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The Quantified Doctor:Personal Experiments with Paleo and BodyTrack Paul Abramson MD San Francisco, CA
What I Did ASSESSMENT 	Current health status 		Areas for improvement 			Questions I want answered
7-pound weight gain in 2 months  [was 155 in 2006] Yow!
Longstanding episodic headaches (now more frequent) 2/week 2/month
Baseline Labs2006: Weight 155# LDL	88 Size pattern: LARGE/BUOYANT HDL 57 HDL-2 = 16 TRIG 88 pretty good.. VLDL-3 = 13
Baseline LabsAugust 2011: Weight 172# (( not done* )) * D’oh!
Consulted a Quant Coach Define experiment(s) Get specific Implement tools Regular meetings & feedback Anne Wright BodyTrack Project CMU
#1    Implement a “Paleo Diet” No Grains - No Sugar  - Minimal Legumes  - Minimal Fruit
∞ But is the Paleo Diet Safe? Or will my cholesterol approach ?
Tracking Dietary Change Weight - QD Blood Pressure – BID VAP (Advanced Lipid Profile) - Monthly CBC / CMP / hs-CRP / HgbA1c - Monthly Pictures of Food Carbs - Caffeine
#2   Figure Out What’s Causing  the Headaches Dietary? Stress? Sleep? Barometric Pressure?
Tracking Headaches Pictures of Food Pictures of People Carbs + Caffeine Mood optimism (0-4) agitation (0-4) energy (0-4) Headaches (0-4)
Tracking Headaches Sleep quantity 	quality 		timing Environment barometric pressure 	particulates 		light
Tracking Headaches Activity
So What Happened?
1300data points self-entered into Mymee app from August 19 to October 11
BodyTrackData Visualization Processed carbs
BodyTrackData Visualization Processed carbs
Weight Lost 13 pounds Ate more No increase in exercise
My Labs 9/1/11 2006 10/3/11 LDL 88 161 131 LDL Size A A A HDL 57 68 71 88 122 77 TG 13 19 12 VLDL-3
What I Learned * KEY POINT *    Get baseline data before changing things!
#1 The PaleoDiet seems to be safe
#2  A Quant Coach is really helpful!
#3  Subjective data is very important 	Pictureshelp with recall
#4  Active data entry is very important Mindfulness
headaches mood carbs barometric pressure hospital night shifts ignoring dozing off during activity New Mymee button: “eyes close”
KEY FEATURES OF A DATA PLATFORM Open source Users control their own data Device agnostic .org
Making Medicine Better Role of Quantified Doctor  	Role of Quant Coach Self-tracking and Mindfulness 	Developing an open source platform And more demonstration projects
Contact Paul Abramson MD @paulabramsonMD My Doctor Medical Group San Francisco mydoctorsf.com office@mydoctorsf.com The Quantified Doctor quantdoctor.com @quantdoctor

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The Quantified Doctor: Personal Experiments with Paleo and BodyTrack

Editor's Notes

  1. Methodology: current status
  2. Lost weightNever hungryFeel much betterAbnormal labs normalizing
  3. Define terms preciselyAsk specific questionsLimit number of variables!Solve implementation glitchesProvide ongoing feedback
  4. Passive sensors won’t do it all
  5. Data integration
  6. Open sourceUsers must control their own dataDevice agnostic