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"disqusTitle": "More Women Are Freezing Their Eggs, But Will They Ever Use Them?",
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"content": "\u003cp>If egg freezing once sounded like science fiction, those days are over. Women now hear about it from their friends, their doctors and informational events like Wine and Freeze.\u003c/p>\n\u003cp>\u003ca href=\"https://www.shadygrovefertility.com\">Shady Grove Fertility Center\u003c/a> in the Washington, D.C., area hosts Wine and Freeze nights for prospective patients every few months. Fifteen or so women in their 30s gathered at one recently over wine, brownies and sticky buns. A doctor explained the procedure, the costs and the odds of frozen eggs resulting in a baby — which decline as a woman ages.\u003c/p>\n\u003cp>Egg freezing for medical reasons — often women undergoing chemotherapy — has been possible for decades. Some 5,000 babies have been born from eggs that were frozen, thawed and fertilized.\u003c/p>\n\u003cp>In 2012, the American Society for Reproductive Medicine decided egg freezing was no longer an experimental procedure. That opened the door for clinics like Shady Grove to market it to women who don't have a medical reason to do it but are simply worried about their declining fertility — what's being dubbed as \"social\" egg freezing.\u003c/p>\n\u003cp>The \"social\" egg freezing business these days is good, says Shady Grove medical director \u003ca href=\"https://www.shadygrovefertility.com/doctors/widra\">Dr. Eric Widra\u003c/a>. \"This is clearly a time where the technological ability to do this is converging with the demographics,\" he says. \"There are more and more women who find themselves in a situation where they may potentially benefit from having their eggs frozen.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">“Before you know it, I'm 40, and I thought, oh, my goodness, this is very real for me.\"\u003cbr>\n\u003ccite>Stacey Samuel, producer with CBS in Washington, D.C.\u003c/cite>\u003c/aside>\n\u003cp>The majority of women currently freezing their eggs live in cities like New York, San Francisco and Los Angeles, according to Jake Anderson-Bialis, who's building a company called \u003ca href=\"http://fertilityiq.com/\">FertilityIQ \u003c/a>with his wife, Deborah. \"Marketing is aggressively happening, and these are the hubs where fertility clinics will prove out the concept,\" he says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Anderson-Bialis says he's hoping to serve women freezing their eggs, as well as couples doing in vitro fertilization, with a database of fertility doctors and reviews from patients. FertilityIQ has so far gotten about 200 women who have frozen their eggs to write reviews of their experience.\u003c/p>\n\u003cp>\u003cstrong>A Cmplicated, Physically Demanding Process\u003c/strong>\u003c/p>\n\u003cp>The fact that wine is served at egg-freezing info sessions around the country might imply that this is no big deal, even fun. In fact, it's a complicated and physically demanding process.\u003c/p>\n\u003cp>Women inject themselves with hormones for up to two weeks to stimulate their ovaries to get as many mature eggs as possible. There's a surgical procedure to retrieve them. And there can be side effects along the way.\u003c/p>\n\u003cp>It also isn't cheap. One round averages about $12,000, and multiple rounds may be needed. No insurance companies cover egg freezing, but in October, a third tech company, Intel, \u003ca href=\"http://blogs.intel.com/jobs/2015/10/19/intel-expands-family-benefits/\">joined\u003c/a> Apple and Facebook in offering to pay the costs of egg freezing for employees. Financing may be available from a company called EggBanxx as well as some fertility clinics.\u003c/p>\n\u003cp>Stacey Samuel is a producer with CBS in Washington, D.C., (formerly with CNN). She thought about freezing her eggs earlier, but couldn't afford it until this year. \"Before you know it, I'm 40, and I thought, oh, my goodness, this is very real for me,\" Samuel says.\u003c/p>\n\u003cp>Doctors prefer that women freeze their eggs before their mid-30s. But Samuel thought that advice might not apply to her. \"I'm a black, South Asian female. Fertility in my culture and family extends for many years,\" she says. \"So I'm thinking 40 is nothing but a number — I still get carded.\"\u003c/p>\n\u003cp>She assumed she'd get the 15 to 20 eggs that doctors recommend women freeze. But in the middle of her cycle, while she was injecting hormones, there were complications. She ended up with just 10.\u003c/p>\n\u003cp>\"Even when I choose to go use those eggs, I could lose them again,\" Samuel says. \"So that feeling of reassurance that I thought I was buying with my near $20,000 on the table — I'm still unable to control the outcome.\"\u003c/p>\n\u003cp>\u003cstrong>Risky business?\u003c/strong>\u003c/p>\n\u003cp>Preserved eggs offer women like Samuel hope for beating the biological clock. But you can't escape the fact that your body will continue to age. The older a woman is when she freezes her eggs and when she uses them with in vitro fertilization, the lower her chances of success.\u003c/p>\n\u003cp>\"There was a lot of encouragement to go forth even if it looks like you're kind of a risky case, because I think these dedicated doctors really want to know where they can take this,\" Samuel says. \"And they need the numbers, and they need those of us who are willing to go through with it.\"\u003c/p>\n\u003cp>That concerns \u003ca href=\"https://law.utexas.edu/faculty/jr43/\">John Robertson\u003c/a>, a professor of law and bioethics at the University of Texas Law School. He wrote a \u003ca href=\"http://jlb.oxfordjournals.org/content/early/2014/03/28/jlb.lsu002.full\">paper\u003c/a> published in 2014 in the \u003cem>Journal of Law and the Biosciences\u003c/em> on how women freezing their eggs can be both empowered and alienated by the procedure.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“The vast majority say, 'Well, it's given me peace of mind, I feel a sense of relief, it's taken the pressure off of me to rush into a relationship with someone who isn't right.\"\u003cbr>\n\u003ccite>Marcia Inhorn, medical anthropologist at Yale University\u003c/cite>\u003c/aside>\n\u003cp>\"The problem is it may be marketed to women who are in the older age group who may have very little chance of obtaining viable eggs,\" Robertson says. \"So it's extremely important that there be full disclosure at every step of the process.\"\u003c/p>\n\u003cp>\u003ca href=\"http://www.embryo.net/fertility-center/fertility-doctors\">Dr. Kevin Doody\u003c/a> agrees. He codirects the Center for Assisted Reproduction in Dallas, and is president-elect of the Society for Assisted Reproductive Technology, or SART.\u003c/p>\n\u003cp>\"I do not think that this should be highly promoted for the older-age woman,\" Doody says. \"I'm not saying one should refuse or deny services if a 40- or 42-year-old woman wanted to have her eggs frozen. But I think it would warrant a substantial counseling session with that patient.\"\u003c/p>\n\u003cp>SART collects data on egg freezing in the U.S. And Doody says in 2013, about 4,000 women froze their eggs, up from about 2,500 the year before. And he predicts the number this year will be much higher.\u003c/p>\n\u003cp>But so far very few women who've frozen their eggs since the experimental label was lifted in 2012 have gone back to try to use them. SART found that of the 353 egg-thaw cycles in 2012, only 83 resulted in live births. In 2013, there were 414 thaw cycles and 99 live births. \"Live birth\" is not babies born — it means delivery of one or more infants, so it can include twins.\u003c/p>\n\u003cp>Overall, the success rate of live births from frozen eggs has remained consistently pretty low, at about 20 to 24 percent since 2009. And, Doody adds, \"Even if the success rates were significantly higher, there's never going to be a guarantee for an individual patient that the eggs she would bank would ultimately result in a baby for her.\"\u003c/p>\n\u003cp>Medical anthropologist \u003ca href=\"http://marciainhorn.com/\">Marcia Inhorn\u003c/a> at Yale University is conducting a study of the women who have frozen their eggs.\u003c/p>\n\u003cp>\"The vast majority say, 'Well, it's given me peace of mind, I feel a sense of relief, it's taken the pressure off of me to rush into a relationship with someone who isn't right,' \" she says.\u003c/p>\n\u003cp>Inhorn has interviewed about 100 women so far for her study.\u003c/p>\n\u003cp>\"Most of these women are amazing professional women, I have to say,\" says Inhorn. \"But the major reason over and over is not being able to find the right person to embark on a partnership and parenthood with.\"\u003c/p>\n\u003cp>Finding the right person is likely to be just as big a challenge for women in the future, Inhorn says. Which is why she believes this technology will become normalized, like in vitro fertilization.\u003c/p>\n\u003cp>And maybe it's already happening if people like Mindy Kaling are talking about it. The actress, producer and writer hit on this in an \u003ca href=\"http://www.hulu.com/watch/865280\">episode\u003c/a> of her Hulu show \u003cem>The Mindy Project\u003c/em>. Her character, a fertility doctor, goes to a college campus to peddle her newest service for women.\u003c/p>\n\u003cp>Here's what she tells them:\u003c/p>\n\u003cblockquote>\u003cp>\"When I was your age, I thought that I was going to be married by the time I was 25. But it took a lot longer than that. And unfortunately your body does not care if you are dating the wrong guy. ... Your body and your eggs just keep getting older, which is why freezing them is a pretty smart idea, 'cause it gives you a little bit more time.\"\u003c/p>\u003c/blockquote>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>But it will be years before there's enough data showing us whether egg freezing actually helps most of the women doing it fulfill their dreams of motherhood.\u003c/p>\n\u003cdiv class=\"fullattribution\">\u003cem>Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=More+Women+Are+Freezing+Their+Eggs%2C+But+Will+They+Ever+Use+Them%3F&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/em>\u003c/div>\n\n",
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"excerpt": "The procedure is rapidly going mainstream, but it's so new that it's impossible to know if these women will exercise their option to have a child. Also, live birth rates from frozen eggs remain low.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>If egg freezing once sounded like science fiction, those days are over. Women now hear about it from their friends, their doctors and informational events like Wine and Freeze.\u003c/p>\n\u003cp>\u003ca href=\"https://www.shadygrovefertility.com\">Shady Grove Fertility Center\u003c/a> in the Washington, D.C., area hosts Wine and Freeze nights for prospective patients every few months. Fifteen or so women in their 30s gathered at one recently over wine, brownies and sticky buns. A doctor explained the procedure, the costs and the odds of frozen eggs resulting in a baby — which decline as a woman ages.\u003c/p>\n\u003cp>Egg freezing for medical reasons — often women undergoing chemotherapy — has been possible for decades. Some 5,000 babies have been born from eggs that were frozen, thawed and fertilized.\u003c/p>\n\u003cp>In 2012, the American Society for Reproductive Medicine decided egg freezing was no longer an experimental procedure. That opened the door for clinics like Shady Grove to market it to women who don't have a medical reason to do it but are simply worried about their declining fertility — what's being dubbed as \"social\" egg freezing.\u003c/p>\n\u003cp>The \"social\" egg freezing business these days is good, says Shady Grove medical director \u003ca href=\"https://www.shadygrovefertility.com/doctors/widra\">Dr. Eric Widra\u003c/a>. \"This is clearly a time where the technological ability to do this is converging with the demographics,\" he says. \"There are more and more women who find themselves in a situation where they may potentially benefit from having their eggs frozen.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">“Before you know it, I'm 40, and I thought, oh, my goodness, this is very real for me.\"\u003cbr>\n\u003ccite>Stacey Samuel, producer with CBS in Washington, D.C.\u003c/cite>\u003c/aside>\n\u003cp>The majority of women currently freezing their eggs live in cities like New York, San Francisco and Los Angeles, according to Jake Anderson-Bialis, who's building a company called \u003ca href=\"http://fertilityiq.com/\">FertilityIQ \u003c/a>with his wife, Deborah. \"Marketing is aggressively happening, and these are the hubs where fertility clinics will prove out the concept,\" he says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Anderson-Bialis says he's hoping to serve women freezing their eggs, as well as couples doing in vitro fertilization, with a database of fertility doctors and reviews from patients. FertilityIQ has so far gotten about 200 women who have frozen their eggs to write reviews of their experience.\u003c/p>\n\u003cp>\u003cstrong>A Cmplicated, Physically Demanding Process\u003c/strong>\u003c/p>\n\u003cp>The fact that wine is served at egg-freezing info sessions around the country might imply that this is no big deal, even fun. In fact, it's a complicated and physically demanding process.\u003c/p>\n\u003cp>Women inject themselves with hormones for up to two weeks to stimulate their ovaries to get as many mature eggs as possible. There's a surgical procedure to retrieve them. And there can be side effects along the way.\u003c/p>\n\u003cp>It also isn't cheap. One round averages about $12,000, and multiple rounds may be needed. No insurance companies cover egg freezing, but in October, a third tech company, Intel, \u003ca href=\"http://blogs.intel.com/jobs/2015/10/19/intel-expands-family-benefits/\">joined\u003c/a> Apple and Facebook in offering to pay the costs of egg freezing for employees. Financing may be available from a company called EggBanxx as well as some fertility clinics.\u003c/p>\n\u003cp>Stacey Samuel is a producer with CBS in Washington, D.C., (formerly with CNN). She thought about freezing her eggs earlier, but couldn't afford it until this year. \"Before you know it, I'm 40, and I thought, oh, my goodness, this is very real for me,\" Samuel says.\u003c/p>\n\u003cp>Doctors prefer that women freeze their eggs before their mid-30s. But Samuel thought that advice might not apply to her. \"I'm a black, South Asian female. Fertility in my culture and family extends for many years,\" she says. \"So I'm thinking 40 is nothing but a number — I still get carded.\"\u003c/p>\n\u003cp>She assumed she'd get the 15 to 20 eggs that doctors recommend women freeze. But in the middle of her cycle, while she was injecting hormones, there were complications. She ended up with just 10.\u003c/p>\n\u003cp>\"Even when I choose to go use those eggs, I could lose them again,\" Samuel says. \"So that feeling of reassurance that I thought I was buying with my near $20,000 on the table — I'm still unable to control the outcome.\"\u003c/p>\n\u003cp>\u003cstrong>Risky business?\u003c/strong>\u003c/p>\n\u003cp>Preserved eggs offer women like Samuel hope for beating the biological clock. But you can't escape the fact that your body will continue to age. The older a woman is when she freezes her eggs and when she uses them with in vitro fertilization, the lower her chances of success.\u003c/p>\n\u003cp>\"There was a lot of encouragement to go forth even if it looks like you're kind of a risky case, because I think these dedicated doctors really want to know where they can take this,\" Samuel says. \"And they need the numbers, and they need those of us who are willing to go through with it.\"\u003c/p>\n\u003cp>That concerns \u003ca href=\"https://law.utexas.edu/faculty/jr43/\">John Robertson\u003c/a>, a professor of law and bioethics at the University of Texas Law School. He wrote a \u003ca href=\"http://jlb.oxfordjournals.org/content/early/2014/03/28/jlb.lsu002.full\">paper\u003c/a> published in 2014 in the \u003cem>Journal of Law and the Biosciences\u003c/em> on how women freezing their eggs can be both empowered and alienated by the procedure.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“The vast majority say, 'Well, it's given me peace of mind, I feel a sense of relief, it's taken the pressure off of me to rush into a relationship with someone who isn't right.\"\u003cbr>\n\u003ccite>Marcia Inhorn, medical anthropologist at Yale University\u003c/cite>\u003c/aside>\n\u003cp>\"The problem is it may be marketed to women who are in the older age group who may have very little chance of obtaining viable eggs,\" Robertson says. \"So it's extremely important that there be full disclosure at every step of the process.\"\u003c/p>\n\u003cp>\u003ca href=\"http://www.embryo.net/fertility-center/fertility-doctors\">Dr. Kevin Doody\u003c/a> agrees. He codirects the Center for Assisted Reproduction in Dallas, and is president-elect of the Society for Assisted Reproductive Technology, or SART.\u003c/p>\n\u003cp>\"I do not think that this should be highly promoted for the older-age woman,\" Doody says. \"I'm not saying one should refuse or deny services if a 40- or 42-year-old woman wanted to have her eggs frozen. But I think it would warrant a substantial counseling session with that patient.\"\u003c/p>\n\u003cp>SART collects data on egg freezing in the U.S. And Doody says in 2013, about 4,000 women froze their eggs, up from about 2,500 the year before. And he predicts the number this year will be much higher.\u003c/p>\n\u003cp>But so far very few women who've frozen their eggs since the experimental label was lifted in 2012 have gone back to try to use them. SART found that of the 353 egg-thaw cycles in 2012, only 83 resulted in live births. In 2013, there were 414 thaw cycles and 99 live births. \"Live birth\" is not babies born — it means delivery of one or more infants, so it can include twins.\u003c/p>\n\u003cp>Overall, the success rate of live births from frozen eggs has remained consistently pretty low, at about 20 to 24 percent since 2009. And, Doody adds, \"Even if the success rates were significantly higher, there's never going to be a guarantee for an individual patient that the eggs she would bank would ultimately result in a baby for her.\"\u003c/p>\n\u003cp>Medical anthropologist \u003ca href=\"http://marciainhorn.com/\">Marcia Inhorn\u003c/a> at Yale University is conducting a study of the women who have frozen their eggs.\u003c/p>\n\u003cp>\"The vast majority say, 'Well, it's given me peace of mind, I feel a sense of relief, it's taken the pressure off of me to rush into a relationship with someone who isn't right,' \" she says.\u003c/p>\n\u003cp>Inhorn has interviewed about 100 women so far for her study.\u003c/p>\n\u003cp>\"Most of these women are amazing professional women, I have to say,\" says Inhorn. \"But the major reason over and over is not being able to find the right person to embark on a partnership and parenthood with.\"\u003c/p>\n\u003cp>Finding the right person is likely to be just as big a challenge for women in the future, Inhorn says. Which is why she believes this technology will become normalized, like in vitro fertilization.\u003c/p>\n\u003cp>And maybe it's already happening if people like Mindy Kaling are talking about it. The actress, producer and writer hit on this in an \u003ca href=\"http://www.hulu.com/watch/865280\">episode\u003c/a> of her Hulu show \u003cem>The Mindy Project\u003c/em>. Her character, a fertility doctor, goes to a college campus to peddle her newest service for women.\u003c/p>\n\u003cp>Here's what she tells them:\u003c/p>\n\u003cblockquote>\u003cp>\"When I was your age, I thought that I was going to be married by the time I was 25. But it took a lot longer than that. And unfortunately your body does not care if you are dating the wrong guy. ... Your body and your eggs just keep getting older, which is why freezing them is a pretty smart idea, 'cause it gives you a little bit more time.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But it will be years before there's enough data showing us whether egg freezing actually helps most of the women doing it fulfill their dreams of motherhood.\u003c/p>\n\u003cdiv class=\"fullattribution\">\u003cem>Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=More+Women+Are+Freezing+Their+Eggs%2C+But+Will+They+Ever+Use+Them%3F&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/em>\u003c/div>\n\n\u003c/div>\u003c/p>",
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"slug": "would-you-trust-a-hospital-to-scan-your-fingerprint",
"title": "Would You Trust a Hospital to Scan Your Fingerprint?",
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"headTitle": "Would You Trust a Hospital to Scan Your Fingerprint? | KQED",
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"content": "\u003cp>Soon, it might become the norm to verify your identity at the hospital or clinic by scanning your fingerprint.\u003c/p>\n\u003cp>One California clinic, the \u003ca href=\"http://www.kernmedicalcenter.com/\" target=\"_blank\" rel=\"noopener\">Kern County Medical Center in Bakersfield, r\u003c/a>ecently started experimenting with a biometric fingerprint reader, called SafeChx, to avoid mixing up patients with similar names, and potentially even crack down on fraud\u003ca href=\"http://www.kernmedicalcenter.com/\" target=\"_blank\" rel=\"noopener\">. It’s the first hospital in California to use the SafeChx system.\u003c/a>\u003c/p>\n\u003cp>The SafeChx system, which is available for free, is now used by 178 hospitals around the country. Patients are asked to scan their finger so hospital administrators can view their personal information, including their history of hospital visits and medical record.\u003c/p>\n\u003caside class=\"pullquote alignleft\">‘Many hospitals were using first name and date of birth to identity patients. That simply wasn’t good enough.’\u003cbr>\n\u003ccite>Sean Lane, CrossChx Co-founder \u003c/cite>\u003c/aside>\n\u003cp>New technologies for patient identification are spreading quickly in health systems in the U.S. as an alternative to a national patient identifier, which is used in other countries to accurately match patients to their medical record. Health systems today rely on demographic data, like name, address and phone number, which are likely to change over time.\u003c/p>\n\u003cp>“We serve a large Latino population, and they often use both their maiden name and their married name,” says Edward Din, director of patient access at Kern County’s Medical Center. “Sometimes those names are reversed. This resulted in a lot of confusion.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But some health and privacy experts say finger-scanning technologies are not the magic solution. Once a fingerprint has been compromised, they say, it’s impossible for a patient to get a replacement. And it could open small hospitals to being hacked if the data is stored in one place.\u003c/p>\n\u003cp>\u003cb>New Technologies to Identify Patients\u003c/b>\u003c/p>\n\u003cp>SafeChx was developed by Sean Lane, a former fellow at the National Security Agency, better known as the NSA, and Brad Mascho, an executive at a health insurance association. It is the flagship product of a company called \u003ca href=\"http://crosschx.com/\" target=\"_blank\" rel=\"noopener\">CrossChx\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_70486\" class=\"wp-caption alignleft\" style=\"max-width: 398px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-70486\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/BradandSean1.jpg\" alt=\"Brad Mascho and Sean Lane, the founders of CrossChx. \" width=\"398\" height=\"248\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/13/2015/11/BradandSean1.jpg 750w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/11/BradandSean1-400x250.jpg 400w\" sizes=\"(max-width: 398px) 100vw, 398px\">\u003cfigcaption class=\"wp-caption-text\">Brad Mascho and Sean Lane, the founders of CrossChx. \u003ccite>(CrossChx)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lane and Mascho initially became interested in patient identifiers after a health system in their hometown in Southeastern Ohio asked them for advice on cutting down on prescription drug abuse, a consequence of identity theft.\u003c/p>\n\u003cp>“Many hospitals were using first name and date of birth to identity patients,” says Lane. “That simply wasn’t good enough.”\u003c/p>\n\u003cp>The founders viewed biometric identification techniques, like fingerprints, as the next step for hospitals. They say the fingerprint doesn’t need to be tied to any other sort of identifying information, like state status, so it can even be used by patients who are undocumented.\u003c/p>\n\u003cp>CrossChx is targeting small to medium-sized hospitals first, before reaching out to large academic teaching hospitals. It makes money by selling health care applications through its app store, which hospitals can use in addition to SafeChx.\u003c/p>\n\u003cp>Kern Medical Center’s employees say their patients don’t seem to have major reservations about scanning their finger. Since June of this year, more than 6,000 patients were asked to register to the system, according to Din, and 93 percent agreed to participate. Kern’s registrars were trained to inform patients how the process would work.\u003c/p>\n\u003cfigure id=\"attachment_70487\" class=\"wp-caption alignright\" style=\"max-width: 426px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-70487\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Queue1-800x533.jpg\" alt=\"The system checks in patients with their permission. \" width=\"426\" height=\"284\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/13/2015/11/Queue1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/11/Queue1-400x267.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/11/Queue1-1180x787.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/11/Queue1-960x640.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/11/Queue1.jpg 1680w\" sizes=\"(max-width: 426px) 100vw, 426px\">\u003cfigcaption class=\"wp-caption-text\">The system checks in patients with their permission. \u003ccite>(CrossChx)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Many of Kern’s patients come from low-income households. Scott Thygerson, the hospital’s chief strategy officer, describes it as a “safety net hospital” that is responsible for nearly half of the population in the county — those who are enrolled in Medicare or have no insurance. “It’s nice to be on the leading edge of this,” Thygerson says.\u003c/p>\n\u003cp>CrossChx’s founders say they are not surprised that patients have been open to scanning their index finger. They claim that those who have opted out tend to be uninformed or have something to hide.\u003c/p>\n\u003cp>“It’s not worth our time to educate that sliver of the population,” Lane says.\u003c/p>\n\u003cp>\u003cstrong>Privacy Concerns\u003c/strong>\u003c/p>\n\u003cp>But some health experts say finger-scanning may not be an approach that’s in the patient’s best interests.\u003c/p>\n\u003cp>“It’s the opposite of a delightful customer service,” says Bob Kocher, a clinician and an investor in health technology at \u003ca href=\"http://www.venrock.com/\">\u003cspan style=\"font-weight: 400\">Venrock\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">.\u003c/span>\u003c/p>\n\u003cp>In Kocher’s view, most problems that patients face do not require extensive knowledge about their medical and visit history. And most patients are not out to commit fraud.\u003c/p>\n\u003cp>Privacy advocates harbor a different set of concerns about finger-scanning technology.\u003c/p>\n\u003cp>“I’m not sure that this protects against medical identity theft,” said Lee Tien, a senior staff attorney at the \u003ca href=\"https://www.eff.org/\">Electronic Frontier Foundation\u003c/a> (EFF), a San Francisco-based group that specializes in Internet privacy. In order for that to work, even in theory, he argues, the entire U.S. health system would need to adopt it.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘I can’t change my fingerprints. Or iris. Or anything else.’\u003cbr>\n\u003ccite>Lee Tien, senior staff attorney at Electronic Frontier Foundation \u003c/cite>\u003c/aside>\n\u003cp>Tien says a biometric like a fingerscan is no better than a password or any other secret information. Moreover, when a biometric is compromised, it’s compromised for good. “I can’t change my fingerprints. Or iris. Or anything else,” he says.\u003c/p>\n\u003cp>Tien’s biggest concern is that the finger scan will spread outside of health providers and into the hands of insurers, or that it will become a de facto national patient identifier.\u003c/p>\n\u003cp>Currently, a debate is raging in Washington D.C. about the drawbacks and potential benefits of using biometrics to identify patients. Many privacy groups, including Patient Privacy Rights and EFF, \u003ca href=\"https://patientprivacyrights.org/author/agropper\">have spoken out\u003c/a> against patient IDs that can match individual patients to all sorts of medical information, referring to them as “the health care cousin of NSA surveillance.” These groups also argue that putting this information in one system would actually increase the likelihood that it will get hacked.\u003c/p>\n\u003cp>Hospitals that are not using the technology are experimenting with other approaches. John Mattison, chief medical information officer at Kaiser Permamente, says administrators are not using fingerprints. But they are increasingly taking photos of patients and storing them in the medical record.\u003c/p>\n\u003cp>Mattison says it’s not easy to crack down on fraud and keep patients safe, while maintaining privacy and security.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“The key is identity management that is flexible and appropriate to the level of privilege you get,” he says, “while being unlikely to get abused for criminal purposes. That’s the ideal.”\u003c/p>\n\n",
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"excerpt": "One California clinic, the Kern County Medical Center in Bakersfield, recently started experimenting with a biometric fingerprint reader.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Soon, it might become the norm to verify your identity at the hospital or clinic by scanning your fingerprint.\u003c/p>\n\u003cp>One California clinic, the \u003ca href=\"http://www.kernmedicalcenter.com/\" target=\"_blank\" rel=\"noopener\">Kern County Medical Center in Bakersfield, r\u003c/a>ecently started experimenting with a biometric fingerprint reader, called SafeChx, to avoid mixing up patients with similar names, and potentially even crack down on fraud\u003ca href=\"http://www.kernmedicalcenter.com/\" target=\"_blank\" rel=\"noopener\">. It’s the first hospital in California to use the SafeChx system.\u003c/a>\u003c/p>\n\u003cp>The SafeChx system, which is available for free, is now used by 178 hospitals around the country. Patients are asked to scan their finger so hospital administrators can view their personal information, including their history of hospital visits and medical record.\u003c/p>\n\u003caside class=\"pullquote alignleft\">‘Many hospitals were using first name and date of birth to identity patients. That simply wasn’t good enough.’\u003cbr>\n\u003ccite>Sean Lane, CrossChx Co-founder \u003c/cite>\u003c/aside>\n\u003cp>New technologies for patient identification are spreading quickly in health systems in the U.S. as an alternative to a national patient identifier, which is used in other countries to accurately match patients to their medical record. Health systems today rely on demographic data, like name, address and phone number, which are likely to change over time.\u003c/p>\n\u003cp>“We serve a large Latino population, and they often use both their maiden name and their married name,” says Edward Din, director of patient access at Kern County’s Medical Center. “Sometimes those names are reversed. This resulted in a lot of confusion.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But some health and privacy experts say finger-scanning technologies are not the magic solution. Once a fingerprint has been compromised, they say, it’s impossible for a patient to get a replacement. And it could open small hospitals to being hacked if the data is stored in one place.\u003c/p>\n\u003cp>\u003cb>New Technologies to Identify Patients\u003c/b>\u003c/p>\n\u003cp>SafeChx was developed by Sean Lane, a former fellow at the National Security Agency, better known as the NSA, and Brad Mascho, an executive at a health insurance association. It is the flagship product of a company called \u003ca href=\"http://crosschx.com/\" target=\"_blank\" rel=\"noopener\">CrossChx\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_70486\" class=\"wp-caption alignleft\" style=\"max-width: 398px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-70486\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/BradandSean1.jpg\" alt=\"Brad Mascho and Sean Lane, the founders of CrossChx. \" width=\"398\" height=\"248\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/13/2015/11/BradandSean1.jpg 750w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/11/BradandSean1-400x250.jpg 400w\" sizes=\"(max-width: 398px) 100vw, 398px\">\u003cfigcaption class=\"wp-caption-text\">Brad Mascho and Sean Lane, the founders of CrossChx. \u003ccite>(CrossChx)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lane and Mascho initially became interested in patient identifiers after a health system in their hometown in Southeastern Ohio asked them for advice on cutting down on prescription drug abuse, a consequence of identity theft.\u003c/p>\n\u003cp>“Many hospitals were using first name and date of birth to identity patients,” says Lane. “That simply wasn’t good enough.”\u003c/p>\n\u003cp>The founders viewed biometric identification techniques, like fingerprints, as the next step for hospitals. They say the fingerprint doesn’t need to be tied to any other sort of identifying information, like state status, so it can even be used by patients who are undocumented.\u003c/p>\n\u003cp>CrossChx is targeting small to medium-sized hospitals first, before reaching out to large academic teaching hospitals. It makes money by selling health care applications through its app store, which hospitals can use in addition to SafeChx.\u003c/p>\n\u003cp>Kern Medical Center’s employees say their patients don’t seem to have major reservations about scanning their finger. Since June of this year, more than 6,000 patients were asked to register to the system, according to Din, and 93 percent agreed to participate. Kern’s registrars were trained to inform patients how the process would work.\u003c/p>\n\u003cfigure id=\"attachment_70487\" class=\"wp-caption alignright\" style=\"max-width: 426px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-70487\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Queue1-800x533.jpg\" alt=\"The system checks in patients with their permission. \" width=\"426\" height=\"284\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/13/2015/11/Queue1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/11/Queue1-400x267.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/11/Queue1-1180x787.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/11/Queue1-960x640.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/11/Queue1.jpg 1680w\" sizes=\"(max-width: 426px) 100vw, 426px\">\u003cfigcaption class=\"wp-caption-text\">The system checks in patients with their permission. \u003ccite>(CrossChx)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Many of Kern’s patients come from low-income households. Scott Thygerson, the hospital’s chief strategy officer, describes it as a “safety net hospital” that is responsible for nearly half of the population in the county — those who are enrolled in Medicare or have no insurance. “It’s nice to be on the leading edge of this,” Thygerson says.\u003c/p>\n\u003cp>CrossChx’s founders say they are not surprised that patients have been open to scanning their index finger. They claim that those who have opted out tend to be uninformed or have something to hide.\u003c/p>\n\u003cp>“It’s not worth our time to educate that sliver of the population,” Lane says.\u003c/p>\n\u003cp>\u003cstrong>Privacy Concerns\u003c/strong>\u003c/p>\n\u003cp>But some health experts say finger-scanning may not be an approach that’s in the patient’s best interests.\u003c/p>\n\u003cp>“It’s the opposite of a delightful customer service,” says Bob Kocher, a clinician and an investor in health technology at \u003ca href=\"http://www.venrock.com/\">\u003cspan style=\"font-weight: 400\">Venrock\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">.\u003c/span>\u003c/p>\n\u003cp>In Kocher’s view, most problems that patients face do not require extensive knowledge about their medical and visit history. And most patients are not out to commit fraud.\u003c/p>\n\u003cp>Privacy advocates harbor a different set of concerns about finger-scanning technology.\u003c/p>\n\u003cp>“I’m not sure that this protects against medical identity theft,” said Lee Tien, a senior staff attorney at the \u003ca href=\"https://www.eff.org/\">Electronic Frontier Foundation\u003c/a> (EFF), a San Francisco-based group that specializes in Internet privacy. In order for that to work, even in theory, he argues, the entire U.S. health system would need to adopt it.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘I can’t change my fingerprints. Or iris. Or anything else.’\u003cbr>\n\u003ccite>Lee Tien, senior staff attorney at Electronic Frontier Foundation \u003c/cite>\u003c/aside>\n\u003cp>Tien says a biometric like a fingerscan is no better than a password or any other secret information. Moreover, when a biometric is compromised, it’s compromised for good. “I can’t change my fingerprints. Or iris. Or anything else,” he says.\u003c/p>\n\u003cp>Tien’s biggest concern is that the finger scan will spread outside of health providers and into the hands of insurers, or that it will become a de facto national patient identifier.\u003c/p>\n\u003cp>Currently, a debate is raging in Washington D.C. about the drawbacks and potential benefits of using biometrics to identify patients. Many privacy groups, including Patient Privacy Rights and EFF, \u003ca href=\"https://patientprivacyrights.org/author/agropper\">have spoken out\u003c/a> against patient IDs that can match individual patients to all sorts of medical information, referring to them as “the health care cousin of NSA surveillance.” These groups also argue that putting this information in one system would actually increase the likelihood that it will get hacked.\u003c/p>\n\u003cp>Hospitals that are not using the technology are experimenting with other approaches. John Mattison, chief medical information officer at Kaiser Permamente, says administrators are not using fingerprints. But they are increasingly taking photos of patients and storing them in the medical record.\u003c/p>\n\u003cp>Mattison says it’s not easy to crack down on fraud and keep patients safe, while maintaining privacy and security.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Uber Offers $10 Flu Shots on Demand",
"title": "Uber Offers $10 Flu Shots on Demand",
"headTitle": "KQED Future of You | KQED Science",
"content": "\u003cp>Neglected to get a flu shot this year? Starting today, you can order one on your smartphone.\u003c/p>\n\u003cp>\u003ca href=\"https://www.uber.com/\" target=\"_blank\">Uber\u003c/a>, the app that lets you hail a ride in a stranger's car, is now delivering flu shots to people in \u003ca href=\"https://newsroom.uber.com/2015/11/uberhealth/\">35 cities\u003c/a> across the United States, including San Francisco, Boston and New York. And you don't have to take a ride anywhere or stop by a pharmacy to get inoculated.\u003c/p>\n\u003cfigure id=\"attachment_69525\" class=\"wp-caption alignright\" style=\"max-width: 444px\">\u003cimg class=\" wp-image-69525\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/UberHEALTH-Screenshot-677x600.png\" alt=\"A screenshot of the UberHEALTH ap\" width=\"444\" height=\"393\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/UberHEALTH-Screenshot-677x600.png 677w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/UberHEALTH-Screenshot-400x354.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/UberHEALTH-Screenshot.png 870w\" sizes=\"(max-width: 444px) 100vw, 444px\">\u003cfigcaption class=\"wp-caption-text\">A screenshot of the UberHEALTH app \u003ccite>(Uber/Sarah Maxwell)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>It'll cost you $10 for a wellness pack, but the nurse who arrives in an Uber car at your home or office can give flu shots to up to ten people at no additional cost. The wellness pack includes hand sanitizer, tissues, a tote bag, and even a lollipop.\u003c/p>\n\u003cp>Uber says it is not footing the bill for the nurses' time or the flu shots. Instead, the company is partnering with \u003ca href=\"http://www.passporthealthusa.com/\" target=\"_blank\">Passport Health\u003c/a>, a provider of travel medicines, and \u003ca href=\"http://epidemico.com/\" target=\"_blank\">Epidemico\u003c/a>, a Boston-based analytics startup. Uber is paying for the delivery only.\u003c/p>\n\u003cp>Uber's Meghan Verena said the company has 10,000 flu shots to dole out this year. To request a nurse and get inoculated, tap an option on the company's app labeled \"UberHEALTH.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>'I Don't Really Get It, But I'm Old'\u003c/strong>\u003c/p>\n\u003cp>It's not clear why Uber is branching into vaccinations. It's possible this program will help Uber expand its user base. The company may also be looking to improve its reputation after a \u003ca href=\"http://www.cnbc.com/2014/12/18/bad-press-continues-to-hammer-uber.html\" target=\"_blank\">slew of negative press\u003c/a> on topics ranging from drivers' criminal records to health care and pay.\u003c/p>\n\u003cp>Uber's Verena hopes UberHEALTH will be a hit with small businesses and startups, which don't usually pay to bring in a nurse to vaccinate all of their employees at once. And Uber has not ruled out offering other types of vaccinations in the future.\u003c/p>\n\u003caside class=\"pullquote alignright\">“The effort it would take to find out if I'm covered for a flu shot, and where I can get it that's closest to me, it's sort of a hassle.\"\u003cbr>\n\u003ccite>Nikhil Krishan, 23-year-old startup worker\u003c/cite>\u003c/aside>\n\u003cp>Regardless of Uber's intentions, epidemiologists we contacted say they support any new program that improves the rate of flu vaccinations. \u003ca href=\"http://www.cdc.gov/flu/fluvaxview/coverage-1314estimates.htm\">The Centers for Disease Control\u003c/a>\u003ca href=\"http://www.cdc.gov/flu/fluvaxview/coverage-1314estimates.htm\" target=\"_blank\"> and Prevention\u003c/a> found that just over 30 percent of people ages 18 to 49 get inoculated.\u003c/p>\n\u003cp>\"The more options we give people, and the easier we make it to get vaccinated, that's a good thing,\" says Art Reingold, Professor and head of epidemiology at UC Berkeley's School of Public Health. \"I don't really get it myself. But I'm old and not really part of the Uber generation.\"\u003c/p>\n\u003cp>For Reingold, it's not clear why people aren't heading over to their local Walgreens or CVS to avoid paying $10. Under the Affordable Care Act, flu shots are considered preventative and are covered at no additional charge to the patient.\u003c/p>\n\u003cp>\u003cstrong>Convenience is King\u003c/strong>\u003c/p>\n\u003cp>\"The effort it would take to find out if I'm covered for a flu shot, and where I can get it that's closest to me, it's sort of a hassle,\" said Nikhil Krishnan, 23, a New York-based research analyst at a startup called \u003ca href=\"https://www.cbinsights.com/\" target=\"_blank\">CBInsights\u003c/a>.\u003c/p>\n\u003cp>John Brownstein, an epidemiologist at Boston Children's Hospital and Harvard Medical School, has been working with Uber on the vaccination program for more than a year. Brownstein's research has found the 'on demand' component is actually very important to young people like Krishnan. Apps like Pager and Heal, \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/29/these-apps-bring-doctors-and-nurses-to-your-door/\" target=\"_blank\">which bring doctors and nurses to your doorstep\u003c/a>, are growing in popularity.\u003c/p>\n\u003cp>[contextly_sidebar id=\"GFcUM11cNgdJ9ZEPcJUfq3CPVxTcByBh\"]When Uber launched a pilot of UberHEALTH in four cities last year, Brownstein saw an important research opportunity. He sent survey questions to the 2,000 people who signed up to Uber's service, and got about 500 responses.\u003c/p>\n\u003cp>About twenty percent of those who responded said they wouldn't have opted to get a flu shot from traditional providers. Almost 80 percent said the delivery of the vaccine, via Uber, was \"very important\" to their decision to get vaccinated.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Brownstein emphasizes that UberHEALTH is just one approach to improving vaccination rates. Another is to educate people who insist you can get the flu from a flu shot (\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/11/16/why-you-cant-get-the-flu-from-the-flu-shot-video/\" target=\"_blank\">you can't\u003c/a>), and to make vaccinations more accessible to people in rural areas.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Neglected to get a flu shot this year? Starting today, you can order one on your smartphone.\u003c/p>\n\u003cp>\u003ca href=\"https://www.uber.com/\" target=\"_blank\">Uber\u003c/a>, the app that lets you hail a ride in a stranger's car, is now delivering flu shots to people in \u003ca href=\"https://newsroom.uber.com/2015/11/uberhealth/\">35 cities\u003c/a> across the United States, including San Francisco, Boston and New York. And you don't have to take a ride anywhere or stop by a pharmacy to get inoculated.\u003c/p>\n\u003cfigure id=\"attachment_69525\" class=\"wp-caption alignright\" style=\"max-width: 444px\">\u003cimg class=\" wp-image-69525\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/UberHEALTH-Screenshot-677x600.png\" alt=\"A screenshot of the UberHEALTH ap\" width=\"444\" height=\"393\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/UberHEALTH-Screenshot-677x600.png 677w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/UberHEALTH-Screenshot-400x354.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/UberHEALTH-Screenshot.png 870w\" sizes=\"(max-width: 444px) 100vw, 444px\">\u003cfigcaption class=\"wp-caption-text\">A screenshot of the UberHEALTH app \u003ccite>(Uber/Sarah Maxwell)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>It'll cost you $10 for a wellness pack, but the nurse who arrives in an Uber car at your home or office can give flu shots to up to ten people at no additional cost. The wellness pack includes hand sanitizer, tissues, a tote bag, and even a lollipop.\u003c/p>\n\u003cp>Uber says it is not footing the bill for the nurses' time or the flu shots. Instead, the company is partnering with \u003ca href=\"http://www.passporthealthusa.com/\" target=\"_blank\">Passport Health\u003c/a>, a provider of travel medicines, and \u003ca href=\"http://epidemico.com/\" target=\"_blank\">Epidemico\u003c/a>, a Boston-based analytics startup. Uber is paying for the delivery only.\u003c/p>\n\u003cp>Uber's Meghan Verena said the company has 10,000 flu shots to dole out this year. To request a nurse and get inoculated, tap an option on the company's app labeled \"UberHEALTH.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>'I Don't Really Get It, But I'm Old'\u003c/strong>\u003c/p>\n\u003cp>It's not clear why Uber is branching into vaccinations. It's possible this program will help Uber expand its user base. The company may also be looking to improve its reputation after a \u003ca href=\"http://www.cnbc.com/2014/12/18/bad-press-continues-to-hammer-uber.html\" target=\"_blank\">slew of negative press\u003c/a> on topics ranging from drivers' criminal records to health care and pay.\u003c/p>\n\u003cp>Uber's Verena hopes UberHEALTH will be a hit with small businesses and startups, which don't usually pay to bring in a nurse to vaccinate all of their employees at once. And Uber has not ruled out offering other types of vaccinations in the future.\u003c/p>\n\u003caside class=\"pullquote alignright\">“The effort it would take to find out if I'm covered for a flu shot, and where I can get it that's closest to me, it's sort of a hassle.\"\u003cbr>\n\u003ccite>Nikhil Krishan, 23-year-old startup worker\u003c/cite>\u003c/aside>\n\u003cp>Regardless of Uber's intentions, epidemiologists we contacted say they support any new program that improves the rate of flu vaccinations. \u003ca href=\"http://www.cdc.gov/flu/fluvaxview/coverage-1314estimates.htm\">The Centers for Disease Control\u003c/a>\u003ca href=\"http://www.cdc.gov/flu/fluvaxview/coverage-1314estimates.htm\" target=\"_blank\"> and Prevention\u003c/a> found that just over 30 percent of people ages 18 to 49 get inoculated.\u003c/p>\n\u003cp>\"The more options we give people, and the easier we make it to get vaccinated, that's a good thing,\" says Art Reingold, Professor and head of epidemiology at UC Berkeley's School of Public Health. \"I don't really get it myself. But I'm old and not really part of the Uber generation.\"\u003c/p>\n\u003cp>For Reingold, it's not clear why people aren't heading over to their local Walgreens or CVS to avoid paying $10. Under the Affordable Care Act, flu shots are considered preventative and are covered at no additional charge to the patient.\u003c/p>\n\u003cp>\u003cstrong>Convenience is King\u003c/strong>\u003c/p>\n\u003cp>\"The effort it would take to find out if I'm covered for a flu shot, and where I can get it that's closest to me, it's sort of a hassle,\" said Nikhil Krishnan, 23, a New York-based research analyst at a startup called \u003ca href=\"https://www.cbinsights.com/\" target=\"_blank\">CBInsights\u003c/a>.\u003c/p>\n\u003cp>John Brownstein, an epidemiologist at Boston Children's Hospital and Harvard Medical School, has been working with Uber on the vaccination program for more than a year. Brownstein's research has found the 'on demand' component is actually very important to young people like Krishnan. Apps like Pager and Heal, \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/29/these-apps-bring-doctors-and-nurses-to-your-door/\" target=\"_blank\">which bring doctors and nurses to your doorstep\u003c/a>, are growing in popularity.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>When Uber launched a pilot of UberHEALTH in four cities last year, Brownstein saw an important research opportunity. He sent survey questions to the 2,000 people who signed up to Uber's service, and got about 500 responses.\u003c/p>\n\u003cp>About twenty percent of those who responded said they wouldn't have opted to get a flu shot from traditional providers. Almost 80 percent said the delivery of the vaccine, via Uber, was \"very important\" to their decision to get vaccinated.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Brownstein emphasizes that UberHEALTH is just one approach to improving vaccination rates. Another is to educate people who insist you can get the flu from a flu shot (\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/11/16/why-you-cant-get-the-flu-from-the-flu-shot-video/\" target=\"_blank\">you can't\u003c/a>), and to make vaccinations more accessible to people in rural areas.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>I am addicted to \u003ca href=\"https://www.ted.com/\">TED\u003c/a> talks. They breath new life into what was once the boring lecture.\u003c/p>\n\u003cp>Some of the smartest people have now become some of the most inspirational, thanks to the TED format and delivery. TED is now its own global industry which includes smaller, more affordable, TED X talks, a TED video channel and \u003ca href=\"http://www.npr.org/programs/ted-radio-hour/?showDate=2015-11-13\">NPR's TED Radio Hour\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"http://tedmed.com\">TEDMED\u003c/a>\u003ca href=\"http://www.tedmed.com/\">,\u003c/a> which is kind of the sci-fi edge of medicine, is one of the biggest gatherings in the TED culture.\u003c/p>\n\u003cp>This year's conference, which begins today in Palm Springs, is a who's who in medical innovation. The list includes several people we interviewed for KQED stories, including \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/04/10/23andme-ceo-we-are-now-the-poster-child-for-patient-empowerment/\">consumer genetics guru Anne Wojcicki,\u003c/a> scientists from UCSF's genome editing project \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/03/16/a-crispr-solution-to-bubble-boy-disease/\">Crispr\u003c/a>, and \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/04/14/digital-tools-for-health-come-with-hope-hype-and-harm/\">physicians specializing in mobile health\u003c/a>.\u003c/p>\n\u003cp>There are also a number of speakers that are new to me. Here are five topics that caught my eye.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>MakerNurse co-founder Anna Young\u003c/strong>\u003c/p>\n\u003cp>Inventive nurses have been doing workarounds for decades, cobbling together broken medical devices or adapting a dressing for a tiny patient's wound. Think about it: Who really knows more about how to improve patient care than the person who is at their bedside every day? I initially heard about MakerNurse at a conference last year, so I am looking forward to meeting Anna Young and her team from MIT's Little Device's Lab. They are using the ideas behind the Maker Movement to help bring rapid prototyping of tools to patient care.\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=VkKjW9GdAaw]\u003c/p>\n\u003cp>\u003cstrong>UCSD sensor innovator Todd Coleman\u003c/strong>\u003c/p>\n\u003cp>Todd Coleman is a UC San Diego Bioengineering Professor who develops tattoos for health monitoring in order to make medicine less invasive. He is also a staunch public health advocate who is looking for ways to deliver sustainable innovations to under-served groups. Click\u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/30/this-smart-pen-could-revolutionize-diabetes-treatment/\"> here\u003c/a> for our recent story on KQED's Future of You about the use of 'smart tattoos' to revolutionize diabetes treatment.\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=nym1leyltpU]\u003c/p>\n\u003cp>\u003cstrong>Bioengineer Sangeeta Bhatia\u003c/strong>\u003c/p>\n\u003cp>Sangeeta Bhatia is both a trained engineer and physician -- a rare combination. In her lab at MIT she works with technologies from the computer industry, like semiconductors, to figure out how to make livers for off-the-shelf transplants that don't depend on a dying patient's donation. Her team has developed breakthroughs in cancer treatment and Fast Company named her one of the most creative people of 2014.\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=EZYeb1fw1qI]\u003c/p>\n\u003cp>\u003cstrong>Electrified Biogeochemist Kenneth Nealson\u003c/strong>\u003c/p>\n\u003cp>What is an electrified biogeochemist? Just the title is enough to peak my interest for this session.\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=Y_-ImKe61I4]\u003c/p>\n\u003cp>\u003cstrong>Microbiome researcher Chris Mason \u003c/strong>\u003c/p>\n\u003cp>Chris Mason is \u003ca href=\"http://www.wsj.com/articles/scientists-back-off-some-findings-in-nyc-subway-microbiome-study-1438626750\">best known for his recent project\u003c/a> to map the New York subway's DNA, which took more than a year to complete. But Mason's interests go beyond swabbing subway trains and urban mircrobiology. His research extends to cruise ships, Chernobyl-struck villages and outer space. The Cornell professor is currently working with NASA on a long-term survival plan for interplanetary survival.\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=mn5MkKXtxms]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>You can follow the conference at #TedMed and @andreakissack. All talks will be available on the \u003ca href=\"http://tedmed.com\">TEDMED\u003c/a> site after the conference\u003c/em>.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>I am addicted to \u003ca href=\"https://www.ted.com/\">TED\u003c/a> talks. They breath new life into what was once the boring lecture.\u003c/p>\n\u003cp>Some of the smartest people have now become some of the most inspirational, thanks to the TED format and delivery. TED is now its own global industry which includes smaller, more affordable, TED X talks, a TED video channel and \u003ca href=\"http://www.npr.org/programs/ted-radio-hour/?showDate=2015-11-13\">NPR's TED Radio Hour\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"http://tedmed.com\">TEDMED\u003c/a>\u003ca href=\"http://www.tedmed.com/\">,\u003c/a> which is kind of the sci-fi edge of medicine, is one of the biggest gatherings in the TED culture.\u003c/p>\n\u003cp>This year's conference, which begins today in Palm Springs, is a who's who in medical innovation. The list includes several people we interviewed for KQED stories, including \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/04/10/23andme-ceo-we-are-now-the-poster-child-for-patient-empowerment/\">consumer genetics guru Anne Wojcicki,\u003c/a> scientists from UCSF's genome editing project \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/03/16/a-crispr-solution-to-bubble-boy-disease/\">Crispr\u003c/a>, and \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/04/14/digital-tools-for-health-come-with-hope-hype-and-harm/\">physicians specializing in mobile health\u003c/a>.\u003c/p>\n\u003cp>There are also a number of speakers that are new to me. Here are five topics that caught my eye.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>MakerNurse co-founder Anna Young\u003c/strong>\u003c/p>\n\u003cp>Inventive nurses have been doing workarounds for decades, cobbling together broken medical devices or adapting a dressing for a tiny patient's wound. Think about it: Who really knows more about how to improve patient care than the person who is at their bedside every day? I initially heard about MakerNurse at a conference last year, so I am looking forward to meeting Anna Young and her team from MIT's Little Device's Lab. They are using the ideas behind the Maker Movement to help bring rapid prototyping of tools to patient care.\u003c/p>\n\u003cp>\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/VkKjW9GdAaw'\n title='//www.youtube.com/embed/VkKjW9GdAaw'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>UCSD sensor innovator Todd Coleman\u003c/strong>\u003c/p>\n\u003cp>Todd Coleman is a UC San Diego Bioengineering Professor who develops tattoos for health monitoring in order to make medicine less invasive. He is also a staunch public health advocate who is looking for ways to deliver sustainable innovations to under-served groups. Click\u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/30/this-smart-pen-could-revolutionize-diabetes-treatment/\"> here\u003c/a> for our recent story on KQED's Future of You about the use of 'smart tattoos' to revolutionize diabetes treatment.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/nym1leyltpU'\n title='//www.youtube.com/embed/nym1leyltpU'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Bioengineer Sangeeta Bhatia\u003c/strong>\u003c/p>\n\u003cp>Sangeeta Bhatia is both a trained engineer and physician -- a rare combination. In her lab at MIT she works with technologies from the computer industry, like semiconductors, to figure out how to make livers for off-the-shelf transplants that don't depend on a dying patient's donation. Her team has developed breakthroughs in cancer treatment and Fast Company named her one of the most creative people of 2014.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/EZYeb1fw1qI'\n title='//www.youtube.com/embed/EZYeb1fw1qI'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Electrified Biogeochemist Kenneth Nealson\u003c/strong>\u003c/p>\n\u003cp>What is an electrified biogeochemist? Just the title is enough to peak my interest for this session.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/Y_-ImKe61I4'\n title='//www.youtube.com/embed/Y_-ImKe61I4'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Microbiome researcher Chris Mason \u003c/strong>\u003c/p>\n\u003cp>Chris Mason is \u003ca href=\"http://www.wsj.com/articles/scientists-back-off-some-findings-in-nyc-subway-microbiome-study-1438626750\">best known for his recent project\u003c/a> to map the New York subway's DNA, which took more than a year to complete. But Mason's interests go beyond swabbing subway trains and urban mircrobiology. His research extends to cruise ships, Chernobyl-struck villages and outer space. The Cornell professor is currently working with NASA on a long-term survival plan for interplanetary survival.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/mn5MkKXtxms'\n title='//www.youtube.com/embed/mn5MkKXtxms'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>You can follow the conference at #TedMed and @andreakissack. All talks will be available on the \u003ca href=\"http://tedmed.com\">TEDMED\u003c/a> site after the conference\u003c/em>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Blake Atkins receives regular messages from his mom when he's at school. But unlike most teenagers, he doesn't seem to mind.\u003c/p>\n\u003cp>That's because Atkins, 15, who lives in San Carlos, was diagnosed with Type 1 diabetes four years ago. His mom, Lori, sends him a text whenever his blood sugar levels are out of the normal range.\u003c/p>\n\u003cp>\"I do like that my mom can look at my numbers,\" Atkins says. \"It keeps me sane. It helps keep her sane.\"\u003c/p>\n\u003cp>While enlisting caregivers might seem like a logical way to manage diabetes, it's only recently that such tools have been available. Health experts say sophisticated devices to monitor blood sugar have been around for years, but it's been a challenge to share health data securely with a smartphone -- and from there, add it to a patient's medical record.\u003c/p>\n\u003cp>\"Families of children living with diabetes have been seeking these kinds of tools for years,\" says Michael Chae, Bay Area regional director for the American Diabetes Association, \"and there have been people working on these solutions for some time.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But Chae hopes sharing glucose data via mobile technology will make a big difference for the \u003ca href=\"http://www.diabetes.org/diabetes-basics/statistics/\" target=\"_blank\">approximately 1.25 million patients in the U.S.\u003c/a> with Type 1 diabetes.\u003c/p>\n\u003cfigure id=\"attachment_68474\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-68474\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/graphic.jpg\" alt=\"How data flows from Blake's continuous glucose monitor to his mobile phone, and from there, to his caregivers.\" width=\"1920\" height=\"960\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic-400x200.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic-800x400.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic-1180x590.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic-960x480.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">How data flows from Blake's continuous glucose monitor to his mobile phone, and from there, to his caregivers. \u003ccite>(David Pierce )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>'It Has Made My Life a Lot Easier'\u003c/strong>\u003c/p>\n\u003cp>For years, Lori Atkins had little insight into her son's health when he left for school. But she did the best she could in the evenings and on weekends to record Blake's blood sugar levels and his diet in a notebook.\u003c/p>\n\u003caside class=\"pullquote alignleft\">'I do like that my mom can look at my numbers. It keeps me sane. It helps keep her sane.'\u003cbr>\n\u003ccite>Blake Atkins, 15, a patient with diabetes \u003c/cite>\u003c/aside>\n\u003cp>But several months ago, her son's doctor Dr. Rajiv Kumar, an endocrinologist at Lucile Packard Children's Hospital, suggested the family enroll in a new pilot program that turns the iPhone into a sophisticated tool for home health monitoring.\u003c/p>\n\u003cp>The pilot is one of the first to take advantage of a new service from Apple, called \u003ca href=\"https://developer.apple.com/healthkit/\" target=\"_blank\">HealthKit\u003c/a>, which helps people view their health information in one place. Apple launched HealthKit in 2014 and is attracting the interest\u003ca href=\"http://www.reuters.com/article/2015/02/05/us-apple-hospitals-exclusive-idUSKBN0L90G920150205\" target=\"_blank\"> \u003c/a>of\u003ca href=\"http://www.reuters.com/article/2015/02/05/us-apple-hospitals-exclusive-idUSKBN0L90G920150205\" target=\"_blank\"> top hospitals\u003c/a>.\u003c/p>\n\u003cp>For Blake's doctor, it offers new opportunities to monitor his patients from home -- and potentially cut costs by decreasing the number of in-person consultations. Kumar says he can now see his patients' glucose levels with a three-hour time delay.\u003c/p>\n\u003cp>\"Last time he [Blake] was sick, I wrote Dr. Kumar an email with all this data I'd manually collected and waited for a response,\" she says. But now, Kumar can check in on a patients' blood sugar levels at any time and assess whether there's a serious problem.\u003c/p>\n\u003cp>Kumar says he doesn't have time to monitor a continuous stream of Blake's data. Instead, he receives a report every two weeks from the hospital with all of his patients' analyses and trends. The report clearly shows which patients consistently have the lowest blood sugar overnight, for instance.\u003c/p>\n\u003cp>\"It has made my life a lot easier and I worry less,\" says Kumar.\u003c/p>\n\u003cp>\u003cstrong>How Does It Work?\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_68591\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-68591\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/glucose-800x598.jpg\" alt=\"High glucose readings on a glucose meter. \" width=\"800\" height=\"598\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-800x598.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-400x299.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-1180x881.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-1920x1434.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-960x717.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">High glucose readings on a glucose meter. \u003ccite>(Mike Mozart/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>How does data travel from Blake's glucose monitor to his mother and his doctor? The system is complex, but it typically works like this: He tracks his glucose levels using a Bluetooth-connected continuous glucose monitor or CGM, which was developed by a company called \u003ca href=\"http://www.dexcom.com/\">Dexcom\u003c/a>. The CGM measures glucose through a glucose sensor that is inserted under the skin.\u003c/p>\n\u003cp>With Blake's permission, the data then travel to his smartphone via Apple's HealthKit. From there, Blake's health information is sent to his medical record through an app that his doctor uses from \u003ca href=\"http://www.epic.com/\">Epic Systems\u003c/a>. Apple is currently partnered with Epic and half a dozen other electronic health record companies.\u003c/p>\n\u003cp>Blake's doctor can subsequently send him a secure message through Epic's app, which is called MyChart. His mother Lori can access the data in real-time as the designated caregiver.\u003c/p>\n\u003cp>\"I usually check in on Blake's glucose levels every lunchtime when he's at school,\" says Lori Atkins. \"He doesn't usually know or care, as it's all through the mobile phone.\"\u003c/p>\n\u003cp>\u003cstrong>Barriers to Adoption?\u003c/strong>\u003c/p>\n\u003cp>Doctors tell me these types of mobile monitoring programs can improve the outcome for patients and cut costs. They're particularly effective for patients with Type 1 diabetes, who often rely on educated guesswork to determine how much insulin they need.\u003c/p>\n\u003cp>\"Type 1 diabetes is a low-hanging fruit, from the perspective of the major health systems,\" says Suneil Koliwad, a researcher and endocrinologist at UCSF, who specializes in treating patients with diabetes.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Such systems have tremendous potential to help doctors spot potential dangers that could become big problems.'\u003cbr>\n\u003ccite>Suneil Koliwad, Researcher and Clinician at UCSF \u003c/cite>\u003c/aside>\n\u003cp>The major challenge for patients and their doctors is to determine how much insulin to give and how to give it. A great \"first step,\" Koliwad says, is to analyze a patient's blood sugar levels over time. Eventually, health systems can use months and months of data to make a prediction about what will happen next.\u003c/p>\n\u003cp>\"Using technology, you can overcome the crux of the problem,\" he says. \"Mobile tools have tremendous potential to help doctors spot potential dangers that could become big problems.\"\u003c/p>\n\u003cp>But most doctors do not have time to pore over numbers in Excel spreadsheets. So Koliwad says hospitals either need to invest in tools to present this data clearly to doctors, or hire teams of people to monitor the data streams and be responsive to patients.\u003c/p>\n\u003cp>Once doctors are on board, health systems will need to convince the patients. And that might be a major challenge.\u003c/p>\n\u003cp>\"From talking to other parents I know that every teen's journey is different,\" says Lori Atkins. \"Some kids get this burnout where they don't want to test themselves or take their insulin. Even Blake could rebel next week and stop wearing his glucose monitor.\"\u003c/p>\n\u003cp>But Blake says it's unlikely that he'll give up or get embarrassed about his disease.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"I don't really care what people think,\" he says. \"Anyways, I know that the alternative is grim. Having diabetes, it does make you grow up a bit.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Blake Atkins receives regular messages from his mom when he's at school. But unlike most teenagers, he doesn't seem to mind.\u003c/p>\n\u003cp>That's because Atkins, 15, who lives in San Carlos, was diagnosed with Type 1 diabetes four years ago. His mom, Lori, sends him a text whenever his blood sugar levels are out of the normal range.\u003c/p>\n\u003cp>\"I do like that my mom can look at my numbers,\" Atkins says. \"It keeps me sane. It helps keep her sane.\"\u003c/p>\n\u003cp>While enlisting caregivers might seem like a logical way to manage diabetes, it's only recently that such tools have been available. Health experts say sophisticated devices to monitor blood sugar have been around for years, but it's been a challenge to share health data securely with a smartphone -- and from there, add it to a patient's medical record.\u003c/p>\n\u003cp>\"Families of children living with diabetes have been seeking these kinds of tools for years,\" says Michael Chae, Bay Area regional director for the American Diabetes Association, \"and there have been people working on these solutions for some time.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But Chae hopes sharing glucose data via mobile technology will make a big difference for the \u003ca href=\"http://www.diabetes.org/diabetes-basics/statistics/\" target=\"_blank\">approximately 1.25 million patients in the U.S.\u003c/a> with Type 1 diabetes.\u003c/p>\n\u003cfigure id=\"attachment_68474\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-68474\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/graphic.jpg\" alt=\"How data flows from Blake's continuous glucose monitor to his mobile phone, and from there, to his caregivers.\" width=\"1920\" height=\"960\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic-400x200.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic-800x400.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic-1180x590.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic-960x480.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">How data flows from Blake's continuous glucose monitor to his mobile phone, and from there, to his caregivers. \u003ccite>(David Pierce )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>'It Has Made My Life a Lot Easier'\u003c/strong>\u003c/p>\n\u003cp>For years, Lori Atkins had little insight into her son's health when he left for school. But she did the best she could in the evenings and on weekends to record Blake's blood sugar levels and his diet in a notebook.\u003c/p>\n\u003caside class=\"pullquote alignleft\">'I do like that my mom can look at my numbers. It keeps me sane. It helps keep her sane.'\u003cbr>\n\u003ccite>Blake Atkins, 15, a patient with diabetes \u003c/cite>\u003c/aside>\n\u003cp>But several months ago, her son's doctor Dr. Rajiv Kumar, an endocrinologist at Lucile Packard Children's Hospital, suggested the family enroll in a new pilot program that turns the iPhone into a sophisticated tool for home health monitoring.\u003c/p>\n\u003cp>The pilot is one of the first to take advantage of a new service from Apple, called \u003ca href=\"https://developer.apple.com/healthkit/\" target=\"_blank\">HealthKit\u003c/a>, which helps people view their health information in one place. Apple launched HealthKit in 2014 and is attracting the interest\u003ca href=\"http://www.reuters.com/article/2015/02/05/us-apple-hospitals-exclusive-idUSKBN0L90G920150205\" target=\"_blank\"> \u003c/a>of\u003ca href=\"http://www.reuters.com/article/2015/02/05/us-apple-hospitals-exclusive-idUSKBN0L90G920150205\" target=\"_blank\"> top hospitals\u003c/a>.\u003c/p>\n\u003cp>For Blake's doctor, it offers new opportunities to monitor his patients from home -- and potentially cut costs by decreasing the number of in-person consultations. Kumar says he can now see his patients' glucose levels with a three-hour time delay.\u003c/p>\n\u003cp>\"Last time he [Blake] was sick, I wrote Dr. Kumar an email with all this data I'd manually collected and waited for a response,\" she says. But now, Kumar can check in on a patients' blood sugar levels at any time and assess whether there's a serious problem.\u003c/p>\n\u003cp>Kumar says he doesn't have time to monitor a continuous stream of Blake's data. Instead, he receives a report every two weeks from the hospital with all of his patients' analyses and trends. The report clearly shows which patients consistently have the lowest blood sugar overnight, for instance.\u003c/p>\n\u003cp>\"It has made my life a lot easier and I worry less,\" says Kumar.\u003c/p>\n\u003cp>\u003cstrong>How Does It Work?\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_68591\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-68591\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/glucose-800x598.jpg\" alt=\"High glucose readings on a glucose meter. \" width=\"800\" height=\"598\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-800x598.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-400x299.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-1180x881.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-1920x1434.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-960x717.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">High glucose readings on a glucose meter. \u003ccite>(Mike Mozart/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>How does data travel from Blake's glucose monitor to his mother and his doctor? The system is complex, but it typically works like this: He tracks his glucose levels using a Bluetooth-connected continuous glucose monitor or CGM, which was developed by a company called \u003ca href=\"http://www.dexcom.com/\">Dexcom\u003c/a>. The CGM measures glucose through a glucose sensor that is inserted under the skin.\u003c/p>\n\u003cp>With Blake's permission, the data then travel to his smartphone via Apple's HealthKit. From there, Blake's health information is sent to his medical record through an app that his doctor uses from \u003ca href=\"http://www.epic.com/\">Epic Systems\u003c/a>. Apple is currently partnered with Epic and half a dozen other electronic health record companies.\u003c/p>\n\u003cp>Blake's doctor can subsequently send him a secure message through Epic's app, which is called MyChart. His mother Lori can access the data in real-time as the designated caregiver.\u003c/p>\n\u003cp>\"I usually check in on Blake's glucose levels every lunchtime when he's at school,\" says Lori Atkins. \"He doesn't usually know or care, as it's all through the mobile phone.\"\u003c/p>\n\u003cp>\u003cstrong>Barriers to Adoption?\u003c/strong>\u003c/p>\n\u003cp>Doctors tell me these types of mobile monitoring programs can improve the outcome for patients and cut costs. They're particularly effective for patients with Type 1 diabetes, who often rely on educated guesswork to determine how much insulin they need.\u003c/p>\n\u003cp>\"Type 1 diabetes is a low-hanging fruit, from the perspective of the major health systems,\" says Suneil Koliwad, a researcher and endocrinologist at UCSF, who specializes in treating patients with diabetes.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Such systems have tremendous potential to help doctors spot potential dangers that could become big problems.'\u003cbr>\n\u003ccite>Suneil Koliwad, Researcher and Clinician at UCSF \u003c/cite>\u003c/aside>\n\u003cp>The major challenge for patients and their doctors is to determine how much insulin to give and how to give it. A great \"first step,\" Koliwad says, is to analyze a patient's blood sugar levels over time. Eventually, health systems can use months and months of data to make a prediction about what will happen next.\u003c/p>\n\u003cp>\"Using technology, you can overcome the crux of the problem,\" he says. \"Mobile tools have tremendous potential to help doctors spot potential dangers that could become big problems.\"\u003c/p>\n\u003cp>But most doctors do not have time to pore over numbers in Excel spreadsheets. So Koliwad says hospitals either need to invest in tools to present this data clearly to doctors, or hire teams of people to monitor the data streams and be responsive to patients.\u003c/p>\n\u003cp>Once doctors are on board, health systems will need to convince the patients. And that might be a major challenge.\u003c/p>\n\u003cp>\"From talking to other parents I know that every teen's journey is different,\" says Lori Atkins. \"Some kids get this burnout where they don't want to test themselves or take their insulin. Even Blake could rebel next week and stop wearing his glucose monitor.\"\u003c/p>\n\u003cp>But Blake says it's unlikely that he'll give up or get embarrassed about his disease.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"I don't really care what people think,\" he says. \"Anyways, I know that the alternative is grim. Having diabetes, it does make you grow up a bit.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>It's the time of year when the flu starts circulating more widely and with it -- the myths about the flu shot start circulating, too.\u003c/p>\n\u003cp>In just over 2 minutes, \u003ca href=\"http://www.slate.com/articles/health_and_science/science/2014/12/flu_from_a_flu_shot_why_it_s_impossible_to_get_sick_from_the_vaccination.html\" target=\"_blank\">The Slate\u003c/a> does a highly entertaining job of debunking one of the most tenacious myths of all -- that you can get the flu from the flu shot. You can't.\u003c/p>\n\u003cp>[contextly_sidebar id=\"9y0bGYul6YOWIysqD0LulPn3VJ178Iqg\"]The Centers for Disease Control recommends that \u003ca href=\"http://www.cdc.gov/flu/consumer/vaccinations.htm\" target=\"_blank\">everyone over 6 months \u003c/a>get the flu shot. While effectiveness varies from year to year, this year's version is expected to be a good match against the specific strains of influenza that are circulating this season.\u003c/p>\n\u003cp>It is impossible to predict if this year's flu season will be particularly bad or not, but the California Department of Public Health reports that two people have already died of complications from the flu, \u003ca href=\"https://www.cdph.ca.gov/Pages/NR15-083.aspx\" target=\"_blank\">an adult in Santa Clara County \u003c/a>and a \u003ca href=\"https://www.cdph.ca.gov/Pages/NR15-085.aspx\" target=\"_blank\">Stanislaus County infant. \u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It's the time of year when the flu starts circulating more widely and with it -- the myths about the flu shot start circulating, too.\u003c/p>\n\u003cp>In just over 2 minutes, \u003ca href=\"http://www.slate.com/articles/health_and_science/science/2014/12/flu_from_a_flu_shot_why_it_s_impossible_to_get_sick_from_the_vaccination.html\" target=\"_blank\">The Slate\u003c/a> does a highly entertaining job of debunking one of the most tenacious myths of all -- that you can get the flu from the flu shot. You can't.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>The Centers for Disease Control recommends that \u003ca href=\"http://www.cdc.gov/flu/consumer/vaccinations.htm\" target=\"_blank\">everyone over 6 months \u003c/a>get the flu shot. While effectiveness varies from year to year, this year's version is expected to be a good match against the specific strains of influenza that are circulating this season.\u003c/p>\n\u003cp>It is impossible to predict if this year's flu season will be particularly bad or not, but the California Department of Public Health reports that two people have already died of complications from the flu, \u003ca href=\"https://www.cdph.ca.gov/Pages/NR15-083.aspx\" target=\"_blank\">an adult in Santa Clara County \u003c/a>and a \u003ca href=\"https://www.cdph.ca.gov/Pages/NR15-085.aspx\" target=\"_blank\">Stanislaus County infant. \u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Around 10 percent of women may have a biological clock that ticks even faster than normal.\u003c/p>\n\u003cp>These women, whose ovaries are older than their actual age because of something called \u003ca href=\"https://www.centerforhumanreprod.com/infertilityedu/causes/poa/\">premature ovarian aging\u003c/a> (POA), often don’t know there are any issues until they are already having problems getting pregnant. By then, the only options left may be expensive procedures like in vitro fertilization (IVF) or using an egg donor.\u003c/p>\n\u003cp>Ideally, these women would have a way to find about their fast-aging ovaries before they experience fertility issues. This is where a new set of tests from a startup called \u003ca href=\"https://www.whatsmyfertility.com/\">What’s My Fertility\u003c/a> comes in.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Women should start thinking about their reproductive health at an earlier age.'\u003cbr>\n\u003ccite>Lynn M. Westphal, MD, Stanford University Medical Center\u003c/cite>\u003c/aside>\n\u003cp>What's My Fertility offers three blood tests, including a genetic test, as well as a questionnaire to help determine if a woman is at a higher risk for fertility troubles. If she is, then her doctor can do regular screenings to figure out when her number of eggs is likely to fall.\u003c/p>\n\u003cp>The questionnaire helps shed light on a patients' family history. If her mother or sister has POA, then she is at a higher risk for it too. Another factor is whether the patient has an autoimmune disease, like lupus. Women who have these diseases or who have relatives with them are at higher risk for POA as well.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Still another part of the screen is to look at a woman’s \u003ca href=\"https://en.wikipedia.org/wiki/FMR1\">FMR1 gene\u003c/a>. There are certain versions, or alleles, of this gene that can put women at a higher risk for POA. But like the other factors, these different gene versions are not a for sure thing. If you have them, you won’t automatically have trouble having children later in life. You’ll just be at a higher risk.\u003c/p>\n\u003cp>\u003cstrong>Will Women Be More Proactive?\u003c/strong>\u003c/p>\n\u003cp>In theory, women can then be more proactive about their fertility. She might decide to freeze her eggs or maybe have her first child at a younger age than she expected.\u003c/p>\n\u003cp>And experts say it isn’t just these 10 percent of women who need to know more about their fertility.\u003c/p>\n\u003cfigure id=\"attachment_66262\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Oldermoms800.jpg\">\u003cimg class=\"size-full wp-image-66262\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Oldermoms800.jpg\" alt=\"Women's fertility becomes more and more of an issue as women wait longer and longer to have kids. (CDC)\" width=\"800\" height=\"379\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/Oldermoms800.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Oldermoms800-400x190.jpg 400w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Women's fertility becomes more and more of an issue as women wait longer and longer to have kids. (\u003ca href=\"http://www.cdc.gov/nchs/data/databriefs/db152.htm\">CDC\u003c/a>)\u003c/figcaption>\u003c/figure>\n\u003cp>According to Lynn M. Westphal, MD, Professor of Obstetrics and Gynecology at Stanford University Medical Center, many women underestimate how hard it is for the average woman to get pregnant in their late thirties or early forties. They often arrive in her office with limited options.\u003c/p>\n\u003cp>That's unfortunate given that a simple blood test can determine a woman’s \u003ca href=\"https://en.wikipedia.org/wiki/Ovarian_reserve\">ovarian reserve\u003c/a> (OR), a scientific way of determining how many good eggs a female patient has left. If more women took this test earlier, they might avoid problems later.\u003c/p>\n\u003cp>And of course these issues become more and more important as women wait longer and longer to have their first child. According to the CDC, the number of women waiting until their late thirties and early forties to have their first child \u003ca href=\"http://www.cdc.gov/nchs/fastats/births.htm\">continues to go up\u003c/a>, year after year.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>What's My Fertility isn't the silver bullet solution, as there are many different factors that can affect a woman's fertility that aren't included in the screen. But it's a start, at least, in helping women initiate a conversation with their doctor -- and potentially improve their odds.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Around 10 percent of women may have a biological clock that ticks even faster than normal.\u003c/p>\n\u003cp>These women, whose ovaries are older than their actual age because of something called \u003ca href=\"https://www.centerforhumanreprod.com/infertilityedu/causes/poa/\">premature ovarian aging\u003c/a> (POA), often don’t know there are any issues until they are already having problems getting pregnant. By then, the only options left may be expensive procedures like in vitro fertilization (IVF) or using an egg donor.\u003c/p>\n\u003cp>Ideally, these women would have a way to find about their fast-aging ovaries before they experience fertility issues. This is where a new set of tests from a startup called \u003ca href=\"https://www.whatsmyfertility.com/\">What’s My Fertility\u003c/a> comes in.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Women should start thinking about their reproductive health at an earlier age.'\u003cbr>\n\u003ccite>Lynn M. Westphal, MD, Stanford University Medical Center\u003c/cite>\u003c/aside>\n\u003cp>What's My Fertility offers three blood tests, including a genetic test, as well as a questionnaire to help determine if a woman is at a higher risk for fertility troubles. If she is, then her doctor can do regular screenings to figure out when her number of eggs is likely to fall.\u003c/p>\n\u003cp>The questionnaire helps shed light on a patients' family history. If her mother or sister has POA, then she is at a higher risk for it too. Another factor is whether the patient has an autoimmune disease, like lupus. Women who have these diseases or who have relatives with them are at higher risk for POA as well.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Still another part of the screen is to look at a woman’s \u003ca href=\"https://en.wikipedia.org/wiki/FMR1\">FMR1 gene\u003c/a>. There are certain versions, or alleles, of this gene that can put women at a higher risk for POA. But like the other factors, these different gene versions are not a for sure thing. If you have them, you won’t automatically have trouble having children later in life. You’ll just be at a higher risk.\u003c/p>\n\u003cp>\u003cstrong>Will Women Be More Proactive?\u003c/strong>\u003c/p>\n\u003cp>In theory, women can then be more proactive about their fertility. She might decide to freeze her eggs or maybe have her first child at a younger age than she expected.\u003c/p>\n\u003cp>And experts say it isn’t just these 10 percent of women who need to know more about their fertility.\u003c/p>\n\u003cfigure id=\"attachment_66262\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Oldermoms800.jpg\">\u003cimg class=\"size-full wp-image-66262\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Oldermoms800.jpg\" alt=\"Women's fertility becomes more and more of an issue as women wait longer and longer to have kids. (CDC)\" width=\"800\" height=\"379\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/Oldermoms800.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Oldermoms800-400x190.jpg 400w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Women's fertility becomes more and more of an issue as women wait longer and longer to have kids. (\u003ca href=\"http://www.cdc.gov/nchs/data/databriefs/db152.htm\">CDC\u003c/a>)\u003c/figcaption>\u003c/figure>\n\u003cp>According to Lynn M. Westphal, MD, Professor of Obstetrics and Gynecology at Stanford University Medical Center, many women underestimate how hard it is for the average woman to get pregnant in their late thirties or early forties. They often arrive in her office with limited options.\u003c/p>\n\u003cp>That's unfortunate given that a simple blood test can determine a woman’s \u003ca href=\"https://en.wikipedia.org/wiki/Ovarian_reserve\">ovarian reserve\u003c/a> (OR), a scientific way of determining how many good eggs a female patient has left. If more women took this test earlier, they might avoid problems later.\u003c/p>\n\u003cp>And of course these issues become more and more important as women wait longer and longer to have their first child. According to the CDC, the number of women waiting until their late thirties and early forties to have their first child \u003ca href=\"http://www.cdc.gov/nchs/fastats/births.htm\">continues to go up\u003c/a>, year after year.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>What's My Fertility isn't the silver bullet solution, as there are many different factors that can affect a woman's fertility that aren't included in the screen. But it's a start, at least, in helping women initiate a conversation with their doctor -- and potentially improve their odds.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>James Metcalf is \u003ca href=\"http://www.cdc.gov/bloodpressure/facts.htm\">one of about 70 million Americans \u003c/a>who lives with high blood pressure, otherwise known as hypertension.\u003c/p>\n\u003cp>But six months ago, Metcalf started using a mobile app called \u003ca href=\"https://helloheartapp.com/\">Hello Heart \u003c/a>to monitor his blood pressure and remind him to take his meds. Six months after he started using the app, his blood pressure stabilized.\u003c/p>\n\u003cp>“I needed something that reminded me everyday to track my blood pressure and give me immediate feedback,\" says Metcalf, who lives in Missouri. \"The difference in how I feel now is night and day.”\u003c/p>\n\u003cp>The press has fixated on the apps and services that serve the healthiest segment of the population. But a new study has found that the most prevalent application of digital health technology is towards a humbler and more necessary goal: To help sick people live healthier lives.\u003c/p>\n\u003cp>The San Francisco-based venture fund \u003ca href=\"https://rockhealth.com/\">Rock Health\u003c/a> recently published its first \u003ca href=\"https://rockhealth.com/reports/digital-health-consumer-adoption-2015/\">survey on trends in digital health\u003c/a> based on responses from 4,000 American adults. One of the most striking results is that the so-called \"super adopters\" of digital health technology tend to be “younger, sicker, and significantly more likely to own a smartphone.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Adoption of digital health services skews towards sick people,\" says Malay Gandhi, managing director at Rock Health. \"If you use technology for other things in your life, why wouldn’t you also turn to technology for your health?”\u003c/p>\n\u003cp>\u003cstrong>The Myth of the 'Worried Well'\u003c/strong>\u003c/p>\n\u003cp>Digital health is one of the\u003ca href=\"https://rockhealth.com/reports/digital-health-2015-midyear/\"> fastest-growing\u003c/a> areas of technology, with new products and services increasingly serving as a means for people to engage with their health.\u003c/p>\n\u003cfigure id=\"attachment_66370\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-66370\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Unknown-800x600.jpeg\" alt=\"James Metcalf uses mobile health apps to help keep his blood pressure under control. \" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-800x600.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-400x300.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-1180x885.jpeg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-960x720.jpeg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown.jpeg 1280w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">James Metcalf uses mobile health apps to help keep his blood pressure under control. \u003ccite>(Hello Heart )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Beyond gathering information, more and more people are using mobile devices to track everything from sleeping habits to menstrual cycles. Want a quick at-home workout? There’s an app for that. Want to monitor your baby’s vitals? \u003ca href=\"http://www.fastcodesign.com/3017180/the-owlet-baby-monitor-wearable-tech-for-infants\">There’s a sock for that. \u003c/a>\u003c/p>\n\u003cp>Certainly, there are digital health products out there that cater to those who are already at peak health and fitness. But doctors and digital health entrepreneurs say that this is not the norm.\u003c/p>\n\u003cp>“People who have multiple chronic conditions, who may be from places that are medically under-served, feel helpless and don’t know where to turn -- so they turn to the internet and mobile apps,\" said Dr. Connie Chen, the cofounder and Chief Medical Officer at \u003ca href=\"http://www.vida.com\">Vida\u003c/a>, a mobile app for personal health coaching.\u003c/p>\n\u003cfigure id=\"attachment_66371\" class=\"wp-caption alignleft\" style=\"max-width: 312px\">\u003cimg class=\" wp-image-66371\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Unknown-3-337x600.jpeg\" alt=\"An app called Hello Heart is used by 40,000 people to manage heart disease. \" width=\"312\" height=\"555\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-3-337x600.jpeg 337w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-3.jpeg 375w\" sizes=\"(max-width: 312px) 100vw, 312px\">\u003cfigcaption class=\"wp-caption-text\">An app called Hello Heart is used by 40,000 people to manage heart disease. \u003ccite>(Hello Heart )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Helping the Chronically Ill \u003c/strong>\u003c/p>\n\u003cp>The majority of people who use the Vida app are struggling with a chronic condition, like diabetes and high blood pressure, Chen explained. The goal of the app is to help people change their behavior and maintain healthy habits.\u003c/p>\n\u003cp>For Omaha, Nebraska-based JC Hammond, health apps have transformed the way she manages her severe asthma. Despite having asthma her whole life, or perhaps because of it, she often struggled to remember whether or not she had taken her medication.\u003c/p>\n\u003cp>“People think if you can’t breathe, you will remember to take your medicine,\" Hammond said. \"But if remembering to take your medicine becomes routine, you do it mindlessly or you don’t remember.\"\u003c/p>\n\u003cp>Hammond is currently using six different health apps, including \u003ca href=\"https://www.mangohealth.com/\">Mango Health\u003c/a>, which helps her take her medication on time, and a Walgreens app to manage her prescriptions. These digital health products have also enabled her to gain more insight into her disease.\u003c/p>\n\u003cp>“These apps help me identify patterns,” Hammond said. “I knew what triggered my asthma, but until recently, I had not really thought about what kinds of things in my daily routine could predispose me to having an attack or make it harder to manage my asthma.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">'People who have multiple chronic conditions, who may be from places that are medically under-served, feel helpless and don’t know where to turn -- so they turn to the internet and mobile apps.'\u003cbr>\n\u003ccite>Connie Chen, Chief Medical Officer at Vida \u003c/cite>\u003c/aside>\n\u003cp>Bill McCain, who is based in New York, has diabetes and uses a Dexcom continuous glucose monitoring system, which attaches via a patch and reads the glucose value of the fluid just under the skin. It sends the value to his phone every three minutes. His wife also has the app on her phone, so she can check McCain’s blood sugar and receive notifications if it gets outside of specific ranges.\u003c/p>\n\u003cp>“Most people with diabetes check their blood sugar values 4 to 8 times per day,” McCain said. “I get 480 readings per day that aren't just a freeze-frame in time, but can show me whether my sugar levels are rising or falling and the slope of the change.\"\u003c/p>\n\u003cp>\u003cstrong>Gaining Legitimacy\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>Earlier this year, \u003ca href=\"http://medcitynews.com/2015/03/omada/\">the CDC acknowledged for the first time the benefits of\u003c/a> three digital health apps that aim to support healthy eating habits and counter the onset of Type 2 diabetes. It recognized three mobile health technologies -- \u003ca href=\"https://omadahealth.com/\">Omada Health\u003c/a>,\u003ca href=\"https://www.noom.com/\"> Noom Health\u003c/a>, and \u003ca href=\"http://www.dpshealth.com/\">DPS Health\u003c/a> -- that meet the \u003ca href=\"http://www.cdc.gov/diabetes/prevention/pdf/dprp_standards_09-02-2011.pdf\">National Diabetes Prevention Program’s evidence-based standards\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>This was a major step for digital health technology, especially for the apps that address chronic conditions. It paves the way for a not-so-distant future where doctors could prescribe apps to their patients, along with more traditional treatments. That might boost adherence, but also give doctors access to a greater collection of patient data.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>James Metcalf is \u003ca href=\"http://www.cdc.gov/bloodpressure/facts.htm\">one of about 70 million Americans \u003c/a>who lives with high blood pressure, otherwise known as hypertension.\u003c/p>\n\u003cp>But six months ago, Metcalf started using a mobile app called \u003ca href=\"https://helloheartapp.com/\">Hello Heart \u003c/a>to monitor his blood pressure and remind him to take his meds. Six months after he started using the app, his blood pressure stabilized.\u003c/p>\n\u003cp>“I needed something that reminded me everyday to track my blood pressure and give me immediate feedback,\" says Metcalf, who lives in Missouri. \"The difference in how I feel now is night and day.”\u003c/p>\n\u003cp>The press has fixated on the apps and services that serve the healthiest segment of the population. But a new study has found that the most prevalent application of digital health technology is towards a humbler and more necessary goal: To help sick people live healthier lives.\u003c/p>\n\u003cp>The San Francisco-based venture fund \u003ca href=\"https://rockhealth.com/\">Rock Health\u003c/a> recently published its first \u003ca href=\"https://rockhealth.com/reports/digital-health-consumer-adoption-2015/\">survey on trends in digital health\u003c/a> based on responses from 4,000 American adults. One of the most striking results is that the so-called \"super adopters\" of digital health technology tend to be “younger, sicker, and significantly more likely to own a smartphone.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Adoption of digital health services skews towards sick people,\" says Malay Gandhi, managing director at Rock Health. \"If you use technology for other things in your life, why wouldn’t you also turn to technology for your health?”\u003c/p>\n\u003cp>\u003cstrong>The Myth of the 'Worried Well'\u003c/strong>\u003c/p>\n\u003cp>Digital health is one of the\u003ca href=\"https://rockhealth.com/reports/digital-health-2015-midyear/\"> fastest-growing\u003c/a> areas of technology, with new products and services increasingly serving as a means for people to engage with their health.\u003c/p>\n\u003cfigure id=\"attachment_66370\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-66370\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Unknown-800x600.jpeg\" alt=\"James Metcalf uses mobile health apps to help keep his blood pressure under control. \" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-800x600.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-400x300.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-1180x885.jpeg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-960x720.jpeg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown.jpeg 1280w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">James Metcalf uses mobile health apps to help keep his blood pressure under control. \u003ccite>(Hello Heart )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Beyond gathering information, more and more people are using mobile devices to track everything from sleeping habits to menstrual cycles. Want a quick at-home workout? There’s an app for that. Want to monitor your baby’s vitals? \u003ca href=\"http://www.fastcodesign.com/3017180/the-owlet-baby-monitor-wearable-tech-for-infants\">There’s a sock for that. \u003c/a>\u003c/p>\n\u003cp>Certainly, there are digital health products out there that cater to those who are already at peak health and fitness. But doctors and digital health entrepreneurs say that this is not the norm.\u003c/p>\n\u003cp>“People who have multiple chronic conditions, who may be from places that are medically under-served, feel helpless and don’t know where to turn -- so they turn to the internet and mobile apps,\" said Dr. Connie Chen, the cofounder and Chief Medical Officer at \u003ca href=\"http://www.vida.com\">Vida\u003c/a>, a mobile app for personal health coaching.\u003c/p>\n\u003cfigure id=\"attachment_66371\" class=\"wp-caption alignleft\" style=\"max-width: 312px\">\u003cimg class=\" wp-image-66371\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Unknown-3-337x600.jpeg\" alt=\"An app called Hello Heart is used by 40,000 people to manage heart disease. \" width=\"312\" height=\"555\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-3-337x600.jpeg 337w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-3.jpeg 375w\" sizes=\"(max-width: 312px) 100vw, 312px\">\u003cfigcaption class=\"wp-caption-text\">An app called Hello Heart is used by 40,000 people to manage heart disease. \u003ccite>(Hello Heart )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Helping the Chronically Ill \u003c/strong>\u003c/p>\n\u003cp>The majority of people who use the Vida app are struggling with a chronic condition, like diabetes and high blood pressure, Chen explained. The goal of the app is to help people change their behavior and maintain healthy habits.\u003c/p>\n\u003cp>For Omaha, Nebraska-based JC Hammond, health apps have transformed the way she manages her severe asthma. Despite having asthma her whole life, or perhaps because of it, she often struggled to remember whether or not she had taken her medication.\u003c/p>\n\u003cp>“People think if you can’t breathe, you will remember to take your medicine,\" Hammond said. \"But if remembering to take your medicine becomes routine, you do it mindlessly or you don’t remember.\"\u003c/p>\n\u003cp>Hammond is currently using six different health apps, including \u003ca href=\"https://www.mangohealth.com/\">Mango Health\u003c/a>, which helps her take her medication on time, and a Walgreens app to manage her prescriptions. These digital health products have also enabled her to gain more insight into her disease.\u003c/p>\n\u003cp>“These apps help me identify patterns,” Hammond said. “I knew what triggered my asthma, but until recently, I had not really thought about what kinds of things in my daily routine could predispose me to having an attack or make it harder to manage my asthma.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">'People who have multiple chronic conditions, who may be from places that are medically under-served, feel helpless and don’t know where to turn -- so they turn to the internet and mobile apps.'\u003cbr>\n\u003ccite>Connie Chen, Chief Medical Officer at Vida \u003c/cite>\u003c/aside>\n\u003cp>Bill McCain, who is based in New York, has diabetes and uses a Dexcom continuous glucose monitoring system, which attaches via a patch and reads the glucose value of the fluid just under the skin. It sends the value to his phone every three minutes. His wife also has the app on her phone, so she can check McCain’s blood sugar and receive notifications if it gets outside of specific ranges.\u003c/p>\n\u003cp>“Most people with diabetes check their blood sugar values 4 to 8 times per day,” McCain said. “I get 480 readings per day that aren't just a freeze-frame in time, but can show me whether my sugar levels are rising or falling and the slope of the change.\"\u003c/p>\n\u003cp>\u003cstrong>Gaining Legitimacy\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>Earlier this year, \u003ca href=\"http://medcitynews.com/2015/03/omada/\">the CDC acknowledged for the first time the benefits of\u003c/a> three digital health apps that aim to support healthy eating habits and counter the onset of Type 2 diabetes. It recognized three mobile health technologies -- \u003ca href=\"https://omadahealth.com/\">Omada Health\u003c/a>,\u003ca href=\"https://www.noom.com/\"> Noom Health\u003c/a>, and \u003ca href=\"http://www.dpshealth.com/\">DPS Health\u003c/a> -- that meet the \u003ca href=\"http://www.cdc.gov/diabetes/prevention/pdf/dprp_standards_09-02-2011.pdf\">National Diabetes Prevention Program’s evidence-based standards\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>This was a major step for digital health technology, especially for the apps that address chronic conditions. It paves the way for a not-so-distant future where doctors could prescribe apps to their patients, along with more traditional treatments. That might boost adherence, but also give doctors access to a greater collection of patient data.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Over half of Americans \u003ca href=\"http://www.beckershospitalreview.com/quality/survey-most-americans-haven-t-heard-of-sepsis.html\">have never heard of sepsis\u003c/a>. But its a potentially deadly response to an infection, which causes inflammation throughout the body. Sepsis kills more than a quarter of its victims, and it contributes to up to half the deaths in hospitals.\u003c/p>\n\u003cp>What can hospitals do to fight sepsis? Well, it's depends on how early it's diagnosed. Some patients with sepsis may be treated at home with broad-spectrum antibiotics. Others end up in a critical state in the intensive care unit, fighting for their lives.\u003c/p>\n\u003cp>But technologies to aid doctors in diagnosing patients with sepsis are finally reaching hospitals. One innovation comes from a company called \u003ca href=\"http://www.t2biosystems.com\">T2 Biosystems\u003c/a>, which is developing technology to diagnose sepsis caused by a fungus called Candida.\u003c/p>\n\u003cp>T2Biosystems has sold its tests to 19 hospitals including the Rhode Island Hospital and the Alpert Medical School at Brown University. That's a quick proliferation considering that the technology only received a green-light from the U.S. Food and Drug Administration last fall.\u003c/p>\n\u003cp>According to John McDonough, CEO of T2 Biosystems, most hospitals are still using a blood culture -- a 100 year-old technology with a sensitivity of about 50 to 60 percent -- to diagnose sepsis.\u003c/p>\n\u003caside class=\"pullquote alignright\">“\"Symptoms can be vague if early, or extremely profound when it’s too late.\"\u003cbr>\n\u003ccite>Dr. Warris Bokhari on treating patients with sepsis. \u003c/cite>\u003c/aside>\n\u003cp>But McDonough says his company's diagnostic test is a step ahead as it can provide an accurate diagnosis in three to five hours, rather than in several days. This would likely increase the patient's chance of survival.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"The biggest challenge is identifying sepsis early,\" said Warris Bokhari, a UK-trained doctor specializing in emergency medicine and anesthesiology, who has treated many patients with sepsis. \"[But] this begs the question, 'what is sepsis'?\"\u003c/p>\n\u003cp>Broadly speaking, sepsis is a medical condition caused by an overwhelming immune response to infection. The chemicals released in the bloodstream to fight the infection trigger widespread inflammation. And inflammation may result in organ damage.\u003c/p>\n\u003cp>Based on their symptoms and clinical markers, patients can be diagnosed with sepsis, severe sepsis or septic shock. Many doctors view sepsis as a multi-stage syndrome, which starts with sepsis and can result in septic shock.\u003c/p>\n\u003cp>\"Symptoms can be vague if early, or extremely profound when it’s too late,\" Bokhari said. \"The space in between can be extremely short.\"\u003c/p>\n\u003cp>These kinds of solutions are sorely needed, given that the problem has been getting worse. The number of people in the hospital with sepsis increased from about 600,000 people in 2000 to 1.1 million people in 2008,\u003ca href=\"http://www.cdc.gov/sepsis/datareports/index.html\"> according to the CDC. \u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The company hopes to get FDA approval for its second test, a bacteria detector, by the end of this year.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Over half of Americans \u003ca href=\"http://www.beckershospitalreview.com/quality/survey-most-americans-haven-t-heard-of-sepsis.html\">have never heard of sepsis\u003c/a>. But its a potentially deadly response to an infection, which causes inflammation throughout the body. Sepsis kills more than a quarter of its victims, and it contributes to up to half the deaths in hospitals.\u003c/p>\n\u003cp>What can hospitals do to fight sepsis? Well, it's depends on how early it's diagnosed. Some patients with sepsis may be treated at home with broad-spectrum antibiotics. Others end up in a critical state in the intensive care unit, fighting for their lives.\u003c/p>\n\u003cp>But technologies to aid doctors in diagnosing patients with sepsis are finally reaching hospitals. One innovation comes from a company called \u003ca href=\"http://www.t2biosystems.com\">T2 Biosystems\u003c/a>, which is developing technology to diagnose sepsis caused by a fungus called Candida.\u003c/p>\n\u003cp>T2Biosystems has sold its tests to 19 hospitals including the Rhode Island Hospital and the Alpert Medical School at Brown University. That's a quick proliferation considering that the technology only received a green-light from the U.S. Food and Drug Administration last fall.\u003c/p>\n\u003cp>According to John McDonough, CEO of T2 Biosystems, most hospitals are still using a blood culture -- a 100 year-old technology with a sensitivity of about 50 to 60 percent -- to diagnose sepsis.\u003c/p>\n\u003caside class=\"pullquote alignright\">“\"Symptoms can be vague if early, or extremely profound when it’s too late.\"\u003cbr>\n\u003ccite>Dr. Warris Bokhari on treating patients with sepsis. \u003c/cite>\u003c/aside>\n\u003cp>But McDonough says his company's diagnostic test is a step ahead as it can provide an accurate diagnosis in three to five hours, rather than in several days. This would likely increase the patient's chance of survival.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"The biggest challenge is identifying sepsis early,\" said Warris Bokhari, a UK-trained doctor specializing in emergency medicine and anesthesiology, who has treated many patients with sepsis. \"[But] this begs the question, 'what is sepsis'?\"\u003c/p>\n\u003cp>Broadly speaking, sepsis is a medical condition caused by an overwhelming immune response to infection. The chemicals released in the bloodstream to fight the infection trigger widespread inflammation. And inflammation may result in organ damage.\u003c/p>\n\u003cp>Based on their symptoms and clinical markers, patients can be diagnosed with sepsis, severe sepsis or septic shock. Many doctors view sepsis as a multi-stage syndrome, which starts with sepsis and can result in septic shock.\u003c/p>\n\u003cp>\"Symptoms can be vague if early, or extremely profound when it’s too late,\" Bokhari said. \"The space in between can be extremely short.\"\u003c/p>\n\u003cp>These kinds of solutions are sorely needed, given that the problem has been getting worse. The number of people in the hospital with sepsis increased from about 600,000 people in 2000 to 1.1 million people in 2008,\u003ca href=\"http://www.cdc.gov/sepsis/datareports/index.html\"> according to the CDC. \u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The company hopes to get FDA approval for its second test, a bacteria detector, by the end of this year.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Would You Eat Artificial Shark Fin?",
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"content": "\u003cp>\u003cstrong>Listen to the Story:\u003c/strong>\u003cbr>\nhttp://www.kqed.org/.stream/anon/radio//2015/11/SyntheticSharkFin.mp3\u003c/p>\n\u003cp>Many of the 100 million sharks \u003ca href=\"http://news.discovery.com/earth/oceans/100-million-sharks-killed-annually-130305.htm\" target=\"_blank\">killed each year\u003c/a> are slaughtered for their fins alone. The fins are used in shark fin soup, a prized delicacy in Asia.\u003c/p>\n\u003cp>California is one of 10 states that have banned the sale of shark fins, to help protect the animals. The International Union for Conservation of Nature says one-third of all shark species are threatened with extinction.\u003c/p>\n\u003cp>Now a San Francisco-based startup hopes its technology will reduce demand for their fins.\u003c/p>\n\u003cp>\u003ca href=\"http://www.newwavefoods.com/\" target=\"_blank\">New Wave Foods\u003c/a> is developing an imitation shark fin, called Smart Fin, that the company expects will be ready this summer. It's intended to be an alternative for a banned luxury item. About 30 chefs have already signed up to sell Smart Fin in their restaurants.\u003c/p>\n\u003cfigure id=\"attachment_62197\" class=\"wp-caption alignleft\" style=\"max-width: 393px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/IMG_2123-e1446856384156.png\">\u003cimg class=\" wp-image-62197\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/IMG_2123-e1446856384156-797x600.png\" alt=\"Samples of fish collagen from New Wave\" width=\"393\" height=\"296\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-797x600.png 797w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-400x301.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-1180x889.png 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-1920x1446.png 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-960x723.png 960w\" sizes=\"(max-width: 393px) 100vw, 393px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Samples of fish collagen from New Wave. \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The founders of New Wave Foods—Jennifer Kaehms, Dominique Barnes and Michelle Wolf—are working to duplicate collagen, a protein that's the basic building block in the tissues of a shark’s fin. Wolf, New Wave's lead engineer, is focused on mimicking the texture, rather than taste, as shark fin itself is virtually tasteless.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Collagen are these strands,\" Wolf says. \"They’re kind of like ropes. And they’re all sort of an amorphous, irregular structure.\"\u003c/p>\n\u003cp>New Wave Foods CEO Jenny Kaehmes says they're starting with yeast and re-writing a little bit of its DNA. Instead of making more yeast, it churns out tiny ropes of collagen, which can then be mashed together to mimic the texture of shark fin.\u003c/p>\n\u003cp>“You’re treating yeast and bacteria like protein factories,” she says. From there, it’s a matter of mashing the tiny building blocks of collagen into structures that mimic the gelatinous texture of shark fin.\u003c/p>\n\u003cfigure id=\"attachment_62209\" class=\"wp-caption alignright\" style=\"max-width: 488px\">\u003cimg class=\" wp-image-62209\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/IMG_2210-800x465.png\" alt=\"Andrew Harmon, Wild Aid\" width=\"488\" height=\"283\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-800x465.png 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-400x233.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-1180x686.png 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-1920x1116.png 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-960x558.png 960w\" sizes=\"(max-width: 488px) 100vw, 488px\">\u003cfigcaption class=\"wp-caption-text\">Andrew Harmon, a spokesman from Wild Aid, shared his concerns about synthetic wildlife products. \u003ccite>(Christina Farr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>New Wave Foods is developing its Smart Fin alongside a class of other startups enrolled in the \u003ca href=\"http://www.indiebio.co/\" target=\"_blank\">IndieBio \u003c/a>accelerator program. \u003cspan style=\"line-height: 1.5\">IndieBio offers startups access to a research lab, located a stone's throw from San Francisco's financial district, in return for equity. \u003c/span>\u003c/p>\n\u003cp>New Wave Foods is also working on a shrimp alternative made from seaweed. And several other startups are making animal-free products. Earlier this year, \u003ca href=\"http://signup.pembient.com/\" target=\"_blank\">Pembient\u003c/a> hit the headlines with its synthetic rhino horn.\u003c/p>\n\u003cp>\u003cstrong>Could Smart Fin Backfire?\u003c/strong>\u003c/p>\n\u003cp>New Wave Foods' approach is not without its skeptics. Some say the approach is well-meant, but it could backfire.\u003c/p>\n\u003cp>“This timing strikes me as incredibly poor,” says Andrew Harmon with \u003ca href=\"http://www.wildaid.org/\" target=\"_blank\">WildAid\u003c/a>, a San Francisco environmental group.\u003c/p>\n\u003cp>Harmon says conservationists have been focusing on shutting down demand for shark fin, and those efforts are starting to pay off in Asia.\u003c/p>\n\u003cp>“The younger generation is really moving away from shark fin,\" Harmon says. \"The Chinese government has banned shark fin from official banquets.\"\u003c/p>\n\u003cp>Harmon expressed concerns that making shark fin look cool again—even if it’s artificial—will undermine those efforts.\u003c/p>\n\u003cp>He harbors similar reservations about the \u003ca href=\"http://news.discovery.com/tech/biotechnology/3d-printed-synthetic-rhino-horns-could-save-rhinos-150624.htm\" target=\"_blank\">genetically identical rhino horn\u003c/a> from Pembient. He says products like these can make it harder to catch those who sell the real thing.\u003c/p>\n\u003cfigure id=\"attachment_62201\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-62201\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/IMG_2119-e1446594997353-800x600.jpg\" alt=\"New Wave Foods Team: Jennifer Kaehms, Dominique Barnes, Michelle Wolf\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-1180x886.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-1920x1441.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-960x721.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">New Wave Foods Team, Left to Right: Jennifer Kaehms, Dominique Barnes and Michelle Wolf. \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Time and time again,” he says, \"we’ve seen that the legal trade in wildlife products only serves to provide cover for illegal shipments.\"\u003c/p>\n\u003cp>That said, officials with California’s Department of Fish and Wildlife say it's unlikely restaurants would list the artificial product on their menus and then serve the real thing. One said that’d be like charging diners for cheap imitation crab, while serving much pricier real crab.\u003c/p>\n\u003cp>\u003cstrong>Would You Eat Artificial Shark Fin?\u003c/strong>\u003c/p>\n\u003cp>It remains to be seen if synthetic shark fin soup will be a hit with diners. But if it's any indication, one Bay Area chef has been experimenting with shark fin alternatives for years—with some success.\u003c/p>\n\u003cp>Corey Lee runs Benu, the \u003ca href=\"http://www.nytimes.com/2011/01/09/travel/09restaurants.html?_r=0\" target=\"_blank\">critically acclaimed\u003c/a> San Francisco restaurant that recently earned \u003ca href=\"http://insidescoopsf.sfgate.com/blog/2015/10/20/michelin-2016-stars-for-san-francisco-bay-area-manresa-elevated-to-three-stars-commis-and-campton-place-to-two/\" target=\"_blank\">3 Michelin stars\u003c/a>.\u003c/p>\n\u003cp>Lee starts with the same kind of broth as in traditional shark fin soup: ham and double-boiled chicken. He adds texture using what are called hydrocolloids, so he can press out fine brown strands, almost like noodles, that mimic the elastic snap of shark fin.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We’re still serving it five years later,” says Lee, \"so I think it turned out well.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Listen to the Story:\u003c/strong>\u003cbr>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Many of the 100 million sharks \u003ca href=\"http://news.discovery.com/earth/oceans/100-million-sharks-killed-annually-130305.htm\" target=\"_blank\">killed each year\u003c/a> are slaughtered for their fins alone. The fins are used in shark fin soup, a prized delicacy in Asia.\u003c/p>\n\u003cp>California is one of 10 states that have banned the sale of shark fins, to help protect the animals. The International Union for Conservation of Nature says one-third of all shark species are threatened with extinction.\u003c/p>\n\u003cp>Now a San Francisco-based startup hopes its technology will reduce demand for their fins.\u003c/p>\n\u003cp>\u003ca href=\"http://www.newwavefoods.com/\" target=\"_blank\">New Wave Foods\u003c/a> is developing an imitation shark fin, called Smart Fin, that the company expects will be ready this summer. It's intended to be an alternative for a banned luxury item. About 30 chefs have already signed up to sell Smart Fin in their restaurants.\u003c/p>\n\u003cfigure id=\"attachment_62197\" class=\"wp-caption alignleft\" style=\"max-width: 393px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/IMG_2123-e1446856384156.png\">\u003cimg class=\" wp-image-62197\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/IMG_2123-e1446856384156-797x600.png\" alt=\"Samples of fish collagen from New Wave\" width=\"393\" height=\"296\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-797x600.png 797w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-400x301.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-1180x889.png 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-1920x1446.png 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2123-e1446856384156-960x723.png 960w\" sizes=\"(max-width: 393px) 100vw, 393px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Samples of fish collagen from New Wave. \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The founders of New Wave Foods—Jennifer Kaehms, Dominique Barnes and Michelle Wolf—are working to duplicate collagen, a protein that's the basic building block in the tissues of a shark’s fin. Wolf, New Wave's lead engineer, is focused on mimicking the texture, rather than taste, as shark fin itself is virtually tasteless.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Collagen are these strands,\" Wolf says. \"They’re kind of like ropes. And they’re all sort of an amorphous, irregular structure.\"\u003c/p>\n\u003cp>New Wave Foods CEO Jenny Kaehmes says they're starting with yeast and re-writing a little bit of its DNA. Instead of making more yeast, it churns out tiny ropes of collagen, which can then be mashed together to mimic the texture of shark fin.\u003c/p>\n\u003cp>“You’re treating yeast and bacteria like protein factories,” she says. From there, it’s a matter of mashing the tiny building blocks of collagen into structures that mimic the gelatinous texture of shark fin.\u003c/p>\n\u003cfigure id=\"attachment_62209\" class=\"wp-caption alignright\" style=\"max-width: 488px\">\u003cimg class=\" wp-image-62209\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/IMG_2210-800x465.png\" alt=\"Andrew Harmon, Wild Aid\" width=\"488\" height=\"283\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-800x465.png 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-400x233.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-1180x686.png 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-1920x1116.png 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2210-960x558.png 960w\" sizes=\"(max-width: 488px) 100vw, 488px\">\u003cfigcaption class=\"wp-caption-text\">Andrew Harmon, a spokesman from Wild Aid, shared his concerns about synthetic wildlife products. \u003ccite>(Christina Farr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>New Wave Foods is developing its Smart Fin alongside a class of other startups enrolled in the \u003ca href=\"http://www.indiebio.co/\" target=\"_blank\">IndieBio \u003c/a>accelerator program. \u003cspan style=\"line-height: 1.5\">IndieBio offers startups access to a research lab, located a stone's throw from San Francisco's financial district, in return for equity. \u003c/span>\u003c/p>\n\u003cp>New Wave Foods is also working on a shrimp alternative made from seaweed. And several other startups are making animal-free products. Earlier this year, \u003ca href=\"http://signup.pembient.com/\" target=\"_blank\">Pembient\u003c/a> hit the headlines with its synthetic rhino horn.\u003c/p>\n\u003cp>\u003cstrong>Could Smart Fin Backfire?\u003c/strong>\u003c/p>\n\u003cp>New Wave Foods' approach is not without its skeptics. Some say the approach is well-meant, but it could backfire.\u003c/p>\n\u003cp>“This timing strikes me as incredibly poor,” says Andrew Harmon with \u003ca href=\"http://www.wildaid.org/\" target=\"_blank\">WildAid\u003c/a>, a San Francisco environmental group.\u003c/p>\n\u003cp>Harmon says conservationists have been focusing on shutting down demand for shark fin, and those efforts are starting to pay off in Asia.\u003c/p>\n\u003cp>“The younger generation is really moving away from shark fin,\" Harmon says. \"The Chinese government has banned shark fin from official banquets.\"\u003c/p>\n\u003cp>Harmon expressed concerns that making shark fin look cool again—even if it’s artificial—will undermine those efforts.\u003c/p>\n\u003cp>He harbors similar reservations about the \u003ca href=\"http://news.discovery.com/tech/biotechnology/3d-printed-synthetic-rhino-horns-could-save-rhinos-150624.htm\" target=\"_blank\">genetically identical rhino horn\u003c/a> from Pembient. He says products like these can make it harder to catch those who sell the real thing.\u003c/p>\n\u003cfigure id=\"attachment_62201\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-62201\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/IMG_2119-e1446594997353-800x600.jpg\" alt=\"New Wave Foods Team: Jennifer Kaehms, Dominique Barnes, Michelle Wolf\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-1180x886.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-1920x1441.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/IMG_2119-e1446594997353-960x721.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">New Wave Foods Team, Left to Right: Jennifer Kaehms, Dominique Barnes and Michelle Wolf. \u003ccite>(Christina Farr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Time and time again,” he says, \"we’ve seen that the legal trade in wildlife products only serves to provide cover for illegal shipments.\"\u003c/p>\n\u003cp>That said, officials with California’s Department of Fish and Wildlife say it's unlikely restaurants would list the artificial product on their menus and then serve the real thing. One said that’d be like charging diners for cheap imitation crab, while serving much pricier real crab.\u003c/p>\n\u003cp>\u003cstrong>Would You Eat Artificial Shark Fin?\u003c/strong>\u003c/p>\n\u003cp>It remains to be seen if synthetic shark fin soup will be a hit with diners. But if it's any indication, one Bay Area chef has been experimenting with shark fin alternatives for years—with some success.\u003c/p>\n\u003cp>Corey Lee runs Benu, the \u003ca href=\"http://www.nytimes.com/2011/01/09/travel/09restaurants.html?_r=0\" target=\"_blank\">critically acclaimed\u003c/a> San Francisco restaurant that recently earned \u003ca href=\"http://insidescoopsf.sfgate.com/blog/2015/10/20/michelin-2016-stars-for-san-francisco-bay-area-manresa-elevated-to-three-stars-commis-and-campton-place-to-two/\" target=\"_blank\">3 Michelin stars\u003c/a>.\u003c/p>\n\u003cp>Lee starts with the same kind of broth as in traditional shark fin soup: ham and double-boiled chicken. He adds texture using what are called hydrocolloids, so he can press out fine brown strands, almost like noodles, that mimic the elastic snap of shark fin.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We’re still serving it five years later,” says Lee, \"so I think it turned out well.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Why These Designers are Embedded in a Hospital",
"title": "Why These Designers are Embedded in a Hospital",
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"content": "\u003cp>\u003ca href=\"http://www.imperial.nhs.uk/stmarys/\" target=\"_blank\">St Mary's Hospital\u003c/a> in London looks like any other large teaching hospital, with one exception. Perched on the street in front of the hospital's stately brick facade is a contemporary-looking design studio, made almost entirely of wood and glass.\u003c/p>\n\u003cp>Inside the studio, a group of eight designers and a handful of doctors brainstorm ideas for new products they hope will improve the experience for patients and, in time, lower health care costs.\u003c/p>\n\u003cp>\"We think of the hospital as our testbed for ideas,\" says Maja Kecman, one of the designers at the studio, which is called \u003ca href=\"http://www.helixcentre.com/\" target=\"_blank\">Helix\u003c/a>. \"Many health startups operate on the edges and look in, but we take a different approach.\"\u003c/p>\n\u003cp>Helix opened in 2013 with some £4 million (roughly $6 million) in grant money. What's unique about Helix is the access: The designers have a special clearance to shadow doctors and nurses at St Mary's hospital. They regularly spend an evening at the trauma center or sit in on doctor-patient consultations.\u003c/p>\n\u003cfigure id=\"attachment_62212\" class=\"wp-caption alignleft\" style=\"max-width: 500px\">\u003cimg class=\" wp-image-62212\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-800x533.jpg\" alt=\"A prototyping workshop inside the hospital. \" width=\"500\" height=\"333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-1920x1280.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-960x640.jpg 960w\" sizes=\"(max-width: 500px) 100vw, 500px\">\u003cfigcaption class=\"wp-caption-text\">A prototyping workshop inside the hospital. \u003ccite>(Helix)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"At St Mary's, we see all sorts of really quite horrific injuries, which can be quite harrowing for the designers,\" says Matthew S. Prime, an orthopedic surgeon and one of the clinicians working with Helix. But he says the designers focus most of their time asking patients about their experiences, like whether they felt rushed or understood their doctor's instructions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"To get that kind of access to patients is unique,\" Prime explains. \"You almost certainly wouldn't get it at a design consultancy.\"\u003c/p>\n\u003cp>The designers' goal is to develop health products that can scale globally. Some projects in the pipeline include an end-of-life care app and a service to help patients with glaucoma take their meds.\u003c/p>\n\u003cp>Kecman says one of the biggest challenges is prioritizing one idea over another in a broken health care system. One way designers do that is by pursuing the potential solutions where they see a clear way to make money.\u003c/p>\n\u003cp>Oftentimes, they'll hear from clinicians about a problem on their ward, but find themselves uncertain whether they can solve it. One question they're currently pondering is whether they can help a nurse who recently approached Kecman to alleviate her patients' pressure ulcers.\u003c/p>\n\u003cfigure id=\"attachment_62689\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-62689\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/bowel-screening-800x533.jpg\" alt=\"Helix is trying out a new approach to screening for bowel cancer. \" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-1920x1280.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-960x640.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Helix is trying out a new approach to screening for bowel cancer. \u003ccite>(Helix)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Once the team homes in on an idea, they use design-thinking methods popularized by the Silicon Valley-based design firm \u003ca href=\"https://www.ideo.com/\" target=\"_blank\">IDEO\u003c/a> to develop an initial product. IDEO espouses an approach that puts human needs at the center of the design process.\u003c/p>\n\u003cp>The first product they've taken outside the hospital is a new method to screen for bowel cancer, which has already been delivered to about 7,000 patients in Wales as part of a trial. In the UK, people who turn 60 can expect a birthday card from the National Health Service (NHS) accompanied by a surprising, and somewhat uncomfortable, request for a poop sample to test them for bowel cancer. For the trial, recipients will get a new sample kit and educational resources, including an animated film that explains why it's important to get screened.\u003c/p>\n\u003cp>The average response for the NHS' current program is \u003ca href=\"http://www.bowelcanceruk.org.uk/media/100983/760_bcuk_gp_a5inserts_5-6_screening.pdf\" target=\"_blank\">about 55 percent.\u003c/a>\u003c/p>\n\u003cp>St Mary's is just one of many hospitals and clinics that are investing in design. \"I'm seeing a growing trend of designers and design teams being embedded in a clinical environment,\" says Aaron Sklar, a designer at Aetna-owned \u003ca href=\"http://www.healthagen.com/\" target=\"_blank\">Healthagen\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_62214\" class=\"wp-caption alignleft\" style=\"max-width: 455px\">\u003cimg class=\" wp-image-62214\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/End-of-life-care-app-800x449.jpg\" alt=\"Helix is currently developing an app dedicated to end of life care. \" width=\"455\" height=\"255\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-800x449.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-1180x663.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-1920x1078.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-960x539.jpg 960w\" sizes=\"(max-width: 455px) 100vw, 455px\">\u003cfigcaption class=\"wp-caption-text\">Helix is currently developing an app dedicated to end of life care. \u003ccite>(Helix)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Mayo Clinic has its own in-house innovation lab, called the \u003ca href=\"http://www.mayo.edu/center-for-innovation/what-we-do/design-thinking\" target=\"_blank\">Design Research Studio\u003c/a>, which focuses on improving the delivery of care. And One Medical, a U.S-based primary care group, has hired clinical systems designers to explore ways to make the experience easier for patients.\u003c/p>\n\u003cp>\"Any design intervention and innovation at the point of care has an opportunity to have an immediate and powerful impact,\" Sklar says.\u003c/p>\n\u003cp>But most hospitals will employ outside consultants, rather than hiring an internal design team. Unlike the designers at Helix, these consultants tend to focus on finding ways to cut the budget, rather than on improving how patients are treated.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"For years, we've been bringing in outside management consultants to the hospital,\" Prime says. \"This is different. It's far more than just number crunching.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"http://www.imperial.nhs.uk/stmarys/\" target=\"_blank\">St Mary's Hospital\u003c/a> in London looks like any other large teaching hospital, with one exception. Perched on the street in front of the hospital's stately brick facade is a contemporary-looking design studio, made almost entirely of wood and glass.\u003c/p>\n\u003cp>Inside the studio, a group of eight designers and a handful of doctors brainstorm ideas for new products they hope will improve the experience for patients and, in time, lower health care costs.\u003c/p>\n\u003cp>\"We think of the hospital as our testbed for ideas,\" says Maja Kecman, one of the designers at the studio, which is called \u003ca href=\"http://www.helixcentre.com/\" target=\"_blank\">Helix\u003c/a>. \"Many health startups operate on the edges and look in, but we take a different approach.\"\u003c/p>\n\u003cp>Helix opened in 2013 with some £4 million (roughly $6 million) in grant money. What's unique about Helix is the access: The designers have a special clearance to shadow doctors and nurses at St Mary's hospital. They regularly spend an evening at the trauma center or sit in on doctor-patient consultations.\u003c/p>\n\u003cfigure id=\"attachment_62212\" class=\"wp-caption alignleft\" style=\"max-width: 500px\">\u003cimg class=\" wp-image-62212\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-800x533.jpg\" alt=\"A prototyping workshop inside the hospital. \" width=\"500\" height=\"333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-1920x1280.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Prototyping-workshop-in-middle-of-hospital-960x640.jpg 960w\" sizes=\"(max-width: 500px) 100vw, 500px\">\u003cfigcaption class=\"wp-caption-text\">A prototyping workshop inside the hospital. \u003ccite>(Helix)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"At St Mary's, we see all sorts of really quite horrific injuries, which can be quite harrowing for the designers,\" says Matthew S. Prime, an orthopedic surgeon and one of the clinicians working with Helix. But he says the designers focus most of their time asking patients about their experiences, like whether they felt rushed or understood their doctor's instructions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"To get that kind of access to patients is unique,\" Prime explains. \"You almost certainly wouldn't get it at a design consultancy.\"\u003c/p>\n\u003cp>The designers' goal is to develop health products that can scale globally. Some projects in the pipeline include an end-of-life care app and a service to help patients with glaucoma take their meds.\u003c/p>\n\u003cp>Kecman says one of the biggest challenges is prioritizing one idea over another in a broken health care system. One way designers do that is by pursuing the potential solutions where they see a clear way to make money.\u003c/p>\n\u003cp>Oftentimes, they'll hear from clinicians about a problem on their ward, but find themselves uncertain whether they can solve it. One question they're currently pondering is whether they can help a nurse who recently approached Kecman to alleviate her patients' pressure ulcers.\u003c/p>\n\u003cfigure id=\"attachment_62689\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-62689\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/bowel-screening-800x533.jpg\" alt=\"Helix is trying out a new approach to screening for bowel cancer. \" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-1920x1280.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/bowel-screening-960x640.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Helix is trying out a new approach to screening for bowel cancer. \u003ccite>(Helix)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Once the team homes in on an idea, they use design-thinking methods popularized by the Silicon Valley-based design firm \u003ca href=\"https://www.ideo.com/\" target=\"_blank\">IDEO\u003c/a> to develop an initial product. IDEO espouses an approach that puts human needs at the center of the design process.\u003c/p>\n\u003cp>The first product they've taken outside the hospital is a new method to screen for bowel cancer, which has already been delivered to about 7,000 patients in Wales as part of a trial. In the UK, people who turn 60 can expect a birthday card from the National Health Service (NHS) accompanied by a surprising, and somewhat uncomfortable, request for a poop sample to test them for bowel cancer. For the trial, recipients will get a new sample kit and educational resources, including an animated film that explains why it's important to get screened.\u003c/p>\n\u003cp>The average response for the NHS' current program is \u003ca href=\"http://www.bowelcanceruk.org.uk/media/100983/760_bcuk_gp_a5inserts_5-6_screening.pdf\" target=\"_blank\">about 55 percent.\u003c/a>\u003c/p>\n\u003cp>St Mary's is just one of many hospitals and clinics that are investing in design. \"I'm seeing a growing trend of designers and design teams being embedded in a clinical environment,\" says Aaron Sklar, a designer at Aetna-owned \u003ca href=\"http://www.healthagen.com/\" target=\"_blank\">Healthagen\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_62214\" class=\"wp-caption alignleft\" style=\"max-width: 455px\">\u003cimg class=\" wp-image-62214\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/End-of-life-care-app-800x449.jpg\" alt=\"Helix is currently developing an app dedicated to end of life care. \" width=\"455\" height=\"255\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-800x449.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-1180x663.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-1920x1078.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/End-of-life-care-app-960x539.jpg 960w\" sizes=\"(max-width: 455px) 100vw, 455px\">\u003cfigcaption class=\"wp-caption-text\">Helix is currently developing an app dedicated to end of life care. \u003ccite>(Helix)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Mayo Clinic has its own in-house innovation lab, called the \u003ca href=\"http://www.mayo.edu/center-for-innovation/what-we-do/design-thinking\" target=\"_blank\">Design Research Studio\u003c/a>, which focuses on improving the delivery of care. And One Medical, a U.S-based primary care group, has hired clinical systems designers to explore ways to make the experience easier for patients.\u003c/p>\n\u003cp>\"Any design intervention and innovation at the point of care has an opportunity to have an immediate and powerful impact,\" Sklar says.\u003c/p>\n\u003cp>But most hospitals will employ outside consultants, rather than hiring an internal design team. Unlike the designers at Helix, these consultants tend to focus on finding ways to cut the budget, rather than on improving how patients are treated.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"For years, we've been bringing in outside management consultants to the hospital,\" Prime says. \"This is different. It's far more than just number crunching.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>I devote a lot of time to writing about how technology has the potential to transform health care. But as a patient, it doesn't feel like the experience has changed much in the past five years.\u003c/p>\n\u003cp>During a recent visit to the doctor's office, I sat in a waiting room for thirty minutes filling out about 10 pages of paperwork about my family history (no changes there). I spent about ten minutes with my doctor, who stole occasional glances at me while glued to his computer screen (a worse experience, if anything).\u003c/p>\n\u003cp>But there were a few improvements: I scheduled my appointment online, and checked my lab results via a so-called \"patient portal,\" a secure, online system.\u003c/p>\n\u003cp>https://twitter.com/BHorblit/status/654407132654120960\u003c/p>\n\u003cp>Don't get me wrong, online scheduling is far more convenient than calling during work hours and leaving a voicemail. But I would hardly call these changes a \u003ca href=\"http://healthleadersmedia.com/content/SPR-311256/Creating-a-Patient-Experience-Revolution\" target=\"_blank\">\"patient experience revolution\u003c/a>,\" the buzz phrase I often hear at health care conferences.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But I'm in my late twenties and relatively healthy, so I posed the question to KQED readers on Twitter. Some of you said you now receive your medications via electronic refills. Others are routinely emailing and chatting with their doctor through patient portals.\u003c/p>\n\u003cp>https://twitter.com/beth_winegarner/status/654358883280928768\u003c/p>\n\u003cp>These changes may seem small and incremental. But I spoke with some experts who say that the experience of health care has actually transformed in ways that you and I might not expect.\u003c/p>\n\u003cp>\u003cstrong>What Else has Changed?\u003c/strong>\u003c/p>\n\u003cp>The team at \u003ca href=\"https://rockhealth.com/\" target=\"_blank\">Rock Health\u003c/a>, a San Francisco-based venture fund, \u003ca href=\"http://rockhealth.com/reports/digital-health-consumer-adoption-2015/\" target=\"_blank\">recently surveyed U.S. consumers\u003c/a> to find out how technology has impacted health care.\u003c/p>\n\u003cp>The survey found that 71 percent of people search for health information online. Almost half of these patients booked an appointment with a doctor with a pre-existing diagnosis in mind.\u003c/p>\n\u003cp>That's actually a major change that's giving people an opportunity to get more involved in their health, says Rock Health's managing director Malay Gandhi. It has also given rise to websites that disseminate medical information (\u003ca href=\"http://www.webmd.com/\">WebMD\u003c/a>,\u003ca href=\"https://www.healthtap.com/\"> HealthTap\u003c/a>) as well as online patient communities (\u003ca href=\"https://www.patientslikeme.com/\">PatientsLikeMe\u003c/a>, \u003ca href=\"https://www.crowdmed.com/\">CrowdMed\u003c/a>, \u003ca href=\"https://www.smartpatients.com/\">SmartPatients\u003c/a>).\u003c/p>\n\u003cp>https://twitter.com/djbressler/status/654359492151373824\u003c/p>\n\u003cp>\"People may not recognize this behavior as being directly related to their health,\" says Regina Holliday, a patient advocate from Grantsville, Maryland. \"But it's a huge shift that is changing how patients are treated -- for the better and the worse.\"\u003c/p>\n\u003cp>Holliday pointed me to a few trends that are bringing much-needed transparency to health care, such as shopping for health plans online. In the wake of the Affordable Care Act, patients are using policy recommendations sites (\u003ca href=\"https://www.getinsured.com/\">GetInsured\u003c/a>, \u003ca href=\"https://www.stridehealth.com/\">Stride Health\u003c/a>) before making a final selection on their health insurance.\u003c/p>\n\u003cp>In the next few years, Holliday sees potential for technology that helps doctors \"triage\" patients, and see those most in need first. She also hopes more doctors will join a movement to share their notes with patients. That program, known as OpenNotes,\u003ca href=\"http://www.bmj.com/content/350/bmj.g7785\" target=\"_blank\"> is rapidly spreading to hospitals and health systems \u003c/a>across the country.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I think health care has massively changed,\" said Holliday. \"But we don't recognize that sometimes, as we're impatient for the changes to happen faster.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>\"People may not recognize this behavior as being directly related to their health,\" says Regina Holliday, a patient advocate from Grantsville, Maryland. \"But it's a huge shift that is changing how patients are treated -- for the better and the worse.\"\u003c/p>\n\u003cp>Holliday pointed me to a few trends that are bringing much-needed transparency to health care, such as shopping for health plans online. In the wake of the Affordable Care Act, patients are using policy recommendations sites (\u003ca href=\"https://www.getinsured.com/\">GetInsured\u003c/a>, \u003ca href=\"https://www.stridehealth.com/\">Stride Health\u003c/a>) before making a final selection on their health insurance.\u003c/p>\n\u003cp>In the next few years, Holliday sees potential for technology that helps doctors \"triage\" patients, and see those most in need first. She also hopes more doctors will join a movement to share their notes with patients. That program, known as OpenNotes,\u003ca href=\"http://www.bmj.com/content/350/bmj.g7785\" target=\"_blank\"> is rapidly spreading to hospitals and health systems \u003c/a>across the country.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I think health care has massively changed,\" said Holliday. \"But we don't recognize that sometimes, as we're impatient for the changes to happen faster.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
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},
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"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"order": 8
},
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"order": 1
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"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.",
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
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"order": 9
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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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"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
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"source": "NPR"
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"how-i-built-this": {
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"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
"id": "hyphenacion",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"order": 18
},
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},
"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/",
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
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"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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}
},
"morning-edition": {
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