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- 1. Tracking Personal Health Rajiv Mehta, Bhageera Consulting rajiv@bhageera.com SVForum, Mobile Internet SIG, 4 Aug 2011
- 2. Outline The self-quantification movement Survey of mHeath tracking solutions Commonplace complexity of health Overview of Tonic app 2
- 4. Quantified Self self knowledge through numbers 4
- 5. San Francisco Paris Quantified Self Amsterdam Philadelphia Boston Pittsburgh Brussels Portland Cape Town San Diego Chicago Seattle Edinburgh Silicon Valley Hawaii Spain Houston Sydney London Toronto Los Angeles Tulsa Louisville Vancouver Marin Vermont Vancouver San Francisco New York Amsterdam Boston London Seattle Mountain View San Diego Toronto Chicago Brussels Paris Mill Valley Pittsburgh Los Angeles Sydney Honolulu Montréal Valencia Houston Ottawa Cape Town Burlington Tulsa Montreal Victoria New York Washington DC Self knowledge 28–29 May 2011 Ottawa Computer History Museum through numbers Mountain View California quantifiedself.com 5
- 6. Trends Driving QS 1. Access to technology — sophisticated tools available to general public: sensors, mobile computing, web tools, ... 2. Access to knowledge — greater awareness of diversity of health & medical practices and opinions 3. Skepticism about “expert opinion” — both the limits of expert knowledge & their willingness/ ability to focus on you 6
- 7. 7
- 8. Activity Trackers BodyMedia SenseWear Nike + Philips DirectLife Basis Adidas miCoach Pacer FitBit FitLinxx ActiPed Jawbone UP Healthstats & HP 8
- 9. Tracking Sleep Zeo WakeMate 9
- 10. Withings Baby Monitor Scale BP Cuff 10
- 11. VitaDock Glucose Temperature Blood Pressure Weight 11
- 12. Apps to track anything Your Exercise What you Eat Where you’ve Been Meditation 12
- 13. Apps to track anything Asthmapolis asthma inhaler usage I’m Expecting pregnancy symptoms Glucose Buddy diabetes: glucose level, medication, diet 13
- 14. “You can have lice and fleas at the same time” Sir William Osler 14
- 15. Individual complexity Not only complex diversity across population Complexity within an individual • Multiple chronic conditions + temporary ailments • Diversity of medical practices - MD + chiropractor + fitness trainer + dietician + herbalist + faith healer + ... • Diversity of health activities - Meds + biometrics + therapies + food + exercise + observations + ... “Deep medical diversity” Being and Well-Being Health and the Working Bodies of Silicon Valley by J. A. English-Lueck 15
- 16. 16
- 17. Many have multiple chronic conditions Number of Chronic Conditions Three or more Two One None USA Population 2005 100.0% Nearly 25% of 75.0% population has 2+ chronic conditions 50.0% Roughly 50% of those 25.0% aged 65+ have 3+ chronic conditions 0% 0-19 20-44 45-64 65-79 80+ All Age Range Source: “Rising Out-of-Pocket Spending for Chronic Conditions: A Ten-Year Trend”, Paez, Zhao and Hwang; Health Affairs 28, no. 1 (2009): 15-25 17
- 18. Not just the elderly Number of Chronic Conditions Three or more Two One None USA Population 2005 125 Ages 45-64 100 17m: 3+ chronic con’s Millions of People 75 12m: 2+ chronic con’s 50 Ages 65-older 25 17m: 3+ chronic con’s 8m: 2+ chronic con’s 0 0-19 20-44 45-64 65-79 80+ Age Range Source: “Rising Out-of-Pocket Spending for Chronic Conditions: A Ten-Year Trend”, Paez, Zhao and Hwang; Health Affairs 28, no. 1 (2009): 15-25 18
- 19. Variety of conditions Most commonly highlighted diseases • In order of prevalence: • Hypertension, Asthma, Diabetes, Coronary Heart Disease, COPD, Cancer, CHF But there are other major conditions and a very long tail of diseases • Obesity, Depression, Back pain, Chronic pain, ... • Rare diseases 19
- 20. Daily self-care not simple Much to remember & much to keep track of Example: person with diabetes & hypertension Doctor’s advice Personal decisions • Insulin Novolin • Insulin Novolog • Multi-vitamin • Ibuprofen Medications • Metformin • ACE Inhibitor • Herbal supplements • Blood glucose • Weight Biometrics • Blood pressure & pulse Therapies • Foot massage • Breathing exercises Exercise • Yoga • Walking • Swimming Diet • Food journal • Carbs • Excessive thirst Observations • Excessive sweating • Sleep • Mood 20
- 21. Inescapable Complexity ... of real world health Woman, age 30, with cystic fibrosis 21
- 22. Inescapable Complexity A medication ... 22
- 23. Inescapable Complexity ... and associated metrics & symptoms ... 23
- 24. Inescapable Complexity ... and everything else prescribed ... 24
- 25. Inescapable Complexity ... plus other health practices ... Meds: ~13 Other: ~7 Times: ~18 25
- 26. Inescapable Complexity ... that change over time ... 26
- 27. Inescapable Complexity ... for everyone in the family 27
- 28. Tonic • Self Care Assistant Remember and track all health and wellness activities www.tonicselfcare.com 28
- 29. Remember & record un/planned activities 29
- 30. Tonic supports anything in your health regimen 30
- 31. Review & export all data 31
- 32. Summary Growing self-quantification movement, often health- focused Growing collection of tools for capturing personal health data, automatic and/or user-entered Day-to-day health is complex, multi-faceted Tonic makes day-to-day health management much easier Need for wide range of tools • Specialized: Deep, focused, rich — used when & where needed • Commonplace: Broad, flexible, customizable — used all the time 32
- 33. Thank you! Rajiv Mehta • rajiv@bhageera.com • (650) 823-3274