Category Archives: Health & Medicine

Colonoscopy: “a fast, a cleanse, and a nap!”

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In a recent blog post Seth Godin linked to a company that’s using colonoscopy awareness in its marketing. (“Wear your ass on your sleeve. Every purchase helps fund colonoscopies for the underinsured.”) From their mission statement.

Colonoscopies prevent colon cancer, they don’t just diagnose them early. This makes them the best cancer screening EVER, hands down. Unlike other diagnostic screening tests, a colonoscopy can also remove polyps in the colon that can grow into fatal tumors. Super inspiring, right? But many people are wary of the procedure because of how it’s been talked about for 50 years: “invasive”, “hassle”, “awful”. And maybe that was true in the past, but today, it’s more like a spa appointment than a scary hospital visit: it’s essentially a fast, a cleanse, and a nap!

You can request laxative pills instead of the dreaded “colonoscopy cocktail.” Fasting can include gummy bears, and the end flush is often calm, comfortable, and non-dramatic. So given the choice between a mildly unpleasant doctor’s visit or a potentially fatal diagnosis, we will back that ass up every time!

I’ve had two colonoscopies in the last two weeks (one was a sigmoidoscopy) and the prep wasn’t pleasant but a small price to pay for a life-saving procedure. The GI doc removed a small polyp (non-malignant) and biopsied a small mass (also non-malignant). A week from tomorrow I’ll have surgery to remove that bad boy before he has a chance to turn badder. Stay tuned.

Apple AirPods: New Health Features

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The upcoming Apple AirPods, particularly the anticipated AirPods Pro 3, are expected to bring a major expansion in health features, turning them into more than just audio devices. Here’s what to expect based on the latest information and insider reports:

  • Heart Rate Monitoring: AirPods Pro 3 are rumored to include sensors capable of monitoring your heart rate from inside your ear canal. This will provide an additional method of capturing health data, complementing what’s currently done by the Apple Watch.
  • In-Ear Temperature Sensing: Apple is reportedly developing in-ear temperature sensors, which can deliver more accurate fever detection and overall body temperature measurement compared to wrist-based sensors. This could be particularly useful for early illness detection and general wellness tracking.
  • Hearing Health Features (Already in AirPods Pro 2): AirPods Pro 2 already offer a clinically-validated hearing test and an FDA-cleared over-the-counter hearing aid mode, making them the world’s first all-in-one hearing health device. The Pro 3 are expected to continue and possibly expand on these features, integrating more hearing health tools and diagnostics.
  • Potential Blood Oxygen and Stress Sensors: Future AirPods models may add even more sensors to monitor blood oxygen levels and provide stress indicators, though these features are reportedly in earlier stages of development[1].
  • Live Translation: Upcoming AirPods models are also expected to receive live translation functionality via software updates, leveraging the device’s microphones and on-device AI to provide real-time language translation during conversations.
  • Broader Health Integration: Apple aims for AirPods Pro 3 to become part of a comprehensive health monitoring platform. Health data from the AirPods may eventually integrate with Apple Health and even electronic medical records, enabling more meaningful health insights and possibly even preventive health alerts powered by AI[.
  • Infrared Camera (Rumored): Some rumors suggest a delay in launch is due to production challenges related to a new infrared camera system in AirPods Pro 3, intended to power advanced health features, though this remains unconfirmed and may delay the release to 2026.

Summary

In short: AirPods Pro 3 are set to introduce heart rate and temperature monitoring, enhanced hearing health tools, real-time translation, and the groundwork for even more advanced health sensing in future models. These additions could make AirPods a central device for daily wellness and medical monitoring, blurring the lines between headphones and health wearables.

“The Robot Doctor Will See You Now”

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I don’t care for the term “Robot Doctor” but blame that on the person who writes headlines for the New York Times. The following are excerpts from an op-ed piece (PDF) by Dr. Pranav Rajpurkar (see comment below) and Dr. Eric Topol of that asserts “a growing body of research suggests that A.I. is outperforming doctors, even when they use it as a tool.”

A recent M.I.T.-Harvard study examined how radiologists diagnose potential diseases from chest X-rays. The study found that when radiologists were shown A.I. predictions about the likelihood of disease, they often undervalued the A.I. input compared to their own judgment. The doctors stuck to their initial impressions even when the A.I. was correct, which led them to make less accurate diagnoses. Another trial yielded a similar result: When A.I. worked independently to diagnose patients, it achieved 92 percent accuracy, while physicians using A.I. assistance were only 76 percent accurate — barely better than the 74 percent they achieved without A.I.

The solution, we believe, is a deliberate division of labor. Instead of forcing both human doctors and A.I. to review every case side by side and trying to turn A.I. into a kind of shadow physician, a more effective approach is to let A.I. operate independently on suitable tasks so that physicians can focus their expertise where it matters most.

Ten more years?

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I’ll be 77 in a couple of months so I think I’m entitled to think about death, if only in passing. (Get it? “Passing?”) Today I asked ChatGPT what is the life-expectancy of a healthy 77 year old male living in the United States?

The life expectancy of a healthy 77-year-old male living in the United States can vary depending on factors such as overall health, lifestyle, genetics, and access to healthcare. On average a 77-year-old male in good health today can expect to live another 10 to 13 years, reaching an age of 87 to 90. If you’re particularly healthy, maintain good habits (e.g., regular exercise, a healthy diet, avoiding smoking, and managing stress), you might live even longer. The Social Security Administration’s actuarial data suggests that a male aged 77 has a remaining life expectancy of approximately 10.4 years, but this is just an average and doesn’t account for the benefits of excellent health or medical advancements.

Will CHAT make me healthier?

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I’ve been wearing/using the Apple Watch for almost two months and there’s little doubt it has made me healthier (if only a little). Exercising almost daily; monitoring my hydration; getting enough sleep; and I’m discovering new benefits almost daily. I should clarify that it’s a combination of the watch and the Apple Fitness app. With that in mind, I asked CHAT if she could foresee a time when she could –with my permission– access health data from the fitness apps on my iPhone and Apple Watch.

Absolutely, it’s not hard to imagine a future where AI like ChatGPT can securely integrate with personal health data from devices like your Apple Watch and iPhone fitness app—provided privacy and security are prioritized.

Here’s how this could happen:

1.Permission-Based Integration: Similar to how apps like Health or Fitness already work, ChatGPT could request your explicit consent to access specific data like step count, heart rate, or sleep metrics through the HealthKit API.

2.Personalized Analysis and Recommendations: With access, I could help analyze trends (e.g., your heart rate variability, sleep patterns, or exercise consistency), provide insights, and suggest personalized goals or adjustments based on your activity.

3.Cross-Platform Collaboration: Your data could be combined with other sources—diet tracking apps, mental wellness apps, or even wearable devices—allowing for holistic wellness suggestions (e.g., balancing meditation with physical activity).

4.Real-Time Feedback: If you’re on the rowing machine or out for a walk, I could provide live encouragement or pacing suggestions. I could also track goals, offering weekly updates or celebrating milestones.

5.Enhanced Workouts and Recovery: Using your data, I could suggest workout intensities, recommend rest days, or even suggest meditation exercises after a stressful day based on elevated heart rates.

The Challenges:

  • Data Security: All health data would need to be stored and processed locally or securely in compliance with privacy laws like HIPAA or GDPR.
  • Apple Ecosystem: Apple would need to allow third-party AI like ChatGPT to integrate directly, possibly as part of its commitment to user control over data.
  • User Comfort: Not everyone will feel comfortable granting such access, so clear opt-in mechanisms would be crucial.

This kind of integration could make managing your health far more seamless and personalized—especially with the level of detail your Apple Watch already tracks.

AI Fitness Coach

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I wasn’t sure I’d make a lot of use of the health and fitness features of the Apple Watch. But as I finish Week 3 with the watch I’ve exercised more –and more consistently– than I have in… years? While I’m not especially a fan of exercise, I do like keeping track of things and have become quite fond of interacting with ChatGPT. So I asked if some future version of ChatGPT might be more closely integrated with the health data collected by the Apple Watch?

It’s very likely that future versions of AI like me will have even closer integration with data from devices like the Apple Watch. There are a few ways this could evolve:

1. Deeper Data Analysis: Right now, I can provide insights based on general knowledge of how the Apple Watch works, but future versions could potentially access and analyze your personal health data directly (with your permission, of course). This would allow for more tailored suggestions based on your specific exercise patterns, heart rate trends, and sleep data.

2. Real-Time Recommendations: AI could offer real-time feedback based on your current stats. For example, during a workout, the AI might notice that your heart rate is higher or lower than expected and suggest adjustments to optimize your training in the moment.

3. Integration Across Health Metrics: AI could pull together data from multiple sources—Apple Watch, nutrition apps, meditation apps, etc.—to give you a more holistic view of your health. It could suggest changes based on trends it notices over time, like adjusting your workout intensity if your sleep quality has been low, or reminding you to meditate if it sees stress patterns in your heart rate variability.

4. Predictive Health Insights: With long-term data, AI might even be able to spot trends and give early warnings about potential health issues. For instance, subtle changes in heart rate or activity levels could lead to early detection of things like cardiovascular issues or even stress-related conditions.

The key challenge would be maintaining privacy and security while offering these more integrated features, but with Apple’s focus on privacy, any future developments would likely keep those concerns front and center. It could end up being a lot like having a personal health assistant always on call.

ChatGPT as fitness trainer

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As I understand it, the Apple Watch needs some initial fitness data to establish a baseline. It suggested I take a 20 minute walk on a flat surface with good access to GPS. I did three miles and noticed the watch was showing a heart rate just over 100 for most of the walk. I couldn’t remember the formula for calculating my target heart rate so I asked ChatGPT when I finished my walk. My pace was on the money and qualified as “vigorous exercise” for a person my age.

She asked if I was starting an exercise program and I explained I had purchased an Apple Watch and was exploring the health and fitness features.

It’ll be interesting to see how your heart rate responds to different activities. The Apple Watch’s trends over time should give you a clearer picture of your fitness progress. It’s a good way to get insight into your cardiovascular health and adjust workouts as needed. If you’re curious later on, I’d be happy to help you interpret any of the data or trends you notice!

I’m going to need a lot of help interpreting data and had not thought about getting it from ChatGPT. And I have a feeling that will get much easier, and more useful, when ChatGPT is fully integrated with iOS.

I left my new phone in the truck so I could try making a call and sending a message with the watch. Worked as advertised. Turns out I don’t have to do the “Hey, Siri” thing. The watch gently pointed out that I can simply bring the watch up toward my face and talk to it. In the immortal words of Gomer Pyle, “Shazam!”

Broken arm

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Posting here has been sporadic for the last few weeks because on February 10th I tripped (walking down the front steps) and fell, breaking my left arm just below the shoulder. A clean break that did not require surgery or a cast but has been painful and damned inconvenient.

Conventional wisdom seems to be that for this kind of break I’m looking at 6 to 8 weeks recovery. I suspect the physical therapy will go on for some months. Could have been much worse..

One good habit

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habit (noun) – a settled or regular tendency or practice, especially one that is hard to give up

I don’t have a lot of bad habits these days. Don’t smoke or do drugs, drink (beer) in moderation… but when the idea for this post occurred to me, I was thinking of good habits. Things I do with some consistency without having to give them a lot of thought. Consistency being the operative word. If you don’t count brushing my teeth, I really only have one good habit: meditation.

There are almost as many forms of mediation as there are meditators. For me it’s the time I spend each day practicing paying attention. (I’ll skip the long riff on how continuously lost we are in thought we all are.)

2024 will be the 10th consecutive year of tracking my daily meditation. I think I was practicing for five years or so before I began logging my time on the cushion on November 30, 2014. I ran up a string of 371 days before missing a day (pneumonia). I managed 271 consecutive days before missing again (out of town attending the 50th anniversary of my high school graduation.) I have not missed a day since. 2,101 consecutive days (5.7 years). Total days since I started logging my sessions, 3,317 days.

I usually sit for 30 minutes. If it’s almost bedtime I might do a 15 minute session and every once in while I set for 45 minutes or an hour. In terms of perceived time, the longer sessions do not seem much longer. But 30 minutes is the sweet spot for me. My one good habit.