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DIY Health: the Proliferation of Health Measure Monitoring

You don’t have to look very far nowadays to see someone peering at their Apple watch, consulting their smartphone to access a health app or jogging while wearing an around-the-chest heart rate monitor. The Information Age has yielded a number of cataclysmic eruptions that have disrupted the status quo. GPS, social media and digital recording have all decimated entire industries, now replaced with new technologies, new industries and new opportunities. I believe that we are witnessing a similar disruptive wave with the proliferation of health measure monitoring. People are measuring their heart rates, calories burned, steps walked, blood pressure, blood sugar and even exotic measures like brain waves and sleep cycles.

But is this just some high-tech form of navel gazing, or do real health insights emerge from such activities? After all, that Apple Watch didn’t come cheap.

[See: When Health Treatments Go From Hospital to DIY.]

I believe that the proliferation of such monitoring and information devices is really just the tip of an iceberg, an iceberg that looms so large that it has the potential to sink the Titanic of conventional health. Measures previously performed in doctors’ offices and hospitals can now be performed in your kitchen or living room. Information previously available only through the arcane medical literature is now available with a few mouse clicks, making the new clinical study read by your gynecologist, neurologist or gastroenterologist available to you to read over coffee.

From the comfort of my kitchen, I’ve plugged a tiny device (Dario) into my smartphone that measured my blood sugar. This allows me to assess the blood sugar consequences of eating various foods, which then leads me to reduce or eliminate foods that raise blood sugar. I’ve measured my body fat percentage and pulse wave velocity (Withings Body Cardio), indexes of cardiovascular health. I’ve stuck my finger to measure blood ketones that reflect fat metabolism (Abbot Freestyle Optium), a means of gauging whether I’ve sufficiently curtailed carbohydrates and sugars in my diet.

American health is not necessarily in a good state of health today, is it? Americans are among the most overweight of any population on this planet. We have among the highest proportion of Type 2 diabetics, people with heart disease and autoimmune conditions. We pay crippling health care insurance premiums, endure unsatisfying health care interactions and pay the most of any nation on earth for our health care system, now consuming an unprecedented 17.5 percent of gross domestic product. Can individual interest in health measurement bring us any closer to real health, enough to reduce the burden of disease and make a dent in the runaway costs of modern health care?

I believe they can. Being able to measure various health phenomena — on our own, outside of the medical system — is revolutionary. But what this really provides are values that we can track over time and identify ways to improve such measures. It’s as if we previously drove on roads with no idea where we were heading, but we are now equipped with a roadmap and know precisely where we are — or, more aptly in our age, equipped with a GPS device that informs us where we are, how to get to our destination and how long it will take to get there.

[See: 9 Surprising Things That Happen When You Go on a Digital Detox.]

The ability to self-track health measures will change how we manage health conditions. Monitor blood pressure — something you can now achieve with a smartphone-assisted self-inflating device (Withings Wireless Blood Pressure Monitor) — and you can identify the triggers of high blood pressure in your day, the times of day pressure rises and the effects of various foods. Track body fat percentage (Qardio Base Wireless Smart Scale), and you can tell whether your strength training program is building muscle or reducing fat. I wear a headset that monitors my brain waves for feedback on the effectiveness of meditation by providing visual and auditory feedback (Muse), a technique useful for reducing blood pressure and stress. I also use an app called BreatheSync, based on the technology of heart rate variability, to reduce anxiety and stress or prepare for sleep. By tracking blood sugars, you can modify your diet to keep blood sugars in check, an exceptionally effective way to not develop Type 2 diabetes, as well as reduce reliance on blood sugar-reducing medication and even achieve substantial weight loss. There are rumors that the Apple Watch may even continuously monitor blood sugar through the skin — if true, this would be a game-changer, though undoubtedly one game-changer among a flood of many more to come.

Though doctors have been slow to adopt such devices, patients are readily embracing technology to help them deal with various conditions. Asthmatics can attach a device to their inhalers (Propeller) that identifies triggers, resulting in as much as a two-thirds reduction in asthma attacks. People struggling with anxiety can track their emotional state (Mindfield eSense Skin Response) and apply biofeedback strategies to reduce reliance on medication. Parents can apply a monitor to their infant’s chest that wirelessly transmits real-time temperature (TempTraq Wearable Smart Thermometer) while their child sleeps, generating an alert when a fever develops or temperature increases, while a baby’s blood oxygen level can be monitored with a sock (Owlet Smart Sock Baby Monitor) that alarms with a drop in oxygen that precedes sudden infant death syndrome. People with Parkinson’s disease can wear a wrist and ankle monitor that tracks tremor and mobility, changes that can be correlated to treatment (Kinesia 360).

In addition to health tracking devices, home health testing is becoming a real force. Consumers can have their bowel flora, the collection of microorganisms inhabiting the intestinal tract, assessed (Ubiome), tracked over time to gauge whether an intervention (e.g., probiotic supplement, fermented foods) is yielding benefit. A sample of saliva can yield insight into genetic risk for various diseases, as well as allow you to explore your ancestry, including how much Neanderthal genetics you carry (23andMe). A fingerstick blood sample can yield measures to assess thyroid status, hormone levels and vitamin D, while urine can be submitted to assess your status of neurotransmitters and heavy metals like mercury and cadmium (ZRT Laboratory).

Importantly, there is another aspect to the widespread adoption of such health tracking and home testing: they put tracking measures into the hands of the “crowd.” In other words, if thousands of people have the ability to track an important health measure, unique observations will inevitably emerge that bring people closer to health solutions. A sufferer with Parkinson’s disease in Boise, Idaho, for example, might serendipitously observe that a prescription drug or nutritional supplement started for an unrelated purpose yielded reductions in the tremor and incoordination of his condition, share his experience with other Parkinson sufferers on social media which, in turn, prompts several dozen or hundreds of others in New York, Dallas, Miami and elsewhere to test the idea. Many potential strategies will fail, but some will also succeed, then proliferate in use through the collaboration of social media and various online health platforms.

Future health solutions are therefore not just going to arise from expensive, long-term medical research conducted in universities. They are going to come from crowd-sourced observations because we — not just doctors, hospitals or universities — now have tools to track health measures. I predict that we are going to witness new and unexpected solutions to reduce common measures such as blood sugar and blood pressure, new ways to restore healthy bowel flora, new ways to reduce asthma attacks or avert the tragedy of sudden infant death.

[See: 7 Ways Technology Can Torpedo Your Health.]

Just as smartphones have changed how we communicate, self-driving cars will transform how we travel and drone delivery will change how we shop, so will new consumer health tools transform health and health care. You no longer use an impossible-to-fold paper map or handwritten instructions to find your way. You will likewise no longer subscribe to conventional, paternalistic “I’m the doctor, you’re the patient, just do what I tell you” advice from the doctor or medical system. Instead, you may find your health answers on your smartphone, a device applied in your kitchen or a conversation on social media. Health is going to improve one observation at a time. But, multiplied by the millions of people engaged in the process, I predict that answers will soon be coming at us at breakneck speed, yielding an unprecedented flood of solutions in health.

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DIY Health: the Proliferation of Health Measure Monitoring originally appeared on usnews.com

Don’t Settle for Student Loans to Pay for Online Education

Online college programs are becoming a more popular choice for prospective students, with one study finding that more than 6 million students enrolled in at least one online course in fall 2015. The popularity of these courses can be attributed in part to their flexibility with working adults' schedules, students' ability to progress more quickly through online programs and, oftentimes, cheaper tuition. [See 10 low-cost online bachelor's programs for out-of-state students.]Online degrees can be beneficial to many college students, but some studies have shown online learners complete their programs at lower rates than students at traditional brick-and-mortar campuses. Individuals with student loans but no degree comprise two-thirds of defaulted borrowers. Though these numbers are not encouraging, just like for traditional programs, there are ways to reduce how much you'll need to borrow for an online program to ensure you won't become one of these statistics. Don't just settle on borrowing student loans to cover the whole cost of your program and living expenses. Instead, start thinking about how to cut costs and cover your balance in different ways, such as the following. -- Grants and scholarships: Even though you are taking an online course, you can still apply and receive grants and scholarships. But your first step should be to complete the Free Application for Federal Student Aid, commonly referred to as the FAFSA, which will allow you to receive a Pell Grant if your expected family contribution is low enough. The EFC criteria and award amounts are adjusted annually, but the 2017-2018 academic year awards range from $606 to $5,920, which could significantly lower the amount you borrow annually. Your next step is to apply for scholarships. You can start by checking online scholarship search engines, such as the Salt Scholarship Search, College Board's BigFuture and Peterson's. But don't forget to take advantage of local organizations and your school's financial aid office. Both may offer scholarships that you can't find with a national scholarship search. [Review these 10 sites to kick off your scholarship search.]For instance, organizations like the Elks Club, Knights of Columbus or the Rotary Club typically offer scholarships annually to local students. Just because you're going to school online doesn't mean you're ineligible. Visit your local library for scholarship listings, and ask around town. You might be surprised how many local organizations offer scholarships. While these scholarships typically aren't large, every little bit counts. Each dollar you receive in a scholarship is a dollar you don't have to borrow and pay interest on. -- Work-study: Another option for online students may be work-study awards. Not all students enrolled in online programs are eligible, but students at some schools -- including, for example, SUNY Empire State College and Liberty University -- are. Work-study awards are not given upfront like scholarships and grants. In most cases, they are an offer to earn up to the awarded amount if you secure an eligible work-study job. While there is a misconception that all work-study jobs must be on campus, students can work for off-campus, nonprofit or public employers as long as the work is in the public's interest. You may be able to work for a for-profit employer if the job is relevant to your course of study. No matter who the outside employer is, it will need to have an established agreement with your college for you to receive work-study funds. Remember, to be eligible for federal financial aid, you must be enrolled and pursuing a degree or certificate. If you're not working toward a credential, Pell Grants and work-study won't be option, but you may still be able to take advantage of private scholarships -- just be sure to read the eligibility criteria carefully. [Explore what to know about financial aid in online programs.]-- Pay as you go: One of the great benefits to enrolling online is the flexible schedule, which can allow you to complete your college coursework around your responsibilities. But prospective students often overlook using their part- or full-time job earnings as an option for paying for college. Almost 80 percent of college students in 2015 worked at least part time while attending classes, according to the National Center for Education Statistics. By budgeting and thinking strategically about your college costs, you can likely reduce your dependence on student loans by paying a portion out of pocket. Many -- but not all -- online programs are less expensive than traditional programs and often have shorter payment periods. Six, eight or 10 weeks are common course durations. Because of the frequency of payments in an online setting, you may be well-placed to pay as you go and possibly avoid borrowing altogether. Attending college online and avoiding student loans may be challenging, but if you are willing to put in the effort, you can limit the amount you need to borrow. More from U.S. News Q&A: Understanding Student Loan Discharge Eligibility Student Loan Refinancing Isn't Right for All Borrowers
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