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"content": "\u003cp>Most of the tech buzz these days has centered on the new Apple Watch -- including on the potential for \u003ca href=\"http://www.npr.org/blogs/alltechconsidered/2015/04/25/402039156/as-health-apps-hop-on-the-apple-watch-privacy-will-be-key\">health-related apps\u003c/a>. Less attention has been given to Apple's \u003ca href=\"https://www.apple.com/researchkit/\">ResearchKit\u003c/a>, an open-source mobile software platform released in March.\u003c/p>\n\u003cp>But the medical world is paying attention.\u003c/p>\n\u003cp>\"It's designed to let medical researchers and developers create apps that can be downloaded through the app store, and then users can decide to join a study that's conducted solely through their phones,\" Arielle Duhaime-Ross, a science reporter at The Verge, tells NPR's Arun Rath.\u003c/p>\n\u003cp>So far, researchers have developed ResearchKit apps to study diseases including breast cancer, asthma and Parkinson's disease. \u003ca href=\"http://www.bloomberg.com/news/articles/2015-03-11/apple-researchkit-sees-thousands-sign-up-amid-bias-criticism\">Thousands of volunteers\u003c/a> have signed up.\u003c/p>\n\u003cp>But Duhaime-Ross tells Rath there are concerns about privacy and informed consent. Here are some interview highlights:\u003c/p>\n\u003chr>\n\u003cp>\u003cstrong>On privacy concerns\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>When you join a [ResearchKit] study, you go through an informed consent process where they tell you about the risks of joining the study. They'll ask you whether you want to share your data with other researchers and any other partners, but they do explain that they will make that data anonymous.\u003c/p>\n\u003cp>And really, Apple is relying on these researchers, these institutions, to make sure that everything is kosher. And that's where it might get a little bit hairy, where data breaches might occur. It's very young and it's very unclear whether there will be any issues later on.\u003c/p>\n\u003cp>\u003cstrong>On the question of informed consent\u003c/strong>\u003c/p>\n\u003cp>Every app that I've tested so far tells you toward the end that there is no guarantee that we can protect your data completely. Usually when you do this, you do this in person with the researcher or on the phone. You have the opportunity to ask a number of questions. You have the opportunity to demonstrate that maybe you don't quite understand what you're signing up for.\u003c/p>\n\u003cp>Now, the informed consent process with the apps, they do ask you a number of questions to verify that you understand everything that you've just read. But these questions are yes/no questions and it's very easy to essentially fudge the process. ...\u003c/p>\n\u003cp>If you go into the Parkinson's disease app ... when you first decide to join the study, it asks you three questions. One of them is \"Are you over 18?\" The first time that I downloaded it, I pressed on \"no\" ... It said, \"You're not eligible.\" I was able to press on the back button very easily and then I was able to answer again and say that I was over 18. So there's definitely a question about the ethics of this process.\u003c/p>\n\u003cp>\u003cstrong>On how Apple addressed some concerns after the release\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Apple has asked ... that all apps have institutional review board approval. This means that at the institutions where they are based in, they need to have an independent ethics board review the work to make sure that the people who are partaking in it are properly informed about the risks, are aware of how everything will run, that the questions are valuable questions that are being asked and that we're not conducting a study of little value.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=The+Promise+And+Potential+Pitfalls+Of+Apple%27s+ResearchKit+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\u003cdiv class=\"fullattribution\">\u003c/div>\n\u003cdiv class=\"fullattribution\">\u003ca href=\"http://www.npr.org/blogs/alltechconsidered/2015/05/03/404023370/the-promise-and-potential-pitfalls-of-apples-researchkit\">Read the full transcript of the interview here. \u003c/a>\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Most of the tech buzz these days has centered on the new Apple Watch -- including on the potential for \u003ca href=\"http://www.npr.org/blogs/alltechconsidered/2015/04/25/402039156/as-health-apps-hop-on-the-apple-watch-privacy-will-be-key\">health-related apps\u003c/a>. Less attention has been given to Apple's \u003ca href=\"https://www.apple.com/researchkit/\">ResearchKit\u003c/a>, an open-source mobile software platform released in March.\u003c/p>\n\u003cp>But the medical world is paying attention.\u003c/p>\n\u003cp>\"It's designed to let medical researchers and developers create apps that can be downloaded through the app store, and then users can decide to join a study that's conducted solely through their phones,\" Arielle Duhaime-Ross, a science reporter at The Verge, tells NPR's Arun Rath.\u003c/p>\n\u003cp>So far, researchers have developed ResearchKit apps to study diseases including breast cancer, asthma and Parkinson's disease. \u003ca href=\"http://www.bloomberg.com/news/articles/2015-03-11/apple-researchkit-sees-thousands-sign-up-amid-bias-criticism\">Thousands of volunteers\u003c/a> have signed up.\u003c/p>\n\u003cp>But Duhaime-Ross tells Rath there are concerns about privacy and informed consent. Here are some interview highlights:\u003c/p>\n\u003chr>\n\u003cp>\u003cstrong>On privacy concerns\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When you join a [ResearchKit] study, you go through an informed consent process where they tell you about the risks of joining the study. They'll ask you whether you want to share your data with other researchers and any other partners, but they do explain that they will make that data anonymous.\u003c/p>\n\u003cp>And really, Apple is relying on these researchers, these institutions, to make sure that everything is kosher. And that's where it might get a little bit hairy, where data breaches might occur. It's very young and it's very unclear whether there will be any issues later on.\u003c/p>\n\u003cp>\u003cstrong>On the question of informed consent\u003c/strong>\u003c/p>\n\u003cp>Every app that I've tested so far tells you toward the end that there is no guarantee that we can protect your data completely. Usually when you do this, you do this in person with the researcher or on the phone. You have the opportunity to ask a number of questions. You have the opportunity to demonstrate that maybe you don't quite understand what you're signing up for.\u003c/p>\n\u003cp>Now, the informed consent process with the apps, they do ask you a number of questions to verify that you understand everything that you've just read. But these questions are yes/no questions and it's very easy to essentially fudge the process. ...\u003c/p>\n\u003cp>If you go into the Parkinson's disease app ... when you first decide to join the study, it asks you three questions. One of them is \"Are you over 18?\" The first time that I downloaded it, I pressed on \"no\" ... It said, \"You're not eligible.\" I was able to press on the back button very easily and then I was able to answer again and say that I was over 18. So there's definitely a question about the ethics of this process.\u003c/p>\n\u003cp>\u003cstrong>On how Apple addressed some concerns after the release\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Apple has asked ... that all apps have institutional review board approval. This means that at the institutions where they are based in, they need to have an independent ethics board review the work to make sure that the people who are partaking in it are properly informed about the risks, are aware of how everything will run, that the questions are valuable questions that are being asked and that we're not conducting a study of little value.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=The+Promise+And+Potential+Pitfalls+Of+Apple%27s+ResearchKit+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\u003cdiv class=\"fullattribution\">\u003c/div>\n\u003cdiv class=\"fullattribution\">\u003ca href=\"http://www.npr.org/blogs/alltechconsidered/2015/05/03/404023370/the-promise-and-potential-pitfalls-of-apples-researchkit\">Read the full transcript of the interview here. \u003c/a>\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>If you can live stream movies, why not live stream medical care?\u003c/p>\n\u003cp>Insurance company \u003ca href=\"http://www.uhc.com/\">UnitedHealthcare\u003c/a> will start covering visits to the doctor's office — via video chat. Patients and physicians talk live online — on smartphones, tablets or home computer — to get to a clinical diagnosis. This move to cybermedicine could save insurers a ton of money — or have unintended consequences.\u003c/p>\n\u003cp>Cybermedicine has been \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1761771/\">long-discussed\u003c/a> by the experts. Now, Eric Neiman, father to a little girl in San Francisco, can explain how it works — from personal experience.\u003c/p>\n\u003cp>\"So I'd gotten a text from my wife earlier in the day,\" he says. \"One of our daughter's eyes was a little bit red and she was rubbing it.\"\u003c/p>\n\u003cp>A few hours passed and it got more red and started oozing. \"Well, unfortunately that sounds like it could be pinkeye. So we would look at it together when I got home,\" Neiman says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Which was close to 8 p.m. — too late to see their regular pediatrician. And kind of late to see any doctor. If they went to the local urgent care center, they'd get back home at 10 p.m. or 11 p.m.\u003c/p>\n\u003cp>Then, Neiman remembered something, from his Instagram account, a post for an app called \u003ca href=\"http://www.doctorondemand.com/\">Doctor On Demand\u003c/a>. It pairs users up with doctors who are licensed in their state for a video screening.\u003c/p>\n\u003cp>Neiman decided to log in. \"The pediatrician came on, introduced himself, and then asked to see our daughter, asked to hold the iPhone up to her eye, checked her throat, everything that he could see via the phone.\"\u003c/p>\n\u003cp>Within minutes, the doctor called in a prescription for pinkeye. The visit cost Neiman $40.\u003c/p>\n\u003cp>Neiman was so impressed, he says, he used the app just a few days later for himself. He thought he was getting a sinus infection, and logged in \u003cem>from his car\u003c/em>.\u003c/p>\n\u003cp>\"I was sitting on the side of the street. It's not the first time I pulled over to use my phone,\" he says. \"But to actually go to the doctor — I was just hopeful nobody was watching!\"\u003c/p>\n\u003cp>\u003cstrong>Save On Cost Or Break \u003c/strong>\u003cstrong>The Bank?\u003c/strong>\u003c/p>\n\u003cp>UnitedHealthcare's move to cover all or part of the cost of these e-visits — for up to 20 million customers by 2016 — is big. A major company is putting its stamp of approval on a process that, until now, has been largely experimental.\u003c/p>\n\u003cp>Three mobile-doc startups – Doctor on Demand, \u003ca href=\"https://nowclinic.com/landing.htm\">NowClinic\u003c/a> and \u003ca href=\"https://www.americanwell.com/\">Amwell\u003c/a> – are the initial providers.\u003c/p>\n\u003cp>Karen Scott, who directs innovation initiatives at UnitedHealthcare, says the company is studying cost: \"What happens if somebody is more likely to use virtual care? Maybe they would have gone in to urgent care. How many of them will choose the virtual visit instead?\"\u003c/p>\n\u003cp>It could be that people grab a doctor online for skin rashes, colds and coughs — and by getting care early on, they prevent an expensive catastrophe. Or maybe people wait too long when they really just need to see a doctor in person. Or it could be this service brings out the inner hypochondriac in us and leaves the insurer with a bigger bill to co-pay.\u003c/p>\n\u003cp>\"Those are the sorts of health care economics and actuarial questions that our experts will be watching,\" Scott says.\u003c/p>\n\u003cp>\u003cstrong>Convenience For Doctors\u003c/strong>\u003c/p>\n\u003cp>This move has big implications for physicians, too.\u003c/p>\n\u003cp>Dr. Tania Elliott, an allergist with Doctor on Demand, says that through the app, patients with a rash show her their symptoms in the moment — not a week later. She takes virtual tours of people's homes to search dust mite sources. Instead of tedious planning, she gives patients a ballpark of when to do a follow up visit.\u003c/p>\n\u003cp>\"They have access to essentially my schedule. And so when they log into the app they can see when I'm online,\" she says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The doctor has even gotten to work remotely — from a hotel room in Hawaii.\u003c/p>\n\u003cdiv class=\"fullattribution\">\u003cem>Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=The+Doctor+Will+Video+Chat+With+You+Now%3A+Insurer+Covers+Virtual+Visits&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/em>\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Which was close to 8 p.m. — too late to see their regular pediatrician. And kind of late to see any doctor. If they went to the local urgent care center, they'd get back home at 10 p.m. or 11 p.m.\u003c/p>\n\u003cp>Then, Neiman remembered something, from his Instagram account, a post for an app called \u003ca href=\"http://www.doctorondemand.com/\">Doctor On Demand\u003c/a>. It pairs users up with doctors who are licensed in their state for a video screening.\u003c/p>\n\u003cp>Neiman decided to log in. \"The pediatrician came on, introduced himself, and then asked to see our daughter, asked to hold the iPhone up to her eye, checked her throat, everything that he could see via the phone.\"\u003c/p>\n\u003cp>Within minutes, the doctor called in a prescription for pinkeye. The visit cost Neiman $40.\u003c/p>\n\u003cp>Neiman was so impressed, he says, he used the app just a few days later for himself. He thought he was getting a sinus infection, and logged in \u003cem>from his car\u003c/em>.\u003c/p>\n\u003cp>\"I was sitting on the side of the street. It's not the first time I pulled over to use my phone,\" he says. \"But to actually go to the doctor — I was just hopeful nobody was watching!\"\u003c/p>\n\u003cp>\u003cstrong>Save On Cost Or Break \u003c/strong>\u003cstrong>The Bank?\u003c/strong>\u003c/p>\n\u003cp>UnitedHealthcare's move to cover all or part of the cost of these e-visits — for up to 20 million customers by 2016 — is big. A major company is putting its stamp of approval on a process that, until now, has been largely experimental.\u003c/p>\n\u003cp>Three mobile-doc startups – Doctor on Demand, \u003ca href=\"https://nowclinic.com/landing.htm\">NowClinic\u003c/a> and \u003ca href=\"https://www.americanwell.com/\">Amwell\u003c/a> – are the initial providers.\u003c/p>\n\u003cp>Karen Scott, who directs innovation initiatives at UnitedHealthcare, says the company is studying cost: \"What happens if somebody is more likely to use virtual care? Maybe they would have gone in to urgent care. How many of them will choose the virtual visit instead?\"\u003c/p>\n\u003cp>It could be that people grab a doctor online for skin rashes, colds and coughs — and by getting care early on, they prevent an expensive catastrophe. Or maybe people wait too long when they really just need to see a doctor in person. Or it could be this service brings out the inner hypochondriac in us and leaves the insurer with a bigger bill to co-pay.\u003c/p>\n\u003cp>\"Those are the sorts of health care economics and actuarial questions that our experts will be watching,\" Scott says.\u003c/p>\n\u003cp>\u003cstrong>Convenience For Doctors\u003c/strong>\u003c/p>\n\u003cp>This move has big implications for physicians, too.\u003c/p>\n\u003cp>Dr. Tania Elliott, an allergist with Doctor on Demand, says that through the app, patients with a rash show her their symptoms in the moment — not a week later. She takes virtual tours of people's homes to search dust mite sources. Instead of tedious planning, she gives patients a ballpark of when to do a follow up visit.\u003c/p>\n\u003cp>\"They have access to essentially my schedule. And so when they log into the app they can see when I'm online,\" she says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The doctor has even gotten to work remotely — from a hotel room in Hawaii.\u003c/p>\n\u003cdiv class=\"fullattribution\">\u003cem>Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=The+Doctor+Will+Video+Chat+With+You+Now%3A+Insurer+Covers+Virtual+Visits&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/em>\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>Author \u003cspan class=\"il\">Anica\u003c/span> John is an entrepreneur and advises Silicon Valley tech companies on business strategy and marketing. She recently worked at Smilables, an infant wearables startup.\u003c/em>\u003c/p>\n\u003cp>I'm seven months along with my first child and feeling inundated with information and advice on baby products.\u003c/p>\n\u003cp>It’s no wonder, because registering for a baby shower can be daunting. I found myself stunned by the sheer volume of strollers and car seats (which, when put together are billed as “travel systems”), cribs and hundreds of other baby products.\u003c/p>\n\u003cp>Alongside these staples, I'm evaluating a new wave of devices that can now gather important health and wellness data about your baby.\u003c/p>\n\u003cp>Here's what I have learned so far:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Some of the most popular startups in the space are producing new, high-tech baby monitors. These gadgets are a significant improvement on traditional baby monitors with scratchy audio outputs or grainy video. One company, \u003ca href=\"http://www.sproutling.com/\" target=\"_blank\">Sproutling\u003c/a>, produces a wearable baby monitor that delivers vital sign information on a sleeping baby. A similar device from \u003ca href=\"https://www.owletcare.com/\" target=\"_blank\">Owlet\u003c/a> comes in sock form.\u003c/p>\n\u003cp>But these startups don’t track the most important measure for a child’s long-term success: Brain development.\u003c/p>\n\u003cp>\u003cstrong>Can an App Support Your Baby's Brain Development?\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"http://spock.fcs.uga.edu/ext/pubs/chfd/FACS01-7.pdf\" target=\"_blank\">Studies have shown \u003c/a>that stimulating a newborn baby’s brain helps to create neural connections that will be vital to future brain development.\u003c/p>\n\u003cp>Traditionally, new parents have been coached to meet this need through general advice centered around attentiveness. For example, you'll often see infant care websites that instruct parents to “sing songs,” or “express joy and interest in your baby.”\u003c/p>\n\u003cp>While these are helpful reminders, concerted efforts on brain development tend to fall by the wayside.\u003c/p>\n\u003cp>Fortunately, during my research, I discovered a new category of technology products that addresses this problem.\u003c/p>\n\u003cp>\u003ca href=\"http://babysparks.com/\" target=\"_blank\">BabySparks\u003c/a> is a smartphone app that provides hundreds of activities for parents to perform with their babies, all of which look a lot like playing. Caregivers can decide to do activities based on the specific needs of their babies or follow a daily program recommended by the app based on the child's age and development characteristics.\u003c/p>\n\u003cp>The app also has a milestone feature that provides parents an objective understanding of how their baby should be progressing in each of the developmental areas.\u003c/p>\n\u003caside class=\"pullquote alignright\">“The key is to choose products that increase the chances of caregivers interacting with infants.\"\u003c/aside>\n\u003cp>Another startup, \u003ca href=\"http://www.versame.com/\" target=\"_blank\">Versame\u003c/a>, is developing a device that encourages caregivers to expose their infants to more words. Research indicates that the window for language development closes early. For example, infants over six months have difficulty recognizing sounds they have not heard repeated often.\u003c/p>\n\u003cp>Even more poignant is Stanford professor Anne Fernald’s assertion during a TED talk that, for babies, conversation is “\u003ca href=\"https://www.youtube.com/watch?v=IpHwJyjm7rM\" target=\"_blank\">nourishment for the brain\u003c/a>.” [Skip to the bottom to watch the video in full.]\u003c/p>\n\u003cp>Versame’s hardware product can be worn directly by the baby, attached to the crib or placed in the nursery, and counts the number of words a child hears. Caregivers can check the data on their smartphone at any point during the day and adjust the attention they give to each child accordingly. The goal is to inspire powerful positive behavior changes.\u003c/p>\n\u003cp>\u003cstrong>Realistic Goals for New Technologies \u003c/strong>\u003c/p>\n\u003cp>But my research showed that infant brain development products have a controversial history.\u003c/p>\n\u003cp>Such products have received criticism in the past. In 2007, the \u003ca href=\"http://en.wikipedia.org/wiki/Baby_Einstein\" target=\"_blank\">University of Washington claimed\u003c/a> that \u003ca href=\"http://www.kidsii.com/babyeinstein/\" target=\"_blank\">Baby Einstein\u003c/a> products adversely affected baby brain development by encouraging infants and toddlers to sit in front of televisions and watch educational DVDs or videos. While a subsequent lawsuit forced the researchers to retract their statements, the incident led the \u003ca href=\"https://www.aap.org/en-us/Pages/Default.aspx\" target=\"_blank\">American Academy of Pediatrics\u003c/a> to issue a recommendation against any screen time for children under two years of age.\u003c/p>\n\u003cp>So what's the best choice for a new parent?\u003c/p>\n\u003cfigure id=\"attachment_1815\" class=\"wp-caption alignleft\" style=\"max-width: 445px\">\u003cimg class=\" wp-image-1815\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/monkey-nanny-800x600.jpg\" alt=\"It's important to choose products that increase caregivers' interactions with an infant \" width=\"445\" height=\"334\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/monkey-nanny-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/monkey-nanny-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/monkey-nanny-768x576.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/monkey-nanny-320x240.jpg 320w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/monkey-nanny.jpg 1024w\" sizes=\"(max-width: 445px) 100vw, 445px\">\u003cfigcaption class=\"wp-caption-text\">New products are a step ahead of nanny cams \u003ccite>(Jim Champion)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The key is to choose products that increase the chances of caregivers interacting with infants. New parents, nannies, and other caregivers are often overwhelmed with caring for the basic needs of newborns and infants. In my opinion, using technology that provides constructive ways to interact with children this age can improve the number and quality of these interactions.\u003c/p>\n\u003cp>As a future working mother, the most compelling feature of these interactive baby educational products is that I can give my nanny specific assignments that can have a positive impact on my child’s development.\u003c/p>\n\u003cp>In the past, many working parents relied on nanny cams and an intuitive sense of how a hired caregiver would respond to our child’s needs. Now these new products provide metrics for measurement that allow us to set goals for improvement (“I’d like my child to hear 1000 more words each day,” or “I’d like her to do three more motor skills exercises this week.”).\u003c/p>\n\u003cp>This kind of tracking, if executed well, gives new tools to parents and caregivers, and may ultimately democratize early infant education through its effectiveness and simplicity.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[youtube http://www.youtube.com/watch?v=IpHwJyjm7rM]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Some of the most popular startups in the space are producing new, high-tech baby monitors. These gadgets are a significant improvement on traditional baby monitors with scratchy audio outputs or grainy video. One company, \u003ca href=\"http://www.sproutling.com/\" target=\"_blank\">Sproutling\u003c/a>, produces a wearable baby monitor that delivers vital sign information on a sleeping baby. A similar device from \u003ca href=\"https://www.owletcare.com/\" target=\"_blank\">Owlet\u003c/a> comes in sock form.\u003c/p>\n\u003cp>But these startups don’t track the most important measure for a child’s long-term success: Brain development.\u003c/p>\n\u003cp>\u003cstrong>Can an App Support Your Baby's Brain Development?\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"http://spock.fcs.uga.edu/ext/pubs/chfd/FACS01-7.pdf\" target=\"_blank\">Studies have shown \u003c/a>that stimulating a newborn baby’s brain helps to create neural connections that will be vital to future brain development.\u003c/p>\n\u003cp>Traditionally, new parents have been coached to meet this need through general advice centered around attentiveness. For example, you'll often see infant care websites that instruct parents to “sing songs,” or “express joy and interest in your baby.”\u003c/p>\n\u003cp>While these are helpful reminders, concerted efforts on brain development tend to fall by the wayside.\u003c/p>\n\u003cp>Fortunately, during my research, I discovered a new category of technology products that addresses this problem.\u003c/p>\n\u003cp>\u003ca href=\"http://babysparks.com/\" target=\"_blank\">BabySparks\u003c/a> is a smartphone app that provides hundreds of activities for parents to perform with their babies, all of which look a lot like playing. Caregivers can decide to do activities based on the specific needs of their babies or follow a daily program recommended by the app based on the child's age and development characteristics.\u003c/p>\n\u003cp>The app also has a milestone feature that provides parents an objective understanding of how their baby should be progressing in each of the developmental areas.\u003c/p>\n\u003caside class=\"pullquote alignright\">“The key is to choose products that increase the chances of caregivers interacting with infants.\"\u003c/aside>\n\u003cp>Another startup, \u003ca href=\"http://www.versame.com/\" target=\"_blank\">Versame\u003c/a>, is developing a device that encourages caregivers to expose their infants to more words. Research indicates that the window for language development closes early. For example, infants over six months have difficulty recognizing sounds they have not heard repeated often.\u003c/p>\n\u003cp>Even more poignant is Stanford professor Anne Fernald’s assertion during a TED talk that, for babies, conversation is “\u003ca href=\"https://www.youtube.com/watch?v=IpHwJyjm7rM\" target=\"_blank\">nourishment for the brain\u003c/a>.” [Skip to the bottom to watch the video in full.]\u003c/p>\n\u003cp>Versame’s hardware product can be worn directly by the baby, attached to the crib or placed in the nursery, and counts the number of words a child hears. Caregivers can check the data on their smartphone at any point during the day and adjust the attention they give to each child accordingly. The goal is to inspire powerful positive behavior changes.\u003c/p>\n\u003cp>\u003cstrong>Realistic Goals for New Technologies \u003c/strong>\u003c/p>\n\u003cp>But my research showed that infant brain development products have a controversial history.\u003c/p>\n\u003cp>Such products have received criticism in the past. In 2007, the \u003ca href=\"http://en.wikipedia.org/wiki/Baby_Einstein\" target=\"_blank\">University of Washington claimed\u003c/a> that \u003ca href=\"http://www.kidsii.com/babyeinstein/\" target=\"_blank\">Baby Einstein\u003c/a> products adversely affected baby brain development by encouraging infants and toddlers to sit in front of televisions and watch educational DVDs or videos. While a subsequent lawsuit forced the researchers to retract their statements, the incident led the \u003ca href=\"https://www.aap.org/en-us/Pages/Default.aspx\" target=\"_blank\">American Academy of Pediatrics\u003c/a> to issue a recommendation against any screen time for children under two years of age.\u003c/p>\n\u003cp>So what's the best choice for a new parent?\u003c/p>\n\u003cfigure id=\"attachment_1815\" class=\"wp-caption alignleft\" style=\"max-width: 445px\">\u003cimg class=\" wp-image-1815\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/monkey-nanny-800x600.jpg\" alt=\"It's important to choose products that increase caregivers' interactions with an infant \" width=\"445\" height=\"334\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/monkey-nanny-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/monkey-nanny-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/monkey-nanny-768x576.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/monkey-nanny-320x240.jpg 320w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/monkey-nanny.jpg 1024w\" sizes=\"(max-width: 445px) 100vw, 445px\">\u003cfigcaption class=\"wp-caption-text\">New products are a step ahead of nanny cams \u003ccite>(Jim Champion)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The key is to choose products that increase the chances of caregivers interacting with infants. New parents, nannies, and other caregivers are often overwhelmed with caring for the basic needs of newborns and infants. In my opinion, using technology that provides constructive ways to interact with children this age can improve the number and quality of these interactions.\u003c/p>\n\u003cp>As a future working mother, the most compelling feature of these interactive baby educational products is that I can give my nanny specific assignments that can have a positive impact on my child’s development.\u003c/p>\n\u003cp>In the past, many working parents relied on nanny cams and an intuitive sense of how a hired caregiver would respond to our child’s needs. Now these new products provide metrics for measurement that allow us to set goals for improvement (“I’d like my child to hear 1000 more words each day,” or “I’d like her to do three more motor skills exercises this week.”).\u003c/p>\n\u003cp>This kind of tracking, if executed well, gives new tools to parents and caregivers, and may ultimately democratize early infant education through its effectiveness and simplicity.\u003c/p>\n\u003cp>\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/IpHwJyjm7rM'\n title='//www.youtube.com/embed/IpHwJyjm7rM'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Jane Maier was one of a select group of patients invited in early 2012 to help \u003ca href=\"http://www.partners.org/\">Partners HealthCare\u003c/a>, Massachusetts’ largest health system, pick its new electronic health record system – a critical investment of close to $700 million.\u003c/p>\n\u003cp>The system, which is now being phased in, will help coordinate services and reshape how patients and doctors find and read medical information. The fact that Partners sought the perspective of patients highlights how hospitals increasingly care about what their customers think.\u003c/p>\n\u003cp>“It’s such a great experience,” Maier said. “They treat us as a member – a partner – in their review process.”\u003c/p>\n\u003cp>Patient advisory councils, like the one Maier belongs to, often serve as sounding boards for hospital leaders – offering advice on a range of issues. Members are usually patients and relatives who had bad hospital experiences and want to change how things work, or who liked their stay and want to remain involved.\u003c/p>\n\u003cp>For Maier, it all started in 2009 when she had surgery at\u003ca href=\"http://www.brighamandwomens.org/\"> Brigham and Women’s Faulkner Hospital\u003c/a>, a Partners facility. Her husband wrote to the hospital’s CEO, praising her experience. The couple was then invited to speak at a hospital leadership retreat, sharing with top executives both the good and the not-so-good, and Maier was recruited to serve on a new patient advisory panel.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>This hunt for patient perspective, which is becoming more and more common, is fueled in part by the health law’s quality-improvement provisions and other federal financial incentives, such as the link between Medicare payments and patient satisfaction scores.\u003c/p>\n\u003cp>“It’s a change in culture,” said Jayne Hart Chambers, senior vice president for quality at the \u003ca href=\"http://fah.org/\">Federation of American Hospitals\u003c/a>, which represents for-profit hospitals.\u003c/p>\n\u003cp class=\"p1\">\u003cspan class=\"s1\">Data from 2013 suggested that 40 percent of hospitals had some kind of patient council, said Mary Minniti, a program and resource specialist at the\u003ca href=\"http://www.ipfcc.org/\"> Institute for Patient and Family Centered Care\u003c/a>, a Maryland-based nonprofit organization. Though councils appear to have become more common in the past few years, experts say it’s too early to know whether they typically improve hospital practices.\u003c/span>\u003c/p>\n\u003cp>“A lot of hospitals right now are very concerned because of the direction of [Medicare] payments,” said Carol Cronin, executive director of the nonprofit Informed \u003ca href=\"http://www.patientinstitute.org/\">Patient Institute\u003c/a>, an advocacy group. “They’re very concerned about patient experience and patient satisfaction.”\u003c/p>\n\u003cp>But it’s not just federal incentives. Patients have greater expectations as they shoulder larger shares of health care costs, said Richard Evans, chief experience officer at \u003ca href=\"http://www.massgeneral.org/\">Massachusetts General Hospital\u003c/a>, another Partners facility. This, he added, leads hospitals to focus on customer service.\u003c/p>\n\u003caside class=\"pullquote alignright\">“Initially, nobody knew who we were and we had to sell ourselves\"\u003cbr>\n\u003ccite>Andy DeVries, patient advisory council at Spectrum Health \u003c/cite>\u003c/aside>\n\u003cp>Cronin, who has had a relative stay for an extended time in the hospital, volunteers on the patient advisory council at Johns Hopkins Hospital in Baltimore.\u003c/p>\n\u003cp>She was struck, she said, by the “meaty” topics the group addresses. Hopkins’ medical researchers have even pitched their projects to the council to find out what patients and families think are worthy of scientific investigation.\u003c/p>\n\u003cp>To have an impact, though, these groups can’t operate in isolation.\u003c/p>\n\u003cp>Patient and family advisory councils are useful if they have the ear of hospital leaders, Minniti said. But the groups also have to be integrated into decision making.\u003c/p>\n\u003cp>Andy DeVries joined the first patient advisory council at Michigan’s Spectrum Health about 10 years ago, after he was hospitalized with life-threatening injuries from a motorcycle accident.\u003c/p>\n\u003cp>“Initially, nobody knew who we were and we had to sell ourselves,” said DeVries, who now serves on one of Spectrum Health’s 13 patient groups.\u003c/p>\n\u003cp>Now, by contrast, his group offers input “any time there’s something new that involves patient or family care,” adding that the panel of patient advisers has tackled issues ranging from beefing up the facility’s security to how the hospital should give patients billing information. He’s even worked with the human resources department on what to look for when hiring doctors and nurses.\u003c/p>\n\u003cp>Such feedback led to marked increases in patient satisfaction scores, said Deborah Sprague, Spectrum Health’s program manager for patient and family services.\u003c/p>\n\u003cp>For instance, she said, a member of the orthopedics and neuroscience patient council noticed slow responses when he pushed the call button in his hospital room, a problem staff hadn’t noticed. The council worked with hospital employees to speed up response times. After the fix, positive patient assessments of the hospital jumped.\u003c/p>\n\u003cp>Maier, from the Faulkner council, recalled a time when hospital executives asked for help with patient complaints regarding nighttime noise levels. Late-night talking by staff was keeping patients awake.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Council members are often “middle-aged and older, white and English-speaking, and a lot of women.\"\u003cbr>\n\u003ccite>Deb Wachenheim, health quality manager at Health Care For Ally\u003c/cite>\u003c/aside>\n\u003cp>The group discussed potential nighttime “quiet times” and other strategies to minimize noise without keeping doctors from doing their jobs.\u003c/p>\n\u003cp>Once changes were made, patient satisfaction scores went up, Maier said — and a council member noticed a definite improvement the next time he was a patient.\u003c/p>\n\u003cp>Meanwhile, \u003ca href=\"http://www.medstarhealth.org/\">MedStar Health\u003c/a>, which serves the District of Columbia and Maryland, has targeted advisory panels’ efforts to improve both the quality and safety of its care. The system has emerged as a model for finding ways to incorporate patients’ opinions, which was noted in a report from the American Hospital Association.\u003c/p>\n\u003cp>In one recent case, said David Mayer, MedStar’s vice president of quality and safety, patient advisers helped brainstorm ways to soothe the confusion and stress that often sets in when people have been in the ICU for more than a day. When implemented, the ideas led to reduced instances of patient confusion – known as delirium – which is linked to more destructive behavior, like patients trying to leave the room or bed before they should.\u003c/p>\n\u003cp>But even as the role of patient advisory committees grows, recruiting members continues to be a challenge. Finding people from diverse backgrounds with both the inclination and time to serve can be tricky, Cronin said.\u003c/p>\n\u003cp>As a result, council members are often “middle-aged and older, white and English-speaking, and a lot of women,” said Deb Wachenheim, health quality manager at the Massachusetts-based advocacy group Health Care For All.\u003c/p>\n\u003cp>For some hospitals and health systems, though, these panels are just the beginning. Massachusetts General puts patients on various policy setting committees, and Faulkner has a non-voting patient board member.\u003c/p>\n\u003cp>“As we continue to evolve,” Maier said, “the hospital looks to us more and more.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Copyright 2015 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">http://www.kaiserhealthnews.org/\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Digital+Tools+For+Health+Come+With+%27Hope%2C+Hype+And+Harm%27&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Jane Maier was one of a select group of patients invited in early 2012 to help \u003ca href=\"http://www.partners.org/\">Partners HealthCare\u003c/a>, Massachusetts’ largest health system, pick its new electronic health record system – a critical investment of close to $700 million.\u003c/p>\n\u003cp>The system, which is now being phased in, will help coordinate services and reshape how patients and doctors find and read medical information. The fact that Partners sought the perspective of patients highlights how hospitals increasingly care about what their customers think.\u003c/p>\n\u003cp>“It’s such a great experience,” Maier said. “They treat us as a member – a partner – in their review process.”\u003c/p>\n\u003cp>Patient advisory councils, like the one Maier belongs to, often serve as sounding boards for hospital leaders – offering advice on a range of issues. Members are usually patients and relatives who had bad hospital experiences and want to change how things work, or who liked their stay and want to remain involved.\u003c/p>\n\u003cp>For Maier, it all started in 2009 when she had surgery at\u003ca href=\"http://www.brighamandwomens.org/\"> Brigham and Women’s Faulkner Hospital\u003c/a>, a Partners facility. Her husband wrote to the hospital’s CEO, praising her experience. The couple was then invited to speak at a hospital leadership retreat, sharing with top executives both the good and the not-so-good, and Maier was recruited to serve on a new patient advisory panel.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>This hunt for patient perspective, which is becoming more and more common, is fueled in part by the health law’s quality-improvement provisions and other federal financial incentives, such as the link between Medicare payments and patient satisfaction scores.\u003c/p>\n\u003cp>“It’s a change in culture,” said Jayne Hart Chambers, senior vice president for quality at the \u003ca href=\"http://fah.org/\">Federation of American Hospitals\u003c/a>, which represents for-profit hospitals.\u003c/p>\n\u003cp class=\"p1\">\u003cspan class=\"s1\">Data from 2013 suggested that 40 percent of hospitals had some kind of patient council, said Mary Minniti, a program and resource specialist at the\u003ca href=\"http://www.ipfcc.org/\"> Institute for Patient and Family Centered Care\u003c/a>, a Maryland-based nonprofit organization. Though councils appear to have become more common in the past few years, experts say it’s too early to know whether they typically improve hospital practices.\u003c/span>\u003c/p>\n\u003cp>“A lot of hospitals right now are very concerned because of the direction of [Medicare] payments,” said Carol Cronin, executive director of the nonprofit Informed \u003ca href=\"http://www.patientinstitute.org/\">Patient Institute\u003c/a>, an advocacy group. “They’re very concerned about patient experience and patient satisfaction.”\u003c/p>\n\u003cp>But it’s not just federal incentives. Patients have greater expectations as they shoulder larger shares of health care costs, said Richard Evans, chief experience officer at \u003ca href=\"http://www.massgeneral.org/\">Massachusetts General Hospital\u003c/a>, another Partners facility. This, he added, leads hospitals to focus on customer service.\u003c/p>\n\u003caside class=\"pullquote alignright\">“Initially, nobody knew who we were and we had to sell ourselves\"\u003cbr>\n\u003ccite>Andy DeVries, patient advisory council at Spectrum Health \u003c/cite>\u003c/aside>\n\u003cp>Cronin, who has had a relative stay for an extended time in the hospital, volunteers on the patient advisory council at Johns Hopkins Hospital in Baltimore.\u003c/p>\n\u003cp>She was struck, she said, by the “meaty” topics the group addresses. Hopkins’ medical researchers have even pitched their projects to the council to find out what patients and families think are worthy of scientific investigation.\u003c/p>\n\u003cp>To have an impact, though, these groups can’t operate in isolation.\u003c/p>\n\u003cp>Patient and family advisory councils are useful if they have the ear of hospital leaders, Minniti said. But the groups also have to be integrated into decision making.\u003c/p>\n\u003cp>Andy DeVries joined the first patient advisory council at Michigan’s Spectrum Health about 10 years ago, after he was hospitalized with life-threatening injuries from a motorcycle accident.\u003c/p>\n\u003cp>“Initially, nobody knew who we were and we had to sell ourselves,” said DeVries, who now serves on one of Spectrum Health’s 13 patient groups.\u003c/p>\n\u003cp>Now, by contrast, his group offers input “any time there’s something new that involves patient or family care,” adding that the panel of patient advisers has tackled issues ranging from beefing up the facility’s security to how the hospital should give patients billing information. He’s even worked with the human resources department on what to look for when hiring doctors and nurses.\u003c/p>\n\u003cp>Such feedback led to marked increases in patient satisfaction scores, said Deborah Sprague, Spectrum Health’s program manager for patient and family services.\u003c/p>\n\u003cp>For instance, she said, a member of the orthopedics and neuroscience patient council noticed slow responses when he pushed the call button in his hospital room, a problem staff hadn’t noticed. The council worked with hospital employees to speed up response times. After the fix, positive patient assessments of the hospital jumped.\u003c/p>\n\u003cp>Maier, from the Faulkner council, recalled a time when hospital executives asked for help with patient complaints regarding nighttime noise levels. Late-night talking by staff was keeping patients awake.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Council members are often “middle-aged and older, white and English-speaking, and a lot of women.\"\u003cbr>\n\u003ccite>Deb Wachenheim, health quality manager at Health Care For Ally\u003c/cite>\u003c/aside>\n\u003cp>The group discussed potential nighttime “quiet times” and other strategies to minimize noise without keeping doctors from doing their jobs.\u003c/p>\n\u003cp>Once changes were made, patient satisfaction scores went up, Maier said — and a council member noticed a definite improvement the next time he was a patient.\u003c/p>\n\u003cp>Meanwhile, \u003ca href=\"http://www.medstarhealth.org/\">MedStar Health\u003c/a>, which serves the District of Columbia and Maryland, has targeted advisory panels’ efforts to improve both the quality and safety of its care. The system has emerged as a model for finding ways to incorporate patients’ opinions, which was noted in a report from the American Hospital Association.\u003c/p>\n\u003cp>In one recent case, said David Mayer, MedStar’s vice president of quality and safety, patient advisers helped brainstorm ways to soothe the confusion and stress that often sets in when people have been in the ICU for more than a day. When implemented, the ideas led to reduced instances of patient confusion – known as delirium – which is linked to more destructive behavior, like patients trying to leave the room or bed before they should.\u003c/p>\n\u003cp>But even as the role of patient advisory committees grows, recruiting members continues to be a challenge. Finding people from diverse backgrounds with both the inclination and time to serve can be tricky, Cronin said.\u003c/p>\n\u003cp>As a result, council members are often “middle-aged and older, white and English-speaking, and a lot of women,” said Deb Wachenheim, health quality manager at the Massachusetts-based advocacy group Health Care For All.\u003c/p>\n\u003cp>For some hospitals and health systems, though, these panels are just the beginning. Massachusetts General puts patients on various policy setting committees, and Faulkner has a non-voting patient board member.\u003c/p>\n\u003cp>“As we continue to evolve,” Maier said, “the hospital looks to us more and more.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Copyright 2015 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">http://www.kaiserhealthnews.org/\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Digital+Tools+For+Health+Come+With+%27Hope%2C+Hype+And+Harm%27&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "The Apple Watch For Fitness: Your iPhone is Enough (review)",
"title": "The Apple Watch For Fitness: Your iPhone is Enough (review)",
"headTitle": "Review | Future of You | KQED Future of You | KQED Science",
"content": "\u003cp>\u003cem>This is a story from Ferenstein Wire, a syndicated news service.\u003c/em>\u003c/p>\n\u003cp>Over the past three years, there have been extraordinary advances in wearables for fitness: Precise heart rate monitoring, form tracking and energy output.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.apple.com/watch/?cid=wwa-us-kwg-watch-com\">Apple Watch\u003c/a> has none of these features.\u003c/p>\n\u003cp>Presently, it's one of the most expensive pedometers on planet earth. Beyond a lackluster heart rate monitor, all the important fitness features of the Apple Watch are already on the iPhone: Run-tracking, personal health coaching and activity-logging.\u003c/p>\n\u003cp>In fact, the Apple Watch is not designed to measure one of the most important habits of an athlete: Sleep quality. Other less expensive trackers, such as the \u003ca href=\"http://www.mybasis.com/?gclid=CjwKEAjw3_ypBRCwoKqKw5P9wgsSJAAbi2K9-ag8w1Nv5rM7Ve5siL_R6gasXSuWj2REOP6bmGFQQBoCZNHw_wcB\">Basis Watch\u003c/a> or \u003ca href=\"http://fitbit.com\">Fitbit\u003c/a>, are a better option for that.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>I was ridiculously excited about the Apple Watch. I spilled a lot of virtual ink fantasizing about the impending fitness revolution. After trying out the Apple Watch at my local gym, I can say, unequivocally, I am still excited for the Apple Watch to be a worthwhile fitness companion someday. But for now, if you're looking to track your fitness, there is no real advantage to using it over the iPhone.\u003c/p>\n\u003cp>\u003cstrong>For Runners: Watch vs. iPhone\u003c/strong>\u003c/p>\n\u003cp>Taken together, walking and running are the most popular workouts in America, comprising the main activity for more than one-third of exercisers.\u003c/p>\n\u003cp>The iPhone is a delightful companion for the staple of American health. The new iOS for iPhone automatically tracks walking and running, assuming you carry your phone with you most of the day.\u003c/p>\n\u003cp>The Apple Watch fitness apps, \u003ca href=\"https://www.endomondo.com/\">like Endomondo\u003c/a>, use the iPhone for the bulk of its health-tracking, including distance, pace, and elevation (although, you may need to use an armband).\u003c/p>\n\u003cp>Below is my run up San Francisco’s beautiful Bernal Heights, without an Apple Watch.\u003c/p>\n\u003cfigure id=\"attachment_2441\" class=\"wp-caption alignleft\" style=\"max-width: 296px\">\u003cimg class=\" wp-image-2441\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/endomondo1-337x600.png\" alt=\"A workout summary using a free app called Endomondo\" width=\"296\" height=\"527\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/endomondo1-337x600.png 337w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/endomondo1-400x711.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/endomondo1-663x1180.png 663w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/endomondo1.png 750w\" sizes=\"(max-width: 296px) 100vw, 296px\">\u003cfigcaption class=\"wp-caption-text\">A workout summary using a free app called Endomondo \u003ccite>(Greg Ferenstein)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The one additional item that quantified-self enthusiasts pair for a run is a heart rate monitor, which was the big promise of the Apple Watch. Unfortunately, the monitor’s sluggish heart rate performance isn’t up to snuff.\u003c/p>\n\u003cp>During my test run at the gym, my \u003ca href=\"http://www.polar.com/us-en/products/accessories\">Polar chest strap\u003c/a> confirmed that I was well into my target heart rate zone, while the Apple Watch was still crunching the numbers. During an exhausting run, staring at your watch is the last thing you want to do.\u003c/p>\n\u003cp>If I ran long enough, the Apple Watch did eventually catch up to my actual heart rate during hill sprints -- approximating 180 beats per minute -- but as soon as I started slowing down, it couldn’t tell me that I was going too easy. In fact, to take a screenshot, I had completely stopped running — but Apple’s heart rate monitor didn’t know that.\u003c/p>\n\u003cfigure id=\"attachment_2470\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-2470\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/1-heart-rate-800x600.jpg\" alt=\"The Apple Watch came close to accurate heart rate tracking -- for a second\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/1-heart-rate-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/1-heart-rate-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/1-heart-rate-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/1-heart-rate-960x720.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The Apple Watch came close to accurate heart rate tracking -- for a second \u003ccite>(Greg Ferenstein)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_2471\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-2471\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/2-heart-rate-800x600.jpg\" alt=\"But it couldn’t detect changes in intensity\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/2-heart-rate-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2-heart-rate-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2-heart-rate-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2-heart-rate-960x720.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">But it couldn’t detect changes in intensity \u003ccite>(Greg Ferenstein)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Heart rate training is a very sensitive strategy; a discrepancy of greater than 10 beats per minute can mean the difference between a sweat-drenched goal-crushing workout, and wasted lolly gagging. At high heart rates, every second counts — but, the Apple Watch doesn’t.\u003c/p>\n\u003cp>\u003cstrong>Devices For Fitness\u003c/strong>\u003c/p>\n\u003cp>The Apple Watch still could be revolutionary for its ability to pull data from more fitness-specific devices. The next evolution of fitness involves form-tracking. For instance, wearables that can tell if your movements are sloppy or executed with Olympic-class perfection.\u003c/p>\n\u003cp>Here are a few that I've tested out:\u003c/p>\n\u003cul>\n\u003cli>The \u003ca href=\"http://www.sensoriafitness.com/\">Sensoria Smart Sock\u003c/a> has helped me learn how to run on the ball of my foot, so I don’t wake up the next day hobbling on a damaged heel. It has an automated audio coach that whispers instructions in your ear as you run.\u003c/li>\n\u003cli>The \u003ca href=\"https://amiigo.com/\">Amiigo\u003c/a> wristband pairs with a shoelace clip to automatically monitor repetitions during weight training.\u003c/li>\n\u003cli>The \u003ca href=\"http://www.liveathos.com/\">Athos\u003c/a> smart shorts uses electrical signals to sense if you are tensing the right muscles. During a trial run, the shorts told me that my Spin bike form was great, but my Olympic squat was dangerously over-reliant on one leg. Symmetry between limbs is a key to preventing injury.\u003c/li>\n\u003c/ul>\n\u003cp>Eventually, Apple could combine all this data to give me an overall picture of my health. For instance, Apple might find a pattern between a well-executed weight-lifting session and fat loss. Or, Apple might notice that poor running form is decreasing the number of days I exercise each month and recommend that I rest my feet for a week.\u003c/p>\n\u003cp>But, these are all just theoretical ideas for the Apple Watch -- for now.\u003c/p>\n\u003cp>\u003cstrong>The Apple iOS is Good for General Wellness\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_2473\" class=\"wp-caption aligncenter\" style=\"max-width: 456px\">\u003cimg class=\"size-medium wp-image-2473\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/dashboard-456x600.png\" alt=\"A snapshot of my activities from the Apple Health app\" width=\"456\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/dashboard-456x600.png 456w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/dashboard-400x526.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/dashboard.png 750w\" sizes=\"(max-width: 456px) 100vw, 456px\">\u003cfigcaption class=\"wp-caption-text\">A snapshot of my activities from the Apple Health app \u003ccite>(Greg Ferenstein)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For general wellness, the iPhone already tracks important measures. If you carry your phone in your pocket, the newest Apple iOS software automatically logs steps, stairs and running. There are even apps that can calculate basic sleep statistics by analyzing how your phone jostles on your bed at night.\u003c/p>\n\u003cp>But if you think a new gadget is what you or your parents need to kick their health into gear, the Apple Watch still might be a great idea. For folks who need reminders to be a little healthier, stand up more, and go for a walk at night, the device is a fine choice.\u003c/p>\n\u003cp>For instance, the app that Apple chose as one of the best new health apps, \u003ca href=\"http://lark.com\">Lark\u003c/a>, uses proven psychological coaching techniques to remind users to be more active and eat healthier.\u003c/p>\n\u003cp>[\u003ca href=\"http://ww2.kqed.org/futureofyou/2015/04/23/these-apps-are-turning-the-apple-watch-into-a-personal-health-coach/\">Click here for more\u003c/a> on health apps for the Apple Watch.]\u003c/p>\n\u003cfigure id=\"attachment_2474\" class=\"wp-caption alignright\" style=\"max-width: 375px\">\u003cimg class=\" wp-image-2474\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/granola1-800x567.jpg\" alt=\"I told Lark I ate a granola bar; it was not pleased (for the record: I did not actually eat a granola bar).\" width=\"375\" height=\"266\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/granola1-800x567.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/granola1-400x283.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/granola1-1180x836.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/granola1-960x680.jpg 960w\" sizes=\"(max-width: 375px) 100vw, 375px\">\u003cfigcaption class=\"wp-caption-text\">I told Lark I ate a granola bar; it was not pleased (for the record: I did not actually eat a granola bar). \u003ccite>(Greg Ferenstein)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Speak into the watch to log meals and Lark will automatically send top-tier coaching advice back in real time. I was impressed that it had incorporated the latest health guidelines on granola bars, which are now well-known trojan horses of sugar.\u003c/p>\n\u003cp>Combined with the watch’s step-counting abilities, Apple (and apps like Lark) could potentially be a real boon for those who just need a little extra coaching.\u003c/p>\n\u003cp>But for folks training for a triathlon, weight lifters, runners, bicyclists or Cross- fitters, the Apple Watch doesn’t add much.\u003c/p>\n\u003cp>In short, the Apple Watch is in its first generation. I’m optimistic that Apple will improve the sensor-tracking capabilities and the device will be a worthwhile fitness companion in the future.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This is a story from Ferenstein Wire, a syndicated news service.\u003c/em>\u003c/p>\n\u003cp>Over the past three years, there have been extraordinary advances in wearables for fitness: Precise heart rate monitoring, form tracking and energy output.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.apple.com/watch/?cid=wwa-us-kwg-watch-com\">Apple Watch\u003c/a> has none of these features.\u003c/p>\n\u003cp>Presently, it's one of the most expensive pedometers on planet earth. Beyond a lackluster heart rate monitor, all the important fitness features of the Apple Watch are already on the iPhone: Run-tracking, personal health coaching and activity-logging.\u003c/p>\n\u003cp>In fact, the Apple Watch is not designed to measure one of the most important habits of an athlete: Sleep quality. Other less expensive trackers, such as the \u003ca href=\"http://www.mybasis.com/?gclid=CjwKEAjw3_ypBRCwoKqKw5P9wgsSJAAbi2K9-ag8w1Nv5rM7Ve5siL_R6gasXSuWj2REOP6bmGFQQBoCZNHw_wcB\">Basis Watch\u003c/a> or \u003ca href=\"http://fitbit.com\">Fitbit\u003c/a>, are a better option for that.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>I was ridiculously excited about the Apple Watch. I spilled a lot of virtual ink fantasizing about the impending fitness revolution. After trying out the Apple Watch at my local gym, I can say, unequivocally, I am still excited for the Apple Watch to be a worthwhile fitness companion someday. But for now, if you're looking to track your fitness, there is no real advantage to using it over the iPhone.\u003c/p>\n\u003cp>\u003cstrong>For Runners: Watch vs. iPhone\u003c/strong>\u003c/p>\n\u003cp>Taken together, walking and running are the most popular workouts in America, comprising the main activity for more than one-third of exercisers.\u003c/p>\n\u003cp>The iPhone is a delightful companion for the staple of American health. The new iOS for iPhone automatically tracks walking and running, assuming you carry your phone with you most of the day.\u003c/p>\n\u003cp>The Apple Watch fitness apps, \u003ca href=\"https://www.endomondo.com/\">like Endomondo\u003c/a>, use the iPhone for the bulk of its health-tracking, including distance, pace, and elevation (although, you may need to use an armband).\u003c/p>\n\u003cp>Below is my run up San Francisco’s beautiful Bernal Heights, without an Apple Watch.\u003c/p>\n\u003cfigure id=\"attachment_2441\" class=\"wp-caption alignleft\" style=\"max-width: 296px\">\u003cimg class=\" wp-image-2441\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/endomondo1-337x600.png\" alt=\"A workout summary using a free app called Endomondo\" width=\"296\" height=\"527\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/endomondo1-337x600.png 337w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/endomondo1-400x711.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/endomondo1-663x1180.png 663w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/endomondo1.png 750w\" sizes=\"(max-width: 296px) 100vw, 296px\">\u003cfigcaption class=\"wp-caption-text\">A workout summary using a free app called Endomondo \u003ccite>(Greg Ferenstein)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The one additional item that quantified-self enthusiasts pair for a run is a heart rate monitor, which was the big promise of the Apple Watch. Unfortunately, the monitor’s sluggish heart rate performance isn’t up to snuff.\u003c/p>\n\u003cp>During my test run at the gym, my \u003ca href=\"http://www.polar.com/us-en/products/accessories\">Polar chest strap\u003c/a> confirmed that I was well into my target heart rate zone, while the Apple Watch was still crunching the numbers. During an exhausting run, staring at your watch is the last thing you want to do.\u003c/p>\n\u003cp>If I ran long enough, the Apple Watch did eventually catch up to my actual heart rate during hill sprints -- approximating 180 beats per minute -- but as soon as I started slowing down, it couldn’t tell me that I was going too easy. In fact, to take a screenshot, I had completely stopped running — but Apple’s heart rate monitor didn’t know that.\u003c/p>\n\u003cfigure id=\"attachment_2470\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-2470\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/1-heart-rate-800x600.jpg\" alt=\"The Apple Watch came close to accurate heart rate tracking -- for a second\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/1-heart-rate-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/1-heart-rate-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/1-heart-rate-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/1-heart-rate-960x720.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The Apple Watch came close to accurate heart rate tracking -- for a second \u003ccite>(Greg Ferenstein)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_2471\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-2471\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/2-heart-rate-800x600.jpg\" alt=\"But it couldn’t detect changes in intensity\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/2-heart-rate-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2-heart-rate-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2-heart-rate-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2-heart-rate-960x720.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">But it couldn’t detect changes in intensity \u003ccite>(Greg Ferenstein)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Heart rate training is a very sensitive strategy; a discrepancy of greater than 10 beats per minute can mean the difference between a sweat-drenched goal-crushing workout, and wasted lolly gagging. At high heart rates, every second counts — but, the Apple Watch doesn’t.\u003c/p>\n\u003cp>\u003cstrong>Devices For Fitness\u003c/strong>\u003c/p>\n\u003cp>The Apple Watch still could be revolutionary for its ability to pull data from more fitness-specific devices. The next evolution of fitness involves form-tracking. For instance, wearables that can tell if your movements are sloppy or executed with Olympic-class perfection.\u003c/p>\n\u003cp>Here are a few that I've tested out:\u003c/p>\n\u003cul>\n\u003cli>The \u003ca href=\"http://www.sensoriafitness.com/\">Sensoria Smart Sock\u003c/a> has helped me learn how to run on the ball of my foot, so I don’t wake up the next day hobbling on a damaged heel. It has an automated audio coach that whispers instructions in your ear as you run.\u003c/li>\n\u003cli>The \u003ca href=\"https://amiigo.com/\">Amiigo\u003c/a> wristband pairs with a shoelace clip to automatically monitor repetitions during weight training.\u003c/li>\n\u003cli>The \u003ca href=\"http://www.liveathos.com/\">Athos\u003c/a> smart shorts uses electrical signals to sense if you are tensing the right muscles. During a trial run, the shorts told me that my Spin bike form was great, but my Olympic squat was dangerously over-reliant on one leg. Symmetry between limbs is a key to preventing injury.\u003c/li>\n\u003c/ul>\n\u003cp>Eventually, Apple could combine all this data to give me an overall picture of my health. For instance, Apple might find a pattern between a well-executed weight-lifting session and fat loss. Or, Apple might notice that poor running form is decreasing the number of days I exercise each month and recommend that I rest my feet for a week.\u003c/p>\n\u003cp>But, these are all just theoretical ideas for the Apple Watch -- for now.\u003c/p>\n\u003cp>\u003cstrong>The Apple iOS is Good for General Wellness\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_2473\" class=\"wp-caption aligncenter\" style=\"max-width: 456px\">\u003cimg class=\"size-medium wp-image-2473\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/dashboard-456x600.png\" alt=\"A snapshot of my activities from the Apple Health app\" width=\"456\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/dashboard-456x600.png 456w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/dashboard-400x526.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/dashboard.png 750w\" sizes=\"(max-width: 456px) 100vw, 456px\">\u003cfigcaption class=\"wp-caption-text\">A snapshot of my activities from the Apple Health app \u003ccite>(Greg Ferenstein)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For general wellness, the iPhone already tracks important measures. If you carry your phone in your pocket, the newest Apple iOS software automatically logs steps, stairs and running. There are even apps that can calculate basic sleep statistics by analyzing how your phone jostles on your bed at night.\u003c/p>\n\u003cp>But if you think a new gadget is what you or your parents need to kick their health into gear, the Apple Watch still might be a great idea. For folks who need reminders to be a little healthier, stand up more, and go for a walk at night, the device is a fine choice.\u003c/p>\n\u003cp>For instance, the app that Apple chose as one of the best new health apps, \u003ca href=\"http://lark.com\">Lark\u003c/a>, uses proven psychological coaching techniques to remind users to be more active and eat healthier.\u003c/p>\n\u003cp>[\u003ca href=\"http://ww2.kqed.org/futureofyou/2015/04/23/these-apps-are-turning-the-apple-watch-into-a-personal-health-coach/\">Click here for more\u003c/a> on health apps for the Apple Watch.]\u003c/p>\n\u003cfigure id=\"attachment_2474\" class=\"wp-caption alignright\" style=\"max-width: 375px\">\u003cimg class=\" wp-image-2474\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/granola1-800x567.jpg\" alt=\"I told Lark I ate a granola bar; it was not pleased (for the record: I did not actually eat a granola bar).\" width=\"375\" height=\"266\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/granola1-800x567.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/granola1-400x283.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/granola1-1180x836.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/granola1-960x680.jpg 960w\" sizes=\"(max-width: 375px) 100vw, 375px\">\u003cfigcaption class=\"wp-caption-text\">I told Lark I ate a granola bar; it was not pleased (for the record: I did not actually eat a granola bar). \u003ccite>(Greg Ferenstein)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Speak into the watch to log meals and Lark will automatically send top-tier coaching advice back in real time. I was impressed that it had incorporated the latest health guidelines on granola bars, which are now well-known trojan horses of sugar.\u003c/p>\n\u003cp>Combined with the watch’s step-counting abilities, Apple (and apps like Lark) could potentially be a real boon for those who just need a little extra coaching.\u003c/p>\n\u003cp>But for folks training for a triathlon, weight lifters, runners, bicyclists or Cross- fitters, the Apple Watch doesn’t add much.\u003c/p>\n\u003cp>In short, the Apple Watch is in its first generation. I’m optimistic that Apple will improve the sensor-tracking capabilities and the device will be a worthwhile fitness companion in the future.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Google Glass in the ER? Health Care Moves One Step Closer to Star Trek",
"title": "Google Glass in the ER? Health Care Moves One Step Closer to Star Trek",
"headTitle": "Contributor | KQED Future of You | KQED Science",
"content": "\u003cp>Imagine walking into an emergency room with an awful rash and waiting hours to see a doctor until, finally, a physician who doesn’t have specific knowledge of your condition gives you an ointment and a referral to a dermatologist.\u003c/p>\n\u003cp>That could change if a technological device like \u003ca href=\"https://developers.google.com/glass/distribute/glass-at-work\">\u003cspan class=\"s2\">Google Glass\u003c/span>\u003c/a>, which is a wearable computer that is smaller than an ink pen and includes a camera function, could be strapped to an emergency room doctor’s head or to his or her eyeglasses and used to beam a specialist in to see patients at the bedside. Not only would a patient get a more specific initial diagnosis and treatment, but a second visit to a dermatologist might not be necessary.\u003c/p>\n\u003cp>\u003ca href=\"http://archderm.jamanetwork.com/article.aspx?articleid=2250434\">Researchers\u003c/a>\u003cspan class=\"s1\"> did just this for a small sample of people at the emergency room of the \u003ca href=\"http://www.rimed.org/rimedicaljournal/2014/04/2014-04-47-news-porter-lifespan.pdf\">\u003cspan class=\"s2\">Rhode Island Hospital\u003c/span>\u003c/a> in Providence. They found during the course of the study that 93.5 percent of patients who were seen with a skin problem liked the experience, and 96.8 percent were confident in the accuracy of the video equipment and that their privacy was protected.\u003c/span>\u003c/p>\n\u003cp>“There had been a lot of talk about using Glass in health care, but at the time that we designed the study, no one had actually tried it. No one knew if it would work,” said Megan Ranney, a study author and assistant professor of emergency medicine and policy at Brown University.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"There’s nothing more frustrating [for the patient than] to be seen, leave with diagnostic uncertainty, and have to go somewhere else. \"\u003cbr>\n\u003ccite>Paul Porter, emergency room physician at Rhode Island Hospital\u003c/cite>\u003c/aside>\n\u003cp>ER doctors normally have to page an on-call specialist – in the study, a dermatologist — to talk through the patient’s condition. With that information, the dermatologist makes a judgment call about the treatment, usually without ever seeing the patient. If there’s no dermatologist available, which can frequently be the situation, doctors do what they can but then refer the patient for follow-up dermatological care. Many rural and community hospitals do not have dermatologists on staff and it’s up to the emergency physician to care for the patient.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In the study, researchers instead had the physicians connect via Google Glass, enabling the specialist to see on his or her office iPad or computer what the ER doctor was seeing in person. The ER doctor was able to communicate with the dermatologist, and both physicians could ask questions of the patient in real time.\u003c/p>\n\u003cp>“You’ve rolled the first and second visit into this one visit. You have the specialist at the bedside, and if you get better, you don’t need to have follow-up,” said Paul Porter, a physician in the emergency department of \u003ca href=\"http://www.rhodeislandhospital.org/Newsroom/News.aspx?NewsId=70595/The-Doctor-Will-See-You-Now:-How-the-ED-Team-at-Rhode-Island-Hospital-Used-Google-Glass-to-Diagnose-Skin-Conditions/\">Rhode Island Hospital and study author. \u003c/a>\u003c/p>\n\u003cp>“There’s nothing more frustrating [for the patient than] to be seen, leave with diagnostic uncertainty, and have to go somewhere else. … People don’t want that answer,” said Porter.\u003c/p>\n\u003cp>Emergency rooms across the country may already use telemedicine technology for patients with skin or other visible conditions, but many of those machines can cost as much as to $60,000 — not to mention the expense of maintenance and support. Google Glass costs less than $2,000.\u003c/p>\n\u003cp>In addition, many ERs either don’t have the funds to obtain a telemedicine “cart,” or don’t use it because the size – four to six square feet – can be too large for that setting, said Edward Boyer, a professor of emergency medicine at the University of Massachusetts Medical School in Worcester, Mass.\u003c/p>\n\u003cp>“The crowding in emergency rooms means we physically do not have enough room to manage the patients they have in them. A dermatology cart is not a little thing, and a lot of ERs don’t have that much spare room to store and wheel around one of those things,” said Boyer.\u003c/p>\n\u003caside class=\"pullquote alignright\">“There had been a lot of talk about using Glass in health care, but at the time that we designed the study, no one had actually tried it.\"\u003cbr>\n\u003ccite>Megan Ranney, assistant professor of emergency medicine and policy at Brown University.\u003c/cite>\u003c/aside>\n\u003cp>The researchers’ next step is to study whether Google Glass or similar headset technology could be used for other ER patients, such as those showing signs of stroke or who may have been exposed to poison.\u003c/p>\n\u003cp>“If we could see them virtually, could we save the money of transport, keep them in the community intensive care unit, and give better patient care?” Chai said, noting that even if ERs in smaller or rural settings don’t have access to telemedicine, they may be able to afford this type of device.\u003c/p>\n\u003cp>In the latter instances, poison control center toxicologists are always available, though mainly consulted via the telephone. But these patients commonly have visual symptoms such as seizures, said Peter Chai, a lead author and fellow in medical toxicology at the University of Massachusetts Medical School. And, if a person is severely ill due to poisoning, they are flown via helicopter to the closest major hospital, he added.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.rhodeislandhospital.org/Newsroom/News.aspx?NewsId=65544/Rhode-Island-Hospital-Launches-Country%E2%80%99s-First-Google-Glass-Study-in-Emergency-Department-Setting/\">\u003cspan class=\"s2\">research\u003c/span>\u003c/a> surveyed 31 people with skin conditions in the Rhode Island Hospital emergency department for six months, and was published as a research letter in JAMA Dermatology April 15. Google Glass is currently not available commercially, but health care providers can get the device through \u003ca href=\"https://pristine.io/video-calls/\">health care technology companies.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.kaiserhealthnews.org/\">\u003ci>Kaiser Health News\u003c/i>\u003c/a>\u003cspan class=\"s2\">\u003ci> (KHN) is a nonprofit national health policy news service. \u003c/i>\u003c/span>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Imagine walking into an emergency room with an awful rash and waiting hours to see a doctor until, finally, a physician who doesn’t have specific knowledge of your condition gives you an ointment and a referral to a dermatologist.\u003c/p>\n\u003cp>That could change if a technological device like \u003ca href=\"https://developers.google.com/glass/distribute/glass-at-work\">\u003cspan class=\"s2\">Google Glass\u003c/span>\u003c/a>, which is a wearable computer that is smaller than an ink pen and includes a camera function, could be strapped to an emergency room doctor’s head or to his or her eyeglasses and used to beam a specialist in to see patients at the bedside. Not only would a patient get a more specific initial diagnosis and treatment, but a second visit to a dermatologist might not be necessary.\u003c/p>\n\u003cp>\u003ca href=\"http://archderm.jamanetwork.com/article.aspx?articleid=2250434\">Researchers\u003c/a>\u003cspan class=\"s1\"> did just this for a small sample of people at the emergency room of the \u003ca href=\"http://www.rimed.org/rimedicaljournal/2014/04/2014-04-47-news-porter-lifespan.pdf\">\u003cspan class=\"s2\">Rhode Island Hospital\u003c/span>\u003c/a> in Providence. They found during the course of the study that 93.5 percent of patients who were seen with a skin problem liked the experience, and 96.8 percent were confident in the accuracy of the video equipment and that their privacy was protected.\u003c/span>\u003c/p>\n\u003cp>“There had been a lot of talk about using Glass in health care, but at the time that we designed the study, no one had actually tried it. No one knew if it would work,” said Megan Ranney, a study author and assistant professor of emergency medicine and policy at Brown University.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"There’s nothing more frustrating [for the patient than] to be seen, leave with diagnostic uncertainty, and have to go somewhere else. \"\u003cbr>\n\u003ccite>Paul Porter, emergency room physician at Rhode Island Hospital\u003c/cite>\u003c/aside>\n\u003cp>ER doctors normally have to page an on-call specialist – in the study, a dermatologist — to talk through the patient’s condition. With that information, the dermatologist makes a judgment call about the treatment, usually without ever seeing the patient. If there’s no dermatologist available, which can frequently be the situation, doctors do what they can but then refer the patient for follow-up dermatological care. Many rural and community hospitals do not have dermatologists on staff and it’s up to the emergency physician to care for the patient.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In the study, researchers instead had the physicians connect via Google Glass, enabling the specialist to see on his or her office iPad or computer what the ER doctor was seeing in person. The ER doctor was able to communicate with the dermatologist, and both physicians could ask questions of the patient in real time.\u003c/p>\n\u003cp>“You’ve rolled the first and second visit into this one visit. You have the specialist at the bedside, and if you get better, you don’t need to have follow-up,” said Paul Porter, a physician in the emergency department of \u003ca href=\"http://www.rhodeislandhospital.org/Newsroom/News.aspx?NewsId=70595/The-Doctor-Will-See-You-Now:-How-the-ED-Team-at-Rhode-Island-Hospital-Used-Google-Glass-to-Diagnose-Skin-Conditions/\">Rhode Island Hospital and study author. \u003c/a>\u003c/p>\n\u003cp>“There’s nothing more frustrating [for the patient than] to be seen, leave with diagnostic uncertainty, and have to go somewhere else. … People don’t want that answer,” said Porter.\u003c/p>\n\u003cp>Emergency rooms across the country may already use telemedicine technology for patients with skin or other visible conditions, but many of those machines can cost as much as to $60,000 — not to mention the expense of maintenance and support. Google Glass costs less than $2,000.\u003c/p>\n\u003cp>In addition, many ERs either don’t have the funds to obtain a telemedicine “cart,” or don’t use it because the size – four to six square feet – can be too large for that setting, said Edward Boyer, a professor of emergency medicine at the University of Massachusetts Medical School in Worcester, Mass.\u003c/p>\n\u003cp>“The crowding in emergency rooms means we physically do not have enough room to manage the patients they have in them. A dermatology cart is not a little thing, and a lot of ERs don’t have that much spare room to store and wheel around one of those things,” said Boyer.\u003c/p>\n\u003caside class=\"pullquote alignright\">“There had been a lot of talk about using Glass in health care, but at the time that we designed the study, no one had actually tried it.\"\u003cbr>\n\u003ccite>Megan Ranney, assistant professor of emergency medicine and policy at Brown University.\u003c/cite>\u003c/aside>\n\u003cp>The researchers’ next step is to study whether Google Glass or similar headset technology could be used for other ER patients, such as those showing signs of stroke or who may have been exposed to poison.\u003c/p>\n\u003cp>“If we could see them virtually, could we save the money of transport, keep them in the community intensive care unit, and give better patient care?” Chai said, noting that even if ERs in smaller or rural settings don’t have access to telemedicine, they may be able to afford this type of device.\u003c/p>\n\u003cp>In the latter instances, poison control center toxicologists are always available, though mainly consulted via the telephone. But these patients commonly have visual symptoms such as seizures, said Peter Chai, a lead author and fellow in medical toxicology at the University of Massachusetts Medical School. And, if a person is severely ill due to poisoning, they are flown via helicopter to the closest major hospital, he added.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.rhodeislandhospital.org/Newsroom/News.aspx?NewsId=65544/Rhode-Island-Hospital-Launches-Country%E2%80%99s-First-Google-Glass-Study-in-Emergency-Department-Setting/\">\u003cspan class=\"s2\">research\u003c/span>\u003c/a> surveyed 31 people with skin conditions in the Rhode Island Hospital emergency department for six months, and was published as a research letter in JAMA Dermatology April 15. Google Glass is currently not available commercially, but health care providers can get the device through \u003ca href=\"https://pristine.io/video-calls/\">health care technology companies.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.kaiserhealthnews.org/\">\u003ci>Kaiser Health News\u003c/i>\u003c/a>\u003cspan class=\"s2\">\u003ci> (KHN) is a nonprofit national health policy news service. \u003c/i>\u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>In a recent \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/25837513\">study\u003c/a> in Science reviewed \u003ca href=\"http://news.sciencemag.org/health/2015/04/personalized-cancer-vaccines-may-fight-tumors\">here\u003c/a>, human immunologist Beatriz Carreno of Washington University in St. Louis and her coworkers have used a patient’s own immune system against their cancer cells. It is too soon to know whether the treatment can cure patients or not but the patients in the study did tolerate the treatment well and their immune systems responded appropriately.\u003c/p>\n\u003caside class=\"pullquote alignright\">“It could turn out to be chemotherapy without the hair loss and nausea.”\u003c/aside>\n\u003cp>Now this isn’t a big deal because they used the patient’s immune system to attack cancer. Heck, the prostate cancer treatment \u003ca href=\"http://en.wikipedia.org/wiki/Sipuleucel-T\">Provenge\u003c/a> has been on the market since 2010 and it uses the same idea.\u003c/p>\n\u003cp>No, what makes this approach so important is that it has the potential to become a treatment for lots and lots of different cancers. It could turn out to be chemotherapy without the hair loss and nausea.\u003c/p>\n\u003cp>\u003cstrong>Potentially Transformative and Punishingly Expensive\u003c/strong>\u003c/p>\n\u003cp>The authors in this study analyzed three different patients’ tumor cells and found a unique set of triggers for each patient that they used to activate their immune systems. Each patient received an individualized treatment tailored to their own tumor.\u003c/p>\n\u003cfigure id=\"attachment_1851\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/LungCancerCellDividing.jpg\">\u003cimg class=\"size-full wp-image-1851\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/LungCancerCellDividing.jpg\" alt=\"Each cancer cell is like a snowflake, totally unique. Scientists can exploit this uniqueness to trea cancer (Wikimedia Commons)\" width=\"300\" height=\"230\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Each cancer cell is like a snowflake, totally unique. Scientists can exploit this uniqueness to treat cancer (\u003ca href=\"http://upload.wikimedia.org/wikipedia/commons/d/d1/Lung_cancer_cell_during_cell_division-NIH.jpg\">Wikimedia Commons\u003c/a>)\u003c/figcaption>\u003c/figure>\n\u003cp>If this all works out, there is no reason to think that a similar approach couldn’t be used for most anyone’s cancer. This study might be showing us the way to a truly personalized medicine in which each patient has their own unique treatment with minimal side effects. Or, then again, maybe not.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Even if it works, a personalized treatment like this will almost certainly be breathtakingly (or maybe more appropriately breath-givingly) expensive. The much simpler treatment Provenge costs over $100,000. A treatment based on this approach will cost even more because it is so much more complicated.\u003c/p>\n\u003cp>And there is no guarantee that it will be particularly effective either. On average Provenge gives patients an additional 4 months or so. It is possible this new treatment could be better but then again it might not be.\u003c/p>\n\u003cp>Still, the convergence of cheap DNA sequencing and a better understanding of how the immune system works has opened the door to new treatments for cancer. Even if this treatment doesn’t work, we still may use our newfound knowledge to dream up newer, more precise treatments.\u003c/p>\n\u003cp>\u003cstrong>Cancer as Other \u003c/strong>\u003c/p>\n\u003cp>We can get our immune systems to recognize tumors because cancer cells have changed so much from what they originally were that they are almost as foreign as bacteria or viruses. And our immune systems know what to do with foreign cells. They find and destroy them.\u003c/p>\n\u003cfigure id=\"attachment_1855\" class=\"wp-caption alignright\" style=\"max-width: 500px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/NormalAndCancer.jpg\">\u003cimg class=\"size-full wp-image-1855\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/NormalAndCancer.jpg\" alt=\"Cancer cells have mutated into something foreign our bodies can be trained to attack. (Wikimedia Commons)\" width=\"500\" height=\"365\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/NormalAndCancer.jpg 500w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/NormalAndCancer-400x292.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/NormalAndCancer-320x234.jpg 320w\" sizes=\"(max-width: 500px) 100vw, 500px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Cancer cells have mutated into something foreign our bodies can be trained to attack. (\u003ca href=\"http://upload.wikimedia.org/wikipedia/commons/2/2b/Normal_and_cancer_cells_structure.jpg\">Wikimedia Commons\u003c/a>)\u003c/figcaption>\u003c/figure>\n\u003cp>Unfortunately cancer cells aren’t quite foreign enough for our immune systems to recognize them on their own. This is why we need scientists to give our immune systems a gentle nudge in the right direction. They do this by using the cancer cell’s mutations against itself.\u003c/p>\n\u003cp>Cancer starts out as a cell that gets a few mutations in its DNA that cause it to either grow uncontrollably and/or refuse to die. Then, because some of these mutations also make the DNA in these cells less stable, more and more mutations happen as the cancer develops.\u003c/p>\n\u003cp>This is why each person’s cancer is unique. Each person’s cancer has a distinct set of mutations that depend on what happened to the cell’s DNA after those first few critical mutations.\u003c/p>\n\u003cp>This is also why the scientists in this study needed to create unique treatments for each patient. The three patients did not share the same set of mutations that were useful for the therapy and so could not be treated in the same way.\u003c/p>\n\u003cp>If this approach works, it could be a game changer for cancer vaccines* like this. They will be able to be used by many different patients with a wide range of cancers.\u003c/p>\n\u003cp>\u003cem>*Cancer vaccine is the current name for these treatments but it isn’t great. Vaccine implies that it will prevent the cancer from happening if you take it but it does no such thing. A better term is probably immunotherapy.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Not Your Uncle’s Cancer Vaccines\u003c/strong>\u003c/p>\n\u003cp>As I said, there is a similar product on the market, the prostate cancer treatment Provenge. With Provenge, every patient’s immune system is activated with the same prostate-cancer specific trigger. What makes it personalized is that each treatment uses a patient’s own immune cells.\u003c/p>\n\u003cp>This approach is different in that it adds an additional layer of personalization. Each patient’s cells are activated by a set of triggers unique to their particular cancer. This is a much more complicated undertaking than Provenge.\u003c/p>\n\u003cp>Scientists first need to read and compare the DNA of the cells of the patient and the cancer. Then they need to identify the key differences between the two and convert them into a set of triggers that can be used to program the patient’s immune cells to recognize the cancer cells. While this is getting cheaper and easier, it is still no picnic. It takes a lot of time and money to pull off.\u003c/p>\n\u003cp>After this part, it is pretty much the same as with Provenge. The right immune cells are removed from the patient and put in a dish. Then the immune cells are exposed to the triggers, grown up in the dish and then put back into the patient. Then, if everything is working right, the patient’s immune system seeks out and destroys any tumor cells it finds.\u003c/p>\n\u003cp>This is obviously nontrivial! But still, given how cheap DNA sequencing has become, it is certainly doable. Now we will have to wait and see if it is effective and affordable.\u003c/p>\n\u003cp>\u003cem>A lengthy but very complete description of this approach to making cancer vaccines:\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[youtube http://www.youtube.com/watch?v=da9z30QsE9k&w=480&h=360]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In a recent \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/25837513\">study\u003c/a> in Science reviewed \u003ca href=\"http://news.sciencemag.org/health/2015/04/personalized-cancer-vaccines-may-fight-tumors\">here\u003c/a>, human immunologist Beatriz Carreno of Washington University in St. Louis and her coworkers have used a patient’s own immune system against their cancer cells. It is too soon to know whether the treatment can cure patients or not but the patients in the study did tolerate the treatment well and their immune systems responded appropriately.\u003c/p>\n\u003caside class=\"pullquote alignright\">“It could turn out to be chemotherapy without the hair loss and nausea.”\u003c/aside>\n\u003cp>Now this isn’t a big deal because they used the patient’s immune system to attack cancer. Heck, the prostate cancer treatment \u003ca href=\"http://en.wikipedia.org/wiki/Sipuleucel-T\">Provenge\u003c/a> has been on the market since 2010 and it uses the same idea.\u003c/p>\n\u003cp>No, what makes this approach so important is that it has the potential to become a treatment for lots and lots of different cancers. It could turn out to be chemotherapy without the hair loss and nausea.\u003c/p>\n\u003cp>\u003cstrong>Potentially Transformative and Punishingly Expensive\u003c/strong>\u003c/p>\n\u003cp>The authors in this study analyzed three different patients’ tumor cells and found a unique set of triggers for each patient that they used to activate their immune systems. Each patient received an individualized treatment tailored to their own tumor.\u003c/p>\n\u003cfigure id=\"attachment_1851\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/LungCancerCellDividing.jpg\">\u003cimg class=\"size-full wp-image-1851\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/LungCancerCellDividing.jpg\" alt=\"Each cancer cell is like a snowflake, totally unique. Scientists can exploit this uniqueness to trea cancer (Wikimedia Commons)\" width=\"300\" height=\"230\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Each cancer cell is like a snowflake, totally unique. Scientists can exploit this uniqueness to treat cancer (\u003ca href=\"http://upload.wikimedia.org/wikipedia/commons/d/d1/Lung_cancer_cell_during_cell_division-NIH.jpg\">Wikimedia Commons\u003c/a>)\u003c/figcaption>\u003c/figure>\n\u003cp>If this all works out, there is no reason to think that a similar approach couldn’t be used for most anyone’s cancer. This study might be showing us the way to a truly personalized medicine in which each patient has their own unique treatment with minimal side effects. Or, then again, maybe not.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Even if it works, a personalized treatment like this will almost certainly be breathtakingly (or maybe more appropriately breath-givingly) expensive. The much simpler treatment Provenge costs over $100,000. A treatment based on this approach will cost even more because it is so much more complicated.\u003c/p>\n\u003cp>And there is no guarantee that it will be particularly effective either. On average Provenge gives patients an additional 4 months or so. It is possible this new treatment could be better but then again it might not be.\u003c/p>\n\u003cp>Still, the convergence of cheap DNA sequencing and a better understanding of how the immune system works has opened the door to new treatments for cancer. Even if this treatment doesn’t work, we still may use our newfound knowledge to dream up newer, more precise treatments.\u003c/p>\n\u003cp>\u003cstrong>Cancer as Other \u003c/strong>\u003c/p>\n\u003cp>We can get our immune systems to recognize tumors because cancer cells have changed so much from what they originally were that they are almost as foreign as bacteria or viruses. And our immune systems know what to do with foreign cells. They find and destroy them.\u003c/p>\n\u003cfigure id=\"attachment_1855\" class=\"wp-caption alignright\" style=\"max-width: 500px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/NormalAndCancer.jpg\">\u003cimg class=\"size-full wp-image-1855\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/NormalAndCancer.jpg\" alt=\"Cancer cells have mutated into something foreign our bodies can be trained to attack. (Wikimedia Commons)\" width=\"500\" height=\"365\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/NormalAndCancer.jpg 500w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/NormalAndCancer-400x292.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/NormalAndCancer-320x234.jpg 320w\" sizes=\"(max-width: 500px) 100vw, 500px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Cancer cells have mutated into something foreign our bodies can be trained to attack. (\u003ca href=\"http://upload.wikimedia.org/wikipedia/commons/2/2b/Normal_and_cancer_cells_structure.jpg\">Wikimedia Commons\u003c/a>)\u003c/figcaption>\u003c/figure>\n\u003cp>Unfortunately cancer cells aren’t quite foreign enough for our immune systems to recognize them on their own. This is why we need scientists to give our immune systems a gentle nudge in the right direction. They do this by using the cancer cell’s mutations against itself.\u003c/p>\n\u003cp>Cancer starts out as a cell that gets a few mutations in its DNA that cause it to either grow uncontrollably and/or refuse to die. Then, because some of these mutations also make the DNA in these cells less stable, more and more mutations happen as the cancer develops.\u003c/p>\n\u003cp>This is why each person’s cancer is unique. Each person’s cancer has a distinct set of mutations that depend on what happened to the cell’s DNA after those first few critical mutations.\u003c/p>\n\u003cp>This is also why the scientists in this study needed to create unique treatments for each patient. The three patients did not share the same set of mutations that were useful for the therapy and so could not be treated in the same way.\u003c/p>\n\u003cp>If this approach works, it could be a game changer for cancer vaccines* like this. They will be able to be used by many different patients with a wide range of cancers.\u003c/p>\n\u003cp>\u003cem>*Cancer vaccine is the current name for these treatments but it isn’t great. Vaccine implies that it will prevent the cancer from happening if you take it but it does no such thing. A better term is probably immunotherapy.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Not Your Uncle’s Cancer Vaccines\u003c/strong>\u003c/p>\n\u003cp>As I said, there is a similar product on the market, the prostate cancer treatment Provenge. With Provenge, every patient’s immune system is activated with the same prostate-cancer specific trigger. What makes it personalized is that each treatment uses a patient’s own immune cells.\u003c/p>\n\u003cp>This approach is different in that it adds an additional layer of personalization. Each patient’s cells are activated by a set of triggers unique to their particular cancer. This is a much more complicated undertaking than Provenge.\u003c/p>\n\u003cp>Scientists first need to read and compare the DNA of the cells of the patient and the cancer. Then they need to identify the key differences between the two and convert them into a set of triggers that can be used to program the patient’s immune cells to recognize the cancer cells. While this is getting cheaper and easier, it is still no picnic. It takes a lot of time and money to pull off.\u003c/p>\n\u003cp>After this part, it is pretty much the same as with Provenge. The right immune cells are removed from the patient and put in a dish. Then the immune cells are exposed to the triggers, grown up in the dish and then put back into the patient. Then, if everything is working right, the patient’s immune system seeks out and destroys any tumor cells it finds.\u003c/p>\n\u003cp>This is obviously nontrivial! But still, given how cheap DNA sequencing has become, it is certainly doable. Now we will have to wait and see if it is effective and affordable.\u003c/p>\n\u003cp>\u003cem>A lengthy but very complete description of this approach to making cancer vaccines:\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp id=\"26ab\" class=\"graf--p\">\u003cem>This story originally appeared on the FerensteinWire, a syndicated news service. Follow the author on Twitter at @ferenstein. \u003c/em>\u003c/p>\n\u003cp class=\"graf--p\">\u003ca class=\"markup--anchor markup--p-anchor\" href=\"http://www.theverge.com/2015/3/24/8278221/screen-use-insomnia-sleep-disruption-sunglasses\" rel=\"nofollow\">Electronics are wreaking havoc on our sleep\u003c/a>; late night reading on smartphones and tablets bombards our eyes with artificial light, tricking our brains into being alert right before we attempt to fall asleep.\u003c/p>\n\u003cp id=\"7a5b\" class=\"graf--p\">A recent \u003ca class=\"markup--anchor markup--p-anchor\" href=\"http://www.theverge.com/2014/12/23/7439997/ebooks-tablets-disturb-sleep-patterns-circadian-rhythm\" rel=\"nofollow\">experimental study\u003c/a> from Harvard Medical School found that reading electronics before bed resulted in substantially worse Rapid Eye Movement, otherwise known as REM sleep, the stage of deep sleep associated with peak mental performance.\u003c/p>\n\u003cp>\u003cstrong>Why Does Light Interfere With Sleep?\u003c/strong>\u003c/p>\n\u003cp id=\"1f2b\" class=\"graf--p\">Our sleep problems have slowly been getting worse since the invention of the lightbulb. Artificial light contains the full spectrum of light, including the blue spectrum of a brightly lit sky. \u003ca class=\"markup--anchor markup--p-anchor\" href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3047226/\" rel=\"nofollow\">The full spectrum of light inhibits the production\u003c/a> of the “sleep hormone” melatonin, so that we can stay sprite during the work day. Under natural conditions, light keeps us awake during the day and darkness signals our body to rest after sundown.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp id=\"9172\" class=\"graf--p\">Indeed, a brand \u003ca class=\"markup--anchor markup--p-anchor\" href=\"http://www.sciencedaily.com/releases/2015/03/150318074513.htm\" rel=\"nofollow\">new study\u003c/a> on the relaxed life of rural Brazilians, finds that residents sleep cycle is neatly aligned with the setting and rising of the sun. These Brazilians are more likely to drift asleep shortly after sundown — 9:20 p.m. — and wake up with the sun, around 6:30 a.m.\u003c/p>\n\u003cp id=\"1916\" class=\"graf--p\">In contrast, city folk in London typically fall asleep around 11:15 p.m. and rise to a bright sky at 8:30 a.m.\u003c/p>\n\u003cp id=\"6698\" class=\"graf--p\">As a result of the pervasive use of electronics, our sleep is getting worse. The Center for Disease Control estimates that one-third of Americans experience and complain about poor sleep. And, since 2001, \u003ca class=\"markup--anchor markup--p-anchor\" href=\"http://www.cnn.com/2009/HEALTH/03/04/sleep.stress.economy/\" rel=\"nofollow\">The National Sleep foundation finds\u003c/a> that Americans report a 20 minute drop in sleep, on average (from 7 hours to 6.7 hours).\u003c/p>\n\u003cp id=\"8a12\" class=\"graf--p\">The closer electronics get to our eyes, from street lamps to smartphones — the worse the impact.\u003c/p>\n\u003cp id=\"ee19\" class=\"graf--p\">Fortunately, there are a few tricks to help reverse the course and get a good night’s sleep.\u003c/p>\n\u003cp class=\"graf--p\">\u003cstrong>My first and favorite trick are my blueblocker sunglasses.\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_1657\" class=\"wp-caption aligncenter\" style=\"max-width: 395px\">\u003cimg class=\" wp-image-1657\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/blueblockers.jpg\" alt=\"Blueblockers are special sunglasses that filter out blue light \" width=\"395\" height=\"383\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/blueblockers.jpg 1539w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/blueblockers-400x388.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/blueblockers-619x600.jpg 619w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/blueblockers-1180x1144.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/blueblockers-768x745.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/blueblockers-320x310.jpg 320w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/blueblockers-32x32.jpg 32w\" sizes=\"(max-width: 395px) 100vw, 395px\">\u003cfigcaption class=\"wp-caption-text\">Blueblockers are special sunglasses that filter out blue light \u003ccite>(Steve Lambert)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp id=\"cd31\" class=\"graf--p\">Blueblockers are special orange-tinted sunglasses that filter out the blue spectrum of light.\u003c/p>\n\u003cp class=\"graf--p\">These glasses have been used in medical studies to help adolescents who suffer from Attention Deficit Hyperactivity Disorders (ADHD) get a restful night’s sleep. They’re also super cheap; I put on my $15 pair about an hour before I want to go to sleep.\u003c/p>\n\u003cp id=\"9f48\" class=\"graf--p\">Sure, I look silly, but its worth it. Using a \u003ca href=\"http://www.mybasis.com/?gclid=CjwKEAjw0q2pBRC3jrb24JjE8VgSJAAyIzAdjY9O7GiKE-wSJKld2mbjtm34O_LpBsSrSRzOn5EbuhoCiEXw_wcB\">sleep tracking device from Basis\u003c/a>, I found that my REM sleep improved 5 percent during nights when I wear the blueblockers. REM sleep typically fluctuates between 20 to 30 percent as a percent of my night’s sleep, so 5 percent is a big deal.\u003c/p>\n\u003cp id=\"9e20\" class=\"graf--p\">\u003cstrong>Second, Install f.lux\u003c/strong>\u003c/p>\n\u003cp id=\"2de9\" class=\"graf--p\">\u003ca class=\"markup--anchor markup--p-anchor\" href=\"https://en.wikipedia.org/wiki/F.lux\" rel=\"nofollow\">f.lux\u003c/a> is a free computer program that automatically tints monitor color a brownish hue as the sun sets.\u003c/p>\n\u003cp class=\"graf--p\">This brown light mimics the light from a roaring fire, which was the major source of night-time light our ancestors experienced before the advent of the light bulb.\u003c/p>\n\u003cp id=\"118f\" class=\"graf--p\">\u003cstrong class=\"markup--strong markup--p-strong\">Third, Meditate\u003c/strong>\u003c/p>\n\u003cp id=\"4431\" class=\"graf--p\">One of the most pernicious effects of electronics is stress. Being constantly wired brings both good and bad stimulation all the time. We rarely relax.\u003c/p>\n\u003cp id=\"52c3\" class=\"graf--p\">In a \u003ca class=\"markup--anchor markup--p-anchor\" href=\"http://well.blogs.nytimes.com/2015/02/23/meditation-for-a-good-nights-sleep/?_r=0\" rel=\"nofollow\">recently study published\u003c/a> in JAMA Internal Medicine, older adults that were taught mindful meditation improved sleep better than participants who practiced good sleep hygiene alone (like going to bed at a regular time each night).\u003c/p>\n\u003cp id=\"d3f5\" class=\"graf--p\">Mindful meditation is simply the practice of nonjudgmental introspection in a relaxed state with controlled breathing. I like to meditate throughout the day, since daytime stress can impact sleep.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp id=\"c326\" class=\"graf--p\">That’s it; three simple hacks to wrestle back your sleep from electronics.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp id=\"26ab\" class=\"graf--p\">\u003cem>This story originally appeared on the FerensteinWire, a syndicated news service. Follow the author on Twitter at @ferenstein. \u003c/em>\u003c/p>\n\u003cp class=\"graf--p\">\u003ca class=\"markup--anchor markup--p-anchor\" href=\"http://www.theverge.com/2015/3/24/8278221/screen-use-insomnia-sleep-disruption-sunglasses\" rel=\"nofollow\">Electronics are wreaking havoc on our sleep\u003c/a>; late night reading on smartphones and tablets bombards our eyes with artificial light, tricking our brains into being alert right before we attempt to fall asleep.\u003c/p>\n\u003cp id=\"7a5b\" class=\"graf--p\">A recent \u003ca class=\"markup--anchor markup--p-anchor\" href=\"http://www.theverge.com/2014/12/23/7439997/ebooks-tablets-disturb-sleep-patterns-circadian-rhythm\" rel=\"nofollow\">experimental study\u003c/a> from Harvard Medical School found that reading electronics before bed resulted in substantially worse Rapid Eye Movement, otherwise known as REM sleep, the stage of deep sleep associated with peak mental performance.\u003c/p>\n\u003cp>\u003cstrong>Why Does Light Interfere With Sleep?\u003c/strong>\u003c/p>\n\u003cp id=\"1f2b\" class=\"graf--p\">Our sleep problems have slowly been getting worse since the invention of the lightbulb. Artificial light contains the full spectrum of light, including the blue spectrum of a brightly lit sky. \u003ca class=\"markup--anchor markup--p-anchor\" href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3047226/\" rel=\"nofollow\">The full spectrum of light inhibits the production\u003c/a> of the “sleep hormone” melatonin, so that we can stay sprite during the work day. Under natural conditions, light keeps us awake during the day and darkness signals our body to rest after sundown.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp id=\"9172\" class=\"graf--p\">Indeed, a brand \u003ca class=\"markup--anchor markup--p-anchor\" href=\"http://www.sciencedaily.com/releases/2015/03/150318074513.htm\" rel=\"nofollow\">new study\u003c/a> on the relaxed life of rural Brazilians, finds that residents sleep cycle is neatly aligned with the setting and rising of the sun. These Brazilians are more likely to drift asleep shortly after sundown — 9:20 p.m. — and wake up with the sun, around 6:30 a.m.\u003c/p>\n\u003cp id=\"1916\" class=\"graf--p\">In contrast, city folk in London typically fall asleep around 11:15 p.m. and rise to a bright sky at 8:30 a.m.\u003c/p>\n\u003cp id=\"6698\" class=\"graf--p\">As a result of the pervasive use of electronics, our sleep is getting worse. The Center for Disease Control estimates that one-third of Americans experience and complain about poor sleep. And, since 2001, \u003ca class=\"markup--anchor markup--p-anchor\" href=\"http://www.cnn.com/2009/HEALTH/03/04/sleep.stress.economy/\" rel=\"nofollow\">The National Sleep foundation finds\u003c/a> that Americans report a 20 minute drop in sleep, on average (from 7 hours to 6.7 hours).\u003c/p>\n\u003cp id=\"8a12\" class=\"graf--p\">The closer electronics get to our eyes, from street lamps to smartphones — the worse the impact.\u003c/p>\n\u003cp id=\"ee19\" class=\"graf--p\">Fortunately, there are a few tricks to help reverse the course and get a good night’s sleep.\u003c/p>\n\u003cp class=\"graf--p\">\u003cstrong>My first and favorite trick are my blueblocker sunglasses.\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_1657\" class=\"wp-caption aligncenter\" style=\"max-width: 395px\">\u003cimg class=\" wp-image-1657\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/blueblockers.jpg\" alt=\"Blueblockers are special sunglasses that filter out blue light \" width=\"395\" height=\"383\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/blueblockers.jpg 1539w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/blueblockers-400x388.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/blueblockers-619x600.jpg 619w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/blueblockers-1180x1144.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/blueblockers-768x745.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/blueblockers-320x310.jpg 320w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/blueblockers-32x32.jpg 32w\" sizes=\"(max-width: 395px) 100vw, 395px\">\u003cfigcaption class=\"wp-caption-text\">Blueblockers are special sunglasses that filter out blue light \u003ccite>(Steve Lambert)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp id=\"cd31\" class=\"graf--p\">Blueblockers are special orange-tinted sunglasses that filter out the blue spectrum of light.\u003c/p>\n\u003cp class=\"graf--p\">These glasses have been used in medical studies to help adolescents who suffer from Attention Deficit Hyperactivity Disorders (ADHD) get a restful night’s sleep. They’re also super cheap; I put on my $15 pair about an hour before I want to go to sleep.\u003c/p>\n\u003cp id=\"9f48\" class=\"graf--p\">Sure, I look silly, but its worth it. Using a \u003ca href=\"http://www.mybasis.com/?gclid=CjwKEAjw0q2pBRC3jrb24JjE8VgSJAAyIzAdjY9O7GiKE-wSJKld2mbjtm34O_LpBsSrSRzOn5EbuhoCiEXw_wcB\">sleep tracking device from Basis\u003c/a>, I found that my REM sleep improved 5 percent during nights when I wear the blueblockers. REM sleep typically fluctuates between 20 to 30 percent as a percent of my night’s sleep, so 5 percent is a big deal.\u003c/p>\n\u003cp id=\"9e20\" class=\"graf--p\">\u003cstrong>Second, Install f.lux\u003c/strong>\u003c/p>\n\u003cp id=\"2de9\" class=\"graf--p\">\u003ca class=\"markup--anchor markup--p-anchor\" href=\"https://en.wikipedia.org/wiki/F.lux\" rel=\"nofollow\">f.lux\u003c/a> is a free computer program that automatically tints monitor color a brownish hue as the sun sets.\u003c/p>\n\u003cp class=\"graf--p\">This brown light mimics the light from a roaring fire, which was the major source of night-time light our ancestors experienced before the advent of the light bulb.\u003c/p>\n\u003cp id=\"118f\" class=\"graf--p\">\u003cstrong class=\"markup--strong markup--p-strong\">Third, Meditate\u003c/strong>\u003c/p>\n\u003cp id=\"4431\" class=\"graf--p\">One of the most pernicious effects of electronics is stress. Being constantly wired brings both good and bad stimulation all the time. We rarely relax.\u003c/p>\n\u003cp id=\"52c3\" class=\"graf--p\">In a \u003ca class=\"markup--anchor markup--p-anchor\" href=\"http://well.blogs.nytimes.com/2015/02/23/meditation-for-a-good-nights-sleep/?_r=0\" rel=\"nofollow\">recently study published\u003c/a> in JAMA Internal Medicine, older adults that were taught mindful meditation improved sleep better than participants who practiced good sleep hygiene alone (like going to bed at a regular time each night).\u003c/p>\n\u003cp id=\"d3f5\" class=\"graf--p\">Mindful meditation is simply the practice of nonjudgmental introspection in a relaxed state with controlled breathing. I like to meditate throughout the day, since daytime stress can impact sleep.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp id=\"c326\" class=\"graf--p\">That’s it; three simple hacks to wrestle back your sleep from electronics.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"headTitle": "Contributor | Future of You | KQED Future of You | KQED Science",
"content": "\u003cp>\u003cem>Author Emily F. Peters is founder of \u003ca href=\"http://www.uncommonbold.com/\">Uncommon Bold\u003c/a>, a San Francisco–based brand strategy studio. Reach her on Twitter: \u003ca href=\"https://twitter.com/EmilyFPeters\">@emilyfpeters\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>Facebook has 1.3 billion users, more than 900 million people use Twitter, and an hour of video is uploaded to YouTube every single second. In the last decade, social networks have fundamentally changed the ways we connect, build communities and \u003ca href=\"http://giphy.com/search/ninja-cat\">share ninja cat GIFs\u003c/a>.\u003c/p>\n\u003cp>So much about health care seems perfectly matched for this modern landscape of social media: All those heart-wrenching stories of recovery against the odds, inspiring new robotic inventions, cases of doctors who just care too much and loads of “you’ll never believe” medical research.\u003c/p>\n\u003cp>But when it comes to social media, the health sector is just getting started.\u003c/p>\n\u003cp>\"Healthcare is habitually late to the party when it comes to marketing and communications, as it's a heavily regulated industry. Social media is no exception,\" said Amanda Changuris, a social media marketing analyst at Highmark and an advisor to the \u003ca href=\"http://network.socialmedia.mayoclinic.org/about-3/\">Mayo Clinic Center for Social Media.\u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"The good news is that there are now some truly excellent minds putting the medium through its paces for the benefit of patients, physicians and the public in general,\" said Changuris.\u003c/p>\n\u003cp>What can social media and medicine do? From organ donations to #FOMO (which stands for \"fear of missing out\"), here are nine ingenious examples of health care making the most of social networks:\u003c/p>\n\u003cp>\u003cstrong>Opening Operating Rooms to the World\u003c/strong>\u003c/p>\n\u003cp>If blood and gore doesn't make you squeamish, tune into live hospital video streams. Health organizations are tapping into our fascination with medicine and human anatomy by broadcasting surgical procedures via social media.\u003c/p>\n\u003cp>\u003ca href=\"http://www.swedish.org/landing-pages/cochlear-implant-and-hearing-loss-web-series\">The Swedish Medical Center in Washington State\u003c/a> ran a live broadcast of a cochlear implant surgery and followed up with emotional video of the patient listening to music for the first time. \u003ca href=\"http://www.memorialhermann.org/body-of-experts/c-section-twittercast/\">Memorial Hermann Hospital in Texas \u003c/a>showed a six-pound baby boy being delivered via cesarean section live from the OR on Twitter. \u003ca href=\"http://newsroom.ucla.edu/stories/ucla-live-tweets-surgery-to-implant-246356\">UCLA broadcast live on Vine \u003c/a>during brain surgery, showing the Parkinson’s patient playing country music guitar mid-operation.\u003c/p>\n\u003cfigure id=\"attachment_1550\" class=\"wp-caption alignleft\" style=\"max-width: 1280px\">\u003cimg class=\"size-full wp-image-1550\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/456343289_1280x720.jpg\" alt='A screenshot from a video intended to reduce fears about the \"snip\"' width=\"1280\" height=\"720\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/456343289_1280x720.jpg 1280w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/456343289_1280x720-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/456343289_1280x720-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/456343289_1280x720-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/456343289_1280x720-768x432.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/456343289_1280x720-320x180.jpg 320w\" sizes=\"(max-width: 1280px) 100vw, 1280px\">\u003cfigcaption class=\"wp-caption-text\">A screenshot from a video intended to reduce fears about the \"snip\" \u003ccite>(YouTube/ World Vasectomy Day)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>And in 2014, the doctors behind \u003ca href=\"http://www.worldvasectomyday.org\">World Vasectomy Day\u003c/a> took it a step further with a single-day live broadcast of 25 vasectomies. Over 10,000 viewers tuned in to the video stream of surgeries, international video interviews and short documentaries -- all as part of advocacy efforts to reduce fear of “the snip.”\u003c/p>\n\u003cp>\u003cstrong>Crowdsourcing Tough Medical Diagnoses\u003c/strong>\u003c/p>\n\u003cp>The average patient who signs up to a website called \u003ca href=\"http://crowdmed.com\">CrowdMed\u003c/a> has been sick for about eight years, spent more than $55,000 on medical expenses and still doesn’t have a diagnosis for their disease. The crowdsourcing startup helps patients reach a network of “medical detectives”— mostly healthcare professionals and medical students across 23 countries—with their tough medical cases.\u003c/p>\n\u003cp>\u003ca href=\"https://www.crowdmed.com/our-stories/julietta\">One patient, Juliette (pseudonym), \u003c/a>found a diagnosis and cure in just two weeks for a painful swelling condition that had kept her bedridden and undergoing surgery for two decades.\u003c/p>\n\u003cp>“Our 'medical detectives' spend an average of 11 hours per month solving medical cases on the network, which is more time than the average user spends on any other online social media,” said Jessica Greenwalt, co-founder of CrowdMed.\u003c/p>\n\u003cp>“They devote a lot of time to researching diagnoses and communicating with patients.”\u003c/p>\n\u003cp>\u003cstrong>Raising Millions for Clinical Research\u003c/strong>\u003c/p>\n\u003cp>When four-year-old Eliza O’Neill was diagnosed with a rare pediatric disease, her parents turned to social media with a poignant video. \u003ca href=\"http://www.gofundme.com/ElizaONeill\">They’ve now raised more than $2 million for Sanfilippo Syndrome\u003c/a> from 30,000 donors and are working with Nationwide Children’s Hospital in Ohio to speed clinical trials for a promising cure.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe width=\"800\" height=\"425\" src=\"https://www.youtube.com/embed/G0IY8qG7J-I?rel=0\" frameborder=\"0\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>Campaigns like Eliza's and\u003ca href=\"http://www.alsa.org/about-us/ice-bucket-challenge-faq.html\"> the ALS Ice Bucket Challenge\u003c/a> —which raised $115 million in just a few months -- prove just how potent a platform social media can be for raising funds and awareness. The social media model is now being used for everything from \u003ca href=\"http://fightcolorectalcancer.org/do-something/raise-awareness/strong-arm-selfie/\">#strongarmselfies\u003c/a> for colon cancer to \u003ca href=\"http://bigstory.ap.org/article/west-africans-get-creative-ebola-awareness\">buckets of soapy water for Ebola awareness.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Tapping into #FOMO for Public Health\u003c/strong>\u003c/p>\n\u003cp>UCLA studied using social networks to drive up peer pressure and combat the spread of AIDS. The Harnessing Online Peer Education \u003ca href=\"http://newsroom.ucla.edu/releases/combining-social-media-and-behavioral-psychology-could-lead-to-more-hiv-testing\">(HOPE) study\u003c/a> found that social media conversations could triple the request rate for at-home HIV tests in high-risk populations in just three weeks. The researchers are now focused on expanding the study’s lessons to combat substance abuse, depression and bullying.\u003c/p>\n\u003cp>“I think there’s a huge potential in social media—not necessarily because of social media itself, but because everyone uses it,” said Sean Young, executive director, UC Institute for Prediction Technology and UCLA Center for Digital Behavior and the primary investigator on the HOPE study.\u003c/p>\n\u003cp>“Researchers are typically behind the curve in terms of what people are using in technology. People who want to find sex partners, who want to find drugs, they’re going to use the most up-to-date technology to do that. Researchers need to stay ahead of the latest tech trends to keep up.”\u003c/p>\n\u003cp>\u003cstrong>Mining Social Data for Life-Saving Trends\u003c/strong>\u003c/p>\n\u003cp>The massive, real-time trove of public social media data is a potential gold mine for medical researchers. For example, University of Pennsylvania recently found that \u003ca href=\"http://pss.sagepub.com/content/26/2/159\">angry tweets were a strong predictor of fatal cardiac disease.\u003c/a> According to the study, the “model based only on Twitter language predicted [heart disease] mortality significantly better than did a model that combined 10 common demographic, socioeconomic and health risk factors, including smoking, diabetes, hypertension and obesity.”\u003c/p>\n\u003cfigure id=\"attachment_1551\" class=\"wp-caption alignright\" style=\"max-width: 432px\">\u003cimg class=\" wp-image-1551\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/EbolaTracking-1.jpg\" alt=\"Screenshot of a real-time Ebola tracking map from researchers at Northeastern \" width=\"432\" height=\"305\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/EbolaTracking-1.jpg 1169w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/EbolaTracking-1-400x283.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/EbolaTracking-1-800x566.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/EbolaTracking-1-768x543.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/EbolaTracking-1-320x226.jpg 320w\" sizes=\"(max-width: 432px) 100vw, 432px\">\u003cfigcaption class=\"wp-caption-text\">Screenshot of a real-time Ebola tracking map from researchers at Northeastern \u003ccite>(Emily Peters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Researchers at Northeastern University created a real-time map tracking international \u003ca href=\"http://ebolatracking.org\">Ebola awareness\u003c/a> through tweets. In Italy, scientists improved on Google’s Flu Trends to create accurate \u003ca href=\"http://www.aiimjournal.com/article/S0933-3657(14)00004-9/abstract\">“syndromic surveillance”\u003c/a> of flu through Twitter. While the potential for social media in research is huge, there are emerging debates about the \u003ca href=\"http://sciencelife.uchospitals.edu/2014/10/21/a-tempting-source-of-data-social-media-is-uncharted-ethical-territory-for-medical-research/\">ethics and accuracy of using the data.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Direct Messaging Candidates for Clinical Trials\u003c/strong>\u003c/p>\n\u003cp>An estimated 30 percent of the work of a clinical trial is spent on patient recruiting, and difficulty finding patients is cited as the top reason that clinical research is delayed. Social media is changing this fast.\u003c/p>\n\u003cfigure id=\"attachment_1553\" class=\"wp-caption alignleft\" style=\"max-width: 385px\">\u003cimg class=\" wp-image-1553\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/2_other_patients.png\" alt=\"A graphic developed by PatientsLikeMe\" width=\"385\" height=\"385\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients.png 2048w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-400x400.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-600x600.png 600w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-1180x1180.png 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-768x768.png 768w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-320x320.png 320w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-32x32.png 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-64x64.png 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-96x96.png 96w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-128x128.png 128w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-75x75.png 75w\" sizes=\"(max-width: 385px) 100vw, 385px\">\u003cfigcaption class=\"wp-caption-text\">A graphic developed by PatientsLikeMe \u003ccite>(PatientsLikeMe)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In fact, \u003ca href=\"http://pediatrics.aappublications.org/content/early/2014/04/09/peds.2013-2966.abstract\">one study in the journal Pediatrics\u003c/a> found that 84 percent of patients for two recent pediatric rare disease trials were referred via social media. The patient social network \u003ca href=\"http://patientslikeme.com\">PatientsLikeMe\u003c/a> even has a tool to automatically match members to over 45,000 clinical trial opportunities. Patient recruitment via social networks could lead to quicker and more cost-effective research for cures.\u003c/p>\n\u003cp>\u003cstrong>Paging Doctors About the Conversation\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_1554\" class=\"wp-caption alignleft\" style=\"max-width: 460px\">\u003cimg class=\"wp-image-1554\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/171497-INFO.jpeg\" alt=\"A heat map of salaries for general surgeons by U.S. country\" width=\"460\" height=\"230\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/171497-INFO.jpeg 2400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/171497-INFO-400x200.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/171497-INFO-800x400.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/171497-INFO-1180x590.jpeg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/171497-INFO-768x384.jpeg 768w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/171497-INFO-320x160.jpeg 320w\" sizes=\"(max-width: 460px) 100vw, 460px\">\u003cfigcaption class=\"wp-caption-text\">A heat map of salaries for general surgeons by region. \u003ccite>(Doximity)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Strict privacy restrictions made social media a dangerous territory for medical professionals early on, but the healthcare sector is adapting quickly.\u003c/p>\n\u003cp>Professional networks such as \u003ca href=\"http://sermo.com\">Sermo\u003c/a>, \u003ca href=\"http://doximity.com\">Doximity\u003c/a> and \u003ca href=\"https://figure1.com/\">Figure 1\u003c/a> have created physician-only social spaces for collaboration. Doximity has gone so far as to crowd-source information on medical training and salaries to provide back to its doctor membership. \u003ca href=\"http://network.socialmedia.mayoclinic.org/social-media-residency/\">Mayo Clinic’s Center for Social Media\u003c/a> has been a leader in helping doctors and medical organizations to dip their toes in the social waters.\u003c/p>\n\u003cp>\u003cstrong>What's Trending? Organ Donations\u003c/strong>\u003c/p>\n\u003cp>When Facebook added a single organ donation question to their timeline, over 57,000 people announced their intentions to be donors, and 13,000 officially joined their state registry in a single day— \u003ca href=\"http://www.hopkinsmedicine.org/news/media/releases/the_facebook_effect_social_media_dramatically_boosts_organ_donor_registration\">an increase of 21 times\u003c/a> over normal registration rates, according to Johns Hopkins researchers. The long-term impact of Facebook’s organ donation campaign is still being studied, but it’s a hopeful step for the over 100,000 Americans currently on organ waiting lists.\u003c/p>\n\u003cp>\u003cstrong>Making Disease Awareness Personal\u003c/strong>\u003c/p>\n\u003cp>Lastly, a social media campaign made use of Facebook’s unique features to cleverly raise awareness of a terrible disease. In Holland, health advocates photoshopped people into pictures of events they never attended and then tagged them on Facebook. A followup message said, “Confusing, right? You’re now experiencing what it’s like to have Alzheimer’s disease.” Skip to the bottom for \u003ca href=\"https://vimeo.com/85254361\">a video\u003c/a> with details of their ingenious social campaign.\u003c/p>\n\u003cp>All the examples above took place in the past few years, which suggests that this potent combination of social media and medicine is still in its early days. Despite concerns about consumer privacy and some reticence from healthcare leaders, researchers, doctors, and patients have found fresh new ways to make the most of the social networks that connect us all.\u003c/p>\n\u003cp>[vimeo 85254361 w=500 h=281]\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Disclosure: Peters is a shareholder in Doximity having worked with them until February of 2015. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Author Emily F. Peters is founder of \u003ca href=\"http://www.uncommonbold.com/\">Uncommon Bold\u003c/a>, a San Francisco–based brand strategy studio. Reach her on Twitter: \u003ca href=\"https://twitter.com/EmilyFPeters\">@emilyfpeters\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>Facebook has 1.3 billion users, more than 900 million people use Twitter, and an hour of video is uploaded to YouTube every single second. In the last decade, social networks have fundamentally changed the ways we connect, build communities and \u003ca href=\"http://giphy.com/search/ninja-cat\">share ninja cat GIFs\u003c/a>.\u003c/p>\n\u003cp>So much about health care seems perfectly matched for this modern landscape of social media: All those heart-wrenching stories of recovery against the odds, inspiring new robotic inventions, cases of doctors who just care too much and loads of “you’ll never believe” medical research.\u003c/p>\n\u003cp>But when it comes to social media, the health sector is just getting started.\u003c/p>\n\u003cp>\"Healthcare is habitually late to the party when it comes to marketing and communications, as it's a heavily regulated industry. Social media is no exception,\" said Amanda Changuris, a social media marketing analyst at Highmark and an advisor to the \u003ca href=\"http://network.socialmedia.mayoclinic.org/about-3/\">Mayo Clinic Center for Social Media.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"The good news is that there are now some truly excellent minds putting the medium through its paces for the benefit of patients, physicians and the public in general,\" said Changuris.\u003c/p>\n\u003cp>What can social media and medicine do? From organ donations to #FOMO (which stands for \"fear of missing out\"), here are nine ingenious examples of health care making the most of social networks:\u003c/p>\n\u003cp>\u003cstrong>Opening Operating Rooms to the World\u003c/strong>\u003c/p>\n\u003cp>If blood and gore doesn't make you squeamish, tune into live hospital video streams. Health organizations are tapping into our fascination with medicine and human anatomy by broadcasting surgical procedures via social media.\u003c/p>\n\u003cp>\u003ca href=\"http://www.swedish.org/landing-pages/cochlear-implant-and-hearing-loss-web-series\">The Swedish Medical Center in Washington State\u003c/a> ran a live broadcast of a cochlear implant surgery and followed up with emotional video of the patient listening to music for the first time. \u003ca href=\"http://www.memorialhermann.org/body-of-experts/c-section-twittercast/\">Memorial Hermann Hospital in Texas \u003c/a>showed a six-pound baby boy being delivered via cesarean section live from the OR on Twitter. \u003ca href=\"http://newsroom.ucla.edu/stories/ucla-live-tweets-surgery-to-implant-246356\">UCLA broadcast live on Vine \u003c/a>during brain surgery, showing the Parkinson’s patient playing country music guitar mid-operation.\u003c/p>\n\u003cfigure id=\"attachment_1550\" class=\"wp-caption alignleft\" style=\"max-width: 1280px\">\u003cimg class=\"size-full wp-image-1550\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/456343289_1280x720.jpg\" alt='A screenshot from a video intended to reduce fears about the \"snip\"' width=\"1280\" height=\"720\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/456343289_1280x720.jpg 1280w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/456343289_1280x720-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/456343289_1280x720-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/456343289_1280x720-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/456343289_1280x720-768x432.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/456343289_1280x720-320x180.jpg 320w\" sizes=\"(max-width: 1280px) 100vw, 1280px\">\u003cfigcaption class=\"wp-caption-text\">A screenshot from a video intended to reduce fears about the \"snip\" \u003ccite>(YouTube/ World Vasectomy Day)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>And in 2014, the doctors behind \u003ca href=\"http://www.worldvasectomyday.org\">World Vasectomy Day\u003c/a> took it a step further with a single-day live broadcast of 25 vasectomies. Over 10,000 viewers tuned in to the video stream of surgeries, international video interviews and short documentaries -- all as part of advocacy efforts to reduce fear of “the snip.”\u003c/p>\n\u003cp>\u003cstrong>Crowdsourcing Tough Medical Diagnoses\u003c/strong>\u003c/p>\n\u003cp>The average patient who signs up to a website called \u003ca href=\"http://crowdmed.com\">CrowdMed\u003c/a> has been sick for about eight years, spent more than $55,000 on medical expenses and still doesn’t have a diagnosis for their disease. The crowdsourcing startup helps patients reach a network of “medical detectives”— mostly healthcare professionals and medical students across 23 countries—with their tough medical cases.\u003c/p>\n\u003cp>\u003ca href=\"https://www.crowdmed.com/our-stories/julietta\">One patient, Juliette (pseudonym), \u003c/a>found a diagnosis and cure in just two weeks for a painful swelling condition that had kept her bedridden and undergoing surgery for two decades.\u003c/p>\n\u003cp>“Our 'medical detectives' spend an average of 11 hours per month solving medical cases on the network, which is more time than the average user spends on any other online social media,” said Jessica Greenwalt, co-founder of CrowdMed.\u003c/p>\n\u003cp>“They devote a lot of time to researching diagnoses and communicating with patients.”\u003c/p>\n\u003cp>\u003cstrong>Raising Millions for Clinical Research\u003c/strong>\u003c/p>\n\u003cp>When four-year-old Eliza O’Neill was diagnosed with a rare pediatric disease, her parents turned to social media with a poignant video. \u003ca href=\"http://www.gofundme.com/ElizaONeill\">They’ve now raised more than $2 million for Sanfilippo Syndrome\u003c/a> from 30,000 donors and are working with Nationwide Children’s Hospital in Ohio to speed clinical trials for a promising cure.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe width=\"800\" height=\"425\" src=\"https://www.youtube.com/embed/G0IY8qG7J-I?rel=0\" frameborder=\"0\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>Campaigns like Eliza's and\u003ca href=\"http://www.alsa.org/about-us/ice-bucket-challenge-faq.html\"> the ALS Ice Bucket Challenge\u003c/a> —which raised $115 million in just a few months -- prove just how potent a platform social media can be for raising funds and awareness. The social media model is now being used for everything from \u003ca href=\"http://fightcolorectalcancer.org/do-something/raise-awareness/strong-arm-selfie/\">#strongarmselfies\u003c/a> for colon cancer to \u003ca href=\"http://bigstory.ap.org/article/west-africans-get-creative-ebola-awareness\">buckets of soapy water for Ebola awareness.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Tapping into #FOMO for Public Health\u003c/strong>\u003c/p>\n\u003cp>UCLA studied using social networks to drive up peer pressure and combat the spread of AIDS. The Harnessing Online Peer Education \u003ca href=\"http://newsroom.ucla.edu/releases/combining-social-media-and-behavioral-psychology-could-lead-to-more-hiv-testing\">(HOPE) study\u003c/a> found that social media conversations could triple the request rate for at-home HIV tests in high-risk populations in just three weeks. The researchers are now focused on expanding the study’s lessons to combat substance abuse, depression and bullying.\u003c/p>\n\u003cp>“I think there’s a huge potential in social media—not necessarily because of social media itself, but because everyone uses it,” said Sean Young, executive director, UC Institute for Prediction Technology and UCLA Center for Digital Behavior and the primary investigator on the HOPE study.\u003c/p>\n\u003cp>“Researchers are typically behind the curve in terms of what people are using in technology. People who want to find sex partners, who want to find drugs, they’re going to use the most up-to-date technology to do that. Researchers need to stay ahead of the latest tech trends to keep up.”\u003c/p>\n\u003cp>\u003cstrong>Mining Social Data for Life-Saving Trends\u003c/strong>\u003c/p>\n\u003cp>The massive, real-time trove of public social media data is a potential gold mine for medical researchers. For example, University of Pennsylvania recently found that \u003ca href=\"http://pss.sagepub.com/content/26/2/159\">angry tweets were a strong predictor of fatal cardiac disease.\u003c/a> According to the study, the “model based only on Twitter language predicted [heart disease] mortality significantly better than did a model that combined 10 common demographic, socioeconomic and health risk factors, including smoking, diabetes, hypertension and obesity.”\u003c/p>\n\u003cfigure id=\"attachment_1551\" class=\"wp-caption alignright\" style=\"max-width: 432px\">\u003cimg class=\" wp-image-1551\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/EbolaTracking-1.jpg\" alt=\"Screenshot of a real-time Ebola tracking map from researchers at Northeastern \" width=\"432\" height=\"305\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/EbolaTracking-1.jpg 1169w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/EbolaTracking-1-400x283.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/EbolaTracking-1-800x566.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/EbolaTracking-1-768x543.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/EbolaTracking-1-320x226.jpg 320w\" sizes=\"(max-width: 432px) 100vw, 432px\">\u003cfigcaption class=\"wp-caption-text\">Screenshot of a real-time Ebola tracking map from researchers at Northeastern \u003ccite>(Emily Peters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Researchers at Northeastern University created a real-time map tracking international \u003ca href=\"http://ebolatracking.org\">Ebola awareness\u003c/a> through tweets. In Italy, scientists improved on Google’s Flu Trends to create accurate \u003ca href=\"http://www.aiimjournal.com/article/S0933-3657(14)00004-9/abstract\">“syndromic surveillance”\u003c/a> of flu through Twitter. While the potential for social media in research is huge, there are emerging debates about the \u003ca href=\"http://sciencelife.uchospitals.edu/2014/10/21/a-tempting-source-of-data-social-media-is-uncharted-ethical-territory-for-medical-research/\">ethics and accuracy of using the data.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Direct Messaging Candidates for Clinical Trials\u003c/strong>\u003c/p>\n\u003cp>An estimated 30 percent of the work of a clinical trial is spent on patient recruiting, and difficulty finding patients is cited as the top reason that clinical research is delayed. Social media is changing this fast.\u003c/p>\n\u003cfigure id=\"attachment_1553\" class=\"wp-caption alignleft\" style=\"max-width: 385px\">\u003cimg class=\" wp-image-1553\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/2_other_patients.png\" alt=\"A graphic developed by PatientsLikeMe\" width=\"385\" height=\"385\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients.png 2048w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-400x400.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-600x600.png 600w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-1180x1180.png 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-768x768.png 768w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-320x320.png 320w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-32x32.png 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-64x64.png 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-96x96.png 96w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-128x128.png 128w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/2_other_patients-75x75.png 75w\" sizes=\"(max-width: 385px) 100vw, 385px\">\u003cfigcaption class=\"wp-caption-text\">A graphic developed by PatientsLikeMe \u003ccite>(PatientsLikeMe)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In fact, \u003ca href=\"http://pediatrics.aappublications.org/content/early/2014/04/09/peds.2013-2966.abstract\">one study in the journal Pediatrics\u003c/a> found that 84 percent of patients for two recent pediatric rare disease trials were referred via social media. The patient social network \u003ca href=\"http://patientslikeme.com\">PatientsLikeMe\u003c/a> even has a tool to automatically match members to over 45,000 clinical trial opportunities. Patient recruitment via social networks could lead to quicker and more cost-effective research for cures.\u003c/p>\n\u003cp>\u003cstrong>Paging Doctors About the Conversation\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_1554\" class=\"wp-caption alignleft\" style=\"max-width: 460px\">\u003cimg class=\"wp-image-1554\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/171497-INFO.jpeg\" alt=\"A heat map of salaries for general surgeons by U.S. country\" width=\"460\" height=\"230\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/171497-INFO.jpeg 2400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/171497-INFO-400x200.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/171497-INFO-800x400.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/171497-INFO-1180x590.jpeg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/171497-INFO-768x384.jpeg 768w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/171497-INFO-320x160.jpeg 320w\" sizes=\"(max-width: 460px) 100vw, 460px\">\u003cfigcaption class=\"wp-caption-text\">A heat map of salaries for general surgeons by region. \u003ccite>(Doximity)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Strict privacy restrictions made social media a dangerous territory for medical professionals early on, but the healthcare sector is adapting quickly.\u003c/p>\n\u003cp>Professional networks such as \u003ca href=\"http://sermo.com\">Sermo\u003c/a>, \u003ca href=\"http://doximity.com\">Doximity\u003c/a> and \u003ca href=\"https://figure1.com/\">Figure 1\u003c/a> have created physician-only social spaces for collaboration. Doximity has gone so far as to crowd-source information on medical training and salaries to provide back to its doctor membership. \u003ca href=\"http://network.socialmedia.mayoclinic.org/social-media-residency/\">Mayo Clinic’s Center for Social Media\u003c/a> has been a leader in helping doctors and medical organizations to dip their toes in the social waters.\u003c/p>\n\u003cp>\u003cstrong>What's Trending? Organ Donations\u003c/strong>\u003c/p>\n\u003cp>When Facebook added a single organ donation question to their timeline, over 57,000 people announced their intentions to be donors, and 13,000 officially joined their state registry in a single day— \u003ca href=\"http://www.hopkinsmedicine.org/news/media/releases/the_facebook_effect_social_media_dramatically_boosts_organ_donor_registration\">an increase of 21 times\u003c/a> over normal registration rates, according to Johns Hopkins researchers. The long-term impact of Facebook’s organ donation campaign is still being studied, but it’s a hopeful step for the over 100,000 Americans currently on organ waiting lists.\u003c/p>\n\u003cp>\u003cstrong>Making Disease Awareness Personal\u003c/strong>\u003c/p>\n\u003cp>Lastly, a social media campaign made use of Facebook’s unique features to cleverly raise awareness of a terrible disease. In Holland, health advocates photoshopped people into pictures of events they never attended and then tagged them on Facebook. A followup message said, “Confusing, right? You’re now experiencing what it’s like to have Alzheimer’s disease.” Skip to the bottom for \u003ca href=\"https://vimeo.com/85254361\">a video\u003c/a> with details of their ingenious social campaign.\u003c/p>\n\u003cp>All the examples above took place in the past few years, which suggests that this potent combination of social media and medicine is still in its early days. Despite concerns about consumer privacy and some reticence from healthcare leaders, researchers, doctors, and patients have found fresh new ways to make the most of the social networks that connect us all.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Disclosure: Peters is a shareholder in Doximity having worked with them until February of 2015. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"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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"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.",
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"meta": {
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"id": "fresh-air",
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"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.",
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
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"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. ",
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"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. ",
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"order": 18
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},
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"id": "latino-usa",
"title": "Latino USA",
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"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
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"officialWebsiteLink": "http://latinousa.org/",
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"link": "/radio/program/latino-usa",
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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"
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},
"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": {
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"source": "American Public Media"
},
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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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"meta": {
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"rss": "https://rss.art19.com/masters-of-scale"
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},
"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",
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"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"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",
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"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
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"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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},
"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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},
"link": "/radio/program/on-the-media",
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"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
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},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
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},
"link": "/radio/program/pbs-newshour",
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"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
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"officialWebsiteLink": "/perspectives/",
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
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"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
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"rss": "https://feeds.npr.org/510289/podcast.xml"
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},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
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