The Future of Medicine

Instapundit had a good link to the Patient of the Future.

I think there is a business model to be had here for doctors.  Everyone talks about preventive medicine, and given the freedom, in 6-9 years when labs on a chip enable individuals to monitor more and more bio-markers, there will be a huge demand for what will essentially be a preventative consultation/Sherlock Holmes online health monitoring and crowd sourcing for a subset of medical issues.  Obviously not everyone can afford to spend $6-9,000 a year on bio-marker tests, and initially the cheaper blood marker tests will only encompass a smaller subset of medical conditions. However, there are already several websites where you can find and order your own tests without a Dr’s order and capitalism and technology appear to be working their exponential magic via competition already.

Witness: & For only$97 you can order the following:

CWP-Comprehensive Wellness Profile
Fasting Required: Yes – 12 HoursSpecimen: Blood

Results: 1-2 Business Days

The CWP is the #1 ordered test – year after year! Over 50 individual laboratory tests to provide a thorough Biochemical assessment of your health, and includes the basic cardiovascular tests as well as diabetes testing.

Tests Included:

Lipids: This is a group of simple blood tests that reveal important information about the types, amount and distribution of the various types of fats (lipids) in the bloodstream. Includes Total Cholesterol, HDL (good) Cholesterol, LDL (bad) Cholesterol, Risk Ratio (good to total), and Triglycerides.

Complete Blood Count(CBC’s): Used as a broad screening test to check for such disorders as anemia, infection, and many other diseases. It is actually a panel of tests that examines different parts of the blood.

Fluids and Electrolytes: Includes Chloride, Potassium, Sodium, and Carbon Dioxide.

Thyroid w/TSH: Includes T-3 Uptake, Total T4, (Free thyroxine index)T7, and TSH.

Liver: Includes Albumin, Alkaline Phosphatase, Alanine Transaminase (ALT or SGPT), Aspartate Transaminase (AST or SGOT), Total Bilirubin, Total Protein, LDH, Total Globulin, Albumin/Globulin Ratio, and GGT.

Kidney: Includes Blood Urea Nitrogen (BUN), Creatinine, BUN/Creatinine Ratio, eGFR, and Uric Acid.

Glucose (Diabetes)

Mineral and Bone: Total Iron, Calcium, and Phosphorus

The paleo corwd already recommends doing this for a subset of easy blood markers.  Just google “Paleo Blood Markers” and you will get all sorts of examples of people’s before/after blood work from simple paleo diet changes and the subsequent crowd sourcing of what the results mean.  Huge demand here for doctors who are willing to break with the institutional model.

Sample result from Google here:

I had my blood work done in March 2011 and then discovered primal/paleo around May. I started fairly strict compliance around July and lost 15 lb. in the first 45 days (205lb to 190lb @ 6’1″). I did cheat some during the holidays, but not too grossly.

Just got new results today (Jan 23, 2012). I’ll put 2011 numbers first, then 2012, then the “ideal” range:

Cholesterol: 206 to 220 mg/dL (<200)

HDL: 47 to 51 (>40)

Trig: 136 to 85 (<150)

LDL: 132 to 152 (0-100)

Glucose: 109 to 97 (65-99)

I’m 46yo, not super active desk jockey. I have installed a pull up bar (and actually doing some) and I’m walking with bricks twice a week considering goruck challenge.

The nurse I spoke with said the doc is concerned about LDL going up and wants to see my numbers again in four months. If LDL isn’t down, he’ll want to discuss drugs.

Since my glucose, trigs and HDL are headed in the right direction, whats that mean for overall number and LDL? Any suggestions on lowering LDL? Should I care?


As long as the government doesn’t screw it up with rulings like the FDA’s: All your stem cells are belong to us and Last Chance: Let the FDA know why you want direct access to your own genome.  Interesting times we live in.  Let us hope that the bureaucratic dinosaurs cannot keep up with the rapid technological changes.

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