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"title": "How Seniors Are Taking Advantage of Wearable Tech",
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"content": "\u003cp>When Elisabeth Handler, 71, of San Jose decided to commit to losing weight, she started using an activity tracker from Fitbit. Handler wears the tracker on her wrist to monitor her daily step count.\u003c/p>\n\u003cp>We rarely hear stories in the press about people who use wearable technology that aren't young, fit and generally healthy. But Handler is far from alone in finding value in apps and activity trackers later in life.\u003c/p>\n\u003cp>New research is finding that seniors are monitoring their health using wearable trackers at similar rates as their younger counterparts. A recent \u003cspan style=\"font-weight: 400\">\u003ca href=\"http://rockhealth.com/reports/digital-health-consumer-adoption-2015/\">survey\u003c/a> of \u003c/span>\u003cspan style=\"font-weight: 400\">4,017 Americans, conducted by \u003ca href=\"https://rockhealth.com/\">Rock Health\u003c/a>, found that demographic variables, like age and income, had no statistically significant effect on adoption of digital health. In other words, seniors are just as likely to use a Fitbit or Jawbone device as a millennial.\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_62089\" class=\"wp-caption alignright\" style=\"max-width: 302px\">\u003cimg class=\" wp-image-62089\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/elisabeth-588x600.jpg\" alt=\"Elisabeth Handler sports her Fitbit Flex at this year's Pinot Noir harvest in the Santa Cruz mountains. \" width=\"302\" height=\"308\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-588x600.jpg 588w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-400x409.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-1155x1180.jpg 1155w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-1180x1205.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-960x980.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-75x75.jpg 75w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth.jpg 1363w\" sizes=\"(max-width: 302px) 100vw, 302px\">\u003cfigcaption class=\"wp-caption-text\">Elisabeth Handler sports her Fitbit Flex at this year's Pinot Noir harvest in the Santa Cruz mountains. \u003ccite>(Elisabeth Handler)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"We were surprised, but pleased, that age wasn't a significant factor in determining adoption, because it implies that digital health technologies are reaching the senior population,” said Rock Health's Teresa Wang, one of the researchers behind the survey.\u003c/p>\n\u003cp>\u003cstrong>How Can Seniors Benefit From Wearable Tech? \u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>I spoke with several retired people over the age of 65, who said they had more time to tackle the health challenges they have been putting off for a lifetime. And wearable health trackers provided the data they needed to meet their goals.\u003c/p>\n\u003cp>“When I was working, I always said I wanted to exercise,” said Janice Chow, a 66-year-old resident of Castro Valley who uses a Jawbone Up24 tracker. “Now that I’m retired, I have time to exercise twice a day.”\u003c/p>\n\u003cp>Chow resumed regular exercise with activities she loved: Walking and hiking. She describes herself as \"technologically challenged,\" but when she received a wearable fitness tracker as a gift, she found it integrated easily into her workouts. It could tell her how many steps she had taken and how far she had hiked.\u003c/p>\n\u003cp>Her Jawbone device (and the several Fitbits she had previously lost) began inspiring her to do more. At its suggestion, she has integrated more dynamic activity into her workout regime.\u003c/p>\n\u003cp>“I take aerobics because the Jawbone would tell me, ‘Try to get your heart rate up,’” Chow said. “I’m trying to tone my muscles and be healthier. It motivates me to do more.”\u003c/p>\n\u003cp>\u003cb>'Awareness Around My Physical Life'\u003c/b>\u003c/p>\n\u003cp>Handler has been relying on technology to manage her health for years now. When she needed a new hip 11 years ago, she turned to the Internet to find a surgeon. Today, she uses an online portal to access her health records, make appointments and email doctors.\u003c/p>\n\u003cp>But her most enthusiastically-adopted piece of technology will always be her health tracker.\u003c/p>\n\u003cp>Handler said her health habits began to evolve when she retired from a traditional career in favor of working from home as a consultant. She signed up for a 30-week health program through Kaiser in 2013, during which she abided by a rigorous supervised diet and bought a treadmill desk. She quickly became frustrated with tracking her workouts on paper.\u003c/p>\n\u003cp>She had used pedometers in the past, but never felt like they were accurate enough. This time, she bought a Fitbit Flex, a thin wristband that can track factors like steps, calories burned and sleep patterns. She monitors the data it collects in an app called MyFitnessPal, which can also log her food consumption.\u003c/p>\n\u003caside class=\"pullquote alignright\">“It [my activity tracker] gave me a really tangible, un-fudgeable, un-manipulatable way of being honest about what I’m doing.\"\u003cbr>\n\u003ccite>Elisabeth Handler\u003c/cite>\u003c/aside>\n\u003cp>Handler eventually lost 50 pounds. She’s found it isn’t hard to keep active during the day if she keeps her exercise simple. During our interview, Handler admitted she was currently walking at a very slow speed on the treadmill.\u003c/p>\n\u003cp>“For me, the tracker was a very easy entry-point into kind of a whole ecosystem of awareness around my physical life,” Handler said. “It gave me a really tangible, un-fudgeable, un-manipulatable way of being honest about what I’m doing.\"\u003c/p>\n\u003cp>\u003cb>Tracking Sleep\u003c/b>\u003c/p>\n\u003cp>Both Handler and Chow said their wearables helped them improve their sleep. In Chow’s case, the reports she received on her sleeping patterns helped her improve her quality of sleep. When Handler paired her step counts with overnight reports, she realized more activity led to better sleep.\u003c/p>\n\u003cp>“If I have a high number of steps on Tuesday, Tuesday night I sleep better,” Handler said. “It’s a clear correlation. That to me was an enormous ‘aha.’”\u003c/p>\n\u003cp>The next step is, of course, to track more. Handler is eyeing an upgrade that would allow her to monitor her heart rate. Chow would like to start logging her water consumption--something the Jawbone app keeps bugging her to do. But she’s not quite sure how to do it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“My daughter says she’ll help me figure that out,”she said. \u003c/span>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Elisabeth Handler, 71, of San Jose decided to commit to losing weight, she started using an activity tracker from Fitbit. Handler wears the tracker on her wrist to monitor her daily step count.\u003c/p>\n\u003cp>We rarely hear stories in the press about people who use wearable technology that aren't young, fit and generally healthy. But Handler is far from alone in finding value in apps and activity trackers later in life.\u003c/p>\n\u003cp>New research is finding that seniors are monitoring their health using wearable trackers at similar rates as their younger counterparts. A recent \u003cspan style=\"font-weight: 400\">\u003ca href=\"http://rockhealth.com/reports/digital-health-consumer-adoption-2015/\">survey\u003c/a> of \u003c/span>\u003cspan style=\"font-weight: 400\">4,017 Americans, conducted by \u003ca href=\"https://rockhealth.com/\">Rock Health\u003c/a>, found that demographic variables, like age and income, had no statistically significant effect on adoption of digital health. In other words, seniors are just as likely to use a Fitbit or Jawbone device as a millennial.\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_62089\" class=\"wp-caption alignright\" style=\"max-width: 302px\">\u003cimg class=\" wp-image-62089\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/elisabeth-588x600.jpg\" alt=\"Elisabeth Handler sports her Fitbit Flex at this year's Pinot Noir harvest in the Santa Cruz mountains. \" width=\"302\" height=\"308\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-588x600.jpg 588w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-400x409.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-1155x1180.jpg 1155w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-1180x1205.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-960x980.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-75x75.jpg 75w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth.jpg 1363w\" sizes=\"(max-width: 302px) 100vw, 302px\">\u003cfigcaption class=\"wp-caption-text\">Elisabeth Handler sports her Fitbit Flex at this year's Pinot Noir harvest in the Santa Cruz mountains. \u003ccite>(Elisabeth Handler)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"We were surprised, but pleased, that age wasn't a significant factor in determining adoption, because it implies that digital health technologies are reaching the senior population,” said Rock Health's Teresa Wang, one of the researchers behind the survey.\u003c/p>\n\u003cp>\u003cstrong>How Can Seniors Benefit From Wearable Tech? \u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>I spoke with several retired people over the age of 65, who said they had more time to tackle the health challenges they have been putting off for a lifetime. And wearable health trackers provided the data they needed to meet their goals.\u003c/p>\n\u003cp>“When I was working, I always said I wanted to exercise,” said Janice Chow, a 66-year-old resident of Castro Valley who uses a Jawbone Up24 tracker. “Now that I’m retired, I have time to exercise twice a day.”\u003c/p>\n\u003cp>Chow resumed regular exercise with activities she loved: Walking and hiking. She describes herself as \"technologically challenged,\" but when she received a wearable fitness tracker as a gift, she found it integrated easily into her workouts. It could tell her how many steps she had taken and how far she had hiked.\u003c/p>\n\u003cp>Her Jawbone device (and the several Fitbits she had previously lost) began inspiring her to do more. At its suggestion, she has integrated more dynamic activity into her workout regime.\u003c/p>\n\u003cp>“I take aerobics because the Jawbone would tell me, ‘Try to get your heart rate up,’” Chow said. “I’m trying to tone my muscles and be healthier. It motivates me to do more.”\u003c/p>\n\u003cp>\u003cb>'Awareness Around My Physical Life'\u003c/b>\u003c/p>\n\u003cp>Handler has been relying on technology to manage her health for years now. When she needed a new hip 11 years ago, she turned to the Internet to find a surgeon. Today, she uses an online portal to access her health records, make appointments and email doctors.\u003c/p>\n\u003cp>But her most enthusiastically-adopted piece of technology will always be her health tracker.\u003c/p>\n\u003cp>Handler said her health habits began to evolve when she retired from a traditional career in favor of working from home as a consultant. She signed up for a 30-week health program through Kaiser in 2013, during which she abided by a rigorous supervised diet and bought a treadmill desk. She quickly became frustrated with tracking her workouts on paper.\u003c/p>\n\u003cp>She had used pedometers in the past, but never felt like they were accurate enough. This time, she bought a Fitbit Flex, a thin wristband that can track factors like steps, calories burned and sleep patterns. She monitors the data it collects in an app called MyFitnessPal, which can also log her food consumption.\u003c/p>\n\u003caside class=\"pullquote alignright\">“It [my activity tracker] gave me a really tangible, un-fudgeable, un-manipulatable way of being honest about what I’m doing.\"\u003cbr>\n\u003ccite>Elisabeth Handler\u003c/cite>\u003c/aside>\n\u003cp>Handler eventually lost 50 pounds. She’s found it isn’t hard to keep active during the day if she keeps her exercise simple. During our interview, Handler admitted she was currently walking at a very slow speed on the treadmill.\u003c/p>\n\u003cp>“For me, the tracker was a very easy entry-point into kind of a whole ecosystem of awareness around my physical life,” Handler said. “It gave me a really tangible, un-fudgeable, un-manipulatable way of being honest about what I’m doing.\"\u003c/p>\n\u003cp>\u003cb>Tracking Sleep\u003c/b>\u003c/p>\n\u003cp>Both Handler and Chow said their wearables helped them improve their sleep. In Chow’s case, the reports she received on her sleeping patterns helped her improve her quality of sleep. When Handler paired her step counts with overnight reports, she realized more activity led to better sleep.\u003c/p>\n\u003cp>“If I have a high number of steps on Tuesday, Tuesday night I sleep better,” Handler said. “It’s a clear correlation. That to me was an enormous ‘aha.’”\u003c/p>\n\u003cp>The next step is, of course, to track more. Handler is eyeing an upgrade that would allow her to monitor her heart rate. Chow would like to start logging her water consumption--something the Jawbone app keeps bugging her to do. But she’s not quite sure how to do it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“My daughter says she’ll help me figure that out,”she said. \u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Which Activity Trackers are the Most Reliable?",
"title": "Which Activity Trackers are the Most Reliable?",
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"content": "\u003cp>These days, anyone can buy a basic fitness tracker for less than $100. But can you trust the device to provide accurate data about your steps?\u003c/p>\n\u003cp>According to new research published this week from a\u003ca href=\"http://bmcsportsscimedrehabil.biomedcentral.com/articles/10.1186/s13102-015-0018-5\"> group of researchers\u003c/a> at the \u003ca href=\"https://www.hanze.nl/eng\">Hanze University of Applied Sciences\u003c/a> in the Netherlands, most of the popular activity trackers will do.\u003c/p>\n\u003cfigure id=\"attachment_51084\" class=\"wp-caption alignright\" style=\"max-width: 287px\">\u003cimg class=\" wp-image-51084\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/misfit-800x600.jpg\" alt=\"Wearable maker Misfit is known for its small, jewel-like trackers.\" width=\"287\" height=\"215\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-1920x1440.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit.jpg 2048w\" sizes=\"(max-width: 287px) 100vw, 287px\">\u003cfigcaption class=\"wp-caption-text\">Wearable maker Misfit is known for its small, jewel-like trackers. \u003ccite>(Yosomono/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The researchers found that seven of the top ten consumer devices and smartphone apps were reliable at tracking steps, and five showed high accuracy when tested in laboratory conditions.\u003c/p>\n\u003cp>I was somewhat surprised to learn that the less expensive trackers, like the $69.99 Misfit Shine or $59.95 Fitbit Zip, weren't any less reliable than their more pricey counterparts.\u003c/p>\n\u003cp>\"The activity trackers performed better than we expected in general,\" said Martijn de Groot, \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/19/training-the-next-generation-of-quantified-nurses/\">one of the authors of the paper.\u003c/a> De Groot is also a research director at the \u003ca href=\"http://www.qsinstitute.org/\">Quantified Institute\u003c/a>, which specializes in wearable technology. \"Only the Nike Fuelband was disappointing,\" he told me.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The wearables market has exploded in the past few years. \u003ca href=\"https://www.idc.com/getdoc.jsp?containerId=255356\">The research firm IDC\u003c/a> predicts that the number of trackers shipped will jump from around 20 million in 2014 to over 120 million in 2019. Some devices emphasize style and affordability; others offer far more sophisticated data than just step counts, like sleep quality and heart rate.\u003c/p>\n\u003cp>[Editors' Note: I first met de Groot at the 'Quantified Self' conference in San Francisco, where he presented on a new program to teach nurses and other health professionals about statistics..\u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/19/training-the-next-generation-of-quantified-nurses/\"> More on that here.\u003c/a>]\u003c/p>\n\u003cp>\u003cstrong>The Results?\u003c/strong>\u003c/p>\n\u003cp>The Moves app for the iPhone and Nike Fuelband were the least accurate and reliable, according to the researchers, while the Jawbone UP, Misfit Shine, Withings Pulse, Fitbit Zip and Lumoback scored high on both counts. \u003ca href=\"http://www.ijbnpa.org/content/pdf/s12966-015-0201-9.pdf\">These results echo previous studies\u003c/a>, which found that the Fitbit and Withings devices were strong performers.\u003c/p>\n\u003cp>The researchers kicked off the experiment a year ago and recruited more than 50 healthy adult volunteers. What stood out to me about the study is that it's among the first to test the fitness trackers both in the lab and in \"free living conditions,\" meaning in the participants' daily lives. A device might perform well in lab conditions for the purposes of academic studies, but not in the real world.\u003c/p>\n\u003caside class=\"pullquote alignright\">“The activity trackers performed better than we expected in general.\"\u003cbr>\n\u003ccite>Martijn de Groot, a principal investor at the \u003ca href=\"https://www.hanze.nl/eng\">Hanze University of Applied Sciences\u003c/a>\u003c/cite>\u003c/aside>\n\u003cp>For the lab portion of the research, the participants were asked to walk twice on a treadmill for 30 minutes while wearing all ten trackers and an \u003ca href=\"http://www.paltech.plus.com/products.htm\">ActivPAL\u003c/a>, an accelerometer-based monitor worn on the thigh that is commonly used by researchers as the \"gold standard.\"\u003c/p>\n\u003cp>The participants were subsequently asked to sport all of the devices during a regular workday, but to abstain from cycling, driving or any other activity that might skew the results by damaging the tracker or shifting the wearing position.\u003c/p>\n\u003cfigure id=\"attachment_51082\" class=\"wp-caption alignleft\" style=\"max-width: 290px\">\u003cimg class=\" wp-image-51082\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Fitibit_Flex-800x573.jpg\" alt=\"Fitbit devices were among the most accurate, according to the study.\" width=\"290\" height=\"208\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-800x573.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-400x286.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-1180x845.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-1920x1374.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-960x687.jpg 960w\" sizes=\"(max-width: 290px) 100vw, 290px\">\u003cfigcaption class=\"wp-caption-text\">Fitbit devices were among the most accurate, according to the study. \u003ccite>(Wikimedia Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>By performing statistical analysis to compare the results from the trackers and the gold standard, the researchers were able to assess the validity and reliability of the devices. According to de Groot, the latter is more important for most people. If the feedback is off, but off by about the same amount every day, then it's still useful for workout purposes.\u003c/p>\n\u003cp>For patients with serious medical conditions, De Groot said he would suggest a device that is worn on the pelvis or chest, rather than on the wrist.\u003c/p>\n\u003cp>Wrist-worn activity trackers are more prone to errors when we vigorously move our arms during the day, he said. But it also depends on what you're trying to measure: To track lower-limb activity like cycling, for instance, he would suggest a device worn on the ankle.\u003c/p>\n\u003cp>In an interview, De Groot shared some of the limitations to the study. The researchers did not test for long-distance tracking or other measurements, including sleep. Moreover, they carried out the experiments one year ago. The Moves app, which is the only one that relies on the iPhone's in-built accelerometer, likely improved in the more recently-released iPhone 6 and 6 Plus.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Which wearable tracker do you use? Do you use it regularly, and have you experienced any issues? Share your story with me at cfarr@kqed.org\u003c/em>\u003c/p>\n\n",
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"excerpt": "These days, anyone can buy a basic fitness tracker for less than $100. But can you trust the device to provide accurate data about your steps?",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>These days, anyone can buy a basic fitness tracker for less than $100. But can you trust the device to provide accurate data about your steps?\u003c/p>\n\u003cp>According to new research published this week from a\u003ca href=\"http://bmcsportsscimedrehabil.biomedcentral.com/articles/10.1186/s13102-015-0018-5\"> group of researchers\u003c/a> at the \u003ca href=\"https://www.hanze.nl/eng\">Hanze University of Applied Sciences\u003c/a> in the Netherlands, most of the popular activity trackers will do.\u003c/p>\n\u003cfigure id=\"attachment_51084\" class=\"wp-caption alignright\" style=\"max-width: 287px\">\u003cimg class=\" wp-image-51084\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/misfit-800x600.jpg\" alt=\"Wearable maker Misfit is known for its small, jewel-like trackers.\" width=\"287\" height=\"215\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-1920x1440.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit.jpg 2048w\" sizes=\"(max-width: 287px) 100vw, 287px\">\u003cfigcaption class=\"wp-caption-text\">Wearable maker Misfit is known for its small, jewel-like trackers. \u003ccite>(Yosomono/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The researchers found that seven of the top ten consumer devices and smartphone apps were reliable at tracking steps, and five showed high accuracy when tested in laboratory conditions.\u003c/p>\n\u003cp>I was somewhat surprised to learn that the less expensive trackers, like the $69.99 Misfit Shine or $59.95 Fitbit Zip, weren't any less reliable than their more pricey counterparts.\u003c/p>\n\u003cp>\"The activity trackers performed better than we expected in general,\" said Martijn de Groot, \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/19/training-the-next-generation-of-quantified-nurses/\">one of the authors of the paper.\u003c/a> De Groot is also a research director at the \u003ca href=\"http://www.qsinstitute.org/\">Quantified Institute\u003c/a>, which specializes in wearable technology. \"Only the Nike Fuelband was disappointing,\" he told me.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The wearables market has exploded in the past few years. \u003ca href=\"https://www.idc.com/getdoc.jsp?containerId=255356\">The research firm IDC\u003c/a> predicts that the number of trackers shipped will jump from around 20 million in 2014 to over 120 million in 2019. Some devices emphasize style and affordability; others offer far more sophisticated data than just step counts, like sleep quality and heart rate.\u003c/p>\n\u003cp>[Editors' Note: I first met de Groot at the 'Quantified Self' conference in San Francisco, where he presented on a new program to teach nurses and other health professionals about statistics..\u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/19/training-the-next-generation-of-quantified-nurses/\"> More on that here.\u003c/a>]\u003c/p>\n\u003cp>\u003cstrong>The Results?\u003c/strong>\u003c/p>\n\u003cp>The Moves app for the iPhone and Nike Fuelband were the least accurate and reliable, according to the researchers, while the Jawbone UP, Misfit Shine, Withings Pulse, Fitbit Zip and Lumoback scored high on both counts. \u003ca href=\"http://www.ijbnpa.org/content/pdf/s12966-015-0201-9.pdf\">These results echo previous studies\u003c/a>, which found that the Fitbit and Withings devices were strong performers.\u003c/p>\n\u003cp>The researchers kicked off the experiment a year ago and recruited more than 50 healthy adult volunteers. What stood out to me about the study is that it's among the first to test the fitness trackers both in the lab and in \"free living conditions,\" meaning in the participants' daily lives. A device might perform well in lab conditions for the purposes of academic studies, but not in the real world.\u003c/p>\n\u003caside class=\"pullquote alignright\">“The activity trackers performed better than we expected in general.\"\u003cbr>\n\u003ccite>Martijn de Groot, a principal investor at the \u003ca href=\"https://www.hanze.nl/eng\">Hanze University of Applied Sciences\u003c/a>\u003c/cite>\u003c/aside>\n\u003cp>For the lab portion of the research, the participants were asked to walk twice on a treadmill for 30 minutes while wearing all ten trackers and an \u003ca href=\"http://www.paltech.plus.com/products.htm\">ActivPAL\u003c/a>, an accelerometer-based monitor worn on the thigh that is commonly used by researchers as the \"gold standard.\"\u003c/p>\n\u003cp>The participants were subsequently asked to sport all of the devices during a regular workday, but to abstain from cycling, driving or any other activity that might skew the results by damaging the tracker or shifting the wearing position.\u003c/p>\n\u003cfigure id=\"attachment_51082\" class=\"wp-caption alignleft\" style=\"max-width: 290px\">\u003cimg class=\" wp-image-51082\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Fitibit_Flex-800x573.jpg\" alt=\"Fitbit devices were among the most accurate, according to the study.\" width=\"290\" height=\"208\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-800x573.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-400x286.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-1180x845.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-1920x1374.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-960x687.jpg 960w\" sizes=\"(max-width: 290px) 100vw, 290px\">\u003cfigcaption class=\"wp-caption-text\">Fitbit devices were among the most accurate, according to the study. \u003ccite>(Wikimedia Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>By performing statistical analysis to compare the results from the trackers and the gold standard, the researchers were able to assess the validity and reliability of the devices. According to de Groot, the latter is more important for most people. If the feedback is off, but off by about the same amount every day, then it's still useful for workout purposes.\u003c/p>\n\u003cp>For patients with serious medical conditions, De Groot said he would suggest a device that is worn on the pelvis or chest, rather than on the wrist.\u003c/p>\n\u003cp>Wrist-worn activity trackers are more prone to errors when we vigorously move our arms during the day, he said. But it also depends on what you're trying to measure: To track lower-limb activity like cycling, for instance, he would suggest a device worn on the ankle.\u003c/p>\n\u003cp>In an interview, De Groot shared some of the limitations to the study. The researchers did not test for long-distance tracking or other measurements, including sleep. Moreover, they carried out the experiments one year ago. The Moves app, which is the only one that relies on the iPhone's in-built accelerometer, likely improved in the more recently-released iPhone 6 and 6 Plus.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Which wearable tracker do you use? Do you use it regularly, and have you experienced any issues? Share your story with me at cfarr@kqed.org\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Like most patients with dementia, Ray Ciancaglini has good days and bad days.\u003c/p>\n\u003cp>On his worst days, Ciancaglini, a retired boxer, might wander off in the dead of winter from his home in Finger Lakes, New York, without notifying his wife Patty. Occasionally, he'll walk for miles and forget his home address.\u003c/p>\n\u003cp>Six out of ten people with dementia will wander, \u003ca href=\"https://www.alz.org/care/alzheimers-dementia-wandering.asp\">according to the Alzheimer's Association.\u003c/a> The Association found that about 50 percent of people who wander will suffer serious injury or death if they are not found within 24 hours.\u003c/p>\n\u003cp>Ciancaglini recently started wearing new GPS-tracking shoe inserts called \u003ca href=\"http://www.gpssmartsole.com/\">SmartSole\u003c/a>, which fit inside his favorite pair of shoes. The insoles connect to a website and mobile app that his wife can access at any time.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"My wife doesn't have to worry that I'll wander off and she can't find me if we're in a crowded mall or on a hike. It alleviates a lot of pressure.\"\u003ccite>Ray Ciancaglini\u003c/cite>\u003c/aside>\n\u003cp>Using the SmartSole system, Ciancaglini's wife, Patty, sets a perimeter and receives an alert if her husband strays outside that area. She can also track his movements in real time on a map.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"My wife doesn't have to worry that I'll wander off and she can't find me if we're in a crowded mall or on a hike,\" he said. \"It alleviates a lot of pressure.\"\u003c/p>\n\u003cp>SmartSole hit the market in January and has sold about 1,500 units, according to Patrick Bertagna from \u003ca href=\"http://gtxcorp.com/\">GTX Corp\u003c/a>, the company that developed the device. Bertagna came up with the idea about a decade ago after hearing about a little girl who was abducted. He wondered what would happen if parents could put tracking devices into kids' shoes.\u003c/p>\n\u003cp>Given the \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/04/20/using-technology-to-help-in-dementia-care/\">scope of the problem\u003c/a> for people with memory disorders, Bergagna later shifted his focus to helping them. \u003ca href=\"http://www.alz.org/facts/\">More than five million\u003c/a> Americans suffer from Alzheimer's Disease. The Alzheimer's Association estimates that by 2025, that number will have jumped to seven million.\u003c/p>\n\u003cp>SmartSole is just one in a slew of recent technologies that aim to give peace of mind to those who care for people who suffer from dementia, whether it's caused by Alzheimer's Disease, sports-related traumatic brain injuries, aging or other influences.\u003c/p>\n\u003cp>Technology companies have adopted a wide range of approaches to track patients. A fifteen-year-old recently \u003ca href=\"http://www.nature.com/press_releases/sciam-award-2014.html\">won a Scientific American \u003c/a>award for his \"smart sock\" that detects an increase in the wearer's foot pressure when they get out of bed. A company called \u003ca href=\"http://www.bluewatersecurityprofessionals.com/elderlytracking.htm\">Bluewater Security \u003c/a>developed a wristwatch that tracks the movement of a person or car from a distance. And a handful of new technologies, such as \u003ca href=\"http://www.comfortzonecheckin.com/default.aspx\">Comfort Zone Check-In\u003c/a>, use a patient's mobile phone to track their movements.\u003c/p>\n\u003cfigure id=\"attachment_36750\" class=\"wp-caption alignright\" style=\"max-width: 508px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/SmartSole-Product.jpg\">\u003cimg class=\"size-medium wp-image-36750\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/SmartSole-Product-508x600.jpg\" alt=\"The SmartSole device and charger.\" width=\"508\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/SmartSole-Product-508x600.jpg 508w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/SmartSole-Product-400x473.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/SmartSole-Product-998x1180.jpg 998w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/SmartSole-Product-1180x1395.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/SmartSole-Product-960x1135.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/SmartSole-Product.jpg 1215w\" sizes=\"(max-width: 508px) 100vw, 508px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The SmartSole device and charger. \u003ccite>(SmartSole)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"Caregivers are really eager for technologies that can help them,\" said \u003cspan class=\"s1\">Katherine L. Possin, a\u003c/span>\u003cspan class=\"s1\">ssistant professor of neuropsychology at the \u003ca href=\"http://memory.ucsf.edu/\">UCSF Memory and Aging Center\u003c/a>. \"Honestly, the technology industry can't build them fast enough.\"\u003c/span>\u003c/p>\n\u003cp>UCSF is currently involved with a \u003ca href=\"http://memory.ucsf.edu/research/supportive-trials/careecosystem\">trial of its own\u003c/a> to determine how to use technologies to support dementia care. The project is funded for a three-year period by the Centers for Medicare & Medicaid Services.\u003c/p>\n\u003cp>Possin says most caregivers she encounters have had at least once incident where a patient with dementia wandered off. Oftentimes, if the patient isn't wearing a GPS tracker, the local police will be needed to help.\u003c/p>\n\u003cp>Still, it's early days for GPS-tracking technologies. The SmartSole needs to be charged as frequently as a smartphone or tablet device. And it isn't waterproof, so it may stop working if it rains or the wearer steps in a puddle.\u003c/p>\n\u003cp>Possin points to many limitations with alternative products, particularly those that rely on patients wearing a piece of \"smart\" jewelry or carrying a mobile phone with them at all times. Patients who wander will frequently leave such items at home.\u003c/p>\n\u003cp>But she sees a lot of potential in a \"smartwatch,\" since many patients are used to the feeling of wearing a watch. Unfortunately, most smartwatches today, including the Apple Watch, don't have GPS and are not designed to be used independently of the smartphone.\u003c/p>\n\u003cp>For now, she considers the SmartSole as among the best options on the market.\u003c/p>\n\u003cp>\"A lot of people with dementia rely on what's familiar,\" explained \u003cspan class=\"s1\">Jennifer Merrilees, a clinical nurse specialist who works with Possin at the UCSF Memory and Aging Center. And what could be more familiar than a well-worn pair of shoes? \u003c/span>\u003c/p>\n\u003cp>Ciancaglini says the benefit to SmartSole over alternative solutions is that he doesn't realize that he's wearing it and is therefore far less likely to remove it when he's wandering. Also, he'll leave a wristwatch and phone at home, but he rarely walks out of the house without his shoes.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I'm confident that if I did wander around without my shoes, someone would alert my wife.\" he said. \"That's a red flag.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Like most patients with dementia, Ray Ciancaglini has good days and bad days.\u003c/p>\n\u003cp>On his worst days, Ciancaglini, a retired boxer, might wander off in the dead of winter from his home in Finger Lakes, New York, without notifying his wife Patty. Occasionally, he'll walk for miles and forget his home address.\u003c/p>\n\u003cp>Six out of ten people with dementia will wander, \u003ca href=\"https://www.alz.org/care/alzheimers-dementia-wandering.asp\">according to the Alzheimer's Association.\u003c/a> The Association found that about 50 percent of people who wander will suffer serious injury or death if they are not found within 24 hours.\u003c/p>\n\u003cp>Ciancaglini recently started wearing new GPS-tracking shoe inserts called \u003ca href=\"http://www.gpssmartsole.com/\">SmartSole\u003c/a>, which fit inside his favorite pair of shoes. The insoles connect to a website and mobile app that his wife can access at any time.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"My wife doesn't have to worry that I'll wander off and she can't find me if we're in a crowded mall or on a hike. It alleviates a lot of pressure.\"\u003ccite>Ray Ciancaglini\u003c/cite>\u003c/aside>\n\u003cp>Using the SmartSole system, Ciancaglini's wife, Patty, sets a perimeter and receives an alert if her husband strays outside that area. She can also track his movements in real time on a map.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"My wife doesn't have to worry that I'll wander off and she can't find me if we're in a crowded mall or on a hike,\" he said. \"It alleviates a lot of pressure.\"\u003c/p>\n\u003cp>SmartSole hit the market in January and has sold about 1,500 units, according to Patrick Bertagna from \u003ca href=\"http://gtxcorp.com/\">GTX Corp\u003c/a>, the company that developed the device. Bertagna came up with the idea about a decade ago after hearing about a little girl who was abducted. He wondered what would happen if parents could put tracking devices into kids' shoes.\u003c/p>\n\u003cp>Given the \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/04/20/using-technology-to-help-in-dementia-care/\">scope of the problem\u003c/a> for people with memory disorders, Bergagna later shifted his focus to helping them. \u003ca href=\"http://www.alz.org/facts/\">More than five million\u003c/a> Americans suffer from Alzheimer's Disease. The Alzheimer's Association estimates that by 2025, that number will have jumped to seven million.\u003c/p>\n\u003cp>SmartSole is just one in a slew of recent technologies that aim to give peace of mind to those who care for people who suffer from dementia, whether it's caused by Alzheimer's Disease, sports-related traumatic brain injuries, aging or other influences.\u003c/p>\n\u003cp>Technology companies have adopted a wide range of approaches to track patients. A fifteen-year-old recently \u003ca href=\"http://www.nature.com/press_releases/sciam-award-2014.html\">won a Scientific American \u003c/a>award for his \"smart sock\" that detects an increase in the wearer's foot pressure when they get out of bed. A company called \u003ca href=\"http://www.bluewatersecurityprofessionals.com/elderlytracking.htm\">Bluewater Security \u003c/a>developed a wristwatch that tracks the movement of a person or car from a distance. And a handful of new technologies, such as \u003ca href=\"http://www.comfortzonecheckin.com/default.aspx\">Comfort Zone Check-In\u003c/a>, use a patient's mobile phone to track their movements.\u003c/p>\n\u003cfigure id=\"attachment_36750\" class=\"wp-caption alignright\" style=\"max-width: 508px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/SmartSole-Product.jpg\">\u003cimg class=\"size-medium wp-image-36750\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/SmartSole-Product-508x600.jpg\" alt=\"The SmartSole device and charger.\" width=\"508\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/SmartSole-Product-508x600.jpg 508w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/SmartSole-Product-400x473.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/SmartSole-Product-998x1180.jpg 998w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/SmartSole-Product-1180x1395.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/SmartSole-Product-960x1135.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/SmartSole-Product.jpg 1215w\" sizes=\"(max-width: 508px) 100vw, 508px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The SmartSole device and charger. \u003ccite>(SmartSole)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"Caregivers are really eager for technologies that can help them,\" said \u003cspan class=\"s1\">Katherine L. Possin, a\u003c/span>\u003cspan class=\"s1\">ssistant professor of neuropsychology at the \u003ca href=\"http://memory.ucsf.edu/\">UCSF Memory and Aging Center\u003c/a>. \"Honestly, the technology industry can't build them fast enough.\"\u003c/span>\u003c/p>\n\u003cp>UCSF is currently involved with a \u003ca href=\"http://memory.ucsf.edu/research/supportive-trials/careecosystem\">trial of its own\u003c/a> to determine how to use technologies to support dementia care. The project is funded for a three-year period by the Centers for Medicare & Medicaid Services.\u003c/p>\n\u003cp>Possin says most caregivers she encounters have had at least once incident where a patient with dementia wandered off. Oftentimes, if the patient isn't wearing a GPS tracker, the local police will be needed to help.\u003c/p>\n\u003cp>Still, it's early days for GPS-tracking technologies. The SmartSole needs to be charged as frequently as a smartphone or tablet device. And it isn't waterproof, so it may stop working if it rains or the wearer steps in a puddle.\u003c/p>\n\u003cp>Possin points to many limitations with alternative products, particularly those that rely on patients wearing a piece of \"smart\" jewelry or carrying a mobile phone with them at all times. Patients who wander will frequently leave such items at home.\u003c/p>\n\u003cp>But she sees a lot of potential in a \"smartwatch,\" since many patients are used to the feeling of wearing a watch. Unfortunately, most smartwatches today, including the Apple Watch, don't have GPS and are not designed to be used independently of the smartphone.\u003c/p>\n\u003cp>For now, she considers the SmartSole as among the best options on the market.\u003c/p>\n\u003cp>\"A lot of people with dementia rely on what's familiar,\" explained \u003cspan class=\"s1\">Jennifer Merrilees, a clinical nurse specialist who works with Possin at the UCSF Memory and Aging Center. And what could be more familiar than a well-worn pair of shoes? \u003c/span>\u003c/p>\n\u003cp>Ciancaglini says the benefit to SmartSole over alternative solutions is that he doesn't realize that he's wearing it and is therefore far less likely to remove it when he's wandering. Also, he'll leave a wristwatch and phone at home, but he rarely walks out of the house without his shoes.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I'm confident that if I did wander around without my shoes, someone would alert my wife.\" he said. \"That's a red flag.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Inside Dr. Eric Topol's 'Modern Black Bag'",
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"content": "\u003cp>\u003cstrong>Listen to the talk:\u003c/strong>\u003cbr>\nhttp://www.kqed.org/.stream/anon/radio/science/2015/07/Topoltalk.mp3\u003c/p>\n\u003cp>In the not-so-distant past, it was the fashion for doctors to carry black bags filled with stethoscopes, blood pressure cuffs and other gadgets.\u003c/p>\n\u003cp>Eric Topol, a cardiologist and chief academic officer at Scripps Health is one of the few doctors whose black bag isn't gathering dust. But Topol's black bag is no relic of the past: It contains an assortment of the latest wearable devices and gizmos. He describes it as \"exponentially more powerful\" than an equivalent bag from a century ago.\u003c/p>\n\u003cp class=\"p1\">\u003cspan class=\"s1\">I met with Topol at a KQED event in San Francisco hosted by \u003ca href=\"https://rockhealth.com/\">\u003cspan class=\"s2\">Rock Health\u003c/span>\u003c/a>, an early-stage venture firm that invests in digital health. Topol is a cardiologist and geneticist who has written several books about how technology — and the smartphone, in particular — is changing medicine.\u003c/span>\u003c/p>\n\u003cp>Within minutes, Topol granted me a peek inside his black bag and described its contents: A heart health monitor from \u003ca href=\"alivecor.com\">AliveCor\u003c/a> that attaches to an iPhone; a miniature scanning device called the \u003ca href=\"https://www.scanadu.com/scout/\">Scanadu Scout\u003c/a> that measures body temperature and blood pressure in a matter of seconds, a coin-shaped sensor that tracks blood sugar levels, and an early-stage prototype of a wristwatch that monitors blood pressure.\u003c/p>\n\u003cfigure id=\"attachment_18646\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-18646\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/07/topol-2-800x600.jpg\" alt='Dr. Eric Topol shows me his \"modern black bag\" ' width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-2-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-2-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-2-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-2-1400x1050.jpg 1400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-2-960x720.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Eric Topol opens up his\"modern black bag\" \u003ccite>(Christina Farr / KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Topol is no ordinary doctor. \u003ca href=\"http://www.nytimes.com/2015/02/15/books/review/the-patient-will-see-you-now-by-eric-topol.html?_r=0\">The New York Times described him\u003c/a> as a \"digital geek\" with an \"enthusiasm for all things wireless [that] would make any Wired subscriber proud.\" While many of his physician colleagues are skeptical about all this new medical technology, he is already recommending that his patients use some of the new tools to monitor their vitals between visits. In Topol's view, that's the basis for a new kind of dialogue between doctor and patient: One where you and I can take a far more active role.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Here are some of the highlights from our talk. Note: The conversation was recorded for broadcast and will air on KQED on September 23rd at 8pm PT.\u003c/p>\n\u003cp>\u003cstrong>On The Hype and Promise of Digital Health \u003c/strong>\u003c/p>\n\u003cp>Five years ago, few people saw potential in digital health. But in 2014, \u003ca href=\"http://rockhealth.com/2015/01/digital-health-funding-tops-4-1b-2014-year-review/\">investment in the space topped $4.1 billion\u003c/a> as technology entered health care in a big way.\u003c/p>\n\u003cp>Topol was one of the earliest physicians to publicly praise the new medical technology, and try it out in his own practice. One of the key benefits, he says, is the ability to keep an eye on patients once they've left the hospital. Patients with cardiac issues, for instance, can pickup an \u003ca href=\"alivecor.com\">Alivecor\u003c/a> mobile electrocardiogram, which fits onto a smartphone, and regularly check their heart function for signs of distress.\u003c/p>\n\u003cfigure id=\"attachment_18953\" class=\"wp-caption alignright\" style=\"max-width: 348px\">\u003cimg class=\" wp-image-18953\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/07/topol-1-450x600.jpg\" alt=\"Eric Topol at the Rock Health offices in San Francisco \" width=\"348\" height=\"464\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-1-450x600.jpg 450w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-1-400x533.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-1-885x1180.jpg 885w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-1-1920x2560.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-1-1180x1573.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-1-960x1280.jpg 960w\" sizes=\"(max-width: 348px) 100vw, 348px\">\u003cfigcaption class=\"wp-caption-text\">Eric Topol at the Rock Health offices in San Francisco \u003ccite>(Christina Farr / KQED )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Throughout our conversation, Topol shared stories of patients who were able to avoid a deadly outcome by using a mobile medical tool. \u003ca href=\"http://medcitynews.com/2015/07/topol-apple-watch-helps-colleagues-patient-self-diagnose-heart-condition/\">One of his patients \u003c/a>came into his office and requested to be fit with a pacemaker. This patient said he had been feeling dizzy with a fluctuating heart rate, which he was monitoring with his Apple Watch. After performing a Google search of these symptoms, the patient guessed that it might be sick sinus syndrome That diagnosis proved to be accurate.\u003c/p>\n\u003cp>That's all well and good, but it's still early days for mobile health. What are the potential drawbacks of using these tools?\u003c/p>\n\u003cp>For one thing, not every digital health company takes patient privacy all that seriously. Unlike Apple, many companies make money by selling your data to third parties, including pharmaceutical companies, advertisers and marketers.\u003c/p>\n\u003cp>Moreover, many of the new systems that store your data are not secure. Topol recently shared a graphic on Twitter showing that a patient in the U.S. is five times more likely to have their medical record hacked than to access it at all. (In July, just a few months after he shared that stat, hackers broke into UCLA and accessed computers with medical records of 4.5 million people.)\u003c/p>\n\u003cp>https://twitter.com/EricTopol/status/617325499094708224\u003c/p>\n\u003cp>One of the limitations of his latest book, \"The Patient Will See You Now,\" is that it doesn't grapple with the issue of whether some patients will misinterpret the data and diagnose themselves with all manner of ills. Topol does concede that mobile health isn't for everyone -- he refers to those who are addicted to Google searching symptoms as \"anxious and wired\" and \"cyber-chondriacs.\" But he thinks that \"most people will do well,\" and use these tools in moderation.\u003c/p>\n\u003cp>\u003cb>On Medical Paternalism\u003c/b>\u003c/p>\n\u003cp>Topol has observed that many doctors today maintain the view that patients shouldn't have much of a voice. \u003ca href=\"http://www.goodhousekeeping.com/health/wellness/news/a31841/doctors-not-telling-patients-alzheimers/\">In the 1960s, many doctors wouldn't tell their patients they had cancer\u003c/a>, fearing they would get too distressed. It wasn't until the 1980s that the AMA and other groups included the notion of \u003ca href=\"http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/opinion808.page?\">\"informed consent\"\u003c/a> in their code of ethics.\u003c/p>\n\u003cp>https://twitter.com/rvaughnmd/status/440225195131826176\u003c/p>\n\u003cp>In 2012, three medical institutions agreed to conduct an experimen\u003ca href=\"http://www.healthcareitnews.com/news/opennotes-not-software-package-movement\">t called \"Open Notes,\" \u003c/a>which involved doctors sharing their notes with patients. According to Topol, some physicians feared that patients would be horrified to see \"obese\" scrawled in their notes, or they might misinterpret medical jargon like \"SOB.\" But the experiment proved to be a success. Despite these positive results, more recent surveys show that many doctors are still reluctant to share their notes with patients.\u003c/p>\n\u003cp>\u003cstrong>On That Time He Gave Stephen Colbert an Ear Exam\u003c/strong>\u003c/p>\n\u003cp>Many doctors across the country are still tentative about digital health. But Topol is one of its most avid and earliest supporters. In 2013, he showed off the armory of mobile medical devices in his black bag on the Colbert Show. On live television, he examined Stephen Colbert's heart and \u003ca href=\"http://medcitynews.com/2013/03/eric-topol-gives-stephen-colbert-ear-exam-heart-attack-ringtones-and-other-colbert-highlights/\">performed an ear exam \u003c/a>using a mobile otoscope from CellScope.\u003c/p>\n\u003cp>\"The best part was using a handheld device to examine his [Colbert's] heart -- he had to bare his chest on TV. I told Colbert he had an aortic aneurysm to have some fun. Unfortunately, much of that was edited out,\" Topol said.\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=-4iZQYlygno]\u003c/p>\n\u003cp>\u003cstrong>On the Reign of the Quitbits \u003c/strong>\u003c/p>\n\u003cp>The market is flooded with devices that serve the \"worried well,\" meaning those who are perfectly healthy but are constantly unnerved about getting sick. This set might rush to adopt new devices, such as the Fitbit (which Topol refers to as a \"Quitbit\"), \u003ca href=\"http://www.fool.com/investing/general/2015/06/24/1-red-flag-that-fitbit-inc-investors-cant-ignore.aspx\">but they don't use them for long\u003c/a>. Topol hopes that Silicon Valley will divert its attention away from building tools for the worried well and instead focus on \"devices that are giving clinically relevant information.\"\u003c/p>\n\u003cp>But there are barriers to entry for those who are developing true medical devices. These entrepreneurs will need to gain clearance from the U.S. Food and Drug Administration. This process can take months, and sometimes years.\u003c/p>\n\u003cp>\u003cstrong>On His Bad Luck on Flights\u003c/strong>\u003c/p>\n\u003cp>\"If you see me getting on your flight, reconsider. I seem to have some bad luck in this regard,\" Topol said. He's only slightly kidding. On three occasions in recent years, he's made an emergency diagnosis in the air. Fortunately, his black bag was on hand.\u003c/p>\n\u003cp>In one case, he used an Alivecor to make a \"very quick diagnosis\" that a patient was having a heart attack. The plane made an emergency landing. In his book, 'The Patient Will See You Now,' he recalls another emergency situation where he checked a patient's ECG in the air, as well as performing a cardiac ultrasound and taking their blood pressure -- and concluded that the patient was fine. He writes that in the future, a doctor's intervention wouldn't be required: \"All that was needed were the tools to collect the data.\" This might be taking it a bit far. I would argue that mobile health will improve the doctor-patient relationship, but it isn't going to replace the doctor anytime.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>https://twitter.com/EricTopol/status/600848164267110400\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In the not-so-distant past, it was the fashion for doctors to carry black bags filled with stethoscopes, blood pressure cuffs and other gadgets.\u003c/p>\n\u003cp>Eric Topol, a cardiologist and chief academic officer at Scripps Health is one of the few doctors whose black bag isn't gathering dust. But Topol's black bag is no relic of the past: It contains an assortment of the latest wearable devices and gizmos. He describes it as \"exponentially more powerful\" than an equivalent bag from a century ago.\u003c/p>\n\u003cp class=\"p1\">\u003cspan class=\"s1\">I met with Topol at a KQED event in San Francisco hosted by \u003ca href=\"https://rockhealth.com/\">\u003cspan class=\"s2\">Rock Health\u003c/span>\u003c/a>, an early-stage venture firm that invests in digital health. Topol is a cardiologist and geneticist who has written several books about how technology — and the smartphone, in particular — is changing medicine.\u003c/span>\u003c/p>\n\u003cp>Within minutes, Topol granted me a peek inside his black bag and described its contents: A heart health monitor from \u003ca href=\"alivecor.com\">AliveCor\u003c/a> that attaches to an iPhone; a miniature scanning device called the \u003ca href=\"https://www.scanadu.com/scout/\">Scanadu Scout\u003c/a> that measures body temperature and blood pressure in a matter of seconds, a coin-shaped sensor that tracks blood sugar levels, and an early-stage prototype of a wristwatch that monitors blood pressure.\u003c/p>\n\u003cfigure id=\"attachment_18646\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-18646\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/07/topol-2-800x600.jpg\" alt='Dr. Eric Topol shows me his \"modern black bag\" ' width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-2-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-2-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-2-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-2-1400x1050.jpg 1400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-2-960x720.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Eric Topol opens up his\"modern black bag\" \u003ccite>(Christina Farr / KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Topol is no ordinary doctor. \u003ca href=\"http://www.nytimes.com/2015/02/15/books/review/the-patient-will-see-you-now-by-eric-topol.html?_r=0\">The New York Times described him\u003c/a> as a \"digital geek\" with an \"enthusiasm for all things wireless [that] would make any Wired subscriber proud.\" While many of his physician colleagues are skeptical about all this new medical technology, he is already recommending that his patients use some of the new tools to monitor their vitals between visits. In Topol's view, that's the basis for a new kind of dialogue between doctor and patient: One where you and I can take a far more active role.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Here are some of the highlights from our talk. Note: The conversation was recorded for broadcast and will air on KQED on September 23rd at 8pm PT.\u003c/p>\n\u003cp>\u003cstrong>On The Hype and Promise of Digital Health \u003c/strong>\u003c/p>\n\u003cp>Five years ago, few people saw potential in digital health. But in 2014, \u003ca href=\"http://rockhealth.com/2015/01/digital-health-funding-tops-4-1b-2014-year-review/\">investment in the space topped $4.1 billion\u003c/a> as technology entered health care in a big way.\u003c/p>\n\u003cp>Topol was one of the earliest physicians to publicly praise the new medical technology, and try it out in his own practice. One of the key benefits, he says, is the ability to keep an eye on patients once they've left the hospital. Patients with cardiac issues, for instance, can pickup an \u003ca href=\"alivecor.com\">Alivecor\u003c/a> mobile electrocardiogram, which fits onto a smartphone, and regularly check their heart function for signs of distress.\u003c/p>\n\u003cfigure id=\"attachment_18953\" class=\"wp-caption alignright\" style=\"max-width: 348px\">\u003cimg class=\" wp-image-18953\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/07/topol-1-450x600.jpg\" alt=\"Eric Topol at the Rock Health offices in San Francisco \" width=\"348\" height=\"464\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-1-450x600.jpg 450w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-1-400x533.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-1-885x1180.jpg 885w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-1-1920x2560.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-1-1180x1573.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/topol-1-960x1280.jpg 960w\" sizes=\"(max-width: 348px) 100vw, 348px\">\u003cfigcaption class=\"wp-caption-text\">Eric Topol at the Rock Health offices in San Francisco \u003ccite>(Christina Farr / KQED )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Throughout our conversation, Topol shared stories of patients who were able to avoid a deadly outcome by using a mobile medical tool. \u003ca href=\"http://medcitynews.com/2015/07/topol-apple-watch-helps-colleagues-patient-self-diagnose-heart-condition/\">One of his patients \u003c/a>came into his office and requested to be fit with a pacemaker. This patient said he had been feeling dizzy with a fluctuating heart rate, which he was monitoring with his Apple Watch. After performing a Google search of these symptoms, the patient guessed that it might be sick sinus syndrome That diagnosis proved to be accurate.\u003c/p>\n\u003cp>That's all well and good, but it's still early days for mobile health. What are the potential drawbacks of using these tools?\u003c/p>\n\u003cp>For one thing, not every digital health company takes patient privacy all that seriously. Unlike Apple, many companies make money by selling your data to third parties, including pharmaceutical companies, advertisers and marketers.\u003c/p>\n\u003cp>Moreover, many of the new systems that store your data are not secure. Topol recently shared a graphic on Twitter showing that a patient in the U.S. is five times more likely to have their medical record hacked than to access it at all. (In July, just a few months after he shared that stat, hackers broke into UCLA and accessed computers with medical records of 4.5 million people.)\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>One of the limitations of his latest book, \"The Patient Will See You Now,\" is that it doesn't grapple with the issue of whether some patients will misinterpret the data and diagnose themselves with all manner of ills. Topol does concede that mobile health isn't for everyone -- he refers to those who are addicted to Google searching symptoms as \"anxious and wired\" and \"cyber-chondriacs.\" But he thinks that \"most people will do well,\" and use these tools in moderation.\u003c/p>\n\u003cp>\u003cb>On Medical Paternalism\u003c/b>\u003c/p>\n\u003cp>Topol has observed that many doctors today maintain the view that patients shouldn't have much of a voice. \u003ca href=\"http://www.goodhousekeeping.com/health/wellness/news/a31841/doctors-not-telling-patients-alzheimers/\">In the 1960s, many doctors wouldn't tell their patients they had cancer\u003c/a>, fearing they would get too distressed. It wasn't until the 1980s that the AMA and other groups included the notion of \u003ca href=\"http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/opinion808.page?\">\"informed consent\"\u003c/a> in their code of ethics.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>In 2012, three medical institutions agreed to conduct an experimen\u003ca href=\"http://www.healthcareitnews.com/news/opennotes-not-software-package-movement\">t called \"Open Notes,\" \u003c/a>which involved doctors sharing their notes with patients. According to Topol, some physicians feared that patients would be horrified to see \"obese\" scrawled in their notes, or they might misinterpret medical jargon like \"SOB.\" But the experiment proved to be a success. Despite these positive results, more recent surveys show that many doctors are still reluctant to share their notes with patients.\u003c/p>\n\u003cp>\u003cstrong>On That Time He Gave Stephen Colbert an Ear Exam\u003c/strong>\u003c/p>\n\u003cp>Many doctors across the country are still tentative about digital health. But Topol is one of its most avid and earliest supporters. In 2013, he showed off the armory of mobile medical devices in his black bag on the Colbert Show. On live television, he examined Stephen Colbert's heart and \u003ca href=\"http://medcitynews.com/2013/03/eric-topol-gives-stephen-colbert-ear-exam-heart-attack-ringtones-and-other-colbert-highlights/\">performed an ear exam \u003c/a>using a mobile otoscope from CellScope.\u003c/p>\n\u003cp>\"The best part was using a handheld device to examine his [Colbert's] heart -- he had to bare his chest on TV. I told Colbert he had an aortic aneurysm to have some fun. Unfortunately, much of that was edited out,\" Topol said.\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/-4iZQYlygno'\n title='//www.youtube.com/embed/-4iZQYlygno'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>On the Reign of the Quitbits \u003c/strong>\u003c/p>\n\u003cp>The market is flooded with devices that serve the \"worried well,\" meaning those who are perfectly healthy but are constantly unnerved about getting sick. This set might rush to adopt new devices, such as the Fitbit (which Topol refers to as a \"Quitbit\"), \u003ca href=\"http://www.fool.com/investing/general/2015/06/24/1-red-flag-that-fitbit-inc-investors-cant-ignore.aspx\">but they don't use them for long\u003c/a>. Topol hopes that Silicon Valley will divert its attention away from building tools for the worried well and instead focus on \"devices that are giving clinically relevant information.\"\u003c/p>\n\u003cp>But there are barriers to entry for those who are developing true medical devices. These entrepreneurs will need to gain clearance from the U.S. Food and Drug Administration. This process can take months, and sometimes years.\u003c/p>\n\u003cp>\u003cstrong>On His Bad Luck on Flights\u003c/strong>\u003c/p>\n\u003cp>\"If you see me getting on your flight, reconsider. I seem to have some bad luck in this regard,\" Topol said. He's only slightly kidding. On three occasions in recent years, he's made an emergency diagnosis in the air. Fortunately, his black bag was on hand.\u003c/p>\n\u003cp>In one case, he used an Alivecor to make a \"very quick diagnosis\" that a patient was having a heart attack. The plane made an emergency landing. In his book, 'The Patient Will See You Now,' he recalls another emergency situation where he checked a patient's ECG in the air, as well as performing a cardiac ultrasound and taking their blood pressure -- and concluded that the patient was fine. He writes that in the future, a doctor's intervention wouldn't be required: \"All that was needed were the tools to collect the data.\" This might be taking it a bit far. I would argue that mobile health will improve the doctor-patient relationship, but it isn't going to replace the doctor anytime.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>At a bustling university town in the Netherlands, dozens of future nurses obsessively track their sleep, nutrition and exercise using the latest wearable health trackers.\u003c/p>\n\u003cp>These students are enrolled at \u003ca href=\"https://www.hanze.nl/eng\">Hanze University of Applied Sciences, \u003c/a>which is based in Groningen, a city in the north of Netherlands. They are some of the first nurses in the world to receive a comprehensive education in the \"Quantified Self\" movement.\u003c/p>\n\u003caside class=\"pullquote alignright\">“There is a total lack of statistical literacy among health providers. That needs to change.”\u003ccite>Martijn de Groot\u003cbr>\nQuantified Self Institute, the Netherlands\u003c/cite>\u003c/aside>\n\u003cp>During the course of the program, the students perform a self-experiment, such as tracking how a physical activity affects stress levels. They can choose from dozens of tracking devices from a drawer stuffed full of options. The students will then learn how to analyze the data they collect and present their research to the group.\u003c/p>\n\u003cp>The program is taught by Martijn de Groot, a research director at the Groningen-based \u003ca href=\"http://www.qsinstitute.org/\">Quantified Self Institute\u003c/a>. Yesterday, at the \u003ca href=\"http://qs15.quantifiedself.com/\">Quantified Self Conference\u003c/a> in San Francisco, de Groot urged other medical educators to follow suit.\u003c/p>\n\u003cfigure id=\"attachment_4772\" class=\"wp-caption alignleft\" style=\"max-width: 316px\">\u003cimg class=\" wp-image-4772\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Screen-Shot-2015-06-18-at-3.41.30-PM.png\" alt=\"The cabinet full of mobile health devices\" width=\"316\" height=\"484\">\u003cfigcaption class=\"wp-caption-text\">The drawer full of mobile health devices. \u003ccite>(Martijn de Groot)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"There is a total lack of statistical literacy among health providers,\" he said. \"That needs to change.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>De Groot is an advocate of the quantified self trend, which involves tracking metrics like mood, productivity, food intake and health, typically by using a range of activity monitors and other gadgets (although some opt to use very basic tools and chart their data on a spreadsheet). This movement is still in its infancy, but its core ideas are starting to trickle into the mainstream.\u003c/p>\n\u003cp>Millions of people worldwide are now monitoring their physical activity by using activity trackers. The wearable band market grew 684 percent globally in the first half of 2014 compared with the first half of 2013, \u003ca href=\"http://www.canalys.com/newsroom/wearable-band-shipments-rocket-684\">according to research firm Canalys\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>The Disconnect Between Patients and Providers\u003c/strong>\u003c/p>\n\u003cp>More patients than ever before are bringing data from their health-tracking devices, including Fitbits and Nike Fuelbands, into the doctor's office.\u003c/p>\n\u003cp>According to de Groot, few doctors and nurses are equipped to manage this data. They do not understand whether the data is reliable or clinically valid, and few have the skills to analyze and visualize it. Instead, many will choose to simply ignore the data.\u003c/p>\n\u003cfigure id=\"attachment_4787\" class=\"wp-caption alignleft\" style=\"max-width: 286px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Screen-Shot-2015-06-18-at-4.29.32-PM.png\">\u003cimg class=\" wp-image-4787\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Screen-Shot-2015-06-18-at-4.29.32-PM.png\" alt=\"De Groot teaching students \" width=\"286\" height=\"176\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">De Groot teaching students. \u003ccite>(Martijn de Groot)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"If a patient comes in to a clinic and presents data from various devices, the health practitioner should at least be able to have a conversation with them about it,\" de Groot said.\u003c/p>\n\u003cp>But the vast majority of medical and nursing schools do not teach students today about statistics, or introduce them to mobile health apps and devices. De Groot said he spent months researching comparable programs, but found fewer than a handful.\u003c/p>\n\u003cp>De Groot told KQED that his goal isn't to turn hundreds of nurses into lifelong quantified selfers -- although some may become devotees to the movement. Instead, he hopes the students graduate from school with sufficient knowledge about mobile health to incorporate this potentially valuable pool of data into their clinical practice.\u003c/p>\n\u003cp>He also teaches them to differentiate between hundreds of tools on the market, which vary in quality and price.\u003c/p>\n\u003caside class=\"pullquote alignright\">Nurses in particular should receive this kind of training, because they are on the front-lines of care, both in-person and after the patient has been discharged.\u003c/aside>\n\u003cp>Some activity monitors, like the Nike Fuelband, are frequently inaccurate, de Groot said. That wouldn't matter if the user is simply hoping to gain a general understanding of their activity levels over time. However, it would not be an appropriate device for a patient in recovery from surgery who must only walk a certain number of steps each day.\u003c/p>\n\u003cp>\"Students understand that they can recommend devices based on the motive of the patient.\"\u003c/p>\n\u003cp>\u003cstrong>Why Nurses?\u003c/strong>\u003c/p>\n\u003cp>De Groot is currently training nurses, physical therapists and nutritionists, but not doctors.\u003c/p>\n\u003cp>Nurses in particular should receive this kind of training, he explained, as they spend the most time with patients. Nurses are on the front-lines of care, both in-person and after the patient has been discharged.\u003c/p>\n\u003cfigure id=\"attachment_4786\" class=\"wp-caption alignleft\" style=\"max-width: 345px\">\u003cimg class=\" wp-image-4786\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Screen-Shot-2015-06-18-at-4.28.07-PM.png\" alt=\"Students wear a variety of activity bands \" width=\"345\" height=\"167\">\u003cfigcaption class=\"wp-caption-text\">Students wear a variety of activity bands. \u003ccite>(Martijn de Groot)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The possibilities for wearable-technologies are endless: Nurses could sport hands-free devices, like Google Glass, to pull up a patient's medical record. The nurse could review data from smart-watches and fitness bands to ensure that patients are sleeping or eating adequately.\u003c/p>\n\u003cp>Nurses could also leverage medical wearables, like a \u003ca href=\"https://www.cellscope.com/\">CellScope\u003c/a>, which lets patients perform ear exams with a smartphone, or \u003ca href=\"http://www.alivecor.com/home\">AliveCor,\u003c/a> a mobile attachment for the iPhone that can track a patient's heart health.\u003c/p>\n\u003cp>According to de Groot, many millennial nurses in Groningen are eager to learn new ways to access and interact with patients. The city has the youngest population in the Netherlands. One in five of its inhabitants is a student.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I tell them that the world is evolving and that they need to take notice and be prepared.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>At a bustling university town in the Netherlands, dozens of future nurses obsessively track their sleep, nutrition and exercise using the latest wearable health trackers.\u003c/p>\n\u003cp>These students are enrolled at \u003ca href=\"https://www.hanze.nl/eng\">Hanze University of Applied Sciences, \u003c/a>which is based in Groningen, a city in the north of Netherlands. They are some of the first nurses in the world to receive a comprehensive education in the \"Quantified Self\" movement.\u003c/p>\n\u003caside class=\"pullquote alignright\">“There is a total lack of statistical literacy among health providers. That needs to change.”\u003ccite>Martijn de Groot\u003cbr>\nQuantified Self Institute, the Netherlands\u003c/cite>\u003c/aside>\n\u003cp>During the course of the program, the students perform a self-experiment, such as tracking how a physical activity affects stress levels. They can choose from dozens of tracking devices from a drawer stuffed full of options. The students will then learn how to analyze the data they collect and present their research to the group.\u003c/p>\n\u003cp>The program is taught by Martijn de Groot, a research director at the Groningen-based \u003ca href=\"http://www.qsinstitute.org/\">Quantified Self Institute\u003c/a>. Yesterday, at the \u003ca href=\"http://qs15.quantifiedself.com/\">Quantified Self Conference\u003c/a> in San Francisco, de Groot urged other medical educators to follow suit.\u003c/p>\n\u003cfigure id=\"attachment_4772\" class=\"wp-caption alignleft\" style=\"max-width: 316px\">\u003cimg class=\" wp-image-4772\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Screen-Shot-2015-06-18-at-3.41.30-PM.png\" alt=\"The cabinet full of mobile health devices\" width=\"316\" height=\"484\">\u003cfigcaption class=\"wp-caption-text\">The drawer full of mobile health devices. \u003ccite>(Martijn de Groot)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"There is a total lack of statistical literacy among health providers,\" he said. \"That needs to change.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>De Groot is an advocate of the quantified self trend, which involves tracking metrics like mood, productivity, food intake and health, typically by using a range of activity monitors and other gadgets (although some opt to use very basic tools and chart their data on a spreadsheet). This movement is still in its infancy, but its core ideas are starting to trickle into the mainstream.\u003c/p>\n\u003cp>Millions of people worldwide are now monitoring their physical activity by using activity trackers. The wearable band market grew 684 percent globally in the first half of 2014 compared with the first half of 2013, \u003ca href=\"http://www.canalys.com/newsroom/wearable-band-shipments-rocket-684\">according to research firm Canalys\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>The Disconnect Between Patients and Providers\u003c/strong>\u003c/p>\n\u003cp>More patients than ever before are bringing data from their health-tracking devices, including Fitbits and Nike Fuelbands, into the doctor's office.\u003c/p>\n\u003cp>According to de Groot, few doctors and nurses are equipped to manage this data. They do not understand whether the data is reliable or clinically valid, and few have the skills to analyze and visualize it. Instead, many will choose to simply ignore the data.\u003c/p>\n\u003cfigure id=\"attachment_4787\" class=\"wp-caption alignleft\" style=\"max-width: 286px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Screen-Shot-2015-06-18-at-4.29.32-PM.png\">\u003cimg class=\" wp-image-4787\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Screen-Shot-2015-06-18-at-4.29.32-PM.png\" alt=\"De Groot teaching students \" width=\"286\" height=\"176\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">De Groot teaching students. \u003ccite>(Martijn de Groot)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"If a patient comes in to a clinic and presents data from various devices, the health practitioner should at least be able to have a conversation with them about it,\" de Groot said.\u003c/p>\n\u003cp>But the vast majority of medical and nursing schools do not teach students today about statistics, or introduce them to mobile health apps and devices. De Groot said he spent months researching comparable programs, but found fewer than a handful.\u003c/p>\n\u003cp>De Groot told KQED that his goal isn't to turn hundreds of nurses into lifelong quantified selfers -- although some may become devotees to the movement. Instead, he hopes the students graduate from school with sufficient knowledge about mobile health to incorporate this potentially valuable pool of data into their clinical practice.\u003c/p>\n\u003cp>He also teaches them to differentiate between hundreds of tools on the market, which vary in quality and price.\u003c/p>\n\u003caside class=\"pullquote alignright\">Nurses in particular should receive this kind of training, because they are on the front-lines of care, both in-person and after the patient has been discharged.\u003c/aside>\n\u003cp>Some activity monitors, like the Nike Fuelband, are frequently inaccurate, de Groot said. That wouldn't matter if the user is simply hoping to gain a general understanding of their activity levels over time. However, it would not be an appropriate device for a patient in recovery from surgery who must only walk a certain number of steps each day.\u003c/p>\n\u003cp>\"Students understand that they can recommend devices based on the motive of the patient.\"\u003c/p>\n\u003cp>\u003cstrong>Why Nurses?\u003c/strong>\u003c/p>\n\u003cp>De Groot is currently training nurses, physical therapists and nutritionists, but not doctors.\u003c/p>\n\u003cp>Nurses in particular should receive this kind of training, he explained, as they spend the most time with patients. Nurses are on the front-lines of care, both in-person and after the patient has been discharged.\u003c/p>\n\u003cfigure id=\"attachment_4786\" class=\"wp-caption alignleft\" style=\"max-width: 345px\">\u003cimg class=\" wp-image-4786\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Screen-Shot-2015-06-18-at-4.28.07-PM.png\" alt=\"Students wear a variety of activity bands \" width=\"345\" height=\"167\">\u003cfigcaption class=\"wp-caption-text\">Students wear a variety of activity bands. \u003ccite>(Martijn de Groot)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The possibilities for wearable-technologies are endless: Nurses could sport hands-free devices, like Google Glass, to pull up a patient's medical record. The nurse could review data from smart-watches and fitness bands to ensure that patients are sleeping or eating adequately.\u003c/p>\n\u003cp>Nurses could also leverage medical wearables, like a \u003ca href=\"https://www.cellscope.com/\">CellScope\u003c/a>, which lets patients perform ear exams with a smartphone, or \u003ca href=\"http://www.alivecor.com/home\">AliveCor,\u003c/a> a mobile attachment for the iPhone that can track a patient's heart health.\u003c/p>\n\u003cp>According to de Groot, many millennial nurses in Groningen are eager to learn new ways to access and interact with patients. The city has the youngest population in the Netherlands. One in five of its inhabitants is a student.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I tell them that the world is evolving and that they need to take notice and be prepared.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Three-dimensional printers are now ubiquitous in the medical industry, and are used for everything from knee implants to prosthetics.\u003c/p>\n\u003cp>If you're not familiar with 3-D printing, imagine an inkjet printer that builds up a three-dimensional object in layers by printing over the same surface over and over again. \u003ca href=\"http://spark.autodesk.com/blog/opportunities-in-3d-printing-for-manufacturing\">Proponents say\u003c/a> 3-D printing and other rapid prototyping techniques will have a democratizing effect on manufacturing, making it easier for us to make highly intricate and delicate objects.\u003c/p>\n\u003cp>How will doctors and medical researchers use this technology in the future? Last month, I took up \u003ca href=\"autodesk.com\">Autodesk\u003c/a> on their offer to visit their new workshop at San Francisco's Pier 9 to discuss the possibilities for 3-D printing, with a focus on new health applications.\u003c/p>\n\u003cfigure id=\"attachment_3858\" class=\"wp-caption alignright\" style=\"max-width: 319px\">\u003cimg class=\" wp-image-3858\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/IMG_0834-800x600.jpg\" alt=\"Maker advocate \" width=\"319\" height=\"239\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0834-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0834-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0834-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0834-960x720.jpg 960w\" sizes=\"(max-width: 319px) 100vw, 319px\">\u003cfigcaption class=\"wp-caption-text\">Maker advocate Jesse Harrington Au holding a 3-D printed skull of a saber tooth tiger \u003ccite>(Christina Farr/ KQED )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The space can best be described as a geek paradise. It is stacked to the brim with designs in various stages of completion. The highlights include a 3-D printed saber tooth tiger's skull, a cocktail-making machine and a 3-D printed record player.\u003c/p>\n\u003cp>During my tour, I met some of the \u003ca href=\"http://www.autodesk.com/artist-in-residence/home#about\">artists-in-residence\u003c/a> who live and work at Autodesk for about four months. A small percentage of these \"artists\" develop 3-D printed medical products.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>As a 2014 \u003ca href=\"http://www.newyorker.com/magazine/2014/11/24/print-thyself\">\u003cem>New Yorker\u003c/em> article put it\u003c/a>, the medical and dental industries are near-constantly finding new uses for 3-D printing:\u003c/p>\n\u003cp>\"The things we are choosing to print are becoming ever more personal and intimate. This appears to be even more true in medicine: increasingly, what we are printing is ourselves.\"\u003c/p>\n\u003cp>\u003cstrong>Health care: An Early Adopter\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_3860\" class=\"wp-caption alignright\" style=\"max-width: 309px\">\u003cimg class=\" wp-image-3860\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/IMG_0845-450x600.jpg\" alt=\"Aerospace engineer Zachary Howard is now developing medical applications\" width=\"309\" height=\"412\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0845-450x600.jpg 450w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0845-400x533.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0845-885x1180.jpg 885w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0845-1180x1573.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0845-960x1280.jpg 960w\" sizes=\"(max-width: 309px) 100vw, 309px\">\u003cfigcaption class=\"wp-caption-text\">Aerospace engineer Zachary Howard is now developing medical applications \u003ccite>(Christina Farr / KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"http://www.autodesk.com/artist-in-residence/artists/zachary-howard\">Zachary Howard\u003c/a>, one of the artists I met at Autodesk, was in the midst of developing a 3-D printed, inexpensive eye exam. The product was inspired by his grandmother, who suffers from cataracts.\u003c/p>\n\u003cp>The research was still in the early stages, but Howard said he hoped to reconstruct the back of the eye using \"a bunch of images and layering.\"\u003c/p>\n\u003cp>3-D printing can be used to develop highly intricate and realistic models that fit both inside and outside the body. Surgeons routinely use these models to practice on before an actual surgery.\u003c/p>\n\u003cp>\"Health care is an early adopter of this technology,\" added Jesse Harrington Au, a self-described \"maker advocate\" at Autodesk.\u003c/p>\n\u003cp>[Skip to the bottom for a short video of Harrington Au explaining how engineers 3-D printed muscle tissue from a horse.]\u003c/p>\n\u003cp>Anyone who wears hearing aids or has straightened their teeth by wearing Invisalign's custom orthodontic braces has already experienced 3-D printing technology at work. Some of the more recent developments include 3-D printed embryonic stem cells and blood vessels.\u003c/p>\n\u003cfigure id=\"attachment_3859\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003cimg class=\" wp-image-3859\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/IMG_0844-800x600.jpg\" alt=\"A MakerBot Replicator 2, a popular desktop 3-D printer \" width=\"300\" height=\"225\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0844-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0844-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0844-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0844-960x720.jpg 960w\" sizes=\"(max-width: 300px) 100vw, 300px\">\u003cfigcaption class=\"wp-caption-text\">Office workers surround a MakerBot Replicator 2, a popular desktop 3-D printer \u003ccite>(Christina Farr, KQED )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Harrington Au said he's seeing two big trends at the intersection of medicine and 3-D printing:\u003c/p>\n\u003cp>Researchers are increasingly using 3-D printing to develop life-saving medical devices, particularly for patients with rare diseases. In 2013, doctors saved the first person using a 3-D printed medical device: A six-month-old infant with severe breathing difficulties.\u003c/p>\n\u003cp>And makers are hacking their own 3D-printed medical products at home. All over the Internet, \u003ca href=\"http://www.3duniverse.org/2014/04/19/jose-delgado-jr-compares-his-new-3d-printed-hand-to-his-more-expensive-myoelectric-prosthesis/\">you'll find stories\u003c/a> from patients who 3-D print their own prosthetics for $50 or less. At Autodesk, one artist is working on a \u003ca href=\"http://www.instructables.com/id/Assembly-of-e-NABLEs-Raptor-Reloaded-Hand/\">3-D printed prosthetic hand\u003c/a>. Another former artist in residence, \u003cspan class=\"s1\">Carlo Quinonez, is \u003c/span>\u003cspan class=\"s1\">3D-printing \u003ca href=\"https://fusion360.autodesk.com/projects/aquino-thermal-chamber\">thermal chambers,\u003c/a> which are i\u003c/span>\u003cspan class=\"s1\">ncubators to keep living organisms alive during observation. \u003c/span>\u003c/p>\n\u003cp>\"I even know a maker who developed his own filling,\" said Harrington Au.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[youtube http://www.youtube.com/watch?v=5bQyJfa8FKY]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Three-dimensional printers are now ubiquitous in the medical industry, and are used for everything from knee implants to prosthetics.\u003c/p>\n\u003cp>If you're not familiar with 3-D printing, imagine an inkjet printer that builds up a three-dimensional object in layers by printing over the same surface over and over again. \u003ca href=\"http://spark.autodesk.com/blog/opportunities-in-3d-printing-for-manufacturing\">Proponents say\u003c/a> 3-D printing and other rapid prototyping techniques will have a democratizing effect on manufacturing, making it easier for us to make highly intricate and delicate objects.\u003c/p>\n\u003cp>How will doctors and medical researchers use this technology in the future? Last month, I took up \u003ca href=\"autodesk.com\">Autodesk\u003c/a> on their offer to visit their new workshop at San Francisco's Pier 9 to discuss the possibilities for 3-D printing, with a focus on new health applications.\u003c/p>\n\u003cfigure id=\"attachment_3858\" class=\"wp-caption alignright\" style=\"max-width: 319px\">\u003cimg class=\" wp-image-3858\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/IMG_0834-800x600.jpg\" alt=\"Maker advocate \" width=\"319\" height=\"239\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0834-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0834-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0834-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0834-960x720.jpg 960w\" sizes=\"(max-width: 319px) 100vw, 319px\">\u003cfigcaption class=\"wp-caption-text\">Maker advocate Jesse Harrington Au holding a 3-D printed skull of a saber tooth tiger \u003ccite>(Christina Farr/ KQED )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The space can best be described as a geek paradise. It is stacked to the brim with designs in various stages of completion. The highlights include a 3-D printed saber tooth tiger's skull, a cocktail-making machine and a 3-D printed record player.\u003c/p>\n\u003cp>During my tour, I met some of the \u003ca href=\"http://www.autodesk.com/artist-in-residence/home#about\">artists-in-residence\u003c/a> who live and work at Autodesk for about four months. A small percentage of these \"artists\" develop 3-D printed medical products.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As a 2014 \u003ca href=\"http://www.newyorker.com/magazine/2014/11/24/print-thyself\">\u003cem>New Yorker\u003c/em> article put it\u003c/a>, the medical and dental industries are near-constantly finding new uses for 3-D printing:\u003c/p>\n\u003cp>\"The things we are choosing to print are becoming ever more personal and intimate. This appears to be even more true in medicine: increasingly, what we are printing is ourselves.\"\u003c/p>\n\u003cp>\u003cstrong>Health care: An Early Adopter\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_3860\" class=\"wp-caption alignright\" style=\"max-width: 309px\">\u003cimg class=\" wp-image-3860\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/IMG_0845-450x600.jpg\" alt=\"Aerospace engineer Zachary Howard is now developing medical applications\" width=\"309\" height=\"412\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0845-450x600.jpg 450w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0845-400x533.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0845-885x1180.jpg 885w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0845-1180x1573.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0845-960x1280.jpg 960w\" sizes=\"(max-width: 309px) 100vw, 309px\">\u003cfigcaption class=\"wp-caption-text\">Aerospace engineer Zachary Howard is now developing medical applications \u003ccite>(Christina Farr / KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"http://www.autodesk.com/artist-in-residence/artists/zachary-howard\">Zachary Howard\u003c/a>, one of the artists I met at Autodesk, was in the midst of developing a 3-D printed, inexpensive eye exam. The product was inspired by his grandmother, who suffers from cataracts.\u003c/p>\n\u003cp>The research was still in the early stages, but Howard said he hoped to reconstruct the back of the eye using \"a bunch of images and layering.\"\u003c/p>\n\u003cp>3-D printing can be used to develop highly intricate and realistic models that fit both inside and outside the body. Surgeons routinely use these models to practice on before an actual surgery.\u003c/p>\n\u003cp>\"Health care is an early adopter of this technology,\" added Jesse Harrington Au, a self-described \"maker advocate\" at Autodesk.\u003c/p>\n\u003cp>[Skip to the bottom for a short video of Harrington Au explaining how engineers 3-D printed muscle tissue from a horse.]\u003c/p>\n\u003cp>Anyone who wears hearing aids or has straightened their teeth by wearing Invisalign's custom orthodontic braces has already experienced 3-D printing technology at work. Some of the more recent developments include 3-D printed embryonic stem cells and blood vessels.\u003c/p>\n\u003cfigure id=\"attachment_3859\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003cimg class=\" wp-image-3859\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/IMG_0844-800x600.jpg\" alt=\"A MakerBot Replicator 2, a popular desktop 3-D printer \" width=\"300\" height=\"225\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0844-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0844-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0844-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/IMG_0844-960x720.jpg 960w\" sizes=\"(max-width: 300px) 100vw, 300px\">\u003cfigcaption class=\"wp-caption-text\">Office workers surround a MakerBot Replicator 2, a popular desktop 3-D printer \u003ccite>(Christina Farr, KQED )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Harrington Au said he's seeing two big trends at the intersection of medicine and 3-D printing:\u003c/p>\n\u003cp>Researchers are increasingly using 3-D printing to develop life-saving medical devices, particularly for patients with rare diseases. In 2013, doctors saved the first person using a 3-D printed medical device: A six-month-old infant with severe breathing difficulties.\u003c/p>\n\u003cp>And makers are hacking their own 3D-printed medical products at home. All over the Internet, \u003ca href=\"http://www.3duniverse.org/2014/04/19/jose-delgado-jr-compares-his-new-3d-printed-hand-to-his-more-expensive-myoelectric-prosthesis/\">you'll find stories\u003c/a> from patients who 3-D print their own prosthetics for $50 or less. At Autodesk, one artist is working on a \u003ca href=\"http://www.instructables.com/id/Assembly-of-e-NABLEs-Raptor-Reloaded-Hand/\">3-D printed prosthetic hand\u003c/a>. Another former artist in residence, \u003cspan class=\"s1\">Carlo Quinonez, is \u003c/span>\u003cspan class=\"s1\">3D-printing \u003ca href=\"https://fusion360.autodesk.com/projects/aquino-thermal-chamber\">thermal chambers,\u003c/a> which are i\u003c/span>\u003cspan class=\"s1\">ncubators to keep living organisms alive during observation. \u003c/span>\u003c/p>\n\u003cp>\"I even know a maker who developed his own filling,\" said Harrington Au.\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/5bQyJfa8FKY'\n title='//www.youtube.com/embed/5bQyJfa8FKY'\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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"disqusTitle": "Why “Smart Clothing” is the Next Frontier for Wearable Health Tech",
"title": "Why “Smart Clothing” is the Next Frontier for Wearable Health Tech",
"headTitle": "Future of You | KQED Future of You | KQED Science",
"content": "\u003cp>When Eric Blue goes to the gym, he sports a wafer-thin shirt that tracks his every move.\u003c/p>\n\u003cp>Blue’s shirt contains tiny sensors, which are woven into the fabric. They monitor his heart rate, the calories he burns and other metrics, like breathing rate. And a companion mobile app on his smart phone informs him about the intensity of his workouts.\u003c/p>\n\u003cp>Blue, a Los Angeles entrepreneur, says regular use of the shirt has pushed him to “up his game” during exercise.\u003c/p>\n\u003cp>This is no ordinary shirt. It represents the evolution of the wearable-tech trend from accessories, like watches and bands like Fitbits, to full-blown clothing.\u003c/p>\n\u003cp>Blue, 38, was among the first people to buy a biometric shirt from Montreal-based startup \u003ca href=\"http://www.hexoskin.com/\">Hexoskin\u003c/a>. Blue is a self-professed “fitness junkie” who goes to the gym at least five times each week, so he said the shirt is worth the $399 price tag. For Blue, it’s far easier to throw on a Hexoskin shirt and go, rather than fiddle with a smartphone or chest strap.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"My old heart rate monitor is now sitting in the closet, gathering dust,\" he said.\u003c/p>\n\u003cfigure id=\"attachment_1121\" class=\"wp-caption alignright\" style=\"max-width: 751px\">\u003cimg class=\"size-full wp-image-1121\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/gym_01.jpg\" alt=\"Gym-goers wearing gear from Hexoskin\" width=\"751\" height=\"500\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/gym_01.jpg 751w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/gym_01-400x266.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/gym_01-320x213.jpg 320w\" sizes=\"(max-width: 751px) 100vw, 751px\">\u003cfigcaption class=\"wp-caption-text\">Gym-goers wearing gear from Hexoskin \u003ccite>(Hexoskin)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp class=\"p1\">\u003cspan class=\"s1\">\"It sounds very sci-fi right now, but in\u003c/span> the future all of the personal data being collected by health and fitness sensors and smart watches will alternatively be readily available in our clothing.\"\u003c/p>\n\u003cp>Blue isn’t alone in embracing the smart clothing trend.\u003c/p>\n\u003cp>Famous athletes, \u003ca href=\"http://www.space.com/28945-mock-mars-mission-hexoskin-shirt.html\">astronauts\u003c/a>, and even \u003ca href=\"http://www.hexoskin.com/blogs/news/13604554-cirque-du-soleil-uses-hexoskin-to-monitor-performers-fatigue\">Cirque du Soleil performers\u003c/a> have all espoused the benefits of using Hexoskin and other smart clothing products. Smart shirts, athletic pants and even socks started hitting stores last year.\u003c/p>\n\u003cp>But medical experts say they hope patients with serious and chronic conditions also can benefit from smart clothing. When will these products reach the health care market, where they may be needed most?\u003c/p>\n\u003cp>“These companies will hit fitness fans first,” said Stephanie Tilenius, founder of \u003ca href=\"https://www.vida.com/\">Vida\u003c/a>, a mobile app that matches sick patients with personal health coaches.\u003c/p>\n\u003cp>“But I see huge potential for chronic care.”\u003c/p>\n\u003cp>\u003cstrong>Rapid Evolution\u003c/strong>\u003c/p>\n\u003cp>It’s still early for smart clothing, but the technology is evolving rapidly.\u003c/p>\n\u003cp>One company, \u003ca href=\"http://www.liveathos.com/\">Athos\u003c/a>, based in Redwood City, develops garments that can track people’s muscles as they move. Sensors in its shirt can detect whether a user is putting too much pressure on one side of the body, for instance.\u003c/p>\n\u003cp>Athos is focused on reaching passionate exercisers who want to make improvements to their exercise regimes, like training more intensively while avoiding injury, said CEO Dhananja Jayalath.\u003c/p>\n\u003cp>\"The people who buy our stuff are into fitness -- they typically spent a lot of time working out,\" he said.\u003c/p>\n\u003cp>As is the case with many startups, Jayalath started Athos to solve a personal problem.\u003c/p>\n\u003caside class=\"pullquote alignright\">“My old heart rate monitor is now sitting in the closet, gathering dust.'\"\u003cbr>\n\u003ccite>Eric Blue, Hexoskin user and the founder of Traqs\u003c/cite>\u003c/aside>\n\u003cp>He came up with the idea while studying electrical engineering in college. Jayalath, who frequently goes to the gym, said he couldn’t stop thinking about whether technology could replace a personal trainer.\u003c/p>\n\u003cp>“After we came up with the idea, people told us we were crazy and it wasn’t possible,” he said.\u003c/p>\n\u003cp>It took Jayalath and a fellow electrical engineer just five years to build a working prototype.\u003c/p>\n\u003cp>Against all expectations, Jayalath succeeded in developing apparel that can track muscle activity, heart rate recovery times and breathing rates. In the past, athletes would have needed to be hooked up to a machine in a performance lab to access this information.\u003c/p>\n\u003cp>Jayalath didn’t intend to build a product for sick people. But Athos has already received a great deal of interest from the medical community.\u003c/p>\n\u003cp>The company anticipates that its clothing will eventually be used in all kinds of clinical settings, such as hospitals and rehabilitation clinics. Smart clothing could benefit patients with a variety of medical conditions, including heart disease and obesity.\u003c/p>\n\u003cp>“Gradually over the next few years, these low-cost, consumer-focused, data-rich devices and apps will bring to bear vastly more data than physicians have in some circumstances,” said Pete Moran, a general partner at the venture capital firm \u003ca href=\"http://www.dcm.com/\">DCM\u003c/a>, which invested in Athos.\u003c/p>\n\u003cp>But selling to hospitals comes with strings attached.\u003c/p>\n\u003cp>“It would be far easier for a product like this to remain in the ‘wellness’ category,” said Morgan Reed, an executive director at \u003ca href=\"http://actonline.org/\">The App Association\u003c/a>, a Washington, D.C. nonprofit that works with patient advocates and app developers.\u003c/p>\n\u003cp>By saying they are helping improve fitness and well being, Reed said, these companies may hope to avoid regulatory oversight from government agencies like the U.S. Food and Drug Administration.\u003c/p>\n\u003cp>\u003cstrong>Smart Training to Smart Recovery\u003c/strong>\u003c/p>\n\u003cp>NBA All-Star Jermaine O’Neal \u003ca href=\"http://www.bizjournals.com/sanjose/news/2014/08/12/nbas-jermaine-oneal-joe-lacob-join-12-2m-funding.html?page=all\">recently endorsed and made a personal investment in\u003c/a> Athos because it helps him \"train smarter.\"\u003c/p>\n\u003cp>But how about helping surgical patients recover smarter?\u003c/p>\n\u003cp>“Fitness shirts could find a market in rehabilitation and could facilitate home exercises. That's just a thought,” said Dr. Molly Maloof, a general practitioner based in San Francisco, who has been closely following the wearable tech trend.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"There has been an explosion in patient-generated data, but much of it may not be useful to physicians in the short-term.\"\u003cbr>\n\u003ccite>Dr. Pat Basu,chief medical officer at Doctor On Demand\u003c/cite>\u003c/aside>\n\u003cp>Patients could wear biometric shirts and other apparel after surgeries, she said. Those who have recently undergone cardiac surgery, for instance, could be alerted if their heart rate is too high.\u003c/p>\n\u003cp>Smart clothing might also help people who are obese or overweight. Some doctors would consider recommending smart clothing to some of their patients, if it would inspire them to exercise regularly.\u003c/p>\n\u003cp>\"The fact is that the majority of Americans are in terrible shape,\" said Maloof. According to Maloof, fitness shirts could help get people on their feet, as long as the product proves to be more compelling than a barely-used gym membership.\u003c/p>\n\u003cp>Other physicians said they remain unconvinced that the data is precise. This mistrust doesn’t just apply to smart clothing, but the wearable-tech trend in general.\u003c/p>\n\u003cp>“There has been an explosion in patient-generated data, but much of it may not be useful to physicians in the short-term,” said Dr. Pat Basu, a former chief resident at Stanford University and current chief medical officer at \u003ca href=\"http://www.doctorondemand.com/\">Doctor On Demand\u003c/a>, an app that connects people to doctors.\u003c/p>\n\u003cp>“If a patient is showing me their blood pressure or heart rate they gathered from an app or device, I’ll always ask myself, ‘Is the fidelity of this information accurate or not?'”\u003c/p>\n\u003cp>Basu also said that wearable-tech makers should produce reports about each patient that doctors and nurses can skim. Many physicians are already inundated with the wealth of data that patients are generating from new wearable apps and devices, he said.\u003c/p>\n\u003cp>Moreover, some doctors fear that they will be liable if they miss something in the growing pile of patient data.\u003c/p>\n\u003cp>Privacy is another concern. The App Association’s executive director, Morgan Reed, has examined the privacy policies of companies like Athos.\u003c/p>\n\u003cp>He’s satisfied that patient’s sensitive health information is protected – for now.\u003c/p>\n\u003cp>But Reed expressed fears that the next crop of smart clothing companies might opt to offset the high cost of their products by selling people’s health data to pharmaceutical companies, insurance providers and even employers.\u003c/p>\n\u003cp>\u003ca href=\"http://www.fiercemobilehealthcare.com/story/senator-wants-ftc-rules-data-selling-wearable-device-companies/2014-08-11\">Fears are mounting among policymakers \u003c/a>that many of the most popular wearable tech companies are selling people’s personal health data, including step counts, hours of sleep and location.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“Would consumers understand that they’re buying the version that is monetizing through data-sharing?” Reed said. “That’s the problem that everyone in the wearables industry is working on right now.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Eric Blue goes to the gym, he sports a wafer-thin shirt that tracks his every move.\u003c/p>\n\u003cp>Blue’s shirt contains tiny sensors, which are woven into the fabric. They monitor his heart rate, the calories he burns and other metrics, like breathing rate. And a companion mobile app on his smart phone informs him about the intensity of his workouts.\u003c/p>\n\u003cp>Blue, a Los Angeles entrepreneur, says regular use of the shirt has pushed him to “up his game” during exercise.\u003c/p>\n\u003cp>This is no ordinary shirt. It represents the evolution of the wearable-tech trend from accessories, like watches and bands like Fitbits, to full-blown clothing.\u003c/p>\n\u003cp>Blue, 38, was among the first people to buy a biometric shirt from Montreal-based startup \u003ca href=\"http://www.hexoskin.com/\">Hexoskin\u003c/a>. Blue is a self-professed “fitness junkie” who goes to the gym at least five times each week, so he said the shirt is worth the $399 price tag. For Blue, it’s far easier to throw on a Hexoskin shirt and go, rather than fiddle with a smartphone or chest strap.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"My old heart rate monitor is now sitting in the closet, gathering dust,\" he said.\u003c/p>\n\u003cfigure id=\"attachment_1121\" class=\"wp-caption alignright\" style=\"max-width: 751px\">\u003cimg class=\"size-full wp-image-1121\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/gym_01.jpg\" alt=\"Gym-goers wearing gear from Hexoskin\" width=\"751\" height=\"500\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/gym_01.jpg 751w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/gym_01-400x266.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/gym_01-320x213.jpg 320w\" sizes=\"(max-width: 751px) 100vw, 751px\">\u003cfigcaption class=\"wp-caption-text\">Gym-goers wearing gear from Hexoskin \u003ccite>(Hexoskin)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp class=\"p1\">\u003cspan class=\"s1\">\"It sounds very sci-fi right now, but in\u003c/span> the future all of the personal data being collected by health and fitness sensors and smart watches will alternatively be readily available in our clothing.\"\u003c/p>\n\u003cp>Blue isn’t alone in embracing the smart clothing trend.\u003c/p>\n\u003cp>Famous athletes, \u003ca href=\"http://www.space.com/28945-mock-mars-mission-hexoskin-shirt.html\">astronauts\u003c/a>, and even \u003ca href=\"http://www.hexoskin.com/blogs/news/13604554-cirque-du-soleil-uses-hexoskin-to-monitor-performers-fatigue\">Cirque du Soleil performers\u003c/a> have all espoused the benefits of using Hexoskin and other smart clothing products. Smart shirts, athletic pants and even socks started hitting stores last year.\u003c/p>\n\u003cp>But medical experts say they hope patients with serious and chronic conditions also can benefit from smart clothing. When will these products reach the health care market, where they may be needed most?\u003c/p>\n\u003cp>“These companies will hit fitness fans first,” said Stephanie Tilenius, founder of \u003ca href=\"https://www.vida.com/\">Vida\u003c/a>, a mobile app that matches sick patients with personal health coaches.\u003c/p>\n\u003cp>“But I see huge potential for chronic care.”\u003c/p>\n\u003cp>\u003cstrong>Rapid Evolution\u003c/strong>\u003c/p>\n\u003cp>It’s still early for smart clothing, but the technology is evolving rapidly.\u003c/p>\n\u003cp>One company, \u003ca href=\"http://www.liveathos.com/\">Athos\u003c/a>, based in Redwood City, develops garments that can track people’s muscles as they move. Sensors in its shirt can detect whether a user is putting too much pressure on one side of the body, for instance.\u003c/p>\n\u003cp>Athos is focused on reaching passionate exercisers who want to make improvements to their exercise regimes, like training more intensively while avoiding injury, said CEO Dhananja Jayalath.\u003c/p>\n\u003cp>\"The people who buy our stuff are into fitness -- they typically spent a lot of time working out,\" he said.\u003c/p>\n\u003cp>As is the case with many startups, Jayalath started Athos to solve a personal problem.\u003c/p>\n\u003caside class=\"pullquote alignright\">“My old heart rate monitor is now sitting in the closet, gathering dust.'\"\u003cbr>\n\u003ccite>Eric Blue, Hexoskin user and the founder of Traqs\u003c/cite>\u003c/aside>\n\u003cp>He came up with the idea while studying electrical engineering in college. Jayalath, who frequently goes to the gym, said he couldn’t stop thinking about whether technology could replace a personal trainer.\u003c/p>\n\u003cp>“After we came up with the idea, people told us we were crazy and it wasn’t possible,” he said.\u003c/p>\n\u003cp>It took Jayalath and a fellow electrical engineer just five years to build a working prototype.\u003c/p>\n\u003cp>Against all expectations, Jayalath succeeded in developing apparel that can track muscle activity, heart rate recovery times and breathing rates. In the past, athletes would have needed to be hooked up to a machine in a performance lab to access this information.\u003c/p>\n\u003cp>Jayalath didn’t intend to build a product for sick people. But Athos has already received a great deal of interest from the medical community.\u003c/p>\n\u003cp>The company anticipates that its clothing will eventually be used in all kinds of clinical settings, such as hospitals and rehabilitation clinics. Smart clothing could benefit patients with a variety of medical conditions, including heart disease and obesity.\u003c/p>\n\u003cp>“Gradually over the next few years, these low-cost, consumer-focused, data-rich devices and apps will bring to bear vastly more data than physicians have in some circumstances,” said Pete Moran, a general partner at the venture capital firm \u003ca href=\"http://www.dcm.com/\">DCM\u003c/a>, which invested in Athos.\u003c/p>\n\u003cp>But selling to hospitals comes with strings attached.\u003c/p>\n\u003cp>“It would be far easier for a product like this to remain in the ‘wellness’ category,” said Morgan Reed, an executive director at \u003ca href=\"http://actonline.org/\">The App Association\u003c/a>, a Washington, D.C. nonprofit that works with patient advocates and app developers.\u003c/p>\n\u003cp>By saying they are helping improve fitness and well being, Reed said, these companies may hope to avoid regulatory oversight from government agencies like the U.S. Food and Drug Administration.\u003c/p>\n\u003cp>\u003cstrong>Smart Training to Smart Recovery\u003c/strong>\u003c/p>\n\u003cp>NBA All-Star Jermaine O’Neal \u003ca href=\"http://www.bizjournals.com/sanjose/news/2014/08/12/nbas-jermaine-oneal-joe-lacob-join-12-2m-funding.html?page=all\">recently endorsed and made a personal investment in\u003c/a> Athos because it helps him \"train smarter.\"\u003c/p>\n\u003cp>But how about helping surgical patients recover smarter?\u003c/p>\n\u003cp>“Fitness shirts could find a market in rehabilitation and could facilitate home exercises. That's just a thought,” said Dr. Molly Maloof, a general practitioner based in San Francisco, who has been closely following the wearable tech trend.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"There has been an explosion in patient-generated data, but much of it may not be useful to physicians in the short-term.\"\u003cbr>\n\u003ccite>Dr. Pat Basu,chief medical officer at Doctor On Demand\u003c/cite>\u003c/aside>\n\u003cp>Patients could wear biometric shirts and other apparel after surgeries, she said. Those who have recently undergone cardiac surgery, for instance, could be alerted if their heart rate is too high.\u003c/p>\n\u003cp>Smart clothing might also help people who are obese or overweight. Some doctors would consider recommending smart clothing to some of their patients, if it would inspire them to exercise regularly.\u003c/p>\n\u003cp>\"The fact is that the majority of Americans are in terrible shape,\" said Maloof. According to Maloof, fitness shirts could help get people on their feet, as long as the product proves to be more compelling than a barely-used gym membership.\u003c/p>\n\u003cp>Other physicians said they remain unconvinced that the data is precise. This mistrust doesn’t just apply to smart clothing, but the wearable-tech trend in general.\u003c/p>\n\u003cp>“There has been an explosion in patient-generated data, but much of it may not be useful to physicians in the short-term,” said Dr. Pat Basu, a former chief resident at Stanford University and current chief medical officer at \u003ca href=\"http://www.doctorondemand.com/\">Doctor On Demand\u003c/a>, an app that connects people to doctors.\u003c/p>\n\u003cp>“If a patient is showing me their blood pressure or heart rate they gathered from an app or device, I’ll always ask myself, ‘Is the fidelity of this information accurate or not?'”\u003c/p>\n\u003cp>Basu also said that wearable-tech makers should produce reports about each patient that doctors and nurses can skim. Many physicians are already inundated with the wealth of data that patients are generating from new wearable apps and devices, he said.\u003c/p>\n\u003cp>Moreover, some doctors fear that they will be liable if they miss something in the growing pile of patient data.\u003c/p>\n\u003cp>Privacy is another concern. The App Association’s executive director, Morgan Reed, has examined the privacy policies of companies like Athos.\u003c/p>\n\u003cp>He’s satisfied that patient’s sensitive health information is protected – for now.\u003c/p>\n\u003cp>But Reed expressed fears that the next crop of smart clothing companies might opt to offset the high cost of their products by selling people’s health data to pharmaceutical companies, insurance providers and even employers.\u003c/p>\n\u003cp>\u003ca href=\"http://www.fiercemobilehealthcare.com/story/senator-wants-ftc-rules-data-selling-wearable-device-companies/2014-08-11\">Fears are mounting among policymakers \u003c/a>that many of the most popular wearable tech companies are selling people’s personal health data, including step counts, hours of sleep and location.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Would consumers understand that they’re buying the version that is monetizing through data-sharing?” Reed said. “That’s the problem that everyone in the wearables industry is working on right now.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Fighting Ebola in West Africa: Q&A with Steven VanRoekel",
"title": "Fighting Ebola in West Africa: Q&A with Steven VanRoekel",
"headTitle": "Q&A | Future of You | KQED Future of You | KQED Science",
"content": "\u003cp>Steven VanRoekel has dedicated his career to developing and communicating complex technologies, whether at Microsoft or the federal government. But this past Fall, he faced his biggest challenge yet: To use the simplest technology available to help combat the Ebola epidemic in West Africa.\u003c/p>\n\u003cp>In September of 2014, VanRoekel left his post as Chief Information Officer (CIO) at the White House to join USAID, the government agency responsible for administering aid to civilians overseas. VanRoekel was charged with coordinating the U.S. government's response to the Ebola outbreak. He worked at USAID until mid-March, when he \u003ca href=\"http://www.washingtonpost.com/business/capitalbusiness/steven-vanroekel-steps-down-from-usaid/2015/03/19/69c3e666-ce5d-11e4-a2a7-9517a3a70506_story.html\">announced that he would be leaving \u003c/a>to spend more time with family.\u003c/p>\n\u003cp>When he first took on the job, the Ebola crisis seemed to have no end in sight. Today, rates of new infections are starting to wind down. New Ebola cases continue to be reported in Guinea and Sierra Leone, but the situation has vastly improved in Liberia, where no confirmed cases have been reported in over a month. In about a year, \u003ca href=\"http://www.cdc.gov/vhf/ebola/\">the disease has claimed over 10,000 lives in West Africa\u003c/a>, making it the largest Ebola epidemic in history.\u003c/p>\n\u003cp>I sat down with VanRoekel at the tech conference SXSW in Austin, Texas earlier this month and asked him about his experience using simple technologies to fight Ebola in West Africa.\u003c/p>\n\u003ch2>Can you recall what it was like to fly into the midst of an Ebola outbreak when you first visited West Africa?\u003c/h2>\n\u003cfigure id=\"attachment_1012\" class=\"wp-caption alignleft\" style=\"max-width: 337px\">\u003cimg class=\" wp-image-1012\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/03/CAAcusnVEAA_6jQ.jpg\" alt=\"Steven VanRoekel speaking at SXSW in Austin, Tx. \" width=\"337\" height=\"337\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/03/CAAcusnVEAA_6jQ.jpg 600w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/CAAcusnVEAA_6jQ-400x400.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/CAAcusnVEAA_6jQ-320x320.jpg 320w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/CAAcusnVEAA_6jQ-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/CAAcusnVEAA_6jQ-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/CAAcusnVEAA_6jQ-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/CAAcusnVEAA_6jQ-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/CAAcusnVEAA_6jQ-75x75.jpg 75w\" sizes=\"(max-width: 337px) 100vw, 337px\">\u003cfigcaption class=\"wp-caption-text\">Steven VanRoekel speaking at SXSW in Austin, Tx. \u003ccite>(Jessica Bolaños Vanegas / Goodspero)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>My first visit to West Africa during the midst of the crisis was a trip to neighboring Ghana to attend a two-day planning session with the United Nations. Ghana had not seen a case of Ebola at that time, but you could feel the fear in the air. My next trip, a few weeks later, was to Monrovia, Liberia. There were active cases in the city, Ebola Treatment Units on the way to the city from the airport, and the precautions were even more intense. You had to wash your hands in bleach water before entering any establishment, including restaurants, hotels and meeting places, have your temperature taken, and there was no physical contact of any kind. It is pretty weird when you meet someone to not shake their hand, but that was the norm in Liberia.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In Liberia we were all in it together, so there was really no stigma to this behavior. The stigma really came flying back to the States. The airline employees all wore rubber gloves and you could tell they were afraid to be working around you. The customs people in the United States were terrific, as were the public health officials, but you had this real fear for three weeks that you may have somehow contracted Ebola. We now know that it is much harder to transmit than we all thought in the early Fall.\u003c/p>\n\u003ch2>Were new consumer technologies, like virtual conferencing services for doctors or health tracking wearables, relevant in this crisis?\u003c/h2>\n\u003caside class=\"pullquote alignright\">“You had to wash your hands in bleach water before entering any establishment\"\u003cbr>\n\u003ccite>Steven VanRoekel, former White House and USAID executive\u003c/cite>\u003c/aside>\n\u003cp>You're lucky if you get a 2G connection in some parts of West Africa. We did set up call centers, so we could provide communication tools at scale. We also did work with communication technology providers in the region, like Facebook's nonprofit Internet.org and [Microsoft cofounder] Paul Allen. We also talked to Google, which is doing work around '\u003ca href=\"http://www.google.com/loon/\">launchable' communications services like Project Loon. \u003c/a>\u003c/p>\n\u003cp>As for wearables, they can also be very applicable, but more so in the care setting -- both for monitoring patients as well as monitoring health workers. This did not play a big role in the epidemic, but we made advances in this space, \u003ca href=\"http://mashable.com/2015/03/14/smart-band-aid-ebola/\">like this smart band\u003c/a>, that will be applicable to future crisis.\u003c/p>\n\u003ch2>In Africa, mobile phone usage has been exploding. How did your team take advantage of the new opportunities for SMS communications?\u003c/h2>\n\u003cp>The growth of mobile in remote parts of the world, including West Africa, has been profound in the last decade. You can certainly find at least a few people who have a phone in very remote areas. These phones are typically simple voice and text phones, not smart devices, and there is a booming business model around pay-as-you-go services. People visit these little wooden kiosks in their village and buy a “scratch card” that gives them a code for minutes on their phones. Where mobile comes into play in this environment is the use of minimally-viable solutions, namely using voice and SMS to both communicate out, like messaging to people what symptoms to look for or how to get help, as well as to provide services where people can report cases. There is a wonderful emerging suite of tools that exist to do this data collection. One of the coolest is the \u003ca href=\"http://www.mhero.org/mHero\">MHERO\u003c/a> suite created by UNICEF.\u003c/p>\n\u003ch2>Speaking of communications challenges, how were you able to pull together patient records and track the spread of the disease?\u003c/h2>\n\u003cp>That's what a big part of our work was about. When I started, we had a lot of confusion in the field because case loads were going up so rapidly. What we did -- and by 'we', I mean the global response teams -- was to kick off an effort to get data harmonized and make it operational. During my first trip to Liberia, we worked with the health ministry to create a structure where people in the field could manually collect data.\u003c/p>\n\u003ch2>How would that work in practice?\u003c/h2>\n\u003caside class=\"pullquote alignleft\">\"In Liberia we were all in it together. The stigma really came flying back to the States.\"\u003cbr>\n\u003ccite>Steven VanRoekel, former White House, USAID executive\u003c/cite>\u003c/aside>\n\u003cp>We trained 10,000 people to collect data in paper formats, until it got to the \u003ca href=\"http://liberiamohsw.org/\">Ministry of Health in Liberia\u003c/a>. Our health workers would answer questions like, 'Are they probable or confirmed?' What are the symptoms?' Who have they been in contact with?' We then looked at the trends to find correlations like whether more men were getting it than women, or whether there was any correlation with the sex trade. Every day at around 4.30pm, we held a situation meeting where this data would be presented and argued about. We asked, 'What was the story behind the numbers?' We learned that about 70 percent of those who got infected were touching dead bodies. You're most infectious when you die. But there are cultural practices about hugging a loved one after they had passed. We had to get the word out.\u003c/p>\n\u003ch2>Where does this effort go from here?\u003c/h2>\n\u003cp>We need this data to continue to flow. We hope this is a model for the U.S. and other countries where some health data is trapped. Our vision is that by having open medical data systems that work across the vast variability of the operating environment, including a low- or no-connectivity dirt floor clinic with illiterate staff. You could create a world where you would not only have early warnings of issues arising in remote areas, but you could address those quickly and stop disease before it becomes a crisis. USAID is working on convening the community to make this a reality in West Africa and hopefully a platform for bio-surveillance around the world.\u003c/p>\n\u003cp>\u003cem>This interview has been condensed and edited for brevity.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>It is the first in an occasional Q&A series for KQED's Future of You, where we interview influential people working at the intersection of healthcare and technology.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Steven VanRoekel has dedicated his career to developing and communicating complex technologies, whether at Microsoft or the federal government. But this past Fall, he faced his biggest challenge yet: To use the simplest technology available to help combat the Ebola epidemic in West Africa.\u003c/p>\n\u003cp>In September of 2014, VanRoekel left his post as Chief Information Officer (CIO) at the White House to join USAID, the government agency responsible for administering aid to civilians overseas. VanRoekel was charged with coordinating the U.S. government's response to the Ebola outbreak. He worked at USAID until mid-March, when he \u003ca href=\"http://www.washingtonpost.com/business/capitalbusiness/steven-vanroekel-steps-down-from-usaid/2015/03/19/69c3e666-ce5d-11e4-a2a7-9517a3a70506_story.html\">announced that he would be leaving \u003c/a>to spend more time with family.\u003c/p>\n\u003cp>When he first took on the job, the Ebola crisis seemed to have no end in sight. Today, rates of new infections are starting to wind down. New Ebola cases continue to be reported in Guinea and Sierra Leone, but the situation has vastly improved in Liberia, where no confirmed cases have been reported in over a month. In about a year, \u003ca href=\"http://www.cdc.gov/vhf/ebola/\">the disease has claimed over 10,000 lives in West Africa\u003c/a>, making it the largest Ebola epidemic in history.\u003c/p>\n\u003cp>I sat down with VanRoekel at the tech conference SXSW in Austin, Texas earlier this month and asked him about his experience using simple technologies to fight Ebola in West Africa.\u003c/p>\n\u003ch2>Can you recall what it was like to fly into the midst of an Ebola outbreak when you first visited West Africa?\u003c/h2>\n\u003cfigure id=\"attachment_1012\" class=\"wp-caption alignleft\" style=\"max-width: 337px\">\u003cimg class=\" wp-image-1012\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/03/CAAcusnVEAA_6jQ.jpg\" alt=\"Steven VanRoekel speaking at SXSW in Austin, Tx. \" width=\"337\" height=\"337\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/03/CAAcusnVEAA_6jQ.jpg 600w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/CAAcusnVEAA_6jQ-400x400.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/CAAcusnVEAA_6jQ-320x320.jpg 320w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/CAAcusnVEAA_6jQ-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/CAAcusnVEAA_6jQ-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/CAAcusnVEAA_6jQ-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/CAAcusnVEAA_6jQ-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/CAAcusnVEAA_6jQ-75x75.jpg 75w\" sizes=\"(max-width: 337px) 100vw, 337px\">\u003cfigcaption class=\"wp-caption-text\">Steven VanRoekel speaking at SXSW in Austin, Tx. \u003ccite>(Jessica Bolaños Vanegas / Goodspero)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>My first visit to West Africa during the midst of the crisis was a trip to neighboring Ghana to attend a two-day planning session with the United Nations. Ghana had not seen a case of Ebola at that time, but you could feel the fear in the air. My next trip, a few weeks later, was to Monrovia, Liberia. There were active cases in the city, Ebola Treatment Units on the way to the city from the airport, and the precautions were even more intense. You had to wash your hands in bleach water before entering any establishment, including restaurants, hotels and meeting places, have your temperature taken, and there was no physical contact of any kind. It is pretty weird when you meet someone to not shake their hand, but that was the norm in Liberia.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In Liberia we were all in it together, so there was really no stigma to this behavior. The stigma really came flying back to the States. The airline employees all wore rubber gloves and you could tell they were afraid to be working around you. The customs people in the United States were terrific, as were the public health officials, but you had this real fear for three weeks that you may have somehow contracted Ebola. We now know that it is much harder to transmit than we all thought in the early Fall.\u003c/p>\n\u003ch2>Were new consumer technologies, like virtual conferencing services for doctors or health tracking wearables, relevant in this crisis?\u003c/h2>\n\u003caside class=\"pullquote alignright\">“You had to wash your hands in bleach water before entering any establishment\"\u003cbr>\n\u003ccite>Steven VanRoekel, former White House and USAID executive\u003c/cite>\u003c/aside>\n\u003cp>You're lucky if you get a 2G connection in some parts of West Africa. We did set up call centers, so we could provide communication tools at scale. We also did work with communication technology providers in the region, like Facebook's nonprofit Internet.org and [Microsoft cofounder] Paul Allen. We also talked to Google, which is doing work around '\u003ca href=\"http://www.google.com/loon/\">launchable' communications services like Project Loon. \u003c/a>\u003c/p>\n\u003cp>As for wearables, they can also be very applicable, but more so in the care setting -- both for monitoring patients as well as monitoring health workers. This did not play a big role in the epidemic, but we made advances in this space, \u003ca href=\"http://mashable.com/2015/03/14/smart-band-aid-ebola/\">like this smart band\u003c/a>, that will be applicable to future crisis.\u003c/p>\n\u003ch2>In Africa, mobile phone usage has been exploding. How did your team take advantage of the new opportunities for SMS communications?\u003c/h2>\n\u003cp>The growth of mobile in remote parts of the world, including West Africa, has been profound in the last decade. You can certainly find at least a few people who have a phone in very remote areas. These phones are typically simple voice and text phones, not smart devices, and there is a booming business model around pay-as-you-go services. People visit these little wooden kiosks in their village and buy a “scratch card” that gives them a code for minutes on their phones. Where mobile comes into play in this environment is the use of minimally-viable solutions, namely using voice and SMS to both communicate out, like messaging to people what symptoms to look for or how to get help, as well as to provide services where people can report cases. There is a wonderful emerging suite of tools that exist to do this data collection. One of the coolest is the \u003ca href=\"http://www.mhero.org/mHero\">MHERO\u003c/a> suite created by UNICEF.\u003c/p>\n\u003ch2>Speaking of communications challenges, how were you able to pull together patient records and track the spread of the disease?\u003c/h2>\n\u003cp>That's what a big part of our work was about. When I started, we had a lot of confusion in the field because case loads were going up so rapidly. What we did -- and by 'we', I mean the global response teams -- was to kick off an effort to get data harmonized and make it operational. During my first trip to Liberia, we worked with the health ministry to create a structure where people in the field could manually collect data.\u003c/p>\n\u003ch2>How would that work in practice?\u003c/h2>\n\u003caside class=\"pullquote alignleft\">\"In Liberia we were all in it together. The stigma really came flying back to the States.\"\u003cbr>\n\u003ccite>Steven VanRoekel, former White House, USAID executive\u003c/cite>\u003c/aside>\n\u003cp>We trained 10,000 people to collect data in paper formats, until it got to the \u003ca href=\"http://liberiamohsw.org/\">Ministry of Health in Liberia\u003c/a>. Our health workers would answer questions like, 'Are they probable or confirmed?' What are the symptoms?' Who have they been in contact with?' We then looked at the trends to find correlations like whether more men were getting it than women, or whether there was any correlation with the sex trade. Every day at around 4.30pm, we held a situation meeting where this data would be presented and argued about. We asked, 'What was the story behind the numbers?' We learned that about 70 percent of those who got infected were touching dead bodies. You're most infectious when you die. But there are cultural practices about hugging a loved one after they had passed. We had to get the word out.\u003c/p>\n\u003ch2>Where does this effort go from here?\u003c/h2>\n\u003cp>We need this data to continue to flow. We hope this is a model for the U.S. and other countries where some health data is trapped. Our vision is that by having open medical data systems that work across the vast variability of the operating environment, including a low- or no-connectivity dirt floor clinic with illiterate staff. You could create a world where you would not only have early warnings of issues arising in remote areas, but you could address those quickly and stop disease before it becomes a crisis. USAID is working on convening the community to make this a reality in West Africa and hopefully a platform for bio-surveillance around the world.\u003c/p>\n\u003cp>\u003cem>This interview has been condensed and edited for brevity.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Do Wearables and Health Apps Belong in the Doctor’s Office?",
"title": "Do Wearables and Health Apps Belong in the Doctor’s Office?",
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"content": "\u003cp>http://www.kqed.org/.stream/anon/radio/science/2014/10/20141006science.mp3\u003c/p>\n\u003cp>Apple’s smart watch is only the latest gadget with quasi-medical aspirations. The watch joins a fast-growing wearables industry worth between $3 billion and $5 billion, according to \u003ca href=\"https://doc.research-and-analytics.csfb.com/docView?language=ENG&source=ulg&format=PDF&document_id=805349560&serialid=g9lEUAU7uOFgKHIGT9ZG65xrGGoRvXYXhI1Ez/GEECU=\">Credit Suisse\u003c/a>. Add to that nearly 50,000 health apps and you have a booming new digital health industry aiming to disrupt healthcare the same way Amazon took on publishing.\u003c/p>\n\u003cp>But disruption is easier tweeted than done, especially when doctors aren't as gung-ho.\u003c/p>\n\u003cp>Take, for example, Dr. Paul Abramson, a primary care doctor in San Francisco’s financial district.\u003c/p>\n\u003cp>Abramson is no techno-phobe. He sees patients in a sleek white office with a hydraulic standing desk from Denmark and listens to their hearts with a digital stethoscope.\u003c/p>\n\u003caside class=\"pullquote alignright\">One patient had 'twenty years of data in Excel spreadsheets and several other formats, everything from heart rate to symptoms to medications.'\u003ccite>— Dr. Paul Abramson\u003c/cite>\u003c/aside>\n\u003cp>“I like gadgets,” Abramson explains.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Abramson sees many patients from the tech industry. More and more, he says, people are coming in with data collected from consumer medical devices. One recent patient took this to an extreme.\u003c/p>\n\u003cp>He had, Abramson says, “twenty years of data in Excel spreadsheets and several other formats, everything from heart rate to symptoms to medications.”\u003c/p>\n\u003cp>Abramson says even the patient wasn’t sure what to make of it all.\u003c/p>\n\u003cp>“The thought of going through it and trying to put it into a format where you could then analyze it or extract meaning from it was not really feasible,” he says.\u003c/p>\n\u003cp>It wasn’t just that Abramson, like most doctors, doesn’t have time to pour through this data. It’s that he says he can learn a lot more from a simple conversation during a traditional doctor's exam.\u003c/p>\n\u003cp>“I get information from watching people's body language,\" he says, \"from observing their minor ticks and the tone of their voice, and the subtleties of being in a room with them that give me information that there's way I can get. I've tried doing it on the phone, on video conferencing. You just don't get as rich an experience to figure out what's going on and give guidance.”\u003c/p>\n\u003cp>\u003cstrong>Fielding Pitches From Silicon Valley\u003c/strong>\u003c/p>\n\u003cp>But this wariness from doctors hasn’t deterred technology start-ups from trying to insert their products into the doctor’s office.\u003c/p>\n\u003cp>Michael Blum, a cardiologist at UCSF, says he gets pitches from entrepreneurs almost daily.\u003c/p>\n\u003cp>“Their perspective,” says Blum, “is, ‘You old doctors have kept things the same as they are for fifty years. We've got new technology and it's going to disrupt healthcare.’”\u003c/p>\n\u003caside class=\"pullquote alignleft\">'Their perspective is, \"You old doctors have kept things the same as they are for fifty years. We've got new technology and it's going to disrupt healthcare.\"'\u003ccite>— Dr. Michael Blum, UCSF\u003c/cite>\u003c/aside>\n\u003cp>Blum says he’s not entirely at odds with this statement. He agrees that healthcare needs to be disrupted with technology. But this transition is rarely as easy as the tech entrepreneurs predict.\u003c/p>\n\u003cp>Consider the wide-scale conversion from paper to electronic medical records.\u003c/p>\n\u003cp>More than 70 percent of medical centers now use electronic medical records, says Blum, but the transition \u003ca href=\"http://www.nytimes.com/2014/10/01/business/digital-medical-records-become-common-but-sharing-remains-challenging.html\">has been rocky\u003c/a>. Medical centers find themselves using proprietary database systems that aren’t compatible with systems in other medical centers, so electronic records can't always be shared from one office to another.\u003c/p>\n\u003cp>The same problems are likely to pop up when consumer medical devices – for example, home heart or blood glucose monitors – become more widespread.\u003c/p>\n\u003cp>“There's this perception that that data is just going to stream right into your doctor,” says Blum, “and that as soon as you show up they're going to look at that data and know everything they need to know. And the reality is, we're not there. We’re really not close to there yet.”\u003c/p>\n\u003cp>\u003cstrong>Yes, It's Shiny and New. But Does It Work?\u003c/strong>\u003c/p>\n\u003cp>Then there’s the question of accuracy. Devices like the Nike+ FuelBand look shiny and hi-tech, but they are not currently regulated by the FDA.\u003c/p>\n\u003cp>“We can't make the leap that just because this data is coming in digitally, it's accurate,” Blum says.\u003c/p>\n\u003cp>If doctors are often wary of the shiny and the new, he says, it’s for a good reason.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Doctors and hospitals must figure out which technologies are game-changing and which are dead ends.\u003c/aside>\n\u003cp>“Things that seem really fantastic can actually have very adverse outcomes,” Blum says. “There's a long history of studies of medicine or therapies that looked promising and produced good results but shortly thereafter got completely overturned by larger data sets.”\u003c/p>\n\u003cp>It’s largely up to doctors and hospitals to do the vetting, to sort out which technologies are game-changing and which are dead ends.\u003c/p>\n\u003cp>Several providers, including Kaiser Permanente, have created entire new divisions to do this. UCSF recently opened the Center for Digital Health Innovation, which Blum directs.\u003c/p>\n\u003cp>The Center pairs entrepreneurs with medical researchers who can subject new technologies to rigorous medical testing, to make sure the devices live up to their manufacturers’ claims.\u003c/p>\n\u003cp>Meanwhile, Silicon Valley is focusing on specific diseases, looking for the specific niches where its products can be of real service to those with chronic illnesses, and not just healthy people trying to count their steps.\u003c/p>\n\u003cp>\u003cstrong>Can a Wearable Track the Tremors of Parkinson's Disease?\u003c/strong>\u003c/p>\n\u003cp>One partnership between Intel and the Michael J. Fox Foundation is asking whether activity trackers can measure the severity of tremors caused by Parkinson’s disease. One of the participants is Bret Parker, a lawyer who lives in New York.\u003c/p>\n\u003cfigure id=\"attachment_135\" class=\"wp-caption alignleft\" style=\"max-width: 399px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/02/Bret-Parker.2.jpg\">\u003cimg class=\"wp-image-135 size-medium\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/02/Bret-Parker.2-399x600.jpg\" alt=\"New York lawyer Bret Parker runs marathons and has skydived to raise money for Parkinson's disease, which he has. (Courtesy of Bret Parker)\" width=\"399\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/02/Bret-Parker.2-399x600.jpg 399w, https://ww2.kqed.org/app/uploads/sites/13/2015/02/Bret-Parker.2-400x601.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/02/Bret-Parker.2-320x481.jpg 320w, https://ww2.kqed.org/app/uploads/sites/13/2015/02/Bret-Parker.2.jpg 639w\" sizes=\"(max-width: 399px) 100vw, 399px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">New York lawyer Bret Parker runs marathons and has skydived to raise money for Parkinson's disease, which he has. (Courtesy of Bret Parker)\u003c/figcaption>\u003c/figure>\n\u003cp>Parker was diagnosed seven years ago, when he was 38. For a long time the symptoms were mild enough that he told no one outside his immediate family.\u003c/p>\n\u003cp>“My feeling was, don’t worry about things that you can’t control and that aren’t affecting you,\" he said. \"I’d rather just live my life and not think about it.”\u003c/p>\n\u003cp>But as the disease progressed, Parker found himself forced to think about it more. He came out publicly, with a \u003ca href=\"http://www.forbes.com/sites/randalllane/2012/03/12/the-last-workplace-secret/\">blog he wrote\u003c/a> for Forbes.com.\u003c/p>\n\u003cp>And, reluctantly, he’s come to realize that he needs to pay closer attention to his Parkinson’s -- for instance, to the granular details of how his symptoms fluctuate.\u003c/p>\n\u003cp>“It’s become more important to get into the details of, ok, is my medication wearing off or not? Is eating something with it (the medication) or not eating something with it affecting it?”\u003c/p>\n\u003cp>And that’s where the technology could come in. It might provide a detailed recording of the severity of his tremors, while saving Parker from having to jot down notes all day.\u003c/p>\n\u003cp>“This disease is going to creep up on me,” says Parker. “As it advances, I need to be smarter about my role in it.”\u003c/p>\n\u003cp>Meanwhile, another project called the Health eHeart study at UCSF equips cardiology patients with wearable technology to see how everyday activities affect their health.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>It's part of a slew of studies to see whether consumer health tools will amount to more than trendy gadgets.\u003c/p>\n\n",
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"excerpt": "Wearables and health apps made a multi-billion-dollar industry out of healthy peoples' desires to count calories and rack up steps. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Apple’s smart watch is only the latest gadget with quasi-medical aspirations. The watch joins a fast-growing wearables industry worth between $3 billion and $5 billion, according to \u003ca href=\"https://doc.research-and-analytics.csfb.com/docView?language=ENG&source=ulg&format=PDF&document_id=805349560&serialid=g9lEUAU7uOFgKHIGT9ZG65xrGGoRvXYXhI1Ez/GEECU=\">Credit Suisse\u003c/a>. Add to that nearly 50,000 health apps and you have a booming new digital health industry aiming to disrupt healthcare the same way Amazon took on publishing.\u003c/p>\n\u003cp>But disruption is easier tweeted than done, especially when doctors aren't as gung-ho.\u003c/p>\n\u003cp>Take, for example, Dr. Paul Abramson, a primary care doctor in San Francisco’s financial district.\u003c/p>\n\u003cp>Abramson is no techno-phobe. He sees patients in a sleek white office with a hydraulic standing desk from Denmark and listens to their hearts with a digital stethoscope.\u003c/p>\n\u003caside class=\"pullquote alignright\">One patient had 'twenty years of data in Excel spreadsheets and several other formats, everything from heart rate to symptoms to medications.'\u003ccite>— Dr. Paul Abramson\u003c/cite>\u003c/aside>\n\u003cp>“I like gadgets,” Abramson explains.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Abramson sees many patients from the tech industry. More and more, he says, people are coming in with data collected from consumer medical devices. One recent patient took this to an extreme.\u003c/p>\n\u003cp>He had, Abramson says, “twenty years of data in Excel spreadsheets and several other formats, everything from heart rate to symptoms to medications.”\u003c/p>\n\u003cp>Abramson says even the patient wasn’t sure what to make of it all.\u003c/p>\n\u003cp>“The thought of going through it and trying to put it into a format where you could then analyze it or extract meaning from it was not really feasible,” he says.\u003c/p>\n\u003cp>It wasn’t just that Abramson, like most doctors, doesn’t have time to pour through this data. It’s that he says he can learn a lot more from a simple conversation during a traditional doctor's exam.\u003c/p>\n\u003cp>“I get information from watching people's body language,\" he says, \"from observing their minor ticks and the tone of their voice, and the subtleties of being in a room with them that give me information that there's way I can get. I've tried doing it on the phone, on video conferencing. You just don't get as rich an experience to figure out what's going on and give guidance.”\u003c/p>\n\u003cp>\u003cstrong>Fielding Pitches From Silicon Valley\u003c/strong>\u003c/p>\n\u003cp>But this wariness from doctors hasn’t deterred technology start-ups from trying to insert their products into the doctor’s office.\u003c/p>\n\u003cp>Michael Blum, a cardiologist at UCSF, says he gets pitches from entrepreneurs almost daily.\u003c/p>\n\u003cp>“Their perspective,” says Blum, “is, ‘You old doctors have kept things the same as they are for fifty years. We've got new technology and it's going to disrupt healthcare.’”\u003c/p>\n\u003caside class=\"pullquote alignleft\">'Their perspective is, \"You old doctors have kept things the same as they are for fifty years. We've got new technology and it's going to disrupt healthcare.\"'\u003ccite>— Dr. Michael Blum, UCSF\u003c/cite>\u003c/aside>\n\u003cp>Blum says he’s not entirely at odds with this statement. He agrees that healthcare needs to be disrupted with technology. But this transition is rarely as easy as the tech entrepreneurs predict.\u003c/p>\n\u003cp>Consider the wide-scale conversion from paper to electronic medical records.\u003c/p>\n\u003cp>More than 70 percent of medical centers now use electronic medical records, says Blum, but the transition \u003ca href=\"http://www.nytimes.com/2014/10/01/business/digital-medical-records-become-common-but-sharing-remains-challenging.html\">has been rocky\u003c/a>. Medical centers find themselves using proprietary database systems that aren’t compatible with systems in other medical centers, so electronic records can't always be shared from one office to another.\u003c/p>\n\u003cp>The same problems are likely to pop up when consumer medical devices – for example, home heart or blood glucose monitors – become more widespread.\u003c/p>\n\u003cp>“There's this perception that that data is just going to stream right into your doctor,” says Blum, “and that as soon as you show up they're going to look at that data and know everything they need to know. And the reality is, we're not there. We’re really not close to there yet.”\u003c/p>\n\u003cp>\u003cstrong>Yes, It's Shiny and New. But Does It Work?\u003c/strong>\u003c/p>\n\u003cp>Then there’s the question of accuracy. Devices like the Nike+ FuelBand look shiny and hi-tech, but they are not currently regulated by the FDA.\u003c/p>\n\u003cp>“We can't make the leap that just because this data is coming in digitally, it's accurate,” Blum says.\u003c/p>\n\u003cp>If doctors are often wary of the shiny and the new, he says, it’s for a good reason.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Doctors and hospitals must figure out which technologies are game-changing and which are dead ends.\u003c/aside>\n\u003cp>“Things that seem really fantastic can actually have very adverse outcomes,” Blum says. “There's a long history of studies of medicine or therapies that looked promising and produced good results but shortly thereafter got completely overturned by larger data sets.”\u003c/p>\n\u003cp>It’s largely up to doctors and hospitals to do the vetting, to sort out which technologies are game-changing and which are dead ends.\u003c/p>\n\u003cp>Several providers, including Kaiser Permanente, have created entire new divisions to do this. UCSF recently opened the Center for Digital Health Innovation, which Blum directs.\u003c/p>\n\u003cp>The Center pairs entrepreneurs with medical researchers who can subject new technologies to rigorous medical testing, to make sure the devices live up to their manufacturers’ claims.\u003c/p>\n\u003cp>Meanwhile, Silicon Valley is focusing on specific diseases, looking for the specific niches where its products can be of real service to those with chronic illnesses, and not just healthy people trying to count their steps.\u003c/p>\n\u003cp>\u003cstrong>Can a Wearable Track the Tremors of Parkinson's Disease?\u003c/strong>\u003c/p>\n\u003cp>One partnership between Intel and the Michael J. Fox Foundation is asking whether activity trackers can measure the severity of tremors caused by Parkinson’s disease. One of the participants is Bret Parker, a lawyer who lives in New York.\u003c/p>\n\u003cfigure id=\"attachment_135\" class=\"wp-caption alignleft\" style=\"max-width: 399px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/02/Bret-Parker.2.jpg\">\u003cimg class=\"wp-image-135 size-medium\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/02/Bret-Parker.2-399x600.jpg\" alt=\"New York lawyer Bret Parker runs marathons and has skydived to raise money for Parkinson's disease, which he has. (Courtesy of Bret Parker)\" width=\"399\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/02/Bret-Parker.2-399x600.jpg 399w, https://ww2.kqed.org/app/uploads/sites/13/2015/02/Bret-Parker.2-400x601.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/02/Bret-Parker.2-320x481.jpg 320w, https://ww2.kqed.org/app/uploads/sites/13/2015/02/Bret-Parker.2.jpg 639w\" sizes=\"(max-width: 399px) 100vw, 399px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">New York lawyer Bret Parker runs marathons and has skydived to raise money for Parkinson's disease, which he has. (Courtesy of Bret Parker)\u003c/figcaption>\u003c/figure>\n\u003cp>Parker was diagnosed seven years ago, when he was 38. For a long time the symptoms were mild enough that he told no one outside his immediate family.\u003c/p>\n\u003cp>“My feeling was, don’t worry about things that you can’t control and that aren’t affecting you,\" he said. \"I’d rather just live my life and not think about it.”\u003c/p>\n\u003cp>But as the disease progressed, Parker found himself forced to think about it more. He came out publicly, with a \u003ca href=\"http://www.forbes.com/sites/randalllane/2012/03/12/the-last-workplace-secret/\">blog he wrote\u003c/a> for Forbes.com.\u003c/p>\n\u003cp>And, reluctantly, he’s come to realize that he needs to pay closer attention to his Parkinson’s -- for instance, to the granular details of how his symptoms fluctuate.\u003c/p>\n\u003cp>“It’s become more important to get into the details of, ok, is my medication wearing off or not? Is eating something with it (the medication) or not eating something with it affecting it?”\u003c/p>\n\u003cp>And that’s where the technology could come in. It might provide a detailed recording of the severity of his tremors, while saving Parker from having to jot down notes all day.\u003c/p>\n\u003cp>“This disease is going to creep up on me,” says Parker. “As it advances, I need to be smarter about my role in it.”\u003c/p>\n\u003cp>Meanwhile, another project called the Health eHeart study at UCSF equips cardiology patients with wearable technology to see how everyday activities affect their health.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Health Trackers May Be the Rage, But How Useful Are They?",
"title": "Health Trackers May Be the Rage, But How Useful Are They?",
"headTitle": "Future of You | KQED Future of You | KQED Science",
"content": "\u003cp>For months, technology entrepreneur Will Imholte was hell-bent on finding the best personal activity tracker.\u003c/p>\n\u003cp>Rather than browsing reviews, he decided to test the \u003ca href=\"https://jawbone.com/up\">Jawbone UP\u003c/a>, \u003ca href=\"http://www.fitbit.com/#i.fbq6baj1ueaowp\">Fitbit Flex\u003c/a>, \u003ca href=\"http://www.nike.com/us/en_us/c/nikeplus-fuel\">Nike FuelBand SE \u003c/a>and a litany of others to track his calorie count and weight.\u003c/p>\n\u003cp>But all these devices failed to sustain his interest for more than a week. Despite his best efforts, Imholte gave up on the burgeoning wearable trend. He found that a smartphone and a time-keeping Swiss watch were more than sufficient for his purposes.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘Trust me, I wanted to like wearables, but I stopped using them after a few months.’\u003c/aside>\n\u003cp>“I’m a nerd that can’t get enough of the latest gadgets,” said Imholte, the founder of Prime, a startup that helps patients access their personal medical records.\u003c/p>\n\u003cp>“Trust me, I wanted to like wearables, but I stopped using them after a few months,” he said. “I’m not training for a marathon or anything, so I didn’t really see much need for them in my life.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Wearables are currently the darling of Silicon Valley and the majority of them, right now, are health devices, or have some wellness application. The new consumer electronics tools are allowing people to become their own researchers, trainers and medical advisers by monitoring such things as sleep, activity, heart rate and stress levels.\u003c/p>\n\u003cp>But no one has quite nailed the technology just yet. Amid all the hype, it’s easy to forget that this technology is still in its infancy. For now, most of the devices on the market are glorified pedometers with a high price tag and short battery life.\u003c/p>\n\u003cp>The current slew of wrist bands, like the $99.95 Fitbit Flex or $299 \u003ca href=\"http://www.samsung.com/global/microsite/galaxynote3-gear/\">Samsung Galaxy Gear\u003c/a> smartwatch, are the first generation, with more sophisticated models still under development. Most devices today are adept at collecting data, but they fail to provide consumers with valuable health-related insights.\u003c/p>\n\u003cp>For Imholte, the data piqued his interest — he said it was intriguing to learn that he walked 1,000 steps on Monday — but only temporarily. Ultimately, he was disheartened by the lack of practical advice about how he could improve his health and fitness, without significantly altering his lifestyle.\u003c/p>\n\u003cp>\u003cstrong>Skyrocketing Expectations\u003c/strong>\u003c/p>\n\u003cp>For all their limitations, technology investors have gone gaga for wearable devices. Investors poured $570 million into the space in 2013 alone, according to research firm CB Insights. On Kickstarter, a team asked for $100,000 to build a new smartwatch called Pebble, and were stunned when backers invested over $10.2 million.\u003c/p>\n\u003cp>Wearable devices are nothing new. For years, athletes have used basic activity trackers to help them train for competitions. But, unlike today, those devices did not connect with your smartphone and thousands of health-related apps. The current wearables craze was fueled, in part, by members of the “Quantified Self” movement, who strive for self-understanding by collecting data about themselves. In cities across the U.S., some 30,000 quantified selfers regularly meet up to trade tips and tricks about the latest health-tracking tech.\u003c/p>\n\u003cp>But this year, wearables will no longer be the domain of athletes, fitness junkies and early adopters. Market research firm Canalys predicts that in 2014 companies will ship some 17 million wearable bands.\u003c/p>\n\u003cp>“Having a computer on your wrist will become increasingly common,” said Canalys analyst Daniel Matte, in a statement.\u003c/p>\n\u003cp>\u003cstrong>Meet the Woman With 27 Fitness Trackers\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_110\" class=\"wp-caption alignright\" style=\"max-width: 450px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/03/wearablesdevcon-768x1024.jpg\">\u003cimg class=\"size-medium wp-image-110\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/03/wearablesdevcon-768x1024-450x600.jpg\" alt=\"Rachel Kalmar models her activity trackers at the DevCon Wearables Conference. (Credit: DevCon Wearables Conference)\" width=\"450\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/03/wearablesdevcon-768x1024-450x600.jpg 450w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/wearablesdevcon-768x1024-400x533.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/wearablesdevcon-768x1024.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/wearablesdevcon-768x1024-320x427.jpg 320w\" sizes=\"(max-width: 450px) 100vw, 450px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rachel Kalmar models her activity trackers at the DevCon Wearables Conference. (Credit: DevCon Wearables Conference)\u003c/figcaption>\u003c/figure>\n\u003cp>To prepare for a stroll in San Francisco, Rachel Kalmar straps over two-dozen gadgets to her wrist and forearms.\u003c/p>\n\u003cp>When I first met Kalmar, she was wearing 22 clip-on activity trackers, including the Pebble, Fitbit Flex, Bodymedia and (my personal favorite) an antique pedometer from 1877. Now she has 27 trackers for both Android and iOS monitoring her every waking move.\u003c/p>\n\u003cp>Kalmar isn’t a member of the cult of the quantified self, obsessed with tracking her bodily metrics. For Kalmar, it’s all in pursuit of research. For her day job, she’s a data scientist at Misfit Wearables, maker of the Shine, futuristic jewelry that is popular with young women. The Shine acts as an activity monitor, sleep tracker and watch all in one. It can be worn as a necklace or on a clasp.\u003c/p>\n\u003cp>Kalmar’s been wearing them every day for months, but she hasn’t derived ample benefit from these trackers — and doesn’t expect that you will either.\u003c/p>\n\u003cp>“I thought it would be a week-long project, but then it started getting more and more complicated,” she said.\u003c/p>\n\u003cp>Like Kalmar, Misfit chief executive Sonny Vu is one of the most vocal critiques of the wearables trend. He frequently speaks at conferences and describes these devices as “not that wearable — yet.”\u003c/p>\n\u003cp>The key challenge Kalmar’s unearthed is that the devices don’t speak to each other. When it comes to the human body, data about your steps, heart rate, sleep cycle and glucose levels don’t mean much in isolation.\u003c/p>\n\u003caside class=\"pullquote alignleft\">‘I think of wearables today like the first cell phone cameras, which sucked.’\u003c/aside>\n\u003cp>“What we want is our devices to interact with other devices,” said Kalmer. “Interoperability is key.”\u003cbr>\nBut that’s not an easy prospect for the still-nascent wearables trend.\u003c/p>\n\u003cp>“I mean, Christ, we can’t even all agree on how to treat time zones in our data and databases,” Kalmar quipped.\u003c/p>\n\u003cp>\u003cstrong>What’s Next for Wearables?\u003c/strong>\u003c/p>\n\u003cp>Kalmar hasn’t given up on wearables altogether — far from it. For now, she hopes that the Shine and other devices will inspire people to be more active. And she expects that the field will figure out how to make them more useful.\u003c/p>\n\u003cp>“I think of wearables today like the first cell phone cameras, which sucked,” she said.\u003c/p>\n\u003cp>In an interview from Misfit’s Vietnam offices, Kalmar offered several predictions for the future of wearables: The devices will eventually allow us to interact with other objects in our lives. (Imagine turning off your thermostat or unlocking your front door with a few taps of a smart watch.) Wearables will also increasingly be used to monitor patients with chronic health conditions. And they won’t be mostly bands; health-related smart glasses, sports bras and shoes are among the next generation of wearable sensors.\u003c/p>\n\u003caside class=\"pullquote alignleft\">‘Mobile technology has seen its day. Wearables might be what’s next.’\u003c/aside>\n\u003cp>Another key to longevity, for wearable computers, will be to keep the attention of Silicon Valley’s technology behemoths.\u003cbr>\nGoogle has just released its futuristic eyeglasses called “Glass” to the public after a trial with developers, and Apple is rumored to be secretly developing a smartwatch, the “iWatch.”\u003c/p>\n\u003cp>“I’m excited about what Apple is going to do next,” said Tommy Leep, an investor at San Francisco’s Rothenberg Ventures.\u003c/p>\n\u003cp>Unlike many of his counterparts, he has not invested in a wearable. But he is keeping a close eye on the space, as he believes that wearable tech is one of less than a handful of emerging platforms that have the potential to be the next big thing.\u003c/p>\n\u003cp>“Wearables in and of themselves aren’t hugely exciting right now,” he said. Leep said he hasn’t personally seen many gadgets that are a significant step beyond the iPhone, the smart computer already in millions of pockets.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“That said, many of us believe that mobile technology has seen its day. Wearables might be what’s next.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>For months, technology entrepreneur Will Imholte was hell-bent on finding the best personal activity tracker.\u003c/p>\n\u003cp>Rather than browsing reviews, he decided to test the \u003ca href=\"https://jawbone.com/up\">Jawbone UP\u003c/a>, \u003ca href=\"http://www.fitbit.com/#i.fbq6baj1ueaowp\">Fitbit Flex\u003c/a>, \u003ca href=\"http://www.nike.com/us/en_us/c/nikeplus-fuel\">Nike FuelBand SE \u003c/a>and a litany of others to track his calorie count and weight.\u003c/p>\n\u003cp>But all these devices failed to sustain his interest for more than a week. Despite his best efforts, Imholte gave up on the burgeoning wearable trend. He found that a smartphone and a time-keeping Swiss watch were more than sufficient for his purposes.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘Trust me, I wanted to like wearables, but I stopped using them after a few months.’\u003c/aside>\n\u003cp>“I’m a nerd that can’t get enough of the latest gadgets,” said Imholte, the founder of Prime, a startup that helps patients access their personal medical records.\u003c/p>\n\u003cp>“Trust me, I wanted to like wearables, but I stopped using them after a few months,” he said. “I’m not training for a marathon or anything, so I didn’t really see much need for them in my life.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Wearables are currently the darling of Silicon Valley and the majority of them, right now, are health devices, or have some wellness application. The new consumer electronics tools are allowing people to become their own researchers, trainers and medical advisers by monitoring such things as sleep, activity, heart rate and stress levels.\u003c/p>\n\u003cp>But no one has quite nailed the technology just yet. Amid all the hype, it’s easy to forget that this technology is still in its infancy. For now, most of the devices on the market are glorified pedometers with a high price tag and short battery life.\u003c/p>\n\u003cp>The current slew of wrist bands, like the $99.95 Fitbit Flex or $299 \u003ca href=\"http://www.samsung.com/global/microsite/galaxynote3-gear/\">Samsung Galaxy Gear\u003c/a> smartwatch, are the first generation, with more sophisticated models still under development. Most devices today are adept at collecting data, but they fail to provide consumers with valuable health-related insights.\u003c/p>\n\u003cp>For Imholte, the data piqued his interest — he said it was intriguing to learn that he walked 1,000 steps on Monday — but only temporarily. Ultimately, he was disheartened by the lack of practical advice about how he could improve his health and fitness, without significantly altering his lifestyle.\u003c/p>\n\u003cp>\u003cstrong>Skyrocketing Expectations\u003c/strong>\u003c/p>\n\u003cp>For all their limitations, technology investors have gone gaga for wearable devices. Investors poured $570 million into the space in 2013 alone, according to research firm CB Insights. On Kickstarter, a team asked for $100,000 to build a new smartwatch called Pebble, and were stunned when backers invested over $10.2 million.\u003c/p>\n\u003cp>Wearable devices are nothing new. For years, athletes have used basic activity trackers to help them train for competitions. But, unlike today, those devices did not connect with your smartphone and thousands of health-related apps. The current wearables craze was fueled, in part, by members of the “Quantified Self” movement, who strive for self-understanding by collecting data about themselves. In cities across the U.S., some 30,000 quantified selfers regularly meet up to trade tips and tricks about the latest health-tracking tech.\u003c/p>\n\u003cp>But this year, wearables will no longer be the domain of athletes, fitness junkies and early adopters. Market research firm Canalys predicts that in 2014 companies will ship some 17 million wearable bands.\u003c/p>\n\u003cp>“Having a computer on your wrist will become increasingly common,” said Canalys analyst Daniel Matte, in a statement.\u003c/p>\n\u003cp>\u003cstrong>Meet the Woman With 27 Fitness Trackers\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_110\" class=\"wp-caption alignright\" style=\"max-width: 450px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/03/wearablesdevcon-768x1024.jpg\">\u003cimg class=\"size-medium wp-image-110\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/03/wearablesdevcon-768x1024-450x600.jpg\" alt=\"Rachel Kalmar models her activity trackers at the DevCon Wearables Conference. (Credit: DevCon Wearables Conference)\" width=\"450\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/03/wearablesdevcon-768x1024-450x600.jpg 450w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/wearablesdevcon-768x1024-400x533.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/wearablesdevcon-768x1024.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2015/03/wearablesdevcon-768x1024-320x427.jpg 320w\" sizes=\"(max-width: 450px) 100vw, 450px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rachel Kalmar models her activity trackers at the DevCon Wearables Conference. (Credit: DevCon Wearables Conference)\u003c/figcaption>\u003c/figure>\n\u003cp>To prepare for a stroll in San Francisco, Rachel Kalmar straps over two-dozen gadgets to her wrist and forearms.\u003c/p>\n\u003cp>When I first met Kalmar, she was wearing 22 clip-on activity trackers, including the Pebble, Fitbit Flex, Bodymedia and (my personal favorite) an antique pedometer from 1877. Now she has 27 trackers for both Android and iOS monitoring her every waking move.\u003c/p>\n\u003cp>Kalmar isn’t a member of the cult of the quantified self, obsessed with tracking her bodily metrics. For Kalmar, it’s all in pursuit of research. For her day job, she’s a data scientist at Misfit Wearables, maker of the Shine, futuristic jewelry that is popular with young women. The Shine acts as an activity monitor, sleep tracker and watch all in one. It can be worn as a necklace or on a clasp.\u003c/p>\n\u003cp>Kalmar’s been wearing them every day for months, but she hasn’t derived ample benefit from these trackers — and doesn’t expect that you will either.\u003c/p>\n\u003cp>“I thought it would be a week-long project, but then it started getting more and more complicated,” she said.\u003c/p>\n\u003cp>Like Kalmar, Misfit chief executive Sonny Vu is one of the most vocal critiques of the wearables trend. He frequently speaks at conferences and describes these devices as “not that wearable — yet.”\u003c/p>\n\u003cp>The key challenge Kalmar’s unearthed is that the devices don’t speak to each other. When it comes to the human body, data about your steps, heart rate, sleep cycle and glucose levels don’t mean much in isolation.\u003c/p>\n\u003caside class=\"pullquote alignleft\">‘I think of wearables today like the first cell phone cameras, which sucked.’\u003c/aside>\n\u003cp>“What we want is our devices to interact with other devices,” said Kalmer. “Interoperability is key.”\u003cbr>\nBut that’s not an easy prospect for the still-nascent wearables trend.\u003c/p>\n\u003cp>“I mean, Christ, we can’t even all agree on how to treat time zones in our data and databases,” Kalmar quipped.\u003c/p>\n\u003cp>\u003cstrong>What’s Next for Wearables?\u003c/strong>\u003c/p>\n\u003cp>Kalmar hasn’t given up on wearables altogether — far from it. For now, she hopes that the Shine and other devices will inspire people to be more active. And she expects that the field will figure out how to make them more useful.\u003c/p>\n\u003cp>“I think of wearables today like the first cell phone cameras, which sucked,” she said.\u003c/p>\n\u003cp>In an interview from Misfit’s Vietnam offices, Kalmar offered several predictions for the future of wearables: The devices will eventually allow us to interact with other objects in our lives. (Imagine turning off your thermostat or unlocking your front door with a few taps of a smart watch.) Wearables will also increasingly be used to monitor patients with chronic health conditions. And they won’t be mostly bands; health-related smart glasses, sports bras and shoes are among the next generation of wearable sensors.\u003c/p>\n\u003caside class=\"pullquote alignleft\">‘Mobile technology has seen its day. Wearables might be what’s next.’\u003c/aside>\n\u003cp>Another key to longevity, for wearable computers, will be to keep the attention of Silicon Valley’s technology behemoths.\u003cbr>\nGoogle has just released its futuristic eyeglasses called “Glass” to the public after a trial with developers, and Apple is rumored to be secretly developing a smartwatch, the “iWatch.”\u003c/p>\n\u003cp>“I’m excited about what Apple is going to do next,” said Tommy Leep, an investor at San Francisco’s Rothenberg Ventures.\u003c/p>\n\u003cp>Unlike many of his counterparts, he has not invested in a wearable. But he is keeping a close eye on the space, as he believes that wearable tech is one of less than a handful of emerging platforms that have the potential to be the next big thing.\u003c/p>\n\u003cp>“Wearables in and of themselves aren’t hugely exciting right now,” he said. Leep said he hasn’t personally seen many gadgets that are a significant step beyond the iPhone, the smart computer already in millions of pockets.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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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 />",
"airtime": "SUN 9pm-10pm",
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"meta": {
"site": "radio",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.commonwealthclub.org/podcasts",
"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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}
},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
}
},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"id": "here-and-now",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/hiddenbrain.jpg",
"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
"site": "news",
"source": "NPR"
},
"link": "/radio/program/hidden-brain",
"subscribe": {
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"tuneIn": "https://tunein.com/podcasts/Science-Podcasts/Hidden-Brain-p787503/",
"rss": "https://feeds.npr.org/510308/podcast.xml"
}
},
"how-i-built-this": {
"id": "how-i-built-this",
"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"rss": "https://feeds.npr.org/510313/podcast.xml"
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
"imageAlt": "KQED Hyphenación",
"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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"amazon": "https://music.amazon.com/podcasts/6c3dd23c-93fb-4aab-97ba-1725fa6315f1/hyphenaci%C3%B3n",
"rss": "https://feeds.megaphone.fm/KQINC2275451163"
}
},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Political Mind of Jerry Brown",
"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/xtTd",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
"site": "news",
"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
"site": "news",
"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
"meta": {
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/id73801135",
"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
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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": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"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",
"imageAlt": "KQED Political Breakdown",
"officialWebsiteLink": "/podcasts/politicalbreakdown",
"meta": {
"site": "radio",
"source": "kqed",
"order": 5
},
"link": "/podcasts/politicalbreakdown",
"subscribe": {
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"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
"npr": "https://www.npr.org/podcasts/572155894/political-breakdown",
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