An Apple a day does keep the doctor away

How medical devices sensors and mobile devices are advancing healthcare

Healthcare has been hot for mobile over the past few years, even more so than any other industry. Hospitals, medical device companies and software providers have been clamoring to have an increased presence in a booming industry. The latest trend in healthcare is integrating small sensors to be able to stream live data from a patient back to another system and drive that information back to the doctor or the family of the patient. For example, you may have a family member in home health services or in a nursing home. The sensors would wirelessly feed data such as pulse, respiration, oxygen saturation and temperature back to a small device in the patient’s room or a bed that is connected to the network. From that point the data can be viewed by the doctor via their mobile device. Aside from internal medicine, mobile devices and sensors are being used to monitor your fitness, sleep and many other aspects of overall well being.

Personal Healthcare Sensors

There are already several excellent peripheral devices in the medical field for the iPhone. Withings is a leader in the consumer space. They provide a blood pressure cuff, scale and a baby monitor that you can connect to your iPhone or iPad directly and their app allows you to keep and graph historical data. The advances in bluetooth technology and Near Field Communication (NFC), in conjunction with mobile devices, has allowed these technologies to be taken one step further.

As with any emerging technology, engineers are trying to figure out ways to make sensors and monitoring work for all modes of healthcare. In some instances, the patient themselves carry a mobile phone or medical device that transmits status of sensors attached to them back to another system via wifi or cell network. If the patient falls, the accelerometer on the device itself registers the fall and an alert is sent out. This is extremely helpful in situations where you might have a parent or loved one living alone and you need to manage aspects of their healthcare.

Among popular options for the consumer are the sleep monitoring apps that attempt to determine how you are resting at night. The Sleep Cycle Alarm Clock  for your mobile device allows you to monitor patterns in your sleep to determine if you are getting that quality rest that we all need by waking you up only when you are in a higher level of sleep instead of a normal alarm clock that might wake you up abruptly from a very deep sleep.

Institutional Settings

In another way mobile sensors are making a splash in healthcare is the field is sleep. Sleep clinics are making cash hand over fist in an age where most folks are overweight and those extra pounds are increasing the likelihood of apnea and other sleeping disorders. Although the people who actually have a sleep disorder is an order of magnitude larger than the people who actually go to a sleep clinic to get tested since it usually means at least two nights of very uncomfortable sleep with sensors attached to your legs, chest and head. Again mobile sensing devices are solving the problem. Some cutting edge sleep technicians are hooking you up at night with the sensors and those sensors are transmitting to a mobile device and then the device is transmitting the data back to a server where it is monitored by the technician in another location. So imagine, you get hooked up at the clinic and then go home to a familiar environment where you can sleep better or the sleep technician comes to your home to hook you up and then leaves. The net effect is more people are comfortable seeking testing and less is being spent on sleep clinic suites. Sleep Group Solutions is one such company that offers such technology with an app called mSleepTest.

In the 1960s, when Star Trek debuted on television, the audience was amazed at how Bones could monitor his patient just by them lying on the bed or how he could use his tricorder to instantly scan the health of a patient. Although, even as advanced a concept as this way, the doctor had to be in the vicinity of the patient. The doctors of today can do much more than he dreamed of by monitoring the patient from afar using their iPhone. AirStrip is a company that specializes in monitoring vitals and cardiological condition via mobile devices. A doctor can monitor the stats of any patient with near real time accuracy from any location they choose by reading the waveforms from a patient’s sensors. At Vanderbilt University in Tennessee, similar technology is being used to alert anesthesiologists when their patients are in certain states without having to visit the operating room to check themselves. Also, at Vanderbilt, mobile apps allow for the viewing of a patient’s room by their physicians. Stryker, a medical supply company that manufactures hospital beds, is already launching an iBed that provides information about whether or not the patient is in the bed and if they need to be moved if they cannot do so themselves.

Personal Fitness

Mobile has not only taken on healthcare but the health and fitness market as well.  A new way of heart-rate monitors supporting bluetooth technology have emerged and Polar is one such company providing one. No longer do you have to buy a watch when you can buy just the bluetooth chest strap. These heart rate monitors have more applications than tracking your workouts as well. By combining this technology with mobile, the data that was once limited to the watch or your computer now can be transferred wirelessly back to another location monitor the purposes of alerting. Imagine using this technology to monitor a loved one with a heart condition. Nike has been a forerunner in the mobile World since the early stages of the iPod by integrating it with their Nike+ product to track your fitness and workouts.

What’s next?

In just 3 short years, healthcare has taken a dramatic leap forward in terms of care, but the advances haven’t changed some of the things that have been constants for many years. You still have to make an appointment, wait for the doctor, wait for laboratory work, wait for an X-Ray and then wait for the doctor again. After that you usually have to head to the pharmacy and wait some more. In the near future, eventually this process will change due to sensors. Imagine a first- come-first-serve sensor  KIOSK where you step inside and get an analysis that is recorded to your mobile device and then take that to your doctor to speed the process or a device that you purchase that measures hundreds of points about your healthcare status by just attaching the device. Think about it like the OnBoard Diagnostics tool that your dealer uses when he services your car and the error codes it throws when it finds a problem. Healthcare wish lists aside, we are already heading into a fantastic beginning to healthcare technology.

Leadership qualities are still important in business

Sun Tzu said that if a man fears you, he’ll fight for you, but if I man respects you, he’ll die for you. The Art of War has been used for decades as a guidebook on how business leadership should function. Though many people scoff at the idea of juxtaposing battle command tactics with running a business, a lot could be learned from just the principles of the book. Sun Tzu meant for a leader to inspire troops and demoralize the enemy into retreat to minimize the losses on both sides. Is this not in essence what we seek to do in business management.

There are many types of leaders out there. I’d have to say that most are ineffective at “leading” because leadership training is something that is rarely sought after and few consider it is important as raw office politics. Despite the fall of Rome, most Roman conquerors kept their perspective as leaders until politics became too much for them to control. Behind the Roman conquerer stood a man who would whisper messages to the Cesar as he was cheer and worshipped by the masses. He would whisper, “You are only human and all glory is fleeting.” This was a tactic to keep the leader grounded in reality. Today, no one wants to hear about the poor leadership job they are doing, in fact, most are scared to lose their jobs by criticizing their leadership, even if it is in a constructive way.

I’ve had the pleasure and displeasure of serving many masters over the years. Out of the 40 or so leaders I have encountered, only 3 standout in a crowd, but what made them effective? What made their people choose to fall on their own sword if they had ever been asked to do so? Over the years, I’ve tried to wrap my head around the qualities they had that I believe are the key to success. You will be surprised at some of them.

  • A leader leads by example and is not afraid to get their hands dirty. A good business leader has been where you have stood, has moved up through the ranks, attained their position. For example, a Warrant Officer in the Marine Corps is an enlisted man who became an officer. A WO automatically gets more respect from men than a straight officer rank.
  • A leader doesn’t micromanage and trusts people to do their jobs and only intervenes when absolutely has to. A good leader surrounds himself with people who can get the job done without them. I know this seems counter-intuitive for some people to comprehend and it leads to the thinking that if your people can move the machine without you, then why are you needed. A leader’s job is to provide cohesion but not be the actual glue. A leader will choose the right people, cull the wrong people and cultivate an environment that fosters autonomy.
  • A leader doesn’t criticize, berate, belittle or otherwise demoralize his people, nor does a leader criticize his superiors in front of his people. Tom Hanks character in Saving Private Ryan said, “I don’t complain to you, complaints go up the chain of command… not down.”
  • A leader never puts himself in a position to take anything from his people. For example, the main protagonist in Band of Brothers reprimands a fellow officer for gambling with the enlisted men because he was concerned about what would happen if he won.
  • A leader knows his people. He should know their names, where they live, what their wife’s name is and their children. He should never struggle to remember anything about them and always be wary if they seem different or distracted. How can you know what is out of the ordinary if you do not know what is ordinary.
  • A leader should be decisive but also be open to advice. You should know who your subject matter experts are and lean on them when you need counsel, but when you make a decision, make it and do not appear like you have any doubt. Doubt and uncertainty are deadly adversaries to a leader and they are contagious and easily transmitted down to your people. Also, remember that pride is also your enemy
  • Anger should be used cautiously. Anger can rarely be a motivational tool and most of the time anger conveys a lack of control over yourself and the situation which leads to doubt and remember what I said about doubt. Also, anger induces fear in most people. Remember we want respect … not fear.
  • A leader doesn’t surround himself with toadies, brown-nosers and yes men. A leader wants people to ground him. Remember the guy who whispered in to the conqueror’s ear… A leader hires people who he feels are better men than he is. A leader does not hire people who are incapable to make himself feel more secure.
  • A good leader never throws his people to the wolves. Failure on the part of your people is a failure on your part always. It is a leader’s responsibility to shield, not to push them into the path of destruction to save his own neck.
  • Know when you can push your people and know when you can’t. Know when you need to reward them. Know when the need encouragement or when they feel demoralized. Know when you can help to take some of the burden they carry. Know them and know thyself.
  • Do not ask anything of your people you are not willing to do yourself. In the Marine Corps, leaders are required to participate in any physical activity that their subordinates are doing and lead by example by doing it better.
  • A leader should be strong, confident, fit, clean. Again, you lead by example. Set the example. You want your people to respect you. The people in my life I always respected were the people I couldn’t beat in a run at weightlifting or at figuring out difficult technical problems.

By no means is this an exhaustive list of leadership qualities that are keys to success, but it is a good start. Unfortunately, the people that possess these qualities rare had to work to achieve them, they just come naturally. The people who do not have these qualities are usually the ones who are arrogant enough to think they possess them already. I am fortunate that when I chose Doozer Software as a place to settle down, I recognized the qualities in the leadership of the company and that was one of the many things that influenced my decision.

I’m not advocating that you immediately go out and read Sun Tzu, but I am going to recommend that if you are in a position of leadership, see about getting a professional to come in an give a class or think about taking leadership classes yearly. I do believe that it is a worthy investment and that it will improve the bottom line of your business.