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She is also co-founder of Ladies Who Vino, a networking group for women in technology and business.","avatar":"https://secure.gravatar.com/avatar/22c63869a7901c61c15e204391c1261d?s=600&d=blank&r=g","twitter":null,"facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"futureofyou","roles":["administrator"]},{"site":"stateofhealth","roles":["author"]},{"site":"science","roles":["editor"]}],"headData":{"title":"Christina Farr | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/22c63869a7901c61c15e204391c1261d?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/22c63869a7901c61c15e204391c1261d?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/cfarr"},"halletecco":{"type":"authors","id":"8619","meta":{"index":"authors_1716337520","id":"8619","found":true},"name":"Halle Tecco","firstName":"Halle","lastName":"Tecco","slug":"halletecco","email":"Halletecco@gmail.com","display_author_email":false,"staff_mastheads":[],"title":null,"bio":null,"avatar":"https://secure.gravatar.com/avatar/741032902a35a3121050aebc8569c479?s=600&d=blank&r=g","twitter":null,"facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"futureofyou","roles":["author"]}],"headData":{"title":"Halle Tecco | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/741032902a35a3121050aebc8569c479?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/741032902a35a3121050aebc8569c479?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/halletecco"},"jscott":{"type":"authors","id":"8664","meta":{"index":"authors_1716337520","id":"8664","found":true},"name":"Julia Scott","firstName":"Julia","lastName":"Scott","slug":"jscott","email":"jscott@kqed.org","display_author_email":false,"staff_mastheads":[],"title":"KQED Contributor","bio":"Julia Scott is a former editor with KQED News. Prior to KQED, she was an editor with \u003cem>Crosscurrents\u003c/em> at KALW Radio in San Francisco. As a freelance reporter, she has filed stories for \u003cem>The California Report, Marketplace, Nautilus\u003c/em> and \u003cem>The New York Times Magazine.\u003c/em>\r\n\r\nPrior to her work in radio, Julia was an environmental reporter for the \u003cem>San Jose Mercury News\u003c/em> and Bay Area News Group, where her work was recognized with awards from the California Newspaper Publishers Association and the Society of Professional Journalists. Her radio honors include awards and citations from the Sony Radio Academy Awards and the National Lesbian and Gay Journalists Association.\r\n\r\nJulia hails from Montreal, Canada and lives in Oakland. She is the editor of the humor collection\u003cem> DRIVEL: Deliciously Bad Writing by Your Favorite Authors.\u003c/em>","avatar":"https://secure.gravatar.com/avatar/7fe25e0cf81dec2d4f74f1d4737a2871?s=600&d=blank&r=g","twitter":"juliascribe","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"","roles":["editor"]},{"site":"arts","roles":["administrator"]},{"site":"news","roles":["subscriber"]},{"site":"futureofyou","roles":["editor"]},{"site":"science","roles":["administrator"]}],"headData":{"title":"Julia Scott | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/7fe25e0cf81dec2d4f74f1d4737a2871?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/7fe25e0cf81dec2d4f74f1d4737a2871?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/jscott"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"futureofyou_440163":{"type":"posts","id":"futureofyou_440163","meta":{"index":"posts_1716263798","site":"futureofyou","id":"440163","score":null,"sort":[1521071132000]},"parent":0,"labelTerm":{},"blocks":[],"publishDate":1521071132,"format":"standard","disqusTitle":"Biotech Tries To Break Bread With Silicon Valley’s Disruptors. It’s Awkward.","title":"Biotech Tries To Break Bread With Silicon Valley’s Disruptors. It’s Awkward.","headTitle":"Startup Culture | KQED Future of You | KQED Science","content":"\u003cp>The multitrillion-dollar drug industry is trying to disrupt with the kids, and it’s running into a communications gap.\u003c/p>\n\u003cp>At SXSW, the weeklong TED Talk with a music festival in there somewhere, biotech this week has been trying to elbow its way into a conference that has ceded most of its time to tech, with its promises of a currency revolution, Martian colonization, and a hack for anything that moves.[contextly_sidebar id=\"b3t2Gwn1qYHaRu5v5ezcsHmmU5wc8UBh\"]\u003c/p>\n\u003cp>While Uber and Spotify hosted line-out-the-door events that fit the SXSW ethos, the drug industry’s efforts have mostly amounted to awkward attempts to speak the native language, like when Bristol-Myers Squibb, a 130-year-old pharmaceutical giant, tried to entice conference-goers with a session on “hacking childhood cancer.”\u003c/p>\n\u003cp>There was a biotech-focused panel on drugs to stop aging. And a steeped-in-science discussion of how new technologies might be used to boost brain performance. But each was dwarfed, in interest and attendance, by tech.\u003c/p>\n\u003cp>The reasons for the culture collision may be self-evident. No one told Larry Page he needed a placebo-controlled clinical trial to search the internet, and no one forced Mark Zuckerberg to endure a Food and Drug Administration inspection. Why should the would-be disruptors of biology play by biotech’s rules?\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>At the same time, the culture of Silicon Valley — move quickly, break objects — doesn’t always jibe with the realities of biotech. Investment timelines are painfully long and scientific sparks more often than not go dim on closer inspection. California’s moneyed incumbents didn’t get rich off the life sciences.\u003c/p>\n\u003cp>“That phenomenon exists, pointing out that the tech VCs don’t have Ph.D.s,” said Laura Deming, founder of a biotech venture capital firm called Longevity Fund, based in San Francisco.\u003c/p>\n\u003cfigure id=\"attachment_129\" class=\"wp-caption alignleft\" style=\"max-width: 546px\">\u003cimg class=\" wp-image-129\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2014/09/Wojcicki.jpg\" alt=\"\" width=\"546\" height=\"410\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2014/09/Wojcicki.jpg 640w, https://ww2.kqed.org/app/uploads/sites/13/2014/09/Wojcicki-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2014/09/Wojcicki-320x240.jpg 320w\" sizes=\"(max-width: 546px) 100vw, 546px\">\u003cfigcaption class=\"wp-caption-text\">23andMe CEO Anne Wojcicki, speaking at the annual SXSW festival in Austin, Texas in March 2014. (Jenny Oh/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>But Deming believes the phenomenon is more a reflection of time than seriousness. Not long ago, biotech funds were staffed by investors who made money elsewhere and saw promise in the drug business.\u003c/p>\n\u003cp>“I talk to these biotech VCs and it’s like, ‘Look, guys, your lead partner is an investment banker,’” Deming said.\u003c/p>\n\u003cp>She believes tech investors will catch up.\u003c/p>\n\u003cp>\u003cstrong>‘Hack Your Employees’\u003c/strong>\u003cbr>\nDeming has a foot in both worlds. Her fund, which raised $22 million last year, is focused on biotech companies that do drug development the old-fashioned way, with patented molecules and clinical trials and interminable meetings with the FDA.\u003c/p>\n\u003cp>But her bio reads like Silicon Valley fan fiction.\u003c/p>\n\u003cp>Homeschooled in New Zealand, she became fascinated by the concept of aging when she was 8, wrapping her head around why her elderly grandmother could not do the same things as the rest of her family. At 11, she cold-emailed Cynthia Kenyon, a University of California, San Francisco, scientist renowned for her work in the field, and by 12, she had a job in Kenyon’s lab. Then, at 16, she enrolled at the Massachusetts Institute of Technology, from which she would, of course, drop out after two years in order to return to the Valley and become a VC.[contextly_sidebar id=\"EBaaTzfCuKbBQA4p0bc9SKblWtuWTEfX\"]\u003c/p>\n\u003cp>“Literally, I looked like a preteen, and I couldn’t talk to people,” she said of her early fundraising efforts. Now she’s 23, and Longevity Fund has stakes in five biotech startups.\u003c/p>\n\u003cp>One of them is Unity Biotechnology, a company hoping to blunt the effects of aging by targeting bodily cells that are too old to multiply. Unity President Ned David, in a leather motorcycle jacket and a painted-on Joy Division shirt, delivered a SXSW presentation that, while lively, was not dissimilar to what biotech companies do at investor conferences — here’s how our drug works and here’s how and when we’re going to test it.\u003c/p>\n\u003cp>And yet as David explained the long regulatory road awaiting his company as it worked through clinical trials, a man looked up from his MacBook Air to ask what “biohacks” — diets, sleep schedules, drugs used without a doctor’s OK — might do the exact same thing right now.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Literally, I looked like a preteen, and I couldn’t talk to people.' \u003ccite>Laura Deming, Longevity Fund\u003c/cite>\u003c/aside>\n\u003cp>At SXSW, that’s a popular question. The day before, in a ballroom roughly four times as large as the one that hosted Unity, attendees packed in to ask the same question and hope for a different answer.\u003c/p>\n\u003cp>“I’m here to make the argument that you have a moral imperative, if you’re an employer, to hack your employees,” said Dave Asprey, founder of Bulletproof 360, during a session called “Would You Let Your Boss Biohack You?”\u003c/p>\n\u003cp>Asprey’s company sells products with names like Brain Octane Oil, containing supplements Silicon Valley calls \u003ca href=\"https://www.statnews.com/2016/02/19/brain-hackers-nootropics/\" target=\"_blank\" rel=\"noopener\">nootropics\u003c/a>, which are purported to enhance cognitive function. He is also a biohacker. That means he takes nootropics to improve his performance in life, refuses to ingest a long list of chemicals that includes fluoride, and averages six hours and six minutes of sleep every night. During his talk, Asprey was wearing sienna-toned sunglasses, which, he explained, were hacking the light.\u003c/p>\n\u003cp>At Bulletproof, every employee has access to nootropics and is encouraged to expand his or her mind accordingly.\u003c/p>\n\u003cp>Asprey is particularly fond of modafinil, which he calls “the Limitless drug” in reference to a 2011 movie in which Bradley Cooper finds a pill that makes him a genius. Sold under the brand name Provigil, modafinil got Asprey through the Wharton School, he said, and it has “the safety profile of ibuprofen,” a statement with which the Drug Enforcement Administration would disagree.[contextly_sidebar id=\"qF9rRUa2RjIaBihZWnAUPSxFoiPwZ5DN\"]\u003c/p>\n\u003cp>Hank Greely, a professor of biomedical ethics at Stanford, finds the whole thing a little absurd. Most nootropics are innocuous supplements with insufficient data to back up their claims but no safety risks that should preclude their use, he said.\u003c/p>\n\u003cp>As for modafinil, “it’s great for staying awake, and I guess staying awake is a cognitive enhancement,” Greely said. But clinical trials on stimulants like modafinil have led to mixed or negative results on whether drug-induced wakefulness actually makes people better at using their brains.\u003c/p>\n\u003cp>“The bad news is, right now the best thing we have is pretty much caffeine,” Greely said.\u003c/p>\n\u003cp>\u003cstrong>Meet Dr. Grasshopper\u003c/strong>\u003cbr>\nIf science might turn up its nose at the disruptors, some disruptors are prepared to return the favor.\u003c/p>\n\u003cp>Heshan Illangkoon is a self-diagnosed polymath who divides his time as an entrepreneur in residence at the University of Florida between astrobiology and synthetic biology. He goes by Dr. Grasshopper.\u003c/p>\n\u003cp>Among his scores of business ideas is one derived from surprisingly hairy mice. He and his fellow Ph.D. scientists dosed lab mice with a bunch of insulin and noticed that they began sprouting hair. When they took a look at the follicles, they realized it was the result of a hormone called IG1, which reared up in response to the insulin. Now they’ve got plans to whip up a hormone-laced gel they believe could safely replicate that phenomenon on the bald pates of humans.\u003c/p>\n\u003cp>“That’s a billion-dollar product right there,” Illangkoon said.\u003c/p>\n\u003cp>And what about the years-long process of getting FDA approval?\u003c/p>\n\u003caside class=\"pullquote alignright\">'If science might turn up its nose at the disruptors, some disruptors are prepared to return the favor.'\u003c/aside>\n\u003cp>Illangkoon responded with a not-fit-for-print suggestion for what could be done with the FDA. He then retrieved from the pocket of his pastel pink pants a handheld genome sequencer to demonstrate how new technology has democratized what had once been monopolized by the gatekeepers of Big Science.\u003c/p>\n\u003cp>On the floor of SXSW’s cavernous trade show, biotech wasn’t faring any better.\u003c/p>\n\u003cp>The crowd flocked to demonstrations of augmented reality machines and VR headsets, stepping around carpet-bound robots that promised to broadcast WiFi, stage a lightsaber duel, or just fetch a beer.\u003c/p>\n\u003cp>Away from the hordes, tucked in the southwest corner of the sprawling convention center were SXSW’s “health” exhibitors, a crop of personal genomics companies and medical data startups that attracted a fraction of the onlookers one can get with a dancing robot.\u003c/p>\n\u003cp>[contextly_sidebar id=\"YK3tCyprCw9U67hDxs8Ds6zbFCpwuA0L\"]\u003c/p>\n\u003cp>The only biotech exhibitor was Foregen, a company “promoting genital integrity through regenerative medicine,” according to the business card of Tyler Drozd, its lead director. That means using stem cells to turn foreskins from a donor into transplantable tissues for men who seeking to reverse their circumcisions or just otherwise want a new foreskin.\u003c/p>\n\u003cp>Is there a market for that? Drozd says there are 130 million men who “might be interested” in the U.S. alone.\u003c/p>\n\u003cp>“And there’s 3,000 more every day,” said Drozd, who uses air quotes when speaking the phrase “circumcision for medical reasons.”\u003c/p>\n\u003cp>Foregen is currently crowdfunded, but it’s working with “a Wall Street guy” to raise a Series A and hopes to start human clinical trials in 2019, Drozd said.\u003c/p>\n\u003cp>Outside, a man made laps around the conference on a motorized scooter, wearing a sign with the word “Circumcision” followed by emojis depicting vomiting, being sad, and weeping in agony, and ending with a simple directive: “YouTube that ish.”\u003c/p>\n\u003cp>His work was unrelated to Foregen’s.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://www.statnews.com/2018/03/14/sxsw-biotech/\" target=\"_blank\" rel=\"noopener\">STAT\u003c/a>, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n","disqusIdentifier":"440163 https://ww2.kqed.org/futureofyou/?p=440163","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/03/14/biotech-tries-to-break-bread-with-silicon-valleys-disruptors-its-awkward/","stats":{"hasVideo":false,"hasChartOrMap":false,"hasAudio":false,"hasPolis":false,"wordCount":1654,"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"iframeSrcs":[],"paragraphCount":43},"modified":1521074455,"excerpt":"The culture of Silicon Valley doesn’t always jibe with the realities of biotech. ","headData":{"twImgId":"","twTitle":"","ogTitle":"","ogImgId":"","twDescription":"","description":"The culture of Silicon Valley doesn’t always jibe with the realities of biotech. ","title":"Biotech Tries To Break Bread With Silicon Valley’s Disruptors. It’s Awkward. | KQED","ogDescription":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Biotech Tries To Break Bread With Silicon Valley’s Disruptors. It’s Awkward.","datePublished":"2018-03-14T16:45:32-07:00","dateModified":"2018-03-14T17:40:55-07:00","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"guestAuthors":[],"slug":"biotech-tries-to-break-bread-with-silicon-valleys-disruptors-its-awkward","status":"publish","nprByline":"Damian Garde\u003cbr />STAT News","source":"Startup Culture","path":"/futureofyou/440163/biotech-tries-to-break-bread-with-silicon-valleys-disruptors-its-awkward","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The multitrillion-dollar drug industry is trying to disrupt with the kids, and it’s running into a communications gap.\u003c/p>\n\u003cp>At SXSW, the weeklong TED Talk with a music festival in there somewhere, biotech this week has been trying to elbow its way into a conference that has ceded most of its time to tech, with its promises of a currency revolution, Martian colonization, and a hack for anything that moves.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>While Uber and Spotify hosted line-out-the-door events that fit the SXSW ethos, the drug industry’s efforts have mostly amounted to awkward attempts to speak the native language, like when Bristol-Myers Squibb, a 130-year-old pharmaceutical giant, tried to entice conference-goers with a session on “hacking childhood cancer.”\u003c/p>\n\u003cp>There was a biotech-focused panel on drugs to stop aging. And a steeped-in-science discussion of how new technologies might be used to boost brain performance. But each was dwarfed, in interest and attendance, by tech.\u003c/p>\n\u003cp>The reasons for the culture collision may be self-evident. No one told Larry Page he needed a placebo-controlled clinical trial to search the internet, and no one forced Mark Zuckerberg to endure a Food and Drug Administration inspection. Why should the would-be disruptors of biology play by biotech’s rules?\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>At the same time, the culture of Silicon Valley — move quickly, break objects — doesn’t always jibe with the realities of biotech. Investment timelines are painfully long and scientific sparks more often than not go dim on closer inspection. California’s moneyed incumbents didn’t get rich off the life sciences.\u003c/p>\n\u003cp>“That phenomenon exists, pointing out that the tech VCs don’t have Ph.D.s,” said Laura Deming, founder of a biotech venture capital firm called Longevity Fund, based in San Francisco.\u003c/p>\n\u003cfigure id=\"attachment_129\" class=\"wp-caption alignleft\" style=\"max-width: 546px\">\u003cimg class=\" wp-image-129\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2014/09/Wojcicki.jpg\" alt=\"\" width=\"546\" height=\"410\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2014/09/Wojcicki.jpg 640w, https://ww2.kqed.org/app/uploads/sites/13/2014/09/Wojcicki-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2014/09/Wojcicki-320x240.jpg 320w\" sizes=\"(max-width: 546px) 100vw, 546px\">\u003cfigcaption class=\"wp-caption-text\">23andMe CEO Anne Wojcicki, speaking at the annual SXSW festival in Austin, Texas in March 2014. (Jenny Oh/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>But Deming believes the phenomenon is more a reflection of time than seriousness. Not long ago, biotech funds were staffed by investors who made money elsewhere and saw promise in the drug business.\u003c/p>\n\u003cp>“I talk to these biotech VCs and it’s like, ‘Look, guys, your lead partner is an investment banker,’” Deming said.\u003c/p>\n\u003cp>She believes tech investors will catch up.\u003c/p>\n\u003cp>\u003cstrong>‘Hack Your Employees’\u003c/strong>\u003cbr>\nDeming has a foot in both worlds. Her fund, which raised $22 million last year, is focused on biotech companies that do drug development the old-fashioned way, with patented molecules and clinical trials and interminable meetings with the FDA.\u003c/p>\n\u003cp>But her bio reads like Silicon Valley fan fiction.\u003c/p>\n\u003cp>Homeschooled in New Zealand, she became fascinated by the concept of aging when she was 8, wrapping her head around why her elderly grandmother could not do the same things as the rest of her family. At 11, she cold-emailed Cynthia Kenyon, a University of California, San Francisco, scientist renowned for her work in the field, and by 12, she had a job in Kenyon’s lab. Then, at 16, she enrolled at the Massachusetts Institute of Technology, from which she would, of course, drop out after two years in order to return to the Valley and become a VC.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“Literally, I looked like a preteen, and I couldn’t talk to people,” she said of her early fundraising efforts. Now she’s 23, and Longevity Fund has stakes in five biotech startups.\u003c/p>\n\u003cp>One of them is Unity Biotechnology, a company hoping to blunt the effects of aging by targeting bodily cells that are too old to multiply. Unity President Ned David, in a leather motorcycle jacket and a painted-on Joy Division shirt, delivered a SXSW presentation that, while lively, was not dissimilar to what biotech companies do at investor conferences — here’s how our drug works and here’s how and when we’re going to test it.\u003c/p>\n\u003cp>And yet as David explained the long regulatory road awaiting his company as it worked through clinical trials, a man looked up from his MacBook Air to ask what “biohacks” — diets, sleep schedules, drugs used without a doctor’s OK — might do the exact same thing right now.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Literally, I looked like a preteen, and I couldn’t talk to people.' \u003ccite>Laura Deming, Longevity Fund\u003c/cite>\u003c/aside>\n\u003cp>At SXSW, that’s a popular question. The day before, in a ballroom roughly four times as large as the one that hosted Unity, attendees packed in to ask the same question and hope for a different answer.\u003c/p>\n\u003cp>“I’m here to make the argument that you have a moral imperative, if you’re an employer, to hack your employees,” said Dave Asprey, founder of Bulletproof 360, during a session called “Would You Let Your Boss Biohack You?”\u003c/p>\n\u003cp>Asprey’s company sells products with names like Brain Octane Oil, containing supplements Silicon Valley calls \u003ca href=\"https://www.statnews.com/2016/02/19/brain-hackers-nootropics/\" target=\"_blank\" rel=\"noopener\">nootropics\u003c/a>, which are purported to enhance cognitive function. He is also a biohacker. That means he takes nootropics to improve his performance in life, refuses to ingest a long list of chemicals that includes fluoride, and averages six hours and six minutes of sleep every night. During his talk, Asprey was wearing sienna-toned sunglasses, which, he explained, were hacking the light.\u003c/p>\n\u003cp>At Bulletproof, every employee has access to nootropics and is encouraged to expand his or her mind accordingly.\u003c/p>\n\u003cp>Asprey is particularly fond of modafinil, which he calls “the Limitless drug” in reference to a 2011 movie in which Bradley Cooper finds a pill that makes him a genius. Sold under the brand name Provigil, modafinil got Asprey through the Wharton School, he said, and it has “the safety profile of ibuprofen,” a statement with which the Drug Enforcement Administration would disagree.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Hank Greely, a professor of biomedical ethics at Stanford, finds the whole thing a little absurd. Most nootropics are innocuous supplements with insufficient data to back up their claims but no safety risks that should preclude their use, he said.\u003c/p>\n\u003cp>As for modafinil, “it’s great for staying awake, and I guess staying awake is a cognitive enhancement,” Greely said. But clinical trials on stimulants like modafinil have led to mixed or negative results on whether drug-induced wakefulness actually makes people better at using their brains.\u003c/p>\n\u003cp>“The bad news is, right now the best thing we have is pretty much caffeine,” Greely said.\u003c/p>\n\u003cp>\u003cstrong>Meet Dr. Grasshopper\u003c/strong>\u003cbr>\nIf science might turn up its nose at the disruptors, some disruptors are prepared to return the favor.\u003c/p>\n\u003cp>Heshan Illangkoon is a self-diagnosed polymath who divides his time as an entrepreneur in residence at the University of Florida between astrobiology and synthetic biology. He goes by Dr. Grasshopper.\u003c/p>\n\u003cp>Among his scores of business ideas is one derived from surprisingly hairy mice. He and his fellow Ph.D. scientists dosed lab mice with a bunch of insulin and noticed that they began sprouting hair. When they took a look at the follicles, they realized it was the result of a hormone called IG1, which reared up in response to the insulin. Now they’ve got plans to whip up a hormone-laced gel they believe could safely replicate that phenomenon on the bald pates of humans.\u003c/p>\n\u003cp>“That’s a billion-dollar product right there,” Illangkoon said.\u003c/p>\n\u003cp>And what about the years-long process of getting FDA approval?\u003c/p>\n\u003caside class=\"pullquote alignright\">'If science might turn up its nose at the disruptors, some disruptors are prepared to return the favor.'\u003c/aside>\n\u003cp>Illangkoon responded with a not-fit-for-print suggestion for what could be done with the FDA. He then retrieved from the pocket of his pastel pink pants a handheld genome sequencer to demonstrate how new technology has democratized what had once been monopolized by the gatekeepers of Big Science.\u003c/p>\n\u003cp>On the floor of SXSW’s cavernous trade show, biotech wasn’t faring any better.\u003c/p>\n\u003cp>The crowd flocked to demonstrations of augmented reality machines and VR headsets, stepping around carpet-bound robots that promised to broadcast WiFi, stage a lightsaber duel, or just fetch a beer.\u003c/p>\n\u003cp>Away from the hordes, tucked in the southwest corner of the sprawling convention center were SXSW’s “health” exhibitors, a crop of personal genomics companies and medical data startups that attracted a fraction of the onlookers one can get with a dancing robot.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The only biotech exhibitor was Foregen, a company “promoting genital integrity through regenerative medicine,” according to the business card of Tyler Drozd, its lead director. That means using stem cells to turn foreskins from a donor into transplantable tissues for men who seeking to reverse their circumcisions or just otherwise want a new foreskin.\u003c/p>\n\u003cp>Is there a market for that? Drozd says there are 130 million men who “might be interested” in the U.S. alone.\u003c/p>\n\u003cp>“And there’s 3,000 more every day,” said Drozd, who uses air quotes when speaking the phrase “circumcision for medical reasons.”\u003c/p>\n\u003cp>Foregen is currently crowdfunded, but it’s working with “a Wall Street guy” to raise a Series A and hopes to start human clinical trials in 2019, Drozd said.\u003c/p>\n\u003cp>Outside, a man made laps around the conference on a motorized scooter, wearing a sign with the word “Circumcision” followed by emojis depicting vomiting, being sad, and weeping in agony, and ending with a simple directive: “YouTube that ish.”\u003c/p>\n\u003cp>His work was unrelated to Foregen’s.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://www.statnews.com/2018/03/14/sxsw-biotech/\" target=\"_blank\" rel=\"noopener\">STAT\u003c/a>, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/440163/biotech-tries-to-break-bread-with-silicon-valleys-disruptors-its-awkward","authors":["byline_futureofyou_440163"],"series":["futureofyou_110"],"categories":["futureofyou_1062"],"tags":["futureofyou_1166","futureofyou_647","futureofyou_509","futureofyou_87","futureofyou_109","futureofyou_35","futureofyou_340"],"featImg":"futureofyou_440165","label":"source_futureofyou_440163"},"futureofyou_371437":{"type":"posts","id":"futureofyou_371437","meta":{"index":"posts_1716263798","site":"futureofyou","id":"371437","score":null,"sort":[1493017845000]},"parent":0,"labelTerm":{"site":"futureofyou","term":110},"blocks":[],"publishDate":1493017845,"format":"standard","disqusTitle":"Post-Theranos, Can Silicon Valley and Biomed Get Along?","title":"Post-Theranos, Can Silicon Valley and Biomed Get Along?","headTitle":"Startup Culture | KQED Future of You | KQED Science","content":"\u003cp>Oil and water. Plaid and polka dots. Fish and peanut butter. We all know these things don't go together.\u003c/p>\n\u003cp>It's worth asking how well the \"get in hard, cash out fast\" tech ethos \u003cem>du jour\u003c/em> fits in with the plodding, regulation-heavy culture of health care. It's a valid question in the wake of the \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/07/14/the-rise-and-fall-of-theranos-a-cartoon-history/\">Theranos flameout,\u003c/a> in which a Silicon Valley entrepreneur with no medical background, lots of hype and very little scientific scrutiny raised copious venture backing to revolutionize blood testing, only to see the technology fail in market.\u003c/p>\n\u003cp>Tech culture rewards disruptors. And those who can pivot on a dime.\u003c/p>\n\u003cp>But the process of getting a new drug or medical device to market is long and convoluted, a necessary drag. There's the academic papers subject to peer review, the many stages of clinical testing and government approval. Yes, it all takes years, but\u003ca href=\"http://www.slate.com/articles/health_and_science/science/2017/04/science_is_not_a_free_market_endeavor.html\"> it makes the science transparent\u003c/a>.\u003c/p>\n\u003cp>By contrast, Theranos CEO Elizabeth Holmes was secretive about how the company's technology worked, and the venture firms that pumped millions into Theranos either didn't have the details, or weren't scientifically literate enough to ask the questions that might have raised red flags.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I think Silicon Valley is used to this kind of thing: take an idea that isn’t fully formed and get it out into the world without validation, and maybe it fails later on.'\u003ccite>Dr. Norman Paradis, Darmouth College\u003c/cite>\u003c/aside>\n\u003cp>Stanford professor Dr. John Ioannidis \u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2015/07/03/the-insanely-influential-stanford-professor-behind-biotech-firms-push-to-get-fda-approval-it-probably-doesnt-need/?utm_term=.386a29abd2f8\">saw the red flags early on\u003c/a> --some that even non-scientists could have discovered.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"So the first thing that I did as a researcher, as a scientist, is check the scientific literature,\" he recently\u003ca href=\"http://www.npr.org/sections/alltechconsidered/2016/05/02/475972922/biotechs-theranos-offers-a-cautionary-tale-for-silicon-valley\"> told NPR.\u003c/a> \"How much do we know about what they [Theranos] do? And I couldn't find even a single paper.\"\u003c/p>\n\u003cp>Dr. Norman Paradis is a professor of medicine at Dartmouth College who works as a consultant for diagnostic startups. He has given presentations to venture firms, and he says the fact that Theranos got hundreds of millions of dollars and went to market without proving itself makes it \"a Silicon Valley event, and not a biomedical event.\"\u003c/p>\n\u003cp>\"I think Silicon Valley is used to this kind of thing: take an idea that isn’t fully formed and get it out into the world without validation, and maybe it fails later on.\" Whereas in the biomedical field you almost always need to have data early on.\u003c/p>\n\u003cp>So what happened? The wrong people were asking the questions, says Paradis. \"If you look at the list of who invested in Theranos, none of the venture capitalists who regularly do biomedical diagnostics were investors,\" he says. The firms with relevant medical expertise steered clear. \"Normally you show up to present an idea to these firms, they really know what you're talking about,\" he added.\u003c/p>\n\u003cp>At a conference it hosted in January, The Economist asked a panel of venture capitalists about the broader perception of a culture clash between scientists and Silicon Valley entrepreneurs ... and the Theranos example, specifically. The panelists represented three firms that invest in life science and healthcare ventures: Lisa Suennen from\u003ca href=\"https://www.geventures.com/\"> GE Ventures\u003c/a>, David Sabow from\u003ca href=\"https://www.svb.com/\"> Silicon Valley Bank\u003c/a>, and Emily Melton from \u003ca href=\"https://dfj.com/\">DFJ Venture Capital\u003c/a>.\u003c/p>\n\u003cp>Here's the full video:\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe width=\"560\" height=\"315\" src=\"https://www.youtube.com/embed/6GAZcb9jyT0\" frameborder=\"0\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The panelists agreed that some of the accepted rules that govern much of today's startup development and commercialization seem to run counter to those of science-based startups in medicine and biotech. And that there is a tension between the two sides.\u003c/p>\n\u003cp>\"It's a solution sell versus a product sell,\" said Melton from DFJ. \"Investors think of things as products, whereas people on the health care side think of solutions.\"[contextly_sidebar id=\"MhTn4bRZadvdRBhNxWpIi87Ako9TIWSD\"]\u003c/p>\n\u003cp>Suennen from GE Ventures agreed. \"On the tech side, people are practically allergic to providing services,\" she said. But in the case of health care, \"You can’t take the people out of caring for people.\"\u003c/p>\n\u003cp>And, said Suennen, the timelines involved are vastly different.\u003cstrong>\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>\"In the health care world, the time horizon for investments to mature and exit is pretty long compared to other marketplaces – usually 7 to 10 years,\" Suennen added.\u003c/p>\n\u003cp>Melton noted that won't deter some venture firms from investing in health care. \"We’re willing to be more patient if we feel like there’s a great opportunity at the end,\" she said, adding that, \"We do need to have a clear path to commercialization.\"\u003c/p>\n\u003cp>Of course a startup can't come to market without jumping through the hoops -- specifically, the FDA approval process. That's why these panelists said regulation is a -- gasp! -- \u003cem>good\u003c/em> thing. \"You need regulation in health care, for the most part, to make the market grow,\" Suennen said.\u003c/p>\n\u003cp>Everyone on the panel agreed that the next big thing in digital health or biomedicine will not emerge until tech innovators and medical experts work together: venture companies need the new ideas from the tech side combined with the health care knowledge. And that's starting to happen.\u003c/p>\n\u003cp>Since most biomedical startups are still in early funding stages, it will take a few years to see a new model of collaboration emerge and produce significant breakthroughs in biomed.\u003c/p>\n\u003cp>\"You need that life sciences perspective to understand how has it been done, what works, what doesn’t -- in order to totally revolutionize it,\" said Sabow, from Silicon Valley Bank. \"People who are trying to do it without that multidimensional perspective are going to spend a lot of money, get a lot of buzz, but not necessarily have the revolutionary impact they’re hoping for.\"\u003c/p>\n\u003cp>There was some awkwardness when Melton was asked about Theranos. Her firm, DFJ, pumped $500,000 in seed money into the venture early on. Interestingly, she all but said that her firm did not have access to data from Theranos when they cut the check.\u003c/p>\n\u003cp>\"I think transparency is critical. You can’t mess around with people’s lives and you can’t put products out there without being very transparent about what you’re doing. Data is very critical, and letting people have access to the data.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>The Theranos debacle has a \"tragic\" element that goes beyond hundreds of lost jobs and lost investment, says Paradis. For \u003ca href=\"https://www.forbes.com/sites/petercohan/2016/04/15/can-theranos-raise-new-capital/#6b421282406b\">$750 million\u003c/a>, you could have funded at least seven good startups, he says. \"It's almost impossible to get a complete new diagnostic test developed, because funders are so conservative [when it comes to medical products],\" he says. \"That’s even less likely to happen now.\"\u003c/p>\n\n","disqusIdentifier":"371437 https://ww2.kqed.org/futureofyou/?p=371437","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/04/24/post-theranos-can-silicon-valley-and-biomed-get-along/","stats":{"hasVideo":true,"hasChartOrMap":false,"hasAudio":false,"hasPolis":false,"wordCount":1108,"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"iframeSrcs":[],"paragraphCount":28},"modified":1493057767,"excerpt":"Tech innovation can find common ground with scientific products in the health sector under certain conditions, VCs say.","headData":{"twImgId":"","twTitle":"","ogTitle":"","ogImgId":"","twDescription":"","description":"Tech innovation can find common ground with scientific products in the health sector under certain conditions, VCs say.","title":"Post-Theranos, Can Silicon Valley and Biomed Get Along? | KQED","ogDescription":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Post-Theranos, Can Silicon Valley and Biomed Get Along?","datePublished":"2017-04-24T00:10:45-07:00","dateModified":"2017-04-24T11:16:07-07:00","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"guestAuthors":[],"slug":"post-theranos-can-silicon-valley-and-biomed-get-along","status":"publish","customPermalink":"2017/04/13/post-theranos-can-silicon-valley-and-biomed-get-along/","path":"/futureofyou/371437/post-theranos-can-silicon-valley-and-biomed-get-along","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Oil and water. Plaid and polka dots. Fish and peanut butter. We all know these things don't go together.\u003c/p>\n\u003cp>It's worth asking how well the \"get in hard, cash out fast\" tech ethos \u003cem>du jour\u003c/em> fits in with the plodding, regulation-heavy culture of health care. It's a valid question in the wake of the \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/07/14/the-rise-and-fall-of-theranos-a-cartoon-history/\">Theranos flameout,\u003c/a> in which a Silicon Valley entrepreneur with no medical background, lots of hype and very little scientific scrutiny raised copious venture backing to revolutionize blood testing, only to see the technology fail in market.\u003c/p>\n\u003cp>Tech culture rewards disruptors. And those who can pivot on a dime.\u003c/p>\n\u003cp>But the process of getting a new drug or medical device to market is long and convoluted, a necessary drag. There's the academic papers subject to peer review, the many stages of clinical testing and government approval. Yes, it all takes years, but\u003ca href=\"http://www.slate.com/articles/health_and_science/science/2017/04/science_is_not_a_free_market_endeavor.html\"> it makes the science transparent\u003c/a>.\u003c/p>\n\u003cp>By contrast, Theranos CEO Elizabeth Holmes was secretive about how the company's technology worked, and the venture firms that pumped millions into Theranos either didn't have the details, or weren't scientifically literate enough to ask the questions that might have raised red flags.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I think Silicon Valley is used to this kind of thing: take an idea that isn’t fully formed and get it out into the world without validation, and maybe it fails later on.'\u003ccite>Dr. Norman Paradis, Darmouth College\u003c/cite>\u003c/aside>\n\u003cp>Stanford professor Dr. John Ioannidis \u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2015/07/03/the-insanely-influential-stanford-professor-behind-biotech-firms-push-to-get-fda-approval-it-probably-doesnt-need/?utm_term=.386a29abd2f8\">saw the red flags early on\u003c/a> --some that even non-scientists could have discovered.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"So the first thing that I did as a researcher, as a scientist, is check the scientific literature,\" he recently\u003ca href=\"http://www.npr.org/sections/alltechconsidered/2016/05/02/475972922/biotechs-theranos-offers-a-cautionary-tale-for-silicon-valley\"> told NPR.\u003c/a> \"How much do we know about what they [Theranos] do? And I couldn't find even a single paper.\"\u003c/p>\n\u003cp>Dr. Norman Paradis is a professor of medicine at Dartmouth College who works as a consultant for diagnostic startups. He has given presentations to venture firms, and he says the fact that Theranos got hundreds of millions of dollars and went to market without proving itself makes it \"a Silicon Valley event, and not a biomedical event.\"\u003c/p>\n\u003cp>\"I think Silicon Valley is used to this kind of thing: take an idea that isn’t fully formed and get it out into the world without validation, and maybe it fails later on.\" Whereas in the biomedical field you almost always need to have data early on.\u003c/p>\n\u003cp>So what happened? The wrong people were asking the questions, says Paradis. \"If you look at the list of who invested in Theranos, none of the venture capitalists who regularly do biomedical diagnostics were investors,\" he says. The firms with relevant medical expertise steered clear. \"Normally you show up to present an idea to these firms, they really know what you're talking about,\" he added.\u003c/p>\n\u003cp>At a conference it hosted in January, The Economist asked a panel of venture capitalists about the broader perception of a culture clash between scientists and Silicon Valley entrepreneurs ... and the Theranos example, specifically. The panelists represented three firms that invest in life science and healthcare ventures: Lisa Suennen from\u003ca href=\"https://www.geventures.com/\"> GE Ventures\u003c/a>, David Sabow from\u003ca href=\"https://www.svb.com/\"> Silicon Valley Bank\u003c/a>, and Emily Melton from \u003ca href=\"https://dfj.com/\">DFJ Venture Capital\u003c/a>.\u003c/p>\n\u003cp>Here's the full video:\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe width=\"560\" height=\"315\" src=\"https://www.youtube.com/embed/6GAZcb9jyT0\" frameborder=\"0\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The panelists agreed that some of the accepted rules that govern much of today's startup development and commercialization seem to run counter to those of science-based startups in medicine and biotech. And that there is a tension between the two sides.\u003c/p>\n\u003cp>\"It's a solution sell versus a product sell,\" said Melton from DFJ. \"Investors think of things as products, whereas people on the health care side think of solutions.\"\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Suennen from GE Ventures agreed. \"On the tech side, people are practically allergic to providing services,\" she said. But in the case of health care, \"You can’t take the people out of caring for people.\"\u003c/p>\n\u003cp>And, said Suennen, the timelines involved are vastly different.\u003cstrong>\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>\"In the health care world, the time horizon for investments to mature and exit is pretty long compared to other marketplaces – usually 7 to 10 years,\" Suennen added.\u003c/p>\n\u003cp>Melton noted that won't deter some venture firms from investing in health care. \"We’re willing to be more patient if we feel like there’s a great opportunity at the end,\" she said, adding that, \"We do need to have a clear path to commercialization.\"\u003c/p>\n\u003cp>Of course a startup can't come to market without jumping through the hoops -- specifically, the FDA approval process. That's why these panelists said regulation is a -- gasp! -- \u003cem>good\u003c/em> thing. \"You need regulation in health care, for the most part, to make the market grow,\" Suennen said.\u003c/p>\n\u003cp>Everyone on the panel agreed that the next big thing in digital health or biomedicine will not emerge until tech innovators and medical experts work together: venture companies need the new ideas from the tech side combined with the health care knowledge. And that's starting to happen.\u003c/p>\n\u003cp>Since most biomedical startups are still in early funding stages, it will take a few years to see a new model of collaboration emerge and produce significant breakthroughs in biomed.\u003c/p>\n\u003cp>\"You need that life sciences perspective to understand how has it been done, what works, what doesn’t -- in order to totally revolutionize it,\" said Sabow, from Silicon Valley Bank. \"People who are trying to do it without that multidimensional perspective are going to spend a lot of money, get a lot of buzz, but not necessarily have the revolutionary impact they’re hoping for.\"\u003c/p>\n\u003cp>There was some awkwardness when Melton was asked about Theranos. Her firm, DFJ, pumped $500,000 in seed money into the venture early on. Interestingly, she all but said that her firm did not have access to data from Theranos when they cut the check.\u003c/p>\n\u003cp>\"I think transparency is critical. You can’t mess around with people’s lives and you can’t put products out there without being very transparent about what you’re doing. Data is very critical, and letting people have access to the data.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Theranos debacle has a \"tragic\" element that goes beyond hundreds of lost jobs and lost investment, says Paradis. For \u003ca href=\"https://www.forbes.com/sites/petercohan/2016/04/15/can-theranos-raise-new-capital/#6b421282406b\">$750 million\u003c/a>, you could have funded at least seven good startups, he says. \"It's almost impossible to get a complete new diagnostic test developed, because funders are so conservative [when it comes to medical products],\" he says. \"That’s even less likely to happen now.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/371437/post-theranos-can-silicon-valley-and-biomed-get-along","authors":["8664"],"series":["futureofyou_110"],"categories":["futureofyou_1"],"tags":["futureofyou_1246","futureofyou_26","futureofyou_814","futureofyou_617","futureofyou_340"],"collections":["futureofyou_1097"],"featImg":"futureofyou_215272","label":"futureofyou_110"},"futureofyou_4462":{"type":"posts","id":"futureofyou_4462","meta":{"index":"posts_1716263798","site":"futureofyou","id":"4462","score":null,"sort":[1434652374000]},"parent":0,"labelTerm":{"site":"futureofyou","term":110},"blocks":[],"publishDate":1434652374,"format":"standard","disqusTitle":"Five Health Technologies I Wish I Could Invest In Today","title":"Five Health Technologies I Wish I Could Invest In Today","headTitle":"Startup Culture | KQED Future of You | KQED Science","content":"\u003cp>Far too often, radically transformative ideas get stuck on the starting block, never able to truly take off. These innovations languish because a series of roadblocks make success seem impossible. In the U.S. healthcare system, radical change is often held up by regulatory hurdles, lack of resources and inadequate funding. Sometimes, the new technology just seems too futuristic for the general public to embrace.\u003c/p>\n\u003cp>At \u003ca href=\"http://www.startuphealth.com\">StartUp Health\u003c/a>, I am often confronted by the tug-of-war between a brilliantly innovative solution, and the harsh reality of a system that isn’t ready for it. Hundreds of pioneering digital health companies are paving the way, but many find themselves tangled in bureaucracy, stalled by lack of funding and challenged by the fear of doing things differently.\u003c/p>\n\u003caside class=\"pullquote alignright\">There are dozens of digital health concepts I wish I could fund now, yet many of these would not be accepted by today’s market.\u003c/aside>\n\u003cp>Just look at consumer genomics company \u003ca href=\"https://www.23andme.com/\">23andMe\u003c/a>, which was \u003ca href=\"http://ww2.kqed.org/science/2014/05/05/consumer-gene-tests-whats-the-future/\">soundly rebuffed by the FDA\u003c/a> over its personalized genomic health product. The company started off as a popular ancestry service, making use of a DNA spit test to map personal genomes.\u003c/p>\n\u003cp>Realizing potential, 23andMe moved swiftly into the medical arena, offering patients customized health reports that predicted risk of heritable diseases. The FDA’s 2013 order to pull the health product until 23andMe could prove it was interpreting the results correctly had a chilling effect on a burgeoning industry of consumer genomics offered by the private sector.\u003c/p>\n\u003cfigure id=\"attachment_4667\" class=\"wp-caption alignleft\" style=\"max-width: 323px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/SUH-2.jpg\">\u003cimg class=\" wp-image-4667\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/SUH-2-800x533.jpg\" alt=\"StartUp Health entrepreneurs at the company's quarterly summit in New York, in April 2015. (StartUp Health)\" width=\"323\" height=\"215\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/SUH-2-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/SUH-2-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/SUH-2-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/SUH-2-960x640.jpg 960w\" sizes=\"(max-width: 323px) 100vw, 323px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">StartUp Health entrepreneurs at the company's quarterly summit in New York, in April 2015. (StartUp Health)\u003c/figcaption>\u003c/figure>\n\u003cp>There are dozens of digital health concepts I wish I could fund now, yet many of these would not be accepted by today’s market. If regulators, more investors and the general public were willing to embrace these concepts, here are five technologies that could radically improve human health.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Embeddable Consumer Devices \u003c/strong>\u003c/p>\n\u003cp>The concept of embeddable consumer devices moves way beyond wearable sensors. An embeddable in this context isn’t a traditional medical device like a pacemaker or a stent. It’s a tiny sensor swallowed or embedded to constantly monitor biometrics. Consumers would be able to track the effect of a new diet on blood pressure, or the effect of a new medication on sleep patterns.\u003c/p>\n\u003cp>A company called \u003ca href=\"http://www.proteus.com/\">Proteus Digital Health\u003c/a> is taking the first steps with its \u003ca href=\"http://mobihealthnews.com/39612/proteus-oracle-launch-integrated-software-ingestible-sensors-for-clinical-trials/\">ingestible sensor\u003c/a> that sends a signal to a battery-operated patch worn on the skin. At this stage, Proteus seems focused on improving medication compliance. If privacy and safety concerns can be appropriately addressed, embeddable consumer devices could be used outside the healthcare setting to focus more broadly on daily health and wellness.\u003c/p>\n\u003caside class=\"pullquote alignright\">What’s needed is a consumer-friendly dashboard that operates as simply as Google Analytics — with consolidated, easy-to-use visualization of data in real time.\u003c/aside>\n\u003cp>\u003cstrong>Consolidated Health Dashboard\u003c/strong>\u003c/p>\n\u003cp>Diagnostic tools are becoming more sophisticated and cloud storage of health data will soon be universal. With these developments, each patient should be able to access his or her own \u003ca href=\"https://www.tictrac.com/business/\">health dashboard\u003c/a> the same way we can for our Web sites or automobiles. And I’m not referring to what the medical industry refers to as an electronic health record. What’s needed is a consumer-friendly dashboard that operates as simply as Google Analytics -- with consolidated, easy-to-use visualization of data in real time.\u003c/p>\n\u003cp>A similar concept would be a dashboard for employers and businesses to track the wellness of their teams the same way we do their productivity metrics. An employer dashboard could track healthcare decisions of each employee, identifying preferences and trends over time.\u003c/p>\n\u003cp>One big roadblock to a health dashboard is data fragmentation. Many small companies already offer their own dashboards, but there is no one consolidated provider to streamline the experience across different datasets that impact our health and wellness on a real-time basis. In addition, the data we collect today is catalogued in different ways, making it difficult to synchronize.\u003c/p>\n\u003caside class=\"pullquote alignright\">Every patient has a unique medical history and physiology, so why shouldn’t treatments be personalized?\u003c/aside>\n\u003cp>\u003cstrong>Microbiome-Based Consumer Goods\u003c/strong>\u003c/p>\n\u003cp>The concept of personalized medicine is intuitive. Every patient has a unique medical history and physiology, so why shouldn’t treatments be personalized? In addition to personalized medicine, we should have personalized consumer products. Consumer goods like toothpaste, shampoo, lotion and cosmetics could be tailored to suit each person’s microbiome.\u003c/p>\n\u003cp>We are \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/15/in-future-fecal-transplants-the-tool-wont-be-stool/\">learning more about the essential role of the microbiome\u003c/a> - the billions of bacterial cells that comprise between one and three percent of our body mass. One person’s oral microbiome, for example, could be paired with a complimentary toothpaste, the ingredients designed just for that individual, potentially saving millions in healthcare spending for minor infections and other issues.\u003c/p>\n\u003cfigure id=\"attachment_4714\" class=\"wp-caption alignleft\" style=\"max-width: 368px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/8146322408_5312e9deb2_c.jpg\">\u003cimg class=\" wp-image-4714\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/8146322408_5312e9deb2_c-677x600.jpg\" alt=\"A colorized model composed of three-dimensional human intestinal cells cultured with specific gut bacteria. (Pacific Northwest National Laboratory/Flickr)\" width=\"368\" height=\"326\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/8146322408_5312e9deb2_c-677x600.jpg 677w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/8146322408_5312e9deb2_c-400x355.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/8146322408_5312e9deb2_c.jpg 800w\" sizes=\"(max-width: 368px) 100vw, 368px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A colorized model composed of three-dimensional human intestinal cells cultured with specific gut bacteria. (Pacific Northwest National Laboratory/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>For this concept to become a reality, consumer product companies and healthcare companies would have to collaborate in an unprecedented way. The medical community is also still in the early stages of microbiome research. The FDA is unlikely to support personalized consumer goods just yet, as they rely on a system of rigorous batch testing to guarantee products are safe for everyone. Personalized products might be perfect for one person but unsafe for another, presenting a unique challenge in the era of 3-D printing and personalized everything.\u003c/p>\n\u003cp>\u003cstrong>$100 \"RobotDoc\"\u003c/strong>\u003c/p>\n\u003cp>Today’s autonomous devices can perform many of the same tasks performed during a regular checkup. It’s unlikely that a robot will replace a family practitioner any time soon, but in some remote regions of the world, a machine equipped with the basic diagnostic technology could identify common medical ailments that would otherwise go undiagnosed. I call this concept \"RobotDoc.\"\u003c/p>\n\u003cp>Today, a \u003ca href=\"http://astounde.com/first-medical-tricorder-scans-analyzes-and-shares-all-your-core-vitals/\">tiny handheld device\u003c/a> made by a company called \u003ca href=\"https://www.scanadu.com/\">Scanadu\u003c/a> can check blood pressure, temperature and heart rate. The company is also developing a urine test kit. The technology exists today, but it’s too expensive to be practical around the globe.\u003c/p>\n\u003cp>Ethical and cultural considerations for RobotDoc would need to be navigated, as will the many regulatory hurdles, but the benefits could be astounding. For this concept to fly, the RobotDoc would have to be inexpensive, perhaps $100. That’s an attractive price point for agencies looking to fund healthcare solutions in developing nations.\u003c/p>\n\u003caside class=\"pullquote alignleft\">The big challenge is creating an affordable solution that is not only accurate, but also fits seamlessly and unobtrusively into our everyday lives, so people will actually stick with it.\u003c/aside>\n\u003cp>\u003cstrong>Digital Nutritionist\u003c/strong>\u003c/p>\n\u003cp>Today, it’s often a mystery what you are ingesting. Food labels aren’t very helpful and chances are high if it requires a food label it’s not very good for you anyway. Some people hire nutritionists to evaluate their medical history and make personalized diet recommendations. That’s too expensive to be practical. There’s a bigger opportunity in leveraging wand-like sensors, or even a small portable assay, to take the guesswork out of the equation.\u003c/p>\n\u003cp>Armed with the patient’s complete medical history, a \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/11/6-technology-trends-that-are-changing-how-we-eat/\">food analysis technology\u003c/a> could help consumers determine the foods that are best for them to eat and understand the health value of each food item in real time. This would encourage smarter eating habits and more precise information about the stress felt when trying to make the “healthy” choice based on a nutrition label. In addition, this type of technology could immediately flag allergens, perhaps preventing hospitalizations.\u003c/p>\n\u003cp>The big challenge is creating an affordable solution that is not only accurate, but also fits seamlessly and unobtrusively into our everyday lives, so people will actually stick with it.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Unity Stoakes is cofounder and president of \u003ca href=\"http://www.startuphealth.com\">StartUp Health\u003c/a>, a health innovation company with more than 100 digital health and wellness companies in its portfolio. \u003c/em>\u003c/p>\n\n","disqusIdentifier":"4462 http://ww2.kqed.org/futureofyou/?p=4462","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/06/18/five-health-technologies-i-wish-i-could-invest-in-today/","stats":{"hasVideo":false,"hasChartOrMap":false,"hasAudio":false,"hasPolis":false,"wordCount":1334,"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"iframeSrcs":[],"paragraphCount":27},"modified":1477281521,"excerpt":"Radically transformative ideas that could improve human health, if people were ready to embrace them. ","headData":{"twImgId":"","twTitle":"","ogTitle":"","ogImgId":"","twDescription":"","description":"Radically transformative ideas that could improve human health, if people were ready to embrace them. ","title":"Five Health Technologies I Wish I Could Invest In Today | KQED","ogDescription":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Five Health Technologies I Wish I Could Invest In Today","datePublished":"2015-06-18T11:32:54-07:00","dateModified":"2016-10-23T20:58:41-07:00","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"guestAuthors":[],"slug":"five-health-technologies-i-wish-i-could-invest-in-today","status":"publish","nprByline":"Unity Stoakes","path":"/futureofyou/4462/five-health-technologies-i-wish-i-could-invest-in-today","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Far too often, radically transformative ideas get stuck on the starting block, never able to truly take off. These innovations languish because a series of roadblocks make success seem impossible. In the U.S. healthcare system, radical change is often held up by regulatory hurdles, lack of resources and inadequate funding. Sometimes, the new technology just seems too futuristic for the general public to embrace.\u003c/p>\n\u003cp>At \u003ca href=\"http://www.startuphealth.com\">StartUp Health\u003c/a>, I am often confronted by the tug-of-war between a brilliantly innovative solution, and the harsh reality of a system that isn’t ready for it. Hundreds of pioneering digital health companies are paving the way, but many find themselves tangled in bureaucracy, stalled by lack of funding and challenged by the fear of doing things differently.\u003c/p>\n\u003caside class=\"pullquote alignright\">There are dozens of digital health concepts I wish I could fund now, yet many of these would not be accepted by today’s market.\u003c/aside>\n\u003cp>Just look at consumer genomics company \u003ca href=\"https://www.23andme.com/\">23andMe\u003c/a>, which was \u003ca href=\"http://ww2.kqed.org/science/2014/05/05/consumer-gene-tests-whats-the-future/\">soundly rebuffed by the FDA\u003c/a> over its personalized genomic health product. The company started off as a popular ancestry service, making use of a DNA spit test to map personal genomes.\u003c/p>\n\u003cp>Realizing potential, 23andMe moved swiftly into the medical arena, offering patients customized health reports that predicted risk of heritable diseases. The FDA’s 2013 order to pull the health product until 23andMe could prove it was interpreting the results correctly had a chilling effect on a burgeoning industry of consumer genomics offered by the private sector.\u003c/p>\n\u003cfigure id=\"attachment_4667\" class=\"wp-caption alignleft\" style=\"max-width: 323px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/SUH-2.jpg\">\u003cimg class=\" wp-image-4667\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/SUH-2-800x533.jpg\" alt=\"StartUp Health entrepreneurs at the company's quarterly summit in New York, in April 2015. (StartUp Health)\" width=\"323\" height=\"215\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/SUH-2-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/SUH-2-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/SUH-2-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/SUH-2-960x640.jpg 960w\" sizes=\"(max-width: 323px) 100vw, 323px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">StartUp Health entrepreneurs at the company's quarterly summit in New York, in April 2015. (StartUp Health)\u003c/figcaption>\u003c/figure>\n\u003cp>There are dozens of digital health concepts I wish I could fund now, yet many of these would not be accepted by today’s market. If regulators, more investors and the general public were willing to embrace these concepts, here are five technologies that could radically improve human health.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Embeddable Consumer Devices \u003c/strong>\u003c/p>\n\u003cp>The concept of embeddable consumer devices moves way beyond wearable sensors. An embeddable in this context isn’t a traditional medical device like a pacemaker or a stent. It’s a tiny sensor swallowed or embedded to constantly monitor biometrics. Consumers would be able to track the effect of a new diet on blood pressure, or the effect of a new medication on sleep patterns.\u003c/p>\n\u003cp>A company called \u003ca href=\"http://www.proteus.com/\">Proteus Digital Health\u003c/a> is taking the first steps with its \u003ca href=\"http://mobihealthnews.com/39612/proteus-oracle-launch-integrated-software-ingestible-sensors-for-clinical-trials/\">ingestible sensor\u003c/a> that sends a signal to a battery-operated patch worn on the skin. At this stage, Proteus seems focused on improving medication compliance. If privacy and safety concerns can be appropriately addressed, embeddable consumer devices could be used outside the healthcare setting to focus more broadly on daily health and wellness.\u003c/p>\n\u003caside class=\"pullquote alignright\">What’s needed is a consumer-friendly dashboard that operates as simply as Google Analytics — with consolidated, easy-to-use visualization of data in real time.\u003c/aside>\n\u003cp>\u003cstrong>Consolidated Health Dashboard\u003c/strong>\u003c/p>\n\u003cp>Diagnostic tools are becoming more sophisticated and cloud storage of health data will soon be universal. With these developments, each patient should be able to access his or her own \u003ca href=\"https://www.tictrac.com/business/\">health dashboard\u003c/a> the same way we can for our Web sites or automobiles. And I’m not referring to what the medical industry refers to as an electronic health record. What’s needed is a consumer-friendly dashboard that operates as simply as Google Analytics -- with consolidated, easy-to-use visualization of data in real time.\u003c/p>\n\u003cp>A similar concept would be a dashboard for employers and businesses to track the wellness of their teams the same way we do their productivity metrics. An employer dashboard could track healthcare decisions of each employee, identifying preferences and trends over time.\u003c/p>\n\u003cp>One big roadblock to a health dashboard is data fragmentation. Many small companies already offer their own dashboards, but there is no one consolidated provider to streamline the experience across different datasets that impact our health and wellness on a real-time basis. In addition, the data we collect today is catalogued in different ways, making it difficult to synchronize.\u003c/p>\n\u003caside class=\"pullquote alignright\">Every patient has a unique medical history and physiology, so why shouldn’t treatments be personalized?\u003c/aside>\n\u003cp>\u003cstrong>Microbiome-Based Consumer Goods\u003c/strong>\u003c/p>\n\u003cp>The concept of personalized medicine is intuitive. Every patient has a unique medical history and physiology, so why shouldn’t treatments be personalized? In addition to personalized medicine, we should have personalized consumer products. Consumer goods like toothpaste, shampoo, lotion and cosmetics could be tailored to suit each person’s microbiome.\u003c/p>\n\u003cp>We are \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/15/in-future-fecal-transplants-the-tool-wont-be-stool/\">learning more about the essential role of the microbiome\u003c/a> - the billions of bacterial cells that comprise between one and three percent of our body mass. One person’s oral microbiome, for example, could be paired with a complimentary toothpaste, the ingredients designed just for that individual, potentially saving millions in healthcare spending for minor infections and other issues.\u003c/p>\n\u003cfigure id=\"attachment_4714\" class=\"wp-caption alignleft\" style=\"max-width: 368px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/8146322408_5312e9deb2_c.jpg\">\u003cimg class=\" wp-image-4714\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/8146322408_5312e9deb2_c-677x600.jpg\" alt=\"A colorized model composed of three-dimensional human intestinal cells cultured with specific gut bacteria. (Pacific Northwest National Laboratory/Flickr)\" width=\"368\" height=\"326\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/8146322408_5312e9deb2_c-677x600.jpg 677w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/8146322408_5312e9deb2_c-400x355.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/8146322408_5312e9deb2_c.jpg 800w\" sizes=\"(max-width: 368px) 100vw, 368px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A colorized model composed of three-dimensional human intestinal cells cultured with specific gut bacteria. (Pacific Northwest National Laboratory/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>For this concept to become a reality, consumer product companies and healthcare companies would have to collaborate in an unprecedented way. The medical community is also still in the early stages of microbiome research. The FDA is unlikely to support personalized consumer goods just yet, as they rely on a system of rigorous batch testing to guarantee products are safe for everyone. Personalized products might be perfect for one person but unsafe for another, presenting a unique challenge in the era of 3-D printing and personalized everything.\u003c/p>\n\u003cp>\u003cstrong>$100 \"RobotDoc\"\u003c/strong>\u003c/p>\n\u003cp>Today’s autonomous devices can perform many of the same tasks performed during a regular checkup. It’s unlikely that a robot will replace a family practitioner any time soon, but in some remote regions of the world, a machine equipped with the basic diagnostic technology could identify common medical ailments that would otherwise go undiagnosed. I call this concept \"RobotDoc.\"\u003c/p>\n\u003cp>Today, a \u003ca href=\"http://astounde.com/first-medical-tricorder-scans-analyzes-and-shares-all-your-core-vitals/\">tiny handheld device\u003c/a> made by a company called \u003ca href=\"https://www.scanadu.com/\">Scanadu\u003c/a> can check blood pressure, temperature and heart rate. The company is also developing a urine test kit. The technology exists today, but it’s too expensive to be practical around the globe.\u003c/p>\n\u003cp>Ethical and cultural considerations for RobotDoc would need to be navigated, as will the many regulatory hurdles, but the benefits could be astounding. For this concept to fly, the RobotDoc would have to be inexpensive, perhaps $100. That’s an attractive price point for agencies looking to fund healthcare solutions in developing nations.\u003c/p>\n\u003caside class=\"pullquote alignleft\">The big challenge is creating an affordable solution that is not only accurate, but also fits seamlessly and unobtrusively into our everyday lives, so people will actually stick with it.\u003c/aside>\n\u003cp>\u003cstrong>Digital Nutritionist\u003c/strong>\u003c/p>\n\u003cp>Today, it’s often a mystery what you are ingesting. Food labels aren’t very helpful and chances are high if it requires a food label it’s not very good for you anyway. Some people hire nutritionists to evaluate their medical history and make personalized diet recommendations. That’s too expensive to be practical. There’s a bigger opportunity in leveraging wand-like sensors, or even a small portable assay, to take the guesswork out of the equation.\u003c/p>\n\u003cp>Armed with the patient’s complete medical history, a \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/11/6-technology-trends-that-are-changing-how-we-eat/\">food analysis technology\u003c/a> could help consumers determine the foods that are best for them to eat and understand the health value of each food item in real time. This would encourage smarter eating habits and more precise information about the stress felt when trying to make the “healthy” choice based on a nutrition label. In addition, this type of technology could immediately flag allergens, perhaps preventing hospitalizations.\u003c/p>\n\u003cp>The big challenge is creating an affordable solution that is not only accurate, but also fits seamlessly and unobtrusively into our everyday lives, so people will actually stick with it.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Unity Stoakes is cofounder and president of \u003ca href=\"http://www.startuphealth.com\">StartUp Health\u003c/a>, a health innovation company with more than 100 digital health and wellness companies in its portfolio. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/4462/five-health-technologies-i-wish-i-could-invest-in-today","authors":["byline_futureofyou_4462"],"series":["futureofyou_110"],"categories":["futureofyou_1060"],"tags":["futureofyou_232","futureofyou_80","futureofyou_35","futureofyou_457"],"featImg":"futureofyou_4700","label":"futureofyou_110"},"futureofyou_3027":{"type":"posts","id":"futureofyou_3027","meta":{"index":"posts_1716263798","site":"futureofyou","id":"3027","score":null,"sort":[1432049436000]},"parent":0,"labelTerm":{"site":"futureofyou","term":110},"blocks":[],"publishDate":1432049436,"format":"standard","disqusTitle":"A Caution for Would-be Digital Health Entrepreneurs","title":"A Caution for Would-be Digital Health Entrepreneurs","headTitle":"Startup Culture | KQED Future of You | KQED Science","content":"\u003cp>\u003cem>This is a perspective from Halle Tecco, founder and managing director of digital health venture fund \u003ca href=\"http://rockhealth.com/\">Rock Health\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>One of the biggest mistakes would-be digital health entrepreneurs make is building a product based on what they think needs to be fixed in healthcare, irrespective of what the industry is willing to buy.\u003c/p>\n\u003cp>\u003ca href=\"http://rockhealth.com/2015/01/digital-health-funding-tops-4-1b-2014-year-review/\">Investment in digital health surpassed $4.1 billion\u003c/a> in 2014, nearly the total of the past three years combined. But many of the most promising startups are failing to get off the ground.\u003c/p>\n\u003cp>Too few entrepreneurs have grasped the distinction between a product that a physician would love to use and a product that is so critical to the business that a hospital is willing to pay for it.\u003c/p>\n\u003cp>\u003cstrong>Defining a 'Death by Pilot'\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It’s not all that difficult for “nice-to-have” digital health products to land pilots in today’s spaghetti-against-the-wall environment. Pilots are essentially test-runs of a product, for which the potential customer or partner often doesn't pay.\u003c/p>\n\u003cp>In fact, entire units are being established at hospitals just to test new startup concepts. Some hospitals even flip the customer relationship and charge the startup cash or equity to conduct a pilot.\u003c/p>\n\u003cp>Many of these startups never scale beyond the initial pilot. Digital health investors often refer to this as \"death by pilot.\"\u003c/p>\n\u003cp>If you're a digital health entrepreneur or thinking of starting a company, here are some questions to ask yourself to avoid falling victim to this scenario:\u003c/p>\n\u003cp>\u003cstrong>Why are you Piloting Your Product?\u003c/strong>\u003c/p>\n\u003cp>A \"proof of concept\" or \"validation\" pilot is a provisional agreement to test the technical capabilities and value proposition of a product in a controlled manner.\u003c/p>\n\u003cp>In academic medical settings, these pilots are often used in research. Some academic medical centers have standard “unfunded research collaboration” agreements, where a Principal Investigator (or \"PI\") at the university agrees to collaborate on a short-term research project with a startup. In exchange for the time and effort of that researcher, he or she is given the rights to publish any findings.\u003c/p>\n\u003cp>A validation pilot is often critical for a company introducing a new technology. Validation pilots reduce the technology risk for investors and future customers. The results of a pilot are sometimes valuable for marketing purposes. But a validation pilot should not be confused for a real customer relationship.\u003c/p>\n\u003cp>\u003cstrong>Do you Really Know Your Customer?\u003c/strong>\u003c/p>\n\u003cp>It's very important to make sure you are working with someone at your target customer organization who is invested in and capable of taking your product as far as possible. I suggest finding a champion who is directly responsible for implementing new technologies which can reduce administrative overhead or improve the patient experience.\u003c/p>\n\u003cp>The ideal person is someone who has business and finance responsibilities, and views pilots as just the first phase of a larger partnership. Try to talk to department-heads or executives, like a chief executive or chief medical officer. Avoid groups that are solely focused on research, IT, or worse yet -- departments with the entire business model to make money off startups.\u003c/p>\n\u003cp>I also recommend asking questions early on about which departmental budget you will be paid from, so there's no confusion later down the line. Realize that you'll be working with slow, bureaucratic organizations. To grow quickly, reduce the number of staff-members that need to sign off on your product.\u003c/p>\n\u003cp>Take\u003ca href=\"http://kitcheck.com/\" target=\"_blank\"> Kit Check\u003c/a>, a digital health company that specializes in helping hospitals manage inventory in an internal pharmacy. Their product has three components: RFID tags for each medication, a scanning machine, and cloud-based software.\u003c/p>\n\u003cp>[Editors' Note: Kit Check is a \u003ca href=\"http://rockhealth.com/\" target=\"_blank\">Rock Health\u003c/a> portfolio company. The author is a cofounder of Rock Health.]\u003c/p>\n\u003cp>Originally, the Kit Check team sold the scanning machine which required the approval and budgets of procurement, IT, and the Head of Pharmacy. They quickly switched to giving the scanning machine away for free and only charging for the RFID tags, which only requires approval from the Head of Pharmacy. By making this shift, Kit Check has been able to scale to almost 200 hospitals in less than three years.\u003c/p>\n\u003cp>\u003cstrong>Are You Getting Paid?\u003c/strong>\u003c/p>\n\u003cp>Only pursue deals where both parties are willing to invest the time and resources to succeed. If a hospital is unwilling to pay, then they are either the wrong customer or you’re selling the wrong product. It’s not sustainable for any company to work on projects without compensation. Additionally, if another potential customer finds out you’ve worked for free, they could demand the same.\u003c/p>\n\u003caside class=\"pullquote alignright\">“If a hospital truly doesn’t have money to compensate your company for a valuable service or product, they are probably not a good target and you should move on.\"\u003c/aside>\n\u003cp>Remind yourself that if the customer really values your product, they should be paying you and not the other way around. At Rock Health, we’ve been seeing more of these so-called pilots, where startups are actually paying organizations to pilot their product. I’d suggest limiting your free pilots to one. If you do a complimentary pilot, make sure you are getting paid in other tangible ways, such as having the rights to use that hospital’s name and validation results on your sales materials, or having them make introductions to other customers and serving as a reference.\u003c/p>\n\u003cp>If a hospital truly doesn’t have money to compensate your company for a valuable service or product, they are probably not a good target and you should move on.\u003c/p>\n\u003cp>\u003cstrong>Is Your Deal an Opt-Out or Opt-In Contract?\u003c/strong>\u003c/p>\n\u003cp>If you have no other option than to offer an unpaid pilot, structure the pilot as part of a multiphase agreement with clearly defined milestones leading to a paid customer agreement.\u003c/p>\n\u003cp>Multi-phased, definitive sales contracts are up-front agreements that give each partner in the deal the choice to opt-out if certain milestones are not met. These contracts align the business goals of both parties. It’s a larger upfront commitment from the customer, but it also ensures that a startup will get paid if the product works as promised. These agreements also help startups focus on the product and implementation itself, rather than the sales process.\u003c/p>\n\u003cp>I'm optimistic about startups’ ability to get their foot in the door at large hospitals in today’s innovation-positive climate. But entrepreneurs should always consider the long-term sustainability and scalability of pilots before signing on the dotted line. Validation from a top-tier medical center is impressive, but a list of multiple, unpaid pilots on a fundraising deck is a \"death by pilot\" waiting to happen. When going to market and working in the healthcare industry, make sure both sides are aligned and ready to scale.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Thanks to Rock Health entrepreneurs Chris DeNoia, Tim Kress-Spatz, Christine Lemke, and Ian Shakhil for sharing ideas for this article.\u003c/em>\u003c/p>\n\n","disqusIdentifier":"3027 http://ww2.kqed.org/futureofyou/?p=3027","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/05/19/a-caution-for-would-be-digital-health-entrepreneurs/","stats":{"hasVideo":false,"hasChartOrMap":false,"hasAudio":false,"hasPolis":false,"wordCount":1178,"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"iframeSrcs":[],"paragraphCount":31},"modified":1434048273,"excerpt":"Many young and promising digital health startups are falling into the trap of securing 'pilots' -- not paying customers -- and thus, they struggle to get off the ground. ","headData":{"twImgId":"","twTitle":"","ogTitle":"","ogImgId":"","twDescription":"","description":"Many young and promising digital health startups are falling into the trap of securing 'pilots' -- not paying customers -- and thus, they struggle to get off the ground. ","title":"A Caution for Would-be Digital Health Entrepreneurs | KQED","ogDescription":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"A Caution for Would-be Digital Health Entrepreneurs","datePublished":"2015-05-19T08:30:36-07:00","dateModified":"2015-06-11T11:44:33-07:00","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"guestAuthors":[],"slug":"a-caution-for-would-be-digital-health-entrepreneurs","status":"publish","path":"/futureofyou/3027/a-caution-for-would-be-digital-health-entrepreneurs","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This is a perspective from Halle Tecco, founder and managing director of digital health venture fund \u003ca href=\"http://rockhealth.com/\">Rock Health\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>One of the biggest mistakes would-be digital health entrepreneurs make is building a product based on what they think needs to be fixed in healthcare, irrespective of what the industry is willing to buy.\u003c/p>\n\u003cp>\u003ca href=\"http://rockhealth.com/2015/01/digital-health-funding-tops-4-1b-2014-year-review/\">Investment in digital health surpassed $4.1 billion\u003c/a> in 2014, nearly the total of the past three years combined. But many of the most promising startups are failing to get off the ground.\u003c/p>\n\u003cp>Too few entrepreneurs have grasped the distinction between a product that a physician would love to use and a product that is so critical to the business that a hospital is willing to pay for it.\u003c/p>\n\u003cp>\u003cstrong>Defining a 'Death by Pilot'\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It’s not all that difficult for “nice-to-have” digital health products to land pilots in today’s spaghetti-against-the-wall environment. Pilots are essentially test-runs of a product, for which the potential customer or partner often doesn't pay.\u003c/p>\n\u003cp>In fact, entire units are being established at hospitals just to test new startup concepts. Some hospitals even flip the customer relationship and charge the startup cash or equity to conduct a pilot.\u003c/p>\n\u003cp>Many of these startups never scale beyond the initial pilot. Digital health investors often refer to this as \"death by pilot.\"\u003c/p>\n\u003cp>If you're a digital health entrepreneur or thinking of starting a company, here are some questions to ask yourself to avoid falling victim to this scenario:\u003c/p>\n\u003cp>\u003cstrong>Why are you Piloting Your Product?\u003c/strong>\u003c/p>\n\u003cp>A \"proof of concept\" or \"validation\" pilot is a provisional agreement to test the technical capabilities and value proposition of a product in a controlled manner.\u003c/p>\n\u003cp>In academic medical settings, these pilots are often used in research. Some academic medical centers have standard “unfunded research collaboration” agreements, where a Principal Investigator (or \"PI\") at the university agrees to collaborate on a short-term research project with a startup. In exchange for the time and effort of that researcher, he or she is given the rights to publish any findings.\u003c/p>\n\u003cp>A validation pilot is often critical for a company introducing a new technology. Validation pilots reduce the technology risk for investors and future customers. The results of a pilot are sometimes valuable for marketing purposes. But a validation pilot should not be confused for a real customer relationship.\u003c/p>\n\u003cp>\u003cstrong>Do you Really Know Your Customer?\u003c/strong>\u003c/p>\n\u003cp>It's very important to make sure you are working with someone at your target customer organization who is invested in and capable of taking your product as far as possible. I suggest finding a champion who is directly responsible for implementing new technologies which can reduce administrative overhead or improve the patient experience.\u003c/p>\n\u003cp>The ideal person is someone who has business and finance responsibilities, and views pilots as just the first phase of a larger partnership. Try to talk to department-heads or executives, like a chief executive or chief medical officer. Avoid groups that are solely focused on research, IT, or worse yet -- departments with the entire business model to make money off startups.\u003c/p>\n\u003cp>I also recommend asking questions early on about which departmental budget you will be paid from, so there's no confusion later down the line. Realize that you'll be working with slow, bureaucratic organizations. To grow quickly, reduce the number of staff-members that need to sign off on your product.\u003c/p>\n\u003cp>Take\u003ca href=\"http://kitcheck.com/\" target=\"_blank\"> Kit Check\u003c/a>, a digital health company that specializes in helping hospitals manage inventory in an internal pharmacy. Their product has three components: RFID tags for each medication, a scanning machine, and cloud-based software.\u003c/p>\n\u003cp>[Editors' Note: Kit Check is a \u003ca href=\"http://rockhealth.com/\" target=\"_blank\">Rock Health\u003c/a> portfolio company. The author is a cofounder of Rock Health.]\u003c/p>\n\u003cp>Originally, the Kit Check team sold the scanning machine which required the approval and budgets of procurement, IT, and the Head of Pharmacy. They quickly switched to giving the scanning machine away for free and only charging for the RFID tags, which only requires approval from the Head of Pharmacy. By making this shift, Kit Check has been able to scale to almost 200 hospitals in less than three years.\u003c/p>\n\u003cp>\u003cstrong>Are You Getting Paid?\u003c/strong>\u003c/p>\n\u003cp>Only pursue deals where both parties are willing to invest the time and resources to succeed. If a hospital is unwilling to pay, then they are either the wrong customer or you’re selling the wrong product. It’s not sustainable for any company to work on projects without compensation. Additionally, if another potential customer finds out you’ve worked for free, they could demand the same.\u003c/p>\n\u003caside class=\"pullquote alignright\">“If a hospital truly doesn’t have money to compensate your company for a valuable service or product, they are probably not a good target and you should move on.\"\u003c/aside>\n\u003cp>Remind yourself that if the customer really values your product, they should be paying you and not the other way around. At Rock Health, we’ve been seeing more of these so-called pilots, where startups are actually paying organizations to pilot their product. I’d suggest limiting your free pilots to one. If you do a complimentary pilot, make sure you are getting paid in other tangible ways, such as having the rights to use that hospital’s name and validation results on your sales materials, or having them make introductions to other customers and serving as a reference.\u003c/p>\n\u003cp>If a hospital truly doesn’t have money to compensate your company for a valuable service or product, they are probably not a good target and you should move on.\u003c/p>\n\u003cp>\u003cstrong>Is Your Deal an Opt-Out or Opt-In Contract?\u003c/strong>\u003c/p>\n\u003cp>If you have no other option than to offer an unpaid pilot, structure the pilot as part of a multiphase agreement with clearly defined milestones leading to a paid customer agreement.\u003c/p>\n\u003cp>Multi-phased, definitive sales contracts are up-front agreements that give each partner in the deal the choice to opt-out if certain milestones are not met. These contracts align the business goals of both parties. It’s a larger upfront commitment from the customer, but it also ensures that a startup will get paid if the product works as promised. These agreements also help startups focus on the product and implementation itself, rather than the sales process.\u003c/p>\n\u003cp>I'm optimistic about startups’ ability to get their foot in the door at large hospitals in today’s innovation-positive climate. But entrepreneurs should always consider the long-term sustainability and scalability of pilots before signing on the dotted line. Validation from a top-tier medical center is impressive, but a list of multiple, unpaid pilots on a fundraising deck is a \"death by pilot\" waiting to happen. When going to market and working in the healthcare industry, make sure both sides are aligned and ready to scale.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Thanks to Rock Health entrepreneurs Chris DeNoia, Tim Kress-Spatz, Christine Lemke, and Ian Shakhil for sharing ideas for this article.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/3027/a-caution-for-would-be-digital-health-entrepreneurs","authors":["8619"],"series":["futureofyou_172","futureofyou_110"],"categories":["futureofyou_1"],"tags":["futureofyou_333","futureofyou_335","futureofyou_341","futureofyou_334","futureofyou_338","futureofyou_80","futureofyou_337","futureofyou_339","futureofyou_336","futureofyou_340"],"featImg":"futureofyou_3188","label":"futureofyou_110"},"futureofyou_1770":{"type":"posts","id":"futureofyou_1770","meta":{"index":"posts_1716263798","site":"futureofyou","id":"1770","score":null,"sort":[1429295404000]},"parent":0,"labelTerm":{"site":"futureofyou","term":54},"blocks":[],"publishDate":1429295404,"format":"standard","disqusTitle":"Stressed-Out Startup Founders Find Support Online","title":"Stressed-Out Startup Founders Find Support Online","headTitle":"Startup Culture | Future of You | KQED Future of You | KQED Science","content":"\u003cp>In Silicon Valley, the archetypical startup founder is brilliant, young, hyper-ambitious to a fault, and rarely shows weakness.\u003c/p>\n\u003cp>But in reality, many founders are struggling.\u003c/p>\n\u003cp>Entrepreneurs often shout from the rooftops about their personal and company milestones, whether it's a new investor or technical hire. But under all that bravado and outward confidence, many entrepreneur will face a lot of anxiety, stress and pressure to succeed.\u003c/p>\n\u003cfigure id=\"attachment_1799\" class=\"wp-caption alignright\" style=\"max-width: 2880px\">\u003cimg class=\"size-full wp-image-1799\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/7cupsoftea-team.jpg\" alt=\"The 7 Cups of Tea team on a company outing \" width=\"2880\" height=\"1835\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/7cupsoftea-team.jpg 2880w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/7cupsoftea-team-400x255.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/7cupsoftea-team-800x510.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/7cupsoftea-team-1180x752.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/7cupsoftea-team-768x489.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/7cupsoftea-team-320x204.jpg 320w\" sizes=\"(max-width: 2880px) 100vw, 2880px\">\u003cfigcaption class=\"wp-caption-text\">The 7 Cups of Tea team on a company outing \u003ccite>(7 Cups of Tea )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"I've been through two startups and it's rough,\" said Glen Moriarty, a trained psychologist and the founder of \u003ca href=\"http://www.7cupsoftea.com/\">7 Cups of Tea\u003c/a>, a website and app that connects entrepreneurs with peers, who act as confidential listeners.\u003c/p>\n\u003cp>\"Founder life is incredibly challenging, but we rarely talk about it.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That's why 7 Cups of Tea launched a \u003ca href=\"http://www.7cupsoftea.com/startups/\">program\u003c/a> to support the emotional health of founders of other startups. 7 Cups of Tea's team is deeply embedded in the startup network. It was among the first health companies to graduate from \u003ca href=\"https://www.ycombinator.com/\">Y Combinator\u003c/a>, the accelerator program based in Mountain View, Calif.\u003c/p>\n\u003cp>It takes advantage of a growing trend for digital services that connect people with online health support. 7 Cups of Tea specializes in matching people with trained listeners who\u003ca href=\"http://www.7cupsoftea.com/listener/becomeListener.php\"> complete its online course\u003c/a>. Other apps like \u003ca href=\"http://www.doctorondemand.com/\">Doctor on Demand\u003c/a> and \u003ca href=\"http://mdlive.com\">MDLive\u003c/a> offer on-demand access to doctors and therapists -- all that's required is an Internet connection.\u003c/p>\n\u003cp>Here's how it works: Register via the 7 Cups of Tea website or app, and connect to one of thousands of confidential listeners, who communicate with you via text message. Or alternatively, sign up for a group chat session with a featured expert.\u003c/p>\n\u003cp>I logged in one evening to a public 7 Cups of Tea session, where Charlie Hoehn, author of \u003ca href=\"http://www.amazon.com/Play-It-Away-Workaholics-Anxiety/dp/0615918174\">Play It Away: A Workaholic’s Cure for Anxiety\u003c/a>, responded to concerns raised by startup founders, many of whom were anonymous. The experience is similar to a Reddit \"Ask Me Anything\" (AMA).\u003c/p>\n\u003cp>Some founders shared tips (\"In my experience, leaving the environment I am in really helps. So I leave office and go to a coffee shop or a library\"); others asked Hoehn questions (\"If the focus on my startup is what is causing all the anxiety, how can I balance it with focusing on other things like family or hobbies?\").\u003c/p>\n\u003cp>After an hour or so of monitoring the discussion, it seemed clear that startup founders didn't have many alternative spaces to discuss such topics as work-life balance, and dealing with both anxiety and depression.\u003c/p>\n\u003cp>Popular Q&A site \u003ca href=\"http://quora.com\">Quora\u003c/a> is one of the few alternative online destinations for founders to share their real feelings and connect with peers. \u003ca href=\"http://www.quora.com/What-is-it-like-to-be-a-start-up-founder\">When a user posed the question,\u003c/a> \"What's it like to be a startup founder,\" over two-dozen people responded. The answers were surprisingly frank: One founder likened it to the experience of raising a child; calling his startup an act of \"creation.\"\u003ca href=\"We%20rarely%20hear%20about%20it%20in%20the%20press,%20or%20in%20pitch%20meetings.%C2%A0\"> \u003c/a>Another admitted that he thought about his startup an unhealthy amount: Every waking moment, including while spending time with his family or in the shower.\u003c/p>\n\u003cfigure id=\"attachment_1856\" class=\"wp-caption alignleft\" style=\"max-width: 462px\">\u003cimg class=\" wp-image-1856\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/Screen-Shot-2015-04-17-at-11.26.11-AM.png\" alt=\"A response to a question on Quora about the realities of startup life\" width=\"462\" height=\"197\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/Screen-Shot-2015-04-17-at-11.26.11-AM.png 788w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/Screen-Shot-2015-04-17-at-11.26.11-AM-400x170.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/Screen-Shot-2015-04-17-at-11.26.11-AM-768x326.png 768w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/Screen-Shot-2015-04-17-at-11.26.11-AM-320x136.png 320w\" sizes=\"(max-width: 462px) 100vw, 462px\">\u003cfigcaption class=\"wp-caption-text\">A response to a question on Quora about the realities of startup life\u003c/figcaption>\u003c/figure>\n\u003cp>Chatting with a therapist face-to-face is advisable for stressed-out founders. But the virtual approach offers a few benefits of its own, and may work best in concert with traditional therapy. For one thing, entrepreneurs can chat anonymously with peers in the startup world, who share similar experiences.\u003c/p>\n\u003cp>But will the majority of Silicon Valley entrepreneurs flock to a service like 7 Cups of Tea? At present, it has only reached a small percentage of the startup community. And will the key influencers embrace a culture of vulnerability and openness, rather than perpetuate long-standing myths about the dogged startup founder?\u003c/p>\n\u003cp>\u003cstrong>\"This shouldn't be a taboo subject\" \u003c/strong>\u003c/p>\n\u003cp>Brad Feld is one of the few venture capitalists who has \u003ca href=\"http://feld.com/archives/2014/10/founder-suicides.html\">spoken out about his personal struggle\u003c/a> with clinical depression.\u003c/p>\n\u003cp>In the wake of a \u003ca href=\"http://www.dailymail.co.uk/news/article-2781211/Mystery-three-suicides-tech-start-planning-bring-happiness-las-vegas.html\">series of suicides\u003c/a> that rocked the startup community, Feld called for more honest discussion about how intense it can be to start a company.\u003c/p>\n\u003cp>Colorado-based Feld is now one of the biggest advocates for \u003ca href=\"http://www.7cupsoftea.com/\">7 Cups Of Tea\u003c/a>'s startup program.\u003c/p>\n\u003cp>\"This shouldn't be a taboo subject,\" said Feld.\u003c/p>\n\u003cp>\"Founders are buried by the myth that leaders must be strong... and that emotional and mental health issues will negatively impact their ability to be effective, so they must suppress them if they want to succeed as an entrepreneur,\" he added.\u003c/p>\n\u003cp>For his part, Moriarty believes it can help to match up people who share a visceral understanding of the day-to-day stresses of running a company.\u003c/p>\n\u003cp>Aside from reaching out to entrepreneurs to sign up or act as counselors, Moriarty also hopes to convince venture capitalists to recommend 7 Cups of Tea to founders.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Not a lot of people understand that a startup isn't like grad school or a job, where hard work is often sufficient. With a startup, there is a lot of luck involved, regardless of your age and experience. A lot of things have to go right,\" said Moriarty. \"That's very stressful.\"\u003c/p>\n\n","disqusIdentifier":"1770 http://ww2.kqed.org/futureofyou/?p=1770","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/04/17/stressed-out-startup-founders-find-support-online/","stats":{"hasVideo":false,"hasChartOrMap":false,"hasAudio":false,"hasPolis":false,"wordCount":935,"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"iframeSrcs":[],"paragraphCount":25},"modified":1429296339,"excerpt":"Online counseling service 7 Cups of Tea launched a program to help entrepreneurs deal with stress and anxiety. ","headData":{"twImgId":"","twTitle":"","ogTitle":"","ogImgId":"","twDescription":"","description":"Online counseling service 7 Cups of Tea launched a program to help entrepreneurs deal with stress and anxiety. ","title":"Stressed-Out Startup Founders Find Support Online | KQED","ogDescription":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Stressed-Out Startup Founders Find Support Online","datePublished":"2015-04-17T11:30:04-07:00","dateModified":"2015-04-17T11:45:39-07:00","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"guestAuthors":[],"slug":"stressed-out-startup-founders-find-support-online","status":"publish","path":"/futureofyou/1770/stressed-out-startup-founders-find-support-online","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>In Silicon Valley, the archetypical startup founder is brilliant, young, hyper-ambitious to a fault, and rarely shows weakness.\u003c/p>\n\u003cp>But in reality, many founders are struggling.\u003c/p>\n\u003cp>Entrepreneurs often shout from the rooftops about their personal and company milestones, whether it's a new investor or technical hire. But under all that bravado and outward confidence, many entrepreneur will face a lot of anxiety, stress and pressure to succeed.\u003c/p>\n\u003cfigure id=\"attachment_1799\" class=\"wp-caption alignright\" style=\"max-width: 2880px\">\u003cimg class=\"size-full wp-image-1799\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/7cupsoftea-team.jpg\" alt=\"The 7 Cups of Tea team on a company outing \" width=\"2880\" height=\"1835\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/7cupsoftea-team.jpg 2880w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/7cupsoftea-team-400x255.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/7cupsoftea-team-800x510.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/7cupsoftea-team-1180x752.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/7cupsoftea-team-768x489.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/7cupsoftea-team-320x204.jpg 320w\" sizes=\"(max-width: 2880px) 100vw, 2880px\">\u003cfigcaption class=\"wp-caption-text\">The 7 Cups of Tea team on a company outing \u003ccite>(7 Cups of Tea )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"I've been through two startups and it's rough,\" said Glen Moriarty, a trained psychologist and the founder of \u003ca href=\"http://www.7cupsoftea.com/\">7 Cups of Tea\u003c/a>, a website and app that connects entrepreneurs with peers, who act as confidential listeners.\u003c/p>\n\u003cp>\"Founder life is incredibly challenging, but we rarely talk about it.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That's why 7 Cups of Tea launched a \u003ca href=\"http://www.7cupsoftea.com/startups/\">program\u003c/a> to support the emotional health of founders of other startups. 7 Cups of Tea's team is deeply embedded in the startup network. It was among the first health companies to graduate from \u003ca href=\"https://www.ycombinator.com/\">Y Combinator\u003c/a>, the accelerator program based in Mountain View, Calif.\u003c/p>\n\u003cp>It takes advantage of a growing trend for digital services that connect people with online health support. 7 Cups of Tea specializes in matching people with trained listeners who\u003ca href=\"http://www.7cupsoftea.com/listener/becomeListener.php\"> complete its online course\u003c/a>. Other apps like \u003ca href=\"http://www.doctorondemand.com/\">Doctor on Demand\u003c/a> and \u003ca href=\"http://mdlive.com\">MDLive\u003c/a> offer on-demand access to doctors and therapists -- all that's required is an Internet connection.\u003c/p>\n\u003cp>Here's how it works: Register via the 7 Cups of Tea website or app, and connect to one of thousands of confidential listeners, who communicate with you via text message. Or alternatively, sign up for a group chat session with a featured expert.\u003c/p>\n\u003cp>I logged in one evening to a public 7 Cups of Tea session, where Charlie Hoehn, author of \u003ca href=\"http://www.amazon.com/Play-It-Away-Workaholics-Anxiety/dp/0615918174\">Play It Away: A Workaholic’s Cure for Anxiety\u003c/a>, responded to concerns raised by startup founders, many of whom were anonymous. The experience is similar to a Reddit \"Ask Me Anything\" (AMA).\u003c/p>\n\u003cp>Some founders shared tips (\"In my experience, leaving the environment I am in really helps. So I leave office and go to a coffee shop or a library\"); others asked Hoehn questions (\"If the focus on my startup is what is causing all the anxiety, how can I balance it with focusing on other things like family or hobbies?\").\u003c/p>\n\u003cp>After an hour or so of monitoring the discussion, it seemed clear that startup founders didn't have many alternative spaces to discuss such topics as work-life balance, and dealing with both anxiety and depression.\u003c/p>\n\u003cp>Popular Q&A site \u003ca href=\"http://quora.com\">Quora\u003c/a> is one of the few alternative online destinations for founders to share their real feelings and connect with peers. \u003ca href=\"http://www.quora.com/What-is-it-like-to-be-a-start-up-founder\">When a user posed the question,\u003c/a> \"What's it like to be a startup founder,\" over two-dozen people responded. The answers were surprisingly frank: One founder likened it to the experience of raising a child; calling his startup an act of \"creation.\"\u003ca href=\"We%20rarely%20hear%20about%20it%20in%20the%20press,%20or%20in%20pitch%20meetings.%C2%A0\"> \u003c/a>Another admitted that he thought about his startup an unhealthy amount: Every waking moment, including while spending time with his family or in the shower.\u003c/p>\n\u003cfigure id=\"attachment_1856\" class=\"wp-caption alignleft\" style=\"max-width: 462px\">\u003cimg class=\" wp-image-1856\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/Screen-Shot-2015-04-17-at-11.26.11-AM.png\" alt=\"A response to a question on Quora about the realities of startup life\" width=\"462\" height=\"197\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/Screen-Shot-2015-04-17-at-11.26.11-AM.png 788w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/Screen-Shot-2015-04-17-at-11.26.11-AM-400x170.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/Screen-Shot-2015-04-17-at-11.26.11-AM-768x326.png 768w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/Screen-Shot-2015-04-17-at-11.26.11-AM-320x136.png 320w\" sizes=\"(max-width: 462px) 100vw, 462px\">\u003cfigcaption class=\"wp-caption-text\">A response to a question on Quora about the realities of startup life\u003c/figcaption>\u003c/figure>\n\u003cp>Chatting with a therapist face-to-face is advisable for stressed-out founders. But the virtual approach offers a few benefits of its own, and may work best in concert with traditional therapy. For one thing, entrepreneurs can chat anonymously with peers in the startup world, who share similar experiences.\u003c/p>\n\u003cp>But will the majority of Silicon Valley entrepreneurs flock to a service like 7 Cups of Tea? At present, it has only reached a small percentage of the startup community. And will the key influencers embrace a culture of vulnerability and openness, rather than perpetuate long-standing myths about the dogged startup founder?\u003c/p>\n\u003cp>\u003cstrong>\"This shouldn't be a taboo subject\" \u003c/strong>\u003c/p>\n\u003cp>Brad Feld is one of the few venture capitalists who has \u003ca href=\"http://feld.com/archives/2014/10/founder-suicides.html\">spoken out about his personal struggle\u003c/a> with clinical depression.\u003c/p>\n\u003cp>In the wake of a \u003ca href=\"http://www.dailymail.co.uk/news/article-2781211/Mystery-three-suicides-tech-start-planning-bring-happiness-las-vegas.html\">series of suicides\u003c/a> that rocked the startup community, Feld called for more honest discussion about how intense it can be to start a company.\u003c/p>\n\u003cp>Colorado-based Feld is now one of the biggest advocates for \u003ca href=\"http://www.7cupsoftea.com/\">7 Cups Of Tea\u003c/a>'s startup program.\u003c/p>\n\u003cp>\"This shouldn't be a taboo subject,\" said Feld.\u003c/p>\n\u003cp>\"Founders are buried by the myth that leaders must be strong... and that emotional and mental health issues will negatively impact their ability to be effective, so they must suppress them if they want to succeed as an entrepreneur,\" he added.\u003c/p>\n\u003cp>For his part, Moriarty believes it can help to match up people who share a visceral understanding of the day-to-day stresses of running a company.\u003c/p>\n\u003cp>Aside from reaching out to entrepreneurs to sign up or act as counselors, Moriarty also hopes to convince venture capitalists to recommend 7 Cups of Tea to founders.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Not a lot of people understand that a startup isn't like grad school or a job, where hard work is often sufficient. With a startup, there is a lot of luck involved, regardless of your age and experience. A lot of things have to go right,\" said Moriarty. \"That's very stressful.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/1770/stressed-out-startup-founders-find-support-online","authors":["3252"],"programs":["futureofyou_54"],"series":["futureofyou_110"],"categories":["futureofyou_1","futureofyou_73"],"tags":["futureofyou_201","futureofyou_207","futureofyou_205","futureofyou_210","futureofyou_34","futureofyou_138","futureofyou_206","futureofyou_80","futureofyou_204","futureofyou_202","futureofyou_86","futureofyou_203"],"featImg":"futureofyou_1803","label":"futureofyou_54"},"futureofyou_527":{"type":"posts","id":"futureofyou_527","meta":{"index":"posts_1716263798","site":"futureofyou","id":"527","score":null,"sort":[1426789852000]},"guestAuthors":[],"slug":"digital-health-explodes-in-austin-a-visit-to-chiron-health","title":"Digital Health Explodes in Austin: A Visit to Chiron Health","publishDate":1426789852,"format":"standard","headTitle":"Digital Health Explodes in Austin: A Visit to Chiron Health | KQED","labelTerm":{"term":110,"site":"futureofyou"},"content":"\u003cp>Watch out Silicon Valley, Boston and New York, Austin, Texas is on track to become the next hub for digital health startups.\u003c/p>\n\u003cp>Many of the city’s entrepreneurs are applying their knowledge of consumer technology to health care, which still relies on outdated IT systems. Others are finding ways to improve access to care in the most rural and underserved parts of Texas.\u003c/p>\n\u003cp>“Three years ago I don’t know if I could name one digital health startup in Austin,” said Joshua Baer, executive director of \u003ca href=\"http://capitalfactory.com/\">Capital Factory\u003c/a>, an accelerator program for startups. Baer said he’s now experiencing a high volume of applications to his program from companies in the space.\u003c/p>\n\u003cp>“We definitely have a scene now.”\u003c/p>\n\u003cp>We spoke with local investors and learned about a small group of promising health-tech startups. We decided to visit \u003ca href=\"http://www.chironhealth.com/\">Chiron Health\u003c/a>, due to the swelling interest in tools that hospitals and health systems can use to virtually connect with patients.\u003c/p>\n\u003cfigure id=\"attachment_556\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/03/chiron-ping-pong.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-556 size-medium\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/03/chiron-ping-pong-800x532.jpg\" alt=\"True to startup culture and their mission of promoting health, Chiron includes a ping pong table at its Austin-based office. (courtesy Chiron Health) \" width=\"800\" height=\"532\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/chiron-ping-pong-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/chiron-ping-pong-400x266.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/chiron-ping-pong-1180x785.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/chiron-ping-pong-768x511.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/chiron-ping-pong-320x213.jpg 320w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">True to startup culture and their mission of promoting health, Chiron includes a Ping-Pong table at its Austin-based office. (courtesy Chiron Health)\u003c/figcaption>\u003c/figure>\n\u003cp>Chiron, one of the recent graduates of Baer’s program, is experiencing some early success with its web-based video chat service for doctors. Since it launched its demo at Capital Factory in 2014, the company has sold its service to about 20 small medical practices, according to the startup’s chief executive officer Andrew O’Hara.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We want to help patients with chronic conditions get easier access to care,” said O’Hara. “This is especially a problem in Texas.” In the most rural parts of Texas, patients often travel long distances to see a doctor.\u003c/p>\n\u003cp>Chiron Health’s target customer is a physician working in a small practice in Texas or in a neighboring state. Most care providers use the service to follow-up with a patient after they’ve left the office and deliver a lab result, for instance.\u003c/p>\n\u003cp>I paid O’Hara a visit to his office, a few blocks east of downtown Austin on a temperate morning during the \u003ca href=\"http://sxsw.com/\">South by Southwest Music and Media Conference\u003c/a>. The space resembled any small business with the exception of the Ping-Pong table, a tech startup staple. O’Hara said he’s hired just over a dozen people since he formed the company in 2013 and raised just over $1 million in capital.\u003c/p>\n\u003cp>The company is focused on connecting with health insurance software and the physicians’ scheduling system. But O’Hara hopes Chiron will integrate with patients’ glucometers, heart rate monitors and other health-tracking devices. Doctors could receive notifications or alerts if a patient is exhibiting any worrying symptoms.\u003c/p>\n\u003cp>O’Hara believes that Chiron and other video-chat services will hit the mainstream market in the next few years. For one thing, it offers an additional income stream for doctors.\u003c/p>\n\u003cp>Prior to using Chiron Health, O’Hara said many physicians would set aside an afternoon to follow-up with patients via phone. They don’t typically get paid for these calls, as there’s no billing or insurance code that covers them.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/03/Austin-med-start-up-list.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-528 size-medium\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/03/Austin-med-start-up-list-284x600.jpg\" alt=\"Print\" width=\"284\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/Austin-med-start-up-list-284x600.jpg 284w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/Austin-med-start-up-list-400x845.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/Austin-med-start-up-list-558x1180.jpg 558w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/Austin-med-start-up-list-768x1623.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/Austin-med-start-up-list-320x676.jpg 320w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/Austin-med-start-up-list.jpg 1080w\" sizes=\"(max-width: 284px) 100vw, 284px\">\u003c/a>But Texas is one of over 20 states that now require private insurers to cover telehealth services like Chiron Health, meaning the remote delivery of care using a secure telecommunications technology. Medicare does pay doctors for virtual conferencing with patients, but only in a limited set of circumstances.\u003c/p>\n\u003cp>“Telemedicine has been talked about for the past 20 years, but I feel that its time is now,” said O’Hara. He also pointed to such policy developments as the Affordable Care Act, which added 30 million patients to an already costly and overloaded health care system. Telemedicine could help doctors see a far greater number of patients each day, said O’Hara.\u003c/p>\n\u003cp>And patients are proving receptive to the idea, particularly those that have grown up \u003ca href=\"http://medcitynews.com/2015/02/salesforce-survey-millennials-want-telehealth-mobile-apps/\">glued to smartphones and laptops\u003c/a>.\u003c/p>\n\u003cp>Across the U.S., dozens of telemedicine startups are emerging to take advantage of the friendly regulatory environment. Among the best known are Doctor on Demand, a startup that was founded by television personality Dr. Phil McGraw to offer virtual doctors’ appointments for a $40 flat flee, and MDLive, a similar service that is backed by the former CEO of Apple, John Sculley.\u003c/p>\n\u003cp>\u003cstrong>Why Austin?\u003c/strong>\u003c/p>\n\u003cp>Prior to starting Chiron, O’Hara worked as a stock analyst at an investment bank in Chicago, specializing in health IT. He noticed a lack of telemedicine services in outpatient settings, like primary care.\u003c/p>\n\u003cp>He chose to relocate to Austin to start the company to take advantage of the affordability and new sources of capital.\u003c/p>\n\u003cp>“Austin has a great entrepreneurship and investment scene, and the cost of living is cheap,” he said. In Silicon Valley and San Francisco, entrepreneurs need to raise vast sums to afford the sky-high costs of renting commercial real estate and hiring talent.\u003c/p>\n\u003cp>O’Hara also pointed to the “access problem” in Texas, meaning that those in rural areas often have to travel a long way to see a doctor in person. And rates of chronic disease are on the rise.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“The [digital health] space has exploded in the last three years.”\u003ccite> Jim Graham, former venture capitalist\u003cbr>\n\u003c/cite>\u003c/aside>\n\u003cp>According to the Centers for Disease Control and Prevention’s most recent figures from 2007, 66 percent of adults in Texas are obese or overweight, and over 50 percent of adults do not regularly engage in even moderate physical activity. This obesity epidemic has led to rising rates of chronic disease: \u003ca href=\"http://www.texastribune.org/2010/11/30/texas-diabetic-population-will-quadruple-by-2040/\">One report predicts\u003c/a> that the number of adult Texans with diabetes is expected to quadruple over the next three decades.\u003c/p>\n\u003cp>“Investors have realized that one of the surest and fastest ways to improve healthcare quality without ballooning costs is through all varieties of digital health and healthcare IT,” said Jim Graham, a former health care venture capitalist with \u003ca href=\"http://santeventures.com/\">Santé Ventures\u003c/a>, who now works as a consultant for Life Sciences startups.\u003c/p>\n\u003cp>“The [digital health] space has exploded in the last three years”\u003c/p>\n\u003cp>Graham pointed to some new additions to Austin’s health care ecosystem:\u003c/p>\n\u003cp>The Texas-based computer technology company, Dell’s foundation recently invested $50 million to establish a new medical school at the University of Texas at Austin, which is welcoming its first class of students in 2016. And construction is underway for the \u003ca href=\"http://seton.dochs.org/\">Seton Medical Center\u003c/a> at the University of Texas, a new teaching hospital.\u003c/p>\n\u003cp>Both schools could serve as an incubator of sorts to test new health apps and devices, similarly to Stanford University and UCSF in the Bay Area.\u003c/p>\n\u003cp>But, there are some challenges to launching a startup in Austin.\u003c/p>\n\u003cp>Austin’s entrepreneurs also face tough competition when hiring technical talent, particularly those with a few years of experience. O’Hara has recruited three software engineers, but is perpetually on the hunt for more.\u003c/p>\n\u003cp>Another stumbling block for early and mid-stage startups: Venture funding is still in short supply. According to \u003ca href=\"http://rockhealth.com/\">Rock Health\u003c/a>, a San Francisco-based seed fund, only nine digital health startups raised over $2 million in funding between 2012 and 2014.\u003c/p>\n\u003cp>“The quantity and quality of startups in Austin could probably support twice the amount of venture capital funding that we have here,” said O’Hara.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Our story on Austin based Chiron Health kicks off a new, occasional series. Future of You Editor, Christina Farr, will pay a visit to an up-and-coming health-technology startup once a month. Reach out to her at \u003c/em>\u003ca href=\"mailto:cfarr@kqed.org\">\u003cem>cfarr@kqed.org\u003c/em>\u003c/a>\u003cem> to make a suggestion for a future profile.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"During the SXSW tech conference in Austin, Texas, this past week, we stopped by the office of Chiron Health, a local company that is helping bring virtual doctor visits to patients. ","status":"publish","parent":0,"modified":1721150446,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1306},"headData":{"title":"Digital Health Explodes in Austin: A Visit to Chiron Health","description":"During the SXSW tech conference in Austin, Texas, this past week, we stopped by the office of Chiron Health, a local company that is helping bring virtual doctor visits to patients. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Digital Health Explodes in Austin: A Visit to Chiron Health","datePublished":"2015-03-19T11:30:52-07:00","dateModified":"2024-07-16T10:20:46-07:00","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"sticky":false,"path":"/futureofyou/527/digital-health-explodes-in-austin-a-visit-to-chiron-health","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Watch out Silicon Valley, Boston and New York, Austin, Texas is on track to become the next hub for digital health startups.\u003c/p>\n\u003cp>Many of the city’s entrepreneurs are applying their knowledge of consumer technology to health care, which still relies on outdated IT systems. Others are finding ways to improve access to care in the most rural and underserved parts of Texas.\u003c/p>\n\u003cp>“Three years ago I don’t know if I could name one digital health startup in Austin,” said Joshua Baer, executive director of \u003ca href=\"http://capitalfactory.com/\">Capital Factory\u003c/a>, an accelerator program for startups. Baer said he’s now experiencing a high volume of applications to his program from companies in the space.\u003c/p>\n\u003cp>“We definitely have a scene now.”\u003c/p>\n\u003cp>We spoke with local investors and learned about a small group of promising health-tech startups. We decided to visit \u003ca href=\"http://www.chironhealth.com/\">Chiron Health\u003c/a>, due to the swelling interest in tools that hospitals and health systems can use to virtually connect with patients.\u003c/p>\n\u003cfigure id=\"attachment_556\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/03/chiron-ping-pong.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-556 size-medium\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/03/chiron-ping-pong-800x532.jpg\" alt=\"True to startup culture and their mission of promoting health, Chiron includes a ping pong table at its Austin-based office. (courtesy Chiron Health) \" width=\"800\" height=\"532\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/chiron-ping-pong-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/chiron-ping-pong-400x266.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/chiron-ping-pong-1180x785.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/chiron-ping-pong-768x511.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/chiron-ping-pong-320x213.jpg 320w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">True to startup culture and their mission of promoting health, Chiron includes a Ping-Pong table at its Austin-based office. (courtesy Chiron Health)\u003c/figcaption>\u003c/figure>\n\u003cp>Chiron, one of the recent graduates of Baer’s program, is experiencing some early success with its web-based video chat service for doctors. Since it launched its demo at Capital Factory in 2014, the company has sold its service to about 20 small medical practices, according to the startup’s chief executive officer Andrew O’Hara.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We want to help patients with chronic conditions get easier access to care,” said O’Hara. “This is especially a problem in Texas.” In the most rural parts of Texas, patients often travel long distances to see a doctor.\u003c/p>\n\u003cp>Chiron Health’s target customer is a physician working in a small practice in Texas or in a neighboring state. Most care providers use the service to follow-up with a patient after they’ve left the office and deliver a lab result, for instance.\u003c/p>\n\u003cp>I paid O’Hara a visit to his office, a few blocks east of downtown Austin on a temperate morning during the \u003ca href=\"http://sxsw.com/\">South by Southwest Music and Media Conference\u003c/a>. The space resembled any small business with the exception of the Ping-Pong table, a tech startup staple. O’Hara said he’s hired just over a dozen people since he formed the company in 2013 and raised just over $1 million in capital.\u003c/p>\n\u003cp>The company is focused on connecting with health insurance software and the physicians’ scheduling system. But O’Hara hopes Chiron will integrate with patients’ glucometers, heart rate monitors and other health-tracking devices. Doctors could receive notifications or alerts if a patient is exhibiting any worrying symptoms.\u003c/p>\n\u003cp>O’Hara believes that Chiron and other video-chat services will hit the mainstream market in the next few years. For one thing, it offers an additional income stream for doctors.\u003c/p>\n\u003cp>Prior to using Chiron Health, O’Hara said many physicians would set aside an afternoon to follow-up with patients via phone. They don’t typically get paid for these calls, as there’s no billing or insurance code that covers them.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/03/Austin-med-start-up-list.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-528 size-medium\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/03/Austin-med-start-up-list-284x600.jpg\" alt=\"Print\" width=\"284\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/Austin-med-start-up-list-284x600.jpg 284w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/Austin-med-start-up-list-400x845.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/Austin-med-start-up-list-558x1180.jpg 558w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/Austin-med-start-up-list-768x1623.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/Austin-med-start-up-list-320x676.jpg 320w, https://cdn.kqed.org/wp-content/uploads/sites/13/2015/03/Austin-med-start-up-list.jpg 1080w\" sizes=\"(max-width: 284px) 100vw, 284px\">\u003c/a>But Texas is one of over 20 states that now require private insurers to cover telehealth services like Chiron Health, meaning the remote delivery of care using a secure telecommunications technology. Medicare does pay doctors for virtual conferencing with patients, but only in a limited set of circumstances.\u003c/p>\n\u003cp>“Telemedicine has been talked about for the past 20 years, but I feel that its time is now,” said O’Hara. He also pointed to such policy developments as the Affordable Care Act, which added 30 million patients to an already costly and overloaded health care system. Telemedicine could help doctors see a far greater number of patients each day, said O’Hara.\u003c/p>\n\u003cp>And patients are proving receptive to the idea, particularly those that have grown up \u003ca href=\"http://medcitynews.com/2015/02/salesforce-survey-millennials-want-telehealth-mobile-apps/\">glued to smartphones and laptops\u003c/a>.\u003c/p>\n\u003cp>Across the U.S., dozens of telemedicine startups are emerging to take advantage of the friendly regulatory environment. Among the best known are Doctor on Demand, a startup that was founded by television personality Dr. Phil McGraw to offer virtual doctors’ appointments for a $40 flat flee, and MDLive, a similar service that is backed by the former CEO of Apple, John Sculley.\u003c/p>\n\u003cp>\u003cstrong>Why Austin?\u003c/strong>\u003c/p>\n\u003cp>Prior to starting Chiron, O’Hara worked as a stock analyst at an investment bank in Chicago, specializing in health IT. He noticed a lack of telemedicine services in outpatient settings, like primary care.\u003c/p>\n\u003cp>He chose to relocate to Austin to start the company to take advantage of the affordability and new sources of capital.\u003c/p>\n\u003cp>“Austin has a great entrepreneurship and investment scene, and the cost of living is cheap,” he said. In Silicon Valley and San Francisco, entrepreneurs need to raise vast sums to afford the sky-high costs of renting commercial real estate and hiring talent.\u003c/p>\n\u003cp>O’Hara also pointed to the “access problem” in Texas, meaning that those in rural areas often have to travel a long way to see a doctor in person. And rates of chronic disease are on the rise.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“The [digital health] space has exploded in the last three years.”\u003ccite> Jim Graham, former venture capitalist\u003cbr>\n\u003c/cite>\u003c/aside>\n\u003cp>According to the Centers for Disease Control and Prevention’s most recent figures from 2007, 66 percent of adults in Texas are obese or overweight, and over 50 percent of adults do not regularly engage in even moderate physical activity. This obesity epidemic has led to rising rates of chronic disease: \u003ca href=\"http://www.texastribune.org/2010/11/30/texas-diabetic-population-will-quadruple-by-2040/\">One report predicts\u003c/a> that the number of adult Texans with diabetes is expected to quadruple over the next three decades.\u003c/p>\n\u003cp>“Investors have realized that one of the surest and fastest ways to improve healthcare quality without ballooning costs is through all varieties of digital health and healthcare IT,” said Jim Graham, a former health care venture capitalist with \u003ca href=\"http://santeventures.com/\">Santé Ventures\u003c/a>, who now works as a consultant for Life Sciences startups.\u003c/p>\n\u003cp>“The [digital health] space has exploded in the last three years”\u003c/p>\n\u003cp>Graham pointed to some new additions to Austin’s health care ecosystem:\u003c/p>\n\u003cp>The Texas-based computer technology company, Dell’s foundation recently invested $50 million to establish a new medical school at the University of Texas at Austin, which is welcoming its first class of students in 2016. And construction is underway for the \u003ca href=\"http://seton.dochs.org/\">Seton Medical Center\u003c/a> at the University of Texas, a new teaching hospital.\u003c/p>\n\u003cp>Both schools could serve as an incubator of sorts to test new health apps and devices, similarly to Stanford University and UCSF in the Bay Area.\u003c/p>\n\u003cp>But, there are some challenges to launching a startup in Austin.\u003c/p>\n\u003cp>Austin’s entrepreneurs also face tough competition when hiring technical talent, particularly those with a few years of experience. O’Hara has recruited three software engineers, but is perpetually on the hunt for more.\u003c/p>\n\u003cp>Another stumbling block for early and mid-stage startups: Venture funding is still in short supply. According to \u003ca href=\"http://rockhealth.com/\">Rock Health\u003c/a>, a San Francisco-based seed fund, only nine digital health startups raised over $2 million in funding between 2012 and 2014.\u003c/p>\n\u003cp>“The quantity and quality of startups in Austin could probably support twice the amount of venture capital funding that we have here,” said O’Hara.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Our story on Austin based Chiron Health kicks off a new, occasional series. Future of You Editor, Christina Farr, will pay a visit to an up-and-coming health-technology startup once a month. Reach out to her at \u003c/em>\u003ca href=\"mailto:cfarr@kqed.org\">\u003cem>cfarr@kqed.org\u003c/em>\u003c/a>\u003cem> to make a suggestion for a future profile.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/527/digital-health-explodes-in-austin-a-visit-to-chiron-health","authors":["3252"],"series":["futureofyou_110"],"categories":["futureofyou_1"],"tags":["futureofyou_99","futureofyou_108","futureofyou_102","futureofyou_80","futureofyou_109"],"featImg":"futureofyou_549","label":"futureofyou_110"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","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.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"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. 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Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. 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