some fresh criticisms in its report, primarily from unnamed former employees. Here are some of the key points from WSJ's piece, \u003ca href=\"http://www.wsj.com/articles/theranos-has-struggled-with-blood-tests-1444881901\" target=\"_blank\">which is well worth a read\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>Rather than hundreds of tests, the article claims that Theranos can only do fifteen on its Edison machines. Theranos responded that this is false, citing \"trade secrets.\"\u003c/li>\n\u003cli>Doctors shared mixed views of Theranos' test. Some say it's convenient as the results arrive in 15 minutes. Others expressed that they couldn't trust the data.\u003c/li>\n\u003cli>Theranos doesn't need FDA approval, but it has sought it in order to be rigorous and transparent. But WSJ reporters say they reviewed \"internal emails,\" which suggest that the results may be off. Also, a chart in the article showed how a Theranos blood test result vastly differed from a \"hospital result.\" Theranos responded to say that these fluctuations are commonplace, and due to diet and other lifestyle choices.\u003c/li>\n\u003cli>A nurse and doctor interviewed by the WSJ reported abnormal test results after using Theranos' test.\u003c/li>\n\u003c/ul>\n\u003cp>In my view, Theranos' secretive approach is leaving it open to these kind of criticisms. \u003cspan style=\"line-height: 1.5\">While I appreciate the importance of trade secrets and intellectual property, Theranos says it did provide 1,000 pages of data to WSJ. How about sharing this with other media outlets and/or academics scientists, so they can form their own opinion about the test? And I'm not the only reporter who has expressed this view: \u003c/span>\u003c/p>\n\u003cp>https://twitter.com/fmanjoo/status/654711546208120832\u003c/p>\n\u003cp>As you might expect, Theranos \u003ca href=\"https://theranos.com/news/posts/statement-from-theranos\" target=\"_blank\">wrote a rebuttal to the WSJ piece\u003c/a>. Here's my summary of the key points:\u003c/p>\n\u003cul>\n\u003cli>Why didn't the Wall Street Journal publish over 1,000 pages of documents and evidence, rather than relying on disgruntled former employees?\u003c/li>\n\u003cli>Theranos' tests have proven accurate for tens of thousands of customers.\u003c/li>\n\u003cli>Theranos is working closely with the FDA to seek approval for its tests.\u003c/li>\n\u003cli>The sources that WSJ spoke to were not in a position to understand the technology and the science. WSJ declined an opportunity to try out the test for themselves.\u003c/li>\n\u003cli>Stories like these \"come along when you threaten to change things.\"\u003c/li>\n\u003c/ul>\n\u003cp>https://twitter.com/eholmes2003/status/654695247394435072?lang=en\u003c/p>\n\u003cp>I'm sympathetic to Holmes, particularly in her claim that innovators are often the subject of skepticism, but I for one would like to see greater transparency going forward.\u003c/p>\n\u003cp>\u003ca href=\"http://www.forbes.com/sites/matthewherper/2015/10/15/theranos-elizabeth-holmes-needs-to-stop-complaining-and-answer-questions/\" target=\"_blank\">As Matthew Herper from Forbes points out\u003c/a>, an FDA approval doesn't answer all the questions a patient or health professional might have about the test. Moreover, Theranos did not make available its CEO to answer the WSJ's legitimate concerns. Let's hope this conversation will result in some much-needed answers.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Editor's Note:\u003c/strong> An earlier version of this story stated that the FDA had ordered Theranos to stop selling all but one of its finger-stick tests. What the Wall Street Journal story said is that Theranos withdrew all but one of its finger-stick tests \"under pressure from regulators.\"\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, 3.38 p.m. Oct 16: \u003c/strong>Theranos\u003ca href=\"https://theranos.com/news/posts/statement-from-theranos-2\"> issued the following statement\u003c/a> this afternoon. The company said the FDA is putting its Nanotainer tube, which it uses to collect blood samples, through a rigorous review process. The statement said the use of its Nanotainer has been cleared for one test for Herpes, and implied that the process would be straightforward:\u003c/p>\n\u003cblockquote>\u003cp>Now we’re working with them on clearance of just the Nanotainer™ tubes across all tests. But it’s the same tube. We’ve already met their rigorous standards in our first submission on our systems, and we’ll continue to do so.\u003c/p>\u003c/blockquote>\n\u003cp>But attorney Bradley Merrill Thompson, who specializes in FDA law with the firm Becker Epstein & Green, said it won't necessarily be easy for Theranos to get the use of the Nanotainer approved for all of its tests.\u003c/p>\n\u003cp>\"\u003cspan class=\"s1\">The chemistry of each test is slightly different,\" he explained. \"And the type of blood impacts the test in different ways for different tests.\" \u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Update, 12:23 p.m. Oct. 16:\u003c/strong> An FDA spokeswoman says the agency does not have any information to share at this time. Theranos has not responded to a request for comment.\u003c/p>\n\u003cp>\u003cstrong>Update, 9 p.m. Oct. 15:\u003c/strong> A new report from The Wall Street Journal \u003ca href=\"http://www.wsj.com/articles/hot-startup-theranos-dials-back-lab-tests-at-fdas-behest-1444961864\">claims that Theranos\u003c/a> has stopped selling all but one of its finger stick tests under pressure from federal regulators, citing an unnamed source. The source also said that federal regulators had shown up unannounced at Theranos' doorstep. \u003ca href=\"http://www.cnbc.com/2015/10/15/theranos-ceo-fires-back-at-wsj-i-was-shocked.html\">Theranos' CEO spoke on CNBC's Mad Money\u003c/a> to refute the Wall Street Journal's claims.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Original Story:\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"http://www.wsj.com/articles/theranos-has-struggled-with-blood-tests-1444881901\" target=\"_blank\">The Wall Street Journal on Thursday \u003c/a>delivered an unexpected, scathing report on \u003ca href=\"https://theranos.com/\">Theranos\u003c/a>, the diagnostics startup with its charismatic, young founder Elizabeth Holmes.\u003c/p>\n\u003cp>For those who aren't familiar with Theranos, the biotech burst onto the scene in 2014, with its bold claim that it could diagnose a variety of diseases with a finger stick that takes just a few drops of blood -- as opposed to a blood draw. Theranos quickly became a media sensation, with its CEO depicted as a\u003ca href=\"http://fortune.com/2014/06/12/theranos-blood-holmes/\" target=\"_blank\"> young visionary\u003c/a> in the pages of New Yorker, Forbes and Fortune.\u003c/p>\n\u003cp>But some scientists and health writers saw past the hype months ago. They took to their personal blogs and social media to ask some \u003ca href=\"http://pathologyblawg.com/pathology-news/new-yorker-theranos-founders-description-chemistry-process-comically-vague/\" target=\"_blank\">pertinent questions about the science behind Theranos' test\u003c/a>, which largely went unanswered. Some requested that Theranos \u003ca href=\"http://www.medscape.com/viewarticle/840267\" target=\"_blank\">publish peer-reviewed studies\u003c/a> to prove the validity of its test.\u003c/p>\n\u003cp>At health conferences and gatherings, I've heard similar skepticism about Theranos' science and its multi-billion dollar valuation, as well as increasing calls for proof to back up its claims. Theranos has sought FDA approval for its tests, but it \u003ca href=\"http://www.businessinsider.com/science-of-elizabeth-holmes-theranos-2015-4\" target=\"_blank\">has evaded questions about its technology. \u003c/a>\u003c/p>\n\u003cp>As Dr. David Koch, president of the American Association for Clinical Chemistry and a professor at Emory University \u003ca href=\"http://www.businessinsider.com/science-of-elizabeth-holmes-theranos-2015-4\">told Business Insider in April\u003c/a>: \"It's impossible to comment on how good this is going to be — it may be wonderful and it may bomb, but I really can't be more definitive because there's nothing to really look at, to read, to react to.\" Theranos' \u003ca href=\"http://www.forbes.com/sites/danmunro/2015/07/13/an-inside-look-at-the-theranos-direct-to-consumer-experience/\" target=\"_blank\">blood test is available\u003c/a> in select Walgreens, including in Palo Alto, Calif. and throughout Arizona.\u003c/p>\n\u003cp>WSJ did dig up some fresh criticisms in its report, primarily from unnamed former employees. Here are some of the key points from WSJ's piece, \u003ca href=\"http://www.wsj.com/articles/theranos-has-struggled-with-blood-tests-1444881901\" target=\"_blank\">which is well worth a read\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>Rather than hundreds of tests, the article claims that Theranos can only do fifteen on its Edison machines. Theranos responded that this is false, citing \"trade secrets.\"\u003c/li>\n\u003cli>Doctors shared mixed views of Theranos' test. Some say it's convenient as the results arrive in 15 minutes. Others expressed that they couldn't trust the data.\u003c/li>\n\u003cli>Theranos doesn't need FDA approval, but it has sought it in order to be rigorous and transparent. But WSJ reporters say they reviewed \"internal emails,\" which suggest that the results may be off. Also, a chart in the article showed how a Theranos blood test result vastly differed from a \"hospital result.\" Theranos responded to say that these fluctuations are commonplace, and due to diet and other lifestyle choices.\u003c/li>\n\u003cli>A nurse and doctor interviewed by the WSJ reported abnormal test results after using Theranos' test.\u003c/li>\n\u003c/ul>\n\u003cp>In my view, Theranos' secretive approach is leaving it open to these kind of criticisms. \u003cspan style=\"line-height: 1.5\">While I appreciate the importance of trade secrets and intellectual property, Theranos says it did provide 1,000 pages of data to WSJ. How about sharing this with other media outlets and/or academics scientists, so they can form their own opinion about the test? And I'm not the only reporter who has expressed this view: \u003c/span>\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>As you might expect, Theranos \u003ca href=\"https://theranos.com/news/posts/statement-from-theranos\" target=\"_blank\">wrote a rebuttal to the WSJ piece\u003c/a>. Here's my summary of the key points:\u003c/p>\n\u003cul>\n\u003cli>Why didn't the Wall Street Journal publish over 1,000 pages of documents and evidence, rather than relying on disgruntled former employees?\u003c/li>\n\u003cli>Theranos' tests have proven accurate for tens of thousands of customers.\u003c/li>\n\u003cli>Theranos is working closely with the FDA to seek approval for its tests.\u003c/li>\n\u003cli>The sources that WSJ spoke to were not in a position to understand the technology and the science. WSJ declined an opportunity to try out the test for themselves.\u003c/li>\n\u003cli>Stories like these \"come along when you threaten to change things.\"\u003c/li>\n\u003c/ul>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>I'm sympathetic to Holmes, particularly in her claim that innovators are often the subject of skepticism, but I for one would like to see greater transparency going forward.\u003c/p>\n\u003cp>\u003ca href=\"http://www.forbes.com/sites/matthewherper/2015/10/15/theranos-elizabeth-holmes-needs-to-stop-complaining-and-answer-questions/\" target=\"_blank\">As Matthew Herper from Forbes points out\u003c/a>, an FDA approval doesn't answer all the questions a patient or health professional might have about the test. Moreover, Theranos did not make available its CEO to answer the WSJ's legitimate concerns. Let's hope this conversation will result in some much-needed answers.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Editor's Note:\u003c/strong> An earlier version of this story stated that the FDA had ordered Theranos to stop selling all but one of its finger-stick tests. What the Wall Street Journal story said is that Theranos withdrew all but one of its finger-stick tests \"under pressure from regulators.\"\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003caside class=\"alignright noborder\">[twitter-timeline id=648946367306469378 username=chrissyfarr]\u003c/aside>\n\u003cp>The \u003ca href=\"http://www.rockhealthsummit.com/\">Rock Health Summit\u003c/a> in San Francisco draws some of the biggest names in technology and health care, including geneticist Craig Venter, Chief Data Scientist at the White House DJ Patil and Fitbit CEO James Park. Rock Health is a fund for early-stage digital health startups.\u003c/p>\n\u003cp>The annual conference takes place at UCSF's Mission Bay Conference Center on Tuesday and Wednesday of this week.\u003c/p>\n\u003cp>In case you're missing it, here are some of the highlights. I'll be updating this post throughout the conference.\u003c/p>\n\u003cp>\u003cstrong>Update, 4.15pm Wednesday Sept 30 \u003c/strong>\u003c/p>\n\u003cp>Former Facebook CFO David Ebersman opened up about his experiences starting a behavioral health company called \u003ca href=\"http://www.lyrahealth.com/\">Lyra Health\u003c/a>. Ebersman admitted that the stigma around mental health is still a challenge, but he said we're seeing signs of progress. \"Not that long ago,\" he said, \"there was a stigma about cancer.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>https://twitter.com/chrissyfarr/status/649362108715413504\u003c/p>\n\u003cp>I'm signing off for tonight, folks. Thanks for following!\u003c/p>\n\u003cp>\u003cstrong>Update, 3.30pm Wednesday Sept 30\u003c/strong>\u003c/p>\n\u003cp>A group of startup founders, including Collective Health's Ali Diab and Stride Health's Noah Lang, offered some salient advice to would-be health entrepreneurs.\u003c/p>\n\u003cp>Diab said he spent six months reading about the intricacies of the health sector before starting his company. \"Do your homework,\" he said. \"It's not enough to have a great idea.\" Those who want to succeed in health need to understand the landscape, including the insurance providers, employers, and the regulation.\u003c/p>\n\u003cp>https://twitter.com/chrissyfarr/status/649350507278893056\u003c/p>\n\u003cp>Lang said it's important to understand the regulation and policies underpinning health care. But he said, \"don't rely on that.\" Policy is liable to change and potentially even get repealed with each new administration.\u003c/p>\n\u003cp>\u003cstrong>Update, 2.30pm Wednesday, Sept 30 \u003c/strong>\u003c/p>\n\u003cp>Molecular-biology pioneer Craig Venter spoke about the power of technology, which is making it cheaper and easier to sequence human genes. Venter was among the first scientists to map the human genome over a decade ago.\u003c/p>\n\u003cp>He was also the first person to have his genome sequenced, and learned that he was at a high risk for melanoma. Venter had a scare a few years back, but had the melanoma removed before it had a chance to spread.\u003c/p>\n\u003cp>https://twitter.com/hmunderwood/status/649334591426162688\u003c/p>\n\u003cp>Venter is currently working on extending the human life span through his company Human Longevity Inc. Much of this work involves collecting human genetic data. \"We are trying to have the richest sources of all diseases that we can,\" he said. \u003ca href=\"http://www.technologyreview.com/news/541516/j-craig-venter-to-sell-dna-data-to-consumers/\">Read more here\u003c/a> about Venter's work.\u003c/p>\n\u003cp>For Venter, a big focus is on building a massive data-set and testing scientific assumptions about genetic associations. \"There is so much useless and wrong information about genetics in the literature,\" he said.\u003c/p>\n\u003cp>I enjoyed hearing Venter deliberate on the future of privacy and security when it comes to our genetic information. Venter implied that it would not be feasible to \"de-identify\" your genetic blueprint (his lab is looking into predicting a person's face shape from a voice recording alone). But he did say security will become more important, and that it's not a good idea to share your DNA on the Internet.\u003c/p>\n\u003cp>https://twitter.com/drnic1/status/649335057891483648\u003c/p>\n\u003cp>In an interview with KQED's Senior Science Editor Andrea Kissack, Venter urged people to get their exome sequenced, which costs about $250. \"That's less than a month of cable,\" he said.\u003c/p>\n\u003cp>https://twitter.com/chrissyfarr/status/649342458103394304\u003c/p>\n\u003cp>\u003cstrong>Update, 1.30pm Wednesday, Sept. 30\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_46657\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-46657\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/thea-runyan-800x600.jpg\" alt=\"Thea Runyan, cofounder of weight loss app Kurbo Health. \" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/thea-runyan-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/thea-runyan-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/thea-runyan-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/thea-runyan-1920x1440.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/thea-runyan-960x720.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Thea Runyan, cofounder of weight loss app Kurbo Health. \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>I spoke with Thea Runyan, cofounder of Kurbo Health, over a nutritious lunch. Runyan's startup Kurbo Health is a coaching and weight loss app for kids.\u003c/p>\n\u003cp>Her advice for healthy eating: Unlimited fruits and vegetables, and avoid \"red light\" foods, like ice cream. She doesn't think that activity-tracking wearables for kids are the answer to the childhood obesity epidemic. \"Most end up in a drawer,\" she said.\u003c/p>\n\u003cp>\u003cstrong>Update, 11am Wednesday, Sept. 30: \u003c/strong>James Park, CEO of wearables maker \u003ca href=\"http://www.fitbit.com/\">Fitbit\u003c/a> admits that the company \"pioneered the art of shipping late hardware products.\" The company got its start in 2007, showed off a demo at TechCrunch's Disrupt conference in 2008, but didn't ship its first product until September of 2009.\u003c/p>\n\u003cfigure id=\"attachment_46603\" class=\"wp-caption aligncenter\" style=\"max-width: 600px\">\u003cimg class=\"size-full wp-image-46603\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/fitbit.jpg\" alt=\"Venture capitalist Brook Byers interviews CEO's from Evolent Health and Fitbit. \" width=\"600\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/fitbit.jpg 600w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/fitbit-400x300.jpg 400w\" sizes=\"(max-width: 600px) 100vw, 600px\">\u003cfigcaption class=\"wp-caption-text\">Venture capitalist Brook Byers interviews CEO's from Evolent Health and Fitbit. \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>I'm expecting some exciting new products from Fitbit in the coming years. Park said the company now spends $100 million on research and development: about two-thirds for software development, and the remaining one-third for hardware.\u003c/p>\n\u003cp>Evolent Health's CEO Frank Williams offered some interesting tidbits about cultivating company culture. Williams said on the day of the company's initial public offering, or IPO, he made eggs and pancakes for employees at the San Francisco offices. He said transparency is key for a health care business: There's no shame in speaking honestly about the potential pitfalls, as well as the opportunities.\u003c/p>\n\u003cp>https://twitter.com/mparakh/status/649284662829842432\u003c/p>\n\u003cp>Fitbit's CEO offered some rare insight into the IPO, which performed better than analysts and Wall Street expected. He said he had fast food from Smashburger delivered to the corporate jet when making the rounds during the roadshow!\u003c/p>\n\u003cp>https://twitter.com/chrisseper/status/649288277304975360\u003c/p>\n\u003cfigure id=\"attachment_46251\" class=\"wp-caption alignright\" style=\"max-width: 358px\">\u003cimg class=\" wp-image-46251\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Rock-health.jpg\" alt=\"The Information's Editor-in-chief Jessica Lessin interviews investor Chamath Palihapitiya.\" width=\"358\" height=\"268\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/Rock-health.jpg 600w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/Rock-health-400x300.jpg 400w\" sizes=\"(max-width: 358px) 100vw, 358px\">\u003cfigcaption class=\"wp-caption-text\">The Information's Editor-in-chief Jessica Lessin interviews investor Chamath Palihapitiya. \u003ccite>(Rock Health)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update, 5pm Tuesday, Sept. 29: \u003c/strong>Venture capitalist Chamath Palihapitiya brought the house down with a rallying cry for Silicon Valley's top investors to fund ambitious health care companies. He joked that startups that deliver brownies in the middle of the night have a better shot at procuring investment than new ventures tackling cancer and diabetes.\u003c/p>\n\u003cp>When asked about whether he saw a \"Facebook-sized opportunity\" in health care, he immediately quipped \"bigger.\" Palihapitiya previously worked at Facebook before starting a fund called Social Capital. He started investing in health care after watching numerous family members get diagnosed with diabetes.\u003c/p>\n\u003cp>I was impressed with Palihapitiya's longer-term investment vision. Unlike most investors, he's not chasing the easy wins and is willing to wait a decade or more to see a big return.\u003c/p>\n\u003cp>Rock Health cofounder Halle Tecco backstage said Palihapitiya has a unique investment thesis that doesn't mirror most of Silicon Valley. She said that Rock Health takes pains to select conference speakers who are \"big thinkers, not just focused on incremental change.\"\u003c/p>\n\u003cp>I'm signing off for tonight. Tune in to the same URL for live updates!\u003c/p>\n\u003cp>\u003cstrong>Update, 4:00 p.m. Tuesday, Sept. 29: \u003c/strong>Adam Gazzaley, cognitive neuroscientist at UCSF, spoke on-stage about the transformative potential of virtual reality goggles in health care:\u003c/p>\n\u003cp>\"Augmented reality could be the next platform in five or ten years out. The potential is really profound when it comes to the brain. As the entertainment world increases affordability, I think we'll see a globalization of this whole field.\u003c/p>\n\u003cp>https://twitter.com/ljanes/status/648999265985892352\u003c/p>\n\u003cp>He also commented on the potential of gaming for the aging population:\u003c/p>\n\u003cp>\"If you can train the brain through experience, through interactivity with gameplay, we have shown that we can reversing several of the neural and behavioral and cognitive changes associated with aging. We do look at these tools as powerful digital medicines or wellness tools.\" \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/07/01/using-games-to-train-our-brains-in-conversation-with-dr-adam-gazzaley/\">I recently interviewed Gazzaley for KQED\u003c/a>. \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/07/01/using-games-to-train-our-brains-in-conversation-with-dr-adam-gazzaley/\">Read more here!\u003c/a>\u003c/p>\n\u003cp>https://twitter.com/Rock_Health/status/648994710992850944\u003c/p>\n\u003cp>Mary Spio, founder and president of \u003ca href=\"http://nextgalaxycorp.com/\">Next Galaxy\u003c/a> spoke about bringing augmented reality to kids and people with disabilities:\u003c/p>\n\u003cp>\"People in wheelchairs tried [virtual reality headsets] and experienced sensations like they were flying and walking. We also see potential to bring these headsets into schools as a required part of the curriculum.\"\u003c/p>\n\u003cp>One of my favorite quotes of the afternoon comes from Sandy Jen\u003cstrong>,\u003c/strong> cofounder of Honor, \u003ca href=\"http://www.sfchronicle.com/business/article/Honor-lands-20-million-for-senior-in-home-care-6173606.php\">in-home senior care startup Honor\u003c/a>. Jen spoke about the limitations of technology in health care:\u003c/p>\n\u003cp>\"The important part of what we do is building relationships. Tech can't replace a human bond.\"\u003c/p>\n\u003cp>\u003cstrong>Update, 3:00 p.m. Tuesday, Sept. 29: \u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_46203\" class=\"wp-caption alignright\" style=\"max-width: 371px\">\u003cimg class=\" wp-image-46203\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/CQGf3EFUwAAeibE.jpg\" alt=\"Susannah Fox and DJ Patil at Rock Health's Summit \" width=\"371\" height=\"278\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/CQGf3EFUwAAeibE.jpg 600w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/CQGf3EFUwAAeibE-400x300.jpg 400w\" sizes=\"(max-width: 371px) 100vw, 371px\">\u003cfigcaption class=\"wp-caption-text\">Susannah Fox and DJ Patil at Rock Health's Summit \u003ccite>(Rock Health )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>White House CTO DJ Patil pushed for more technology experts in health care:\u003c/p>\n\u003cp>\"If we have a constitutional law professor [President Obama] who is tech-minded, we can do it for health care. The CEOs need to become technologists and we have to help them.\" Patil said Silicon Valley has a thing or two to learn from the White House, including how to hire a diverse workforce.\u003c/p>\n\u003cp>Department of Health and Human Services' (HHS) Susannah Fox on broaching conversations about Healthcare.gov, the federal website for consumers' to shop for health insurance, which was plagued with errors when it initially launched:\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"Talking about healthcare.gov at HHS is like saying 'Lord Voldemort.' I'm going to say that word. Brace yourselves.\" But Fox stressed that HHS has a slew of innovative projects in the works, \u003ca href=\"http://www.hhs.gov/idealab/\">including its IDEA Lab. \u003c/a>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/aside>\n\u003cp>The \u003ca href=\"http://www.rockhealthsummit.com/\">Rock Health Summit\u003c/a> in San Francisco draws some of the biggest names in technology and health care, including geneticist Craig Venter, Chief Data Scientist at the White House DJ Patil and Fitbit CEO James Park. Rock Health is a fund for early-stage digital health startups.\u003c/p>\n\u003cp>The annual conference takes place at UCSF's Mission Bay Conference Center on Tuesday and Wednesday of this week.\u003c/p>\n\u003cp>In case you're missing it, here are some of the highlights. I'll be updating this post throughout the conference.\u003c/p>\n\u003cp>\u003cstrong>Update, 4.15pm Wednesday Sept 30 \u003c/strong>\u003c/p>\n\u003cp>Former Facebook CFO David Ebersman opened up about his experiences starting a behavioral health company called \u003ca href=\"http://www.lyrahealth.com/\">Lyra Health\u003c/a>. Ebersman admitted that the stigma around mental health is still a challenge, but he said we're seeing signs of progress. \"Not that long ago,\" he said, \"there was a stigma about cancer.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>I'm signing off for tonight, folks. Thanks for following!\u003c/p>\n\u003cp>\u003cstrong>Update, 3.30pm Wednesday Sept 30\u003c/strong>\u003c/p>\n\u003cp>A group of startup founders, including Collective Health's Ali Diab and Stride Health's Noah Lang, offered some salient advice to would-be health entrepreneurs.\u003c/p>\n\u003cp>Diab said he spent six months reading about the intricacies of the health sector before starting his company. \"Do your homework,\" he said. \"It's not enough to have a great idea.\" Those who want to succeed in health need to understand the landscape, including the insurance providers, employers, and the regulation.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Lang said it's important to understand the regulation and policies underpinning health care. But he said, \"don't rely on that.\" Policy is liable to change and potentially even get repealed with each new administration.\u003c/p>\n\u003cp>\u003cstrong>Update, 2.30pm Wednesday, Sept 30 \u003c/strong>\u003c/p>\n\u003cp>Molecular-biology pioneer Craig Venter spoke about the power of technology, which is making it cheaper and easier to sequence human genes. Venter was among the first scientists to map the human genome over a decade ago.\u003c/p>\n\u003cp>He was also the first person to have his genome sequenced, and learned that he was at a high risk for melanoma. Venter had a scare a few years back, but had the melanoma removed before it had a chance to spread.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Venter is currently working on extending the human life span through his company Human Longevity Inc. Much of this work involves collecting human genetic data. \"We are trying to have the richest sources of all diseases that we can,\" he said. \u003ca href=\"http://www.technologyreview.com/news/541516/j-craig-venter-to-sell-dna-data-to-consumers/\">Read more here\u003c/a> about Venter's work.\u003c/p>\n\u003cp>For Venter, a big focus is on building a massive data-set and testing scientific assumptions about genetic associations. \"There is so much useless and wrong information about genetics in the literature,\" he said.\u003c/p>\n\u003cp>I enjoyed hearing Venter deliberate on the future of privacy and security when it comes to our genetic information. Venter implied that it would not be feasible to \"de-identify\" your genetic blueprint (his lab is looking into predicting a person's face shape from a voice recording alone). But he did say security will become more important, and that it's not a good idea to share your DNA on the Internet.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>In an interview with KQED's Senior Science Editor Andrea Kissack, Venter urged people to get their exome sequenced, which costs about $250. \"That's less than a month of cable,\" he said.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>\u003cstrong>Update, 1.30pm Wednesday, Sept. 30\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_46657\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-46657\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/thea-runyan-800x600.jpg\" alt=\"Thea Runyan, cofounder of weight loss app Kurbo Health. \" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/thea-runyan-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/thea-runyan-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/thea-runyan-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/thea-runyan-1920x1440.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/thea-runyan-960x720.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Thea Runyan, cofounder of weight loss app Kurbo Health. \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>I spoke with Thea Runyan, cofounder of Kurbo Health, over a nutritious lunch. Runyan's startup Kurbo Health is a coaching and weight loss app for kids.\u003c/p>\n\u003cp>Her advice for healthy eating: Unlimited fruits and vegetables, and avoid \"red light\" foods, like ice cream. She doesn't think that activity-tracking wearables for kids are the answer to the childhood obesity epidemic. \"Most end up in a drawer,\" she said.\u003c/p>\n\u003cp>\u003cstrong>Update, 11am Wednesday, Sept. 30: \u003c/strong>James Park, CEO of wearables maker \u003ca href=\"http://www.fitbit.com/\">Fitbit\u003c/a> admits that the company \"pioneered the art of shipping late hardware products.\" The company got its start in 2007, showed off a demo at TechCrunch's Disrupt conference in 2008, but didn't ship its first product until September of 2009.\u003c/p>\n\u003cfigure id=\"attachment_46603\" class=\"wp-caption aligncenter\" style=\"max-width: 600px\">\u003cimg class=\"size-full wp-image-46603\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/fitbit.jpg\" alt=\"Venture capitalist Brook Byers interviews CEO's from Evolent Health and Fitbit. \" width=\"600\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/fitbit.jpg 600w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/fitbit-400x300.jpg 400w\" sizes=\"(max-width: 600px) 100vw, 600px\">\u003cfigcaption class=\"wp-caption-text\">Venture capitalist Brook Byers interviews CEO's from Evolent Health and Fitbit. \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>I'm expecting some exciting new products from Fitbit in the coming years. Park said the company now spends $100 million on research and development: about two-thirds for software development, and the remaining one-third for hardware.\u003c/p>\n\u003cp>Evolent Health's CEO Frank Williams offered some interesting tidbits about cultivating company culture. Williams said on the day of the company's initial public offering, or IPO, he made eggs and pancakes for employees at the San Francisco offices. He said transparency is key for a health care business: There's no shame in speaking honestly about the potential pitfalls, as well as the opportunities.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Fitbit's CEO offered some rare insight into the IPO, which performed better than analysts and Wall Street expected. He said he had fast food from Smashburger delivered to the corporate jet when making the rounds during the roadshow!\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cfigure id=\"attachment_46251\" class=\"wp-caption alignright\" style=\"max-width: 358px\">\u003cimg class=\" wp-image-46251\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Rock-health.jpg\" alt=\"The Information's Editor-in-chief Jessica Lessin interviews investor Chamath Palihapitiya.\" width=\"358\" height=\"268\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/Rock-health.jpg 600w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/Rock-health-400x300.jpg 400w\" sizes=\"(max-width: 358px) 100vw, 358px\">\u003cfigcaption class=\"wp-caption-text\">The Information's Editor-in-chief Jessica Lessin interviews investor Chamath Palihapitiya. \u003ccite>(Rock Health)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update, 5pm Tuesday, Sept. 29: \u003c/strong>Venture capitalist Chamath Palihapitiya brought the house down with a rallying cry for Silicon Valley's top investors to fund ambitious health care companies. He joked that startups that deliver brownies in the middle of the night have a better shot at procuring investment than new ventures tackling cancer and diabetes.\u003c/p>\n\u003cp>When asked about whether he saw a \"Facebook-sized opportunity\" in health care, he immediately quipped \"bigger.\" Palihapitiya previously worked at Facebook before starting a fund called Social Capital. He started investing in health care after watching numerous family members get diagnosed with diabetes.\u003c/p>\n\u003cp>I was impressed with Palihapitiya's longer-term investment vision. Unlike most investors, he's not chasing the easy wins and is willing to wait a decade or more to see a big return.\u003c/p>\n\u003cp>Rock Health cofounder Halle Tecco backstage said Palihapitiya has a unique investment thesis that doesn't mirror most of Silicon Valley. She said that Rock Health takes pains to select conference speakers who are \"big thinkers, not just focused on incremental change.\"\u003c/p>\n\u003cp>I'm signing off for tonight. Tune in to the same URL for live updates!\u003c/p>\n\u003cp>\u003cstrong>Update, 4:00 p.m. Tuesday, Sept. 29: \u003c/strong>Adam Gazzaley, cognitive neuroscientist at UCSF, spoke on-stage about the transformative potential of virtual reality goggles in health care:\u003c/p>\n\u003cp>\"Augmented reality could be the next platform in five or ten years out. The potential is really profound when it comes to the brain. As the entertainment world increases affordability, I think we'll see a globalization of this whole field.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>He also commented on the potential of gaming for the aging population:\u003c/p>\n\u003cp>\"If you can train the brain through experience, through interactivity with gameplay, we have shown that we can reversing several of the neural and behavioral and cognitive changes associated with aging. We do look at these tools as powerful digital medicines or wellness tools.\" \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/07/01/using-games-to-train-our-brains-in-conversation-with-dr-adam-gazzaley/\">I recently interviewed Gazzaley for KQED\u003c/a>. \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/07/01/using-games-to-train-our-brains-in-conversation-with-dr-adam-gazzaley/\">Read more here!\u003c/a>\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Mary Spio, founder and president of \u003ca href=\"http://nextgalaxycorp.com/\">Next Galaxy\u003c/a> spoke about bringing augmented reality to kids and people with disabilities:\u003c/p>\n\u003cp>\"People in wheelchairs tried [virtual reality headsets] and experienced sensations like they were flying and walking. We also see potential to bring these headsets into schools as a required part of the curriculum.\"\u003c/p>\n\u003cp>One of my favorite quotes of the afternoon comes from Sandy Jen\u003cstrong>,\u003c/strong> cofounder of Honor, \u003ca href=\"http://www.sfchronicle.com/business/article/Honor-lands-20-million-for-senior-in-home-care-6173606.php\">in-home senior care startup Honor\u003c/a>. Jen spoke about the limitations of technology in health care:\u003c/p>\n\u003cp>\"The important part of what we do is building relationships. Tech can't replace a human bond.\"\u003c/p>\n\u003cp>\u003cstrong>Update, 3:00 p.m. Tuesday, Sept. 29: \u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_46203\" class=\"wp-caption alignright\" style=\"max-width: 371px\">\u003cimg class=\" wp-image-46203\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/CQGf3EFUwAAeibE.jpg\" alt=\"Susannah Fox and DJ Patil at Rock Health's Summit \" width=\"371\" height=\"278\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/CQGf3EFUwAAeibE.jpg 600w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/CQGf3EFUwAAeibE-400x300.jpg 400w\" sizes=\"(max-width: 371px) 100vw, 371px\">\u003cfigcaption class=\"wp-caption-text\">Susannah Fox and DJ Patil at Rock Health's Summit \u003ccite>(Rock Health )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>White House CTO DJ Patil pushed for more technology experts in health care:\u003c/p>\n\u003cp>\"If we have a constitutional law professor [President Obama] who is tech-minded, we can do it for health care. The CEOs need to become technologists and we have to help them.\" Patil said Silicon Valley has a thing or two to learn from the White House, including how to hire a diverse workforce.\u003c/p>\n\u003cp>Department of Health and Human Services' (HHS) Susannah Fox on broaching conversations about Healthcare.gov, the federal website for consumers' to shop for health insurance, which was plagued with errors when it initially launched:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Talking about healthcare.gov at HHS is like saying 'Lord Voldemort.' I'm going to say that word. Brace yourselves.\" But Fox stressed that HHS has a slew of innovative projects in the works, \u003ca href=\"http://www.hhs.gov/idealab/\">including its IDEA Lab. \u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Engineers Create a Titanium Rib Cage Worthy of Wolverine",
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"content": "\u003cp>At first glance, the metallic device almost looks like a high-tech bike pedal. Or maybe the latest cooking gadget for zesting lemons. Or, perhaps, it's a secret weapon for X-Men superhero \u003ca href=\"http://marvel.com/universe/Wolverine\">Wolverine\u003c/a>.\u003c/p>\n\u003cp>But look again.\u003c/p>\n\u003cp>Doctors in Spain say this is the world's first 3-D-printed rib cage, made entirely from titanium. And they've already implanted the device into the chest of a 54-year-old cancer patient. The man lost his sternum and pieces of four ribs when doctors removed a large tumor.\u003c/p>\n\u003cp>The perforated center section of the implant is the prosthetic sternum. Four thin rods on the left mimic ribs. They're thin and flexible so they can bend during breathing. The eight clamps on either side attach the implant to bone. Screws hold the clamps in place.\u003c/p>\n\u003cfigure id=\"attachment_40003\" class=\"wp-caption aligncenter\" style=\"max-width: 794px\">\u003cimg class=\"size-full wp-image-40003\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/3dgedrucktes_wide-f6f0468d15794bbb42349d098b3d584679a89274-s800-c85.jpg\" alt=\"The implant was custom-designed using CT scans of a cancer patient's chest. The man lost his sternum and four ribs during surgery to remove a tumor.\" width=\"794\" height=\"447\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/3dgedrucktes_wide-f6f0468d15794bbb42349d098b3d584679a89274-s800-c85.jpg 794w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/3dgedrucktes_wide-f6f0468d15794bbb42349d098b3d584679a89274-s800-c85-400x225.jpg 400w\" sizes=\"(max-width: 794px) 100vw, 794px\">\u003cfigcaption class=\"wp-caption-text\">The implant was custom-designed using CT scans of a cancer patient's chest. The man lost his sternum and four ribs during surgery to remove a tumor. \u003ccite>(CSIRO)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Surgeons at Salamanca University Hospital \u003ca href=\"http://ejcts.oxfordjournals.org/content/early/2015/08/03/ejcts.ezv265.long\">reported\u003c/a> the man's case — and how they made the prosthesis — last month in the \u003cem>European Journal of Cardio-Thoracic Surgery\u003c/em>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Engineers at \u003ca href=\"http://www.anatomics.com/products/chest-implants/titanium/\">Anatomics\u003c/a> in Melbourne, Australia, custom-designed the device using CT scans of the man's chest. They manufactured the implant with a $1.3 million metal printer at a government-run lab.\u003c/p>\n\u003cp>The printer uses an electron beam to melt titanium powder, says engineer Alex Kingsbury, who helped make the titanium rib cage at the \u003ca href=\"http://www.csiro.au/\">Commonwealth Scientific and Industrial Research Organisation\u003c/a>. The printer then paints each layer of the device, one on top of another.\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=Xt0CiUDVPHk]\u003c/p>\n\u003cp>\"As each layer is fused, you start to build up a product,\" Kingsbury \u003ca href=\"http://www.csiro.au/en/News/News-releases/2015/Cancer-patient-receives-3D-printed-ribs-in-world-first-surgery?featured=27F6622E2C954B819F5E36ECE881FA68\">says\u003c/a> in a video by CSIRO. \"It would be an incredibly complex piece to manufacture traditionally, in fact, you know, almost impossible.\"\u003c/p>\n\u003cp>CSIRO wouldn't say how much the artificial rib cage cost. \"But for complex and customized implants, the cost [to print them] is more affordable and the time to produce it is shorter than with traditional manufacturing,\" Crystal Ladiges, a spokesperson for CSIROs wrote in an email to Shots.\u003c/p>\n\u003cp>As metallic printers become more common, she wrote, so will 3-D printed implants.\u003c/p>\n\u003cp>Surgeons typically use a combination of flat plates, bars and mesh to build an artificial rib cage and sternum for patients. The 3-D printing technology allowed the surgeons to create an implant that \"fitted like glove\" in the man's chest, Dr. Jose Aranda, of Salamanca University Hospital, \u003ca href=\"http://www.anatomics.com/media/1093/custom-made-chest-implant.pdf\">said\u003c/a> in a statement. He and his colleagues hope the better fit will mean fewer complications in the long run.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But the surgical team admits that such a complex prosthesis is probably helpful only for extreme cases, when extensive reconstruction of the sternum and rib cage are needed.\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=Engineers+Create+A+Titanium+Rib+Cage+Worthy+Of+Wolverine&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>At first glance, the metallic device almost looks like a high-tech bike pedal. Or maybe the latest cooking gadget for zesting lemons. Or, perhaps, it's a secret weapon for X-Men superhero \u003ca href=\"http://marvel.com/universe/Wolverine\">Wolverine\u003c/a>.\u003c/p>\n\u003cp>But look again.\u003c/p>\n\u003cp>Doctors in Spain say this is the world's first 3-D-printed rib cage, made entirely from titanium. And they've already implanted the device into the chest of a 54-year-old cancer patient. The man lost his sternum and pieces of four ribs when doctors removed a large tumor.\u003c/p>\n\u003cp>The perforated center section of the implant is the prosthetic sternum. Four thin rods on the left mimic ribs. They're thin and flexible so they can bend during breathing. The eight clamps on either side attach the implant to bone. Screws hold the clamps in place.\u003c/p>\n\u003cfigure id=\"attachment_40003\" class=\"wp-caption aligncenter\" style=\"max-width: 794px\">\u003cimg class=\"size-full wp-image-40003\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/3dgedrucktes_wide-f6f0468d15794bbb42349d098b3d584679a89274-s800-c85.jpg\" alt=\"The implant was custom-designed using CT scans of a cancer patient's chest. The man lost his sternum and four ribs during surgery to remove a tumor.\" width=\"794\" height=\"447\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/3dgedrucktes_wide-f6f0468d15794bbb42349d098b3d584679a89274-s800-c85.jpg 794w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/3dgedrucktes_wide-f6f0468d15794bbb42349d098b3d584679a89274-s800-c85-400x225.jpg 400w\" sizes=\"(max-width: 794px) 100vw, 794px\">\u003cfigcaption class=\"wp-caption-text\">The implant was custom-designed using CT scans of a cancer patient's chest. The man lost his sternum and four ribs during surgery to remove a tumor. \u003ccite>(CSIRO)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Surgeons at Salamanca University Hospital \u003ca href=\"http://ejcts.oxfordjournals.org/content/early/2015/08/03/ejcts.ezv265.long\">reported\u003c/a> the man's case — and how they made the prosthesis — last month in the \u003cem>European Journal of Cardio-Thoracic Surgery\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Engineers at \u003ca href=\"http://www.anatomics.com/products/chest-implants/titanium/\">Anatomics\u003c/a> in Melbourne, Australia, custom-designed the device using CT scans of the man's chest. They manufactured the implant with a $1.3 million metal printer at a government-run lab.\u003c/p>\n\u003cp>The printer uses an electron beam to melt titanium powder, says engineer Alex Kingsbury, who helped make the titanium rib cage at the \u003ca href=\"http://www.csiro.au/\">Commonwealth Scientific and Industrial Research Organisation\u003c/a>. The printer then paints each layer of the device, one on top of another.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/Xt0CiUDVPHk'\n title='//www.youtube.com/embed/Xt0CiUDVPHk'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"As each layer is fused, you start to build up a product,\" Kingsbury \u003ca href=\"http://www.csiro.au/en/News/News-releases/2015/Cancer-patient-receives-3D-printed-ribs-in-world-first-surgery?featured=27F6622E2C954B819F5E36ECE881FA68\">says\u003c/a> in a video by CSIRO. \"It would be an incredibly complex piece to manufacture traditionally, in fact, you know, almost impossible.\"\u003c/p>\n\u003cp>CSIRO wouldn't say how much the artificial rib cage cost. \"But for complex and customized implants, the cost [to print them] is more affordable and the time to produce it is shorter than with traditional manufacturing,\" Crystal Ladiges, a spokesperson for CSIROs wrote in an email to Shots.\u003c/p>\n\u003cp>As metallic printers become more common, she wrote, so will 3-D printed implants.\u003c/p>\n\u003cp>Surgeons typically use a combination of flat plates, bars and mesh to build an artificial rib cage and sternum for patients. The 3-D printing technology allowed the surgeons to create an implant that \"fitted like glove\" in the man's chest, Dr. Jose Aranda, of Salamanca University Hospital, \u003ca href=\"http://www.anatomics.com/media/1093/custom-made-chest-implant.pdf\">said\u003c/a> in a statement. He and his colleagues hope the better fit will mean fewer complications in the long run.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But the surgical team admits that such a complex prosthesis is probably helpful only for extreme cases, when extensive reconstruction of the sternum and rib cage are needed.\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=Engineers+Create+A+Titanium+Rib+Cage+Worthy+Of+Wolverine&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Techies and People With Disabilities Team Up for 'Makeathon'",
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"content": "\u003cp>Corbett O'Toole wants to disrupt the wheelchair.\u003c/p>\n\u003cp>I met O'Toole, a disability rights advocate, last Friday at a bustling maker space in downtown San Francisco. \u003ca href=\"http://www.techshop.ws/\">TechShop\u003c/a>, a do-it-yourself workshop crammed with tools and equipment, \u003ca href=\"http://www.techshop.ws/Events.html?&action=detail&id=1684\">was hosting a 72-hour \"makeathon\"\u003c/a> for teams to develop assistive technology alongside people with disabilities.\u003c/p>\n\u003cp>And O'Toole's idea is to rig up a wheelchair that can help people use an accessible bathroom without needing another person to help them.\u003c/p>\n\u003cp>O'Toole, who says she's been in a wheelchair for 40 years, says she's met many women who receive assistance getting from their wheelchair to the toilet only twice a day: At morning and at night.\u003c/p>\n\u003cp>\"They have three options: A diaper, a surgical procedure, or a catheter,\" she says. \"None of these are ideal.\"\u003c/p>\n\u003cfigure id=\"attachment_39150\" class=\"wp-caption alignright\" style=\"max-width: 709px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/IMG_1899.jpg\">\u003cimg class=\"size-medium wp-image-39150\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/IMG_1899-709x600.jpg\" alt=\"Teams assembled at TechShop in San Francisco over the weekend, worked on developing assistive technology products. \" width=\"709\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1899-709x600.jpg 709w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1899-400x339.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1899-1180x999.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1899-1920x1625.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1899-960x813.jpg 960w\" sizes=\"(max-width: 709px) 100vw, 709px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Teams assembled at TechShop in San Francisco over the weekend to develop assistive technology products. \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>So O'Toole wants to work with Bay Area techies to design a wheelchair in which the user could press a button to raise the chair up and forward, to help them maneuver more easily inside a bathroom stall.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"When on a date or at work,\" she says, \"they could use the bathroom on their own.\"\u003c/p>\n\u003cp>\u003cstrong>A Focus on Real Needs \u003c/strong>\u003c/p>\n\u003cp>Among the 100 techies and people with disabilities at the weekend makeathon were teams working on \"smart\" crutches to help people carry beverages, a device to help people grab and transport objects with their mouths, and an application for Google Glass to help people who can't speak express themselves.\u003c/p>\n\u003cp>Each team had a $500 budget for tools and equipment to build the first version of the prototype.\u003c/p>\n\u003cp>What stood out to me right away was the focus on understanding people's needs. Each team was assigned a \"needs knower,\" who understands the problem and can describe their experiences in detail.\u003c/p>\n\u003cfigure id=\"attachment_39128\" class=\"wp-caption alignleft\" style=\"max-width: 305px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/IMG_1873.jpg\">\u003cimg class=\" wp-image-39128\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/IMG_1873-456x600.jpg\" alt=\"Corbett O'Toole is heading up a project called "Free the Pee." \" width=\"305\" height=\"402\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1873-456x600.jpg 456w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1873-400x526.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1873-898x1180.jpg 898w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1873-1180x1551.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1873-960x1262.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1873.jpg 1862w\" sizes=\"(max-width: 305px) 100vw, 305px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Corbett O'Toole is heading up a project called \"Free the Pee.\" \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"At these kind of events, many people come up with solutions and [then] look for problems,\" says Sefi Attias, chief technology officer for \u003ca href=\"http://tomglobal.org/\">Tikkun Olam Makers\u003c/a>, an Israeli organization that sponsored the event, alongside Google Dot Org and \u003ca href=\"http://ucpnb.org/\">United Cerebral Palsy of the North Bay\u003c/a>. \"We wanted to do things differently.\"\u003c/p>\n\u003cp>At one table, a group of developers huddles around \u003ca href=\"http://www.zebredamakesitwork.com/\">Zebreda Dunham\u003c/a>, a needs knower from Pasadena, California, who has limited use of her hands. Dunham is a budding maker herself, having already hacked a pulley system to help herself eat.\u003c/p>\n\u003cp>Dunham is working with a seven-person team, including techies and occupational therapists, to develop a more sophisticated version of her pulley system. Over the course of the weekend, Dunham will test out a range of possibilities for the feeding system to ensure it's comfortable.\u003c/p>\n\u003cp>\u003cstrong>Futuristic Technology\u003c/strong>\u003c/p>\n\u003cp>At another table, I met a needs knower from Orange County, Danny Kurtzman, who assembled a team to build what he calls a \"21st-century wheelchair\" that can be controlled by a smartphone.\u003c/p>\n\u003cp>Kurtzman says he also wants to make a lightweight chair that's capable of traveling on any terrain, including the beach. In future versions, he hopes to add health tracking tools to the dashboard of the chair, so he can see how far he's traveled each day.\u003c/p>\n\u003cfigure id=\"attachment_39126\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/disabilities-8.jpg\">\u003cimg class=\"size-medium wp-image-39126\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/disabilities-8-800x600.jpg\" alt=\"Spencer Stein (left) and teammates Daniela Schrimer and Danny Kurtzman have known each other since they were children.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/disabilities-8-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/disabilities-8-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/disabilities-8-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/disabilities-8-1920x1440.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/disabilities-8-960x720.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Spencer Stein (left) and teammates Daniela Schrimer and Danny Kurtzman have known each other since they were children. \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"I'm in a wheelchair all day but it doesn't do very much beyond getting me around,\" he says. Kurtzman has used the same model of wheelchair for more than a decade.\u003c/p>\n\u003cp>On the first day of the event, Kurtzman struck up a friendship with an engineer, who offered to help him out with another project idea on the side. Kurtzman says virtual reality has vast potential for people with disabilities.\u003c/p>\n\u003cp>Instead of describing his idea, he asks me to try out a pair of virtual reality goggles from Samsung. I was transported to a three-dimensional world where I was flying in a small airplane. Almost immediately, I felt that familiar dizzy feeling you might get during takeoff and landing.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Kurtzman and his new friend plan to take the goggles out this weekend to simulate the experience of running across the Golden Gate Bridge. It will give a huge mental health boost to people in wheelchairs, he says, to feel that sensation of running across the iconic bridge.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Corbett O'Toole wants to disrupt the wheelchair.\u003c/p>\n\u003cp>I met O'Toole, a disability rights advocate, last Friday at a bustling maker space in downtown San Francisco. \u003ca href=\"http://www.techshop.ws/\">TechShop\u003c/a>, a do-it-yourself workshop crammed with tools and equipment, \u003ca href=\"http://www.techshop.ws/Events.html?&action=detail&id=1684\">was hosting a 72-hour \"makeathon\"\u003c/a> for teams to develop assistive technology alongside people with disabilities.\u003c/p>\n\u003cp>And O'Toole's idea is to rig up a wheelchair that can help people use an accessible bathroom without needing another person to help them.\u003c/p>\n\u003cp>O'Toole, who says she's been in a wheelchair for 40 years, says she's met many women who receive assistance getting from their wheelchair to the toilet only twice a day: At morning and at night.\u003c/p>\n\u003cp>\"They have three options: A diaper, a surgical procedure, or a catheter,\" she says. \"None of these are ideal.\"\u003c/p>\n\u003cfigure id=\"attachment_39150\" class=\"wp-caption alignright\" style=\"max-width: 709px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/IMG_1899.jpg\">\u003cimg class=\"size-medium wp-image-39150\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/IMG_1899-709x600.jpg\" alt=\"Teams assembled at TechShop in San Francisco over the weekend, worked on developing assistive technology products. \" width=\"709\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1899-709x600.jpg 709w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1899-400x339.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1899-1180x999.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1899-1920x1625.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1899-960x813.jpg 960w\" sizes=\"(max-width: 709px) 100vw, 709px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Teams assembled at TechShop in San Francisco over the weekend to develop assistive technology products. \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>So O'Toole wants to work with Bay Area techies to design a wheelchair in which the user could press a button to raise the chair up and forward, to help them maneuver more easily inside a bathroom stall.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"When on a date or at work,\" she says, \"they could use the bathroom on their own.\"\u003c/p>\n\u003cp>\u003cstrong>A Focus on Real Needs \u003c/strong>\u003c/p>\n\u003cp>Among the 100 techies and people with disabilities at the weekend makeathon were teams working on \"smart\" crutches to help people carry beverages, a device to help people grab and transport objects with their mouths, and an application for Google Glass to help people who can't speak express themselves.\u003c/p>\n\u003cp>Each team had a $500 budget for tools and equipment to build the first version of the prototype.\u003c/p>\n\u003cp>What stood out to me right away was the focus on understanding people's needs. Each team was assigned a \"needs knower,\" who understands the problem and can describe their experiences in detail.\u003c/p>\n\u003cfigure id=\"attachment_39128\" class=\"wp-caption alignleft\" style=\"max-width: 305px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/IMG_1873.jpg\">\u003cimg class=\" wp-image-39128\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/IMG_1873-456x600.jpg\" alt=\"Corbett O'Toole is heading up a project called "Free the Pee." \" width=\"305\" height=\"402\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1873-456x600.jpg 456w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1873-400x526.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1873-898x1180.jpg 898w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1873-1180x1551.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1873-960x1262.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/IMG_1873.jpg 1862w\" sizes=\"(max-width: 305px) 100vw, 305px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Corbett O'Toole is heading up a project called \"Free the Pee.\" \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"At these kind of events, many people come up with solutions and [then] look for problems,\" says Sefi Attias, chief technology officer for \u003ca href=\"http://tomglobal.org/\">Tikkun Olam Makers\u003c/a>, an Israeli organization that sponsored the event, alongside Google Dot Org and \u003ca href=\"http://ucpnb.org/\">United Cerebral Palsy of the North Bay\u003c/a>. \"We wanted to do things differently.\"\u003c/p>\n\u003cp>At one table, a group of developers huddles around \u003ca href=\"http://www.zebredamakesitwork.com/\">Zebreda Dunham\u003c/a>, a needs knower from Pasadena, California, who has limited use of her hands. Dunham is a budding maker herself, having already hacked a pulley system to help herself eat.\u003c/p>\n\u003cp>Dunham is working with a seven-person team, including techies and occupational therapists, to develop a more sophisticated version of her pulley system. Over the course of the weekend, Dunham will test out a range of possibilities for the feeding system to ensure it's comfortable.\u003c/p>\n\u003cp>\u003cstrong>Futuristic Technology\u003c/strong>\u003c/p>\n\u003cp>At another table, I met a needs knower from Orange County, Danny Kurtzman, who assembled a team to build what he calls a \"21st-century wheelchair\" that can be controlled by a smartphone.\u003c/p>\n\u003cp>Kurtzman says he also wants to make a lightweight chair that's capable of traveling on any terrain, including the beach. In future versions, he hopes to add health tracking tools to the dashboard of the chair, so he can see how far he's traveled each day.\u003c/p>\n\u003cfigure id=\"attachment_39126\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/disabilities-8.jpg\">\u003cimg class=\"size-medium wp-image-39126\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/disabilities-8-800x600.jpg\" alt=\"Spencer Stein (left) and teammates Daniela Schrimer and Danny Kurtzman have known each other since they were children.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/disabilities-8-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/disabilities-8-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/disabilities-8-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/disabilities-8-1920x1440.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/disabilities-8-960x720.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Spencer Stein (left) and teammates Daniela Schrimer and Danny Kurtzman have known each other since they were children. \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"I'm in a wheelchair all day but it doesn't do very much beyond getting me around,\" he says. Kurtzman has used the same model of wheelchair for more than a decade.\u003c/p>\n\u003cp>On the first day of the event, Kurtzman struck up a friendship with an engineer, who offered to help him out with another project idea on the side. Kurtzman says virtual reality has vast potential for people with disabilities.\u003c/p>\n\u003cp>Instead of describing his idea, he asks me to try out a pair of virtual reality goggles from Samsung. I was transported to a three-dimensional world where I was flying in a small airplane. Almost immediately, I felt that familiar dizzy feeling you might get during takeoff and landing.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Kurtzman and his new friend plan to take the goggles out this weekend to simulate the experience of running across the Golden Gate Bridge. It will give a huge mental health boost to people in wheelchairs, he says, to feel that sensation of running across the iconic bridge.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "When is it OK to Record Your Doctor's Orders?",
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"content": "\u003cp class=\"inaugural\">\u003ca href=\"http://www.scpr.org/blogs/health/2015/09/09/18068/when-is-it-ok-to-record-your-doctor-s-orders/\">This post originally appeared on KPCC’s consumer health blog, Impatient.\u003c/a>\u003c/p>\n\u003cp class=\"inaugural\">Jonathan Sommers didn't use his cell phone to record the moment when his doctor diagnosed him with testicular cancer in 2012.\u003c/p>\n\u003cp>He was 28 years old and had so many questions, but was too confused to process anything the doctor had just told him. He remembers going home after that first appointment and feeling overwhelmed.\u003c/p>\n\u003cp>After that, he recorded virtually every other significant appointment.\u003c/p>\n\u003cp>He says he would ask his doctor if it was OK to record their conversation that day, especially when it pertained to \"new news, or treatment options, or different therapies that we wanted to discuss.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>He was also sure to record when he was asking the doctor specific questions.\u003c/p>\n\u003cp>\"That was really the most important part for me was when there were questions that I wanted the answer to,\" says Sommers, who's now 32 and cured of the cancer. \"I would record it because a lot of the times, when you hear the answer, you need to let it marinate in your brain for a bit.\"\u003c/p>\n\u003cp>The big problem is some patients are recording covertly – without asking or informing their doctors. California law requires both parties to consent to the recording of conversations, both on the phone and in-person, experts say.\u003c/p>\n\u003cp>\u003cstrong>Why Record? \u003c/strong>\u003c/p>\n\u003cp>Patients might want to record a conversation with their doctor for a number of reasons.\u003c/p>\n\u003cp>As Sommers experienced, some people are overwhelmed by the amount of information their doctors are sharing with them. Others don't have a great memory, especially for complicated diagnoses and treatment options.\u003c/p>\n\u003cp>Still others just want an accurate record of their conversation and they find recording to be easier than taking handwritten notes.\u003c/p>\n\u003cp>\"There's this classic scenario of somebody comes home from the doctor and their spouse says, 'what did the doctor say?' and the one who was there says, 'oh, not much,''\" quips \u003ca href=\"http://www.epatientdave.com/\">Dave deBronkart\u003c/a>, a kidney cancer survivor who's become a leading voice for the patient engagement movement.\u003c/p>\n\u003cp>\u003cstrong>So, What's the Problem? \u003c/strong>\u003c/p>\n\u003cp>Whether this practice helps patients comprehend and follow their doctor's advice – or harms their relationship with their doctor – depends on at least one major factor: Did the doctor consent to being recorded?\u003c/p>\n\u003cp>Dr. Ali Seifi, an assistant professor in the Department of Neurology at the University of Texas Health Science Center in San Antonio, recalls the first time he was recorded without his consent.\u003c/p>\n\u003cp>About two years ago, he says, he was treating a patient in the intensive care unit who had suffered a head injury in a car accident. He asked the patient's family to come to the hospital for a meeting. As he was showing them the patient's MRI and CT scans and talking about his condition, he says he realized they were recording him.\u003c/p>\n\u003cp>Seifi remembers thinking: \"As a doctor, can I ask them to stop this recording? Or is this their right to do it?\"\u003c/p>\n\u003cp>\u003cstrong>A Breach of Trust\u003c/strong>\u003c/p>\n\u003cp>The general answer, at least in California, is that by law you must get the consent of everyone involved before recording any conversation that common sense tells you might be \"private\" or \"confidential,\" according to the \u003ca href=\"http://www.dmlp.org/legal-guide/california-recording-law\">Digital Media Law Project\u003c/a>.\u003c/p>\n\u003cp>From Seifi's perspective, secret recordings also beg other questions: What is a patient's motive to surreptitiously record? Is there something wrong with the doctor's behavior or attitude? What is the patient intending to do with the recording? Could it be used in a lawsuit?\u003c/p>\n\u003cp>It's problematic, he says, \"because secretly recording means that the patient is not trusting the doctor,\" says Seifi, who also co-wrote a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/25763514\">Viewpoint article\u003c/a> on the topic in an April edition of the Journal of American Medical Association.\u003c/p>\n\u003cp>If a patient asks a doctor if it's OK to record the conversation, and offers an honest explanation for why he's doing it, Seifi says most physicians will give the green light.\u003c/p>\n\u003cp>Still, he says he's heard from some colleagues who, knowing they're being recorded, temper their advice to protect themselves, he says.\u003c/p>\n\u003cp>\"They try not to discuss in detail everything,\" Seifi says, because they fear that something they say could be \"used against them sometime.\"\u003c/p>\n\u003cp>\u003cstrong>The Best Approach\u003c/strong>\u003c/p>\n\u003cp>If you're going to record a conversation with your doctor, the first rule is:\u003ca href=\"http://www.scpr.org/issues/just-ask\"> #JustAsk\u003c/a> if it's OK. Being able to make this request is part of having an open, candid relationship with a doctor, says Jonathan Sommers.\u003c/p>\n\u003cp>\"Just tell your doctor why you want to record it, what you hope to gain from it and I would be shocked if they said no,\" Sommers says.\u003c/p>\n\u003cp>Sommers says he's glad that he recorded many of his conversations with his doctors. The recordings were essential during his cancer journey. And, he says, re-listening to them has become a form of therapy.\u003c/p>\n\u003cp>\"When my journey was complete and I was healthy, I actually found it therapeutic to listen to the recordings again, to see how far I've come,\" he says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Have you tried recording a conversation with your doctor? Tell us about it in the comments section below or e-mail us at Impatient@scpr.org.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>He was also sure to record when he was asking the doctor specific questions.\u003c/p>\n\u003cp>\"That was really the most important part for me was when there were questions that I wanted the answer to,\" says Sommers, who's now 32 and cured of the cancer. \"I would record it because a lot of the times, when you hear the answer, you need to let it marinate in your brain for a bit.\"\u003c/p>\n\u003cp>The big problem is some patients are recording covertly – without asking or informing their doctors. California law requires both parties to consent to the recording of conversations, both on the phone and in-person, experts say.\u003c/p>\n\u003cp>\u003cstrong>Why Record? \u003c/strong>\u003c/p>\n\u003cp>Patients might want to record a conversation with their doctor for a number of reasons.\u003c/p>\n\u003cp>As Sommers experienced, some people are overwhelmed by the amount of information their doctors are sharing with them. Others don't have a great memory, especially for complicated diagnoses and treatment options.\u003c/p>\n\u003cp>Still others just want an accurate record of their conversation and they find recording to be easier than taking handwritten notes.\u003c/p>\n\u003cp>\"There's this classic scenario of somebody comes home from the doctor and their spouse says, 'what did the doctor say?' and the one who was there says, 'oh, not much,''\" quips \u003ca href=\"http://www.epatientdave.com/\">Dave deBronkart\u003c/a>, a kidney cancer survivor who's become a leading voice for the patient engagement movement.\u003c/p>\n\u003cp>\u003cstrong>So, What's the Problem? \u003c/strong>\u003c/p>\n\u003cp>Whether this practice helps patients comprehend and follow their doctor's advice – or harms their relationship with their doctor – depends on at least one major factor: Did the doctor consent to being recorded?\u003c/p>\n\u003cp>Dr. Ali Seifi, an assistant professor in the Department of Neurology at the University of Texas Health Science Center in San Antonio, recalls the first time he was recorded without his consent.\u003c/p>\n\u003cp>About two years ago, he says, he was treating a patient in the intensive care unit who had suffered a head injury in a car accident. He asked the patient's family to come to the hospital for a meeting. As he was showing them the patient's MRI and CT scans and talking about his condition, he says he realized they were recording him.\u003c/p>\n\u003cp>Seifi remembers thinking: \"As a doctor, can I ask them to stop this recording? Or is this their right to do it?\"\u003c/p>\n\u003cp>\u003cstrong>A Breach of Trust\u003c/strong>\u003c/p>\n\u003cp>The general answer, at least in California, is that by law you must get the consent of everyone involved before recording any conversation that common sense tells you might be \"private\" or \"confidential,\" according to the \u003ca href=\"http://www.dmlp.org/legal-guide/california-recording-law\">Digital Media Law Project\u003c/a>.\u003c/p>\n\u003cp>From Seifi's perspective, secret recordings also beg other questions: What is a patient's motive to surreptitiously record? Is there something wrong with the doctor's behavior or attitude? What is the patient intending to do with the recording? Could it be used in a lawsuit?\u003c/p>\n\u003cp>It's problematic, he says, \"because secretly recording means that the patient is not trusting the doctor,\" says Seifi, who also co-wrote a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/25763514\">Viewpoint article\u003c/a> on the topic in an April edition of the Journal of American Medical Association.\u003c/p>\n\u003cp>If a patient asks a doctor if it's OK to record the conversation, and offers an honest explanation for why he's doing it, Seifi says most physicians will give the green light.\u003c/p>\n\u003cp>Still, he says he's heard from some colleagues who, knowing they're being recorded, temper their advice to protect themselves, he says.\u003c/p>\n\u003cp>\"They try not to discuss in detail everything,\" Seifi says, because they fear that something they say could be \"used against them sometime.\"\u003c/p>\n\u003cp>\u003cstrong>The Best Approach\u003c/strong>\u003c/p>\n\u003cp>If you're going to record a conversation with your doctor, the first rule is:\u003ca href=\"http://www.scpr.org/issues/just-ask\"> #JustAsk\u003c/a> if it's OK. Being able to make this request is part of having an open, candid relationship with a doctor, says Jonathan Sommers.\u003c/p>\n\u003cp>\"Just tell your doctor why you want to record it, what you hope to gain from it and I would be shocked if they said no,\" Sommers says.\u003c/p>\n\u003cp>Sommers says he's glad that he recorded many of his conversations with his doctors. The recordings were essential during his cancer journey. And, he says, re-listening to them has become a form of therapy.\u003c/p>\n\u003cp>\"When my journey was complete and I was healthy, I actually found it therapeutic to listen to the recordings again, to see how far I've come,\" he says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Have you tried recording a conversation with your doctor? Tell us about it in the comments section below or e-mail us at Impatient@scpr.org.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"officialWebsiteLink": "/californiareport",
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"source": "kqed",
"order": 8
},
"link": "/californiareport",
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},
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"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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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": {
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
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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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"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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"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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"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"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",
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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",
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"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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},
"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",
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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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"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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},
"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"
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},
"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": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"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",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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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": {
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